KENNESTONE HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- KENNESTONE HOSPITAL INC (EIN 58-2032904)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201601349349304070
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T13:20:58-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | 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 | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582032904 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENNESTONE HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JAMES M SWARTZ | InCareOfNm |
| Business Name Control | KENN | BusinessNameControlTxt |
| Phone | 7707925023 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 Sandy Plains Road | AddressLine1Txt |
| City | Marietta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300666340 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES M SWARTZ | PersonNm |
| Person Title | VP, ACCOUNTING | PersonTitleTxt |
| Phone | 2673303000 | PhoneNum |
| Signature | 2016-05-12 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | 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 | 805 SANDY PLAINS ROAD | AddressLine1Txt |
| City | MARIETTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30066 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $948,418,808 | 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 | 1993 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | To provide world-class charitable healthcare to the community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 5481 | TotalEmployeeCnt |
| Total Volunteers | 381 | TotalVolunteersCnt |
| Total Gross UBI | $115,636 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $816,044,685 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $922,320,839 | CYProgramServiceRevenueAmt |
| PY Investment Income | $242,878 | PYInvestmentIncomeAmt |
| CY Investment Income | $199,405 | CYInvestmentIncomeAmt |
| PY Other Revenue | $20,151,284 | PYOtherRevenueAmt |
| CY Other Revenue | $25,898,564 | CYOtherRevenueAmt |
| PY Total Revenue | $836,438,847 | PYTotalRevenueAmt |
| CY Total Revenue | $948,418,808 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,550 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $291,503,229 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $312,606,840 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $431,687,279 | PYOtherExpensesAmt |
| CY Other Expenses | $453,460,066 | CYOtherExpensesAmt |
| PY Total Expenses | $723,191,008 | PYTotalExpensesAmt |
| CY Total Expenses | $766,083,456 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $113,247,839 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $182,335,352 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $650,984,427 | TotalAssetsBOYAmt |
| Total Assets EOY | $628,535,643 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $265,817,652 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $252,608,997 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $385,166,775 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $375,926,646 | 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 WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $666,449,587 | ExpenseAmt |
| Grant | $16,550 | GrantAmt |
| Revenue | $922,320,839 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $666,449,587 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | false | 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 | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | 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 | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 5481 | 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 | false | ForeignFinancialAccountInd |
| 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | false | InvestmentInJointVentureInd |
| 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 | 7707925023 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SANDY PLAINS ROAD | AddressLine1Txt |
| City | Marietta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 300666340 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (86 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 |
|---|---|---|---|---|---|---|---|---|---|
| Avril P Beckford MD | |||||||||
| TRUSTEE | 2.0 | 48.0 | Yes (X) | $0 | $484,008 | $29,400 | |||
| Jeffrey L Tharp MD | |||||||||
| TRUSTEE | 2.0 | 48.0 | Yes (X) | $0 | $630,869 | $74,725 | |||
| RANDALL BENTLEY SR | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $19,268 | $0 | |||
| OTIS A BRUMBY III | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $14,475 | $0 | |||
| ROBERT N CROSS MD | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $14,446 | $0 | |||
| TE RUSTY DURHAM | |||||||||
| TRUSTEE EMERITUS | 1.0 | 5.0 | Yes (X) | $0 | $661 | $0 | |||
| THOMAS E GEARHARD MD | |||||||||
| TRUSTEE | 2.0 | 48.0 | Yes (X) | $0 | $347,375 | $73,211 | |||
| DAVID H HAFNER MD | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $26,223 | $0 | |||
| T FITZ JOHNSON | |||||||||
| TRUSTEE | 1.0 | 7.0 | Yes (X) | $0 | $20,712 | $0 | |||
| CHARLES J JONES | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $4,075 | $0 | |||
| JANIE MADDOX | |||||||||
| TRUSTEE - CHAIR | 1.0 | 5.0 | Yes (X) | $0 | $8,850 | $0 | |||
| GARY A MILLER | |||||||||
| TRUSTEE - VICE CHAIR | 1.0 | 5.0 | Yes (X) | $0 | $4,387 | $0 | |||
| MITZI MOORE | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $1,730 | $0 | |||
| TOM PHILLIPS | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $2,903 | $0 | |||
| WALTER ROBINSON | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $4,672 | $0 | |||
| FRANK ROS | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $2,820 | $0 | |||
| ORIN SWAYZE MD | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $4,624 | $0 | |||
| GREG MORGAN | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $1,624 | $0 | |||
| WILLIAM C BROCK | |||||||||
| TRUSTEE | 1.0 | 5.0 | Yes (X) | $0 | $20,247 | $0 | |||
| STEVEN W OWEIDA MD | |||||||||
| TRUSTEE EMERITUS | 1.0 | 5.0 | Yes (X) | $0 | $31,409 | $0 | |||
| W ALLEN SEPARK | |||||||||
| TRUSTEE EMERITUS | 1.0 | 7.0 | Yes (X) | $0 | $8,177 | $0 | |||
| Valery A Akopov MD | |||||||||
| VP & Chief of Hospitalist Svcs | 2.0 | 48.0 | $0 | $399,745 | $53,663 | Yes (X) | |||
| David W Anderson | |||||||||
| EVP HR OL CCO | 2.0 | 48.0 | $0 | $648,929 | $70,290 | Yes (X) | |||
| Nicole V Ashe | |||||||||
| VP Finance & CFO WMG | 2.0 | 48.0 | $0 | $262,185 | $45,885 | Yes (X) | |||
| Barbara G Ballard | |||||||||
| VP Homecare & Hospice | 2.0 | 48.0 | $0 | $282,836 | $64,915 | Yes (X) | |||
| Betty A Brakovich | |||||||||
| VP CNO Patient Care Services | 50.0 | 0.0 | $196,569 | $0 | $35,792 | Yes (X) | |||
| Joseph L Brywczynski | |||||||||
| SVP Health Parks Development | 2.0 | 48.0 | $0 | $570,096 | $70,144 | Yes (X) | |||
| Anthony J Budzinski | |||||||||
| EVP & CFO | 2.0 | 50.0 | $0 | $689,236 | $71,096 | Yes (X) | |||
| Donald Campbell MD | |||||||||
| SVP Phys Educ & Student Aff | 2.0 | 48.0 | $0 | $513,317 | $62,483 | Yes (X) | |||
| Laura Caramanica | |||||||||
| VP CNO Patient Care Services | 50.0 | 0.0 | $454,652 | $0 | $55,534 | Yes (X) | |||
| Jill M Case-Wirth | |||||||||
| SVP Nursing SRVS.(BEGIN. 12/1) | 2.0 | 48.0 | $0 | $72,410 | $4,759 | Yes (X) | |||
| James E Clements | |||||||||
| VP Bus Dev & Strategic Prtnrsp | 2.0 | 48.0 | $0 | $264,016 | $17,453 | Yes (X) | |||
| Lee R Cook | |||||||||
| VP Med & Behavioral Health | 2.0 | 48.0 | $0 | $592,708 | $45,052 | Yes (X) | |||
| Barbara B Corey | |||||||||
| SVP Managed Care | 2.0 | 48.0 | $0 | $379,163 | $48,129 | Yes (X) | |||
| Bruce A Dean | |||||||||
| VP Real Estate Deputy Gen Cnsl | 2.0 | 48.0 | $0 | $282,461 | $69,841 | Yes (X) | |||
| Sarath Degala | |||||||||
| VP Revenue Cycle Management | 2.0 | 48.0 | $0 | $19,850 | $2,923 | Yes (X) | |||
| Marcia Delk-Payne MD | |||||||||
| SVP Med Affair & Chf Qlty Ofcr | 2.0 | 48.0 | $0 | $925,812 | $49,890 | Yes (X) | |||
| Nancy R Doelling | |||||||||
| VP Pediatric SRVS.(BEGIN. 8/4) | 2.0 | 48.0 | $0 | $141,009 | $11,811 | Yes (X) | |||
| Jimmy E Francis | |||||||||
| VP Info Technology Operations | 2.0 | 48.0 | $0 | $257,027 | $36,192 | Yes (X) | |||
| Steven L Grace | |||||||||
| VP Talent Acquisition | 2.0 | 48.0 | $0 | $266,953 | $32,731 | Yes (X) | |||
| Kristyn M Greifer MD | |||||||||
| VP Population Management | 2.0 | 48.0 | $0 | $369,983 | $28,680 | Yes (X) | |||
| Martin L Gutkin | |||||||||
| VP Finance & Hospital CFO | 50.0 | 0.0 | $258,323 | $0 | $9,294 | Yes (X) | |||
| Joel W Helmke | |||||||||
| VP Oncology (BEGIN. 7/21) | 2.0 | 48.0 | $0 | $165,514 | $28,875 | Yes (X) | |||
| Robert D Jansen MD | |||||||||
| EVP & Pres Medical Group | 2.0 | 48.0 | $0 | $782,540 | $75,243 | Yes (X) | |||
| Reynold J Jennings | |||||||||
| PRESIDENT & CEO | 2.0 | 50.0 | $0 | $1,701,981 | $2,056 | Yes (X) | |||
| Peter R Jungblut MD | |||||||||
| SVP & Medical Dir WMG | 2.0 | 48.0 | $0 | $398,803 | $69,399 | Yes (X) | |||
| Christopher M Kane | |||||||||
| SVP Strategic Plan & Bus Dev | 2.0 | 48.0 | $0 | $806,400 | $42,332 | Yes (X) | |||
| Beth Kost | |||||||||
| VP Compliance Chf Privacy Ofcr | 2.0 | 48.0 | $0 | $331,700 | $34,022 | Yes (X) | |||
| Ellen Langford | |||||||||
| SVP & COO WellStar Med Group | 2.0 | 48.0 | $0 | $279,307 | $58,966 | Yes (X) | |||
| Louis W Little | |||||||||
| SVP Post Acute Svc & Hosp Pres | 40.0 | 10.0 | $579,061 | $0 | $66,520 | Yes (X) | |||
| Elizabeth H Loudermilk | |||||||||
| VP Ent Intelligence & Intgrtn | 2.0 | 48.0 | $0 | $308,160 | $25,651 | Yes (X) | |||
| Robert M Lubitz MD | |||||||||
| VP Medical Affairs | 50.0 | 0.0 | $421,782 | $0 | $50,548 | Yes (X) | |||
| Sandra Lucius | |||||||||
| VP Info Technology Apps | 2.0 | 48.0 | $0 | $224,424 | $46,993 | Yes (X) | |||
| Robert Mandler | |||||||||
| VP Diagnostic Outreach | 2.0 | 48.0 | $0 | $290,840 | $61,524 | Yes (X) | |||
| Patricia A Mayne | |||||||||
| VP Emergency Services | 40.0 | 10.0 | $311,329 | $0 | $50,119 | Yes (X) | |||
| Kimberly W Menefee | |||||||||
| SVP Strategic Community Dev | 2.0 | 48.0 | $0 | $362,955 | $46,026 | Yes (X) | |||
| Christopher L Morgan | |||||||||
| VP & Admin. CLIO (BEGIN. 7/7) | 2.0 | 48.0 | $0 | $168,139 | $21,747 | Yes (X) | |||
| Jonathan B Morris MD | |||||||||
| SVP Chief Info Officer | 2.0 | 48.0 | $0 | $462,389 | $50,258 | Yes (X) | |||
| Bradford B Newton | |||||||||
| VP Information Technology Admi | 2.0 | 48.0 | $0 | $232,340 | $47,711 | Yes (X) | |||
| Michael G Paul | |||||||||
| VP Facilities Eng Support Svcs | 2.0 | 48.0 | $0 | $220,953 | $24,150 | Yes (X) | |||
| Leo E Reichert | |||||||||
| EVP & General Counsel | 2.0 | 48.0 | $0 | $752,077 | $29,200 | Yes (X) | |||
| Bethany Robertson | |||||||||
| VP & Chief Learning Officer | 2.0 | 48.0 | $0 | $218,673 | $41,608 | Yes (X) | |||
| Michelle M Robinson | |||||||||
| VP Mktng/PR/Internal Comm | 2.0 | 48.0 | $0 | $238,847 | $40,651 | Yes (X) | |||
| Wanda Y Robinson | |||||||||
| VP Compliance PWHP(BEGIN.9/15) | 2.0 | 48.0 | $0 | $82,927 | $2,538 | Yes (X) | |||
| Deborah Roegge De Vita | |||||||||
| VP Women & Newborn Svc Line | 2.0 | 48.0 | $0 | $231,925 | $31,900 | Yes (X) | |||
| Candice L Saunders | |||||||||
| President & CEO | 2.0 | 48.0 | $0 | $812,226 | $72,916 | Yes (X) | |||
| Christopher B Scullen | |||||||||
| VP Pulmonology Operations | 2.0 | 48.0 | $0 | $292,246 | $17,839 | Yes (X) | |||
| Richard S Siegel | |||||||||
| VP Cardiology & CVM Admin | 2.0 | 48.0 | $0 | $323,664 | $70,462 | Yes (X) | |||
| Jeffery D Stanley | |||||||||
| VP Pharmacy & System Coor | 2.0 | 48.0 | $0 | $216,271 | $30,238 | Yes (X) | |||
| Daniel J Styf | |||||||||
| SVP PW Health Plan | 2.0 | 48.0 | $0 | $337,033 | $27,733 | Yes (X) | |||
| James M Swartz | |||||||||
| VP Accounting | 2.0 | 48.0 | $0 | $272,353 | $42,262 | Yes (X) | |||
| Mary L Tavernaro | |||||||||
| VP Human Resources Operations | 2.0 | 48.0 | $0 | $259,157 | $49,126 | Yes (X) | |||
| Adam C Thompson | |||||||||
| VP Surgery | 2.0 | 48.0 | $0 | $228,073 | $21,830 | Yes (X) | |||
| Anthony M Trupiano | |||||||||
| SVP Supply Chain | 2.0 | 48.0 | $0 | $345,219 | $47,596 | Yes (X) | |||
| Sean P Turner | |||||||||
| VP Rev.Cycle MGMT (BEGIN.9/28) | 2.0 | 48.0 | $0 | $273,082 | $46,665 | Yes (X) | |||
| Monte A Wilson | |||||||||
| VP & COO Kennestone Hospital | 50.0 | 0.0 | $346,226 | $0 | $26,235 | Yes (X) | |||
| Robin Wilson MD | |||||||||
| SVP Chief Hlth Innov Officer | 2.0 | 48.0 | $0 | $637,993 | $22,144 | Yes (X) | |||
| Daniel J Woods | |||||||||
| SVP & Hospital President | 48.0 | 2.0 | $482,590 | $0 | $70,359 | Yes (X) | |||
| Chester A Zborowski | |||||||||
| VP Health Parks Operations | 2.0 | 48.0 | $0 | $223,151 | $24,265 | Yes (X) | |||
| LOUIS LOVETT | |||||||||
| AVP GME/DIO | 50.0 | 0.0 | $288,896 | $0 | $65,491 | Yes (X) | |||
| JYOTSNA R VANAPALLI | |||||||||
| Rad Oncology Chief Physicist | 50.0 | 0.0 | $199,632 | $0 | $42,396 | Yes (X) | |||
| SHERRON KURTZ | |||||||||
| Exec Dir Surgical Svcs KH/CH | 50.0 | 0.0 | $184,199 | $0 | $14,981 | Yes (X) | |||
| JANET P MEMARK | |||||||||
| MD Physician Group | 50.0 | 0.0 | $176,192 | $0 | $20,499 | Yes (X) | |||
| CAROLE J HARMAN | |||||||||
| Exec Dir Women's Nursing | 50.0 | 0.0 | $168,894 | $0 | $33,082 | Yes (X) | |||
| Michael L Graue | |||||||||
| FORMER EVP & COO | 0.0 | 0.0 | $0 | $522,266 | $0 | Yes (X) | |||
| Kenneth C Kunze MD | |||||||||
| FRMR SVP CHIEF MEDICAL OFFICER | 0.0 | 0.0 | $0 | $383,389 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,068,345 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $21,978,308 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,758,049 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 255 | 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 |
|---|---|---|---|---|---|
| BRASSFIELD AND GORRIE | |||||
| 1990 Vaughn Rd NW STE 100 | KENNESAW | GA | 30144 | General Contractor | $25,880,985 |
| CDH Partners Inc | |||||
| 675 Tower Road | MARIETTA | GA | 30060 | General Contractor | $1,566,417 |
| FRESENIUS MEDICAL CARE- DBA RCC MAR | |||||
| PO BOX 101518 | ATLANTA | GA | 303921518 | Medical Services | $1,150,750 |
| Quest Diagnostics | |||||
| PO Box 740736 | ATLANTA | GA | 303740736 | Medical Services | $2,060,831 |
| SOUTHERN PRESCRIPTION SERVICE | |||||
| PO BOX 888387 | ATLANTA | GA | 30356 | TRANSCRIPTION SRVS | $994,489 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 44 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621990 | $915,965,098 | $915,965,098 |
| MEDICAL RECORDS | 621990 | $845 | $845 |
| INDEPENDENT & ASSISTED LIVING REVENUE | 623000 | $6,319,865 | $6,319,865 |
| PATIENT EDUCATION | 621990 | $35,031 | $35,031 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $922,320,839 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $3,128,387 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,128,387 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,128,387 | TotalRevenueColumnAmt |
| Exclusion | $3,128,387 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $199,405 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $199,405 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $199,405 | TotalRevenueColumnAmt |
| Exclusion | $199,405 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 |
|---|---|---|---|---|
| PHARMACY/RETAIL PHARMACY | 446199 | $10,224,480 | $115,636 | $10,108,844 |
| LAB OUTREACH | 621990 | $340,497 | $340,497 | |
| CAFETERIA | 621990 | $4,888,670 | $4,888,670 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,316,530 | TotalRevenueColumnAmt |
| Exclusion | $7,316,530 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $22,770,177 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $948,418,808 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $922,320,839 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $115,636 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,982,333 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,550 | TotalAmt |
| Program Services | $16,550 | ProgramServicesAmt |
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 | $3,049,198 | TotalAmt |
| Program Services | $2,687,378 | ProgramServicesAmt |
| Management And General | $361,820 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,623,727 | TotalAmt |
| Program Services | $220,409,473 | ProgramServicesAmt |
| Management And General | $23,214,254 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,043,902 | TotalAmt |
| Program Services | $10,895,245 | ProgramServicesAmt |
| Management And General | $1,148,657 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,119,704 | TotalAmt |
| Program Services | $32,677,042 | ProgramServicesAmt |
| Management And General | $3,442,662 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,770,309 | TotalAmt |
| Program Services | $16,072,149 | ProgramServicesAmt |
| Management And General | $1,698,160 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,243 | TotalAmt |
| Management And General | $66,243 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $38,744,360 | TotalAmt |
| Program Services | $36,092,951 | ProgramServicesAmt |
| Management And General | $2,651,409 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $630,949 | TotalAmt |
| Program Services | $172,643 | ProgramServicesAmt |
| Management And General | $458,306 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,150,658 | TotalAmt |
| Program Services | $16,689,057 | ProgramServicesAmt |
| Management And General | $7,461,601 | ManagementAndGeneralAmt |
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 | $12,937,187 | TotalAmt |
| Program Services | $5,636,580 | ProgramServicesAmt |
| Management And General | $7,300,607 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,025 | TotalAmt |
| Program Services | $101,856 | ProgramServicesAmt |
| Management And General | $148,169 | ManagementAndGeneralAmt |
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 | $338,459 | TotalAmt |
| Program Services | $127,386 | ProgramServicesAmt |
| Management And General | $211,073 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,121,505 | TotalAmt |
| Management And General | $9,121,505 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,797,654 | TotalAmt |
| Program Services | $132,776,768 | ProgramServicesAmt |
| Management And General | $14,020,886 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,249,651 | TotalAmt |
| Program Services | $16,190,772 | ProgramServicesAmt |
| Management And General | $19,058,879 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,143,685 | TotalAmt |
| Management And General | $6,143,685 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| REPAIRS & MAINTENANCE | $12,530,921 | $9,488,209 | $3,042,712 | $0 |
| MEDICAL SUPPLIES | $165,791,728 | $165,683,853 | $107,875 | |
| OTHER OPERATING EXPENSES | $707,041 | $731,675 | -$24,634 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $766,083,456 | TotalAmt |
| Program Services | $666,449,587 | ProgramServicesAmt |
| Management And General | $99,633,869 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,275 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,910 | BOYAmt |
| EOY | $896,320 | 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 | $193,622,402 | BOYAmt |
| EOY | $164,823,168 | 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 | $15,840,014 | BOYAmt |
| EOY | $16,375,511 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,384,708 | BOYAmt |
| EOY | $1,378,887 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $810,762,526 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $370,965,818 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $432,526,642 | BOYAmt |
| EOY | $439,796,708 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $4,473,476 | BOYAmt |
| EOY | $5,265,049 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $650,984,427 | BOYAmt |
| EOY | $628,535,643 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,668,001 | BOYAmt |
| EOY | $21,282,581 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $236,149,651 | BOYAmt |
| EOY | $231,326,416 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,817,652 | BOYAmt |
| EOY | $252,608,997 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $385,166,775 | BOYAmt |
| EOY | $375,926,646 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $385,166,775 | BOYAmt |
| EOY | $375,926,646 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $650,984,427 | BOYAmt |
| EOY | $628,535,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $182,335,352 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$191,575,481 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,606,550 | OtherCostOrOtherBasisAmt |
| Book Value | $44,606,550 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $434,179,416 | OtherCostOrOtherBasisAmt |
| Depreciation | $152,148,081 | DepreciationAmt |
| Book Value | $282,031,335 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,143,183 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,148,551 | DepreciationAmt |
| Book Value | $9,994,632 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $304,437,750 | OtherCostOrOtherBasisAmt |
| Depreciation | $211,062,951 | DepreciationAmt |
| Book Value | $93,374,799 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,395,627 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,606,235 | DepreciationAmt |
| Book Value | $9,789,392 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $439,796,708 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT - OTHER LT | $1,909,185 |
| TAX EXEMPT BOND LIAB-DUE TO WH | $229,417,231 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $231,326,416 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | The following footnote is related to the organization's application of FIN 48 (ASC 740): "Wellstar (including KENNESTONE Hospital) and all but one of its affiliates have been recognized as exempt from Federal income tax under Internal Revenue Code Section 501(a) as organizations described in Section 501(C)(3) and, therefore, related income is generally not subject to Federal or state income taxes. Community Assurance Corporation is a controlled foreign corporation not subject to Federal tax. Wellstar applies FASB ASC 740, Income Taxes, which addresses accounting for uncertainties in income tax positions. It also provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There is no impact on Wellstar's combined financial statements as a result of the application of ASC 740." | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,436,392 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $60,436,392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07890 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,648,929 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,261,148 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,387,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00960 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $122,085,321 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,261,148 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,824,173 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08850 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,480,786 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,480,786 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $264,354 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $264,354 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,745,140 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,745,140 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123,830,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,261,148 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $69,569,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $24,248,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,481,868 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $281,631,693 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $321,956,762 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$40,325,069 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| KENNESTONE HOSPITAL | ||||||||||
| 1 | 677 CHURCH STREET | MARIETTA | GA | 30060 | www.wellstar.org | 033-548 | Yes (X) | Yes (X) | Yes (X) | HEALTH PARK INPATIENT HOSPICE |
| WINDY HILL HOSPITAL | ||||||||||
| 2 | 2540 WINDY HILL ROAD | MARIETTA | GA | 30067 | www.wellstar.org | 033-545 | Yes (X) | Yes (X) | LONG TERM ACUTE CARE | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | OtherOtherInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Other MethodOtherMethodInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Other Actions TakenOtherActionsTakenInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Average Negotiated RatesAverageNegotiatedRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNESTONE HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | false | false | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 12 | Yes (true) | SEE PART V, SECTION C | false | false | Yes (true) | Yes (X) | 125. | 300. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| WINDY HILL HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | false | false | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 12 | Yes (true) | SEE PART V, SECTION C | false | false | Yes (true) | Yes (X) | 125. | 300. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION, LINE 3J | OTHER DESCRIPTIONS FROM THE COMMUNITY HEALTH NEEDS ASSSESSMENT (CHNA): The Community Health Needs Assessment for Kennestone hospital and Windy Hill HOSPITAL, provides a list of WellStar Health System CHNA collaborators including individuals, organizations, and governmental agencies that were consulted and contributed special knowledge of medically underserved and low income populations and/or expertise in public health. |
| SCHEDULE H, PART V, SECTION B, LINE 5 | INPUT FROM COMMUNITY REPRESENTATIVES & COMMUNITY SOURCES: Kennestone and Windy Hill Hospitals integrated multiple sources of data from national and state web-based data platforms with multiple primary data gathering methods (see list below). As a partner in the strategic planning process utilized by Cobb & Douglas Public Health (CDPH) called Mobilizing for Action through Planning and Partners (MAPP) from the National Association of County & City Health Officials, the hospital leveraged the findings from the community health needs assessments conducted in tax year 2012. Through a grant by the Centers for Disease Control and Prevention, Kennestone and Windy Hill hospitals partnered with CDPH and formed coalition, Cobb 2020, to conduct its needs assessment via multiple modalities: MAPP workgroups, focus groups, surveys, Key Informant interviews, and implementation teams to act upon identified strategic issues in the community. To collect robust data for counties WellStar serves outside of Cobb, WellStar enlisted expertise of county and regional public health officials, independent consultants, and other Key Informants. A listing of collaborators can be found in the Appendix of the hospital facility's CHNA reports publicly available at wellstar.org. Quantitative Data Sources Including: 1. Georgia Department of Public Health, OASIS 2. Centers for Disease Control and Prevention (CDC) Vital Statistics 3. Agency for Healthcare Research and Quality (AHRQ) 4. U.S. Census Bureau 5. U.S. Department of Health and Human Services 6. Kaiser Permanente Web-Based CHNA Platform 7. Catholic Health Association CHNA resources 8. County Health Rankings & Roadmaps, University of Wisconsin 9. Healthy People 2020 10. Behavorial Risk Factor Surveillance System (BRFSS) 11. WellStar Health System - Kennestone & Windy Hill Hospital's FY2012 utilization data to assess service area zip codes accounting for 90 percent of hospital admissions and visits and primary service areas. Qualitative Data Sources Including: 1. Cobb County Focus Group Report - 58 people participated in six focus group representing 14 zip codes. Demographics varied among the groups indicative of the zip codes represented. Two groups were conducted in Spanish and reflected low-income, low education attainment and medically underserved populations. 2. MAPP Assessment Workgroups with representatives from Douglas and Cobb counties conducted four community assessments which helped develop the Cobb 2020 Community Health Improvement Plan. This included the 2011 Field Test Local Public Health System Assessment by the National Public Health Performance Standards Program (NPHPSP). 3. Cobb Key Informant Interview Report - 20 participants identified by Cobb 2020's Community Strengths and Themes Workgroup to represent different sectors of the Cobb community who possessed above average knowledge of the healthcare issues, healthcare system or the community. 4. Cobb MAPP Community Survey Report - A 44 question telephone survey of 1,244 adults ages 18-94 performed by the A.L. Burruss Institute for Public Service and Research, Kennesaw State University. 5. Cobb County 2010 - How Healthy Are We? 6. Cobb County MAPP Forces of Change Assessment Summary Report 7. Bartow, Cherokee and Paulding County Key Informant interviews of community stakeholders led by Ron Chapman, Principal, Magnetic North, LLC, a third-party consultanT. |
| SCHEDULE H, PART V, SECTION B, LINE 6A | ORGANIZATIONS INCLUDED IN COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): While both Kennestone and Windy Hill HOSPITALs each conduct its own community health needs assessment there may be some overlap with the other hospitals in WellStar Health System simply because of the geographic constraints and structure of the organization. The community served therefore is defined by similar zip codes and areas of services. |
| SCHEDULE H, PART V, SECTION B, LINES 7A & 7B | THE KENNESTONE HOSPITAL, INC. CHNA / WINDY HILL HOSPITAL CHNA CAN BE FOUND ONLINE AT THE FOLLOWING: KENNESTONE HOSPITAL,INC. WEBSITE: http://www.wellstar.org/locations/pages/wellstar-kennestone-hospital.aspx AND WELLSTAR HEALTH SYSTEM WEBSITE: http://www.wellstar.org/pages/default.aspx |
| SCHEDULE H, PART V, SECTION B, LINE 10A | KENNESTONE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE found ON ITS WEBSITE AT: http://www.wellstar.org/aboutus/documents/implementation_strategy/kennesT one_implementation_strategy_11112013.pdf AND WINDY HILL HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE found ON ITS WEBSITE AT: http://www.wellstar.org/aboutus/Documents/ImplEMentation_Strategy/windyhil l_implementation_strategy_11112013.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 11 | PROGRAMS & STRATEGIES TO ADDRESS THE NEEDS OF THE COMMUNITY: KENNESTONE / WINDY HILL HOSPITAL Based on the prioritized health needs, WellStar will implement a five-year, two-phased Community Benefit program that is sustainable and strategically aligned with the WellStar Health System mission and vision to address the prioritized health needs of the uninsured and low-income populations. This is accomplished through expanding provider participation, education, outreach and prevention activities/programs to promote healthy lifestyles and access to care (Phase 1) and creating a collaborative safety net organization for shared accountability to leverage and maximize complementary skills and capacity building (Phase 2). Currently, Phase 2 has shifted from creating an organization to integrating this type of care delivery into the community benefit services WellStar delivers at a health system-level across all hospitals. Progress ongoing in Phase 2: Strategy: Improve access to care to vulnerable populations - Strengthen collaborative partnerships with community stakeholders to increase access to preventative and primary care, improve quality and reduce costs. - Reduce preventable hospital admissions, re-admissions and Emergency Department visits by redirecting care to community clinics and primary care via the hospital-based care management program. - Increase the number of hospital-affiliated/WellStar Physicians Group primary care providers and specialists providing free or low-cost healthcare programs/clinics via a Graduate Medical Education program. (Commences in 2017) - Participate as a Cobb Access Health integrator/partner to build a low-income healthcare delivery system in Cobb County. (not being pursued as a separate entity, but as a part of community benefit services delivered by WellStar.) - Improve medication access through centralized reduced cost Pharmaceutical Patient Access Programs and the Federal 340B Drug Pricing Program for the management of chronic disease and to reduce complications. (Currently assessing the program) - Evaluate hospital-based subsidized health services to more effectively and efficiently allocate assets addressing prioritized needs of the medically underserved and uninsured. STRATEGY: Promote healthy lifestyles via preventative care, programs and activities - Engage faith-based organizations in coordination and provision of care (MEMPHIS Model). (Pilot to be conducted at WellStar Paulding Hospital.) - Expand free health screenings to the underserved and uninsured through WellStar Corporate & Community Health. - Provide at-risk, low income first time moms with care and education for healthy pregnancies via nurse home visiting program. (Not being pursued at this time.) - Collaborate with Cobb2020 Healthy Lifestyle initiatives (including physical activity, healthy eating, and obesity). - Provide community benefit leadership/consultation for the prevention and management of diabetes, cancer and cardiovascular disease. (Being delivered on a System-wide level.) - Increase cancer prevention and education community outreach (including smoking cessation program) utilizing WellStar Cancer Program team. (Underway) - Improve prevention-based educational resources and the referral process to free or low-cost healthcare clinics for continuity of care within the Emergency Department. UNADDRESSED CHNA NEEDS - Selection criteria for KENNESTONE HOSPITAL'S prioritized health needs were primarily based upon the bandwidth to build a sustainable community benefit model focused on preventable health behaviors and access to care. Sexually transmitted infections and teen pregnancy are not addressed leaving awareness education with schools, family and churches since the health needs are more cultural and societal. Improvement to health needs stemming from socioeconomic and physical environmental FACTORS such as air quality and transportation, gain traction from public policy and education. A health system can complement efforts to impact policy, but has to rely on public health, state and local municipalities and federal governmental agencies to drive these types of health improvements. Key questions when addressing health needs are: 1.) Do we have existing facilities and resources dedicated to the health needs showing clear disparities and poor performance? And, 2.) do we have effective and feasible interventions, a successful solution that has the potential to solve multiple problems, and the opportunity to intervene at the prevention level? Other needs not addressed are either beyond the scope or expertise of KENnESTONE Hospital, not being addressed at this time or are being addressed by WellStar on a system level or via other partners in public health. |
| SCHEDULE H, PART V, SECTION B, LINE 13B | FAP ELIGBILITY CRITERIA - INCOME LEVEL OTHER THAN FPG: The hospital abides by the financial assistance requirements under IRC 501(R)(5). IRC 501(R)(5) requires health care facilities to limit the amounts charged for emergency and other medically necessary care that is provided to individuals eligible for assistance under the health care facilities financial assistance policy to not more than the amounts generally billed to individuals who have insurance. The hospital extends its sliding scale for Community Financial Aid eligibility well beyond the minimum government levels to 300% of FPG. WellStar has chosen to use the average of the three best negotiated commercial rates as the trigger to not exceed in the application of the discounts/amounts charged to patients, on our sliding scale. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | FAP ELIGBILITY CRITERIA - OTHER CRITERIA: Other special circumstances may qualify a patient for full indigent or sliding scAle Charity benefits. Special circumstances may include but not limited to: - Patient deceased, with verification that there is no estate. - Unable to contact patient but Propensity to Pay software returns a low ability/low propensity designation. |
| SCHEDULE H, PART V, SECTION B, LINE 15 | METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE: In order to qualify for Financial Assistance, cooperation with WellStar Health System hospital Community Financial Assistance staff is necessary in identifying and determining alternative sources of payment or coverage from public and private payment programs. For qualification of financial assistance under the hospital's policy, a patient (or his or her guardian or family member) must: - Submit a true, accurate, signed and completed application for financial assistance; - Provide a copy of the prior year Federal Income Tax Return and W2/1099 (including all schedules); or Provide two of the following if unable to provide a copy of the most recent Federal Income Tax Return: - Provide THREE months of the most recent pay stubs (or certification of unemployment) or; - Separation Notice or unemployment claim if unemployed; or - Provide THREE current bank statements for all checking and savings accounts; or - Provide award letter from social Security Office; or - Provide Current Profit and Loss report for all self-employed applicants; or - Current CD, 401k, 403b, IRA and other investment statements; or - Provide Asset Statement, with equity adjustments (Rental property, land second houses). Community Financial Assistance eligibility will be determined based on a thorough review of the submitted information. |
| SCHEDULE H, PART V, SECTION B, LINE 16A | THE WELLSTAR HEALTH SYSTEM COMMUNITY FINANCIAL ASSISTANCE POLICY CAN BE FOUND ON ITS WEBSITE: http://www.wellstar.org/about-us/policies-procedures/pages/community-finan cial-assistance-policy.aspx SCHEDULE H, PART V, SECTION B, LINE 16B THE WELLSTAR HEALTH SYSTEM FINANCIAL ASSISTANCE APPLICATION CAN BE FOUND ON ITS WEBSITE: http://www.wellstar.org/about-us/policies-procedures/documents/community-f inancial-aid-application.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 16I | PUBLICATION OF THE FINANCIAL ASSISTANCE POLICY (FAP): In addition to the other methods of posting the financial assistance policy, the hospital makes available for patients in admissions and outpatient registration areas a brochure including frequently asked questions. |
| SCHEDULE H, PART V, SECTION B, LINE 20E | ADDITIONAL EFFORTS MADE BEFORE COLLECTIONS ACTION INITIATED: The hospital facility also notified individuals of the financial assistance policy online at http://www.wellstar.org/pages/online-bill-pay.aspx. Furthermore, the hospital facility utilizes a propensity to pay software. Individuals with a low ability/low propensity designation may qualify for full indigent or sliding scale charity benefits. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 6A | PUBLICATION OF COMMUNITY BENEFIT REPORT: Kennestone Hospital, Inc.(consisting of Kennestone Hospital and Windy Hill Hospital) is an affiliate of Wellstar Health System, Inc. which on an annual basis issues a community benefit report. This report is subsequently distributed in and around the five county service area of the health system. It is also annually filed with Cobb County and the state of Georgia Department of Community Health. Additionally the information on community benefit is included in aggregate for Wellstar Health System, Inc. and affiliated hospitals as part of the Georgia Hospital Association's annual report. On an annual basis the hospital reports its community health benefits report to the Georgia Hospital Association (GHA). GHA aggregates the hospital specific reports into a statewide community health benefit report. The State of Georgia also requires hospitals to file the Hospital Financial Survey and the Indigent Care Trust Fund Survey so that it can collect information on hospital financial class categories and also to determine the amount of uncompensated care by hospital. THE COMMUNITY BENEFIT REPORT CAN BE FOUND AT THE FOLLOWING WEBSITES: Kennestone HOSPITAL: http://www.wellstar.org/ about-Us/documents/chna/kennestone_chna_06172013.PDF Windy Hill HOSPITAL: http://www.wellstar.org/ about-us/documents/chna/windyhill_chna_06172013.PDF |
| SCHEDULE H, PART I, LINE 7 | COST TO CHARGE RATIO: For purposes of the IRS Form 990 Schedule H, Wellstar Health System and Affiliates (including Kennestone and Windy Hill Hospitals) have estimated the current year cost to charge ratio for each hospital as it is reported in the annual community benefit report and as it will be reported in the state's Annual Hospital Financial Survey. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | METHODOLOGY USED TO ESTIMATE BAD DEBT: The reported bad debt charges is derived from the unpaid balances of patient accounts that are deemed uncollectible after 120 days of collection effort by the hospital's patient financial services staff. The unpaid patient accounts are then sent to collection agencies and any collected amount is deemed as bad debt recovery. The source of this data is the hospital's detailed financial trial balance. The net reported bad debt charges are then multiplied by the Hospital Financial Survey calculated cost to charge ratio to arrive at the estimated bad debt expense. SCHEDULE H, PART III, SECTION A, LINE 3 METHOLODOGY & RATIONALE USED TO DETERMINE BAD DEBT ATTRIBUTABLE TO PATIENT'S ELIGIBLE UNDER ORGANIZATION'S FAP: The bad debt attributable to patients eligible under the hospital's financial assistance program is determined using a weekly bad debt conversion report for a period of twelve months. The conversion rate for this period is used to determine this bad debt category. The total reported conversion charges is multiplied by a calculated cost to charge ratio to arrive at the cost of bad debt attributable to patient's eligible under the hospital's FAP. SCHEDULE H, PART III, SECTION A, LINE 4 FOOTNOTE ON BAD DEBT & RATIONALE FOR COMMUNITY BENEFIT: The following footnote is detailed in the Wellstar Health System, Inc. and Affiliates Combined Financial Statements related to bad debt or uncollectible accounts: "During 2011, Wellstar adopted the provisions of FASB Accounting Standards Update (2011-07), Healthcare Entities (Topic 954). ASU 2011-07 requires the reclassification of the provision for uncollectible accounts associated with patient service revenue from an operating expense to a deduction from patient service revenue (net of contractual allowances and discounts)." "Wellstar recognizes patient service revenue associated with services provided to patients with third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for community financial aid, Wellstar recognizes revenue on the basis of its discounted rates for services provided. On the basis of historical experience, a significant portion of Wellstar's uninsured patients are unable or unwilling to pay for the services provided. Thus, Wellstar records a significant provision for uncollectible accounts related to uninsured patients in the period the services are provided." Subsequent to the end of the reporting period a propensity to pay review of patient accounts often results in prior year bad debt accounts which are deemed eligible for the organization's financial assistance policy. Those bad debt accounts are reclassified as charity and thus our rationale for including in community benefit. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | MEDICARE SHORTFALLS: Kennestone and Windy Hill Hospitals are providers of inpatient and outpatient services to Medicare program beneficiaries at determined rates. Without the participation in the Medicare program these patients may not have had convenient access to those services. The Medicare shortfall on SCHEDULE H, Part III, Section B, line 7 represents the uncompensated difference between the expected reimbursement and the Medicare charges for those services stated at cost. We determine a cost to charge ratio for Medicare patients as part of the annual filing of the Medicare cost report. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | COLLECTION PRACTICES: The policy written for collection practices that applies to all Wellstar Health System entities incorporates guidelines for personnel in the admissions and patient access areas to be trained in identifying patients that might qualify for financial assistance. It is also the policy of all Wellstar facilities to have at least one employee or contractor available at all times, especially in the hospitals with emergency rooms, who can provide assistance with the paperwork necessary to help patients who would qualify for governmental and other assistance programs. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: To assess the current health and well-being of the community served, WELLSTAR HEALTH SYSTEM, INC., KENNESTONE HOSPITAL, AND WINDY HILL HOSPITAL, conducted a Community Health Needs Assessment (CHNA), a collaborative effort involving hospital leadership, public health agencies, Cobb2020, and a diverse coalition of community stakeholders. Partners represented a broad knowledge base of the hospital's primary service area comprising Bartow, Douglas, Cherokee, Cobb, and Paulding counties and some outlying zip codes determined by utilization. To assess the current community health status and capture a broad base of input, collaborators engaged IN a strategic process called Mobilizing for Action Through Planning and Partnerships (MAPP) Launched by Cobb & Douglas Public Health (CDPH). MAPP provides the framework for creating a community-driven health improvement plan through different assessments to evaluate: - Prevalent health issues - Health issues that are important to the community members - Availability of health services - Forces that impact community health WellStar Health System (and affiliates) is a key stakeholder in MOBLIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS ("MAPP"). MAPP, developed by the National Association of County and City Health Officials ("NACCHO") in collaboration with the CDC, provides a structured guidance on creating and implementing a community-wide strategic planning process focused on improving the health and safety of our population. Through MAPP, a broad collection of community partners and residents come together to identify and prioritize health and safety issues and to identify resources for addressing them. The process results in an actionable community health improvement plan (CHIP) for measurable improvements in the community's health and quality of life as well as a scorecard for implementation and evaluation. The resulting community plan does not focus on one agency or community health challenge; rather, MAPP provides a long-term strategy that addresses the multiple factors that affect health in the community. Community involvement throughout the creation and the implementation of a health improvement plan results in creative solutions to community health problems with an improved focus on priorities, reduced duplication of services, increased collaboration on projects and activities, and increased capacity to garner additional resources. Moreover, continuous community involvement leads to community ownership of the process. Community ownership, in turn, increases the credibility and sustainability of the health improvement efforts. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBLITY FOR ASSISTANCE: The hospital provides notice of the availability of community financial Assistance via: - Signage - Patient Brochure - Billing Statement - Collection Action Letter - Online at http://www.wellstar.org/pages/online-bill-pay.aspx Kennestone and Windy Hill Hospitals provide its patients with hospital personnel or contracted personnel who are trained in all aspects of governmental programs, payments plans, charity discounts, and other financial assistance offered to assist them in their hospital bills. If the patient is eligible for federal or state assistance programs, a staff member is knowledgeable in the steps necessary to qualify those individuals. If a patient is indigent or charity eligible they will be offered assistance through the hospital's charity and indigent care policy including the state's indigent care trust fund. If the patient has no other insurance and fails to qualify for indigent care assistance, the financial counselor can then offer the patient an opportunity to accept a payment plan with discounted payment options based on their ability to pay immediately or over time. All patient are afforded these opportunities. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: As part of an integrated health system, WellStar Health system, inc. and Kennestone and Windy Hill hospitals' service area overlaps with the other three WellStar hospitals. This intersecting impact across WellStar's five-county primary service area of approximately 1.3 million residents in Bartow, Cherokee, Cobb, Douglas, and Paulding counties is not easily determined by a county by county analysis. The majority of patient volume comes from this service area although other health systems have a presence in the area as well. Demographically, the region is one of the fastest growing in the state as well as the country and the expansion of the services for the patient population reflects a desire to offer healthcare "closer to home" since WellStar is considered a part of a larger metropolitan Atlanta MARKET. ECONOMICALLY, the region is strong in per capita income but given recent trends a rise in the uninsured and indigent population has occurred. Kennestone and Windy Hill Hospitals are two of five hospitals that are affiliated with Wellstar Health System. the primary service area of the system is located in the Northwest Georgia area and receives the majority of its patients from one of five counties (Cherokee, Cobb, Douglas, Bartow and Paulding). Generally about 85% to 90% of the patient volume comes from this service area although other health systems have a presence in the area as well. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: As stated in the Wellstar Health System, Inc and Affiliates audited financial statements for the period ended 6/30/2015, Kennestone and Windy Hill Hospitals (affiliates of Wellstar Health System, Inc.) operate as charitable organizations consistent with the requirements of Internal Revenue Code SECTION 501(c)(3) and the "community benefit standard" of IRS Ruling 69-545. In this regard the governing body of the organization and/or its parent is composed of prominent citizens in the community, medical staff privileges in the hospital are available to all qualified physicians in the area consistent with the size and nature of the facility; Kennestone Hospital operates a full-time emergency room open to all regardless of ability to pay; and the hospitals (Kennestone and Windy Hill) provide care to the needy members of the community consistent with its charity care policy. The hospital's excess funds are generally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement of patient care, community benefit activities including health education, preventive screenings and health fairs, research, subsidized health services, and charity care. Kennestone Hospital committed approximately $ 19.7 million and Windy Hill Hospital committed approximately $ 67.4 million in capital expenditures for the year to meet those needs. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: Recognized as the fifth most integrated healthcare delivery system in the country, WellStar Health System is one of the largest not-for-profit health systems in Georgia and serves a population of nearly 1.3 million residents in five counties. The vision of WellStar is to deliver world-class healthcare. WellStar includes WellStar Kennestone Regional Medical Center (anchored by WellStar Kennestone Hospital) and WellStar Cobb, Douglas, Paulding and Windy Hill hospitals; the WellStar Medical Group; Urgent Care Centers; Acworth Health Park; Health Place; Homecare; Hospice; Atherton Place; Paulding Nursing Center; and the WellStar Foundation. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY HEALTH BENEFIT REPORT: On an annual basis the hospital reports its community health benefits report to the Georgia Hospital Association (GHA). GHA aggregates the hospital specific reports into a statewide community health benefit report. The State of Georgia also requires hospitals to file the Hospital Financial Survey and the Indigent Care Trust Fund Survey so that it can collect information on hospital financial class categories and also to determine the amount of uncompensated care by hospital. |
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 (65 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Valery A Akopov MD | ||||||||||||||
| VP & Chief of Hospitalist Svcs | $0 | $329,534 | $0 | $59,170 | $0 | $11,041 | $0 | $28,200 | $0 | $25,463 | $0 | $453,408 | $0 | $0 |
| David W Anderson | ||||||||||||||
| EVP HR OL CCO | $0 | $414,523 | $0 | $205,272 | $0 | $29,134 | $0 | $45,700 | $0 | $24,590 | $0 | $719,219 | $0 | $0 |
| Nicole V Ashe | ||||||||||||||
| VP Finance & CFO WMG | $0 | $219,898 | $0 | $32,783 | $0 | $9,504 | $0 | $22,403 | $0 | $23,482 | $0 | $308,070 | $0 | $0 |
| Barbara G Ballard | ||||||||||||||
| VP Homecare & Hospice | $0 | $238,742 | $0 | $33,691 | $0 | $10,403 | $0 | $43,913 | $0 | $21,002 | $0 | $347,751 | $0 | $0 |
| Betty A Brakovich | ||||||||||||||
| VP CNO Patient Care Services | $157,685 | $0 | $28,582 | $0 | $10,302 | $0 | $23,465 | $0 | $12,327 | $0 | $232,361 | $0 | $0 | $0 |
| Joseph L Brywczynski | ||||||||||||||
| SVP Health Parks Development | $0 | $266,989 | $0 | $285,443 | $0 | $17,664 | $0 | $45,700 | $0 | $24,444 | $0 | $640,240 | $0 | $0 |
| Anthony J Budzinski | ||||||||||||||
| EVP & CFO | $0 | $539,386 | $0 | $134,954 | $0 | $14,896 | $0 | $45,700 | $0 | $25,396 | $0 | $760,332 | $0 | $0 |
| Donald Campbell MD | ||||||||||||||
| SVP Phys Educ & Student Aff | $0 | $327,517 | $0 | $167,537 | $0 | $18,263 | $0 | $45,700 | $0 | $16,783 | $0 | $575,800 | $0 | $0 |
| Laura Caramanica | ||||||||||||||
| VP CNO Patient Care Services | $271,856 | $0 | $171,232 | $0 | $11,564 | $0 | $45,700 | $0 | $9,834 | $0 | $510,186 | $0 | $0 | $0 |
| James E Clements | ||||||||||||||
| VP Bus Dev & Strategic Prtnrsp | $0 | $207,563 | $0 | $49,762 | $0 | $6,691 | $0 | $0 | $0 | $17,453 | $0 | $281,469 | $0 | $0 |
| Lee R Cook | ||||||||||||||
| VP Med & Behavioral Health | $0 | $256,547 | $0 | $327,425 | $0 | $8,736 | $0 | $27,624 | $0 | $17,428 | $0 | $637,760 | $0 | $0 |
| Barbara B Corey | ||||||||||||||
| SVP Managed Care | $0 | $301,454 | $0 | $65,765 | $0 | $11,944 | $0 | $21,292 | $0 | $26,837 | $0 | $427,292 | $0 | $0 |
| Bruce A Dean | ||||||||||||||
| VP Real Estate Deputy Gen Cnsl | $0 | $227,781 | $0 | $40,345 | $0 | $14,335 | $0 | $45,675 | $0 | $24,166 | $0 | $352,302 | $0 | $0 |
| Marcia Delk-Payne MD | ||||||||||||||
| SVP Med Affair & Chf Qlty Ofcr | $0 | $370,531 | $0 | $544,886 | $0 | $10,395 | $0 | $45,700 | $0 | $4,190 | $0 | $975,702 | $0 | $0 |
| Nancy R Doelling | ||||||||||||||
| VP Pediatric SRVS.(BEGIN. 8/4) | $0 | $117,427 | $0 | $16,910 | $0 | $6,672 | $0 | $11,120 | $0 | $691 | $0 | $152,820 | $0 | $0 |
| Jimmy E Francis | ||||||||||||||
| VP Info Technology Operations | $0 | $205,005 | $0 | $42,280 | $0 | $9,742 | $0 | $33,822 | $0 | $2,370 | $0 | $293,219 | $0 | $0 |
| Steven L Grace | ||||||||||||||
| VP Talent Acquisition | $0 | $200,013 | $0 | $52,892 | $0 | $14,048 | $0 | $14,653 | $0 | $18,078 | $0 | $299,684 | $0 | $0 |
| Michael L Graue | ||||||||||||||
| FORMER EVP & COO | $0 | $0 | $0 | $0 | $0 | $522,266 | $0 | $0 | $0 | $0 | $0 | $522,266 | $0 | $0 |
| Kristyn M Greifer MD | ||||||||||||||
| VP Population Management | $0 | $307,528 | $0 | $52,230 | $0 | $10,225 | $0 | $18,722 | $0 | $9,958 | $0 | $398,663 | $0 | $0 |
| Martin L Gutkin | ||||||||||||||
| VP Finance & Hospital CFO | $190,902 | $0 | $52,190 | $0 | $15,231 | $0 | $0 | $0 | $9,294 | $0 | $267,617 | $0 | $0 | $0 |
| Joel W Helmke | ||||||||||||||
| VP Oncology (BEGIN. 7/21) | $0 | $110,000 | $0 | $51,610 | $0 | $3,904 | $0 | $20,081 | $0 | $8,794 | $0 | $194,389 | $0 | $0 |
| Robert D Jansen MD | ||||||||||||||
| EVP & Pres Medical Group | $0 | $591,219 | $0 | $170,344 | $0 | $20,977 | $0 | $45,700 | $0 | $29,543 | $0 | $857,783 | $0 | $0 |
| Reynold J Jennings | ||||||||||||||
| PRESIDENT & CEO | $0 | $975,000 | $0 | $708,390 | $0 | $18,591 | $0 | $0 | $0 | $2,056 | $0 | $1,704,037 | $0 | $0 |
| Peter R Jungblut MD | ||||||||||||||
| SVP & Medical Dir WMG | $0 | $307,528 | $0 | $78,959 | $0 | $12,316 | $0 | $40,200 | $0 | $29,199 | $0 | $468,202 | $0 | $0 |
| Christopher M Kane | ||||||||||||||
| SVP Strategic Plan & Bus Dev | $0 | $341,744 | $0 | $454,243 | $0 | $10,413 | $0 | $21,954 | $0 | $20,378 | $0 | $848,732 | $0 | $0 |
| Beth Kost | ||||||||||||||
| VP Compliance Chf Privacy Ofcr | $0 | $244,733 | $0 | $77,006 | $0 | $9,961 | $0 | $22,318 | $0 | $11,704 | $0 | $365,722 | $0 | $0 |
| Kenneth C Kunze MD | ||||||||||||||
| FRMR SVP CHIEF MEDICAL OFFICER | $0 | $0 | $0 | $0 | $0 | $383,389 | $0 | $0 | $0 | $0 | $0 | $383,389 | $0 | $0 |
| Ellen Langford | ||||||||||||||
| SVP & COO WellStar Med Group | $0 | $220,376 | $0 | $46,995 | $0 | $11,936 | $0 | $36,643 | $0 | $22,323 | $0 | $338,273 | $0 | $0 |
| Louis W Little | ||||||||||||||
| SVP Post Acute Svc & Hosp Pres | $247,333 | $0 | $321,759 | $0 | $9,969 | $0 | $44,057 | $0 | $22,463 | $0 | $645,581 | $0 | $0 | $0 |
| Elizabeth H Loudermilk | ||||||||||||||
| VP Ent Intelligence & Intgrtn | $0 | $225,680 | $0 | $73,283 | $0 | $9,197 | $0 | $6,309 | $0 | $19,342 | $0 | $333,811 | $0 | $0 |
| Robert M Lubitz MD | ||||||||||||||
| VP Medical Affairs | $348,421 | $0 | $62,338 | $0 | $11,023 | $0 | $45,700 | $0 | $4,848 | $0 | $472,330 | $0 | $0 | $0 |
| Sandra Lucius | ||||||||||||||
| VP Info Technology Apps | $0 | $185,834 | $0 | $30,026 | $0 | $8,564 | $0 | $44,758 | $0 | $2,235 | $0 | $271,417 | $0 | $0 |
| Robert Mandler | ||||||||||||||
| VP Diagnostic Outreach | $0 | $214,261 | $0 | $58,412 | $0 | $18,167 | $0 | $45,249 | $0 | $16,275 | $0 | $352,364 | $0 | $0 |
| Patricia A Mayne | ||||||||||||||
| VP Emergency Services | $177,986 | $0 | $122,895 | $0 | $10,448 | $0 | $26,305 | $0 | $23,814 | $0 | $361,448 | $0 | $0 | $0 |
| Kimberly W Menefee | ||||||||||||||
| SVP Strategic Community Dev | $0 | $282,547 | $0 | $66,726 | $0 | $13,682 | $0 | $28,200 | $0 | $17,826 | $0 | $408,981 | $0 | $0 |
| Christopher L Morgan | ||||||||||||||
| VP & Admin. CLIO (BEGIN. 7/7) | $0 | $110,770 | $0 | $52,731 | $0 | $4,638 | $0 | $20,102 | $0 | $1,645 | $0 | $189,886 | $0 | $0 |
| Jonathan B Morris MD | ||||||||||||||
| SVP Chief Info Officer | $0 | $369,512 | $0 | $80,613 | $0 | $12,264 | $0 | $23,553 | $0 | $26,705 | $0 | $512,647 | $0 | $0 |
| Bradford B Newton | ||||||||||||||
| VP Information Technology Admi | $0 | $192,691 | $0 | $30,661 | $0 | $8,988 | $0 | $20,598 | $0 | $27,113 | $0 | $280,051 | $0 | $0 |
| Michael G Paul | ||||||||||||||
| VP Facilities Eng Support Svcs | $0 | $181,401 | $0 | $27,532 | $0 | $12,020 | $0 | $0 | $0 | $24,150 | $0 | $245,103 | $0 | $0 |
| Leo E Reichert | ||||||||||||||
| EVP & General Counsel | $0 | $489,341 | $0 | $247,184 | $0 | $15,552 | $0 | $0 | $0 | $29,200 | $0 | $781,277 | $0 | $0 |
| Bethany Robertson | ||||||||||||||
| VP & Chief Learning Officer | $0 | $178,067 | $0 | $31,215 | $0 | $9,391 | $0 | $13,097 | $0 | $28,511 | $0 | $260,281 | $0 | $0 |
| Michelle M Robinson | ||||||||||||||
| VP Mktng/PR/Internal Comm | $0 | $196,373 | $0 | $33,264 | $0 | $9,210 | $0 | $14,300 | $0 | $26,351 | $0 | $279,498 | $0 | $0 |
| Deborah Roegge De Vita | ||||||||||||||
| VP Women & Newborn Svc Line | $0 | $195,728 | $0 | $27,621 | $0 | $8,576 | $0 | $25,759 | $0 | $6,141 | $0 | $263,825 | $0 | $0 |
| Candice L Saunders | ||||||||||||||
| President & CEO | $0 | $621,461 | $0 | $174,240 | $0 | $16,525 | $0 | $45,334 | $0 | $27,582 | $0 | $885,142 | $0 | $0 |
| Christopher B Scullen | ||||||||||||||
| VP Pulmonology Operations | $0 | $172,411 | $0 | $112,906 | $0 | $6,929 | $0 | $0 | $0 | $17,839 | $0 | $310,085 | $0 | $0 |
| Richard S Siegel | ||||||||||||||
| VP Cardiology & CVM Admin | $0 | $271,627 | $0 | $40,496 | $0 | $11,541 | $0 | $45,700 | $0 | $24,762 | $0 | $394,126 | $0 | $0 |
| Jeffery D Stanley | ||||||||||||||
| VP Pharmacy & System Coor | $0 | $176,156 | $0 | $30,945 | $0 | $9,170 | $0 | $21,580 | $0 | $8,658 | $0 | $246,509 | $0 | $0 |
| Daniel J Styf | ||||||||||||||
| SVP PW Health Plan | $0 | $281,902 | $0 | $39,983 | $0 | $15,148 | $0 | $18,663 | $0 | $9,070 | $0 | $364,766 | $0 | $0 |
| James M Swartz | ||||||||||||||
| VP Accounting | $0 | $200,242 | $0 | $63,140 | $0 | $8,971 | $0 | $16,856 | $0 | $25,406 | $0 | $314,615 | $0 | $0 |
| Mary L Tavernaro | ||||||||||||||
| VP Human Resources Operations | $0 | $212,056 | $0 | $37,659 | $0 | $9,442 | $0 | $27,690 | $0 | $21,436 | $0 | $308,283 | $0 | $0 |
| Adam C Thompson | ||||||||||||||
| VP Surgery | $0 | $166,858 | $0 | $51,698 | $0 | $9,517 | $0 | $0 | $0 | $21,830 | $0 | $249,903 | $0 | $0 |
| Anthony M Trupiano | ||||||||||||||
| SVP Supply Chain | $0 | $268,258 | $0 | $61,742 | $0 | $15,219 | $0 | $45,700 | $0 | $1,896 | $0 | $392,815 | $0 | $0 |
| Sean P Turner | ||||||||||||||
| VP Rev.Cycle MGMT (BEGIN.9/28) | $0 | $233,395 | $0 | $36,468 | $0 | $3,219 | $0 | $20,091 | $0 | $26,574 | $0 | $319,747 | $0 | $0 |
| Monte A Wilson | ||||||||||||||
| VP & COO Kennestone Hospital | $287,019 | $0 | $48,986 | $0 | $10,221 | $0 | $0 | $0 | $26,235 | $0 | $372,461 | $0 | $0 | $0 |
| Robin Wilson MD | ||||||||||||||
| SVP Chief Hlth Innov Officer | $0 | $395,907 | $0 | $232,368 | $0 | $9,718 | $0 | $0 | $0 | $22,144 | $0 | $660,137 | $0 | $0 |
| Daniel J Woods | ||||||||||||||
| SVP & Hospital President | $379,267 | $0 | $87,679 | $0 | $15,644 | $0 | $45,700 | $0 | $24,659 | $0 | $552,949 | $0 | $0 | $0 |
| Chester A Zborowski | ||||||||||||||
| VP Health Parks Operations | $0 | $165,755 | $0 | $45,188 | $0 | $12,208 | $0 | $0 | $0 | $24,265 | $0 | $247,416 | $0 | $0 |
| Avril P Beckford MD | ||||||||||||||
| TRUSTEE | $0 | $395,084 | $0 | $86,393 | $0 | $2,531 | $0 | $27,460 | $0 | $1,940 | $0 | $513,408 | $0 | $0 |
| Jeffrey L Tharp MD | ||||||||||||||
| TRUSTEE | $0 | $480,597 | $0 | $147,676 | $0 | $2,596 | $0 | $45,700 | $0 | $29,025 | $0 | $705,594 | $0 | $0 |
| THOMAS E GEARHARD MD | ||||||||||||||
| TRUSTEE | $0 | $293,273 | $0 | $48,916 | $0 | $5,186 | $0 | $42,668 | $0 | $30,543 | $0 | $420,586 | $0 | $0 |
| LOUIS LOVETT | ||||||||||||||
| AVP GME/DIO | $245,575 | $0 | $39,483 | $0 | $3,838 | $0 | $42,138 | $0 | $23,353 | $0 | $354,387 | $0 | $0 | $0 |
| JYOTSNA R VANAPALLI | ||||||||||||||
| Rad Oncology Chief Physicist | $198,869 | $0 | $315 | $0 | $448 | $0 | $21,484 | $0 | $20,912 | $0 | $242,028 | $0 | $0 | $0 |
| SHERRON KURTZ | ||||||||||||||
| Exec Dir Surgical Svcs KH/CH | $160,326 | $0 | $18,484 | $0 | $5,389 | $0 | $11,459 | $0 | $3,522 | $0 | $199,180 | $0 | $0 | $0 |
| JANET P MEMARK | ||||||||||||||
| MD Physician Group | $160,000 | $0 | $14,344 | $0 | $1,848 | $0 | $19,367 | $0 | $1,132 | $0 | $196,691 | $0 | $0 | $0 |
| CAROLE J HARMAN | ||||||||||||||
| Exec Dir Women's Nursing | $149,760 | $0 | $17,172 | $0 | $1,962 | $0 | $11,615 | $0 | $21,467 | $0 | $201,976 | $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 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/KEY EMPLOYEES received severance pay during the 2014 CALENDAR YEAR FROM EITHER THE ORGANIZATION OR A RELATED ORGANIZATION: KENNETH C. KUNZE, MD $ 383,389 MICHAEL L. GRAUE, MD 522,266 SCHEDULE J, PART I, LINE 4B The following officers/KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE YEAR. Valery Akopov Nicole Ashe JOSEPH L. BRYWCZYNSKI ANTHONY J. BUDZINSKI Laura Caramanica James Clements BARBARA B. COREY BRUCE ALAN DEAN Sarath Degala Marcia Delk-Payne JIMMY E. FRANCIS KRISTYN M. GREIFER ROBERT D. JANSEN PETER R. JUNGBLUT CHRISTOPHER MICHAEL KANE Beth Kost Ellen Langford Elizabeth Loudermilk PATRICIA A. MAYNE KIMBERLY W. MENEFEE JONATHAN B. MORRIS Bradford Newton Leo Reichert Bethany Robertson Michelle Robinson CANDICE LYNN SAUNDERS Richard Siegel CHRISTOPHER B. SCULLEN Jeffery Stanley Daniel Styf JAMES M. SWARTZ MARY LOUISE TAVERNARO Adam Thompson ANTHONY MICHAEL TRUPIANO Monte Wilson Robin Wilson DANIEL WOODS DONALD CAMPBELL ROBERT MANDLER DEBORAH ROEGGE DE VITA DAVID W. ANDERSON CHESTER ZBOROWSKI BARBARA BALLARD Betty Brakovich Lee R. Cook Louis Little Robert Lubitz Martin Gutkin SCHEDULE J, PART I, LINE 7B 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: People & Customer Service goal for employee "Trust Index", Quality & Safety goal for clinical excellence and patient satisfaction, 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | PROGRAM SERVICE ACCOMPLISHMENTS As discussed herein, Kennestone Hospital, Inc (an affiliate of Wellstar Health System, Inc.) operates as a charitable organization consistent with the requirements of Internal Revenue Code Section 501(c)(3) and the "community benefit standard" of IRS Revenue Ruling 69-545. In this regard, the governing body of the organization and/or its parent is composed of prominent citizens in the community, medical staff privileges in the hospital are available to all qualified physicians in the area, consistent with the size and nature of the facility; one of the hospitals operates a full-time emergency room open to all regardless of the ability to pay; the hospital provides care to needy members of its community consistent with its charity care policy regardless of their ability to pay for these services and admits as patients those able to pay for care, either themselves or through third-party payers such as private health insurance or government programs such as Medicare and Medicaid; and the hospital's excess funds are generally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement in patient care, community benefit activities, and charity care. Kennestone Hospital, Inc. consists of two hospitals, Wellstar Kennestone and Wellstar Windy Hill. These hospitals combined to invest approximately $101.4 million in capital expenditures for the fiscal period. Wellstar Kennestone Hospital is a general acute hospital which provides a full range of inpatient and outpatient services for the overall health of the community. The hospital is located in Marietta, Georgia. The original hospital was constructed in 1950. The present main building was constructed in 1975. Kennestone is licensed to operate 633 beds and is currently staffed to operate 588 beds. Wellstar Windy Hill Hospital is located in the unincorporated area of Cobb County in northwest metropolitan Atlanta. It is an acute care hospital concentrating at the present time on long term care inpatient and outpatient services. The original structure was built in 1973 and renovated in 1987. The beds at Windy Hill serve medically complex patients whose average stay is approximately 30 days. Kennestone Hospital, Inc. affiliated with Northwest Georgia Health System in 1993. In 1994 Northwest Georgia Health System helped form the Promina Health System and changed its name to Promina Northwest Health System. In 1998 Promina Northwest changed its name to Wellstar Health System. Wellstar became totally independent of Promina in 2000. Kennestone Hospital, Inc. was organized in 1993 and is subordinate to, and subject to the authority of, Wellstar Health System and its governing board. Kennestone offers most major inpatient clinical services, a variety of outpatient services, women's services and open heart surgery. It is one of the largest hospitals in the state of Georgia. Kennestone is also home to a variety of state-of-the-art procedures and equipment not offered elsewhere in the larger Atlanta metro service area. The hospital has also opened several satellite outpatient imaging centers to provide easier access to our patient population. One additional service offered on the campus of Kennestone is called Atherton Place. This residential facility provides independent housing as well as assisted living to residents needing these services--especially the elderly. Kennestone also now operates a residential hospice facility at Kennesaw Mountain near the Kennestone campus. Windy Hill has transitioned its focus to long-term inpatient and outpatient services. These services include a concentration in geriatrics, rehabilitation, orthopedics and senior care. An additional service offered at Windy Hill Hospital includes a women's imaging department. Kennestone Hospital, Inc. operates two brand new health parks in Acworth and East Cobb. These facilities bring physician, outpatient surgery, diagnostic, laboratory and therapy services under one roof. The following stats constitute the overall program services for the period ended June 30, 2015: Kennestone Hospital Total Adult Discharges - 37,360 Med/Surg. Short Stay Cases - 10 Newborn Discharges - 5,506 Emergency Room Visits - 132,581 Total surgery cases - 24,859 Non ED OP Radiology Procedures - 156,163 Cath Lab Procedures - 6,464 GI Lab Procedures - 2,093 Radiology Oncology procedures - 15,772 Total FTEs (Paid) - 3,891 Windy Hill Hospital Total Adult Discharges - 344 Med/Surg. Short Stay Cases - 1 Total Surgery Cases - 1,553 Non ED OP Radiology Procedures - 29,570 GI Lab Procedures - 159 Total FTEs (Paid) - 297 Community Benefit Reporting Community Outreach and Health Improvements - $ 1,480,786 Unreimbursed Charity Care (at cost) - $ 60,436,392 Health professions education - $ 264,354 Medicaid Shortfalls (at cost) - $ 8,887,054 Total community benefit expense for the two hospitals - $ 70,804,232 Community Benefits Detail Kennestone and Windy Hill, affiliates of Wellstar Health System, participate in many community and educational programs for the overall health and benefit of the area that it serves. The following are examples of programs or services that are provided by Kennestone Hospital, Inc. for the charitable benefit of the community: Community Health/Education Wellstar's Marketing and Public Relations department provides free brochures on a variety of health-related topics such as blood pressure, diabetes, cholesterol, osteoporosis, and nutrition. Kennestone Hospital specifically offers the community the space and instructors for many support groups and educational opportunities--some free of charge and others at a nominal fee (examples of the offerings are women's health, palliative care, birthing classes, etc.) Kennestone and Windy Hill also offer free and/or low cost screenings for health issues such as blood pressure, cholesterol, flu shots, and others. System-wide for the reporting period over 200,000 area residents were seen at either the screenings or health fairs. School Health Program This program is operated in conjunction with area school systems and seeks to teach school-aged children about health and safety topics such as dental health, water safety, seat belt safety and others. Safe Kids-Cobb/Cherokee Wellstar and the Cobb Public Health Department sponsor safety education events on an annual basis to the community, specifically the Cobb County area. The safety initiatives are centered around car seat checks, bike helmets, water safety and other preventive initiatives. The mission is to reduce the number of accidental injuries for children ages 14 and under. The SafeKids Cobb program provided 1,500 car seat checks with a number of car seats distributed to families in need. The Partner-in-Education program provides health-related supplies and support to area elementary and middle schools. Through the "Partners in Ministry" program, the Pastoral Care Department leads a partnership between the health system and local area congregations to link between the spiritual and clinical community needs. Sponsorships and Community Activities As part of the October Breast Cancer Awareness Month WellStar and the WellStar Cancer Network has partnered with a local television station to sponsor "Buddy Check 11", an 11Alive program designed to encourage breast self-exam. The participants choose a buddy and subsequently remind their buddy to perform a monthly self-exam. The program is now in its third year. WellStar Health System was the only Atlanta health system honored with a "Celebrating Our Heritage" Award by Renovacion Conyugal, a nonprofit organization dedicated to strengthening, supporting and empowering Latino youth. WellStar has a 10-year partnership with the organization to provide financial and facility support. Team members from the Acworth Health Park participated in the building of a Habitat for Humanity home in Acworth, Georgia. The home was built on property donated to Northwest Atlanta Habitat by a retired Army Lt Col Ashley Ivey before his passing. He had stipulated that a home be built and presented to a disabled veteran. Accomplishments and Recognition Kennestone and Windy Hill Hospitals are accredited by the Joint Commission. Wellstar was granted accreditation by the Intersocietal Commission for the Accreditation of Echocardiography Labs after rigorous testing and quality outcomes for diagnosis of heart disease. All five Wellstar hospital labs earned "Accreditation with Distinction" from the College of American Pathologists (CAP), recognized as one of the most stringent in laboratory quality assurance. Wellstar's labs are part of the 6,000 CAP-accredited laboratories nationwide. Wellstar Sleep Disorders Center at Windy Hill Hospital offers world class care as one of the 10 largest sleep centers nationwide. The center consists of 12 rooms with more board-certified sleep specialists on staff than any sleep center in the southeast US. The program is ac |
| FORM 990, PART IV, LINE 12B | AUDITED FINANCIAL STATEMENTS Kennestone Hospital, 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 Affiliates. "The independent auditors report includes the accounts of Wellstar and its controlled affiliates, Kennestone Hospital, Inc., Cobb Hospital, Inc., Douglas Hospital, Inc., Paulding Medical Center, Inc., Wellstar Foundation, 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 has the authority to approve appointments of the members of the board of trustees of all affiliate corporations." FORM 990, PART IV, LINE 24A TAX EXEMPT BOND REPORTING For purposes of the Form 990 reporting, Wellstar Health System, Inc. (EIN 58-1649541) will list all tax-exempt bonds issued since January 1, 2003 on Schedule K as it typically allocates the proceeds of the bonds to members of the Obligated Group (including the hospitals and physician group). Kennestone Hospital, Inc. will report this tax exempt bond liability on Part X, Line 25 Other Liabilities-Due to WHS, Inc. FORM 990, PART VI, SECTION A, LINE 7B POWERS OF THE BOARD As per the Articles of Incorporation, the sole member of the organization is Wellstar Health System, Inc., a GEORGIA nonprofit corporation. As sole member, Wellstar Health System, Inc. holds certain powers of election and approval in connection with the governing body of the organization. These powers are presented in detail in the governing documents which the company makes available to the public upon request. FORM 990, PART VI, SECTION B, LINE 11B BOARD REVIEW OF FORM 990 Internal staff prepareS the organization's Form 990. Before filing the return with the Internal Revenue Service an external accounting firm, PricewaterhouseCoopers LLP, reviews and sign-offs on the completed return of each organization. The current year Form 990 is then reviewed by the Finance Committee along with a question and answer session. A motion is then made by the Finance committee to approve the returns and present to the full board copies of the forms in an electronic (pdf. format) version as well as a hard copy. 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 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 subsidiaries are subject to the Open Records Law in the State of Georgia. Therefore, by law, citizens are permitted to inspect and copy its governing documents, policies and financial statements as may be requested from time to time. Additionally, the organization's Form 990 is made readily available on the Guidestar website. Periodically, the organization publishes its financial performance in the local newspaper for citizens to review, and it also publishes a community benefit report once a year for distribution to the public. FORM 990, PART VII OFFICERS HOURS WORKED The officers devote their time to all of the organizations within Wellstar Health System that are listed in Schedule R, Part II. As such, the total hours worked by the officers across all organizations exceeds 40 hours a week. FORM 990, PART VII & FORM 990, SCHEDULE J COMPENSATION All compensation amounts reported on Form 990 Part V, Part VII, and Part IX as well as Schedule J represent compensation provided to individuals that provide services to the organization. Likewise, the number of employees reported on Form 990 represent the number of individuals providing services to the organization. All Federal employment tax responsibilities for these individuals (including Federal Employment Tax reporting responsibilities) are handled by Wellstar Health System, Inc. (EIN 58-1649541). FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS For the reporting period Kennestone Hospital, Inc. had a change in net assets of ($191,575,481) related to transfers to affiliates as part of the allocation of income statement and balance sheet transactions over the year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 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 | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649540 | Foundation | GA | 501(C)(3) | 11 Type 2 | WHS Inc | Yes (true) |
| Cobb Hospital Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 580968382 | Healthcare | GA | 501(C)(3) | 3 | WHS Inc | Yes (true) |
| Douglas Hospital Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582026750 | Healthcare | GA | 501(C)(3) | 3 | WHS Inc | Yes (true) |
| Paulding Medical Center Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582095884 | Healthcare | GA | 501(C)(3) | 3 | WHS Inc | Yes (true) |
| Wellstar Foundation Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581627413 | Foundation | GA | 501(C)(3) | 11 Type 2 | WHS Inc | Yes (true) |
| Wellstar Health System Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649541 | Healthcare | GA | 501(C)(3) | 11 Type 2 | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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 | UBI Code VUBICodeVAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Cobb Hospital Parking Company LLC | |||||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 752999669 | Parking | GA | WHS | N/A | $0 | $0 | $0 |
| KENNESTONE EAST PARKING DECK LLC | |||||||||||
| 793 SAWYER ROAD | MARIETTA | GA | 30060 | 200537100 | PARKING | GA | WHS | N/A | $0 | $0 | $0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Assurance Co | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3rd Fl Barclays House Shedden Rd | AddressLine1Txt |
| City | George Town | CityNm |
| Province Or State | Grand Cayman | ProvinceOrStateNm |
| Country | CJ | CountryCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581649541 | EIN |
| Primary Activities | Insurance | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
| Entity Type | C-CORP | EntityTypeTxt |
| 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 | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | 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 | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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