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WELLSTAR HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WELLSTAR HEALTH SYSTEM INC (EIN 58-1649541)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201421349349304842
Schema version
2012v2.3
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)
Timestamp2014-05-14T13:47:22-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581649541EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WELLSTAR HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JAMES M SWARTZInCareOfName
Name ControlWELLNameControl
Phone7707925023Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJAMES M SWARTZName
TitleVP ACCOUNTINGTitle
Phone7707925023Phone
Date Signed2014-05-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonREYNOLD J JENNINGSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1805 Sandy Plains RoadAddressLine1
CityMariettaCity
StateGAState
ZIP Code300666340ZIPCode
FieldValueIRS element (for citing)
Gross Receipts703182910GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.wellstar.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTO DELIVER WORLD-CLASS CHARITABLE HEALTHCARE TO THE COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees4945TotalNbrEmployees
Total Nbr Volunteers800TotalNbrVolunteers
Total Gross UBI298644TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year612340835ProgramServiceRevenuePriorYear
Program Service Revenue CY653903471ProgramServiceRevenueCY
Investment Income Prior Year17029852InvestmentIncomePriorYear
Investment Income Current Year28077016InvestmentIncomeCurrentYear
Other Revenue Prior Year16450932OtherRevenuePriorYear
Other Revenue Current Year21014857OtherRevenueCurrentYear
Total Revenue Prior Year645821619TotalRevenuePriorYear
Total Revenue Current Year702995344TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1467531GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1518880GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year347868896SalariesEtcPriorYear
Salaries Etc Current Year397394838SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2077830TotalFundrsngExpCurrentYear
Other Expense Prior Year182732523OtherExpensePriorYear
Other Expenses Current Year215783890OtherExpensesCurrentYear
Total Expenses Prior Year532068950TotalExpensesPriorYear
Total Expenses Current Year614697608TotalExpensesCurrentYear
Revenues Less Expenses Prior Year113752669RevenuesLessExpensesPriorYear
Revenues Less Expenses CY88297736RevenuesLessExpensesCY
Total Assets BOY1902757167TotalAssetsBOY
Total Assets EOY2074237739TotalAssetsEOY
Total Liabilities BOY914279547TotalLiabilitiesBOY
Total Liabilities EOY830212494TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY988477620NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1244025245NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense424541644Expense
Revenue653903471Revenue
DescriptionWELLSTAR 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 screenDescription
Total Program Service Expense424541644TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficetrueForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees4945NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMES M SWARTZNamePerson
Telephone Number7707925023TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (80 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
AVRIL P BECKFORD MD
TRUSTEE40.010.0X433483022804
RANDALL BENTLEY JR
TRUSTEE1.05.0X1912200
OTIS BRUMBY III
TRUSTEE1.05.0X412000
SHAN COOPER
TRUSTEE1.05.0X46800
ROBERT CROSS MD
TRUSTEE1.05.0X516600
TE RUSTY DURHAM
TRUSTEE10.05.0X3720101410
THOMAS GEARHARD MD
TRUSTEE40.010.0X533324070106
DAVID HAFNER MD
TRUSTEE1.05.0X2131400
T FITZ JOHNSON
TRUSTEE1.05.0X1055100
CHARLES J JONES
TRUSTEE1.05.0X1588700
JANIE MADDOX
TRUSTEE CHAIR1.05.0X1682900
GARY MILLER
TRUSTEE VICE CHAIR1.05.0X314000
STEVEN W OWEIDA MD
TRUSTEE1.05.0X1904100
TOM PHILLIPS
TRUSTEE1.05.0X259900
WALTER G ROBINSON
TRUSTEE1.05.0X968400
FRANK ROS
TRUSTEE1.05.0X92700
W ALLEN SEPARK
TRUSTEE1.07.0X916800
JEFFERY THARP MD
TRUSTEE40.010.0X609909065330
VALERY A AKOPOV MD
VP & CHIEF OF HOSPITALISTS40.010.0369292030115X
DAVID W ANDERSON
EXEC VP HR/OL/CCO40.010.01009113077916X
NICOLE ASHE
VP FINANCE & CFO WMG40.010.0229204034796X
TRACEY ATWATER
VP & FOUNDATION PRESIDENT48.02.0292813038311X
BARBARA BALLARD
VP HOMECARE & HOSPICE40.010.0269237041328X
JOSEPH L BRYWCZYNSKI
SR VP HEALTH PARKS DEVELOPMENT40.010.0321402048393X
A JAMES BUDZINSKI
EXEC VP & CFO40.012.0811452072350X
DONALD CAMPBELL MD
SR VP PHYS EDUC & STUDENT AFF40.010.0441997054362X
LEE RANDOLPH COOK
VP MEDICINE & BEHAVIORAL HLTH40.010.0378589054807X
BARBARA B COREY
SR VP MANAGED CARE40.010.0437376049536X
BRUCE A DEAN
VP REAL ESTATE & DEP GEN COUN40.010.0289509048725X
SARATH DEGALA
VP REVENUE CYCLE MGMT40.010.0124354010914X
MARCIA DELK-PAYNE MD
SR VP MED AFFAIRS & CQO40.010.0537139047333X
CAROL S EDWARDS
VP CARDIAC SERVICES40.010.0172501027149X
CLARENCE H EVINS JR
VP REVENUE CYCLE40.010.0198801022150X
MICHAEL L GRAUE
EXEC VP & COO40.010.0704412082434X
T MARK HANEY
SR VP & HOSPITAL PRESIDENT2.048.0039485639111X
ELIZABETH A HOFFMAN
VP BUDGET & ANALYSIS40.010.0242637016592X
ROBERT D JANSEN MD
EXEC VP & PRES MEDICAL GROUP40.010.0651191066994X
REYNOLD J JENNINGS
PRESIDENT & CEO40.012.01571726064901X
CHRISTOPHER M KANE
SR VP STRATEGIC PLAN & BUS DEV40.010.0478493045700X
BETH KOST
VP COMPLIANCE/Chief Privacy Of40.010.0279215024478X
KENNETH C KUNZE MD
SR VP CHIEF MED OFFICER40.010.01125716076665X
ELLEN LANGFORD
VP & COO WMG40.010.0312399039496X
LOUIS W LITTLE
SR VP POST ACUTE/HOSP PRES2.048.0035695640332X
ROBERT MANDLER
VP DIAGNOSTIC OUTREACH40.010.0273344047743X
CAROL B MAXWELL
VP TALENT ACQUISTION40.010.0239468020708X
KIMBERLY W MENEFEE
SR VP MARKETING & GOV AFFAIRS40.010.0396281053325X
JONATHAN B MORRIS MD
SR VP CHIEF INFORMATION OFFICR40.010.0427588043417X
KEM M MULLINS
SR VP & HOSP PRESIDENT2.048.0047188933388X
BRADFORD B NEWTON
VP INFORMATION TECH ADMIN40.010.05785403589X
CRAIG OWENS
SR VP & HOSP PRESIDENT2.048.0032103235265X
LEO E REICHERT
EXEC VP & GENERAL COUNSEL40.010.0611562048028X
MICHELLE M ROBINSON
VP MARKETING/PR/INT COMMUNICAT40.010.0201213028691X
DEBORAH ROEGGE DE VITA
VP WOMEN & NEWBORN40.010.0266969018003X
CANDICE L SAUNDERS
EXEC VP & HOSP PRESIDENT2.048.0055481660784X
CHRISTOPHER B SCULLEN
VP PULMONARY OPERATIONS40.010.0200049010678X
JEFFERY D STANLEY
VP PHARMACY & SYS COORD40.010.06067105109X
MICHAEL R STREETMAN
VP INFO TECH OPERATIONS40.010.07624306493X
JAMES M SWARTZ
VP ACCOUNTING40.010.0226256030541X
MARY L TAVERNARO
VP HR OPERATIONS40.010.0243135024803X
ADAM C THOMPSON
VP SURGERY40.010.0191828022669X
ANTHONY M TRUPIANO
SR VP SUPPLY CHAIN40.010.0327328035439X
MARY L WESLEY
SR VP NURSING SERVICES CNE40.010.0383494037702X
ROBIN WILSON MD
SR VP CHIEF INNOVATION OFFICER40.010.0462855043631X
CHESTER ZBOROWSKI
VP Health Park Operations40.010.0137711015717X
PETER JUNGBLUT MD
SR VP & MEDICAL DIRECTOR40.010.0000X
RICK SIEGEL
VP CARDIO SRV & MED ADMIN40.010.0000X
KRISTYN GREIFER MD
VP POPULATION HLTH MGMT40.010.0000X
BARRY MANGEL MD
CHIEF CARDIAC SERVICES50.00.0692740076942X
WILLIAM R MAYFIELD MD
CHIEF OF SURGERY SERVICES50.00.0744595066418X
ALAN R MUSTER MD
CHIEF PULMONARY SERVICES50.00.0557720062321X
PERRY G BUSBEE MD
CHIEF WOMENS SERVICES50.00.0350723048953X
WILLIAM J BENEDICT JR MD
MD50.00.01105585066356X
SAID ELAHIHABI MD
MD50.00.0980397075197X
HANS H LEE MD
MD50.00.0759750079727X
AMAR PATEL MD
MD50.00.0744680082520X
OSAGIE O OKUNDAYE MD
MD50.00.0757936073629X
CHARLES PETE WOOD
FORMER TRUSTEE0.00.01309100X
RICHARD T LOPES MD
FORMER SR VP & PRESIDENT WMG0.00.0480426019938X
GREGORY L SIMONE MD
FORMER PRES & CEO0.00.0226763023597X
BONNIE L WILSON
FORMER EXEC VP & GEN COUNSEL0.00.0227237013210X
FieldValueIRS element (for citing)
Total Reportable Comp From Org25425993TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2099549TotalReportableCompFrmRltdOrgs
Total Other Compensation2629069TotalOtherCompensation
Number Individuals GT100 K601NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EPIC SYSTEMS CORPORATION
POBOX 88314MILWAUKEEWI532880314INFORMATION TECH SRV6050840
MCKESSON TECHNOLOGIES INC
POBOX 98347CHICAGOIL606938347INFO TECHNOLOGY5834157
IMPACT ADVISORS LLC
931 W 75TH STREET SUITE 137-304NAPERVILLEIL60565CONSULTING5576946
CHAMBERLIN EDMONDS AND ASSOCIATES
PO BOX 572490MURRAYUT841572490COLLECTION SERVICE2916827
MINDPOWER INC
337 GEORGIA AVEATLANTAGA30312MARKETING2634036
FieldValueIRS element (for citing)
Number Of Contractors GT100 K137NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE621990251627738251627738
EQUITY IN EARNINGS OF HOSP AFFILIATES621990168735765168735765
COBB COUNTY DETENTION CENTER62199047625304762530
SHARED SERVICES COSTS RECOUPMENT621990210893495210893495
WELLNESS CENTER62140022424482242448

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column15641495TotalRevenueColumn
Related Or Exempt Function Income15641495RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue653903471TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column28264582TotalRevenueColumn
Exclusion$28,264,582ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1303829Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1303829Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1303829TotalRevenueColumn
Exclusion$1,303,829ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other187566Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-187566Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-187566TotalRevenueColumn
Exclusion-$187,566ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
LAUNDRY812300298644298644
INVESTIGATIVE STUDIES338283$338,283
CHILDCARE REVENUE1501788$1,501,788

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column17572313TotalRevenueColumn
Exclusion$17,572,313ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue19711028TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column702995344TotalRevenueColumn
Related Or Exempt Function Income653903471RelatedOrExemptFunctionIncome
Unrelated Business Revenue298644UnrelatedBusinessRevenue
Exclusion$48,793,229ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1518880Total
Program Services1518880ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total23227675Total
Program Services18266872ProgramServices
Management And General4621865ManagementAndGeneral
Fundraising338938Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total306254562Total
Program Services244594867ProgramServices
Management And General60980816ManagementAndGeneral
Fundraising678879Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total24962820Total
Program Services19233484ProgramServices
Management And General5637290ManagementAndGeneral
Fundraising92046Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total23240268Total
Program Services17231378ProgramServices
Management And General5910053ManagementAndGeneral
Fundraising98837Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total19709513Total
Program Services14645209ProgramServices
Management And General4982889ManagementAndGeneral
Fundraising81415Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total890734Total
Management And General890734ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1384956Total
Program Services953352ProgramServices
Management And General431604ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total58069704Total
Program Services27205520ProgramServices
Management And General30736720ManagementAndGeneral
Fundraising127464Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total8911436Total
Program Services1109751ProgramServices
Management And General7291507ManagementAndGeneral
Fundraising510178Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8136069Total
Program Services6841425ProgramServices
Management And General1190984ManagementAndGeneral
Fundraising103660Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total21057703Total
Program Services17382308ProgramServices
Management And General3671503ManagementAndGeneral
Fundraising3892Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2132733Total
Program Services1371420ProgramServices
Management And General751770ManagementAndGeneral
Fundraising9543Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2194744Total
Program Services1216528ProgramServices
Management And General967097ManagementAndGeneral
Fundraising11119Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total22005794Total
Management And General22005794ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total30854816Total
Program Services17143743ProgramServices
Management And General13695672ManagementAndGeneral
Fundraising15401Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total24012456Total
Program Services7351443ProgramServices
Management And General16661013ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
REPAIRS & MAINTENANCE231986281583461073620381980
MEDICAL SUPPLIES124862491246521021039
OTHER OPERATING EXPENSES4478681756442677464478

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total614697608Total
Program Services424541644ProgramServices
Management And General188078134ManagementAndGeneral
Fundraising2077830Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY25721BOY
EOY28636EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY43403744BOY
EOY16858777EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25624716BOY
EOY23238153EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5338290BOY
EOY6024689EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY35591042BOY
EOY40502038EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis517246303LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec256514293LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY174626850BOY
EOY260732010EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY825702343BOY
EOY786154750EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY38968059BOY
EOY39437459EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY753476402BOY
EOY901261227EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1902757167BOY
EOY2074237739EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY76498138BOY
EOY106542553EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY506734185BOY
EOY515306698EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY434708BOY
EOY94088EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY330612516BOY
EOY208269155EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY914279547BOY
EOY830212494EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY980505777BOY
EOY1233913516EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4176650BOY
EOY6144876EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3795193BOY
EOY3966853EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY988477620BOY
EOY1244025245EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1902757167BOY
EOY2074237739EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses88297736ReconcilationRevenueExpenses
Reconciliation Unrealized Invest31490630ReconciliationUnrealizedInvest
Reconcilation Other Changes135759259ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
COBB HOSPITALINC
58096838203truetruetrue$55,787,428
PAULDING MEDICAL CENTER INC
58209588403truetruetrue$11,244,854
KENNESTONE HOSPITAL INC
58203290403truetruetrue$124,548,708
DOUGLAS HOSPITALINC
58202675003truetruetrue$19,312,505
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts210893495SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementstrueMediaAdvertisements
Media Advertisements$5,250MediaAdvertisementsAmount
Mailings MemberstrueMailingsMembers
Mailings Members$2,500MailingsMembersAmount
Publications Or BroadcasttruePublicationsOrBroadcast
Publications Or Broadcast$2,500PublicationsOrBroadcastAmount
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$157,963GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$164,842DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$1,490RalliesDemonstrationsAmount
Other ActivitiestrueOtherActivities
Other Activities$172,097OtherActivitiesAmount
Total Lobbying Expenditures IIB506642TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOther Lobbying ExpensesIdentifier
Return ReferenceForm 990 Schedule C Part IVReturnReference
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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance4286000BeginningOfYearBalance
Contributions162000Contributions
Investment Earnings Or Losses467000InvestmentEarningsOrLosses
End Of Year Balance4915000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4416000BeginningOfYearBalance
Contributions75000Contributions
Investment Earnings Or Losses-37000InvestmentEarningsOrLosses
Other Expenditures168000OtherExpenditures
End Of Year Balance4286000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3810000BeginningOfYearBalance
Contributions24000Contributions
Investment Earnings Or Losses-70000InvestmentEarningsOrLosses
Other Expenditures652000OtherExpenditures
End Of Year Balance3112000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3578000BeginningOfYearBalance
Contributions19000Contributions
Investment Earnings Or Losses-8000InvestmentEarningsOrLosses
Other Expenditures221000OtherExpenditures
End Of Year Balance3368000EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3013000BeginningOfYearBalance
Contributions615000Contributions
Investment Earnings Or Losses20000InvestmentEarningsOrLosses
Other Expenditures-70000OtherExpenditures
End Of Year Balance3718000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.81000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.19000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis41907796OtherCostOrOtherBasis
Book Value41907796BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis93751233OtherCostOrOtherBasis
Depreciation42783097Depreciation
Book Value50968136BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis10704158OtherCostOrOtherBasis
Depreciation6134593Depreciation
Book Value4569565BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis271220850OtherCostOrOtherBasis
Depreciation207596603Depreciation
Book Value63624247BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis99662266OtherCostOrOtherBasis
Book Value99662266BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings260732010TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED BORROWING COSTS2969581
OTHER RECEIVABLES9193746
OTHER PREPAIDS1417720
EQUITY IN AFFILIATES882269828
OTHER LT ASSETS5410352
FieldValueIRS element (for citing)
Total Book Value Other Assets901261227TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION LIABILITY$94,152,212
OTHER LONG TERM LIABILITIES$30,202,269
INSURANCE RESERVES$70,828,939
ASSET RETIREMENT OBLIGATION LT$718,492
SWAP CONTRACT 2005 ISSUE LT LI$12,367,243
FieldValueIRS element (for citing)
Total Of Amounts208269155TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Endowment FundsForm 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)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
American Cancer Society
1825 Barrett Lakes Blvd Suite 280KennesawGA30144131623888501 (c) (3)71500Sponsor Fundraiser
American Heart Association
1101 Northchase Parkway Suite 1MariettaGA30067580198114501 (c) (3)35000Sponsor Fundraiser
GA Highlands College Foundation
3175 Cedartown HighwayRomeGA30161237332373501 (c) (3)488524Student Affiliation Agree/LPN/RN
Georgia Ballet
1255 Field ParkwayMariettaGA30066581420599501 (c) (3)10000Contribution
March of Dimes
1775 The Exchange Suite 515AtlantaGA30339131846366501 (c) (3)30000Sponsor Fundraiser
MUST Ministries
PO Box 1717MariettaGA30061582034725501 (c) (3)35000Sponsor Fundraiser
The Center for Family Resources
995 Roswell St Suite 100MariettaGA30060580876634501 (c) (3)25000Sponsor Fundraiser
Tommy Nobis Foundation
1480 Bells Ferry RdMariettaGA30060582080817501 (c) (3)25000Sponsor Fundraiser
YWCA of Northwest Georgia
48 Henderson StMariettaGA30064580617782501 (c) (3)20500Sponsor Fundraiser
Chattahoochee Tech College Foundation
980 South Cobb DriveMariettaGA30060581684206501 (c) (3)38132Grant for Agreement with school
University of West Georgia Foundation
1601 Maple StreetCarroltonGA30118586056464501 (c) (3)148625Grant for Sponsorship College Program
United Way -Atlanta
100 Edgewood AveAtlantaGA30303580566194501 (c) (3)75000Contribution
Susan G Komen for the Cure Atlanta
4840 Roswell Road Bldg D Suite 100AtlantaGA30342581959763501 (c) (3)5100Sponsorship of Race for Cure
Cobb County Safety Village Foundation
100 Cherokee StMariettaGA30090260280286501 (c) (3)25000Sponsorship
United Arts of Cobb
307 North Marietta PkwyMariettaGA30060205909579501 (c) (3)25000Sponsor Fundraiser
SafePath Children's Advocacy Center
736 Whitlock Ave Suite 600MariettaGA30064581662987501 (c) (3)20000Sponsorship
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants16TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations16TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I PART 1 LINE 2ReturnReference
ExplanationWELLSTAR HEALTH SYSTEM, INC. AND ITS AFFILIATES HAVE SET ASIDE FUNDS FOR CONTRIBUTIONS AND SPONSORSHIPS ON AN ANNUAL BASIS THAT PROVIDE ASSISTANCE TO NATIONAL AND LOCAL 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (58 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
AVRIL P BECKFORD MD
TRUSTEE39109803468207703022804000456287000
THOMAS GEARHARD MD
TRUSTEE3741270149896093010443440257620603430000
JEFFERY THARP MD
TRUSTEE45305201442190126380473250180050675239000
CHARLES PETE WOOD
FORMER TRUSTEE0000130910000013091000
VALERY A AKOPOV MD
VP & CHIEF OF HOSPITALISTS289320049819030153020530095850399407000
DAVID W ANDERSON
EXEC VP HR/OL/CCO3960570113256049980006367501424101087029000
NICOLE ASHE
VP FINANCE & CFO WMG197655024868066810145520202440264000000
TRACEY ATWATER
VP & FOUNDATION PRESIDENT2122060378350427720169580213530331124000
BARBARA BALLARD
VP HOMECARE & HOSPICE221400039137087000160660252620310565000
JOSEPH L BRYWCZYNSKI
SR VP HEALTH PARKS DEVELOPMENT2522450583570108000327490156440369795000
A JAMES BUDZINSKI
EXEC VP & CFO507658014737101564230548440175060883802000
DONALD CAMPBELL MD
SR VP PHYS EDUC & STUDENT AFF3130780715860573330402240141380496359000
LEE RANDOLPH COOK
VP MEDICINE & BEHAVIORAL HLTH2536430531030718430378470169600433396000
BARBARA B COREY
SR VP MANAGED CARE28023608089107624900000437376000
BRUCE A DEAN
VP REAL ESTATE & DEP GEN COUN2106030373390415670336130151120338234000
MARCIA DELK-PAYNE MD
SR VP MED AFFAIRS & CQO352282090990093867044131032020584472000
CAROL S EDWARDS
VP CARDIAC SERVICES1661520006349022617045320199650000
CLARENCE H EVINS JR
VP REVENUE CYCLE157714033371077160111500110000220951000
MICHAEL L GRAUE
EXEC VP & COO53261901571390146540516720307620786846000
T MARK HANEY
SR VP & HOSPITAL PRESIDENT02531330128097013626021586017525043396700
ELIZABETH A HOFFMAN
VP BUDGET & ANALYSIS19928703465008700010108064840259229000
ROBERT D JANSEN MD
EXEC VP & PRES MEDICAL GROUP51990801188650124180464630205310718185000
REYNOLD J JENNINGS
PRESIDENT & CEO98185805624780273900649010001636627000
CHRISTOPHER M KANE
SR VP STRATEGIC PLAN & BUS DEV3214280746950823700249380207620524193000
BETH KOST
VP COMPLIANCE/Chief Privacy Of23039604011908700016456080220303693000
KENNETH C KUNZE MD
SR VP CHIEF MED OFFICER581156010043504441250686430802201202381000
ELLEN LANGFORD
VP & COO WMG193742033394085263034854046420351895000
LOUIS W LITTLE
SR VP POST ACUTE/HOSP PRES0233362058935064659024451015881039728800
RICHARD T LOPES MD
FORMER SR VP & PRESIDENT WMG4804260000019938000500364000
ROBERT MANDLER
VP DIAGNOSTIC OUTREACH2082640351250299550330590146840321087000
CAROL B MAXWELL
VP TALENT ACQUISTION20907102839702000014177065310260176000
KIMBERLY W MENEFEE
SR VP MARKETING & GOV AFFAIRS2641100900001231710367360165890449606000
JONATHAN B MORRIS MD
SR VP CHIEF INFORMATION OFFICR346239072286090630228860205310471005000
KEM M MULLINS
SR VP & HOSP PRESIDENT02397060100000013218302395109437050527700
CRAIG OWENS
SR VP & HOSP PRESIDENT0252274057091011667018462016803035629700
LEO E REICHERT
EXEC VP & GENERAL COUNSEL45652901336970213360254030226250659590000
MICHELLE M ROBINSON
VP MARKETING/PR/INT COMMUNICAT172139024268048060121620165290229904000
DEBORAH ROEGGE DE VITA
VP WOMEN & NEWBORN185959032087048923011698063050284972000
CANDICE L SAUNDERS
EXEC VP & HOSP PRESIDENT03652990819920107525044658016126061560000
CHRISTOPHER B SCULLEN
VP PULMONARY OPERATIONS1630840282650870001029603820210727000
GREGORY L SIMONE MD
FORMER PRES & CEO2267630000095810140160250360000
JAMES M SWARTZ
VP ACCOUNTING184730032826087000134090171320256797000
MARY L TAVERNARO
VP HR OPERATIONS199674034761087000143300104730267938000
ADAM C THOMPSON
VP SURGERY15522502735309250080550146140214497000
ANTHONY M TRUPIANO
SR VP SUPPLY CHAIN253706062612011010035439000362767000
MARY L WESLEY
SR VP NURSING SERVICES CNE3024550692970117420270580106440421196000
BONNIE L WILSON
FORMER EXEC VP & GEN COUNSEL227237000009581036290240447000
ROBIN WILSON MD
SR VP CHIEF INNOVATION OFFICER29556101557810115130195060241250506486000
CHESTER ZBOROWSKI
VP Health Park Operations1130750230102233505784099330153428000
BARRY MANGEL MD
CHIEF CARDIAC SERVICES608449081491028000511800257620769682000
WILLIAM R MAYFIELD MD
CHIEF OF SURGERY SERVICES650267092528018000528800135380811013000
ALAN R MUSTER MD
CHIEF PULMONARY SERVICES512006039889058250453130170080620041000
PERRY G BUSBEE MD
CHIEF WOMENS SERVICES3017180384650105400251910237620399676000
WILLIAM J BENEDICT JR MD
MD68993304138520180005101501534101171941000
SAID ELAHIHABI MD
MD79804201808320152305834701685001055594000
HANS H LEE MD
MD4056280352322018000539650257620839477000
AMAR PATEL MD
MD4031230339757018000534890290310827200000
OSAGIE O OKUNDAYE MD
MD4133790342757018000532240204050831565000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NON-FIXED PAYMENTS TO OFFICERSFORM 990 SCHEDULE J LINE 7Wellstar has instituted an annual incentive plan for team members of the company. On an annual basis performance measures are proposed by management and recommended and approved by the compensation committee of the Board. The plan is designed to retain and reward leaders with incentives that keep them competitive with the market and comparable health systems. The criteria used to measure the performance consists of weighted factors in the areas of financial performance, customer service, employee engagement and quality indicatiors. Upon successful acheivement at various targeted levels for each factor an overall performance payout is recommended and approved by the Board after the annual financial audit is completed.
SEVERANCE PAYMENTSPursuant to their respective employment agreements, the following groups of officers are entitled to severance payments based on their base salary and wages at that time in the event of certain identified circumstances. The officers with a severance payment period of 24 months as per their contractual agreement are: David Anderson and Reynold Jennings The officers with a severance payment period of 18 months as per their respective agreements are: Joseph Brywczynski; A James Budzinski; Donald Campbell MD; Barbara Corey; Marcia Delk MD; Michael L Graue; T Mark Haney; Robert Jansen MD; Christopher Kane; Kenneth Kunze MD; Lou Little; Richard Lopes MD; Kimberly Menefee; Jonathan Morris MD; Kem Mullins; Craig Owens; Leo E Reichert; Candice L Saunders; Ron Strachan; Anthony M Trupiano; Mary L Wesley; Robin Wilson MD. The officers with a severance payment period of 12 months as per their agreement: Valery A Akopov, MD; Nicole V Ashe; Tracy Atwater; Barbara Ballard; L Randolph Cook; Bruce Dean; Sarath Degala; Carol Edwards; Lee Evins, Jr; Elizabeth Hoffmann; Beth Kost; Ellen Langford; Robert Mandler; Carol Maxwell; Bradford B Newton; Michelle M Robinson; Deborah Roegge DeVita; C Brett Scullen; Jeffery Stanley; Michael Streetman; James Swartz; Mary L Tavernaro; Adam Thompson and Chester Zborowski. During the calendar year, the following individuals received a payout in the amounts listed in accordance with their severance agreements as set forth above: Richard Lopes, MD $500,363; Gregory L Simone, MD $250,360; Ronald Strachan $104,106; and Bonnie Wilson $240,446
OTHER COMPENSATIONForm 990, Schedule J, Part I, Line 1b & 2While Wellstar Health System and its affiliates do not have a written policy regarding payment or reimbursement for 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.
COMPENSATION EXCEPTIONSSCHEDULE J PART IIITHE FOLLOWING INDIVIDUALS ARE OFFICERS WHO WERE EMPLOYED DURING THE REPORTING PERIOD JULY 1, 2012 TO JUNE 30, 2013. FOR PURPOSES OF THE COMPENSATION LISTED IN SCHEDULE J OF FORM 990 THESE OFFICERS HAD NO COMPENSATION DURING THE CALENDAR YEAR 2012 FOR WHICH WE REPORT INFORMATION ON THIS RETURN. THE INDIVIDUALS ARE: KRISTYN GREIFER, MD; PETER JUNGBLUT, MD; AND RICK SEIGEL

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
HOSPITAL AUTHORITY OF COBB COUNTY
B58246460019081PEM42004-04-3025000000EQUIPMENT POOLfalsefalsefalse
COBB COUNTY KENNESTONE HOSPITAL AUTHORITY
C581147004190813LN32005-10-31120000000CAPITAL IMPROVEMENTS (Series A & Bfalsefalsefalse
HOSPITAL AUTHORITY OF COBB COUNTY
D58246460019081PEN22006-06-3025000000EQUIPMENT POOLfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
B002500000000000025000000002004falsefalsetruetrue
C38750000120000000000116730000116948276188442402007falsefalsetruetrue
D002500000000000025000000002006

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUse
Bfalsefalsefalsefalse0
Cfalsefalsefalsefalse0.000200.000200.00040
Dfalsefalsefalse0

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledException To RebateExceptionToRebateVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvested
0
Bfalsetruetruefalsefalse0false
0
Cfalsetruefalse0false
0
Dfalsetruefalse0false

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Btrue
Ctrue
Dtrue

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCH K PART V POST ISSUANCE TAX COMPLIANCE FOR TAX EXEMPT BOMDSIdentifier
Return Reference0ReturnReference
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.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COBB COUNTY KENNESTONE HOSPITAL AUTHORITY
A581147004190813NM32011-11-01127345930CONSTRUCTIONfalsefalsefalse
PAULDING COUNTY HOSPITAL AUTHORITY
B586011214703596DH62012-06-2832711016CONSTRUCTION SERIES Afalsefalsefalse
PAULDING COUNTY HOSPITAL AUTHORITY
C586011214703596DK92012-06-2868750000CONSTRUCTION SERIES Bfalsefalsefalse
COBB COUNTY KENNESTONE HOSPITAL AUTHORITY
D581147004190813PH22012-11-15122366879ADVANCED REFUNDING CONSTRUCTIONfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A42050000127345930005096273913831910075000000002011truetruefalsetrue
B0032711016148968522252310437500001715143300falsefalsefalsetrue
C00687500002738212513192670471875003957673300falsefalsefalsetrue
D0012236687900121287509107937000000truetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalse0falsefalsefalse
Bfalsefalsefalse0falsefalsefalse
Cfalsefalse0
D0

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledException To RebateExceptionToRebateGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedVariable Rate IssueVariableRateIssue
0
Afalsetruefalse0false
0
Bfalsetruefalse0falsefalse
0
Cfalsetruefalse0falsetrue
0
Dfalsetruefalse0falsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue
Dtrue

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (15 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PAMELA ETHERIDGE
WIFE OF OFFICER60897EMPLOYEE OF WELLSTARfalse
GREG FORTGANG
SON-IN-LAW OF TRUSTEE99034EMPLOYEE OF WELLSTARfalse
JESSICA HANEY
DAUGHTER OF OFFICER57127EMPLOYEE OF WELLSTARfalse
GEORGE FLEMING
BROTHER OF OFFICER65701EMPLOYEE OF WELLSTAR/COBBfalse
THOMAS E GEARHARD MD
BOARD MEMBER136000BUILDING LEASEfalse
GREYSTONE POWER
BOARD MEMBER868853EXPLANATION IN PART Vfalse
MATTHEW MADDOX
SON OF BOARD MEMBER67037EMPLOYEE OF WELLSTARfalse
PUCKETT EMS AMBULANCE SERVICE
BROTHER-IN-LAW OF OFFICER250230EXPLANATION IN PART Vfalse
H S I FINANCIAL SERVICES
OFFICER IS DIR OF AGENCY289075EXPLANATION IN PART Vfalse
BONNIE MILLER
WIFE OF BOARD MEMBER35100EMPLOYEE OF WELLSTARfalse
GREG SEPARK
SON OF BOARD MEMBER23420EMPLOYEE OF WELLSTARfalse
GREG KOST
BROTHER-IN-LAW OF OFFICER47539EMPLOYEE OF WELLSTARfalse
BRIAN BUSBEE
SON OF KEY EMPLOYEE63690EMPLOYEE OF WELLSTARfalse
JENNIFER HANEY
DAUGHTER-IN-LAW OF OFFCER77821EMPLOYEE OF WELLSTARfalse
TURNER BACHMAN GARRETT LLC
BROTHER-IN-LAW OF TRUSTEE42741EXPLANATION IN PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCH L PART IV TRANSACTIONS WITH INTERESTED PARTIESIdentifier
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 $869,000--$724,000 related to Douglas Hospital and $145,000 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 $250,230. H.S.I. Financial Services is a local billing agency which provides services to Wellstar Health System in the form of routine collection services of outstanding patient balances. Lee Evins, an officer of Wellstar Health System is also a director on the H.S.I. board. The total amount of the transactions with H.S.I. equal $289,075 for the reporting period. Heath Garrett is the brother-in-law of trustee, Otis Brumby. He is a principal in the office of Turner, Bachman, and Garrett with whom WellStar purchased legal and consulting services during the year in the amount of $42,741. All of these services or transactions are in the normal course of business within the system.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATION ON FORM 990FORM 990 PART VII COMPENSATION, PART IX LINES 5-7 & SCHEDULE J & J-1ALL 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).
CONFLICT OF INTEREST POLICYFORM 990 PART VI SECTION B Line 12Our 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 Line 15a & bWellStar 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 consist of five members of the Board of Trustees as well as the CEO. In committtee 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 19The 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.
VOLUNTEERSForm 990 Part I General InformationWellStar 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 STATEMENTSForm 990 Part IV Line 12 and Part XIWellStar 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 REVIEWForm 990 PART VI LINE 11AInternal 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.
OFFICERS HOURS WORKEDFORM 990 GENERAL STATEMENT & SCHEDULE JThe 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.
Transactions with Related OrganizationsForm 990 Schedule R Part V Line 2The 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
Changes In Net AssetsForm 990 Part XI Line 9The other changes in net assets for Wellstar Health System, Inc are as follows: Pension Adjustment-$130,816,000 Assets Released from Restriction-$169,000 Other Changes-$4,774,259 Total Other Changes in Net Assets-$135,759,259
Bylaws AmendmentsPart VI Line 4During the reporting period the Board of Trustees voted to amend the bylaws for WellStar Health System, Inc. to add an Audit Committee and a Compensation Committee as additional named board committees with authority to act on behalf of the governing body.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (90 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Wellstar Medical Group LLC
805 Sandy Plains RoadMariettaGA30066273818647HealthcareGA23865693062621914WHS Inc
Cobb Gynecologists 2 LLC
805 Sandy Plains RoadMariettaGA30066020808099HealthcareGA0NA
South Cobb OB-GYN 2 LLC
805 Sandy Plains RoadMariettaGA30066020808071HealthcareGA0NA
WellStar Acworth Family Practice LLC
805 Sandy Plains RoadMariettaGA30066412243451HealthcareGA0NA
WellStar Atlanta General Surgery LLC
805 Sandy Plains RoadMariettaGA30066264271578HealthcareGA0NA
WellStar Behavioral Health LLC
805 Sandy Plains RoadMariettaGA30066582500211HealthcareGA0NA
Wellstar Cardiovascular Medicine LLC
805 Sandy Plains RoadMariettaGA30066263557639HealthcareGANA
WellStar Cherokee Street Internal and Pr
805 Sandy Plains RoadMariettaGA30066161735178HealthcareGA0NA
WellStar Cobb Family Medicine LLC
805 Sandy Plains RoadMariettaGA30066582560699HealthcareGA0NA
WellStar Cobb Gynecologists LLC
805 Sandy Plains RoadMariettaGA30066582502440HealthcareGA0NA
WellStar Cobb Hospitalists LLC
805 Sandy Plains RoadMariettaGA30066753140245HealthcareGA0NA
WellStar Cobb Medical Group LLC
805 Sandy Plains RoadMariettaGA30066582586050HealthcareGA0NA
WellStar Cobb Rehabilitation Medicine L
805 Sandy Plains RoadMariettaGA30066582587322HealthcareGA0NA
WellStar Cobb Surgical Associates LLC
805 Sandy Plains RoadMariettaGA30066562469675HealthcareGA0NA
WellStar Cooper Lake Family Medicine LL
805 Sandy Plains RoadMariettaGA30066264295540HealthcareGA0NA
WellStar Cornerstone Family Medicine LL
805 Sandy Plains RoadMariettaGA30066061745258HealthcareGA0NA
WellStar Cousins and Cantrell LLC
805 Sandy Plains RoadMariettaGA30066582586291HealthcareGA0NA
WellStar Creekside Pediatrics LLC
805 Sandy Plains RoadMariettaGA30066582499179HealthcareGA0NA
WellStar Douglas Surgical Associates LL
805 Sandy Plains RoadMariettaGA30066300364595HealthcareGA0NA
WellStar Douglasville Medical Center at
805 Sandy Plains RoadMariettaGA30066753245214HealthcareGA0NA
WellStar Douglasville Medical Center LL
805 Sandy Plains RoadMariettaGA30066582577971HealthcareGA0NA
WellStar East Cobb Medical Center LLC
805 Sandy Plains RoadMariettaGA30066582598851HealthcareGA0NA
WellStar East Paulding Pediatric Center
805 Sandy Plains RoadMariettaGA30066582598855HealthcareGA0NA
WellStar East Paulding Primary Care Cent
805 Sandy Plains RoadMariettaGA30066582598856HealthcareGA0NA
WellStar Infectious Disease LLC
805 Sandy Plains RoadMariettaGA30066582502436HealthcareGA0NA
WellStar Internal Medicine Associates of
805 Sandy Plains RoadMariettaGA30066582586054HealthcareGA0NA
WellStar Internal Medicine at Douglasvil
805 Sandy Plains RoadMariettaGA30066582598842HealthcareGA0NA
WellStar Internal Medicine at Paulding
805 Sandy Plains RoadMariettaGA30066300355547HealthcareGA0NA
WellStar Internal Medicine of Cobb LLC
805 Sandy Plains RoadMariettaGA30066562445102HealthcareGA0NA
WellStar KenMar Pediatrics LLC
805 Sandy Plains RoadMariettaGA30066582577974HealthcareGA0NA
WellStar Kennesaw Medical Center LLC
805 Sandy Plains RoadMariettaGA30066582568534HealthcareGA0NA
WellStar Kennestone OBGYN 2 LLC
805 Sandy Plains RoadMariettaGA30066300355553HealthcareGA0NA
WellStar Kennestone OBGYN LLC
805 Sandy Plains RoadMariettaGA30066582499183HealthcareGA0NA
WellStar Kennestone Pediatric Associates
805 Sandy Plains RoadMariettaGA30066582586286HealthcareGA0NA
WellStar Marietta Adult Medicine Associa
805 Sandy Plains RoadMariettaGA30066582635392HealthcareGA0NA
WellStar Marietta Family Medicine LLC
805 Sandy Plains RoadMariettaGA30066582577972HealthcareGA0NA
WellStar Marietta Internal Medicine LLC
805 Sandy Plains RoadMariettaGA30066582586289HealthcareGA0NA
WellStar Marietta Pediatrics LLC
805 Sandy Plains RoadMariettaGA30066582598854HealthcareGA0NA
WellStar Marietta Primary Care LLC
805 Sandy Plains RoadMariettaGA30066582577979HealthcareGA0NA
WellStar Marietta Pulmonary Medicine LL
805 Sandy Plains RoadMariettaGA30066582586292HealthcareGA0NA
WellStar Medical Specialists 2 LLC
805 Sandy Plains RoadMariettaGA30066753261729HealthcareGA0NA
WellStar Medical Specialists LLC
805 Sandy Plains RoadMariettaGA30066582586293HealthcareGA0NA
WellStar Midani Pediatric Practice LLC
805 Sandy Plains RoadMariettaGA30066582598853HealthcareGA0NA
WellStar Neurosurgery LLC
805 Sandy Plains RoadMariettaGA30066300067488HealthcareGA0NA
WellStar North Cobb Pediatrics LLC
805 Sandy Plains RoadMariettaGA30066582518119HealthcareGA0NA
WellStar North Cobb Women's Health 2 LL
805 Sandy Plains RoadMariettaGA30066412243450HealthcareGA0NA
WellStar North Cobb Women's Health LLC
805 Sandy Plains RoadMariettaGA30066582499178HealthcareGA0NA
WellStar North Douglas OBGYN LLC
805 Sandy Plains RoadMariettaGA30066582598852HealthcareGA0NA
WellStar Northwest Women's Care LLC
805 Sandy Plains RoadMariettaGA30066582499181HealthcareGA0NA
WellStar Occupational Health LLC
805 Sandy Plains RoadMariettaGA30066582510194HealthcareGA0NA
WellStar Palliative Medicine LLC
805 Sandy Plains RoadMariettaGA30066223972021HealthcareGA0NA
WellStar Paulding Surgical Associates L
805 Sandy Plains RoadMariettaGA30066743130874HealthcareGA0NA
WellStar Pediatric & Adolescent Center
805 Sandy Plains RoadMariettaGA30066582570392HealthcareGA0NA
WellStar Pediatric & Family Wellness Cen
805 Sandy Plains RoadMariettaGA30066264687089HealthcareGA0NA
WellStar Pediatric Professionals LLC
805 Sandy Plains RoadMariettaGA30066320093335HealthcareGA0NA
WellStar Pediatrics at Brookstone LLC
805 Sandy Plains RoadMariettaGA30066582598844HealthcareGA0NA
WellStar Phillips Women's Care LLC
805 Sandy Plains RoadMariettaGA30066582586058HealthcareGA0NA
WellStar Physicians Group Douglas Hospit
805 Sandy Plains RoadMariettaGA30066161735192HealthcareGA0NA
WellStar Physicians Group ENT LLC
805 Sandy Plains RoadMariettaGA30066582473668HealthcareGA0NA
WellStar Physicians Group Hospitalists
805 Sandy Plains RoadMariettaGA30066582461494HealthcareGA0NA
WellStar Physicians Group Pathologists
805 Sandy Plains RoadMariettaGA30066582461493HealthcareGA0NA
WellStar Powder Springs Medical Center
805 Sandy Plains RoadMariettaGA30066582586052HealthcareGA0NA
WellStar Rehab Medicine LLC
805 Sandy Plains RoadMariettaGA30066582532917HealthcareGA0NA
WellStar Rheumatology Associates of Mari
805 Sandy Plains RoadMariettaGA30066450559274HealthcareGA0NA
WellStar Shallowford Medical Center LLC
805 Sandy Plains RoadMariettaGA30066582598849HealthcareGA0NA
WellStar Smyrna Primary Care Center LLC
805 Sandy Plains RoadMariettaGA30066582598843HealthcareGA0NA
WellStar South Cobb Primary Care LLC
805 Sandy Plains RoadMariettaGA30066582586290HealthcareGA0NA
WellStar South Cobb Rheumatology LLC
805 Sandy Plains RoadMariettaGA30066412243448HealthcareGA0NA
WellStar Surgical Associates of Marietta
805 Sandy Plains RoadMariettaGA30066562469677HealthcareGA0NA
WellStar Thoracic Surgery Associates LLC
805 Sandy Plains RoadMariettaGA30066263540626HealthcareGA0NA
WellStar Towne Lake Medical Center LLC
805 Sandy Plains RoadMariettaGA30066582586287HealthcareGA0NA
WellStar Towne Lake Pediatrics LLC
805 Sandy Plains RoadMariettaGA30066582577980HealthcareGA0NA
WellStar Urgent Care at Cooper Lake LLC
805 Sandy Plains RoadMariettaGA30066300378808HealthcareGA0NA
WellStar Urgent Care at Towne Lake LLC
805 Sandy Plains RoadMariettaGA30066582586061HealthcareGA0NA
WellStar Urgent Care in Kennesaw LLC
805 Sandy Plains RoadMariettaGA30066582568565HealthcareGA0NA
WellStar Urgent Care on Delk Road LLC
805 Sandy Plains RoadMariettaGA30066582577976HealthcareGA0NA
WellStar Urgent Care on Sandy Plains Roa
805 Sandy Plains RoadMariettaGA30066582598845HealthcareGA0NA
WellStar West Cobb Medical Center LLC
805 Sandy Plains RoadMariettaGA30066582586288HealthcareGA0NA
WellStar Woodlawn Commons Family Practic
805 Sandy Plains RoadMariettaGA30066582586053HealthcareGA0NA
Homecare Billing Services LLC
805 Sandy Plains RoadMariettaGA30066582479534HealthcareGA2994511NA
Wellstar Windy Hill Apothecary LLC
805 Sandy Plains RoadMariettaGA30066562511925HealthcareGA1102029NA
Wellstar Bi-County ENT LLC
805 Sandy Plains RoadMariettaGA30066272258194HealthcareGA0NA
Wellstar Comprehensive Bariatric Srv LLC
805 Sandy Plains RoadMariettaGA30066271716783HealthcareGA0NA
Wellstar Family Medicine LLC
805 Sandy Plains RoadMariettaGA30066273565358HealthcareGA0NA
Wellstar Home Health LLC
805 Sandy Plains RoadMariettaGA30066270277843HealthcareGA5812873WHS Inc
Wellstar Health Network LLC
805 Sandy Plains RoadMariettaGA30066273870970HealthcareGAWHS Inc
Wellstar Health Ventures LLC
805 Sandy Plains RoadMariettaGA30066453754932HealthcareGA883513WHS Inc
Wellstar IPA LLC
805 Sandy Plains RoadMariettaGA30066581649541InsuranceGA0NA
Wellstar Community Hospice LLC
805 Sandy Plains RoadMariettaGA30066134350580HealthcareGA8807384NA
Center for Health Transformation
805 Sandy Plains RoadMariettaGA30066581649541HealthcareGA0NA

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CHS Foundation Inc
805 Sandy Plains RoadMariettaGA30066581649540FoundationGA501 (c) 311 Type 2WHStrue
Cobb Hospital Inc
805 Sandy Plains RoadMariettaGA30066580968382HealthcareGA501 (C) 33WHStrue
Douglas Hospital Inc
805 Sandy Plains RoadMariettaGA30066582026750HealthcareGA501 (c) 33WHStrue
Kennestone Hospital Inc
805 Sandy Plains RoadMariettaGA30066582032904HealthcareGA501 (c) 33WHStrue
Paulding Medical Center Inc
805 Sandy Plains RoadMariettaGA30066582095884HealthcareGA501 (c) 33WHStrue
Wellstar Foundation Inc
805 Sandy Plains RoadMariettaGA30066581627413FoundationGA501 (c) 311 Type 2WHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Kennestone South Parking Deck
805 Sandy Plains RoadMariettaGA300666340581649541PARKINGGANAInvestment1153921681857falsefalse0.45000
Cobb Hospital Parking Company LLC
805 Sandy Plains RoadMariettaGA300666340752999669PARKINGGANAInvestment32622740958falsefalse0.62500

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Community Assurance CoBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line13rd Fl Barclays House Shedden RdAddressLine1
CityGeorge TownCity
Province Or StateCayman Islands, BProvinceOrState
CountryCJCountry
FieldValueIRS element (for citing)
EIN581649541EIN
Primary ActivityINSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WHS INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of EOY Assets60283691ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Cobb Hospital Inc
q55787428actual cost
Douglas Hospital Inc
q19312505actual cost
Kennestone Hospital Inc
q124548708actual cost
Paulding Medical Center Inc
q11244854actual cost