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
-
$60,000
PROGRAM SUPPORT
-
PROGRAM SUPPORT
-
BARTOW COUNTY SHERIFF'S OFFICE
$6,000
PROGRAM SUPPORT
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.
-
COLUMBUS REGIONAL SENIOR LIVING INC
501(c)(3) · HEALTHCARE · GA
Directly controlled by phc
-
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
FAYETTE COMMUNITY HOSPITAL INC
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
PIEDMONT MOUNTAINSIDE HOSPITAL INC
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
PIEDMONT HEALTHCARE FOUNDATION INC
501(c)(3) · FUNDRAISING · GA
Directly controlled by PHC
-
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
PIEDMONT ATHENS REGIONAL FOUNDATION INC
501(c)(3) · FUNDRAISING · GA
Directly controlled by PARMC
-
PIEDMONT ATHENS REGIONAL HEALTH RESOURCE
501(c)(3) · DEVELOPMENT · GA
Directly controlled by PARMC
-
PIEDMONT ATHENS REGIONAL MEDICAL CENTER
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
501(c)(3) · HOSPITAL · GA
Directly controlled by CRHS
-
ATHENS REGIONAL PHYSICIAN SERVICES INC
501(c)(3) · HEALTHCARE · GA
Directly controlled by PARMC
-
501(c)(3) · URGENT CARE · GA
Directly controlled by PARMC
-
501(c)(3) · HOSPITAL · GA
Directly controlled by CRHS
-
COLUMBUS AMBULATORY HEALTHCARE SERVICES
501(c)(3) · AMBULATORY · GA
Directly controlled by CRHS
-
COLUMBUS REGIONAL MEDICAL FOUNDATION INC
501(c)(3) · FUNDRAISING · GA
Directly controlled by CRHS
-
COLUMBUS REGIONAL HEALTHCARE SYSTEM INC
501(c)(3) · MANAGEMENT · GA
Directly controlled by PHC
-
PIEDMONT ROCKDALE HOSPITAL INC
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
501(c)(3) · MANAGEMENT · GA
Directly controlled by NA
-
PIEDMONT EASTSIDE HOSPITAL INC
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
PIEDMONT MACON NORTH HOSPITAL INC
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
UNIVERSITY HEALTH SERVICES INC
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
UNIVERSITY MCDUFFIE COUNTY REG MED CTR
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
UNIVERSITY HEALTH CARE FOUNDATION INC
501(c)(3) · FUNDRAISING · GA
Directly controlled by UHS
-
501(c)(3) · HEALTHCARE · GA
Directly controlled by UHS
-
AUGUSTA RESOURCE CENTER ON AGING INC
501(c)(3) · HEALTHCARE · GA
Directly controlled by PHC
-
ATHENS REGIONAL SPECIALTY SERVICES INC
501(c)(3) · HEALTHCARE · GA
Directly controlled by PARMC
-
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
501(c)(3) · HOSPITAL · GA
Directly controlled by PHC
-
FIRST CALL PROFESSIONAL SOLUTIONS INC
501(c)(3) · STAFFING · GA
Directly controlled by PHC
-
FIRST CALL STAFFING SOLUTIONS INC
501(c)(3) · STAFFING · GA
Directly controlled by PHC
-
501(c)(3) · HEALTHCARE · GA
Directly controlled by PHC
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 MEDICAL CENTER LLC
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.
-
N/A · SURGERY · GA
Directly controlled by NA
-
ORTHOATLANTA SURGERY CENTER FAYETTEVILLE
N/A · SURGERY · GA
Directly controlled by NA
-
N/A · SURGERY · GA
Directly controlled by NA
-
COLUMBUS DIAGNOSTIC IMAGING CTR
N/A · IMAGING · GA
Directly controlled by NA
-
N/A · SURGERY · GA
Directly controlled by NA
-
PIEDMONT ENCOMPASS REHABILITATION HOSPITALS
N/A · HEALTHCARE · DE
Directly controlled by NA
-
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
-
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
-
C Corporation · HEALTHCARE · GA
Directly controlled by NA
-
C Corporation · HEALTHCARE · GA
Directly controlled by NA
-
UNIVERSITY HEALTH RESOURCES INC
C Corporation · HEALTHCARE · GA
Directly controlled by NA
-
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
- 202521359349315267
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