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Nonprofiteer
← PIEDMONT WALTON HOSPITAL INC

Form 990 for tax year 2023

Filed by PIEDMONT WALTON HOSPITAL INC.

Totals

Total revenue
$160,150,643
Total expenses
$114,384,082
Contributions and grants received
$24,194
Grants paid
$192,194
Program service revenue
$159,939,225
Investment income
-$390,790
Other revenue
$578,014
Total assets, end of year
$65,109,767
Total liabilities, end of year
$61,193,650
Net assets or fund balances, end of year
$3,916,117
Program services expenses (Part IX)
$98,676,839
Management and general expenses
$15,707,243
Fundraising expenses
$0
Program service expenses (Part III)
$98,676,839

Program services were 86.3% 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

    $24,194

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $159,777,393 · related or exempt $159,777,393 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: OTHER OPERATING REVENUE

    total $161,832 · related or exempt $161,832 · 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 $4 · related or exempt $0 · unrelated business $0 · excluded $4

  • 6a · Gross rents

    real property $559,535 · personal property $0

  • 6b · Less rental expenses

    real property $0 · personal property $0

  • 6c · Rental income or loss

    real property $559,535 · personal property $0

  • 6d · Net rental income or loss

    total $559,535 · related or exempt $0 · unrelated business $0 · excluded $559,535

  • 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 $390,794

  • 7c · Gain or loss

    securities $0 · other assets -$390,794

  • 7d · Net gain or loss

    total -$390,794 · related or exempt $0 · unrelated business $0 · excluded -$390,794

  • 11a · Other revenue: FEE REVENUE

    total $18,479 · related or exempt $18,479 · unrelated business $0 · excluded $0

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $18,479

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $192,194 · program services $192,194

  • 5 · Compensation of officers, directors and key employees

    total $532,226 · program services $127,903 · management and general $404,323 · fundraising $0

  • 7 · Other salaries and wages

    total $39,595,677 · program services $35,424,192 · management and general $4,171,485 · fundraising $0

  • 9 · Other employee benefits

    total $7,040,735 · program services $6,147,477 · management and general $893,258 · fundraising $0

  • 10 · Payroll taxes

    total $2,583,515 · program services $2,218,723 · management and general $364,792 · fundraising $0

  • 11a · Fees: management

    total $11,750 · program services $11,746 · management and general $4 · fundraising $0

  • 11b · Fees: legal

    total $56,140 · program services $0 · management and general $56,140 · fundraising $0

  • 11g · Fees: other

    total $8,221,299 · program services $6,687,163 · management and general $1,534,136 · fundraising $0

  • 12 · Advertising and promotion

    total $195,357 · program services $15,572 · management and general $179,785 · fundraising $0

  • 13 · Office expenses

    total $6,808,403 · program services $5,160,661 · management and general $1,647,742 · fundraising $0

  • 14 · Information technology

    total $1,507,030 · program services $1,142,329 · management and general $364,701 · fundraising $0

  • 16 · Occupancy

    total $2,075,408 · program services $1,926,058 · management and general $149,350 · fundraising $0

  • 17 · Travel

    total $6,932 · program services $4,330 · management and general $2,602 · fundraising $0

  • 20 · Interest

    total $706,592 · program services $0 · management and general $706,592 · fundraising $0

  • 21 · Payments to affiliates

    total $3,228,527 · program services $0 · management and general $3,228,527 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $2,705,331 · program services $2,515,042 · management and general $190,289 · fundraising $0

  • 23 · Insurance

    total $1,247,504 · program services $933,517 · management and general $313,987 · fundraising $0

  • 24a · Other expenses: BAD DEBT EXPENSE

    total $18,033,427 · program services $18,033,427 · management and general $0 · fundraising $0

  • 24b · Other expenses: DRUGS & MEDICAL SUPPLIES

    total $14,802,812 · program services $14,802,812 · management and general $0 · fundraising $0

  • 24c · Other expenses: ADMINISTRATIVE EXPENSES

    total $3,600,969 · program services $2,101,439 · management and general $1,499,530 · fundraising $0

  • 24d · Other expenses: HOSPITAL TAX

    total $1,232,254 · program services $1,232,254 · 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 $65,257,869 · end of year $72,216,171

  • 4 · Accounts receivable

    beginning of year -$42,522,991 · end of year -$52,689,598

  • 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 $1,897,573 · end of year $1,995,858

  • 9 · Prepaid expenses and deferred charges

    beginning of year $392,077 · end of year $442,921

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

    $39,832,030

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

    $15,840,679

  • 10c · Land, buildings and equipment, net

    beginning of year $25,874,127 · end of year $23,991,351

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $19,167,362 · end of year $19,153,064

  • 17 · Accounts payable and accrued expenses

    beginning of year $18,346,989 · end of year $19,808,532

  • 20 · Tax-exempt bond liabilities

    beginning of year $37,253,014 · end of year $37,221,783

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $2,901,524 · end of year $4,163,335

  • 27 · Net assets without donor restrictions

    beginning of year $11,559,155 · end of year $3,886,276

  • 28 · Net assets with donor restrictions

    beginning of year $5,335 · end of year $29,841

Mission and programs · 2023

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 WALTON HOSPITAL ("PWH") IS A 77-BED, NON-PROFIT HOSPITAL LOCATED IN THE CITY OF CONYERS IN WALTON COUNTY, GEORGIA. OVER 250 PRIMARY CARE AND SPECIALTY PHYSICIANS COMPRISE THE MEDICAL STAFF AND MEET THE PROFESSIONAL CLINICAL NEEDS OF CHILDREN, ADULTS, AND SENIORS WITHIN WALTON COUNTY AND THE GREATER METROPOLITAN ATLANTA MARKET, REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY FOR SERVICES. FOR THE YEAR ENDED JUNE 30, 2024, THE HOSPITAL HAD 4,664 IN-PATIENT ADMISSIONS WITH A TOTAL OF 17,361 DAYS OF IN-PATIENT HOSPITALIZATION. ER VISITS TOTALED 43,797 AND OUTPATIENT VISITS TOTALED 26,053. SURGICAL SERVICES WERE PROVIDED TO 3,558 PATIENTS.

    Expenses $98,676,839 · Grants $192,194 · Revenue $159,957,704

As filed on the 2023 return.

Listed in Part VII

  • Mr Blake Watts

    CEO (AS OF 2/2023) & BOARD MEMBER

    Total calculated
    $510,921
    From this org
    $389,931
    From related orgs
    $77,911
    Other
    $43,079
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $260,420 + $46,882 related
    Bonus
    $109,179 + $28,562 related
    Other
    $20,332 + $2,467 related
    Deferred
    $18,273
    Nontaxable benefits
    $21,033 + $3,773 related
    Filer's total
    $429,237 + $81,684 related

  • Mr Coleman Landers

    BOARD MEMBER/CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Dr Steven Durocher

    BOARD MEMBER

    Total calculated
    $155,664
    From this org
    $151,264
    From related orgs
    $4,400
    Other
    $0
    Hours/week
    10 + 1 related

    Schedule J breakdown matched by us

    Base
    $151,264 + $4,400 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $151,264 + $4,400 related

  • Mr Dan Curry

    BOARD MEMBER/VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Mr J Michael Burnett

    BOARD MEMBER

    Total calculated
    $1,158,765
    From this org
    $0
    From related orgs
    $1,113,933
    Other
    $44,832
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $608,425 related
    Bonus
    $0 + $356,480 related
    Other
    $0 + $149,028 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $25,032 related
    Filer's total
    $0 + $1,158,765 related

  • Mr Patrick Dally

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Ms Vicki Cansler

    BOARD MEMBER

    Total calculated
    $867,402
    From this org
    $0
    From related orgs
    $837,266
    Other
    $30,136
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $486,220 related
    Bonus
    $0 + $224,970 related
    Other
    $0 + $126,076 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $10,336 related
    Filer's total
    $0 + $867,402 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 Marvin Wynn

    CFO

    Total calculated
    $458,409
    From this org
    $0
    From related orgs
    $413,839
    Other
    $44,570
    Hours/week
    25 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $294,407 related
    Bonus
    $0 + $82,881 related
    Other
    $0 + $36,551 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $24,770 related
    Filer's total
    $0 + $458,409 related

  • Dumle Pie

    STAFF NURSE

    Total calculated
    $177,972
    From this org
    $166,028
    From related orgs
    $0
    Other
    $11,944
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $65,994
    Bonus
    $0
    Other
    $100,034
    Deferred
    $2,940
    Nontaxable benefits
    $9,004
    Filer's total
    $177,972

  • Guerla Gustave

    STAFF NURSE

    Total calculated
    $228,359
    From this org
    $194,535
    From related orgs
    $0
    Other
    $33,824
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $71,452
    Bonus
    $0
    Other
    $123,083
    Deferred
    $9,712
    Nontaxable benefits
    $24,112
    Filer's total
    $228,359

  • Mr Jeffrey Braswell

    DIR. - EMERGENCY SVCS

    Total calculated
    $178,072
    From this org
    $167,731
    From related orgs
    $0
    Other
    $10,341
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,916
    Bonus
    $17,271
    Other
    $2,544
    Deferred
    $9,945
    Nontaxable benefits
    $396
    Filer's total
    $178,072

  • Mr Michael Wynne

    DIRECTOR - PHARMACY

    Total calculated
    $217,394
    From this org
    $190,253
    From related orgs
    $0
    Other
    $27,141
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $169,809
    Bonus
    $20,191
    Other
    $253
    Deferred
    $11,616
    Nontaxable benefits
    $15,525
    Filer's total
    $217,394

  • Ms Rose Dennis

    EXEC. DIR. PATIENT SVCS

    Total calculated
    $228,597
    From this org
    $199,031
    From related orgs
    $0
    Other
    $29,566
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,347
    Bonus
    $30,253
    Other
    $5,431
    Deferred
    $12,226
    Nontaxable benefits
    $17,340
    Filer's total
    $228,597

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, ELIZABETH LEDDY, J. MICHAEL BURNETT, VICKI CANSLER, AND BLAKE WATTS 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
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 4b Supplemental nonqualified retirement plan
THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: THOMAS ARNOLD $107,975 ELIZABETH LEDDY $93,683 J. MICHAEL BURNETT $92,645 VICKI CANSLER $68,481 BLAKE WATTS 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 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.

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
202541359349313699

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