2013-05-13T10:48:35-05:00 2012-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2011-07-01 582032904 KENNESTONE HOSPITAL INC % JAMES M SWARTZ KENN 7707925023 805 Sandy Plains Road Marietta GA 300666340 James M Swartz 2013-05-10 true 2673303000 2011 2016-02-24 21:20:13Z REYNOLD J JENNINGS 805 SANDY PLAINS ROAD MARIETTA GA 30066 739618699 false X www.wellstar.org X 1993 GA To provide world class charitable healthcare to the community. 18 14 5176 410 574462 0 0 683440836 725011981 32980 32955 7577848 14573763 691051664 739618699 0 2150 0 0 263582427 272571926 0 0 0 319303513 350085746 582885940 622659822 108165724 116958877 451489162 529669305 243296810 292181675 208192352 237487630 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. false false 554655245 2150 725011981 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 554655245 true false false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false true false false false false false false true true false false false true 0 0 5176 true true true false false false false false false false false false false false false X 18 14 true false false false true true true true true false false true true true true true true true true false GA X JAMES M SWARTZ 7707925023 805 SANDY PLAINS ROAD Marietta GA 300666340 X Randall Bentley 1.0 X 0 16769 0 Robert N Cross MD 1.0 X 0 4272 0 T E Durham 1.0 X 0 36443 1430 Thomas E Gearhard MD 1.0 X 0 441387 30593 David Hafner MD 1.0 X 0 17769 0 Charles J Jones 1.0 X 0 12580 0 Connie Kirk 1.0 X 0 4675 0 Janie Maddox 1.0 X 0 15634 0 Gary A Miller 1.0 X 0 1742 0 Steven W Oweida MD 1.0 X 0 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ROBERT MANDLER 2.0 X 0 266979 18768 JERRY TILLERY 50.0 X 195387 0 12162 JONATHAN B MORRIS 2.0 X 0 416394 27823 ANTHONY M TRUPIANO 2.0 X 0 284073 16516 ROBIN WILSON MD 2.0 X 0 506787 32116 JOSEPH L BRYWCZYNSKI 2.0 X 0 311785 19612 ELIZABETH A HOFFMANN 2.0 X 0 233775 11530 RICHARD T LOPES MD 2.0 X 0 757815 36938 JAMES M SWARTZ 2.0 X 0 217871 14937 MARY L WESLEY 2.0 X 0 457717 21831 Patricia Ann Mayne 50.0 X 204132 0 20466 Barbara G Ballard 2.0 X 0 259113 22697 Carol S Edwards 2.0 X 0 325593 20146 Beth Kost 2.0 X 0 269763 17725 Adam C Thompson 2.0 X 0 185584 10535 Betty Ann Brakovich 50.0 X 162567 0 11528 Laura Caramanica 50.0 X 188702 0 13469 Leo E Reichert 2.0 X 0 623353 36099 Deborah Roegge De Vita 2.0 X 0 170369 7541 Mary L Tavernaro 2.0 X 0 224515 15552 C Brett Scullen 2.0 X 0 188627 8053 Carol B Maxwell 2.0 X 0 86518 4350 Chester Zborowski 2.0 X 0 0 0 Valery Akopov 2.0 X 0 0 0 Dan Woods 50.0 X 0 0 0 Mark Van Ewyk 50.0 X 172399 0 11155 Dwight Still 50.0 X 179225 0 13615 Sandra Lucius 50.0 X 157555 0 10040 Jyotsna Vanapalli 50.0 X 154281 0 11359 Thomas Whittaker 50.0 X 160684 0 10611 Gregory L Simone MD X 0 248936 13892 Bonnie Wilson X 0 244138 13763 2723975 14853818 1071815 161 true true false 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 44 0 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 725011981 0 0 0 568262 568262 568262 568262 32955 32955 32955 32955 0 0 0 PHARMACY/RETAIL PHARMACY 446199 6867004 574462 6292542 LAB OUTREACH 470378 470378 CAFETERIA 3919228 3919228 2748891 2748891 14005501 739618699 725011981 574462 14032256 0 2150 2150 0 0 1899829 1723525 176304 0 224486098 203178472 21307626 11652506 10544362 1108144 17993559 16277056 1716503 16539934 14969755 1570179 0 44331 44331 0 0 0 0 23046138 21272266 1773872 316033 161450 154583 28473964 27850533 623431 0 0 10579053 4560239 6018814 264540 210198 54342 0 318825 269893 48932 89302 89302 113513078 102761678 10751400 28844523 14332136 14512387 5063284 5063284 REPAIRS & MAINTENANCE 11279378 8573217 2706161 MEDICAL SUPPLIES 128010209 127874054 136155 OTHER OPERATING EXPENSES 243088 94261 148827 622659822 554655245 68004577 0 16125 20200 206806 4146714 0 0 114295624 121621833 0 0 0 0 0 0 11939153 14584035 4737900 4743978 732382007 356055228 308870080 376326779 0 0 0 0 0 0 1280943 1280943 10142531 6944823 451489162 529669305 41846819 51064914 0 0 0 0 0 0 0 0 0 0 151910 67814 0 0 201298081 241048947 243296810 292181675 X 208192352 237487630 0 0 0 0 208192352 237487630 451489162 529669305 X 116958877 -87663599 X false true true X false X 42273792 42273792 317184545 139580065 177604480 14115040 7357335 6757705 289490857 209117828 80373029 69317773 69317773 376326779 0 ASSET RETIREMENT OBLIGATION LT 1032465 TAX EXEMPT BOND LIAB-DUE TO WH 240016482 241048947 SCHEDULE D Part X Line 2 FIN 48 FOOTNOTE 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." true true X true X 125. true X true true true false true true 53651366 53651366 0.08620 62279878 52997835 9282043 0.01490 115931244 52997835 62933409 0.10110 1775639 1775639 0.00290 301752 301752 0.00050 2077391 2077391 0.00340 118008635 52997835 65010800 0.10450 true 19653299 4287073 229782321 260339026 -30556705 X true true 2 1 Kennestone Hospital

677 Church Street Marietta GA 30060

X X X 2 Windy Hill Hospital

2540 Windy Hill Road Marietta GA 30067

X X Long Term Acute Care 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 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. X X X X X X false true X X X X X true true false false false false false true false 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 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 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 Business Transactions with Interested Parties Form 990 Schedule L Part IV 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. 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 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 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 Community Assurance Co 3rd Fl Barclays House Shedden Rd George Town Grand Cayman, BWI CJ 581649541 Insurance GA WHS Inc C 59852977 1.00000 false false false false false false false false false false false false false false false false false false