PAULDING MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PAULDING MEDICAL CENTER INC (EIN 58-2095884)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201441349349304989
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T13:26:22-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1700	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	582095884	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PAULDING MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% JAMES M SWARTZ	InCareOfName
Name Control	PAUL	NameControl
Phone	7707925023	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	805 Sandy Plains Road	AddressLine1
Address Line2	Suite	AddressLine2
City	Marietta	City
State	GA	State
ZIP Code	300666340	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES M SWARTZ	Name
Title	VP ACCOUNTING	Title
Phone	7707925023	Phone
Date Signed	2014-05-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2673303000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	REYNOLD J JENNINGS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	805 Sandy Plains Road	AddressLine1
City	Marietta	City
State	GA	State
ZIP Code	300666340	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	65836104	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.wellstar.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1993	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	To deliver world-class charitable healthcare	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	637	TotalNbrEmployees
Total Nbr Volunteers	85	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	65626411	ProgramServiceRevenuePriorYear
Program Service Revenue CY	65428844	ProgramServiceRevenueCY
Investment Income Prior Year	1300	InvestmentIncomePriorYear
Investment Income Current Year	-26622	InvestmentIncomeCurrentYear
Other Revenue Prior Year	357748	OtherRevenuePriorYear
Other Revenue Current Year	407260	OtherRevenueCurrentYear
Total Revenue Prior Year	65985459	TotalRevenuePriorYear
Total Revenue Current Year	65809482	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	375	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	29345806	SalariesEtcPriorYear
Salaries Etc Current Year	30928542	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	26628460	OtherExpensePriorYear
Other Expenses Current Year	27684242	OtherExpensesCurrentYear
Total Expenses Prior Year	55974641	TotalExpensesPriorYear
Total Expenses Current Year	58612784	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	10010818	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	7196698	RevenuesLessExpensesCY
Total Assets BOY	47403429	TotalAssetsBOY
Total Assets EOY	111173600	TotalAssetsEOY
Total Liabilities BOY	113609113	TotalLiabilitiesBOY
Total Liabilities EOY	119313944	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-66205684	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-8140344	NetAssetsOrFundBalancesEOY
Mission Description	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	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	48305566	Expense
Revenue	65428844	Revenue
Description	Paulding Medical Center, Inc. (an affiliate of Wellstar Health System, Inc.) operates as a charitable organization consistent with the requirements of IRS 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; the hospital operates a full-time emergency room open to all regardless of 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 the hospitals 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. Paulding had $107.6 million in capital expenditures disbursed during the tax period reviewed with the construction of a new replacement hospital contributing to a majority of that total. Wellstar Paulding Hospital is a general acute care hospital providing a full range of services to the community. The hospital is licensed to operate 83 beds and is presently staffed to operate 34 beds. The existing hospital will be replaced by a 253,000 square foot, 112-bed replacement acute care hospital in the spring of 2014. Paulding Medical Center, Inc. was organized in 1994. 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. Paulding Medical Center is subject to the authority and governing board of Wellstar Health System and the Paulding County Hospital Authority. Paulding Hospital provides a full range of inpatient and outpatient services characteristic of a community hospital. Paulding Nursing Home is located on the campus of the hospital and functions as part of the full range of health services provided to the community. The nursing home provides skilled long-term nursing care to persons requiring those services by reason of age or physical impairment. The nursing home is the only such facility in the Wellstar system. The following stats consitute the overall program services provided for the period ended June 30, 2013: Adult Discharges-2,031 Nursing Facility Days-62,343 Medical & Surgical Short Stay Cases-206 Emergency Room Visits-40,445 Outpatient Surgical Cases-1,475 Inpatient Surgical Cases-426 Outpatient Procedures Non ED OP Radiology-29,736 GI Laboratory-360 Total FTEs Paid-478 Community Benefit Reporting Unreimbursed Charity Care (at cost)$4,234,494 Medicaid Shortfalls (at cost)$163,151 As an affiliate of Wellstar Health System, Paulding Hospital participates in many community and educational programs for the overall health and benefit of the area that they serve. Accomplishments and Awards--The Paulding Nursing Home provides both subacute and long term care services to patients in the community. Since the nursing home is one of very few in the area and located on the medical complex campus it is very crucial to an ever expanding service area. Paulding Hospital is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The parent company, Wellstar Health System, was again honored as one of the top 100 health systems in the country by Verispan. The system was ranked at #5 as listed in the magazine, "Modern Healthcare", and is the highest ranked system in the state. All of Wellstar hospital laboratories including Paulding were awarded "Accreditation with Distinction" by the Commission on Laboratory Accreditation of the College of American Pathologists (CAP). CAP awards are considered one of the most stringent in laboratory quality assurance in the industry. Wellstar Health System ranks as the top company in the Working Mother 100 Best Companies List. Wellstar ranked seventh in the large company category in Atlanta's Top 25 Employers by the publication "Atlanta Business Chronicle". Wellstar was recognized as a "Company that Cares" for 2013 which was the sixth year in a row the system was honored. The system began participating in Terrific Tales, a Company that Cares sponsored literacy project. Several Wellstar hospitals took on the challenge of purchasing quality books for local elementary school libraries in underserved areas. Paulding Hospital adopted a local school(Poole Elementary) and helped the system raise funds to purchase books for that and other local schools. WellStar Health System received two national work-life distinctions during the year. The National Association of Female Executives honored the system for the fourth year as one of the Top 10 Nonprofit Companies for female executives. Eighty-two percent of the WellStar workforce are women. In 2012, 80 percent of promotions to manager and above went to women and of the 13 employees promoted to executive positions there were six that were for females. WellStar is also one of the 54 organizations nationwide to earn the Alliance for Work-Life Progress Seal of Distinction. This award identifies organizational success in the area of work-life effectiveness. WellStar was one of only two Georgia organizations to be honored. In October of the reporting period WellStar completed the system-wide implementation of a new cleaning process called Xenex. The process uses ultraviolet light technology/machines to decontaminate rooms in five to 12 minutes. This includes patient rooms, emergency departments, public restrooms, supply rooms and nursing stations. Independent studies and lab samples have shown that the system is 20 times more effective than regular cleaning protocols for eliminating harmful bacteria and many other organisms. All hospitals have a least one machine in operation. WellStar Paulding Nursing Center received two national Excellence in Action Awards from the National Research Corporation. The nursing center received the awards for customer and employee satisfaction. The Nursing Center ranked in the top 10 percent of a field of more than 5,000 surveyed facilities. Paulding Nursing Center is one of only 83 facilities in the country and one of 17 in Georgia to receive both awards. Orthosport WellStar opened a new orthopedic and sports physical therapy clinic in the Paulding Physicians Center and very near the new replacement hospital for Paulding Hospital in Hiram, Georgia. Orthosport became a part of WellStar in January of 2012 and has locations in Marietta, Kennesaw, Woodstock, Austell and Douglasville which are all in the communities it serves. Orthosport is the only physical therapy provider in the area to offer aquatic therapy at each location allowing patients with acute and chronic injuries to heal much faster and with less pain. WellStar Kennestone Hospital launched an initiative called Best In Georgia (BIG) with a goal to improve patient safety and well-being across the system. A multidisiplinary team of physicians and other team members meets on a periodic basis to evaluate performance measures at the hospital. As many consumers become more savvy and research healthcare performance in sources such as Health Grades, and US News and World Report as well as other computer websites, it is important for hospitals to focus on raising their standing in the community and public in general. Cobb, Douglas, Paulding and Windy Hill hospitals have also joined in this initiative. The Paulding Hospital Surgical Services Team raised more than $600 to purchase a new computer, desk and chair for the WellStar Paulding Nursing Center. The department hopes that the internet access will help the nursing home residents keep in better touch with family and friends and improve their quality of life. The new Paulding replacement hospital is scheduled to open in April of 2014. The new hospital will be a state-of-the-art facility with eight floors and over 250,000 square feet of space. It will include a 40-room emergency department which greatly enhances that service for the Paulding County community. Over 100 new jobs will be added to the workforce. The hospital will also have a glass atrium that will connect it to an 82,200 square-foot existing medical office complex. Paulding Nursing Center received a five-star rating from the Centers for Medicare and Medicaid Services (CMS) for its overall performance in health inspections, nurse staffing and quality of medical care. Only 10 percent of nursing homes in the country earn this top rating, and only about 17 percent of more than 350 homes in Georgia earned an overall five-star rating. Approximately 150 team members serve the 182 residents of Paulding Nursing Center. Kennestone and Paulding Hospitals were named to the Georgia Hospital Association's Partnership for Health and Accountabil	Description
Total Program Service Expense	48305566	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	637	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JAMES M SWARTZ	NamePerson
Telephone Number	7707925023	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	805 SANDY PLAINS ROAD	AddressLine1
City	Marietta	City
State	GA	State
ZIP Code	300666340	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (74 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ARVIL P BECKFORD MD
TRUSTEE	2.0	48.0	X	0	433483	22804
RANDALL BENTLEY JR
TRUSTEE	1.0	5.0	X	0	19122	0
OTIS BRUMBY III
TRUSTEE	1.0	7.0	X	0	4120	0
SHAN COOPER
TRUSTEE	1.0	5.0	X	0	468	0
ROBERT N CROSS MD
TRUSTEE	1.0	5.0	X	0	5166	0
TE RUSTY DURHAM
TRUSTEE	1.0	14.0	X	0	37201	1410
THOMAS E GEARHARD MD
TRUSTEE	2.0	48.0	X	0	533324	70106
DAVID HAFNER MD
TRUSTEE	1.0	5.0	X	0	21314	0
T FITZ JOHNSON
TRUSTEE	1.0	5.0	X	0	10551	0
CHARLES J JONES
TRUSTEE	1.0	5.0	X	0	15887	0
JANIE MADDOX
TRUSTEE- CHAIR	1.0	5.0	X	0	16829	0
GARY A MILLER
TRUSTEE - VICE CHAIR	1.0	5.0	X	0	3140	0
STEVEN W OWEIDA MD
TRUSTEE	1.0	5.0	X	0	19041	0
TOM PHILLIPS
TRUSTEE	1.0	5.0	X	0	2599	0
WALTER G ROBINSON
TRUSTEE	1.0	5.0	X	0	9684	0
FRANK ROS
TRUSTEE	1.0	5.0	X	0	927	0
W ALLEN SEPARK
TRUSTEE	1.0	7.0	X	0	9168	0
JEFFERY THARP MD
TRUSTEE	2.0	48.0	X	0	609909	65330
VALERY A AKOPOV MD
VP & CHIEF OF HOSPITALISTS	2.0	48.0		0	369292	30115	X
DAVID W ANDERSON
EXEC VP HR/OL/CCO	2.0	48.0		0	1009113	77916	X
NICOLE V ASHE
VP FINANCE & CFO WMG	2.0	48.0		0	229204	34796	X
BARBARA G BALLARD
VP HOMECARE & HOSPICE	2.0	48.0		0	269237	41328	X
JOSEPH L BRYWCZYNSKI
SR VP HEALTH PARKS DEVELOPMENT	2.0	48.0		0	321402	48393	X
A JAMES BUDZINSKI
EXEC VP & CFO	2.0	50.0		0	811452	72350	X
DONALD CAMPBELL MD
SR VP PHYS EDUC & STUDENT AFFL	2.0	48.0		0	441997	54362	X
LEE RANDOLPH COOK
VP MEDICINE & BEHAVIORAL HLTH	2.0	48.0		0	378589	54807	X
BARBARA B COREY
SR VP MANAGED CARE	2.0	48.0		0	437376	49536	X
BRUCE A DEAN
VP REAL ESTATE & DEP GEN COUNS	2.0	48.0		0	289509	48725	X
SARATH DEGALA
VP REVENUE CYCLE MANAGEMENT	2.0	48.0		0	124354	10914	X
MARCIA DELK-PAYNE MD
SR VP MED AFFAIRS & CQO	2.0	48.0		0	537139	47333	X
CAROL S EDWARDS
VP CARDIAC SERVICES	2.0	48.0		0	172501	27149	X
CLARENCE HARLEE EVINS JR
VP REVENUE CYCLE	2.0	48.0		0	198801	22150	X
MICHAEL L GRAUE
EXEC VP & COO	2.0	48.0		0	704412	82434	X
TIMOTHY MARK HANEY
SR VP & HOSPITAL PRESIDENT	48.0	2.0		394856	0	39111	X
ELIZABETH A HOFFMANN
VP BUDGET & ANALYSIS	2.0	48.0		0	242637	16592	X
VICKY LYNN HOGUE
VP/CNO PATIENT CARE SERVICES	50.0	0.0		211178	0	24372	X
ROBERT D JANSEN MD
EXEC VP & PRES WMG	2.0	48.0		0	651191	66994	X
REYNOLD J JENNINGS
PRESIDENT & CEO	2.0	50.0		0	1571726	64901	X
CHRISTOPHER M KANE
SR VP STRATEGIC PLAN & BUS DEV	2.0	48.0		0	478493	45700	X
BETH KOST
VP COMPLIANCE/CHIEF PRIV OFCR	2.0	48.0		0	279215	24478	X
KENNETH C KUNZE MD
SR VP CHIEF MEDICAL OFFICER	2.0	48.0		0	1125716	76665	X
ELLEN LANGFORD
VP & COO MED GRP	2.0	48.0		0	312399	39496	X
LOUIS W LITTLE
SR VP POST ACUTE & HOSP PRES	2.0	48.0		0	356956	40332	X
ROBERT MANDLER
VP DIAGNOSTIC OUTREACH	2.0	48.0		0	273344	47743	X
CAROL B MAXWELL
VP TALENT ACQUISITION	2.0	48.0		0	239468	20708	X
KIMBERLY W MENEFEE
SR VP MARKETING & GOV AFFAIRS	2.0	48.0		0	396281	53295	X
JONATHAN B MORRIS MD
SR VP & CIO	2.0	48.0		0	427588	43417	X
BRADFORD B NEWTON
VP INFO TECH ADMIN	2.0	48.0		0	57854	3589	X
LEO E REICHERT
EXEC VP & GENERAL COUNSEL	2.0	48.0		0	611562	48028	X
MICHELLE M ROBINSON
VP MARKETING/PR/INT COMMUNICAT	2.0	48.0		0	201213	28691	X
DEBORAH ROEGGE DE VITA
VP WOMEN & NEWBORN SERVICES	2.0	48.0		0	266969	18003	X
CHRISTOPHER B SCULLEN
VP PULMONARY OPERATIONS	2.0	48.0		0	200049	10678	X
JEFFERY D STANLEY
VP PHARMACY & SYS COORDINATOR	2.0	48.0		0	60671	5109	X
MICHAEL R STREETMAN
VP INFO TECH OPERATIONS	2.0	48.0		0	76243	6493	X
JAMES M SWARTZ
VP ACCOUNTING	2.0	48.0		0	226256	30541	X
MARY L TAVERNARO
VP HUMAN RESOURCES OPERATIONS	2.0	48.0		0	243135	24803	X
ADAM C THOMPSON
VP SURGERY	2.0	48.0		0	191828	22669	X
ANTHONY M TRUPIANO
SR VP SUPPLY CHAIN	2.0	48.0		0	327328	35439	X
MARY L WESLEY
SR VP NURSING SERVICES & CNE	2.0	48.0		0	383494	37702	X
ROBIN WILSON MD
SR VP CHIEF INNOVATION OFFICER	2.0	48.0		0	462855	43631	X
CHESTER A ZBOROWSKI
VP HEALTH PARKS OPERATIONS	2.0	48.0		0	137711	15717	X
KRISTYN GREIFER MD
VP POPULATION HLTH MGMT	2.0	48.0		0	0	0	X
PETER JUNGBLUT MD
SR VP & MEDICAL DIRECTOR	2.0	48.0		0	0	0	X
GUILLERMO PIERLUISI MD
VP MEDICAL AFFAIRS DH/PH	2.0	48.0		0	0	0	X
RICK SIEGEL
VP CARDIO SERVICE & MED ADMIN	2.0	48.0		0	0	0	X
DWIGHT T STILL
RADIATION ONCOLOGY PHYSICIST	50.0	0.0		181272	0	26195		X
CAROL S O'CONNELL
AVP SUPPORT SRVCS & LTC	50.0	0.0		153171	0	25544		X
ANDREA PARSON
DIR PHARMACY	50.0	0.0		145648	0	28101		X
BOLAN DEHER
PHARMACEUTICAL CARE PHARMACIST	50.0	0.0		142928	0	24575		X
JANET D FAULKNER
DIR NURSING	50.0	0.0		126284	0	19016		X
CHARLES 'PETE' WOOD
FORMER TRUSTEE	0.0	0.0		0	13091	0			X
RICHARD T LOPES MD
FORMER SR VP & PRES WMG	0.0	0.0		0	480426	19938			X
GREGORY L SIMONE MD
FORMER PRES & CEO	0.0	0.0		0	226763	23597			X
BONNIE L WILSON
FORMER EXEC VP & GEN COUNSEL	0.0	0.0		0	227237	13210			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1355337	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	18796010	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1977031	TotalOtherCompensation
Number Individuals GT100 K	27	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Brasfield Gorrie
1990 Vaughn Rd NW Suite 100	MARIETTA	GA	30144	General Contractor	22709340
CDH PARTNERS
675 TOWER RD	MARIETTA	GA	30060	General Contractor	3917119
ATC GROUP SERVICES dba CARDNO ATC
PO Box 123263	DALLAS	TX	753123263	GENERAL CONTRACTOR	308067
Clark Ambulance Service Inc
PO Box 1789	DALLAS	GA	30132	Transportation Srvc	207206
Cork-Howard Construction Inc
2121 New Market Pkwy Suite 118	MARIETTA	GA	30067	General Contractor	175998

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	8	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL PATIENT REVENUE	621990	65428146	65428146
MEDICAL RECORDS	621990	698	698

Field	Value	IRS element (for citing)
Total Program Service Revenue	65428844	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	23796	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	23796	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	23796	TotalRevenueColumn
Exclusion	$23,796	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	26622	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-26622	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-26622	TotalRevenueColumn
Exclusion	-$26,622	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
PHARMACY	446199	121372	$121,372
CAFETERIA	722210	211330	$211,330
IMMUNIZATIONS	621990	11658	$11,658

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	39104	TotalRevenueColumn
Exclusion	$39,104	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	383464	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	65809482	TotalRevenueColumn
Related Or Exempt Function Income	65428844	RelatedOrExemptFunctionIncome
Exclusion	$380,638	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	669517	Total
Program Services	558846	ProgramServices
Management And General	110671	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	24468247	Total
Program Services	20422529	ProgramServices
Management And General	4045718	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1910742	Total
Program Services	1594896	ProgramServices
Management And General	315846	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2074109	Total
Program Services	1731259	ProgramServices
Management And General	342850	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1805927	Total
Program Services	1507407	ProgramServices
Management And General	298520	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1366258	Total
Program Services	1175964	ProgramServices
Management And General	190294	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	725	Total
Program Services	235	ProgramServices
Management And General	490	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3998736	Total
Program Services	3654666	ProgramServices
Management And General	344070	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1431009	Total
Program Services	658191	ProgramServices
Management And General	772818	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	42046	Total
Program Services	24547	ProgramServices
Management And General	17499	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	78525	Total
Program Services	12782	ProgramServices
Management And General	65743	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2433	Total
Management And General	2433	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	11244854	Total
Program Services	9386080	ProgramServices
Management And General	1858774	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2679963	Total
Program Services	1513737	ProgramServices
Management And General	1166226	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	435941	Total
Management And General	435941	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
REPAIRS & MAINTENANCE	1564861	1253500	311361
MEDICAL SUPPLIES	4810249	4809986	263
OTHER OPERATING EXPENSES	28642	941	27701

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	58612784	Total
Program Services	48305566	ProgramServices
Management And General	10307218	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1600	BOY
EOY	1650	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	48576	BOY
EOY	210508	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8992487	BOY
EOY	10010804	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	853611	BOY
EOY	951414	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	443140	BOY
EOY	820523	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	122941296	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	24213315	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	36654442	BOY
EOY	98727981	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	409573	BOY
EOY	450720	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	47403429	BOY
EOY	111173600	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	7202414	BOY
EOY	12137002	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	106406699	BOY
EOY	107176942	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	113609113	BOY
EOY	119313944	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-66205684	BOY
EOY	-8140344	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-66205684	BOY
EOY	-8140344	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	47403429	BOY
EOY	111173600	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	7196698	ReconcilationRevenueExpenses
Reconcilation Other Changes	50868642	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3170972	OtherCostOrOtherBasis
Book Value	3172972	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16194963	OtherCostOrOtherBasis
Depreciation	11363835	Depreciation
Book Value	5551128	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	271402	OtherCostOrOtherBasis
Depreciation	165442	Depreciation
Book Value	105960	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28508989	OtherCostOrOtherBasis
Depreciation	12684038	Depreciation
Book Value	15824951	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	74074970	OtherCostOrOtherBasis
Book Value	74074970	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	98729981	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ASSET RETIREMENT OTHER LT	$626,409
TAX EXEMPT BOND LIAB-DUE TO WH	$106,550,533

Field	Value	IRS element (for citing)
Total Of Amounts	107176942	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	SCH D PART X, LINE 2-LIABILITIES	Identifier
Explanation	The following footnote is taken from the audited financial statements for Wellstar Health System and Affiliates (including Paulding Medical Center): "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 Sec 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."	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	125.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4234494	TotalCommunityBenefitExpense
Net Community Benefit Expense	4234494	NetCommunityBenefitExpense
Percent Of Total Expense	0.07220	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6180743	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6017591	DirectOffsettingRevenue
Net Community Benefit Expense	163152	NetCommunityBenefitExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10415237	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6017591	DirectOffsettingRevenue
Net Community Benefit Expense	4397646	NetCommunityBenefitExpense
Percent Of Total Expense	0.07500	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	85621	TotalCommunityBenefitExpense
Net Community Benefit Expense	85621	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	85621	TotalCommunityBenefitExpense
Net Community Benefit Expense	85621	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10500858	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6017591	DirectOffsettingRevenue
Net Community Benefit Expense	4483267	NetCommunityBenefitExpense
Percent Of Total Expense	0.07650	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$3,095,754	BadDebtExpenseAmount
Amount Attributable To	357077	AmountAttributableTo
Amount Reimbursed By Medicare	13453530	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	15478693	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2025163	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	WELLSTAR PAULDING HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	600 WEST MEMORIAL DRIVE	AddressLine1
City	DALLAS	City
State	GA	State
ZIP Code	30132	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	SKILLED NURSING HOME	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WELLSTAR PAULDING HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Other	X	Other
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Prioritize Health Needs	X	PrioritizeHealthNeeds
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	125.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Publication of Annual Community Benefit Report	Sch H Part I Line 6a	Paulding Medical Center, Inc. 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.
Cost to Charge Ratio	Sch H Part I Line 7	For purposes of the IRS Form 990 Schedule H, Wellstar Health System and Affiliates (including Paulding Hospital) 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.
Footnote on Bad Debt and Rationale for Community Benefit	Schedule H Part III Line 4	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 as community benefit.
Medicare Shortfalls	Sch H Part III Line 8	Paulding Hospital is a provider 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 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.
Collection Practices	Sch H Part III Sec C Line 9b	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.
Hospital Description	Schedule H Part V	Wellstar Paulding Hospital is a general acute care hospital providing a full range of services. It is licensed to operate 83 beds by the State of Georgia but is staffed to operate 34 beds. The hospital is located on 50-acre campus in Dallas, Georgia in a complex of commercial buildings containing approximately 230,000 square feet. The original hospital was built in 1958 and since that time has seen at least five major structural additons and renovations. A new state of the art replacement hospital is planned to open in 2014. In addition WellStar Paulding Hospital has expanded services to include a Medical Office Building with local physicians and services that include radiation oncology, sleep disorder and medical imaging.
Needs Assessment	Schedule H Part VI Line 2	Wellstar Health System (and affiliates) is a key stakeholder in MAPP, Mobilizing for Action through Planning and Partnerships. 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, continous community involvement leads to community ownershiop of the process. Community ownership, in turn, increases the credibility and sustainability of the health improvement efforts.
Patient Education of Eligibility for Assistance	Schedule H Part VI Line 3	Paulding Hospital provides 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.
Community Information	Schedule H Part VI Line 4	Paulding Hospital is one of five hospitals that are affiliated with the parent corporation, 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. 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 occured.
Promotion of Community Health	Schedule H Part VI Line 5	As stated in the Wellstar Health System, Inc and Affiliates audited financial statments for the period ended June 30, 2013, Paulding Hospital (an affiliate of Wellstar Health System, Inc.) operates as a charitable organization consistent with the requirements of Internal Revenue Code Sect 501 (c) (3) and the "community benefit standard" of IRS Ruling 69-545. In this regard the governing body of the organization and/or ist parent is composed of prominent citizens in the community, medical staff privileges in the hospital are available to all qualifed physicians in the area consistent with the size and nature of the facility; the hospital operates a full-time emergency room open to all regardless of ability to pay; and the hospital provides care to the needy members of the community consistent with its charity care policy. The hospital's excess funds are genrally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement fo patient care, community benefit activities, and charity care. Paulding Hospital committed approximately $107.6 million in capital expenditures for the year to meet those needs with the majority of those funds used in the new replacement hospital construction.
Publication of Financial Assistance Policy	Sch H Part V Line 13g	In addition to the posting of the financial assistance policy in various locations throughout the hospital, the patient financial servies and patient access service departments provide a brochure which includes frequently asked questions about the terms and conditions associated with the policy.
Other CHNA Descriptions	Part V Section B Line 1j	The Community Health Needs Assessment also provides a list of WellStar Health System CHNA collaborators including individuals, organizations and governmental agencies consulted that contributed special knowledge of medically underserved and low income populations and/or expertise in public health
CHNA Input from Community Representatives and Sources	Part V Section B Line 3	WellStar Paulding Hospital 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 community health needs assessments conducted in the tax year 2012. Through a grant by the Centers for Disease Control and Prevention, WellStar Paulding Hospital partnered with CDPH and formed a 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 including Paulding and Bartow counties, 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 report 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 - WellStar Paulding 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 Cobb2020 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. Paulding Key Informant Interview Report-20 participants identified by Cobb 2020's Community Strengths and Themes Workgroup to represent different sectors of the community who possessed above average knowledge of the healthcare issues, healthcare system or the community. 4. Cobb MAPP Community Survey Report-44-question telephone surveys 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 LLC, a third-party consultant
Facility Community Needs Assessment	Part V Section B Line 4	While WellStar Paulding Hospital conducts its own community health needs assessment there may be some overlap with the other hospitals in the WellStar system simply because of the geographic constraints and structure of the organization. The community served therefore will have many common zip codes and assessment areas.
Explanation of Unaddressed CHNA Needs	Part V Section B Line 7	Selection criteria for WellStar Paulding 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 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 do we have existing facilities and resources dedicated to the health needs showing clear disparities and poor performance? And 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? WellStar Health System, Inc. and its affiliates will continue to address these and other questions.
Affiliated Health Care System	Part VI Line 6	WellStar Health System, Inc., as the parent corporation, and Cobb Hospital, Douglas Hospital, Kennestone Hospital, Paulding Medical Center and Windy Hill Hospital provide a variety of health care and related services to the community. In addition a nursing home, two residential hospice facilities, an assisted living and retirement facility and a vast network of physicians provide a full continuum of care to the area we serve.
CHNA Implementation Strategy	Schedule H Part VI Item 2	In order to access the proposed Community Health Needs Assessment Implementation Strategy for Paulding Medical Center, Inc. a link has been established at www.wellstar.org under the "about us" tab of the website.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Discretionary Spending Account	X	DiscretionarySpendingAccount
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	false	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (50 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ARVIL P BECKFORD MD
TRUSTEE	0	391098	0	34682	0	7703	0	22804	0	0	0	456287	0	0
THOMAS E GEARHARD MD
TRUSTEE	0	374127	0	149896	0	9301	0	44344	0	25762	0	603430	0	0
JEFFERY THARP MD
TRUSTEE	0	453052	0	144219	0	12638	0	47325	0	18005	0	675239	0	0
CHARLES 'PETE' WOOD
FORMER TRUSTEE	0	0	0	0	0	13091	0	0	0	0	0	13091	0	0
VALERY A AKOPOV MD
VP & CHIEF OF HOSPITALISTS	0	289320	0	49819	0	30153	0	20530	0	9585	0	399407	0	0
DAVID W ANDERSON
EXEC VP HR/OL/CCO	0	396057	0	113256	0	499800	0	63675	0	14241	0	1087029	0	0
NICOLE V ASHE
VP FINANCE & CFO WMG	0	197655	0	24868	0	6681	0	14552	0	20244	0	264000	0	0
BARBARA G BALLARD
VP HOMECARE & HOSPICE	0	221400	0	39137	0	8700	0	16066	0	25262	0	310565	0	0
JOSEPH L BRYWCZYNSKI
SR VP HEALTH PARKS DEVELOPMENT	0	252245	0	58357	0	10800	0	32749	0	15644	0	369795	0	0
A JAMES BUDZINSKI
EXEC VP & CFO	0	507658	0	147371	0	156423	0	54844	0	17506	0	883802	0	0
DONALD CAMPBELL MD
SR VP PHYS EDUC & STUDENT AFFL	0	313078	0	71586	0	57333	0	40224	0	14138	0	496359	0	0
LEE RANDOLPH COOK
VP MEDICINE & BEHAVIORAL HLTH	0	253643	0	53103	0	71843	0	37847	0	16960	0	433396	0	0
BARBARA B COREY
SR VP MANAGED CARE	0	280236	0	80891	0	76249	0	34459	0	15077	0	486912	0	0
BRUCE A DEAN
VP REAL ESTATE & DEP GEN COUNS	0	210603	0	37339	0	41567	0	33613	0	15112	0	338234	0	0
MARCIA DELK-PAYNE MD
SR VP MED AFFAIRS & CQO	0	352282	0	90990	0	93867	0	44131	0	3202	0	584472	0	0
CAROL S EDWARDS
VP CARDIAC SERVICES	0	166152	0	0	0	6349	0	22617	0	4532	0	199650	0	0
CLARENCE HARLEE EVINS JR
VP REVENUE CYCLE	0	157714	0	33371	0	7716	0	11150	0	11000	0	220951	0	0
MICHAEL L GRAUE
EXEC VP & COO	0	532619	0	157139	0	14654	0	51672	0	30762	0	786846	0	0
TIMOTHY MARK HANEY
SR VP & HOSPITAL PRESIDENT	253133	0	128097	0	13626	0	21586	0	17525	0	433967	0	0	0
ELIZABETH A HOFFMANN
VP BUDGET & ANALYSIS	0	199287	0	34650	0	8700	0	10108	0	6484	0	259229	0	0
VICKY LYNN HOGUE
VP/CNO PATIENT CARE SERVICES	167371	0	35107	0	8700	0	12444	0	11928	0	235550	0	0	0
ROBERT D JANSEN MD
EXEC VP & PRES WMG	0	519908	0	118865	0	12418	0	46463	0	20531	0	718185	0	0
REYNOLD J JENNINGS
PRESIDENT & CEO	0	981858	0	562478	0	27390	0	64901	0	0	0	1636627	0	0
CHRISTOPHER M KANE
SR VP STRATEGIC PLAN & BUS DEV	0	321428	0	74695	0	82370	0	24938	0	20762	0	524193	0	0
BETH KOST
VP COMPLIANCE/CHIEF PRIV OFCR	0	230396	0	40119	0	8700	0	16456	0	8022	0	303693	0	0
KENNETH C KUNZE MD
SR VP CHIEF MEDICAL OFFICER	0	581156	0	100435	0	444125	0	68643	0	8022	0	1202381	0	0
ELLEN LANGFORD
VP & COO MED GRP	0	193742	0	33394	0	85263	0	34854	0	4642	0	351895	0	0
LOUIS W LITTLE
SR VP POST ACUTE & HOSP PRES	0	233362	0	58935	0	64659	0	24451	0	15881	0	397288	0	0
RICHARD T LOPES MD
FORMER SR VP & PRES WMG	0	480426	0	0	0	0	0	19938	0	0	0	500364	0	0
ROBERT MANDLER
VP DIAGNOSTIC OUTREACH	0	208264	0	35125	0	29955	0	33059	0	14684	0	321087	0	0
CAROL B MAXWELL
VP TALENT ACQUISITION	0	209071	0	28397	0	2000	0	14177	0	6531	0	260176	0	0
KIMBERLY W MENEFEE
SR VP MARKETING & GOV AFFAIRS	0	264110	0	9000	0	123171	0	36736	0	16559	0	449576	0	0
JONATHAN B MORRIS MD
SR VP & CIO	0	346239	0	72286	0	9063	0	22886	0	20531	0	471005	0	0
LEO E REICHERT
EXEC VP & GENERAL COUNSEL	0	456529	0	133697	0	21336	0	25403	0	22625	0	659590	0	0
MICHELLE M ROBINSON
VP MARKETING/PR/INT COMMUNICAT	0	172139	0	24268	0	4806	0	12162	0	16529	0	229904	0	0
DEBORAH ROEGGE DE VITA
VP WOMEN & NEWBORN SERVICES	0	185959	0	32087	0	48923	0	11698	0	6305	0	284972	0	0
CHRISTOPHER B SCULLEN
VP PULMONARY OPERATIONS	0	163084	0	28265	0	8700	0	10296	0	382	0	210727	0	0
GREGORY L SIMONE MD
FORMER PRES & CEO	0	226763	0	0	0	0	0	9581	0	14016	0	250360	0	0
JAMES M SWARTZ
VP ACCOUNTING	0	184730	0	32826	0	8700	0	13409	0	17132	0	256797	0	0
MARY L TAVERNARO
VP HUMAN RESOURCES OPERATIONS	0	199674	0	34761	0	8700	0	14330	0	10473	0	267938	0	0
ADAM C THOMPSON
VP SURGERY	0	155225	0	27353	0	9250	0	8055	0	14614	0	214497	0	0
ANTHONY M TRUPIANO
SR VP SUPPLY CHAIN	0	253706	0	62612	0	11010	0	35439	0	0	0	362767	0
MARY L WESLEY
SR VP NURSING SERVICES & CNE	0	302455	0	69297	0	11742	0	27058	0	10644	0	421196	0	0
BONNIE L WILSON
FORMER EXEC VP & GEN COUNSEL	0	227237	0	0	0	0	0	9581	0	3629	0	240447	0	0
ROBIN WILSON MD
SR VP CHIEF INNOVATION OFFICER	0	295561	0	155781	0	11513	0	19506	0	24125	0	506486	0	0
CHESTER A ZBOROWSKI
VP HEALTH PARKS OPERATIONS	0	113075	0	2301	0	22335	0	5784	0	9933	0	153428	0	0
DWIGHT T STILL
RADIATION ONCOLOGY PHYSICIST	181065	0	207	0	0	0	11004	0	15191	0	207467	0	0	0
CAROL S O'CONNELL
AVP SUPPORT SRVCS & LTC	128033	0	23938	0	1200	0	9213	0	16331	0	178715	0	0	0
ANDREA PARSON
DIR PHARMACY	132696	0	12952	0	0	0	9157	0	18944	0	173749	0	0	0
BOLAN DEHER
PHARMACEUTICAL CARE PHARMACIST	141885	0	1043	0	0	0	8603	0	15972	0	167503	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SEVERANCE BENEFITS	SCHEDULE J	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 J 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 Graue; T Mark Haney; Robert Jansen MD; Peter Jungblut, MD; Christopher Kane; Kenneth Kunze MD; Lou Little; Richard Lopes MD; Kimberly Menefee; Jonathan B Morris MD; Craig Owens; Leo E Reichert; 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 Akopov MD; Barbara Ballard; Bruce Dean; Carol Edwards; Lee Evins; Kristyn Greifer, MD; Elizabeth Hoffmann; Beth Kost; Ellen Langford; Robert Mandler; Carol Maxwell; Guillermo Pierluisi, MD; Deborah Roegge DeVita; C Brett Scullen; Rick Siegel; James Swartz; Mary L Tavernaro; Adam Thompson; 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: Gregory L Simone-$250,360; Bonnie Wilson-$240,446; Richard T Loges, MD $500,363 and Ronald Strachan $104,106.
Non-Fixed Payments to Officers	Form 990 Schedule J Line 7	Wellstar has instituted an annual incentive plan for key leaders in the company (however a variation of the incentive plan is now available to all team members). 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 indicators. Upon successful acheivement in various targeted levels for each factor an overall performance measurement is developed for each individual. Based on that measurement a performance payout is recommended and approved by the Board of Trustees after the annual financial audit is completed.
Other Compensation	Form 990, Schedule J, Part 1B & 2	While Wellstar Health System and its affiliates do not have a written policy regarding payment or reimbursement of 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	On Schedule J of IRS Form 990 the following individuals were employed by Wellstar Health System, Inc. as officers during the fiscal year reporting period but had no salary and benefits reported during the calendar year for which this schedule applies: Peter Jungblut, MD; Guillermo Pierluisi, MD; Rick Siegel; Kristyn Greifer, MD

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
PAMELA ETHERIDGE
WIFE OF OFFICER	60897	WELLSTAR EMPLOYEE	false
GREG FORTGANG
SON-IN-LAW OF BD MEMBER	99034	WELLSTAR EMPLOYEE	false
GEORGE FLEMING
BROTHER OF OFFICER	65701	WELLSTAR EMPLOYEE	false
JESSICA HANEY
DAUGHTER OF OFFICER	57127	WELLSTAR EMPLOYEE	false
MATTHEW MADDOX
SON OF BOARD MEMBER	67037	WELLSTAR EMPLOYEE	false
BONNIE MILLER
WIFE OF BOARD MEMBER	35100	WELLSTAR EMPLOYEE	false
GREG SEPARK
SON OF BOARD MEMBER	23420	WELLSTAR EMPLOYEE	false
GREG KOST
BROTHER-IN-LAW OF OFFICER	47539	WELLSTAR EMPLOYEE	false
JENNIFER HANEY
DAUGHTER-IN-LAW OF OFFCER	77821	WELLSTAR EMPLOYEE	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	Business Transactions with Interested Parties	Identifier
Return Reference	Form 990 Schedule L Part IV	ReturnReference
Explanation	All transactions listed in Schedule L Part IV are for interested parties or in this case family members of either trustees or officers of Paulding Medical Center, Inc. or its related organizations. The transactions all represent payment of services as employees of Wellstar Health System.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Tax Compliance 990T Explanation	Part V Line 3a & b UBIT	Paulding Medical Center, Inc. had no unrelated business income for the reporting period but is filing a 990-T to supplement discovery of that income in future periods.
Conflict of Interest Policy	Part VI Policies Line 12a, b & c	Our Conflict of Interest Policy requires all covered persons to annually review the policy and 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 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 for Determining Executive Compensation	Part VI Section B Policies 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. The committee consists of five board members and the CEO acting in an ex-officio capacity. 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.
Consolidated Financial Statements	Form 990 Part IV Line 12 & Part XI Line 2b	Paulding Medical Center, 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."
Tax-Exempt Bonds Allocation	Form 990 Part IV Line 24a & Part X	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). Paulding Medical Center, Inc. will report this tax exempt bond liability on Part X, Line 25 Other Liabilities. Paulding Medical Center, Inc. has also restated its beginning balance sheet with respect to tax exempt bond liabilities as the amounts allocated to tax exempt bond liabilities are now included on Line 25.
Compensation Reported on Form 990	Form 990 Part X Lines 5-10 & Schedule J, J-1 & J-2	All compensation amounts reported on Form 990 Part IX Lines 5-10 and Schedules J, J-l & J-2 represent compensation provided to individuals that provide services to Paulding Medical Center, Inc. Likewise the number of employees reported on Part V Line 2a represent the number of individuals providing services to the organization. All Federal Employment Tax responsibilities for those individuals are handled by Wellstar Health System, Inc. (EIN 58-1649541).
Organizational Structure	Form 990 Part VI Section A Lines 6, 7a & 7b	As per the articles of incorporation, the sole member of the organization is Wellstar Health System, Inc., a GA nonprofit corporation. As sole member, Wellstar Health System holds certain powers of election an 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 Copy to Board of Directors	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. 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.
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.
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.
SCHEDULE L PART IV TRANSACTIONS WITH INTERESTED PARTIES		Several transactions with interested parties of Paulding Medical Center Inc. all fall below the $100,000 threshold in business transactions.
Changes In Net Assets	Form 990 Part XI Line 5	For the reporting period Paulding Medical Center, Inc. had a change in net assets of $50,868,642 related to transfers to affiliates as part of the allocation of income statement and balance sheet transactions over the year.
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
CHS Foundation
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
Wellstar Foundation
805 Sandy Plains Road	Marietta	GA	30066	581627413	Foundation	GA	501 (C) 3	11 Type 2	WHS	true
Wellstar Health System
805 Sandy Plains Road	Marietta	GA	30066	581649541	Healthcare	GA	501 (C) 3	11 Type 2	WHS	false

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType
Cobb Hospital Parking Company LLC
805 Sandy Plains Road	Marietta	GA	300666340	752999669	Parking	GA	NA	N/A
Kennestone East Parking Deck LLC
805 Sandy Plains Road	Marietta	GA	300666340	200537100	Parking	GA	NA	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Community Assurance Co	BusinessNameLine1

Address Foreign AddressForeign

Field	Value	IRS element (for citing)
Address Line1	3rd Fl Barclays House Shedden Rd	AddressLine1
City	George Town	City
Province Or State	Grand Cayman, BWI	ProvinceOrState
Country	CJ	Country

Field	Value	IRS element (for citing)
EIN	581649541	EIN
Primary Activity	Insurance	PrimaryActivity
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountry
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	true	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg