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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T13:47:22-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET ST SUITE 1700 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581649541 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLSTAR HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JAMES M SWARTZ | InCareOfName |
| Name Control | WELL | NameControl |
| Phone | 7707925023 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SANDY PLAINS ROAD | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | MARIETTA | City |
| State | GA | State |
| ZIP Code | 300666340 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES M SWARTZ | Name |
| Title | VP ACCOUNTING | Title |
| Phone | 7707925023 | Phone |
| Date Signed | 2014-05-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2673303000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | REYNOLD J JENNINGS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 Sandy Plains Road | AddressLine1 |
| City | Marietta | City |
| State | GA | State |
| ZIP Code | 300666340 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 703182910 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.wellstar.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | TO DELIVER WORLD-CLASS CHARITABLE HEALTHCARE TO THE COMMUNITY | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4945 | TotalNbrEmployees |
| Total Nbr Volunteers | 800 | TotalNbrVolunteers |
| Total Gross UBI | 298644 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 612340835 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 653903471 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 17029852 | InvestmentIncomePriorYear |
| Investment Income Current Year | 28077016 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 16450932 | OtherRevenuePriorYear |
| Other Revenue Current Year | 21014857 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 645821619 | TotalRevenuePriorYear |
| Total Revenue Current Year | 702995344 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1467531 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1518880 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 347868896 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 397394838 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 2077830 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 182732523 | OtherExpensePriorYear |
| Other Expenses Current Year | 215783890 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 532068950 | TotalExpensesPriorYear |
| Total Expenses Current Year | 614697608 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 113752669 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 88297736 | RevenuesLessExpensesCY |
| Total Assets BOY | 1902757167 | TotalAssetsBOY |
| Total Assets EOY | 2074237739 | TotalAssetsEOY |
| Total Liabilities BOY | 914279547 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 830212494 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 988477620 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1244025245 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO CREATE AND DELIVER HIGH QUALITY HOSPITAL, PHYSICIAN AND OTHER HEALTHCARE RELATED SERVICES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES THAT WE SERVE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 424541644 | Expense |
| Revenue | 653903471 | Revenue |
| Description | WELLSTAR HEALTH SYSTEM IS A VERTICALLY INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH PROVIDES THROUGH AFFILIATED BUSINESS ORGANIZATIONS A FULL SPECTRUM OF HEALTH SERVICES, INCLUDING WELLNESS PROGRAMS, PHYSICIAN OFFICE VISITS, OUTPATIENT CARE, INPATIENT CARE, AND POST-ACUTE SERVICES SUCH AS HOME HEALTH AND LONG TERM NURSING CARE. THE SYSTEM THROUGH ITS AFFILIATED BUSINESS ORGANIZATIONS OPERATES 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 screen | Description |
| Total Program Service Expense | 424541644 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | true | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 4945 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JAMES M SWARTZ | NamePerson |
| Telephone Number | 7707925023 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SANDY PLAINS ROAD | AddressLine1 |
| City | MARIETTA | City |
| State | GA | State |
| ZIP Code | 300666340 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (80 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| AVRIL P BECKFORD MD | ||||||||||
| TRUSTEE | 40.0 | 10.0 | X | 433483 | 0 | 22804 | ||||
| RANDALL BENTLEY JR | ||||||||||
| TRUSTEE | 1.0 | 5.0 | X | 19122 | 0 | 0 | ||||
| OTIS BRUMBY III | ||||||||||
| TRUSTEE | 1.0 | 5.0 | X | 4120 | 0 | 0 | ||||
| SHAN COOPER | ||||||||||
| TRUSTEE | 1.0 | 5.0 | X | 468 | 0 | 0 | ||||
| ROBERT CROSS MD | ||||||||||
| TRUSTEE | 1.0 | 5.0 | X | 5166 | 0 | 0 | ||||
| TE RUSTY DURHAM | ||||||||||
| TRUSTEE | 10.0 | 5.0 | X | 37201 | 0 | 1410 | ||||
| THOMAS GEARHARD MD | ||||||||||
| TRUSTEE | 40.0 | 10.0 | X | 533324 | 0 | 70106 | ||||
| DAVID HAFNER MD | ||||||||||
| TRUSTEE | 1.0 | 5.0 | X | 21314 | 0 | 0 | ||||
| T FITZ JOHNSON | ||||||||||
| TRUSTEE | 1.0 | 5.0 | X | 10551 | 0 | 0 | ||||
| CHARLES J JONES | ||||||||||
| TRUSTEE | 1.0 | 5.0 | X | 15887 | 0 | 0 | ||||
| JANIE MADDOX | ||||||||||
| TRUSTEE CHAIR | 1.0 | 5.0 | X | 16829 | 0 | 0 | ||||
| GARY MILLER | ||||||||||
| TRUSTEE VICE CHAIR | 1.0 | 5.0 | X | 3140 | 0 | 0 | ||||
| STEVEN W OWEIDA MD | ||||||||||
| TRUSTEE | 1.0 | 5.0 | X | 19041 | 0 | 0 | ||||
| TOM PHILLIPS | ||||||||||
| TRUSTEE | 1.0 | 5.0 | X | 2599 | 0 | 0 | ||||
| WALTER G ROBINSON | ||||||||||
| TRUSTEE | 1.0 | 5.0 | X | 9684 | 0 | 0 | ||||
| FRANK ROS | ||||||||||
| TRUSTEE | 1.0 | 5.0 | X | 927 | 0 | 0 | ||||
| W ALLEN SEPARK | ||||||||||
| TRUSTEE | 1.0 | 7.0 | X | 9168 | 0 | 0 | ||||
| JEFFERY THARP MD | ||||||||||
| TRUSTEE | 40.0 | 10.0 | X | 609909 | 0 | 65330 | ||||
| VALERY A AKOPOV MD | ||||||||||
| VP & CHIEF OF HOSPITALISTS | 40.0 | 10.0 | 369292 | 0 | 30115 | X | ||||
| DAVID W ANDERSON | ||||||||||
| EXEC VP HR/OL/CCO | 40.0 | 10.0 | 1009113 | 0 | 77916 | X | ||||
| NICOLE ASHE | ||||||||||
| VP FINANCE & CFO WMG | 40.0 | 10.0 | 229204 | 0 | 34796 | X | ||||
| TRACEY ATWATER | ||||||||||
| VP & FOUNDATION PRESIDENT | 48.0 | 2.0 | 292813 | 0 | 38311 | X | ||||
| BARBARA BALLARD | ||||||||||
| VP HOMECARE & HOSPICE | 40.0 | 10.0 | 269237 | 0 | 41328 | X | ||||
| JOSEPH L BRYWCZYNSKI | ||||||||||
| SR VP HEALTH PARKS DEVELOPMENT | 40.0 | 10.0 | 321402 | 0 | 48393 | X | ||||
| A JAMES BUDZINSKI | ||||||||||
| EXEC VP & CFO | 40.0 | 12.0 | 811452 | 0 | 72350 | X | ||||
| DONALD CAMPBELL MD | ||||||||||
| SR VP PHYS EDUC & STUDENT AFF | 40.0 | 10.0 | 441997 | 0 | 54362 | X | ||||
| LEE RANDOLPH COOK | ||||||||||
| VP MEDICINE & BEHAVIORAL HLTH | 40.0 | 10.0 | 378589 | 0 | 54807 | X | ||||
| BARBARA B COREY | ||||||||||
| SR VP MANAGED CARE | 40.0 | 10.0 | 437376 | 0 | 49536 | X | ||||
| BRUCE A DEAN | ||||||||||
| VP REAL ESTATE & DEP GEN COUN | 40.0 | 10.0 | 289509 | 0 | 48725 | X | ||||
| SARATH DEGALA | ||||||||||
| VP REVENUE CYCLE MGMT | 40.0 | 10.0 | 124354 | 0 | 10914 | X | ||||
| MARCIA DELK-PAYNE MD | ||||||||||
| SR VP MED AFFAIRS & CQO | 40.0 | 10.0 | 537139 | 0 | 47333 | X | ||||
| CAROL S EDWARDS | ||||||||||
| VP CARDIAC SERVICES | 40.0 | 10.0 | 172501 | 0 | 27149 | X | ||||
| CLARENCE H EVINS JR | ||||||||||
| VP REVENUE CYCLE | 40.0 | 10.0 | 198801 | 0 | 22150 | X | ||||
| MICHAEL L GRAUE | ||||||||||
| EXEC VP & COO | 40.0 | 10.0 | 704412 | 0 | 82434 | X | ||||
| T MARK HANEY | ||||||||||
| SR VP & HOSPITAL PRESIDENT | 2.0 | 48.0 | 0 | 394856 | 39111 | X | ||||
| ELIZABETH A HOFFMAN | ||||||||||
| VP BUDGET & ANALYSIS | 40.0 | 10.0 | 242637 | 0 | 16592 | X | ||||
| ROBERT D JANSEN MD | ||||||||||
| EXEC VP & PRES MEDICAL GROUP | 40.0 | 10.0 | 651191 | 0 | 66994 | X | ||||
| REYNOLD J JENNINGS | ||||||||||
| PRESIDENT & CEO | 40.0 | 12.0 | 1571726 | 0 | 64901 | X | ||||
| CHRISTOPHER M KANE | ||||||||||
| SR VP STRATEGIC PLAN & BUS DEV | 40.0 | 10.0 | 478493 | 0 | 45700 | X | ||||
| BETH KOST | ||||||||||
| VP COMPLIANCE/Chief Privacy Of | 40.0 | 10.0 | 279215 | 0 | 24478 | X | ||||
| KENNETH C KUNZE MD | ||||||||||
| SR VP CHIEF MED OFFICER | 40.0 | 10.0 | 1125716 | 0 | 76665 | X | ||||
| ELLEN LANGFORD | ||||||||||
| VP & COO WMG | 40.0 | 10.0 | 312399 | 0 | 39496 | X | ||||
| LOUIS W LITTLE | ||||||||||
| SR VP POST ACUTE/HOSP PRES | 2.0 | 48.0 | 0 | 356956 | 40332 | X | ||||
| ROBERT MANDLER | ||||||||||
| VP DIAGNOSTIC OUTREACH | 40.0 | 10.0 | 273344 | 0 | 47743 | X | ||||
| CAROL B MAXWELL | ||||||||||
| VP TALENT ACQUISTION | 40.0 | 10.0 | 239468 | 0 | 20708 | X | ||||
| KIMBERLY W MENEFEE | ||||||||||
| SR VP MARKETING & GOV AFFAIRS | 40.0 | 10.0 | 396281 | 0 | 53325 | X | ||||
| JONATHAN B MORRIS MD | ||||||||||
| SR VP CHIEF INFORMATION OFFICR | 40.0 | 10.0 | 427588 | 0 | 43417 | X | ||||
| KEM M MULLINS | ||||||||||
| SR VP & HOSP PRESIDENT | 2.0 | 48.0 | 0 | 471889 | 33388 | X | ||||
| BRADFORD B NEWTON | ||||||||||
| VP INFORMATION TECH ADMIN | 40.0 | 10.0 | 57854 | 0 | 3589 | X | ||||
| CRAIG OWENS | ||||||||||
| SR VP & HOSP PRESIDENT | 2.0 | 48.0 | 0 | 321032 | 35265 | X | ||||
| LEO E REICHERT | ||||||||||
| EXEC VP & GENERAL COUNSEL | 40.0 | 10.0 | 611562 | 0 | 48028 | X | ||||
| MICHELLE M ROBINSON | ||||||||||
| VP MARKETING/PR/INT COMMUNICAT | 40.0 | 10.0 | 201213 | 0 | 28691 | X | ||||
| DEBORAH ROEGGE DE VITA | ||||||||||
| VP WOMEN & NEWBORN | 40.0 | 10.0 | 266969 | 0 | 18003 | X | ||||
| CANDICE L SAUNDERS | ||||||||||
| EXEC VP & HOSP PRESIDENT | 2.0 | 48.0 | 0 | 554816 | 60784 | X | ||||
| CHRISTOPHER B SCULLEN | ||||||||||
| VP PULMONARY OPERATIONS | 40.0 | 10.0 | 200049 | 0 | 10678 | X | ||||
| JEFFERY D STANLEY | ||||||||||
| VP PHARMACY & SYS COORD | 40.0 | 10.0 | 60671 | 0 | 5109 | X | ||||
| MICHAEL R STREETMAN | ||||||||||
| VP INFO TECH OPERATIONS | 40.0 | 10.0 | 76243 | 0 | 6493 | X | ||||
| JAMES M SWARTZ | ||||||||||
| VP ACCOUNTING | 40.0 | 10.0 | 226256 | 0 | 30541 | X | ||||
| MARY L TAVERNARO | ||||||||||
| VP HR OPERATIONS | 40.0 | 10.0 | 243135 | 0 | 24803 | X | ||||
| ADAM C THOMPSON | ||||||||||
| VP SURGERY | 40.0 | 10.0 | 191828 | 0 | 22669 | X | ||||
| ANTHONY M TRUPIANO | ||||||||||
| SR VP SUPPLY CHAIN | 40.0 | 10.0 | 327328 | 0 | 35439 | X | ||||
| MARY L WESLEY | ||||||||||
| SR VP NURSING SERVICES CNE | 40.0 | 10.0 | 383494 | 0 | 37702 | X | ||||
| ROBIN WILSON MD | ||||||||||
| SR VP CHIEF INNOVATION OFFICER | 40.0 | 10.0 | 462855 | 0 | 43631 | X | ||||
| CHESTER ZBOROWSKI | ||||||||||
| VP Health Park Operations | 40.0 | 10.0 | 137711 | 0 | 15717 | X | ||||
| PETER JUNGBLUT MD | ||||||||||
| SR VP & MEDICAL DIRECTOR | 40.0 | 10.0 | 0 | 0 | 0 | X | ||||
| RICK SIEGEL | ||||||||||
| VP CARDIO SRV & MED ADMIN | 40.0 | 10.0 | 0 | 0 | 0 | X | ||||
| KRISTYN GREIFER MD | ||||||||||
| VP POPULATION HLTH MGMT | 40.0 | 10.0 | 0 | 0 | 0 | X | ||||
| BARRY MANGEL MD | ||||||||||
| CHIEF CARDIAC SERVICES | 50.0 | 0.0 | 692740 | 0 | 76942 | X | ||||
| WILLIAM R MAYFIELD MD | ||||||||||
| CHIEF OF SURGERY SERVICES | 50.0 | 0.0 | 744595 | 0 | 66418 | X | ||||
| ALAN R MUSTER MD | ||||||||||
| CHIEF PULMONARY SERVICES | 50.0 | 0.0 | 557720 | 0 | 62321 | X | ||||
| PERRY G BUSBEE MD | ||||||||||
| CHIEF WOMENS SERVICES | 50.0 | 0.0 | 350723 | 0 | 48953 | X | ||||
| WILLIAM J BENEDICT JR MD | ||||||||||
| MD | 50.0 | 0.0 | 1105585 | 0 | 66356 | X | ||||
| SAID ELAHIHABI MD | ||||||||||
| MD | 50.0 | 0.0 | 980397 | 0 | 75197 | X | ||||
| HANS H LEE MD | ||||||||||
| MD | 50.0 | 0.0 | 759750 | 0 | 79727 | X | ||||
| AMAR PATEL MD | ||||||||||
| MD | 50.0 | 0.0 | 744680 | 0 | 82520 | X | ||||
| OSAGIE O OKUNDAYE MD | ||||||||||
| MD | 50.0 | 0.0 | 757936 | 0 | 73629 | X | ||||
| CHARLES PETE WOOD | ||||||||||
| FORMER TRUSTEE | 0.0 | 0.0 | 13091 | 0 | 0 | X | ||||
| RICHARD T LOPES MD | ||||||||||
| FORMER SR VP & PRESIDENT WMG | 0.0 | 0.0 | 480426 | 0 | 19938 | X | ||||
| GREGORY L SIMONE MD | ||||||||||
| FORMER PRES & CEO | 0.0 | 0.0 | 226763 | 0 | 23597 | X | ||||
| BONNIE L WILSON | ||||||||||
| FORMER EXEC VP & GEN COUNSEL | 0.0 | 0.0 | 227237 | 0 | 13210 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 25425993 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2099549 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2629069 | TotalOtherCompensation |
| Number Individuals GT100 K | 601 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EPIC SYSTEMS CORPORATION | |||||
| POBOX 88314 | MILWAUKEE | WI | 532880314 | INFORMATION TECH SRV | 6050840 |
| MCKESSON TECHNOLOGIES INC | |||||
| POBOX 98347 | CHICAGO | IL | 606938347 | INFO TECHNOLOGY | 5834157 |
| IMPACT ADVISORS LLC | |||||
| 931 W 75TH STREET SUITE 137-304 | NAPERVILLE | IL | 60565 | CONSULTING | 5576946 |
| CHAMBERLIN EDMONDS AND ASSOCIATES | |||||
| PO BOX 572490 | MURRAY | UT | 841572490 | COLLECTION SERVICE | 2916827 |
| MINDPOWER INC | |||||
| 337 GEORGIA AVE | ATLANTA | GA | 30312 | MARKETING | 2634036 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 137 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT REVENUE | 621990 | 251627738 | 251627738 |
| EQUITY IN EARNINGS OF HOSP AFFILIATES | 621990 | 168735765 | 168735765 |
| COBB COUNTY DETENTION CENTER | 621990 | 4762530 | 4762530 |
| SHARED SERVICES COSTS RECOUPMENT | 621990 | 210893495 | 210893495 |
| WELLNESS CENTER | 621400 | 2242448 | 2242448 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15641495 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15641495 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 653903471 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28264582 | TotalRevenueColumn |
| Exclusion | $28,264,582 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1303829 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1303829 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1303829 | TotalRevenueColumn |
| Exclusion | $1,303,829 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 187566 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -187566 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -187566 | TotalRevenueColumn |
| Exclusion | -$187,566 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| LAUNDRY | 812300 | 298644 | 298644 | |
| INVESTIGATIVE STUDIES | 338283 | $338,283 | ||
| CHILDCARE REVENUE | 1501788 | $1,501,788 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17572313 | TotalRevenueColumn |
| Exclusion | $17,572,313 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 19711028 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 702995344 | TotalRevenueColumn |
| Related Or Exempt Function Income | 653903471 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 298644 | UnrelatedBusinessRevenue |
| Exclusion | $48,793,229 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1518880 | Total |
| Program Services | 1518880 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23227675 | Total |
| Program Services | 18266872 | ProgramServices |
| Management And General | 4621865 | ManagementAndGeneral |
| Fundraising | 338938 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 306254562 | Total |
| Program Services | 244594867 | ProgramServices |
| Management And General | 60980816 | ManagementAndGeneral |
| Fundraising | 678879 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24962820 | Total |
| Program Services | 19233484 | ProgramServices |
| Management And General | 5637290 | ManagementAndGeneral |
| Fundraising | 92046 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23240268 | Total |
| Program Services | 17231378 | ProgramServices |
| Management And General | 5910053 | ManagementAndGeneral |
| Fundraising | 98837 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19709513 | Total |
| Program Services | 14645209 | ProgramServices |
| Management And General | 4982889 | ManagementAndGeneral |
| Fundraising | 81415 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 890734 | Total |
| Management And General | 890734 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1384956 | Total |
| Program Services | 953352 | ProgramServices |
| Management And General | 431604 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58069704 | Total |
| Program Services | 27205520 | ProgramServices |
| Management And General | 30736720 | ManagementAndGeneral |
| Fundraising | 127464 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8911436 | Total |
| Program Services | 1109751 | ProgramServices |
| Management And General | 7291507 | ManagementAndGeneral |
| Fundraising | 510178 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8136069 | Total |
| Program Services | 6841425 | ProgramServices |
| Management And General | 1190984 | ManagementAndGeneral |
| Fundraising | 103660 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21057703 | Total |
| Program Services | 17382308 | ProgramServices |
| Management And General | 3671503 | ManagementAndGeneral |
| Fundraising | 3892 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2132733 | Total |
| Program Services | 1371420 | ProgramServices |
| Management And General | 751770 | ManagementAndGeneral |
| Fundraising | 9543 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2194744 | Total |
| Program Services | 1216528 | ProgramServices |
| Management And General | 967097 | ManagementAndGeneral |
| Fundraising | 11119 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22005794 | Total |
| Management And General | 22005794 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30854816 | Total |
| Program Services | 17143743 | ProgramServices |
| Management And General | 13695672 | ManagementAndGeneral |
| Fundraising | 15401 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24012456 | Total |
| Program Services | 7351443 | ProgramServices |
| Management And General | 16661013 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| REPAIRS & MAINTENANCE | 23198628 | 15834610 | 7362038 | 1980 |
| MEDICAL SUPPLIES | 12486249 | 12465210 | 21039 | |
| OTHER OPERATING EXPENSES | 447868 | 175644 | 267746 | 4478 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 614697608 | Total |
| Program Services | 424541644 | ProgramServices |
| Management And General | 188078134 | ManagementAndGeneral |
| Fundraising | 2077830 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25721 | BOY |
| EOY | 28636 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43403744 | BOY |
| EOY | 16858777 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25624716 | BOY |
| EOY | 23238153 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5338290 | BOY |
| EOY | 6024689 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35591042 | BOY |
| EOY | 40502038 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 517246303 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 256514293 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174626850 | BOY |
| EOY | 260732010 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 825702343 | BOY |
| EOY | 786154750 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38968059 | BOY |
| EOY | 39437459 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 753476402 | BOY |
| EOY | 901261227 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1902757167 | BOY |
| EOY | 2074237739 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76498138 | BOY |
| EOY | 106542553 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 506734185 | BOY |
| EOY | 515306698 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 434708 | BOY |
| EOY | 94088 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 330612516 | BOY |
| EOY | 208269155 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 914279547 | BOY |
| EOY | 830212494 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 980505777 | BOY |
| EOY | 1233913516 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4176650 | BOY |
| EOY | 6144876 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3795193 | BOY |
| EOY | 3966853 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 988477620 | BOY |
| EOY | 1244025245 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1902757167 | BOY |
| EOY | 2074237739 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 88297736 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 31490630 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 135759259 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| COBB HOSPITALINC | |||||
| 580968382 | 03 | true | true | true | $55,787,428 |
| PAULDING MEDICAL CENTER INC | |||||
| 582095884 | 03 | true | true | true | $11,244,854 |
| KENNESTONE HOSPITAL INC | |||||
| 582032904 | 03 | true | true | true | $124,548,708 |
| DOUGLAS HOSPITALINC | |||||
| 582026750 | 03 | true | true | true | $19,312,505 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 210893495 | SumOfAmounts |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | true | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | true | MediaAdvertisements |
| Media Advertisements | $5,250 | MediaAdvertisementsAmount |
| Mailings Members | true | MailingsMembers |
| Mailings Members | $2,500 | MailingsMembersAmount |
| Publications Or Broadcast | true | PublicationsOrBroadcast |
| Publications Or Broadcast | $2,500 | PublicationsOrBroadcastAmount |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $157,963 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $164,842 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $1,490 | RalliesDemonstrationsAmount |
| Other Activities | true | OtherActivities |
| Other Activities | $172,097 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 506642 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Other Lobbying Expenses | Identifier |
| Return Reference | Form 990 Schedule C Part IV | ReturnReference |
| Explanation | During the reporting period Wellstar Health System, Inc. held a retainer for a local firm to provide professional services for community related activities including support in community benefit reporting and legislative healthcare initiatives affecting the system hospitals. Wellstar is also a party to several healthcare related coalitions that protect the interests of all member hospitals. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4286000 | BeginningOfYearBalance |
| Contributions | 162000 | Contributions |
| Investment Earnings Or Losses | 467000 | InvestmentEarningsOrLosses |
| End Of Year Balance | 4915000 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4416000 | BeginningOfYearBalance |
| Contributions | 75000 | Contributions |
| Investment Earnings Or Losses | -37000 | InvestmentEarningsOrLosses |
| Other Expenditures | 168000 | OtherExpenditures |
| End Of Year Balance | 4286000 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3810000 | BeginningOfYearBalance |
| Contributions | 24000 | Contributions |
| Investment Earnings Or Losses | -70000 | InvestmentEarningsOrLosses |
| Other Expenditures | 652000 | OtherExpenditures |
| End Of Year Balance | 3112000 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3578000 | BeginningOfYearBalance |
| Contributions | 19000 | Contributions |
| Investment Earnings Or Losses | -8000 | InvestmentEarningsOrLosses |
| Other Expenditures | 221000 | OtherExpenditures |
| End Of Year Balance | 3368000 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3013000 | BeginningOfYearBalance |
| Contributions | 615000 | Contributions |
| Investment Earnings Or Losses | 20000 | InvestmentEarningsOrLosses |
| Other Expenditures | -70000 | OtherExpenditures |
| End Of Year Balance | 3718000 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.81000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.19000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41907796 | OtherCostOrOtherBasis |
| Book Value | 41907796 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 93751233 | OtherCostOrOtherBasis |
| Depreciation | 42783097 | Depreciation |
| Book Value | 50968136 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10704158 | OtherCostOrOtherBasis |
| Depreciation | 6134593 | Depreciation |
| Book Value | 4569565 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 271220850 | OtherCostOrOtherBasis |
| Depreciation | 207596603 | Depreciation |
| Book Value | 63624247 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 99662266 | OtherCostOrOtherBasis |
| Book Value | 99662266 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 260732010 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| UNAMORTIZED BORROWING COSTS | 2969581 |
| OTHER RECEIVABLES | 9193746 |
| OTHER PREPAIDS | 1417720 |
| EQUITY IN AFFILIATES | 882269828 |
| OTHER LT ASSETS | 5410352 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 901261227 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 208269155 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Endowment Funds | Form 990 Schedule D Part V Line 4 | The 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 LIABILITY | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (16 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| American Cancer Society | |||||||
| 1825 Barrett Lakes Blvd Suite 280 | Kennesaw | GA | 30144 | 131623888 | 501 (c) (3) | 71500 | Sponsor Fundraiser |
| American Heart Association | |||||||
| 1101 Northchase Parkway Suite 1 | Marietta | GA | 30067 | 580198114 | 501 (c) (3) | 35000 | Sponsor Fundraiser |
| GA Highlands College Foundation | |||||||
| 3175 Cedartown Highway | Rome | GA | 30161 | 237332373 | 501 (c) (3) | 488524 | Student Affiliation Agree/LPN/RN |
| Georgia Ballet | |||||||
| 1255 Field Parkway | Marietta | GA | 30066 | 581420599 | 501 (c) (3) | 10000 | Contribution |
| March of Dimes | |||||||
| 1775 The Exchange Suite 515 | Atlanta | GA | 30339 | 131846366 | 501 (c) (3) | 30000 | Sponsor Fundraiser |
| MUST Ministries | |||||||
| PO Box 1717 | Marietta | GA | 30061 | 582034725 | 501 (c) (3) | 35000 | Sponsor Fundraiser |
| The Center for Family Resources | |||||||
| 995 Roswell St Suite 100 | Marietta | GA | 30060 | 580876634 | 501 (c) (3) | 25000 | Sponsor Fundraiser |
| Tommy Nobis Foundation | |||||||
| 1480 Bells Ferry Rd | Marietta | GA | 30060 | 582080817 | 501 (c) (3) | 25000 | Sponsor Fundraiser |
| YWCA of Northwest Georgia | |||||||
| 48 Henderson St | Marietta | GA | 30064 | 580617782 | 501 (c) (3) | 20500 | Sponsor Fundraiser |
| Chattahoochee Tech College Foundation | |||||||
| 980 South Cobb Drive | Marietta | GA | 30060 | 581684206 | 501 (c) (3) | 38132 | Grant for Agreement with school |
| University of West Georgia Foundation | |||||||
| 1601 Maple Street | Carrolton | GA | 30118 | 586056464 | 501 (c) (3) | 148625 | Grant for Sponsorship College Program |
| United Way -Atlanta | |||||||
| 100 Edgewood Ave | Atlanta | GA | 30303 | 580566194 | 501 (c) (3) | 75000 | Contribution |
| Susan G Komen for the Cure Atlanta | |||||||
| 4840 Roswell Road Bldg D Suite 100 | Atlanta | GA | 30342 | 581959763 | 501 (c) (3) | 5100 | Sponsorship of Race for Cure |
| Cobb County Safety Village Foundation | |||||||
| 100 Cherokee St | Marietta | GA | 30090 | 260280286 | 501 (c) (3) | 25000 | Sponsorship |
| United Arts of Cobb | |||||||
| 307 North Marietta Pkwy | Marietta | GA | 30060 | 205909579 | 501 (c) (3) | 25000 | Sponsor Fundraiser |
| SafePath Children's Advocacy Center | |||||||
| 736 Whitlock Ave Suite 600 | Marietta | GA | 30064 | 581662987 | 501 (c) (3) | 20000 | Sponsorship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 16 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 16 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANTS | Identifier |
| Return Reference | SCHEDULE I PART 1 LINE 2 | ReturnReference |
| Explanation | WELLSTAR HEALTH SYSTEM, INC. AND ITS AFFILIATES HAVE SET ASIDE FUNDS FOR CONTRIBUTIONS AND SPONSORSHIPS ON AN ANNUAL BASIS THAT PROVIDE ASSISTANCE TO NATIONAL AND LOCAL 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (58 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AVRIL P BECKFORD MD | ||||||||||||||
| TRUSTEE | 391098 | 0 | 34682 | 0 | 7703 | 0 | 22804 | 0 | 0 | 0 | 456287 | 0 | 0 | 0 |
| THOMAS GEARHARD MD | ||||||||||||||
| TRUSTEE | 374127 | 0 | 149896 | 0 | 9301 | 0 | 44344 | 0 | 25762 | 0 | 603430 | 0 | 0 | 0 |
| JEFFERY THARP MD | ||||||||||||||
| TRUSTEE | 453052 | 0 | 144219 | 0 | 12638 | 0 | 47325 | 0 | 18005 | 0 | 675239 | 0 | 0 | 0 |
| CHARLES PETE WOOD | ||||||||||||||
| FORMER TRUSTEE | 0 | 0 | 0 | 0 | 13091 | 0 | 0 | 0 | 0 | 0 | 13091 | 0 | 0 | 0 |
| VALERY A AKOPOV MD | ||||||||||||||
| VP & CHIEF OF HOSPITALISTS | 289320 | 0 | 49819 | 0 | 30153 | 0 | 20530 | 0 | 9585 | 0 | 399407 | 0 | 0 | 0 |
| DAVID W ANDERSON | ||||||||||||||
| EXEC VP HR/OL/CCO | 396057 | 0 | 113256 | 0 | 499800 | 0 | 63675 | 0 | 14241 | 0 | 1087029 | 0 | 0 | 0 |
| NICOLE ASHE | ||||||||||||||
| VP FINANCE & CFO WMG | 197655 | 0 | 24868 | 0 | 6681 | 0 | 14552 | 0 | 20244 | 0 | 264000 | 0 | 0 | 0 |
| TRACEY ATWATER | ||||||||||||||
| VP & FOUNDATION PRESIDENT | 212206 | 0 | 37835 | 0 | 42772 | 0 | 16958 | 0 | 21353 | 0 | 331124 | 0 | 0 | 0 |
| BARBARA BALLARD | ||||||||||||||
| VP HOMECARE & HOSPICE | 221400 | 0 | 39137 | 0 | 8700 | 0 | 16066 | 0 | 25262 | 0 | 310565 | 0 | 0 | 0 |
| JOSEPH L BRYWCZYNSKI | ||||||||||||||
| SR VP HEALTH PARKS DEVELOPMENT | 252245 | 0 | 58357 | 0 | 10800 | 0 | 32749 | 0 | 15644 | 0 | 369795 | 0 | 0 | 0 |
| A JAMES BUDZINSKI | ||||||||||||||
| EXEC VP & CFO | 507658 | 0 | 147371 | 0 | 156423 | 0 | 54844 | 0 | 17506 | 0 | 883802 | 0 | 0 | 0 |
| DONALD CAMPBELL MD | ||||||||||||||
| SR VP PHYS EDUC & STUDENT AFF | 313078 | 0 | 71586 | 0 | 57333 | 0 | 40224 | 0 | 14138 | 0 | 496359 | 0 | 0 | 0 |
| LEE RANDOLPH COOK | ||||||||||||||
| VP MEDICINE & BEHAVIORAL HLTH | 253643 | 0 | 53103 | 0 | 71843 | 0 | 37847 | 0 | 16960 | 0 | 433396 | 0 | 0 | 0 |
| BARBARA B COREY | ||||||||||||||
| SR VP MANAGED CARE | 280236 | 0 | 80891 | 0 | 76249 | 0 | 0 | 0 | 0 | 0 | 437376 | 0 | 0 | 0 |
| BRUCE A DEAN | ||||||||||||||
| VP REAL ESTATE & DEP GEN COUN | 210603 | 0 | 37339 | 0 | 41567 | 0 | 33613 | 0 | 15112 | 0 | 338234 | 0 | 0 | 0 |
| MARCIA DELK-PAYNE MD | ||||||||||||||
| SR VP MED AFFAIRS & CQO | 352282 | 0 | 90990 | 0 | 93867 | 0 | 44131 | 0 | 3202 | 0 | 584472 | 0 | 0 | 0 |
| CAROL S EDWARDS | ||||||||||||||
| VP CARDIAC SERVICES | 166152 | 0 | 0 | 0 | 6349 | 0 | 22617 | 0 | 4532 | 0 | 199650 | 0 | 0 | 0 |
| CLARENCE H EVINS JR | ||||||||||||||
| VP REVENUE CYCLE | 157714 | 0 | 33371 | 0 | 7716 | 0 | 11150 | 0 | 11000 | 0 | 220951 | 0 | 0 | 0 |
| MICHAEL L GRAUE | ||||||||||||||
| EXEC VP & COO | 532619 | 0 | 157139 | 0 | 14654 | 0 | 51672 | 0 | 30762 | 0 | 786846 | 0 | 0 | 0 |
| T MARK HANEY | ||||||||||||||
| SR VP & HOSPITAL PRESIDENT | 0 | 253133 | 0 | 128097 | 0 | 13626 | 0 | 21586 | 0 | 17525 | 0 | 433967 | 0 | 0 |
| ELIZABETH A HOFFMAN | ||||||||||||||
| VP BUDGET & ANALYSIS | 199287 | 0 | 34650 | 0 | 8700 | 0 | 10108 | 0 | 6484 | 0 | 259229 | 0 | 0 | 0 |
| ROBERT D JANSEN MD | ||||||||||||||
| EXEC VP & PRES MEDICAL GROUP | 519908 | 0 | 118865 | 0 | 12418 | 0 | 46463 | 0 | 20531 | 0 | 718185 | 0 | 0 | 0 |
| REYNOLD J JENNINGS | ||||||||||||||
| PRESIDENT & CEO | 981858 | 0 | 562478 | 0 | 27390 | 0 | 64901 | 0 | 0 | 0 | 1636627 | 0 | 0 | 0 |
| CHRISTOPHER M KANE | ||||||||||||||
| SR VP STRATEGIC PLAN & BUS DEV | 321428 | 0 | 74695 | 0 | 82370 | 0 | 24938 | 0 | 20762 | 0 | 524193 | 0 | 0 | 0 |
| BETH KOST | ||||||||||||||
| VP COMPLIANCE/Chief Privacy Of | 230396 | 0 | 40119 | 0 | 8700 | 0 | 16456 | 0 | 8022 | 0 | 303693 | 0 | 0 | 0 |
| KENNETH C KUNZE MD | ||||||||||||||
| SR VP CHIEF MED OFFICER | 581156 | 0 | 100435 | 0 | 444125 | 0 | 68643 | 0 | 8022 | 0 | 1202381 | 0 | 0 | 0 |
| ELLEN LANGFORD | ||||||||||||||
| VP & COO WMG | 193742 | 0 | 33394 | 0 | 85263 | 0 | 34854 | 0 | 4642 | 0 | 351895 | 0 | 0 | 0 |
| LOUIS W LITTLE | ||||||||||||||
| SR VP POST ACUTE/HOSP PRES | 0 | 233362 | 0 | 58935 | 0 | 64659 | 0 | 24451 | 0 | 15881 | 0 | 397288 | 0 | 0 |
| RICHARD T LOPES MD | ||||||||||||||
| FORMER SR VP & PRESIDENT WMG | 480426 | 0 | 0 | 0 | 0 | 0 | 19938 | 0 | 0 | 0 | 500364 | 0 | 0 | 0 |
| ROBERT MANDLER | ||||||||||||||
| VP DIAGNOSTIC OUTREACH | 208264 | 0 | 35125 | 0 | 29955 | 0 | 33059 | 0 | 14684 | 0 | 321087 | 0 | 0 | 0 |
| CAROL B MAXWELL | ||||||||||||||
| VP TALENT ACQUISTION | 209071 | 0 | 28397 | 0 | 2000 | 0 | 14177 | 0 | 6531 | 0 | 260176 | 0 | 0 | 0 |
| KIMBERLY W MENEFEE | ||||||||||||||
| SR VP MARKETING & GOV AFFAIRS | 264110 | 0 | 9000 | 0 | 123171 | 0 | 36736 | 0 | 16589 | 0 | 449606 | 0 | 0 | 0 |
| JONATHAN B MORRIS MD | ||||||||||||||
| SR VP CHIEF INFORMATION OFFICR | 346239 | 0 | 72286 | 0 | 9063 | 0 | 22886 | 0 | 20531 | 0 | 471005 | 0 | 0 | 0 |
| KEM M MULLINS | ||||||||||||||
| SR VP & HOSP PRESIDENT | 0 | 239706 | 0 | 100000 | 0 | 132183 | 0 | 23951 | 0 | 9437 | 0 | 505277 | 0 | 0 |
| CRAIG OWENS | ||||||||||||||
| SR VP & HOSP PRESIDENT | 0 | 252274 | 0 | 57091 | 0 | 11667 | 0 | 18462 | 0 | 16803 | 0 | 356297 | 0 | 0 |
| LEO E REICHERT | ||||||||||||||
| EXEC VP & GENERAL COUNSEL | 456529 | 0 | 133697 | 0 | 21336 | 0 | 25403 | 0 | 22625 | 0 | 659590 | 0 | 0 | 0 |
| MICHELLE M ROBINSON | ||||||||||||||
| VP MARKETING/PR/INT COMMUNICAT | 172139 | 0 | 24268 | 0 | 4806 | 0 | 12162 | 0 | 16529 | 0 | 229904 | 0 | 0 | 0 |
| DEBORAH ROEGGE DE VITA | ||||||||||||||
| VP WOMEN & NEWBORN | 185959 | 0 | 32087 | 0 | 48923 | 0 | 11698 | 0 | 6305 | 0 | 284972 | 0 | 0 | 0 |
| CANDICE L SAUNDERS | ||||||||||||||
| EXEC VP & HOSP PRESIDENT | 0 | 365299 | 0 | 81992 | 0 | 107525 | 0 | 44658 | 0 | 16126 | 0 | 615600 | 0 | 0 |
| CHRISTOPHER B SCULLEN | ||||||||||||||
| VP PULMONARY OPERATIONS | 163084 | 0 | 28265 | 0 | 8700 | 0 | 10296 | 0 | 382 | 0 | 210727 | 0 | 0 | 0 |
| GREGORY L SIMONE MD | ||||||||||||||
| FORMER PRES & CEO | 226763 | 0 | 0 | 0 | 0 | 0 | 9581 | 0 | 14016 | 0 | 250360 | 0 | 0 | 0 |
| JAMES M SWARTZ | ||||||||||||||
| VP ACCOUNTING | 184730 | 0 | 32826 | 0 | 8700 | 0 | 13409 | 0 | 17132 | 0 | 256797 | 0 | 0 | 0 |
| MARY L TAVERNARO | ||||||||||||||
| VP HR OPERATIONS | 199674 | 0 | 34761 | 0 | 8700 | 0 | 14330 | 0 | 10473 | 0 | 267938 | 0 | 0 | 0 |
| ADAM C THOMPSON | ||||||||||||||
| VP SURGERY | 155225 | 0 | 27353 | 0 | 9250 | 0 | 8055 | 0 | 14614 | 0 | 214497 | 0 | 0 | 0 |
| ANTHONY M TRUPIANO | ||||||||||||||
| SR VP SUPPLY CHAIN | 253706 | 0 | 62612 | 0 | 11010 | 0 | 35439 | 0 | 0 | 0 | 362767 | 0 | 0 | 0 |
| MARY L WESLEY | ||||||||||||||
| SR VP NURSING SERVICES CNE | 302455 | 0 | 69297 | 0 | 11742 | 0 | 27058 | 0 | 10644 | 0 | 421196 | 0 | 0 | 0 |
| BONNIE L WILSON | ||||||||||||||
| FORMER EXEC VP & GEN COUNSEL | 227237 | 0 | 0 | 0 | 0 | 0 | 9581 | 0 | 3629 | 0 | 240447 | 0 | 0 | 0 |
| ROBIN WILSON MD | ||||||||||||||
| SR VP CHIEF INNOVATION OFFICER | 295561 | 0 | 155781 | 0 | 11513 | 0 | 19506 | 0 | 24125 | 0 | 506486 | 0 | 0 | 0 |
| CHESTER ZBOROWSKI | ||||||||||||||
| VP Health Park Operations | 113075 | 0 | 2301 | 0 | 22335 | 0 | 5784 | 0 | 9933 | 0 | 153428 | 0 | 0 | 0 |
| BARRY MANGEL MD | ||||||||||||||
| CHIEF CARDIAC SERVICES | 608449 | 0 | 81491 | 0 | 2800 | 0 | 51180 | 0 | 25762 | 0 | 769682 | 0 | 0 | 0 |
| WILLIAM R MAYFIELD MD | ||||||||||||||
| CHIEF OF SURGERY SERVICES | 650267 | 0 | 92528 | 0 | 1800 | 0 | 52880 | 0 | 13538 | 0 | 811013 | 0 | 0 | 0 |
| ALAN R MUSTER MD | ||||||||||||||
| CHIEF PULMONARY SERVICES | 512006 | 0 | 39889 | 0 | 5825 | 0 | 45313 | 0 | 17008 | 0 | 620041 | 0 | 0 | 0 |
| PERRY G BUSBEE MD | ||||||||||||||
| CHIEF WOMENS SERVICES | 301718 | 0 | 38465 | 0 | 10540 | 0 | 25191 | 0 | 23762 | 0 | 399676 | 0 | 0 | 0 |
| WILLIAM J BENEDICT JR MD | ||||||||||||||
| MD | 689933 | 0 | 413852 | 0 | 1800 | 0 | 51015 | 0 | 15341 | 0 | 1171941 | 0 | 0 | 0 |
| SAID ELAHIHABI MD | ||||||||||||||
| MD | 798042 | 0 | 180832 | 0 | 1523 | 0 | 58347 | 0 | 16850 | 0 | 1055594 | 0 | 0 | 0 |
| HANS H LEE MD | ||||||||||||||
| MD | 405628 | 0 | 352322 | 0 | 1800 | 0 | 53965 | 0 | 25762 | 0 | 839477 | 0 | 0 | 0 |
| AMAR PATEL MD | ||||||||||||||
| MD | 403123 | 0 | 339757 | 0 | 1800 | 0 | 53489 | 0 | 29031 | 0 | 827200 | 0 | 0 | 0 |
| OSAGIE O OKUNDAYE MD | ||||||||||||||
| MD | 413379 | 0 | 342757 | 0 | 1800 | 0 | 53224 | 0 | 20405 | 0 | 831565 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NON-FIXED PAYMENTS TO OFFICERS | FORM 990 SCHEDULE J LINE 7 | Wellstar 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 PAYMENTS | Pursuant 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 COMPENSATION | Form 990, Schedule J, Part I, Line 1b & 2 | While 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 EXCEPTIONS | SCHEDULE J PART III | THE 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 ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY OF COBB COUNTY | ||||||||
| B | 582464600 | 19081PEM4 | 2004-04-30 | 25000000 | EQUIPMENT POOL | false | false | false |
| COBB COUNTY KENNESTONE HOSPITAL AUTHORITY | ||||||||
| C | 581147004 | 190813LN3 | 2005-10-31 | 120000000 | CAPITAL IMPROVEMENTS (Series A & B | false | false | false |
| HOSPITAL AUTHORITY OF COBB COUNTY | ||||||||
| D | 582464600 | 19081PEN2 | 2006-06-30 | 25000000 | EQUIPMENT POOL | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| B | 0 | 0 | 25000000 | 0 | 0 | 0 | 0 | 0 | 0 | 25000000 | 0 | 0 | 2004 | false | false | true | true |
| C | 3875000 | 0 | 120000000 | 0 | 0 | 0 | 1167300 | 0 | 0 | 116948276 | 1884424 | 0 | 2007 | false | false | true | true |
| D | 0 | 0 | 25000000 | 0 | 0 | 0 | 0 | 0 | 0 | 25000000 | 0 | 0 | 2006 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse |
|---|---|---|---|---|---|---|---|
| B | false | false | false | false | 0 | ||
| C | false | false | false | false | 0.00020 | 0.00020 | 0.00040 |
| D | false | false | false | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Exception To RebateExceptionToRebate | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested |
|---|---|---|---|---|---|---|---|
| 0 | |||||||
| B | false | true | true | false | false | 0 | false |
| 0 | |||||||
| C | false | true | false | 0 | false | ||
| 0 | |||||||
| D | false | true | false | 0 | false | ||
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| B | true |
| C | true |
| D | true |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCH K PART V POST ISSUANCE TAX COMPLIANCE FOR TAX EXEMPT BOMDS | Identifier |
| Return Reference | 0 | ReturnReference |
| Explanation | WELLSTAR HEALTH SYSTEM, INC (THE BORROWER ON TAX EXEMPT BONDS) HAS ESTABLISHED POLICIES AND PROCEDURES THAT WILL MAXIMIZE THE LIKELIHOOD THAT ALL APPLICABLE POST-ISSUANCE REQUIREMENTS OF FEDERAL INCOME TAX LAW NEEDED TO PRESERVE THE TAX-EXEMPT STATUS OF THE BONDS ARE MET. THE PROCEDURES INCLUDE EXTERNAL ADVISORS SUCH AS BOND COUNSEL AND OTHER LEGAL COUNSEL WHO ASSIST THE BORROWER IN MAINTAINING THE TAX-EXEMPT STATUS OF ALL BONDS; ARBITRAGE REBATE CALCULATIONS THAT NEED TO BE MADE FOR EACH BOND ISSUE; DOCUMENTATION OF THE USE OF BOND PROCEEDS INCLUDING POTENTIAL PRIVATE BUSINESS USE APPLICABLE TO THE BONDS AFTER AN ANNUAL INTERNAL REVIEW OF THOSE USES; AND PROPER RECORD KEEPING OF ALL DOCUMENTS RELATED TO THE ISSUANCE OF TAX-EXEMPT BONDS. THESE PROCEDURES APPLY TO ALL LISTED TAX-EXEMPT BONDS. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| COBB COUNTY KENNESTONE HOSPITAL AUTHORITY | ||||||||
| A | 581147004 | 190813NM3 | 2011-11-01 | 127345930 | CONSTRUCTION | false | false | false |
| PAULDING COUNTY HOSPITAL AUTHORITY | ||||||||
| B | 586011214 | 703596DH6 | 2012-06-28 | 32711016 | CONSTRUCTION SERIES A | false | false | false |
| PAULDING COUNTY HOSPITAL AUTHORITY | ||||||||
| C | 586011214 | 703596DK9 | 2012-06-28 | 68750000 | CONSTRUCTION SERIES B | false | false | false |
| COBB COUNTY KENNESTONE HOSPITAL AUTHORITY | ||||||||
| D | 581147004 | 190813PH2 | 2012-11-15 | 122366879 | ADVANCED REFUNDING CONSTRUCTION | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 4205000 | 0 | 127345930 | 0 | 0 | 50962739 | 1383191 | 0 | 0 | 75000000 | 0 | 0 | 2011 | true | true | false | true |
| B | 0 | 0 | 32711016 | 14896852 | 225231 | 0 | 437500 | 0 | 0 | 17151433 | 0 | 0 | false | false | false | true | |
| C | 0 | 0 | 68750000 | 27382125 | 1319267 | 0 | 471875 | 0 | 0 | 39576733 | 0 | 0 | false | false | false | true | |
| D | 0 | 0 | 122366879 | 0 | 0 | 121287509 | 1079370 | 0 | 0 | 0 | 0 | 0 | true | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | false | false | false | 0 | false | false | false |
| B | false | false | false | 0 | false | false | false |
| C | false | false | 0 | ||||
| D | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Exception To RebateExceptionToRebate | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Variable Rate IssueVariableRateIssue |
|---|---|---|---|---|---|---|
| 0 | ||||||
| A | false | true | false | 0 | false | |
| 0 | ||||||
| B | false | true | false | 0 | false | false |
| 0 | ||||||
| C | false | true | false | 0 | false | true |
| 0 | ||||||
| D | false | true | false | 0 | false | false |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
| C | true |
| D | true |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (15 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| PAMELA ETHERIDGE | |||
| WIFE OF OFFICER | 60897 | EMPLOYEE OF WELLSTAR | false |
| GREG FORTGANG | |||
| SON-IN-LAW OF TRUSTEE | 99034 | EMPLOYEE OF WELLSTAR | false |
| JESSICA HANEY | |||
| DAUGHTER OF OFFICER | 57127 | EMPLOYEE OF WELLSTAR | false |
| GEORGE FLEMING | |||
| BROTHER OF OFFICER | 65701 | EMPLOYEE OF WELLSTAR/COBB | false |
| THOMAS E GEARHARD MD | |||
| BOARD MEMBER | 136000 | BUILDING LEASE | false |
| GREYSTONE POWER | |||
| BOARD MEMBER | 868853 | EXPLANATION IN PART V | false |
| MATTHEW MADDOX | |||
| SON OF BOARD MEMBER | 67037 | EMPLOYEE OF WELLSTAR | false |
| PUCKETT EMS AMBULANCE SERVICE | |||
| BROTHER-IN-LAW OF OFFICER | 250230 | EXPLANATION IN PART V | false |
| H S I FINANCIAL SERVICES | |||
| OFFICER IS DIR OF AGENCY | 289075 | EXPLANATION IN PART V | false |
| BONNIE MILLER | |||
| WIFE OF BOARD MEMBER | 35100 | EMPLOYEE OF WELLSTAR | false |
| GREG SEPARK | |||
| SON OF BOARD MEMBER | 23420 | EMPLOYEE OF WELLSTAR | false |
| GREG KOST | |||
| BROTHER-IN-LAW OF OFFICER | 47539 | EMPLOYEE OF WELLSTAR | false |
| BRIAN BUSBEE | |||
| SON OF KEY EMPLOYEE | 63690 | EMPLOYEE OF WELLSTAR | false |
| JENNIFER HANEY | |||
| DAUGHTER-IN-LAW OF OFFCER | 77821 | EMPLOYEE OF WELLSTAR | false |
| TURNER BACHMAN GARRETT LLC | |||
| BROTHER-IN-LAW OF TRUSTEE | 42741 | EXPLANATION IN PART V | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCH L PART IV TRANSACTIONS WITH INTERESTED PARTIES | Identifier |
| Explanation | On 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)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION INFORMATION ON FORM 990 | FORM 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). |
| CONFLICT OF INTEREST POLICY | FORM 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 COMPENSATION | FORM 990 PART VI SECTION B Line 15a & b | 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 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 DOCUMENTS | FORM 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. |
| VOLUNTEERS | Form 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. |
| OFFICERS HOURS WORKED | FORM 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. |
| Transactions with Related Organizations | Form 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 |
| Changes In Net Assets | Form 990 Part XI Line 9 | The 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 Amendments | Part VI Line 4 | During 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Wellstar Medical Group LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 273818647 | Healthcare | GA | 238656930 | 62621914 | WHS Inc |
| Cobb Gynecologists 2 LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 020808099 | Healthcare | GA | 0 | NA | |
| South Cobb OB-GYN 2 LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 020808071 | Healthcare | GA | 0 | NA | |
| WellStar Acworth Family Practice LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 412243451 | Healthcare | GA | 0 | NA | |
| WellStar Atlanta General Surgery LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 264271578 | Healthcare | GA | 0 | NA | |
| WellStar Behavioral Health LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582500211 | Healthcare | GA | 0 | NA | |
| Wellstar Cardiovascular Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 263557639 | Healthcare | GA | NA | ||
| WellStar Cherokee Street Internal and Pr | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 161735178 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Family Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582560699 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Gynecologists LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582502440 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Hospitalists LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 753140245 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Medical Group LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586050 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Rehabilitation Medicine L | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582587322 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Surgical Associates LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 562469675 | Healthcare | GA | 0 | NA | |
| WellStar Cooper Lake Family Medicine LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 264295540 | Healthcare | GA | 0 | NA | |
| WellStar Cornerstone Family Medicine LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 061745258 | Healthcare | GA | 0 | NA | |
| WellStar Cousins and Cantrell LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586291 | Healthcare | GA | 0 | NA | |
| WellStar Creekside Pediatrics LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582499179 | Healthcare | GA | 0 | NA | |
| WellStar Douglas Surgical Associates LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 300364595 | Healthcare | GA | 0 | NA | |
| WellStar Douglasville Medical Center at | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 753245214 | Healthcare | GA | 0 | NA | |
| WellStar Douglasville Medical Center LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577971 | Healthcare | GA | 0 | NA | |
| WellStar East Cobb Medical Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598851 | Healthcare | GA | 0 | NA | |
| WellStar East Paulding Pediatric Center | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598855 | Healthcare | GA | 0 | NA | |
| WellStar East Paulding Primary Care Cent | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598856 | Healthcare | GA | 0 | NA | |
| WellStar Infectious Disease LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582502436 | Healthcare | GA | 0 | NA | |
| WellStar Internal Medicine Associates of | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586054 | Healthcare | GA | 0 | NA | |
| WellStar Internal Medicine at Douglasvil | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598842 | Healthcare | GA | 0 | NA | |
| WellStar Internal Medicine at Paulding | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 300355547 | Healthcare | GA | 0 | NA | |
| WellStar Internal Medicine of Cobb LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 562445102 | Healthcare | GA | 0 | NA | |
| WellStar KenMar Pediatrics LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577974 | Healthcare | GA | 0 | NA | |
| WellStar Kennesaw Medical Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582568534 | Healthcare | GA | 0 | NA | |
| WellStar Kennestone OBGYN 2 LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 300355553 | Healthcare | GA | 0 | NA | |
| WellStar Kennestone OBGYN LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582499183 | Healthcare | GA | 0 | NA | |
| WellStar Kennestone Pediatric Associates | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586286 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Adult Medicine Associa | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582635392 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Family Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577972 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Internal Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586289 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Pediatrics LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598854 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Primary Care LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577979 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Pulmonary Medicine LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586292 | Healthcare | GA | 0 | NA | |
| WellStar Medical Specialists 2 LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 753261729 | Healthcare | GA | 0 | NA | |
| WellStar Medical Specialists LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586293 | Healthcare | GA | 0 | NA | |
| WellStar Midani Pediatric Practice LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598853 | Healthcare | GA | 0 | NA | |
| WellStar Neurosurgery LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 300067488 | Healthcare | GA | 0 | NA | |
| WellStar North Cobb Pediatrics LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582518119 | Healthcare | GA | 0 | NA | |
| WellStar North Cobb Women's Health 2 LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 412243450 | Healthcare | GA | 0 | NA | |
| WellStar North Cobb Women's Health LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582499178 | Healthcare | GA | 0 | NA | |
| WellStar North Douglas OBGYN LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598852 | Healthcare | GA | 0 | NA | |
| WellStar Northwest Women's Care LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582499181 | Healthcare | GA | 0 | NA | |
| WellStar Occupational Health LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582510194 | Healthcare | GA | 0 | NA | |
| WellStar Palliative Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 223972021 | Healthcare | GA | 0 | NA | |
| WellStar Paulding Surgical Associates L | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 743130874 | Healthcare | GA | 0 | NA | |
| WellStar Pediatric & Adolescent Center | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582570392 | Healthcare | GA | 0 | NA | |
| WellStar Pediatric & Family Wellness Cen | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 264687089 | Healthcare | GA | 0 | NA | |
| WellStar Pediatric Professionals LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 320093335 | Healthcare | GA | 0 | NA | |
| WellStar Pediatrics at Brookstone LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598844 | Healthcare | GA | 0 | NA | |
| WellStar Phillips Women's Care LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586058 | Healthcare | GA | 0 | NA | |
| WellStar Physicians Group Douglas Hospit | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 161735192 | Healthcare | GA | 0 | NA | |
| WellStar Physicians Group ENT LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582473668 | Healthcare | GA | 0 | NA | |
| WellStar Physicians Group Hospitalists | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582461494 | Healthcare | GA | 0 | NA | |
| WellStar Physicians Group Pathologists | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582461493 | Healthcare | GA | 0 | NA | |
| WellStar Powder Springs Medical Center | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586052 | Healthcare | GA | 0 | NA | |
| WellStar Rehab Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582532917 | Healthcare | GA | 0 | NA | |
| WellStar Rheumatology Associates of Mari | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 450559274 | Healthcare | GA | 0 | NA | |
| WellStar Shallowford Medical Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598849 | Healthcare | GA | 0 | NA | |
| WellStar Smyrna Primary Care Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598843 | Healthcare | GA | 0 | NA | |
| WellStar South Cobb Primary Care LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586290 | Healthcare | GA | 0 | NA | |
| WellStar South Cobb Rheumatology LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 412243448 | Healthcare | GA | 0 | NA | |
| WellStar Surgical Associates of Marietta | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 562469677 | Healthcare | GA | 0 | NA | |
| WellStar Thoracic Surgery Associates LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 263540626 | Healthcare | GA | 0 | NA | |
| WellStar Towne Lake Medical Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586287 | Healthcare | GA | 0 | NA | |
| WellStar Towne Lake Pediatrics LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577980 | Healthcare | GA | 0 | NA | |
| WellStar Urgent Care at Cooper Lake LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 300378808 | Healthcare | GA | 0 | NA | |
| WellStar Urgent Care at Towne Lake LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586061 | Healthcare | GA | 0 | NA | |
| WellStar Urgent Care in Kennesaw LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582568565 | Healthcare | GA | 0 | NA | |
| WellStar Urgent Care on Delk Road LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577976 | Healthcare | GA | 0 | NA | |
| WellStar Urgent Care on Sandy Plains Roa | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598845 | Healthcare | GA | 0 | NA | |
| WellStar West Cobb Medical Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586288 | Healthcare | GA | 0 | NA | |
| WellStar Woodlawn Commons Family Practic | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586053 | Healthcare | GA | 0 | NA | |
| Homecare Billing Services LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582479534 | Healthcare | GA | 2994511 | NA | |
| Wellstar Windy Hill Apothecary LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 562511925 | Healthcare | GA | 1102029 | NA | |
| Wellstar Bi-County ENT LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 272258194 | Healthcare | GA | 0 | NA | |
| Wellstar Comprehensive Bariatric Srv LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 271716783 | Healthcare | GA | 0 | NA | |
| Wellstar Family Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 273565358 | Healthcare | GA | 0 | NA | |
| Wellstar Home Health LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 270277843 | Healthcare | GA | 5812873 | WHS Inc | |
| Wellstar Health Network LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 273870970 | Healthcare | GA | WHS Inc | ||
| Wellstar Health Ventures LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 453754932 | Healthcare | GA | 883513 | WHS Inc | |
| Wellstar IPA LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649541 | Insurance | GA | 0 | NA | |
| Wellstar Community Hospice LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 134350580 | Healthcare | GA | 8807384 | NA | |
| Center for Health Transformation | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649541 | Healthcare | GA | 0 | NA | |
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CHS Foundation Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649540 | Foundation | GA | 501 (c) 3 | 11 Type 2 | WHS | true |
| Cobb Hospital Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 580968382 | Healthcare | GA | 501 (C) 3 | 3 | WHS | true |
| Douglas Hospital Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582026750 | Healthcare | GA | 501 (c) 3 | 3 | WHS | true |
| Kennestone Hospital Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582032904 | Healthcare | GA | 501 (c) 3 | 3 | WHS | true |
| Paulding Medical Center Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582095884 | Healthcare | GA | 501 (c) 3 | 3 | WHS | true |
| Wellstar Foundation Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581627413 | Foundation | GA | 501 (c) 3 | 11 Type 2 | WHS | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kennestone South Parking Deck | |||||||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 581649541 | PARKING | GA | NA | Investment | 115392 | 1681857 | false | false | 0.45000 |
| Cobb Hospital Parking Company LLC | |||||||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 752999669 | PARKING | GA | NA | Investment | 32622 | 740958 | false | false | 0.62500 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Assurance Co | BusinessNameLine1 |
Address Foreign AddressForeign
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3rd Fl Barclays House Shedden Rd | AddressLine1 |
| City | George Town | City |
| Province Or State | Cayman Islands, B | ProvinceOrState |
| Country | CJ | Country |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581649541 | EIN |
| Primary Activity | INSURANCE | PrimaryActivity |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountry |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of EOY Assets | 60283691 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | true | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Cobb Hospital Inc | ||
| q | 55787428 | actual cost |
| Douglas Hospital Inc | ||
| q | 19312505 | actual cost |
| Kennestone Hospital Inc | ||
| q | 124548708 | actual cost |
| Paulding Medical Center Inc | ||
| q | 11244854 | actual cost |