KENNESTONE HOSPITAL INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- KENNESTONE HOSPITAL INC (EIN 58-2032904)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201101369349306275
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T16:30:11-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582032904 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENNESTONE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KENN | NameControl |
| Phone | 7707925023 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 Sandy Plains Road | AddressLine1 |
| 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 & TREASURY | Title |
| Date Signed | 2011-05-16 | 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 | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | A JAMES BUDZINSKI | NameOfPrincipalOfficerPerson |
| Gross Receipts | 1087552125 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.wellstar.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1993 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | To provide world class charitable healthcare to the community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4794 | TotalNbrEmployees |
| Total Nbr Volunteers | 407 | TotalNbrVolunteers |
| Total Gross UBI | 1427201 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 688199527 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 772276284 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -8131024 | InvestmentIncomePriorYear |
| Investment Income Current Year | 18062619 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 10186431 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9993352 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 690254934 | TotalRevenuePriorYear |
| Total Revenue Current Year | 800332255 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 215004932 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 251480542 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 404783939 | OtherExpensePriorYear |
| Other Expenses Current Year | 424967395 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 619788871 | TotalExpensesPriorYear |
| Total Expenses Current Year | 676447937 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 70466063 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 123884318 | RevenuesLessExpensesCY |
| Total Assets BOY | 803751816 | TotalAssetsBOY |
| Total Assets EOY | 898796753 | TotalAssetsEOY |
| Total Liabilities BOY | 341513250 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 374877197 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 462238566 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 523919556 | 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 WE SERVE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 605953420 | Expense |
| Revenue | 772276284 | Revenue |
| Description | As discussed herein, Kennestone Hospital, Inc (an affiliate of Wellstar Health System, Inc.) operates as a charitable organization consistent with the requirements of Internal Revenue Code Section 501 (c) (3) and the "community benefit standard" of IRS Revenue Ruling 69-545. In this regard, the governing body of the organization and/or its parent is composed of prominent citizens in the community, medical staff privileges in the hospital are available to all qualified physicians in the area, consistent with the size and nature of the facility; one of the hospitals operates a full-time emergency room open to all regardless of the ability to pay; the hospital provides care to needy members of its community consistent with its charity care policy regardless of their ability to pay for these services and admits as patients those able to pay for care, either themselves or through third-party payers such as private health insurance or government programs such as Medicare and Medicaid; and the hospital's excess funds are generally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement in patient care, community benefit activities, and charity care. Kennestone Hospital, Inc. consists of two hospitals, Wellstar Kennestone and Wellstar Windy Hill. These hospitals combined to invest approximately $42 million in capital expenditures for the fiscal period. Wellstar Kennestone Hospital is a general acute hospital which provides a full range of inpatient and outpatient services for the overall health of the community. The hospital is located in Marietta, Georgia. The original hospital was constructed in 1950. The present main building was constructed in 1975. Kennestone is licensed to operate 633 beds and is currently staffed to operate 586 beds. Wellstar Windy Hill Hospital is located in the unincorporated area of Cobb County in northwest metropolitan Atlanta. It is an acute care hospital concentrating at the present time on long term care inpatient and outpatient services. The original structure was built in 1973 and renovated in 1987. The beds at Windy Hill serve medically complex patients whose average stay is approximately 30 days. Kennestone Hospital, Inc. affiliated with Northwest Georgia Health System in 1993. In 1994 Northwest Georgia Health System helped form the Promina Health System and changed its name to Promina Northwest Health System. In 1998 Promina Northwest changed its name to Wellstar Health System. Wellstar became totally independent of Promina in 2000. Kennestone Hospital, Inc. was organized in 1993 and is subordinate to, and subject to the authority of, Wellstar Health System and its governing board. Kennestone offers most major inpatient clinical services, a variety of outpatient services, women's services and open heart surgery. It is one of the largest hospitals in the state of Georgia. Kennestone is also home to a variety of state-of-the-art procedures and equipment not offered elsewhere in the larger Atlanta metro service area. The hospital has also opened several satellite outpatient imaging centers to provide easier access to our patient population. One additional service offered on the campus of Kennestone is called Atherton Place. This residential facility provides independent housing as well as assisted living to residents needing these services--especially the elderly. (Windy Hill has transitioned its focus to long-term inpatient and outpatient services. These services include a concentration in geriatrics, rehabilitation, orthopedics and senior care). A recent addition included a women's imaging department. The following stats constitute the overall program services for the period ended June 30, 2010: Kennestone Windy Hill Total Adult Discharges 34,410 395 34,805 Med/Surg Short Stay Days 10,274 202 10,476 Newborn Discharges 5,700 5,700 Emergency Room Visits 86,871 86,871 Pediatric ER Visits 23,138 23,138 Outpatient Surgical Cases 11,467 2,720 14,187 Inpatient Surgical Cases 8,700 78 8,778 Open Heart Cases 674 674 Outpatient Procedures Non ED OP Radiology 155,405 11,669 167,074 Cath Lab/Pacers/EP 8,508 8,508 GI Lab 4,533 250 4,783 Total FTEs (Paid) 3,372 271 3,643 Community Benefit Reporting Community Outreach (incl system alloc) $ 2,199,183 Unreimbursed Charity Care (at cost) $27,040,464 Based on Charity/Indigent charges of $94.1 million Medicaid Shortfall (at cost) $12,438,415 Totals $41,478,062 The Georgia Hospital Association has estimated that Kennestone and Windy Hill hospitals have had an economic impact of approximately $1.5 billion and are responsible for creating over 8,000 jobs for the local and state economy. Community Benefits Detail Kennestone and Windy Hill, affiliates of Wellstar Health System, participate in many community and educational programs for the overall health and benefit of the area that it serves. The following are examples of programs or services that are provided by Kennestone Hospital, Inc. for the charitable benefit of the community (and the program's value if known): Community Health/Education Wellstar's Marketing and Public Relations department provides free brochures on a variety of health-related topics such as blood pressure, diabetes, cholesterol, osteoporosis, and nutrition. Kennestone Hospital specifically offers the community the space and instructors for many support groups and educational opportunities--some free of charge and others at a nominal fee (examples of the offerings are women's health, palliative care, birthing classes, etc.) Kennestone and Windy Hill also offer free and/or low cost screenings for health issues such as blood pressure, cholesterol, flu shots, and others. The hospitals also help sponsor an annual "Latino" health fair to reach out to the ever expanding Hispanic community that it serves. System-wide for the reporting period over 200,000 area residents were seen at either the screenings or health fairs. School Health Program This program is operated in conjunction with area school systems and seeks to teach school-aged children about health and safety topics such as dental health, water safety, seat belt safety and others. Safe Kids-Cobb/Cherokee Wellstar and the Cobb Public Health Department sponsor safety education events on an annual basis to the community, specifically the Cobb County area. The safety initiatives are centered around car seat checks, bike helmets, water safety and other preventive initiatives. The mission is to reduce the number of accidental injuries for children ages 14 and under. The SafeKids Cobb program provided 1,750 car seat checks and distributed 750 free car seats to families in need. Women's and Children's Resource Center The Women's and Children Resource Center of Kennestone had unreimbursed costs of approximately $225,000. This program provides much needed support for mothers and their newborn babies. The program demonstrates our commitment to the health and well-being of new mothers and babies in our community. Other Programs Kennestone Hospital and Wellstar sponsor several other programs which may not have a specific value associated with them but offer health and education to the community. The Partner-in-Education program provides health-related supplies and support to area elementary and middle schools. Through the "Partners in Ministry" program, the Pastoral Care Department leads a partnership between the health system and local area congregations to link between the spiritual and clinical community needs. As a component with our relationship with the International Theological Center, Wellstar Windy Hill hosted 10 seminary students for a semester of time to provide on-the-job experience to pastoral students. The training allowed students to become familiar with the needs associated with the long term care needs of patients, families and Wellstar staff. Wellstar offers a Disease Management program in which five chronic diseases are monitored for patients through periodic updates by a Wellstar clinician (via phone). This program helped reduce both hospital admissions and ER visits for those patients in the program. Sponsorships and Community Activities. Employees participated in the Heart Walk in support of those suffering from heart disease. A group of Kennestone Hospital employees also volunteered to participate in the "Relay for Life" event to raise funds and awareness of cancer treatment and prevention. The event benefited the American Cancer Society. A portion of the Kennestone Hospital community is beneficiary of some of Wellstar's sponsorships and contributions. Windy Hill Hospital staff and physicians conducted a mock patient evacuation to assess emergency preparedness in the event of a disaster. The drill was deemed a huge success. Several fund raising events were sponsored by the System for the benefit of not only the health-related organizations such as American Cancer Society and American Heart Association but also the Cobb County area. | Description |
| Total Program Service Expense | 605953420 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | 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 | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| 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 | 4794 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | 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 | false | InvestmentInJointVenture |
| 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 | 7707925393 | 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 |
Form990 Part VII Section A Form990PartVIISectionA (64 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Randall Bentley | ||||||||
| Board Member Vice Chair | 1.0 | X | 0 | 16471 | 0 | |||
| Robert N Cross MD | ||||||||
| Board Member | 1.0 | X | 0 | 4767 | 0 | |||
| T E Durham | ||||||||
| Board Member | 1.0 | X | 0 | 34715 | 2135 | |||
| Thomas E Gearhard MD | ||||||||
| Board Member | 1.0 | X | 0 | 320690 | 31087 | |||
| David Hafner MD | ||||||||
| Board Member | 1.0 | X | 0 | 15651 | 0 | |||
| Charles J Jones | ||||||||
| Board Member | 1.0 | X | 0 | 12635 | 0 | |||
| Connie Kirk | ||||||||
| Board Member | 1.0 | X | 0 | 4195 | 0 | |||
| Janie Maddox | ||||||||
| Board Member | 1.0 | X | 0 | 4884 | 0 | |||
| Gary A Miller | ||||||||
| Board Member | 1.0 | X | 0 | 2609 | 0 | |||
| Steven W Oweida MD | ||||||||
| Board Member-Chair | 1.0 | X | 0 | 17488 | 0 | |||
| Tom Phillips | ||||||||
| Board Member | 1.0 | X | 0 | 2774 | 0 | |||
| Walter G Robinson | ||||||||
| Board Member | 1.0 | X | 0 | 3372 | 0 | |||
| Ronald P Roper MD | ||||||||
| Board Member | 1.0 | X | 0 | 9713 | 0 | |||
| W Allen Separk | ||||||||
| Board Member | 1.0 | X | 0 | 7230 | 0 | |||
| Kessel Stelling | ||||||||
| Board Member | 1.0 | X | 0 | 1252 | 0 | |||
| Jeffrey Tharp MD | ||||||||
| Board Member | 1.0 | X | 0 | 374975 | 32823 | |||
| Ken Thigpen | ||||||||
| Board Member | 1.0 | X | 0 | 10151 | 0 | |||
| Robert G Warner MD | ||||||||
| Board Member | 1.0 | X | 0 | 3581 | 0 | |||
| Charles Pete Wood | ||||||||
| Board Member | 1.0 | X | 0 | 12025 | 0 | |||
| A James Budzinski | ||||||||
| Exec VP and CFO | 2.0 | 0 | 542322 | 42617 | X | |||
| Gregory L Simone MD | ||||||||
| President & CEO | 2.0 | 0 | 1127407 | 76939 | X | |||
| Bonnie Wilson | ||||||||
| Exec VP and Gen Counsel | 2.0 | 0 | 564617 | 45500 | X | |||
| David W Anderson | ||||||||
| Exec VP HR/OL/CCO | 2.0 | 0 | 500879 | 38389 | X | |||
| Donald Campbell MD | ||||||||
| Sr VP and Med Director | 2.0 | 0 | 392181 | 31906 | X | |||
| Barbara B Corey | ||||||||
| Sr VP Managed Care | 2.0 | 0 | 354487 | 28277 | X | |||
| Bruce Dean | ||||||||
| VP and Asst Gen Counsel | 2.0 | 0 | 231199 | 23450 | X | |||
| Marcia Delk MD | ||||||||
| Sr VP Med Affairs & CQO | 2.0 | 0 | 420898 | 41645 | X | |||
| Darold Etheridge | ||||||||
| VP Finance | 2.0 | 0 | 257321 | 24944 | X | |||
| Lee Evins | ||||||||
| VP Revenue Cycle Mgmt | 2.0 | 0 | 237160 | 22440 | X | |||
| Mark Haney | ||||||||
| Sr VP Business Development | 2.0 | 0 | 348007 | 32214 | X | |||
| Patrick Jansen | ||||||||
| VP Cardiac Services | 2.0 | 0 | 233543 | 19687 | X | |||
| Christopher M Kane | ||||||||
| Sr VP Strategic Planning | 2.0 | 0 | 361179 | 32046 | X | |||
| Kenneth C Kunze MD | ||||||||
| Sr VP and Chief Med Officer | 2.0 | 0 | 497872 | 35952 | X | |||
| Louis W Little | ||||||||
| Sr VP Post Acute & Hosp Admin | 2.0 | 0 | 290248 | 31176 | X | |||
| Kimberly W Menefee | ||||||||
| Sr VP Public & Govt Affairs | 2.0 | 0 | 322123 | 28095 | X | |||
| Ronald J Strachan | ||||||||
| Sr VP and CIO | 2.0 | 0 | 398320 | 34634 | X | |||
| Candice L Saunders | ||||||||
| Exec VP & Adminstrator | 50.0 | 400220 | 0 | 33623 | X | |||
| Martin L Gutkin | ||||||||
| VP Finance & Hospital CFO | 50.0 | 206590 | 0 | 12425 | X | |||
| Diane C Swain | ||||||||
| VP & COO Kenn Hospital | 50.0 | 284988 | 0 | 18262 | X | |||
| ROBERT HAMILTON | ||||||||
| VP MED AFFAIRS | 2.0 | 0 | 280941 | 22888 | X | |||
| MICHAEL GRAUE | ||||||||
| EXEC VP & COO | 2.0 | 0 | 658068 | 49874 | X | |||
| ROBERT JANSEN | ||||||||
| VP MED AFFAIRS | 2.0 | 0 | 207504 | 15763 | X | |||
| ELLEN LANGFORD | ||||||||
| VP & COO WELLSTAR PHYS GRP | 2.0 | 0 | 188974 | 17817 | X | |||
| ROBERT MANDLER | ||||||||
| VP Diagnostic Outreach | 2.0 | 0 | 235145 | 21295 | X | |||
| DEBORAH L PASCH | ||||||||
| VP & CNO Kennestone Hosp | 50.0 | 266846 | 0 | 20078 | X | |||
| JONATHAN B MORRIS | ||||||||
| VP & Chief Med Info Officer | 2.0 | 0 | 148980 | 12644 | X | |||
| ANTHONY M TRUPIANO | ||||||||
| VP SUPPLY CHAIN | 2.0 | 0 | 233753 | 17874 | X | |||
| ROBIN WILSON MD | ||||||||
| VP Medical Mgmt | 2.0 | 0 | 154726 | 13389 | X | |||
| JOSEPH L BRYWCZYNSKI | ||||||||
| Sr VP HEALTH PARKS ADMIN | 2.0 | 0 | 0 | 0 | X | |||
| ELIZABETH A HOFFMANN | ||||||||
| VP BUDGET AND ANALYSIS | 2.0 | 0 | 0 | 0 | X | |||
| RICHARD T LOPES MD | ||||||||
| Sr VP & PRES WELLSTAR PHYS GRP | 2.0 | 0 | 0 | 0 | X | |||
| JAMES M SWARTZ | ||||||||
| VP ACCOUNTING | 2.0 | 0 | 0 | 0 | X | |||
| MARY L WESLEY | ||||||||
| Sr VP NURSING SERVICES & CNE | 2.0 | 0 | 0 | 0 | X | |||
| Dwight Still | ||||||||
| Radition Oncology Physicist | 50.0 | 160891 | 0 | 15579 | X | |||
| Patricia Horton | ||||||||
| Asst VP Nursing | 50.0 | 161746 | 0 | 12878 | X | |||
| Sherron Kurtz | ||||||||
| Exec Dir Surgical Srv KH | 50.0 | 159336 | 0 | 12793 | X | |||
| Thomas Whittaker | ||||||||
| Radiation Oncology Physicist | 50.0 | 151891 | 0 | 13014 | X | |||
| Amanda Trask | ||||||||
| Asst VP Operations | 50.0 | 154781 | 0 | 18519 | X | |||
| Marsha Burke | ||||||||
| Former Exec VP and CFO | 1.0 | 0 | 550796 | 43614 | X | |||
| Linda A Clark | ||||||||
| Exec VP and COO | 1.0 | 0 | 402300 | 24741 | X | |||
| Bruce Harrison | ||||||||
| Sr VP and CAO Phys Group | 1.0 | 0 | 378334 | 34449 | X | |||
| Nancy Kemp | ||||||||
| VP Medical Management | 1.0 | 0 | 226912 | 13955 | X | |||
| Teresa M Ray | ||||||||
| Sr VP Nursing & CNE | 1.0 | 0 | 322133 | 19811 | X | |||
| Andrew W Tatnall | ||||||||
| Sr VP Operations | 1.0 | 0 | 187893 | 11548 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1947289 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 12115400 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1132789 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | 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 |
|---|---|---|---|---|---|
| Brasfield Gorrie | |||||
| 1990 Vaughn Rd NW Suite 100 | KENNESAW | GA | 30144 | General Contractor | 6168484 |
| Cork-Howard Construction | |||||
| 2121 New Market Pkwy Suite 118 | MARIETTA | GA | 30067 | General Contractor | 2754199 |
| Surgical Operational Services | |||||
| 506 Commerce Park Dr Suite G | MARIETTA | GA | 30060 | OR Consultant | 2818469 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 740736 | ATLANTA | GA | 303740736 | MEDICAL LAB SERVICES | 1541532 |
| Emory Clinic Inc | |||||
| 101 W Ponce De Leon Ave Suite 400 | DECATUR | GA | 30030 | Med/Phys Services | 1650129 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT REVENUE | 621990 | 766451434 | 766451434 |
| MEDICAL RECORDS | 621990 | 1773 | 1773 |
| INDEPENDENT & ASSISTED LIVING REVENUE | 623000 | 5437989 | 5437989 |
| PATIENT EDUCATION | 621990 | 385088 | 385088 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 772276284 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7882449 | TotalRevenueColumn |
| Exclusion | $7,882,449 | 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 | 145833 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 145833 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 145833 | TotalRevenueColumn |
| Exclusion | $145,833 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 297382540 | Securities |
| Other | 17500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 287149013 | Securities |
| Other | 70857 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10233527 | Securities |
| Other | -53357 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10180170 | TotalRevenueColumn |
| Exclusion | $10,180,170 | 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 |
|---|---|---|---|---|
| PHARMACY/APOTHECARY | 446199 | 1453418 | 1427201 | $26,217 |
| LAB OUTREACH | 387978 | $387,978 | ||
| CAFETERIA | 3198281 | $3,198,281 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4807842 | TotalRevenueColumn |
| Exclusion | $4,807,842 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 9847519 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 800332255 | TotalRevenueColumn |
| Related Or Exempt Function Income | 772276284 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1427201 | UnrelatedBusinessRevenue |
| Exclusion | $26,628,770 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 1149063 | Total |
| Program Services | 1031858 | ProgramServices |
| Management And General | 117205 | ManagementAndGeneral |
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 | 203838428 | Total |
| Program Services | 183051967 | ProgramServices |
| Management And General | 20786461 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14547295 | Total |
| Program Services | 13064258 | ProgramServices |
| Management And General | 1483037 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16827393 | Total |
| Program Services | 15111843 | ProgramServices |
| Management And General | 1715550 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15118363 | Total |
| Program Services | 13576631 | ProgramServices |
| Management And General | 1541732 | ManagementAndGeneral |
| Fundraising | 0 | 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 | 198172 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 198172 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32690 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 32690 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
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 | 15018241 | Total |
| Program Services | 14337677 | ProgramServices |
| Management And General | 680564 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 286773 | Total |
| Program Services | 129356 | ProgramServices |
| Management And General | 157417 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142364131 | Total |
| Program Services | 140760551 | ProgramServices |
| Management And General | 1603580 | ManagementAndGeneral |
| Fundraising | 0 | 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 | 10177895 | Total |
| Program Services | 4388767 | ProgramServices |
| Management And General | 5789128 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223123 | Total |
| Program Services | 180843 | ProgramServices |
| Management And General | 42280 | ManagementAndGeneral |
| Fundraising | 0 | 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 | 241089 | Total |
| Program Services | 193220 | ProgramServices |
| Management And General | 47869 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225090 | Total |
| Management And General | 225090 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112955123 | Total |
| Program Services | 94126825 | ProgramServices |
| Management And General | 18828298 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28292548 | Total |
| Program Services | 14229216 | ProgramServices |
| Management And General | 14063332 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4784135 | Total |
| Program Services | 3825375 | ProgramServices |
| Management And General | 958760 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS & MAINTENANCE | 9641019 | 7418205 | 2222814 |
| BAD DEBT | 100514484 | 100514484 | |
| OTHER OPER EXPENSE | 12882 | 12344 | 538 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 676447937 | Total |
| Program Services | 605953420 | ProgramServices |
| Management And General | 70494517 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14975 | BOY |
| EOY | 15725 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32677663 | BOY |
| EOY | 44279775 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90142273 | BOY |
| EOY | 95126210 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10523797 | BOY |
| EOY | 13242240 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9882736 | BOY |
| EOY | 10325252 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 751768344 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 394306284 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 337406329 | BOY |
| EOY | 357462060 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 252398932 | BOY |
| EOY | 305369618 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70705111 | BOY |
| EOY | 72975873 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 803751816 | BOY |
| EOY | 898796753 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59660794 | BOY |
| EOY | 68816326 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3098420 | BOY |
| EOY | 1955500 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 278754036 | BOY |
| EOY | 304105371 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 341513250 | BOY |
| EOY | 374877197 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 462238566 | BOY |
| EOY | 523919556 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 462238566 | BOY |
| EOY | 523919556 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 803751816 | BOY |
| EOY | 898796753 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 40125004 | OtherCostOrOtherBasis |
| Book Value | 40125004 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 308054766 | OtherCostOrOtherBasis |
| Depreciation | 118962118 | Depreciation |
| Book Value | 189092648 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9016652 | OtherCostOrOtherBasis |
| Depreciation | 6495944 | Depreciation |
| Book Value | 2520708 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 388429777 | OtherCostOrOtherBasis |
| Depreciation | 268848222 | Depreciation |
| Book Value | 119581555 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6142145 | OtherCostOrOtherBasis |
| Book Value | 6142145 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 357462060 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| PREPAIDS-LONG TERM PORTION | 727979 |
| OTHER RECEIVABLES MCAID PEND | 16311383 |
| INVESTMENT IN PHYS GROUP | 25399241 |
| INVESTMENT IN KENN PARKING | 4681316 |
| ISSUANCE COSTS (ALLOCATED) | 3943321 |
| GOODWILL | 21912633 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 72975873 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION LIABILITY | $65,646,644 |
| UNCLAIMED PROPERTY LIABILITY | $569,359 |
| OTHER LIABILITIES | $11,046,758 |
| ASSET RETIREMENT OBLIGATION LT | $892,882 |
| INSURANCE RESERVE | $5,284,256 |
| TAX EXEMPT BOND LIAB-DUE TO WHS | $220,665,472 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 304105371 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27040466 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 27040466 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04740 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 59935531 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 47497116 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12438415 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02180 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 86975997 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 47497116 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 39478881 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06920 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1879311 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33637 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1845674 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 331541 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 115257 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 216284 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2210852 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 148894 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2061958 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 89186849 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 47646010 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 41540839 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07280 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $28,710,014 | BadDebtExpenseAmount |
| Amount Attributable To | 344520 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 216184805 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 249508065 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -33323260 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| Kennestone Hospital | |||||||
| 677 Church Street | Marietta | GA | 30060 | X | X | X | |
| Windy Hill Hospital | |||||||
| 2540 Windy Hill Road | Marietta | GA | 30067 | X | X | Long Term Acute Care | |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | Kennestone Hospital, Inc. is an affiliate of Wellstar Health System, Inc. (EIN 58-1649541) which on an annual basis issues a community benefit report for the system. This report is subsequently distributed in and around the five county service areas for the health system. | AnnualCommunityBenefitExpln |
| Costing Method Used | As stated previously we use a cost to charge ratio to determine the percentages of community benefit expense to total expense (less the bad debt totals for the organization). The cost to charge ratio is based on the Medicare cost report and the state annual hospital financial survey. | CostingMethodUsed |
| Percent Of Total Expense Expln | Wellstar Health System and Kennestone Hospital Inc. use the cost to charge ratio from our FY2009 Hospital Financial Survey filed with the state of Georgia. This cost to charge ratio reconciles with the community benefit reporting done both internally in the system and with our annual published community benefit report which is distributed to the Wellstar service areas as well as reported to the Georgia Hospital Association for its annual report to the community. We then compare the cost to the total expense from Form 990 Part IX line 25 column A to determine the ratios in Schedule H Part 1 Line 7 column f as stated. We also adjust the total expenses to deduct the amount of bad debt expense prior to the calculation of the percentage of community benefit expense. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | The costing methodology used in determining the amounts reported on lines 2 and 3 for Part III Bad Debt, Medicare and Collection Practices is calculated using the same ratios used for charity care to apply against the bad debt expense and determine the costs associated with those expenses. While most of the costs of bad debt is not applicable for community benefit we have determined that some patient accounts that were previously classified as bad debt are subsequently determined to qualify for charity and indigent care adjustments. This determination can occur due to inadequate information being available at the time of service as well as throughout the collection cycle as the patient's financial status may periodically change. One example of this scenario would be undocumented aliens and crime victim patients eligible for charity and indigent care who refuse to provide the paperwork necessary to either qualify for that assistance or a government program. The percentage of accounts that we feel meet this criteria is a conservative estimate. Generally speaking however, Wellstar does not treat bad debt as uncompensated care. | BadDebtFootnote |
| Shortfall As Community Benefit | The Medicare shortfall reported on Line 7 of Form 990 Schedule H Part III is determined from the difference between the reimbursement from Medicare and the cost of those Medicare charges generated at Kennestone and Windy Hill Hospitals. A large portion of that shortfall represents co-pays and deductibles for Medicare beneficiaries. These Medicare patients often lack the financial resources to pay these bills and subsequently become bad debt accounts which may contribute to the calculated shortfalls. While Medicare will recognize bad debt as a reimburseable item on the annual cost report, it will only be reimbursed at approximately 70% of the amount submitted. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | The policy written for collection practices at all Wellstar Health System entities incorporates guidelines for personnel in the patient registration areas to be trained in identifying patients that might qualify for charity care or other financial assistance. It is also the policy of all Wellstar hospitals to have at least one employee available 24 hours a day (especially in hospitals with emergency rooms) on duty to provide assistance for the paperwork necessary to qualify for charity care or governmental assistance programs. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Wellstar Kennestone Hospital is a general acute care hospital providing a full range of services, is licensed to operate 633 beds and is presently staffed to operate 586 beds. It is located on an approximately 41-acre campus in Marietta, Georgia with a complex of buildings containing a total square footage in excess of 1.2 million square feet. The original hospital was contructed in 1950 with several major additions in the 1960s. The present main building was constructed in 1975 and several more additions have been completed that make up the current campus including a new tower several years ago which makes Kennestone one of the largest hosptials in the state of Georgia. Wellstar Windy Hill Hospital, located in the unincorporated area of Cobb County in northwest metropolitan Atlanta, is an acute care hospital concentrating on long-term care inpatient and outpatient services. The hospital is licensed to operate 115 beds and is presently staffed to operate 55 beds, is located on an approximately 15 acre campus, and contains total square footage of approximately 100,000 square feet. The original hospital was constructed in 1973 and went through a major renovation in 1987. The services provided include a full range of long term acute care services and several specialty areas including a sleep disorder center. | NumberOfFacilityTypeExpln |
| Needs Assessment | Wellstar Health System (including its affiliates Kennestone and Windy Hill Hospitals) is a key stakeholder in MAPP, Moblizing for Action through Planning and Partnerships. MAPP, developed by the National Association of County and City Health Officials (NACCHO) in collaboration with the CDC, provides a structured guidance on creating and implementing a community-wide strategic planning process focused on improving the health and safety of our population. Through MAPP, a broad collection of community partners and residents come together to identify and prioritize health and safety issues and to identify resources for addressing them. The process results in an actionable Community Health Improvement Plan (CHIP) for measureable improvements in the community's health and quality of life as well as a scorecard for implementation and evaluation. The resulting community plan does not focus on one agency or community health challenge; rather, MAPP provides a long-term strategy that addresses the multiple factors that affect health in the community. Community involvement throughout the creation and the implementation of a health improvement plan results in creative solutions to community health problems with an improved focus on priorties, reduced duplication of services, increased collaboration on projects and activities, and increased capacity to garner additional resources. Moreover, continuous community involvement leads to community ownership of the process. Community ownership, in turn, increases the credibility and sustainability of the health improvement efforts. | NeedsAssessment |
| Patient Education Assistance | Kennestone and Windy Hill Hospital provide patients with financial counselors who are trained in all of the charity and uncompensation programs, payment plans, discounted payments plans and other programs offered across the health system. This includes at least one counselor in the emergency room on duty at all times. The counselors are well versed in eligibility for Medicare and Medicaid if appropriate for the patient. If the patient is pregnant and not covered by insurance or another government program the counselor can assist the patient in obtaining Medicaid coverage (based on their income level) regardless of the patient's citizenship. If the patient is indigent or charity eligible they will be offered assistance through the hospital's Charity and Indigent Care Policy including the application for the state's Indigent Care Trust Fund. If the patient has no other insurance and fails to qualify for indigent care the financial counselor can then offer the patient an opportunity to accept a payment plan with discounted options based on their ability to pay at time of service or over time. All patients are afforded these opportunities. | PatientEducationAssistance |
| Community Information | Kennestone and Windy Hill Hospitals are two of five hospitals that are affiliated with the parent corporation, Wellstar Health System. The primary service area of the system is located in Northwest GA and receives the majority and is expected to receive the majority of its patients from one of the following five counties--Bartow, Cherokee, Cobb, Douglas and Paulding--generally about 85 to 90%. While these five counties are in the metropolitan Atlanta area (or border on the metro area) they are in some of the fastest growing areas in the entire country. The system has therefore expanded to bring many services to the geographic area that previously were not available except in the Atlanta community. Economically the region is strong in per capita income but as in many areas of the country the system has seen an increase in overall population unemployment and thus an increase in the uninsured or underinsured and indigent population for the patients it serves. The system is however poised to meet many of these challenges with a completely integrated health system of hospitals, physician offices, outpatient imaging centers, urgent care centers and eventually health parks. | CommunityInformation |
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 |
| 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 (42 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Thomas E Gearhard MD | |||||||||||||
| 0 | 277416 | 0 | 0 | 0 | 43274 | 0 | 24774 | 0 | 6313 | 0 | 351777 | 0 | 0 |
| Jeffrey Tharp MD | |||||||||||||
| 0 | 252457 | 0 | 0 | 0 | 122518 | 0 | 28132 | 0 | 4691 | 0 | 407798 | 0 | 0 |
| A James Budzinski | |||||||||||||
| 0 | 420659 | 0 | 108651 | 0 | 13012 | 0 | 38425 | 0 | 4192 | 0 | 584939 | 0 | 0 |
| Marsha Burke | |||||||||||||
| 0 | 550796 | 0 | 0 | 0 | 0 | 0 | 39033 | 0 | 4581 | 0 | 594410 | 0 | 0 |
| Linda A Clark | |||||||||||||
| 0 | 402300 | 0 | 0 | 0 | 0 | 0 | 24741 | 0 | 0 | 0 | 427041 | 0 | 0 |
| Gregory L Simone MD | |||||||||||||
| 0 | 809466 | 0 | 302279 | 0 | 15662 | 0 | 73802 | 0 | 3137 | 0 | 1204346 | 0 | 0 |
| Bonnie Wilson | |||||||||||||
| 0 | 417321 | 0 | 134446 | 0 | 12850 | 0 | 39687 | 0 | 5813 | 0 | 610117 | 0 | 0 |
| David W Anderson | |||||||||||||
| 0 | 368147 | 0 | 120049 | 0 | 12683 | 0 | 35424 | 0 | 2965 | 0 | 539268 | 0 | 0 |
| Donald Campbell MD | |||||||||||||
| 0 | 295414 | 0 | 85967 | 0 | 10800 | 0 | 28784 | 0 | 3122 | 0 | 424087 | 0 | 0 |
| Barbara B Corey | |||||||||||||
| 0 | 263238 | 0 | 80299 | 0 | 10950 | 0 | 26777 | 0 | 1500 | 0 | 382764 | 0 | 0 |
| Bruce Dean | |||||||||||||
| 0 | 191680 | 0 | 30424 | 0 | 9095 | 0 | 18417 | 0 | 5033 | 0 | 254649 | 0 | 0 |
| Marcia Delk MD | |||||||||||||
| 0 | 316598 | 0 | 92972 | 0 | 11328 | 0 | 31275 | 0 | 10370 | 0 | 462543 | 0 | 0 |
| Darold Etheridge | |||||||||||||
| 0 | 186959 | 0 | 55161 | 0 | 15201 | 0 | 20084 | 0 | 4860 | 0 | 282265 | 0 | 0 |
| Lee Evins | |||||||||||||
| 0 | 171405 | 0 | 39268 | 0 | 26487 | 0 | 18665 | 0 | 3775 | 0 | 259600 | 0 | 0 |
| Mark Haney | |||||||||||||
| 0 | 242031 | 0 | 91501 | 0 | 14475 | 0 | 26541 | 0 | 5673 | 0 | 380221 | 0 | 0 |
| Bruce Harrison | |||||||||||||
| 0 | 278872 | 0 | 87392 | 0 | 12070 | 0 | 28459 | 0 | 5990 | 0 | 412783 | 0 | 0 |
| Patrick Jansen | |||||||||||||
| 0 | 178558 | 0 | 27979 | 0 | 27006 | 0 | 18097 | 0 | 1590 | 0 | 253230 | 0 | 0 |
| Christopher M Kane | |||||||||||||
| 0 | 288428 | 0 | 60926 | 0 | 11825 | 0 | 27233 | 0 | 4813 | 0 | 393225 | 0 | 0 |
| Nancy Kemp | |||||||||||||
| 0 | 166656 | 0 | 11166 | 0 | 49090 | 0 | 13955 | 0 | 0 | 0 | 240867 | 0 | 0 |
| Kenneth C Kunze MD | |||||||||||||
| 0 | 405444 | 0 | 80238 | 0 | 12190 | 0 | 35410 | 0 | 542 | 0 | 533824 | 0 | 0 |
| Louis W Little | |||||||||||||
| 0 | 210372 | 0 | 68687 | 0 | 11189 | 0 | 23133 | 0 | 8043 | 0 | 321424 | 0 | 0 |
| Kimberly W Menefee | |||||||||||||
| 0 | 235766 | 0 | 74822 | 0 | 11535 | 0 | 24820 | 0 | 3275 | 0 | 350218 | 0 | 0 |
| Teresa M Ray | |||||||||||||
| 0 | 218400 | 0 | 18610 | 0 | 85123 | 0 | 19811 | 0 | 0 | 0 | 341944 | 0 | 0 |
| Ronald J Strachan | |||||||||||||
| 0 | 270123 | 0 | 57603 | 0 | 70594 | 0 | 28407 | 0 | 6227 | 0 | 432954 | 0 | 0 |
| Andrew W Tatnall | |||||||||||||
| 0 | 147670 | 0 | 11584 | 0 | 28639 | 0 | 11548 | 0 | 0 | 0 | 199441 | 0 | 0 |
| Candice L Saunders | |||||||||||||
| 322871 | 0 | 63588 | 0 | 13761 | 0 | 29572 | 0 | 4051 | 0 | 433843 | 0 | 0 | 0 |
| Martin L Gutkin | |||||||||||||
| 162051 | 0 | 20757 | 0 | 23782 | 0 | 12425 | 0 | 0 | 0 | 219015 | 0 | 0 | 0 |
| Diane C Swain | |||||||||||||
| 240955 | 0 | 35333 | 0 | 8700 | 0 | 17501 | 0 | 761 | 0 | 303250 | 0 | 0 | 0 |
| Dwight Still | |||||||||||||
| 160866 | 0 | 0 | 0 | 25 | 0 | 13089 | 0 | 2490 | 0 | 176470 | 0 | 0 | 0 |
| Patricia Horton | |||||||||||||
| 145313 | 0 | 15208 | 0 | 1225 | 0 | 12878 | 0 | 0 | 0 | 174624 | 0 | 0 | 0 |
| Sherron Kurtz | |||||||||||||
| 145356 | 0 | 13980 | 0 | 0 | 0 | 12706 | 0 | 87 | 0 | 172129 | 0 | 0 | 0 |
| Thomas Whittaker | |||||||||||||
| 148993 | 0 | 0 | 0 | 2898 | 0 | 12379 | 0 | 635 | 0 | 164905 | 0 | 0 | 0 |
| Amanda Trask | |||||||||||||
| 139522 | 0 | 12559 | 0 | 2700 | 0 | 12334 | 0 | 6185 | 0 | 173300 | 0 | 0 | 0 |
| ROBERT HAMILTON | |||||||||||||
| 0 | 250665 | 0 | 21576 | 0 | 8700 | 0 | 19613 | 0 | 3275 | 0 | 303829 | 0 | 0 |
| MICHAEL GRAUE | |||||||||||||
| 0 | 492184 | 0 | 88589 | 0 | 77295 | 0 | 45369 | 0 | 4505 | 0 | 707942 | 0 | 0 |
| ROBERT JANSEN | |||||||||||||
| 0 | 149454 | 0 | 0 | 0 | 58050 | 0 | 12822 | 0 | 2941 | 0 | 223267 | 0 | 0 |
| ELLEN LANGFORD | |||||||||||||
| 0 | 153885 | 0 | 26364 | 0 | 8725 | 0 | 15558 | 0 | 2259 | 0 | 206791 | 0 | 0 |
| ROBERT MANDLER | |||||||||||||
| 0 | 183917 | 0 | 27881 | 0 | 23347 | 0 | 18020 | 0 | 3275 | 0 | 256440 | 0 | 0 |
| DEBORAH L PASCH | |||||||||||||
| 209950 | 0 | 25672 | 0 | 31224 | 0 | 19129 | 0 | 949 | 0 | 286924 | 0 | 0 | 0 |
| JONATHAN B MORRIS | |||||||||||||
| 0 | 116750 | 0 | 25000 | 0 | 7230 | 0 | 11056 | 0 | 1588 | 0 | 161624 | 0 | 0 |
| ANTHONY M TRUPIANO | |||||||||||||
| 0 | 185075 | 0 | 11541 | 0 | 37137 | 0 | 17874 | 0 | 0 | 0 | 251627 | 0 | 0 |
| ROBIN WILSON MD | |||||||||||||
| 0 | 120878 | 0 | 0 | 0 | 33848 | 0 | 9717 | 0 | 3672 | 0 | 168115 | 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 key leaders in the company. On an annual basis performance measures are proposed by management and approved and recommended 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 indicators. Upon successful acheivement in the targeted levels for each factor, a performance payout is recommended and approved by the Board after the annual financial audit is completed. |
| Severance Benefits | Schedule J | PURSUANT TO THEIR RESPECTIVE EMPLOYMENT AGREEMENTS, THE FOLLOWING OFFICERS ARE ENTITLED TO SEVERANCE PAYMENTS BASED ON THEIR BASE SALARY AND WAGES AT THAT TIME IN THE EVENT OF CERTAIN IDENTIFIED CIRCUMSTANCES. OFFICER SEVERENCE BENEFIT PERIOD JOHN LAW 12 MONTHS LOU LITTLE 18 MONTHS KIMBERLY W. MENEFEE 18 MONTHS TAREY RAY 18 MONTHS ANDY TATNALL 18 MONTHS LEIGH COX 12 MONTHS BONNIE L. WILSON 24 MONTHS MARSHA BURKE 24 MONTHS GREGORY L. SIMONE 24 MONTHS CHRISTOPHER KANE 18 MONTHS RON STRACHAN 12 MONTHS CANDICE SAUNDERS 18 MONTHS DAVID W. ANDERSON 24 MONTHS DONALD H. CAMPBELL 18 MONTHS LINDA C. CLARK 24 MONTHS RANDY COOK 12 MONTHS BARBARA B. COREY 18 MONTHS MARCIA L. DELK, M.D. 18 MONTHS DAROLD ETHERIDGE 12 MONTHS LEE EVINS 12 MONTHS T. MARK HANEY 18 MONTHS BRUCE HARRISON 12 MONTHS NANCY KEMP 12 MONTHS JIM BUDZINSKI 18 MONTHS MIKE GRAUE 18 MONTHS ROBERT HAMILTON 12 MONTHS ROBERT JANSEN 12 MONTHS ELLEN LANGFORD 12 MONTHS KENNETH KUNZE, MD 18 MONTHS ROBERT MANDLER 12 MONTHS JONATHAN MORRIS 12 MONTHS ANTHONY TRUPIANO 12 MONTHS ROBIN WILSON, MD 12 MONTHS JOSEPH BRYWCZYNSKI 18 MONTHS ELIZABETH HOFFMANN 12 MONTHS RICHARD LOPES, MD 18 MONTHS JAMES SWARTZ 12 MONTHS MARY WESLEY 18 MONTHS MARTIN GUTKIN 12 MONTHS DIANE SWAIN 12 MONTHS JERRY TILLERY 12 MONTHS AMANDA TRASK 12 MONTHS During the year, the following individuals received a payout in the amounts listed in accordance with their severance agreements as set forth above: MARSHA BURKE $550,796 LINDA CLARK $402,300 LEIGH COX $ 34,560 NANCY KEMP $226,912 TERESA RAY $322,133 BRUCE HARRISON $378,334 ANDREW TATNALL $187,892 DIANE SWAIN $240,955 |
| 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. |
| Compensation Exceptions | The following individuals became officers of Wellstar Health System and Affiliates during the accounting period covered by this return but were not compensated during the calendar year for which salary and benefits are reported in the return: Joseph L Brywczynski Elizabeth A Hoffmann Richard T Lopes, MD James M Swartz Mary L Wesley Jerry Tillery Amanda Trask |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Pamela Etheridge | |||
| Wife of Officer | 51723 | Employee of Wellstar | false |
| Greg Fortgang | |||
| Son-in-Law of Trustee | 86813 | Employee of Wellstar | false |
| Amy Simone | |||
| Daughter of Officer | 88061 | Employee of Wellstar | false |
| George Fleming | |||
| Brother of Officer | 56575 | Employee of Wellstar | false |
| Matthew Maddox | |||
| Son of Trustee | 36500 | Employee of Wellstar | false |
| Bonnie Miller | |||
| Wife of Trustee | 26996 | Employee of Wellstar | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Compensation | Form 990 Part V Line 2 | All compensation amounts reported on Form 990 Part V, Part VII, and Part IX as well as Schedule J represent compensation provided to individuals that provide services to the organization. Likewise, the number of employees reported on Form 990 represent 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 12A, B, & C | 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 Determining Officer Comp | Form 990 Part VI 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. The current members of the Wellstar committee are: Kessel Stelling Chair Pete Wood Janie Maddox Al Separk Board Chairman--Ex Officio Wellstar CEO--Ex Officio In committtee discussions about the compensation for the Chief Executive Officer, The CEO will recuse himself/herself 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 by the full Board of Trustees at its next scheduled meeting. |
| Audited Financial Statements | Form 990 Part IV Line 12 | Kennestone Hospital, Inc. was audited for the tax reporting period as part of the consolidated financial statement audit for Wellstar Health System, Inc. and Affiliates. |
| Tax Exempt Bond Allocation | Form 990 Part IV Line 24a & Part X | For purposes of the Form 990 reporting, Wellstar Health System, Inc EIN 58-1649541 will list all tax-exempt bonds issued since January 1, 2003 on Schedule K as it typically allocates the proceeds of the bonds to members of the Obligated Group (including the hospitals and physician group). Kennestone Hospital, Inc. will report this tax exempt bond liability on Part X, Line 25 Other Liabilities. Kennestone Hospital, Inc. has also restated its beginning balance sheet with respect to tax exempt bond liabilities as the amounts allocated to tax exempt bond liabilities are now included on Line 25. |
| Current Officers/Directors Relationships | Form 990 Part VI, Section A Line 2 | Two of the current officers and directors for Wellstar Health System, Inc ( EIN 58-1649541) are related to each other through family. Gregory Simone, President and CEO, is the brother-in-law of Lou Little, Sr VP--Post Acute Services and Administrator of Windy Hill Hospital. |
| Organization Structure | Form 990 Part VI Section A Lines 6, 7a & 7b | As per the Articles of Incorporation, the sole member of the organization is Wellstar Health System, Inc., a GA nonprofit corporation. As sole member, Wellstar Health System, Inc. holds certain powers of election and approval in connection with the governing body of the organization. These powers are presented in detail in the governing documents which the company makes available to the public upon request. |
| Officers Hours Worked | Form 990 General Statement | The officers devote their time to all of the organizations within Wellstar Health System that are listed in Schedule R, Part II. As such, the total hours worked by the officers across all organizations exceeds 40 hours a week. |
| 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. This reviewed form is then made available to both the organization's Finance committee of the Board of Trustees as well as the full board in the form of an electronic (pdf. format) version and hard copy of the return. The organization's CFO subsequently signs the return for either manual or electronic filing by the appropriate due date. |
| 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. |
| Bylaws Changes | Form 990, Part VI, Line 4 | On June 17, 2010 Wellstar Health System and its affiliates amended its bylaws to address the manner of election and terms of office for members of the Board of Trustees. The Chair appoints a Governance Committee consisting of three (3) or more Trustees for purposes of recommending nominations to the Board. Nominations are voted upon by the full Board and each Trustee is appointed to serve terms of three years, although the Board can establish a shorter term at the time of election. Each Trustee may serve a "Term Limit" of not more than four (4) consecutive terms of three years. To provide continuity on the Board, there is established a methodology of rotation off the Board for the 18 existing Trustees effective June 30, 2010. One Trustee will rotate off the Board in year one; two Trustees will rotate off the Board in year two; one Trustee will rotate off the Board in year three; and continuing for all remaining positions until all Trustees have expired terms or elect to leave the Board. At the end of the "term limit" the Trustee may be re-elected after a one year absence from the Board. |
Schedule R IRS990ScheduleR
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 |
|---|---|---|---|---|---|---|---|---|---|
| CHS Foundation Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649540 | Foundation | GA | 501 (c)(3) | 11 | NA |
| Cobb Hospital Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 580968382 | Healthcare | GA | 501 (c)(3) | 3 | NA |
| Douglas Hospital Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582026750 | Healthcare | GA | 501 (c)(3) | 3 | NA |
| Paulding Medical Center Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582095884 | Healthcare | GA | 501 (c)(3) | 3 | NA |
| Wellstar Foundation Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581627413 | Foundation | GA | 501 (c)(3) | 11 | NA |
| Wellstar Health System Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649541 | Healthcare | GA | 501 (c)(3) | 3 | NA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cobb Hospital Parking Company LLC | ||||||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 752999669 | Parking | GA | NA | INVESTMENT | 41418 | 840469 | false | false |
| Kennestone East Parking Deck LLC | ||||||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 200537100 | Parking | GA | NA | INVESTMENT | 193986 | 1887789 | false | false |
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 | Grand Cayman, BWI | ProvinceOrState |
| Country | CJ | Country |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581649541 | EIN |
| Primary Activity | Insurance | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
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 Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 72634317 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| 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 | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | 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 | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |