KENNESTONE HOSPITAL INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- KENNESTONE HOSPITAL INC (EIN 58-2032904)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-13
- IRS object ID
- 201331339349301913
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-13T10:48:35-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | 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 | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582032904 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENNESTONE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JAMES M SWARTZ | InCareOfName |
| Name Control | KENN | NameControl |
| Phone | 7707925023 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 Sandy Plains Road | AddressLine1 |
| 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 of Accounting | Title |
| Date Signed | 2013-05-10 | 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 | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 30066 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 739618699 | 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 provide world class charitable healthcare to the community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5176 | TotalNbrEmployees |
| Total Nbr Volunteers | 410 | TotalNbrVolunteers |
| Total Gross UBI | 574462 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 683440836 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 725011981 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 32980 | InvestmentIncomePriorYear |
| Investment Income Current Year | 32955 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7577848 | OtherRevenuePriorYear |
| Other Revenue Current Year | 14573763 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 691051664 | TotalRevenuePriorYear |
| Total Revenue Current Year | 739618699 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2150 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 263582427 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 272571926 | 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 | 319303513 | OtherExpensePriorYear |
| Other Expenses Current Year | 350085746 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 582885940 | TotalExpensesPriorYear |
| Total Expenses Current Year | 622659822 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 108165724 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 116958877 | RevenuesLessExpensesCY |
| Total Assets BOY | 451489162 | TotalAssetsBOY |
| Total Assets EOY | 529669305 | TotalAssetsEOY |
| Total Liabilities BOY | 243296810 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 292181675 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 208192352 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 237487630 | 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 | 554655245 | Expense |
| Grants | 2150 | Grants |
| Revenue | 725011981 | Revenue |
| Description | As discussed herein, Kennestone Hospital, Inc (an affiliate of Wellstar Health System, Inc.) operates as a charitable organization consistent with the requirements of Internal Revenue Code Section 501(c)(3) and the "community benefit standard" of IRS Revenue Ruling 69-545. In this regard, the governing body of the organization and/or its parent is composed of prominent citizens in the community, medical staff privileges in the hospital are available to all qualified physicians in the area, consistent with the size and nature of the facility; one of the hospitals operates a full-time emergency room open to all regardless of the ability to pay; the hospital provides care to needy members of its community consistent with its charity care policy regardless of their ability to pay for these services and admits as patients those able to pay for care, either themselves or through third-party payers such as private health insurance or government programs such as Medicare and Medicaid; and the hospital's excess funds are generally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement in patient care, community benefit activities, and charity care. Kennestone Hospital, Inc. consists of two hospitals, Wellstar Kennestone and Wellstar Windy Hill. These hospitals combined to invest approximately $151.0 million in capital expenditures for the fiscal period. Wellstar Kennestone Hospital is a general acute hospital which provides a full range of inpatient and outpatient services for the overall health of the community. The hospital is located in Marietta, Georgia. The original hospital was constructed in 1950. The present main building was constructed in 1975. Kennestone is licensed to operate 633 beds and is currently staffed to operate 588 beds. Wellstar Windy Hill Hospital is located in the unincorporated area of Cobb County in northwest metropolitan Atlanta. It is an acute care hospital concentrating at the present time on long term care inpatient and outpatient services. The original structure was built in 1973 and renovated in 1987. The beds at Windy Hill serve medically complex patients whose average stay is approximately 30 days. Kennestone Hospital, Inc. affiliated with Northwest Georgia Health System in 1993. In 1994 Northwest Georgia Health System helped form the Promina Health System and changed its name to Promina Northwest Health System. In 1998 Promina Northwest changed its name to Wellstar Health System. Wellstar became totally independent of Promina in 2000. Kennestone Hospital, Inc. was organized in 1993 and is subordinate to, and subject to the authority of, Wellstar Health System and its governing board. Kennestone offers most major inpatient clinical services, a variety of outpatient services, women's services and open heart surgery. It is one of the largest hospitals in the state of Georgia. Kennestone is also home to a variety of state-of-the-art procedures and equipment not offered elsewhere in the larger Atlanta metro service area. The hospital has also opened several satellite outpatient imaging centers to provide easier access to our patient population. One additional service offered on the campus of Kennestone is called Atherton Place. This residential facility provides independent housing as well as assisted living to residents needing these services--especially the elderly. During the reporting period Kennestone also opened a residential hospice facility at Kennesaw Mountain. Windy Hill has transitioned its focus to long-term inpatient and outpatient services. These services include a concentration in geriatrics, rehabilitation, orthopedics and senior care. An additional service offered at Windy Hill Hospital includes a women's imaging department. The following stats constitute the overall program services for the period ended June 30, 2012: Kennestone Hospital Total Adult Discharges 35,560 Med/Surg Short StayCases 2,543 Newborn Discharges 5,399 Emergency Room Visits 119,813 Total surgery cases 22,125 Non ED OP Radiology Procedures 150,499 Cath Lab Procedures 7,224 GI Lab Procedures 3,870 Radiology Oncology procedures 16,012 Total FTEs (Paid) 3,687 Windy Hill Hospital Total Adult Discharges 360 Total Surgery Cases 2,648 Non ED OP Radiology Procedures 11,140 GI Lab Procedures 206 Sleep Lab Procedures 2,162 Total FTEs (Paid) 247 Community Benefit Reporting Community Outreach and Health Improvements $1,775,639 Unreimbursed Charity Care (at cost) $53,651,366 (based on Charity/Indigent charges of $182.1 million) Health professions education $301,752 Medicaid Shortfalls(at cost) $9,282,043 Total community benefit expense for the two hospitals was $65,010,800. Community Benefits Detail Kennestone and Windy Hill, affiliates of Wellstar Health System, participate in many community and educational programs for the overall health and benefit of the area that it serves. The following are examples of programs or services that are provided by Kennestone Hospital, Inc. for the charitable benefit of the community: Community Health/Education Wellstar's Marketing and Public Relations department provides free brochures on a variety of health-related topics such as blood pressure, diabetes, cholesterol, osteoporosis, and nutrition. Kennestone Hospital specifically offers the community the space and instructors for many support groups and educational opportunities--some free of charge and others at a nominal fee (examples of the offerings are women's health, palliative care, birthing classes, etc.) Kennestone and Windy Hill also offer free and/or low cost screenings for health issues such as blood pressure, cholesterol, flu shots, and others. The hospitals also help sponsor an annual "Latino" health fair to reach out to the ever expanding Hispanic community that it serves. System-wide for the reporting period over 200,000 area residents were seen at either the screenings or health fairs. School Health Program--This program is operated in conjunction with area school systems and seeks to teach school-aged children about health and safety topics such as dental health, water safety, seat belt safety and others. Safe Kids-Cobb/Cherokee Wellstar and the Cobb Public Health Department sponsor safety education events on an annual basis to the community, specifically the Cobb County area. The safety initiatives are centered around car seat checks, bike helmets, water safety and other preventive initiatives. The mission is to reduce the number of accidental injuries for children ages 14 and under. The SafeKids Cobb program provided 1,700 car seat checks with a number of car seats distributed to families in need. The Women's and Children Resource Center of Kennestone offers a program that provides much needed support for mothers and their newborn babies. The program demonstrates our commitment to the health and well-being of new mothers and babies in our community. Approximately 2000 parents attended prenatal and childbirth classes sponsored by the Women's Center. The Partner-in-Education program provides health-related supplies and support to area elementary and middle schools. Through the "Partners in Ministry" program, the Pastoral Care Department leads a partnership between the health system and local area congregations to link between the spiritual and clinical community needs. Wellstar offers a Disease Management program in which five chronic diseases are monitored for patients through periodic updates by a Wellstar clinician (via phone). This program helped reduce both hospital admissions and ER visits for those patients in the program. Sponsorships and Community Activities Employees participated in the Heart Walk in support of those suffering from heart disease. The system is a major sponsor (the Wellstar Cardiac Network) in this American Heart Association initiative by contributing $100,000 and donating staff time to this worthwhile cause. A group of Kennestone Hospital employees also volunteered to participate in the "Relay for Life" event to raise funds and awareness of cancer treatment and prevention. The event benefited the American Cancer Society. A portion of the Kennestone Hospital community is beneficiary of some of Wellstar's sponsorships and contributions including $10,000 raised system-wide. Additionally Wellstar donated $10,000 to support the March of Dimes and employees raised an additional $8,000 for this worthwhile cause. Accomplishments and Recognition Kennestone and Windy Hill Hospitals are accredited by the Joint Commission. Wellstar was granted accreditation by the Intersocietal Commission for the Accreditation of Echocardiography Labs after rigorous testing and quality outcomes for diagnosis of heart disease. Kennestone Hospital is the first in the metro Atlanta area to install the CAREpoint Workstation which helps save lives threatened by cardiac emergencies. This is in addition to the system's continued work with fire and rescue departments, Air Life, EM | Description |
| Total Program Service Expense | 554655245 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| 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 | 5176 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| 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 |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| 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 | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | 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 (69 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Randall Bentley | ||||||||
| Board Member Chairman | 1.0 | X | 0 | 16769 | 0 | |||
| Robert N Cross MD | ||||||||
| Board Member | 1.0 | X | 0 | 4272 | 0 | |||
| T E Durham | ||||||||
| Board Member | 1.0 | X | 0 | 36443 | 1430 | |||
| Thomas E Gearhard MD | ||||||||
| Board Member | 1.0 | X | 0 | 441387 | 30593 | |||
| David Hafner MD | ||||||||
| Board Member | 1.0 | X | 0 | 17769 | 0 | |||
| Charles J Jones | ||||||||
| Board Member | 1.0 | X | 0 | 12580 | 0 | |||
| Connie Kirk | ||||||||
| Board Member | 1.0 | X | 0 | 4675 | 0 | |||
| Janie Maddox | ||||||||
| Board Member Vice Chair | 1.0 | X | 0 | 15634 | 0 | |||
| Gary A Miller | ||||||||
| Board Member | 1.0 | X | 0 | 1742 | 0 | |||
| Steven W Oweida MD | ||||||||
| Board Member | 1.0 | X | 0 | 16946 | 0 | |||
| Tom Phillips | ||||||||
| Board Member | 1.0 | X | 0 | 6165 | 0 | |||
| Walter G Robinson | ||||||||
| Board Member | 1.0 | X | 0 | 3954 | 0 | |||
| Otis Brumby III | ||||||||
| Board Member | 1.0 | X | 0 | 2374 | 0 | |||
| W Allen Separk | ||||||||
| Board Member | 1.0 | X | 0 | 8095 | 0 | |||
| T Fitz Johnson | ||||||||
| Board Member | 1.0 | X | 0 | 3730 | 0 | |||
| Jeffrey Tharp MD | ||||||||
| Board Member | 1.0 | X | 0 | 508542 | 31417 | |||
| Charles Pete Wood | ||||||||
| Board Member | 1.0 | X | 0 | 13025 | 0 | |||
| Avril Beckford MD | ||||||||
| Board Member | 1.0 | X | 0 | 398842 | 21377 | |||
| A James Budzinski | ||||||||
| Exec VP and CFO | 2.0 | 0 | 932621 | 48453 | X | |||
| Reynold J Jennings | ||||||||
| President & CEO | 2.0 | 0 | 348685 | 14385 | X | |||
| David W Anderson | ||||||||
| Exec VP HR/OL/CCO | 2.0 | 0 | 503600 | 29075 | X | |||
| Donald Campbell MD | ||||||||
| Sr VP Physician Education | 2.0 | 0 | 599439 | 33540 | X | |||
| Barbara B Corey | ||||||||
| Sr VP Managed Care | 2.0 | 0 | 345736 | 22861 | X | |||
| Bruce Dean | ||||||||
| VP Real Est & Dep Gen Counsel | 2.0 | 0 | 282753 | 22320 | X | |||
| Marcia Delk MD | ||||||||
| Sr VP Med Affairs & CQO | 2.0 | 0 | 420637 | 32831 | X | |||
| Clarence H Evins | ||||||||
| VP Revenue Cycle Mgmt | 2.0 | 0 | 250193 | 18352 | X | |||
| Christopher M Kane | ||||||||
| Sr VP Str Plan & Bus Developmt | 2.0 | 0 | 396107 | 27207 | X | |||
| Kenneth C Kunze MD | ||||||||
| Sr VP and Chief Med Officer | 2.0 | 0 | 698966 | 35591 | X | |||
| Louis W Little | ||||||||
| Sr VP Post Acute & Hosp Admin | 50.0 | 286719 | 0 | 24608 | X | |||
| Kimberly W Menefee | ||||||||
| Sr VP Public & Govt Affairs | 2.0 | 0 | 325382 | 22343 | X | |||
| Ronald J Strachan | ||||||||
| Sr VP and CIO | 2.0 | 0 | 492358 | 24507 | X | |||
| Candice L Saunders | ||||||||
| Exec VP & Adminstrator | 50.0 | 453240 | 0 | 28738 | X | |||
| Martin L Gutkin | ||||||||
| VP Finance & Hospital CFO | 50.0 | 230166 | 0 | 11100 | X | |||
| Amanda Elizabeth Trask | ||||||||
| VP Prof & Support Services | 50.0 | 178918 | 0 | 21665 | X | |||
| MICHAEL GRAUE | ||||||||
| EXEC VP & COO | 2.0 | 0 | 680247 | 43271 | X | |||
| ROBERT JANSEN | ||||||||
| Exec VP & Pres Medical Group | 2.0 | 0 | 509124 | 26667 | X | |||
| ELLEN LANGFORD | ||||||||
| VP & COO WELLSTAR PHYS GRP | 2.0 | 0 | 275321 | 14655 | X | |||
| ROBERT MANDLER | ||||||||
| VP Diagnostic Outreach | 2.0 | 0 | 266979 | 18768 | X | |||
| JERRY TILLERY | ||||||||
| VP OPERATIONS | 50.0 | 195387 | 0 | 12162 | X | |||
| JONATHAN B MORRIS | ||||||||
| Sr VP and CIO | 2.0 | 0 | 416394 | 27823 | X | |||
| ANTHONY M TRUPIANO | ||||||||
| Sr VP Supply Chain | 2.0 | 0 | 284073 | 16516 | X | |||
| ROBIN WILSON MD | ||||||||
| Sr VP Performance Innovation | 2.0 | 0 | 506787 | 32116 | X | |||
| JOSEPH L BRYWCZYNSKI | ||||||||
| Sr VP HEALTH PARKS ADMIN | 2.0 | 0 | 311785 | 19612 | X | |||
| ELIZABETH A HOFFMANN | ||||||||
| VP BUDGET AND ANALYSIS | 2.0 | 0 | 233775 | 11530 | X | |||
| RICHARD T LOPES MD | ||||||||
| Sr VP & PRES WELLSTAR PHYS GRP | 2.0 | 0 | 757815 | 36938 | X | |||
| JAMES M SWARTZ | ||||||||
| VP ACCOUNTING | 2.0 | 0 | 217871 | 14937 | X | |||
| MARY L WESLEY | ||||||||
| Sr VP NURSING SERVICES & CNE | 2.0 | 0 | 457717 | 21831 | X | |||
| Patricia Ann Mayne | ||||||||
| VP Emergency Services | 50.0 | 204132 | 0 | 20466 | X | |||
| Barbara G Ballard | ||||||||
| VP Homecare & Hospice | 2.0 | 0 | 259113 | 22697 | X | |||
| Carol S Edwards | ||||||||
| VP Cardiac Services | 2.0 | 0 | 325593 | 20146 | X | |||
| Beth Kost | ||||||||
| VP Compliance/Ch Privacy Offr | 2.0 | 0 | 269763 | 17725 | X | |||
| Adam C Thompson | ||||||||
| VP Surgery | 2.0 | 0 | 185584 | 10535 | X | |||
| Betty Ann Brakovich | ||||||||
| VP/CNO Pat Care Serv W Hill | 50.0 | 162567 | 0 | 11528 | X | |||
| Laura Caramanica | ||||||||
| VP/CNO Pt Care Serv KH | 50.0 | 188702 | 0 | 13469 | X | |||
| Leo E Reichert | ||||||||
| Exec VP & General Counsel | 2.0 | 0 | 623353 | 36099 | X | |||
| Deborah Roegge De Vita | ||||||||
| VP Women's & Newborns Serv | 2.0 | 0 | 170369 | 7541 | X | |||
| Mary L Tavernaro | ||||||||
| VP Human Resources Operations | 2.0 | 0 | 224515 | 15552 | X | |||
| C Brett Scullen | ||||||||
| VP Pulmonology Operations | 2.0 | 0 | 188627 | 8053 | X | |||
| Carol B Maxwell | ||||||||
| VP Human Resources Operations | 2.0 | 0 | 86518 | 4350 | X | |||
| Chester Zborowski | ||||||||
| VP Health Park Operations | 2.0 | 0 | 0 | 0 | X | |||
| Valery Akopov | ||||||||
| VP Chief Hospitalist Services | 2.0 | 0 | 0 | 0 | X | |||
| Dan Woods | ||||||||
| Sr VP & COO Kenn Hosp | 50.0 | 0 | 0 | 0 | X | |||
| Mark Van Ewyk | ||||||||
| Radiation Oncology Physicist | 50.0 | 172399 | 0 | 11155 | X | |||
| Dwight Still | ||||||||
| Radition Oncology Physicist | 50.0 | 179225 | 0 | 13615 | X | |||
| Sandra Lucius | ||||||||
| Radiation Oncology Physicist | 50.0 | 157555 | 0 | 10040 | X | |||
| Jyotsna Vanapalli | ||||||||
| Radiation Oncology Physicist | 50.0 | 154281 | 0 | 11359 | X | |||
| Thomas Whittaker | ||||||||
| Radiation Oncology Physicist | 50.0 | 160684 | 0 | 10611 | X | |||
| Gregory L Simone MD | ||||||||
| President & CEO | 0 | 248936 | 13892 | X | ||||
| Bonnie Wilson | ||||||||
| Exec VP and Gen Counsel | 0 | 244138 | 13763 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2723975 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 14853818 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1071815 | TotalOtherCompensation |
| Number Individuals GT100 K | 161 | 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 | KENNESAW | GA | 30144 | General Contractor | 13862390 |
| Batchelor and Kimball Inc | |||||
| PO Box 70 | LITHONIA | GA | 30058 | Maintenance | 3014567 |
| Cork-Howard Construction Inc | |||||
| 2121 New Market Pkwy Suite 118 | MARIETTA | GA | 30067 | General Contractor | 7383618 |
| CDH Partners | |||||
| 675 Tower Rd | MARIETTA | GA | 30060 | General Contractor | 4036775 |
| Emory Clinic Inc | |||||
| 101 W Ponce De Leon Ave Suite 400 | DECATUR | GA | 30030 | Med/Phys Services | 1853767 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 44 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT REVENUE | 621990 | 718661372 | 718661372 |
| MEDICAL RECORDS | 621990 | 345 | 345 |
| INDEPENDENT & ASSISTED LIVING REVENUE | 623000 | 5257668 | 5257668 |
| PATIENT EDUCATION | 621990 | 258816 | 258816 |
| MEDICAID REIMB (MEANINGFUL USE) | 621990 | 833780 | 833780 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 725011981 | 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 | 568262 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 568262 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 568262 | TotalRevenueColumn |
| Exclusion | $568,262 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 32955 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 32955 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32955 | TotalRevenueColumn |
| Exclusion | $32,955 | 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 | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| PHARMACY/RETAIL PHARMACY | 446199 | 6867004 | 574462 | $6,292,542 |
| LAB OUTREACH | 470378 | $470,378 | ||
| CAFETERIA | 3919228 | $3,919,228 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2748891 | TotalRevenueColumn |
| Exclusion | $2,748,891 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 14005501 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 739618699 | TotalRevenueColumn |
| Related Or Exempt Function Income | 725011981 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 574462 | UnrelatedBusinessRevenue |
| Exclusion | $14,032,256 | 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 | 2150 | Total |
| Program Services | 2150 | ProgramServices |
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 | 1899829 | Total |
| Program Services | 1723525 | ProgramServices |
| Management And General | 176304 | 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 | 224486098 | Total |
| Program Services | 203178472 | ProgramServices |
| Management And General | 21307626 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11652506 | Total |
| Program Services | 10544362 | ProgramServices |
| Management And General | 1108144 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17993559 | Total |
| Program Services | 16277056 | ProgramServices |
| Management And General | 1716503 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16539934 | Total |
| Program Services | 14969755 | ProgramServices |
| Management And General | 1570179 | 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 | 44331 | Total |
| Management And General | 44331 | ManagementAndGeneral |
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 | 23046138 | Total |
| Program Services | 21272266 | ProgramServices |
| Management And General | 1773872 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 316033 | Total |
| Program Services | 161450 | ProgramServices |
| Management And General | 154583 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28473964 | Total |
| Program Services | 27850533 | ProgramServices |
| Management And General | 623431 | 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 | 10579053 | Total |
| Program Services | 4560239 | ProgramServices |
| Management And General | 6018814 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 264540 | Total |
| Program Services | 210198 | ProgramServices |
| Management And General | 54342 | 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 | 318825 | Total |
| Program Services | 269893 | ProgramServices |
| Management And General | 48932 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89302 | Total |
| Management And General | 89302 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113513078 | Total |
| Program Services | 102761678 | ProgramServices |
| Management And General | 10751400 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28844523 | Total |
| Program Services | 14332136 | ProgramServices |
| Management And General | 14512387 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5063284 | Total |
| Management And General | 5063284 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS & MAINTENANCE | 11279378 | 8573217 | 2706161 |
| MEDICAL SUPPLIES | 128010209 | 127874054 | 136155 |
| OTHER OPERATING EXPENSES | 243088 | 94261 | 148827 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 622659822 | Total |
| Program Services | 554655245 | ProgramServices |
| Management And General | 68004577 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16125 | BOY |
| EOY | 20200 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 206806 | BOY |
| EOY | 4146714 | 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 | 114295624 | BOY |
| EOY | 121621833 | 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 | 11939153 | BOY |
| EOY | 14584035 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4737900 | BOY |
| EOY | 4743978 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 732382007 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 356055228 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 308870080 | BOY |
| EOY | 376326779 | 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 | 1280943 | BOY |
| EOY | 1280943 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10142531 | BOY |
| EOY | 6944823 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 451489162 | BOY |
| EOY | 529669305 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41846819 | BOY |
| EOY | 51064914 | 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 | 151910 | BOY |
| EOY | 67814 | 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 | 201298081 | BOY |
| EOY | 241048947 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 243296810 | BOY |
| EOY | 292181675 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208192352 | BOY |
| EOY | 237487630 | 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 | 208192352 | BOY |
| EOY | 237487630 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 451489162 | BOY |
| EOY | 529669305 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 116958877 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -87663599 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 42273792 | OtherCostOrOtherBasis |
| Book Value | 42273792 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 317184545 | OtherCostOrOtherBasis |
| Depreciation | 139580065 | Depreciation |
| Book Value | 177604480 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14115040 | OtherCostOrOtherBasis |
| Depreciation | 7357335 | Depreciation |
| Book Value | 6757705 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 289490857 | OtherCostOrOtherBasis |
| Depreciation | 209117828 | Depreciation |
| Book Value | 80373029 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69317773 | OtherCostOrOtherBasis |
| Book Value | 69317773 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 376326779 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ASSET RETIREMENT OBLIGATION LT | $1,032,465 |
| TAX EXEMPT BOND LIAB-DUE TO WH | $240,016,482 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 241048947 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE D Part X Line 2 FIN 48 FOOTNOTE | Identifier |
| Explanation | The following footnote is related to the organization's application of FIN 48 (ASC 740). "Wellstar (including Douglas Hospital) and all but one of its affiliates have been recognized as exempt from Federal income tax under Internal Revenue Code Section 501 (a) as organizations described in Section 501 (c)(3) and, therefore, related income is generally not subject to Federal or state income taxes. Community Assurance Corporation is a controlled foreign corporation not subject to Federal tax. Wellstar applies FASB ASC 740, Income Taxes, which addresses accounting for uncertainties in income tax positions. It also provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There is no impact on Wellstar's combined financial statements as a result of the application of ASC 740." | 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 | 53651366 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 53651366 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08620 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 62279878 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52997835 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9282043 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01490 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 115931244 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52997835 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 62933409 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10110 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1775639 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1775639 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 301752 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 301752 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2077391 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2077391 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 118008635 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52997835 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 65010800 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10450 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $19,653,299 | BadDebtExpenseAmount |
| Amount Attributable To | 4287073 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 229782321 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 260339026 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -30556705 | 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 | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| Kennestone Hospital | ||||||||
| 1 | 677 Church Street | Marietta | GA | 30060 | X | X | X | |
| Windy Hill Hospital | ||||||||
| 2 | 2540 Windy Hill Road | Marietta | GA | 30067 | X | X | Long Term Acute Care | |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Average Negotiated RatesAverageNegotiatedRates | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kennestone Hospital | |||||||||||||||||||||||||||||||
| 1 | true | true | 125. | true | 300. | true | X | X | X | X | X | X | true | true | X | X | X | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
| Windy Hill Hospital | |||||||||||||||||||||||||||||||
| 2 | true | true | 125. | true | 300. | true | X | X | X | X | X | X | true | true | X | X | X | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Publication of Community Benefit Report | Schedule H Part I Line 6a | Kennestone Hospital, Inc.(consisting of Kennestone Hospital and Windy Hill Hospital) is an affiliate of Wellstar Health System, Inc. which on an annual basis issues a community benefit report. This report is subsequently distributed in and around the five county service area of the health system. It is also annually filed with Cobb County and the state of Georgia Department of Community Health. Additionally the information on community benefit is included in aggregate for Wellstar Health System, Inc. and affiliated hospitals as part of the Georgia Hospital Association's annual report. |
| Cost to Charge Ratio | Schedule H Part I Line 7 | For purposes of the IRS Form 990 Schedule H, Wellstar Health System and Affiliates (including Kennestone and Windy Hill Hospitals) have estimated the current year cost to charge ratio for each hospital as it is reported in the annual community benefit report and as it will be reported in the state's Annual Hospital Financial Survey. |
| 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 in community benefit. |
| Medicare Shortfalls | Schedule H Part III Line 8 | Kennestone and Windy Hill Hospitals are providers of inpatient and outpatient services to Medicare program beneficiaries at determined rates. Without the participation in the Medicare program these patients may not have had convenient access to those services. The Medicare shortfall on 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. |
| Facility Descriptions-Kennestone and Windy Hill | Schedule H Part V | Kennestone Hospital ia a general acute care hospital providing a full range of services, is licensed to operate 633 beds, and is presently staffed to operate 588 beds. It is located on an approximately 41-acre campus in Marietta, Georgia and is housed within a complex of connected buildings containing a total square footage in excess of 1,112,000 square feet. The original hospital was constructed in 1950, major structural additions were made during the 1960s, 1975, 1998, and 2006. A new patient tower was completed in 2005 and greatly expanded the cardiac services capabilities of the hospital. Additionally a fourth patient tower recently opened to transition the hospital to private rooms from the current semi-private bed methodology. Kennestone Hospital provides medical, surgical, obstetrical, and rehabilitative inpatient care and outpatient care, including one of the busiest emergency rooms in the state of Georgia--recently designated a level II Trauma center for the service area. The hospital experiences over 116,000 annual visits in its adult and pediatric emergency room facilities. With its full range of inpatient and outpatient services the hospital has expanded programs in open-heart surgery and services including a Congestive Heart Failure Clinic which opened in February of 2012; ambulatory surgery; oncology services and surgery including cyberknife technology; radiology services and surgery; and women's and children's services. In May of 2012, Kennestone began performing Transcatheter Aortic Valve Replacement surgery (TAVR). Windy Hill Hospital, located in the unincorporated area of Cobb County in northwest metropolitan Atlanta, is an acute care hospital concentrating on long-term acute inpatient and outpatient services. It is licensed to operate 115 beds, is presently staffed to operate 55 beds, is located on an approximately 15-acre campus, and contains total square footage of approximately 100,000 square feet. A twelve bed sleep disorder center is located at Windy Hill. Windy Hill was originally constructed in 1973 and renovated in 1987. The main areas of focus for Windy Hill Hospital include long-term acute care, rehabilitation, orthopedics, and diagnostics. Windy Hill also offers a service in the treatment of sleep disorders. |
| 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 ownership 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 | Kennestone and Windy Hill Hospitals provide its patients with hospital personnel or contracted personnel who are trained in all aspects of governmental programs, payments plans, charity discounts, and other financial assistance offered to assist them in their hospital bills. If the patient is eligible for federal or state assistance programs, a staff member is knowledgeable in the steps necessary to qualify those individuals. If a patient is indigent or charity eligible they will be offered assistance through the hospital's charity and indigent care policy including the state's indigent care trust fund. If the patient has no other insurance and fails to qualify for indigent care assistance, the financial counselor can then offer the patient an opportunity to accept a payment plan with discounted payment options based on their ability to pay immediately or over time. All patient are afforded these opportunities. |
| Community Information | Schedule H Part VI Line 4 | Kennestone and Windy Hill Hospitals are two of five hospitals that are affiliated with Wellstar Health System. The primary service area of the system is located in the Northwest Georgia area and receives the majority of its patients from one of five counties (Cherokee, Cobb, Douglas, Bartow and Paulding). Generally about 85% to 90% of the patient volume comes from this service area although other health systems have a presence in the area as well. 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. |
| Affiliated Health System Roles | Schedule H Part VI Line 7 | As stated in the Wellstar Health System, Inc and Affiliates audited financial statments for the period ended June 30, 2012, Kennestone and Windy Hill Hospitals (affiliates of Wellstar Health System, Inc.) operate as charitable organizations 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 its 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; Kennestone Hospital operates a full-time emergency room open to all regardless of ability to pay; and the hospitals (Kennestone and Windy Hill) provide care to the needy members of the community consistent with its charity care policy. The hospital's excess funds are genrally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement fo patient care, community benefit activities, and charity care. Kennestone Hospital committed approximately $144.3 million and Windy Hill Hospital committed approximately $6.8 million in capital expenditures for the year to meet those needs. |
| Publication of Financial Assistance Policy | Sch H Part V Line 13g | In addition to the other methods of posting the financial assistance policy, the hospital makes available for patients in admissions and outpatient registration areas a brochure including frequently asked questions. |
Schedule 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 |
| 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 |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (50 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Thomas E Gearhard MD | |||||||||||||
| 0 | 249303 | 0 | 184230 | 0 | 7854 | 0 | 23371 | 0 | 7222 | 0 | 471980 | 0 | 0 |
| Jeffrey Tharp MD | |||||||||||||
| 0 | 308337 | 0 | 89305 | 0 | 110900 | 0 | 26140 | 0 | 5277 | 0 | 539959 | 0 | 0 |
| A James Budzinski | |||||||||||||
| 0 | 464491 | 0 | 454394 | 0 | 13736 | 0 | 43675 | 0 | 4778 | 0 | 981074 | 0 | 0 |
| Avril Beckford MD | |||||||||||||
| 0 | 261712 | 0 | 49363 | 0 | 87767 | 0 | 21377 | 0 | 0 | 0 | 420219 | 0 | 0 |
| Reynold J Jennings | |||||||||||||
| 0 | 339346 | 0 | 0 | 0 | 9339 | 0 | 14385 | 0 | 0 | 0 | 363070 | 0 | 0 |
| Gregory L Simone MD | |||||||||||||
| 0 | 248936 | 0 | 0 | 0 | 0 | 0 | 10168 | 0 | 3724 | 0 | 262828 | 0 | 0 |
| Bonnie Wilson | |||||||||||||
| 0 | 244138 | 0 | 0 | 0 | 0 | 0 | 10168 | 0 | 3595 | 0 | 257901 | 0 | 0 |
| David W Anderson | |||||||||||||
| 0 | 388078 | 0 | 100027 | 0 | 15495 | 0 | 25522 | 0 | 3553 | 0 | 532675 | 0 | 0 |
| Donald Campbell MD | |||||||||||||
| 0 | 314601 | 0 | 64127 | 0 | 220711 | 0 | 29646 | 0 | 3894 | 0 | 632979 | 0 | 0 |
| Barbara B Corey | |||||||||||||
| 0 | 276741 | 0 | 58195 | 0 | 10800 | 0 | 19361 | 0 | 3500 | 0 | 368597 | 0 | 0 |
| Bruce Dean | |||||||||||||
| 0 | 201641 | 0 | 72017 | 0 | 9095 | 0 | 16148 | 0 | 6172 | 0 | 305073 | 0 | 0 |
| Marcia Delk MD | |||||||||||||
| 0 | 337360 | 0 | 71529 | 0 | 11748 | 0 | 22572 | 0 | 10259 | 0 | 453468 | 0 | 0 |
| Clarence H Evins | |||||||||||||
| 0 | 191938 | 0 | 29473 | 0 | 28782 | 0 | 14197 | 0 | 4155 | 0 | 268545 | 0 | 0 |
| Christopher M Kane | |||||||||||||
| 0 | 318290 | 0 | 66617 | 0 | 11200 | 0 | 21485 | 0 | 5722 | 0 | 423314 | 0 | 0 |
| Kenneth C Kunze MD | |||||||||||||
| 0 | 569002 | 0 | 118114 | 0 | 11850 | 0 | 33824 | 0 | 1767 | 0 | 734557 | 0 | 0 |
| Louis W Little | |||||||||||||
| 224975 | 0 | 50944 | 0 | 10800 | 0 | 16978 | 0 | 7630 | 0 | 311327 | 0 | 0 | 0 |
| Kimberly W Menefee | |||||||||||||
| 0 | 258803 | 0 | 54544 | 0 | 12035 | 0 | 18482 | 0 | 3861 | 0 | 347725 | 0 | 0 |
| Ronald J Strachan | |||||||||||||
| 0 | 287145 | 0 | 49464 | 0 | 155749 | 0 | 22279 | 0 | 2228 | 0 | 516865 | 0 | 0 |
| Candice L Saunders | |||||||||||||
| 358327 | 0 | 78879 | 0 | 16034 | 0 | 23800 | 0 | 4938 | 0 | 481978 | 0 | 0 | 0 |
| Martin L Gutkin | |||||||||||||
| 180180 | 0 | 23204 | 0 | 26782 | 0 | 9419 | 0 | 1681 | 0 | 241266 | 0 | 0 | 0 |
| Mark Van Ewyk | |||||||||||||
| 167544 | 0 | 4855 | 0 | 0 | 0 | 10510 | 0 | 645 | 0 | 183554 | 0 | 0 | 0 |
| Dwight Still | |||||||||||||
| 178970 | 0 | 255 | 0 | 0 | 0 | 10704 | 0 | 2911 | 0 | 192840 | 0 | 0 | 0 |
| Sandra Lucius | |||||||||||||
| 144874 | 0 | 12219 | 0 | 462 | 0 | 9414 | 0 | 626 | 0 | 167595 | 0 | 0 | 0 |
| Jyotsna Vanapalli | |||||||||||||
| 154026 | 0 | 255 | 0 | 0 | 0 | 9506 | 0 | 1853 | 0 | 165640 | 0 | 0 | 0 |
| Thomas Whittaker | |||||||||||||
| 160429 | 0 | 255 | 0 | 0 | 0 | 9880 | 0 | 731 | 0 | 171295 | 0 | 0 | 0 |
| Amanda Elizabeth Trask | |||||||||||||
| 149001 | 0 | 21095 | 0 | 8822 | 0 | 10727 | 0 | 10938 | 0 | 200583 | 0 | 0 | 0 |
| MICHAEL GRAUE | |||||||||||||
| 0 | 527427 | 0 | 138784 | 0 | 14036 | 0 | 33360 | 0 | 9911 | 0 | 723518 | 0 | 0 |
| ROBERT JANSEN | |||||||||||||
| 0 | 346951 | 0 | 98895 | 0 | 63278 | 0 | 21176 | 0 | 5491 | 0 | 535791 | 0 | 0 |
| ELLEN LANGFORD | |||||||||||||
| 0 | 186452 | 0 | 80169 | 0 | 8700 | 0 | 11975 | 0 | 2680 | 0 | 289976 | 0 | 0 |
| ROBERT MANDLER | |||||||||||||
| 0 | 206312 | 0 | 31122 | 0 | 29545 | 0 | 14907 | 0 | 3861 | 0 | 285747 | 0 | 0 |
| JERRY TILLERY | |||||||||||||
| 153936 | 0 | 31751 | 0 | 9700 | 0 | 11431 | 0 | 731 | 0 | 207549 | 0 | 0 | 0 |
| JONATHAN B MORRIS | |||||||||||||
| 0 | 267997 | 0 | 136358 | 0 | 12039 | 0 | 22332 | 0 | 5491 | 0 | 444217 | 0 | 0 |
| ANTHONY M TRUPIANO | |||||||||||||
| 0 | 237972 | 0 | 36641 | 0 | 9460 | 0 | 16516 | 0 | 0 | 0 | 300589 | 0 | 0 |
| ROBIN WILSON MD | |||||||||||||
| 0 | 290890 | 0 | 205797 | 0 | 10100 | 0 | 21394 | 0 | 10722 | 0 | 538903 | 0 | 0 |
| JOSEPH L BRYWCZYNSKI | |||||||||||||
| 0 | 249445 | 0 | 51540 | 0 | 10800 | 0 | 17759 | 0 | 1853 | 0 | 331397 | 0 | 0 |
| ELIZABETH A HOFFMANN | |||||||||||||
| 0 | 194472 | 0 | 30603 | 0 | 8700 | 0 | 9763 | 0 | 1767 | 0 | 245305 | 0 | 0 |
| RICHARD T LOPES MD | |||||||||||||
| 0 | 563490 | 0 | 98330 | 0 | 95995 | 0 | 35223 | 0 | 1715 | 0 | 794753 | 0 | 0 |
| JAMES M SWARTZ | |||||||||||||
| 0 | 180180 | 0 | 28991 | 0 | 8700 | 0 | 9268 | 0 | 5669 | 0 | 232808 | 0 | 0 |
| MARY L WESLEY | |||||||||||||
| 0 | 295174 | 0 | 151203 | 0 | 11340 | 0 | 18920 | 0 | 2911 | 0 | 479548 | 0 | 0 |
| Patricia Ann Mayne | |||||||||||||
| 157797 | 0 | 37635 | 0 | 8700 | 0 | 12244 | 0 | 8222 | 0 | 224598 | 0 | 0 | 0 |
| Barbara G Ballard | |||||||||||||
| 0 | 218870 | 0 | 31523 | 0 | 8720 | 0 | 14225 | 0 | 8472 | 0 | 281810 | 0 | 0 |
| Carol S Edwards | |||||||||||||
| 0 | 260780 | 0 | 29770 | 0 | 35043 | 0 | 18289 | 0 | 1857 | 0 | 345739 | 0 | 0 |
| Beth Kost | |||||||||||||
| 0 | 225630 | 0 | 35433 | 0 | 8700 | 0 | 15958 | 0 | 1767 | 0 | 287488 | 0 | 0 |
| Adam C Thompson | |||||||||||||
| 0 | 152126 | 0 | 24158 | 0 | 9300 | 0 | 7783 | 0 | 2752 | 0 | 196119 | 0 | 0 |
| Betty Ann Brakovich | |||||||||||||
| 136835 | 0 | 20493 | 0 | 5239 | 0 | 9675 | 0 | 1853 | 0 | 174095 | 0 | 0 | 0 |
| Laura Caramanica | |||||||||||||
| 142698 | 0 | 0 | 0 | 46004 | 0 | 10526 | 0 | 2943 | 0 | 202171 | 0 | 0 | |
| Leo E Reichert | |||||||||||||
| 0 | 438716 | 0 | 168080 | 0 | 16557 | 0 | 28317 | 0 | 7782 | 0 | 659452 | 0 | 0 |
| Deborah Roegge De Vita | |||||||||||||
| 0 | 119681 | 0 | 0 | 0 | 50688 | 0 | 7048 | 0 | 493 | 0 | 177910 | 0 | 0 |
| Mary L Tavernaro | |||||||||||||
| 0 | 191015 | 0 | 27108 | 0 | 6392 | 0 | 13871 | 0 | 1681 | 0 | 240067 | 0 | 0 |
| C Brett Scullen | |||||||||||||
| 0 | 159623 | 0 | 20304 | 0 | 8700 | 0 | 7837 | 0 | 216 | 0 | 196680 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Non-Fixed Payments to Officers | Form 990 Schedule J Line 7 | Wellstar has instituted an annual incentive plan for key leaders in the company. On an annual basis performance measures are proposed by management and approved and recommended 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 the targeted levels for each factor, a performance payout is recommended and approved by the Board after the annual financial audit is completed. Last year the board and senior management extended the incentive program to include all team members or non-management personnel. The performance pay plan for this group of employees is based on successful attainment of various system and facility goals and the fixed dollar awarded for that achievement. |
| 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 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 Graue T Mark Haney Bruce Harrison Robert Jansen MD Christopher Kane Kenneth Kunze MD Lou Little Richard Lopes MD Kimberly Menefee Jonathan Morris MD Craig Owens Leo E Reichert Candice Saunders Ron Strachan Anthony Trupiano Mary L Wesley Robin Wilson The officers with a severance payment period of 12 months as per their agreement: Barbara Ballard Betty A Brakovich Laura Caramanica Bruce Dean Carol Edwards Lee Evins Martin Gutkin Elizabeth Hoffmann Beth Kost Ellen Langford Robert Mandler Patricia Mayne Carol Maxwell Deborah Roegge DeVita C Brett Scullen James Swartz Mary L Tavernaro Adam Thompson Jerry Tillery Amanda Trask During the calendar year, the following individuals received a payout in the amounts listed in accordance with their severance agreements as set forth above: Bruce Harrison $ 21,897 Gregory L Simone $248,936 Bonnie Wilson $244,136 |
| 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 | The following individuals became officers of Wellstar Health System and Affiliates during the accounting period covered by this return but were not compensated during the calendar year for which salary and benefits are reported in the return: Valery Akopov, Dan Woods and Chester Zborowski |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Pamela Etheridge | |||
| Wife of Officer | 55003 | Employee of Wellstar | false |
| Greg Fortgang | |||
| Son-in-Law of Trustee | 92895 | Employee of Wellstar | false |
| Greg Separk | |||
| Son of Trustee | 59724 | Employee of Wellstar | false |
| George Fleming | |||
| Brother of Officer | 60969 | Employee of Wellstar | false |
| Matthew Maddox | |||
| Son of Trustee | 39776 | Employee of Wellstar | false |
| Bonnie Miller | |||
| Wife of Trustee | 31510 | Employee of Wellstar | false |
| Jessica Haney | |||
| Daughter of Officer | 54545 | Employee of Wellstar | false |
| Greg Kost | |||
| Brother-in-law of officer | 25034 | Employee of Wellstar | 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 Kennestone Hospital, 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 (66 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Compensation | Form 990 Part V Line 2 | All compensation amounts reported on Form 990 Part V, Part VII, and Part IX as well as Schedule J represent compensation provided to individuals that provide services to the organization. Likewise, the number of employees reported on Form 990 represent the number of individuals providing services to the organization. All Federal employment tax responsibilities for these individuals (including Federal Employment Tax reporting responsibilities) are handled by Wellstar Health System, Inc (EIN 58-1649541). |
| Conflict of Interest Policy | Form 990 Part VI Section B Line 12A, B, & C | 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 Determining Officer Comp | Form 990 Part VI 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 compensation committee consist of three trustees as well as the CEO in an advisory role and not a voting member. Further in committtee discussions about the compensation for the Chief Executive Officer, The CEO will recuse himself/herself 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 by the full Board of Trustees at its next scheduled meeting. |
| Audited Financial Statements | Form 990 Part IV Line 12 | Kennestone Hospital, Inc. is audited on an annual basis by an outside auditing firm, KPMG, and as part of that audit a consolidated financial statement is issued for all of WellStar Health System, Inc and its Affiliates. "The independent auditors report includes the accounts of Wellstar and its controlled affiliates, Kennestone Hospital, Inc., Cobb Hospital, Inc., Douglas Hospital, Inc., Paulding Medical Center, Inc., Wellstar Foundation, Inc. CHS Foundation, Inc., Community Assurance Company, Ltd., various Wellstar owned physician practices, a hospice facility, a nursing facility, home health business, and entities for infusion therapy and durable medical equipment. All significant intercompany accounts and transactions have been eliminated in combination. The Board of Trustees of Wellstar has the authority to approve appointments of the members of the board of trustees of all affiliate corporations." |
| Tax Exempt Bond 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). Kennestone Hospital, Inc. will report this tax exempt bond liability on Part X, Line 25 Other Liabilities-Due to WHS, Inc. |
| Current Officers/Directors Relationships | Form 990 Part VI, Section A Line 2 | For a portion of the tax year two officers and directors for WellStar Health System, Inc. --EIN 58-1649541 are related to each other through family. Lou Little, Sr VP Post Acute Services and Administrator of Windy Hill Hospital is the brother-in-law of Gregory Simone, former President and CEO for the system. |
| Organization 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, Inc. holds certain powers of election and approval in connection with the governing body of the organization. These powers are presented in detail in the governing documents which the company makes available to the public upon request. |
| Officers Hours Worked | Form 990 General Statement | The officers devote their time to all of the organizations within Wellstar Health System that are listed in Schedule R, Part II. As such, the total hours worked by the officers across all organizations exceeds 40 hours a week. |
| 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. 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. |
| 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. |
| Changes in Net Assets | Form 990 Part XI Line 5 | For the reporting period Kennestone Hospital, Inc. had a change in net assets of ($101,420,045) related to transfers to affiliates as part of the allocation of income statement and balance sheet transactions over the year. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Randall Bentley TITLE:Board Member Chairman HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Robert N Cross, MD TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:T. E. Durham TITLE:Board Member HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Thomas E. Gearhard, MD TITLE:Board Member HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:David Hafner, MD TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Charles J Jones TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Connie Kirk TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Janie Maddox TITLE:Board Member Vice Chair HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Gary A Miller TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Steven W. Oweida, MD TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Tom Phillips TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Walter G Robinson TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Otis Brumby III TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:W. Allen Separk TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:T Fitz Johnson TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Jeffrey Tharp, MD TITLE:Board Member HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Charles "Pete" Wood TITLE:Board Member HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Avril Beckford MD TITLE:Board Member HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:A James Budzinski TITLE:Exec VP and CFO HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Reynold J Jennings TITLE:President & CEO HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:David W. Anderson TITLE:Exec VP HR/OL/CCO HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Donald Campbell, MD TITLE:Sr VP Physician Education HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Barbara B Corey TITLE:Sr VP Managed Care HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Bruce Dean TITLE:VP Real Est & Dep Gen Counsel HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Marcia Delk, MD TITLE:Sr VP Med Affairs & CQO HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Clarence H Evins TITLE:VP Revenue Cycle Mgmt HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Christopher M Kane TITLE:Sr VP Str Plan & Bus Developmt HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Kenneth C Kunze, MD TITLE:Sr VP and Chief Med Officer HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Louis W. Little TITLE:Sr VP Post Acute & Hosp Admin HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Kimberly W. Menefee TITLE:Sr VP Public & Govt Affairs HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Ronald J Strachan TITLE:Sr VP and CIO HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Candice L Saunders TITLE:Exec VP & Adminstrator HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL GRAUE TITLE:EXEC VP & COO HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT JANSEN TITLE:Exec VP & Pres Medical Group HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ELLEN LANGFORD TITLE:VP & COO WELLSTAR PHYS GRP HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT MANDLER TITLE:VP Diagnostic Outreach HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JONATHAN B MORRIS TITLE:Sr VP and CIO HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANTHONY M TRUPIANO TITLE:Sr VP Supply Chain HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBIN WILSON, MD TITLE:Sr VP Performance Innovation HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOSEPH L BRYWCZYNSKI TITLE:Sr VP HEALTH PARKS ADMIN HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ELIZABETH A HOFFMANN TITLE:VP BUDGET AND ANALYSIS HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD T LOPES, MD TITLE:Sr VP & PRES WELLSTAR PHYS GRP HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES M SWARTZ TITLE:VP ACCOUNTING HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARY L WESLEY TITLE:Sr VP NURSING SERVICES & CNE HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Barbara G Ballard TITLE:VP Homecare & Hospice HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Carol S Edwards TITLE:VP Cardiac Services HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Beth Kost TITLE:VP Compliance/Ch Privacy Offr HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Adam C Thompson TITLE:VP Surgery HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Leo E Reichert TITLE:Exec VP & General Counsel HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Deborah Roegge De Vita TITLE:VP Women's & Newborns Serv HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Mary L Tavernaro TITLE:VP Human Resources Operations HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:C Brett Scullen TITLE:VP Pulmonology Operations HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Carol B Maxwell TITLE:VP Human Resources Operations HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Chester Zborowski TITLE:VP Health Park Operations HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Valery Akopov TITLE:VP Chief Hospitalist Services HOURS:50 |
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 Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649540 | Foundation | GA | 501 (c) (3) | 11 Type 2 | WHS Inc | true |
| Cobb Hospital Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 580968382 | Healthcare | GA | 501 (c) (3) | 3 | WHS Inc | true |
| Douglas Hospital Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582026750 | Healthcare | GA | 501 (c) (3) | 3 | WHS Inc | true |
| Paulding Medical Center Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582095884 | Healthcare | GA | 501 (c) (3) | 3 | WHS Inc | true |
| Wellstar Foundation Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581627413 | Foundation | GA | 501 (c) (3) | 11 Type 2 | WHS Inc | true |
| Wellstar Health System Inc | ||||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649541 | Healthcare | GA | 501 (c) (3) | 11 Type 2 | NA | 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 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cobb Hospital Parking Company LLC | ||||||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 752999669 | Parking | GA | NA | Investment | 75069 | 783098 | false | false |
| Kennestone East Parking Deck LLC | ||||||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 200537100 | Parking | GA | NA | Investment | -48320 | 2644650 | false | false |
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 State | GA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHS Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of EOY Assets | 59852977 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| 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 |