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Nonprofiteer
← PIEDMONT MOUNTAINSIDE HOSPITAL INC

Form 990 for tax year 2023

Filed by PIEDMONT MOUNTAINSIDE HOSPITAL INC.

Totals

Total revenue
$155,945,545
Total expenses
$123,359,652
Contributions and grants received
$2,222,718
Grants paid
$109,004
Program service revenue
$153,312,161
Investment income
-$99,260
Other revenue
$509,926
Total assets, end of year
$85,004,418
Total liabilities, end of year
$31,931,690
Net assets or fund balances, end of year
$53,072,728
Program services expenses (Part IX)
$111,176,377
Management and general expenses
$12,183,275
Fundraising expenses
$0
Program service expenses (Part III)
$111,176,377

Program services were 90.1% 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.

  • 1f · All other contributions, gifts and grants

    $2,222,718

  • 1g · Noncash contributions included above

    $97,871

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $152,753,040 · related or exempt $152,753,040 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: OTHER OPERATING REVENUE

    total $559,121 · related or exempt $559,121 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $688 · related or exempt $0 · unrelated business $0 · excluded $688

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $0 · other assets $0

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $99,948

  • 7c · Gain or loss

    securities $0 · other assets -$99,948

  • 7d · Net gain or loss

    total -$99,948 · related or exempt $0 · unrelated business $0 · excluded -$99,948

  • 11a · Other revenue: CAFETERIA SALES

    total $354,403 · related or exempt $0 · unrelated business $0 · excluded $354,403

  • 11b · Other revenue: GIFT SHOP

    total $139,031 · related or exempt $0 · unrelated business $0 · excluded $139,031

  • 11c · Other revenue: FEE REVENUE

    total $16,492 · related or exempt $16,492 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $509,926

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $109,004 · program services $109,004

  • 5 · Compensation of officers, directors and key employees

    total $1,098,963 · program services $965,219 · management and general $133,744 · fundraising $0

  • 7 · Other salaries and wages

    total $43,039,939 · program services $37,801,978 · management and general $5,237,961 · fundraising $0

  • 9 · Other employee benefits

    total $8,015,184 · program services $7,039,736 · management and general $975,448 · fundraising $0

  • 10 · Payroll taxes

    total $2,817,303 · program services $2,474,437 · management and general $342,866 · fundraising $0

  • 11a · Fees: management

    total $19,697 · program services $19,697 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total -$9,671 · program services -$9,381 · management and general -$290 · fundraising $0

  • 11g · Fees: other

    total $8,726,879 · program services $8,726,879 · management and general $0 · fundraising $0

  • 12 · Advertising and promotion

    total $270,001 · program services $270,001 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $6,856,571 · program services $6,764,980 · management and general $91,591 · fundraising $0

  • 14 · Information technology

    total $1,565,349 · program services $1,518,398 · management and general $46,951 · fundraising $0

  • 16 · Occupancy

    total $2,827,632 · program services $2,389,290 · management and general $438,342 · fundraising $0

  • 17 · Travel

    total $33,221 · program services $24,494 · management and general $8,727 · fundraising $0

  • 20 · Interest

    total $878,402 · program services $851,307 · management and general $27,095 · fundraising $0

  • 21 · Payments to affiliates

    total $2,771,874 · program services $0 · management and general $2,771,874 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $4,154,756 · program services $4,030,114 · management and general $124,642 · fundraising $0

  • 23 · Insurance

    total $1,180,169 · program services $1,144,764 · management and general $35,405 · fundraising $0

  • 24a · Other expenses: DRUGS AND MEDICAL SUPPLIES

    total $17,895,253 · program services $17,895,253 · management and general $0 · fundraising $0

  • 24b · Other expenses: ALL OTHER EXPENSES

    total $13,773,281 · program services $11,824,362 · management and general $1,948,919 · fundraising $0

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $5,834,851 · program services $5,834,851 · management and general $0 · fundraising $0

  • 24d · Other expenses: HOSPITAL TAX

    total $1,500,994 · program services $1,500,994 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $50,339 · end of year $41,026

  • 4 · Accounts receivable

    beginning of year $24,728,036 · end of year $18,573,919

  • 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

  • 8 · Inventories for sale or use

    beginning of year $2,061,402 · end of year $2,060,044

  • 9 · Prepaid expenses and deferred charges

    beginning of year $494,272 · end of year $473,434

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

    $110,422,728

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

    $63,747,216

  • 10c · Land, buildings and equipment, net

    beginning of year $34,187,466 · end of year $46,675,512

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $17,180,483 · end of year $17,180,483

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $9,616,605 · end of year $12,478,499

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $18,017,017 · end of year $19,453,191

  • 27 · Net assets without donor restrictions

    beginning of year $44,156,067 · end of year $53,041,916

  • 28 · Net assets with donor restrictions

    beginning of year $6,912,309 · end of year $30,812

Mission and programs · 2023

Mission

TO PROVIDE HEALTHCARE MARKED BY COMPASSION AND SUSTAINABLE EXCELLENCE IN A PROGRESSIVE ENVIRONMENT, GUIDED BY PHYSICIANS, DELIVERED BY PROFESSIONALS, AND INSPIRED BY THE COMMUNITIES WE SERVE.

Activities or mission (Part I)

TO PROVIDE COMPASSIONATE AND SUSTAINABLE HEALTHCARE IN A PROGRESSIVE ENVIRONMENT.

  • PIEDMONT MOUNTAINSIDE HOSPITAL ("PMH") IS A 76-BED FACILITY LOCATED IN THE CITY OF JASPER IN PICKENS COUNTY, GEORGIA. OVER 200 PRIMARY CARE AND SPECIALTY PHYSICIANS ON THE MEDICAL STAFF MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS, AND SENIORS WITHIN THE COMMUNITY, REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY FOR SERVICES. FOR THE YEAR ENDED JUNE 30, 2024, THE HOSPITAL HAD 4,251 IN-PATIENT ADMISSIONS WITH A TOTAL OF 17,932 DAYS OF IN-PATIENT HOSPITALIZATION. ER VISITS TOTALED 33,667 AND OUTPATIENT VISITS TOTALED 61,194. SURGICAL SERVICES WERE PROVIDED TO 2,935 PATIENTS.

    Expenses $111,176,377 · Grants $109,004 · Revenue $153,328,653

As filed on the 2023 return.

Listed in Part VII

  • Ms Denise Ray

    CEO/BOARD MEMBER/CHAIR

    Total calculated
    $944,335
    From this org
    $906,562
    From related orgs
    $0
    Other
    $37,773
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $501,831
    Bonus
    $269,310
    Other
    $135,421
    Deferred
    $19,800
    Nontaxable benefits
    $17,973
    Filer's total
    $944,335

  • Dr John Schnars

    BOARD MEMBER

    Total calculated
    $742,768
    From this org
    $0
    From related orgs
    $707,772
    Other
    $34,996
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $533,116 related
    Bonus
    $0
    Other
    $0 + $174,656 related
    Deferred
    $0 + $18,120 related
    Nontaxable benefits
    $0 + $16,876 related
    Filer's total
    $0 + $742,768 related

  • Dr Leigh Hamby

    BOARD MEMBER

    Total calculated
    $1,384,190
    From this org
    $0
    From related orgs
    $1,346,397
    Other
    $37,793
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $715,933 related
    Bonus
    $0 + $439,771 related
    Other
    $0 + $190,693 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $17,993 related
    Filer's total
    $0 + $1,384,190 related

  • Dr Rosemarie Spillane

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Mr Gregory Hurst

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Mr Jason Smith

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Mr Paul Nealey

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Mr Richard Hubbard III

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Mr Thomas Arnold

    TREASURER/CFO PHC

    Total calculated
    $1,307,608
    From this org
    $0
    From related orgs
    $1,268,098
    Other
    $39,510
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $711,656 related
    Bonus
    $0 + $360,250 related
    Other
    $0 + $196,192 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $19,710 related
    Filer's total
    $0 + $1,307,608 related

  • Ms Elizabeth Leddy

    SECRETARY/CLO PHC

    Total calculated
    $1,204,873
    From this org
    $0
    From related orgs
    $1,164,523
    Other
    $40,350
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $612,535 related
    Bonus
    $0 + $395,529 related
    Other
    $0 + $156,459 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $20,550 related
    Filer's total
    $0 + $1,204,873 related

  • Ms Lindsey Gard

    CFO

    Total calculated
    $251,590
    From this org
    $213,883
    From related orgs
    $0
    Other
    $37,707
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $171,509
    Bonus
    $35,680
    Other
    $6,694
    Deferred
    $0
    Nontaxable benefits
    $37,707
    Filer's total
    $251,590

  • Dr Moiz Master

    PHYSICIAN

    Total calculated
    $597,412
    From this org
    $555,248
    From related orgs
    $0
    Other
    $42,164
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $403,697
    Bonus
    $131,816
    Other
    $19,735
    Deferred
    $17,132
    Nontaxable benefits
    $25,032
    Filer's total
    $597,412

  • Mr Justin Leal

    SR. DIR. OPERATIONS

    Total calculated
    $329,824
    From this org
    $307,220
    From related orgs
    $0
    Other
    $22,604
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $254,677
    Bonus
    $51,141
    Other
    $1,402
    Deferred
    $12,915
    Nontaxable benefits
    $9,689
    Filer's total
    $329,824

  • Mr William Matthews

    STAFF NURSE

    Total calculated
    $191,137
    From this org
    $186,627
    From related orgs
    $0
    Other
    $4,510
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $93,141
    Bonus
    $0
    Other
    $93,486
    Deferred
    $4,283
    Nontaxable benefits
    $227
    Filer's total
    $191,137

  • Ms Michelle Breitfelder

    CNO

    Total calculated
    $332,726
    From this org
    $297,821
    From related orgs
    $0
    Other
    $34,905
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $211,708
    Bonus
    $72,255
    Other
    $13,858
    Deferred
    $17,425
    Nontaxable benefits
    $17,480
    Filer's total
    $332,726

  • Ms Patricia Hopkins

    DIRECTOR - PHARMACY

    Total calculated
    $256,527
    From this org
    $222,907
    From related orgs
    $0
    Other
    $33,620
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $193,951
    Bonus
    $26,861
    Other
    $2,095
    Deferred
    $9,165
    Nontaxable benefits
    $24,455
    Filer's total
    $256,527

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 Discretionary spending account
ELIZABETH LEDDY, THOMAS ARNOLD, DENISE RAY, AND DR. LEIGH HAMBY 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 Arrangement used to establish the top management official's compensation
COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR THE COMPENSATION FOR THE PRESIDENT/CEO OF PIEDMONT MOUNTAINSIDE 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 nonqualified retirement plan
THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: LEIGH HAMBY $108,680 THOMAS ARNOLD $107,975 ELIZABETH LEDDY $93,683 DENISE RAY $71,294
Schedule J, Part I, Line 7 Non-fixed payments
NON-FIXED PAYMENTS CERTAIN EMPLOYEES PARTICIPATED IN AN "ANNUAL INCENTIVE PLAN" UNDER WHICH THEY RECEIVED NON-FIXED 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

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.

  • SLEEP SERVICES OF JASPER LLC

    MEDICAL · GA · income $0 · assets $0

    Directly controlled by PMH

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • GA SURG CTR PCHTREE

    N/A · SURGERY · GA

    Directly controlled by NA

  • ORTHOATLANTA SURGERY CENTER FAYETTEVILLE

    N/A · SURGERY · GA

    Directly controlled by NA

  • ATHENS ASC HOLDINGS LLC

    N/A · SURGERY · GA

    Directly controlled by NA

  • COLUMBUS DIAGNOSTIC IMAGING CTR

    N/A · IMAGING · GA

    Directly controlled by NA

  • THE SURGERY CENTER LLC

    N/A · SURGERY · GA

    Directly controlled by NA

  • PIEDMONT ENCOMPASS REHABILITATION HOSPITALS

    N/A · HEALTHCARE · DE

    Directly controlled by NA

  • COLISEUM SAME DAY SURGERY CTR

    N/A · SURGERY · GA

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • PIEDMONT MEDICAL CARE CORPORATION

    C Corporation · HEALTHCARE · GA

    Directly controlled by NA

  • THE PIEDMONT CLINIC INC

    C Corporation · HEALTHCARE · GA

    Directly controlled by NA

  • PIEDMONT HEART INSTITUTE PHYSICIANS INC

    C Corporation · HEALTHCARE · GA

    Directly controlled by NA

  • AMSTER MCRAE INSURANCE COMPANY SPC

    C Corporation · RELATED INSURANCE · CJ

    Directly controlled by NA

  • COLUMBUS HEALTHCARE RESOURCES

    C Corporation · HEALTHCARE · GA

    Directly controlled by NA

  • COLUMBUS HEALTH SERVICES INC

    C Corporation · HEALTHCARE · GA

    Directly controlled by NA

  • UNIVERSITY HEALTH RESOURCES INC

    C Corporation · HEALTHCARE · GA

    Directly controlled by NA

  • UNIVERSITY HOSPITAL AIKEN INC

    C Corporation · HOSPITAL · SC

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202521359349313977

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