WELLSTAR HEALTH SYSTEM INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- WELLSTAR HEALTH SYSTEM INC (EIN 58-1649541)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2018-05-16
- IRS object ID
- 201801369349300820
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-16T10:04:01-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET ST SUITE 1800 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581649541 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLSTAR HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JAMES M SWARTZ | InCareOfNm |
| Business Name Control | WELL | BusinessNameControlTxt |
| Phone | 7709567827 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 793 SAWYER ROAD | AddressLine1Txt |
| City | MARIETTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300622222 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES M SWARTZ | PersonNm |
| Person Title | VP, ACCOUNTING | PersonTitleTxt |
| Phone | 7709567827 | PhoneNum |
| Signature | 2018-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOANNE KRUEGER | PreparerPersonNm |
| PTIN | P01235586 | PTIN |
| Phone | 2673303000 | PhoneNum |
| Preparation | 2018-05-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | CANDICE L SAUNDERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 793 SAWYER ROAD | AddressLine1Txt |
| City | MARIETTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300622222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $930,056,007 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.wellstar.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO DELIVER WORLD-CLASS CHARITABLE HEALTHCARE TO THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 5998 | TotalEmployeeCnt |
| Total Volunteers | 401 | TotalVolunteersCnt |
| Total Gross UBI | $1,403,367 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$93,896 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $800,436,589 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $896,062,377 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$17,068,471 | PYInvestmentIncomeAmt |
| CY Investment Income | -$8,514,386 | CYInvestmentIncomeAmt |
| PY Other Revenue | $40,547,855 | PYOtherRevenueAmt |
| CY Other Revenue | $34,042,235 | CYOtherRevenueAmt |
| PY Total Revenue | $823,915,973 | PYTotalRevenueAmt |
| CY Total Revenue | $921,590,226 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,558,623 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,834,237 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $507,948,700 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $554,581,049 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,570,890 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $264,562,149 | PYOtherExpensesAmt |
| CY Other Expenses | $293,950,917 | CYOtherExpensesAmt |
| PY Total Expenses | $774,069,472 | PYTotalExpensesAmt |
| CY Total Expenses | $850,366,203 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $49,846,501 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $71,224,023 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,287,456,665 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,455,522,653 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,043,356,754 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,276,480,141 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,244,099,911 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,179,042,512 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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 THAT WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $539,431,179 | ExpenseAmt |
| Grant | $1,834,237 | GrantAmt |
| Revenue | $896,062,377 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $539,431,179 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | Yes (true) | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 804 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 5998 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES M SWARTZ | PersonNm |
| Phone | 7709567827 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 793 SAWYER ROAD | AddressLine1Txt |
| City | MARIETTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300622222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (99 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| AVRIL P BECKFORD MD | |||||||||
| TRUSTEE & CHIEF PEDIATRIC OFF. | 32.0 | 18.0 | Yes (X) | Yes (X) | $553,416 | $0 | $30,618 | ||
| W CHARLES BROCK | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $21,470 | $0 | $0 | |||
| CHARLES J JONES | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $4,079 | $0 | $0 | |||
| DAVID H HAFNER MD | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $23,923 | $0 | $0 | |||
| FRANK ROS | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $3,478 | $0 | $0 | |||
| GARY A MILLER | |||||||||
| TRUSTEE - CHAIR | 1.0 | 9.0 | Yes (X) | $4,120 | $0 | $0 | |||
| GREG MORGAN | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $2,324 | $0 | $0 | |||
| JANIE MADDOX | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $7,482 | $0 | $0 | |||
| JEFFREY L THARP MD MPH | |||||||||
| TRUSTEE & CHIEF MEDICINE SRVS | 32.0 | 18.0 | Yes (X) | Yes (X) | $593,302 | $0 | $79,458 | ||
| MICHAEL B PATTON | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |||
| MITZI MOORE | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $3,074 | $0 | $0 | |||
| O SCOTT SWAYZE MD | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $4,304 | $0 | $0 | |||
| OTIS A BRUMBY III | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $16,930 | $0 | $0 | |||
| RANDALL BENTLEY SR | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $20,441 | $0 | $0 | |||
| ROBERT N CROSS MD | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $14,803 | $0 | $0 | |||
| H SPEER BURDETTE III | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | |||
| TE RUSTY DURHAM | |||||||||
| TRUSTEE EMERITUS | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | |||
| T FITZ JOHNSON | |||||||||
| TRUSTEE | 1.0 | 11.0 | Yes (X) | $17,999 | $0 | $0 | |||
| THOMAS E GEARHARD MD | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $2,070 | $0 | $0 | |||
| THOMAS M PHILLIPS | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $2,638 | $0 | $0 | |||
| WALTER G ROBINSON | |||||||||
| TRUSTEE | 1.0 | 9.0 | Yes (X) | $4,348 | $0 | $0 | |||
| STEVEN OWEIDA MD | |||||||||
| TRUSTEE EMERITUS | 1.0 | 5.0 | Yes (X) | $787 | $0 | $0 | |||
| W ALLEN SEPARK | |||||||||
| TRUSTEE EMERITUS | 1.0 | 5.0 | Yes (X) | $1,059 | $0 | $0 | |||
| SHAN COOPER | |||||||||
| TRUSTEE EMERITUS | 1.0 | 5.0 | Yes (X) | $126 | $0 | $0 | |||
| AMY ELLEN F CARRIER | |||||||||
| SVP HOSPITAL PRESIDENT | 2.0 | 48.0 | Yes (X) | $0 | $144,589 | $18,782 | |||
| ANTHONY J BUDZINSKI | |||||||||
| EVP & CFO | 32.0 | 20.0 | Yes (X) | $793,732 | $0 | $76,107 | |||
| ANTHONY M TRUPIANO | |||||||||
| SVP SUPPLY CHAIN | 32.0 | 18.0 | Yes (X) | $377,102 | $0 | $49,343 | |||
| BARBARA B COREY | |||||||||
| SVP MANAGED CARE | 32.0 | 18.0 | Yes (X) | $416,030 | $0 | $47,665 | |||
| BETH KOST | |||||||||
| SVP COMPLIANCE CHF PRIVACY OFF | 32.0 | 18.0 | Yes (X) | $331,271 | $0 | $34,355 | |||
| BETHANY ROBERTSON | |||||||||
| VP & CHIEF LEARNING OFFICER | 32.0 | 18.0 | Yes (X) | $300,438 | $0 | $46,673 | |||
| BRADFORD B NEWTON | |||||||||
| VP INFO. TECHNOLOGY ADMIN. | 32.0 | 18.0 | Yes (X) | $251,598 | $0 | $50,475 | |||
| BRUCE A DEAN | |||||||||
| VP REAL ESTATE DEPUTY GEN CNSL | 32.0 | 18.0 | Yes (X) | $304,967 | $0 | $72,423 | |||
| CANDICE L SAUNDERS | |||||||||
| PRESIDENT & CEO | 32.0 | 20.0 | Yes (X) | $2,070,332 | $0 | $77,248 | |||
| CARRIE O PLIETZ | |||||||||
| EVP & COO HOSP DIV(BEG.2/2016) | 32.0 | 18.0 | Yes (X) | $0 | $0 | $0 | |||
| CRAIG OWENS | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | Yes (X) | $0 | $362,527 | $51,393 | |||
| DANIEL J STYF | |||||||||
| SVP PW HEALTH PLAN | 32.0 | 18.0 | Yes (X) | $401,787 | $0 | $30,738 | |||
| DAVID W ANDERSON | |||||||||
| EVP/HR/OL/CCO | 32.0 | 18.0 | Yes (X) | $728,341 | $0 | $73,566 | |||
| DEBORAH C KEEL | |||||||||
| SVP HOSP. PRES.(BEGIN. 4/2016) | 2.0 | 48.0 | Yes (X) | $0 | $0 | $0 | |||
| DONALD CAMPBELL MD | |||||||||
| SVP PHYS EDUC&STUDENT AFF | 32.0 | 18.0 | Yes (X) | $363,405 | $0 | $0 | |||
| ELIZABETH H LOUDERMILK | |||||||||
| VP ENT INTELLIGENCE & INTGRTN | 32.0 | 18.0 | Yes (X) | $293,860 | $0 | $42,566 | |||
| ELLEN LANGFORD | |||||||||
| SVP & COO WELLSTAR MED GROUP | 32.0 | 18.0 | Yes (X) | $330,231 | $0 | $71,209 | |||
| FREDA LYON | |||||||||
| VP SYSTEM EMERGENCY & TRAUMA | 32.0 | 18.0 | Yes (X) | $148,720 | $0 | $21,078 | |||
| JAMES M SWARTZ | |||||||||
| VP ACCOUNTING | 32.0 | 18.0 | Yes (X) | $265,746 | $0 | $44,824 | |||
| JILL M CASE-WIRTH | |||||||||
| SVP & CHIEF NURSE EXECUTIVE | 32.0 | 18.0 | Yes (X) | $424,761 | $0 | $56,220 | |||
| JIMMY E FRANCIS | |||||||||
| VP INFO TECHNOLOGY OPERATIONS | 32.0 | 18.0 | Yes (X) | $266,152 | $0 | $49,549 | |||
| JOEL W HELMKE | |||||||||
| VP ONCOLOGY | 32.0 | 18.0 | Yes (X) | $319,000 | $0 | $70,175 | |||
| JOHN A BRENNAN | |||||||||
| EVP CHIEF CLNC. OFF (BEG.4/16) | 32.0 | 18.0 | Yes (X) | $0 | $0 | $0 | |||
| JONATHAN B MORRIS MD | |||||||||
| SVP CHF INFO OFFICER | 32.0 | 18.0 | Yes (X) | $511,024 | $0 | $53,680 | |||
| JOSEPH L BRYWCZYNSKI | |||||||||
| SVP HEALTH PARKS DEVELOPMENT | 32.0 | 18.0 | Yes (X) | $418,368 | $0 | $72,424 | |||
| KEM M MULLINS | |||||||||
| EVP COO AMBULATORY & BUS DEV | 32.0 | 18.0 | Yes (X) | $596,655 | $0 | $52,732 | |||
| KIMBERLY J RYAN | |||||||||
| SVP HOSP. PRES. (BEGIN.4/2016) | 2.0 | 48.0 | Yes (X) | $0 | $0 | $0 | |||
| KIMBERLY W MENEFEE | |||||||||
| SVP STRATEGIC COMMUNITY DEV | 32.0 | 18.0 | Yes (X) | $385,571 | $0 | $50,772 | |||
| KRISTYN M GREIFER MD | |||||||||
| VP POPULATION MANAGEMENT | 32.0 | 18.0 | Yes (X) | $397,576 | $0 | $18,767 | |||
| LEO E REICHERT | |||||||||
| EVP & GENERAL COUNSEL | 32.0 | 18.0 | Yes (X) | $744,526 | $0 | $63,211 | |||
| MARCUS P CHARLSON MD | |||||||||
| VP SURGERY (BEG. 6/2016) | 32.0 | 18.0 | Yes (X) | $0 | $0 | $0 | |||
| MARY L TAVERNARO | |||||||||
| VP HUMAN RESOURCES OPERATIONS | 32.0 | 18.0 | Yes (X) | $317,618 | $0 | $51,130 | |||
| MICHELLE M ROBINSON | |||||||||
| VP MKTNG/PR/INTERNAL COMM | 32.0 | 18.0 | Yes (X) | $253,969 | $0 | $42,237 | |||
| NICOLE V ASHE | |||||||||
| VP FINANCE & CFO WMG | 32.0 | 18.0 | Yes (X) | $284,586 | $0 | $49,175 | |||
| PETER R JUNGBLUT MD MBA | |||||||||
| SVP & MEDICAL DIR WMG | 32.0 | 18.0 | Yes (X) | $422,089 | $0 | $71,361 | |||
| REYNOLD J JENNINGS MD | |||||||||
| CHIEF STRATEGY OFFICER | 40.0 | 10.0 | Yes (X) | $1,651,584 | $0 | $2,064 | |||
| RICHARD S SIEGEL | |||||||||
| VP CARDIOLOGY & CVM ADMIN | 32.0 | 18.0 | Yes (X) | $353,273 | $0 | $76,096 | |||
| ROBERT D JANSEN MD | |||||||||
| EVP & PRES MED. GROUP | 32.0 | 18.0 | Yes (X) | $1,130,961 | $0 | $65,599 | |||
| ROBERT J DECOUX | |||||||||
| VP CORPORATE MED STAFF SVCS | 32.0 | 18.0 | Yes (X) | $195,690 | $0 | $45,418 | |||
| ROBERT MANDLER | |||||||||
| VP DIAGNOSTIC OUTREACH | 32.0 | 18.0 | Yes (X) | $295,448 | $0 | $63,575 | |||
| SANDRA LUCIUS | |||||||||
| VP INFO TECHNOLOGY APPS | 32.0 | 18.0 | Yes (X) | $262,637 | $0 | $49,160 | |||
| SEAN P TURNER | |||||||||
| VP REVENUE CYCLE MANAGEMENT | 32.0 | 18.0 | Yes (X) | $317,142 | $0 | $51,201 | |||
| SNEHAL H DOSHI | |||||||||
| VP SYSTEM PHARMACIST | 32.0 | 18.0 | Yes (X) | $175,084 | $0 | $26,331 | |||
| TAMARA D ISON | |||||||||
| SVP HOSP. PRES. (BEGIN.4/2016) | 2.0 | 48.0 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY HANEY | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | Yes (X) | $0 | $382,922 | $44,686 | |||
| VALERY A AKOPOV MD | |||||||||
| SVP HOSPITAL DIVISION WMG | 32.0 | 18.0 | Yes (X) | $460,432 | $0 | $54,453 | |||
| WANDA Y ROBINSON | |||||||||
| VP COMPLIANCE PWHP | 32.0 | 18.0 | Yes (X) | $226,225 | $0 | $23,315 | |||
| MICHAEL G PAUL | |||||||||
| VP FACILITIES ENG SUPPORT SVCS | 32.0 | 18.0 | Yes (X) | $233,220 | $0 | $24,754 | |||
| DANIEL J WOODS | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | Yes (X) | $0 | $510,262 | $74,763 | |||
| STEPHEN L BADGER | |||||||||
| CHIEF ADMIN. OFF. (BEG.2/2016) | 32.0 | 18.0 | Yes (X) | $0 | $0 | $0 | |||
| KRISTEN S TRICE | |||||||||
| VP DIAG. OUTREACH (BEG. 1/16) | 32.0 | 18.0 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS ARVIN CPA MBA | |||||||||
| SVP FINANCE (BEGIN. 3/2016) | 32.0 | 18.0 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS S FOSTER | |||||||||
| VP FINANCIAL PLAN.(BEG.3/2016) | 32.0 | 18.0 | Yes (X) | $0 | $0 | $0 | |||
| REBECCA L RUHL | |||||||||
| VP FACILITY CMPL. (BEG.4/2016) | 32.0 | 18.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBIN G BOEHRINGER | |||||||||
| VP TOTAL REWARDS (BEG.11/2015) | 32.0 | 18.0 | Yes (X) | $0 | $0 | $0 | |||
| AHMAD KHALDI MD | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,193,360 | $0 | $47,076 | Yes (X) | |||
| RICHARD MYUNG MD | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,348,937 | $0 | $53,248 | Yes (X) | |||
| RISHI GUPTA MD | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,129,678 | $0 | $72,799 | Yes (X) | |||
| SAID ELSHIHABI MD | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,246,062 | $0 | $72,248 | Yes (X) | |||
| WILLIAM A COOPER MD MBA | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,344,007 | $0 | $71,633 | Yes (X) | |||
| BARBARA G BALLARD | |||||||||
| FORMER VP HOMECARE & HOSPICE | 0.0 | 0.0 | $168,038 | $0 | $0 | Yes (X) | |||
| CHESTER A ZBOROWSKI | |||||||||
| FORMER VP HEALTH PARKS OPS. | 0.0 | 0.0 | $205,315 | $0 | $10,185 | Yes (X) | |||
| CHRISTOPHER B SCULLEN | |||||||||
| FRMR VP PULMONOLOGY OPERATIONS | 0.0 | 0.0 | $121,351 | $0 | $0 | Yes (X) | |||
| CHRISTOPHER M KANE | |||||||||
| FRMR SVP STRAT. PLAN & BUS DEV | 0.0 | 0.0 | $341,744 | $0 | $0 | Yes (X) | |||
| DEBORAH ROEGGE DE VITA | |||||||||
| FRMR VP WOMEN&NEWBORN SVC LINE | 0.0 | 0.0 | $137,762 | $0 | $0 | Yes (X) | |||
| JAMES E CLEMENTS | |||||||||
| FRMR VP BUS DEV & STRAT. PSHIP | 0.0 | 0.0 | $148,488 | $0 | $0 | Yes (X) | |||
| JEFFERY D STANLEY | |||||||||
| FRMR VP PHARM & SYSTEM COORD. | 0.0 | 0.0 | $269,264 | $0 | $14,507 | Yes (X) | |||
| LEE R COOK | |||||||||
| FRMR VP MED & BEHAVIORAL HLTH | 0.0 | 0.0 | $105,339 | $0 | $0 | Yes (X) | |||
| LOUIS W LITTLE | |||||||||
| FMR SVP PST ACTE SVC&HOSP PRES | 0.0 | 0.0 | $174,084 | $0 | $0 | Yes (X) | |||
| MARCIA DELK-PAYNE MD | |||||||||
| FRMR SVP MED AFFAIR & C.Q.O. | 0.0 | 0.0 | $370,531 | $0 | $0 | Yes (X) | |||
| NANCY R DOELLING MD | |||||||||
| FRMR VP WS PED. ACUTE CARE SVC | 0.0 | 0.0 | $382,950 | $0 | $8,158 | Yes (X) | |||
| ROBIN WILSON MD | |||||||||
| FORMER SVP CHIEF HEALTH OFFCR | 0.0 | 0.0 | $350,907 | $0 | $0 | Yes (X) | |||
| STEVEN L GRACE | |||||||||
| FORMER VP TALENT ACQUISITION | 0.0 | 0.0 | $161,549 | $0 | $0 | Yes (X) | |||
| TRACEY ATWATER MD | |||||||||
| FORMER VP & FDN. PRESIDENT | 0.0 | 0.0 | $106,522 | $0 | $0 | Yes (X) | |||
| PATRICIA A MAYNE | |||||||||
| FORMER VP EMERGENCY SERVICES | 0.0 | 0.0 | $179,810 | $0 | $5,244 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $28,809,022 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,400,300 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,576,467 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1085 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EPIC SYSTEMS CORPORATION | |||||
| PO BOX 88314 | MILWAUKEE | WI | 532880314 | INFORMATION SERVICES | $8,318,376 |
| PRESIDIO NETWORKED SOLUTIONS | |||||
| PO BOX 822169-2169 | PHILADELPHIA | PA | 19182 | INFORMATION SERVICES | $8,230,837 |
| FTI CONSULTING INC | |||||
| PO BOX 88314 | BOSTON | MA | 022418005 | CONSULTING | $7,052,923 |
| BRASFIELD AND GORRIE LLC | |||||
| 1190 VAUGHN RD NW SUITE 100 | KENNESAW | GA | 30144 | GENERAL CONTRACTOR | $6,405,050 |
| PT SOLUTIONS HOLDINGS | |||||
| PO BOX 441146 | KENNESAW | GA | 30160 | MEDICAL | $5,816,335 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 272 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT REVENUE | 621990 | $336,135,958 | $336,135,958 | $0 | $0 |
| COBB COUNTY DETENTION CENTER | 621990 | $6,061,453 | $6,061,453 | $0 | $0 |
| EQUITY IN EARNINGS OF HOSP AFFILIATES | 621990 | $239,529,735 | $239,529,735 | $0 | $0 |
| SHARED SERVICES COSTS RECOUPMENT | 621990 | $271,891,256 | $271,891,256 | $0 | $0 |
| WELLNESS CENTER | 621400 | $2,101,678 | $2,101,678 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,342,297 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,342,297 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $896,062,377 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$48,605 | TotalRevenueColumnAmt |
| Exclusion | -$48,605 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $258,238 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $258,238 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $258,238 | TotalRevenueColumnAmt |
| Exclusion | $258,238 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,465,781 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$8,465,781 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,465,781 | TotalRevenueColumnAmt |
| Exclusion | -$8,465,781 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| LAUNDRY | 812300 | $1,403,367 | $1,403,367 | |
| CHILDCARE REVENUE | 621990 | $1,834,994 | $1,834,994 | |
| OTHER REVENUE | 621990 | $30,545,636 | $30,545,636 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $33,783,997 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $921,590,226 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $896,062,377 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,403,367 | UnrelatedBusinessRevenueAmt |
| Exclusion | $24,124,482 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,834,237 | TotalAmt |
| Program Services | $1,834,237 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,064,228 | TotalAmt |
| Program Services | $29,762,187 | ProgramServicesAmt |
| Management And General | $6,273,472 | ManagementAndGeneralAmt |
| Fundraising | $28,569 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $368,607 | TotalAmt |
| Program Services | $294,885 | ProgramServicesAmt |
| Management And General | $73,722 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,280,431 | TotalAmt |
| Program Services | $332,091,420 | ProgramServicesAmt |
| Management And General | $94,348,682 | ManagementAndGeneralAmt |
| Fundraising | $840,329 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,513,064 | TotalAmt |
| Program Services | $17,465,239 | ProgramServicesAmt |
| Management And General | $4,015,009 | ManagementAndGeneralAmt |
| Fundraising | $32,816 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,079,528 | TotalAmt |
| Program Services | $28,127,214 | ProgramServicesAmt |
| Management And General | $13,817,178 | ManagementAndGeneralAmt |
| Fundraising | $135,136 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,275,191 | TotalAmt |
| Program Services | $19,676,708 | ProgramServicesAmt |
| Management And General | $7,533,964 | ManagementAndGeneralAmt |
| Fundraising | $64,519 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,685,205 | TotalAmt |
| Program Services | $6,445 | ProgramServicesAmt |
| Management And General | $5,678,760 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $539,370 | TotalAmt |
| Management And General | $539,370 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,604,129 | TotalAmt |
| Program Services | $35,699,977 | ProgramServicesAmt |
| Management And General | $57,819,142 | ManagementAndGeneralAmt |
| Fundraising | $85,010 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,636,497 | TotalAmt |
| Program Services | $2,179,028 | ProgramServicesAmt |
| Management And General | $5,428,554 | ManagementAndGeneralAmt |
| Fundraising | $28,915 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,998,354 | TotalAmt |
| Program Services | $6,770,365 | ProgramServicesAmt |
| Management And General | $4,227,989 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,794,371 | TotalAmt |
| Program Services | $20,728,148 | ProgramServicesAmt |
| Management And General | $9,060,206 | ManagementAndGeneralAmt |
| Fundraising | $6,017 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,605,626 | TotalAmt |
| Program Services | $1,184,148 | ProgramServicesAmt |
| Management And General | $1,405,831 | ManagementAndGeneralAmt |
| Fundraising | $15,647 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,347,210 | TotalAmt |
| Program Services | $1,603,575 | ProgramServicesAmt |
| Management And General | $1,720,984 | ManagementAndGeneralAmt |
| Fundraising | $22,651 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,257,864 | TotalAmt |
| Management And General | $1,257,864 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,435,499 | TotalAmt |
| Program Services | $6,996,377 | ProgramServicesAmt |
| Management And General | $41,424,056 | ManagementAndGeneralAmt |
| Fundraising | $15,066 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,361,994 | TotalAmt |
| Program Services | $11,522,133 | ProgramServicesAmt |
| Management And General | $21,839,861 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| REPAIRS & MAINTENANCE | $32,060,255 | $3,290,544 | $28,769,681 | $30 |
| MEDICAL SUPPLIES | $20,991,979 | $20,159,266 | $536,528 | $296,185 |
| OTHER OPERATING EXPENSES | $3,632,564 | $39,283 | $3,593,281 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $850,366,203 | TotalAmt |
| Program Services | $539,431,179 | ProgramServicesAmt |
| Management And General | $309,364,134 | ManagementAndGeneralAmt |
| Fundraising | $1,570,890 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,896,450 | BOYAmt |
| EOY | $38,358,341 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,871,362 | BOYAmt |
| EOY | $32,875,608 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,271,962 | BOYAmt |
| EOY | $9,622,214 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,079,463 | BOYAmt |
| EOY | $36,815,703 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $672,039,190 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $364,113,689 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,714,600 | BOYAmt |
| EOY | $307,925,501 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $744,692,488 | BOYAmt |
| EOY | $791,079,030 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,090,930,340 | BOYAmt |
| EOY | $1,238,846,256 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,287,456,665 | BOYAmt |
| EOY | $2,455,522,653 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,760,804 | BOYAmt |
| EOY | $242,914,343 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,327,364 | BOYAmt |
| EOY | $472,106,309 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,268,586 | BOYAmt |
| EOY | $561,459,489 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,043,356,754 | BOYAmt |
| EOY | $1,276,480,141 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,227,850,129 | BOYAmt |
| EOY | $1,135,715,379 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,430,819 | BOYAmt |
| EOY | $26,999,339 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,818,963 | BOYAmt |
| EOY | $16,327,794 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,244,099,911 | BOYAmt |
| EOY | $1,179,042,512 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,287,456,665 | BOYAmt |
| EOY | $2,455,522,653 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $71,224,023 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$15,859,657 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$120,421,765 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 9 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (9 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| COBB HOSPITAL INC | ||||
| 580968382 | 3 | Yes (true) | $67,958,957 | $0 |
| PAULDING MEDICAL CENTER INC | ||||
| 582095884 | 3 | Yes (true) | $21,933,539 | $0 |
| KENNESTONE HOSPITAL INC | ||||
| 582032904 | 3 | Yes (true) | $153,583,818 | $0 |
| DOUGLAS HOSPITAL INC | ||||
| 582026750 | 3 | Yes (true) | $25,466,377 | $0 |
| WELLSTAR ATLANTA MEDICAL CENTER INC | ||||
| 810837031 | 3 | Yes (true) | $1,297,635 | $0 |
| WELLSTAR SPALDING REGIONAL HOSPITAL INC | ||||
| 810864789 | 3 | Yes (true) | $854,082 | $0 |
| WELLSTAR SYLVAN GROVE HOSPITAL INC | ||||
| 810875069 | 3 | Yes (true) | $70,770 | $0 |
| WELLSTAR NORTH FULTON HOSPITAL INC | ||||
| 810851756 | 3 | Yes (true) | $726,078 | $0 |
| WEST GEORGIA MEDICAL CENTER INC | ||||
| 205497506 | 3 | Yes (true) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 9 | SupportedOrganizationsTotalCnt |
| Support Sum | $271,891,256 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | Yes (true) | OrganizationChangeSuprtOrgInd |
| Supported Org Class Designated | false | SupportedOrgClassDesignatedInd |
| Support Non Supported Org | Yes (true) | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (true) | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 5A | FormAndLineReferenceDesc |
| Explanation | ON APRIL 1, 2016 WELLSTAR HEALTH SYSTEM, INC. ACQUIRED FIVE NEW HOSPITALS AND FINALIZED A PARTNERSHIP WITH WEST GEORGIA HEALTH. THE NEWEST MEMBERS OF OUR FAMILY INCLUDE: WELLSTAR ATLANTA MEDICAL CENTER; WELLSTAR ATLANTA MEDICAL CENTER SOUTH; WELLSTAR NORTH FULTON HOSPITAL; WELLSTAR SPALDING REGIONAL HOSPITAL; WELLSTAR SYLVAN GROVE HOSPITAL; AND WELLSTAR WEST GEORGIA MEDICAL CENTER. THE ADDITION EXTENDS THE COMMUNITIES WE SERVE TO BUTTS, FULTON, JACKSON, SPALDING AND TROUP COUNTIES, MAKING WELLSTAR THE LARGEST HEALTH SYSTEM IN GEORGIA AND ONE OF THE LARGEST NOT-FOR-PROFIT HEALTH SYSTEMS IN THE COUNTRY. | ExplanationTxt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | Yes (true) | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | Yes (true) | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $2,459 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $11,000 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $273,962 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | Yes (true) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $14,496 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $170,784 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $472,701 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING EXPENSES: During the reporting period Wellstar Health System, Inc. held a retainer for 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,611,000 | BeginningYearBalanceAmt |
| Contributions | $127,000 | ContributionsAmt |
| Investment Earnings Or Losses | $94,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,832,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,485,000 | BeginningYearBalanceAmt |
| Contributions | $64,000 | ContributionsAmt |
| Investment Earnings Or Losses | $62,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,611,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,915,000 | BeginningYearBalanceAmt |
| Contributions | $771,000 | ContributionsAmt |
| Investment Earnings Or Losses | $799,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,485,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,286,000 | BeginningYearBalanceAmt |
| Contributions | $162,000 | ContributionsAmt |
| Investment Earnings Or Losses | $467,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,915,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,416,000 | BeginningYearBalanceAmt |
| Contributions | $75,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$37,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $168,000 | OtherExpendituresAmt |
| End Year Balance | $4,286,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.72000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.28000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,699,654 | OtherCostOrOtherBasisAmt |
| Book Value | $43,699,654 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $116,273,504 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,673,261 | DepreciationAmt |
| Book Value | $58,600,243 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,931,275 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,086,392 | DepreciationAmt |
| Book Value | $2,844,883 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $496,666,437 | OtherCostOrOtherBasisAmt |
| Depreciation | $296,071,082 | DepreciationAmt |
| Book Value | $200,595,355 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,468,320 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,282,954 | DepreciationAmt |
| Book Value | $2,185,366 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $307,925,501 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $61,582,249 |
| OTHER PREPAIDS | $125,078 |
| EQUITY IN AFFILIATES | $1,172,417,960 |
| OTHER LONG TERM ASSETS | $4,720,969 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,238,846,256 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION LIABILITY | $408,345,045 |
| OTHER LONG TERM LIABILITIES | $28,996,165 |
| INSURANCE RESERVES | $98,027,240 |
| ASSET RETIREMENT OBLIGATION LT | $736,723 |
| SWAP CONTRACT 2005 ISSUE LT LI | $25,354,316 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $561,459,489 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | ENDOWMENT FUNDS The endowment funds held on Wellstar Health System, INC. are intended to be held in perpetuity and the earnings thereon are to be used for financial assistance for patients in the Wellstar Hospice Program. All funds were expended during the fiscal year for the Wellstar Hospice Program and a new inpatient Hospice facility at Kennestone Hospital. |
| 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, EXCEPT FOR CAC AND WGHP, A TAXABLE NOT-FOR-PROFIT. 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 ENTITYS FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON WELLSTARS COMBINED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (31 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| American Cancer Society | |||||||||||
| 1825 BARRETT LAKES BLVD STE 280 | KENNESAW | GA | 30144 | 580659875 | 501(C)(3) | $97,500 | $0 | FMV | N/A | SPONSORSHIP | |
| American Heart Association | |||||||||||
| 1101 NORTHCHASE PARKWAY STE 1 | MARIETTA | GA | 30067 | 135613797 | 501(C)(3) | $80,000 | $0 | FMV | N/A | SPONSORSHIP | Harris Tower Suite 2225 |
| Atlanta Blaze | |||||||||||
| 1301 SHILOH RD NW STE 340 | KENNESAW | GA | 30144 | 473671706 | $35,000 | $0 | FMV | N/A | SPONSORSHIP | ||
| Camp Kudzu | |||||||||||
| 5885 GLENRIDGE DR STE 160 | ATLANTA | GA | 30328 | 582449646 | 501(C)(3) | $10,000 | $0 | FMV | N/A | SPONSORSHIP | |
| City of Kennesaw | |||||||||||
| 2529 JO STEPHENSON AVE | KENNESAW | GA | 30144 | 586010582 | $15,500 | $0 | FMV | N/A | SPONSORSHIP | ||
| Cobb Chamber of Commerce | |||||||||||
| PO BOX 671868 | MARIETTA | GA | 30061 | 580198114 | 501(C)(6) | $126,000 | $0 | FMV | N/A | SPONSORSHIP | |
| Cobb County Senior Services | |||||||||||
| PO BOX 649 | MARIETTA | GA | 30061 | 550912698 | 501(C)(6) | $20,000 | $0 | FMV | N/A | SPONSORSHIP | |
| Cobb Landmark Historical Society | |||||||||||
| 65 WHITLOCK AVE | MARIETTA | GA | 30060 | 581827362 | 501(C)(3) | $10,000 | $0 | FMV | N/A | SPONSORSHIP | |
| Davis Direction Foundation Inc | |||||||||||
| 1150 BAGWELL DRIVE | KENNESAW | GA | 30152 | 471370495 | 501(C)(3) | $31,000 | $0 | FMV | N/A | SPONSORSHIP | |
| Douglas County Chamber of Commerce | |||||||||||
| 6658 CHURCH STREET | DOUGLASVILLE | GA | 30134 | 581950186 | 501(C)(6) | $16,795 | $0 | FMV | N/A | SPONSORSHIP | |
| East Cobber Parade | |||||||||||
| PO BOX 680455 | MARIETTA | GA | 30068 | $30,000 | $0 | FMV | N/A | SPONSORSHIP | |||
| Goshen Valley Boys Ranch | |||||||||||
| 387 GOSHEN CHURCH WAY | WALESKA | GA | 30183 | 582361483 | 501(C)(3) | $50,000 | $0 | FMV | N/A | SPONSORSHIP | |
| Habitat for Humanity | |||||||||||
| 3530 TEN OAKS CT | POWDER SPRINGS | GA | 30127 | 911914868 | 501(C)(3) | $10,000 | $0 | FMV | N/A | SPONSORSHIP | |
| Kennesaw State University | |||||||||||
| 1000 CHASTAIN RD | KENNESAW | GA | 30144 | $125,000 | $0 | FMV | N/A | SPONSORSHIP | |||
| LakePoint Sports | |||||||||||
| 755 HWY 293 | EMERSON | GA | 30137 | 452322479 | $125,000 | $0 | FMV | N/A | SPONSORSHIP | ||
| Latin American Association | |||||||||||
| 2750 BUFORD HWY | ATLANTA | GA | 30324 | 581237316 | 501(C)(3) | $10,000 | $0 | FMV | N/A | SPONSORSHIP | |
| March of Dimes | |||||||||||
| PO BOX 932852 | ATLANTA | GA | 311932852 | 131846366 | 501(C)(3) | $42,000 | $0 | FMV | N/A | SPONSORSHIP | |
| MUST Ministries | |||||||||||
| PO BOX 1717 | MARIETTA | GA | 30061 | 582034725 | 501(C)(3) | $40,000 | $0 | FMV | N/A | SPONSORSHIP | |
| Nobis Works | |||||||||||
| 1480 BELLS FERRY RD | MARIETTA | GA | 30066 | 581290439 | 501(C)(3) | $35,000 | $0 | FMV | N/A | SPONSORSHIP | |
| Positive Athlete Georgia | |||||||||||
| 9055 FOREST PATH DR STE 200 | GAINESVILLE | GA | 30506 | 272198723 | $15,000 | $0 | FMV | N/A | SPONSORSHIP | ||
| Rotary of East Cobb | |||||||||||
| 3436 SOMERSET TRACE | MARIETTA | GA | 30067 | 581654204 | 501(c)(4) | $7,500 | $0 | FMV | N/A | SPONSORSHIP | |
| Rotary Foundation Donor Advised Fund | |||||||||||
| PO BOX 761 | ALPHARETTA | GA | 30009 | 363245072 | 501(c)(3) | $10,000 | $0 | FMV | N/A | SPONSORSHIP | |
| Rotary of Roswell | |||||||||||
| PO BOX 783 | ROSWELL | GA | 30077 | 581716982 | 501(C)(3) | $10,000 | $0 | FMV | N/A | SPONSORSHIP | |
| SAFEPATH CHILDREN'S ADVOCACY CENTER | |||||||||||
| 736 WHITLOCK AVE STE 600 | MARIETTA | GA | 30064 | 581662987 | 501(C)(3) | $10,000 | $0 | FMV | N/A | SPONSORSHIP | |
| SER Familia | |||||||||||
| PO BOX 146 | ACWORTH | GA | 30101 | 352166123 | 501(C)(3) | $15,000 | $0 | FMV | N/A | SPONSORSHIP | |
| SUSAN G KOMEN BREAST CANCER FDN | |||||||||||
| 5005 LBJ FREEWAY STE 250 | DALLAS | TX | 75244 | 751835298 | 501(C)(3) | $30,000 | $0 | FMV | N/A | SPONSORSHIP | |
| The CarePlace | |||||||||||
| 5357 CHAPEL HILL ROAD | DOUGLASVILLE | GA | 30135 | 270070164 | 501(C)(3) | $10,000 | $0 | FMV | N/A | SPONSORSHIP | |
| The Center for Family Resources | |||||||||||
| 995 ROSWELL ST NE STE 100 | MARIETTA | GA | 300602151 | 580876634 | 501(C)(3) | $15,000 | $0 | FMV | N/A | SPONSORSHIP | |
| The Georgia Ballet | |||||||||||
| 1255 FIELD PARKWAY | MARIETTA | GA | 30066 | 581420599 | 501(C)(3) | $10,000 | $0 | FMV | N/A | SPONSORSHIP | |
| University System of Georgia Foundation Inc | |||||||||||
| 270 WASHINGTON ST SW 7TH FL | ATLANTA | GA | 30334 | 586333106 | 501(C)(3) | $10,000 | $0 | FMV | N/A | SPONSORSHIP | |
| YWCA OF NORTHEAST GEORGIA | |||||||||||
| 48 HENDERSON STREET | MARIETTA | GA | 30064 | 580617782 | 501(C)(3) | $20,000 | $0 | FMV | N/A | SPONSORSHIP | 1459 Laney Walker Blvd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 22 | Total501c3OrgCnt |
| Total Other Org | 9 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (66 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AHMAD KHALDI MD | ||||||||||||||
| MD PHYSICIAN GROUP | $762,092 | $0 | $428,928 | $0 | $2,340 | $0 | $23,300 | $0 | $23,776 | $0 | $1,240,436 | $0 | $0 | $0 |
| AMY ELLEN F CARRIER | ||||||||||||||
| SVP HOSPITAL PRESIDENT | $0 | $74,464 | $0 | $68,000 | $0 | $2,125 | $0 | $17,302 | $0 | $1,480 | $0 | $163,371 | $0 | $0 |
| ANTHONY J BUDZINSKI | ||||||||||||||
| EVP & CFO | $606,611 | $0 | $162,569 | $0 | $24,552 | $0 | $47,300 | $0 | $28,807 | $0 | $869,839 | $0 | $0 | $0 |
| ANTHONY M TRUPIANO | ||||||||||||||
| SVP SUPPLY CHAIN | $288,371 | $0 | $73,361 | $0 | $15,370 | $0 | $47,300 | $0 | $2,043 | $0 | $426,445 | $0 | $0 | $0 |
| AVRIL P BECKFORD MD | ||||||||||||||
| TRUSTEE & CHIEF PEDIATRIC OFF. | $492,548 | $0 | $58,415 | $0 | $2,453 | $0 | $28,660 | $0 | $1,958 | $0 | $584,034 | $0 | $0 | $0 |
| BARBARA B COREY | ||||||||||||||
| SVP MANAGED CARE | $321,048 | $0 | $81,823 | $0 | $13,159 | $0 | $21,392 | $0 | $26,273 | $0 | $463,695 | $0 | $0 | $0 |
| BARBARA G BALLARD | ||||||||||||||
| FORMER VP HOMECARE & HOSPICE | $36,730 | $0 | $0 | $0 | $131,308 | $0 | $0 | $0 | $0 | $0 | $168,038 | $0 | $0 | $0 |
| BETH KOST | ||||||||||||||
| SVP COMPLIANCE CHF PRIVACY OFF | $271,419 | $0 | $49,750 | $0 | $10,102 | $0 | $22,418 | $0 | $11,937 | $0 | $365,626 | $0 | $0 | $0 |
| BETHANY ROBERTSON | ||||||||||||||
| VP & CHIEF LEARNING OFFICER | $203,392 | $0 | $87,926 | $0 | $9,120 | $0 | $17,301 | $0 | $29,372 | $0 | $347,111 | $0 | $0 | $0 |
| BRADFORD B NEWTON | ||||||||||||||
| VP INFO. TECHNOLOGY ADMIN. | $202,322 | $0 | $40,120 | $0 | $9,156 | $0 | $22,555 | $0 | $27,920 | $0 | $302,073 | $0 | $0 | $0 |
| BRUCE A DEAN | ||||||||||||||
| VP REAL ESTATE DEPUTY GEN CNSL | $242,590 | $0 | $48,105 | $0 | $14,272 | $0 | $47,300 | $0 | $25,123 | $0 | $377,390 | $0 | $0 | $0 |
| CANDICE L SAUNDERS | ||||||||||||||
| PRESIDENT & CEO | $929,590 | $0 | $231,348 | $0 | $909,394 | $0 | $46,319 | $0 | $30,929 | $0 | $2,147,580 | $0 | $889,660 | $0 |
| CHESTER A ZBOROWSKI | ||||||||||||||
| FORMER VP HEALTH PARKS OPS. | $139,238 | $0 | $26,427 | $0 | $39,650 | $0 | $0 | $0 | $10,185 | $0 | $215,500 | $0 | $0 | $0 |
| CHRISTOPHER B SCULLEN | ||||||||||||||
| FRMR VP PULMONOLOGY OPERATIONS | $13,262 | $0 | $0 | $0 | $108,089 | $0 | $0 | $0 | $0 | $0 | $121,351 | $0 | $0 | $0 |
| CHRISTOPHER M KANE | ||||||||||||||
| FRMR SVP STRAT. PLAN & BUS DEV | $52,576 | $0 | $0 | $0 | $289,168 | $0 | $0 | $0 | $0 | $0 | $341,744 | $0 | $0 | $0 |
| CRAIG OWENS | ||||||||||||||
| SVP & HOSPITAL PRESIDENT | $0 | $283,837 | $0 | $65,639 | $0 | $13,051 | $0 | $29,300 | $0 | $22,093 | $0 | $413,920 | $0 | $0 |
| DANIEL J STYF | ||||||||||||||
| SVP PW HEALTH PLAN | $290,368 | $0 | $96,256 | $0 | $15,163 | $0 | $21,353 | $0 | $9,385 | $0 | $432,525 | $0 | $0 | $0 |
| DAVID W ANDERSON | ||||||||||||||
| EVP/HR/OL/CCO | $460,491 | $0 | $152,440 | $0 | $115,410 | $0 | $47,185 | $0 | $26,381 | $0 | $801,907 | $0 | $92,098 | $0 |
| DEBORAH ROEGGE DE VITA | ||||||||||||||
| FRMR VP WOMEN&NEWBORN SVC LINE | $30,112 | $0 | $0 | $0 | $107,650 | $0 | $0 | $0 | $0 | $0 | $137,762 | $0 | $0 | $0 |
| DONALD CAMPBELL MD | ||||||||||||||
| SVP PHYS EDUC&STUDENT AFF | $50,387 | $0 | $35,888 | $0 | $277,130 | $0 | $0 | $0 | $0 | $0 | $363,405 | $0 | $0 | $0 |
| ELIZABETH H LOUDERMILK | ||||||||||||||
| VP ENT INTELLIGENCE & INTGRTN | $239,990 | $0 | $43,990 | $0 | $9,880 | $0 | $23,251 | $0 | $19,315 | $0 | $336,426 | $0 | $0 | $0 |
| ELLEN LANGFORD | ||||||||||||||
| SVP & COO WELLSTAR MED GROUP | $253,469 | $0 | $64,482 | $0 | $12,280 | $0 | $41,525 | $0 | $29,684 | $0 | $401,440 | $0 | $0 | $0 |
| FREDA LYON | ||||||||||||||
| VP SYSTEM EMERGENCY & TRAUMA | $117,693 | $0 | $25,000 | $0 | $6,027 | $0 | $8,903 | $0 | $12,175 | $0 | $169,798 | $0 | $0 | $0 |
| JAMES E CLEMENTS | ||||||||||||||
| FRMR VP BUS DEV & STRAT. PSHIP | $31,933 | $0 | $0 | $0 | $116,555 | $0 | $0 | $0 | $0 | $0 | $148,488 | $0 | $0 | $0 |
| JAMES M SWARTZ | ||||||||||||||
| VP ACCOUNTING | $215,613 | $0 | $41,138 | $0 | $8,995 | $0 | $18,573 | $0 | $26,251 | $0 | $310,570 | $0 | $0 | $0 |
| JEFFERY D STANLEY | ||||||||||||||
| FRMR VP PHARM & SYSTEM COORD. | $146,681 | $0 | $27,840 | $0 | $94,743 | $0 | $10,802 | $0 | $3,705 | $0 | $283,771 | $0 | $56,284 | $0 |
| JEFFREY L THARP MD MPH | ||||||||||||||
| TRUSTEE & CHIEF MEDICINE SRVS | $512,199 | $0 | $78,598 | $0 | $2,505 | $0 | $47,185 | $0 | $32,273 | $0 | $672,760 | $0 | $0 | $0 |
| JILL M CASE-WIRTH | ||||||||||||||
| SVP & CHIEF NURSE EXECUTIVE | $336,440 | $0 | $73,003 | $0 | $15,318 | $0 | $46,319 | $0 | $9,901 | $0 | $480,981 | $0 | $0 | $0 |
| JIMMY E FRANCIS | ||||||||||||||
| VP INFO TECHNOLOGY OPERATIONS | $215,259 | $0 | $41,071 | $0 | $9,822 | $0 | $46,420 | $0 | $3,129 | $0 | $315,701 | $0 | $0 | $0 |
| JOEL W HELMKE | ||||||||||||||
| VP ONCOLOGY | $260,000 | $0 | $49,580 | $0 | $9,420 | $0 | $41,300 | $0 | $28,875 | $0 | $389,175 | $0 | $0 | $0 |
| JONATHAN B MORRIS MD | ||||||||||||||
| SVP CHF INFO OFFICER | $397,155 | $0 | $101,035 | $0 | $12,834 | $0 | $25,576 | $0 | $28,104 | $0 | $564,704 | $0 | $0 | $0 |
| JOSEPH L BRYWCZYNSKI | ||||||||||||||
| SVP HEALTH PARKS DEVELOPMENT | $283,379 | $0 | $74,924 | $0 | $60,065 | $0 | $47,300 | $0 | $25,124 | $0 | $490,792 | $0 | $42,507 | $0 |
| KEM M MULLINS | ||||||||||||||
| EVP COO AMBULATORY & BUS DEV | $496,864 | $0 | $87,504 | $0 | $12,287 | $0 | $23,300 | $0 | $29,432 | $0 | $649,387 | $0 | $0 | $0 |
| KIMBERLY W MENEFEE | ||||||||||||||
| SVP STRATEGIC COMMUNITY DEV | $293,842 | $0 | $77,691 | $0 | $14,038 | $0 | $29,300 | $0 | $21,472 | $0 | $436,343 | $0 | $0 | $0 |
| KRISTYN M GREIFER MD | ||||||||||||||
| VP POPULATION MANAGEMENT | $333,466 | $0 | $54,496 | $0 | $9,614 | $0 | $9,013 | $0 | $9,754 | $0 | $416,343 | $0 | $0 | $0 |
| LEE R COOK | ||||||||||||||
| FRMR VP MED & BEHAVIORAL HLTH | $19,734 | $0 | $0 | $0 | $85,605 | $0 | $0 | $0 | $0 | $0 | $105,339 | $0 | $0 | $0 |
| LEO E REICHERT | ||||||||||||||
| EVP & GENERAL COUNSEL | $531,190 | $0 | $168,916 | $0 | $44,420 | $0 | $29,300 | $0 | $33,911 | $0 | $807,737 | $0 | $27,209 | $0 |
| LOUIS W LITTLE | ||||||||||||||
| FMR SVP PST ACTE SVC&HOSP PRES | $38,051 | $0 | $0 | $0 | $136,033 | $0 | $0 | $0 | $0 | $0 | $174,084 | $0 | $0 | $0 |
| MARCIA DELK-PAYNE MD | ||||||||||||||
| FRMR SVP MED AFFAIR & C.Q.O. | $57,005 | $0 | $0 | $0 | $313,526 | $0 | $0 | $0 | $0 | $0 | $370,531 | $0 | $0 | $0 |
| MARY L TAVERNARO | ||||||||||||||
| VP HUMAN RESOURCES OPERATIONS | $227,968 | $0 | $45,205 | $0 | $44,445 | $0 | $29,060 | $0 | $22,070 | $0 | $368,748 | $0 | $34,242 | $0 |
| MICHELLE M ROBINSON | ||||||||||||||
| VP MKTNG/PR/INTERNAL COMM | $204,235 | $0 | $40,499 | $0 | $9,235 | $0 | $15,206 | $0 | $27,031 | $0 | $296,206 | $0 | $0 | $0 |
| NANCY R DOELLING MD | ||||||||||||||
| FRMR VP WS PED. ACUTE CARE SVC | $242,323 | $0 | $80,333 | $0 | $60,294 | $0 | $5,179 | $0 | $2,979 | $0 | $391,108 | $0 | $0 | $0 |
| NICOLE V ASHE | ||||||||||||||
| VP FINANCE & CFO WMG | $234,187 | $0 | $41,156 | $0 | $9,243 | $0 | $23,487 | $0 | $25,688 | $0 | $333,761 | $0 | $0 | $0 |
| PETER R JUNGBLUT MD MBA | ||||||||||||||
| SVP & MEDICAL DIR WMG | $322,899 | $0 | $86,624 | $0 | $12,566 | $0 | $41,300 | $0 | $30,061 | $0 | $493,450 | $0 | $0 | $0 |
| REYNOLD J JENNINGS MD | ||||||||||||||
| CHIEF STRATEGY OFFICER | $975,000 | $0 | $656,466 | $0 | $20,118 | $0 | $0 | $0 | $2,064 | $0 | $1,653,648 | $0 | $0 | $0 |
| RICHARD MYUNG MD | ||||||||||||||
| MD PHYSICIAN GROUP | $784,380 | $0 | $562,398 | $0 | $2,159 | $0 | $41,300 | $0 | $11,948 | $0 | $1,402,185 | $0 | $0 | $0 |
| RICHARD S SIEGEL | ||||||||||||||
| VP CARDIOLOGY & CVM ADMIN | $289,286 | $0 | $53,009 | $0 | $10,978 | $0 | $47,300 | $0 | $28,796 | $0 | $429,369 | $0 | $0 | $0 |
| RISHI GUPTA MD | ||||||||||||||
| MD PHYSICIAN GROUP | $686,277 | $0 | $441,061 | $0 | $2,340 | $0 | $41,300 | $0 | $31,499 | $0 | $1,202,477 | $0 | $0 | $0 |
| ROBERT D JANSEN MD | ||||||||||||||
| EVP & PRES MED. GROUP | $530,908 | $0 | $171,132 | $0 | $428,921 | $0 | $42,129 | $0 | $23,470 | $0 | $1,196,560 | $0 | $380,649 | $0 |
| ROBERT J DECOUX | ||||||||||||||
| VP CORPORATE MED STAFF SVCS | $167,823 | $0 | $23,013 | $0 | $4,854 | $0 | $20,316 | $0 | $25,102 | $0 | $241,108 | $0 | $0 | $0 |
| ROBERT MANDLER | ||||||||||||||
| VP DIAGNOSTIC OUTREACH | $214,261 | $0 | $42,487 | $0 | $38,700 | $0 | $46,766 | $0 | $16,809 | $0 | $359,023 | $0 | $21,426 | $0 |
| ROBIN WILSON MD | ||||||||||||||
| FORMER SVP CHIEF HEALTH OFFCR | $60,909 | $0 | $0 | $0 | $289,998 | $0 | $0 | $0 | $0 | $0 | $350,907 | $0 | $0 | $0 |
| SAID ELSHIHABI MD | ||||||||||||||
| MD PHYSICIAN GROUP | $1,029,432 | $0 | $214,549 | $0 | $2,081 | $0 | $40,954 | $0 | $31,294 | $0 | $1,318,310 | $0 | $0 | $0 |
| SANDRA LUCIUS | ||||||||||||||
| VP INFO TECHNOLOGY APPS | $209,269 | $0 | $41,497 | $0 | $11,871 | $0 | $46,691 | $0 | $2,469 | $0 | $311,797 | $0 | $0 | $0 |
| SEAN P TURNER | ||||||||||||||
| VP REVENUE CYCLE MANAGEMENT | $248,019 | $0 | $59,082 | $0 | $10,041 | $0 | $22,462 | $0 | $28,739 | $0 | $368,343 | $0 | $0 | $0 |
| SNEHAL H DOSHI | ||||||||||||||
| VP SYSTEM PHARMACIST | $102,312 | $0 | $68,000 | $0 | $4,772 | $0 | $14,909 | $0 | $11,422 | $0 | $201,415 | $0 | $0 | $0 |
| STEVEN L GRACE | ||||||||||||||
| FORMER VP TALENT ACQUISITION | $30,771 | $0 | $0 | $0 | $130,778 | $0 | $0 | $0 | $0 | $0 | $161,549 | $0 | $0 | $0 |
| TIMOTHY HANEY | ||||||||||||||
| SVP & HOSPITAL PRESIDENT | $0 | $290,410 | $0 | $75,204 | $0 | $17,308 | $0 | $29,300 | $0 | $15,386 | $0 | $427,608 | $0 | $0 |
| THOMAS M PHILLIPS | ||||||||||||||
| TRUSTEE | $0 | $0 | $0 | $0 | $2,638 | $0 | $0 | $0 | $0 | $0 | $2,638 | $0 | $0 | $0 |
| TRACEY ATWATER MD | ||||||||||||||
| FORMER VP & FDN. PRESIDENT | $0 | $0 | $0 | $0 | $106,522 | $0 | $0 | $0 | $0 | $0 | $106,522 | $0 | $0 | $0 |
| VALERY A AKOPOV MD | ||||||||||||||
| SVP HOSPITAL DIVISION WMG | $364,063 | $0 | $78,508 | $0 | $17,861 | $0 | $28,177 | $0 | $26,276 | $0 | $514,885 | $0 | $0 | $0 |
| WANDA Y ROBINSON | ||||||||||||||
| VP COMPLIANCE PWHP | $207,043 | $0 | $7,312 | $0 | $11,870 | $0 | $6,692 | $0 | $16,623 | $0 | $249,540 | $0 | $0 | $0 |
| WILLIAM A COOPER MD MBA | ||||||||||||||
| MD PHYSICIAN GROUP | $800,400 | $0 | $540,890 | $0 | $2,717 | $0 | $41,300 | $0 | $30,333 | $0 | $1,415,640 | $0 | $0 | $0 |
| PATRICIA A MAYNE | ||||||||||||||
| FORMER VP EMERGENCY SERVICES | $27,999 | $0 | $0 | $0 | $151,811 | $0 | $2,659 | $0 | $2,585 | $0 | $185,054 | $0 | $0 | $0 |
| MICHAEL G PAUL | ||||||||||||||
| VP FACILITIES ENG SUPPORT SVCS | $186,846 | $0 | $34,053 | $0 | $12,321 | $0 | $0 | $0 | $24,754 | $0 | $257,974 | $0 | $0 | $0 |
| DANIEL J WOODS | ||||||||||||||
| SVP & HOSPITAL PRESIDENT | $0 | $398,237 | $0 | $96,773 | $0 | $15,252 | $0 | $47,300 | $0 | $27,463 | $0 | $585,025 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 1B | FormAndLineReferenceDesc |
| Explanation | 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/KEY EMPLOYEES received severance pay during the 2015 CALENDAR YEAR FROM EITHER THE ORGANIZATION OR A RELATED ORGANIZATION: MARCIA DELK-PAYNE $313,526 ROBIN WILSON 289,998 CHRISTOPHER M. KANE 289,168 DONALD CAMPBELL, MD 277,130 PATRICIA MAYNE 150,603 LOUIS W. LITTLE 136,033 BARBARA G. BALLARD 131,308 STEVEN L. GRACE 130,778 JAMES E. CLEMENTS 116,555 CHRISTOPHER B. SCULLEN 108,089 DEBORAH ROEGGE DE VITA 107,650 TRACEY ATWATER 106,522 LEE R. COOK 88,605 NANCY R. DOELLING 57,696 ROBERT D. JANSEN 32,542 JEFFERY D. STANLEY 34,924 CHESTER A. ZBOROWSKI 33,152 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): CANDICE L. SAUNDERS $889,660 ROBERT D. JANSEN 380,649 DAVID W. ANDERSON 92,098 JEFFERY D. STANLEY 56,284 JOSEPH L. BRYWCZYNSKI 42,507 MARY L. TAVERNARO 34,242 LEO E. REICHERT 27,209 ROBERT MANDLER 21,426 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. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY OF COBB COUNTY | ||||||||
| A | 582464600 | 19081PEM4 | 2004-04-30 | $25,000,000 | EQUIPMENT POOL | false | false | false |
| COBB COUNTY KENNESTONE HOPSITAL AUTHORITY | ||||||||
| B | 581147004 | 190813LN3 | 2005-10-31 | $120,000,000 | CAP. IMPROVEMENTS (SERIES A & B) | false | false | false |
| HOSPITAL AUTHORITY OF COBB COUNTY | ||||||||
| C | 582464600 | 19081PEN2 | 2005-06-30 | $25,000,000 | EQUIPMENT POOL | false | false | false |
| COBB COUNTY KENNESTONE HOSPITAL AUTHORITY | ||||||||
| D | 581147004 | 19081PEN2 | 2011-11-01 | $127,345,930 | CONSTRUCTION | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $25,000,000 | $96,810 | $0 | $0 | $0 | $0 | $0 | $25,000,000 | $0 | $0 | 2004 | false | false | Yes (true) | Yes (true) |
| B | $6,150,000 | $0 | $120,000,000 | $1,026,000 | $0 | $0 | $1,167,300 | $0 | $0 | $116,948,276 | $1,884,424 | $0 | 2007 | false | false | Yes (true) | Yes (true) |
| C | $0 | $0 | $25,000,000 | $82,775 | $0 | $0 | $0 | $0 | $0 | $25,000,000 | $0 | $0 | 2006 | false | false | Yes (true) | Yes (true) |
| D | $11,440,000 | $0 | $127,345,930 | $0 | $0 | $50,962,739 | $1,383,191 | $0 | $0 | $75,000,000 | $0 | $0 | 2011 | Yes (true) | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | Yes (true) | ||
| B | false | false | false | false | 0.00200 | false | false | Yes (true) | 0.00200 | 0.00400 |
| C | false | false | false | false | 0 | false | false | Yes (true) | ||
| D | false | false | false | false | 0 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Exception To RebateExceptionToRebateInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd |
|---|---|---|---|---|---|---|---|
| 0 | |||||||
| A | false | Yes (true) | Yes (true) | false | false | 0 | false |
| 0 | |||||||
| B | false | Yes (true) | false | false | 0 | false | |
| 0 | |||||||
| C | false | Yes (true) | false | false | 0 | false | |
| 0 | |||||||
| D | false | Yes (true) | false | false | 0 | false | |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART V | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| PAULDING COUNTY HOSPITAL AUTHORITY | ||||||||
| A | 586011214 | 703596DH6 | 2012-06-28 | $32,711,016 | CONSTRUCTION SERIES A | false | false | false |
| PAULDING COUNTY HOSPITAL AUTHORITY | ||||||||
| B | 586011214 | 703596DK9 | 2012-06-28 | $68,750,000 | CONSTRUCTION SERIES B | false | false | false |
| COBB COUNTY KENNESTONE HOSPITAL AUTHORITY | ||||||||
| C | 586011214 | 190813PH2 | 2012-11-15 | $122,366,879 | ADVANCED REFUNDING CONSTRUCTION | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $32,711,016 | $4,896,852 | $446,282 | $0 | $437,500 | $0 | $0 | $17,151,433 | $0 | $0 | 2014 | false | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $68,750,000 | $27,382,125 | $1,945,963 | $0 | $471,875 | $0 | $0 | $39,576,733 | $0 | $0 | 2014 | false | false | Yes (true) | Yes (true) |
| C | $5,475,000 | $0 | $122,366,879 | $0 | $0 | $121,287,509 | $1,079,370 | $0 | $0 | $0 | $0 | $0 | false | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | Yes (true) |
| B | false | false | false | false | 0 | false | false | Yes (true) |
| C | false | false | false | false | 0 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Exception To RebateExceptionToRebateInd | Variable Rate IssueVariableRateIssueInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd |
|---|---|---|---|---|---|---|---|
| 0 | |||||||
| A | false | Yes (true) | false | false | 0 | false | |
| 0 | |||||||
| B | false | Yes (true) | Yes (true) | false | 0 | false | false |
| 0 | |||||||
| C | false | Yes (true) | false | false | 0 | false | |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| VALERY A AKOPOV MD | |||||||
| OFFICER | TUITION | Yes (X) | $31,250 | $25,200 | false | Yes (true) | Yes (true) |
| ANTHONY J BUDZINSKI | |||||||
| OFFICER | TUITION | Yes (X) | $31,250 | $25,200 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $50,400 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| PAMELA ETHERIDGE | |||
| WIFE OF OFFICER | $72,091 | EMPLOYEE OF WELLSTAR | Yes (true) |
| GREG FORTGANG | |||
| SON-IN-LAW OF TRUSTEE | $88,648 | EMPLOYEE OF WELLSTAR | Yes (true) |
| JESSICA HANEY | |||
| DAUGHTER OF OFFICER | $38,716 | EMPLOYEE OF WELLSTAR | Yes (true) |
| MISTY S DECOUX | |||
| WIFE OF OFFICER | $76,950 | EMPLOYEE OF WELLSTAR | Yes (true) |
| NADINE FRANCIS | |||
| WIFE OF OFFICER | $76,007 | EMPLOYEE OF WELLSTAR | Yes (true) |
| JENNIFER HANEY | |||
| DAUGHTER-IN-LAW OF OFFcr. | $81,489 | EMPLOYEE OF WELLSTAR | Yes (true) |
| MATTHEW MADDOX | |||
| SON OF BOARD MEMBER | $84,611 | EMPLOYEE OF WELLSTAR | Yes (true) |
| BONNIE MILLER | |||
| WIFE OF BOARD MEMBER | $34,191 | EMPLOYEE OF WELLSTAR | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, LINES 1-8 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, HEADING, ITEM B, AMENDED RETURN | FORM 990, PART VII AND SCHEDULE J HAVE BEEN AMENDED TO REFLECT CERTAIN SECTION 457(B) PAYMENTS MADE TO CERTAIN INDIVIDUALS DURING CALENDAR YEAR 2015 THAT WERE NOT REPORTED ON THE ORIGINALLY FILED FORM 990 BUT WERE INCLUDED IN TAXABLE COMPENSATION REPORTED ON FORM W-2. PART X HAS BEEN AMENDED TO REFLECT ADJUSTMENTS TO THE END-OF-YEAR BALANCE SHEET. PART XI HAS BEEN ADJUSTED ACCORDINGLY TO RECONCILE THE ORGANIZATIONS END-OF-YEAR NET ASSETS. 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 and long term nursing care. The system through its affiliated business organizations operates 11 hospitals (kennestone, cobb, paulding medical, 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 subordinate affiliates: - cobb hospital, inc.; - chs foundation, inc. (investment management); - 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 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. The 11 hospital locations are acute care facilities with inpatient, outpatient, and emergency services. Paulding medical center is home to a full care nursing home, paulding nursing center and west georgia medical center also home to two full care nursing homes. 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 100 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 charity care policy. In fiscal year 2016 and 2015, wellstar affiliate hospitals made $147.9 million and $100.9 million, respectively, in provider payments 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, 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. Health screenings, medical supplies, and immunizations are provided to children through local health departments and health fairs with system sponsorship in many cases. The costs of these services are included in operating expenses. The system promotes health education and activities for students, parents, and teachers through its partner-in-education programs. 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 and Statistics (Services Provided System-Wide): Licensed Beds 2,775 Adult Discharges 80,835 Newborn Discharges 10,896 Emergency Room Visits - 453,429 Surgeries - 52,301 Cath Lab/Pacemakers/EP 11,238 Non-ED O/P Radiology Procedures - 373,364 Med/Surg. Short Stay Cases - 355 GI Lab Procedures - 6,790 Radiology Oncology Procedures - 24,431 COMMUNITY BENEFITS Wellstar Health System participates and collaborates with patients and residents in meeting health needs and improving the overall quality of life in the community. This is especially important in responding to the needs of the underserved regardless of the system's ability to generate a positive margin. Some services would possibly be discontinued if based on a purely financial basis. The following are some examples of the system's services that provide community benefits (and a monetary value of those benefits if known). Clinics: Wellstar is affiliated with several clinics which provide free or discounted health services to persons who cannot afford to pay or those who are not expected to pay. Community Health/Education: Wellstar's Marketing and |
| FORM 990, PART IV, LINE 12B | AUDITED FINANCIAL STATEMENTS WellStar Health System, Inc. is audited on an annual basis by an outside auditing firm, KPMG, and as part of that audit a consolidated financial statement is issued for all of WellStar Health System, Inc. and its CONTROLLED Affiliates. The independent auditors report includes the accounts of Wellstar and its controlled affiliates, WELLSTAR Kennestone Hospital, Inc., WELLSTAR Cobb Hospital, Inc., WELLSTAR Douglas Hospital, Inc., WELLSTAR Paulding Medical Center, 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., WELLSTAR WEST GEORGIA MEDICAL CENTER, INC., Wellstar Foundation, Inc., WELLSTAR WEST GEORGIA FOUNDATION, INC., CHS Foundation, Inc., Community Assurance Company, Ltd., various Wellstar owned physician practices, a hospice facility, a nursing facility, home health business, and entities for infusion therapy and durable medical equipment. All significant intercompany accounts and transactions have been eliminated in combination. The Board of Trustees of Wellstar HEALTH SYSTEM, INC. has the authority to approve appointments of the members of the board of trustees of all affiliate corporations. FORM 990, PART VI, SECTION B, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATION'S GOVERNING DOCUMENTS During the fiscal year ending June 30, 2016, the bylaws of WellStar Health System, Inc. were amended to increase the maximum number of members on the Board of Trustees as well change the composition of the board to include Trustees from West Georgia Medical Center, Inc., a controlled subsidiary of WellStar Health System, 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. Generally, 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. 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 engages the Hay Group to work with the governing board 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. Currently the executive compensation committee consists of five members of the Board of Trustees as well as the CEO. In committee discussions about the compensation for the Chief Executive Officer, the CEO will recuse him/herself from that process and 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 trustee 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. When performance is at a predetermined targeted level, the compensation is intended to be at or around the median of compensation paid to similar positions at similar organizations (the "market"). 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 the Hay Group 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 approved at the following committee meeting. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS MADE AVAILABLE TO THE PUBLIC The organization and its subsidiaries 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 publishes a community benefit report once a year for distribution to the public. 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 of the organizations exceeds 40 hours per 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 ($199,849,000) ASSETS RELEASED FROM RESTRICTION 1,075,000 OTHER CHANGES* 78,352,235 -------------- Total Other Changes in Net Assets ($120,421,765) *FOR THE REPORTING PERIOD, WELLSTAR HEALTH SYSTEM, INC. HAD A CHANGE IN NET ASSETS OF $78,352,235 RELATED TO TRANSFERS TO AFFILIATES AS PART OF THE ALLOCATION OF INCOME STATEMENT AND BALANCE SHEET TRANSACTIONS OVER THE YEAR. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES/CONTRACTS TOTAL FEES:79353321 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:4297014 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TAXES, LICENSES TOTAL FEES:3441707 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER FEES TOTAL FEES:6512087 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Wellstar Medical Group LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 273818647 | Healthcare | GA | $0 | $0 | WHS Inc |
| Cobb Gynecologists 2 LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 020808099 | Healthcare | GA | $0 | $0 | WHS INC |
| South Cobb OB-GYN 2 LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 020808071 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Psychiatry LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 582500211 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Kennestone OBGYN 2 LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 300355553 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Kennestone OBGYN LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 582499183 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Medical Specialists 2 LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 753261729 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Homecare Billing Services LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 582479534 | Healthcare | GA | $0 | $0 | WHS INC |
| Wellstar Windy Hill Apothecary Bill Srv | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 562511925 | Healthcare | GA | $0 | $0 | WHS INC |
| Wellstar Home Health LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 270277843 | Healthcare | GA | $0 | $0 | WHS INC |
| Wellstar Health Network LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 273870970 | Healthcare | GA | $0 | $0 | WHS Inc |
| Wellstar Health Ventures LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 453754932 | Healthcare | GA | $0 | $0 | WHS INC |
| Wellstar IPA LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 581649541 | Insurance | GA | $0 | $0 | WHS INC |
| Wellstar Community Hospice LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 134350580 | Healthcare | GA | $0 | $0 | WHS INC |
| Center for Health Transformation | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 581649541 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Clinical Partners LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 581649541 | HEALTHCARE | GA | $0 | $0 | WHS INC |
| WELLSTAR RESTAURANT SERVICES LLC | |||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 581649541 | FOOD SERVICES | GA | $0 | $0 | WHS INC |
| WELLSTAR CLINICAL PARTNERS ATLANTA LLC | |||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 581649541 | HEALTHCARE | GA | $0 | $0 | WHS INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHS Foundation Inc | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 581649540 | Foundation | GA | 501(C)(3) | 11 Type 2 | WHS INC | Yes (true) |
| Cobb Hospital Inc | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 580968382 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| Douglas Hospital Inc | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 582026750 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| Kennestone Hospital Inc | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 582032904 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| Paulding Medical Center Inc | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 582095884 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| Wellstar Foundation Inc | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 581627413 | Foundation | GA | 501(C)(3) | 11 Type 2 | WHS INC | Yes (true) |
| WELLSTAR ATLANTA MEDICAL CENTER INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 810837031 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WELLSTAR NORTH FULTON HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 810851756 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WELLSTAR SPALDING REGIONAL HOSPITALINC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 810864789 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WELLSTAR SYLVAN GROVE HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 810875069 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WEST GEORGIA MEDICAL CENTER INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 205497506 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WEST GEORGIA HEALTH SERVICES INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 205497622 | HEALTHCARE | GA | 501(C)(3) | 11 TYPE 3FI | WHS INC | Yes (true) |
| VERNON WOODS RETIREMENT COMMUNITY INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 582575049 | HEALTHCARE | GA | 501(C)(3) | 9 | WHS INC | Yes (true) |
| WEST GEORGIA HEALTH FOUNDATION INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 200936376 | FOUNDATION | GA | 501(C)(3) | 7 | whs inc | Yes (true) |
| MEDICAL PARK FOUNDATION INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 581303478 | FOUNDATION | GA | 501(C)(3) | 7 | WHS INC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kennestone EAST Parking Deck LLC | ||||||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300666340 | 200537100 | PARKING | GA | WHS INC | EXCLUDED | -$104,495 | $2,238,524 | false | $0 | false | 0.73000 |
| COBB SOUTH PARKING DECK LLC | ||||||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 752999669 | PARKING | GA | WHS INC | EXCLUDED | -$10,389 | $645,938 | false | $0 | false | 0.62500 |
| GRIFFIN IMAGING LLC | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | IMAGING CENTER | GA | NA | N/A | |||||||
| TENET EMSSPALDING 911 LLC | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | OFF.BLDG/EMS CTR | GA | NA | N/A | |||||||
| NORTH FULTON PARKING DECK LP | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | PARKING | GA | NA | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Community Assurance Co | ||||||||||||||||
| 3rd Fl Barclays Hse Shedden Rd | George Town | CJ | 581649541 | INSURANCE | CJ | WHS INC | C CORP | $23,871,317 | $81,943,249 | 1.00000 | Yes (true) | |||||
| WEST GEORGIA HEALTH PHYSICIANS INC | ||||||||||||||||
| 275125341 | PHYSICIAN PRAC. | WHS INC | C CORP | false | 793 SAWYER ROAD | MARIETTA | GA | 300622222 | GA | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Cobb Hospital Inc | ||
| q | $67,958,957 | actual cost |
| Douglas Hospital Inc | ||
| q | $25,466,377 | actual cost |
| Kennestone Hospital Inc | ||
| q | $153,583,818 | actual cost |
| Paulding Medical Center Inc | ||
| q | $21,933,539 | actual cost |
| COBB SOUTH PARKING DECK LLC | ||
| S | $27,901 | ACTUAL COST |
| WELLSTAR NORTH FULTON HOSPITAL INC | ||
| Q | $726,078 | ACTUAL COST |
| WELLSTAR ATLANTA MEDICAL CENTER INC | ||
| Q | $1,297,635 | ACTUAL COST |
| WELLSTAR SPALDING REGIONAL HOSPITAL INC | ||
| Q | $854,082 | ACTUAL COST |
| WELLSTAR SYLVAN GROVE HOSPITAL INC | ||
| Q | $70,770 | ACTUAL COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 2 | FormAndLineReferenceDesc |
| Explanation | 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) n) Sharing of paid employees, o) 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). | ExplanationTxt |