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Nonprofiteer
← PIEDMONT CARTERSVILLE HOSPITAL INC

Form 990 for tax year 2023

Filed by PIEDMONT CARTERSVILLE HOSPITAL INC.

Totals

Total revenue
$229,835,228
Total expenses
$207,647,565
Contributions and grants received
$253
Grants paid
$100,475
Program service revenue
$226,775,774
Investment income
$504,004
Other revenue
$2,555,197
Total assets, end of year
$504,404,261
Total liabilities, end of year
$34,211,962
Net assets or fund balances, end of year
$470,192,299
Program services expenses (Part IX)
$175,683,270
Management and general expenses
$31,964,295
Fundraising expenses
$0
Program service expenses (Part III)
$175,683,270

Program services were 84.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MR MARTY SONENSHINE

    BOARD MEMBER/CHAIR

    Total calculated
    $0
    Hours/week
    1
  • MS LORI RAKES

    CEO & BOARD MEMBER

    Total calculated
    $490,443
    From this org
    $447,454
    From related orgs
    $0
    Other
    $42,989
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $305,876
    Bonus
    $114,187
    Other
    $27,391
    Deferred
    $19,800
    Nontaxable benefits
    $23,189
    Filer's total
    $490,443
  • DR JEFFREY BRANT

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • DR RAJEEVE SUBBIAH

    BOARD MEMBER

    Total calculated
    $20,000
    From this org
    $20,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • DR STEVEN SPIVEY

    BOARD MEMBER

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

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • MR RICHARD DANIEL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • MR VICTOR MORGAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • MR WAYNE MOORE

    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
  • MS KATIE LOGAN

    BOARD MEMBER

    Total calculated
    $535,764
    From this org
    $0
    From related orgs
    $503,565
    Other
    $32,199
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $308,199 related
    Bonus
    $0 + $133,747 related
    Other
    $0 + $61,619 related
    Deferred
    $0 + $19,372 related
    Nontaxable benefits
    $0 + $12,827 related
    Filer's total
    $0 + $535,764 related
  • 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
  • MR BENJAMIN MCDONALD

    CFO

    Total calculated
    $430,907
    From this org
    $404,143
    From related orgs
    $0
    Other
    $26,764
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $265,813
    Bonus
    $78,715
    Other
    $59,615
    Deferred
    $12,413
    Nontaxable benefits
    $14,351
    Filer's total
    $430,907
  • MR MARK SENGER

    CMO

    Total calculated
    $445,386
    From this org
    $410,219
    From related orgs
    $0
    Other
    $35,167
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $317,180
    Bonus
    $81,429
    Other
    $11,610
    Deferred
    $18,180
    Nontaxable benefits
    $16,987
    Filer's total
    $445,386
  • MR TIAN CHEN

    MEDICAL PHYSICIST

    Total calculated
    $197,681
    From this org
    $191,712
    From related orgs
    $0
    Other
    $5,969
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,743
    Bonus
    $416
    Other
    $27,553
    Deferred
    $0
    Nontaxable benefits
    $5,969
    Filer's total
    $197,681
  • MR WELLINGTON ROLLE

    ED FLOW COORDINATOR

    Total calculated
    $226,406
    From this org
    $199,977
    From related orgs
    $0
    Other
    $26,429
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $59,835
    Bonus
    $0
    Other
    $140,142
    Deferred
    $12,230
    Nontaxable benefits
    $14,199
    Filer's total
    $226,406
  • MS JAN TIDWELL

    CNO

    Total calculated
    $390,838
    From this org
    $346,690
    From related orgs
    $0
    Other
    $44,148
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $232,587
    Bonus
    $60,967
    Other
    $53,136
    Deferred
    $18,064
    Nontaxable benefits
    $26,084
    Filer's total
    $390,838
  • MS SHANNON SIMS

    DIRECTOR - PHARMACY

    Total calculated
    $239,262
    From this org
    $212,228
    From related orgs
    $0
    Other
    $27,034
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $189,245
    Bonus
    $19,550
    Other
    $3,433
    Deferred
    $12,769
    Nontaxable benefits
    $14,265
    Filer's total
    $239,262
  • MR JEFFREY MOSLEY

    CEO (UNTIL 2/2023)

    Total calculated
    $133,282
    From this org
    $121,069
    From related orgs
    $0
    Other
    $12,213
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $72,362
    Bonus
    $45,964
    Other
    $2,743
    Deferred
    $7,180
    Nontaxable benefits
    $5,033
    Filer's total
    $133,282

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
THOMAS ARNOLD AND ELIZABETH LEDDY RECEIVED A DISCRETIONARY SPENDING ACCOUNT TOTALING $12,000, A FIXED AMOUNT DETERMINED BY THEIR JOB LEVEL. KATIE LOGAN RECEIVED A DISCRETIONARY SPENDING ACCOUNT TOTALING $9,230. LORI RAKES RECEIVED A DISCRETIONARY SPENDING ACCOUNT TOTALING $9,692. JEFFREY MOSLEY RECEIVED A DISCRETIONARY SPENDING ACCOUNT TOTALING $1,846. 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
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 nonqualified retirement plan
THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: THOMAS ARNOLD $107,975 ELIZABETH LEDDY $93,683 LORI RAKES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BUT DID NOT RECEIVE A CURRENT YEAR PAYMENT.
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

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.

Related partnerships

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

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202521359349315267

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