2014-05-14T13:47:22-05:00 2013-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2012-07-01 581649541 WELLSTAR HEALTH SYSTEM INC % JAMES M SWARTZ WELL 7707925023 805 SANDY PLAINS ROAD Suite MARIETTA GA 300666340 JAMES M SWARTZ 7707925023 2014-05-14 true 2673303000 2012 2015-11-30 17:44:51Z REYNOLD J JENNINGS 805 Sandy Plains Road Marietta GA 300666340 703182910 false X www.wellstar.org X 1994 GA TO DELIVER WORLD-CLASS CHARITABLE HEALTHCARE TO THE COMMUNITY 18 14 4945 800 298644 0 0 612340835 653903471 17029852 28077016 16450932 21014857 645821619 702995344 1467531 1518880 0 0 347868896 397394838 0 0 2077830 182732523 215783890 532068950 614697608 113752669 88297736 1902757167 2074237739 914279547 830212494 988477620 1244025245 TO CREATE AND DELIVER HIGH QUALITY HOSPITAL, PHYSICIAN AND OTHER HEALTHCARE RELATED SERVICES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES THAT WE SERVE. false false 424541644 653903471 WELLSTAR HEALTH SYSTEM IS A VERTICALLY INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH PROVIDES THROUGH AFFILIATED BUSINESS ORGANIZATIONS A FULL SPECTRUM OF HEALTH SERVICES, INCLUDING WELLNESS PROGRAMS, PHYSICIAN OFFICE VISITS, OUTPATIENT CARE, INPATIENT CARE, AND POST-ACUTE SERVICES SUCH AS HOME HEALTH AND LONG TERM NURSING CARE. THE SYSTEM THROUGH ITS AFFILIATED BUSINESS ORGANIZATIONS OPERATES FIVE HOSPITALS(KENNESTONE, COBB, PAULDING MEDICAL, DOUGLAS AND WINDY HILL), MULTIPLE PHYSICIAN OFFICES, PRIMARY CARE CENTERS, OUTPATIENT CARE FACILITIES, A NURSING HOME AND OTHER HEALTH RELATED SERVICES INCLUDING TWO INPATIENT HOSPICE FACILITIES. THE SYSTEM IS SUPPORTED FINANCIALLY BY A FUND-RAISING ORGANIZATION, WELLSTAR FOUNDATION, INC. THE SERVICE AREA FOR THE SYSTEM ENCOMPASSES PARTS OF THE NORTHWESTERN SECTION OF THE STATE OF GEORGIA - THE PRIMARY AREA BEING IN BARTOW, CHEROKEE, COBB, DOUGLAS AND PAULDING COUNTIES. APPROXIMATELY 90% OF INPATIENT DISCHARGES AND OUTPATIENTS SERVED ARE FROM THE AFOREMENTIONED COUNTIES. THE WELLSTAR VISION IS TO DELIVER WORLD CLASS HEALTHCARE. OUR MISSION IS TO CREATE AND DELIVER HIGH QUALITY HOSPITAL, PHYSICIAN AND OTHER HEALTHCARE RELATED SERVICES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. HISTORY ------- IN 1993, WHAT WAS THEN KNOWN AS THE COBB HEALTH SYSTEM, THE KENNESTONE REGIONAL HEALTH CARE SYSTEM, AND THE DOUGLAS GENERAL HOSPITAL AFFILIATED TO FORM THE NORTHWEST GEORGIA HEALTH SYSTEM. PAULDING MEMORIAL MEDICAL CENTER AFFILIATED WITH NORTHWEST GEORGIA HEALTH SYSTEM IN 1994. IN 1994, THE NORTHWEST GEORGIA HEALTH SYSTEM HELPED FORM THE PROMINA HEALTH SYSTEM AND CHANGED ITS NAME TO PROMINA NORTHWEST HEALTH SYSTEM. IN 1998, PROMINA NORTHWEST HEALTH SYSTEM CHANGED ITS NAME TO WELLSTAR HEALTH SYSTEM. WELLSTAR DISASSOCIATED FROM AND BECAME TOTALLY INDEPENDENT OF PROMINA IN 1999. WELLSTAR HEALTH SYSTEM IS A PARENT CORPORATION WHICH PROVIDES OVERALL COORDINATION INCLUDING GOVERNING BODY TO ITS SEVEN SUBORDINATE AFFILIATES: 1) COBB HOSPITAL, INC; 2) CHS FOUNDATION, INC (INVESTMENT MANAGEMENT); 3) DOUGLAS HOSPITAL INC; 4) KENNESTONE HOSPITAL, INC; 5) PAULDING MEDICAL CENTER, INC; 6) WELLSTAR FOUNDATION INC. AND 7)COMMUNITY ASSURANCE COMPANY, LTD. (A CAPTIVE SELF-INSURANCE ORGANIZATION). SERVICES -------- WELLSTAR HEALTH SYSTEM IS ABLE TO OFFER A FULL RANGE OF HEALTHCARE SERVICES THROUGH ITS AFFILIATES. THE SERVICES OFFERED INCLUDE BUT ARE NOT LIMITED TO: MOST MAJOR INPATIENT CLINICAL SERVICES, OUTPATIENT SERVICES, DIAGNOSTIC AND THERAPEUTIC SERVICES, ANCILLIARY AND SUPPORT SERVICES, URGENT CARE SERVICES AND HOME HEALTH SERVICES. THE SYSTEM INCLUDES A RESIDENTIAL FACILITY ON THE KENNESTONE HOSPITAL CAMPUS, CALLED ATHERTON PLACE. ARTHERTON PLACE ALSO HOUSES AN ASSISTED LIVING UNIT AS AN ADDITIONAL LEVEL OF CARE. THE FIVE HOSPITALS ARE ACUTE CARE FACILITIES WITH INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. PAULDING MEDICAL CENTER IS HOME TO A FULL CARE NURSING HOME, PAULDING NURSING CENTER. COBB HOSPITAL IS HOME TO A HOME HEALTH AGENCY AND A RESIDENTIAL HOSPICE FACILITY CALLED TRANQUILITY FOR THOSE PATIENTS IN THE END STAGES OF LIFE. KENNESTONE HOSPITAL ALSO OPENED A RESIDENTIAL HOSPICE FACILITY NOT FAR FROM ITS MAIN CAMPUS. THE SYSTEM IS COMPLIMENTED WITH APPROXIMATELY 85 PHYSICIAN PRACTICES AND SEVERAL URGENT CARE CENTERS. THE SYSTEM IS THUS ABLE TO PROVIDE A COMPLETE CONTINUUM OF CARE FOR THE COMMUNITY ITS SERVES. The following statements of community benefit and program service accomplishments represent system-wide activity for Wellstar Health System, Inc. (the "System") - EIN 58-1649541. All affiliated entities of the system except the Physician Hospital Organization (EIN 58-2116179) operate as charitable organizations consistent with the requirements of Internal Revenue Code Section 501(c)(3) and the "Community Benefit Standard" of IRS Revenue Ruling 69-545. The following excerpt from the audited financial statements identifies a broad overview of the charitable purpose for the System. "The System maintains records to identify and monitor the level of charity care it provides through its affiliates. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Charges foregone, based on established rates, totaled approximately $343.8 million and $314.8 million in 2012 and 2013 respectively. In fiscal 2013, Wellstar affiliate hospitals made $15.5 million in provider payments and recognized such payments as a reduction in net patient service revenue in the accompanying combined financial statements. The System also participates in certain governmental insurance programs, including Medicare and Medicaid. Under these programs, the System provides care to patients at payment rates which are determined by the Federal and State governments, regardless of the System's actual charges. In most cases, these programs pay the System at amounts which are less than its cost of providing services. The System offers many wellness and educational services at little or no cost to the community. Health fairs are held throughout the year at convenient locations, providing various health screenings, such as mammograms, blood pressure and cholesterol checks. A large number of educational programs are offered for all ages. These programs include bicycle safety, car seat safety, defensive driving, CPR and first-aid classes. Flu shots are available to the community during flu season. Health screenings, medical supplies, and immunizations are provided to children through local health departments and health fairs with System sponsorship in many cases. The costs of these services are included in operating expenses. The System promotes health education and activities for students, parents, and teachers through its Partner-in-Education programs. The physicians of the System make significant contributions to improve the health status of the community, including involvement in many community activities promoting health awareness and improvement, emergency room care, and delivery of care to the indigent population of the System's service area. The System also made significant contributions to the nursing program at a local university. This financial support has helped to grow the program, which benefits the System as well as the community. The System and all but one of its affiliates have been recognized as organizations exempt from Federal income tax under Internal Revenue Code Section 501 ( a ) as organizations described in Section 501(c)(3) and, therefore, related income is generally not subject to Federal or state income taxes. One of the System's affiliates is a controlled foreign corporation not subject to Federal income tax. The Physician Hospital Organization (EIN 58-2116179) is a taxable affiliate of the System and files IRS Form 1120 US Corporation Income Tax Return." Financial Data and Statistics (Services Provided System-Wide) Licensed Beds-1,321 Discharges-64,376 Newborn Deliveries-9,560 Emergency Room Visits-322,082 Behavioral ER Visits-8,598 Surgeries-43,030 Cath Lab/Pacemakers/EP-9,741 Non-ED O/P Radiology Procedures-285,677 Medical Group Visits-1,433,816 COMMUNITY BENEFITS ------------------ Wellstar Health System participates and collaborates with patients and residents in meeting health needs and improving the overall quality of life in the community. This is especially important in responding to the needs of the underserved regardless of the system's ability to generate a positive margin. Some services would possibly be discontinued if based on a purely financial basis. The following are some examples of the system's services that provide community benefits (and a monetary value of those benefits if known). Clinics Wellstar is affiliated with several clinics which provide free or discounted health services to persons who cannot afford to pay or those who are not expected to pay. During FY2013 as in the prior year the clinics at Kennestone and Cobb Hospitals experienced a combined total of 8,000 patient visits at a cost of $2.8 million. Community Health/Education Wellstar's Marketing and Public Relations department provides free brochures on a variety of health-related issues. On a quarterly basis Wellstar sends out a wellness magazine entitled "Health and You" to 180,000 homes in the community/service area. The magazine provides information on health issues and a schedule of health related classes/seminars available throughout the system. While the magazine is an excellent referral source for Wellstar's varied services, it provides free medical information to the households receiving the publication. Wellstar provides support groups and educational opportunities to the community on a variety of topics (examples-- men's and women's health issues, palliative care, mental health, birthing classes, etc.) Some of these opportunities are provided free of charge or at a minimal fee. Wellstar also provides free or low cost screen 424541644 true false false true false false false false true true false false true true true false true false true false false false false false false false true false true true false false false false false false false true true true false false false false true true true true false false true 0 0 4945 true true true true CJ false false false false false false false false false X 18 14 false false true false false false false true true false false true true true true true true true true true true GA X JAMES M SWARTZ 7707925023 805 SANDY PLAINS ROAD MARIETTA GA 300666340 X AVRIL P BECKFORD MD 40.0 10.0 X 433483 0 22804 RANDALL BENTLEY JR 1.0 5.0 X 19122 0 0 OTIS BRUMBY III 1.0 5.0 X 4120 0 0 SHAN COOPER 1.0 5.0 X 468 0 0 ROBERT CROSS MD 1.0 5.0 X 5166 0 0 TE RUSTY DURHAM 10.0 5.0 X 37201 0 1410 THOMAS GEARHARD MD 40.0 10.0 X 533324 0 70106 DAVID HAFNER MD 1.0 5.0 X 21314 0 0 T FITZ JOHNSON 1.0 5.0 X 10551 0 0 CHARLES J JONES 1.0 5.0 X 15887 0 0 JANIE MADDOX 1.0 5.0 X 16829 0 0 GARY MILLER 1.0 5.0 X 3140 0 0 STEVEN W OWEIDA MD 1.0 5.0 X 19041 0 0 TOM PHILLIPS 1.0 5.0 X 2599 0 0 WALTER G ROBINSON 1.0 5.0 X 9684 0 0 FRANK ROS 1.0 5.0 X 927 0 0 W ALLEN SEPARK 1.0 7.0 X 9168 0 0 JEFFERY THARP MD 40.0 10.0 X 609909 0 65330 VALERY A AKOPOV MD 40.0 10.0 X 369292 0 30115 DAVID W ANDERSON 40.0 10.0 X 1009113 0 77916 NICOLE ASHE 40.0 10.0 X 229204 0 34796 TRACEY ATWATER 48.0 2.0 X 292813 0 38311 BARBARA BALLARD 40.0 10.0 X 269237 0 41328 JOSEPH L BRYWCZYNSKI 40.0 10.0 X 321402 0 48393 A JAMES BUDZINSKI 40.0 12.0 X 811452 0 72350 DONALD CAMPBELL MD 40.0 10.0 X 441997 0 54362 LEE RANDOLPH COOK 40.0 10.0 X 378589 0 54807 BARBARA B COREY 40.0 10.0 X 437376 0 49536 BRUCE A DEAN 40.0 10.0 X 289509 0 48725 SARATH DEGALA 40.0 10.0 X 124354 0 10914 MARCIA DELK-PAYNE MD 40.0 10.0 X 537139 0 47333 CAROL S EDWARDS 40.0 10.0 X 172501 0 27149 CLARENCE H EVINS JR 40.0 10.0 X 198801 0 22150 MICHAEL L GRAUE 40.0 10.0 X 704412 0 82434 T MARK HANEY 2.0 48.0 X 0 394856 39111 ELIZABETH A HOFFMAN 40.0 10.0 X 242637 0 16592 ROBERT D JANSEN MD 40.0 10.0 X 651191 0 66994 REYNOLD J JENNINGS 40.0 12.0 X 1571726 0 64901 CHRISTOPHER M KANE 40.0 10.0 X 478493 0 45700 BETH KOST 40.0 10.0 X 279215 0 24478 KENNETH C KUNZE MD 40.0 10.0 X 1125716 0 76665 ELLEN LANGFORD 40.0 10.0 X 312399 0 39496 LOUIS W LITTLE 2.0 48.0 X 0 356956 40332 ROBERT MANDLER 40.0 10.0 X 273344 0 47743 CAROL B MAXWELL 40.0 10.0 X 239468 0 20708 KIMBERLY W MENEFEE 40.0 10.0 X 396281 0 53325 JONATHAN B MORRIS MD 40.0 10.0 X 427588 0 43417 KEM M MULLINS 2.0 48.0 X 0 471889 33388 BRADFORD B NEWTON 40.0 10.0 X 57854 0 3589 CRAIG OWENS 2.0 48.0 X 0 321032 35265 LEO E REICHERT 40.0 10.0 X 611562 0 48028 MICHELLE M ROBINSON 40.0 10.0 X 201213 0 28691 DEBORAH ROEGGE DE VITA 40.0 10.0 X 266969 0 18003 CANDICE L SAUNDERS 2.0 48.0 X 0 554816 60784 CHRISTOPHER B SCULLEN 40.0 10.0 X 200049 0 10678 JEFFERY D STANLEY 40.0 10.0 X 60671 0 5109 MICHAEL R STREETMAN 40.0 10.0 X 76243 0 6493 JAMES M SWARTZ 40.0 10.0 X 226256 0 30541 MARY L TAVERNARO 40.0 10.0 X 243135 0 24803 ADAM C THOMPSON 40.0 10.0 X 191828 0 22669 ANTHONY M TRUPIANO 40.0 10.0 X 327328 0 35439 MARY L WESLEY 40.0 10.0 X 383494 0 37702 ROBIN WILSON MD 40.0 10.0 X 462855 0 43631 CHESTER ZBOROWSKI 40.0 10.0 X 137711 0 15717 PETER JUNGBLUT MD 40.0 10.0 X 0 0 0 RICK SIEGEL 40.0 10.0 X 0 0 0 KRISTYN GREIFER MD 40.0 10.0 X 0 0 0 BARRY MANGEL MD 50.0 0.0 X 692740 0 76942 WILLIAM R MAYFIELD MD 50.0 0.0 X 744595 0 66418 ALAN R MUSTER MD 50.0 0.0 X 557720 0 62321 PERRY G BUSBEE MD 50.0 0.0 X 350723 0 48953 WILLIAM J BENEDICT JR MD 50.0 0.0 X 1105585 0 66356 SAID ELAHIHABI MD 50.0 0.0 X 980397 0 75197 HANS H LEE MD 50.0 0.0 X 759750 0 79727 AMAR PATEL MD 50.0 0.0 X 744680 0 82520 OSAGIE O OKUNDAYE MD 50.0 0.0 X 757936 0 73629 CHARLES PETE WOOD 0.0 0.0 X 13091 0 0 RICHARD T LOPES MD 0.0 0.0 X 480426 0 19938 GREGORY L SIMONE MD 0.0 0.0 X 226763 0 23597 BONNIE L WILSON 0.0 0.0 X 227237 0 13210 25425993 2099549 2629069 601 true true false EPIC SYSTEMS CORPORATION POBOX 88314 MILWAUKEE WI 532880314 INFORMATION TECH SRV 6050840 MCKESSON TECHNOLOGIES INC POBOX 98347 CHICAGO IL 606938347 INFO TECHNOLOGY 5834157 IMPACT ADVISORS LLC 931 W 75TH STREET SUITE 137-304 NAPERVILLE IL 60565 CONSULTING 5576946 CHAMBERLIN EDMONDS AND ASSOCIATES PO BOX 572490 MURRAY UT 841572490 COLLECTION SERVICE 2916827 MINDPOWER INC 337 GEORGIA AVE ATLANTA GA 30312 MARKETING 2634036 137 0 PATIENT REVENUE 621990 251627738 251627738 EQUITY IN EARNINGS OF HOSP AFFILIATES 621990 168735765 168735765 COBB COUNTY DETENTION CENTER 621990 4762530 4762530 SHARED SERVICES COSTS RECOUPMENT 621990 210893495 210893495 WELLNESS CENTER 621400 2242448 2242448 15641495 15641495 653903471 28264582 28264582 0 0 1303829 1303829 0 1303829 1303829 187566 -187566 -187566 -187566 0 0 0 LAUNDRY 812300 298644 298644 INVESTIGATIVE STUDIES 338283 338283 CHILDCARE REVENUE 1501788 1501788 17572313 17572313 19711028 702995344 653903471 298644 48793229 1518880 1518880 0 0 0 23227675 18266872 4621865 338938 0 306254562 244594867 60980816 678879 24962820 19233484 5637290 92046 23240268 17231378 5910053 98837 19709513 14645209 4982889 81415 0 890734 890734 1384956 953352 431604 0 0 0 58069704 27205520 30736720 127464 8911436 1109751 7291507 510178 8136069 6841425 1190984 103660 0 0 21057703 17382308 3671503 3892 2132733 1371420 751770 9543 0 2194744 1216528 967097 11119 22005794 22005794 0 30854816 17143743 13695672 15401 24012456 7351443 16661013 REPAIRS & MAINTENANCE 23198628 15834610 7362038 1980 MEDICAL SUPPLIES 12486249 12465210 21039 OTHER OPERATING EXPENSES 447868 175644 267746 4478 614697608 424541644 188078134 2077830 25721 28636 43403744 16858777 0 0 25624716 23238153 0 0 0 0 0 0 5338290 6024689 35591042 40502038 517246303 256514293 174626850 260732010 825702343 786154750 0 0 0 0 38968059 39437459 753476402 901261227 1902757167 2074237739 76498138 106542553 0 0 0 0 506734185 515306698 0 0 0 0 0 0 434708 94088 330612516 208269155 914279547 830212494 X 980505777 1233913516 4176650 6144876 3795193 3966853 988477620 1244025245 1902757167 2074237739 X 88297736 31490630 135759259 X false true X true false X X X false false false COBB HOSPITALINC 580968382 03 true true true 55787428 PAULDING MEDICAL CENTER INC 582095884 03 true true true 11244854 KENNESTONE HOSPITAL INC 582032904 03 true true true 124548708 DOUGLAS HOSPITALINC 582026750 03 true true true 19312505 4 210893495 true true true 5250 true 2500 true 2500 true 157963 true 164842 true 1490 true 172097 506642 false Other Lobbying Expenses Form 990 Schedule C Part IV During the reporting period Wellstar Health System, Inc. held a retainer for a local firm to provide professional services for community related activities including support in community benefit reporting and legislative healthcare initiatives affecting the system hospitals. Wellstar is also a party to several healthcare related coalitions that protect the interests of all member hospitals. 4286000 162000 467000 4915000 4416000 75000 -37000 168000 4286000 3810000 24000 -70000 652000 3112000 3578000 19000 -8000 221000 3368000 3013000 615000 20000 -70000 3718000 0.81000 0.19000 false true true 41907796 41907796 93751233 42783097 50968136 10704158 6134593 4569565 271220850 207596603 63624247 99662266 99662266 260732010 UNAMORTIZED BORROWING COSTS 2969581 OTHER RECEIVABLES 9193746 OTHER PREPAIDS 1417720 EQUITY IN AFFILIATES 882269828 OTHER LT ASSETS 5410352 901261227 0 ACCRUED PENSION LIABILITY 94152212 OTHER LONG TERM LIABILITIES 30202269 INSURANCE RESERVES 70828939 ASSET RETIREMENT OBLIGATION LT 718492 SWAP CONTRACT 2005 ISSUE LT LI 12367243 208269155 X Endowment Funds Form 990 Schedule D Part V Line 4 The endowment funds held on Wellstar Health System are intended to be held in perpetuity and the earnings thereon are to be used for financial assistance for patients in the Wellstar Hospice Program. All funds were expended during the fiscal year for the Wellstar Hospice Program and a new inpatient Hospice facility at Kennestone Hospital SCHEDULE D PART X, LINE 2 TAX LIABILITY The following footnote from the WellStar Health System and Affiliates audited financial statements details the income tax position for the reporting period: "WellStar 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. CAC 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." true American Cancer Society 1825 Barrett Lakes Blvd Suite 280 Kennesaw GA 30144 131623888 501 (c) (3) 71500 Sponsor Fundraiser American Heart Association 1101 Northchase Parkway Suite 1 Marietta GA 30067 580198114 501 (c) (3) 35000 Sponsor Fundraiser GA Highlands College Foundation 3175 Cedartown Highway Rome GA 30161 237332373 501 (c) (3) 488524 Student Affiliation Agree/LPN/RN Georgia Ballet 1255 Field Parkway Marietta GA 30066 581420599 501 (c) (3) 10000 Contribution March of Dimes 1775 The Exchange Suite 515 Atlanta GA 30339 131846366 501 (c) (3) 30000 Sponsor Fundraiser MUST Ministries PO Box 1717 Marietta GA 30061 582034725 501 (c) (3) 35000 Sponsor Fundraiser The Center for Family Resources 995 Roswell St Suite 100 Marietta GA 30060 580876634 501 (c) (3) 25000 Sponsor Fundraiser Tommy Nobis Foundation 1480 Bells Ferry Rd Marietta GA 30060 582080817 501 (c) (3) 25000 Sponsor Fundraiser YWCA of Northwest Georgia 48 Henderson St Marietta GA 30064 580617782 501 (c) (3) 20500 Sponsor Fundraiser Chattahoochee Tech College Foundation 980 South Cobb Drive Marietta GA 30060 581684206 501 (c) (3) 38132 Grant for Agreement with school University of West Georgia Foundation 1601 Maple Street Carrolton GA 30118 586056464 501 (c) (3) 148625 Grant for Sponsorship College Program United Way -Atlanta 100 Edgewood Ave Atlanta GA 30303 580566194 501 (c) (3) 75000 Contribution Susan G Komen for the Cure Atlanta 4840 Roswell Road Bldg D Suite 100 Atlanta GA 30342 581959763 501 (c) (3) 5100 Sponsorship of Race for Cure Cobb County Safety Village Foundation 100 Cherokee St Marietta GA 30090 260280286 501 (c) (3) 25000 Sponsorship United Arts of Cobb 307 North Marietta Pkwy Marietta GA 30060 205909579 501 (c) (3) 25000 Sponsor Fundraiser SafePath Children's Advocacy Center 736 Whitlock Ave Suite 600 Marietta GA 30064 581662987 501 (c) (3) 20000 Sponsorship 16 16 PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I PART 1 LINE 2 WELLSTAR HEALTH SYSTEM, INC. AND ITS AFFILIATES HAVE SET ASIDE FUNDS FOR CONTRIBUTIONS AND SPONSORSHIPS ON AN ANNUAL BASIS THAT PROVIDE ASSISTANCE TO NATIONAL AND LOCAL TAX EXEMPT ORGANIZATIONS IN THE FURTHERANCE OF THE COMMUNITY NEEDS. WELLSTAR ALSO HAS SEVERAL AGREEMENTS WITH AREA COLLEGES AND UNIVERSITIES TO PROMOTE HEALTHCARE RELATED CAREER OPPORTUNITIES. WELLSTAR PROVIDES SCHOLARSHIPS TO LOCAL STUDENTS FOR HEALTHCARE COURSES OF STUDY. ALL SPONSORSHIPS AND SCHOLARSHIPS ARE AWARD BASED ON SPECIFIC QUALIFICATIONS WITHOUT REGARD TO AGE, GENDER, OR ETHNICITY. X X X X X X false true X X X X X X true true false false false false false true false AVRIL P BECKFORD MD 391098 0 34682 0 7703 0 22804 0 0 0 456287 0 0 0 THOMAS GEARHARD MD 374127 0 149896 0 9301 0 44344 0 25762 0 603430 0 0 0 JEFFERY THARP MD 453052 0 144219 0 12638 0 47325 0 18005 0 675239 0 0 0 CHARLES PETE WOOD 0 0 0 0 13091 0 0 0 0 0 13091 0 0 0 VALERY A AKOPOV MD 289320 0 49819 0 30153 0 20530 0 9585 0 399407 0 0 0 DAVID W ANDERSON 396057 0 113256 0 499800 0 63675 0 14241 0 1087029 0 0 0 NICOLE ASHE 197655 0 24868 0 6681 0 14552 0 20244 0 264000 0 0 0 TRACEY ATWATER 212206 0 37835 0 42772 0 16958 0 21353 0 331124 0 0 0 BARBARA BALLARD 221400 0 39137 0 8700 0 16066 0 25262 0 310565 0 0 0 JOSEPH L BRYWCZYNSKI 252245 0 58357 0 10800 0 32749 0 15644 0 369795 0 0 0 A JAMES BUDZINSKI 507658 0 147371 0 156423 0 54844 0 17506 0 883802 0 0 0 DONALD CAMPBELL MD 313078 0 71586 0 57333 0 40224 0 14138 0 496359 0 0 0 LEE RANDOLPH COOK 253643 0 53103 0 71843 0 37847 0 16960 0 433396 0 0 0 BARBARA B COREY 280236 0 80891 0 76249 0 0 0 0 0 437376 0 0 0 BRUCE A DEAN 210603 0 37339 0 41567 0 33613 0 15112 0 338234 0 0 0 MARCIA DELK-PAYNE MD 352282 0 90990 0 93867 0 44131 0 3202 0 584472 0 0 0 CAROL S EDWARDS 166152 0 0 0 6349 0 22617 0 4532 0 199650 0 0 0 CLARENCE H EVINS JR 157714 0 33371 0 7716 0 11150 0 11000 0 220951 0 0 0 MICHAEL L GRAUE 532619 0 157139 0 14654 0 51672 0 30762 0 786846 0 0 0 T MARK HANEY 0 253133 0 128097 0 13626 0 21586 0 17525 0 433967 0 0 ELIZABETH A HOFFMAN 199287 0 34650 0 8700 0 10108 0 6484 0 259229 0 0 0 ROBERT D JANSEN MD 519908 0 118865 0 12418 0 46463 0 20531 0 718185 0 0 0 REYNOLD J JENNINGS 981858 0 562478 0 27390 0 64901 0 0 0 1636627 0 0 0 CHRISTOPHER M KANE 321428 0 74695 0 82370 0 24938 0 20762 0 524193 0 0 0 BETH KOST 230396 0 40119 0 8700 0 16456 0 8022 0 303693 0 0 0 KENNETH C KUNZE MD 581156 0 100435 0 444125 0 68643 0 8022 0 1202381 0 0 0 ELLEN LANGFORD 193742 0 33394 0 85263 0 34854 0 4642 0 351895 0 0 0 LOUIS W LITTLE 0 233362 0 58935 0 64659 0 24451 0 15881 0 397288 0 0 RICHARD T LOPES MD 480426 0 0 0 0 0 19938 0 0 0 500364 0 0 0 ROBERT MANDLER 208264 0 35125 0 29955 0 33059 0 14684 0 321087 0 0 0 CAROL B MAXWELL 209071 0 28397 0 2000 0 14177 0 6531 0 260176 0 0 0 KIMBERLY W MENEFEE 264110 0 9000 0 123171 0 36736 0 16589 0 449606 0 0 0 JONATHAN B MORRIS MD 346239 0 72286 0 9063 0 22886 0 20531 0 471005 0 0 0 KEM M MULLINS 0 239706 0 100000 0 132183 0 23951 0 9437 0 505277 0 0 CRAIG OWENS 0 252274 0 57091 0 11667 0 18462 0 16803 0 356297 0 0 LEO E REICHERT 456529 0 133697 0 21336 0 25403 0 22625 0 659590 0 0 0 MICHELLE M ROBINSON 172139 0 24268 0 4806 0 12162 0 16529 0 229904 0 0 0 DEBORAH ROEGGE DE VITA 185959 0 32087 0 48923 0 11698 0 6305 0 284972 0 0 0 CANDICE L SAUNDERS 0 365299 0 81992 0 107525 0 44658 0 16126 0 615600 0 0 CHRISTOPHER B SCULLEN 163084 0 28265 0 8700 0 10296 0 382 0 210727 0 0 0 GREGORY L SIMONE MD 226763 0 0 0 0 0 9581 0 14016 0 250360 0 0 0 JAMES M SWARTZ 184730 0 32826 0 8700 0 13409 0 17132 0 256797 0 0 0 MARY L TAVERNARO 199674 0 34761 0 8700 0 14330 0 10473 0 267938 0 0 0 ADAM C THOMPSON 155225 0 27353 0 9250 0 8055 0 14614 0 214497 0 0 0 ANTHONY M TRUPIANO 253706 0 62612 0 11010 0 35439 0 0 0 362767 0 0 0 MARY L WESLEY 302455 0 69297 0 11742 0 27058 0 10644 0 421196 0 0 0 BONNIE L WILSON 227237 0 0 0 0 0 9581 0 3629 0 240447 0 0 0 ROBIN WILSON MD 295561 0 155781 0 11513 0 19506 0 24125 0 506486 0 0 0 CHESTER ZBOROWSKI 113075 0 2301 0 22335 0 5784 0 9933 0 153428 0 0 0 BARRY MANGEL MD 608449 0 81491 0 2800 0 51180 0 25762 0 769682 0 0 0 WILLIAM R MAYFIELD MD 650267 0 92528 0 1800 0 52880 0 13538 0 811013 0 0 0 ALAN R MUSTER MD 512006 0 39889 0 5825 0 45313 0 17008 0 620041 0 0 0 PERRY G BUSBEE MD 301718 0 38465 0 10540 0 25191 0 23762 0 399676 0 0 0 WILLIAM J BENEDICT JR MD 689933 0 413852 0 1800 0 51015 0 15341 0 1171941 0 0 0 SAID ELAHIHABI MD 798042 0 180832 0 1523 0 58347 0 16850 0 1055594 0 0 0 HANS H LEE MD 405628 0 352322 0 1800 0 53965 0 25762 0 839477 0 0 0 AMAR PATEL MD 403123 0 339757 0 1800 0 53489 0 29031 0 827200 0 0 0 OSAGIE O OKUNDAYE MD 413379 0 342757 0 1800 0 53224 0 20405 0 831565 0 0 0 NON-FIXED PAYMENTS TO OFFICERS FORM 990 SCHEDULE J LINE 7 Wellstar has instituted an annual incentive plan for team members of the company. On an annual basis performance measures are proposed by management and recommended and approved by the compensation committee of the Board. The plan is designed to retain and reward leaders with incentives that keep them competitive with the market and comparable health systems. The criteria used to measure the performance consists of weighted factors in the areas of financial performance, customer service, employee engagement and quality indicatiors. Upon successful acheivement at various targeted levels for each factor an overall performance payout is recommended and approved by the Board after the annual financial audit is completed. SEVERANCE PAYMENTS Pursuant to their respective employment agreements, the following groups of officers are entitled to severance payments based on their base salary and wages at that time in the event of certain identified circumstances. The officers with a severance payment period of 24 months as per their contractual agreement are: David Anderson and Reynold Jennings The officers with a severance payment period of 18 months as per their respective agreements are: Joseph Brywczynski; A James Budzinski; Donald Campbell MD; Barbara Corey; Marcia Delk MD; Michael L Graue; T Mark Haney; Robert Jansen MD; Christopher Kane; Kenneth Kunze MD; Lou Little; Richard Lopes MD; Kimberly Menefee; Jonathan Morris MD; Kem Mullins; Craig Owens; Leo E Reichert; Candice L Saunders; Ron Strachan; Anthony M Trupiano; Mary L Wesley; Robin Wilson MD. The officers with a severance payment period of 12 months as per their agreement: Valery A Akopov, MD; Nicole V Ashe; Tracy Atwater; Barbara Ballard; L Randolph Cook; Bruce Dean; Sarath Degala; Carol Edwards; Lee Evins, Jr; Elizabeth Hoffmann; Beth Kost; Ellen Langford; Robert Mandler; Carol Maxwell; Bradford B Newton; Michelle M Robinson; Deborah Roegge DeVita; C Brett Scullen; Jeffery Stanley; Michael Streetman; James Swartz; Mary L Tavernaro; Adam Thompson and Chester Zborowski. During the calendar year, the following individuals received a payout in the amounts listed in accordance with their severance agreements as set forth above: Richard Lopes, MD $500,363; Gregory L Simone, MD $250,360; Ronald Strachan $104,106; and Bonnie Wilson $240,446 OTHER COMPENSATION Form 990, Schedule J, Part I, Line 1b & 2 While Wellstar Health System and its affiliates do not have a written policy regarding payment or reimbursement for the items listed in Part 1 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. COMPENSATION EXCEPTIONS SCHEDULE J PART III THE FOLLOWING INDIVIDUALS ARE OFFICERS WHO WERE EMPLOYED DURING THE REPORTING PERIOD JULY 1, 2012 TO JUNE 30, 2013. FOR PURPOSES OF THE COMPENSATION LISTED IN SCHEDULE J OF FORM 990 THESE OFFICERS HAD NO COMPENSATION DURING THE CALENDAR YEAR 2012 FOR WHICH WE REPORT INFORMATION ON THIS RETURN. THE INDIVIDUALS ARE: KRISTYN GREIFER, MD; PETER JUNGBLUT, MD; AND RICK SEIGEL B HOSPITAL AUTHORITY OF COBB COUNTY 582464600 19081PEM4 2004-04-30 25000000 EQUIPMENT POOL false false false C COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 581147004 190813LN3 2005-10-31 120000000 CAPITAL IMPROVEMENTS (Series A & B false false false D HOSPITAL AUTHORITY OF COBB COUNTY 582464600 19081PEN2 2006-06-30 25000000 EQUIPMENT POOL false false false B 0 0 25000000 0 0 0 0 0 0 25000000 0 0 2004 false false true true C 3875000 0 120000000 0 0 0 1167300 0 0 116948276 1884424 0 2007 false false true true D 0 0 25000000 0 0 0 0 0 0 25000000 0 0 2006 B false false false false 0 C false false false false 0.00020 0.00020 0.00040 D false false false 0 B false true true false 0 false 0 false C false true 0 false 0 false D false true 0 false 0 false B true C true D true SCH K PART V POST ISSUANCE TAX COMPLIANCE FOR TAX EXEMPT BOMDS 0 WELLSTAR HEALTH SYSTEM, INC (THE BORROWER ON TAX EXEMPT BONDS) HAS ESTABLISHED POLICIES AND PROCEDURES THAT WILL MAXIMIZE THE LIKELIHOOD THAT ALL APPLICABLE POST-ISSUANCE REQUIREMENTS OF FEDERAL INCOME TAX LAW NEEDED TO PRESERVE THE TAX-EXEMPT STATUS OF THE BONDS ARE MET. THE PROCEDURES INCLUDE EXTERNAL ADVISORS SUCH AS BOND COUNSEL AND OTHER LEGAL COUNSEL WHO ASSIST THE BORROWER IN MAINTAINING THE TAX-EXEMPT STATUS OF ALL BONDS; ARBITRAGE REBATE CALCULATIONS THAT NEED TO BE MADE FOR EACH BOND ISSUE; DOCUMENTATION OF THE USE OF BOND PROCEEDS INCLUDING POTENTIAL PRIVATE BUSINESS USE APPLICABLE TO THE BONDS AFTER AN ANNUAL INTERNAL REVIEW OF THOSE USES; AND PROPER RECORD KEEPING OF ALL DOCUMENTS RELATED TO THE ISSUANCE OF TAX-EXEMPT BONDS. THESE PROCEDURES APPLY TO ALL LISTED TAX-EXEMPT BONDS. A COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 581147004 190813NM3 2011-11-01 127345930 CONSTRUCTION false false false B PAULDING COUNTY HOSPITAL AUTHORITY 586011214 703596DH6 2012-06-28 32711016 CONSTRUCTION SERIES A false false false C PAULDING COUNTY HOSPITAL AUTHORITY 586011214 703596DK9 2012-06-28 68750000 CONSTRUCTION SERIES B false false false D COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 581147004 190813PH2 2012-11-15 122366879 ADVANCED REFUNDING CONSTRUCTION false false A 4205000 0 127345930 0 0 50962739 1383191 0 0 75000000 0 0 2011 true true false true B 0 0 32711016 14896852 225231 0 437500 0 0 17151433 0 0 false false false true C 0 0 68750000 27382125 1319267 0 471875 0 0 39576733 0 0 false false false true D 0 0 122366879 0 0 121287509 1079370 0 0 0 0 0 true true true A false false false 0 false false false B false false false 0 false false false C false false 0 D 0 A false true 0 false 0 false B false true false 0 false 0 false C false true true 0 false 0 false D false true false 0 false 0 false A true B true C true D true PAMELA ETHERIDGE WIFE OF OFFICER 60897 EMPLOYEE OF WELLSTAR false GREG FORTGANG SON-IN-LAW OF TRUSTEE 99034 EMPLOYEE OF WELLSTAR false JESSICA HANEY DAUGHTER OF OFFICER 57127 EMPLOYEE OF WELLSTAR false GEORGE FLEMING BROTHER OF OFFICER 65701 EMPLOYEE OF WELLSTAR/COBB false THOMAS E GEARHARD MD BOARD MEMBER 136000 BUILDING LEASE false GREYSTONE POWER BOARD MEMBER 868853 EXPLANATION IN PART V false MATTHEW MADDOX SON OF BOARD MEMBER 67037 EMPLOYEE OF WELLSTAR false PUCKETT EMS AMBULANCE SERVICE BROTHER-IN-LAW OF OFFICER 250230 EXPLANATION IN PART V false H S I FINANCIAL SERVICES OFFICER IS DIR OF AGENCY 289075 EXPLANATION IN PART V false BONNIE MILLER WIFE OF BOARD MEMBER 35100 EMPLOYEE OF WELLSTAR false GREG SEPARK SON OF BOARD MEMBER 23420 EMPLOYEE OF WELLSTAR false GREG KOST BROTHER-IN-LAW OF OFFICER 47539 EMPLOYEE OF WELLSTAR false BRIAN BUSBEE SON OF KEY EMPLOYEE 63690 EMPLOYEE OF WELLSTAR false JENNIFER HANEY DAUGHTER-IN-LAW OF OFFCER 77821 EMPLOYEE OF WELLSTAR false TURNER BACHMAN GARRETT LLC BROTHER-IN-LAW OF TRUSTEE 42741 EXPLANATION IN PART V false SCH L PART IV TRANSACTIONS WITH INTERESTED PARTIES On Schedule L Part IV we have several interested parties that require additional explanation for the transactions: Board Trustee Gary Miller is President of Greystone Power which provides electric service to certain Wellstar Hospitals and Physician practices in the normal course of business. The total amount of the transactions with Greystone is $869,000--$724,000 related to Douglas Hospital and $145,000 related to Wellstar Medical Group. Steve Puckett is the brother-in-law of Ellen Langford, an officer with Wellstar Health System. Mr. Puckett is the President of Puckett EMS Ambulance Service which provides ambulance services to several Wellstar Health System affiliates. Individually all of the entity specific transactions are less than $100,000 but in aggregate total $250,230. H.S.I. Financial Services is a local billing agency which provides services to Wellstar Health System in the form of routine collection services of outstanding patient balances. Lee Evins, an officer of Wellstar Health System is also a director on the H.S.I. board. The total amount of the transactions with H.S.I. equal $289,075 for the reporting period. Heath Garrett is the brother-in-law of trustee, Otis Brumby. He is a principal in the office of Turner, Bachman, and Garrett with whom WellStar purchased legal and consulting services during the year in the amount of $42,741. All of these services or transactions are in the normal course of business within the system. COMPENSATION INFORMATION ON FORM 990 FORM 990 PART VII COMPENSATION, PART IX LINES 5-7 & SCHEDULE J & J-1 ALL COMPENSATION AMOUNTS REPORTED ON FORM 990, PART VII; PART IX, LINES 5-7; AND SCHEDULE J REPRESENT COMPENSATION PROVIDED TO INDIVIDUALS THAT PROVIDE SERVICES TO THE ORGANIZATION. LIKEWISE, THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF INDIVIDUALS PROVIDING SERVICES TO THE ORGANIZATION. ALL FEDERAL EMPLOYMENT TAX RESPONSIBILITIES FOR THESE INDIVIDUALS (INCLUDING FEDERAL EMPLOYMENT TAX REPORTING RESPONSIBILITIES) ARE HANDLED BY WELLSTAR HEALTH SYSTEM, INC.(EIN 58-1649541). CONFLICT OF INTEREST POLICY FORM 990 PART VI SECTION B Line 12 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. PROCESS OF EXEC COMPENSATION FORM 990 PART VI SECTION B Line 15a & b 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. Currently the executive compensation committee consist of five members of the Board of Trustees as well as the CEO. In committtee discussions about the compensation for the Chief Executive Officer, the CEO will recuse himself from that process but 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 at the following committee meeting. DISCLOSURE OF FINANCIAL DOCUMENTS FORM 990 PART VI SECTION C Line 19 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. VOLUNTEERS Form 990 Part I General Information WellStar Health System, Inc. through its affiliated business organizations operates five hospitals and throughout the system there are approximately 800 volunteers who make up the network of people who donate their time to serving our healthcare community. Kennestone Hospital, Inc. has approximately 400 volunteers between Kennestone and Windy Hill. The Cobb Auxiliary has approximately 200 volunteers. Douglas Hospital and Paulding Hospital have approximately 100 volunteers each in their respective auxiliaries. AUDITED FINANCIAL STATEMENTS Form 990 Part IV Line 12 and Part XI WellStar Health System, Inc. is audited on an annual basis by an outside auditing firm, KPMG, and as part of that audit a consolidated financial statement is issued for all of WellStar Health System, Inc and its 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." PROCESS OF 990 BOARD REVIEW Form 990 PART VI LINE 11A Internal staff prepare the organization's Form 990. Before filing the return with the Internal Revenue Service an external accounting firm, PricewaterhouseCoopers, reviews and sign-offs on the completed return of each organization. Generally, Form 990 is then reviewed by the Finance Committee along with a question and answer session. A motion is then made by the Finance committee to approve the returns and present to the full board copies of the forms in an electronic (pdf. format) version as well as a hard copy . The organization's CFO or designee subsequently signs the return for either manual or electronic filing by the appropriate due date. OFFICERS HOURS WORKED FORM 990 GENERAL STATEMENT & SCHEDULE J The officers devote their time to all of the organizations with WellStar Health System that are listed in Schedule R, Part II. As such, the total hours worked by the officers across all of the organizations exceeds 40 hours per week. Transactions with Related Organizations Form 990 Schedule R Part V Line 2 The dollar amounts reported on Form 990 Schedule R Part V Line 2 for WellStar Health System, Inc. include the overhead allocations to affiliates and consists of the following types of transactions as listed in Line 1 (a-r): h) Exchange of Assets i) Lease of facilities, equipment, or other assets to other organizations j) Lease of facilities, equipment, or other assets from other organizations n) Sharing of paid employees o) Reimbursement paid to other organizations q) Other transfers of cash or property to other organizations r) Other transfers of cash or property from other organizations Changes In Net Assets Form 990 Part XI Line 9 The other changes in net assets for Wellstar Health System, Inc are as follows: Pension Adjustment-$130,816,000 Assets Released from Restriction-$169,000 Other Changes-$4,774,259 Total Other Changes in Net Assets-$135,759,259 Bylaws Amendments Part VI Line 4 During the reporting period the Board of Trustees voted to amend the bylaws for WellStar Health System, Inc. to add an Audit Committee and a Compensation Committee as additional named board committees with authority to act on behalf of the governing body. Wellstar Medical Group LLC 805 Sandy Plains Road Marietta GA 30066 273818647 Healthcare GA 238656930 62621914 WHS Inc Cobb Gynecologists 2 LLC 805 Sandy Plains Road Marietta GA 30066 020808099 Healthcare GA 0 NA South Cobb OB-GYN 2 LLC 805 Sandy Plains Road Marietta GA 30066 020808071 Healthcare GA 0 NA WellStar Acworth Family Practice LLC 805 Sandy Plains Road Marietta GA 30066 412243451 Healthcare GA 0 NA WellStar Atlanta General Surgery LLC 805 Sandy Plains Road Marietta GA 30066 264271578 Healthcare GA 0 NA WellStar Behavioral Health LLC 805 Sandy Plains Road Marietta GA 30066 582500211 Healthcare GA 0 NA Wellstar Cardiovascular Medicine LLC 805 Sandy Plains Road Marietta GA 30066 263557639 Healthcare GA NA WellStar Cherokee Street Internal and Pr 805 Sandy Plains Road Marietta GA 30066 161735178 Healthcare GA 0 NA WellStar Cobb Family Medicine LLC 805 Sandy Plains Road Marietta GA 30066 582560699 Healthcare GA 0 NA WellStar Cobb Gynecologists LLC 805 Sandy Plains Road Marietta GA 30066 582502440 Healthcare GA 0 NA WellStar Cobb Hospitalists LLC 805 Sandy Plains Road Marietta GA 30066 753140245 Healthcare GA 0 NA WellStar Cobb Medical Group LLC 805 Sandy Plains Road Marietta GA 30066 582586050 Healthcare GA 0 NA WellStar Cobb Rehabilitation Medicine L 805 Sandy Plains Road Marietta GA 30066 582587322 Healthcare GA 0 NA WellStar Cobb Surgical Associates LLC 805 Sandy Plains Road Marietta GA 30066 562469675 Healthcare GA 0 NA WellStar Cooper Lake Family Medicine LL 805 Sandy Plains Road Marietta GA 30066 264295540 Healthcare GA 0 NA WellStar Cornerstone Family Medicine LL 805 Sandy Plains Road Marietta GA 30066 061745258 Healthcare GA 0 NA WellStar Cousins and Cantrell LLC 805 Sandy Plains Road Marietta GA 30066 582586291 Healthcare GA 0 NA WellStar Creekside Pediatrics LLC 805 Sandy Plains Road Marietta GA 30066 582499179 Healthcare GA 0 NA WellStar Douglas Surgical Associates LL 805 Sandy Plains Road Marietta GA 30066 300364595 Healthcare GA 0 NA WellStar Douglasville Medical Center at 805 Sandy Plains Road Marietta GA 30066 753245214 Healthcare GA 0 NA WellStar Douglasville Medical Center LL 805 Sandy Plains Road Marietta GA 30066 582577971 Healthcare GA 0 NA WellStar East Cobb Medical Center LLC 805 Sandy Plains Road Marietta GA 30066 582598851 Healthcare GA 0 NA WellStar East Paulding Pediatric Center 805 Sandy Plains Road Marietta GA 30066 582598855 Healthcare GA 0 NA WellStar East Paulding Primary Care Cent 805 Sandy Plains Road Marietta GA 30066 582598856 Healthcare GA 0 NA WellStar Infectious Disease LLC 805 Sandy Plains Road Marietta GA 30066 582502436 Healthcare GA 0 NA WellStar Internal Medicine Associates of 805 Sandy Plains Road Marietta GA 30066 582586054 Healthcare GA 0 NA WellStar Internal Medicine at Douglasvil 805 Sandy Plains Road Marietta GA 30066 582598842 Healthcare GA 0 NA WellStar Internal Medicine at Paulding 805 Sandy Plains Road Marietta GA 30066 300355547 Healthcare GA 0 NA WellStar Internal Medicine of Cobb LLC 805 Sandy Plains Road Marietta GA 30066 562445102 Healthcare GA 0 NA WellStar KenMar Pediatrics LLC 805 Sandy Plains Road Marietta GA 30066 582577974 Healthcare GA 0 NA WellStar Kennesaw Medical Center LLC 805 Sandy Plains Road Marietta GA 30066 582568534 Healthcare GA 0 NA WellStar Kennestone OBGYN 2 LLC 805 Sandy Plains Road Marietta GA 30066 300355553 Healthcare GA 0 NA WellStar Kennestone OBGYN LLC 805 Sandy Plains Road Marietta GA 30066 582499183 Healthcare GA 0 NA WellStar Kennestone Pediatric Associates 805 Sandy Plains Road Marietta GA 30066 582586286 Healthcare GA 0 NA WellStar Marietta Adult Medicine Associa 805 Sandy Plains Road Marietta GA 30066 582635392 Healthcare GA 0 NA WellStar Marietta Family Medicine LLC 805 Sandy Plains Road Marietta GA 30066 582577972 Healthcare GA 0 NA WellStar Marietta Internal Medicine LLC 805 Sandy Plains Road Marietta GA 30066 582586289 Healthcare GA 0 NA WellStar Marietta Pediatrics LLC 805 Sandy Plains Road Marietta GA 30066 582598854 Healthcare GA 0 NA WellStar Marietta Primary Care LLC 805 Sandy Plains Road Marietta GA 30066 582577979 Healthcare GA 0 NA WellStar Marietta Pulmonary Medicine LL 805 Sandy Plains Road Marietta GA 30066 582586292 Healthcare GA 0 NA WellStar Medical Specialists 2 LLC 805 Sandy Plains Road Marietta GA 30066 753261729 Healthcare GA 0 NA WellStar Medical Specialists LLC 805 Sandy Plains Road Marietta GA 30066 582586293 Healthcare GA 0 NA WellStar Midani Pediatric Practice LLC 805 Sandy Plains Road Marietta GA 30066 582598853 Healthcare GA 0 NA WellStar Neurosurgery LLC 805 Sandy Plains Road Marietta GA 30066 300067488 Healthcare GA 0 NA WellStar North Cobb Pediatrics LLC 805 Sandy Plains Road Marietta GA 30066 582518119 Healthcare GA 0 NA WellStar North Cobb Women's Health 2 LL 805 Sandy Plains Road Marietta GA 30066 412243450 Healthcare GA 0 NA WellStar North Cobb Women's Health LLC 805 Sandy Plains Road Marietta GA 30066 582499178 Healthcare GA 0 NA WellStar North Douglas OBGYN LLC 805 Sandy Plains Road Marietta GA 30066 582598852 Healthcare GA 0 NA WellStar Northwest Women's Care LLC 805 Sandy Plains Road Marietta GA 30066 582499181 Healthcare GA 0 NA WellStar Occupational Health LLC 805 Sandy Plains Road Marietta GA 30066 582510194 Healthcare GA 0 NA WellStar Palliative Medicine LLC 805 Sandy Plains Road Marietta GA 30066 223972021 Healthcare GA 0 NA WellStar Paulding Surgical Associates L 805 Sandy Plains Road Marietta GA 30066 743130874 Healthcare GA 0 NA WellStar Pediatric & Adolescent Center 805 Sandy Plains Road Marietta GA 30066 582570392 Healthcare GA 0 NA WellStar Pediatric & Family Wellness Cen 805 Sandy Plains Road Marietta GA 30066 264687089 Healthcare GA 0 NA WellStar Pediatric Professionals LLC 805 Sandy Plains Road Marietta GA 30066 320093335 Healthcare GA 0 NA WellStar Pediatrics at Brookstone LLC 805 Sandy Plains Road Marietta GA 30066 582598844 Healthcare GA 0 NA WellStar Phillips Women's Care LLC 805 Sandy Plains Road Marietta GA 30066 582586058 Healthcare GA 0 NA WellStar Physicians Group Douglas Hospit 805 Sandy Plains Road Marietta GA 30066 161735192 Healthcare GA 0 NA WellStar Physicians Group ENT LLC 805 Sandy Plains Road Marietta GA 30066 582473668 Healthcare GA 0 NA WellStar Physicians Group Hospitalists 805 Sandy Plains Road Marietta GA 30066 582461494 Healthcare GA 0 NA WellStar Physicians Group Pathologists 805 Sandy Plains Road Marietta GA 30066 582461493 Healthcare GA 0 NA WellStar Powder Springs Medical Center 805 Sandy Plains Road Marietta GA 30066 582586052 Healthcare GA 0 NA WellStar Rehab Medicine LLC 805 Sandy Plains Road Marietta GA 30066 582532917 Healthcare GA 0 NA WellStar Rheumatology Associates of Mari 805 Sandy Plains Road Marietta GA 30066 450559274 Healthcare GA 0 NA WellStar Shallowford Medical Center LLC 805 Sandy Plains Road Marietta GA 30066 582598849 Healthcare GA 0 NA WellStar Smyrna Primary Care Center LLC 805 Sandy Plains Road Marietta GA 30066 582598843 Healthcare GA 0 NA WellStar South Cobb Primary Care LLC 805 Sandy Plains Road Marietta GA 30066 582586290 Healthcare GA 0 NA WellStar South Cobb Rheumatology LLC 805 Sandy Plains Road Marietta GA 30066 412243448 Healthcare GA 0 NA WellStar Surgical Associates of Marietta 805 Sandy Plains Road Marietta GA 30066 562469677 Healthcare GA 0 NA WellStar Thoracic Surgery Associates LLC 805 Sandy Plains Road Marietta GA 30066 263540626 Healthcare GA 0 NA WellStar Towne Lake Medical Center LLC 805 Sandy Plains Road Marietta GA 30066 582586287 Healthcare GA 0 NA WellStar Towne Lake Pediatrics LLC 805 Sandy Plains Road Marietta GA 30066 582577980 Healthcare GA 0 NA WellStar Urgent Care at Cooper Lake LLC 805 Sandy Plains Road Marietta GA 30066 300378808 Healthcare GA 0 NA WellStar Urgent Care at Towne Lake LLC 805 Sandy Plains Road Marietta GA 30066 582586061 Healthcare GA 0 NA WellStar Urgent Care in Kennesaw LLC 805 Sandy Plains Road Marietta GA 30066 582568565 Healthcare GA 0 NA WellStar Urgent Care on Delk Road LLC 805 Sandy Plains Road Marietta GA 30066 582577976 Healthcare GA 0 NA WellStar Urgent Care on Sandy Plains Roa 805 Sandy Plains Road Marietta GA 30066 582598845 Healthcare GA 0 NA WellStar West Cobb Medical Center LLC 805 Sandy Plains Road Marietta GA 30066 582586288 Healthcare GA 0 NA WellStar Woodlawn Commons Family Practic 805 Sandy Plains Road Marietta GA 30066 582586053 Healthcare GA 0 NA Homecare Billing Services LLC 805 Sandy Plains Road Marietta GA 30066 582479534 Healthcare GA 2994511 NA Wellstar Windy Hill Apothecary LLC 805 Sandy Plains Road Marietta GA 30066 562511925 Healthcare GA 1102029 NA Wellstar Bi-County ENT LLC 805 Sandy Plains Road Marietta GA 30066 272258194 Healthcare GA 0 NA Wellstar Comprehensive Bariatric Srv LLC 805 Sandy Plains Road Marietta GA 30066 271716783 Healthcare GA 0 NA Wellstar Family Medicine LLC 805 Sandy Plains Road Marietta GA 30066 273565358 Healthcare GA 0 NA Wellstar Home Health LLC 805 Sandy Plains Road Marietta GA 30066 270277843 Healthcare GA 5812873 WHS Inc Wellstar Health Network LLC 805 Sandy Plains Road Marietta GA 30066 273870970 Healthcare GA WHS Inc Wellstar Health Ventures LLC 805 Sandy Plains Road Marietta GA 30066 453754932 Healthcare GA 883513 WHS Inc Wellstar IPA LLC 805 Sandy Plains Road Marietta GA 30066 581649541 Insurance GA 0 NA Wellstar Community Hospice LLC 805 Sandy Plains Road Marietta GA 30066 134350580 Healthcare GA 8807384 NA Center for Health Transformation 805 Sandy Plains Road Marietta GA 30066 581649541 Healthcare GA 0 NA CHS Foundation Inc 805 Sandy Plains Road Marietta GA 30066 581649540 Foundation GA 501 (c) 3 11 Type 2 WHS true Cobb Hospital Inc 805 Sandy Plains Road Marietta GA 30066 580968382 Healthcare GA 501 (C) 3 3 WHS true Douglas Hospital Inc 805 Sandy Plains Road Marietta GA 30066 582026750 Healthcare GA 501 (c) 3 3 WHS true Kennestone Hospital Inc 805 Sandy Plains Road Marietta GA 30066 582032904 Healthcare GA 501 (c) 3 3 WHS true Paulding Medical Center Inc 805 Sandy Plains Road Marietta GA 30066 582095884 Healthcare GA 501 (c) 3 3 WHS true Wellstar Foundation Inc 805 Sandy Plains Road Marietta GA 30066 581627413 Foundation GA 501 (c) 3 11 Type 2 WHS true Kennestone South Parking Deck 805 Sandy Plains Road Marietta GA 300666340 581649541 PARKING GA NA Investment 115392 1681857 false false 0.45000 Cobb Hospital Parking Company LLC 805 Sandy Plains Road Marietta GA 300666340 752999669 PARKING GA NA Investment 32622 740958 false false 0.62500 Community Assurance Co 3rd Fl Barclays House Shedden Rd George Town Cayman Islands, B CJ 581649541 INSURANCE CJ WHS INC C 60283691 1.00000 true false false false false false false false true true true false false false true true false true true Cobb Hospital Inc q 55787428 actual cost Douglas Hospital Inc q 19312505 actual cost Kennestone Hospital Inc q 124548708 actual cost Paulding Medical Center Inc q 11244854 actual cost