COBB HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- COBB HOSPITAL (EIN 58-0968382)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201131369349305983
- 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 | 2011-05-16T16:22:58-05:00 | 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 | 580968382 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COBB HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COBB | 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 |
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 | 516452745 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.wellstar.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | 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 | 2615 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 341890379 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 364184219 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -3734742 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8787865 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4104469 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4181245 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 342260106 | TotalRevenuePriorYear |
| Total Revenue Current Year | 377153329 | 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 | 121633094 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 132712984 | 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 | 212216401 | OtherExpensePriorYear |
| Other Expenses Current Year | 213852673 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 333849495 | TotalExpensesPriorYear |
| Total Expenses Current Year | 346565657 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8410611 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 30587672 | RevenuesLessExpensesCY |
| Total Assets BOY | 365362133 | TotalAssetsBOY |
| Total Assets EOY | 393363223 | TotalAssetsEOY |
| Total Liabilities BOY | 149978621 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 162688578 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 215383512 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 230674645 | 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 | 312472213 | Expense |
| Revenue | 364184219 | Revenue |
| Description | As discussed herein, Cobb 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; the hospital operates a full-time emergency room open to all regardless of ability to pay; the hospital provides care to the needy members of the community consistent with its charity care policy regardless of their ability to pay for these services. The hospital's excess funds are generally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement of patient care, community benefits activity, and charity care. Cobb Hospital reinvested a total of approximately $7.0 million in capital expenditures for equipment upgrades and other capital improvements to better serve the community. Cobb Hospital was organized in 1984. The hospital affiliated with the 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 and is now totally independent of Promina. Cobb Hospital is subordinate to, and subject to the authority of Wellstar Health System and its governing boards including the Hospital Authority of Cobb County. Cobb Hospital provides a full range of inpatient and outpatient services characteristic of a community hospital. The hospital is licensed to operate 382 beds and is presently staffed to operate 366 beds. The original hospital was constucted in 1968 and several major structural additions have happened since that time. The following stats constitute the overall program services provided during the reporting period ended June 30, 2010: Adult Discharges 22,328 Med/Surg Short Stay Days 4,293 Emergency Room Visits (incl pediatric ER) 92,353 Outpatient Surgical Cases 7,774 Inpatient Surgical Cases 4,047 Outpatient Procedures Non-ED OP Radiology 72,943 GI Laboratory 1,522 Total FTEs (paid) 1,903 Community Benefit Reporting Community Outreach (incl system-wide alloc) $1,350,341 Unreimbursed Charity Care (at cost) $14,600,927 Medicaid Shortfalls (at cost) $10,884,335 Total $26,835,603 The Georgia Hospital Association has estimated that Cobb Hospital has had an economic impact of approximately $743 million and is responsible for creating over 4,500 jobs for the local and state economy. As an affiliate of Wellstar Health System, Cobb Hospital participates in many community and educational programs for the overall health and benefit of the area that they serve. Some examples of those programs are: Community Health/Education--screenings and educational opportunities such as denfensive driving for teens (offered at a minimal cost or at no cost), smoking cessation, heart smart school, CPR and others. System-wide over 200,000 residents from the community participated in these various screenings. The Public Relations department notifies the public of these offerings by publishing a quarterly mailer to community residents which costs the system over $100,000. Community Activities--sponsors blood drives, provides funding to school health programs for medical and dental preventive care. Community Events--Wellstar has an annual day for the Latino community geared at screenings and educational activities on a variety of health issues specifically for the Hispanic community. Wellstar Cobb Hospital had the most blood donors in a year for a hospital its size (over 1000+ employees)as recognized by the American Red Cross. These blood drives help not only patients but provide the system with significant cost savings in blood supplies. On an more international scale Wellstar Cobb, Kennestone, and Windy Hill Hospitals played a supportive role in the disaster relief related to the January 2010 earthquake in Haiti. Food, water, shelter and medical assistance were needs that Wellstar helped provide to the residents of Haiti. Several Wellstar physicians went directly to the devastated area to provide onsite medical assistance. Additionally several Haitian victims were airlifted and received medical help at Wellstar Cobb, Kennestone and Windy Hill Hospitals for more critical injuries sustained in the earthquake. These efforts were part of the National Disaster Management Service (NDMS). Wellstar supported its own Haitian team members/employees with resources and counseling. Sponsorships--Employees of Cobb Hospital participated in "Go Red for Women Day" program designed to raise awareness of heart disease in women (in conjunction with the American Heart Association). A group of employees also participated in the annual "Relay for Life: an event to raise funds and awareness for cancer research and prevention (held in conjunction with the American Cancer Society). Recognition and Accomplishments Cobb Hospital and Kennestone Hospital operate full-service clinics on the respective campuses to provide health related services to uninsured and underinsured who might not otherwise receive care. In FY2010 the clinics served a combined 8,000 patient visitors at a cost of almost $3.1 million. The system partnered with the local school systems to provide free health and safety education to nearly 50,000 area elementary students and approximately 8,000 adolescent students. In partnership with Cobb County law enforcement and YWCA, Wellstar started a program called Sexual Assault Nurse Examiner (SANE) for confidential and secure treatment of sexual assault victims. Approximately 100 patients were treated in the program. Cobb Hospital continued to serve as a Partner in Education site for mentoring South Cobb High School students with interest in pursuing healthcare professions. Thirty students participate in the program each year. Wellstar and Cobb Hospital received the designation as a "Company that Cares" for its caring about patients, communities and team members. It is one of only seven health care systems and the only local system to achieve that distinction. Wellstar Health System and affiliates remained strong financially with a 5.9% operating margin. The system also initiated an internal program to identify costs savings and revenue enhancements which produced an additional $75 million in company-wide savings and efficiencies. These initiatives made it possible to continue to reinvest funds into improvement and purchase of state of the art facilities and equipment ($81 million was spent in FY10 for total system-wide capital expenditures). Wellstar made an important investment in the area of clinical excellence by adding the Cardiovascular Medicine physician practice to the system. The physician practice is recognized by the Medical Group Management Associates as one of the top performers in the country. The result is the Wellstar Cardiac Network which makes Wellstar one of the leading cardiac health systems in Georgia. Cobb Hospital and other Wellstar facilities continued to invest in state of the art cancer treatment with its Wellstar Cancer Program. More than 3,000 patients were treated in the system representing approximately 8.4% of cancer cases in Georgia. Awards American College of Radiology-recognized for the Ultrasound and Nuclear Medicine product lines Quality Respiratory Care by the American Association of Respiratory Care Accredited Chest Pain Clinics at all hospitals by the Society of Chest Pain Centers Accredited Breast Health Center by the National Accreditation Program for Breast Centers JCAHO-Disease Specific Certification and Certified Primary Stroke Center American Diabetes Association recognized Wellstar for meeting national standards for diabetes self-management Wellstar Cobb and Douglas Hospitals received a Partnership for Health Accountability Quality and Patient Safety Awards from Georgia Hospital Association for 2009 Wellstar's Cobb Hospital's NICU received the Georgia VHA Leadership Award for Clinical Excellence. Wellstar Cobb, Douglas and Kennestone Hospitals each received the American College of Cardiology Foundation Action Registry Gold Performance Achievement Award for 2009. The hospitals were three of only 121 hospitals nationwide to do so. The award recognizes Wellstar's commitment and success in implementing a higher standard of care for heart attack patients. | Description |
| Total Program Service Expense | 312472213 | 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 | 2615 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| 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 (63 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 | |||
| TE 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 ex officio | 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 Medical Director | 2.0 | 0 | 392181 | 31906 | X | |||
| Barbara B Corey | ||||||||
| Sr VP Managed Care | 2.0 | 0 | 354487 | 28277 | X | |||
| Bruce Dean | ||||||||
| VP & 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 & Hosp CFO | 50.0 | 257321 | 0 | 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 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 & CIO | 2.0 | 0 | 398320 | 34634 | X | |||
| Randy Cook | ||||||||
| Sr VP & Administrator | 50.0 | 349808 | 0 | 33957 | X | |||
| ROBERT HAMILTON | ||||||||
| VP MED AFFAIRS | 40.0 | 280941 | 0 | 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 PHY GRP | 2.0 | 0 | 188974 | 17817 | X | |||
| Robert Mandler | ||||||||
| VP Diagnostic Outreach | 2.0 | 0 | 235075 | 21295 | 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 Management | 2.0 | 0 | 154726 | 13389 | X | |||
| Ilona L Wozniak | ||||||||
| VP Operations & COO Cobb Hosp | 50.0 | 64265 | 0 | 5012 | X | |||
| Joseph L Brywczynski | ||||||||
| Sr VP Health Parks Admin | 2.0 | 0 | 0 | 0 | X | |||
| Elizabeth A Hoffmann | ||||||||
| VP Budget Analysis | 2.0 | 0 | 0 | 0 | X | |||
| Richard T Lopes MD | ||||||||
| Sr VP & Pres Wellstar Phy 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 | |||
| Wylene Watts | ||||||||
| Exec Dir Rehab Services | 50.0 | 141357 | 0 | 11302 | X | |||
| Billy A Reid | ||||||||
| Dir Pharmacy | 50.0 | 153549 | 0 | 14370 | X | |||
| Nancy Craney | ||||||||
| Exec Dir Behavioral Health | 50.0 | 149776 | 0 | 13625 | X | |||
| Alma Stanfield | ||||||||
| Exec Dir Human Resources | 50.0 | 137502 | 0 | 11842 | X | |||
| Tawana Moses | ||||||||
| Asst VP Operations | 50.0 | 156876 | 0 | 13023 | X | |||
| Marsha Burke | ||||||||
| Former Exec VP and CFO | 1.0 | 0 | 550796 | 43614 | X | |||
| Linda A Clark | ||||||||
| Exec VP & COO | 1.0 | 0 | 402300 | 24741 | X | |||
| Bruce Harrison | ||||||||
| Sr VP & CAO | 1.0 | 0 | 378334 | 34449 | X | |||
| Nancy Kemp | ||||||||
| VP Med Management | 1.0 | 0 | 226912 | 13955 | X | |||
| Teresa M Ray | ||||||||
| Sr VP Nursing Srv & CNE | 1.0 | 0 | 322133 | 19811 | X | |||
| Andrew W Tatnall | ||||||||
| Sr VP Operations | 1.0 | 0 | 187893 | 11548 | X | |||
| Ellena Ann Evans | ||||||||
| VP Operations | 2.0 | 255439 | 0 | 18327 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1946834 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 11577068 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1097076 | TotalOtherCompensation |
| Number Individuals GT100 K | 68 | 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 |
|---|---|---|---|---|---|
| Martin General Contracting Inc | |||||
| 3633 Ivy Gulledge Rd | DALLAS | GA | 30132 | General Contracting | 1118178 |
| Quest Diagnostics | |||||
| PO BOX 740736 | ATLANTA | GA | 30384 | LAB SERVICES | 871667 |
| Surgical Operational Services Inc | |||||
| 505 Commerce Park Dr Suite G | MARIETTA | GA | 30060 | Consultant OR | 1225082 |
| RCC Marietta | |||||
| PO Box 101518 | ATLANTA | GA | 303921518 | Medical Services | 844262 |
| Progressive Transcription | |||||
| 2674 Bomar Road | DOUGLASVILLE | GA | 30135 | TRANSCRIPTION SRVCS | 343232 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | 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 | 364071499 | 364071499 |
| PATIENT EDUCATION | 621990 | 9522 | 9522 |
| WELLNESS CENTER | 713940 | 101869 | 101869 |
| MEDICAL RECORDS | 621990 | 1329 | 1329 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 364184219 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3823859 | TotalRevenueColumn |
| Exclusion | $3,823,859 | 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 | 120570 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 120570 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 120570 | TotalRevenueColumn |
| Exclusion | $120,570 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 144263422 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 139299029 | Securities |
| Other | 387 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4964393 | Securities |
| Other | -387 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4964006 | TotalRevenueColumn |
| Exclusion | $4,964,006 | 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 | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| CAFETERIA | 1605154 | $1,605,154 |
| PARKING | 878155 | $878,155 |
| CHILD CARE | 572349 | $572,349 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1005017 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,005,017 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4060675 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 377153329 | TotalRevenueColumn |
| Related Or Exempt Function Income | 364184219 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $12,969,110 | 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 | 1312902 | Total |
| Program Services | 1037848 | ProgramServices |
| Management And General | 275054 | ManagementAndGeneral |
| Fundraising | 0 | 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 | 106960022 | Total |
| Program Services | 96428726 | ProgramServices |
| Management And General | 10531296 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7506105 | Total |
| Program Services | 6756995 | ProgramServices |
| Management And General | 749110 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8896970 | Total |
| Program Services | 8009052 | ProgramServices |
| Management And General | 887918 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8036985 | Total |
| Program Services | 7234894 | ProgramServices |
| Management And General | 802091 | ManagementAndGeneral |
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 | 2339 | Total |
| Management And General | 2339 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 8040669 | Total |
| Program Services | 7160784 | ProgramServices |
| Management And General | 879885 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28092 | Total |
| Program Services | 21267 | ProgramServices |
| Management And General | 6825 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57678645 | Total |
| Program Services | 55504073 | ProgramServices |
| Management And General | 2174572 | ManagementAndGeneral |
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 | 3982509 | Total |
| Program Services | 2220130 | ProgramServices |
| Management And General | 1762379 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75121 | Total |
| Program Services | 45284 | ProgramServices |
| Management And General | 29837 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109335 | Total |
| Program Services | 100710 | ProgramServices |
| Management And General | 8625 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96532 | Total |
| Management And General | 96532 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57846815 | Total |
| Program Services | 45727907 | ProgramServices |
| Management And General | 12118908 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13443548 | Total |
| Program Services | 11281737 | ProgramServices |
| Management And General | 2161811 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3019666 | Total |
| Program Services | 2387046 | ProgramServices |
| Management And General | 632620 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS & MAINTENANCE | 3922114 | 3018615 | 903499 |
| BAD DEBT | 65475729 | 65475729 | |
| OTHER OPER EXPENSE | 131559 | 61416 | 70143 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 346565657 | Total |
| Program Services | 312472213 | ProgramServices |
| Management And General | 34093444 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5150 | BOY |
| EOY | 5150 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15308004 | BOY |
| EOY | 12743930 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41558127 | BOY |
| EOY | 43440759 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5467600 | BOY |
| EOY | 5949935 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3946068 | BOY |
| EOY | 6842302 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 338924894 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 205682306 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137017152 | BOY |
| EOY | 133242588 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126978367 | BOY |
| EOY | 154129717 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35081665 | BOY |
| EOY | 37008842 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 365362133 | BOY |
| EOY | 393363223 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30336276 | BOY |
| EOY | 34026954 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1357548 | BOY |
| EOY | 1025938 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118284797 | BOY |
| EOY | 127635686 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149978621 | BOY |
| EOY | 162688578 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 215383512 | BOY |
| EOY | 230674645 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 215383512 | BOY |
| EOY | 230674645 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 365362133 | BOY |
| EOY | 393363223 | 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 | 4336556 | OtherCostOrOtherBasis |
| Book Value | 4336556 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 135253381 | OtherCostOrOtherBasis |
| Depreciation | 63893782 | Depreciation |
| Book Value | 71359599 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4445450 | OtherCostOrOtherBasis |
| Depreciation | 3396294 | Depreciation |
| Book Value | 1049156 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 192472354 | OtherCostOrOtherBasis |
| Depreciation | 138392230 | Depreciation |
| Book Value | 54080124 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2417153 | OtherCostOrOtherBasis |
| Book Value | 2417153 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 133242588 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (10 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENT IN PHYSICIAN GROUP | 14917014 |
| INTANGIBLE ASSETS-KSU ALLOC | 1493847 |
| GOODWILL (CORP ALLOC) | 5775768 |
| ISSUANCE COSTS (CORP ALLOC) | 1563769 |
| GA HIGHLANDS COLLEGE LT ASSET | 26355 |
| CHATTAHOOCHEE TECH LT ASSET | 47259 |
| INVESTMENT IN COBB PARKING | 840467 |
| DUE FROM AFFILIATES | 4774742 |
| C&E M'CAID PENDING REC | 6854135 |
| OTHER RECEIVABLES (CORP ALLOC) | 715486 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 37008842 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION LIABILITY | $34,674,025 |
| UNCLAIMED PROPERTY RESERVES (A | $274,319 |
| ASSET RETIREMENT-OTHER LONG TE | $1,591,378 |
| INSURANCE RESERVE (ALLOCATED) | $3,267,398 |
| OTHER LONG TERM LIABILITIES (A | $3,543,330 |
| TAX EXEMPT BOND LIAB-DUE TO WHS | $84,285,236 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 127635686 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Uncertain Tax Position | Identifier |
| Return Reference | SCHEDULE D PART X Line 2 | ReturnReference |
| Explanation | The following is a footnote from the combined financial statements of Wellstar Health System, Inc. and Affiliates related to the reporting of the organization's liability for uncertain tax positions under FIN 48. "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 tax. Community Assurance Corportion 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." | Explanation |
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 | 14600927 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14600927 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05250 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 52265519 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41966116 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10299403 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03700 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 66866446 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41966116 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24900330 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08950 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 940034 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 64357 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 875677 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 940034 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 64357 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 875677 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 67806480 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42030473 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25776007 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09260 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $19,489,795 | BadDebtExpenseAmount |
| Amount Attributable To | 233877 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 97435402 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 114319737 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -16884335 | 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
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cobb Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3950 Austell Road | AddressLine1 |
| City | Austell | City |
| State | GA | State |
| ZIP Code | 300666340 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | Cobb Hospital, Inc. is an affiliate of Wellstar Health System, Inc. which on an annual basis issues a community benefit report. This report is subsequently distributed in and around the five county service areas of the health system. | AnnualCommunityBenefitExpln |
| Costing Method Used | The Charity and other Community Benefit at Cost calculations on Part I, Line 7 of Schedule H are determined by comparing the cost to charge ratio from the hospital's Medicare cost report and other governmental reports to the expected reimbursement (if any) of those charges. The net community benefit expense or shortfall is then compared to the total hospital functional expense less bad debt (as mentioned previously). The resulting percentage of net community benefit expense to total expense is approximately 7% for the reporting period. | CostingMethodUsed |
| Percent Of Total Expense Expln | The percentage of net community benefit expense to the total functional expense found on Form 990 Part IX, Line 25, column (A) is calculated by reducing the total expense ($346,565,657) by the amount of bad debt expense ($65,475,729) on Line 24b of Form 990, Part IX. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | The patient accounts generated by the hospital are analyzed for their propensity to pay any amounts not covered by insurance. After a period of attempting to collect outstanding balances, the accounts that are deemed uncollectible are written off to bad debt. Some patient accounts that are classified as bad debts are subsequently determined to qualify for charity and indigent care adjustments. This determination can occur due to inadequate information being available at the time services were provided as well as throughout the collection cycle as the patient's financial status may periodically change. Accounts for undocumented aliens and crime victims are sometimes written off because the patients do not allow follow-up in the collection process and thus never become eligible for charity or governmental funding. Generally speaking however, Wellstar and Cobb Hospital do not treat bad debt as uncompensated care. | BadDebtFootnote |
| Shortfall As Community Benefit | The Medicare shortfall on line 7 generally represents the uncompensated difference between the expected Medicare reimbursement and the Medicare charges stated at cost. The costing methodology to determine the amount reported on line 6 for Medicare allowable costs is basically a cost to charge ratio determined from data in the annual Medicare cost report. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | The policy written for collection practices at all Wellstar Health System entities incorporates guideline for personnel in the admissions and patient access 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 or contractor available 24 hours a day and seven days a week (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 |
| Needs Assessment | Wellstar is a key stakeholder in MAPP, Mobilizing 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 implementation of a health improvement plan results in creative solutions to community health problems with an improved focus on priorities, 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 | Cobb Hospital provides patients with cashiers and financial counselors who are trained in all of the uncompensation program requirements, payment plans, charity discounts, and other programs that are offered by the hospital. This includes at least one cashier in the emergency room on duty at all times. These financial counselors are well versed in the eligibilty requirements for Medicare and Medicaid if applicable for the patient which includes in some instances SSI Disablilty through the Medicare program. If a patient is pregnant and not covered by insurance or another government program the counselors can assist the patient in obtaining Medicaid eligibility (based on the 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 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 payment options based on their ability to pay immediately or over time. All patients are afforded these opportunities. | PatientEducationAssistance |
| Community Information | Cobb Hospital is one of five hospitals that are affiliated with the parent corporation, Wellstar Health System. The primary service area of the system is located in the Northwest Georgia area 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 conunty. The system has therefore expanded to bring many services to the geographic area that previously were not available except in the "downtown" 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 the unemployment numbers and thus an increase in the uninsured and indigent population for the patients it serves. | CommunityInformation |
| Affiliated Health Care System | As stated in the Wellstar Health System and Affiliates Audited Financial Statements for the period ending June 30, 2010, Cobb Hospital (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 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; the hospital operates a full-time emergency room open to all regardless of ability to pay; the hospital provides care to the needy members of the community consistent with its charity care policy regardless of their ability to pay for these services. The hospital's excess funds are generally applied to expansion and replacement of existing facilities and equipment, amortization of indebtness, improvement of patient care, community benefit activities, and charity care. Cobb Hospital committed approximately $7.0 million in capital expenditures for the year to meet technology and program needs of the community it serves. | AffiliatedHealthCareSystem |
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 | false | 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 (39 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 | |||||||||||||
| 186959 | 0 | 55161 | 0 | 15201 | 0 | 20084 | 0 | 4860 | 0 | 282265 | 0 | 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 |
| Randy Cook | |||||||||||||
| 258850 | 0 | 78550 | 0 | 12408 | 0 | 26698 | 0 | 7259 | 0 | 383765 | 0 | 0 | 0 |
| Wylene Watts | |||||||||||||
| 128170 | 0 | 12987 | 0 | 200 | 0 | 9975 | 0 | 1327 | 0 | 152659 | 0 | 0 | 0 |
| Billy A Reid | |||||||||||||
| 143290 | 0 | 10259 | 0 | 0 | 0 | 12309 | 0 | 2061 | 0 | 167919 | 0 | 0 | 0 |
| Nancy Craney | |||||||||||||
| 136119 | 0 | 13632 | 0 | 25 | 0 | 12207 | 0 | 1418 | 0 | 163401 | 0 | 0 | 0 |
| Tawana Moses | |||||||||||||
| 140848 | 0 | 15197 | 0 | 831 | 0 | 12481 | 0 | 542 | 0 | 169899 | 0 | 0 | 0 |
| Ellena Ann Evans | |||||||||||||
| 193812 | 0 | 29637 | 0 | 31990 | 0 | 18327 | 0 | 0 | 0 | 273766 | 0 | 0 | 0 |
| ROBERT HAMILTON | |||||||||||||
| 250665 | 0 | 21576 | 0 | 8700 | 0 | 19613 | 0 | 3275 | 0 | 303829 | 0 | 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 | 27811 | 0 | 23347 | 0 | 18020 | 0 | 3275 | 0 | 256370 | 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 | Form 990 Schedule J Part 1 Line 7 | As part of the Wellstar Executive Compensation Philosophy a performance pay plan was instituted several years ago whereby the Wellstar Board of Trustees approves an annual incentive plan which consists of several performance goals or factors that upon attainment will result in payouts to eligible plan participants (manager level employees and above). Those factors are: People goal for employee turnover Customer Service goal for employee engagement Quality & Safety goal for clinical excellence and patient satisfaction Financial goal for attaining a positive operating margin Confirmation of achieving these payout triggers is typically received through the annual external audit process and approved by the Board of Trustees at that time. |
| Severance Benefits | 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 ----------------- 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 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 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 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 | |
| Other Compensation | Form 990 Schedule J Part 1 Line 1b and 2 | While Wellstar Health System and its affiliates do not have a written policy regarding payment or reimbursement fo 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 | On Schedule J of IRS Form 990 the following individuals were employed as officers of Wellstar Health System and its Affiliates during the reporting period but did not have salary and benefits in the calendar year for which this schedule applies: Joseph L Brywczynski Elizabeth A Hoffmann Richard T Lopes, MD James M Swartz Mary L Wesley |
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 (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 990 T Explanation of Filing | Form 990 Part V Line 3 | Cobb Hospital generated no unrelated business income for the reporting period. As a result the attached 990T shows no activity. If subsequent review of the books reveals any unreported UBI we will file an amended return for the tax period ended June 30, 2010. |
| Form 990 Copy to Board of Directors | 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 Directors 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. |
| Conflict of Interest Policy | Form 990 Part VI Section B Line 12 a-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 this 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 teh 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 for determining 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. The current members of the Wellstar committee are: Kessel Stelling Chair Pete Wood Janie Maddox Al Separk Board Chairman--Ex Officio CEO--Ex Officio In committtee discussions about the compensation for the Chief Executive Officer, the acting 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. |
| 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). |
| Bylaw 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 each of the 18 existing Trustees effective June 30, 2010. One Trustee will rotate off the Board in year one; two will rotate off 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. |
| Organizational Structure | Form 990 Part VI Line 6 & 7 | 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 holds certain powers of election and approval in connection with the governing body of the organization. These powers are presented in detail in the company's governing documents which the company makes available to the public upon request. |
| Officer's Hours | 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 of the organizations exceeds 40 hours per week. |
| 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 and as part of that audit a consolidated financial statement is issued for all of Wellstar Health System, Inc and its Affiliates'. |
| 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. Lou Little, Sr VP Post Acute Services and Administrator of Windy Hill Hospital is the brother-in-law of Gregory Simone, Former President and CEO for the system. |
| Tax-Exempt Bonds 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). Cobb Hospital, Inc. will report this tax exempt bond liability on Part X, Line 25 Other Liabilities. Cobb 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. |
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 | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649540 | Foundation | GA | 501 (c) (3) | 11 | NA |
| Douglas Hospital Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582026750 | Healthcare | GA | 501 (c) (3) | 3 | NA |
| Kennestone Hospital Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582032904 | 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 | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581627413 | Foundation | GA | 501 (c) (3) | 11 | NA |
| Wellstar Health System | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649541 | Healthcare | GA | 501(c) (3) | 11 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kennestone South Parking Deck | ||||||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 582429775 | PARKING | GA | NA | INVESTMENT | 193986 | 1887789 | false | false |
| Cobb Hospital Parking Company LLC | ||||||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 752999669 | PARKING | GA | NA | INVESTMENT | 41418 | 840467 | 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 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 Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 71561974 | 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 | 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 | 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 |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHS Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | j | TransactionType |
| Amount Involved | 331812 | AmountInvolved |