WELLSTAR HEALTH SYSTEM INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
WELLSTAR HEALTH SYSTEM INC (EIN 58-1649541)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-10
IRS object ID
202231309349303178
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-10T13:53:56-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581649541EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WELLSTAR HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JAMES M SWARTZInCareOfNm
Business Name ControlWELLBusinessNameControlTxt
Phone7709567827PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1793 SAWYER ROADAddressLine1Txt
CityMARIETTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP300622222ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES M SWARTZPersonNm
Person TitleVP ACCOUNTINGPersonTitleTxt
Phone7709567827PhoneNum
Signature2022-05-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJAMES MPersonFirstNm
Person LastSWARTZPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOANNE KRUEGER DIRECTORPreparerPersonNm
PTINP01235586PTIN
Phone2673303000PhoneNum
Preparation2022-05-03PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCANDICE L SAUNDERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1793 SAWYER ROADAddressLine1Txt
CityMARIETTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP300622222ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,990,604,121GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.wellstar.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee9353TotalEmployeeCnt
Total Volunteers105TotalVolunteersCnt
Total Gross UBI$148,568TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,148,900PYContributionsGrantsAmt
CY Contributions Grants$30,426,315CYContributionsGrantsAmt
PY Program Service Revenue$1,510,398,466PYProgramServiceRevenueAmt
CY Program Service Revenue$1,823,461,570CYProgramServiceRevenueAmt
PY Investment Income$22,250,410PYInvestmentIncomeAmt
CY Investment Income$107,735,247CYInvestmentIncomeAmt
PY Other Revenue$45,817,390PYOtherRevenueAmt
CY Other Revenue$28,980,989CYOtherRevenueAmt
PY Total Revenue$1,581,615,166PYTotalRevenueAmt
CY Total Revenue$1,990,604,121CYTotalRevenueAmt
PY Grants And Similar Paid$4,658,755PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,340,940CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$965,673,964PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,038,056,429CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,246,238CYTotalFundraisingExpenseAmt
PY Other Expenses$451,097,850PYOtherExpensesAmt
CY Other Expenses$447,773,894CYOtherExpensesAmt
PY Total Expenses$1,421,430,569PYTotalExpensesAmt
CY Total Expenses$1,490,171,263CYTotalExpensesAmt
PY Revenues Less Expenses$160,184,597PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$500,432,858CYRevenuesLessExpensesAmt
Total Assets BOY$4,544,730,822TotalAssetsBOYAmt
Total Assets EOY$5,270,610,039TotalAssetsEOYAmt
Total Liabilities BOY$2,792,861,183TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,598,390,087TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,751,869,639NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,672,219,952NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$970,905,814ExpenseAmt
Grant$4,772,391GrantAmt
Revenue$1,823,461,570RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$970,905,814TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1203IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee9353EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJAMES M SWARTZPersonNm
Phone7709567827PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1793 SAWYER ROADAddressLine1Txt
CityMARIETTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP300622222ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (111 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CANDICE L SAUNDERS
PRESIDENT & CEO38.014.0Yes (X)$2,484,302$0$83,983
RICHARD MYUNG
MD PHYSICIAN GROUP50.00.0$2,307,058$0$79,439Yes (X)
TERESA LUU
MD PHYSICIAN GROUP50.00.0$1,624,724$0$71,596Yes (X)
RISHI GUPTA
MD PHYSICIAN GROUP50.00.0$1,572,454$0$70,384Yes (X)
AHMAD KHALDI
MD PHYSICIAN GROUP50.00.0$1,466,594$0$59,197Yes (X)
JOHN A BRENNAN
EVP CHIEF CLIN. INTEG. OFFICER38.012.0Yes (X)$1,414,928$0$69,561
MARK MCLAUGHLIN
MD PHYSICIAN GROUP50.00.0$1,329,881$0$46,889Yes (X)
LEO E REICHERT
EVP & GENERAL COUNSEL38.012.0Yes (X)$1,201,843$0$71,364
ANTHONY J BUDZINSKI
EVP & CFO38.014.0Yes (X)$949,190$0$76,974
TIMOTHY HANEY
FORMER SVP RE FAC & DVLP SVC0.00.0$1,015,968$0$4,020Yes (X)
KIMBERLY J RYAN
SENIOR VP (END. 12/20)38.012.0Yes (X)$882,825$0$59,528
JILL M CASE-WIRTH
SVP NURSING SERVICES38.012.0Yes (X)$880,522$0$43,402
KEM M MULLINS
EVP AMBULATORY & BUS. DEV.38.012.0Yes (X)$845,714$0$61,332
ALAN R MUSTER MD
SVP SPECIALTY DIVISION WMG38.014.0Yes (X)$753,074$0$89,304
ROB SCHREINER
EVP & PRESIDENT MEDICAL GROUP38.012.0Yes (X)$753,883$0$45,532
MARY B CHATMAN PHD
SVP & HOSPITAL PRESIDENT2.048.0Yes (X)$0$726,698$67,339
PAUL DOUGLASS MD
TRUSTEE & PHYSICIAN38.012.0$708,888$0$44,670Yes (X)
CARRIE O PLIETZ
EVP & COO HOSP DIV (END 10/20)38.012.0Yes (X)$633,284$0$74,102
DOUGLAS ARVIN CPA MBA
FORMER SVP FINANCE0.00.0$699,797$0$5,911Yes (X)
BETH KOST
SVP, CHIEF COMPLIANCE OFFICER38.012.0Yes (X)$602,752$0$79,274
VALERY A AKOPOV MD
SVP HOSPITAL DIVISION WMG38.012.0Yes (X)$621,580$0$60,168
DAVID JONES
EVP CHIEF HR OFFICER38.012.0Yes (X)$641,493$0$24,292
STEPHEN L BADGER
VP STRATEGIC SERVICES50.00.0Yes (X)$564,988$0$89,220
CATHERINE ANDREWS
SVP & HOSPITAL PRESIDENT2.048.0Yes (X)$0$570,824$40,440
TAMARA D ISON
SVP & HOSPITAL PRESIDENT2.048.0Yes (X)$0$519,444$56,940
PETER R JUNGBLUT MD MBA
FORMER SVP & MEDICAL DIRECTOR50.00.0$476,899$0$85,154Yes (X)
STUART DOWNS
VP NURSING OPS. (END. 3/21)38.012.0Yes (X)$0$464,869$79,026
JOSEPH L BRYWCZYNSKI
SVP HLT PARKS DEV.(END. 11/20)38.012.0Yes (X)$467,201$0$73,582
BARBARA B COREY
SVP MANAGED CARE38.012.0Yes (X)$491,783$0$47,831
PAUL D MURPHREE
VP MEDICAL OUTCOMES38.012.0Yes (X)$459,908$0$64,389
MARY L TAVERNARO
VP HUMAN RESOURCES OPERATIONS38.012.0Yes (X)$439,301$0$76,914
SANDRA LUCIUS
VP HEAD OF CARE PLATFORMS38.012.0Yes (X)$479,600$0$32,946
DAVID W PRESTON
SVP BRAND EXP. & COMMUNICATION38.012.0Yes (X)$459,086$0$52,367
JAMES L HORNSBY JR MD
TRUSTEE & PHYSICIAN38.014.0$432,736$0$77,588Yes (X)
REMINGTON FOSS
SVP & HOSPITAL PRESIDENT2.048.0Yes (X)$0$442,406$61,356
AVRIL P BECKFORD MD
TRUSTEE & CHIEF PEDIATRIC OFF.38.012.0Yes (X)$463,457$0$33,307Yes (X)
CRAIG OWENS
SVP & HOSPITAL PRESIDENT2.048.0Yes (X)$0$432,571$56,344
LINDA HUFFER
VP POST ACUTE SERVICES38.012.0Yes (X)$437,790$0$45,922
JONATHAN CROOM
SVP & HOSPITAL PRESIDENT2.048.0Yes (X)$0$431,905$51,236
JENNIFER J GIUSTI
VP CLINICAL OUTCOMES38.012.0Yes (X)$408,600$0$54,850
JOHN KUEVEN
SVP & HOSPITAL PRESIDENT2.048.0Yes (X)$0$404,411$56,058
MICHAEL T MCCULLOUGH
SVP SUPPLY CHAIN38.012.0Yes (X)$398,923$0$59,565
JASON D STEVENS
SVP DEPUTY GENERAL COUNSEL38.012.0Yes (X)$386,099$0$69,737
SEAN P TURNER
VP REV. CYC. MGMT. (END. 2/21)38.012.0Yes (X)$397,877$0$32,751
ELIZABETH H LOUDERMILK
VP FINANCIAL PLANNING38.012.0Yes (X)$344,688$0$62,281
SHYROLL MORRIS
VP ONC.&DIG.HEALTH (END. 2/21)38.012.0Yes (X)$345,462$0$56,317
ANDREW LEE
VP CHIEF DIV. OFF.(END. 12/20)38.012.0Yes (X)$324,352$0$61,224
MAXWELL S KAGAN
VP FINANCE & CFO38.012.0Yes (X)$324,968$0$54,571
JAMES M SWARTZ
VP ACCOUNTING38.012.0Yes (X)$314,307$0$63,398
DANYALE ZIGLOR
VP HUMAN RESOURCES38.012.0Yes (X)$302,298$0$60,178
SNEHAL H DOSHI
SVP ANCILLARY & SUPPORT SVCS38.012.0Yes (X)$285,912$0$76,331
DANIEL ABAD
VP TOTAL & CHIEF TM ENGAGE OFF38.012.0Yes (X)$321,083$0$38,970
SONYA E ALDY
VP TALENT ACQUISITION38.012.0Yes (X)$312,460$0$43,610
BRADFORD B NEWTON
VP INFO.TECH.ADMIN.(END.12/20)38.012.0Yes (X)$305,271$0$50,481
JOSEPH BRAUD
VP INFORMATION TECHNOLOGY OPS38.012.0Yes (X)$326,852$0$26,904
KRISTEN S TRICE
VP DIAGNOSTIC OUTREACH38.012.0Yes (X)$302,447$0$50,964
JESSICA KOVALESKY
VP CARE COORDINATOR38.012.0Yes (X)$308,456$0$43,191
MARCUS P CHARLSON MD
VP SURGERY38.012.0Yes (X)$307,077$0$42,583
LAURA DANNELS
VP & CHIEF TALENT OFFICER38.012.0Yes (X)$311,908$0$35,856
AVIRAL SINGH
VP BRAND & MARKET STRATEGY38.012.0Yes (X)$290,035$0$56,694
ELIZABETH H PAPETTI
VP OPS. HOSPITAL DIVISION38.012.0Yes (X)$290,712$0$51,791
VARMA RAMESWAR MD
VP PEDIATRIC OPERATIONS38.012.0Yes (X)$285,765$0$51,716
ANDREW W COX
VP CHIEF OF STAFF&LEADER. DEV.38.012.0Yes (X)$291,726$0$45,161
STEPHEN VAULT
VP STRATEGIC COMMUNITY DEV.38.012.0Yes (X)$301,661$0$34,387
SOPHIA MARSHALL
VP ORGANIZATION COMMUNICATIONS38.012.0Yes (X)$296,295$0$38,620
JASON L KELSEY
VP REHAB. & SPORTS MED. SRVCS.38.012.0Yes (X)$247,802$0$81,448
SHALIMA PANNIKODE
SVP CHIEF INFO. & DIGITAL OFF.38.012.0Yes (X)$296,604$0$31,170
FREDA LYON
VP SYSTEM EMERGENCY SERVICES38.012.0Yes (X)$273,157$0$52,870
CAROL TODD
VP ASST. GENERAL COUNSEL38.012.0Yes (X)$275,363$0$43,233
LEANNE COOK
VP CONSUMER ENGAGEMENT38.012.0Yes (X)$256,658$0$60,258
KIMBERLY TAACA
VP OPS SPECIALTY DIVISION38.012.0Yes (X)$274,977$0$38,722
STEVEN HUNT
VP HUMAN RESOURCES38.012.0Yes (X)$252,880$0$58,442
IVY SPENCER
VP CNO38.012.0Yes (X)$255,306$0$42,581
JUDITH WHITE
VP LABORATORY SERVICES SYSTEM38.012.0Yes (X)$250,208$0$42,458
JONATHAN D MAURER
VP INFO.SEC.&CISO(END. 12/20)38.012.0Yes (X)$257,259$0$31,523
JOSEPH A REPPERT
SVP FINANCE (BEG. 8/20)38.012.0Yes (X)$253,157$0$34,487
ELLEN WRIGHT
VP HIM CDI & POLICIES38.012.0Yes (X)$243,645$0$43,226
ROBERT J DECOUX
VP CORPORATE MED. STAFF SVCS.38.012.0Yes (X)$230,829$0$49,229
REBECCA L RUHL
VP FACILITY COMPLIANCE OPS.38.012.0Yes (X)$243,841$0$32,008
RICHARD S SIEGEL
FORMER VP CARDIO.&CVM ADMN0.00.0$267,432$0$6,106Yes (X)
SUSAN JACKSON
VP PHARMACY SVCS (BEG. 5/21)38.012.0Yes (X)$222,733$0$46,636
KATHARINE LEONARD
VP REAL ESTATE & FACILITY DVLP38.012.0Yes (X)$247,881$0$21,430
SOPHIA L MCINTYRE
SVP AMB.CARE DIV.(BEG. 10/20)38.012.0Yes (X)$213,972$0$10,903
THOMAS A DRAPER
VP CARDIO. ADMIN.(BEG. 8/20)38.012.0Yes (X)$185,596$0$19,268
NICKOLOS A YAITSKY
VP HEAD OF DIGITAL PLATFORMS38.012.0Yes (X)$164,380$0$35,993
MONTE A WILSON
FORMER HOSPITAL PRESIDENT0.00.0$0$198,207$0Yes (X)
JULIE C TEER
SVP & WHS FDN PRES(BEG. 10/20)38.012.0Yes (X)$144,979$0$2,314
ARIF AZIZ MD
TRUSTEE1.012.0$86,108$0$0Yes (X)
STEVEN OWEIDA MD
FORMER TRUSTEE0.00.0$46,847$0$0Yes (X)
OTIS A BRUMBY III
TRUSTEE1.012.0$44,970$0$0Yes (X)
T FITZ JOHNSON
TRUSTEE1.012.0$40,367$0$0Yes (X)
R RANDALL BENTLEY SR ESQ
TRUSTEE (END. 6/21)1.012.0$39,473$0$0Yes (X)
W CHARLES BROCK
TRUSTEE1.012.0$39,340$0$0Yes (X)
DAVID HAFNER
FORMER TRUSTEE0.00.0$18,643$0$0Yes (X)
TE RUSTY DURHAM
FORMER TRUSTEE0.00.0$15,007$0$0Yes (X)
CHARLES J JONES
TRUSTEE (END. 6/21)1.012.0$8,840$0$0Yes (X)
MITZI MOORE
TRUSTEE1.012.0$5,560$0$0Yes (X)
O SCOTT SWAYZE MD
TRUSTEE1.012.0$3,908$0$0Yes (X)
FRANK ROS
TRUSTEE1.012.0$3,597$0$0Yes (X)
H SPEER BURDETTE III
TRUSTEE1.012.0$3,115$0$0Yes (X)
EDWARD RICHARDSON
TRUSTEE1.012.0$2,872$0$0Yes (X)
GREG MORGAN
TRUSTEE1.012.0$2,595$0$0Yes (X)
GARY A MILLER
TRUSTEE1.012.0$2,555$0$0Yes (X)
JAMES HOLMES
TRUSTEE1.012.0$2,555$0$0Yes (X)
AMBICA YADAV
TRUSTEE1.012.0$2,475$0$0Yes (X)
JOHN MCKIBBEN
TRUSTEE1.012.0$1,885$0$0Yes (X)
JAY CUNNINGHAM
TRUSTEE (BEG. 3/21)1.012.0$0$0$0Yes (X)
MATTHEW B TERRY
SVP CHIEF STRAT.OFF.(BEG.6/21)38.012.0Yes (X)$0$0$0
PRANAV K JAIN
VP&CH. MED INFO.OFF.(BEG.5/21)38.012.0Yes (X)$0$0$0
RICHARD H CAPPS
EVP CH INFO&DIGIT.OFF(BEG1/21)38.012.0Yes (X)$0$0$0
SANA B BRUNO
VP LAB SRVCS SYSTEM (END.5/21)38.012.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$23,955,742TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,816,966TotReportableCompRltdOrgAmt
Total Other Compensation$1,474,861TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2370IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PT SOLUTIONS HOLDINGS LLC
PO BOX 724557ATLANTAGA31139MEDICAL$33,606,599
NORTHWEST GEORGIA ONCOLOGY
531 ROSELANE STREET SUITE 710MARIETTAGA30060MEDICAL$25,308,181
PRESIDIO NETWORKED SOLUTION
PO BOX 822169PHILADELPHIAPA191822169INFORMATION SERVICES$18,923,310
BATSON-COOK COMPANY
2859 PACES FERRY ROAD SUITE 200ATLANTAGA30339GENERAL CONTRACTOR$13,965,725
BRASFIELD AND GORRIE LP
PO BOX 11407BIRMINGHAMAL352460351GENERAL CONTRACTOR$12,525,423
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K121CntrctRcvdGreaterThan100KCnt
Government Grants$30,426,315GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Total Contributions$30,426,315TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE622110$500,154,955$500,154,955
SHARED SERVICE RECOUPMENT622110$497,528,729$497,528,729
EQUITY EARNINGS IN HOSP AFFILIATES622110$820,924,004$820,924,004
KSU CLINIC622110$3,192,996$3,192,996
WELLNESS CENTER622110$1,386,100$1,386,100

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$274,786TotalRevenueColumnAmt
Related Or Exempt Func Income$274,786RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,823,461,570TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,535,377TotalRevenueColumnAmt
Exclusion$20,535,377ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$118,162RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$118,162RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$118,162TotalRevenueColumnAmt
Exclusion$118,162ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$85,555,553SecuritiesAmt
Other$1,644,316OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$85,555,553SecuritiesAmt
Other$1,644,316OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,199,870TotalRevenueColumnAmt
Exclusion$87,199,870ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAC PREMIUMS622110$19,316,841$19,316,841
MEDICARE SHARED SAVING RECEIPTS622110$5,188,594$5,188,594
LAUNDRY812320$148,568$148,568

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,208,824TotalRevenueColumnAmt
Exclusion$4,208,824ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$28,862,827OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,990,604,121TotalRevenueColumnAmt
Related Or Exempt Func Income$1,823,461,570RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$148,568UnrelatedBusinessRevenueAmt
Exclusion$136,567,668ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,340,940TotalAmt
Program Services$4,340,940ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$31,938,261TotalAmt
Program Services$25,550,609ProgramServicesAmt
Management And General$6,387,652ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,439,009TotalAmt
Program Services$1,151,183ProgramServicesAmt
Management And General$287,826ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$865,504,266TotalAmt
Program Services$589,507,452ProgramServicesAmt
Management And General$274,642,601ManagementAndGeneralAmt
Fundraising$1,354,213FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,725,212TotalAmt
Program Services$8,577,660ProgramServicesAmt
Management And General$4,147,552ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$71,714,941TotalAmt
Program Services$72,020,910ProgramServicesAmt
Management And General-$392,634ManagementAndGeneralAmt
Fundraising$86,665FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$54,734,740TotalAmt
Program Services$30,577,325ProgramServicesAmt
Management And General$24,157,415ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$29,532,807TotalAmt
Program Services$26,657,738ProgramServicesAmt
Management And General$2,875,069ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,216,432TotalAmt
Program Services$4,200ProgramServicesAmt
Management And General$3,212,232ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$786,509TotalAmt
Management And General$786,509ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$94,092,622TotalAmt
Program Services$21,288,825ProgramServicesAmt
Management And General$72,266,493ManagementAndGeneralAmt
Fundraising$537,304FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,064,628TotalAmt
Program Services$230,539ProgramServicesAmt
Management And General$10,830,013ManagementAndGeneralAmt
Fundraising$4,076FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,785,326TotalAmt
Program Services$1,731,715ProgramServicesAmt
Management And General$9,959,198ManagementAndGeneralAmt
Fundraising$94,413FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$48,688,192TotalAmt
Program Services$35,744,872ProgramServicesAmt
Management And General$12,933,936ManagementAndGeneralAmt
Fundraising$9,384FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,738,408TotalAmt
Program Services$843,480ProgramServicesAmt
Management And General$893,922ManagementAndGeneralAmt
Fundraising$1,006FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$651,901TotalAmt
Program Services$461,706ProgramServicesAmt
Management And General$190,195ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$60,988,618TotalAmt
Program Services$12,244,628ProgramServicesAmt
Management And General$48,733,461ManagementAndGeneralAmt
Fundraising$10,529FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$36,653,305TotalAmt
Program Services$36,457,785ProgramServicesAmt
Management And General$195,520ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$96,634,381$41,021,600$54,778,510$834,271
REPAIR & MAINTENANCE$9,911,980$1,067,941$8,827,236$16,803
NON-MEDICAL SUPPLIES-$10,660,667$916,562-$10,813,675-$763,554
CAPTIVE PREMIUMS$35,850,289$35,850,289

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,839,163TotalAmt
Program Services$24,657,855ProgramServicesAmt
Management And General-$7,879,820ManagementAndGeneralAmt
Fundraising$61,128FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,490,171,263TotalAmt
Program Services$970,905,814ProgramServicesAmt
Management And General$517,019,211ManagementAndGeneralAmt
Fundraising$2,246,238FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$535,043,069BOYAmt
EOY$116,677,469EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$43,255,045BOYAmt
EOY$39,897,072EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$30,356,246BOYAmt
EOY$36,632,988EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$69,580,495BOYAmt
EOY$113,810,668EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$932,739,350LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$642,380,328LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$312,078,726BOYAmt
EOY$290,359,022EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,165,313,078BOYAmt
EOY$2,147,794,720EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,389,104,163BOYAmt
EOY$2,525,438,100EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,544,730,822BOYAmt
EOY$5,270,610,039EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$380,196,947BOYAmt
EOY$545,026,801EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,331,169,737BOYAmt
EOY$1,340,134,386EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,081,494,499BOYAmt
EOY$713,228,900EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,792,861,183BOYAmt
EOY$2,598,390,087EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,699,998,966BOYAmt
EOY$2,626,593,584EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$51,870,673BOYAmt
EOY$45,626,368EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,751,869,639BOYAmt
EOY$2,672,219,952EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,544,730,822BOYAmt
EOY$5,270,610,039EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$500,432,858ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$148,127,885NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$271,789,570OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations9SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (9 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
COBB HOSPITAL INC
5809683823Yes (true)$102,091,787$0
PAULDING MEDICAL CENTER INC
5820958843Yes (true)$33,045,926$0
KENNESTONE HOSPITAL INC
5820329043Yes (true)$184,203,729$0
DOUGLAS HOSPITAL INC
5820267503Yes (true)$31,010,373$0
WELLSTAR ATLANTA MEDICAL CENTER INC
8108370313Yes (true)$62,408,536$0
WELLSTAR SPALDING REGIONAL HOSPITAL INC
8108647893Yes (true)$23,378,242$0
WELLSTAR SYLVAN GROVE HOSPITAL INC
8108750693Yes (true)$2,078,851$0
WELLSTAR NORTH FULTON HOSPITAL INC
8108517563Yes (true)$29,856,263$0
WEST GEORGIA MEDICAL CENTER INC
2054975063Yes (true)$29,455,156$0
FieldValueIRS element (for citing)
Supported Organizations Total9SupportedOrganizationsTotalCnt
Support Sum$497,528,863SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (true)MajorityDirTrstSupportedOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastYes (true)PublicationsOrBroadcastInd
Publications Or Broadcast$3,252PublicationsOrBroadcastAmt
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$250GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$19,288DirectContactLegislatorsAmt
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$35,528RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$676,092OtherActivitiesAmt
Total Lobbying Expenditures$734,410TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationOTHER LOBBYING EXPENSES: During the reporting period, Wellstar Health System, Inc. held a retainer WITH a local firm to provide professional services for community related activities including support in community benefit reporting and legislative healthcare initiatives affecting the system hospitals. Wellstar is also a party to several healthcare related coalitions that protect the interests of all member hospitals.ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,756,000BeginningYearBalanceAmt
Contributions$65,000ContributionsAmt
Investment Earnings Or Losses$1,922,000InvestmentEarningsOrLossesAmt
End Year Balance$9,743,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,936,000BeginningYearBalanceAmt
Contributions$42,000ContributionsAmt
Investment Earnings Or Losses-$222,000InvestmentEarningsOrLossesAmt
End Year Balance$7,756,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,710,000BeginningYearBalanceAmt
Contributions$29,000ContributionsAmt
Investment Earnings Or Losses$197,000InvestmentEarningsOrLossesAmt
End Year Balance$7,936,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,685,000BeginningYearBalanceAmt
Contributions$193,000ContributionsAmt
Investment Earnings Or Losses-$168,000InvestmentEarningsOrLossesAmt
End Year Balance$7,710,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,832,000BeginningYearBalanceAmt
Contributions$67,000ContributionsAmt
Investment Earnings Or Losses$786,000InvestmentEarningsOrLossesAmt
End Year Balance$7,685,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.65000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.35000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,419,053OtherCostOrOtherBasisAmt
Book Value$32,419,053BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$117,996,239OtherCostOrOtherBasisAmt
Depreciation$73,715,122DepreciationAmt
Book Value$44,281,117BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,633,935OtherCostOrOtherBasisAmt
Depreciation$21,616,608DepreciationAmt
Book Value$48,017,327BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$673,728,528OtherCostOrOtherBasisAmt
Depreciation$536,173,069DepreciationAmt
Book Value$137,555,459BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,961,595OtherCostOrOtherBasisAmt
Depreciation$10,875,529DepreciationAmt
Book Value$28,086,066BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$290,359,022TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
EQUITY IN AFFILIATES$2,231,131,157
OTHER RECEIVABLES$288,499,282
OTHER LONG-TERM ASSETS$5,807,661
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,525,438,100TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACCRUED PENSION LIABILITY$259,209,635
SELF-INSURANCE RESERVES$257,260,168
OTHER LT LIABILITIES$171,084,424
ASSET RETIREMENT OBLIGATIONS LT$25,674,673
FieldValueIRS element (for citing)
Total Liability$713,228,900TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS: WELLSTAR FOUNDATION, INC. HELD TWO ENDOWMENT FUNDS AT THE END OF THE REPORTING PERIOD ON BEHALF OF WELLSTAR HEALTH SYSTEM, INC. ONE ENDOWMENT, THE HODGES FUND, IS ESTABLISHED FOR THE PURPOSE OF PROVIDING SCHOLARSHIPS TO ELIGIBLE STUDENTS IN HEALTHCARE RELATED COURSE STUDIES. THE SECOND ENDOWMENT, HOSPICE FUND, IS ESTABLISHED TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PATIENTS IN THE WELLSTAR HOSPICE PROGRAM.
SCHEDULE D, PART X, LINE 2THE FOLLOWING FOOTNOTE IS RELATED TO THE ORGANIZATION'S APPLICATION OF FASB ASC 740 (PREVIOUSLY FIN 48): "WELLSTAR AND IT AFFILIATES HAVE BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3), AND THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. 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. WELLSTAR HAS EVALUATED ITS TAX POSITIONS AND DOES NOT BELIEVE THERE ARE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2021, or 2020."

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (32 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmt
100 Black Men of North Metro Atlanta Inc
2300 Holcomb Bridge RoadSuite 103-215RoswellGA30076582052894501(c)(3)$15,000FMVN/ASponsorship
American Cancer Society
250 WILLIAMS ST4TH FLOORAtlantaGA30303131788491501(c)(3)$44,500FMVN/ASponsorship
AMGA Foundation Inc
One Prince StreetAlexandriaVA22314540536002501(c)(6)$25,000FMVN/ASponsorship
Atlanta Beltline Partnership
112 KROG STREET NESUITE 14AtlantaGA303072486562464486501(c)(3)$35,000FMVN/ASponsorship
BRAVES STADIUM COMPANY LLC
755 BATTERY AVE SEATLANTAGA303393017581251243$1,181,784FMVN/ASPONSORSHIP
Bullock Foundation Inc
115 WATERFORD WAYPowder SpringsGA30127260127827501(c)(3)$7,500FMVN/ASponsorship
BUY Cobb Inc
PO BOX 3485MariettaGA30061585234027501(c)(3)$10,000FMVN/ASponsorship
Camp Kudzu
5885 GLENRIDGE DRSUITE 160AtlantaGA30328582449646501(C)(3)$15,000FMVN/ASponsorship
Center for Family Resources
995 ROSWELL ST NESuite 100MariettaGA30060580876634501(C)(3)$10,000FMVN/ASponsorship
Cherokee By Choice INC
1 INNOVATION WAYWOODSTOCKGA30188831981790501(C)(3)$62,500FMVN/ASponsorship
Cherokee County Chamber of Commerce
3605 MARIETTA HIGHWAYCantonGA30114581090796501(c)(6)$9,570FMVN/ASponsorship
City of Roswell
617 ATLANTA STREETSUITE 101RoswellGA30075581979994$5,500FMVN/ASponsorship
COBB COUNTY CHAMBER OF COMMERCE FOUNDATION
PO BOX 671868MariettaGA30060581492846501(c)(3)$77,000FMVN/ASponsorship
Cobb County Public Schools Educational FDN
514 GLOVER ST SEMariettaGA30060582487501501(c)(3)$25,000FMVN/ASponsorship
Cobbs Competitive Edge
1100 CIRCLE 75 PARKWAYSUITE 1000AtlantaGA30339455131121501(c)(3)$50,000FMVN/ASponsorship
Douglas County Chamber OF COMMERCE
6658 CHURCH STDouglasvilleGA30134581950186501(c)(6)$11,745FMVN/ASponsorship
Emergency Nurses ASSOCIATION
PO BOX 83314Ste 130ChicagoIL60691311703819$10,000FMVN/ASponsorship
Friends of the Thread INC
133 Main StreetLagrangeGA30240813580329501(c)(3)$10,000FMVN/ASponsorship
Georgia Chamber of Commerce
PO BOX 102676AtlantaGA30368581537370501(c)(6)$52,500FMVN/ASponsorship
Globus Medical Inc
PO BOX 203329DallasTX753203329043744954FMVCLEANING SUPPLIESSponsorship$230,496
Good Samaritan Health Center of Cobb INC
1605 ROBERTA DR SWMARIETTAGA30008320045238501(c)(3)$22,500FMVN/ASponsorship
Greater North Fulton Chamber of Commerce
11605 HAYNES BRIDGE RDAlpharettaGA30009581157316501(c)(6)$29,250FMVN/ASponsorship
Health Connect South INC
1950 LAKE PARK AVENUESmyrnaGA30080463967515501(c)(6)$15,000FMVN/ASponsorship
KENNESAW STATE UNIVERSITY
3333 BUSBEE DRIVEKennesawGA30144580965786GOV'T$1,925,000FMVN/ASponsorship
March of Dimes
1550 CRYSTAL DRSUITE 1300ArlingtonVA22202131846366501(c)(3)$57,000FMVN/ASponsorship
Medical Association of Atlanta
1150 LAKE HEARN DRIVESUITE 130AtlantaGA30342580615170501(c)(6)$10,000FMVN/ASponsorship
MUST Ministries
PO BOX 1717MariettaGA30061582034725501(c)(3)$25,000FMVN/ASponsorship
PROSTAWARE INC
28 BALL MILL PLACESANDY SPRINGSGA30350270599329501(c)(3)$30,000FMVN/ASponsorship
SERVICE LEAGUE OF CHEROKEE COUNTY GA INC
PO BOX 1132CANTONGA301591132581685138501(c)(3)$15,000FMVN/ASponsorship
Smyrna Public Safety Foundation
2620 ATLANTA RD SESmyrnaGA30080264770872501(c)(3)$7,500FMVN/ASponsorship
Tommy Nobis Center
1480 BELLS FERRY RDMariettaGA30066581290439501(c)(3)$15,000FMVN/ASponsorship
VAN WAGNER SPORTS & ENTERTAINMENT LLC
800 THIRD AVENUENEW YORKNY10022481290227$125,000FMVN/ASPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt
Total Other Org12TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (89 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AHMAD KHALDI
MD PHYSICIAN GROUP$929,342$0$534,517$0$2,735$0$25,015$0$34,182$0$1,525,791$0$0$0
ALAN R MUSTER MD
SVP SPECIALTY DIVISION WMG$501,746$0$118,674$0$132,654$0$51,200$0$38,104$0$842,378$0$116,927$0
ANDREW LEE
VP CHIEF DIV. OFF.(END. 12/20)$251,175$0$0$0$73,177$0$31,804$0$29,420$0$385,576$0$0$0
ANDREW W COX
VP CHIEF OF STAFF&LEADER. DEV.$244,291$0$37,145$0$10,290$0$15,380$0$29,781$0$336,887$0$0$0
ANTHONY J BUDZINSKI
EVP & CFO$734,356$0$192,675$0$22,159$0$44,161$0$32,813$0$1,026,164$0$0$0
AVIRAL SINGH
VP BRAND & MARKET STRATEGY$234,114$0$45,580$0$10,341$0$22,967$0$33,727$0$346,729$0$0$0
AVRIL P BECKFORD MD
TRUSTEE & CHIEF PEDIATRIC OFF.$184,128$0$270,228$0$9,101$0$28,816$0$4,491$0$496,764$0$0$0
BARBARA B COREY
SVP MANAGED CARE$395,474$0$79,621$0$16,688$0$22,750$0$25,081$0$539,614$0$0$0
BETH KOST
SVP, CHIEF COMPLIANCE OFFICER$388,908$0$78,110$0$135,734$0$51,200$0$28,074$0$682,026$0$120,112$0
BRADFORD B NEWTON
VP INFO.TECH.ADMIN.(END.12/20)$255,688$0$39,633$0$9,950$0$25,857$0$24,624$0$355,752$0$0$0
CANDICE L SAUNDERS
PRESIDENT & CEO$1,397,844$0$714,332$0$372,126$0$51,162$0$32,821$0$2,568,285$0$350,539$0
CAROL TODD
VP ASST. GENERAL COUNSEL$206,003$0$31,299$0$38,061$0$21,710$0$21,523$0$318,596$0$27,665$0
CARRIE O PLIETZ
EVP & COO HOSP DIV (END 10/20)$619,832$0$850$0$12,602$0$43,875$0$30,227$0$707,386$0$0$0
CATHERINE ANDREWS
SVP & HOSPITAL PRESIDENT$0$390,803$0$87,652$0$92,369$0$29,656$0$10,784$0$611,264$0$79,574
CRAIG OWENS
SVP & HOSPITAL PRESIDENT$0$330,753$0$85,807$0$16,011$0$31,700$0$24,644$0$488,915$0$0
DANIEL ABAD
VP TOTAL & CHIEF TM ENGAGE OFF$269,833$0$41,010$0$10,240$0$24,811$0$14,159$0$360,053$0$0$0
DANYALE ZIGLOR
VP HUMAN RESOURCES$229,803$0$34,971$0$37,524$0$44,700$0$15,478$0$362,476$0$27,495$0
DAVID HAFNER
FORMER TRUSTEE$18,643$0$0$0$0$0$0$0$0$0$18,643$0$0$0
DAVID JONES
EVP CHIEF HR OFFICER$492,601$0$129,943$0$18,949$0$6,347$0$17,945$0$665,785$0$0$0
DAVID W PRESTON
SVP BRAND EXP. & COMMUNICATION$369,593$0$75,056$0$14,437$0$28,570$0$23,797$0$511,453$0$0$0
DOUGLAS ARVIN CPA MBA
FORMER SVP FINANCE$0$0$0$0$699,797$0$2,119$0$3,792$0$705,708$0$324,433$0
ELIZABETH H LOUDERMILK
VP FINANCIAL PLANNING$289,137$0$44,937$0$10,614$0$31,700$0$30,581$0$406,969$0$0$0
ELIZABETH H PAPETTI
VP OPS. HOSPITAL DIVISION$240,916$0$40,737$0$9,059$0$25,186$0$26,605$0$342,503$0$0$0
ELLEN WRIGHT
VP HIM CDI & POLICIES$202,955$0$30,929$0$9,761$0$23,493$0$19,733$0$286,871$0$0$0
FREDA LYON
VP SYSTEM EMERGENCY SERVICES$226,332$0$34,461$0$12,364$0$27,069$0$25,801$0$326,027$0$0$0
IVY SPENCER
VP CNO$209,486$0$34,985$0$10,835$0$23,897$0$18,684$0$297,887$0$0$0
JAMES L HORNSBY JR MD
TRUSTEE & PHYSICIAN$285,896$0$145,511$0$1,329$0$44,394$0$33,194$0$510,324$0$0$0
JAMES M SWARTZ
VP ACCOUNTING$264,674$0$40,307$0$9,326$0$37,629$0$25,769$0$377,705$0$0$0
JASON D STEVENS
SVP DEPUTY GENERAL COUNSEL$322,059$0$49,517$0$14,523$0$43,953$0$25,784$0$455,836$0$0$0
JASON L KELSEY
VP REHAB. & SPORTS MED. SRVCS.$206,183$0$31,421$0$10,198$0$43,501$0$37,947$0$329,250$0$0$0
JENNIFER J GIUSTI
VP CLINICAL OUTCOMES$344,432$0$52,398$0$11,770$0$31,700$0$23,150$0$463,450$0$0$0
JESSICA KOVALESKY
VP CARE COORDINATOR$267,039$0$31,894$0$9,523$0$25,200$0$17,991$0$351,647$0$0$0
JILL M CASE-WIRTH
SVP NURSING SERVICES$388,288$0$77,904$0$414,330$0$31,700$0$11,702$0$923,924$0$393,421$0
JOHN A BRENNAN
EVP CHIEF CLIN. INTEG. OFFICER$878,121$0$228,327$0$308,480$0$31,700$0$37,861$0$1,484,489$0$291,228$0
JOHN KUEVEN
SVP & HOSPITAL PRESIDENT$0$322,895$0$70,276$0$11,240$0$25,200$0$30,858$0$460,469$0$0
JONATHAN CROOM
SVP & HOSPITAL PRESIDENT$0$338,012$0$81,844$0$12,049$0$24,513$0$26,723$0$483,141$0$0
JONATHAN D MAURER
VP INFO.SEC.&CISO(END. 12/20)$191,998$0$707$0$64,554$0$19,124$0$12,399$0$288,782$0$0$0
JOSEPH BRAUD
VP INFORMATION TECHNOLOGY OPS$261,651$0$54,740$0$10,461$0$3,409$0$23,495$0$353,756$0$0$0
JOSEPH L BRYWCZYNSKI
SVP HLT PARKS DEV.(END. 11/20)$301,758$0$67,170$0$98,273$0$48,275$0$25,307$0$540,783$0$67,443$0
JOSEPH A REPPERT
SVP FINANCE (BEG. 8/20)$181,734$0$60,000$0$11,423$0$29,150$0$5,337$0$287,644$0$0$0
JUDITH WHITE
VP LABORATORY SERVICES SYSTEM$238,853$0$0$0$11,355$0$24,849$0$17,609$0$292,666$0$0$0
KATHARINE LEONARD
VP REAL ESTATE & FACILITY DVLP$221,537$0$19,309$0$7,035$0$8,781$0$12,649$0$269,311$0$0$0
KEM M MULLINS
EVP AMBULATORY & BUS. DEV.$649,966$0$181,324$0$14,424$0$24,500$0$36,832$0$907,046$0$0$0
KIMBERLY J RYAN
SENIOR VP (END. 12/20)$451,698$0$0$0$431,127$0$31,700$0$27,828$0$942,353$0$416,211$0
KIMBERLY TAACA
VP OPS SPECIALTY DIVISION$234,633$0$31,285$0$9,059$0$24,410$0$14,312$0$313,699$0$0$0
KRISTEN S TRICE
VP DIAGNOSTIC OUTREACH$204,479$0$61,118$0$36,850$0$20,102$0$30,862$0$353,411$0$27,103$0
LAURA DANNELS
VP & CHIEF TALENT OFFICER$264,816$0$28,756$0$18,336$0$19,645$0$16,211$0$347,764$0$0$0
LEANNE COOK
VP CONSUMER ENGAGEMENT$213,347$0$32,460$0$10,851$0$22,534$0$37,724$0$316,916$0$0$0
LEO E REICHERT
EVP & GENERAL COUNSEL$644,855$0$169,197$0$387,791$0$31,700$0$39,664$0$1,273,207$0$364,799$0
LINDA HUFFER
VP POST ACUTE SERVICES$307,336$0$35,245$0$95,209$0$34,620$0$11,302$0$483,712$0$30,499$0
MARCUS P CHARLSON MD
VP SURGERY$233,824$0$35,575$0$37,678$0$14,909$0$27,674$0$349,660$0$28,330$0
MARY B CHATMAN PHD
SVP & HOSPITAL PRESIDENT$0$580,795$0$132,932$0$12,971$0$42,904$0$24,435$0$794,037$0$0
MARY L TAVERNARO
VP HUMAN RESOURCES OPERATIONS$289,280$0$44,005$0$106,016$0$50,330$0$26,584$0$516,215$0$93,950$0
MAXWELL S KAGAN
VP FINANCE & CFO$270,182$0$45,458$0$9,328$0$24,035$0$30,536$0$379,539$0$0$0
MICHAEL T MCCULLOUGH
SVP SUPPLY CHAIN$336,548$0$48,825$0$13,550$0$31,591$0$27,974$0$458,488$0$0$0
MONTE A WILSON
FORMER HOSPITAL PRESIDENT$0$0$0$0$0$198,207$0$0$0$0$0$198,207$0$0
NICKOLOS A YAITSKY
VP HEAD OF DIGITAL PLATFORMS$140,005$0$20,000$0$4,375$0$21,722$0$14,271$0$200,373$0$0$0
PAUL D MURPHREE
VP MEDICAL OUTCOMES$385,941$0$58,627$0$15,340$0$30,901$0$33,488$0$524,297$0$0$0
PAUL DOUGLASS MD
TRUSTEE & PHYSICIAN$437,727$0$310,080$0-$38,919$0$31,700$0$12,970$0$753,558$0$0$0
PETER R JUNGBLUT MD MBA
FORMER SVP & MEDICAL DIRECTOR$343,752$0$129,343$0$3,804$0$51,200$0$33,954$0$562,053$0$0$0
REBECCA L RUHL
VP FACILITY COMPLIANCE OPS.$179,667$0$30,425$0$33,749$0$3,500$0$28,508$0$275,849$0$23,421$0
REMINGTON FOSS
SVP & HOSPITAL PRESIDENT$0$352,111$0$64,271$0$26,024$0$30,555$0$30,801$0$503,762$0$0
RICHARD MYUNG
MD PHYSICIAN GROUP$1,096,562$0$1,207,723$0$2,773$0$43,875$0$35,564$0$2,386,497$0$0$0
RICHARD S SIEGEL
FORMER VP CARDIO.&CVM ADMN$40,526$0$0$0$226,906$0$2,841$0$3,265$0$273,538$0$225,615$0
RISHI GUPTA
MD PHYSICIAN GROUP$776,481$0$793,238$0$2,735$0$43,875$0$26,509$0$1,642,838$0$0$0
ROB SCHREINER
EVP & PRESIDENT MEDICAL GROUP$578,076$0$151,648$0$24,159$0$31,700$0$13,832$0$799,415$0$0$0
ROBERT J DECOUX
VP CORPORATE MED. STAFF SVCS.$192,449$0$28,130$0$10,250$0$29,290$0$19,939$0$280,058$0$0$0
SANDRA LUCIUS
VP HEAD OF CARE PLATFORMS$258,633$0$39,386$0$181,581$0$31,180$0$1,766$0$512,546$0$166,392$0
SEAN P TURNER
VP REV. CYC. MGMT. (END. 2/21)$336,058$0$51,074$0$10,745$0$11,998$0$20,753$0$430,628$0$0$0
SHALIMA PANNIKODE
SVP CHIEF INFO. & DIGITAL OFF.$290,774$0$0$0$5,830$0$14,830$0$16,340$0$327,774$0$0$0
SHYROLL MORRIS
VP ONC.&DIG.HEALTH (END. 2/21)$297,276$0$38,233$0$9,953$0$43,875$0$12,442$0$401,779$0$0$0
SNEHAL H DOSHI
SVP ANCILLARY & SUPPORT SVCS$241,037$0$34,456$0$10,419$0$44,700$0$31,631$0$362,243$0$0$0
SONYA E ALDY
VP TALENT ACQUISITION$234,976$0$35,715$0$41,769$0$19,289$0$24,321$0$356,070$0$31,065$0
SOPHIA MARSHALL
VP ORGANIZATION COMMUNICATIONS$249,976$0$37,260$0$9,059$0$23,703$0$14,917$0$334,915$0$0$0
SOPHIA L MCINTYRE
SVP AMB.CARE DIV.(BEG. 10/20)$92,309$0$75,000$0$46,663$0$10,768$0$135$0$224,875$0$0$0
STEPHEN L BADGER
VP STRATEGIC SERVICES$446,165$0$57,606$0$61,217$0$51,200$0$38,020$0$654,208$0$42,595$0
STEPHEN VAULT
VP STRATEGIC COMMUNITY DEV.$228,710$0$35,124$0$37,827$0$23,741$0$10,646$0$336,048$0$28,415$0
STEVEN HUNT
VP HUMAN RESOURCES$208,957$0$34,485$0$9,438$0$24,550$0$33,892$0$311,322$0$0$0
STEVEN OWEIDA MD
FORMER TRUSTEE$46,847$0$0$0$0$0$0$0$0$0$46,847$0$0$0
STUART DOWNS
VP NURSING OPS. (END. 3/21)$0$318,825$0$136,336$0$9,708$0$44,625$0$34,401$0$543,895$0$0
SUSAN JACKSON
VP PHARMACY SVCS (BEG. 5/21)$208,476$0$13,760$0$497$0$23,945$0$22,691$0$269,369$0$0$0
TE RUSTY DURHAM
FORMER TRUSTEE$15,007$0$0$0$0$0$0$0$0$0$15,007$0$0$0
TAMARA D ISON
SVP & HOSPITAL PRESIDENT$0$337,738$0$72,314$0$109,392$0$25,017$0$31,923$0$576,384$0$97,447
TERESA LUU
MD PHYSICIAN GROUP$1,057,312$0$566,508$0$904$0$42,375$0$29,221$0$1,696,320$0$0$0
THOMAS A DRAPER
VP CARDIO. ADMIN.(BEG. 8/20)$105,000$0$35,000$0$45,596$0$9,471$0$9,797$0$204,864$0$0$0
TIMOTHY HANEY
FORMER SVP RE FAC & DVLP SVC$0$0$0$0$1,015,968$0$1,144$0$2,876$0$1,019,988$0$647,529$0
VALERY A AKOPOV MD
SVP HOSPITAL DIVISION WMG$494,290$0$107,420$0$19,870$0$31,700$0$28,468$0$681,748$0$0$0
VARMA RAMESWAR MD
VP PEDIATRIC OPERATIONS$213,541$0$32,564$0$39,660$0$38,297$0$13,419$0$337,481$0$28,700$0
MARK MCLAUGHLIN
MD PHYSICIAN GROUP$823,834$0$501,741$0$4,306$0$16,758$0$30,131$0$1,376,770$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 1AFormAndLineReferenceDesc
ExplanationTHE ITEMS, AS INDICATED IN LINE 1A, WERE PROVIDED, IN SOME INSTANCES, TO BOARD MEMBERS AND TO CERTAIN EMPLOYED INDIVIDUALS LISTED IN FORM 990, PART VII BY THE ORGANIZATION. THE ORGANIZATION FOLLOWS IRS GUIDELINES AND THESE ITEMS WERE ADDED AS TAXABLE INCOME AS APPROPRIATE. SCHEDULE J, PART I, LINE 1B REIMBURSEMENT POLICY: While WellStar Health System and its affiliates do not have a written policy regarding payment or reimbursement of the items listed in SCHEDULE J, Part I, Line 1a, the organization follows IRS guidelines in the payment of any of these items to individuals listed in Form 990, Part VII, Section A. These items are added as taxable wages on the individual's Form W-2 as appropriate. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: Pursuant to their respective employment agreements, the following groups of officers are entitled to severance payments based on their compensation at that time in the event of certain identified circumstances. The severance payment periods are 24 months for Executive Vice Presidents, 18 months for Senior Vice Presidents, and 12 months for Vice Presidents. The following officers received severance pay during the 2020 CALENDAR YEAR FROM EITHER THE ORGANIZATION OR A RELATED ORGANIZATION: ANDREW LEE 62,296 DOUGLAS ARVIN, CPA, MBA 368,271 JONATHAN D. MAURER 54,946 MONTE A. WILSON 198,207 TIMOTHY HANEY 366,319 SCHEDULE J, PART I, LINE 4B PARTICIPATION IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: During the year, Vice Presidents, Senior Vice Presidents, Executive Vice Presidents and certain physicians participated in a supplemental nonqualified retirement plan sponsored by WellStar Health System, Inc. The amounts related to this plan are included in Schedule J, Part II, Column (C). The following individuals received payments from the plan included in Schedule J, Part II, Column (B): ALAN R. MUSTER, MD 116,927 BETH KOST 120,112 CANDICE L. SAUNDERS 350,539 CAROL TODD 27,665 CATHERINE ANDREWS 79,574 DANYALE ZIGLOR 27,495 DOUGLAS ARVIN, CPA, MBA 324,433 JILL M. CASE-WIRTH 393,421 JOHN A. BRENNAN 291,228 JOSEPH L. BRYWCZYNSKI 67,443 KIMBERLY J. RYAN 416,211 KRISTEN S. TRICE 27,103 LEO E. REICHERT 364,799 LINDA HUFFER 30,499 MARCUS P. CHARLSON, MD 28,330 MARY L. TAVERNARO 93,950 REBECCA L. RUHL 23,421 RICHARD S. SIEGEL 225,615 SANDRA LUCIUS 166,392 SONYA E. ALDY 31,065 STEPHEN VAULT 28,415 STEPHEN L. BADGER 42,595 TAMARA D. ISON 97,447 TIMOTHY HANEY 647,529 VARMA RAMESWAR, MD 28,700 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS TO OFFICERS: 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. Those factors are: (1) People & Customer Service goal for employee "Trust Index (2) Quality & Safety goal for clinical excellence and patient satisfaction; AND (3) Financial goal for attaining a positive operating margin. Confirmation of achieving these goals is typically received through the annual external audit process and approved by the Board of Trustees at that TIME.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
HOSPITAL AUTHORITY OF COBB COUNTY
A58246460019081PEM42004-04-01$25,000,000EQUIPMENT POOLfalsefalsefalse
HOSPITAL AUTHORITY OF COBB COUNTY
B58246460019081PEN22006-04-01$25,000,000EQUIPMENT POOLfalsefalsefalse
PAULDING COUNTY HOSPITAL AUTHORITY
C586011214703596DH62012-06-28$32,711,016CONSTRUCTION SERIES Afalsefalsefalse
PAULDING COUNTY HOSPITAL AUTHORITY
D586011214703596DK92012-06-28$68,750,000CONSTRUCTION SERIES Bfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$25,000,000$0$0$0$0$0$0$0$25,000,000$02004falsefalseYes (true)Yes (true)
B$0$0$25,000,000$0$0$0$0$0$0$0$25,000,000$02006falsefalseYes (true)Yes (true)
C$3,870,000$0$32,711,016$0$446,282$0$437,500$0$0$31,827,234$0$02014falsefalseYes (true)Yes (true)
D$0$0$68,750,000$0$1,945,963$0$471,875$0$0$66,332,162$0$02014falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)falsefalse0falsefalsefalseYes (true)
BfalseYes (true)Yes (true)falsefalse0falsefalsefalseYes (true)
CfalseYes (true)Yes (true)falsefalse0falsefalsefalseYes (true)
DfalseYes (true)Yes (true)falsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedInd
0
AfalseYes (true)Yes (true)falsefalse0false
0
BfalseYes (true)falsefalsefalse0false
0
CfalseYes (true)falsefalsefalse0false
0
DfalseYes (true)falsefalsefalse0false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART VPROCEDURES TO UNDERTAKE CORRECTIVE ACTION: WELLSTAR HEALTH SYSTEM, INC. (THE BORROWER ON TAX-EXEMPT BONDS) HAS ESTABLISHED POLICIES AND PROCEDURES THAT WILL MAXIMIZE THE LIKELIHOOD THAT ALL APPLICABLE POST-ISSUANCE REQUIREMENTS OF FEDERAL INCOME TAX LAW NEEDED TO PRESERVE THE TAX-EXEMPT STATUS OF THE BONDS ARE MET. THE PROCEDURES INCLUDE EXTERNAL ADVISORS SUCH AS BOND COUNSEL AND OTHER LEGAL COUNSEL WHO ASSIST THE BORROWER IN MAINTAINING THE TAX-EXEMPT STATUS OF ALL BONDS; ARBITRAGE REBATE CALCULATIONS THAT NEED TO BE MADE FOR EACH BOND ISSUE; DOCUMENTATION OF THE USE OF BOND PROCEEDS INCLUDING POTENTIAL PRIVATE BUSINESS USE APPLICABLE TO THE BONDS AFTER AN ANNUAL INTERNAL REVIEW OF THOSE USES; AND PROPER RECORD KEEPING OF ALL DOCUMENTS RELATED TO THE ISSUANCE OF TAX-EXEMPT BONDS. THESE PROCEDURES APPLY TO ALL LISTED TAX-EXEMPT BONDS.
SCHEDULE K, PART I, COLUMNS (A), (B), & (C)AS PART OF THE VARIABLE RATE COMPOSITE BOND ISSUE, ISSUED 8/3/2017, IN THE TOTAL AMOUNT OF $260,085,000 THE FOLLOWING INFORMATION IS BEING PROVIDED: ISSUER NAME EIN CUSIP # COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 58-1147004 DEVELOPMENT AUTHORITY OF FULTON COUNTY 58-1506878 36005GAY9 GRIFFIN-SPALDING COUNTY HOSPITAL AUTHORITY 58-6212778 AS PART OF THE FIXED RATE COMPOSITE BOND ISSUE, ISSUED 8/3/2017, IN THE TOTAL AMOUNT OF $611,463,388 THE FOLLOWING INFORMATION IS BEING PROVIDED: ISSUER NAME EIN CUSIP # DEVELOPMENT AUTHORITY OF FULTON COUNTY 58-1506878 36005GAX1 GRIFFIN-SPALDING COUNTY HOSPITAL AUTHORITY 58-6212778 398258AX1 LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY 56-2609278 507152AX4 COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 58-1147004 190813RF4

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COBB COUNTY KENNESTONE HOSPITAL AUTHORITY
A581147004190813PH22012-11-15$122,366,879ADVANCED REFUNDING CONSTRUCTIONfalsefalsefalse
SEE PART VI
B2017-08-03$260,085,000CONSTRUCTION/REFUNDINGfalsefalsefalse
SEE PART VI
C2017-08-03$611,463,388CONSTRUCTION/REFUNDINGfalsefalsefalse
COBB COUNTY KENNESTONE HOSPITAL AUTHORITY
D581147004190813SC02020-08-06$93,340,000CONSTRUCTION/REFUNDINGfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$31,080,000$0$122,366,879$0$0$0$1,079,370$0$0$0$121,287,509$0falseYes (true)Yes (true)Yes (true)
B$24,745,000$0$260,085,000$0$0$0$705,000$0$0$0$259,380,000$0Yes (true)Yes (true)Yes (true)Yes (true)
C$26,175,000$0$611,463,388$0$7,591,948$0$4,012,203$0$0$110,819,958$489,039,279$0Yes (true)Yes (true)Yes (true)Yes (true)
D$0$0$93,340,000$0$0$0$805,422$0$0$0$0$92,534,578Yes (true)falsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndTotal Private Business UseTotalPrivateBusinessUsePct
AfalseYes (true)Yes (true)falsefalse0falsefalsefalseYes (true)
BfalseYes (true)Yes (true)falsefalse0.01400falsefalsefalseYes (true)0.01400
CfalseYes (true)Yes (true)falsefalse0.01250falsefalsefalseYes (true)0.01250
DfalseYes (true)Yes (true)falsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedInd
0
AfalseYes (true)falsefalsefalse0false
0
BfalseYes (true)Yes (true)falsefalse0false
0
CfalseYes (true)falsefalsefalse0false
0
DfalseYes (true)falsefalsefalse0false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Cobb County Kennestone Hospital Authority
A581147004190813SY22021-01-04$89,661,453CONSTRUCTION/REFUNDINGfalsefalsefalse
DEVELOPMENT AUTHORIY OF FULTON COUNTY
B58150687836005GAZ62020-08-06$70,165,000CONSTRUCTION/REFUNDINGfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$89,661,453$0$0$0$629,141$0$0$0$0$89,032,312falsefalsefalseYes (true)
B$0$0$70,165,000$0$0$0$791,421$0$0$0$0$69,373,579Yes (true)falsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)falsefalse0falsefalsefalseYes (true)
BfalseYes (true)Yes (true)falsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedInd
0
AfalseYes (true)falsefalsefalse0false
0
BfalseYes (true)falsefalsefalse0false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JENNIFER HANEY
DAUGHTER-IN-LAW OF OFFICER$131,891EMPLOYEE OF WELLSTARfalse
CARL GOOLSBY JR MD
HUSBAND OF OFFICER$507,049EMPLOYEE OF WELLSTARfalse
BRANDY N CROSS MD
DAUGHTER OF BOARD MEMBER$439,867EMPLOYEE OF WELLSTARfalse
LAWRENCE ROWLEY MD
HUSBAND OF BOARD MEMBER/OFFICER$446,097EMPLOYEE OF WELLSTARfalse
SHEILA ROBINSON MD
WIFE OF BOARD MEMBER$434,129EMPLOYEE OF WELLSTARfalse
RACHEL GARNER
GRANDDAUGHTER OF BOARD MEMBER$38,258EMPLOYEE OF WELLSTARfalse
SAMANTHA ROS
DAUGHTER-IN-LAW OF BOARD MEMBER$127,377EMPLOYEE OF WELLSTARfalse
JOSEPH BURNS MD
FATHER-IN-LAW OF BOARD MEMBER$692,963EMPLOYEE OF WELLSTARfalse
BROOK HURST
CHILD OF BOARD MEMBER$32,613EMPLOYEE OF WELLSTARfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, LINES 1-7FormAndLineReferenceDesc
ExplanationBUSINESS TRANSACTIONS WITH INTERESTED PARTIES: All transactions listed in Schedule L, Part IV are for interested parties or in this case family members of either trustees or officers of wellstar health system, inc. or its related organizations. The transactions all represent payment of services as employees of Wellstar Health System.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 & Part III, Line 1VISION: DELIVER WORLD-CLASS HEALTHCARE TO EVERY PERSON, EVERY TIME. MISSION: TO ENHANCE THE HEALTH AND WELL-BEING OF EVERY PERSON WE SERVE. VALUES: WE SERVE WITH COMPASSION. WE PURSUE EXCELLENCE. WE HONOR EVERY VOICE.
FORM 990, PART III, LINE 4APROGRAM SERVICE ACCOMPLISHMENTS WELLSTAR HEALTH SYSTEM IS A VERTICALLY INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH PROVIDES THROUGH AFFILIATED BUSINESS ORGANIZATIONS A FULL SPECTRUM OF HEALTH SERVICES, INCLUDING WELLNESS PROGRAMS, PHYSICIAN OFFICE VISITS, OUTPATIENT CARE, INPATIENT CARE, AND POST-ACUTE SERVICES SUCH AS HOME HEALTH, HOSPICE AND LONG-TERM NURSING CARE. THE SYSTEM THROUGH ITS AFFILIATED BUSINESS ORGANIZATIONS OPERATES 11 HOSPITALS (KENNESTONE, COBB, PAULDING MEDICAL CENTER, DOUGLAS, WINDY HILL, ATLANTA MEDICAL CENTER - DOWNTOWN AND SOUTH, NORTH FULTON, SPALDING, SYLVAN GROVE AND WEST GEORGIA), MULTIPLE PHYSICIAN OFFICES, PRIMARY CARE CENTERS, OUTPATIENT CARE FACILITIES, A NURSING HOME AND OTHER HEALTH RELATED SERVICES INCLUDING TWO INPATIENT HOSPICE FACILITIES. THE SYSTEM IS SUPPORTED FINANCIALLY BY A FUNDRAISING ORGANIZATION, WELLSTAR FOUNDATION, INC. THE SERVICE AREA FOR THE SYSTEM ENCOMPASSES PARTS OF THE NORTHWESTERN, CENTRAL AND WESTERN SECTIONS OF THE STATE OF GEORGIA - THE PRIMARY AREA BEING IN BARTOW, CHEROKEE, COBB, DOUGLAS, PAULDING, FULTON, BUTTS, SPALDING, AND TROUP COUNTIES. APPROXIMATELY MORE THAN 90% OF INPATIENT DISCHARGES AND OUTPATIENTS SERVED ARE FROM THE AFOREMENTIONED COUNTIES. THE WELLSTAR VISION IS TO DELIVER WORLD CLASS HEALTHCARE. OUR MISSION IS TO CREATE AND DELIVER HIGH QUALITY HOSPITAL, PHYSICIAN AND OTHER HEALTHCARE RELATED SERVICES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. HISTORY IN 1993, WHAT WAS THEN KNOWN AS THE COBB HEALTH SYSTEM, THE KENNESTONE REGIONAL HEALTH CARE SYSTEM, AND THE DOUGLAS GENERAL HOSPITAL AFFILIATED TO FORM THE NORTHWEST GEORGIA HEALTH SYSTEM. PAULDING MEMORIAL MEDICAL CENTER AFFILIATED WITH NORTHWEST GEORGIA HEALTH SYSTEM IN 1994. IN 1994, THE NORTHWEST GEORGIA HEALTH SYSTEM HELPED FORM THE PROMINA HEALTH SYSTEM AND CHANGED ITS NAME TO PROMINA NORTHWEST HEALTH SYSTEM. IN 1998, PROMINA NORTHWEST HEALTH SYSTEM CHANGED ITS NAME TO WELLSTAR HEALTH SYSTEM. WELLSTAR DISASSOCIATED FROM AND BECAME TOTALLY INDEPENDENT OF PROMINA IN 1999. IN 2016 WELLSTAR ACQUIRED ATLANTA MEDICAL CENTER, NORTH FULTON HOSPITAL, SPALDING HOSPITAL, SYLVAN GROVE HOSPITAL AND WEST GEORGIA MEDICAL CENTER. WELLSTAR HEALTH SYSTEM IS A PARENT CORPORATION, WHICH PROVIDES OVERALL COORDINATION INCLUDING GOVERNING BODY TO ITS 11 AFFILIATES: - COBB HOSPITAL, INC.; - DOUGLAS HOSPITAL INC.; - KENNESTONE HOSPITAL, INC.; - PAULDING MEDICAL CENTER, INC.; - WELLSTAR FOUNDATION INC.; - WELLSTAR ATLANTA MEDICAL CENTER, INC.- two campuses; - WELLSTAR NORTH FULTON HOSPITAL, INC.; - WELLSTAR SPALDING REGIONAL HOSPITAL, INC.; - WELLSTAR SYLVAN GROVE HOSPITAL, INC.; - WELLSTAR WEST GEORGIA HEALTH SERVICES, INC.
SERVICESWELLSTAR HEALTH SYSTEM IS ABLE TO OFFER A FULL RANGE OF HEALTHCARE SERVICES THROUGH ITS AFFILIATES. THE SERVICES OFFERED INCLUDE BUT ARE NOT LIMITED TO: - MOST MAJOR INPATIENT CLINICAL SERVICES, - OUTPATIENT SERVICES, - DIAGNOSTIC AND THERAPEUTIC SERVICES, - ANCILLARY AND SUPPORT SERVICES, - URGENT CARE SERVICES, - HOME HEALTH SERVICES, - SKILLED NURSING SERVICES AND - HOSPICE SERVICES. THE 11 HOSPITAL LOCATIONS ARE ACUTE CARE FACILITIES WITH INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. THE SYSTEM INCLUDES A RESIDENTIAL FACILITY ON THE KENNESTONE HOSPITAL CAMPUS, CALLED ATHERTON PLACE. ATHERTON PLACE ALSO HOUSES AN ASSISTED LIVING UNIT AS AN ADDITIONAL LEVEL OF CARE. PAULDING MEDICAL CENTER IS HOME TO A FULL CARE NURSING HOME, PAULDING NURSING CENTER AND WEST GEORGIA MEDICAL CENTER IS ALSO HOME TO TWO FULL CARE NURSING HOMES. VERNON WOODS RETIREMENT COMMUNITY IS AN ASSISTED LIVING FACILITY. COBB HOSPITAL IS HOME TO A HOME HEALTH AGENCY AND A RESIDENTIAL HOSPICE FACILITY CALLED TRANQUILITY FOR THOSE PATIENTS IN THE END STAGES OF LIFE. KENNESTONE HOSPITAL ALSO OPENED A RESIDENTIAL HOSPICE FACILITY NOT FAR FROM ITS MAIN CAMPUS. THE SYSTEM IS COMPLIMENTED WITH APPROXIMATELY 322 PHYSICIAN PRACTICES AND SEVERAL URGENT CARE CENTERS. THE SYSTEM IS THUS ABLE TO PROVIDE A COMPLETE CONTINUUM OF CARE FOR THE COMMUNITY IT SERVES. THE FOLLOWING STATEMENTS OF COMMUNITY BENEFIT AND PROGRAM SERVICE ACCOMPLISHMENTS REPRESENT SYSTEM-WIDE ACTIVITY FOR WELLSTAR HEALTH SYSTEM, INC. (THE "SYSTEM") - EIN 58-1649541. ALL AFFILIATED ENTITIES OF THE SYSTEM EXCEPT THE PHYSICIAN HOSPITAL ORGANIZATION (EIN 58-2116179) OPERATE AS CHARITABLE ORGANIZATIONS CONSISTENT WITH THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE "COMMUNITY BENEFIT STANDARD" OF IRS REVENUE RULING 69-545. THE FOLLOWING EXCERPT FROM THE AUDITED FINANCIAL STATEMENTS IDENTIFIES A BROAD OVERVIEW OF THE CHARITABLE PURPOSE FOR THE SYSTEM. THE SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES THROUGH ITS AFFILIATES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS COMMUNITY FINANCIAL AID POLICY. IN FISCAL YEAR 2021 AND 2020, WELLSTAR AFFILIATE HOSPITALS MADE $309.8 MILLION AND $329.1 MILLION, RESPECTIVELY, IN PROVIDER PAYMENTS (CHARITY CARE COST) AND RECOGNIZED SUCH PAYMENTS AS A REDUCTION IN NET PATIENT SERVICE REVENUE IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. THE SYSTEM ALSO PARTICIPATES IN CERTAIN GOVERNMENTAL INSURANCE PROGRAMS, INCLUDING MEDICARE AND MEDICAID. UNDER THESE PROGRAMS, THE SYSTEM PROVIDES CARE TO PATIENTS AT PAYMENT RATES WHICH ARE DETERMINED BY THE FEDERAL AND STATE GOVERNMENTS, REGARDLESS OF THE SYSTEM'S ACTUAL CHARGES. IN MOST CASES, THESE PROGRAMS PAY THE SYSTEM AT AMOUNTS WHICH ARE LESS THAN ITS COST OF PROVIDING SERVICES. THE SYSTEM OFFERS MANY WELLNESS AND EDUCATIONAL SERVICES AT LITTLE OR NO COST TO THE COMMUNITY. HEALTH FAIRS ARE HELD THROUGHOUT THE YEAR AT CONVENIENT LOCATIONS, PROVIDING VARIOUS HEALTH SCREENINGS, SUCH AS MAMMOGRAMS, BONE DENSITY, BLOOD PRESSURE AND CHOLESTEROL CHECKS. A LARGE NUMBER OF EDUCATIONAL PROGRAMS ARE OFFERED FOR ALL AGES. THESE PROGRAMS INCLUDE BICYCLE SAFETY, CAR SEAT SAFETY, DEFENSIVE DRIVING, CPR AND FIRST-AID CLASSES. FLU SHOTS ARE AVAILABLE TO THE COMMUNITY DURING FLU SEASON AND HEALTH SCREENINGS, MEDICAL SUPPLIES, AND IMMUNIZATIONS ARE PROVIDED TO CHILDREN THROUGH LOCAL HEALTH DEPARTMENTS AND HEALTH FAIRS. THE COSTS OF THESE SERVICES ARE INCLUDED IN UNRESTRICTED REVENUE, GAINS AND OTHER SUPPORT IN EXCESS OF EXPENSES AND LOSSES IN THE FINANCIAL STATEMENTS. THE PHYSICIANS OF THE SYSTEM MAKE SIGNIFICANT CONTRIBUTIONS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY, INCLUDING INVOLVEMENT IN MANY COMMUNITY ACTIVITIES PROMOTING HEALTH AWARENESS AND IMPROVEMENT, EMERGENCY ROOM CARE, AND DELIVERY OF CARE TO THE INDIGENT POPULATION OF THE SYSTEM'S SERVICE AREA. THE SYSTEM ALSO MADE SIGNIFICANT CONTRIBUTIONS TO THE NURSING PROGRAM AT A LOCAL UNIVERSITY. THIS FINANCIAL SUPPORT HAS HELPED TO GROW THE PROGRAM, WHICH BENEFITS THE SYSTEM AS WELL AS THE COMMUNITY. THE SYSTEM AND ALL BUT ONE OF ITS AFFILIATES HAVE BEEN RECOGNIZED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) AND, THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. ONE OF THE SYSTEM'S AFFILIATES IS A CONTROLLED FOREIGN CORPORATION NOT SUBJECT TO FEDERAL INCOME TAX. THE PHYSICIAN HOSPITAL ORGANIZATION (EIN 58-2116179) IS A TAXABLE AFFILIATE OF THE SYSTEM AND FILES IRS FORM 1120 US CORPORATION INCOME TAX RETURN."
FINANCIAL & DATA STATISTICSSERVICES PROVIDED SYSTEM-WIDE: LICENSED BEDS - 2,775 ADULT DISCHARGES - 107,476 NEWBORN DISCHARGES - 13,659 EMERGENCY ROOM VISITS - 539,521 SURGERIES - 62,704 CATH LAB/PACEMAKERS/EP - 17,516 NON-ED O/P RADIOLOGY PROCEDURES - 508,290 MED/SURG. SHORT STAY CASES - 230 GI LAB PROCEDURES - 10,408 RADIOLOGY ONCOLOGY PROCEDURES - 40,330 COMMUNITY BENEFIT PROGRAMS SAFE KIDS: WELLSTAR IS A CO-LEAD AGENCY FOR SAFE KIDS COBB COUNTY ALONG WITH COBB AND DOUGLAS PUBLIC HEALTH, AND WELLSTAR SPALDING HOSPITAL IS THE LEAD AGENCY FOR SAFE KIDS SPALDING THAT LAUNCHED IN JANUARY 2019. SAFE KIDS COBB COUNTY AND SAFE KIDS SPALDING ARE COMMITTED TO REDUCING AND PREVENTING ACCIDENTAL INJURIES TO CHILDREN AGES 19 AND UNDER BY HOSTING SAFETY EDUCATION EVENTS AND PROGRAMS, DISTRIBUTING SAFETY EDUCATION MATERIALS AND EQUIPMENT TO FAMILIES IN NEED. SAFETY AREAS OF FOCUS INCLUDE: CHILD PASSENGER, PEDESTRIAN, WHEEL, HOME, POISON PREVENTION AND WATER. EQUIPMENT DISTRIBUTION INCLUDES: CAR AND BOOSTER SEATS, BICYCLE HELMETS AND REFLECTORS, SMOKE/CARBON MONOXIDE ALARMS, HOME SAFETY KITS AND LIFEJACKETS. MOST OF THE EVENTS ARE FREE AND OPEN TO THE PUBLIC. THE IMPORTANT MESSAGE TAUGHT AT THESE EVENTS IS THAT SAFETY BEGINS WITH THE PARENTS AND CAREGIVERS. DURING THE PANDEMIC, PROGRAMMING AND OUTREACH WAS VERY MINIMAL WITH SAFE KIDS COBB DUE TO COVID, HOWEVER SOME VIRTUAL CAR SEAT CHECKS AND APPOINTMENTS WERE COMPLETED ALONG WITH THE CAR SEAT DISTRIBUTION PROGRAM AT COBB AND KENNESTONE HOSPITALS. THE GOOD LIFE CLUB: WELLSTAR PROVIDES A SPECIAL PROGRAM FOR AREA RESIDENTS AGES 50 AND OLDER CALLED THE GOOD LIFE CLUB. THIS PROGRAM PROVIDES HEALTHY AGING RESOURCES AND PROMOTES HEALTH, WELLNESS, AND AN ACTIVE LIFESTYLE THROUGH CLASSES, HEALTH SCREENINGS AND OTHER OPPORTUNITIES. A SMALL ONE-TIME FEE COVERS A LIFETIME MEMBERSHIP AND INCLUDES: - HEALTH AND WELLNESS EDUCATION AND PROGRAMS - A QUARTERLY NEWSLETTER - DISCOUNTED PARKING AT HOSPITALS AND OTHER RETAIL DISCOUNTS - TRAVEL DISCOUNTS THE GOOD LIFE CLUB CURRENTLY HAS MORE THAN 3,000 MEMBERS. COMMUNITY ACTIVITIES - RECOGNIZING THE CRITICAL NEED TO ADDRESS THE NURSING SHORTAGE IN GEORGIA AND INCREASE THE NUMBER OF QUALIFIED NURSES WHO CAN JOIN THE WORKFORCE, WELLSTAR IS COMMITTED TO PROACTIVELY ADDRESSING THE NURSING SHORTAGE. WITH QUALITY EDUCATION AND TRAINING, WELLSTAR HAS EXPANDED ITS CLINICAL AFFILIATION WITH MERCER UNIVERSITY'S SCHOOL OF NURSING TO CREATE A NEW ACCELERATED BACHELOR OF SCIENCE IN NURSING ("ABSN") PROGRAM WITH THE POTENTIAL TO GRADUATE AN ADDITIONAL 300 NURSES PER YEAR IN ADDITION TO THE TRADITIONAL BSN PROGRAM AT MERCER. THIS PROGRAM ACCEPTS INDIVIDUALS WITH A BACHELOR OF SCIENCE (BS) AND GRADUATES THEM WITH A BACHELOR OF NURSING (BSN) IN 12-MONTHS. WELLSTAR ALSO HAS A LONG-STANDING AFFILIATION WITH KENNESAW STATE UNIVERSITY ("KSU"), WHICH IS IN WELLSTAR'S SERVICE AREA. WELLSTAR IS ALSO WORKING IN PARTNERSHIP WITH KSU, TO ADDRESS THE SIGNIFICANT NURSING SHORTAGE IN GEORGIA. WELLSTAR HAS PROVIDED ENDOWMENTS AND GRANTS IN SUPPORT OF EDUCATIONAL PROGRAMS AT KSU. WELLSTAR HAS ALSO PARTICIPATED IN AND JOINTLY SPONSORED TEACHING AND TRAINING PROGRAMS AT KSU, INCLUDING A STRONG PARTNERSHIP WITH THE SCHOOL OF NURSING. THIS PARTNERSHIP INCLUDES AN ESTABLISHED TRANSFORMATIONAL GIFT FROM THE WELLSTAR BOARD OF DIRECTORS WHICH ESTABLISHED THE WELLSTAR SCHOOL OF NURSING (WSON). IT SUPPORTS THE ACADEMIC PREPARATION OF NURSING STUDENTS, THROUGH THEIR TRANSITION INTO PRACTICE, ASSURING THEY HAVE THE KNOWLEDGE, SKILL, AND EXPERIENCE TO BE "JOB READY" FOR SUCCESS AS A PROFESSIONAL GRADUATE NURSE. WELLSTAR PROVIDES 70% OF KSU STUDENT CLINICAL EXPERIENCES, WITH NEARLY 50% OF THE CLINICAL FACULTY AS WELLSTAR NURSES. WELLSTAR HAS ALSO CREATED AN ENDOWMENT THAT WILL FUND ANNUAL NURSING SCHOLARSHIPS FOR NEED-BASED STUDENTS. THE GRANT OF $6.2 MILLION WILL SUPPORT THE HIRING ADDITIONAL FACULTY AND NEW STAFF POSITIONS BY 2025 TO SUPPORT THE INCREASE IN STUDENT ENROLLMENT. WELLSTAR HEALTH SYSTEM ANNOUNCED ITS PARTICIPATION IN THE NURSING CAREER PATHWAY PROGRAM PILOT, AN INDUSTRY-DRIVEN INITIATIVE DESIGNED TO ADDRESS THE STATEWIDE NEED FOR NURSING ASSISTANTS, LICENSED PRACTICAL NURSES, REGISTERED NURSES, AND REGISTERED NURSES WITH A BACHELOR'S DEGREE IN NURSING. THE NURSING CAREER PATHWAY PROGRAM OF STUDY LINKS THE PROGRESSIVE ATTAINMENT OF ACADEMIC CREDENTIALS AND THE REQUIRED CERTIFICATION AND LICENSURE WHICH ARE ASSOCIATED WITH SELECT CAREERS AS A NURSING ASSISTANT, LICENSED NURSE, REGISTERED NURSE, AND REGISTERED NURSE WITH A BACHELOR'S DEGREE. THE HIGH SCHOOL EXPERIENCE FOR STUDENTS PARTICIPATING IN THE INCLUDES THE THREE-COURSE CTAE (CAREER, TECHNICAL, AND AGRICULTURAL EDUCATION) CURRICULUM OF INTRODUCTION TO HEALTHCARE, ESSENTIALS OF HEALTHCARE AND PATIENT CARE FUNDAMENTALS, WHICH INCLUDES THE REQUIRED ATTAINMENT OF CERTIFIED NURSING ASSISTANT CERTIFICATION (CNA IN SENIOR YEAR). THE CTAE CURRICULUM IS SUPPLEMENTED WITH A SPECIFIED NINE DUAL ENROLLMENT COURSES (26 COLLEGE CREDIT HOURS) CURRICULA OFFERED THROUGH CHATTAHOOCHEE TECHNICAL COLLEGE. PATHWAY PROGRAMS ARE OFFERED AT MCEACHERN IN COBB COUNTY, MARIETTA CITY HIGH SCHOOL AND HIRAM HIGH SCHOOL. WELLSTAR SPEAKERS BUREAU: WELLSTAR'S SPEAKERS BUREAU PROVIDES OUR COMMUNITY WITH DIRECT ACCESS TO OUR NETWORK OF HEALTHCARE PROFESSIONALS AND SUBJECT MATTER EXPERTS. PROGRAMS MAY BE VIRTUAL OR IN-PERSON AND COVER HEALTH AND WELLNESS TOPICS INCLUDING BUT NOT LIMITED TO HEART HEALTH, NUTRITION, MENTAL HEALTH, CANCER PREVENTION AND TREATMENT, AND COVID-19 RELATED TOPICS. CLINICS: WELLSTAR IS AFFILIATED WITH SEVERAL CLINICS WHICH PROVIDE FREE OR SLIDING SCALE HEALTH SERVICES TO PERSONS WHO CANNOT AFFORD TO PAY OR THOSE WHO ARE NOT EXPECTED TO PAY. WOMEN & CHILDREN RESOURCE CENTERS: WOMEN'S HEALTH PATIENT EDUCATION AND SUPPORT SERVICES PROVIDES SERVICES BASED OUT OF COBB, DOUGLAS, KENNESTONE, NORTH FULTON, ATLANTA MEDICAL CENTER, SPALDING, AND WEST GEORGIA HOSPITALS. THESE SERVICES DELIVER MUCH NEEDED SUPPORT FOR MOTHERS AND THEIR NEWBORN BABIES THROUGH INPATIENT AND OUTPATIENT LACTATION CONSULTATIONS, LACTATION NICU CONSULTS, BREASTFEEDING SUPPORT GROUPS, PUMP RENTALS, WARM LINE PHONE CALLS, BEREAVEMENT SUPPORT GROUPS, IN-PERSON AND E-CHILDBIRTH NEWBORN CARE, GRANDPARENTING, SIBLING, AND BREASTFEEDING CLASSES, Q&A CALL IN SESSIONS, AS WELL AS OTHER EDUCATIONAL OPPORTUNITIES. THESE PROGRAMS DEMONSTRATE WELLSTAR'S COMMITMENT TO THE HEALTH AND WELL-BEING OF THE NEW MOTHERS AND THEIR BABIES IN OUR COMMUNITY. IN FY2021 THE UNREIMBURSED COSTS ASSOCIATED WITH THE PROGRAM TOTALED MORE THAN $825,811 WITH MORE THAN 38,136 PATIENT/FAMILY INTERACTIONS PARTICIPATING IN PRENATAL AND CHILDBIRTH PROGRAMS. IN FY2021 THE TOTAL UNCOMPENSATED CARE, OTHER COMMUNITY BENEFITS AND COMMUNITY INVESTMENTS PROVIDED BY WELLSTAR WAS OVER $ 1.1 BILLION. COMMITMENT TO THE COMMUNITY BREAKDOWN: CHARITY & INDIGENT (UNCOMPENSATED CARE COSTS) - $ 309,795,000 MEDICAID SHORTFALLS (UNCOMPENSATED CARE COSTS) - $ 164,541,000 MEDICARE SHORTFALLS (UNCOMPENSATED CARE COSTS) - $ 274,848,000 OTHER PATIENTS (UNCOMPENSATED CARE COSTS) - $ 166,053,000 TOTAL UNCOMPENSATED CARE - $ 915,237,000 OTHER COMMUNITY PROGRAMS (PARTICIPATION IN COALITIONS) - $ 10,000 OTHER COMMUNITY PROGRAMS (COMMUNITY HEALTH EDUCATION) - $ 438,000 OTHER COMMUNITY PROGRAMS (HEALTH CARE SUPPORT) - $ 10,884,000 TOTAL OTHER COMMUNITY PROGRAMS - $ 11,532,000 COMMUNITY INVESTMENTS (FUNDS BACK INTO INFRASTRUCTURE) - $ 162,808,000 COMMUNITY INVESTMENTS (ALLIED HLTH/MEDICAL EDUCATION) - $ 11,666,000 COMMUNITY INVESTMENTS (OPERATIONS - STAFF/SOFTWARE) - $ 1,150,000 TOTAL COMMUNITY INVESTMENTS - $ 175,624,000 WELLSTAR CONTINUES TO PARTICIPATE IN THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) MEDICARE SAVINGS PROGRAM AS AN ACCOUNTABLE CARE ORGANIZATION (ACO). WELLSTAR'S ACO IS THE LARGEST ACO IN GEORGIA AND 2,747 PHYSICIANS INCLUDING 47,085 MEMBERS. THE ACO HAS BEEN RECOGNIZED AS ONE OF THE TOP 100 ACO'S IN THE COUNTRY. THE PROGRAM HAS BEEN SUCCESSFUL THROUGH A FOCUS ON WELLNESS AND THE IMPROVED MANAGEMENT OF CHRONIC ILLNESSES AND THE RELATED COORDINATION OF CARE, TO ENSURE PATIENTS, ESPECIALLY CHRONICALLY ILL, GET THE RIGHT CARE AT THE RIGHT TIME TO MAINTAIN THEIR OPTIMAL HEALTH AND AVOID THE NEED FOR HIGH-COST EMERGENCY AND HOSPITAL CARE.
AWARDS, RECOGNITION AND ACCOMPLISHMENTSWELLSTAR ATLANTA MEDICAL CENTER WAS RECOGNIZED BY THE LOWN INSTITUTE HOSPITALS INDEX IN THEIR LIST OF "MOST RACIALLY INCLUSIVE HOSPITALS INDEX." THE INSTITUTE ASSESSED HOW WELL A HOSPITAL'S MEDICARE PATIENTS MATCHED THE HOSPITAL'S SURROUNDING COMMUNITIES. HOSPITALS UNDERSERVING COMMUNITIES OF COLOR RECEIVED LOWER RANKINGS. WELLSTAR ATLANTA MEDICAL CENTER RANKED 19TH IN THE COUNTRY OVERALL. WELLSTAR COBB HOSPITAL WAS RECOGNIZED BY THE INTERNATIONAL ASSOCIATION FOR HEALTHCARE SECURITY AND SAFETY (IAHSS) WITH ITS PROGRAM OF DISTINCTION AWARD. HOSPITALS WERE JUDGED BASED ON THE PERCENTAGE OF TRAINED OR HIGHLY TRAINED STAFF MEMBERS AND OFFICERS EMPLOYED AT THE LOCATION, WITH A PERCENTAGE GREATER THAN 70%. WELLSTAR COBB IS THE ONLY HOSPITAL IN GEORGIA WITH THIS DISTINCTION. WELLSTAR HEALTH SYSTEM WAS NAMED IN TWO OF FORTUNE MAGAZINE'S LISTS, INCLUDING "100 BEST COMPANIES TO WORK FOR"2021 BEST WORKPLACES IN HEALTHCARE AND BIOPHARMA." FORTUNE MAGAZINE'S LISTS, BOTH NATIONAL AND INTERNATIONAL, ARE JUDGED BASED ON EMPLOYEE SURVEY RESULTS WITH SPECIAL ATTENTION PAID TO "HOW TRUSTWORTHY, CARING AND FAIR THE COMPANY IS IN TIMES OF CRISES; EMPLOYEES' PHYSICAL, EMOTIONAL AND FINANCIAL HEALTH; AND THE COMPANY'S BROADER COMMUNITY IMPACT." WELLSTAR PAULDING HOSPITAL WAS AWARDED THE PRESTIGIOUS MALCOLM BALDRIGE NATIONAL QUALITY AWARD BY THE U.S. DEPARTMENT OF COMMERCE. ONE OF ONLY FIVE WINNERS, WELLSTAR PAULDING IS ONE OF ONLY THREE NON-PROFITS TO WIN THIS YEAR. THE AWARD IS JUDGED BASED ON BEST PRACTICES, ORGANIZATIONAL RESULTS AS WELL AS FAVORABLE LEVELS AND TRENDS. ONLY 16 AWARDS ARE HANDED OUT ANNUALLY IF ENOUGH BUSINESSES MEET THE CRITERIA. WELLSTAR HEALTH SYSTEM RECEIVED THE "EXCELLENCE IN PATIENT EXPERIENCE - LARGE HEALTH SYSTEM" AWARD BY NRC HEALTH FOR 2020. THE AWARD IS GIVEN BASED ON REAL-TIME ANALYTICS OF HOSPITAL PERFORMANCE AND FEEDBACK OUT OF 35 SYSTEMS. AWARDEES ARE NOTED TO INTEGRATE THEIR ANALYTICS AND PERFORMANCE TO FIND ACTIONABLE SOLUTIONS AND ESTABLISH ENHANCED CONTINUUMS OF CARE FROM THESE SYSTEMS. WORKING MOTHER NAMED WELLSTAR HEALTH SYSTEM ON THEIR "2020 WORKING MOTHER BEST COMPANY FOR DADS" AWARD LIST. PLACEMENT ON THEIR LIST WAS DETERMINED BY THE AVAILABILITY OF "EITHER SUBSTANTIAL PAID GENDER-NEUTRAL OR PATERNITY LEAVE, PLUS OTHER BENEFITS THAT HELP DADS BE THEIR BEST AT HOME AND AT WORK." OF 200 COMPETING COMPANIES, ONLY 85 WERE SELECTED FOR THE LIST ACROSS THE ENTIRE COUNTRY. WELLSTAR NORTH FULTON HOSPITAL WAS RECOGNIZED BY THE AMERICAN HEART ASSOCIATION AT MULTIPLE LEVELS FOR CARE. THEIR "BRONZE ACHIEVEMENT AWARDS FOR MISSION: LIFELINE - NSTEMI"GOLD ACHIEVEMENT AWARDS FOR MISSION: LIFELINE - STEMI RECEIVING CENTER" WERE GRANTED FOR "OUTSTANDING PERFORMANCE IN HIGH-QUALITY SYSTEMS CARE PERFORMANCE MEETING OR EXCEEDING GUIDELINES." WELLSTAR KENNESTONE HOSPITAL WAS RECOGNIZED FOR ADVANCED ORTHOPEDICS PERFORMANCE BY THE ACADEMY OF MEDICAL-SURGICAL NURSES (AMSN) AND THE MEDICAL-SURGICAL NURSING CERTIFICATION BOARD (MSNCB) WITH THE AMSN PRISM AWARD. THIS AWARD IS BASED ON HIGH-QUALITY, CONTINUED PERFORMANCE THAT IS PEER-REVIEWED BY A BOARD OF NURSES OVER A PERIOD OF 14 WEEKS. WINNERS OF THIS AWARD DEMONSTRATE QUALITY OF CARE, ENERGY, EVIDENCE-BASED PRACTICE, RETENTION OF NURSES, EFFECTIVE LEADERSHIP, AND A HEALTHY PRACTICE ENVIRONMENT.
FORM 990, PART IV, LINE 12BAUDITED FINANCIAL STATEMENTS WELLSTAR HEALTH SYSTEM, INC., AND ITS CONTROLLED AFFILIATES ARE AUDITED ON AN ANNUAL BASIS BY AN OUTSIDE AUDITING FIRM, KPMG, AND AS PART OF THAT AUDIT A CONSOLIDATED FINANCIAL STATEMENT IS ISSUED. THE INDEPENDENT AUDITORS REPORT INCLUDES THE ACCOUNTS OF WELLSTAR AND ITS CONTROLLED AFFILIATES INCLUDING COBB HOSPITAL, INC., DOUGLAS HOSPITAL INC., KENNESTONE HOSPITAL, INC., PAULDING MEDICAL CENTER, INC., WELLSTAR ATLANTA MEDICAL CENTER, INC., WELLSTAR NORTH FULTON HOSPITAL, INC., WELLSTAR SPALDING REGIONAL MEDICAL CENTER, INC., WELLSTAR SYLVAN GROVE HOSPITAL, INC., WELLSTAR WEST GEORGIA MEDICAL CENTER, INC., WINDY HILL HOSPITAL, WELLSTAR MEDICAL GROUP, LLC AND VARIOUS OTHER OWNED ENTITES AS LISTED IN SCHEDULE R. ALL SIGNIFICANT INTERCOMPANY ACCOUNTS AND TRANSACTIONS HAVE BEEN ELIMINATED IN COMBINATION.
FORM 990, PART IV, LINE 24ATAX EXEMPT BOND REPORTING 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). ALL APPLICABLE CONTROLLED AFFILIATES WILL REPORT THIS TAX EXEMPT BOND LIABILITY ON FORM 990, PART X, LINE 25 OTHER LIABILITIES DUE TO WHS, INC.
FORM 990, PART VI, SECTION B, LINE 11BBOARD REVIEW OF FORM 990 INTERNAL STAFF PREPARES THE ORGANIZATION'S FORM 990. BEFORE FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE AN EXTERNAL ACCOUNTING FIRM, PRICEWATERHOUSECOOPERS LLP, REVIEWS AND SIGN-OFFS ON THE COMPLETED RETURN OF EACH ORGANIZATION. THE CURRENT YEAR FORM 990 IS THEN REVIEWED BY THE FINANCE COMMITTEE ALONG WITH A QUESTION-AND-ANSWER SESSION. A MOTION IS THEN MADE BY THE FINANCE COMMITTEE TO APPROVE THE RETURNS AND PRESENT TO THE FULL BOARD COPIES OF THE FORMS IN AN ELECTRONIC (PDF FORMAT) VERSION AS WELL AS A HARD COPY PRIOR TO FILING. THE ORGANIZATION'S CFO OR DESIGNEE SUBSEQUENTLY SIGNS THE RETURN FOR EITHER MANUAL OR ELECTRONIC FILING BY THE APPROPRIATE DUE DATE.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY 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.
FORM 990, PART VI, SECTION B, LINES 15A & 15BCOMPENSATION OF OFFICERS WELLSTAR HEALTH SYSTEM, INC. HAS ENGAGED SULLIVAN COTTER TO WORK WITH THE GOVERNING BOARD AND COMPENSATION COMMITTEE 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 COMPENSATION COMMITTEE CONSISTS OF FIVE TRUSTEES. THE CEO AND CHIEF HUMAN RESOURCES OFFICERS PARTICIPATE IN AN ADVISORY ROLE, AND NOT AS VOTING MEMBERS. FURTHER IN COMMITTEE DISCUSSIONS ABOUT THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, THE CEO RECUSES HIM/HERSELF FROM THAT PROCESS. 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 TRUSTEES 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. BASE COMPENSATION IS TARGETED AT THE MEDIAN BASE COMPENSATION PAID TO SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS (THE MARKET). OFFICERS OF THE COMPANY ALSO RECEIVE VARIABLE COMPENSATION THAT IS DEPENDENT ON INDIVIDUAL AND ORGANIZATION PERFORMANCE. WHEN PERFORMANCE IS FULLY SUSTAINED AT A SATISFACTORY LEVEL, THE TOTAL COMPENSATION, BOTH BASE AND VARIABLE, IS INTENDED TO BE AT OR AROUND THE 75TH% OF COMPENSATION PAID TO SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS. 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 SULLIVAN COTTER 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 PROVIDED TO THE FULL BOARD OF TRUSTEES FOR REVIEW.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS MADE AVAILABLE TO THE PUBLIC THE ORGANIZATION AND ITS AFFILIATES 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 A COMMUNITY BENEFIT REPORT ONCE A YEAR FOR DISTRIBUTION TO THE PUBLIC. IN ACCORDANCE WITH O.C.G.A SECTION 31-7-22 AND THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH'S RULES AND REGULATIONS FOR HOSPITAL TRANSPARENCY CHAPTER 111-8-41 THE APPLICABLE DOCUMENTS ARE POSTED ON THE WELLSTAR.ORG WEBSITE IN THE WELLSTAR HOSPITAL TRANSPARENT INFORMATION SECTION. UNDER ITS CONTINUING DISCLOSURE AGREEMENTS FOR PUBLIC BONDS OUTSTANDING FINANCIAL AND STATISTICAL INFORMATION IS POSTED AND REPORTED ON EMMA.MSRB.ORG ON A QUARTERLY AND ANNUAL BASIS.
FORM 990, PART VIIOFFICERS HOURS WORKED 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.
FORM 990, PART VII & FORM 990, SCHEDULE JCOMPENSATION ALL COMPENSATION AMOUNTS REPORTED ON FORM 990, PART VII; PART IX, LINES 5-7; AND SCHEDULE J REPRESENT COMPENSATION PROVIDED TO INDIVIDUALS THAT PROVIDE SERVICES TO THE ORGANIZATION. LIKEWISE, THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF INDIVIDUALS PROVIDING SERVICES TO THE ORGANIZATION. ALL FEDERAL EMPLOYMENT TAX RESPONSIBILITIES FOR THESE INDIVIDUALS (INCLUDING FEDERAL EMPLOYMENT TAX REPORTING RESPONSIBILITIES) ARE HANDLED BY WELLSTAR HEALTH SYSTEM, INC.(EIN 58-1649541).
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS FOR THE REPORTING PERIOD WELLSTAR HEALTH SYSTEM, INC. HAD THE FOLLOWING CHANGES IN NET ASSETS: PENSION ADJUSTMENT $ 249,794,000 ASSETS RELEASED FROM RESTRICTION 17,068,000 CHANGE IN DEBT RECEIVABLES/PAYABLE 2,034,252 FEMA FUNDING REIMBURSEMENT 9,838,102 OTHER CHANGES* (6,944,784) ---------------- TOTAL OTHER CHANGES IN NET ASSETS $ 271,789,570 *FOR THE REPORTING PERIOD, WELLSTAR HEALTH SYSTEM, INC. HAD A CHANGE IN NET ASSETS OF ($6,944,784) RELATED TO CHANGES IN THE INTEREST IN THE NET ASSETS OF AFFILIATES AND TRANSFERS TO/FROM AFFILIATES DURING THE YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Wellstar Medical Group LLC
793 SAWYER ROADMariettaGA30062273818647HealthcareGA$523,396,902$52,333,803WHS Inc
Cobb Gynecologists 2 LLC
793 SAWYER ROADMariettaGA30062020808099HealthcareGA$0$0WHS INC
South Cobb OB-GYN 2 LLC
793 SAWYER ROADMariettaGA30062020808071HealthcareGA$0$0WHS INC
WellStar Psychiatry LLC
793 SAWYER ROADMariettaGA30062582500211HealthcareGA$0$0WHS INC
WellStar Kennestone OBGYN 2 LLC
793 SAWYER ROADMariettaGA30062300355553HealthcareGA$0$0WHS INC
WellStar Kennestone OBGYN LLC
793 SAWYER ROADMariettaGA30062582499183HealthcareGA$0$0WHS INC
WellStar Medical Specialists 2 LLC
793 SAWYER ROADMariettaGA30062753261729HealthcareGA$0$0WHS INC
WellStar Homecare Billing Services LLC
793 SAWYER ROADMariettaGA30062582479534HealthcareGA$0$0WHS INC
Wellstar Windy Hill Apothecary Bill Srv
793 SAWYER ROADMariettaGA30062562511925HealthcareGA$0$0WHS INC
Wellstar Home Health LLC
793 SAWYER ROADMariettaGA30062270277843HealthcareGA$0$0WHS INC
WELLSTAR CLNCL PARTNERS MEDICARE ACOLLC
793 SAWYER ROADMariettaGA30062273870970HealthcareGA$0$0WHS Inc
Wellstar Health Ventures LLC
793 SAWYER ROADMariettaGA30062453754932HealthcareGA$0$0WHS INC
Wellstar IPA LLC
793 SAWYER ROADMariettaGA30062581649541InsuranceGA$0$0WHS INC
Wellstar Community Hospice LLC
793 SAWYER ROADMariettaGA30062134350580HealthcareGA$0$0WHS INC
CATALYST BY WELLSTAR LLC
793 SAWYER ROADMariettaGA30062581649541HealthcareGA$0$0WHS INC
WellStar Clinical Partners LLC
793 SAWYER ROADMariettaGA30062581649541HEALTHCAREGA$0$0WHS INC
WELLSTAR RESTAURANT SERVICES LLC
793 SAWYER ROADMARIETTAGA30062581649541FOOD SERVICESGA$0$0WHS INC
WELLSTAR CLINICAL PARTNERS ATLANTA LLC
793 SAWYER ROADMARIETTAGA30062581649541HEALTHCAREGA$0$0WHS INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COBB HOSPITAL INC
793 SAWYER ROADMariettaGA300622222580968382HealthcareGA501(C)(3)3WHS INCYes (true)
DOUGLAS HOSPITAL INC
793 SAWYER ROADMariettaGA300622222582026750HealthcareGA501(C)(3)3WHS INCYes (true)
KENNESTONE HOSPITAL INC
793 SAWYER ROADMariettaGA300622222582032904HealthcareGA501(C)(3)3WHS INCYes (true)
PAULDING MEDICAL CENTER INC
793 SAWYER ROADMariettaGA300622222582095884HealthcareGA501(C)(3)3WHS INCYes (true)
WELLSTAR FOUNDATION INC
793 SAWYER ROADMariettaGA300622222581627413FoundationGA501(C)(3)12 IIWHS INCYes (true)
WELLSTAR ATLANTA MEDICAL CENTER INC
793 SAWYER ROADMARIETTAGA300622222810837031HEALTHCAREGA501(C)(3)3WHS INCYes (true)
WELLSTAR NORTH FULTON HOSPITAL INC
793 SAWYER ROADMARIETTAGA300622222810851756HEALTHCAREGA501(C)(3)3WHS INCYes (true)
WELLSTAR SPALDING REGIONAL HOSPITALINC
793 SAWYER ROADMARIETTAGA300622222810864789HEALTHCAREGA501(C)(3)3WHS INCYes (true)
WELLSTAR SYLVAN GROVE HOSPITAL INC
793 SAWYER ROADMARIETTAGA300622222810875069HEALTHCAREGA501(C)(3)3WHS INCYes (true)
WEST GEORGIA MEDICAL CENTER INC
793 SAWYER ROADMARIETTAGA300622222205497506HEALTHCAREGA501(C)(3)3WGHS INCYes (true)
WEST GEORGIA HEALTH SERVICES INC
793 SAWYER ROADMARIETTAGA300622222205497622HEALTHCAREGA501(C)(3)12 IIWHS INCYes (true)
VERNON WOODS RETIREMENT COMMUNITY INC
793 SAWYER ROADMARIETTAGA300622222582575049HEALTHCAREGA501(C)(3)10WGHS INCYes (true)
WEST GEORGIA HEALTH FOUNDATION INC
793 SAWYER ROADMARIETTAGA300622222200936376FOUNDATIONGA501(C)(3)12 IIWGHS INCYes (true)
MEDICAL PARK FOUNDATION INC
793 SAWYER ROADMARIETTAGA300622222581303478FOUNDATIONGA501(C)(3)7WGHS INCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
KENNESTONE EAST PARKING DECK LLC
793 SAWYER ROADMARIETTAGA300622222200537100PARKINGGAWHS INCEXCLUDED-$89,261$1,945,723false$0false0.73000
GRIFFIN IMAGING LLC
793 SAWYER ROADMARIETTAGA300622222IMAGING CENTERGANAN/A
WELLSTAR SPALD EMSSPALD 911 LLC
793 SAWYER ROADMARIETTAGA300622222OFF.BLDG/EMS 911GANAN/A
NORTH FULTON PARKING DECK LP
793 SAWYER ROADMARIETTAGA300622222PARKINGGANAN/A
COBB SOUTH PARKING DECK LLC
793 SAWYER ROADMARIETTAGA300622222PARKINGGANAN/A
SPALDING HEALTH SYSTEM LLC
793 SAWYER ROADMARIETTAGA300622222582148398PHYS. HOSP. ORG.GAWHS INCRELATED-$1,361$49,474false$0false0.69230

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
COMMUNITY ASSURANCE CO
3rd Fl Barclays Hse Shedden RdGeorge TownCJ581649541INSURANCECJWHS INCC CORP$41,341,775$216,392,4231.00000Yes (true)
WEST GEORGIA HEALTH PHYSICIANS INC
275125341PHYSICIAN PRAC.WGHS INCC CORPfalse793 SAWYER ROADMARIETTAGA300622222GA
WELLSTAR HEALTH PLAN INC
461922499HEALTH INSURANCEWHS INCC CORP-$180,866$4,047,8571.00000Yes (true)793 SAWYER ROADMARIETTAGA300622222GA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COBB HOSPITAL INC
Q$102,091,787ACTUAL COST
DOUGLAS HOSPITAL INC
Q$31,010,373ACTUAL COST
KENNESTONE HOSPITAL INC
Q$184,203,729ACTUAL COST
PAULDING MEDICAL CENTER INC
Q$33,045,926ACTUAL COST
WELLSTAR NORTH FULTON HOSPITAL INC
Q$29,856,263ACTUAL COST
WELLSTAR ATLANTA MEDICAL CENTER INC
Q$62,408,536ACTUAL COST
WELLSTAR SPALDING REGIONAL HOSPITAL INC
Q$23,378,242ACTUAL COST
WELLSTAR SYLVAN GROVE HOSPITAL INC
Q$2,078,851ACTUAL COST
WEST GEORGIA MEDICAL CENTER INC
Q$29,455,156ACTUAL COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 2FormAndLineReferenceDesc
ExplanationThe dollar amounts reported on Form 990, Schedule R, Part V, Line 2 for WellStar Health System, Inc. include the overhead allocations to affiliates and consists of the following types of transactions as listed in Line 1 (a-r): h) Exchange of Assets, i) Lease of facilities, equipment, or other assets to other organization(s), j) Lease of facilities, equipment, or other assets from other organization(s), k) LEASE OF FACILITIES, EQUIPMENT, OR OTHER ASSETS FROM RELATED ORGANIZATION(S) O) Sharing of paid employees, P) Reimbursement paid to other organization(s), q) Other transfers of cash or property to other organization(S), AND r) Other transfers of cash or property from other organization(s).ExplanationTxt

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