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Nonprofiteer
← PIEDMONT CARTERSVILLE HOSPITAL INC

Form 990 for tax year 2022

Filed by PIEDMONT CARTERSVILLE HOSPITAL INC.

Totals

Total revenue
$191,327,270
Total expenses
$199,064,234
Contributions and grants received
$89,310
Grants paid
$0
Program service revenue
$189,191,600
Investment income
$647,927
Other revenue
$1,398,433
Total assets, end of year
$536,548,436
Total liabilities, end of year
$26,353,611
Net assets or fund balances, end of year
$510,194,825
Program services expenses (Part IX)
$168,350,854
Management and general expenses
$30,713,380
Fundraising expenses
$0
Program service expenses (Part III)
$168,350,854

Program services were 84.6% 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.

  • 1e · Government grants (contributions)

    $89,110

  • 1f · All other contributions, gifts and grants

    $200

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $189,180,919 · related or exempt $189,180,919 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: OTHER OPERATING REVENUE

    total $10,681 · related or exempt $10,681 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $647,927 · related or exempt $0 · unrelated business $0 · excluded $647,927

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

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $1,055,089

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $1,055,089 · personal property $0

  • 6d · Net rental income or loss

    total $1,055,089 · related or exempt $0 · unrelated business $0 · excluded $1,055,089

  • 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

  • 11a · Other revenue: CAFETERIA SALES

    total $343,344 · related or exempt $0 · unrelated business $0 · excluded $343,344

  • 11e · Other revenue, total

    $343,344

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 $1,251,903 · program services $1,017,672 · management and general $234,231 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $54,057,129 · program services $43,943,040 · management and general $10,114,089 · fundraising $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $9,405,403 · program services $7,645,652 · management and general $1,759,751 · fundraising $0

  • 10 · Payroll taxes

    total $3,771,302 · program services $3,065,691 · management and general $705,611 · fundraising $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $40,522 · program services $0 · management and general $40,522 · fundraising $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 $44,728,981 · program services $36,360,189 · management and general $8,368,792 · fundraising $0

  • 12 · Advertising and promotion

    total $497,890 · program services $404,735 · management and general $93,155 · fundraising $0

  • 13 · Office expenses

    total $10,391,112 · program services $8,446,935 · management and general $1,944,177 · fundraising $0

  • 14 · Information technology

    total $2,753,279 · program services $2,238,140 · management and general $515,139 · fundraising $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $4,908,642 · program services $3,990,235 · management and general $918,407 · fundraising $0

  • 17 · Travel

    total $25,840 · program services $21,005 · management and general $4,835 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $1,949,993 · program services $0 · management and general $1,949,993 · fundraising $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $4,796,242 · program services $3,898,865 · management and general $897,377 · fundraising $0

  • 23 · Insurance

    total $1,839,102 · program services $0 · management and general $1,839,102 · fundraising $0

  • 24a · Other expenses: BAD DEBT EXPENSE

    total $17,318,057 · program services $17,318,057 · management and general $0 · fundraising $0

  • 24b · Other expenses: DRUGS & MEDICAL SUPPLIES

    total $30,723,749 · program services $30,723,749 · management and general $0 · fundraising $0

  • 24c · Other expenses: HOSPITAL TAX

    total $3,506,214 · program services $3,506,214 · management and general $0 · fundraising $0

  • 24d · Other expenses: MISC.

    total $7,098,874 · program services $5,770,675 · management and general $1,328,199 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $281,968,993 · end of year $189,642,050

  • 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 -$170,138,602 · end of year -$119,823,394

  • 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 $3,438,622 · end of year $3,534,653

  • 9 · Prepaid expenses and deferred charges

    beginning of year $696,963 · end of year $578,231

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

    $105,801,590

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

    $8,903,712

  • 10c · Land, buildings and equipment, net

    beginning of year $79,906,811 · end of year $96,897,878

  • 11 · Investments: publicly traded securities

    beginning of year $21,194 · end of year $99,378

  • 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 $365,241,101 · end of year $365,619,640

  • 17 · Accounts payable and accrued expenses

    beginning of year $28,511,394 · end of year $26,274,589

  • 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 $28,350,988 · end of year $79,022

  • 27 · Net assets without donor restrictions

    beginning of year $504,271,360 · end of year $510,181,509

  • 28 · Net assets with donor restrictions

    beginning of year $1,340 · end of year $13,316

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 CARTERSVILLE HOSPITAL, INC. IS A 119-BED FACILITY LOCATED IN THE CITY OF CARTERSVILLE IN BARTOW COUNTY, GEORGIA. OUR PRIMARY CARE AND SPECIALTY PHYSICIANS ON THE MEDICAL STAFF MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS, AND SENIORS WITHIN CARTERSVILLE AND THE GREATER METROPOLITAN ATLANTA MARKET, REGARDLESS OF ANY INDIVIUAL'S ABILITY TO PAY FOR SERVICES. FOR THE YEAR ENDED JUNE 30, 2023, THE HOSPITAL HAD 7,308 IN-PATIENT ADMISSIONS WITH A TOTAL OF 39,421 DAYS OF IN-PATIENT HOSPITALIZATION. ER VISITS TOTALED 48,067 AND OUTPAITENT VISITS TOTALED 34,022. SURGICAL SERVICES WERE PROVIDED TO 4,659 PATIENTS.

    Expenses $168,350,854 · Revenue $189,191,600

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 Jeffrey Mosley

    CEO & BOARD MEMBER

    Total calculated
    $770,168
    From this org
    $677,103
    From related orgs
    $0
    Other
    $93,065
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $378,558
    Bonus
    $127,500
    Other
    $171,045
    Deferred
    $73,263
    Nontaxable benefits
    $19,802
    Filer's total
    $770,168

  • Ms Katie Logan

    Board Member

    Total calculated
    $692,804
    From this org
    $0
    From related orgs
    $605,675
    Other
    $87,129
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $366,742 related
    Bonus
    $0 + $161,055 related
    Other
    $0 + $77,878 related
    Deferred
    $0 + $73,864 related
    Nontaxable benefits
    $0 + $13,265 related
    Filer's total
    $0 + $692,804 related

  • Mr Benjamin McDonald

    CFO

    Total calculated
    $495,089
    From this org
    $463,176
    From related orgs
    $0
    Other
    $31,913
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $292,265
    Bonus
    $61,625
    Other
    $109,286
    Deferred
    $18,300
    Nontaxable benefits
    $13,613
    Filer's total
    $495,089

  • Ms Lori Rakes

    CEO (AS OF 3/23)

    Total calculated
    $433,391
    From this org
    $390,861
    From related orgs
    $0
    Other
    $42,530
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $276,210
    Bonus
    $58,437
    Other
    $56,214
    Deferred
    $18,300
    Nontaxable benefits
    $24,230
    Filer's total
    $433,391

  • Mr Mark Senger

    CMO

    Total calculated
    $409,181
    From this org
    $377,093
    From related orgs
    $0
    Other
    $32,088
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $304,455
    Bonus
    $63,750
    Other
    $8,888
    Deferred
    $16,321
    Nontaxable benefits
    $15,767
    Filer's total
    $409,181

  • Ms Jan Tidwell

    CNO

    Total calculated
    $365,984
    From this org
    $325,158
    From related orgs
    $0
    Other
    $40,826
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $224,506
    Bonus
    $47,813
    Other
    $52,839
    Deferred
    $16,758
    Nontaxable benefits
    $24,068
    Filer's total
    $365,984

  • Mr Wellington Rolle

    ED FLOW COORDINATOR

    Total calculated
    $283,589
    From this org
    $259,672
    From related orgs
    $0
    Other
    $23,917
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $71,822
    Bonus
    $180
    Other
    $187,670
    Deferred
    $11,974
    Nontaxable benefits
    $11,943
    Filer's total
    $283,589

  • Ms Shannon Sims

    DIRECTOR - PHARMACY

    Total calculated
    $222,835
    From this org
    $195,321
    From related orgs
    $0
    Other
    $27,514
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,536
    Bonus
    $15,237
    Other
    $548
    Deferred
    $11,922
    Nontaxable benefits
    $15,592
    Filer's total
    $222,835

  • Mr Calvin Eddins

    ED FLOW COORDINATOR

    Total calculated
    $195,316
    From this org
    $189,633
    From related orgs
    $0
    Other
    $5,683
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $87,849
    Bonus
    $180
    Other
    $101,604
    Deferred
    $5,463
    Nontaxable benefits
    $220
    Filer's total
    $195,316

  • Mr Steven Spivey MD

    Board Member

    Total calculated
    $40,333
    From this org
    $40,333
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dr Jeffrey Brant

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Mr Ballard Mauldin

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Mr Wayne Moore

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Mr Victor Morgan

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Ms Connie Morris

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Ms Dana Nichols

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Mr Marty Sonenshire

    Board Member, Chair

    Total calculated
    $0
    Hours/week
    1

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, Katie Logan, and Jeffrey Mosley 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 Cartersville 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 RETIREMENT PLANS: THOMAS ARNOLD $ 96,797 ELIZABETH LEDDY $490,447 JEFFREY MOSLEY AND KATIE LOGAN PARTICIPATED IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS.
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.

  • CARTERSVILLE MEDICAL CENTER LLC

    HEALTHCARE · GA · income $0 · assets $0

    Directly controlled by PCH INC

  • CARTERSVILLE OCCUPATIONAL MED CENTER LL

    HEALTHCARE · GA · income $0 · assets $0

    Directly controlled by CMC LLC

  • AR HOLDING 2 LLC

    HOLDING CO. · GA · income $0 · assets $0

    Directly controlled by CMC LLC

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
202421359349307557

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