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WELLSTAR HEALTH SYSTEM INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WELLSTAR HEALTH SYSTEM INC (EIN 58-1649541)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-15
IRS object ID
201501359349302220
Schema version
2013v4.0
Note
A later return for the same period supersedes this one.
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-15T09:01:38-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581649541EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WELLSTAR HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% JAMES M SWARTZInCareOfNm
Business Name ControlWELLBusinessNameControlTxt
Phone7707925023PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1805 SANDY PLAINS ROADAddressLine1
Address Line2SuiteAddressLine2
CityMARIETTACity
StateGAState
ZIP Code300666340ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES SWARTZPersonNm
Person TitleVP ACCOUNTINGPersonTitleTxt
Phone7709567827PhoneNum
Signature2015-05-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW D PETROSKIPreparerPersonNm
PTINP00853132PTIN
Phone7709567827PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerREYNOLD J JENNINGSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1805 Sandy Plains RoadAddressLine1
CityMariettaCity
StateGAState
ZIP Code300666340ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$747,040,515GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.wellstar.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO DELIVER WORLD-CLASS CHARITABLE HEALTHCARE TO THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee5817TotalEmployeeCnt
Total Gross UBI$275,210TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$653,903,471PYProgramServiceRevenueAmt
CY Program Service Revenue$664,865,794CYProgramServiceRevenueAmt
PY Investment Income$28,077,016PYInvestmentIncomeAmt
CY Investment Income$54,674,985CYInvestmentIncomeAmt
PY Other Revenue$21,014,857PYOtherRevenueAmt
CY Other Revenue$26,362,125CYOtherRevenueAmt
PY Total Revenue$702,995,344PYTotalRevenueAmt
CY Total Revenue$745,902,904CYTotalRevenueAmt
PY Grants And Similar Paid$1,518,880PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,167,763CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$397,394,838PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$420,122,898CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,899,305CYTotalFundraisingExpenseAmt
PY Other Expenses$215,783,890PYOtherExpensesAmt
CY Other Expenses$239,109,495CYOtherExpensesAmt
PY Total Expenses$614,697,608PYTotalExpensesAmt
CY Total Expenses$660,400,156CYTotalExpensesAmt
PY Revenues Less Expenses$88,297,736PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$85,502,748CYRevenuesLessExpensesAmt
Total Assets BOY$2,074,237,739TotalAssetsBOYAmt
Total Assets EOY$2,289,388,627TotalAssetsEOYAmt
Total Liabilities BOY$830,212,494TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,012,073,035TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,244,025,245NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,277,315,592NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$443,966,825ExpenseAmt
Grant$1,167,763GrantAmt
Revenue$664,865,794RevenueAmt
DescWELLSTAR 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 FIVE HOSPITALS(KENNESTONE, COBB, PAULDING MEDICAL, DOUGLAS AND WINDY HILL), 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 FUND-RAISING ORGANIZATION, WELLSTAR FOUNDATION, INC. THE SERVICE AREA FOR THE SYSTEM ENCOMPASSES PARTS OF THE NORTHWESTERN SECTION OF THE STATE OF GEORGIA - THE PRIMARY AREA BEING IN BARTOW, CHEROKEE, COBB, DOUGLAS AND PAULDING COUNTIES. APPROXIMATELY 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. WELLSTAR HEALTH SYSTEM IS A PARENT CORPORATION WHICH PROVIDES OVERALL COORDINATION INCLUDING GOVERNING BODY TO ITS SEVEN SUBORDINATE AFFILIATES: 1) COBB HOSPITAL, INC; 2) CHS FOUNDATION, INC (INVESTMENT MANAGEMENT); 3) DOUGLAS HOSPITAL INC; 4) KENNESTONE HOSPITAL, INC; 5) PAULDING MEDICAL CENTER, INC; 6) WELLSTAR FOUNDATION INC. AND 7)COMMUNITY ASSURANCE COMPANY, LTD. (A CAPTIVE SELF-INSURANCE ORGANIZATION). 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, ANCILLIARY AND SUPPORT SERVICES, URGENT CARE SERVICES AND HOME HEALTH SERVICES. THE SYSTEM INCLUDES A RESIDENTIAL FACILITY ON THE KENNESTONE HOSPITAL CAMPUS, CALLED ATHERTON PLACE. ARTHERTON PLACE ALSO HOUSES AN ASSISTED LIVING UNIT AS AN ADDITIONAL LEVEL OF CARE. THE FIVE HOSPITALS ARE ACUTE CARE FACILITIES WITH INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. PAULDING MEDICAL CENTER IS HOME TO A FULL CARE NURSING HOME, PAULDING NURSING CENTER. 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 85 PHYSICIAN PRACTICES AND SEVERAL URGENT CARE CENTERS. THE SYSTEM IS THUS ABLE TO PROVIDE A COMPLETE CONTINUUM OF CARE FOR THE COMMUNITY ITS 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. Charges foregone, based on established rates, totaled approximately $343.8 million and $314.8 million in 2012 and 2013 respectively. In fiscal 2013, Wellstar affiliate hospitals made $15.5 million 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-1,321 Discharges-64,376 Newborn Deliveries-9,560 Emergency Room Visits-322,082 Behavioral ER Visits-8,598 Surgeries-43,030 Cath Lab/Pacemakers/EP-9,741 Non-ED O/P Radiology Procedures-285,677 Medical Group Visits-1,433,816 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. During FY2013 as in the prior year the clinics at Kennestone and Cobb Hospitals experienced a combined total of 8,000 patient visits at a cost of $2.8 million. Community Health/Education Wellstar's Marketing and Public Relations department provides free brochures on a variety of health-related issues. On a quarterly basis Wellstar sends out a wellness magazine entitled "Health and You" to 180,000 homes in the community/service area. The magazine provides information on health issues and a schedule of health related classes/seminars available throughout the system. While the magazine is an excellent referral source for Wellstar's varied services, it provides free medical information to the households receiving the publication. Wellstar provides support groups and educational opportunities to the community on a variety of topics (examples-- men's and women's health issues, palliative care, mental health, birthing classes, etc.) Some of these opportunities are provided free of charge or at a minimal fee. Wellstar also provides free or low cost screenDesc
Total Program Service Expenses$443,966,825TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
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Loan OutstandingfalseLoanOutstandingInd
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Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
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Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5817EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJAMES M SWARTZPersonNm
Phone7707925023PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1805 SANDY PLAINS ROADAddressLine1
CityMARIETTACity
StateGAState
ZIP Code300666340ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (81 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
AVRIL P BECKFORD MD
TRUSTEE40.010.0Yes (X)$456,909$0$29,970
RANDALL BENTLEY JR
TRUSTEE1.05.0Yes (X)$20,619$0$0
OTIS BRUMBY III
TRUSTEE1.05.0Yes (X)$3,687$0$0
SHAN COOPER
TRUSTEE1.05.0Yes (X)$1,218$0$0
ROBERT CROSS MD
TRUSTEE1.05.0Yes (X)$5,266$0$0
T E RUSTY DURHAM
TRUSTEE10.05.0Yes (X)$37,928$0$13,445
THOMAS GEARHARD MD
TRUSTEE40.010.0Yes (X)$484,242$0$72,307
DAVID HAFNER MD
TRUSTEE1.05.0Yes (X)$24,386$0$0
T FITZ JOHNSON
TRUSTEE1.05.0Yes (X)$18,008$0$0
CHARLES J JONES
TRUSTEE1.05.0Yes (X)$17,308$0$0
JANIE MADDOX
TRUSTEE - CHAIR1.05.0Yes (X)$19,581$0$0
GARY MILLER
TRUSTEE - VICE CHAIR1.05.0Yes (X)$4,249$0$0
STEVEN W OWEIDA MD
TRUSTEE1.05.0Yes (X)$21,472$0$0
TOM PHILLIPS
TRUSTEE1.05.0Yes (X)$2,734$0$0
WALTER G ROBINSON
TRUSTEE1.05.0Yes (X)$10,640$0$0
FRANK ROS
TRUSTEE1.05.0Yes (X)$3,747$0$0
W ALLEN SEPARK
TRUSTEE1.07.0Yes (X)$9,844$0$0
JEFFERY THARP MD
TRUSTEE40.010.0Yes (X)$566,320$0$72,948
VALERY A AKOPOV MD
VP & CHIEF OF HOSPITALISTS40.010.0$394,355$0$53,783Yes (X)
DAVID W ANDERSON
EXEC VP HR/OL/CCO40.010.0$590,159$0$64,119Yes (X)
NICOLE ASHE
VP FINANCE & CFO WMG40.010.0$256,832$0$46,130Yes (X)
TRACEY ATWATER
VP & FOUNDATION PRESIDENT48.02.0$264,868$0$48,197Yes (X)
BARBARA BALLARD
VP HOMECARE & HOSPICE40.010.0$376,870$0$73,407Yes (X)
JOSEPH L BRYWCZYNSKI
SVP HEALTH PARKS DEVELOPMENT40.010.0$319,737$0$59,522Yes (X)
A JAMES BUDZINSKI
EXEC VP & CFO40.012.0$645,375$0$67,649Yes (X)
DONALD CAMPBELL MD
SVP PHYS EDUC & STUDENT AFF40.010.0$437,419$0$45,134Yes (X)
LEE RANDOLPH COOK
VP MEDICINE & BEHAVIORAL HLTH40.010.0$292,193$0$48,389Yes (X)
BARBARA B COREY
SVP MANAGED CARE40.010.0$353,009$0$44,619Yes (X)
BRUCE A DEAN
VP REAL ESTATE & DEP GEN COUN40.010.0$260,414$0$64,294Yes (X)
SARATH DEGALA
VP REVENUE CYCLE MGMT40.010.0$289,953$0$34,966Yes (X)
MARCIA DELK-PAYNE MD
SVP MED AFFAIRS & CQO40.010.0$434,313$0$51,552Yes (X)
T MARK HANEY
SVP & HOSPITAL PRESIDENT2.048.0$0$334,058$46,179Yes (X)
ROBERT D JANSEN MD
EXEC VP & PRES MEDICAL GROUP40.010.0$791,804$0$71,531Yes (X)
REYNOLD J JENNINGS
PRESIDENT & CEO40.012.0$1,389,700$0$2,200Yes (X)
CHRISTOPHER M KANE
SVP STRATEGIC PLAN & BUS DEV40.010.0$403,363$0$54,031Yes (X)
BETH KOST
VP Compliance/Chf Privacy Ofcr40.010.0$278,339$0$37,798Yes (X)
ELLEN LANGFORD
VP & COO WMG40.010.0$251,119$0$36,691Yes (X)
LOUIS W LITTLE
SVP POST ACUTE/HOSP PRES2.048.0$0$303,532$53,864Yes (X)
ROBERT MANDLER
VP DIAGNOSTIC OUTREACH40.010.0$274,343$0$59,721Yes (X)
CAROL B MAXWELL
VP TALENT ACQUISTION40.010.0$128,331$0$12,302Yes (X)
KIMBERLY W MENEFEE
SVP MARKETING & GOV AFFAIRS40.010.0$334,382$0$49,550Yes (X)
JONATHAN B MORRIS MD
SVP CHIEF INFORMATION OFFICR40.010.0$479,551$0$47,874Yes (X)
KEM M MULLINS
SVP & HOSP PRESIDENT2.048.0$0$429,024$43,672Yes (X)
BRADFORD B NEWTON
VP INFORMATION TECH ADMIN40.010.0$215,090$0$38,727Yes (X)
CRAIG OWENS
SVP & HOSP PRESIDENT2.048.0$0$382,729$40,702Yes (X)
LEO E REICHERT
EXEC VP & GENERAL COUNSEL40.010.0$595,331$0$27,431Yes (X)
MICHELLE M ROBINSON
VP MARKETING/PR/INTERNAL COMM40.010.0$230,978$0$33,982Yes (X)
DEBORAH ROEGGE DE VITA
VP WOMEN & NEWBORN SVC LINE40.010.0$243,970$0$8,440Yes (X)
CANDICE L SAUNDERS
EXEC VP & COO40.010.0$539,392$108,137$65,639Yes (X)
CHRISTOPHER B SCULLEN
VP PULMONARY OPERATIONS40.010.0$196,607$0$2,497Yes (X)
JEFFERY D STANLEY
VP PHARMACY & SYS COORD40.010.0$200,737$0$27,947Yes (X)
JAMES M SWARTZ
VP ACCOUNTING40.010.0$228,870$0$36,502Yes (X)
MARY TAVERNARO
VP HUMAN RESOURCES OPERATIONS40.010.0$241,535$0$41,187Yes (X)
ADAM C THOMPSON
VP SURGERY40.010.0$202,684$0$17,822Yes (X)
ANTHONY M TRUPIANO
SVP SUPPLY CHAIN40.010.0$361,685$0$47,393Yes (X)
MARY L WESLEY
SVP NURSING SERVICES CNE40.010.0$349,633$0$56,860Yes (X)
ROBIN WILSON MD
SVP CHIEF INNOVATION OFFICER40.010.0$510,364$0$28,431Yes (X)
CHESTER ZBOROWSKI
VP Health Park Operations40.010.0$207,340$0$18,413Yes (X)
PETER JUNGBLUT MD
SVP & MEDICAL DIRECTOR40.010.0$358,267$0$56,395Yes (X)
KRISTYN GREIFER MD
VP POPULATION HEALTH MGMT40.010.0$263,708$0$10,138Yes (X)
JIMMY FRANCIS
VP INFO TECHNOLOGY OPERATIONS40.010.0$150,343$0$580Yes (X)
STEVEN GRACE
VP TALENT ACQUISITION40.010.0$144,341$0$4,206Yes (X)
ELIZABETH LOUDERMILK
VP ENT INTELLIGENCE & INTGRTN40.010.0$240,446$0$11,978Yes (X)
SANDRA LUCIUS
VP INFO TECHNOLOGY APPS40.010.0$177,459$0$26,570Yes (X)
MICHAEL PAUL
VP FACILITIES ENG SUIPPORT SVC40.010.0$86,864$0$1,985Yes (X)
BETHANY ROBERTSON
VP & CHIEF LEARNING OFFICER40.010.0$200,645$0$39,317Yes (X)
RICHARD SIEGEL
VP CARDIOLOGY & CVM ADMIN40.010.0$337,829$0$62,810Yes (X)
JAMES CLEMENTS
VP BUS DEV & STRATEGIC PRTNRSP40.010.0$131,463$0$11,124Yes (X)
DANIEL WOODS
SVP & HOSPITAL PRESIDENT2.048.0$0$425,017$69,627Yes (X)
DANIEL STYF
SVP PW HEALTH PLAN40.010.0$185,654$0$13,376Yes (X)
BARRY MANGEL MD
CHIEF CARDIAC SERVICES50.00.0$700,647$0$68,531Yes (X)
WILLIAM R MAYFIELD MD
CHIEF OF SURGERY SERVICES50.00.0$582,666$0$61,457Yes (X)
ALAN R MUSTER MD
CHIEF PULMONARY SERVICES50.00.0$543,103$0$65,674Yes (X)
PERRY G BUSBEE MD
CHIEF WOMENS SERVICES50.00.0$348,382$0$52,931Yes (X)
SAID ELAHIHABI MD
MD50.00.0$1,438,817$0$66,685Yes (X)
AHMAD KHALDI MD
MD50.00.0$906,068$0$48,531Yes (X)
WILLIAM BENEDICT JR MD
MD50.00.0$951,179$0$53,791Yes (X)
MARK MCLAUGHLIN MD
MD50.00.0$1,014,877$0$8,705Yes (X)
SALVATORE MANNINO
MD50.00.0$780,635$0$67,506Yes (X)
MICHAEL L GRAUE
FMR EXEC VP & COO0.00.0$1,166,074$0$36,144Yes (X)
KENNETH C KUNZE MD
FMR SVP CHIEF MED OFFICER0.00.0$665,985$0$26,607Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$26,654,255TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,982,497TotReportableCompRltdOrgAmt
Total Other Compensation$2,762,485TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K595IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
EPIC SYSTEMS CORPORATION
POBOX 88314MILWAUKEEWI532880314INFORMATION TECH SRV$14,148,735
IMPACT ADVISORS LLC
931 W 75TH STREET SUITE 137-304NAPERVILLEIL60565CONSULTING$7,641,896
PRESIDIO NETWORKED SOLUTIONS
PO BOX 822169PHILADELPHIAPA191822169IS$15,300,075
INGLETT AND STUBBS INC
PO BOX 932506ATLANTAGA311932506GENERAL CONTRACTOR$7,305,643
BRASFIELD AND GORRIE LLC
1190 VAUGHN RD NW SUITE 100KENNESAWGA30144GENERAL CONTRACTOR$5,247,939
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621990$264,493,282$264,493,282
COBB COUNTY DETENTION CENTER621990$5,324,465$5,324,465
EQUITY IN EARNINGS OF HOSP AFFILIATES621990$136,583,663$136,583,663
SHARED SERVICES COSTS RECOUPMENT621990$233,018,502$233,018,502
WELLNESS CENTER621400$2,292,478$2,292,478

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,153,404TotalRevenueColumnAmt
Related Or Exempt Func Income$23,153,404RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$664,865,794TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,812,596TotalRevenueColumnAmt
Exclusion$55,812,596ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,349,416RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,349,416RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,349,416TotalRevenueColumnAmt
Exclusion$1,349,416ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,137,611OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,137,611OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,137,611TotalRevenueColumnAmt
Exclusion-$1,137,611ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
LAUNDRY812300$275,210$275,210
CHILDCARE REVENUE621990$1,387,060$1,387,060
OTHER REVENUE621990$23,350,439$23,350,439
FieldValueIRS element (for citing)
Other Revenue Total$25,012,709OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$745,902,904TotalRevenueColumnAmt
Related Or Exempt Func Income$664,865,794RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$275,210UnrelatedBusinessRevenueAmt
Exclusion$80,761,900ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$339,155TotalAmt
Program Services$339,155ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$828,608TotalAmt
Program Services$828,608ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$22,812,505TotalAmt
Program Services$18,009,223ProgramServicesAmt
Management And General$4,491,508ManagementAndGeneralAmt
Fundraising$311,774FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$323,807,851TotalAmt
Program Services$252,426,836ProgramServicesAmt
Management And General$70,633,972ManagementAndGeneralAmt
Fundraising$747,043FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$28,140,705TotalAmt
Program Services$20,819,535ProgramServicesAmt
Management And General$7,213,514ManagementAndGeneralAmt
Fundraising$107,656FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,989,839TotalAmt
Program Services$9,932,618ProgramServicesAmt
Management And General$10,915,783ManagementAndGeneralAmt
Fundraising$141,438FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$24,371,998TotalAmt
Program Services$17,152,410ProgramServicesAmt
Management And General$7,110,705ManagementAndGeneralAmt
Fundraising$108,883FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,453,940TotalAmt
Management And General$1,453,940ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$477,157TotalAmt
Management And General$477,157ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$81,232,735TotalAmt
Program Services$45,233,289ProgramServicesAmt
Management And General$35,726,416ManagementAndGeneralAmt
Fundraising$273,030FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,246,585TotalAmt
Program Services$1,403,010ProgramServicesAmt
Management And General$6,778,728ManagementAndGeneralAmt
Fundraising$64,847FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,155,453TotalAmt
Program Services$7,849,492ProgramServicesAmt
Management And General$216,480ManagementAndGeneralAmt
Fundraising$89,481FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$24,740,298TotalAmt
Program Services$16,641,484ProgramServicesAmt
Management And General$8,096,311ManagementAndGeneralAmt
Fundraising$2,503FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,088,805TotalAmt
Program Services$1,036,870ProgramServicesAmt
Management And General$1,041,199ManagementAndGeneralAmt
Fundraising$10,736FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,696,371TotalAmt
Program Services$1,093,453ProgramServicesAmt
Management And General$1,591,769ManagementAndGeneralAmt
Fundraising$11,149FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,545,875TotalAmt
Management And General$11,545,875ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$233,340TotalAmt
Program Services$203,193ProgramServicesAmt
Management And General$30,147ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$32,743,635TotalAmt
Program Services$12,344,727ProgramServicesAmt
Management And General$20,385,353ManagementAndGeneralAmt
Fundraising$13,555FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,990,883TotalAmt
Program Services$6,336,766ProgramServicesAmt
Management And General$16,654,117ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
REPAIRS & MAINTENANCE$29,401,164$20,375,373$9,025,791
MEDICAL SUPPLIES$11,349,481$11,349,481
OTHER OPERATING EXPENSES$1,753,773$591,302$1,145,261$17,210

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$660,400,156TotalAmt
Program Services$443,966,825ProgramServicesAmt
Management And General$214,534,026ManagementAndGeneralAmt
Fundraising$1,899,305FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$28,636BOYAmt
EOY$65,044EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,858,777BOYAmt
EOY$33,898,944EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,238,153BOYAmt
EOY$32,995,490EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,024,689BOYAmt
EOY$8,096,858EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$40,502,038BOYAmt
EOY$34,888,229EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$630,949,041LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$274,611,543LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$260,732,010BOYAmt
EOY$356,337,498EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$786,154,750BOYAmt
EOY$675,250,308EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$39,437,459BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$901,261,227BOYAmt
EOY$1,147,856,256EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,074,237,739BOYAmt
EOY$2,289,388,627EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$106,542,553BOYAmt
EOY$227,603,596EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$515,306,698BOYAmt
EOY$516,089,829EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$94,088BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$208,269,155BOYAmt
EOY$268,379,610EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$830,212,494BOYAmt
EOY$1,012,073,035EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,233,913,516BOYAmt
EOY$1,262,583,371EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,144,876BOYAmt
EOY$9,983,343EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,966,853BOYAmt
EOY$4,748,878EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,244,025,245BOYAmt
EOY$1,277,315,592EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,074,237,739BOYAmt
EOY$2,289,388,627EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$85,502,748ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,844,055NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$58,056,456OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
CertificationYes (X)CertificationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupported Org NotifiedSupportedOrgNotifiedIndUS OrganizedUSOrganizedIndSupportSupportAmt
COBB HOSPITAL INC
58096838203Yes (true)Yes (true)Yes (true)$62,612,216
PAULDING MEDICAL CENTER INC
58209588403Yes (true)Yes (true)Yes (true)$13,508,132
KENNESTONE HOSPITAL INC
58203290403Yes (true)Yes (true)Yes (true)$134,780,804
DOUGLAS HOSPITAL INC
58202675003Yes (true)Yes (true)Yes (true)$22,125,350
FieldValueIRS element (for citing)
Supported Organizations Total4SupportedOrganizationsTotalCnt
Support Sum$233,026,502SupportSumAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsYes (true)MediaAdvertisementsInd
Media Advertisements$5,300MediaAdvertisementsAmt
Mailings MembersYes (true)MailingsMembersInd
Mailings Members$2,549MailingsMembersAmt
Publications Or BroadcastYes (true)PublicationsOrBroadcastInd
Publications Or Broadcast$2,322PublicationsOrBroadcastAmt
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$190,000GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$211,772DirectContactLegislatorsAmt
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$6,541RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$144,207OtherActivitiesAmt
Total Lobbying Expenditures$562,691TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990 Schedule C Part IVFormAndLineReferenceDesc
ExplanationDuring 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,915,000BeginningYearBalanceAmt
Contributions$771,000ContributionsAmt
Investment Earnings Or Losses$799,000InvestmentEarningsOrLossesAmt
End Year Balance$6,485,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,286,000BeginningYearBalanceAmt
Contributions$162,000ContributionsAmt
Investment Earnings Or Losses$467,000InvestmentEarningsOrLossesAmt
End Year Balance$4,915,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,416,000BeginningYearBalanceAmt
Contributions$75,000ContributionsAmt
Investment Earnings Or Losses-$37,000InvestmentEarningsOrLossesAmt
Other Expenditures$168,000OtherExpendituresAmt
End Year Balance$4,286,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,810,000BeginningYearBalanceAmt
Contributions$24,000ContributionsAmt
Investment Earnings Or Losses-$70,000InvestmentEarningsOrLossesAmt
Other Expenditures$652,000OtherExpendituresAmt
End Year Balance$3,112,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,578,000BeginningYearBalanceAmt
Contributions$19,000ContributionsAmt
Investment Earnings Or Losses-$8,000InvestmentEarningsOrLossesAmt
Other Expenditures$221,000OtherExpendituresAmt
End Year Balance$3,368,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.73000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.27000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,066,660OtherCostOrOtherBasisAmt
Book Value$45,066,660BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$163,176,432OtherCostOrOtherBasisAmt
Depreciation$47,178,681DepreciationAmt
Book Value$115,997,751BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,292,883OtherCostOrOtherBasisAmt
Depreciation$7,744,590DepreciationAmt
Book Value$4,548,293BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$408,700,403OtherCostOrOtherBasisAmt
Depreciation$219,326,850DepreciationAmt
Book Value$189,373,553BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,712,663OtherCostOrOtherBasisAmt
Depreciation$361,422DepreciationAmt
Book Value$1,351,241BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$356,337,498TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
UNAMORTIZED BORROWING COSTS$2,461,381
OTHER RECEIVABLES$1,032,674
OTHER PREPAIDS$743,322
EQUITY IN AFFILIATES$1,138,322,600
OTHER LT ASSETS$5,296,279
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,147,856,256TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ACCRUED PENSION LIABILITY$163,476,178
OTHER LONG TERM LIABILITIES$26,620,171
INSURANCE RESERVES$78,283,261
FieldValueIRS element (for citing)
Total Liability$268,379,610TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 Schedule D Part V Line 4The endowment funds held on Wellstar Health System 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 TAX LIABILITYThe following footnote from the WellStar Health System and Affiliates audited financial statements details the income tax position for the reporting period: "WellStar and all but one of 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. CAC is a controlled foreign corporation not subject to Federal Tax. WellStar applies FASB ASC 740, Income Taxes, which addresses accounting for uncertainties in income tax positions. It also provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There is no impact on WellStar's combined financial statements as a result of the application of ASC 740."

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
American Cancer Society
1825 Barrett Lakes Blvd Suite 280KennesawGA30144131623888501 (c) (3)$86,000Sponsor Fundraiser
American Heart Association
1101 Northchase Parkway Suite 1MariettaGA30067580198114501 (c) (3)$40,000Sponsor Fundraiser
Cherokee County Chamber of Commerce
PO Box 4998CantonGA30114582487501501 (c) (6)$10,590Sponsor Fundraiser
Cobb Chamber of Commerce
PO Box 671868MariettaGA30006582487501501 (c) (6)$12,225Sponsor Fundaraiser
March of Dimes
1775 The Exchange Suite 515AtlantaGA30339131846366501 (c) (3)$15,000Sponsor Fundraiser
Paulding County Chamber of Commerce
455 Jimmy Campbell PkwyDallasGA30132$5,540Sponsor Fundraiser
YWCA of Northwest Georgia
48 Henderson StMariettaGA30064580617782501 (c) (3)$25,000Sponsor Fundraiser
Rotary Club of East Cobb
PO Box 72081MariettaGA30007581654204501 (c) (3)$7,500Sponsorship
Colon Cancer Alliance
1025 Vermont Ave NWWashingtonDC20005860947831501 (c) (3)$6,000Sponsor Fundraiser
Towne Center at Cobb
400 Barrett PkwyKennesawGA30144743214411501 (c) (3)$5,250Sponsor Fundraiser
The Salvation Army
740 Marietta St NWAtlantaGA30318580660606501 (c) (3)$6,000Sponsor Fundraiser
The Careplace
1707 N Blairs Bridge RdAustellGA30168270070164501 (c) (3)$7,500Sponsor Fundraiser
Sope Creek Foundation
P O Box 681691MariettaGA30068582266191501 (c) (6)$10,000Sponsor Fundraiser
Lung Cancer Alliance
888 16th St NW Suite 150WashingtonDC20006911821040501 (c) (3)$10,000Sponsor Fundraiser
Georgia Museums Inc
P O Box 3248CatervilleGA30120201234015501 (c) (3)$10,000Sponsor Fundraising
WFSH - FM
2970 Peachtree Rd NW Suite 700AtlantaGA30305770388924501 (c) (6)$11,000Sponsor Fundraiser
City of Kennesaw
2529 J O Stephenson Ave NWKennesawGA30144586010582$16,550Contribution
Goshen Vallley
387 Gosgen Church WayWaleskaGA30183582361483501 (c) (3)$25,000Sponsor Fundraiser
FieldValueIRS element (for citing)
Total501c3 Org12Total501c3OrgCnt
Total Other Org6TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I PART I LINE 2FormAndLineReferenceDesc
ExplanationWELLSTAR HEALTH SYSTEM, INC. AND ITS AFFILIATES HAVE SET ASIDE FUNDS FOR CONTRIYUTIONS AND SPONSORSHIPS ON AN ANNUAL BASIS THAT PROVIDE ASSISTANCE TO NATIONAL AND LOCAL TAX EXEMPT ORGANIZATIONS IN THE FURTHERANCE OF THE COMMUNITY NEEDS. WELLSTAR ALSO HAS SEVERAL AGREEMENTS WITH AREA COLLEGES AND UNIVERSITIES TO PROMOTE HEALTHCARE RELATED CAREER OPPORTUNITIES. WELLSTAR PROVIDES SCHOLARSHIPS TO LOCAL STUDENTS FOR HEALTHCARE COURSES OF STUDY. ALL SPONSORSHIPS AND SCHOLARSHIPS ARE AWARD BASED ON SPECIFIC QUALIFICATIONS WITHOUT REGARD TO AGE, GENDER, OR ETHNICITY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (62 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AVRIL P BECKFORD MD
TRUSTEE$389,384$0$60,399$0$7,126$0$28,100$0$1,870$0$486,879$0$0$0
THOMAS GEARHARD MD
TRUSTEE$384,953$0$90,185$0$9,104$0$43,876$0$28,431$0$556,549$0$0$0
JEFFERY THARP MD
TRUSTEE$468,886$0$90,202$0$7,232$0$45,600$0$27,348$0$639,268$0$0$0
VALERY A AKOPOV MD
VP & CHIEF OF HOSPITALISTS$310,404$0$70,715$0$13,236$0$28,100$0$25,683$0$448,138$0$0$0
DAVID W ANDERSON
EXEC VP HR/OL/CCO$404,417$0$159,785$0$25,957$0$45,600$0$18,519$0$654,278$0$0$0
NICOLE ASHE
VP FINANCE & CFO WMG$214,535$0$31,427$0$10,870$0$22,501$0$23,629$0$302,962$0$0$0
TRACEY ATWATER
VP & FOUNDATION PRESIDENT$225,168$0$26,358$0$13,342$0$22,353$0$25,844$0$313,065$0$0$0
BARBARA BALLARD
VP HOMECARE & HOSPICE$232,916$0$126,392$0$17,562$0$45,600$0$27,807$0$450,277$0$0$0
JOSEPH L BRYWCZYNSKI
SVP HEALTH PARKS DEVELOPMENT$260,476$0$40,655$0$18,606$0$45,600$0$13,922$0$379,259$0$0$0
A JAMES BUDZINSKI
EXEC VP & CFO$526,234$0$102,668$0$16,473$0$45,600$0$22,049$0$713,024$0$0$0
DONALD CAMPBELL MD
SVP PHYS EDUC & STUDENT AFF$319,526$0$97,801$0$20,092$0$26,376$0$18,758$0$482,553$0$0$0
LEE RANDOLPH COOK
VP MEDICINE & BEHAVIORAL HLTH$250,291$0$29,549$0$12,353$0$28,100$0$20,289$0$340,582$0$0$0
BARBARA B COREY
SVP MANAGED CARE$294,105$0$45,904$0$13,000$0$21,192$0$23,427$0$397,628$0$0$0
BRUCE A DEAN
VP REAL ESTATE & DEP GEN COUN$222,219$0$26,013$0$12,182$0$45,600$0$18,694$0$324,708$0$0$0
SARATH DEGALA
VP REVENUE CYCLE MGMT$256,000$0$24,631$0$9,322$0$14,300$0$20,666$0$324,919$0$0$0
MARCIA DELK-PAYNE MD
SVP MED AFFAIRS & CQO$361,498$0$56,423$0$16,392$0$45,600$0$5,952$0$485,865$0$0$0
MICHAEL L GRAUE
FMR EXEC VP & COO$539,531$0$596,480$0$30,063$0$22,000$0$14,144$0$1,202,218$0$0$0
T MARK HANEY
SVP & HOSPITAL PRESIDENT$0$266,032$0$49,532$0$18,494$0$28,100$0$18,079$0$380,237$0$0
ROBERT D JANSEN MD
EXEC VP & PRES MEDICAL GROUP$576,801$0$191,534$0$23,469$0$45,600$0$25,931$0$863,335$0$0$0
REYNOLD J JENNINGS
PRESIDENT & CEO$975,000$0$392,445$0$22,255$0$0$0$2,200$0$1,391,900$0$0$0
CHRISTOPHER M KANE
SVP STRATEGIC PLAN & BUS DEV$333,404$0$52,038$0$17,921$0$28,100$0$25,931$0$457,394$0$0$0
BETH KOST
VP Compliance/Chf Privacy Ofcr$238,762$0$27,950$0$11,627$0$22,218$0$15,580$0$316,137$0$0$0
KENNETH C KUNZE MD
FMR SVP CHIEF MED OFFICER$557,251$0$79,798$0$28,936$0$21,789$0$4,818$0$692,592$0$0$0
ELLEN LANGFORD
VP & COO WMG$215,010$0$25,595$0$10,514$0$17,494$0$19,197$0$287,810$0$0$0
LOUIS W LITTLE
SVP POST ACUTE/HOSP PRES$0$241,301$0$46,915$0$15,316$0$30,800$0$23,064$0$357,396$0$0
ROBERT MANDLER
VP DIAGNOSTIC OUTREACH$209,039$0$45,374$0$19,930$0$45,168$0$14,553$0$334,064$0$0$0
KIMBERLY W MENEFEE
SVP MARKETING & GOV AFFAIRS$275,658$0$43,175$0$15,549$0$28,100$0$21,450$0$383,932$0$0$0
JONATHAN B MORRIS MD
SVP CHIEF INFORMATION OFFICR$360,500$0$104,879$0$14,172$0$22,174$0$25,700$0$527,425$0$0$0
KEM M MULLINS
SVP & HOSP PRESIDENT$0$370,800$0$36,921$0$21,303$0$22,600$0$21,072$0$472,696$0$0
BRADFORD B NEWTON
VP INFORMATION TECH ADMIN$187,990$0$17,821$0$9,279$0$20,733$0$17,994$0$253,817$0$0$0
CRAIG OWENS
SVP & HOSP PRESIDENT$0$263,719$0$105,293$0$13,717$0$19,770$0$20,932$0$423,431$0$0
LEO E REICHERT
EXEC VP & GENERAL COUNSEL$477,407$0$93,142$0$24,782$0$0$0$27,431$0$622,762$0$0$0
MICHELLE M ROBINSON
VP MARKETING/PR/INTERNAL COMM$191,580$0$29,902$0$9,496$0$13,817$0$20,165$0$264,960$0$0$0
DEBORAH ROEGGE DE VITA
VP WOMEN & NEWBORN SVC LINE$190,963$0$41,450$0$11,557$0$0$0$8,440$0$252,410$0$0$0
CANDICE L SAUNDERS
EXEC VP & COO$442,689$88,750$80,407$16,120$16,296$3,267$37,680$7,554$16,997$3,408$594,069$119,099$0$0
CHRISTOPHER B SCULLEN
VP PULMONARY OPERATIONS$168,216$0$19,691$0$8,700$0$953$0$1,544$0$199,104$0$0$0
JEFFERY D STANLEY
VP PHARMACY & SYS COORD$172,016$0$19,203$0$9,518$0$20,004$0$7,943$0$228,684$0$0$0
JAMES M SWARTZ
VP ACCOUNTING$195,357$0$22,869$0$10,644$0$15,918$0$20,584$0$265,372$0$0$0
MARY TAVERNARO
VP HUMAN RESOURCES OPERATIONS$206,877$0$24,217$0$10,441$0$27,803$0$13,384$0$282,722$0$0$0
ADAM C THOMPSON
VP SURGERY$162,787$0$19,056$0$20,841$0$0$0$17,822$0$220,506$0$0$0
ANTHONY M TRUPIANO
SVP SUPPLY CHAIN$261,720$0$84,521$0$15,444$0$45,600$0$1,793$0$409,078$0$0$0
MARY L WESLEY
SVP NURSING SERVICES CNE$285,516$0$48,277$0$15,840$0$43,701$0$13,159$0$406,493$0$0$0
ROBIN WILSON MD
SVP CHIEF INNOVATION OFFICER$386,250$0$107,359$0$16,755$0$0$0$28,431$0$538,795$0$0$0
CHESTER ZBOROWSKI
VP Health Park Operations$161,710$0$35,101$0$10,529$0$0$0$18,413$0$225,753$0$0$0
BARRY MANGEL MD
CHIEF CARDIAC SERVICES$618,839$0$76,084$0$5,724$0$40,100$0$28,431$0$769,178$0$0$0
WILLIAM R MAYFIELD MD
CHIEF OF SURGERY SERVICES$527,869$0$51,034$0$3,763$0$40,100$0$21,357$0$644,123$0$0$0
ALAN R MUSTER MD
CHIEF PULMONARY SERVICES$483,374$0$56,536$0$3,193$0$40,794$0$24,880$0$608,777$0$0$0
PERRY G BUSBEE MD
CHIEF WOMENS SERVICES$307,297$0$35,403$0$5,682$0$27,946$0$24,985$0$401,313$0$0$0
SAID ELAHIHABI MD
MD$998,529$0$435,634$0$4,654$0$40,100$0$26,585$0$1,505,502$0$0$0
AHMAD KHALDI MD
MD$875,300$0$25,728$0$5,040$0$22,600$0$25,931$0$954,599$0$0$0
WILLIAM BENEDICT JR MD
MD$698,798$0$249,220$0$3,161$0$34,267$0$19,524$0$1,004,970$0$0$0
MARK MCLAUGHLIN MD
MD$640,389$0$371,218$0$3,270$0$0$0$8,705$0$1,023,582$0$0$0
PETER JUNGBLUT MD
SVP & MEDICAL DIRECTOR$288,480$0$47,451$0$22,336$0$40,100$0$16,295$0$414,662$0$0$0
KRISTYN GREIFER MD
VP POPULATION HEALTH MGMT$219,245$0$36,675$0$7,788$0$0$0$10,138$0$273,846$0$0$0
JIMMY FRANCIS
VP INFO TECHNOLOGY OPERATIONS$96,160$0$39,913$0$14,270$0$0$0$580$0$150,923$0$0$0
ELIZABETH LOUDERMILK
VP ENT INTELLIGENCE & INTGRTN$206,215$0$24,140$0$10,091$0$0$0$11,978$0$252,424$0$0$0
SANDRA LUCIUS
VP INFO TECHNOLOGY APPS$161,658$0$12,427$0$3,374$0$23,999$0$2,571$0$204,029$0$0$0
BETHANY ROBERTSON
VP & CHIEF LEARNING OFFICER$177,162$0$16,307$0$7,176$0$11,898$0$27,419$0$239,962$0$0$0
RICHARD SIEGEL
VP CARDIOLOGY & CVM ADMIN$266,559$0$59,361$0$11,909$0$40,777$0$22,033$0$400,639$0$0$0
SALVATORE MANNINO
MD$412,489$0$363,106$0$5,040$0$40,100$0$27,406$0$848,141$0$0$0
DANIEL WOODS
SVP & HOSPITAL PRESIDENT$0$357,456$0$49,403$0$18,158$0$44,249$0$25,378$0$494,644$0$0
DANIEL STYF
SVP PW HEALTH PLAN$148,086$0$30,000$0$7,568$0$9,327$0$4,049$0$199,030$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NON-FIXED PAYMENTS TO OFFICERSAs 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: People & Customer Service goal for employee "Trust Index", Quality & Safety goal for clinical excellence and patient satisfaction, 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.
SEVERANCE PAYMENTSPursuant to their respective employment agreements, the following groups of officers are entitled to severance payments based on their compensation at that time in the event of certain identified circumstances. The severance payment periods are 24 months for Executive Vice Presidents, 18 months for Senior Vice Presidents, and 12 months for Vice Presidents. The following officers received severance pay during the period: Michael Graue $323,718; Kenneth Kunze, MD $334,351; and Elizabeth Person $41,928.
OTHER COMPENSATIONWhile WellStar Health System and its affiliates do not have a written policy regarding payment or reimbursement of the items listed in Part 1 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 IIIOn Schedule J of IRS Form 990 the following individual was employed as an officer of WellStar Health System and/or its Affiliates during the reporting period but did not have salary and benefits in the calendar year for which this schedule applies: Kevin Deter.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
HOSPITAL AUTHORITY OF COBB COUNTY
B58246460019081PEM42004-04-30$25,000,000EQUIPMENT POOLfalsefalsefalse
COBB COUNTY KENNESTONE HOSPITAL AUTHORITY
C581147004190813LN32005-10-31$120,000,000CAPITAL IMPROVEMENTS (Series A & Bfalsefalsefalse
HOSPITAL AUTHORITY OF COBB COUNTY
D58246460019081PEN22006-06-30$25,000,000EQUIPMENT POOLfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
B$0$0$25,000,000$0$0$0$0$0$0$25,000,000$0$02004falsefalseYes (true)Yes (true)
C$3,875,000$0$120,000,000$0$0$0$1,167,300$0$0$116,948,276$1,884,424$02007falsefalseYes (true)Yes (true)
D$0$0$25,000,000$0$0$0$0$0$0$25,000,000$0$02006

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePct
Bfalsefalsefalsefalse0
Cfalsefalsefalsefalse0.000200.000200.00040
Dfalsefalsefalse0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedInd
0
BfalseYes (true)Yes (true)falsefalse0false
0
CfalseYes (true)false0false
0
DfalseYes (true)false0false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH K PART V POST ISSUANCE TAX COMPLIANCE FOR TAX EXEMPT BONDSFormAndLineReferenceDesc
ExplanationWELLSTAR 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 (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COBB COUNTY KENNESTONE HOSPITAL AUTHORITY
A581147004190813NM32011-11-01$127,345,930CONSTRUCTIONfalsefalsefalse
PAULDING COUNTY HOSPITAL AUTHORITY
B586011214703596DH62012-06-28$32,711,016CONSTRUCTION SERIES Afalsefalsefalse
PAULDING COUNTY HOSPITAL AUTHORITY
C586011214703596DK92012-06-28$68,750,000CONSTRUCTION SERIES Bfalsefalsefalse
COBB COUNTY KENNESTONE HOSPITAL AUTHORITY
D581147004190813PH22012-11-15$122,366,879ADVANCED REFUNDING CONSTRUCTIONfalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,205,000$0$127,345,930$0$0$50,962,739$1,383,191$0$0$75,000,000$0$02011Yes (true)Yes (true)falseYes (true)
B$0$0$32,711,016$14,896,852$446,282$0$437,500$0$0$17,151,433$0$0falsefalsefalseYes (true)
C$0$0$68,750,000$27,382,125$1,945,963$0$471,875$0$0$39,576,733$0$0falsefalsefalseYes (true)
D$0$0$122,366,879$0$0$121,287,509$1,079,370$0$0$0$0$0Yes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalse0falsefalsefalse
Bfalsefalsefalse0falsefalsefalse
Cfalsefalse0
D0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndNo Rebate DueNoRebateDueIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueInd
0
AfalseYes (true)false0false
0
Bfalsefalse0falseYes (true)false
0
Cfalsefalse0falseYes (true)Yes (true)
0
Dfalsefalse0falseYes (true)false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (11 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
PAMELA ETHERIDGE
WIFE OF OFFICER$61,285EMPLOYEE OF WELLSTARfalse
GREG FORTGANG
SON-IN-LAW OF TRUSTEE$100,521EMPLOYEE OF WELLSTARfalse
JESSICA HANEY
DAUGHTER OF OFFICER$62,455EMPLOYEE OF WELLSTARfalse
GEORGE FLEMING
BROTHER OF OFFICER$66,332EMPLOYEE OF WELLSTAR/COBBfalse
GREYSTONE POWER
BOARD MEMBER$911,408EXPLANATION IN PART Vfalse
MATTHEW MADDOX
SON OF BOARD MEMBER$78,440EMPLOYEE OF WELLSTARfalse
PUCKETT EMS AMBULANCE SERVICE
BROTHER-IN-LAW OF OFFICER$168,934EXPLANATION IN PART Vfalse
BONNIE MILLER
WIFE OF BOARD MEMBER$34,394EMPLOYEE OF WELLSTARfalse
GREG KOST
BROTHER-IN-LAW OF OFFICER$49,327EMPLOYEE OF WELLSTARfalse
BRIAN BUSBEE
SON OF KEY EMPLOYEE$84,069EMPLOYEE OF WELLSTARfalse
JENNIFER HANEY
DAUGHTER-IN-LAW OF OFFCER$79,812EMPLOYEE OF WELLSTARfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH L PART IV TRANSACTIONS WITH INTERESTED PARTIESFormAndLineReferenceDesc
ExplanationOn Schedule L Part IV we have several interested parties that require additional explanation for the transactions: Board Trustee Gary Miller is President of Greystone Power which provides electric service to certain Wellstar Hospitals and Physician practices in the normal course of business. The total amount of the transactions with Greystone is $911,408--$601,917 related to Douglas Hospital, $163,626 and $145,865 related to Wellstar Medical Group. Steve Puckett is the brother-in-law of Ellen Langford, an officer with Wellstar Health System. Mr. Puckett is the President of Puckett EMS Ambulance Service which provides ambulance services to several Wellstar Health System affiliates. Individually all of the entity specific transactions are less than $100,000 but in aggregate total $168,934. All of these services or transactions are in the normal course of business within the system.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
VOLUNTEERSForm 990 Part I General Information WellStar Health System, Inc. through its affiliated business organizations operates five hospitals and throughout the system there are approximately 800 volunteers who make up the network of people who donate their time to serving our healthcare community. Kennestone Hospital, Inc. has approximately 400 volunteers between Kennestone and Windy Hill. The Cobb Auxiliary has approximately 200 volunteers. Douglas Hospital and Paulding Hospital have approximately 100 volunteers each in their respective auxiliaries. AUDITED FINANCIAL STATEMENTS Form 990 Part IV Line 12 and Part XI 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 Affiliates. "The independent auditors report includes the accounts of Wellstar and its controlled affiliates, Kennestone Hospital, Inc., Cobb Hospital, Inc., Douglas Hospital, Inc., Paulding Medical Center, Inc., Wellstar 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 has the authority to approve appointments of the members of the board of trustees of all affiliate corporations." PROCESS OF 990 BOARD REVIEW Form 990 PART VI LINE 11A Internal staff prepare the organization's Form 990. Before filing the return with the Internal Revenue Service an external accounting firm, PricewaterhouseCoopers, 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.
CONFLICT OF INTEREST POLICYFORM 990 PART VI SECTION B Line 12 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.
PROCESS OF EXEC COMPENSATIONFORM 990 PART VI SECTION B Lines 15a & 15b 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 himself from that process but 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.
DISCLOSURE OF FINANCIAL DOCUMENTSFORM 990 PART VI SECTION C Line 19 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 it also publishes a community benefit report once a year for distribution to the public.
COMPENSATION INFORMATION ON FORM 990FORM 990 PART VII COMPENSATION, PART IX LINES 5-7 & SCHEDULE J & J-1 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).
OFFICERS HOURS WORKEDFORM 990 GENERAL STATEMENT & SCHEDULE J The officers devote their time to all of the organizations with 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.
Other Changes In Net AssetsFORM 990 PART XI LINE 9 The other changes in net assets for Wellstar Health System, Inc. are as result of pension adjustments, assets released from restriction, and other changes in net assets, totaling ($58,056,456).
Transactions with Related OrganizationsForm 990 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 organizations, j) Lease of facilities, equipment, or other assets from other organizations, n) Sharing of paid employees, o) Reimbursement paid to other organizations, q) Other transfers of cash or property to other organizations, r) Other transfers of cash or property from other organizations.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (90 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Wellstar Medical Group LLC
805 Sandy Plains RoadMariettaGA30066273818647HealthcareGA$62,621,914WHS Inc
Cobb Gynecologists 2 LLC
805 Sandy Plains RoadMariettaGA30066020808099HealthcareGA$0NA
South Cobb OB-GYN 2 LLC
805 Sandy Plains RoadMariettaGA30066020808071HealthcareGA$0NA
WellStar Acworth Family Practice LLC
805 Sandy Plains RoadMariettaGA30066412243451HealthcareGA$0NA
WellStar Atlanta General Surgery LLC
805 Sandy Plains RoadMariettaGA30066264271578HealthcareGA$0NA
WellStar Behavioral Health LLC
805 Sandy Plains RoadMariettaGA30066582500211HealthcareGA$0NA
Wellstar Cardiovascular Medicine LLC
805 Sandy Plains RoadMariettaGA30066263557639HealthcareGA$0NA
WellStar Cherokee Street Internal and Pr
805 Sandy Plains RoadMariettaGA30066161735178HealthcareGA$0NA
WellStar Cobb Family Medicine LLC
805 Sandy Plains RoadMariettaGA30066582560699HealthcareGA$0NA
WellStar Cobb Gynecologists LLC
805 Sandy Plains RoadMariettaGA30066582502440HealthcareGA$0NA
WellStar Cobb Hospitalists LLC
805 Sandy Plains RoadMariettaGA30066753140245HealthcareGA$0NA
WellStar Cobb Medical Group LLC
805 Sandy Plains RoadMariettaGA30066582586050HealthcareGA$0NA
WellStar Cobb Rehabilitation Medicine L
805 Sandy Plains RoadMariettaGA30066582587322HealthcareGA$0NA
WellStar Cobb Surgical Associates LLC
805 Sandy Plains RoadMariettaGA30066562469675HealthcareGA$0NA
WellStar Cooper Lake Family Medicine LL
805 Sandy Plains RoadMariettaGA30066264295540HealthcareGA$0NA
WellStar Cornerstone Family Medicine LL
805 Sandy Plains RoadMariettaGA30066061745258HealthcareGA$0NA
WellStar Cousins and Cantrell LLC
805 Sandy Plains RoadMariettaGA30066582586291HealthcareGA$0NA
WellStar Creekside Pediatrics LLC
805 Sandy Plains RoadMariettaGA30066582499179HealthcareGA$0NA
WellStar Douglas Surgical Associates LL
805 Sandy Plains RoadMariettaGA30066300364595HealthcareGA$0NA
WellStar Douglasville Medical Center at
805 Sandy Plains RoadMariettaGA30066753245214HealthcareGA$0NA
WellStar Douglasville Medical Center LL
805 Sandy Plains RoadMariettaGA30066582577971HealthcareGA$0NA
WellStar East Cobb Medical Center LLC
805 Sandy Plains RoadMariettaGA30066582598851HealthcareGA$0NA
WellStar East Paulding Pediatric Center
805 Sandy Plains RoadMariettaGA30066582598855HealthcareGA$0NA
WellStar East Paulding Primary Care Cent
805 Sandy Plains RoadMariettaGA30066582598856HealthcareGA$0NA
WellStar Infectious Disease LLC
805 Sandy Plains RoadMariettaGA30066582502436HealthcareGA$0NA
WellStar Internal Medicine Associates of
805 Sandy Plains RoadMariettaGA30066582586054HealthcareGA$0NA
WellStar Internal Medicine at Douglasvil
805 Sandy Plains RoadMariettaGA30066582598842HealthcareGA$0NA
WellStar Internal Medicine at Paulding
805 Sandy Plains RoadMariettaGA30066300355547HealthcareGA$0NA
WellStar Internal Medicine of Cobb LLC
805 Sandy Plains RoadMariettaGA30066562445102HealthcareGA$0NA
WellStar KenMar Pediatrics LLC
805 Sandy Plains RoadMariettaGA30066582577974HealthcareGA$0NA
WellStar Kennesaw Medical Center LLC
805 Sandy Plains RoadMariettaGA30066582568534HealthcareGA$0NA
WellStar Kennestone OBGYN 2 LLC
805 Sandy Plains RoadMariettaGA30066300355553HealthcareGA$0NA
WellStar Kennestone OBGYN LLC
805 Sandy Plains RoadMariettaGA30066582499183HealthcareGA$0NA
WellStar Kennestone Pediatric Associates
805 Sandy Plains RoadMariettaGA30066582586286HealthcareGA$0NA
WellStar Marietta Adult Medicine Associa
805 Sandy Plains RoadMariettaGA30066582635392HealthcareGA$0NA
WellStar Marietta Family Medicine LLC
805 Sandy Plains RoadMariettaGA30066582577972HealthcareGA$0NA
WellStar Marietta Internal Medicine LLC
805 Sandy Plains RoadMariettaGA30066582586289HealthcareGA$0NA
WellStar Marietta Pediatrics LLC
805 Sandy Plains RoadMariettaGA30066582598854HealthcareGA$0NA
WellStar Marietta Primary Care LLC
805 Sandy Plains RoadMariettaGA30066582577979HealthcareGA$0NA
WellStar Marietta Pulmonary Medicine LL
805 Sandy Plains RoadMariettaGA30066582586292HealthcareGA$0NA
WellStar Medical Specialists 2 LLC
805 Sandy Plains RoadMariettaGA30066753261729HealthcareGA$0NA
WellStar Medical Specialists LLC
805 Sandy Plains RoadMariettaGA30066582586293HealthcareGA$0NA
WellStar Midani Pediatric Practice LLC
805 Sandy Plains RoadMariettaGA30066582598853HealthcareGA$0NA
WellStar Neurosurgery LLC
805 Sandy Plains RoadMariettaGA30066300067488HealthcareGA$0NA
WellStar North Cobb Pediatrics LLC
805 Sandy Plains RoadMariettaGA30066582518119HealthcareGA$0NA
WellStar North Cobb Women's Health 2 LL
805 Sandy Plains RoadMariettaGA30066412243450HealthcareGA$0NA
WellStar North Cobb Women's Health LLC
805 Sandy Plains RoadMariettaGA30066582499178HealthcareGA$0NA
WellStar North Douglas OBGYN LLC
805 Sandy Plains RoadMariettaGA30066582598852HealthcareGA$0NA
WellStar Northwest Women's Care LLC
805 Sandy Plains RoadMariettaGA30066582499181HealthcareGA$0NA
WellStar Occupational Health LLC
805 Sandy Plains RoadMariettaGA30066582510194HealthcareGA$0NA
WellStar Palliative Medicine LLC
805 Sandy Plains RoadMariettaGA30066223972021HealthcareGA$0NA
WellStar Paulding Surgical Associates L
805 Sandy Plains RoadMariettaGA30066743130874HealthcareGA$0NA
WellStar Pediatric & Adolescent Center
805 Sandy Plains RoadMariettaGA30066582570392HealthcareGA$0NA
WellStar Pediatric & Family Wellness Cen
805 Sandy Plains RoadMariettaGA30066264687089HealthcareGA$0NA
WellStar Pediatric Professionals LLC
805 Sandy Plains RoadMariettaGA30066320093335HealthcareGA$0NA
WellStar Pediatrics at Brookstone LLC
805 Sandy Plains RoadMariettaGA30066582598844HealthcareGA$0NA
WellStar Phillips Women's Care LLC
805 Sandy Plains RoadMariettaGA30066582586058HealthcareGA$0NA
WellStar Physicians Group Douglas Hospit
805 Sandy Plains RoadMariettaGA30066161735192HealthcareGA$0NA
WellStar Physicians Group ENT LLC
805 Sandy Plains RoadMariettaGA30066582473668HealthcareGA$0NA
WellStar Physicians Group Hospitalists
805 Sandy Plains RoadMariettaGA30066582461494HealthcareGA$0NA
WellStar Physicians Group Pathologists
805 Sandy Plains RoadMariettaGA30066582461493HealthcareGA$0NA
WellStar Powder Springs Medical Center
805 Sandy Plains RoadMariettaGA30066582586052HealthcareGA$0NA
WellStar Rehab Medicine LLC
805 Sandy Plains RoadMariettaGA30066582532917HealthcareGA$0NA
WellStar Rheumatology Associates of Mari
805 Sandy Plains RoadMariettaGA30066450559274HealthcareGA$0NA
WellStar Shallowford Medical Center LLC
805 Sandy Plains RoadMariettaGA30066582598849HealthcareGA$0NA
WellStar Smyrna Primary Care Center LLC
805 Sandy Plains RoadMariettaGA30066582598843HealthcareGA$0NA
WellStar South Cobb Primary Care LLC
805 Sandy Plains RoadMariettaGA30066582586290HealthcareGA$0NA
WellStar South Cobb Rheumatology LLC
805 Sandy Plains RoadMariettaGA30066412243448HealthcareGA$0NA
WellStar Surgical Associates of Marietta
805 Sandy Plains RoadMariettaGA30066562469677HealthcareGA$0NA
WellStar Thoracic Surgery Associates LLC
805 Sandy Plains RoadMariettaGA30066263540626HealthcareGA$0NA
WellStar Towne Lake Medical Center LLC
805 Sandy Plains RoadMariettaGA30066582586287HealthcareGA$0NA
WellStar Towne Lake Pediatrics LLC
805 Sandy Plains RoadMariettaGA30066582577980HealthcareGA$0NA
WellStar Urgent Care at Cooper Lake LLC
805 Sandy Plains RoadMariettaGA30066300378808HealthcareGA$0NA
WellStar Urgent Care at Towne Lake LLC
805 Sandy Plains RoadMariettaGA30066582586061HealthcareGA$0NA
WellStar Urgent Care in Kennesaw LLC
805 Sandy Plains RoadMariettaGA30066582568565HealthcareGA$0NA
WellStar Urgent Care on Delk Road LLC
805 Sandy Plains RoadMariettaGA30066582577976HealthcareGA$0NA
WellStar Urgent Care on Sandy Plains Roa
805 Sandy Plains RoadMariettaGA30066582598845HealthcareGA$0NA
WellStar West Cobb Medical Center LLC
805 Sandy Plains RoadMariettaGA30066582586288HealthcareGA$0NA
WellStar Woodlawn Commons Family Practic
805 Sandy Plains RoadMariettaGA30066582586053HealthcareGA$0NA
Homecare Billing Services LLC
805 Sandy Plains RoadMariettaGA30066582479534HealthcareGA$2,994,511NA
Wellstar Windy Hill Apothecary LLC
805 Sandy Plains RoadMariettaGA30066562511925HealthcareGA$1,102,029NA
Wellstar Bi-County ENT LLC
805 Sandy Plains RoadMariettaGA30066272258194HealthcareGA$0NA
Wellstar Comprehensive Bariatric Srv LLC
805 Sandy Plains RoadMariettaGA30066271716783HealthcareGA$0NA
Wellstar Family Medicine LLC
805 Sandy Plains RoadMariettaGA30066273565358HealthcareGA$0NA
Wellstar Home Health LLC
805 Sandy Plains RoadMariettaGA30066270277843HealthcareGA$5,812,873WHS Inc
Wellstar Health Network LLC
805 Sandy Plains RoadMariettaGA30066273870970HealthcareGAWHS Inc
Wellstar Health Ventures LLC
805 Sandy Plains RoadMariettaGA30066453754932HealthcareGA$883,513WHS Inc
Wellstar IPA LLC
805 Sandy Plains RoadMariettaGA30066581649541InsuranceGA$0NA
Wellstar Community Hospice LLC
805 Sandy Plains RoadMariettaGA30066134350580HealthcareGA$8,807,384NA
Center for Health Transformation
805 Sandy Plains RoadMariettaGA30066581649541HealthcareGA$0NA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
CHS Foundation Inc
805 Sandy Plains RoadMariettaGA30066581649540FoundationGA501(C)(3)11 Type 2WHSYes (true)
Cobb Hospital Inc
805 Sandy Plains RoadMariettaGA30066580968382HealthcareGA501(C)(3)3WHSYes (true)
Douglas Hospital Inc
805 Sandy Plains RoadMariettaGA30066582026750HealthcareGA501(C)(3)3WHSYes (true)
Kennestone Hospital Inc
805 Sandy Plains RoadMariettaGA30066582032904HealthcareGA501(C)(3)3WHSYes (true)
Paulding Medical Center Inc
805 Sandy Plains RoadMariettaGA30066582095884HealthcareGA501(C)(3)3WHSYes (true)
Wellstar Foundation Inc
805 Sandy Plains RoadMariettaGA30066581627413FoundationGA501(C)(3)11 Type 2WHSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Kennestone South Parking Deck
805 Sandy Plains RoadMariettaGA300666340581649541PARKINGGANAINVESTMENT$108,373$1,673,218falsefalse0.45000
Cobb Hospital Parking Company LLC
805 Sandy Plains RoadMariettaGA300666340752999669PARKINGGANAINVESTMENT$32,610$727,353falsefalse0.62500

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Community Assurance CoBusinessNameLine1

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line13rd Fl Barclays Hse Shedden RdAddressLine1
CityGeorge TownCity
Province Or StateCayman IslandsProvinceOrState
CountryCJCountry
FieldValueIRS element (for citing)
EIN581649541EIN
Primary ActivitiesINSURANCEPrimaryActivitiesTxt
Legal Domicile Foreign CountryCJLegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WHS INCBusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeC-CORPEntityTypeTxt
Share Of EOY Assets$64,703,036ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Cobb Hospital Inc
q$62,612,216actual cost
Douglas Hospital Inc
q$22,125,350actual cost
Kennestone Hospital Inc
q$134,780,804actual cost
Paulding Medical Center Inc
q$13,500,132actual cost