2018-05-16T10:04:01-05:00 2016-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2015-07-01 581649541 WELLSTAR HEALTH SYSTEM INC % JAMES M SWARTZ WELL 7709567827 793 SAWYER ROAD MARIETTA GA 300622222 JAMES M SWARTZ VP, ACCOUNTING 7709567827 2018-05-15 true JOANNE KRUEGER P01235586 2673303000 2018-05-09 2015 2018-06-14 16:35:46Z X X CANDICE L SAUNDERS 793 SAWYER ROAD MARIETTA GA 300622222 930056007 false X www.wellstar.org X 1994 GA TO DELIVER WORLD-CLASS CHARITABLE HEALTHCARE TO THE COMMUNITY. 20 12 5998 401 1403367 -93896 0 0 800436589 896062377 -17068471 -8514386 40547855 34042235 823915973 921590226 1558623 1834237 0 0 507948700 554581049 0 0 1570890 264562149 293950917 774069472 850366203 49846501 71224023 2287456665 2455522653 1043356754 1276480141 1244099911 1179042512 X 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. false false 539431179 1834237 896062377 SEE SCHEDULE O 539431179 true false false true false false false false true true false false true true true false true false true false false false false false false false true false true true false false false false false true false true true false false false false false true true true true true false true 804 0 5998 true true true true CJ false false false false false false false false X 20 12 false false true false false false false true true false false true true true true true true true true true true GA X JAMES M SWARTZ 7709567827 793 SAWYER ROAD MARIETTA GA 300622222 X AVRIL P BECKFORD MD TRUSTEE & CHIEF PEDIATRIC OFF. 32.0 18.0 X X 553416 0 30618 W CHARLES BROCK TRUSTEE 1.0 9.0 X 21470 0 0 CHARLES J JONES TRUSTEE 1.0 9.0 X 4079 0 0 DAVID H HAFNER MD TRUSTEE 1.0 9.0 X 23923 0 0 FRANK ROS TRUSTEE 1.0 9.0 X 3478 0 0 GARY A MILLER TRUSTEE - CHAIR 1.0 9.0 X 4120 0 0 GREG MORGAN TRUSTEE 1.0 9.0 X 2324 0 0 JANIE MADDOX TRUSTEE 1.0 9.0 X 7482 0 0 JEFFREY L THARP MD MPH TRUSTEE & CHIEF MEDICINE SRVS 32.0 18.0 X X 593302 0 79458 MICHAEL B PATTON TRUSTEE 1.0 9.0 X 0 0 0 MITZI MOORE TRUSTEE 1.0 9.0 X 3074 0 0 O SCOTT SWAYZE MD TRUSTEE 1.0 9.0 X 4304 0 0 OTIS A BRUMBY III TRUSTEE 1.0 9.0 X 16930 0 0 RANDALL BENTLEY SR TRUSTEE 1.0 9.0 X 20441 0 0 ROBERT N CROSS MD TRUSTEE 1.0 9.0 X 14803 0 0 H SPEER BURDETTE III TRUSTEE 1.0 9.0 X 0 0 0 TE RUSTY DURHAM TRUSTEE EMERITUS 1.0 5.0 X 0 0 0 T FITZ JOHNSON TRUSTEE 1.0 11.0 X 17999 0 0 THOMAS E GEARHARD MD TRUSTEE 1.0 9.0 X 2070 0 0 THOMAS M PHILLIPS TRUSTEE 1.0 9.0 X 2638 0 0 WALTER G ROBINSON TRUSTEE 1.0 9.0 X 4348 0 0 STEVEN OWEIDA MD TRUSTEE EMERITUS 1.0 5.0 X 787 0 0 W ALLEN SEPARK TRUSTEE EMERITUS 1.0 5.0 X 1059 0 0 SHAN COOPER TRUSTEE EMERITUS 1.0 5.0 X 126 0 0 AMY ELLEN F CARRIER SVP HOSPITAL PRESIDENT 2.0 48.0 X 0 144589 18782 ANTHONY J BUDZINSKI EVP & CFO 32.0 20.0 X 793732 0 76107 ANTHONY M TRUPIANO SVP SUPPLY CHAIN 32.0 18.0 X 377102 0 49343 BARBARA B COREY SVP MANAGED CARE 32.0 18.0 X 416030 0 47665 BETH KOST SVP COMPLIANCE CHF PRIVACY OFF 32.0 18.0 X 331271 0 34355 BETHANY ROBERTSON VP & CHIEF LEARNING OFFICER 32.0 18.0 X 300438 0 46673 BRADFORD B NEWTON VP INFO. TECHNOLOGY ADMIN. 32.0 18.0 X 251598 0 50475 BRUCE A DEAN VP REAL ESTATE DEPUTY GEN CNSL 32.0 18.0 X 304967 0 72423 CANDICE L SAUNDERS PRESIDENT & CEO 32.0 20.0 X 2070332 0 77248 CARRIE O PLIETZ EVP & COO HOSP DIV(BEG.2/2016) 32.0 18.0 X 0 0 0 CRAIG OWENS SVP & HOSPITAL PRESIDENT 2.0 48.0 X 0 362527 51393 DANIEL J STYF SVP PW HEALTH PLAN 32.0 18.0 X 401787 0 30738 DAVID W ANDERSON EVP/HR/OL/CCO 32.0 18.0 X 728341 0 73566 DEBORAH C KEEL SVP HOSP. PRES.(BEGIN. 4/2016) 2.0 48.0 X 0 0 0 DONALD CAMPBELL MD SVP PHYS EDUC&STUDENT AFF 32.0 18.0 X 363405 0 0 ELIZABETH H LOUDERMILK VP ENT INTELLIGENCE & INTGRTN 32.0 18.0 X 293860 0 42566 ELLEN LANGFORD SVP & COO WELLSTAR MED GROUP 32.0 18.0 X 330231 0 71209 FREDA LYON VP SYSTEM EMERGENCY & TRAUMA 32.0 18.0 X 148720 0 21078 JAMES M SWARTZ VP ACCOUNTING 32.0 18.0 X 265746 0 44824 JILL M CASE-WIRTH SVP & CHIEF NURSE EXECUTIVE 32.0 18.0 X 424761 0 56220 JIMMY E FRANCIS VP INFO TECHNOLOGY OPERATIONS 32.0 18.0 X 266152 0 49549 JOEL W HELMKE VP ONCOLOGY 32.0 18.0 X 319000 0 70175 JOHN A BRENNAN EVP CHIEF CLNC. OFF (BEG.4/16) 32.0 18.0 X 0 0 0 JONATHAN B MORRIS MD SVP CHF INFO OFFICER 32.0 18.0 X 511024 0 53680 JOSEPH L BRYWCZYNSKI SVP HEALTH PARKS DEVELOPMENT 32.0 18.0 X 418368 0 72424 KEM M MULLINS EVP COO AMBULATORY & BUS DEV 32.0 18.0 X 596655 0 52732 KIMBERLY J RYAN SVP HOSP. PRES. (BEGIN.4/2016) 2.0 48.0 X 0 0 0 KIMBERLY W MENEFEE SVP STRATEGIC COMMUNITY DEV 32.0 18.0 X 385571 0 50772 KRISTYN M GREIFER MD VP POPULATION MANAGEMENT 32.0 18.0 X 397576 0 18767 LEO E REICHERT EVP & GENERAL COUNSEL 32.0 18.0 X 744526 0 63211 MARCUS P CHARLSON MD VP SURGERY (BEG. 6/2016) 32.0 18.0 X 0 0 0 MARY L TAVERNARO VP HUMAN RESOURCES OPERATIONS 32.0 18.0 X 317618 0 51130 MICHELLE M ROBINSON VP MKTNG/PR/INTERNAL COMM 32.0 18.0 X 253969 0 42237 NICOLE V ASHE VP FINANCE & CFO WMG 32.0 18.0 X 284586 0 49175 PETER R JUNGBLUT MD MBA SVP & MEDICAL DIR WMG 32.0 18.0 X 422089 0 71361 REYNOLD J JENNINGS MD CHIEF STRATEGY OFFICER 40.0 10.0 X 1651584 0 2064 RICHARD S SIEGEL VP CARDIOLOGY & CVM ADMIN 32.0 18.0 X 353273 0 76096 ROBERT D JANSEN MD EVP & PRES MED. GROUP 32.0 18.0 X 1130961 0 65599 ROBERT J DECOUX VP CORPORATE MED STAFF SVCS 32.0 18.0 X 195690 0 45418 ROBERT MANDLER VP DIAGNOSTIC OUTREACH 32.0 18.0 X 295448 0 63575 SANDRA LUCIUS VP INFO TECHNOLOGY APPS 32.0 18.0 X 262637 0 49160 SEAN P TURNER VP REVENUE CYCLE MANAGEMENT 32.0 18.0 X 317142 0 51201 SNEHAL H DOSHI VP SYSTEM PHARMACIST 32.0 18.0 X 175084 0 26331 TAMARA D ISON SVP HOSP. PRES. (BEGIN.4/2016) 2.0 48.0 X 0 0 0 TIMOTHY HANEY SVP & HOSPITAL PRESIDENT 2.0 48.0 X 0 382922 44686 VALERY A AKOPOV MD SVP HOSPITAL DIVISION WMG 32.0 18.0 X 460432 0 54453 WANDA Y ROBINSON VP COMPLIANCE PWHP 32.0 18.0 X 226225 0 23315 MICHAEL G PAUL VP FACILITIES ENG SUPPORT SVCS 32.0 18.0 X 233220 0 24754 DANIEL J WOODS SVP & HOSPITAL PRESIDENT 2.0 48.0 X 0 510262 74763 STEPHEN L BADGER CHIEF ADMIN. OFF. (BEG.2/2016) 32.0 18.0 X 0 0 0 KRISTEN S TRICE VP DIAG. OUTREACH (BEG. 1/16) 32.0 18.0 X 0 0 0 DOUGLAS ARVIN CPA MBA SVP FINANCE (BEGIN. 3/2016) 32.0 18.0 X 0 0 0 DOUGLAS S FOSTER VP FINANCIAL PLAN.(BEG.3/2016) 32.0 18.0 X 0 0 0 REBECCA L RUHL VP FACILITY CMPL. (BEG.4/2016) 32.0 18.0 X 0 0 0 ROBIN G BOEHRINGER VP TOTAL REWARDS (BEG.11/2015) 32.0 18.0 X 0 0 0 AHMAD KHALDI MD MD PHYSICIAN GROUP 50.0 0.0 X 1193360 0 47076 RICHARD MYUNG MD MD PHYSICIAN GROUP 50.0 0.0 X 1348937 0 53248 RISHI GUPTA MD MD PHYSICIAN GROUP 50.0 0.0 X 1129678 0 72799 SAID ELSHIHABI MD MD PHYSICIAN GROUP 50.0 0.0 X 1246062 0 72248 WILLIAM A COOPER MD MBA MD PHYSICIAN GROUP 50.0 0.0 X 1344007 0 71633 BARBARA G BALLARD FORMER VP HOMECARE & HOSPICE 0.0 0.0 X 168038 0 0 CHESTER A ZBOROWSKI FORMER VP HEALTH PARKS OPS. 0.0 0.0 X 205315 0 10185 CHRISTOPHER B SCULLEN FRMR VP PULMONOLOGY OPERATIONS 0.0 0.0 X 121351 0 0 CHRISTOPHER M KANE FRMR SVP STRAT. PLAN & BUS DEV 0.0 0.0 X 341744 0 0 DEBORAH ROEGGE DE VITA FRMR VP WOMEN&NEWBORN SVC LINE 0.0 0.0 X 137762 0 0 JAMES E CLEMENTS FRMR VP BUS DEV & STRAT. PSHIP 0.0 0.0 X 148488 0 0 JEFFERY D STANLEY FRMR VP PHARM & SYSTEM COORD. 0.0 0.0 X 269264 0 14507 LEE R COOK FRMR VP MED & BEHAVIORAL HLTH 0.0 0.0 X 105339 0 0 LOUIS W LITTLE FMR SVP PST ACTE SVC&HOSP PRES 0.0 0.0 X 174084 0 0 MARCIA DELK-PAYNE MD FRMR SVP MED AFFAIR & C.Q.O. 0.0 0.0 X 370531 0 0 NANCY R DOELLING MD FRMR VP WS PED. ACUTE CARE SVC 0.0 0.0 X 382950 0 8158 ROBIN WILSON MD FORMER SVP CHIEF HEALTH OFFCR 0.0 0.0 X 350907 0 0 STEVEN L GRACE FORMER VP TALENT ACQUISITION 0.0 0.0 X 161549 0 0 TRACEY ATWATER MD FORMER VP & FDN. PRESIDENT 0.0 0.0 X 106522 0 0 PATRICIA A MAYNE FORMER VP EMERGENCY SERVICES 0.0 0.0 X 179810 0 5244 28809022 1400300 2576467 1085 true true false EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 INFORMATION SERVICES 8318376 PRESIDIO NETWORKED SOLUTIONS PO BOX 822169-2169 PHILADELPHIA PA 19182 INFORMATION SERVICES 8230837 FTI CONSULTING INC PO BOX 88314 BOSTON MA 022418005 CONSULTING 7052923 BRASFIELD AND GORRIE LLC 1190 VAUGHN RD NW SUITE 100 KENNESAW GA 30144 GENERAL CONTRACTOR 6405050 PT SOLUTIONS HOLDINGS PO BOX 441146 KENNESAW GA 30160 MEDICAL 5816335 272 0 PATIENT REVENUE 621990 336135958 336135958 0 0 COBB COUNTY DETENTION CENTER 621990 6061453 6061453 0 0 EQUITY IN EARNINGS OF HOSP AFFILIATES 621990 239529735 239529735 0 0 SHARED SERVICES COSTS RECOUPMENT 621990 271891256 271891256 0 0 WELLNESS CENTER 621400 2101678 2101678 0 0 40342297 40342297 0 0 896062377 -48605 -48605 0 0 258238 258238 0 258238 258238 0 8465781 -8465781 -8465781 -8465781 0 0 0 LAUNDRY 812300 1403367 1403367 CHILDCARE REVENUE 621990 1834994 1834994 OTHER REVENUE 621990 30545636 30545636 33783997 921590226 896062377 1403367 24124482 X 1834237 1834237 0 0 0 36064228 29762187 6273472 28569 368607 294885 73722 0 427280431 332091420 94348682 840329 21513064 17465239 4015009 32816 42079528 28127214 13817178 135136 27275191 19676708 7533964 64519 0 5685205 6445 5678760 539370 539370 0 0 0 93604129 35699977 57819142 85010 7636497 2179028 5428554 28915 10998354 6770365 4227989 0 0 29794371 20728148 9060206 6017 2605626 1184148 1405831 15647 0 3347210 1603575 1720984 22651 1257864 1257864 0 48435499 6996377 41424056 15066 33361994 11522133 21839861 REPAIRS & MAINTENANCE 32060255 3290544 28769681 30 MEDICAL SUPPLIES 20991979 20159266 536528 296185 OTHER OPERATING EXPENSES 3632564 39283 3593281 850366203 539431179 309364134 1570890 0 0 52896450 38358341 0 0 31871362 32875608 0 0 0 0 0 0 7271962 9622214 31079463 36815703 672039190 364113689 328714600 307925501 744692488 791079030 0 0 0 0 0 0 1090930340 1238846256 2287456665 2455522653 189760804 242914343 0 0 0 0 9327364 472106309 0 0 0 0 0 0 0 0 844268586 561459489 1043356754 1276480141 X 1227850129 1135715379 11430819 26999339 4818963 16327794 1244099911 1179042512 2287456665 2455522653 X 71224023 -15859657 -120421765 X false true X true false X X 9 COBB HOSPITAL INC 580968382 3 true 67958957 0 PAULDING MEDICAL CENTER INC 582095884 3 true 21933539 0 KENNESTONE HOSPITAL INC 582032904 3 true 153583818 0 DOUGLAS HOSPITAL INC 582026750 3 true 25466377 0 WELLSTAR ATLANTA MEDICAL CENTER INC 810837031 3 true 1297635 0 WELLSTAR SPALDING REGIONAL HOSPITAL INC 810864789 3 true 854082 0 WELLSTAR SYLVAN GROVE HOSPITAL INC 810875069 3 true 70770 0 WELLSTAR NORTH FULTON HOSPITAL INC 810851756 3 true 726078 0 WEST GEORGIA MEDICAL CENTER INC 205497506 3 true 0 0 9 271891256 0 true false false false true false true false false false false false false false false false true FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 5A 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. true true false 0 false 0 true 2459 true 11000 true 273962 true 14496 true 170784 472701 false SCHEDULE C, PART II-B, LINE 1 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. 6611000 127000 94000 6832000 6485000 64000 62000 6611000 4915000 771000 799000 6485000 4286000 162000 467000 4915000 4416000 75000 -37000 168000 4286000 0.00000 0.72000 0.28000 false true true 43699654 43699654 116273504 57673261 58600243 11931275 9086392 2844883 496666437 296071082 200595355 3468320 1282954 2185366 307925501 OTHER RECEIVABLES 61582249 OTHER PREPAIDS 125078 EQUITY IN AFFILIATES 1172417960 OTHER LONG TERM ASSETS 4720969 1238846256 0 ACCRUED PENSION LIABILITY 408345045 OTHER LONG TERM LIABILITIES 28996165 INSURANCE RESERVES 98027240 ASSET RETIREMENT OBLIGATION LT 736723 SWAP CONTRACT 2005 ISSUE LT LI 25354316 561459489 X 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. true American Cancer Society 1825 BARRETT LAKES BLVD STE 280 KENNESAW GA 30144 580659875 501(C)(3) 97500 0 FMV N/A SPONSORSHIP American Heart Association 1101 NORTHCHASE PARKWAY STE 1 Harris Tower Suite 2225 MARIETTA GA 30067 135613797 501(C)(3) 80000 0 FMV N/A SPONSORSHIP Atlanta Blaze 1301 SHILOH RD NW STE 340 KENNESAW GA 30144 473671706 35000 0 FMV N/A SPONSORSHIP Camp Kudzu 5885 GLENRIDGE DR STE 160 ATLANTA GA 30328 582449646 501(C)(3) 10000 0 FMV N/A SPONSORSHIP City of Kennesaw 2529 JO STEPHENSON AVE KENNESAW GA 30144 586010582 15500 0 FMV N/A SPONSORSHIP Cobb Chamber of Commerce PO BOX 671868 MARIETTA GA 30061 580198114 501(C)(6) 126000 0 FMV N/A SPONSORSHIP Cobb County Senior Services PO BOX 649 MARIETTA GA 30061 550912698 501(C)(6) 20000 0 FMV N/A SPONSORSHIP Cobb Landmark Historical Society 65 WHITLOCK AVE MARIETTA GA 30060 581827362 501(C)(3) 10000 0 FMV N/A SPONSORSHIP Davis Direction Foundation Inc 1150 BAGWELL DRIVE KENNESAW GA 30152 471370495 501(C)(3) 31000 0 FMV N/A SPONSORSHIP Douglas County Chamber of Commerce 6658 CHURCH STREET DOUGLASVILLE GA 30134 581950186 501(C)(6) 16795 0 FMV N/A SPONSORSHIP East Cobber Parade PO BOX 680455 MARIETTA GA 30068 30000 0 FMV N/A SPONSORSHIP Goshen Valley Boys Ranch 387 GOSHEN CHURCH WAY WALESKA GA 30183 582361483 501(C)(3) 50000 0 FMV N/A SPONSORSHIP Habitat for Humanity 3530 TEN OAKS CT POWDER SPRINGS GA 30127 911914868 501(C)(3) 10000 0 FMV N/A SPONSORSHIP Kennesaw State University 1000 CHASTAIN RD KENNESAW GA 30144 125000 0 FMV N/A SPONSORSHIP LakePoint Sports 755 HWY 293 EMERSON GA 30137 452322479 125000 0 FMV N/A SPONSORSHIP Latin American Association 2750 BUFORD HWY ATLANTA GA 30324 581237316 501(C)(3) 10000 0 FMV N/A SPONSORSHIP March of Dimes PO BOX 932852 ATLANTA GA 311932852 131846366 501(C)(3) 42000 0 FMV N/A SPONSORSHIP MUST Ministries PO BOX 1717 MARIETTA GA 30061 582034725 501(C)(3) 40000 0 FMV N/A SPONSORSHIP Nobis Works 1480 BELLS FERRY RD MARIETTA GA 30066 581290439 501(C)(3) 35000 0 FMV N/A SPONSORSHIP Positive Athlete Georgia 9055 FOREST PATH DR STE 200 GAINESVILLE GA 30506 272198723 15000 0 FMV N/A SPONSORSHIP Rotary of East Cobb 3436 SOMERSET TRACE MARIETTA GA 30067 581654204 501(c)(4) 7500 0 FMV N/A SPONSORSHIP Rotary Foundation Donor Advised Fund PO BOX 761 ALPHARETTA GA 30009 363245072 501(c)(3) 10000 0 FMV N/A SPONSORSHIP Rotary of Roswell PO BOX 783 ROSWELL GA 30077 581716982 501(C)(3) 10000 0 FMV N/A SPONSORSHIP SAFEPATH CHILDREN'S ADVOCACY CENTER 736 WHITLOCK AVE STE 600 MARIETTA GA 30064 581662987 501(C)(3) 10000 0 FMV N/A SPONSORSHIP SER Familia PO BOX 146 ACWORTH GA 30101 352166123 501(C)(3) 15000 0 FMV N/A SPONSORSHIP SUSAN G KOMEN BREAST CANCER FDN 5005 LBJ FREEWAY STE 250 DALLAS TX 75244 751835298 501(C)(3) 30000 0 FMV N/A SPONSORSHIP The CarePlace 5357 CHAPEL HILL ROAD DOUGLASVILLE GA 30135 270070164 501(C)(3) 10000 0 FMV N/A SPONSORSHIP The Center for Family Resources 995 ROSWELL ST NE STE 100 MARIETTA GA 300602151 580876634 501(C)(3) 15000 0 FMV N/A SPONSORSHIP The Georgia Ballet 1255 FIELD PARKWAY MARIETTA GA 30066 581420599 501(C)(3) 10000 0 FMV N/A SPONSORSHIP University System of Georgia Foundation Inc 270 WASHINGTON ST SW 7TH FL ATLANTA GA 30334 586333106 501(C)(3) 10000 0 FMV N/A SPONSORSHIP YWCA OF NORTHEAST GEORGIA 48 HENDERSON STREET 1459 Laney Walker Blvd MARIETTA GA 30064 580617782 501(C)(3) 20000 0 FMV N/A SPONSORSHIP 22 9 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS: WELLSTAR HEALTH SYSTEM, INC. AND ITS AFFILIATES HAVE SET ASIDE FUNDS FOR CONTRIBUTIONS AND SPONSORSHIPS ON AN ANNUAL BASIS THAT PROVIDE ASSISTANCE TO NATIONAL AND LOCAL ORGANIZATIONS IN THE FURTHERANCE OF THE COMMUNITY NEEDS. WELLSTAR ALSO HAS SEVERAL AGREEMENTS WITH AREA COLLEGES AND UNIVERSITIES TO PROMOTE HEALTHCARE RELATED CAREER OPPORTUNITIES. ALL SPONSORSHIPS ARE AWARDED BASED ON SPECIFIC QUALIFICATIONS WITHOUT REGARD TO AGE, GENDER, OR ETHNICITY. X X X X X X false true X X X X X X true true false false false false false true false AHMAD KHALDI MD MD PHYSICIAN GROUP 762092 0 428928 0 2340 0 23300 0 23776 0 1240436 0 0 0 AMY ELLEN F CARRIER SVP HOSPITAL PRESIDENT 0 74464 0 68000 0 2125 0 17302 0 1480 0 163371 0 0 ANTHONY J BUDZINSKI EVP & CFO 606611 0 162569 0 24552 0 47300 0 28807 0 869839 0 0 0 ANTHONY M TRUPIANO SVP SUPPLY CHAIN 288371 0 73361 0 15370 0 47300 0 2043 0 426445 0 0 0 AVRIL P BECKFORD MD TRUSTEE & CHIEF PEDIATRIC OFF. 492548 0 58415 0 2453 0 28660 0 1958 0 584034 0 0 0 BARBARA B COREY SVP MANAGED CARE 321048 0 81823 0 13159 0 21392 0 26273 0 463695 0 0 0 BARBARA G BALLARD FORMER VP HOMECARE & HOSPICE 36730 0 0 0 131308 0 0 0 0 0 168038 0 0 0 BETH KOST SVP COMPLIANCE CHF PRIVACY OFF 271419 0 49750 0 10102 0 22418 0 11937 0 365626 0 0 0 BETHANY ROBERTSON VP & CHIEF LEARNING OFFICER 203392 0 87926 0 9120 0 17301 0 29372 0 347111 0 0 0 BRADFORD B NEWTON VP INFO. TECHNOLOGY ADMIN. 202322 0 40120 0 9156 0 22555 0 27920 0 302073 0 0 0 BRUCE A DEAN VP REAL ESTATE DEPUTY GEN CNSL 242590 0 48105 0 14272 0 47300 0 25123 0 377390 0 0 0 CANDICE L SAUNDERS PRESIDENT & CEO 929590 0 231348 0 909394 0 46319 0 30929 0 2147580 0 889660 0 CHESTER A ZBOROWSKI FORMER VP HEALTH PARKS OPS. 139238 0 26427 0 39650 0 0 0 10185 0 215500 0 0 0 CHRISTOPHER B SCULLEN FRMR VP PULMONOLOGY OPERATIONS 13262 0 0 0 108089 0 0 0 0 0 121351 0 0 0 CHRISTOPHER M KANE FRMR SVP STRAT. PLAN & BUS DEV 52576 0 0 0 289168 0 0 0 0 0 341744 0 0 0 CRAIG OWENS SVP & HOSPITAL PRESIDENT 0 283837 0 65639 0 13051 0 29300 0 22093 0 413920 0 0 DANIEL J STYF SVP PW HEALTH PLAN 290368 0 96256 0 15163 0 21353 0 9385 0 432525 0 0 0 DAVID W ANDERSON EVP/HR/OL/CCO 460491 0 152440 0 115410 0 47185 0 26381 0 801907 0 92098 0 DEBORAH ROEGGE DE VITA FRMR VP WOMEN&NEWBORN SVC LINE 30112 0 0 0 107650 0 0 0 0 0 137762 0 0 0 DONALD CAMPBELL MD SVP PHYS EDUC&STUDENT AFF 50387 0 35888 0 277130 0 0 0 0 0 363405 0 0 0 ELIZABETH H LOUDERMILK VP ENT INTELLIGENCE & INTGRTN 239990 0 43990 0 9880 0 23251 0 19315 0 336426 0 0 0 ELLEN LANGFORD SVP & COO WELLSTAR MED GROUP 253469 0 64482 0 12280 0 41525 0 29684 0 401440 0 0 0 FREDA LYON VP SYSTEM EMERGENCY & TRAUMA 117693 0 25000 0 6027 0 8903 0 12175 0 169798 0 0 0 JAMES E CLEMENTS FRMR VP BUS DEV & STRAT. PSHIP 31933 0 0 0 116555 0 0 0 0 0 148488 0 0 0 JAMES M SWARTZ VP ACCOUNTING 215613 0 41138 0 8995 0 18573 0 26251 0 310570 0 0 0 JEFFERY D STANLEY FRMR VP PHARM & SYSTEM COORD. 146681 0 27840 0 94743 0 10802 0 3705 0 283771 0 56284 0 JEFFREY L THARP MD MPH TRUSTEE & CHIEF MEDICINE SRVS 512199 0 78598 0 2505 0 47185 0 32273 0 672760 0 0 0 JILL M CASE-WIRTH SVP & CHIEF NURSE EXECUTIVE 336440 0 73003 0 15318 0 46319 0 9901 0 480981 0 0 0 JIMMY E FRANCIS VP INFO TECHNOLOGY OPERATIONS 215259 0 41071 0 9822 0 46420 0 3129 0 315701 0 0 0 JOEL W HELMKE VP ONCOLOGY 260000 0 49580 0 9420 0 41300 0 28875 0 389175 0 0 0 JONATHAN B MORRIS MD SVP CHF INFO OFFICER 397155 0 101035 0 12834 0 25576 0 28104 0 564704 0 0 0 JOSEPH L BRYWCZYNSKI SVP HEALTH PARKS DEVELOPMENT 283379 0 74924 0 60065 0 47300 0 25124 0 490792 0 42507 0 KEM M MULLINS EVP COO AMBULATORY & BUS DEV 496864 0 87504 0 12287 0 23300 0 29432 0 649387 0 0 0 KIMBERLY W MENEFEE SVP STRATEGIC COMMUNITY DEV 293842 0 77691 0 14038 0 29300 0 21472 0 436343 0 0 0 KRISTYN M GREIFER MD VP POPULATION MANAGEMENT 333466 0 54496 0 9614 0 9013 0 9754 0 416343 0 0 0 LEE R COOK FRMR VP MED & BEHAVIORAL HLTH 19734 0 0 0 85605 0 0 0 0 0 105339 0 0 0 LEO E REICHERT EVP & GENERAL COUNSEL 531190 0 168916 0 44420 0 29300 0 33911 0 807737 0 27209 0 LOUIS W LITTLE FMR SVP PST ACTE SVC&HOSP PRES 38051 0 0 0 136033 0 0 0 0 0 174084 0 0 0 MARCIA DELK-PAYNE MD FRMR SVP MED AFFAIR & C.Q.O. 57005 0 0 0 313526 0 0 0 0 0 370531 0 0 0 MARY L TAVERNARO VP HUMAN RESOURCES OPERATIONS 227968 0 45205 0 44445 0 29060 0 22070 0 368748 0 34242 0 MICHELLE M ROBINSON VP MKTNG/PR/INTERNAL COMM 204235 0 40499 0 9235 0 15206 0 27031 0 296206 0 0 0 NANCY R DOELLING MD FRMR VP WS PED. ACUTE CARE SVC 242323 0 80333 0 60294 0 5179 0 2979 0 391108 0 0 0 NICOLE V ASHE VP FINANCE & CFO WMG 234187 0 41156 0 9243 0 23487 0 25688 0 333761 0 0 0 PETER R JUNGBLUT MD MBA SVP & MEDICAL DIR WMG 322899 0 86624 0 12566 0 41300 0 30061 0 493450 0 0 0 REYNOLD J JENNINGS MD CHIEF STRATEGY OFFICER 975000 0 656466 0 20118 0 0 0 2064 0 1653648 0 0 0 RICHARD MYUNG MD MD PHYSICIAN GROUP 784380 0 562398 0 2159 0 41300 0 11948 0 1402185 0 0 0 RICHARD S SIEGEL VP CARDIOLOGY & CVM ADMIN 289286 0 53009 0 10978 0 47300 0 28796 0 429369 0 0 0 RISHI GUPTA MD MD PHYSICIAN GROUP 686277 0 441061 0 2340 0 41300 0 31499 0 1202477 0 0 0 ROBERT D JANSEN MD EVP & PRES MED. GROUP 530908 0 171132 0 428921 0 42129 0 23470 0 1196560 0 380649 0 ROBERT J DECOUX VP CORPORATE MED STAFF SVCS 167823 0 23013 0 4854 0 20316 0 25102 0 241108 0 0 0 ROBERT MANDLER VP DIAGNOSTIC OUTREACH 214261 0 42487 0 38700 0 46766 0 16809 0 359023 0 21426 0 ROBIN WILSON MD FORMER SVP CHIEF HEALTH OFFCR 60909 0 0 0 289998 0 0 0 0 0 350907 0 0 0 SAID ELSHIHABI MD MD PHYSICIAN GROUP 1029432 0 214549 0 2081 0 40954 0 31294 0 1318310 0 0 0 SANDRA LUCIUS VP INFO TECHNOLOGY APPS 209269 0 41497 0 11871 0 46691 0 2469 0 311797 0 0 0 SEAN P TURNER VP REVENUE CYCLE MANAGEMENT 248019 0 59082 0 10041 0 22462 0 28739 0 368343 0 0 0 SNEHAL H DOSHI VP SYSTEM PHARMACIST 102312 0 68000 0 4772 0 14909 0 11422 0 201415 0 0 0 STEVEN L GRACE FORMER VP TALENT ACQUISITION 30771 0 0 0 130778 0 0 0 0 0 161549 0 0 0 TIMOTHY HANEY SVP & HOSPITAL PRESIDENT 0 290410 0 75204 0 17308 0 29300 0 15386 0 427608 0 0 THOMAS M PHILLIPS TRUSTEE 0 0 0 0 2638 0 0 0 0 0 2638 0 0 0 TRACEY ATWATER MD FORMER VP & FDN. PRESIDENT 0 0 0 0 106522 0 0 0 0 0 106522 0 0 0 VALERY A AKOPOV MD SVP HOSPITAL DIVISION WMG 364063 0 78508 0 17861 0 28177 0 26276 0 514885 0 0 0 WANDA Y ROBINSON VP COMPLIANCE PWHP 207043 0 7312 0 11870 0 6692 0 16623 0 249540 0 0 0 WILLIAM A COOPER MD MBA MD PHYSICIAN GROUP 800400 0 540890 0 2717 0 41300 0 30333 0 1415640 0 0 0 PATRICIA A MAYNE FORMER VP EMERGENCY SERVICES 27999 0 0 0 151811 0 2659 0 2585 0 185054 0 0 0 MICHAEL G PAUL VP FACILITIES ENG SUPPORT SVCS 186846 0 34053 0 12321 0 0 0 24754 0 257974 0 0 0 DANIEL J WOODS SVP & HOSPITAL PRESIDENT 0 398237 0 96773 0 15252 0 47300 0 27463 0 585025 0 0 SCHEDULE J, PART I, LINE 1B REIMBURSEMENT POLICY: While WellStar Health System and its affiliates do not have a written policy regarding payment or reimbursement of the items listed in SCHEDULE J, Part I, Line 1a, the organization follows IRS guidelines in the payment of any of these items to individuals listed in Form 990, Part VII, Section A. These items are added as taxable wages on the individual's Form W-2 as appropriate. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: Pursuant to their respective employment agreements, the following groups of officers are entitled to severance payments based on their compensation at that time in the event of certain identified circumstances. The severance payment periods are 24 months for Executive Vice Presidents, 18 months for Senior Vice Presidents, and 12 months for Vice Presidents. The following officers/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. A HOSPITAL AUTHORITY OF COBB COUNTY 582464600 19081PEM4 2004-04-30 25000000 EQUIPMENT POOL false false false B COBB COUNTY KENNESTONE HOPSITAL AUTHORITY 581147004 190813LN3 2005-10-31 120000000 CAP. IMPROVEMENTS (SERIES A & B) false false false C HOSPITAL AUTHORITY OF COBB COUNTY 582464600 19081PEN2 2005-06-30 25000000 EQUIPMENT POOL false false false D COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 581147004 19081PEN2 2011-11-01 127345930 CONSTRUCTION false false false A 0 0 25000000 96810 0 0 0 0 0 25000000 0 0 2004 false false true true B 6150000 0 120000000 1026000 0 0 1167300 0 0 116948276 1884424 0 2007 false false true true C 0 0 25000000 82775 0 0 0 0 0 25000000 0 0 2006 false false true true D 11440000 0 127345930 0 0 50962739 1383191 0 0 75000000 0 0 2011 true true true true A false false false false 0 false false true B false false false false 0.00200 0.00200 0.00400 false false true C false false false false 0 false false true D false false false false 0 false false true A false true true false 0 false 0 false B false true false 0 false 0 false C false true false 0 false 0 false D false true false 0 false 0 false A true B true C true D true SCHEDULE K, PART V PROCEDURES TO UNDERTAKE CORRECTIVE ACTION: WELLSTAR HEALTH SYSTEM, INC (THE BORROWER ON TAX EXEMPT BONDS) HAS ESTABLISHED POLICIES AND PROCEDURES THAT WILL MAXIMIZE THE LIKELIHOOD THAT ALL APPLICABLE POST-ISSUANCE REQUIREMENTS OF FEDERAL INCOME TAX LAW NEEDED TO PRESERVE THE TAX-EXEMPT STATUS OF THE BONDS ARE MET. THE PROCEDURES INCLUDE EXTERNAL ADVISORS SUCH AS BOND COUNSEL AND OTHER LEGAL COUNSEL WHO ASSIST THE BORROWER IN MAINTAINING THE TAX-EXEMPT STATUS OF ALL BONDS; ARBITRAGE REBATE CALCULATIONS THAT NEED TO BE MADE FOR EACH BOND ISSUE; DOCUMENTATION OF THE USE OF BOND PROCEEDS INCLUDING POTENTIAL PRIVATE BUSINESS USE APPLICABLE TO THE BONDS AFTER AN ANNUAL INTERNAL REVIEW OF THOSE USES; AND PROPER RECORD KEEPING OF ALL DOCUMENTS RELATED TO THE ISSUANCE OF TAX-EXEMPT BONDS. THESE PROCEDURES APPLY TO ALL LISTED TAX-EXEMPT BONDS. A PAULDING COUNTY HOSPITAL AUTHORITY 586011214 703596DH6 2012-06-28 32711016 CONSTRUCTION SERIES A false false false B PAULDING COUNTY HOSPITAL AUTHORITY 586011214 703596DK9 2012-06-28 68750000 CONSTRUCTION SERIES B false false false C COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 586011214 190813PH2 2012-11-15 122366879 ADVANCED REFUNDING CONSTRUCTION false false false A 0 0 32711016 4896852 446282 0 437500 0 0 17151433 0 0 2014 false false true true B 0 0 68750000 27382125 1945963 0 471875 0 0 39576733 0 0 2014 false false true true C 5475000 0 122366879 0 0 121287509 1079370 0 0 0 0 0 false true true true A false false false false 0 false false true B false false false false 0 false false true C false false false false 0 false false true A false true false 0 false 0 false B false true true false 0 false 0 false C false true false 0 false 0 false A true B true C true VALERY A AKOPOV MD OFFICER TUITION X 31250 25200 false true true ANTHONY J BUDZINSKI OFFICER TUITION X 31250 25200 false true true 50400 PAMELA ETHERIDGE WIFE OF OFFICER 72091 EMPLOYEE OF WELLSTAR true GREG FORTGANG SON-IN-LAW OF TRUSTEE 88648 EMPLOYEE OF WELLSTAR true JESSICA HANEY DAUGHTER OF OFFICER 38716 EMPLOYEE OF WELLSTAR true MISTY S DECOUX WIFE OF OFFICER 76950 EMPLOYEE OF WELLSTAR true NADINE FRANCIS WIFE OF OFFICER 76007 EMPLOYEE OF WELLSTAR true JENNIFER HANEY DAUGHTER-IN-LAW OF OFFcr. 81489 EMPLOYEE OF WELLSTAR true MATTHEW MADDOX SON OF BOARD MEMBER 84611 EMPLOYEE OF WELLSTAR true BONNIE MILLER WIFE OF BOARD MEMBER 34191 EMPLOYEE OF WELLSTAR true SCHEDULE L, PART IV, LINES 1-8 BUSINESS TRANSACTIONS WITH INTERESTED PARTIES: All transactions listed in Schedule L, Part IV are for interested parties or in this case family members of either trustees or officers of wellstar health system, inc. or its related organizations. The transactions all represent payment of services as employees of Wellstar Health System. FORM 990, 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 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 CHS Foundation Inc 793 SAWYER ROAD Marietta GA 300622222 581649540 Foundation GA 501(C)(3) 11 Type 2 WHS INC true Cobb Hospital Inc 793 SAWYER ROAD Marietta GA 300622222 580968382 Healthcare GA 501(C)(3) 3 WHS INC true Douglas Hospital Inc 793 SAWYER ROAD Marietta GA 300622222 582026750 Healthcare GA 501(C)(3) 3 WHS INC true Kennestone Hospital Inc 793 SAWYER ROAD Marietta GA 300622222 582032904 Healthcare GA 501(C)(3) 3 WHS INC true Paulding Medical Center Inc 793 SAWYER ROAD Marietta GA 300622222 582095884 Healthcare GA 501(C)(3) 3 WHS INC true Wellstar Foundation Inc 793 SAWYER ROAD Marietta GA 300622222 581627413 Foundation GA 501(C)(3) 11 Type 2 WHS INC true WELLSTAR ATLANTA MEDICAL CENTER INC 793 SAWYER ROAD MARIETTA GA 300622222 810837031 HEALTHCARE GA 501(C)(3) 3 WHS INC true WELLSTAR NORTH FULTON HOSPITAL INC 793 SAWYER ROAD MARIETTA GA 300622222 810851756 HEALTHCARE GA 501(C)(3) 3 WHS INC true WELLSTAR SPALDING REGIONAL HOSPITALINC 793 SAWYER ROAD MARIETTA GA 300622222 810864789 HEALTHCARE GA 501(C)(3) 3 WHS INC true WELLSTAR SYLVAN GROVE HOSPITAL INC 793 SAWYER ROAD MARIETTA GA 300622222 810875069 HEALTHCARE GA 501(C)(3) 3 WHS INC true WEST GEORGIA MEDICAL CENTER INC 793 SAWYER ROAD MARIETTA GA 300622222 205497506 HEALTHCARE GA 501(C)(3) 3 WHS INC true WEST GEORGIA HEALTH SERVICES INC 793 SAWYER ROAD MARIETTA GA 300622222 205497622 HEALTHCARE GA 501(C)(3) 11 TYPE 3FI WHS INC true VERNON WOODS RETIREMENT COMMUNITY INC 793 SAWYER ROAD MARIETTA GA 300622222 582575049 HEALTHCARE GA 501(C)(3) 9 WHS INC true WEST GEORGIA HEALTH FOUNDATION INC 793 SAWYER ROAD MARIETTA GA 300622222 200936376 FOUNDATION GA 501(C)(3) 7 whs inc true MEDICAL PARK FOUNDATION INC 793 SAWYER ROAD MARIETTA GA 300622222 581303478 FOUNDATION GA 501(C)(3) 7 WHS INC true Kennestone EAST Parking Deck LLC 793 SAWYER ROAD Marietta GA 300666340 200537100 PARKING GA WHS INC EXCLUDED -104495 2238524 false 0 false 0.73000 COBB SOUTH PARKING DECK LLC 793 SAWYER ROAD Marietta GA 300622222 752999669 PARKING GA WHS INC EXCLUDED -10389 645938 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 Community Assurance Co 3rd Fl Barclays Hse Shedden Rd George Town CJ 581649541 INSURANCE CJ WHS INC C CORP 23871317 81943249 1.00000 true WEST GEORGIA HEALTH PHYSICIANS INC 793 SAWYER ROAD MARIETTA GA 300622222 275125341 PHYSICIAN PRAC. GA WHS INC C CORP false false false false false false false false true true true true false false false true true true true true Cobb Hospital Inc q 67958957 actual cost Douglas Hospital Inc q 25466377 actual cost Kennestone Hospital Inc q 153583818 actual cost Paulding Medical Center Inc q 21933539 actual cost COBB SOUTH PARKING DECK LLC S 27901 ACTUAL COST WELLSTAR NORTH FULTON HOSPITAL INC Q 726078 ACTUAL COST WELLSTAR ATLANTA MEDICAL CENTER INC Q 1297635 ACTUAL COST WELLSTAR SPALDING REGIONAL HOSPITAL INC Q 854082 ACTUAL COST WELLSTAR SYLVAN GROVE HOSPITAL INC Q 70770 ACTUAL COST SCHEDULE R, PART V, LINE 2 The dollar amounts reported on Form 990, Schedule R, Part V, Line 2 for WellStar Health System, Inc. include the overhead allocations to affiliates and consists of the following types of transactions as listed in Line 1 (a-r): h) Exchange of Assets, i) Lease of facilities, equipment, or other assets to other organization(s), j) Lease of facilities, equipment, or other assets from other organization(s), k) LEASE OF FACILITIES, EQUIPMENT, OR OTHER ASSETS FROM RELATED ORGANIZATION(S) 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).