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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-10T13:53:56-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET ST SUITE 1800 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581649541 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLSTAR HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JAMES M SWARTZ | InCareOfNm |
| Business Name Control | WELL | BusinessNameControlTxt |
| Phone | 7709567827 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 793 SAWYER ROAD | AddressLine1Txt |
| City | MARIETTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300622222 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES M SWARTZ | PersonNm |
| Person Title | VP ACCOUNTING | PersonTitleTxt |
| Phone | 7709567827 | PhoneNum |
| Signature | 2022-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JAMES M | PersonFirstNm |
| Person Last | SWARTZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOANNE KRUEGER DIRECTOR | PreparerPersonNm |
| PTIN | P01235586 | PTIN |
| Phone | 2673303000 | PhoneNum |
| Preparation | 2022-05-03 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CANDICE L SAUNDERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 793 SAWYER ROAD | AddressLine1Txt |
| City | MARIETTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300622222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,990,604,121 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.wellstar.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 9353 | TotalEmployeeCnt |
| Total Volunteers | 105 | TotalVolunteersCnt |
| Total Gross UBI | $148,568 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,148,900 | PYContributionsGrantsAmt |
| CY Contributions Grants | $30,426,315 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,510,398,466 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,823,461,570 | CYProgramServiceRevenueAmt |
| PY Investment Income | $22,250,410 | PYInvestmentIncomeAmt |
| CY Investment Income | $107,735,247 | CYInvestmentIncomeAmt |
| PY Other Revenue | $45,817,390 | PYOtherRevenueAmt |
| CY Other Revenue | $28,980,989 | CYOtherRevenueAmt |
| PY Total Revenue | $1,581,615,166 | PYTotalRevenueAmt |
| CY Total Revenue | $1,990,604,121 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,658,755 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,340,940 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $965,673,964 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,038,056,429 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,246,238 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $451,097,850 | PYOtherExpensesAmt |
| CY Other Expenses | $447,773,894 | CYOtherExpensesAmt |
| PY Total Expenses | $1,421,430,569 | PYTotalExpensesAmt |
| CY Total Expenses | $1,490,171,263 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $160,184,597 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $500,432,858 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,544,730,822 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,270,610,039 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,792,861,183 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,598,390,087 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,751,869,639 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,672,219,952 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $970,905,814 | ExpenseAmt |
| Grant | $4,772,391 | GrantAmt |
| Revenue | $1,823,461,570 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $970,905,814 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | Yes (true) | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1203 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 9353 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES M SWARTZ | PersonNm |
| Phone | 7709567827 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 793 SAWYER ROAD | AddressLine1Txt |
| City | MARIETTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300622222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (111 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| CANDICE L SAUNDERS | |||||||||
| PRESIDENT & CEO | 38.0 | 14.0 | Yes (X) | $2,484,302 | $0 | $83,983 | |||
| RICHARD MYUNG | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $2,307,058 | $0 | $79,439 | Yes (X) | |||
| TERESA LUU | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,624,724 | $0 | $71,596 | Yes (X) | |||
| RISHI GUPTA | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,572,454 | $0 | $70,384 | Yes (X) | |||
| AHMAD KHALDI | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,466,594 | $0 | $59,197 | Yes (X) | |||
| JOHN A BRENNAN | |||||||||
| EVP CHIEF CLIN. INTEG. OFFICER | 38.0 | 12.0 | Yes (X) | $1,414,928 | $0 | $69,561 | |||
| MARK MCLAUGHLIN | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,329,881 | $0 | $46,889 | Yes (X) | |||
| LEO E REICHERT | |||||||||
| EVP & GENERAL COUNSEL | 38.0 | 12.0 | Yes (X) | $1,201,843 | $0 | $71,364 | |||
| ANTHONY J BUDZINSKI | |||||||||
| EVP & CFO | 38.0 | 14.0 | Yes (X) | $949,190 | $0 | $76,974 | |||
| TIMOTHY HANEY | |||||||||
| FORMER SVP RE FAC & DVLP SVC | 0.0 | 0.0 | $1,015,968 | $0 | $4,020 | Yes (X) | |||
| KIMBERLY J RYAN | |||||||||
| SENIOR VP (END. 12/20) | 38.0 | 12.0 | Yes (X) | $882,825 | $0 | $59,528 | |||
| JILL M CASE-WIRTH | |||||||||
| SVP NURSING SERVICES | 38.0 | 12.0 | Yes (X) | $880,522 | $0 | $43,402 | |||
| KEM M MULLINS | |||||||||
| EVP AMBULATORY & BUS. DEV. | 38.0 | 12.0 | Yes (X) | $845,714 | $0 | $61,332 | |||
| ALAN R MUSTER MD | |||||||||
| SVP SPECIALTY DIVISION WMG | 38.0 | 14.0 | Yes (X) | $753,074 | $0 | $89,304 | |||
| ROB SCHREINER | |||||||||
| EVP & PRESIDENT MEDICAL GROUP | 38.0 | 12.0 | Yes (X) | $753,883 | $0 | $45,532 | |||
| MARY B CHATMAN PHD | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | Yes (X) | $0 | $726,698 | $67,339 | |||
| PAUL DOUGLASS MD | |||||||||
| TRUSTEE & PHYSICIAN | 38.0 | 12.0 | $708,888 | $0 | $44,670 | Yes (X) | |||
| CARRIE O PLIETZ | |||||||||
| EVP & COO HOSP DIV (END 10/20) | 38.0 | 12.0 | Yes (X) | $633,284 | $0 | $74,102 | |||
| DOUGLAS ARVIN CPA MBA | |||||||||
| FORMER SVP FINANCE | 0.0 | 0.0 | $699,797 | $0 | $5,911 | Yes (X) | |||
| BETH KOST | |||||||||
| SVP, CHIEF COMPLIANCE OFFICER | 38.0 | 12.0 | Yes (X) | $602,752 | $0 | $79,274 | |||
| VALERY A AKOPOV MD | |||||||||
| SVP HOSPITAL DIVISION WMG | 38.0 | 12.0 | Yes (X) | $621,580 | $0 | $60,168 | |||
| DAVID JONES | |||||||||
| EVP CHIEF HR OFFICER | 38.0 | 12.0 | Yes (X) | $641,493 | $0 | $24,292 | |||
| STEPHEN L BADGER | |||||||||
| VP STRATEGIC SERVICES | 50.0 | 0.0 | Yes (X) | $564,988 | $0 | $89,220 | |||
| CATHERINE ANDREWS | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | Yes (X) | $0 | $570,824 | $40,440 | |||
| TAMARA D ISON | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | Yes (X) | $0 | $519,444 | $56,940 | |||
| PETER R JUNGBLUT MD MBA | |||||||||
| FORMER SVP & MEDICAL DIRECTOR | 50.0 | 0.0 | $476,899 | $0 | $85,154 | Yes (X) | |||
| STUART DOWNS | |||||||||
| VP NURSING OPS. (END. 3/21) | 38.0 | 12.0 | Yes (X) | $0 | $464,869 | $79,026 | |||
| JOSEPH L BRYWCZYNSKI | |||||||||
| SVP HLT PARKS DEV.(END. 11/20) | 38.0 | 12.0 | Yes (X) | $467,201 | $0 | $73,582 | |||
| BARBARA B COREY | |||||||||
| SVP MANAGED CARE | 38.0 | 12.0 | Yes (X) | $491,783 | $0 | $47,831 | |||
| PAUL D MURPHREE | |||||||||
| VP MEDICAL OUTCOMES | 38.0 | 12.0 | Yes (X) | $459,908 | $0 | $64,389 | |||
| MARY L TAVERNARO | |||||||||
| VP HUMAN RESOURCES OPERATIONS | 38.0 | 12.0 | Yes (X) | $439,301 | $0 | $76,914 | |||
| SANDRA LUCIUS | |||||||||
| VP HEAD OF CARE PLATFORMS | 38.0 | 12.0 | Yes (X) | $479,600 | $0 | $32,946 | |||
| DAVID W PRESTON | |||||||||
| SVP BRAND EXP. & COMMUNICATION | 38.0 | 12.0 | Yes (X) | $459,086 | $0 | $52,367 | |||
| JAMES L HORNSBY JR MD | |||||||||
| TRUSTEE & PHYSICIAN | 38.0 | 14.0 | $432,736 | $0 | $77,588 | Yes (X) | |||
| REMINGTON FOSS | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | Yes (X) | $0 | $442,406 | $61,356 | |||
| AVRIL P BECKFORD MD | |||||||||
| TRUSTEE & CHIEF PEDIATRIC OFF. | 38.0 | 12.0 | Yes (X) | $463,457 | $0 | $33,307 | Yes (X) | ||
| CRAIG OWENS | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | Yes (X) | $0 | $432,571 | $56,344 | |||
| LINDA HUFFER | |||||||||
| VP POST ACUTE SERVICES | 38.0 | 12.0 | Yes (X) | $437,790 | $0 | $45,922 | |||
| JONATHAN CROOM | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | Yes (X) | $0 | $431,905 | $51,236 | |||
| JENNIFER J GIUSTI | |||||||||
| VP CLINICAL OUTCOMES | 38.0 | 12.0 | Yes (X) | $408,600 | $0 | $54,850 | |||
| JOHN KUEVEN | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | Yes (X) | $0 | $404,411 | $56,058 | |||
| MICHAEL T MCCULLOUGH | |||||||||
| SVP SUPPLY CHAIN | 38.0 | 12.0 | Yes (X) | $398,923 | $0 | $59,565 | |||
| JASON D STEVENS | |||||||||
| SVP DEPUTY GENERAL COUNSEL | 38.0 | 12.0 | Yes (X) | $386,099 | $0 | $69,737 | |||
| SEAN P TURNER | |||||||||
| VP REV. CYC. MGMT. (END. 2/21) | 38.0 | 12.0 | Yes (X) | $397,877 | $0 | $32,751 | |||
| ELIZABETH H LOUDERMILK | |||||||||
| VP FINANCIAL PLANNING | 38.0 | 12.0 | Yes (X) | $344,688 | $0 | $62,281 | |||
| SHYROLL MORRIS | |||||||||
| VP ONC.&DIG.HEALTH (END. 2/21) | 38.0 | 12.0 | Yes (X) | $345,462 | $0 | $56,317 | |||
| ANDREW LEE | |||||||||
| VP CHIEF DIV. OFF.(END. 12/20) | 38.0 | 12.0 | Yes (X) | $324,352 | $0 | $61,224 | |||
| MAXWELL S KAGAN | |||||||||
| VP FINANCE & CFO | 38.0 | 12.0 | Yes (X) | $324,968 | $0 | $54,571 | |||
| JAMES M SWARTZ | |||||||||
| VP ACCOUNTING | 38.0 | 12.0 | Yes (X) | $314,307 | $0 | $63,398 | |||
| DANYALE ZIGLOR | |||||||||
| VP HUMAN RESOURCES | 38.0 | 12.0 | Yes (X) | $302,298 | $0 | $60,178 | |||
| SNEHAL H DOSHI | |||||||||
| SVP ANCILLARY & SUPPORT SVCS | 38.0 | 12.0 | Yes (X) | $285,912 | $0 | $76,331 | |||
| DANIEL ABAD | |||||||||
| VP TOTAL & CHIEF TM ENGAGE OFF | 38.0 | 12.0 | Yes (X) | $321,083 | $0 | $38,970 | |||
| SONYA E ALDY | |||||||||
| VP TALENT ACQUISITION | 38.0 | 12.0 | Yes (X) | $312,460 | $0 | $43,610 | |||
| BRADFORD B NEWTON | |||||||||
| VP INFO.TECH.ADMIN.(END.12/20) | 38.0 | 12.0 | Yes (X) | $305,271 | $0 | $50,481 | |||
| JOSEPH BRAUD | |||||||||
| VP INFORMATION TECHNOLOGY OPS | 38.0 | 12.0 | Yes (X) | $326,852 | $0 | $26,904 | |||
| KRISTEN S TRICE | |||||||||
| VP DIAGNOSTIC OUTREACH | 38.0 | 12.0 | Yes (X) | $302,447 | $0 | $50,964 | |||
| JESSICA KOVALESKY | |||||||||
| VP CARE COORDINATOR | 38.0 | 12.0 | Yes (X) | $308,456 | $0 | $43,191 | |||
| MARCUS P CHARLSON MD | |||||||||
| VP SURGERY | 38.0 | 12.0 | Yes (X) | $307,077 | $0 | $42,583 | |||
| LAURA DANNELS | |||||||||
| VP & CHIEF TALENT OFFICER | 38.0 | 12.0 | Yes (X) | $311,908 | $0 | $35,856 | |||
| AVIRAL SINGH | |||||||||
| VP BRAND & MARKET STRATEGY | 38.0 | 12.0 | Yes (X) | $290,035 | $0 | $56,694 | |||
| ELIZABETH H PAPETTI | |||||||||
| VP OPS. HOSPITAL DIVISION | 38.0 | 12.0 | Yes (X) | $290,712 | $0 | $51,791 | |||
| VARMA RAMESWAR MD | |||||||||
| VP PEDIATRIC OPERATIONS | 38.0 | 12.0 | Yes (X) | $285,765 | $0 | $51,716 | |||
| ANDREW W COX | |||||||||
| VP CHIEF OF STAFF&LEADER. DEV. | 38.0 | 12.0 | Yes (X) | $291,726 | $0 | $45,161 | |||
| STEPHEN VAULT | |||||||||
| VP STRATEGIC COMMUNITY DEV. | 38.0 | 12.0 | Yes (X) | $301,661 | $0 | $34,387 | |||
| SOPHIA MARSHALL | |||||||||
| VP ORGANIZATION COMMUNICATIONS | 38.0 | 12.0 | Yes (X) | $296,295 | $0 | $38,620 | |||
| JASON L KELSEY | |||||||||
| VP REHAB. & SPORTS MED. SRVCS. | 38.0 | 12.0 | Yes (X) | $247,802 | $0 | $81,448 | |||
| SHALIMA PANNIKODE | |||||||||
| SVP CHIEF INFO. & DIGITAL OFF. | 38.0 | 12.0 | Yes (X) | $296,604 | $0 | $31,170 | |||
| FREDA LYON | |||||||||
| VP SYSTEM EMERGENCY SERVICES | 38.0 | 12.0 | Yes (X) | $273,157 | $0 | $52,870 | |||
| CAROL TODD | |||||||||
| VP ASST. GENERAL COUNSEL | 38.0 | 12.0 | Yes (X) | $275,363 | $0 | $43,233 | |||
| LEANNE COOK | |||||||||
| VP CONSUMER ENGAGEMENT | 38.0 | 12.0 | Yes (X) | $256,658 | $0 | $60,258 | |||
| KIMBERLY TAACA | |||||||||
| VP OPS SPECIALTY DIVISION | 38.0 | 12.0 | Yes (X) | $274,977 | $0 | $38,722 | |||
| STEVEN HUNT | |||||||||
| VP HUMAN RESOURCES | 38.0 | 12.0 | Yes (X) | $252,880 | $0 | $58,442 | |||
| IVY SPENCER | |||||||||
| VP CNO | 38.0 | 12.0 | Yes (X) | $255,306 | $0 | $42,581 | |||
| JUDITH WHITE | |||||||||
| VP LABORATORY SERVICES SYSTEM | 38.0 | 12.0 | Yes (X) | $250,208 | $0 | $42,458 | |||
| JONATHAN D MAURER | |||||||||
| VP INFO.SEC.&CISO(END. 12/20) | 38.0 | 12.0 | Yes (X) | $257,259 | $0 | $31,523 | |||
| JOSEPH A REPPERT | |||||||||
| SVP FINANCE (BEG. 8/20) | 38.0 | 12.0 | Yes (X) | $253,157 | $0 | $34,487 | |||
| ELLEN WRIGHT | |||||||||
| VP HIM CDI & POLICIES | 38.0 | 12.0 | Yes (X) | $243,645 | $0 | $43,226 | |||
| ROBERT J DECOUX | |||||||||
| VP CORPORATE MED. STAFF SVCS. | 38.0 | 12.0 | Yes (X) | $230,829 | $0 | $49,229 | |||
| REBECCA L RUHL | |||||||||
| VP FACILITY COMPLIANCE OPS. | 38.0 | 12.0 | Yes (X) | $243,841 | $0 | $32,008 | |||
| RICHARD S SIEGEL | |||||||||
| FORMER VP CARDIO.&CVM ADMN | 0.0 | 0.0 | $267,432 | $0 | $6,106 | Yes (X) | |||
| SUSAN JACKSON | |||||||||
| VP PHARMACY SVCS (BEG. 5/21) | 38.0 | 12.0 | Yes (X) | $222,733 | $0 | $46,636 | |||
| KATHARINE LEONARD | |||||||||
| VP REAL ESTATE & FACILITY DVLP | 38.0 | 12.0 | Yes (X) | $247,881 | $0 | $21,430 | |||
| SOPHIA L MCINTYRE | |||||||||
| SVP AMB.CARE DIV.(BEG. 10/20) | 38.0 | 12.0 | Yes (X) | $213,972 | $0 | $10,903 | |||
| THOMAS A DRAPER | |||||||||
| VP CARDIO. ADMIN.(BEG. 8/20) | 38.0 | 12.0 | Yes (X) | $185,596 | $0 | $19,268 | |||
| NICKOLOS A YAITSKY | |||||||||
| VP HEAD OF DIGITAL PLATFORMS | 38.0 | 12.0 | Yes (X) | $164,380 | $0 | $35,993 | |||
| MONTE A WILSON | |||||||||
| FORMER HOSPITAL PRESIDENT | 0.0 | 0.0 | $0 | $198,207 | $0 | Yes (X) | |||
| JULIE C TEER | |||||||||
| SVP & WHS FDN PRES(BEG. 10/20) | 38.0 | 12.0 | Yes (X) | $144,979 | $0 | $2,314 | |||
| ARIF AZIZ MD | |||||||||
| TRUSTEE | 1.0 | 12.0 | $86,108 | $0 | $0 | Yes (X) | |||
| STEVEN OWEIDA MD | |||||||||
| FORMER TRUSTEE | 0.0 | 0.0 | $46,847 | $0 | $0 | Yes (X) | |||
| OTIS A BRUMBY III | |||||||||
| TRUSTEE | 1.0 | 12.0 | $44,970 | $0 | $0 | Yes (X) | |||
| T FITZ JOHNSON | |||||||||
| TRUSTEE | 1.0 | 12.0 | $40,367 | $0 | $0 | Yes (X) | |||
| R RANDALL BENTLEY SR ESQ | |||||||||
| TRUSTEE (END. 6/21) | 1.0 | 12.0 | $39,473 | $0 | $0 | Yes (X) | |||
| W CHARLES BROCK | |||||||||
| TRUSTEE | 1.0 | 12.0 | $39,340 | $0 | $0 | Yes (X) | |||
| DAVID HAFNER | |||||||||
| FORMER TRUSTEE | 0.0 | 0.0 | $18,643 | $0 | $0 | Yes (X) | |||
| TE RUSTY DURHAM | |||||||||
| FORMER TRUSTEE | 0.0 | 0.0 | $15,007 | $0 | $0 | Yes (X) | |||
| CHARLES J JONES | |||||||||
| TRUSTEE (END. 6/21) | 1.0 | 12.0 | $8,840 | $0 | $0 | Yes (X) | |||
| MITZI MOORE | |||||||||
| TRUSTEE | 1.0 | 12.0 | $5,560 | $0 | $0 | Yes (X) | |||
| O SCOTT SWAYZE MD | |||||||||
| TRUSTEE | 1.0 | 12.0 | $3,908 | $0 | $0 | Yes (X) | |||
| FRANK ROS | |||||||||
| TRUSTEE | 1.0 | 12.0 | $3,597 | $0 | $0 | Yes (X) | |||
| H SPEER BURDETTE III | |||||||||
| TRUSTEE | 1.0 | 12.0 | $3,115 | $0 | $0 | Yes (X) | |||
| EDWARD RICHARDSON | |||||||||
| TRUSTEE | 1.0 | 12.0 | $2,872 | $0 | $0 | Yes (X) | |||
| GREG MORGAN | |||||||||
| TRUSTEE | 1.0 | 12.0 | $2,595 | $0 | $0 | Yes (X) | |||
| GARY A MILLER | |||||||||
| TRUSTEE | 1.0 | 12.0 | $2,555 | $0 | $0 | Yes (X) | |||
| JAMES HOLMES | |||||||||
| TRUSTEE | 1.0 | 12.0 | $2,555 | $0 | $0 | Yes (X) | |||
| AMBICA YADAV | |||||||||
| TRUSTEE | 1.0 | 12.0 | $2,475 | $0 | $0 | Yes (X) | |||
| JOHN MCKIBBEN | |||||||||
| TRUSTEE | 1.0 | 12.0 | $1,885 | $0 | $0 | Yes (X) | |||
| JAY CUNNINGHAM | |||||||||
| TRUSTEE (BEG. 3/21) | 1.0 | 12.0 | $0 | $0 | $0 | Yes (X) | |||
| MATTHEW B TERRY | |||||||||
| SVP CHIEF STRAT.OFF.(BEG.6/21) | 38.0 | 12.0 | Yes (X) | $0 | $0 | $0 | |||
| PRANAV K JAIN | |||||||||
| VP&CH. MED INFO.OFF.(BEG.5/21) | 38.0 | 12.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD H CAPPS | |||||||||
| EVP CH INFO&DIGIT.OFF(BEG1/21) | 38.0 | 12.0 | Yes (X) | $0 | $0 | $0 | |||
| SANA B BRUNO | |||||||||
| VP LAB SRVCS SYSTEM (END.5/21) | 38.0 | 12.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $23,955,742 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,816,966 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,474,861 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2370 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PT SOLUTIONS HOLDINGS LLC | |||||
| PO BOX 724557 | ATLANTA | GA | 31139 | MEDICAL | $33,606,599 |
| NORTHWEST GEORGIA ONCOLOGY | |||||
| 531 ROSELANE STREET SUITE 710 | MARIETTA | GA | 30060 | MEDICAL | $25,308,181 |
| PRESIDIO NETWORKED SOLUTION | |||||
| PO BOX 822169 | PHILADELPHIA | PA | 191822169 | INFORMATION SERVICES | $18,923,310 |
| BATSON-COOK COMPANY | |||||
| 2859 PACES FERRY ROAD SUITE 200 | ATLANTA | GA | 30339 | GENERAL CONTRACTOR | $13,965,725 |
| BRASFIELD AND GORRIE LP | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 352460351 | GENERAL CONTRACTOR | $12,525,423 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 121 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $30,426,315 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $30,426,315 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 622110 | $500,154,955 | $500,154,955 |
| SHARED SERVICE RECOUPMENT | 622110 | $497,528,729 | $497,528,729 |
| EQUITY EARNINGS IN HOSP AFFILIATES | 622110 | $820,924,004 | $820,924,004 |
| KSU CLINIC | 622110 | $3,192,996 | $3,192,996 |
| WELLNESS CENTER | 622110 | $1,386,100 | $1,386,100 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $274,786 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $274,786 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,823,461,570 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,535,377 | TotalRevenueColumnAmt |
| Exclusion | $20,535,377 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $118,162 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $118,162 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $118,162 | TotalRevenueColumnAmt |
| Exclusion | $118,162 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $85,555,553 | SecuritiesAmt |
| Other | $1,644,316 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $85,555,553 | SecuritiesAmt |
| Other | $1,644,316 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,199,870 | TotalRevenueColumnAmt |
| Exclusion | $87,199,870 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAC PREMIUMS | 622110 | $19,316,841 | $19,316,841 | |
| MEDICARE SHARED SAVING RECEIPTS | 622110 | $5,188,594 | $5,188,594 | |
| LAUNDRY | 812320 | $148,568 | $148,568 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,208,824 | TotalRevenueColumnAmt |
| Exclusion | $4,208,824 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $28,862,827 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,990,604,121 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,823,461,570 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $148,568 | UnrelatedBusinessRevenueAmt |
| Exclusion | $136,567,668 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,340,940 | TotalAmt |
| Program Services | $4,340,940 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,938,261 | TotalAmt |
| Program Services | $25,550,609 | ProgramServicesAmt |
| Management And General | $6,387,652 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,439,009 | TotalAmt |
| Program Services | $1,151,183 | ProgramServicesAmt |
| Management And General | $287,826 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $865,504,266 | TotalAmt |
| Program Services | $589,507,452 | ProgramServicesAmt |
| Management And General | $274,642,601 | ManagementAndGeneralAmt |
| Fundraising | $1,354,213 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,725,212 | TotalAmt |
| Program Services | $8,577,660 | ProgramServicesAmt |
| Management And General | $4,147,552 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,714,941 | TotalAmt |
| Program Services | $72,020,910 | ProgramServicesAmt |
| Management And General | -$392,634 | ManagementAndGeneralAmt |
| Fundraising | $86,665 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,734,740 | TotalAmt |
| Program Services | $30,577,325 | ProgramServicesAmt |
| Management And General | $24,157,415 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,532,807 | TotalAmt |
| Program Services | $26,657,738 | ProgramServicesAmt |
| Management And General | $2,875,069 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,216,432 | TotalAmt |
| Program Services | $4,200 | ProgramServicesAmt |
| Management And General | $3,212,232 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $786,509 | TotalAmt |
| Management And General | $786,509 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,092,622 | TotalAmt |
| Program Services | $21,288,825 | ProgramServicesAmt |
| Management And General | $72,266,493 | ManagementAndGeneralAmt |
| Fundraising | $537,304 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,064,628 | TotalAmt |
| Program Services | $230,539 | ProgramServicesAmt |
| Management And General | $10,830,013 | ManagementAndGeneralAmt |
| Fundraising | $4,076 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,785,326 | TotalAmt |
| Program Services | $1,731,715 | ProgramServicesAmt |
| Management And General | $9,959,198 | ManagementAndGeneralAmt |
| Fundraising | $94,413 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,688,192 | TotalAmt |
| Program Services | $35,744,872 | ProgramServicesAmt |
| Management And General | $12,933,936 | ManagementAndGeneralAmt |
| Fundraising | $9,384 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,738,408 | TotalAmt |
| Program Services | $843,480 | ProgramServicesAmt |
| Management And General | $893,922 | ManagementAndGeneralAmt |
| Fundraising | $1,006 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,901 | TotalAmt |
| Program Services | $461,706 | ProgramServicesAmt |
| Management And General | $190,195 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,988,618 | TotalAmt |
| Program Services | $12,244,628 | ProgramServicesAmt |
| Management And General | $48,733,461 | ManagementAndGeneralAmt |
| Fundraising | $10,529 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,653,305 | TotalAmt |
| Program Services | $36,457,785 | ProgramServicesAmt |
| Management And General | $195,520 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,839,163 | TotalAmt |
| Program Services | $24,657,855 | ProgramServicesAmt |
| Management And General | -$7,879,820 | ManagementAndGeneralAmt |
| Fundraising | $61,128 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,490,171,263 | TotalAmt |
| Program Services | $970,905,814 | ProgramServicesAmt |
| Management And General | $517,019,211 | ManagementAndGeneralAmt |
| Fundraising | $2,246,238 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $535,043,069 | BOYAmt |
| EOY | $116,677,469 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,255,045 | BOYAmt |
| EOY | $39,897,072 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,356,246 | BOYAmt |
| EOY | $36,632,988 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,580,495 | BOYAmt |
| EOY | $113,810,668 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $932,739,350 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $642,380,328 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,078,726 | BOYAmt |
| EOY | $290,359,022 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,165,313,078 | BOYAmt |
| EOY | $2,147,794,720 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,389,104,163 | BOYAmt |
| EOY | $2,525,438,100 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,544,730,822 | BOYAmt |
| EOY | $5,270,610,039 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,196,947 | BOYAmt |
| EOY | $545,026,801 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,331,169,737 | BOYAmt |
| EOY | $1,340,134,386 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,081,494,499 | BOYAmt |
| EOY | $713,228,900 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,792,861,183 | BOYAmt |
| EOY | $2,598,390,087 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,699,998,966 | BOYAmt |
| EOY | $2,626,593,584 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,870,673 | BOYAmt |
| EOY | $45,626,368 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,751,869,639 | BOYAmt |
| EOY | $2,672,219,952 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,544,730,822 | BOYAmt |
| EOY | $5,270,610,039 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $500,432,858 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $148,127,885 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $271,789,570 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 9 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (9 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| COBB HOSPITAL INC | ||||
| 580968382 | 3 | Yes (true) | $102,091,787 | $0 |
| PAULDING MEDICAL CENTER INC | ||||
| 582095884 | 3 | Yes (true) | $33,045,926 | $0 |
| KENNESTONE HOSPITAL INC | ||||
| 582032904 | 3 | Yes (true) | $184,203,729 | $0 |
| DOUGLAS HOSPITAL INC | ||||
| 582026750 | 3 | Yes (true) | $31,010,373 | $0 |
| WELLSTAR ATLANTA MEDICAL CENTER INC | ||||
| 810837031 | 3 | Yes (true) | $62,408,536 | $0 |
| WELLSTAR SPALDING REGIONAL HOSPITAL INC | ||||
| 810864789 | 3 | Yes (true) | $23,378,242 | $0 |
| WELLSTAR SYLVAN GROVE HOSPITAL INC | ||||
| 810875069 | 3 | Yes (true) | $2,078,851 | $0 |
| WELLSTAR NORTH FULTON HOSPITAL INC | ||||
| 810851756 | 3 | Yes (true) | $29,856,263 | $0 |
| WEST GEORGIA MEDICAL CENTER INC | ||||
| 205497506 | 3 | Yes (true) | $29,455,156 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 9 | SupportedOrganizationsTotalCnt |
| Support Sum | $497,528,863 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (true) | MajorityDirTrstSupportedOrgInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | Yes (true) | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | Yes (true) | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $3,252 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $250 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $19,288 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | Yes (true) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $35,528 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $676,092 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $734,410 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | OTHER 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,756,000 | BeginningYearBalanceAmt |
| Contributions | $65,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,922,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $9,743,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,936,000 | BeginningYearBalanceAmt |
| Contributions | $42,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$222,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,756,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,710,000 | BeginningYearBalanceAmt |
| Contributions | $29,000 | ContributionsAmt |
| Investment Earnings Or Losses | $197,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,936,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,685,000 | BeginningYearBalanceAmt |
| Contributions | $193,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$168,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,710,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,832,000 | BeginningYearBalanceAmt |
| Contributions | $67,000 | ContributionsAmt |
| Investment Earnings Or Losses | $786,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,685,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.65000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.35000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,419,053 | OtherCostOrOtherBasisAmt |
| Book Value | $32,419,053 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $117,996,239 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,715,122 | DepreciationAmt |
| Book Value | $44,281,117 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,633,935 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,616,608 | DepreciationAmt |
| Book Value | $48,017,327 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $673,728,528 | OtherCostOrOtherBasisAmt |
| Depreciation | $536,173,069 | DepreciationAmt |
| Book Value | $137,555,459 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,961,595 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,875,529 | DepreciationAmt |
| Book Value | $28,086,066 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $290,359,022 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| EQUITY IN AFFILIATES | $2,231,131,157 |
| OTHER RECEIVABLES | $288,499,282 |
| OTHER LONG-TERM ASSETS | $5,807,661 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,525,438,100 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $713,228,900 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | ENDOWMENT 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 2 | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (32 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 100 Black Men of North Metro Atlanta Inc | |||||||||||
| 2300 Holcomb Bridge Road | Suite 103-215 | Roswell | GA | 30076 | 582052894 | 501(c)(3) | $15,000 | FMV | N/A | Sponsorship | |
| American Cancer Society | |||||||||||
| 250 WILLIAMS ST | 4TH FLOOR | Atlanta | GA | 30303 | 131788491 | 501(c)(3) | $44,500 | FMV | N/A | Sponsorship | |
| AMGA Foundation Inc | |||||||||||
| One Prince Street | Alexandria | VA | 22314 | 540536002 | 501(c)(6) | $25,000 | FMV | N/A | Sponsorship | ||
| Atlanta Beltline Partnership | |||||||||||
| 112 KROG STREET NE | SUITE 14 | Atlanta | GA | 303072486 | 562464486 | 501(c)(3) | $35,000 | FMV | N/A | Sponsorship | |
| BRAVES STADIUM COMPANY LLC | |||||||||||
| 755 BATTERY AVE SE | ATLANTA | GA | 303393017 | 581251243 | $1,181,784 | FMV | N/A | SPONSORSHIP | |||
| Bullock Foundation Inc | |||||||||||
| 115 WATERFORD WAY | Powder Springs | GA | 30127 | 260127827 | 501(c)(3) | $7,500 | FMV | N/A | Sponsorship | ||
| BUY Cobb Inc | |||||||||||
| PO BOX 3485 | Marietta | GA | 30061 | 585234027 | 501(c)(3) | $10,000 | FMV | N/A | Sponsorship | ||
| Camp Kudzu | |||||||||||
| 5885 GLENRIDGE DR | SUITE 160 | Atlanta | GA | 30328 | 582449646 | 501(C)(3) | $15,000 | FMV | N/A | Sponsorship | |
| Center for Family Resources | |||||||||||
| 995 ROSWELL ST NE | Suite 100 | Marietta | GA | 30060 | 580876634 | 501(C)(3) | $10,000 | FMV | N/A | Sponsorship | |
| Cherokee By Choice INC | |||||||||||
| 1 INNOVATION WAY | WOODSTOCK | GA | 30188 | 831981790 | 501(C)(3) | $62,500 | FMV | N/A | Sponsorship | ||
| Cherokee County Chamber of Commerce | |||||||||||
| 3605 MARIETTA HIGHWAY | Canton | GA | 30114 | 581090796 | 501(c)(6) | $9,570 | FMV | N/A | Sponsorship | ||
| City of Roswell | |||||||||||
| 617 ATLANTA STREET | SUITE 101 | Roswell | GA | 30075 | 581979994 | $5,500 | FMV | N/A | Sponsorship | ||
| COBB COUNTY CHAMBER OF COMMERCE FOUNDATION | |||||||||||
| PO BOX 671868 | Marietta | GA | 30060 | 581492846 | 501(c)(3) | $77,000 | FMV | N/A | Sponsorship | ||
| Cobb County Public Schools Educational FDN | |||||||||||
| 514 GLOVER ST SE | Marietta | GA | 30060 | 582487501 | 501(c)(3) | $25,000 | FMV | N/A | Sponsorship | ||
| Cobbs Competitive Edge | |||||||||||
| 1100 CIRCLE 75 PARKWAY | SUITE 1000 | Atlanta | GA | 30339 | 455131121 | 501(c)(3) | $50,000 | FMV | N/A | Sponsorship | |
| Douglas County Chamber OF COMMERCE | |||||||||||
| 6658 CHURCH ST | Douglasville | GA | 30134 | 581950186 | 501(c)(6) | $11,745 | FMV | N/A | Sponsorship | ||
| Emergency Nurses ASSOCIATION | |||||||||||
| PO BOX 83314 | Ste 130 | Chicago | IL | 60691 | 311703819 | $10,000 | FMV | N/A | Sponsorship | ||
| Friends of the Thread INC | |||||||||||
| 133 Main Street | Lagrange | GA | 30240 | 813580329 | 501(c)(3) | $10,000 | FMV | N/A | Sponsorship | ||
| Georgia Chamber of Commerce | |||||||||||
| PO BOX 102676 | Atlanta | GA | 30368 | 581537370 | 501(c)(6) | $52,500 | FMV | N/A | Sponsorship | ||
| Globus Medical Inc | |||||||||||
| PO BOX 203329 | Dallas | TX | 753203329 | 043744954 | FMV | CLEANING SUPPLIES | Sponsorship | $230,496 | |||
| Good Samaritan Health Center of Cobb INC | |||||||||||
| 1605 ROBERTA DR SW | MARIETTA | GA | 30008 | 320045238 | 501(c)(3) | $22,500 | FMV | N/A | Sponsorship | ||
| Greater North Fulton Chamber of Commerce | |||||||||||
| 11605 HAYNES BRIDGE RD | Alpharetta | GA | 30009 | 581157316 | 501(c)(6) | $29,250 | FMV | N/A | Sponsorship | ||
| Health Connect South INC | |||||||||||
| 1950 LAKE PARK AVENUE | Smyrna | GA | 30080 | 463967515 | 501(c)(6) | $15,000 | FMV | N/A | Sponsorship | ||
| KENNESAW STATE UNIVERSITY | |||||||||||
| 3333 BUSBEE DRIVE | Kennesaw | GA | 30144 | 580965786 | GOV'T | $1,925,000 | FMV | N/A | Sponsorship | ||
| March of Dimes | |||||||||||
| 1550 CRYSTAL DR | SUITE 1300 | Arlington | VA | 22202 | 131846366 | 501(c)(3) | $57,000 | FMV | N/A | Sponsorship | |
| Medical Association of Atlanta | |||||||||||
| 1150 LAKE HEARN DRIVE | SUITE 130 | Atlanta | GA | 30342 | 580615170 | 501(c)(6) | $10,000 | FMV | N/A | Sponsorship | |
| MUST Ministries | |||||||||||
| PO BOX 1717 | Marietta | GA | 30061 | 582034725 | 501(c)(3) | $25,000 | FMV | N/A | Sponsorship | ||
| PROSTAWARE INC | |||||||||||
| 28 BALL MILL PLACE | SANDY SPRINGS | GA | 30350 | 270599329 | 501(c)(3) | $30,000 | FMV | N/A | Sponsorship | ||
| SERVICE LEAGUE OF CHEROKEE COUNTY GA INC | |||||||||||
| PO BOX 1132 | CANTON | GA | 301591132 | 581685138 | 501(c)(3) | $15,000 | FMV | N/A | Sponsorship | ||
| Smyrna Public Safety Foundation | |||||||||||
| 2620 ATLANTA RD SE | Smyrna | GA | 30080 | 264770872 | 501(c)(3) | $7,500 | FMV | N/A | Sponsorship | ||
| Tommy Nobis Center | |||||||||||
| 1480 BELLS FERRY RD | Marietta | GA | 30066 | 581290439 | 501(c)(3) | $15,000 | FMV | N/A | Sponsorship | ||
| VAN WAGNER SPORTS & ENTERTAINMENT LLC | |||||||||||
| 800 THIRD AVENUE | NEW YORK | NY | 10022 | 481290227 | $125,000 | FMV | N/A | SPONSORSHIP | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 20 | Total501c3OrgCnt |
| Total Other Org | 12 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURES 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (89 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | THE 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY OF COBB COUNTY | ||||||||
| A | 582464600 | 19081PEM4 | 2004-04-01 | $25,000,000 | EQUIPMENT POOL | false | false | false |
| HOSPITAL AUTHORITY OF COBB COUNTY | ||||||||
| B | 582464600 | 19081PEN2 | 2006-04-01 | $25,000,000 | EQUIPMENT POOL | false | false | false |
| PAULDING COUNTY HOSPITAL AUTHORITY | ||||||||
| C | 586011214 | 703596DH6 | 2012-06-28 | $32,711,016 | CONSTRUCTION SERIES A | false | false | false |
| PAULDING COUNTY HOSPITAL AUTHORITY | ||||||||
| D | 586011214 | 703596DK9 | 2012-06-28 | $68,750,000 | CONSTRUCTION SERIES B | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $25,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,000,000 | $0 | 2004 | false | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $25,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,000,000 | $0 | 2006 | false | false | Yes (true) | Yes (true) |
| C | $3,870,000 | $0 | $32,711,016 | $0 | $446,282 | $0 | $437,500 | $0 | $0 | $31,827,234 | $0 | $0 | 2014 | false | false | Yes (true) | Yes (true) |
| D | $0 | $0 | $68,750,000 | $0 | $1,945,963 | $0 | $471,875 | $0 | $0 | $66,332,162 | $0 | $0 | 2014 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | false | false | 0 | false | false | false | Yes (true) |
| B | false | Yes (true) | Yes (true) | false | false | 0 | false | false | false | Yes (true) |
| C | false | Yes (true) | Yes (true) | false | false | 0 | false | false | false | Yes (true) |
| D | false | Yes (true) | Yes (true) | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Exception To RebateExceptionToRebateInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd |
|---|---|---|---|---|---|---|---|
| 0 | |||||||
| A | false | Yes (true) | Yes (true) | false | false | 0 | false |
| 0 | |||||||
| B | false | Yes (true) | false | false | false | 0 | false |
| 0 | |||||||
| C | false | Yes (true) | false | false | false | 0 | false |
| 0 | |||||||
| D | false | Yes (true) | false | false | false | 0 | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART V | PROCEDURES 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| COBB COUNTY KENNESTONE HOSPITAL AUTHORITY | ||||||||
| A | 581147004 | 190813PH2 | 2012-11-15 | $122,366,879 | ADVANCED REFUNDING CONSTRUCTION | false | false | false |
| SEE PART VI | ||||||||
| B | 2017-08-03 | $260,085,000 | CONSTRUCTION/REFUNDING | false | false | false | ||
| SEE PART VI | ||||||||
| C | 2017-08-03 | $611,463,388 | CONSTRUCTION/REFUNDING | false | false | false | ||
| COBB COUNTY KENNESTONE HOSPITAL AUTHORITY | ||||||||
| D | 581147004 | 190813SC0 | 2020-08-06 | $93,340,000 | CONSTRUCTION/REFUNDING | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $31,080,000 | $0 | $122,366,879 | $0 | $0 | $0 | $1,079,370 | $0 | $0 | $0 | $121,287,509 | $0 | false | Yes (true) | Yes (true) | Yes (true) |
| B | $24,745,000 | $0 | $260,085,000 | $0 | $0 | $0 | $705,000 | $0 | $0 | $0 | $259,380,000 | $0 | Yes (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 | $0 | Yes (true) | Yes (true) | Yes (true) | Yes (true) |
| D | $0 | $0 | $93,340,000 | $0 | $0 | $0 | $805,422 | $0 | $0 | $0 | $0 | $92,534,578 | Yes (true) | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | false | false | 0 | false | false | false | Yes (true) | |
| B | false | Yes (true) | Yes (true) | false | false | 0.01400 | false | false | false | Yes (true) | 0.01400 |
| C | false | Yes (true) | Yes (true) | false | false | 0.01250 | false | false | false | Yes (true) | 0.01250 |
| D | false | Yes (true) | Yes (true) | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Exception To RebateExceptionToRebateInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd |
|---|---|---|---|---|---|---|---|
| 0 | |||||||
| A | false | Yes (true) | false | false | false | 0 | false |
| 0 | |||||||
| B | false | Yes (true) | Yes (true) | false | false | 0 | false |
| 0 | |||||||
| C | false | Yes (true) | false | false | false | 0 | false |
| 0 | |||||||
| D | false | Yes (true) | false | false | false | 0 | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Cobb County Kennestone Hospital Authority | ||||||||
| A | 581147004 | 190813SY2 | 2021-01-04 | $89,661,453 | CONSTRUCTION/REFUNDING | false | false | false |
| DEVELOPMENT AUTHORIY OF FULTON COUNTY | ||||||||
| B | 581506878 | 36005GAZ6 | 2020-08-06 | $70,165,000 | CONSTRUCTION/REFUNDING | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $89,661,453 | $0 | $0 | $0 | $629,141 | $0 | $0 | $0 | $0 | $89,032,312 | false | false | false | Yes (true) |
| B | $0 | $0 | $70,165,000 | $0 | $0 | $0 | $791,421 | $0 | $0 | $0 | $0 | $69,373,579 | Yes (true) | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | false | false | 0 | false | false | false | Yes (true) |
| B | false | Yes (true) | Yes (true) | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Exception To RebateExceptionToRebateInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd |
|---|---|---|---|---|---|---|---|
| 0 | |||||||
| A | false | Yes (true) | false | false | false | 0 | false |
| 0 | |||||||
| B | false | Yes (true) | false | false | false | 0 | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JENNIFER HANEY | |||
| DAUGHTER-IN-LAW OF OFFICER | $131,891 | EMPLOYEE OF WELLSTAR | false |
| CARL GOOLSBY JR MD | |||
| HUSBAND OF OFFICER | $507,049 | EMPLOYEE OF WELLSTAR | false |
| BRANDY N CROSS MD | |||
| DAUGHTER OF BOARD MEMBER | $439,867 | EMPLOYEE OF WELLSTAR | false |
| LAWRENCE ROWLEY MD | |||
| HUSBAND OF BOARD MEMBER/OFFICER | $446,097 | EMPLOYEE OF WELLSTAR | false |
| SHEILA ROBINSON MD | |||
| WIFE OF BOARD MEMBER | $434,129 | EMPLOYEE OF WELLSTAR | false |
| RACHEL GARNER | |||
| GRANDDAUGHTER OF BOARD MEMBER | $38,258 | EMPLOYEE OF WELLSTAR | false |
| SAMANTHA ROS | |||
| DAUGHTER-IN-LAW OF BOARD MEMBER | $127,377 | EMPLOYEE OF WELLSTAR | false |
| JOSEPH BURNS MD | |||
| FATHER-IN-LAW OF BOARD MEMBER | $692,963 | EMPLOYEE OF WELLSTAR | false |
| BROOK HURST | |||
| CHILD OF BOARD MEMBER | $32,613 | EMPLOYEE OF WELLSTAR | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, LINES 1-7 | FormAndLineReferenceDesc |
| Explanation | BUSINESS 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 & Part III, Line 1 | VISION: 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 4A | PROGRAM 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. |
| SERVICES | WELLSTAR HEALTH SYSTEM IS ABLE TO OFFER A FULL RANGE OF HEALTHCARE SERVICES THROUGH ITS AFFILIATES. THE SERVICES OFFERED INCLUDE BUT ARE NOT LIMITED TO: - MOST MAJOR INPATIENT CLINICAL SERVICES, - OUTPATIENT SERVICES, - DIAGNOSTIC AND THERAPEUTIC SERVICES, - 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 STATISTICS | SERVICES 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 ACCOMPLISHMENTS | WELLSTAR 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 12B | AUDITED 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 24A | TAX 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 11B | BOARD 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 12C | CONFLICT 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 & 15B | COMPENSATION 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 19 | DOCUMENTS 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 VII | OFFICERS 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 J | COMPENSATION 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 9 | OTHER 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Wellstar Medical Group LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 273818647 | Healthcare | GA | $523,396,902 | $52,333,803 | WHS Inc |
| Cobb Gynecologists 2 LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 020808099 | Healthcare | GA | $0 | $0 | WHS INC |
| South Cobb OB-GYN 2 LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 020808071 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Psychiatry LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 582500211 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Kennestone OBGYN 2 LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 300355553 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Kennestone OBGYN LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 582499183 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Medical Specialists 2 LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 753261729 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Homecare Billing Services LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 582479534 | Healthcare | GA | $0 | $0 | WHS INC |
| Wellstar Windy Hill Apothecary Bill Srv | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 562511925 | Healthcare | GA | $0 | $0 | WHS INC |
| Wellstar Home Health LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 270277843 | Healthcare | GA | $0 | $0 | WHS INC |
| WELLSTAR CLNCL PARTNERS MEDICARE ACOLLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 273870970 | Healthcare | GA | $0 | $0 | WHS Inc |
| Wellstar Health Ventures LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 453754932 | Healthcare | GA | $0 | $0 | WHS INC |
| Wellstar IPA LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 581649541 | Insurance | GA | $0 | $0 | WHS INC |
| Wellstar Community Hospice LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 134350580 | Healthcare | GA | $0 | $0 | WHS INC |
| CATALYST BY WELLSTAR LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 581649541 | Healthcare | GA | $0 | $0 | WHS INC |
| WellStar Clinical Partners LLC | |||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 581649541 | HEALTHCARE | GA | $0 | $0 | WHS INC |
| WELLSTAR RESTAURANT SERVICES LLC | |||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30062 | 581649541 | FOOD SERVICES | GA | $0 | $0 | WHS INC |
| WELLSTAR CLINICAL PARTNERS ATLANTA LLC | |||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30062 | 581649541 | HEALTHCARE | GA | $0 | $0 | WHS INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COBB HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 580968382 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| DOUGLAS HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 582026750 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| KENNESTONE HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 582032904 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| PAULDING MEDICAL CENTER INC | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 582095884 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WELLSTAR FOUNDATION INC | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 581627413 | Foundation | GA | 501(C)(3) | 12 II | WHS INC | Yes (true) |
| WELLSTAR ATLANTA MEDICAL CENTER INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 810837031 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WELLSTAR NORTH FULTON HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 810851756 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WELLSTAR SPALDING REGIONAL HOSPITALINC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 810864789 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WELLSTAR SYLVAN GROVE HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 810875069 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WEST GEORGIA MEDICAL CENTER INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 205497506 | HEALTHCARE | GA | 501(C)(3) | 3 | WGHS INC | Yes (true) |
| WEST GEORGIA HEALTH SERVICES INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 205497622 | HEALTHCARE | GA | 501(C)(3) | 12 II | WHS INC | Yes (true) |
| VERNON WOODS RETIREMENT COMMUNITY INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 582575049 | HEALTHCARE | GA | 501(C)(3) | 10 | WGHS INC | Yes (true) |
| WEST GEORGIA HEALTH FOUNDATION INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 200936376 | FOUNDATION | GA | 501(C)(3) | 12 II | WGHS INC | Yes (true) |
| MEDICAL PARK FOUNDATION INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 581303478 | FOUNDATION | GA | 501(C)(3) | 7 | WGHS INC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNESTONE EAST PARKING DECK LLC | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 200537100 | PARKING | GA | WHS INC | EXCLUDED | -$89,261 | $1,945,723 | false | $0 | false | 0.73000 |
| GRIFFIN IMAGING LLC | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | IMAGING CENTER | GA | NA | N/A | |||||||
| WELLSTAR SPALD EMSSPALD 911 LLC | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | OFF.BLDG/EMS 911 | GA | NA | N/A | |||||||
| NORTH FULTON PARKING DECK LP | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | PARKING | GA | NA | N/A | |||||||
| COBB SOUTH PARKING DECK LLC | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | PARKING | GA | NA | N/A | |||||||
| SPALDING HEALTH SYSTEM LLC | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | 582148398 | PHYS. HOSP. ORG. | GA | WHS INC | RELATED | -$1,361 | $49,474 | false | $0 | false | 0.69230 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY ASSURANCE CO | ||||||||||||||||
| 3rd Fl Barclays Hse Shedden Rd | George Town | CJ | 581649541 | INSURANCE | CJ | WHS INC | C CORP | $41,341,775 | $216,392,423 | 1.00000 | Yes (true) | |||||
| WEST GEORGIA HEALTH PHYSICIANS INC | ||||||||||||||||
| 275125341 | PHYSICIAN PRAC. | WGHS INC | C CORP | false | 793 SAWYER ROAD | MARIETTA | GA | 300622222 | GA | |||||||
| WELLSTAR HEALTH PLAN INC | ||||||||||||||||
| 461922499 | HEALTH INSURANCE | WHS INC | C CORP | -$180,866 | $4,047,857 | 1.00000 | Yes (true) | 793 SAWYER ROAD | MARIETTA | GA | 300622222 | GA | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COBB HOSPITAL INC | ||
| Q | $102,091,787 | ACTUAL COST |
| DOUGLAS HOSPITAL INC | ||
| Q | $31,010,373 | ACTUAL COST |
| KENNESTONE HOSPITAL INC | ||
| Q | $184,203,729 | ACTUAL COST |
| PAULDING MEDICAL CENTER INC | ||
| Q | $33,045,926 | ACTUAL COST |
| WELLSTAR NORTH FULTON HOSPITAL INC | ||
| Q | $29,856,263 | ACTUAL COST |
| WELLSTAR ATLANTA MEDICAL CENTER INC | ||
| Q | $62,408,536 | ACTUAL COST |
| WELLSTAR SPALDING REGIONAL HOSPITAL INC | ||
| Q | $23,378,242 | ACTUAL COST |
| WELLSTAR SYLVAN GROVE HOSPITAL INC | ||
| Q | $2,078,851 | ACTUAL COST |
| WEST GEORGIA MEDICAL CENTER INC | ||
| Q | $29,455,156 | ACTUAL COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 2 | FormAndLineReferenceDesc |
| Explanation | The dollar amounts reported on Form 990, Schedule R, Part V, Line 2 for WellStar Health System, Inc. include the overhead allocations to affiliates and consists of the following types of transactions as listed in Line 1 (a-r): h) Exchange of Assets, i) Lease of facilities, equipment, or other assets to other 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 |
Comments