WELLSTAR HEALTH SYSTEM INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- WELLSTAR HEALTH SYSTEM INC (EIN 58-1649541)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201821359349311952
- Schema version
- 2016v3.1
- 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 C
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T16:07:57-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | 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 | 2016-07-01 | 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 | 2018-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOANNE KRUEGER | PreparerPersonNm |
| PTIN | P01235586 | PTIN |
| Phone | 2673303000 | PhoneNum |
| Preparation | 2018-05-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | 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 | $1,137,650,281 | 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 | TO DELIVER WORLD-CLASS CHARITABLE HEALTHCARE TO THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 5814 | TotalEmployeeCnt |
| Total Volunteers | 125 | TotalVolunteersCnt |
| Total Gross UBI | $1,409,669 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$148,420 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $896,062,377 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,064,653,221 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$8,514,386 | PYInvestmentIncomeAmt |
| CY Investment Income | $63,329,941 | CYInvestmentIncomeAmt |
| PY Other Revenue | $34,042,235 | PYOtherRevenueAmt |
| CY Other Revenue | $9,667,119 | CYOtherRevenueAmt |
| PY Total Revenue | $921,590,226 | PYTotalRevenueAmt |
| CY Total Revenue | $1,137,650,281 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,834,237 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,985,543 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $554,581,049 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $636,430,196 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,225,055 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $293,950,917 | PYOtherExpensesAmt |
| CY Other Expenses | $293,304,981 | CYOtherExpensesAmt |
| PY Total Expenses | $850,366,203 | PYTotalExpensesAmt |
| CY Total Expenses | $931,720,720 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $71,224,023 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $205,929,561 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,455,522,653 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,705,732,664 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,276,480,141 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,249,625,127 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,179,042,512 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,456,107,537 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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 THAT WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $659,765,674 | ExpenseAmt |
| Grant | $1,985,543 | GrantAmt |
| Revenue | $1,064,653,221 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $659,765,674 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| 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 | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 |
| Employee | 5814 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 (99 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| AMBICA YADAV | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $0 | $0 | $0 | |||
| AVRIL P BECKFORD MD | |||||||||
| TRUSTEE & CHIEF PEDIATRIC OFF. | 37.0 | 13.0 | Yes (X) | $501,784 | $0 | $30,198 | Yes (X) | ||
| CHARLES J JONES | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $8,672 | $0 | $0 | |||
| DAVID H HAFNER MD | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $48,713 | $0 | $0 | |||
| FRANK ROS | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $4,406 | $0 | $0 | |||
| GARY A MILLER | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $5,340 | $0 | $0 | |||
| GREG MORGAN | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $3,063 | $0 | $0 | |||
| H SPEER BURDETTE III | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $1,906 | $0 | $0 | |||
| JEFFREY L THARP MD MPH | |||||||||
| TRUSTEE & CHIEF MEDICINE SRVS | 37.0 | 13.0 | Yes (X) | $493,911 | $0 | $79,677 | Yes (X) | ||
| MICHAEL B PATTON | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $1,563 | $0 | $0 | |||
| MITZI MOORE | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $13,175 | $0 | $0 | |||
| O SCOTT SWAYZE MD | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $6,445 | $0 | $0 | |||
| OTIS A BRUMBY III | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $40,016 | $0 | $0 | |||
| PAUL DOUGLASS MD | |||||||||
| TRUSTEE & PHYSICIAN | 37.0 | 13.0 | Yes (X) | $329,713 | $0 | $20,355 | |||
| R RANDALL BENTLEY SR ESQ | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $41,484 | $0 | $0 | |||
| ROBERT N CROSS MD | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $24,103 | $0 | $0 | |||
| T FITZ JOHNSON | |||||||||
| TRUSTEE | 1.0 | 15.0 | Yes (X) | $35,232 | $0 | $0 | |||
| THOMAS M PHILLIPS | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $2,518 | $0 | $0 | |||
| W CHARLES BROCK | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $42,532 | $0 | $0 | |||
| WALTER G ROBINSON | |||||||||
| TRUSTEE | 1.0 | 13.0 | Yes (X) | $6,071 | $0 | $0 | |||
| ALAN R MUSTER MD | |||||||||
| SVP SPECIALTY DIVISION WMG | 37.0 | 15.0 | $633,636 | $0 | $80,751 | Yes (X) | |||
| AMY ELLEN F CARRIER | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | $0 | $448,600 | $59,115 | Yes (X) | |||
| ANDREW ALBERRY | |||||||||
| VP INFO TECH OPS (BEG. 6/2017) | 37.0 | 13.0 | $0 | $0 | $0 | Yes (X) | |||
| ANTHONY J BUDZINSKI | |||||||||
| EVP & CFO | 37.0 | 15.0 | $914,834 | $0 | $76,606 | Yes (X) | |||
| ANTHONY M TRUPIANO | |||||||||
| SVP SUPPLY CHAIN | 37.0 | 13.0 | $388,370 | $0 | $49,435 | Yes (X) | |||
| BARBARA B COREY | |||||||||
| SVP MANAGED CARE | 37.0 | 13.0 | $420,994 | $0 | $41,706 | Yes (X) | |||
| BETH KOST | |||||||||
| SVP COMPLIANCE CHF PRIVACY OFF | 37.0 | 13.0 | $363,421 | $0 | $37,830 | Yes (X) | |||
| BETHANY ROBERTSON | |||||||||
| VP & CHIEF LEARNING OFFICER | 37.0 | 13.0 | $246,707 | $0 | $44,872 | Yes (X) | |||
| BRADFORD B NEWTON | |||||||||
| VP INFO. TECHNOLOGY ADMIN. | 37.0 | 13.0 | $286,933 | $0 | $50,759 | Yes (X) | |||
| BRUCE A DEAN | |||||||||
| VP R.E.DEP.GEN CNSL(END.1/17) | 37.0 | 13.0 | $577,268 | $0 | $72,918 | Yes (X) | |||
| CANDICE L SAUNDERS | |||||||||
| PRESIDENT & CEO | 37.0 | 15.0 | $2,113,106 | $0 | $77,581 | Yes (X) | |||
| CARRIE O PLIETZ | |||||||||
| EVP & COO HOSPITAL DIVISION | 37.0 | 13.0 | $697,120 | $0 | $43,856 | Yes (X) | |||
| CRAIG OWENS | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | $0 | $381,231 | $51,799 | Yes (X) | |||
| DANIEL J WOODS | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | $0 | $605,035 | $76,890 | Yes (X) | |||
| DAVID W ANDERSON | |||||||||
| EVP/HR/OL/COO | 37.0 | 13.0 | $849,012 | $0 | $74,463 | Yes (X) | |||
| DEBORAH C KEEL | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | $0 | $337,346 | $44,840 | Yes (X) | |||
| DONALD CAMPBELL MD | |||||||||
| SVP PE & STUDENT AFF(END 4/17) | 37.0 | 13.0 | $72,782 | $0 | $0 | Yes (X) | |||
| DOUGLAS ARVIN CPA MBA | |||||||||
| SVP FINANCE (BEG. 4/2016) | 37.0 | 13.0 | $318,704 | $0 | $14,600 | Yes (X) | |||
| DOUGLAS S FOSTER | |||||||||
| VP FINANCIAL PLAN. (END. 6/17) | 37.0 | 13.0 | $178,547 | $0 | $5,853 | Yes (X) | |||
| ELIZABETH H LOUDERMILK | |||||||||
| VP ENT INTELLIGENCE & INTGRTN | 37.0 | 13.0 | $294,876 | $0 | $47,586 | Yes (X) | |||
| ELIZABETH PAPETTI | |||||||||
| VP OPS HOSP. DIV.(BEG.12/2016) | 37.0 | 13.0 | $202,923 | $0 | $1,985 | Yes (X) | |||
| ELLEN LANGFORD | |||||||||
| SVP & COO | 37.0 | 13.0 | $335,511 | $0 | $75,412 | Yes (X) | |||
| FREDA LYON | |||||||||
| VP SYSTEM EMERGENCY SERVICES | 37.0 | 13.0 | $221,587 | $0 | $35,147 | Yes (X) | |||
| GERALD N FULKS | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | $0 | $485,399 | $5,177 | Yes (X) | |||
| JAMES M SWARTZ | |||||||||
| VP ACCOUNTING | 37.0 | 13.0 | $274,133 | $0 | $45,700 | Yes (X) | |||
| JASON STEVENS | |||||||||
| VP DEPUTY GEN CNSL (BEG. 2/17) | 37.0 | 13.0 | $0 | $0 | $0 | Yes (X) | |||
| JENNIFER GIUSTI | |||||||||
| VP CLNCL. OUTCOMES(BEG.3/2017) | 37.0 | 13.0 | $0 | $0 | $0 | Yes (X) | |||
| JENNIFER GARBER | |||||||||
| VP HR (BEG. 5/2017) | 37.0 | 13.0 | $0 | $0 | $0 | Yes (X) | |||
| JILL M CASE-WIRTH | |||||||||
| SVP NURSING SERVICES | 37.0 | 13.0 | $435,891 | $0 | $58,077 | Yes (X) | |||
| JIMMY E FRANCIS | |||||||||
| VP INFO TECH. OPS (END. 12/16) | 37.0 | 13.0 | $272,960 | $0 | $40,309 | Yes (X) | |||
| JOHN A BRENNAN | |||||||||
| EVP CHIEF CLNC. INTG. OFFICER | 37.0 | 13.0 | $893,160 | $0 | $23,360 | Yes (X) | |||
| JONATHAN CROOM | |||||||||
| SVP & HOSPITAL PRES.(BEG.4/17) | 2.0 | 48.0 | $0 | $0 | $0 | Yes (X) | |||
| JONATHAN B MORRIS MD | |||||||||
| SVP CHIEF INFO. OFF.(END 3/17) | 37.0 | 13.0 | $882,549 | $0 | $54,516 | Yes (X) | |||
| JOSEPH L BRYWCZYNSKI | |||||||||
| SVP HEALTH PARKS DEVELOPMENT | 37.0 | 13.0 | $434,177 | $0 | $72,826 | Yes (X) | |||
| KEITH BOWERMASTER | |||||||||
| VP COMMUNICATIONS (BEG.2/2017) | 37.0 | 13.0 | $0 | $0 | $0 | Yes (X) | |||
| KEM M MULLINS | |||||||||
| EVP AMBULATORY & BUS. DEV. | 37.0 | 13.0 | $840,741 | $0 | $54,100 | Yes (X) | |||
| KENT HAYTHORN | |||||||||
| VP CLNCL. NURSING (BEG.4/2017) | 37.0 | 13.0 | $0 | $0 | $0 | Yes (X) | |||
| KEVIN SCHAEFFER MD | |||||||||
| VP ONCOLOGY (BEG. 12/2016) | 37.0 | 13.0 | $0 | $0 | $0 | Yes (X) | |||
| KIMBERLY J RYAN | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | $0 | $345,523 | $34,974 | Yes (X) | |||
| KIMBERLY TAACA | |||||||||
| VP OPS SPEC. DIV. (BEG.3/2017) | 37.0 | 13.0 | $0 | $0 | $0 | Yes (X) | |||
| KIMBERLY W MENEFEE | |||||||||
| SVP STRATEGIC COMM. DEVELOP. | 37.0 | 15.0 | $394,712 | $0 | $51,363 | Yes (X) | |||
| KRISTEN S TRICE | |||||||||
| VP DIAGNOSTIC OUTREACH | 37.0 | 13.0 | $205,555 | $0 | $36,989 | Yes (X) | |||
| KRISTYN M GREIFER MD | |||||||||
| VP POP. MGMT. (END. 6/2016) | 37.0 | 13.0 | $177,787 | $0 | $7,297 | Yes (X) | |||
| LEO E REICHERT | |||||||||
| EVP & GENERAL COUNSEL | 37.0 | 13.0 | $808,514 | $0 | $64,680 | Yes (X) | |||
| MARCUS P CHARLSON MD | |||||||||
| VP SURGERY | 37.0 | 13.0 | $136,340 | $0 | $13,465 | Yes (X) | |||
| MARY L TAVERNARO | |||||||||
| VP HUMAN RESOURCES OPERATIONS | 37.0 | 13.0 | $291,022 | $0 | $51,368 | Yes (X) | |||
| MAXWELL KAGAN | |||||||||
| VP FINANCE & CFO (BEG. 4/2017) | 37.0 | 13.0 | $0 | $0 | $0 | Yes (X) | |||
| MICHELLE M ROBINSON | |||||||||
| VP MKTNG./PR/INTERNAL COMM. | 37.0 | 13.0 | $291,537 | $0 | $43,884 | Yes (X) | |||
| MONTE A WILSON | |||||||||
| SVP HOSP PRES & POST ACUTE SVC | 2.0 | 48.0 | $0 | $393,322 | $26,203 | Yes (X) | |||
| PETER R JUNGBLUT MD MBA | |||||||||
| SVP & MEDICAL DIRECTOR | 37.0 | 13.0 | $537,169 | $0 | $77,857 | Yes (X) | |||
| REBECCA L RUHL | |||||||||
| VP FACILITY COMPLIANCE OPS | 37.0 | 13.0 | $110,585 | $0 | $18,603 | Yes (X) | |||
| REYNOLD J JENNINGS MD | |||||||||
| CHIEF STRATEGY OFF.(END. 1/17) | 37.0 | 13.0 | $288,675 | $0 | $79 | Yes (X) | |||
| RICHARD S SIEGEL | |||||||||
| VP CARDIOLOGY & CVM ADMIN. | 37.0 | 13.0 | $372,323 | $0 | $58,796 | Yes (X) | |||
| ROBERT J DECOUX | |||||||||
| VP CORPORATE MED STAFF SVCS | 37.0 | 13.0 | $224,102 | $0 | $47,704 | Yes (X) | |||
| ROBERT MANDLER | |||||||||
| VP DIAG. OUTREACH (END. 1/17) | 37.0 | 13.0 | $307,320 | $0 | $63,818 | Yes (X) | |||
| ROBIN G BOEHRINGER | |||||||||
| VP TOTAL REWARDS | 37.0 | 13.0 | $215,659 | $0 | $25,819 | Yes (X) | |||
| SANDRA LUCIUS | |||||||||
| VP INFO TECHNOLOGY APPS | 37.0 | 13.0 | $270,147 | $0 | $49,145 | Yes (X) | |||
| SEAN P TURNER | |||||||||
| VP REVENUE CYCLE MANAGEMENT | 37.0 | 13.0 | $341,777 | $0 | $51,093 | Yes (X) | |||
| SNEHAL H DOSHI | |||||||||
| VP SYSTEM PHARMACIST | 37.0 | 13.0 | $237,787 | $0 | $46,552 | Yes (X) | |||
| SONYA E ALDY | |||||||||
| VP TALENT ACQ. (BEG. 10/2016) | 37.0 | 13.0 | $94,689 | $0 | $3,035 | Yes (X) | |||
| STEPHEN L BADGER | |||||||||
| SVP CHIEF ADMIN. OFFICER | 37.0 | 13.0 | $747,938 | $0 | $70,962 | Yes (X) | |||
| STEPHEN VAULT | |||||||||
| VP BUSINESS DEV. (BEG.10/2016) | 37.0 | 13.0 | $59,811 | $0 | $1,661 | Yes (X) | |||
| TAMARA D ISON | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | $0 | $225,048 | $35,944 | Yes (X) | |||
| TIMOTHY HANEY | |||||||||
| SVP & HOSPITAL PRESIDENT | 2.0 | 48.0 | $0 | $401,880 | $54,376 | Yes (X) | |||
| TIMOTHY L MASEK | |||||||||
| VP FINANCE & CFO(END. 8/2016) | 37.0 | 13.0 | $7,149 | $0 | $0 | Yes (X) | |||
| TOM BONIECKI | |||||||||
| VP MUSCULSKELETAL NEURO. | 37.0 | 13.0 | $164,617 | $0 | $64,340 | Yes (X) | |||
| VALERY A AKOPOV MD | |||||||||
| SVP HOSPITAL DIVISION WMG | 37.0 | 13.0 | $630,442 | $0 | $56,054 | Yes (X) | |||
| VARMA RAMESWAR MD | |||||||||
| VP PEDIATRIC OPS.(BEG.10/2016) | 37.0 | 13.0 | $197,012 | $0 | $51,337 | Yes (X) | |||
| YVETTE BREWER MD | |||||||||
| VP PRIMARY CARE (BEG. 12/2016) | 37.0 | 13.0 | $192,442 | $0 | $51,446 | Yes (X) | |||
| AHMAD KHALDI MD | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,389,576 | $0 | $53,804 | Yes (X) | |||
| ANDREW K JOHNSON MD | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,432,819 | $0 | $51,100 | Yes (X) | |||
| MARK P MCLAUGHLIN MD | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 2.0 | $1,567,012 | $0 | $25,498 | Yes (X) | |||
| RICHARD MYUNG MD | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,317,175 | $0 | $59,387 | Yes (X) | |||
| RISHI GUPTA MD | |||||||||
| MD PHYSICIAN GROUP | 50.0 | 0.0 | $1,360,071 | $0 | $74,891 | Yes (X) | |||
| JANIE MADDOX | |||||||||
| FORMER TRUSTEE | 0.0 | 0.0 | $10,379 | $0 | $0 | Yes (X) | |||
| STEVEN OWEIDA MD | |||||||||
| FORMER TRUSTEE | 0.0 | 0.0 | $43,587 | $0 | $0 | Yes (X) | |||
| TE RUSTY DURHAM | |||||||||
| FORMER TRUSTEE | 0.0 | 0.0 | $11,192 | $0 | $0 | Yes (X) | |||
| ROBERT D JANSEN MD | |||||||||
| FORMER EVP & PRES. MED. GROUP | 0.0 | 0.0 | $169,219 | $0 | $0 | Yes (X) | |||
| WANDA Y ROBINSON | |||||||||
| FORMER VP COMPLIANCE | 0.0 | 0.0 | $130,109 | $0 | $10,837 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $29,496,839 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,623,384 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,982,660 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1136 | 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 |
|---|---|---|---|---|---|
| CONIFER HEALTH SOLUTIONS | |||||
| PO BOX 655025 | DALLAS | TX | 752655025 | COLLECTIONS | $37,722,260 |
| ALLEGIS GROUP HOLDINGS INC | |||||
| PO BOX 198568 | ATLANTA | GA | 303848568 | CONTRACT LABOR | $16,313,572 |
| DELOITTE CONSULTING LLP | |||||
| PO BOX 844717 | DALLAS | TX | 752844717 | CONSULTING | $13,032,865 |
| PRESIDIO NETWORKED SOLUTIONS | |||||
| PO BOX 822169 | PHILADELPHIA | PA | 191822169 | INFORMATION SERVICES | $11,909,833 |
| PT SOLUTIONS HOLDINGS | |||||
| PO BOX 441146 | KENNESAW | GA | 30160 | MEDICAL | $10,028,274 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 382 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621990 | $385,832,003 | $385,832,003 |
| COBB COUNTY DETENTION CENTER | 621990 | $5,884,803 | $5,884,803 |
| EQUITY IN EARNINGS OF HOSP AFFILIATES | 621990 | $347,976,183 | $347,976,183 |
| SHARED SERVICES COSTS RECOUPMENT | 621990 | $322,944,685 | $322,944,685 |
| WELLNESS CENTER | 621400 | $2,015,547 | $2,015,547 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,064,653,221 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,936,522 | TotalRevenueColumnAmt |
| Exclusion | $62,936,522 | 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 | $153,625 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $153,625 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $153,625 | TotalRevenueColumnAmt |
| Exclusion | $153,625 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $393,419 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $393,419 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $393,419 | TotalRevenueColumnAmt |
| Exclusion | $393,419 | 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 | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| LAUNDRY | 812300 | $1,409,669 | $1,409,669 | |
| CHILDCARE REVENUE | 621990 | $1,963,448 | $1,963,448 | |
| OTHER REVENUE | 621990 | $6,140,377 | $6,140,377 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,513,494 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,137,650,281 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,064,653,221 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,409,669 | UnrelatedBusinessRevenueAmt |
| Exclusion | $71,587,391 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,985,543 | TotalAmt |
| Program Services | $1,985,543 | 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 | $30,716,988 | TotalAmt |
| Program Services | $24,681,093 | ProgramServicesAmt |
| Management And General | $5,825,454 | ManagementAndGeneralAmt |
| Fundraising | $210,441 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,216 | TotalAmt |
| Program Services | $102,573 | ProgramServicesAmt |
| Management And General | $25,643 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $502,001,813 | TotalAmt |
| Program Services | $409,089,537 | ProgramServicesAmt |
| Management And General | $92,032,962 | ManagementAndGeneralAmt |
| Fundraising | $879,314 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,803,398 | TotalAmt |
| Program Services | $25,083,207 | ProgramServicesAmt |
| Management And General | $5,658,584 | ManagementAndGeneralAmt |
| Fundraising | $61,607 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,658,595 | TotalAmt |
| Program Services | $33,437,719 | ProgramServicesAmt |
| Management And General | $8,138,750 | ManagementAndGeneralAmt |
| Fundraising | $82,126 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,121,186 | TotalAmt |
| Program Services | $25,341,982 | ProgramServicesAmt |
| Management And General | $5,716,962 | ManagementAndGeneralAmt |
| Fundraising | $62,242 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,268,678 | TotalAmt |
| Program Services | $453,994 | ProgramServicesAmt |
| Management And General | $3,814,684 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,851,955 | TotalAmt |
| Program Services | $38,359 | ProgramServicesAmt |
| Management And General | $4,813,596 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,600 | TotalAmt |
| Management And General | $462,600 | 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 | $60,756,132 | TotalAmt |
| Program Services | $48,160,657 | ProgramServicesAmt |
| Management And General | $12,104,980 | ManagementAndGeneralAmt |
| Fundraising | $490,495 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,855,796 | TotalAmt |
| Program Services | $3,153,520 | ProgramServicesAmt |
| Management And General | $5,561,294 | ManagementAndGeneralAmt |
| Fundraising | $140,982 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,811,564 | TotalAmt |
| Program Services | $7,837,900 | ProgramServicesAmt |
| Management And General | $3,871,603 | ManagementAndGeneralAmt |
| Fundraising | $102,061 | 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 | $34,651,925 | TotalAmt |
| Program Services | $24,728,113 | ProgramServicesAmt |
| Management And General | $9,915,214 | ManagementAndGeneralAmt |
| Fundraising | $8,598 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,826,679 | TotalAmt |
| Program Services | $1,509,048 | ProgramServicesAmt |
| Management And General | $1,292,377 | ManagementAndGeneralAmt |
| Fundraising | $25,254 | 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 | $3,348,070 | TotalAmt |
| Program Services | $1,374,248 | ProgramServicesAmt |
| Management And General | $1,962,008 | ManagementAndGeneralAmt |
| Fundraising | $11,814 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $683,443 | TotalAmt |
| Management And General | $683,443 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,650,696 | TotalAmt |
| Program Services | $7,914,735 | ProgramServicesAmt |
| Management And General | $43,722,164 | ManagementAndGeneralAmt |
| Fundraising | $13,797 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,080,373 | TotalAmt |
| Program Services | $13,287,452 | ProgramServicesAmt |
| Management And General | $28,792,921 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| REPAIRS & MAINTENANCE | $36,413,415 | $3,632,233 | $32,767,414 | $13,768 |
| MEDICAL SUPPLIES | $21,873,955 | $27,499,767 | -$5,748,282 | $122,470 |
| CUSTOMER RELATIONSHIP MGMT. | $287,259 | $0 | $287,259 | $0 |
| RECRUITMENT | $3,981,420 | $453,994 | $3,527,426 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,501,021 | TotalAmt |
| Management And General | $4,500,935 | ManagementAndGeneralAmt |
| Fundraising | $86 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $931,720,720 | TotalAmt |
| Program Services | $659,765,674 | ProgramServicesAmt |
| Management And General | $269,729,991 | ManagementAndGeneralAmt |
| Fundraising | $2,225,055 | 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 | $38,358,341 | BOYAmt |
| EOY | $77,240,416 | 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 | $32,875,608 | BOYAmt |
| EOY | $34,115,776 | 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 | $9,622,214 | BOYAmt |
| EOY | $11,192,080 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,815,703 | BOYAmt |
| EOY | $38,343,221 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $713,994,293 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $414,481,148 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,925,501 | BOYAmt |
| EOY | $299,513,145 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $791,079,030 | BOYAmt |
| EOY | $943,641,099 | 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 | $1,238,846,256 | BOYAmt |
| EOY | $1,301,686,927 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,455,522,653 | BOYAmt |
| EOY | $2,705,732,664 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,914,343 | BOYAmt |
| EOY | $262,369,804 | 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 | $472,106,309 | BOYAmt |
| EOY | $461,355,638 | 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 | $561,459,489 | BOYAmt |
| EOY | $525,899,685 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,276,480,141 | BOYAmt |
| EOY | $1,249,625,127 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,135,715,379 | BOYAmt |
| EOY | $1,411,558,268 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,999,339 | BOYAmt |
| EOY | $28,366,440 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,327,794 | BOYAmt |
| EOY | $16,182,829 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,179,042,512 | BOYAmt |
| EOY | $1,456,107,537 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,455,522,653 | BOYAmt |
| EOY | $2,705,732,664 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $205,929,561 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$63,329,941 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $134,465,405 | 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 | false | FederalGrantAuditRequiredInd |
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) | $65,938,234 | $0 |
| PAULDING MEDICAL CENTER INC | ||||
| 582095884 | 3 | Yes (true) | $24,540,766 | $0 |
| KENNESTONE HOSPITAL INC | ||||
| 582032904 | 3 | Yes (true) | $148,894,180 | $0 |
| DOUGLAS HOSPITAL INC | ||||
| 582026750 | 3 | Yes (true) | $25,133,346 | $0 |
| WELLSTAR ATLANTA MEDICAL CENTER INC | ||||
| 810837031 | 3 | Yes (true) | $6,934,133 | $0 |
| WELLSTAR SPALDING REGIONAL HOSPITAL INC | ||||
| 810864789 | 3 | Yes (true) | $2,426,180 | $0 |
| WELLSTAR SYLVAN GROVE HOSPITAL INC | ||||
| 810875069 | 3 | Yes (true) | $197,238 | $0 |
| WELLSTAR NORTH FULTON HOSPITAL INC | ||||
| 810851756 | 3 | Yes (true) | $3,428,814 | $0 |
| WEST GEORGIA MEDICAL CENTER INC | ||||
| 205497506 | 3 | Yes (true) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 9 | SupportedOrganizationsTotalCnt |
| Support Sum | $277,492,891 | SupportSumAmt |
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 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 | $1,500 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $1,000 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $277,764 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | Yes (true) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $17,935 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $645,135 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $943,334 | 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 | $6,832,000 | BeginningYearBalanceAmt |
| Contributions | $67,000 | ContributionsAmt |
| Investment Earnings Or Losses | $786,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,685,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,611,000 | BeginningYearBalanceAmt |
| Contributions | $127,000 | ContributionsAmt |
| Investment Earnings Or Losses | $94,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,832,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,485,000 | BeginningYearBalanceAmt |
| Contributions | $64,000 | ContributionsAmt |
| Investment Earnings Or Losses | $62,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,611,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,915,000 | BeginningYearBalanceAmt |
| Contributions | $771,000 | ContributionsAmt |
| Investment Earnings Or Losses | $799,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,485,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,286,000 | BeginningYearBalanceAmt |
| Contributions | $162,000 | ContributionsAmt |
| Investment Earnings Or Losses | $467,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,915,000 | 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 | $44,643,899 | OtherCostOrOtherBasisAmt |
| Book Value | $44,643,899 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $127,311,034 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,237,604 | DepreciationAmt |
| Book Value | $67,073,430 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,653,936 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,824,641 | DepreciationAmt |
| Book Value | $4,829,295 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $519,999,768 | OtherCostOrOtherBasisAmt |
| Depreciation | $340,023,113 | DepreciationAmt |
| Book Value | $179,976,655 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,385,656 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,395,790 | DepreciationAmt |
| Book Value | $2,989,866 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $299,513,145 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| EQUITY IN AFFILIATES | $1,212,022,615 |
| OTHER RECEIVABLES | $79,889,808 |
| OTHER LONG TERM ASSETS | $9,774,504 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,301,686,927 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION LIABILITY | $351,685,433 |
| INSURANCE RESERVES | $124,647,455 |
| OTHER LT LIABILITIES | $31,453,932 |
| SWAP CONTRACT 2005 ISSUE LT LIAB. | $17,360,298 |
| ASSET RETIREMENT OBLIGATIONS LT | $752,567 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $525,899,685 | 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 FIN 48 (ASC 740): WELLSTAR AND ITS AFFILIATES HAVE BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3), AND THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES, EXCEPT FOR CAC AND WGHP, A TAXABLE NOT-FOR-PROFIT. 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 ENTITYS FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON WELLSTARS COMBINED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (33 entries)
| Address Line1USAddress/AddressLine1Txt | 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 | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| American Cancer Society | |||||||||||
| 1825 BARRETT LAKES BLVD STE 280 | KENNESAW | GA | 30144 | 580659875 | 501(C)(3) | $122,500 | FMV | N/A | SPONSORSHIP | ||
| American Diabetes Association | |||||||||||
| 1701 N BEAUREGARD STREET | ALEXANDRIA | VA | 22311 | 131623888 | 501(C)(3) | $8,500 | FMV | N/A | SPONSORSHIP | ||
| Cherokee Chamber of Commerce | |||||||||||
| 3605 MARIETTA HWY PO BOX 4998 | CANTON | GA | 30114 | 581090796 | 501(C)(6) | $5,060 | FMV | N/A | SPONSORSHIP | ||
| CITY OF KENNESAW | |||||||||||
| 2529 JO STEPHENSON AVE | KENNESAW | GA | 30144 | 586000501 | GOV'T | $16,250 | FMV | N/A | SPONSORSHIP | ||
| Cobb Chamber of Commerce | |||||||||||
| PO BOX 671868 | MARIETTA | GA | 30061 | 586010582 | 501(C)(6) | $98,800 | FMV | N/A | SPONSORSHIP | ||
| Cobb County Board of Commissioners | |||||||||||
| 100 CHEROKEE STREET STE 400 | MARIETTA | GA | 30090 | 580198114 | 501(C)(6) | $7,500 | FMV | N/A | SPONSORSHIP | ||
| SUSAN G KOMEN BREAST CANCER FDN | |||||||||||
| 3525 PIEDMONT ROAD BUILDING 5 SUTI | ATLANTA | GA | 30305 | 581959763 | 501(C)(3) | $15,000 | FMV | N/A | SPONSORSHIP | ||
| LOVING ARMS CANCER OUTREACH | |||||||||||
| 833 CAMPBELL HILL ST SUITE 220 | MARIETTA | GA | 30060 | 450753116 | 501(C)(3) | $10,000 | FMV | N/A | SPONSORSHIP | ||
| MARCH OF DIMES | |||||||||||
| PO BOX 932852 | ATLANTA | GA | 311932852 | 131846366 | 501(C)(3) | $40,000 | FMV | N/A | SPONSORSHIP | ||
| MUST MINISTRIES | |||||||||||
| PO BOX 1717 | MARIETTA | GA | 30061 | 582034725 | 501(C)(3) | $40,000 | FMV | N/A | SPONSORSHIP | ||
| EAST COBB-MARIETTA ROTARY CLUB | |||||||||||
| 3436 SOMERSET TRACE | MARIETTA | GA | 30067 | 581654204 | 501(C)(4) | $7,500 | FMV | N/A | SPONSORSHIP | ||
| POSITIVE ATHLETE | |||||||||||
| 9055 FOREST PATH DR STE 200 | GAINESVILLE | GA | 20506 | 292198733 | $36,000 | FMV | N/A | SPONSORSHIP | $0 | ||
| TOWN CENTER AT COBB | |||||||||||
| 400 BARRETT PKWY STE 100 | KENNESAW | GA | 30144 | 743214411 | GOV'T | $5,250 | FMV | N/A | SPONSORSHIP | ||
| THE GOSHEN VALLEY FOUNDATION INC | |||||||||||
| 505 BROWN INDUSTRIAL PARKWAY | CANTON | GA | 30114 | 582361483 | 501(C)(3) | $27,500 | FMV | N/A | SPONSORSHIP | SUITE 200 | |
| LATIN AMERICAN ASSOCIATION | |||||||||||
| 2750 BUFORD HIGHWAY NE | ATLANTA | GA | 30324 | 581237316 | 501(C)(3) | $6,000 | FMV | N/A | SPONSORSHIP | ||
| AMERICAN HEART ASSOCIATION | |||||||||||
| 7272 GREENVILLE AVENUE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | $250,000 | FMV | N/A | SPONSORSHIP | ||
| ATLANTA BLAZE | |||||||||||
| 4012 KINGSTON COURT | MARIETTA | GA | 30067 | 473671706 | $38,550 | FMV | N/A | SPONSORSHIP | $0 | ||
| BOYS & GIRLS CLUB OF AMERICA | |||||||||||
| 1275 PEACHTREE ST NE | ATLANTA | GA | 30309 | 912117699 | 501(C)(3) | $7,250 | FMV | N/A | SPONSORSHIP | ||
| BRAVES STADIUM COMPANY | |||||||||||
| 755 BATTERY AVENUE SE | ATLANTA | AL | 30339 | $262,500 | FMV | N/A | SPONSORSHIP | ||||
| COBB COUNTY SENIOR SERVICES | |||||||||||
| PO BOX 649 | MARIETTA | GA | 30061 | 550912698 | 501(C)(6) | $10,000 | FMV | N/A | SPONSORSHIP | ||
| COBB COUNTY BRANCH- NAACP | |||||||||||
| 605 ROSWELL STREET | MARIETTA | GA | 30060 | 581644877 | 501(C)(3) | $20,000 | FMV | N/A | SPONSORSHIP | $0 | |
| GREATER NORTH FULTON CHAMBER OF COMMERCE | |||||||||||
| 11605 HAYNES BRIDGE RD STE 100 | ALPHARETTA | GA | 30061 | 581157316 | 501(C)(6) | $9,000 | FMV | N/A | SPONSORSHIP | ||
| KENNESAW STATE UNIVERSITY | |||||||||||
| 100 CHASTAIN ROAD | KENNESAW | GA | 30144 | $135,417 | FMV | N/A | SPONSORSHIP | ||||
| LAKEPOINT SPORTS | |||||||||||
| 755 HIGHWAY 293 | EMERSON | GA | 30137 | 452322479 | $187,500 | FMV | N/A | SPONSORSHIP | $0 | ||
| PAULDING COUNTY CHAMBER OF COMMERCE | |||||||||||
| 455 JIMMY CAMPBELL PARKWAY | DALLAS | GA | 30132 | 580945354 | 501(C)(6) | $8,500 | FMV | N/A | SPONSORSHIP | ||
| SAFEPATH CHILDREN'S ADVOCACY CENTER | |||||||||||
| 736 WHITLOCK AVENUE STE 600 | MARIETTA | GA | 30064 | 581662987 | 501(C)(3) | $10,000 | FMV | N/A | SPONSORSHIP | ||
| SERVICE LEAGUE OF CHEROKEE COUNTY | |||||||||||
| PO BOX 1132 | CANTON | GA | 30169 | 581685138 | 501(C)(3) | $15,000 | FMV | N/A | SPONSORSHIP | ||
| LIFE TOOLS COMMUNITY DEVELOPMENT CORP | |||||||||||
| 5457 CHAPEL HILL ROAD | DOUGLASVILLE | GA | 30315 | 270070164 | 501(C)(3) | $10,000 | FMV | N/A | SPONSORSHIP | ||
| THE CENTER FOR FAMILY RESOURCES | |||||||||||
| 995 ROSWELL ST NE | MARIETTA | GA | 30315 | 580876634 | 501(C)(3) | $7,500 | FMV | N/A | SPONSORSHIP | SUITE 100 | |
| THE TOMMY NOBIS CENTER INC | |||||||||||
| 1480 BELLS FERRY ROAD | MARIETTA | GA | 300666014 | 582080819 | 501(C)(3) | $25,000 | FMV | N/A | SPONSORSHIP | ||
| THE UNIVERSITY SYSTEM OF GA FOUNDATION INC | |||||||||||
| 270 WASHINGTON ST SW 7TH FL | ATLANTA | GA | 30334 | 586333106 | $10,000 | FMV | N/A | SPONSORSHIP | |||
| WME IMG HOLDINGS LLC | |||||||||||
| 540 NORTH TRADE ST | WINSTON SALEM | NC | 27101 | 800967078 | $544,888 | FMV | N/A | SPONSORSHIP | $0 | ||
| LIFESAFE RESOURCES INC | |||||||||||
| 48 HENDERSON STREET | MARIETTA | GA | 30064 | 580617782 | 501(C)(3) | $20,000 | FMV | N/A | SPONSORSHIP | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 19 | Total501c3OrgCnt |
| Total Other Org | 14 | 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 (66 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 | ||||||||||||||
| MD PHYSICIAN GROUP | $752,563 | $0 | $634,673 | $0 | $2,340 | $0 | $22,800 | $0 | $31,004 | $0 | $1,443,380 | $0 | $0 | $0 |
| ALAN R MUSTER MD | ||||||||||||||
| SVP SPECIALTY DIVISION WMG | $245,820 | $0 | $368,505 | $0 | $19,311 | $0 | $47,300 | $0 | $33,451 | $0 | $714,387 | $0 | $0 | $0 |
| AMY ELLEN F CARRIER | ||||||||||||||
| SVP & HOSPITAL PRESIDENT | $0 | $387,213 | $0 | $48,763 | $0 | $12,624 | $0 | $41,300 | $0 | $17,815 | $0 | $507,715 | $0 | $0 |
| ANDREW K JOHNSON MD | ||||||||||||||
| MD PHYSICIAN GROUP | $778,462 | $0 | $652,312 | $0 | $2,045 | $0 | $18,522 | $0 | $32,578 | $0 | $1,483,919 | $0 | $0 | $0 |
| ANTHONY J BUDZINSKI | ||||||||||||||
| EVP & CFO | $627,848 | $0 | $261,647 | $0 | $25,339 | $0 | $47,300 | $0 | $29,306 | $0 | $991,440 | $0 | $0 | $0 |
| ANTHONY M TRUPIANO | ||||||||||||||
| SVP SUPPLY CHAIN | $301,350 | $0 | $69,055 | $0 | $17,965 | $0 | $47,300 | $0 | $2,135 | $0 | $437,805 | $0 | $0 | $0 |
| AVRIL P BECKFORD MD | ||||||||||||||
| TRUSTEE & CHIEF PEDIATRIC OFF. | $251,638 | $0 | $281,281 | $0 | -$31,135 | $0 | $28,416 | $0 | $1,782 | $0 | $531,982 | $0 | $0 | $0 |
| BARBARA B COREY | ||||||||||||||
| SVP MANAGED CARE | $335,504 | $0 | $72,393 | $0 | $13,097 | $0 | $21,392 | $0 | $20,314 | $0 | $462,700 | $0 | $0 | $0 |
| BETH KOST | ||||||||||||||
| SVP COMPLIANCE CHF PRIVACY OFF | $295,632 | $0 | $55,726 | $0 | $12,063 | $0 | $22,418 | $0 | $15,412 | $0 | $401,251 | $0 | $0 | $0 |
| BETHANY ROBERTSON | ||||||||||||||
| VP & CHIEF LEARNING OFFICER | $197,371 | $0 | $35,029 | $0 | $14,307 | $0 | $14,762 | $0 | $30,110 | $0 | $291,579 | $0 | $0 | $0 |
| BRADFORD B NEWTON | ||||||||||||||
| VP INFO. TECHNOLOGY ADMIN. | $209,394 | $0 | $39,846 | $0 | $37,693 | $0 | $22,512 | $0 | $28,427 | $0 | $337,872 | $0 | $28,517 | $0 |
| BRUCE A DEAN | ||||||||||||||
| VP R.E.DEP.GEN CNSL(END.1/17) | $251,077 | $0 | $46,286 | $0 | $279,905 | $0 | $47,300 | $0 | $25,618 | $0 | $650,186 | $0 | $264,569 | $0 |
| CANDICE L SAUNDERS | ||||||||||||||
| PRESIDENT & CEO | $1,202,152 | $0 | $584,908 | $0 | $326,046 | $0 | $46,319 | $0 | $31,262 | $0 | $2,190,687 | $0 | $305,375 | $0 |
| CARRIE O PLIETZ | ||||||||||||||
| EVP & COO HOSPITAL DIVISION | $537,130 | $0 | $148,556 | $0 | $11,434 | $0 | $19,240 | $0 | $24,616 | $0 | $740,976 | $0 | $0 | $0 |
| CRAIG OWENS | ||||||||||||||
| SVP & HOSPITAL PRESIDENT | $0 | $293,779 | $0 | $74,209 | $0 | $13,243 | $0 | $29,300 | $0 | $22,499 | $0 | $433,030 | $0 | $0 |
| DANIEL J WOODS | ||||||||||||||
| SVP & HOSPITAL PRESIDENT | $0 | $412,173 | $0 | $88,922 | $0 | $103,940 | $0 | $47,300 | $0 | $29,590 | $0 | $681,925 | $0 | $88,688 |
| DAVID W ANDERSON | ||||||||||||||
| EVP/HR/OL/COO | $481,208 | $0 | $223,893 | $0 | $143,911 | $0 | $47,300 | $0 | $27,163 | $0 | $923,475 | $0 | $120,302 | $0 |
| DEBORAH C KEEL | ||||||||||||||
| SVP & HOSPITAL PRESIDENT | $0 | $326,423 | $0 | $0 | $0 | $10,923 | $0 | $27,800 | $0 | $17,040 | $0 | $382,186 | $0 | $0 |
| DOUGLAS ARVIN CPA MBA | ||||||||||||||
| SVP FINANCE (BEG. 4/2016) | $240,963 | $0 | $68,000 | $0 | $9,741 | $0 | $0 | $0 | $14,600 | $0 | $333,304 | $0 | $0 | $0 |
| DOUGLAS S FOSTER | ||||||||||||||
| VP FINANCIAL PLAN. (END. 6/17) | $147,125 | $0 | $25,000 | $0 | $6,422 | $0 | $0 | $0 | $5,853 | $0 | $184,400 | $0 | $0 | $0 |
| ELIZABETH H LOUDERMILK | ||||||||||||||
| VP ENT INTELLIGENCE & INTGRTN | $246,958 | $0 | $38,241 | $0 | $9,677 | $0 | $21,739 | $0 | $25,847 | $0 | $342,462 | $0 | $0 | $0 |
| ELIZABETH PAPETTI | ||||||||||||||
| VP OPS HOSP. DIV.(BEG.12/2016) | $171,398 | $0 | $30,184 | $0 | $1,341 | $0 | $0 | $0 | $1,985 | $0 | $204,908 | $0 | $0 | $0 |
| ELLEN LANGFORD | ||||||||||||||
| SVP & COO | $262,350 | $0 | $61,413 | $0 | $11,748 | $0 | $44,900 | $0 | $30,512 | $0 | $410,923 | $0 | $0 | $0 |
| FREDA LYON | ||||||||||||||
| VP SYSTEM EMERGENCY SERVICES | $180,001 | $0 | $31,256 | $0 | $10,330 | $0 | $13,259 | $0 | $21,888 | $0 | $256,734 | $0 | $0 | $0 |
| GERALD N FULKS | ||||||||||||||
| SVP & HOSPITAL PRESIDENT | $0 | $103,846 | $0 | $281,957 | $0 | $99,596 | $0 | $0 | $0 | $5,177 | $0 | $490,576 | $0 | $90,000 |
| JAMES M SWARTZ | ||||||||||||||
| VP ACCOUNTING | $223,163 | $0 | $41,974 | $0 | $8,996 | $0 | $18,992 | $0 | $26,708 | $0 | $319,833 | $0 | $0 | $0 |
| JANIE MADDOX | ||||||||||||||
| FORMER TRUSTEE | $10,379 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,379 | $0 | $0 | $0 |
| JEFFREY L THARP MD MPH | ||||||||||||||
| TRUSTEE & CHIEF MEDICINE SRVS | $317,599 | $0 | $266,590 | $0 | -$90,278 | $0 | $46,626 | $0 | $33,051 | $0 | $573,588 | $0 | $0 | $0 |
| JILL M CASE-WIRTH | ||||||||||||||
| SVP NURSING SERVICES | $343,262 | $0 | $77,269 | $0 | $15,360 | $0 | $46,830 | $0 | $11,247 | $0 | $493,968 | $0 | $0 | $0 |
| JIMMY E FRANCIS | ||||||||||||||
| VP INFO TECH. OPS (END. 12/16) | $222,789 | $0 | $40,245 | $0 | $9,926 | $0 | $37,002 | $0 | $3,307 | $0 | $313,269 | $0 | $0 | $0 |
| JOHN A BRENNAN | ||||||||||||||
| EVP CHIEF CLNC. INTG. OFFICER | $674,922 | $0 | $204,891 | $0 | $13,347 | $0 | $0 | $0 | $23,360 | $0 | $916,520 | $0 | $0 | $0 |
| JONATHAN B MORRIS MD | ||||||||||||||
| SVP CHIEF INFO. OFF.(END 3/17) | $411,050 | $0 | $94,664 | $0 | $376,835 | $0 | $25,934 | $0 | $28,582 | $0 | $937,065 | $0 | $362,682 | $0 |
| JOSEPH L BRYWCZYNSKI | ||||||||||||||
| SVP HEALTH PARKS DEVELOPMENT | $293,301 | $0 | $64,545 | $0 | $76,331 | $0 | $47,300 | $0 | $25,526 | $0 | $507,003 | $0 | $58,660 | $0 |
| KEM M MULLINS | ||||||||||||||
| EVP AMBULATORY & BUS. DEV. | $500,011 | $0 | $223,894 | $0 | $116,836 | $0 | $23,300 | $0 | $30,800 | $0 | $894,841 | $0 | $101,800 | $0 |
| KIMBERLY J RYAN | ||||||||||||||
| SVP & HOSPITAL PRESIDENT | $0 | $286,157 | $0 | $50,000 | $0 | $9,366 | $0 | $22,364 | $0 | $12,610 | $0 | $380,497 | $0 | $0 |
| KIMBERLY W MENEFEE | ||||||||||||||
| SVP STRATEGIC COMM. DEVELOP. | $307,070 | $0 | $73,247 | $0 | $14,395 | $0 | $29,300 | $0 | $22,063 | $0 | $446,075 | $0 | $0 | $0 |
| KRISTEN S TRICE | ||||||||||||||
| VP DIAGNOSTIC OUTREACH | $171,400 | $0 | $25,582 | $0 | $8,573 | $0 | $10,179 | $0 | $26,810 | $0 | $242,544 | $0 | $0 | $0 |
| KRISTYN M GREIFER MD | ||||||||||||||
| VP POP. MGMT. (END. 6/2016) | $164,970 | $0 | $7,500 | $0 | $5,317 | $0 | $2,100 | $0 | $5,197 | $0 | $185,084 | $0 | $0 | $0 |
| LEO E REICHERT | ||||||||||||||
| EVP & GENERAL COUNSEL | $549,786 | $0 | $241,549 | $0 | $17,179 | $0 | $29,300 | $0 | $35,380 | $0 | $873,194 | $0 | $0 | $0 |
| MARK P MCLAUGHLIN MD | ||||||||||||||
| MD PHYSICIAN GROUP | $793,108 | $0 | $770,862 | $0 | $3,042 | $0 | $0 | $0 | $25,498 | $0 | $1,592,510 | $0 | $0 | $0 |
| MARY L TAVERNARO | ||||||||||||||
| VP HUMAN RESOURCES OPERATIONS | $238,222 | $0 | $42,513 | $0 | $10,287 | $0 | $28,907 | $0 | $22,461 | $0 | $342,390 | $0 | $0 | $0 |
| MICHELLE M ROBINSON | ||||||||||||||
| VP MKTNG./PR/INTERNAL COMM. | $213,429 | $0 | $40,470 | $0 | $37,638 | $0 | $15,756 | $0 | $28,128 | $0 | $335,421 | $0 | $27,733 | $0 |
| MONTE A WILSON | ||||||||||||||
| SVP HOSP PRES & POST ACUTE SVC | $0 | $329,641 | $0 | $52,294 | $0 | $11,387 | $0 | $0 | $0 | $26,203 | $0 | $419,525 | $0 | $0 |
| PAUL DOUGLASS MD | ||||||||||||||
| TRUSTEE & PHYSICIAN | $317,284 | $0 | $9,755 | $0 | $2,674 | $0 | $14,135 | $0 | $6,220 | $0 | $350,068 | $0 | $0 | $0 |
| PETER R JUNGBLUT MD MBA | ||||||||||||||
| SVP & MEDICAL DIRECTOR | $332,259 | $0 | $50,250 | $0 | $154,660 | $0 | $47,300 | $0 | $30,557 | $0 | $615,026 | $0 | $141,932 | $0 |
| REYNOLD J JENNINGS MD | ||||||||||||||
| CHIEF STRATEGY OFF.(END. 1/17) | $37,500 | $0 | $250,415 | $0 | $760 | $0 | $0 | $0 | $79 | $0 | $288,754 | $0 | $0 | $0 |
| RICHARD MYUNG MD | ||||||||||||||
| MD PHYSICIAN GROUP | $984,477 | $0 | $329,969 | $0 | $2,729 | $0 | $41,300 | $0 | $18,087 | $0 | $1,376,562 | $0 | $0 | $0 |
| RICHARD S SIEGEL | ||||||||||||||
| VP CARDIOLOGY & CVM ADMIN. | $299,416 | $0 | $60,155 | $0 | $12,752 | $0 | $44,675 | $0 | $14,121 | $0 | $431,119 | $0 | $0 | $0 |
| RISHI GUPTA MD | ||||||||||||||
| MD PHYSICIAN GROUP | $792,772 | $0 | $564,959 | $0 | $2,340 | $0 | $41,300 | $0 | $33,591 | $0 | $1,434,962 | $0 | $0 | $0 |
| ROBERT D JANSEN MD | ||||||||||||||
| FORMER EVP & PRES. MED. GROUP | $0 | $0 | $0 | $0 | $169,219 | $0 | $0 | $0 | $0 | $0 | $169,219 | $0 | $0 | $0 |
| ROBERT J DECOUX | ||||||||||||||
| VP CORPORATE MED STAFF SVCS | $180,086 | $0 | $34,799 | $0 | $9,217 | $0 | $22,036 | $0 | $25,668 | $0 | $271,806 | $0 | $0 | $0 |
| ROBERT MANDLER | ||||||||||||||
| VP DIAG. OUTREACH (END. 1/17) | $223,912 | $0 | $38,881 | $0 | $44,527 | $0 | $46,646 | $0 | $17,172 | $0 | $371,138 | $0 | $22,391 | $0 |
| ROBIN G BOEHRINGER | ||||||||||||||
| VP TOTAL REWARDS | $185,699 | $0 | $22,056 | $0 | $7,904 | $0 | $16,979 | $0 | $8,840 | $0 | $241,478 | $0 | $0 | $0 |
| SANDRA LUCIUS | ||||||||||||||
| VP INFO TECHNOLOGY APPS | $216,590 | $0 | $40,958 | $0 | $12,599 | $0 | $46,550 | $0 | $2,595 | $0 | $319,292 | $0 | $0 | $0 |
| SEAN P TURNER | ||||||||||||||
| VP REVENUE CYCLE MANAGEMENT | $269,888 | $0 | $62,153 | $0 | $9,736 | $0 | $21,724 | $0 | $29,369 | $0 | $392,870 | $0 | $0 | $0 |
| SNEHAL H DOSHI | ||||||||||||||
| VP SYSTEM PHARMACIST | $190,008 | $0 | $36,852 | $0 | $10,927 | $0 | $22,230 | $0 | $24,322 | $0 | $284,339 | $0 | $0 | $0 |
| STEPHEN L BADGER | ||||||||||||||
| SVP CHIEF ADMIN. OFFICER | $464,744 | $0 | $157,297 | $0 | $125,897 | $0 | $47,300 | $0 | $23,662 | $0 | $818,900 | $0 | $112,403 | $0 |
| STEVEN OWEIDA MD | ||||||||||||||
| FORMER TRUSTEE | $43,587 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $43,587 | $0 | $0 | $0 |
| TE RUSTY DURHAM | ||||||||||||||
| FORMER TRUSTEE | $11,192 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $11,192 | $0 | $0 | $0 |
| TAMARA D ISON | ||||||||||||||
| SVP & HOSPITAL PRESIDENT | $0 | $216,623 | $0 | $0 | $0 | $8,425 | $0 | $18,327 | $0 | $17,617 | $0 | $260,992 | $0 | $0 |
| TIMOTHY HANEY | ||||||||||||||
| SVP & HOSPITAL PRESIDENT | $0 | $300,581 | $0 | $84,602 | $0 | $16,697 | $0 | $29,300 | $0 | $25,076 | $0 | $456,256 | $0 | $0 |
| TOM BONIECKI | ||||||||||||||
| VP MUSCULSKELETAL NEURO. | $153,941 | $0 | $8,391 | $0 | $2,285 | $0 | $30,397 | $0 | $33,943 | $0 | $228,957 | $0 | $0 | $0 |
| VALERY A AKOPOV MD | ||||||||||||||
| SVP HOSPITAL DIVISION WMG | $433,132 | $0 | $115,323 | $0 | $81,987 | $0 | $29,300 | $0 | $26,754 | $0 | $686,496 | $0 | $59,811 | $0 |
| VARMA RAMESWAR MD | ||||||||||||||
| VP PEDIATRIC OPS.(BEG.10/2016) | $175,485 | $0 | $17,885 | $0 | $3,642 | $0 | $39,573 | $0 | $11,764 | $0 | $248,349 | $0 | $0 | $0 |
| WANDA Y ROBINSON | ||||||||||||||
| FORMER VP COMPLIANCE | $82,021 | $0 | $42,652 | $0 | $5,436 | $0 | $3,867 | $0 | $6,970 | $0 | $140,946 | $0 | $0 | $0 |
| YVETTE BREWER MD | ||||||||||||||
| VP PRIMARY CARE (BEG. 12/2016) | $165,601 | $0 | $24,319 | $0 | $2,522 | $0 | $31,192 | $0 | $20,254 | $0 | $243,888 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 1B | FormAndLineReferenceDesc |
| Explanation | 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 2016 CALENDAR YEAR FROM EITHER THE ORGANIZATION OR A RELATED ORGANIZATION: DONALD CAMPBELL, MD $69,282 ROBERT D. JANSEN, MD 169,219 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): BRADFORD B. NEWTOWN $28,517 BRUCE A. DEAN 264,569 CANDICE L. SAUNDERS 305,375 DANIEL J. WOODS 88,688 DAVID W. ANDERSON 120,302 GERALD N. FULKS 90,000 JONATHAN B. MORRIS, MD 362,682 JOSEPH L. BRYWCZYNSKI 58,660 KEM M. MULLINS 101,800 MICHELLE M. ROBINSON 27,733 PETER R. JUNGERBLUT, MD, MBA 141,932 ROBERT MANDLER 22,391 STEPHEN L. BADGER 112,403 VALERY A. AKOPOV, MD 59,811 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 | 2004-04-30 | $25,000,000 | EQUIPMENT POOL | false | false | false |
| COBB COUNTY KENNESTONE HOPSITAL AUTHORITY | ||||||||
| B | 581147004 | 190813LN3 | 2005-10-31 | $120,000,000 | CAP. IMPROVEMENTS (SERIES A & B) | false | false | false |
| HOSPITAL AUTHORITY OF COBB COUNTY | ||||||||
| C | 582464600 | 19081PEN2 | 2005-06-30 | $25,000,000 | EQUIPMENT POOL | false | false | false |
| COBB COUNTY KENNESTONE HOSPITAL AUTHORITY | ||||||||
| D | 581147004 | 19081PEN2 | 2011-11-01 | $127,345,930 | CONSTRUCTION | 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 | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $25,000,000 | $96,810 | $0 | $0 | $0 | $0 | $0 | $25,000,000 | $0 | $0 | 2004 | false | false | Yes (true) | Yes (true) |
| B | $6,150,000 | $0 | $120,000,000 | $1,026,000 | $0 | $0 | $1,167,300 | $0 | $0 | $116,948,276 | $1,884,424 | $0 | 2007 | false | false | Yes (true) | Yes (true) |
| C | $0 | $0 | $25,000,000 | $82,775 | $0 | $0 | $0 | $0 | $0 | $25,000,000 | $0 | $0 | 2006 | false | false | Yes (true) | Yes (true) |
| D | $11,440,000 | $0 | $127,345,930 | $0 | $0 | $50,962,739 | $1,383,191 | $0 | $0 | $75,000,000 | $0 | $0 | 2011 | Yes (true) | Yes (true) | 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 | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | Yes (true) | ||
| B | false | false | false | false | 0.00200 | false | false | Yes (true) | 0.00200 | 0.00400 |
| C | false | false | false | false | 0 | false | false | Yes (true) | ||
| D | false | false | false | false | 0 | 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 | 0 | false | |
| 0 | |||||||
| C | false | Yes (true) | false | false | 0 | false | |
| 0 | |||||||
| D | false | Yes (true) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART V | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| PAULDING COUNTY HOSPITAL AUTHORITY | ||||||||
| A | 586011214 | 703596DH6 | 2012-06-28 | $32,711,016 | CONSTRUCTION SERIES A | false | false | false |
| PAULDING COUNTY HOSPITAL AUTHORITY | ||||||||
| B | 586011214 | 703596DK9 | 2012-06-28 | $68,750,000 | CONSTRUCTION SERIES B | false | false | false |
| COBB COUNTY KENNESTONE HOSPITAL AUTHORITY | ||||||||
| C | 586011214 | 190813PH2 | 2012-11-15 | $122,366,879 | ADVANCED REFUNDING CONSTRUCTION | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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 | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $32,711,016 | $4,896,852 | $446,282 | $0 | $437,500 | $0 | $0 | $17,151,433 | $0 | $0 | 2014 | false | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $68,750,000 | $27,382,125 | $1,945,963 | $0 | $471,875 | $0 | $0 | $39,576,733 | $0 | $0 | 2014 | false | false | Yes (true) | Yes (true) |
| C | $5,475,000 | $0 | $122,366,879 | $0 | $0 | $121,287,509 | $1,079,370 | $0 | $0 | $0 | $0 | $0 | false | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | Yes (true) |
| B | false | false | false | false | 0 | false | false | Yes (true) |
| C | false | false | false | false | 0 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Exception To RebateExceptionToRebateInd | Variable Rate IssueVariableRateIssueInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd |
|---|---|---|---|---|---|---|---|
| 0 | |||||||
| A | false | Yes (true) | false | false | 0 | false | |
| 0 | |||||||
| B | false | Yes (true) | Yes (true) | false | 0 | false | false |
| 0 | |||||||
| C | false | Yes (true) | false | false | 0 | false | |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| VALERY A AKOPOV MD | |||||||
| OFFICER | TUITION | Yes (X) | $31,250 | $18,477 | false | Yes (true) | Yes (true) |
| ANTHONY J BUDZINSKI | |||||||
| OFFICER | TUITION | Yes (X) | $31,250 | $18,477 | false | Yes (true) | Yes (true) |
| ALAN R MUSTER MD | |||||||
| OFFICER | TUITION | Yes (X) | $31,250 | $18,477 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $55,431 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| PAMELA ETHERIDGE | |||
| WIFE OF OFFICER | $75,055 | EMPLOYEE OF WELLSTAR | Yes (true) |
| BONNIE MILLER | |||
| WIFE OF BOARD MEMBER | $27,438 | EMPLOYEE OF WELLSTAR | Yes (true) |
| MISTY S DECOUX | |||
| WIFE OF OFFICER | $77,110 | EMPLOYEE OF WELLSTAR | Yes (true) |
| NADINE FRANCIS | |||
| WIFE OF OFFICER | $36,976 | EMPLOYEE OF WELLSTAR | Yes (true) |
| JENNIFER HANEY | |||
| DAUGHTER-IN-LAW OF OFFCR. | $81,643 | EMPLOYEE OF WELLSTAR | Yes (true) |
| MATTHEW MADDOX | |||
| SON OF BOARD MEMBER | $21,013 | EMPLOYEE OF WELLSTAR | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, LINES 1-6 | 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 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.; - CHS FOUNDATION, INC. (INVESTMENT MANAGEMENT); - DOUGLAS HOSPITAL INC.; - KENNESTONE HOSPITAL, INC.; - PAULDING MEDICAL CENTER, INC.; - WELLSTAR FOUNDATION INC.; - WELLSTAR ATLANTA MEDICAL CENTER, INC.; - 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 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. THE 11 HOSPITAL LOCATIONS ARE ACUTE CARE FACILITIES WITH INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. PAULDING MEDICAL CENTER IS HOME TO A FULL CARE NURSING HOME, PAULDING NURSING CENTER AND WEST GEORGIA MEDICAL CENTER ALSO HOME TO TWO FULL CARE NURSING HOMES. 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 250 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 CHARITY CARE POLICY. IN FISCAL YEAR 2017 AND 2016, WELLSTAR AFFILIATE HOSPITALS MADE $251.9 MILLION AND $147.9 MILLION, RESPECTIVELY, IN PROVIDER PAYMENTS 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 CHOLESTEROL AND GLUCOSE FINGERSTICKS, BLOOD PRESSURE SCREENINGS, BONE DENSITY AND BMI WEIGHT ASSESSMENTS. A LARGE NUMBER OF EDUCATIONAL PROGRAMS ARE OFFERED FOR ALL AGES. THESE PROGRAMS INCLUDE SCHOOL HEALTH PROGRAMS FOR ELEMENTARY AND MIDDLE SCHOOL STUDENTS, SPEAKING ABOUT WELLNESS SEMINARS, NUTRITION CONSULTING AND CPR AND FIRST-AID CLASSES. THE COSTS OF THESE SERVICES ARE INCLUDED IN OPERATING EXPENSES. 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 112,334 NEWBORN DISCHARGES 13,754 EMERGENCY ROOM VISITS 684,560 SURGERIES - 68950 CATH LAB/PACEMAKERS/EP 17,643 NON-ED O/P RADIOLOGY PROCEDURES 464,275 MED/SURG. SHORT STAY CASES - 1401 GI LAB PROCEDURES 11,721 RADIOLOGY ONCOLOGY PROCEDURES 36,315 COMMUNITY BENEFITS - WELLSTAR HEALTH SYSTEM PARTICIPATES AND COLLABORATES WITH PATIENTS AND RESIDENTS IN MEETING HEALTH NEEDS AND IMPROVING THE OVERALL QUALITY OF LIFE IN THE COMMUNITY. THIS IS ESPECIALLY IMPORTANT IN RESPONDING TO THE NEEDS OF THE UNDERSERVED REGARDLESS OF THE SYSTEM'S ABILITY TO GENERATE A POSITIVE MARGIN. SOME SERVICES WOULD POSSIBLY BE DISCONTINUED IF BASED ON A PURELY FINANCIAL BASIS. THE FOLLOWING ARE SOME EXAMPLES OF THE SYSTEM'S SERVICES THAT PROVIDE COMMUNITY BENEFITS (AND A MONETARY VALUE OF THOSE BENEFITS IF KNOWN). 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. COMMUNITY HEALTH/EDUCATION: WELLSTARS COMMUNITY EDUCATION & OUTREACH DEPARTMENT PROVIDES FREE BROCHURES ON A VARIETY OF HEALTH-RELATED ISSUES. WELLSTAR PROVIDES SUPPORT GROUPS AND EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY ON A VARIETY OF TOPICS INCLUDING MEN'S AND WOMEN'S HEALTH ISSUES, CARDIAC HEALTH, NUTRITION, CANCER, DIABETES, ETC.. SOME OF THESE OPPORTUNITIES ARE PROVIDED FREE OF CHARGE OR AT A MINIMAL FEE. WELLSTAR ALSO PROVIDES FREE OR LOW-COST SCREENINGS ON HEALTH ISSUES SUCH AS BLOOD PRESSURE, CHOLESTEROL SCREENINGS, GLUCOSE SCREENINGS AND MANY OTHERS. COMMUNITY EDUCATION AND OUTREACH PROVIDES HEALTH AND WELLNESS PROGRAMS AND SERVICES ACROSS ALL WELLSTAR MARKETS REACHING OVER 200,000 PEOPLE ANNUALLY. SOME OF THE MORE SPECIFIC PROGRAM/DEPARTMENTS ARE DOCUMENTED AS FOLLOWS: SCHOOL HEALTH PROGRAM: THIS PROGRAM TEACHES SCHOOL CHILDREN ABOUT HEALTH AND SAFETY TOPICS TO INCLUDE NUTRITION, PHYSICAL ACTIVITY, HEALTHY HYGIENE, BIKE AND PEDESTRIAN SAFETY AND MORE. THE PROGRAMS ARE TAUGHT IN ELEMENTARY SCHOOLS (GRADES K-5) AND MIDDLE SCHOOLS (GRADES 6-8) IN COBB, CHEROKEE, PAULDING AND DOUGLAS COUNTIES. SAFE KIDS: SAFE KIDS COBB COUNTY IS COMMITTED TO REDUCING AND PREVENTING ACCIDENTAL INJURIES TO CHILDREN AGES 14 AND UNDER IN COBB COUNTY. SAFE KIDS COBB COUNTY WORKS TOWARD THIS GOAL THROUGH YOUTH AND ADULT EDUCATION AND THE DISTRIBUTION OF SAFETY EQUIPMENT TO FAMILIES IN NEED. WITH THE HELP OF THE LEAD AGENCIES OF WELLSTAR COBB AND DOUGLAS PUBLIC HEALTH, SAFE KIDS COBB COUNTY HOSTS SAFETY EDUCATION EVENTS AND DISTRIBUTES SAFETY EDUCATION MATERIALS AND EQUIPMENT INCLUDING: CAR AND BOOSTER SEATS, BICYCLE/WHEEL SAFETY, POISON PREVENTION, HOME SAFETY, AND WATER SAFETY. 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. WITH THIS PROGRAM ABOUT 700 CAR SEATS WERE PRESENTED TO FAMILIES IN NEED, AND 1,200 INFANT CAR SEATS CHECKED AT NEARLY 150 CAR SEAT EVENTS. WOMEN & CHILDREN RESOURCE CENTERS: THE WOMEN'S AND CHILDREN'S RESOURCE CENTER AT COBB, DOUGLAS, AND KENNESTONE HOSPITALS PROVIDE MUCH NEEDED SUPPORT FOR MOTHERS AND THEIR NEWBORN BABIES THROUGH PHONE CALLS, BREASTFEEDING CLASSES, AND OTHER EDUCATIONAL OPPORTUNITIES. THESE PROGRAMS DEMONSTRATE WELLSTARS COMMITMENT TO THE HEALTH AND WELL-BEING OF THE NEW MOTHERS AND THEIR BABIES IN OUR COMMUNITY. IN FY2017 THE UNREIMBURSED COSTS ASSOCIATED WITH THE PROGRAM TOTALED APPROXIMATELY $ 350,000 AND MORE THAN 2,500 PARENTS PARTICIPATED IN PRENATAL AND CHILDBIRTH PROGRAMS. THE GOOD LIFE CLUB: WELLSTAR PROVIDES A SPECIAL PROGRAM FOR AREA RESIDENTS--50 AND OLDER CALLED THE GOOD LIFE CLUB. THIS PROGRAM PROMOTES HEALTH, WELLNESS, AND AN ACTIVE LIFESTYLE THROUGH CLASSES, SCREENINGS AND OTHER OPPORTUNITIES. A SMALL MEMBERSHIP FEE INCLUDES: - HEALTH AND WELLNESS EDUCATION AND PROGRAMS - A QUARTERLY NEWSLETTER, - FREE HEALTH SCREENINGS, - DISCOUNTED PARKING AT HOSPITALS AND OTHER RETAIL DISCOUNTS - TRAVEL DISCOUNTS THE GOOD LIFE CLUB CURRENTLY HAS MORE THAN 2,000 MEMBERS. COMMUNITY ACTIVITIES - WELLSTAR HAS PARTNERED WITH A LOCAL COLLEGE, KENNESAW STATE UNIVERSITY ("KSU") TO DEVELOP EDUCATIONAL AND ON-SITE TRAINING PROGRAMS WHICH WILL HOPEFULLY IMPROVE THE CURRENT AND FUTURE HEALTH OF OUR COMMUNITY. MANY OF THE NURSES IN THE SYSTEM ARE TRAINED THROUGH THE NURSING PROGRAM OFFERED BY KSU. WELLSTAR IS ALSO AFFILIATED WITH THE CHATTAHOOCHEE TECHNICAL COLLEGE- NORTH METRO CAMPUS'S RADIOLOGIC TECHNOLOGY PROGRAM. WELLSTAR SERVES AS THE CLINICAL AFFILIATE FOR THE STUDENTS IN THIS TWO-YEAR PROGRAM. THE STUDENTS TRAIN AT WELLSTAR'S HOSPITALS AND OUTPATIENT FACILITIES. THE PROGRAM RECEIVED ACCREDITATION FROM THE JOINT REVIEW COMMITTEE ON EDUCATION IN RADIOLOGIC TECHNOLOGY. THE GOAL IS TO HAVE TRAINED STUDENTS WHO CAN SUBSEQUENTLY CONTRIBUTE TO THE HEALTH OF THE COMMUNITY WE SERVE. SPONSORSHIPS - WELLSTAR PARTICIPATES AS A SPONSOR IN MANY EVENTS WITHIN THE COMMUNITY RELATED TO THE HEALTH AND WELL-BEING OF ITS RESIDENTS. THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN LUNG ASSOCIATION, THE AMERICAN DIABETES ASSOCIATION, MARCH OF DIMES, AS WELL AS NUMEROUS LOCAL ORGANIZATIONS ARE JUST A FEW OF THE RECIPIENTS OF EVENTS SPONSORED BY WELLSTAR. MANY EMPLOYEES ALSO VOLUNTEER AND PARTICIPATE IN SOME OF THE EVENTS HELD BY THESE ORGANIZATIONS SUCH AS WALKS, FUNDRAISERS AND SCREENINGS. IN FY2017 THE TOTAL UNCOMPENSATED AND OTHER COMMUNITY BENEFITS PROVIDED BY WELLSTAR WAS OVER $ 780 MILLION. COMMITMENT TO THE COMMUNITY: PARTICIPATION IN COALITIONS - $ 602,400 COMMUNITY HEALTH EDUCATION - $ 455,000 UNIVERSITY & COLLEGE PARTNERSHIPS - $ 504,000 HEALTH CARE SUPPORT - $ 8,077,000 MEDICAID SHORTFALLS (UNCOMPENSATED COSTS) - $ 78,000,000 UNREIMBURSED COMMUNITY FINANCIAL AID (CHARITY & INDIGENT): GROSS CHARGES FOR THE YEAR - $1,244,000,000 UNREIMBURSED SERVICES (AT COST) - $ 251,912,000 INVESTMENTS OF EXCESS FUNDS BACK INTO INFRASTRUCTURE AND COMMUNITY: WELLSTAR SYSTEM-WIDE FOR FY2016 - $ 132,000,000 WELLSTAR CONTINUES TO PARTICIPATE IN THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) MEDICARE SAVINGS PROGRAM AS AN ACCOUNTABLE CARE ORGANIZATION (ACO). WELLSTARS ACO IS THE LARGEST ACO IN GEORGIA INCLUDING 50,000 MEMBERS AND 1,400 PHYSICIANS. THE ACO HAS BEEN RECOGNIZED AS ONE OF THE TOP 100 ACOS 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 HEALTH SYSTEM (WELLSTAR) WAS RECOGNIZED FOR DIVERSITY IN THE WORKPLACE. DIVERSITY MAGAZINE LISTS WELLSTAR AS ONE OF ITS 50 BEST PLACES FOR WOMEN AND DIVERSE MANAGERS TO WORK. WELLSTAR WEST GEORGIA MEDICAL CENTER (WGMC) WAS NAMED TO BECKER HOSPITAL REVIEW'S 2016 LIST OF "100 GREAT COMMUNITY HOSPITALS." WGMC IS ONE OF ONLY THREE COMMUNITY HOSPITALS IN GEORGIA TO RECEIVE THIS HONOR. WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER RECEIVED THE PRESTIGIOUS AMERICAN ACADEMY OF MEDICAL SURGICAL NURSED PRISM AWARD. THIS HONOR RECOGNIZED EXCEPTIONAL NURSING PRACTICE, LEADERSHIP AND OUTCOMES IN HOSPITAL MEDICAL-SURGICAL UNITS ACROSS THE COUNTRY. KENNESTONE REGIONAL MEDICAL CENTER IS JUST ONE OF 14 HOSPITALS TO RECEIVE THIS HONOR IN 2016 AND THE ONLY ONE IN THE STATE OF GEORGIA. US NEWS AND WORLD REPORT NAMED WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER TO ITS ANNUAL LISTING OF BEST REGIONAL HOSPITALS RANKING IT THIRD IN GEORGIA. WELLSTAR DOUGLAS HOSPITAL WAS DESIGNATED AS A REMOTE TREATMENT STROKE CENTER BY THE OFFICE OF EMS AND TRAUMA IN THE GEORGIA DEPARTMENT OF PUBLIC HEALTH BECOMING ONE OF THE FIRST HOSPITALS IN THE STATE TO GARNER THE RECOGNITION. WELLSTAR EARNED A SPOT IN THE DAVE THOMAS FOUNDATION FOR ADOPTIONS 100 BEST ADOPTION-FRIENDLY WORKPLACES. THIS IS THE SYSTEMS FIFTH TIME ON THE FOUNDATIONS TOP 100 LIST. WELLSTAR OFFERS FULL-TIME TEAM MEMBERS 120 HOURS AND ELIGIBLE PART-TIME TEAM MEMBERS 60 HOURS OF PAID LEAVE. IN ADDITION, WELLSTAR OFFERS TEAM MEMBERS A MAXIMUM OF $19,000 PER FINALIZED ADOPTION ($20,000 PER FAMILY LIFETIME AMOUNT.) EMPLOYEE RECRUITING AND COMMITMENT TO PROPER WORK-LIFE BALANCE OF PERSONAL AND PROFESSIONAL TIME ARE IMPORTANT TO THE DESIGNATION OF THIS AWARD. WELLSTAR WAS NAMED TO WORKING MOTHER 100 BEST COMPANIES LIST FOR THE 9TH TIME FOR ITS COMMITMENT TO PROGRESSIVE WORKPLACE PROGRAMS, INCLUDING ADVANCEMENT OF WOMEN, FLEXIBILITY, CHILD CARE AND PAID PARENTAL LEAVE. WELLSTAR WAS NAME TO THE 2016 BEST PLACES TO WORK FOR WOMEN LIST BY GREAT PLACES TO WORK. COBB HOSPITAL WAS DESIGNATED A BABY-FRIENDLY HOSPITAL BY BABY-FRIENDLY USA. ONLY 5 OTHER GEORGIA HOSPITALS HOLD THIS DESIGNATION. GEORGIA TREND MAGAZINE NAMED WELLSTAR WGMC THE NUMBER 1 LARGE HOSPITAL IN THE STATE. FIVE OF WELLSTAR HEALTH SYSTEMS HOSPITALS HAVE BEEN GRANTED THREE-YEAR ACCREDITATION WITH THE GOLD COMMENDATION BY THE COMMISSION ON CANCER(COC), A QUALITY PROGRAM BY THE AMERICAN COLLEGE OF SURGEONS. THIS IS THE HIGHEST HONOR AWARDED TO A CANCER PROGRAM. TO EARN THIS ACCREDITATION THE PROGRAM MUST MEET OR EXCEED COCS QUALITY CARE STANDARDS, BE EVALUATED EVERY THREE YEARS AND SHOW EXCELLENCE IN THE DELIVERY OF PATIENT CENTERED CARE. WELLSTAR CANCER NETWORK ALSO RECEIVED NATIONAL DISTINCTION BY BEING GRANTED A THREE- YEAR ACCREDITATION BY THE COC. THIS IS THE HIGHEST HONOR AWARDED TO A CANCER PROGRAM. WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER AND WELLSTAR ATLANTA MEDICAL CENTER RECEIVED THE PLATINUM HONOR BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR THEIR CONTINUED EFFORTS TO PROMOTE ORGAN DONOR REGISTRATION. OTHER HOSPITALS HONORED INCLUDED WELLSTAR COBB, DOUGLAS, NORTH FULTON, WEST GEORGIA MEDICAL CENTER AND PAULDING HOSPITALS. THE PARTNERSHIP FOR HEALTH AND ACCOUNTABILITY(PHA) AN AFFILIATE OF THE GEORGIA HOSPITAL ASSOCIATION, RECENTLY PRESENTED ITS QUALITY AND PATIENT SAFETY AWARD TO SEVERAL WELLSTAR HOSPITALS AS WELL AS TO THE SYSTEM ITSELF. THESE AWARDS RECOGNIZE GEORGIA HEALTHCARE ORGANIZATIONS FOR ACHIEVEMENT IN REDUCING THE RISK OF MEDICAL ERRORS AND IMPROVING PATIENT SAFETY AND MEDICAL OUTCOMES. WELLSTAR SPALDING REGIONAL HOSPITAL WON FIRST PLACE IN THE HOSPITALS WITH 100-299 BEDS CATEGORY FOR ITS HELP ME, DONT HURT ME REDUCING CAUTIS PROJECT. WELLSTAR COBB HOSPITAL WON SECOND PLACE IN THE HOSPITALS WITH GREATER THAN 300 BEDS CATEGORY FOR ITS INTERDISCIPLINARY MODEL BEDSIDE MEDICATION DELIVERY TO REDUCE 30-DAY READMISSION RATES PROJECT. WELLSTAR DOUGLAS HOSPITAL WON THIRD PLACE IN THE HOSPITALS WITH 100-299 BEDS CATEGORY FOR ITS MISSION NOT IMPOSSIBLE: STRATEGIES TO DECREASE CLOSTRIDUM DIFFICILE PROJECT. IN THE HOSPITALS/HEALTH SYSTEMS CATEGORY, WELLSTAR HEALTH SYSTEM EARNED FIRST PLACE FOR ITS OUTPATIENT SURGERY CENTER PRE-OP THROUGHPUT PROJECT, WHICH IMPROVED THE SAFETY OF PATENTS UNDERGOING CT-SCANS. WELLSTAR COBB HOSPITAL WAS ALSO PRESENTED WITH A CIRCLE OF EXCELLENCE AWARD, AN HONOR GIVEN TO HOSPITALS AND HEALTH SYSTEMS THAT HAVE DEMONSTRATED A SUSTAINED COMMITMENT TO QUALITY AND PATIENT SAFETY. EVERY YEAR THE ATLANTA BUSINESS CHRONICLE PUBLISHES ITS LIST OF THE 100 MOST INFLUENTIAL LEADERS IN GEORGIAS HEALTHCARE INDUSTRY. SEVEN MEMBERS OF WELLSTAR HEALTH SYSTEMS SENIOR LEADERSHIP TEAM WERE INCLUDED IN THE 2017 LIST. WELLSTAR KENNESTONE REGIONAL MEDICAL CENTERS CARDIAC PROGRAM IS ONE OF ONLY TWO PROGRAMS IN THE UNITED STATES TO RECEIVE THE JOINT COMMISSION GOLD SEAL DISEASE-SPECIFIC CERTIFICATION FOR HEART-VALVE, CORONARY ARTERY BYPASS SURGERY (CABS) AND CONGESTIVE HEART FAILURE. WELLSTAR WEST GEORGIA MEDICAL CENTER WAS NAMED ONE OF THE NATIONS 100 TOP HOSPITALS BY TRUVEN HEALTH ANALYTICS. TRUVEN IS A LEADING PROVIDER OF INFORMATION AND SOLUTIONS THAT SUPPORT HEALTHCARE COST AND QUALITY IMPROVEMENT. WELLSTAR COBB HOSPITALS INTENSIVE CARE UNIT WAS HONORED WITH THE BEACON AWARD FOR EXCELLENCE BY THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES. THE BEACON AWARD HONORS INDIVIDUAL HOSPITAL UNITS THAT DISTINGUISH THEMSELVES BY IMPROVING EVERY FACET OF PATIENT CARE. WELLSTAR PAULDING HOSPITAL RECEIVED TWO BRILLIANCE AWARDS FROM VIZIENT MIDSOUTH. THE HOSPITAL WAS RECOGNIZED FOR INNOVATION AND EXCELLENCE IN CLINICAL CARE FOR PATIENTS WITH COPD AND DIABETES. TWO OF WELLSTAR KENNESTONE REGIONAL MEDICAL CENTERS NURSES HAVE BEEN NAMED AS TWO OF THE TOP 10 NURSES IN GEORGIA BY THE ATLANTA JOURNAL CONSTITUTION. WELLSTARS SUPPLY CHAIN SERVICES WAS RECOGNIZED AS A BEST PERFORMER BY THE ECRI INSTITUTE, A NONPROFIT ORGANIZATION THAT USES RESEARCH TO DISCOVER WHICH MEDICAL PROCEDURES, DRUGS AND PROCESSES ARE BEST TO ENABLE IMPROVED PATIENT CARE. THIS AWARD IS GIVEN FOR DEMONSTRATING EXCELLENCE IN OVERALL SPEND MANAGEMENT. THE WOUND CARE CENTER AT WELLSTAR WEST GEORGIA MEDICAL CENTER HAS BEEN RECOGNIZED WITH A CENTER OF DISTINCTION AWARD FOR CLINICAL EXCELLENCE BY HEALOGICS, THE NATIONS LEADING AND LARGEST WOUND CARE MANAGEMENT COMPANY. THE CENTER FOR COMPANIES THAT CARE RECENTLY NAMED WELLSTAR TO ITS HONOR ROLL FOR THE 10TH YEAR IN A ROW. THIS HONOR FOCUSES ON WELLSTARS EFFORT TO OFFERING WORKLIFE SERVICES THAT CREATE A CULTURE OF INCLUSION AND ASSISTANCE FOR TEAM MEMBERS UTILIZING SERVICES THAT PROVIDE A BALANCE BETWEEN WORK AND HOME LIFE. THE PURPOSE OF THE AWARD IS TO RECOGNIZE MEMBER ORGANIZATIONS THAT HAVE ACHIEVED A CERTAIN LEVEL OF EXCELLENCE ACROSS THREE KEY FOCUS AREAS- FINANCIAL AND OPERATIONAL EXCELLENCE, CLINICAL QUALITY EXCELLENCE AND INNOVATION. WELLSTAR WAS NAMED ONE OF BEST AND BRIGHTEST COMPANIES TO WORK FOR BY WSBTV2, BIZ 1190AM-WAFS, CORP! MAGAZINE, BAUDVILLE, BASIC AND THE ORSUS GROUP. THIS AWARD IS GIVEN TO COMPANIES THAT DISTINGUISH THEMSELVES AS HAVING THE MOST INNOVATIVE AND THOUGHTFUL APPROACH TO HUMAN RESOURCES. WELLSTAR HEALTH SYSTEM WAS A WINNER OF THE LEADERSHIP IN EXCELLENCE AWARD BY VIZIENT MIDSOUTH, A MEMBER ALLIANCE FOR NOT FOR PROFIT HEALTHCARE PROVIDERS. THE PURPOSE OF THIS AWARD IS TO RECOGNIZE ORGANIZATIONS THAT HAVE ACHIEVED A CERTAIN LEVEL OF EXCELLENCE ACROSS THREE KEY FOCUS AREAS- FINANCIAL AND OPERATIONAL EXCELLENCE, CLINICAL QUALITY EXCELLENCE AND INNOVATION. |
| FORM 990, PART IV, LINE 12B | AUDITED FINANCIAL STATEMENTS WellStar Health System, Inc. is audited on an annual basis by an outside auditing firm, KPMG, and as part of that audit a consolidated financial statement is issued for all of WellStar Health System, Inc. and its CONTROLLED Affiliates. The independent auditors report includes the accounts of Wellstar and its controlled affiliates, WELLSTAR Kennestone Hospital, Inc., WELLSTAR Cobb Hospital, Inc., WELLSTAR Douglas Hospital, Inc., WELLSTAR Paulding Medical Center, Inc., WELLSTAR ATLANTA MEDICAL CENTER, INC., WELLSTAR NORTH FULTON HOSPITAL, INC., WELLSTAR SPALDING REGIONAL HOSPITAL, INC., WELLSTAR SYLVAN GROVE HOSPITAL, INC., WELLSTAR WEST GEORGIA HEALTH SERVICES, INC., WELLSTAR WEST GEORGIA MEDICAL CENTER, INC., Wellstar Foundation, Inc., WELLSTAR WEST GEORGIA FOUNDATION, INC., VERNON WOODS RETIREMENT COMMUNITY, INC., CHS Foundation, Inc., Community Assurance Company, Ltd., various Wellstar owned physician practices, a hospice facility, a nursing facility, home health business, and entities for infusion therapy and durable medical equipment. All significant intercompany accounts and transactions have been eliminated in combination. The Board of Trustees of Wellstar HEALTH SYSTEM, INC. has the authority to approve appointments of the members of the board of trustees of all affiliate corporations. |
| 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. Generally, 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. 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. ENGAGES THE HAY GROUP TO WORK WITH THE GOVERNING BOARD TO REVIEW AND RECOMMEND EXECUTIVE COMPENSATION. THE EXECUTIVE COMPENSATION PROCESS AT WELLSTAR IS OVERSEEN BY A COMMITTEE OF INDEPENDENT TRUSTEES, WHICH FOLLOWS A BOARD-APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. THE COMPENSATION COMMITTEE CONSISTS OF FIVE TRUSTEES AS WELL AS THE CEO IN AN ADVISORY ROLE AND NOT A VOTING MEMBER. FURTHER IN COMMITTEE DISCUSSIONS ABOUT THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, THE CEO WILL RECUSE HIM/HERSELF FROM THAT PROCESS AND IS A NON-VOTING COMMITTEE MEMBER FOR DISCUSSIONS ON ALL OTHER OFFICERS. THE EXECUTIVE COMPENSATION PHILOSOPHY EMPOWERS THE COMMITTEE TO OVERSEE THE EXECUTIVE COMPENSATION PROCESS AND ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM ON BEHALF OF THE FULL BOARD OF TRUSTEE OF WELLSTAR; PROVIDED, HOWEVER, THE FULL BOARD OF TRUSTEES EVALUATES AND APPROVES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THE PHILOSOPHY REQUIRES ANNUAL DISCLOSURE OF THE COMMITTEE'S ACTIONS AND DECISIONS TO THE FULL BOARD, WHICH IT HAS DONE. THE COMMITTEE IS GUIDED BY THE BOARD-APPROVED PHILOSOPHY. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD FOR ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. WHEN PERFORMANCE IS AT A PREDETERMINED TARGETED LEVEL, THE COMPENSATION IS INTENDED TO BE AT OR AROUND THE MEDIAN OF COMPENSATION PAID TO SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS (THE "MARKET"). WELLSTAR'S EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET AS BEING COMPRISED OF COMPARABLE NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS, I.E., NOT-FOR-PROFIT ORGANIZATIONS SIMILAR IN COMPLEXITY AND SCALE TO WELLSTAR. TO ASSIST THE COMMITTEE IN FULFILLING ITS DUTIES, THE COMMITTEE ENGAGED THE HAY GROUP TO PROVIDE MARKET COMPENSATION DATA TO COMPARE TO THE WELLSTAR POSITIONS WHOSE COMPENSATION THE COMMITTEE OVERSEES. THE COMMITTEE USES THIS DATA TO PROVIDE CONTEXT WHEN MAKING DECISIONS IN ADMINISTERING THE COMPENSATION PROGRAM. ACCURATE MINUTES OF THE COMMITTEE'S DISCUSSION AND DECISIONS ARE RECORDED DURING EACH COMMITTEE MEETING, AND REVIEWED AND APPROVED BY THE FULL BOARD OF TRUSTEES AT ITS NEXT SCHEDULED MEETING. 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 its financial performance in the local newspaper for citizens to review, and publishes a community benefit report once a year for distribution to the public. 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 of the organizations exceeds 40 hours per 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 $ 59,631,000 ASSETS RELEASED FROM RESTRICTION 3,199,000 OTHER CHANGES* 71,635,405 -------------- Total Other Changes in Net Assets $ 134,465,405 *FOR THE REPORTING PERIOD, WELLSTAR HEALTH SYSTEM, INC. HAD A CHANGE IN NET ASSETS OF $71,635,405 RELATED TO TRANSFERS TO/FROM AFFILIATES AS PART OF THE ALLOCATION OF INCOME STATEMENT AND BALANCE SHEET TRANSACTIONS OVER 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 | $0 | $0 | 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 Health Network LLC | |||||||||
| 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 |
| Center for Health Transformation | |||||||||
| 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 (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CHS FOUNDATION INC | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 581649540 | Foundation | GA | 501(C)(3) | 12 II | WHS INC | Yes (true) |
| COBB HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 580968382 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| DOUGLAS HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 582026750 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| KENNESTONE HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 582032904 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| PAULDING MEDICAL CENTER INC | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 582095884 | Healthcare | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WELLSTAR FOUNDATION INC | ||||||||||
| 793 SAWYER ROAD | Marietta | GA | 30062 | 581627413 | Foundation | GA | 501(C)(3) | 12 II | WHS INC | Yes (true) |
| WELLSTAR ATLANTA MEDICAL CENTER INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30062 | 810837031 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WELLSTAR NORTH FULTON HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30062 | 810851756 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WELLSTAR SPALDING REGIONAL HOSPITALINC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30062 | 810864789 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WELLSTAR SYLVAN GROVE HOSPITAL INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30062 | 810875069 | HEALTHCARE | GA | 501(C)(3) | 3 | WHS INC | Yes (true) |
| WEST GEORGIA MEDICAL CENTER INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30062 | 205497506 | HEALTHCARE | GA | 501(C)(3) | 3 | WGHS INC | Yes (true) |
| WEST GEORGIA HEALTH SERVICES INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30062 | 205497622 | HEALTHCARE | GA | 501(C)(3) | 12 II | WHS INC | Yes (true) |
| VERNON WOODS RETIREMENT COMMUNITY INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30062 | 582575049 | HEALTHCARE | GA | 501(C)(3) | 10 | WGHS INC | Yes (true) |
| WEST GEORGIA HEALTH FOUNDATION INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30062 | 200936376 | FOUNDATION | GA | 501(C)(3) | 12 II | WGHS INC | Yes (true) |
| MEDICAL PARK FOUNDATION INC | ||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30062 | 581303478 | FOUNDATION | GA | 501(C)(3) | 7 | WGHS INC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 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 | 300666340 | 200537100 | PARKING | GA | WHS INC | EXCLUDED | -$33,671 | $2,332,322 | false | $0 | false | 0.73000 |
| COBB SOUTH PARKING DECK LLC | ||||||||||||||
| 793 SAWYER ROAD | Marietta | GA | 300622222 | 752999669 | PARKING | GA | WHS INC | EXCLUDED | -$24,966 | $603,406 | false | $0 | false | 0.62500 |
| GRIFFIN IMAGING LLC | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | IMAGING CENTER | GA | NA | N/A | |||||||
| TENET EMSSPALDING 911 LLC | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | OFF.BLDG/EMS CTR | GA | NA | N/A | |||||||
| NORTH FULTON PARKING DECK LP | ||||||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 300622222 | PARKING | GA | NA | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 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 | $30,142,729 | $100,124,288 | 1.00000 | Yes (true) | |||||
| WEST GEORGIA HEALTH PHYSICIANS INC | ||||||||||||||||
| 275125341 | PHYSICIAN PRAC. | WGHS INC | C CORP | false | 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 | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | 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 | $65,938,234 | actual cost |
| Douglas Hospital Inc | ||
| q | $25,133,346 | actual cost |
| Kennestone Hospital Inc | ||
| q | $148,894,180 | actual cost |
| Paulding Medical Center Inc | ||
| q | $24,540,766 | actual cost |
| COBB SOUTH PARKING DECK LLC | ||
| S | $17,566 | ACTUAL COST |
| WELLSTAR NORTH FULTON HOSPITAL INC | ||
| Q | $3,428,814 | ACTUAL COST |
| WELLSTAR ATLANTA MEDICAL CENTER INC | ||
| Q | $6,934,133 | ACTUAL COST |
| WELLSTAR SPALDING REGIONAL HOSPITAL INC | ||
| Q | $2,426,180 | ACTUAL COST |
| WELLSTAR SYLVAN GROVE HOSPITAL INC | ||
| Q | $197,238 | 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) n) Sharing of paid employees, o) 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 |