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GENERAL COUNSEL 38.0 12.0 X 275363 0 43233 LEANNE COOK VP CONSUMER ENGAGEMENT 38.0 12.0 X 256658 0 60258 KIMBERLY TAACA VP OPS SPECIALTY DIVISION 38.0 12.0 X 274977 0 38722 STEVEN HUNT VP HUMAN RESOURCES 38.0 12.0 X 252880 0 58442 IVY SPENCER VP CNO 38.0 12.0 X 255306 0 42581 JUDITH WHITE VP LABORATORY SERVICES SYSTEM 38.0 12.0 X 250208 0 42458 JONATHAN D MAURER VP INFO.SEC.&CISO(END. 12/20) 38.0 12.0 X 257259 0 31523 JOSEPH A REPPERT SVP FINANCE (BEG. 8/20) 38.0 12.0 X 253157 0 34487 ELLEN WRIGHT VP HIM CDI & POLICIES 38.0 12.0 X 243645 0 43226 ROBERT J DECOUX VP CORPORATE MED. 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ADMIN.(BEG. 8/20) 38.0 12.0 X 185596 0 19268 NICKOLOS A YAITSKY VP HEAD OF DIGITAL PLATFORMS 38.0 12.0 X 164380 0 35993 MONTE A WILSON FORMER HOSPITAL PRESIDENT 0.0 0.0 X 0 198207 0 JULIE C TEER SVP & WHS FDN PRES(BEG. 10/20) 38.0 12.0 X 144979 0 2314 ARIF AZIZ MD TRUSTEE 1.0 12.0 X 86108 0 0 STEVEN OWEIDA MD FORMER TRUSTEE 0.0 0.0 X 46847 0 0 OTIS A BRUMBY III TRUSTEE 1.0 12.0 X 44970 0 0 T FITZ JOHNSON TRUSTEE 1.0 12.0 X 40367 0 0 R RANDALL BENTLEY SR ESQ TRUSTEE (END. 6/21) 1.0 12.0 X 39473 0 0 W CHARLES BROCK TRUSTEE 1.0 12.0 X 39340 0 0 DAVID HAFNER FORMER TRUSTEE 0.0 0.0 X 18643 0 0 TE RUSTY DURHAM FORMER TRUSTEE 0.0 0.0 X 15007 0 0 CHARLES J JONES TRUSTEE (END. 6/21) 1.0 12.0 X 8840 0 0 MITZI MOORE TRUSTEE 1.0 12.0 X 5560 0 0 O SCOTT SWAYZE MD TRUSTEE 1.0 12.0 X 3908 0 0 FRANK ROS TRUSTEE 1.0 12.0 X 3597 0 0 H SPEER BURDETTE III TRUSTEE 1.0 12.0 X 3115 0 0 EDWARD RICHARDSON TRUSTEE 1.0 12.0 X 2872 0 0 GREG MORGAN TRUSTEE 1.0 12.0 X 2595 0 0 GARY A MILLER TRUSTEE 1.0 12.0 X 2555 0 0 JAMES HOLMES TRUSTEE 1.0 12.0 X 2555 0 0 AMBICA YADAV TRUSTEE 1.0 12.0 X 2475 0 0 JOHN MCKIBBEN TRUSTEE 1.0 12.0 X 1885 0 0 JAY CUNNINGHAM TRUSTEE (BEG. 3/21) 1.0 12.0 X 0 0 0 MATTHEW B TERRY SVP CHIEF STRAT.OFF.(BEG.6/21) 38.0 12.0 X 0 0 0 PRANAV K JAIN VP&CH. MED INFO.OFF.(BEG.5/21) 38.0 12.0 X 0 0 0 RICHARD H CAPPS EVP CH INFO&DIGIT.OFF(BEG1/21) 38.0 12.0 X 0 0 0 SANA B BRUNO VP LAB SRVCS SYSTEM (END.5/21) 38.0 12.0 X 0 0 0 23955742 1816966 1474861 2370 true true false PT SOLUTIONS HOLDINGS LLC PO BOX 724557 ATLANTA GA 31139 MEDICAL 33606599 NORTHWEST GEORGIA ONCOLOGY 531 ROSELANE STREET SUITE 710 MARIETTA GA 30060 MEDICAL 25308181 PRESIDIO NETWORKED SOLUTION PO BOX 822169 PHILADELPHIA PA 191822169 INFORMATION SERVICES 18923310 BATSON-COOK COMPANY 2859 PACES FERRY ROAD SUITE 200 ATLANTA GA 30339 GENERAL CONTRACTOR 13965725 BRASFIELD AND GORRIE LP PO BOX 11407 BIRMINGHAM AL 352460351 GENERAL CONTRACTOR 12525423 121 30426315 0 30426315 PATIENT REVENUE 622110 500154955 500154955 SHARED SERVICE RECOUPMENT 622110 497528729 497528729 EQUITY EARNINGS IN HOSP AFFILIATES 622110 820924004 820924004 KSU CLINIC 622110 3192996 3192996 WELLNESS CENTER 622110 1386100 1386100 274786 274786 1823461570 20535377 20535377 0 0 118162 118162 0 118162 118162 85555553 1644316 85555553 1644316 87199870 87199870 0 0 0 0 0 0 0 0 0 CAC PREMIUMS 622110 19316841 19316841 MEDICARE SHARED SAVING RECEIPTS 622110 5188594 5188594 LAUNDRY 812320 148568 148568 4208824 4208824 28862827 1990604121 1823461570 148568 136567668 4340940 4340940 0 0 0 31938261 25550609 6387652 0 1439009 1151183 287826 0 865504266 589507452 274642601 1354213 12725212 8577660 4147552 71714941 72020910 -392634 86665 54734740 30577325 24157415 29532807 26657738 2875069 3216432 4200 3212232 786509 786509 0 0 0 94092622 21288825 72266493 537304 11064628 230539 10830013 4076 11785326 1731715 9959198 94413 0 0 48688192 35744872 12933936 9384 1738408 843480 893922 1006 0 0 651901 461706 190195 0 60988618 12244628 48733461 10529 36653305 36457785 195520 MEDICAL SUPPLIES 96634381 41021600 54778510 834271 REPAIR & MAINTENANCE 9911980 1067941 8827236 16803 NON-MEDICAL SUPPLIES -10660667 916562 -10813675 -763554 CAPTIVE PREMIUMS 35850289 35850289 16839163 24657855 -7879820 61128 1490171263 970905814 517019211 2246238 0 0 535043069 116677469 0 0 43255045 39897072 0 0 0 0 0 0 30356246 36632988 69580495 113810668 932739350 642380328 312078726 290359022 1165313078 2147794720 0 0 0 0 0 0 2389104163 2525438100 4544730822 5270610039 380196947 545026801 0 0 0 0 1331169737 1340134386 0 0 0 0 0 0 0 0 1081494499 713228900 2792861183 2598390087 X 1699998966 2626593584 51870673 45626368 1751869639 2672219952 4544730822 5270610039 X 500432858 148127885 271789570 X false true X true true true X X 9 COBB HOSPITAL INC 580968382 3 true 102091787 0 PAULDING MEDICAL CENTER INC 582095884 3 true 33045926 0 KENNESTONE HOSPITAL INC 582032904 3 true 184203729 0 DOUGLAS HOSPITAL INC 582026750 3 true 31010373 0 WELLSTAR ATLANTA MEDICAL CENTER INC 810837031 3 true 62408536 0 WELLSTAR SPALDING REGIONAL HOSPITAL INC 810864789 3 true 23378242 0 WELLSTAR SYLVAN GROVE HOSPITAL INC 810875069 3 true 2078851 0 WELLSTAR NORTH FULTON HOSPITAL INC 810851756 3 true 29856263 0 WEST GEORGIA MEDICAL CENTER INC 205497506 3 true 29455156 0 9 497528863 0 true false false false false false false false false false false false false false false true RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false true 3252 true 250 true 19288 true 35528 true 676092 734410 false SCHEDULE C, PART II-B, LINE 1 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. 7756000 65000 1922000 9743000 7936000 42000 -222000 7756000 7710000 29000 197000 7936000 7685000 193000 -168000 7710000 6832000 67000 786000 7685000 0.65000 0.35000 false true true 32419053 32419053 117996239 73715122 44281117 69633935 21616608 48017327 673728528 536173069 137555459 38961595 10875529 28086066 290359022 EQUITY IN AFFILIATES 2231131157 OTHER RECEIVABLES 288499282 OTHER LONG-TERM ASSETS 5807661 2525438100 0 ACCRUED PENSION LIABILITY 259209635 SELF-INSURANCE RESERVES 257260168 OTHER LT LIABILITIES 171084424 ASSET RETIREMENT OBLIGATIONS LT 25674673 713228900 X 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." true 100 Black Men of North Metro Atlanta Inc 2300 Holcomb Bridge Road Suite 103-215 Roswell GA 30076 582052894 501(c)(3) 15000 FMV N/A Sponsorship American Cancer Society 250 WILLIAMS ST 4TH FLOOR Atlanta GA 30303 131788491 501(c)(3) 44500 FMV N/A Sponsorship AMGA Foundation Inc One Prince Street Alexandria VA 22314 540536002 501(c)(6) 25000 FMV N/A Sponsorship Atlanta Beltline Partnership 112 KROG STREET NE SUITE 14 Atlanta GA 303072486 562464486 501(c)(3) 35000 FMV N/A Sponsorship BRAVES STADIUM COMPANY LLC 755 BATTERY AVE SE ATLANTA GA 303393017 581251243 1181784 FMV N/A SPONSORSHIP Bullock Foundation Inc 115 WATERFORD WAY Powder Springs GA 30127 260127827 501(c)(3) 7500 FMV N/A Sponsorship BUY Cobb Inc PO BOX 3485 Marietta GA 30061 585234027 501(c)(3) 10000 FMV N/A Sponsorship Camp Kudzu 5885 GLENRIDGE DR SUITE 160 Atlanta GA 30328 582449646 501(C)(3) 15000 FMV N/A Sponsorship Center for Family Resources 995 ROSWELL ST NE Suite 100 Marietta GA 30060 580876634 501(C)(3) 10000 FMV N/A Sponsorship Cherokee By Choice INC 1 INNOVATION WAY WOODSTOCK GA 30188 831981790 501(C)(3) 62500 FMV N/A Sponsorship Cherokee County Chamber of Commerce 3605 MARIETTA HIGHWAY Canton GA 30114 581090796 501(c)(6) 9570 FMV N/A Sponsorship City of Roswell 617 ATLANTA STREET SUITE 101 Roswell GA 30075 581979994 5500 FMV N/A Sponsorship COBB COUNTY CHAMBER OF COMMERCE FOUNDATION PO BOX 671868 Marietta GA 30060 581492846 501(c)(3) 77000 FMV N/A Sponsorship Cobb County Public Schools Educational FDN 514 GLOVER ST SE Marietta GA 30060 582487501 501(c)(3) 25000 FMV N/A Sponsorship Cobbs Competitive Edge 1100 CIRCLE 75 PARKWAY SUITE 1000 Atlanta GA 30339 455131121 501(c)(3) 50000 FMV N/A Sponsorship Douglas County Chamber OF COMMERCE 6658 CHURCH ST Douglasville GA 30134 581950186 501(c)(6) 11745 FMV N/A Sponsorship Emergency Nurses ASSOCIATION PO BOX 83314 Ste 130 Chicago IL 60691 311703819 10000 FMV N/A Sponsorship Friends of the Thread INC 133 Main Street Lagrange GA 30240 813580329 501(c)(3) 10000 FMV N/A Sponsorship Georgia Chamber of Commerce PO BOX 102676 Atlanta GA 30368 581537370 501(c)(6) 52500 FMV N/A Sponsorship Globus Medical Inc PO BOX 203329 Dallas TX 753203329 043744954 230496 FMV CLEANING SUPPLIES Sponsorship Good Samaritan Health Center of Cobb INC 1605 ROBERTA DR SW MARIETTA GA 30008 320045238 501(c)(3) 22500 FMV N/A Sponsorship Greater North Fulton Chamber of Commerce 11605 HAYNES BRIDGE RD Alpharetta GA 30009 581157316 501(c)(6) 29250 FMV N/A Sponsorship Health Connect South INC 1950 LAKE PARK AVENUE Smyrna GA 30080 463967515 501(c)(6) 15000 FMV N/A Sponsorship KENNESAW STATE UNIVERSITY 3333 BUSBEE DRIVE Kennesaw GA 30144 580965786 GOV'T 1925000 FMV N/A Sponsorship March of Dimes 1550 CRYSTAL DR SUITE 1300 Arlington VA 22202 131846366 501(c)(3) 57000 FMV N/A Sponsorship Medical Association of Atlanta 1150 LAKE HEARN DRIVE SUITE 130 Atlanta GA 30342 580615170 501(c)(6) 10000 FMV N/A Sponsorship MUST Ministries PO BOX 1717 Marietta GA 30061 582034725 501(c)(3) 25000 FMV N/A Sponsorship PROSTAWARE INC 28 BALL MILL PLACE SANDY SPRINGS GA 30350 270599329 501(c)(3) 30000 FMV N/A Sponsorship SERVICE LEAGUE OF CHEROKEE COUNTY GA INC PO BOX 1132 CANTON GA 301591132 581685138 501(c)(3) 15000 FMV N/A Sponsorship Smyrna Public Safety Foundation 2620 ATLANTA RD SE Smyrna GA 30080 264770872 501(c)(3) 7500 FMV N/A Sponsorship Tommy Nobis Center 1480 BELLS FERRY RD Marietta GA 30066 581290439 501(c)(3) 15000 FMV N/A Sponsorship VAN WAGNER SPORTS & ENTERTAINMENT LLC 800 THIRD AVENUE NEW YORK NY 10022 481290227 125000 FMV N/A SPONSORSHIP 20 12 SCHEDULE I, PART I, LINE 2 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. X X X X X X false true X X X X X X true true false false false false false true false AHMAD KHALDI MD PHYSICIAN GROUP 929342 0 534517 0 2735 0 25015 0 34182 0 1525791 0 0 0 ALAN R MUSTER MD SVP SPECIALTY DIVISION WMG 501746 0 118674 0 132654 0 51200 0 38104 0 842378 0 116927 0 ANDREW LEE VP CHIEF DIV. OFF.(END. 12/20) 251175 0 0 0 73177 0 31804 0 29420 0 385576 0 0 0 ANDREW W COX VP CHIEF OF STAFF&LEADER. 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HOSPITAL DIVISION 240916 0 40737 0 9059 0 25186 0 26605 0 342503 0 0 0 ELLEN WRIGHT VP HIM CDI & POLICIES 202955 0 30929 0 9761 0 23493 0 19733 0 286871 0 0 0 FREDA LYON VP SYSTEM EMERGENCY SERVICES 226332 0 34461 0 12364 0 27069 0 25801 0 326027 0 0 0 IVY SPENCER VP CNO 209486 0 34985 0 10835 0 23897 0 18684 0 297887 0 0 0 JAMES L HORNSBY JR MD TRUSTEE & PHYSICIAN 285896 0 145511 0 1329 0 44394 0 33194 0 510324 0 0 0 JAMES M SWARTZ VP ACCOUNTING 264674 0 40307 0 9326 0 37629 0 25769 0 377705 0 0 0 JASON D STEVENS SVP DEPUTY GENERAL COUNSEL 322059 0 49517 0 14523 0 43953 0 25784 0 455836 0 0 0 JASON L KELSEY VP REHAB. & SPORTS MED. SRVCS. 206183 0 31421 0 10198 0 43501 0 37947 0 329250 0 0 0 JENNIFER J GIUSTI VP CLINICAL OUTCOMES 344432 0 52398 0 11770 0 31700 0 23150 0 463450 0 0 0 JESSICA KOVALESKY VP CARE COORDINATOR 267039 0 31894 0 9523 0 25200 0 17991 0 351647 0 0 0 JILL M CASE-WIRTH SVP NURSING SERVICES 388288 0 77904 0 414330 0 31700 0 11702 0 923924 0 393421 0 JOHN A BRENNAN EVP CHIEF CLIN. INTEG. OFFICER 878121 0 228327 0 308480 0 31700 0 37861 0 1484489 0 291228 0 JOHN KUEVEN SVP & HOSPITAL PRESIDENT 0 322895 0 70276 0 11240 0 25200 0 30858 0 460469 0 0 JONATHAN CROOM SVP & HOSPITAL PRESIDENT 0 338012 0 81844 0 12049 0 24513 0 26723 0 483141 0 0 JONATHAN D MAURER VP INFO.SEC.&CISO(END. 12/20) 191998 0 707 0 64554 0 19124 0 12399 0 288782 0 0 0 JOSEPH BRAUD VP INFORMATION TECHNOLOGY OPS 261651 0 54740 0 10461 0 3409 0 23495 0 353756 0 0 0 JOSEPH L BRYWCZYNSKI SVP HLT PARKS DEV.(END. 11/20) 301758 0 67170 0 98273 0 48275 0 25307 0 540783 0 67443 0 JOSEPH A REPPERT SVP FINANCE (BEG. 8/20) 181734 0 60000 0 11423 0 29150 0 5337 0 287644 0 0 0 JUDITH WHITE VP LABORATORY SERVICES SYSTEM 238853 0 0 0 11355 0 24849 0 17609 0 292666 0 0 0 KATHARINE LEONARD VP REAL ESTATE & FACILITY DVLP 221537 0 19309 0 7035 0 8781 0 12649 0 269311 0 0 0 KEM M MULLINS EVP AMBULATORY & BUS. DEV. 649966 0 181324 0 14424 0 24500 0 36832 0 907046 0 0 0 KIMBERLY J RYAN SENIOR VP (END. 12/20) 451698 0 0 0 431127 0 31700 0 27828 0 942353 0 416211 0 KIMBERLY TAACA VP OPS SPECIALTY DIVISION 234633 0 31285 0 9059 0 24410 0 14312 0 313699 0 0 0 KRISTEN S TRICE VP DIAGNOSTIC OUTREACH 204479 0 61118 0 36850 0 20102 0 30862 0 353411 0 27103 0 LAURA DANNELS VP & CHIEF TALENT OFFICER 264816 0 28756 0 18336 0 19645 0 16211 0 347764 0 0 0 LEANNE COOK VP CONSUMER ENGAGEMENT 213347 0 32460 0 10851 0 22534 0 37724 0 316916 0 0 0 LEO E REICHERT EVP & GENERAL COUNSEL 644855 0 169197 0 387791 0 31700 0 39664 0 1273207 0 364799 0 LINDA HUFFER VP POST ACUTE SERVICES 307336 0 35245 0 95209 0 34620 0 11302 0 483712 0 30499 0 MARCUS P CHARLSON MD VP SURGERY 233824 0 35575 0 37678 0 14909 0 27674 0 349660 0 28330 0 MARY B CHATMAN PHD SVP & HOSPITAL PRESIDENT 0 580795 0 132932 0 12971 0 42904 0 24435 0 794037 0 0 MARY L TAVERNARO VP HUMAN RESOURCES OPERATIONS 289280 0 44005 0 106016 0 50330 0 26584 0 516215 0 93950 0 MAXWELL S KAGAN VP FINANCE & CFO 270182 0 45458 0 9328 0 24035 0 30536 0 379539 0 0 0 MICHAEL T MCCULLOUGH SVP SUPPLY CHAIN 336548 0 48825 0 13550 0 31591 0 27974 0 458488 0 0 0 MONTE A WILSON FORMER HOSPITAL PRESIDENT 0 0 0 0 0 198207 0 0 0 0 0 198207 0 0 NICKOLOS A YAITSKY VP HEAD OF DIGITAL PLATFORMS 140005 0 20000 0 4375 0 21722 0 14271 0 200373 0 0 0 PAUL D MURPHREE VP MEDICAL OUTCOMES 385941 0 58627 0 15340 0 30901 0 33488 0 524297 0 0 0 PAUL DOUGLASS MD TRUSTEE & PHYSICIAN 437727 0 310080 0 -38919 0 31700 0 12970 0 753558 0 0 0 PETER R JUNGBLUT MD MBA FORMER SVP & MEDICAL DIRECTOR 343752 0 129343 0 3804 0 51200 0 33954 0 562053 0 0 0 REBECCA L RUHL VP FACILITY COMPLIANCE OPS. 179667 0 30425 0 33749 0 3500 0 28508 0 275849 0 23421 0 REMINGTON FOSS SVP & HOSPITAL PRESIDENT 0 352111 0 64271 0 26024 0 30555 0 30801 0 503762 0 0 RICHARD MYUNG MD PHYSICIAN GROUP 1096562 0 1207723 0 2773 0 43875 0 35564 0 2386497 0 0 0 RICHARD S SIEGEL FORMER VP CARDIO.&CVM ADMN 40526 0 0 0 226906 0 2841 0 3265 0 273538 0 225615 0 RISHI GUPTA MD PHYSICIAN GROUP 776481 0 793238 0 2735 0 43875 0 26509 0 1642838 0 0 0 ROB SCHREINER EVP & PRESIDENT MEDICAL GROUP 578076 0 151648 0 24159 0 31700 0 13832 0 799415 0 0 0 ROBERT J DECOUX VP CORPORATE MED. STAFF SVCS. 192449 0 28130 0 10250 0 29290 0 19939 0 280058 0 0 0 SANDRA LUCIUS VP HEAD OF CARE PLATFORMS 258633 0 39386 0 181581 0 31180 0 1766 0 512546 0 166392 0 SEAN P TURNER VP REV. CYC. MGMT. (END. 2/21) 336058 0 51074 0 10745 0 11998 0 20753 0 430628 0 0 0 SHALIMA PANNIKODE SVP CHIEF INFO. & DIGITAL OFF. 290774 0 0 0 5830 0 14830 0 16340 0 327774 0 0 0 SHYROLL MORRIS VP ONC.&DIG.HEALTH (END. 2/21) 297276 0 38233 0 9953 0 43875 0 12442 0 401779 0 0 0 SNEHAL H DOSHI SVP ANCILLARY & SUPPORT SVCS 241037 0 34456 0 10419 0 44700 0 31631 0 362243 0 0 0 SONYA E ALDY VP TALENT ACQUISITION 234976 0 35715 0 41769 0 19289 0 24321 0 356070 0 31065 0 SOPHIA MARSHALL VP ORGANIZATION COMMUNICATIONS 249976 0 37260 0 9059 0 23703 0 14917 0 334915 0 0 0 SOPHIA L MCINTYRE SVP AMB.CARE DIV.(BEG. 10/20) 92309 0 75000 0 46663 0 10768 0 135 0 224875 0 0 0 STEPHEN L BADGER VP STRATEGIC SERVICES 446165 0 57606 0 61217 0 51200 0 38020 0 654208 0 42595 0 STEPHEN VAULT VP STRATEGIC COMMUNITY DEV. 228710 0 35124 0 37827 0 23741 0 10646 0 336048 0 28415 0 STEVEN HUNT VP HUMAN RESOURCES 208957 0 34485 0 9438 0 24550 0 33892 0 311322 0 0 0 STEVEN OWEIDA MD FORMER TRUSTEE 46847 0 0 0 0 0 0 0 0 0 46847 0 0 0 STUART DOWNS VP NURSING OPS. (END. 3/21) 0 318825 0 136336 0 9708 0 44625 0 34401 0 543895 0 0 SUSAN JACKSON VP PHARMACY SVCS (BEG. 5/21) 208476 0 13760 0 497 0 23945 0 22691 0 269369 0 0 0 TE RUSTY DURHAM FORMER TRUSTEE 15007 0 0 0 0 0 0 0 0 0 15007 0 0 0 TAMARA D ISON SVP & HOSPITAL PRESIDENT 0 337738 0 72314 0 109392 0 25017 0 31923 0 576384 0 97447 TERESA LUU MD PHYSICIAN GROUP 1057312 0 566508 0 904 0 42375 0 29221 0 1696320 0 0 0 THOMAS A DRAPER VP CARDIO. ADMIN.(BEG. 8/20) 105000 0 35000 0 45596 0 9471 0 9797 0 204864 0 0 0 TIMOTHY HANEY FORMER SVP RE FAC & DVLP SVC 0 0 0 0 1015968 0 1144 0 2876 0 1019988 0 647529 0 VALERY A AKOPOV MD SVP HOSPITAL DIVISION WMG 494290 0 107420 0 19870 0 31700 0 28468 0 681748 0 0 0 VARMA RAMESWAR MD VP PEDIATRIC OPERATIONS 213541 0 32564 0 39660 0 38297 0 13419 0 337481 0 28700 0 MARK MCLAUGHLIN MD PHYSICIAN GROUP 823834 0 501741 0 4306 0 16758 0 30131 0 1376770 0 0 0 SCHEDULE J, PART I, LINE 1A 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. A HOSPITAL AUTHORITY OF COBB COUNTY 582464600 19081PEM4 2004-04-01 25000000 EQUIPMENT POOL false false false B HOSPITAL AUTHORITY OF COBB COUNTY 582464600 19081PEN2 2006-04-01 25000000 EQUIPMENT POOL false false false C PAULDING COUNTY HOSPITAL AUTHORITY 586011214 703596DH6 2012-06-28 32711016 CONSTRUCTION SERIES A false false false D PAULDING COUNTY HOSPITAL AUTHORITY 586011214 703596DK9 2012-06-28 68750000 CONSTRUCTION SERIES B false false false A 0 0 25000000 0 0 0 0 0 0 0 25000000 0 2004 false false true true B 0 0 25000000 0 0 0 0 0 0 0 25000000 0 2006 false false true true C 3870000 0 32711016 0 446282 0 437500 0 0 31827234 0 0 2014 false false true true D 0 0 68750000 0 1945963 0 471875 0 0 66332162 0 0 2014 false false true true A false true true false false 0 false false false true B false true true false false 0 false false false true C false true true false false 0 false false false true D false true true false false 0 false false false true A false true true false 0 false 0 false B false true false false 0 false 0 false C false true false false 0 false 0 false D false true false false 0 false 0 false A true B true C true D true 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 A COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 581147004 190813PH2 2012-11-15 122366879 ADVANCED REFUNDING CONSTRUCTION false false false B SEE PART VI 2017-08-03 260085000 CONSTRUCTION/REFUNDING false false false C SEE PART VI 2017-08-03 611463388 CONSTRUCTION/REFUNDING false false false D COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 581147004 190813SC0 2020-08-06 93340000 CONSTRUCTION/REFUNDING false false false A 31080000 0 122366879 0 0 0 1079370 0 0 0 121287509 0 false true true true B 24745000 0 260085000 0 0 0 705000 0 0 0 259380000 0 true true true true C 26175000 0 611463388 0 7591948 0 4012203 0 0 110819958 489039279 0 true true true true D 0 0 93340000 0 0 0 805422 0 0 0 0 92534578 true false false true A false true true false false 0 false false false true B false true true false false 0.01400 0.01400 false false false true C false true true false false 0.01250 0.01250 false false false true D false true true false false 0 false false false true A false true false false 0 false 0 false B false true true false 0 false 0 false C false true false false 0 false 0 false D false true false false 0 false 0 false A true B true C true D true A Cobb County Kennestone Hospital Authority 581147004 190813SY2 2021-01-04 89661453 CONSTRUCTION/REFUNDING false false false B DEVELOPMENT AUTHORIY OF FULTON COUNTY 581506878 36005GAZ6 2020-08-06 70165000 CONSTRUCTION/REFUNDING false false false A 0 0 89661453 0 0 0 629141 0 0 0 0 89032312 false false false true B 0 0 70165000 0 0 0 791421 0 0 0 0 69373579 true false false true A false true true false false 0 false false false true B false true true false false 0 false false false true A false true false false 0 false 0 false B false true false false 0 false 0 false A true B true JENNIFER HANEY DAUGHTER-IN-LAW OF OFFICER 131891 EMPLOYEE OF WELLSTAR false CARL GOOLSBY JR MD HUSBAND OF OFFICER 507049 EMPLOYEE OF WELLSTAR false BRANDY N CROSS MD DAUGHTER OF BOARD MEMBER 439867 EMPLOYEE OF WELLSTAR false LAWRENCE ROWLEY MD HUSBAND OF BOARD MEMBER/OFFICER 446097 EMPLOYEE OF WELLSTAR false SHEILA ROBINSON MD WIFE OF BOARD MEMBER 434129 EMPLOYEE OF WELLSTAR false RACHEL GARNER GRANDDAUGHTER OF BOARD MEMBER 38258 EMPLOYEE OF WELLSTAR false SAMANTHA ROS DAUGHTER-IN-LAW OF BOARD MEMBER 127377 EMPLOYEE OF WELLSTAR false JOSEPH BURNS MD FATHER-IN-LAW OF BOARD MEMBER 692963 EMPLOYEE OF WELLSTAR false BROOK HURST CHILD OF BOARD MEMBER 32613 EMPLOYEE OF WELLSTAR false SCHEDULE L, PART IV, LINES 1-7 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. 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. 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GA WGHS INC C CORP false WELLSTAR HEALTH PLAN INC 793 SAWYER ROAD MARIETTA GA 300622222 461922499 HEALTH INSURANCE GA WHS INC C CORP -180866 4047857 1.00000 true false false false false false false false true true true true true true true true true true true true COBB HOSPITAL INC Q 102091787 ACTUAL COST DOUGLAS HOSPITAL INC Q 31010373 ACTUAL COST KENNESTONE HOSPITAL INC Q 184203729 ACTUAL COST PAULDING MEDICAL CENTER INC Q 33045926 ACTUAL COST WELLSTAR NORTH FULTON HOSPITAL INC Q 29856263 ACTUAL COST WELLSTAR ATLANTA MEDICAL CENTER INC Q 62408536 ACTUAL COST WELLSTAR SPALDING REGIONAL HOSPITAL INC Q 23378242 ACTUAL COST WELLSTAR SYLVAN GROVE HOSPITAL INC Q 2078851 ACTUAL COST WEST GEORGIA MEDICAL CENTER INC Q 29455156 ACTUAL COST SCHEDULE R, PART V, LINE 2 The dollar amounts reported on Form 990, Schedule R, Part V, Line 2 for WellStar Health System, Inc. include the overhead allocations to affiliates and consists of the following types of transactions as listed in Line 1 (a-r): h) Exchange of Assets, i) Lease of facilities, equipment, or other assets to other 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).