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Nonprofiteer
← PIEDMONT WALTON HOSPITAL INC

Form 990 for tax year 2022

Filed by PIEDMONT WALTON HOSPITAL INC.

Totals

Total revenue
$145,773,234
Total expenses
$105,113,006
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$89,560,695
Management and general expenses
$15,552,311
Fundraising expenses
$0
Program service expenses (Part III)
$89,560,695

Program services were 85.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

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 J Michael Burnett

    Board Member

    Total calculated
    $1,176,264
    From this org
    $0
    From related orgs
    $1,047,303
    Other
    $128,961
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $583,885 related
    Bonus
    $0 + $307,178 related
    Other
    $0 + $156,240 related
    Deferred
    $0 + $107,168 related
    Nontaxable benefits
    $0 + $21,793 related
    Filer's total
    $0 + $1,176,264 related

  • Ms Vicki A Cansler

    Board Member

    Total calculated
    $873,278
    From this org
    $0
    From related orgs
    $779,176
    Other
    $94,102
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $467,245 related
    Bonus
    $0 + $181,815 related
    Other
    $0 + $130,116 related
    Deferred
    $0 + $84,147 related
    Nontaxable benefits
    $0 + $9,955 related
    Filer's total
    $0 + $873,278 related

  • Mr Larry Ebert

    CEO & Board Member

    Total calculated
    $532,876
    From this org
    $448,205
    From related orgs
    $0
    Other
    $84,671
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $299,568
    Bonus
    $126,834
    Other
    $21,803
    Deferred
    $63,084
    Nontaxable benefits
    $21,587
    Filer's total
    $532,876

  • MR BLAKE WATTS

    CEO (AS OF 3/23)

    Total calculated
    $505,210
    From this org
    $0
    From related orgs
    $423,740
    Other
    $81,470
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $295,661 related
    Bonus
    $0 + $96,648 related
    Other
    $0 + $31,431 related
    Deferred
    $0 + $59,970 related
    Nontaxable benefits
    $0 + $21,500 related
    Filer's total
    $0 + $505,210 related

  • Mr Marvin Wynn

    CFO

    Total calculated
    $385,446
    From this org
    $0
    From related orgs
    $345,670
    Other
    $39,776
    Hours/week
    25 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $272,430 related
    Bonus
    $0 + $64,069 related
    Other
    $0 + $9,171 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $21,476 related
    Filer's total
    $0 + $385,446 related

  • Ms Rose Dennis

    exec. Dir. - patient svcs

    Total calculated
    $231,124
    From this org
    $203,613
    From related orgs
    $0
    Other
    $27,511
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,696
    Bonus
    $24,833
    Other
    $27,084
    Deferred
    $11,137
    Nontaxable benefits
    $16,374
    Filer's total
    $231,124

  • Mr Michael Wynne

    DIRECTOR - PHARMACY

    Total calculated
    $220,991
    From this org
    $195,275
    From related orgs
    $0
    Other
    $25,716
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,376
    Bonus
    $17,217
    Other
    $14,682
    Deferred
    $11,040
    Nontaxable benefits
    $14,676
    Filer's total
    $220,991

  • MR PATRICK DESLATE

    REGISTERED NURSE

    Total calculated
    $197,853
    From this org
    $167,250
    From related orgs
    $0
    Other
    $30,603
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $77,846
    Bonus
    $240
    Other
    $89,164
    Deferred
    $10,133
    Nontaxable benefits
    $20,470
    Filer's total
    $197,853

  • MS STACEY HOBBS

    REGISTERED NURSE

    Total calculated
    $194,277
    From this org
    $173,254
    From related orgs
    $0
    Other
    $21,023
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $78,788
    Bonus
    $240
    Other
    $94,226
    Deferred
    $5,125
    Nontaxable benefits
    $15,898
    Filer's total
    $194,277

  • Mr Jeffrey Braswell

    dir. - emergency svcs

    Total calculated
    $175,901
    From this org
    $166,078
    From related orgs
    $0
    Other
    $9,823
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $142,152
    Bonus
    $14,667
    Other
    $9,259
    Deferred
    $9,409
    Nontaxable benefits
    $414
    Filer's total
    $175,901

  • Mr Michael McAnder

    FORMER TREASURER/CFO PHC

    Total calculated
    $150,106
    From this org
    $0
    From related orgs
    $150,106
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $150,106 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $150,106 related

  • Dr Steven Durocher

    Board Member

    Total calculated
    $3,900
    From this org
    $0
    From related orgs
    $3,900
    Other
    $0
    Hours/week
    1

  • Mr Dan Curry

    Board Member/VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Mr Patrick Dally

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Mr Coleman Landers

    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 — 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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3: COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR
THE COMPENSATION FOR THE PRESIDENT/CEO OF PIEDMONT WALTON 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 4A: SEVERANCE PAYMENTS
MICHAEL MCANDER RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2022 IN THE AMOUNT OF $150,106.
SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL COMPENSATION INFORMATION
THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: J. MICHAEL BURNETT $ 88,868 VICKI CANSLER $ 65,847 THOMAS ARNOLD $ 96,797 ELIZABETH LEDDY $490,447 LARRY EBERT AND BLAKE WATTS PARTICIPATED IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS BUT DID NOT RECEIVE A CURRENT YEAR PAYMENT.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202401359349304740

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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