2021-05-14T11:53:52-05:00 2020-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2019-07-01 581649541 WELLSTAR HEALTH SYSTEM INC % JAMES M SWARTZ WELL 7709567827 793 SAWYER ROAD MARIETTA GA 300622222 JAMES M SWARTZ VP ACCOUNTING 7709567827 2021-05-14 true JOANNE KRUEGER P01235586 2673303000 2019 2022-09-23 18:48:47Z CANDICE L SAUNDERS 793 SAWYER ROAD MARIETTA GA 300622222 1581615166 false X www.wellstar.org X 1994 GA SEE SCHEDULE O 19 9 9324 123 137213 0 0 3148900 1502135866 1510398466 31626026 22250410 7859529 45817390 1541621421 1581615166 2584922 4658755 0 0 917841285 965673964 0 0 1906942 377362579 451097850 1297788786 1421430569 243832635 160184597 4134687155 4544730822 2343561053 2792861183 1791126102 1751869639 X SEE SCHEDULE O false false 881649850 4656050 1510398466 SEE SCHEDULE O 881649850 true true false true false false false false true true false false true true true false true false true false false false false false false false true false true true false false false false false true false false true false false false false false true true true true true false true 1426 0 9324 true true true true CJ false false false false false false false false true false X 19 9 false false false false false false false true true false false true true true true true true true true true true GA X JAMES M SWARTZ 7709567827 793 SAWYER ROAD MARIETTA GA 300622222 X CANDICE L SAUNDERS PRESIDENT & CEO 38.0 14.0 X 2470527 0 81334 RICHARD MYUNG MD PHYSICIAN GROUP 50.0 0.0 X 2063789 0 76728 RISHI GUPTA MD PHYSICIAN GROUP 50.0 0.0 X 1435335 0 68516 TERESA LUU MD PHYSICIAN GROUP 50.0 0.0 X 1397484 0 51903 ANTHONY J BUDZINSKI EVP & CFO 38.0 14.0 X 1316813 0 80725 AHMAD KHALDI MD PHYSICIAN GROUP 50.0 0.0 X 1295272 0 56263 MARK MCLAUGHLIN MD PHYSICIAN GROUP 50.0 0.0 X 1247832 0 26914 JOHN A BRENNAN EVP CHIEF CLIN. INTEG. OFFICER 38.0 12.0 X 1152200 0 85658 CARRIE O PLIETZ EVP & COO HOSPITAL DIVISION 38.0 12.0 X 958040 0 72283 LEO E REICHERT EVP & GENERAL COUNSEL 38.0 12.0 X 827805 0 78484 ROB SCHREINER EVP & PRESIDENT MEDICAL GROUP 38.0 12.0 X 744399 0 40297 KEM M MULLINS EVP AMBULATORY & BUS. DEV. 38.0 12.0 X 722112 0 57728 ALAN R MUSTER MD SVP SPECIALTY DIVISION WMG 38.0 14.0 X 668022 0 84899 DAVID JONES EVP CHIEF HR OFFICER 38.0 12.0 X 701279 0 28471 MARY B CHATMAN PHD SVP & HOSPITAL PRESIDENT 2.0 48.0 X 0 664919 64155 VALERY A AKOPOV MD SVP HOSPITAL DIVISION WMG 38.0 12.0 X 646474 0 58863 PAUL DOUGLASS MD TRUSTEE & PHYSICIAN 38.0 12.0 X 661178 0 43597 STEPHEN L BADGER VP STRATEGIC SERVICES 50.0 0.0 X 588669 0 86070 MONTE A WILSON FORMER HOSPITAL PRESIDENT 0.0 0.0 X 0 650354 1075 JILL M CASE-WIRTH SVP NURSING SERVICES 38.0 12.0 X 583296 0 62394 JOSEPH L BRYWCZYNSKI SVP HEALTH PARKS DEVELOPMENT 38.0 12.0 X 492843 0 74240 CATHERINE ANDREWS SVP & HOSPITAL PRESIDENT 2.0 48.0 X 0 500635 53657 BETH KOST SVP, CHIEF COMPLIANCE OFFICER 38.0 12.0 X 492253 0 57487 REMINGTON FOSS SVP & HOSPITAL PRESIDENT 2.0 48.0 X 0 485149 52086 PETER R JUNGBLUT MD MBA FORMER SVP & MEDICAL DIRECTOR 50.0 0.0 X 450613 0 81450 PAUL D MURPHREE VP MEDICAL OUTCOMES 38.0 12.0 X 448944 0 82648 BARBARA B COREY SVP MANAGED CARE 38.0 12.0 X 477581 0 45174 AVRIL P BECKFORD MD TRUSTEE & CHIEF PEDIATRIC OFF. 38.0 12.0 X X 481985 0 31447 DOUGLAS ARVIN CPA MBA SVP FINANCE (END. 2/20) 38.0 12.0 X 471706 0 35798 KIMBERLY J RYAN SENIOR VICE PRESIDENT 38.0 12.0 X 207384 241521 52988 TAMARA D ISON SVP & HOSPITAL PRESIDENT 2.0 48.0 X 0 440750 54128 JONATHAN CROOM SVP & HOSPITAL PRESIDENT 2.0 48.0 X 0 443654 48690 SHALIMA PANNIKODE SVP CHIEF INFO. & DIGITAL OFF. 38.0 12.0 X 460276 0 31296 RICHARD S SIEGEL VP CARDIO.&CVM ADMN(END. 1/20) 38.0 12.0 X 396222 0 81281 DAVID W PRESTON SVP BRAND EXP. & COMMUNICATION 38.0 12.0 X 431352 0 44407 ELIZABETH H LOUDERMILK VP FINANCIAL PLANNING 38.0 12.0 X 419394 0 54633 JOHN KUEVEN SVP & HOSPITAL PRESIDENT 2.0 48.0 X 0 416893 52642 MICHAEL T MCCULLOUGH SVP SUPPLY CHAIN 38.0 12.0 X 409522 0 52085 JASON D STEVENS SVP DEPUTY GENERAL COUNSEL 38.0 12.0 X 392420 0 67372 CRAIG OWENS SVP & HOSPITAL PRESIDENT 2.0 48.0 X 0 401926 53827 ANDREW LEE VP CHIEF DIVERSITY OFFICER 38.0 12.0 X 406354 0 45501 JENNIFER J GIUSTI VP CLINICAL OUTCOMES 38.0 12.0 X 398519 0 53140 JAMES L HORNSBY JR MD TRUSTEE & PHYSICIAN 38.0 14.0 X 373914 0 74050 SEAN P TURNER VP REVENUE CYCLE MANAGEMENT 38.0 12.0 X 390811 0 37929 MARY L TAVERNARO VP HUMAN RESOURCES OPERATIONS 38.0 12.0 X 350907 0 56108 MAXWELL S KAGAN VP FINANCE & CFO 38.0 12.0 X 327577 0 41300 FREDA LYON VP SYSTEM EMERGENCY SERVICES 38.0 12.0 X 300559 0 56758 SANDRA LUCIUS VP INFO. TECHNOLOGY APPS 38.0 12.0 X 306237 0 49809 SNEHAL H DOSHI VP SYSTEM PHARMACIST 38.0 12.0 X 296483 0 58986 TIMOTHY HANEY SVP RE FAC&DVLP SVC (END.1/20) 38.0 12.0 X 286214 0 57126 BRADFORD B NEWTON VP INFO. TECHNOLOGY ADMIN. 38.0 12.0 X 289266 0 51425 ELIZABETH H PAPETTI VP OPS. HOSPITAL DIVISION 38.0 12.0 X 284999 0 53295 JONATHAN D MAURER VP INFORMATION SECURITY & CISO 38.0 12.0 X 273385 0 54987 ANDREW W COX VP CHIEF OF STAFF&LEADER. DEV. 38.0 12.0 X 282060 0 40633 KIMBERLY TAACA VP OPS SPECIALTY DIVISION 38.0 12.0 X 271710 0 47647 ROBERT J DECOUX VP CORPORATE MED. STAFF SVCS. 38.0 12.0 X 259843 0 57448 VARMA RAMESWAR MD VP PEDIATRIC OPERATIONS 38.0 12.0 X 251504 0 60578 JAMES M SWARTZ VP ACCOUNTING 38.0 12.0 X 277027 0 32048 SONYA E ALDY VP TALENT ACQUISITION 38.0 12.0 X 275400 0 33218 MARCUS P CHARLSON MD VP SURGERY 38.0 12.0 X 264441 0 42244 JASON L KELSEY VP REHAB. & SPORTS MED. SRVCS. 38.0 12.0 X 240840 0 57789 IVY SPENCER VP CNO 38.0 12.0 X 254378 0 41577 DANYALE ZIGLOR VP HUMAN RESOURCES (BEG.12/19) 38.0 12.0 X 0 240986 52827 CAROL TODD VP ASST. GENERAL COUNSEL 38.0 12.0 X 247822 0 41104 SOPHIA MARSHALL VP ORGANIZATION COMMUNICATIONS 38.0 12.0 X 256207 0 28073 KRISTEN S TRICE VP DIAGNOSTIC OUTREACH 38.0 12.0 X 238621 0 43882 KEITH BOWERMASTER FORMER VP COMMUNICATIONS 0.0 0.0 X 280619 0 1267 DANIEL ABAD VP TOTAL REWARDS 38.0 12.0 X 256961 0 24460 STEVEN HUNT VP HUMAN RESOURCES 38.0 12.0 X 231668 0 49685 AVIRAL SINGH VP BRAND & MARKET STRATEGY 38.0 12.0 X 245822 0 31144 ANDREW S ALBERRY VP INFO TECH OPS. (END. 11/19) 38.0 12.0 X 251645 0 23900 KIMBERLY W MENEFEE FORMER SVP STRATEGIC COMM. DEV 0.0 0.0 X 275126 0 0 STEPHEN VAULT VP STRATEGIC COMMUNITY DEV. 38.0 12.0 X 238106 0 34840 ELLEN WRIGHT VP HIM CDI & POLICIES 38.0 12.0 X 234370 0 38568 JUDITH WHITE VP LABORATORY SERVICES SYSTEM 38.0 12.0 X 215854 0 29743 REBECCA L RUHL VP FACILITY COMPLIANCE OPS. 38.0 12.0 X 209269 0 30575 ELLEN LANGFORD FORMER SVP WMG AMB. TRANS. 0.0 0.0 X 236783 0 0 DAVID W ANDERSON FORMER EVP/HR/OL/CCO 0.0 0.0 X 176481 0 50980 LAURA DANNELS VP & CHIEF LEARNING OFFICER 38.0 12.0 X 192305 0 26444 LEANNE COOK VP CONSUMER ENGAGEMENT 38.0 12.0 X 173953 0 40414 SHYROLL MORRIS VP ONC.&DIG.HEALTH (BEG. 9/19) 38.0 12.0 X 161753 0 5490 JESSICA KOVALESKY VP CARE COORDINATOR(BEG.10/19) 38.0 12.0 X 107841 0 3813 LINDA HUFFER VP POST ACUTE SRVC.(BEG.10/19) 38.0 12.0 X 100348 0 6233 PAUL R PERROTTI SVP & CFO (END. 7/19) 2.0 48.0 X 0 53970 7672 ARIF AZIZ MD TRUSTEE 1.0 12.0 X 51758 0 0 STEVEN OWEIDA MD FORMER TRUSTEE 0.0 0.0 X 49802 0 0 OTIS A BRUMBY III TRUSTEE 1.0 12.0 X 48188 0 0 T FITZ JOHNSON TRUSTEE 1.0 12.0 X 47229 0 0 R RANDALL BENTLEY SR ESQ TRUSTEE 1.0 12.0 X 41602 0 0 W CHARLES BROCK TRUSTEE 1.0 12.0 X 41553 0 0 DAVID HAFNER FORMER TRUSTEE 0.0 0.0 X 20311 0 0 TE RUSTY DURHAM FORMER TRUSTEE 0.0 0.0 X 15319 0 0 MITZI MOORE TRUSTEE 1.0 12.0 X 11203 0 0 CHARLES J JONES TRUSTEE 1.0 12.0 X 10891 0 0 ROBERT N CROSS MD TRUSTEE (END. 7/19) 1.0 12.0 X 8132 0 0 FRANK ROS TRUSTEE 1.0 12.0 X 7085 0 0 O SCOTT SWAYZE MD TRUSTEE 1.0 12.0 X 7074 0 0 AMBICA YADAV TRUSTEE 1.0 12.0 X 5692 0 0 GARY A MILLER TRUSTEE 1.0 12.0 X 5447 0 0 GREG MORGAN TRUSTEE 1.0 12.0 X 5218 0 0 EDWARD RICHARDSON TRUSTEE 1.0 12.0 X 4547 0 0 JAMES HOLMES TRUSTEE 1.0 12.0 X 4401 0 0 H SPEER BURDETTE III TRUSTEE 1.0 12.0 X 4391 0 0 JOHN MCKIBBEN TRUSTEE (BEG. 8/19) 1.0 12.0 X 643 0 0 JOSEPH BRAUD VP INFO. TECH. OPS.(BEG. 1/20) 38.0 12.0 X 0 0 0 KATHARINE LEONARD VP RE & FAC DVLP (BEG. 3/20) 38.0 12.0 X 0 0 0 20916235 2301057 1525277 2036 true true false BRASFIELD AND GORRIE LLC 2999 CIRCLE 75 PARKWAY ATLANTA GA 30339 GENERAL CONTRACTOR 91457507 PT SOLUTIONS HOLDINGS LLC PO BOX 724557 ATLANTA GA 31139 MEDICAL 29965797 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 INFORMATION SERVICES 13277083 MAK ANESTHESIA WELLSTAR LLC 1300 RIDENOUR BLVD SUITE 300 KENNESAW GA 30152 MEDICAL 9670217 PREMIER HEALTHCARE PROFESSIONALS IN 400 PARK AVENUE FLOOR 19 NEW YORK NY 10022 CONTRACT LABOR 8538675 555 3148900 3148900 PATIENT REVENUE 622110 452919642 452919642 SHARED SERVICE RECOUPMENT 622110 504260371 504260371 EQUITY EARNINGS IN HOSP AFFILIATES 622110 541543995 541543995 COBB COUNTY DETENTION CENTER 622110 6864484 6864484 KSU CLINIC 622110 3192996 3192996 1616978 1616978 1510398466 3279792 3279792 0 0 8057 8057 0 8057 8057 18970618 18970618 18970618 18970618 0 0 0 0 0 0 0 0 0 CAC PREMIUMS 622110 28288477 28288477 MEDICARE SHARED SAVING RECEIPTS 622110 6269121 6269121 LAUNDRY 812320 137213 137213 11114522 11114522 45809333 1581615166 1510398466 137213 67930587 4658755 4658755 0 0 0 0 31234559 24319150 6079788 835621 1288194 1072336 215858 799884703 532467401 267056988 360314 43558933 27571012 15987921 43995001 49854930 -5968577 108648 45712574 26658907 19053667 25525042 22463286 3061756 3141837 11453 3130384 758402 758402 0 0 0 109739438 20660223 88963026 116189 12523655 398109 12120171 5375 12379788 1595102 10707430 77256 0 0 46936279 34249978 12676279 10022 3072897 1152800 1901188 18909 0 0 683310 287893 395417 0 67722367 9999286 57718255 4826 56900097 56441299 458798 MEDICAL SUPPLIES 78218978 34320828 42934301 963849 REPAIR & MAINTENANCE 12269038 950392 11091438 227208 NON-MEDICAL SUPPLIES -2546260 1204989 -2859451 -891798 OTHER EXPENSES 23772982 31311721 -7609262 70523 1421430569 881649850 537873777 1906942 0 0 58041089 535043069 0 0 41092833 43255045 0 0 0 0 0 0 21333943 30356246 72436714 69580495 895764461 583685735 336343178 312078726 1195087387 1165313078 0 0 0 0 0 0 2410352011 2389104163 4134687155 4544730822 347203234 380196947 0 0 0 0 1269857912 1331169737 0 0 0 0 0 0 0 0 726499907 1081494499 2343561053 2792861183 X 1741575886 1699998966 49550216 51870673 1791126102 1751869639 4134687155 4544730822 X 160184597 12982303 -212423363 X false true X true false X X 9 COBB HOSPITAL INC 580968382 3 true 99370680 0 PAULDING MEDICAL CENTER INC 582095884 3 true 33959625 0 KENNESTONE HOSPITAL INC 582032904 3 true 193149063 0 DOUGLAS HOSPITAL INC 582026750 3 true 32969977 0 WELLSTAR ATLANTA MEDICAL CENTER INC 810837031 3 true 65709606 0 WELLSTAR SPALDING REGIONAL HOSPITAL INC 810864789 3 true 23624708 0 WELLSTAR SYLVAN GROVE HOSPITAL INC 810875069 3 true 1651055 0 WELLSTAR NORTH FULTON HOSPITAL INC 810851756 3 true 28179180 0 WEST GEORGIA MEDICAL CENTER INC 205497506 3 true 25646182 0 9 504260076 0 true false false false false false false false false false false false false false false true RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false true 3124 true 3500 true 16930 true 35579 true 744727 803860 false SCHEDULE C, PART II-B, LINE 1 OTHER LOBBYING EXPENSES: During the reporting period, Wellstar Health System, Inc. held a retainer WITH a local firm to provide professional services for community related activities including support in community benefit reporting and legislative healthcare initiatives affecting the system hospitals. Wellstar is also a party to several healthcare related coalitions that protect the interests of all member hospitals. 7596000 42000 -581000 7057000 7710000 29000 -143000 7596000 7685000 193000 -168000 7710000 6832000 67000 786000 7685000 6611000 127000 94000 6832000 0.65000 0.35000 false true true 46488518 46488518 159610872 70425635 89185237 29100106 18268568 10831538 640828297 488126155 152702142 19736668 6865377 12871291 312078726 EQUITY IN AFFILIATES 2123786516 OTHER RECEIVABLES 232052297 OTHER LONG-TERM ASSETS 33265350 2389104163 0 ACCRUED PENSION LIABILITY 683545187 SELF-INSURANCE RESERVES 193787834 OTHER LT LIABILITIES 182063572 ASSET RETIREMENT OBLIGATIONS LT 22097906 1081494499 X SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS: WELLSTAR FOUNDATION, INC. HELD TWO ENDOWMENT FUNDS AT THE END OF THE REPORTING PERIOD ON BEHALF OF WELLSTAR HEALTH SYSTEM, INC. ONE ENDOWMENT, THE HODGES FUND, IS ESTABLISHED FOR THE PURPOSE OF PROVIDING SCHOLARSHIPS TO ELIGIBLE STUDENTS IN HEALTHCARE RELATED COURSE STUDIES. THE SECOND ENDOWMENT, HOSPICE FUND, IS ESTABLISHED TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PATIENTS IN THE WELLSTAR HOSPICE PROGRAM. SCHEDULE D, PART X, LINE 2 The following footnote is related to the organization's application of FIN 48 (ASC 740): "WELLSTAR AND ITS AFFILIATES HAVE BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3), AND THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. WELLSTAR APPLIES FASB ASC 740, INCOME TAXES, WHICH ADDRESSES ACCOUNTING FOR UNCERTAINTIES IN INCOME TAX POSITIONS. IT ALSO PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON WELLSTAR'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740." true AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 752315129 135613797 501(c)(3) 100000 FMV N/A SPONSORSHIP ATLANTA BELTLINE PARTNERSHIP 112 KROG ST NE STE 14 ATLANTA GA 303072486 562464486 501(c)(3) 30000 FMV N/A SPONSORSHIP ATLANTA PRIDE COMMITTEE INC 1530 DEKALB AVENUE ATLANTA GA 303072176 582032010 501(c)(3) 10480 FMV N/A SPONSORSHIP BLACK UNITED YOUTH - COBB INC PO BOX 3485 MARIETTA GA 30061 585234027 501(c)(3) 10000 FMV N/A SPONSORSHIP BULLOCK FOUNDATION INC 115 WATERFORD WAY POWDER SPRINGS GA 30127 260127827 501(c)(3) 7500 FMV N/A SPONSORSHIP CHEROKEE BY CHOICE INC 1 INNOVATION WAY WOODSTOCK GA 301885217 831981790 501(c)(3) 60000 FMV N/A SPONSORSHIP CHEROKEE COUNTY CHAMBER OF COMMERCE 3605 MARIETTA HWY CANTON GA 30114 581090796 501(c)(6) 11330 FMV N/A SPONSORSHIP CITY OF HOLLY SPRINGS PO BOX 990 HOLLY SPRINGS GA 30142 581051551 11500 FMV N/A SPONSORSHIP CITY OF ROSWELL 38 HILL STREET SUITE 130 ROSWELL GA 30075 586000655 7850 FMV N/A SPONSORSHIP COBB COUNTY CHAMBER OF COMMERCE FOUNDATION 1100 CIRCLE 75 PARKWAY SUITE 1000 ATLANTA GA 30339 581492846 501(c)(3) 15000 FMV N/A SPONSORSHIP COBB COUNTY CHAMBER OF COMMERCE INC PO BOX 671868 MARIETTA GA 30006 580198114 501(c)(6) 51500 FMV N/A SPONSORSHIP DAVIS DIRECTION FOUNDATION INC 32 NORTH FAIRGROUND STREET NE MARIETTA GA 30060 471370495 501(c)(3) 50000 FMV N/A SPONSORSHIP DOUGLAS COUNTY CHAMBER OF COMMERCE 6658 CHURCH STREET DOUGLASVILLE GA 30134 581950186 501(c)(6) 18910 FMV N/A SPONSORSHIP FRIENDS OF THREAD TRAIL INC PO BOX 19 LAGRANGE GA 30241 813580329 501(c)(3) 10000 FMV N/A SPONSORSHIP GEORGIA CHAMBER OF COMMERCE PO BOX 102676 ATLANTA GA 303680676 581537370 501(c)(6) 52500 FMV N/A SPONSORSHIP GOOD SAMARITAN HEALTH CENTER OF COBB INC 1605 ROBERTA DRIVE SW MARIETTA GA 30008 320045238 501(c)(3) 10000 FMV N/A SPONSORSHIP GREATER NORTH FULTON CHAMBER OF COMMERCE 11605 HAYNES BRIDGE ROAD SUITE 100 ALPHARETTA GA 30009 581157316 501(c)(6) 29000 FMV N/A SPONSORSHIP GRIFFIN DOWNTOWN COUNCILGRIFFIN DOWNTOWN 143 N HILL STREET GRIFFIN GA 30223 582307692 6500 FMV N/A SPONSORSHIP KENNESAW STATE UNIVERSITY 3333 BUSBEE DIVE MD 3301 KENNESAW GA 30144 580965786 GOV'T 10500 FMV N/A SPONSORSHIP MARCH OF DIMES 3495 PIEDMONT ROAD BLDG 12 SUITE 2 ATLANTA GA 30305 131846366 501(c)(3) 117120 FMV N/A SPONSORSHIP MUST MINISTRIES INC 1407 COBB PARKWAY NORTH MARIETTA GA 30061 582034725 501(c)(3) 25000 FMV N/A SPONSORSHIP PAULDING CHAMBER OF COMMERCE 455 JIMMY CAMPBELL PKWY DALLAS GA 30132 580945354 501(c)(6) 10100 FMV N/A SPONSORSHIP POSITIVE ATHLETE (CELEBRATE POSITIVE LLC) 314 BENTLEIGH STATION DRIVE ACWORTH GA 30101 272198733 501(c)(3) 25000 FMV N/A SPONSORSHIP PROSTAWARE INC 28 BALL MILL PLACE SANDY SPRINGS GA 30350 270599329 501(c)(3) 30000 FMV N/A SPONSORSHIP ROSWELL INC 617 ATLANTA STREET SUITE 101 ROSWELL GA 30075 581979994 501(c)(3) 6500 FMV N/A SPONSORSHIP ROTARY CLUB OF ALPHARETTAN FULTON COUNTY 180 ACADEMY STREET ALPHARETTA GA 30009 581822648 501(c)(4) 10000 FMV N/A SPONSORSHIP ROTARY CLUB OF EAST COBB PO BOX 72081 MARIETTA GA 300072081 581654204 501(c)(4) 7500 FMV N/A SPONSORSHIP SAFE PATH CHILDRENS ADVOCACY CENTER 736 WHITLOCK AVENUE SUITE 600 MARIETTA GA 30064 581662987 501(c)(3) 11500 FMV N/A SPONSORSHIP SERVICE LEAGUE OF CHEROKEE COUNTY GA INC PO BOX 1132 CANTON GA 301591132 581685138 501(c)(3) 15000 FMV N/A SPONSORSHIP THE CENTER FOR FAMILY RESOURCES 995 ROSWELL STREET SUITE 100 MARIETTA GA 30060 580876634 501(c)(3) 10000 FMV N/A SPONSORSHIP THE HERITAGE FUND OF AMERICAN MED ASSOC PO BOX 4421 ATLANTA GA 303024421 582372394 10000 FMV N/A SPONSORSHIP TOMMY NOBIS CENTER (AKA NOBIS WORKS) 1480 BELLS FERRY ROAD MARIETTA GA 30066 581290439 501(c)(3) 15000 FMV N/A SPONSORSHIP VAN WAGNER SPORTS & ENTERTAINMENT LLC 800 THIRD AVENUE 28TH FLOOR NEW YORK NY 10022 481290227 125000 FMV N/A SPONSORSHIP ATLANTA BRAVES PO BOX 723009 ATLANTA GA 311392704 320443097 213771 FMV N/A SPONSORSHIP KENNESAW STATE UNIVERSITY 3333 BUSBEE DIVE MD 3301 KENNESAW GA 30144 580965786 GOV'T 2500000 FMV N/A SCHOLARSHIPS BRAVES STADIUM COMPANY LLC 755 BATTERY AVE SE ATLANTA GA 303393017 581251243 879524 FMV N/A SPONSORSHIP 21 15 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS: WELLSTAR HEALTH SYSTEM, INC. AND ITS AFFILIATES HAVE SET ASIDE FUNDS FOR CONTRIBUTIONS AND SPONSORSHIPS ON AN ANNUAL BASIS THAT PROVIDE ASSISTANCE TO NATIONAL AND LOCAL ORGANIZATIONS IN THE FURTHERANCE OF THE COMMUNITY NEEDS. WELLSTAR ALSO HAS SEVERAL AGREEMENTS WITH AREA COLLEGES AND UNIVERSITIES TO PROMOTE HEALTHCARE RELATED CAREER OPPORTUNITIES. ALL SPONSORSHIPS ARE AWARDED BASED ON SPECIFIC QUALIFICATIONS WITHOUT REGARD TO AGE, GENDER, OR ETHNICITY. X X X X X X false true X X X X X X true true false false false false false true false AHMAD KHALDI MD PHYSICIAN GROUP 897941 0 394726 0 2605 0 23750 0 32513 0 1351535 0 0 0 ALAN R MUSTER MD SVP SPECIALTY DIVISION WMG 492176 0 153371 0 22475 0 48600 0 36299 0 752921 0 0 0 ANDREW LEE VP CHIEF DIVERSITY OFFICER 300534 0 69143 0 36677 0 16250 0 29251 0 451855 0 0 0 ANDREW S ALBERRY VP INFO TECH OPS. (END. 11/19) 211694 0 30192 0 9759 0 0 0 23900 0 275545 0 0 0 ANDREW W COX VP CHIEF OF STAFF&LEADER. DEV. 239175 0 30725 0 12160 0 13988 0 26645 0 322693 0 0 0 ANTHONY J BUDZINSKI EVP & CFO 711281 0 189614 0 415918 0 49600 0 31125 0 1397538 0 388946 0 AVIRAL SINGH VP BRAND & MARKET STRATEGY 176928 0 62139 0 6755 0 11654 0 19490 0 276966 0 0 0 AVRIL P BECKFORD MD TRUSTEE & CHIEF PEDIATRIC OFF. 194006 0 277267 0 10712 0 27825 0 3622 0 513432 0 0 0 BARBARA B COREY SVP MANAGED CARE 383148 0 77716 0 16717 0 21125 0 24049 0 522755 0 0 0 BETH KOST SVP, CHIEF COMPLIANCE OFFICER 376783 0 98784 0 16686 0 30600 0 26887 0 549740 0 0 0 BRADFORD B NEWTON VP INFO. TECHNOLOGY ADMIN. 236842 0 43177 0 9247 0 21775 0 29650 0 340691 0 0 0 CANDICE L SAUNDERS PRESIDENT & CEO 1380165 0 719400 0 370962 0 49600 0 31734 0 2551861 0 350539 0 CAROL TODD VP ASST. GENERAL COUNSEL 196522 0 41362 0 9938 0 20517 0 20587 0 288926 0 0 0 CARRIE O PLIETZ EVP & COO HOSPITAL DIVISION 714553 0 228715 0 14772 0 40650 0 31633 0 1030323 0 0 0 CATHERINE ANDREWS SVP & HOSPITAL PRESIDENT 0 378901 0 92020 0 29714 0 41750 0 11907 0 554292 0 0 CRAIG OWENS SVP & HOSPITAL PRESIDENT 0 323530 0 60927 0 17469 0 30600 0 23227 0 455753 0 0 DANIEL ABAD VP TOTAL REWARDS 193663 0 56883 0 6415 0 15103 0 9357 0 281421 0 0 0 DANYALE ZIGLOR VP HUMAN RESOURCES (BEG.12/19) 0 197389 0 34259 0 9338 0 37200 0 15627 0 293813 0 0 DAVID JONES EVP CHIEF HR OFFICER 453078 0 224378 0 23823 0 1924 0 26547 0 729750 0 0 0 DAVID W ANDERSON FORMER EVP/HR/OL/CCO 0 0 76387 0 100094 0 47492 0 3488 0 227461 0 0 0 DAVID W PRESTON SVP BRAND EXP. & COMMUNICATION 363301 0 53327 0 14724 0 23750 0 20657 0 475759 0 0 0 DOUGLAS ARVIN CPA MBA SVP FINANCE (END. 2/20) 344734 0 85091 0 41881 0 16038 0 19760 0 507504 0 0 0 ELIZABETH H LOUDERMILK VP FINANCIAL PLANNING 275849 0 48400 0 95145 0 25750 0 28883 0 474027 0 81056 0 ELIZABETH H PAPETTI VP OPS. HOSPITAL DIVISION 226303 0 49996 0 8700 0 23750 0 29545 0 338294 0 0 0 ELLEN LANGFORD FORMER SVP WMG AMB. TRANS. 0 0 0 0 236783 0 0 0 0 0 236783 0 0 0 ELLEN WRIGHT VP HIM CDI & POLICIES 193600 0 31419 0 9351 0 17529 0 21039 0 272938 0 0 0 FREDA LYON VP SYSTEM EMERGENCY SERVICES 217078 0 39545 0 43936 0 26604 0 30154 0 357317 0 28914 0 IVY SPENCER VP CNO 199800 0 44029 0 10549 0 23750 0 17827 0 295955 0 0 0 JAMES L HORNSBY JR MD TRUSTEE & PHYSICIAN 258750 0 113904 0 1260 0 42750 0 31300 0 447964 0 0 0 JAMES M SWARTZ VP ACCOUNTING 156679 0 42634 0 77714 0 12917 0 19131 0 309075 0 69963 0 JASON D STEVENS SVP DEPUTY GENERAL COUNSEL 300025 0 80584 0 11811 0 42750 0 24622 0 459792 0 0 0 JASON L KELSEY VP REHAB. & SPORTS MED. SRVCS. 196700 0 29897 0 14243 0 23721 0 34068 0 298629 0 0 0 JENNIFER J GIUSTI VP CLINICAL OUTCOMES 328682 0 58258 0 11579 0 30600 0 22540 0 451659 0 0 0 JILL M CASE-WIRTH SVP NURSING SERVICES 378036 0 83757 0 121503 0 49600 0 12794 0 645690 0 98356 0 JOHN A BRENNAN EVP CHIEF CLIN. INTEG. OFFICER 858700 0 273803 0 19697 0 49600 0 36058 0 1237858 0 0 0 JOHN KUEVEN SVP & HOSPITAL PRESIDENT 0 312863 0 92250 0 11780 0 23750 0 28892 0 469535 0 0 JONATHAN CROOM SVP & HOSPITAL PRESIDENT 0 327708 0 104364 0 11582 0 23750 0 24940 0 492344 0 0 JONATHAN D MAURER VP INFORMATION SECURITY & CISO 230006 0 33886 0 9493 0 42750 0 12237 0 328372 0 0 0 JOSEPH L BRYWCZYNSKI SVP HEALTH PARKS DEVELOPMENT 325276 0 70050 0 97517 0 47600 0 26640 0 567083 0 65163 0 JUDITH WHITE VP LABORATORY SERVICES SYSTEM 159235 0 50004 0 6615 0 15690 0 14053 0 245597 0 0 0 KEITH BOWERMASTER FORMER VP COMMUNICATIONS 8937 0 0 0 271682 0 0 0 1267 0 281886 0 48214 0 KEM M MULLINS EVP AMBULATORY & BUS. DEV. 554656 0 152604 0 14852 0 22750 0 34978 0 779840 0 0 0 KIMBERLY J RYAN SENIOR VICE PRESIDENT 200754 233806 0 0 6630 7715 12628 17972 9987 12400 229999 271893 0 0 KIMBERLY TAACA VP OPS SPECIALTY DIVISION 214863 0 48147 0 8700 0 23750 0 23897 0 319357 0 0 0 KIMBERLY W MENEFEE FORMER SVP STRATEGIC COMM. DEV 0 0 0 0 275126 0 0 0 0 0 275126 0 0 0 KRISTEN S TRICE VP DIAGNOSTIC OUTREACH 194173 0 35398 0 9050 0 14914 0 28968 0 282503 0 0 0 LAURA DANNELS VP & CHIEF LEARNING OFFICER 98080 0 79817 0 14408 0 22625 0 3819 0 218749 0 0 0 LEANNE COOK VP CONSUMER ENGAGEMENT 156705 0 10263 0 6985 0 17026 0 23388 0 214367 0 0 0 LEO E REICHERT EVP & GENERAL COUNSEL 621870 0 187493 0 18442 0 40624 0 37860 0 906289 0 0 0 MARCUS P CHARLSON MD VP SURGERY 214819 0 40665 0 8957 0 16511 0 25733 0 306685 0 0 0 MARK MCLAUGHLIN MD PHYSICIAN GROUP 754572 0 489192 0 4068 0 0 0 26914 0 1274746 0 0 0 MARY B CHATMAN PHD SVP & HOSPITAL PRESIDENT 0 514481 0 138661 0 11777 0 40482 0 23673 0 729074 0 0 MARY L TAVERNARO VP HUMAN RESOURCES OPERATIONS 275898 0 63460 0 11549 0 30600 0 25508 0 407015 0 0 0 MAXWELL S KAGAN VP FINANCE & CFO 259036 0 57927 0 10614 0 23750 0 17550 0 368877 0 0 0 MICHAEL T MCCULLOUGH SVP SUPPLY CHAIN 313000 0 57012 0 39510 0 30600 0 21485 0 461607 0 0 0 MONTE A WILSON FORMER HOSPITAL PRESIDENT 0 9910 0 0 0 640444 0 0 0 1075 0 651429 0 281294 PAUL D MURPHREE VP MEDICAL OUTCOMES 370120 0 61879 0 16945 0 49600 0 33048 0 531592 0 0 0 PAUL DOUGLASS MD TRUSTEE & PHYSICIAN 435988 0 251171 0 -25981 0 30600 0 12997 0 704775 0 0 0 REBECCA L RUHL VP FACILITY COMPLIANCE OPS. 168824 0 30777 0 9668 0 3250 0 27325 0 239844 0 0 0 REMINGTON FOSS SVP & HOSPITAL PRESIDENT 0 329809 0 119151 0 36189 0 28466 0 23620 0 537235 0 0 RICHARD MYUNG MD PHYSICIAN GROUP 1057118 0 1004030 0 2641 0 42750 0 33978 0 2140517 0 0 0 RICHARD S SIEGEL VP CARDIO.&CVM ADMN(END. 1/20) 318274 0 63363 0 14585 0 47090 0 34191 0 477503 0 0 0 RISHI GUPTA MD PHYSICIAN GROUP 753500 0 679230 0 2605 0 42750 0 25766 0 1503851 0 0 0 ROB SCHREINER EVP & PRESIDENT MEDICAL GROUP 563080 0 164713 0 16606 0 30600 0 9697 0 784696 0 0 0 ROBERT J DECOUX VP CORPORATE MED. STAFF SVCS. 190573 0 32513 0 36757 0 30173 0 27275 0 317291 0 26883 0 SANDRA LUCIUS VP INFO. TECHNOLOGY APPS 246746 0 44982 0 14509 0 47460 0 2349 0 356046 0 0 0 SEAN P TURNER VP REVENUE CYCLE MANAGEMENT 322181 0 58719 0 9911 0 8776 0 29153 0 428740 0 0 0 SHALIMA PANNIKODE SVP CHIEF INFO. & DIGITAL OFF. 342698 0 110000 0 7578 0 14830 0 16466 0 491572 0 0 0 SHYROLL MORRIS VP ONC.&DIG.HEALTH (BEG. 9/19) 79425 0 60807 0 21521 0 3566 0 1924 0 167243 0 0 0 SNEHAL H DOSHI VP SYSTEM PHARMACIST 210792 0 38860 0 46831 0 26030 0 32956 0 355469 0 30664 0 SONYA E ALDY VP TALENT ACQUISITION 224227 0 40866 0 10307 0 9750 0 23468 0 308618 0 0 0 SOPHIA MARSHALL VP ORGANIZATION COMMUNICATIONS 188464 0 61051 0 6692 0 23750 0 4323 0 284280 0 0 0 STEPHEN L BADGER VP STRATEGIC SERVICES 433162 0 93913 0 61594 0 49600 0 36470 0 674739 0 41750 0 STEPHEN VAULT VP STRATEGIC COMMUNITY DEV. 192564 0 35095 0 10447 0 23636 0 11204 0 272946 0 0 0 STEVEN OWEIDA MD FORMER TRUSTEE 49802 0 0 0 0 0 0 0 0 0 49802 0 0 0 STEVEN HUNT VP HUMAN RESOURCES 194384 0 29809 0 7475 0 18589 0 31096 0 281353 0 0 0 TE RUSTY DURHAM FORMER TRUSTEE 15319 0 0 0 0 0 0 0 0 0 15319 0 0 0 TAMARA D ISON SVP & HOSPITAL PRESIDENT 0 328911 0 100346 0 11493 0 23750 0 30378 0 494878 0 0 TERESA LUU MD PHYSICIAN GROUP 898400 0 498243 0 841 0 23750 0 28153 0 1449387 0 0 0 TIMOTHY HANEY SVP RE FAC&DVLP SVC (END.1/20) 312049 0 -88138 0 62303 0 29610 0 27516 0 343340 0 0 0 VALERY A AKOPOV MD SVP HOSPITAL DIVISION WMG 488724 0 132489 0 25261 0 30600 0 28263 0 705337 0 0 0 VARMA RAMESWAR MD VP PEDIATRIC OPERATIONS 203785 0 36120 0 11599 0 47260 0 13318 0 312082 0 0 0 DAVID HAFNER FORMER TRUSTEE 20311 0 0 0 0 0 0 0 0 0 20311 0 0 0 PETER R JUNGBLUT MD MBA FORMER SVP & MEDICAL DIRECTOR 295768 0 151439 0 3406 0 49320 0 32130 0 532063 0 0 0 SCHEDULE J, PART I, LINE 1A THE ITEMS, AS INDICATED IN LINE 1A, WERE PROVIDED, IN SOME INSTANCES, TO BOARD MEMBERS AND TO CERTAIN EMPLOYED INDIVIDUALS LISTED IN FORM 990, PART VII BY THE ORGANIZATION. THE ORGANIZATION FOLLOWS IRS GUIDELINES AND THESE ITEMS WERE ADDED AS TAXABLE INCOME AS APPROPRIATE. SCHEDULE J, PART I, LINE 1B REIMBURSEMENT POLICY: While WellStar Health System and its affiliates do not have a written policy regarding payment or reimbursement of the items listed in SCHEDULE J, Part I, Line 1a, the organization follows IRS guidelines in the payment of any of these items to individuals listed in Form 990, Part VII, Section A. These items are added as taxable wages on the individual's Form W-2 as appropriate. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: Pursuant to their respective employment agreements, the following groups of officers are entitled to severance payments based on their compensation at that time in the event of certain identified circumstances. The severance payment periods are 24 months for Executive Vice Presidents, 18 months for Senior Vice Presidents, and 12 months for Vice Presidents. The following officers received severance pay during the 2019 CALENDAR YEAR FROM EITHER THE ORGANIZATION OR A RELATED ORGANIZATION: DAVID W. ANDERSON 96,194 DOUGLAS ARVIN, CPA, MBA 28,771 ELLEN LANGFORD 236,783 KEITH BOWERMASTER 223,420 KIMBERLY W. MENEFEE 275,126 MONTE A. WILSON 358,188 TIMOTHY HANEY 40,702 SCHEDULE J, PART I, LINE 4B PARTICIPATION IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: During the year, Vice Presidents, Senior Vice Presidents, Executive Vice Presidents and certain physicians participated in a supplemental nonqualified retirement plan sponsored by WellStar Health System, Inc. The amounts related to this plan are included in Schedule J, Part II, Column (C). The following individuals received payments from the plan included in Schedule J, Part II, Column (B): ANTHONY J. BUDZINSKI 388,946 CANDICE L. SAUNDERS 350,539 ELIZABETH H. LOUDERMILK 81,056 FREDA LYON 28,914 JAMES M. SWARTZ 69,963 JILL M. CASE-WIRTH 98,356 JOSEPH L. BRYWCZYNSKI 65,163 KEITH BOWERMASTER 48,214 LINDA HUFFER 30,499 MONTE A. WILSON 281,294 ROBERT J. DECOUX 26,883 SNEHAL H. DOSHI 30,664 STEPHEN L. BADGER 41,750 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS TO OFFICERS: As part of the WellStar Executive Compensation Philosophy a performance pay plan was instituted several years ago whereby the WellStar Board of Trustees approves an annual incentive plan which consists of several performance goals or factors that upon attainment will result in payouts to eligible plan participants. Those factors are: (1) People & Customer Service goal for employee "Trust Index (2) Quality & Safety goal for clinical excellence and patient satisfaction; AND (3) Financial goal for attaining a positive operating margin. Confirmation of achieving these goals is typically received through the annual external audit process and approved by the Board of Trustees at that TIME. A HOSPITAL AUTHORITY OF COBB COUNTY 582464600 19081PEM4 2004-04-01 25000000 EQUIPMENT POOL false false false B HOSPITAL AUTHORITY OF COBB COUNTY 582464600 19081PEN2 2006-04-01 25000000 EQUIPMENT POOL false false false C COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 581147004 19081PEN2 2011-11-01 127345930 CONSTRUCTION/REFUNDING false false false D PAULDING COUNTY HOSPITAL AUTHORITY 586011214 703596DH6 2012-06-28 32711016 CONSTRUCTION SERIES A false false false A 0 0 25000000 0 0 0 0 0 0 25000000 0 0 2004 false false true true B 0 0 25000000 0 0 0 0 0 0 25000000 0 0 2006 false false true true C 32125000 0 127345930 0 0 0 1383191 0 0 75000000 50962739 0 2011 true true true true D 3050000 0 32711016 0 446282 0 437500 0 0 31827234 0 0 2014 false false true true A false true true false false 0 false false false true B false true true false false 0 false false false true C false true true false false false 0 false false false true D false true true false false 0 false false false true A false true true false 0 false 0 false B false true true false 0 false 0 false C false true false false 0 false 0 false D false true false false 0 false 0 false A true B true C true D true SCHEDULE K, PART V PROCEDURES TO UNDERTAKE CORRECTIVE ACTION: WELLSTAR HEALTH SYSTEM, INC. (THE BORROWER ON TAX-EXEMPT BONDS) HAS ESTABLISHED POLICIES AND PROCEDURES THAT WILL MAXIMIZE THE LIKELIHOOD THAT ALL APPLICABLE POST-ISSUANCE REQUIREMENTS OF FEDERAL INCOME TAX LAW NEEDED TO PRESERVE THE TAX-EXEMPT STATUS OF THE BONDS ARE MET. THE PROCEDURES INCLUDE EXTERNAL ADVISORS SUCH AS BOND COUNSEL AND OTHER LEGAL COUNSEL WHO ASSIST THE BORROWER IN MAINTAINING THE TAX-EXEMPT STATUS OF ALL BONDS; ARBITRAGE REBATE CALCULATIONS THAT NEED TO BE MADE FOR EACH BOND ISSUE; DOCUMENTATION OF THE USE OF BOND PROCEEDS INCLUDING POTENTIAL PRIVATE BUSINESS USE APPLICABLE TO THE BONDS AFTER AN ANNUAL INTERNAL REVIEW OF THOSE USES; AND PROPER RECORD KEEPING OF ALL DOCUMENTS RELATED TO THE ISSUANCE OF TAX-EXEMPT BONDS. THESE PROCEDURES APPLY TO ALL LISTED TAX-EXEMPT BONDS. SCHEDULE K, PART I, COLUMNS (A), (B), & (C) AS PART OF THE VARIABLE RATE COMPOSITE BOND ISSUE, ISSUED 8/3/2017, IN THE TOTAL AMOUNT OF $260,085,000 THE FOLLOWING INFORMATION IS BEING PROVIDED: ISSUER NAME EIN CUSIP # COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 58-1147004 DEVELOPMENT AUTHORITY OF FULTON COUNTY 58-1506878 36005GAY9 GRIFFIN-SPALDING COUNTY HOSPITAL AUTHORITY 58-6212778 AS PART OF THE FIXED RATE COMPOSITE BOND ISSUE, ISSUED 8/3/2017, IN THE TOTAL AMOUNT OF $611,463,388 THE FOLLOWING INFORMATION IS BEING PROVIDED: ISSUER NAME EIN CUSIP # DEVELOPMENT AUTHORITY OF FULTON COUNTY 58-1506878 36005GAX1 GRIFFIN-SPALDING COUNTY HOSPITAL AUTHORITY 58-6212778 398258AX1 LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY 56-2609278 507152AX4 COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 58-1147004 190813RF4 A PAULDING COUNTY HOSPITAL AUTHORITY 586011214 703596DK9 2012-06-28 68750000 CONSTRUCTION SERIES B false false false B COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 581147004 190813PH2 2012-11-15 122366879 ADVANCED REFUNDING CONSTRUCTION false false false C SEE PART VI 2017-08-03 260085000 CONSTRUCTION/REFUNDING false false false D SEE PART VI 2017-08-03 611463288 CONSTRUCTION/REFUNDING false false false A 0 0 68750000 0 1945963 0 471875 0 0 66332162 0 0 2014 false false true true B 22720000 0 122366879 0 0 0 1079370 0 0 0 121287509 0 false true true true C 18210000 0 260085000 0 0 0 705000 0 0 0 259380000 0 true true true true D 20230000 0 611463388 0 7591948 0 4012204 0 0 110819958 489039578 0 true true true true A false true true false false 0 false false false true B false true true false false 0 false false false true C false true true false false 0.01400 0.01400 false false false true D false true true false false 0.01250 0.01250 false false false true A false true false false 0 false 0 false B false true false false 0 false 0 false C false true true false 0 false 0 false D false true false false 0 false 0 false A true B true C true D true JENNIFER HANEY DAUGHTER-IN-LAW OF OFFICER 121382 EMPLOYEE OF WELLSTAR false CARL GOOLSBY JR MD HUSBAND OF OFFICER 514305 EMPLOYEE OF WELLSTAR false BRANDY N CROSS MD DAUGHTER OF BOARD MEMBER 442682 EMPLOYEE OF WELLSTAR false LAWRENCE ROWLEY MD HUSBAND OF BOARD MEMBER/OFFICER 529917 EMPLOYEE OF WELLSTAR false SHEILA ROBINSON MD WIFE OF BOARD MEMBER 445361 EMPLOYEE OF WELLSTAR false RACHEL GARNER GRANDDAUGHTER OF BOARD MEMBER 36016 EMPLOYEE OF WELLSTAR false SAMANTHA ROS DAUGHTER-IN-LAW OF BOARD MEMBER 106857 EMPLOYEE OF WELLSTAR false SCHEDULE L, PART IV, LINES 1-7 BUSINESS TRANSACTIONS WITH INTERESTED PARTIES: All transactions listed in Schedule L, Part IV are for interested parties or in this case family members of either trustees or officers of wellstar health system, inc. or its related organizations. The transactions all represent payment of services as employees of Wellstar Health System. FORM 990, PART I, LINE 1 & Part III, Line 1 VISION: DELIVER WORLD-CLASS HEALTHCARE TO EVERY PERSON, EVERY TIME. MISSION: TO ENHANCE THE HEALTH AND WELL-BEING OF EVERY PERSON WE SERVE. VALUES: WE SERVE WITH COMPASSION. WE PURSUE EXCELLENCE. WE HONOR EVERY VOICE. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS WELLSTAR HEALTH SYSTEM IS A VERTICALLY INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH PROVIDES THROUGH AFFILIATED BUSINESS ORGANIZATIONS A FULL SPECTRUM OF HEALTH SERVICES, INCLUDING WELLNESS PROGRAMS, PHYSICIAN OFFICE VISITS, OUTPATIENT CARE, INPATIENT CARE, AND POST-ACUTE SERVICES SUCH AS HOME HEALTH, HOSPICE AND LONG-TERM NURSING CARE. THE SYSTEM THROUGH ITS AFFILIATED BUSINESS ORGANIZATIONS OPERATES 11 HOSPITALS (KENNESTONE, COBB, PAULDING MEDICAL CENTER, DOUGLAS, WINDY HILL, ATLANTA MEDICAL CENTER DOWNTOWN AND SOUTH, NORTH FULTON, SPALDING, SYLVAN GROVE AND WEST GEORGIA), MULTIPLE PHYSICIAN OFFICES, PRIMARY CARE CENTERS, OUTPATIENT CARE FACILITIES, A NURSING HOME AND OTHER HEALTH RELATED SERVICES INCLUDING TWO INPATIENT HOSPICE FACILITIES. THE SYSTEM IS SUPPORTED FINANCIALLY BY A FUNDRAISING ORGANIZATION, WELLSTAR FOUNDATION, INC. THE SERVICE AREA FOR THE SYSTEM ENCOMPASSES PARTS OF THE NORTHWESTERN, CENTRAL AND WESTERN SECTIONS OF THE STATE OF GEORGIA - THE PRIMARY AREA BEING IN BARTOW, CHEROKEE, COBB, DOUGLAS, PAULDING, FULTON, BUTTS, SPALDING AND TROUP COUNTIES. APPROXIMATELY MORE THAN 90% OF INPATIENT DISCHARGES AND OUTPATIENTS SERVED ARE FROM THE AFOREMENTIONED COUNTIES. THE WELLSTAR VISION IS TO DELIVER WORLD CLASS HEALTHCARE. OUR MISSION IS TO CREATE AND DELIVER HIGH QUALITY HOSPITAL, PHYSICIAN AND OTHER HEALTHCARE RELATED SERVICES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. HISTORY IN 1993, WHAT WAS THEN KNOWN AS THE COBB HEALTH SYSTEM, THE KENNESTONE REGIONAL HEALTH CARE SYSTEM, AND THE DOUGLAS GENERAL HOSPITAL AFFILIATED TO FORM THE NORTHWEST GEORGIA HEALTH SYSTEM. PAULDING MEMORIAL MEDICAL CENTER AFFILIATED WITH NORTHWEST GEORGIA HEALTH SYSTEM IN 1994. IN 1994, THE NORTHWEST GEORGIA HEALTH SYSTEM HELPED FORM THE PROMINA HEALTH SYSTEM AND CHANGED ITS NAME TO PROMINA NORTHWEST HEALTH SYSTEM. IN 1998, PROMINA NORTHWEST HEALTH SYSTEM CHANGED ITS NAME TO WELLSTAR HEALTH SYSTEM. WELLSTAR DISASSOCIATED FROM AND BECAME TOTALLY INDEPENDENT OF PROMINA IN 1999. IN 2016 WELLSTAR ACQUIRED ATLANTA MEDICAL CENTER, NORTH FULTON HOSPITAL, SPALDING HOSPITAL, SYLVAN GROVE HOSPITAL AND WEST GEORGIA MEDICAL CENTER. WELLSTAR HEALTH SYSTEM IS A PARENT CORPORATION, WHICH PROVIDES OVERALL COORDINATION INCLUDING GOVERNING BODY TO ITS 11 AFFILIATES: - COBB HOSPITAL, INC.; - DOUGLAS HOSPITAL INC.; - KENNESTONE HOSPITAL, INC.; - PAULDING MEDICAL CENTER, INC.; - WELLSTAR FOUNDATION INC.; - WELLSTAR ATLANTA MEDICAL CENTER, INC.; - WELLSTAR NORTH FULTON HOSPITAL, INC.; - WELLSTAR SPALDING REGIONAL HOSPITAL, INC.; - WELLSTAR SYLVAN GROVE HOSPITAL, INC.; - WELLSTAR WEST GEORGIA HEALTH SERVICES, INC. SERVICES WELLSTAR HEALTH SYSTEM IS ABLE TO OFFER A FULL RANGE OF HEALTHCARE SERVICES THROUGH ITS AFFILIATES. THE SERVICES OFFERED INCLUDE BUT ARE NOT LIMITED TO: - MOST MAJOR INPATIENT CLINICAL SERVICES, - OUTPATIENT SERVICES, - DIAGNOSTIC AND THERAPEUTIC SERVICES, - ANCILLARY AND SUPPORT SERVICES, - URGENT CARE SERVICES, - HOME HEALTH SERVICES, - SKILLED NURSING SERVICES AND - HOSPICE SERVICES. THE 11 HOSPITAL LOCATIONS ARE ACUTE CARE FACILITIES WITH INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. THE SYSTEM INCLUDES A RESIDENTIAL FACILITY ON THE KENNESTONE HOSPITAL CAMPUS, CALLED ATHERTON PLACE. ATHERTON PLACE ALSO HOUSES AN ASSISTED LIVING UNIT AS AN ADDITIONAL LEVEL OF CARE. PAULDING MEDICAL CENTER IS HOME TO A FULL CARE NURSING HOME, PAULDING NURSING CENTER AND WEST GEORGIA MEDICAL CENTER IS ALSO HOME TO TWO FULL CARE NURSING HOMES. VERNON WOODS RETIREMENT COMMUNITY IS AN ASSISTED LIVING FACILITY. COBB HOSPITAL IS HOME TO A HOME HEALTH AGENCY AND A RESIDENTIAL HOSPICE FACILITY CALLED TRANQUILITY FOR THOSE PATIENTS IN THE END STAGES OF LIFE. KENNESTONE HOSPITAL ALSO OPENED A RESIDENTIAL HOSPICE FACILITY NOT FAR FROM ITS MAIN CAMPUS. THE SYSTEM IS COMPLIMENTED WITH APPROXIMATELY 322 PHYSICIAN PRACTICES AND SEVERAL URGENT CARE CENTERS. THE SYSTEM IS THUS ABLE TO PROVIDE A COMPLETE CONTINUUM OF CARE FOR THE COMMUNITY IT SERVES. THE FOLLOWING STATEMENTS OF COMMUNITY BENEFIT AND PROGRAM SERVICE ACCOMPLISHMENTS REPRESENT SYSTEM-WIDE ACTIVITY FOR WELLSTAR HEALTH SYSTEM, INC. (THE "SYSTEM") - EIN 58-1649541. ALL AFFILIATED ENTITIES OF THE SYSTEM EXCEPT THE PHYSICIAN HOSPITAL ORGANIZATION (EIN 58-2116179) OPERATE AS CHARITABLE ORGANIZATIONS CONSISTENT WITH THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE "COMMUNITY BENEFIT STANDARD" OF IRS REVENUE RULING 69-545. THE FOLLOWING EXCERPT FROM THE AUDITED FINANCIAL STATEMENTS IDENTIFIES A BROAD OVERVIEW OF THE CHARITABLE PURPOSE FOR THE SYSTEM. THE SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES THROUGH ITS AFFILIATES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS COMMUNITY FINANCIAL AID POLICY. IN FISCAL YEAR 2020 AND 2019, WELLSTAR AFFILIATE HOSPITALS MADE $329.1 MILLION AND $293.0 MILLION, RESPECTIVELY, IN PROVIDER PAYMENTS (CHARITY CARE COST) AND RECOGNIZED SUCH PAYMENTS AS A REDUCTION IN NET PATIENT SERVICE REVENUE IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. THE SYSTEM ALSO PARTICIPATES IN CERTAIN GOVERNMENTAL INSURANCE PROGRAMS, INCLUDING MEDICARE AND MEDICAID. UNDER THESE PROGRAMS, THE SYSTEM PROVIDES CARE TO PATIENTS AT PAYMENT RATES WHICH ARE DETERMINED BY THE FEDERAL AND STATE GOVERNMENTS, REGARDLESS OF THE SYSTEM'S ACTUAL CHARGES. IN MOST CASES, THESE PROGRAMS PAY THE SYSTEM AT AMOUNTS WHICH ARE LESS THAN ITS COST OF PROVIDING SERVICES. THE SYSTEM OFFERS MANY WELLNESS AND EDUCATIONAL SERVICES AT LITTLE OR NO COST TO THE COMMUNITY. HEALTH FAIRS ARE HELD THROUGHOUT THE YEAR AT CONVENIENT LOCATIONS, PROVIDING VARIOUS HEALTH SCREENINGS, SUCH AS MAMMOGRAMS, BONE DENSITY, BLOOD PRESSURE AND CHOLESTEROL CHECKS. A LARGE NUMBER OF EDUCATIONAL PROGRAMS ARE OFFERED FOR ALL AGES. THESE PROGRAMS INCLUDE BICYCLE SAFETY, CAR SEAT SAFETY, DEFENSIVE DRIVING, CPR AND FIRST-AID CLASSES. FLU SHOTS ARE AVAILABLE TO THE COMMUNITY DURING FLU SEASON AND HEALTH SCREENINGS, MEDICAL SUPPLIES, AND IMMUNIZATIONS ARE PROVIDED TO CHILDREN THROUGH LOCAL HEALTH DEPARTMENTS AND HEALTH FAIRS. THE COSTS OF THESE SERVICES ARE INCLUDED IN UNRESTRICTED REVENUE, GAINS AND OTHER SUPPORT IN EXCESS OF EXPENSES AND LOSSES IN THE FINANCIAL STATEMENTS.THE PHYSICIANS OF THE SYSTEM MAKE SIGNIFICANT CONTRIBUTIONS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY, INCLUDING INVOLVEMENT IN MANY COMMUNITY ACTIVITIES PROMOTING HEALTH AWARENESS AND IMPROVEMENT, EMERGENCY ROOM CARE, AND DELIVERY OF CARE TO THE INDIGENT POPULATION OF THE SYSTEM'S SERVICE AREA. THE SYSTEM ALSO MADE SIGNIFICANT CONTRIBUTIONS TO THE NURSING PROGRAM AT A LOCAL UNIVERSITY. THIS FINANCIAL SUPPORT HAS HELPED TO GROW THE PROGRAM, WHICH BENEFITS THE SYSTEM AS WELL AS THE COMMUNITY. THE SYSTEM AND ALL BUT ONE OF ITS AFFILIATES HAVE BEEN RECOGNIZED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) AND, THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. ONE OF THE SYSTEM'S AFFILIATES IS A CONTROLLED FOREIGN CORPORATION NOT SUBJECT TO FEDERAL INCOME TAX. THE PHYSICIAN HOSPITAL ORGANIZATION (EIN 58-2116179) IS A TAXABLE AFFILIATE OF THE SYSTEM AND FILES IRS FORM 1120 US CORPORATION INCOME TAX RETURN. FINANCIAL & DATA STATISTICS SERVICES PROVIDED SYSTEM-WIDE: LICENSED BEDS - 2,775 ADULT DISCHARGES - 110,659 NEWBORN DISCHARGES - 14,303 EMERGENCY ROOM VISITS - 593,513 SURGERIES - 61,773 CATH LAB/PACEMAKERS/EP - 17,761 NON-ED O/P RADIOLOGY PROCEDURES - 460,613 MED/SURG. SHORT STAY CASES - 599 GI LAB PROCEDURES - 9,418 RADIOLOGY ONCOLOGY PROCEDURES - 37,856 COMMUNITY BENEFITS - WELLSTAR'S COMMUNITY EDUCATION & OUTREACH DEPARTMENT PROVIDES FREE BROCHURES ON A VARIETY OF HEALTH-RELATED ISSUES. WELLSTAR PROVIDES SUPPORT GROUPS AND EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY ON A VARIETY OF TOPICS INCLUDING MEN'S AND WOMEN'S HEALTH ISSUES, CARDIAC HEALTH, NUTRITION, CANCER, AND DIABETES. SOME OF THESE OPPORTUNITIES ARE PROVIDED FREE OF CHARGE OR AT A MINIMAL FEE. WELLSTAR ALSO PROVIDES FREE HEALTH SCREENINGS SUCH AS BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, BONE DENSITY AND WEIGHT ASSESSMENT. COMMUNITY EDUCATION & OUTREACH PROVIDES HEALTH AND WELLNESS PROGRAMS AND SERVICES ACROSS ALL WELLSTAR MARKETS REACHING OVER 450,000 PEOPLE ANNUALLY. SOME OF THE MORE SPECIFIC PROGRAM/DEPARTMENTS ARE DOCUMENTED AS FOLLOWS: SCHOOL HEALTH PROGRAM: THIS PROGRAM TEACHES CHILDREN ABOUT HEALTH AND SAFETY TOPICS TO INCLUDE NUTRITION, PHYSICAL ACTIVITY, HYGIENE, BIKE AND PEDESTRIAN SAFETY AND MORE. THE PROGRAMS ARE CURRENTLY TAUGHT IN ELEMENTARY SCHOOLS (GRADES K-5) AND MIDDLE SCHOOLS (GRADES 6-8) IN CHEROKEE, COBB, DOUGLAS, FULTON, SPALDING AND PAULDING COUNTIES. SAFE KIDS: WELLSTAR IS A CO-LEAD AGENCY FOR SAFE KIDS COBB COUNTY ALONG WITH COBB AND DOUGLAS PUBLIC HEALTH, AND WELLSTAR SPALDING HOSPITAL IS THE LEAD AGENCY FOR SAFE KIDS SPALDING THAT LAUNCHED IN JANUARY 2019. SAFE KIDS COBB COUNTY AND SAFE KIDS SPALDING ARE COMMITTED TO REDUCING AND PREVENTING ACCIDENTAL INJURIES TO CHILDREN AGES 19 AND UNDER BY HOSTING SAFETY EDUCATION EVENTS AND PROGRAMS, DISTRIBUTING SAFETY EDUCATION MATERIALS AND EQUIPMENT TO FAMILIES IN NEED. SAFETY AREAS OF FOCUS INCLUDE: CHILD PASSENGER, PEDESTRIAN, WHEEL, HOME, POISON PREVENTION AND WATER. EQUIPMENT DISTRIBUTION INCLUDES: CAR AND BOOSTER SEATS, BICYCLE HELMETS AND REFLECTORS, SMOKE/CARBON MONOXIDE ALARMS, HOME SAFETY KITS AND LIFEJACKETS. MOST OF THE EVENTS ARE FREE AND OPEN TO THE PUBLIC. THE IMPORTANT MESSAGE TAUGHT AT THESE EVENTS IS THAT SAFETY BEGINS WITH THE PARENTS AND CAREGIVERS. ANNUALLY, NEARLY 800 CAR SEATS ARE PRESENTED TO FAMILIES IN NEED, AND OVER 3,000 INFANT CAR SEATS ARE CHECKED AT OVER 130 CAR SEAT EVENTS. THE GOOD LIFE CLUB: WELLSTAR PROVIDES A SPECIAL PROGRAM FOR AREA RESIDENTS AGE 50 AND OLDER CALLED THE GOOD LIFE CLUB. THIS PROGRAM PROVIDES HEALTHY AGING RESOURCES AND PROMOTES HEALTH, WELLNESS, AND AN ACTIVE LIFESTYLE THROUGH CLASSES, HEALTH SCREENINGS AND OTHER OPPORTUNITIES. A SMALL ONE-TIME FEE COVERS A LIFETIME MEMBERSHIP AND INCLUDES: - HEALTH AND WELLNESS EDUCATION AND PROGRAMS - A QUARTERLY NEWSLETTER - FREE HEALTH SCREENINGS - DISCOUNTED PARKING AT HOSPITALS AND OTHER RETAIL DISCOUNTS - TRAVEL DISCOUNTS THE GOOD LIFE CLUB CURRENTLY HAS MORE THAN 3,500 MEMBERS. COMMUNITY ACTIVITIES - WELLSTAR HAS PARTNERED WITH A LOCAL COLLEGE, KENNESAW STATE UNIVERSITY ("KSU") TO DEVELOP EDUCATIONAL AND ON-SITE TRAINING PROGRAMS WHICH WILL HOPEFULLY IMPROVE THE CURRENT AND FUTURE HEALTH OF OUR COMMUNITY. MANY OF THE NURSES IN THE SYSTEM ARE TRAINED THROUGH THE NURSING PROGRAM OFFERED BY KSU. WELLSTAR IS ALSO AFFILIATED WITH THE CHATTAHOOCHEE TECHNICAL COLLEGE- NORTH METRO CAMPUS'S RADIOLOGIC TECHNOLOGY PROGRAM. WELLSTAR SERVES AS THE CLINICAL AFFILIATE FOR THE STUDENTS IN THIS TWO-YEAR PROGRAM. THE STUDENTS TRAIN AT WELLSTAR'S HOSPITALS AND OUTPATIENT FACILITIES. THE PROGRAM RECEIVED ACCREDITATION FROM THE JOINT REVIEW COMMITTEE ON EDUCATION IN RADIOLOGIC TECHNOLOGY. THE GOAL IS TO HAVE TRAINED STUDENTS WHO CAN SUBSEQUENTLY CONTRIBUTE TO THE HEALTH OF THE COMMUNITY WE SERVE. COMMUNITY PARTNERSHIPS AND SPONSORSHIPS - COMMUNITY EDUCATION & OUTREACH IS RESPONSIBLE FOR DEVELOPING AND CULTIVATING STRATEGIC COMMUNITY PARTNERSHIPS BY ALIGNING WELLSTAR'S STRATEGIC GOALS, COMMUNITY DEVELOPMENT OPPORTUNITIES AND THE PRIORITY HEALTH NEEDS OF OUR LOCAL COMMUNITIES. SPONSORSHIPS PROVIDE AN OPPORTUNITY TO SUPPORT WELLSTAR'S MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE BY SUPPORTING ORGANIZATIONS AND EVENTS AS A SPONSOR. ORGANIZATIONS INCLUDE THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN LUNG ASSOCIATION, IT'S THE JOURNEY, MARCH OF DIMES, SUSAN G. KOMEN FOUNDATION, AS WELL AS NUMEROUS LOCAL ORGANIZATIONS. MANY EMPLOYEES ALSO VOLUNTEER AND PARTICIPATE IN SOME OF THE EVENTS HELD BY THESE ORGANIZATIONS SUCH AS WALKS, FUNDRAISERS AND SCREENINGS. CLINICS: WELLSTAR IS AFFILIATED WITH SEVERAL CLINICS WHICH PROVIDE FREE OR SLIDING SCALE HEALTH SERVICES TO PERSONS WHO CANNOT AFFORD TO PAY OR THOSE WHO ARE NOT EXPECTED TO PAY. WOMEN & CHILDREN RESOURCE CENTERS: THE WOMEN'S AND CHILDREN'S RESOURCE CENTER AT COBB, DOUGLAS, KENNESTONE, NORTH FULTON, ATLANTA MEDICAL CENTER, SPALDING, AND WEST GEORGIA HOSPITALS PROVIDE MUCH NEEDED SUPPORT FOR MOTHERS AND THEIR NEWBORN BABIES THROUGH INPATIENT AND OUTPATIENT LACTATION CONSULTATIONS, LACTATION NICU CONSULTS, BREASTFEEDING SUPPORT GROUPS, BEREAVEMENT SUPPORT GROUPS, PUMP RENTALS, WARM LINE PHONE CALLS, E-CHILDBIRTH, NEWBORN CARE, GRANDPARENTING, SIBLING, AND BREASTFEEDING CLASSES, IN-PERSON CLASSES, Q&A CALL IN SESSIONS, AS WELL AS OTHER EDUCATIONAL OPPORTUNITIES. THESE PROGRAMS DEMONSTRATE WELLSTAR'S COMMITMENT TO THE HEALTH AND WELL-BEING OF THE NEW MOTHERS AND THEIR BABIES IN OUR COMMUNITY. IN FY2020 THE UNREIMBURSED COSTS ASSOCIATED WITH THE PROGRAM TOTALED APPROXIMATELY $13,946 AND MORE THAN 35,324 PARENTS PARTICIPATED IN PRENATAL AND CHILDBIRTH PROGRAMS. IN FY2020 THE TOTAL UNCOMPENSATED CARE, OTHER COMMUNITY BENEFITS AND COMMUNITY INVESTMENTS PROVIDED BY WELLSTAR WAS OVER $ 1.2 BILLION. COMMITMENT TO THE COMMUNITY BREAKDOWN: CHARITY & INDIGENT (UNCOMPENSATED CARE COSTS) - $ 329,120,000 MEDICAID SHORTFALLS (UNCOMPENSATED CARE COSTS) - $ 126,326,000 MEDICARE SHORTFALLS (UNCOMPENSATED CARE COSTS) - $ 279,578,000 OTHER PATIENTS (UNCOMPENSATED CARE COSTS) - $ 161,819,000 TOTAL UNCOMPENSATED CARE - $ 896,843,000 OTHER COMMUNITY PROGRAMS (PARTICIPATION IN COALITIONS) - $ 241,000 OTHER COMMUNITY PROGRAMS (COMMUNITY HEALTH EDUCATION) - $ 328,000 OTHER COMMUNITY PROGRAMS (HEALTH CARE SUPPORT) - $ 11,963,000 TOTAL OTHER COMMUNITY PROGRAMS - $ 12,532,000 COMMUNITY INVESTMENTS (FUNDS BACK INTO INFRASTRUCTURE) - $ 305,874,000 COMMUNITY INVESTMENTS (ALLIED HLTH/MEDICAL EDUCATION) - $ 12,609,000 COMMUNITY INVESTMENTS (OPERATIONS - STAFF/SOFTWARE) - $ 237,000 TOTAL COMMUNITY INVESTMENTS - $ 318,720,000 WELLSTAR CONTINUES TO PARTICIPATE IN THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) MEDICARE SAVINGS PROGRAM AS AN ACCOUNTABLE CARE ORGANIZATION (ACO). WELLSTAR'S ACO IS THE LARGEST ACO IN GEORGIA AND 2,640 PHYSICIANS INCLUDING 50,269 MEMBERS. THE ACO HAS BEEN RECOGNIZED AS ONE OF THE TOP 100 ACO'S IN THE COUNTRY. THE PROGRAM HAS BEEN SUCCESSFUL THROUGH A FOCUS ON WELLNESS AND THE IMPROVED MANAGEMENT OF CHRONIC ILLNESSES AND THE RELATED COORDINATION OF CARE, TO ENSURE PATIENTS, ESPECIALLY CHRONICALLY ILL, GET THE RIGHT CARE AT THE RIGHT TIME TO MAINTAIN THEIR OPTIMAL HEALTH AND AVOID THE NEED FOR HIGH-COST EMERGENCY AND HOSPITAL CARE. AWARDS, RECOGNITION AND ACCOMPLISHMENTS THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES ANNOUNCED THAT SEVERAL WELLSTAR HEALTH SYSTEM HOSPITALS AND DEPARTMENTS RECEIVED THE SILVER BEACON AWARD FOR EXCELLENCE WHICH RECOGNIZES TOP HOSPITAL UNITS THAT MEET STANDARDS OF EXCELLENCE IN RECRUITMENT AND RETENTION; EDUCATION, TRAINING AND MENTORING; RESEARCH AND EVIDENCE-BASED PRACTICE; PATIENT OUTCOMES; LEADERSHIP AND ORGANIZATIONAL ETHICS; AND CREATION OF A HEALTHY WORK ENVIRONMENT. AWARD RECIPIENTS ARE THE WELLSTAR ENTERPRISE SUPPORT TEAM, WELLSTAR NORTH FULTON HOSPITAL, WELLSTAR KENNESTONE HOSPITAL, WELLSTAR COBB HOSPITAL AND THE WELLSTAR COBB INTENSIVE CARE AND CRITICAL CARE UNITS. THE HEALTHCARE CHAPLAINCY NETWORK (HCCN) ANNOUNCED THAT WELLSTAR COBB HOSPITAL RECEIVED THE EXCELLENCE IN SPIRITUAL CARE AWARD, A PRESTIGIOUS RECOGNITION OF AN ORGANIZATION'S EXCELLENCE IN SPIRITUAL CARE. THE AWARD SIGNIFIES THAT AN ORGANIZATION IS COMMITTED TO ADDRESSING PATIENTS' SPIRITUAL AND RELIGIOUS NEEDS THROUGH THE BEST PRACTICES IN SPIRITUAL CARE. THE STANDARDS OF EXCELLENCE INCLUDE EMPLOYING AN INTERDISCIPLINARY APPROACH TO SPIRITUAL CARE, ENGAGING IN QUALITY IMPROVEMENT PROJECTS, AND THE STRATEGIC DEPLOYMENT OF CHAPLAINCY CARE RESOURCES. WELLSTAR COBB HOSPITAL IS THE FIRST INSTITUTION IN THE STATE OF GEORGIA TO RECEIVE THIS AWARD. WORKING MOTHER MAGAZINE NAMED WELLSTAR HEALTH SYSTEM TO ITS LIST OF 2020 BEST COMPANIES FOR MULTICULTURAL WOMEN WINNERS IN THE TOP 10 DIVISION. THIS RECOGNITION CELEBRATES ORGANIZATIONS THAT LEAD IN PROMOTING THE INTERESTS OF WOMEN OF COLOR IN CORPORATE AMERICA AND THAT EXCEL IN THE LEVEL OF MINORITY WOMEN IN PROFESSIONAL AND LEADERSHIP POSITIONS. THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION RECENTLY RECOGNIZED SEVERAL WELLSTAR HEALTH SYSTEM HOSPITALS FOR ACHIEVEMENTS WITHIN ITS GET WITH THE GUIDELINES (GWTG) PROGRAM FOR OUTSTANDING PATIENT CARE. GET WITH THE GUIDELINES (GWTG) IS A HOSPITAL-BASED QUALITY IMPROVEMENT INITIATIVE TO IMPROVE THE CARE OF PATIENTS WITH CARDIAC DISEASES AND STROKE. WELLSTAR COBB HOSPITAL EARNED RECOGNITION FOR TARGET TYPE 2 DIABETES HONOR ROLL IN ADDITION TO THE GOLD PLUS AND TARGET STROKE HONOR ROLL AWARDS. WELLSTAR NORTH FULTON HOSPITAL RECEIVED THE STROKE AWARD GOLD PLUS AND ACHIEVED THE TARGET: STROKE ELITE PLUS HONOR ROLL. WELLSTAR PAULDING HOSPITAL RECEIVED THE GWTG HEART FAILURE BRONZE AWARD AND THE AMERICAN HEART ASSOCIATION'S LIFELINE AWARD SILVER RECEIVING, LIFELINE NSTEMI AWARD SILVER RECEIVING FOR OUTSTANDING HEART ATTACK TREATMENT. WELLSTAR DOUGLAS HOSPITAL RECEIVED THE AMERICAN NURSES CREDENTIALING CENTER'S PATHWAY TO EXCELLENCE AWARD THAT RECOGNIZES A HEALTHCARE ORGANIZATION'S COMMITMENT TO CREATING A POSITIVE PRACTICE ENVIRONMENT THAT EMPOWERS AND ENGAGES TEAM MEMBERS. BECAUSE IT INVESTS IN THE OPTIMUM WORKPLACE FOR NURSES, WELLSTAR DOUGLAS HOSPITAL CREATES A CULTURE OF SUSTAINED EXCELLENCE, RESULTING IN THE SUCCESSFUL RECRUITMENT OF TOP CANDIDATES AND STAFF RETENTION THROUGH HIGH JOB SATISFACTION. WELLSTAR HEALTH SYSTEM'S CANCER NETWORK WAS RECENTLY RECOGNIZED NATIONALLY AS A CANCER TREATMENT LEADER. HONORED WITH AN OUTSTANDING ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AND DESIGNATED AS A CARE CONTINUUM CENTER OF EXCELLENCE BY THE GO2 FOUNDATION FOR LUNG CANCER, THE WELLSTAR CANCER NETWORK - COMPRISED OF WELLSTAR KENNESTONE HOSPITAL, WELLSTAR COBB HOSPITAL, WELLSTAR DOUGLAS HOSPITAL, WELLSTAR PAULDING HOSPITAL AND WELLSTAR WINDY HILL HOSPITAL - CONTINUES TO PIONEER INNOVATIVE CANCER TREATMENTS AND TECHNOLOGIES TO IMPROVE OUTCOMES AND QUALITY OF LIFE FOR PATIENTS. WELLSTAR KENNESTONE HOSPITAL WAS NAMED THE RECIPIENT OF THE PRESTIGIOUS GEORGIA OGLETHORPE AWARD FOR 2020, GEORGIA'S HIGHEST LEVEL OF RECOGNITION FOR ORGANIZATIONAL PERFORMANCE EXCELLENCE. PRESENTED BY THE FLORIDA STERLING COUNCIL, THE AWARD RECOGNIZES ORGANIZATIONS AND BUSINESSES THAT "HAVE SUCCESSFULLY ACHIEVED PERFORMANCE EXCELLENCE WITHIN THEIR MANAGEMENT AND OPERATIONS." WELLSTAR HEALTH SYSTEM WAS RECOGNIZED BY FORTUNE MAGAZINE ON ITS "2019 FORTUNE 100 BEST WORKPLACES FOR DIVERSITY" LIST, AS WELL AS ITS "100 BEST COMPANIES TO WORK FOR"BEST WORKPLACES IN HEALTHCARE" LISTS. WELLSTAR HEALTH SYSTEM RANKS AMONG THE TOP FIVE COMPANIES FROM ACROSS THE NATION FOR HIRING WOMEN AND ONE OF ONLY THREE GEORGIA-BASED COMPANIES RANKED IN THE TOP 100. THIS RECOGNITION REFLECTS WELLSTAR'S COMMITMENT TO FOSTER A DIVERSE AND INCLUSIVE WORK ENVIRONMENT AT EVERY LEVEL, FROM THE NURSING FLOOR TO OUR SYSTEM LEADERS. FORM 990, PART IV, LINE 12B AUDITED FINANCIAL STATEMENTS WELLSTAR HEALTH SYSTEM, INC., AND ITS CONTROLLED AFFILIATES ARE AUDITED ON AN ANNUAL BASIS BY AN OUTSIDE AUDITING FIRM, KPMG, AND AS PART OF THAT AUDIT A CONSOLIDATED FINANCIAL STATEMENT IS ISSUED. THE INDEPENDENT AUDITORS REPORT INCLUDES THE ACCOUNTS OF WELLSTAR AND ITS CONTROLLED AFFILIATES INCLUDING COBB HOSPITAL, INC., DOUGLAS HOSPITAL INC., KENNESTONE HOSPITAL, INC., PAULDING MEDICAL CENTER, INC., WELLSTAR ATLANTA MEDICAL CENTER, INC., WELLSTAR NORTH FULTON HOSPITAL, INC., WELLSTAR SPALDING REGIONAL MEDICAL CENTER, INC., WELLSTAR SYLVAN GROVE HOSPITAL, INC., WELLSTAR WEST GEORGIA MEDICAL CENTER, INC., WINDY HILL HOSPITAL, WELLSTAR MEDICAL GROUP, LLC AND VARIOUS OTHER OWNED ENTITES AS LISTED IN SCHEDULE R. ALL SIGNIFICANT INTERCOMPANY ACCOUNTS AND TRANSACTIONS HAVE BEEN ELIMINATED IN COMBINATION. FORM 990, PART IV, LINE 24A TAX EXEMPT BOND REPORTING FOR PURPOSES OF THE FORM 990 REPORTING, WELLSTAR HEALTH SYSTEM, INC. (EIN 58-1649541) WILL LIST ALL TAX-EXEMPT BONDS ISSUED SINCE JANUARY 1, 2003 ON SCHEDULE K AS IT TYPICALLY ALLOCATES THE PROCEEDS OF THE BONDS TO MEMBERS OF THE OBLIGATED GROUP (INCLUDING THE HOSPITALS AND PHYSICIAN GROUP). ALL APPLICABLE CONTROLLED AFFILIATES WILL REPORT THIS TAX EXEMPT BOND LIABILITY ON FORM 990, PART X, LINE 25 OTHER LIABILITIES DUE TO WHS, INC. FORM 990, PART VI, SECTION B, LINE 11B BOARD REVIEW OF FORM 990 INTERNAL STAFF PREPARES THE ORGANIZATION'S FORM 990. BEFORE FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE AN EXTERNAL ACCOUNTING FIRM, PRICEWATERHOUSECOOPERS LLP, REVIEWS AND SIGN-OFFS ON THE COMPLETED RETURN OF EACH ORGANIZATION. THE CURRENT YEAR FORM 990 IS THEN REVIEWED BY THE FINANCE COMMITTEE ALONG WITH A QUESTION-AND-ANSWER SESSION. A MOTION IS THEN MADE BY THE FINANCE COMMITTEE TO APPROVE THE RETURNS AND PRESENT TO THE FULL BOARD COPIES OF THE FORMS IN AN ELECTRONIC (PDF FORMAT) VERSION AS WELL AS A HARD COPY PRIOR TO FILING. THE ORGANIZATION'S CFO OR DESIGNEE SUBSEQUENTLY SIGNS THE RETURN FOR EITHER MANUAL OR ELECTRONIC FILING BY THE APPROPRIATE DUE DATE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY OUR CONFLICT-OF-INTEREST POLICY REQUIRES ALL COVERED PERSONS TO ANNUALLY REVIEW THE POLICY AND THEN COMPLETE, SIGN AND RETURN THE CONFLICTS OF INTEREST SURVEY AND ATTESTATION TO THE COMPLIANCE OFFICE. THE POLICY REQUIRES AN ON-GOING DISCLOSURE OBLIGATION IN THE EVENT A CONFLICT ARISES DURING THE YEAR. THE FOLLOWING IS OUR PROCESS TO REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE THE POLICY: COMPLIANCE IDENTIFIES ALL COVERED PERSONS WHO MUST COMPLETE THE SURVEY AND ATTESTATION. COMPLIANCE VERIFIES THAT THE SURVEY AND ATTESTATION IS DISTRIBUTED TO THESE PERSONS. COMPLIANCE VERIFIES THAT THESE PERSONS RETURN A FULLY COMPLETED AND SIGNED SURVEY AND ATTESTATION. COMPLIANCE REVIEWS EACH COMPLETED AND SIGNED SURVEY AND ATTESTATION TO IDENTIFY ALL CONFLICTS LISTED IN THE DOCUMENT. ALL CONFLICTS, POTENTIAL CONFLICTS AND INCIDENCES OF NON-COMPLIANCE ARE REFERRED TO THE CHIEF COMPLIANCE OFFICER. THE CCO TAKES APPROPRIATE ACTION TO COMPLETELY RESOLVE ALL IDENTIFIED CONFLICTS AND INCIDENCES OF NON-COMPLIANCE. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION OF OFFICERS WELLSTAR HEALTH SYSTEM, INC. HAS ENGAGED SULLIVAN COTTER TO WORK WITH THE GOVERNING BOARD AND COMPENSATION COMMITTEE TO REVIEW AND RECOMMEND EXECUTIVE COMPENSATION. THE EXECUTIVE COMPENSATION PROCESS AT WELLSTAR IS OVERSEEN BY A COMMITTEE OF INDEPENDENT TRUSTEES, WHICH FOLLOWS A BOARD-APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. THE COMPENSATION COMMITTEE CONSISTS OF FIVE TRUSTEES. THE CEO AND CHIEF HUMAN RESOURCES OFFICERS PARTICIPATE IN AN ADVISORY ROLE, AND NOT AS VOTING MEMBERS. FURTHER IN COMMITTEE DISCUSSIONS ABOUT THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, THE CEO RECUSES HIM/HERSELF FROM THAT PROCESS. THE CEO IS A NON-VOTING COMMITTEE MEMBER FOR DISCUSSIONS ON ALL OTHER OFFICERS. THE EXECUTIVE COMPENSATION PHILOSOPHY EMPOWERS THE COMMITTEE TO OVERSEE THE EXECUTIVE COMPENSATION PROCESS AND ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM ON BEHALF OF THE FULL BOARD OF TRUSTEES OF WELLSTAR; PROVIDED, HOWEVER, THE FULL BOARD OF TRUSTEES EVALUATES AND APPROVES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THE PHILOSOPHY REQUIRES ANNUAL DISCLOSURE OF THE COMMITTEE'S ACTIONS AND DECISIONS TO THE FULL BOARD, WHICH IT HAS DONE. THE COMMITTEE IS GUIDED BY THE BOARD-APPROVED PHILOSOPHY. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD FOR ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. BASE COMPENSATION IS TARGETED AT THE MEDIAN BASE COMPENSATION PAID TO SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS (THE MARKET). OFFICERS OF THE COMPANY ALSO RECEIVE VARIABLE COMPENSATION THAT IS DEPENDENT ON INDIVIDUAL AND ORGANIZATION PERFORMANCE. WHEN PERFORMANCE IS AT A PREDETERMINED TARGETED LEVEL, THE TOTAL COMPENSATION, BOTH BASE AND VARIABLE, IS INTENDED TO BE AT OR AROUND THE 75TH% OF COMPENSATION PAID TO SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS. WELLSTAR'S EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET AS BEING COMPRISED OF COMPARABLE NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS, I.E., NOT-FOR-PROFIT ORGANIZATIONS SIMILAR IN COMPLEXITY AND SCALE TO WELLSTAR. TO ASSIST THE COMMITTEE IN FULFILLING ITS DUTIES, THE COMMITTEE ENGAGED SULLIVAN COTTER TO PROVIDE MARKET COMPENSATION DATA TO COMPARE TO THE WELLSTAR POSITIONS WHOSE COMPENSATION THE COMMITTEE OVERSEES. THE COMMITTEE USES THIS DATA TO PROVIDE CONTEXT WHEN MAKING DECISIONS IN ADMINISTERING THE COMPENSATION PROGRAM. ACCURATE MINUTES OF THE COMMITTEE'S DISCUSSION AND DECISIONS ARE RECORDED DURING EACH COMMITTEE MEETING AND REVIEWED AND PROVIDED TO THE FULL BOARD OF TRUSTEES FOR REVIEW. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS MADE AVAILABLE TO THE PUBLIC THE ORGANIZATION AND ITS AFFILIATES ARE SUBJECT TO THE OPEN RECORDS LAW IN THE STATE OF GEORGIA. THEREFORE, BY LAW, CITIZENS ARE PERMITTED TO INSPECT AND COPY ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AS MAY BE REQUESTED FROM TIME TO TIME. ADDITIONALLY, THE ORGANIZATION'S FORM 990 IS MADE READILY AVAILABLE ON THE GUIDESTAR WEBSITE. PERIODICALLY, THE ORGANIZATION PUBLISHES ITS FINANCIAL PERFORMANCE IN THE LOCAL NEWSPAPER FOR CITIZENS TO REVIEW, AND IT ALSO PUBLISHES A COMMUNITY BENEFIT REPORT ONCE A YEAR FOR DISTRIBUTION TO THE PUBLIC. UNDER ITS CONTINUING DISCLOSURE AGREEMENTS FOR PUBLIC BONDS OUTSTANGINS FINANCIAL AND STATISTICAL INFORMATION IS POSTED AND REPORTED ON EMMA.MSRB.ORG ON A QUARTERLY AND ANNUAL BASIS. FORM 990, PART VII OFFICERS HOURS WORKED THE OFFICERS DEVOTE THEIR TIME TO ALL OF THE ORGANIZATIONS WITHIN WELLSTAR HEALTH SYSTEM THAT ARE LISTED IN SCHEDULE R, PART II. AS SUCH, THE TOTAL HOURS WORKED BY THE OFFICERS ACROSS ALL ORGANIZATIONS EXCEEDS 40 HOURS A WEEK. FORM 990, PART VII & FORM 990, SCHEDULE J COMPENSATION ALL COMPENSATION AMOUNTS REPORTED ON FORM 990, PART VII; PART IX, LINES 5-7; AND SCHEDULE J REPRESENT COMPENSATION PROVIDED TO INDIVIDUALS THAT PROVIDE SERVICES TO THE ORGANIZATION. LIKEWISE, THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF INDIVIDUALS PROVIDING SERVICES TO THE ORGANIZATION. ALL FEDERAL EMPLOYMENT TAX RESPONSIBILITIES FOR THESE INDIVIDUALS (INCLUDING FEDERAL EMPLOYMENT TAX REPORTING RESPONSIBILITIES) ARE HANDLED BY WELLSTAR HEALTH SYSTEM, INC. (EIN 58-1649541). FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS FOR THE REPORTING PERIOD WELLSTAR HEALTH SYSTEM, INC. HAD THE FOLLOWING CHANGES IN NET ASSETS: PENSION ADJUSTMENT $ (218,194,000) ASSETS RELEASED FROM RESTRICTION 2,331,000 CHANGE IN DEBT RECEIVABLES/PAYABLE 67,404,413 OTHER CHANGES* (63,964,776) ---------------- TOTAL OTHER CHANGES IN NET ASSETS $ (212,423,363) *FOR THE REPORTING PERIOD, WELLSTAR HEALTH SYSTEM, INC. HAD A CHANGE IN NET ASSETS OF ($63,964,776) RELATED TO TRANSFERS TO/FROM AFFILIATES AS PART OF THE ALLOCATION OF INCOME STATEMENT AND BALANCE SHEET TRANSACTIONS OVER THE YEAR. 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GA WGHS INC C CORP false WELLSTAR HEALTH PLAN INC 793 SAWYER ROAD MARIETTA GA 300622222 461922499 HEALTH INSURANCE GA WHS INC C CORP 0 4049348 1.00000 true false false false false false false false true true true true false false false true true true true true COBB HOSPITAL INC Q 99370680 actual cost DOUGLAS HOSPITAL INC Q 32969977 actual cost KENNESTONE HOSPITAL INC Q 193149063 actual cost PAULDING MEDICAL CENTER INC Q 33959625 actual cost WELLSTAR NORTH FULTON HOSPITAL INC Q 28179180 ACTUAL COST WELLSTAR ATLANTA MEDICAL CENTER INC Q 65709606 ACTUAL COST WELLSTAR SPALDING REGIONAL HOSPITAL INC Q 23624708 ACTUAL COST WELLSTAR SYLVAN GROVE HOSPITAL INC Q 1651055 ACTUAL COST WEST GEORGIA MEDICAL CENTER Q 25646182 ACTUAL COST KENNESTONE EAST PARKING DECK LLC S 58188 ACTUAL COST SCHEDULE R, PART V, LINE 2 The dollar amounts reported on Form 990, Schedule R, Part V, Line 2 for WellStar Health System, Inc. include the overhead allocations to affiliates and consists of the following types of transactions as listed in Line 1 (a-r): h) Exchange of Assets, i) Lease of facilities, equipment, or other assets to other organization(s), j) Lease of facilities, equipment, or other assets from other organization(s), k) LEASE OF FACILITIES, EQUIPMENT, OR OTHER ASSETS FROM RELATED ORGANIZATION(S) O) Sharing of paid employees, P) Reimbursement paid to other organization(s), q) Other transfers of cash or property to other organization(S), AND r) Other transfers of cash or property from other organization(s).