WELLSTAR HEALTH SYSTEM INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- WELLSTAR HEALTH SYSTEM INC (EIN 58-1649541)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201121369349306307
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T16:09:34-04:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581649541 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLSTAR HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WELL | NameControl |
| Phone | 7707925023 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SANDY PLAINS ROADS | 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, ACCOUNTING & TREASURY | Title |
| Date Signed | 2011-05-16 | 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 | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | A JAMES BUDZINSKI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 Sandy Plains Road | AddressLine1 |
| City | Marietta | City |
| State | GA | State |
| ZIP Code | 300666340 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 414183647 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.wellstar.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE CHARITABLE HEALTHCARE TO THE COMMUNITY | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3974 | TotalNbrEmployees |
| Total Nbr Volunteers | 792 | TotalNbrVolunteers |
| Total Gross UBI | 495106 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 396733006 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 409133863 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -263345 | InvestmentIncomePriorYear |
| Investment Income Current Year | 67685 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1262268 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1826536 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 397731929 | TotalRevenuePriorYear |
| Total Revenue Current Year | 411028084 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1106075 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 422143 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 272414328 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 291538491 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1605433 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 146518089 | OtherExpensePriorYear |
| Other Expenses Current Year | 155395659 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 420038492 | TotalExpensesPriorYear |
| Total Expenses Current Year | 447356293 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -22306563 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -36328209 | RevenuesLessExpensesCY |
| Total Assets BOY | 446791152 | TotalAssetsBOY |
| Total Assets EOY | 465655218 | TotalAssetsEOY |
| Total Liabilities BOY | 484582311 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 512467828 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -37791159 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -46812610 | 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 THAT WE SERVE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 327125719 | Expense |
| Grants | 422143 | Grants |
| Revenue | 409133863 | Revenue |
| Description | WELLSTAR HEALTH SYSTEM IS A VERTICALLY INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH PROVIDES THROUGH AFFILIATED BUSINESS ORGANIZATIONS A FULL SPECTRUM OF HEALTH SERVICES, INCLUDING WELLNESS PROGRAMS, PHYSICIAN OFFICE VISITS, OUTPATIENT CARE, INPATIENT CARE, AND POST-ACUTE SERVICES SUCH AS HOME HEALTH AND LONG TERM NURSING CARE. THE SYSTEM THROUGH ITS AFFILIATED BUSINESS ORGANIZATIONS OPERATES FIVE HOSPITALS(KENNESTONE, COBB, PAULDING MEDICAL, DOUGLAS AND WINDY HILL), MULTIPLE PHYSICIAN OFFICES, PRIMARY CARE CENTERS, OUTPATIENT CARE FACILITIES, A NURSING HOME AND OTHER HEALTH RELATED SERVICES. THE SYSTEM IS SUPPORTED FINANCIALLY BY A FUND-RAISING ORGANIZATION CALLED WELLSTAR FOUNDATION, INC. THE SERVICE AREA FOR THE SYSTEM ENCOMPASSES PARTS OF THE NORTHWESTERN SECTION OF THE STATE OF GEORGIA - THE PRIMARY AREA BEING IN BARTOW, CHEROKEE, COBB, DOUGLAS AND PAULDING COUNTIES. APPROXIMATELY 90% OF INPATIENT DISCHARGES AND OUTPATIENTS SERVED ARE FROM THE AFOREMENTIONED COUNTIES. THE WELLSTAR VISION IS TO DELIVER WORLD CLASS HEALTHCARE THROUGH OUR HOSPITALS, PHYSICIANS AND SERVICES. OUR MISSION IS TO CREATE AND DELIVER HIGH QUALITY HOSPITAL, PHYSICIAN AND OTHER RELATED HEALTHCARE SERVICES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. HISTORY ------- IN 1993, WHAT WAS THEN KNOWN AS THE COBB HEALTH SYSTEM, THE KENNESTONE REGIONAL HEALTH CARE SYSTEM, AND THE DOUGLAS GENERAL HOSPITAL AFFILIATED TO FORM THE NORTHWEST GEORGIA HEALTH SYSTEM. PAULDING MEMORIAL MEDICAL CENTER AFFILIATED WITH NORTHWEST GEORGIA HEALTH SYSTEM IN 1994. IN 1994, THE NORTHWEST GEORGIA HEALTH SYSTEM HELPED FORM THE PROMINA HEALTH SYSTEM AND CHANGED ITS NAME TO PROMINA NORTHWEST HEALTH SYSTEM. IN 1998, PROMINA NORTHWEST HEALTH SYSTEM CHANGED ITS NAME TO WELLSTAR HEALTH SYSTEM. WELLSTAR BECAME TOTALLY INDEPENDENT OF PROMINA IN 2000. WELLSTAR HEALTH SYSTEM IS A PARENT CORPORATION WHICH PROVIDES OVERALL COORDINATION INCLUDING GOVERNING BODY TO ITS SEVEN SUBORDINATE AFFILIATES: 1) COBB HOSPITAL, INC; 2) CHS FOUNDATION, INC (INVESTMENT MANAGEMENT); 3) DOUGLAS HOSPITAL INC; 6) WELLSTAR FOUNDATION INC. AND 7)COMMUNITY ASSURANCE COMPANY, LTD. (A CAPTIVE SELF-INSURANCE ORGANIZATION). SERVICES -------- WELLSTAR HEALTH SYSTEM IS ABLE TO OFFER A FULL RANGE OF HEALTHCARE SERVICES THROUGH ITS AFFILIATES. THE SERVICES OFFERED INCLUDE BUT ARE NOT LIMITED TO: MOST MAJOR INPATIENT CLINICAL SERVICES, OUTPATIENT SERVICES, DIAGNOSTIC AND THERAPEUTIC SERVICES, ANCILLIARY AND SUPPORT SERVICES, URGENT CARE SERVICES AND HOME HEALTH SERVICES. THE SYSTEM INCLUDES A RESIDENTIAL FACILITY ON THE KENNESTONE HOSPITAL CAMPUS, CALLED ATHERTON PLACE. ARTHERTON PLACE ALSO HOUSES AN ASSISTED LIVING UNIT AS AN ADDITIONAL LEVEL OF CARE. THE FIVE HOSPITALS ARE ACUTE CARE FACILITIES WITH INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. PAULDING MEDICAL CENTER IS HOME TO A FULL CARE NURSING HOME, PAULDING NURSING CENTER. COBB HOSPITAL IS HOME TO A HOME HEALTH AGENCY AND A RESIDENTIAL HOSPICE FACILITY CALLED TRANQUILITY FOR THOSE PATIENTS IN THE END STAGES OF LIFE. THE SYSTEM IS COMPLIMENTED WITH OVER 60 PHYSICIAN PRACTICES AND SEVERAL URGENT CARE CENTERS. THE SYSTEM IS THUS ABLE TO PROVIDE A COMPLETE CONTINUUM OF CARE FOR THE COMMUNITY ITS SERVES. The following statements of community benefit and program service accomplishments represent system-wide activity for Wellstar Health System, Inc. (the "System") - EIN 58-1649541. All affiliated entities of the system except the Physician Hospital Organization (EIN 58-2116179) operate as charitable organizations consistent with the requirements of Internal Revenue Code Section 501(c)(3) and the "Community Benefit Standard" of IRS Revenue Ruling 69-545. The following excerpt from the audited financial statements identifies a broad overview of the charitable purpose for the System. The System maintains records to identify and monitor the level of charity care it provides through its affiliates. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Charges foregone, based on established rates, totaled approximately $170.3 million and 131.2 million in 2009 and 2010 respectively. The System also participates in certain governmental insurance programs, including Medicare and Medicaid. Under these programs, the System provides care to patients at payment rates which are determined by the Federal and State governments, regardless of the System's actual charges. In some cases, these programs pay the System at amounts which are less than its cost of providing services. The System offers many wellness and educational services at little or no cost to the community. Health fairs are held throughout the year at convenient locations, providing various health screenings, such as mammograms, blood pressure and cholesterol checks. A large number of educational programs are offered for all ages. These programs include bicycle safety, car seat safety, defensive driving, CPR and first-aid classes. Flu shots are available to the community during flu season. Health screenings, medical supplies, and immunizations are provided to children through local health departments and health fairs with System sponsorship in many cases. The costs of these services are included in operating expenses. The System promotes health education and activities for students, parents, and teachers through its Partner-in-Education programs. The physicians of the System make significant contributions to improve the health status of the community, including involvement in many community activities promoting health awareness and improvement, emergency room care, and delivery of care to the indigent population of the System's service area. The System also made significant contributions to the nursing program at a local university. This financial support has helped to grow the program, which benefits the System as well as the community. The System and all but one of its affiliates have been recognized as organizations exempt from Federal income tax under Internal Revenue Code Section 501 ( a ) as organizations described in Section 501(c)(3) and, therefore, related income is generally not subject to Federal or state income taxes. One of the System's affiliates is a controlled foreign corporation not subject to Federal income tax. The Physician Hospital Organization (EIN 58-2116179) is a taxable affiliate of the System and files IRS Form 1120 US Corporation Income Tax Return. Financial Data and Statistics (Services Provided System-Wide) Prior Year Staffed Beds 1,143 1,131 Licensed Beds 1,321 1,321 Discharges 64,667 63,852 Outpt Short Stay Days 16,490 17,300 Newborn Deliveries 10,646 11,358 Emergency Room Visits 242,890 224,949 Pediatric ER Visits 49,714 48,356 Surgeries 42,804 41,779 Cath Lab/Pacemakers/EP 12,001 12,430 Non-ED O/P Radiology Procedures 311,003 318,895 Physician Group Visits 1,105,303 1,103,143 Georgia Hospital Association has estimated that the overall economic impact on our community by the organization to be over $3.0 billion and for the system to have created as many as 18,000 jobs. The system served approximately 1.3 million residents during the year. COMMUNITY BENEFITS ------------------ Wellstar Health System participates and collaborates with patients and residents in meeting health needs and improving the overall quality of life in the community. This is especially important in responding to the needs of the underserved regardless of the system's ability to generate a positive margin. Some services would possibly be discontinued if based on a purely financial basis. The following are some examples of the system's services that provide community benefits (and a monetary value of those benefits if known). Clinics Wellstar is affiliated with several clinics which provide free or discounted health services to persons who cannot afford to pay or those who are not expected to pay. During 2010 the clinics at Kennestone and Cobb Hospitals experienced a combined total of 8,000 patient visits at a cost of $3.1 million. Some of the Wellstar physicians provide services in these clinics. One of Wellstar's own physicians, Dr Jose Rodriquez of the Wellstar Kennestone Pediatrics Associates, was recognized by a local business periodical for his volunteer work outside his normal work with Wellstar. He worked with a local organization to strengthen Hispanic families; taught a 10-week parenting class for the Hispanic community; and coordinated an annual meningococal vaccination program for over 600 area Hispanic high school seniors. Community Health/Education Wellstar's Marketing and Public Relations department provides free brochures on a variety of health-related issues. On a quarterly basis Wellstar sends out a wellness magazine entitled "Health and You" to 160,000 homes in the community/service area. The magazine provides information on health issues and a schedule of health Related classes/seminars available throu | Description |
| Total Program Service Expense | 327125719 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | true | ForeignOffice |
| Foreign Activities | true | 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 | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| 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 | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| 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 | 3974 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| 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 | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | 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 | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (64 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| RANDALL BENTLEY SR | |||||||||
| VICE CHAIR | 1.0 | X | 16471 | 0 | 0 | ||||
| ROBERT N CROSS MD | |||||||||
| TRUSTEE | 1.0 | X | 4767 | 0 | 0 | ||||
| TE RUSTY DURHAM | |||||||||
| TRUSTEE | 1.0 | X | 34715 | 0 | 2135 | ||||
| DAVID HAFNER MD | |||||||||
| BOARD MEMBER EX OFFICIO | 1.0 | X | 15651 | 0 | 0 | ||||
| THOMAS E GEARHARD MD | |||||||||
| TRUSTEE | 1.0 | X | 320690 | 0 | 31087 | ||||
| RONALD P ROPER MD | |||||||||
| TRUSTEE | 1.0 | X | 9713 | 0 | 0 | ||||
| JANIE MADDDOX | |||||||||
| TRUSTEE | 1.0 | X | 4884 | 0 | 0 | ||||
| STEVEN W OWEIDA MD | |||||||||
| CHAIRMAN | 1.0 | X | 17488 | 0 | 0 | ||||
| TOM PHILLIPS | |||||||||
| TRUSTEE | 1.0 | X | 2774 | 0 | 0 | ||||
| WALTER G ROBINSON | |||||||||
| TRUSTEE | 1.0 | X | 3372 | 0 | 0 | ||||
| CONNIE KIRK | |||||||||
| TRUSTEE | 1.0 | X | 4195 | 0 | 0 | ||||
| W ALLEN SEPARK | |||||||||
| TRUSTEE | 1.0 | X | 7230 | 0 | 0 | ||||
| KESSELL D STELLING | |||||||||
| TRUSTEE | 1.0 | X | 1252 | 0 | 0 | ||||
| GARY A MILLER | |||||||||
| TRUSTEE | 1.0 | X | 2609 | 0 | 0 | ||||
| JEFFREY THARP MD | |||||||||
| TRUSTEE | 1.0 | X | 374975 | 0 | 32823 | ||||
| KENNETH THIGPEN | |||||||||
| TRUSTEE | 1.0 | X | 10151 | 0 | 0 | ||||
| CHARLES WOOD | |||||||||
| TRUSTEE | 1.0 | X | 12025 | 0 | 0 | ||||
| ROBERT WARNER MD | |||||||||
| TRUSTEE | 1.0 | X | 3581 | 0 | 0 | ||||
| CHARLES JONES | |||||||||
| TRUSTEE | 1.0 | X | 12635 | 0 | 0 | ||||
| GREGORY L SIMONE MD | |||||||||
| CEO | 40.0 | 1127407 | 0 | 76939 | X | ||||
| RONALD J STRACHAN | |||||||||
| SR VP/CIO | 40.0 | 398320 | 0 | 34634 | X | ||||
| BARBARA COREY | |||||||||
| SR VP MANAGED CARE | 40.0 | 354487 | 0 | 28277 | X | ||||
| DAVID ANDERSON | |||||||||
| EXEC VP HR/OL/CCO | 40.0 | 500879 | 0 | 38389 | X | ||||
| KIMBERLY MENEFEE | |||||||||
| SR VP PUBLIC & GOVT AFFAIRS | 40.0 | 322123 | 0 | 28095 | X | ||||
| LOU LITTLE | |||||||||
| VP POST ACUTE SRVCS & HOSP ADM | 40.0 | 290248 | 0 | 31176 | X | ||||
| T MARK HANEY | |||||||||
| SR VP BUSINESS DEVELOPMENT | 40.0 | 348007 | 0 | 32214 | X | ||||
| DAROLD ETHERIDGE | |||||||||
| VP FINANCE | 40.0 | 257321 | 0 | 24944 | X | ||||
| LEE EVINS | |||||||||
| VP REV CYCLE MGMT | 40.0 | 237160 | 0 | 22440 | X | ||||
| CHRISTOPHER KANE | |||||||||
| SR VP STRATEGIC PLANNING | 40.0 | 361179 | 0 | 32046 | X | ||||
| RANDY COOK | |||||||||
| SR VP & ADMINISTRATOR | 40.0 | 0 | 349808 | 33957 | X | ||||
| ROBERT MANDLER | |||||||||
| VP DIAGNOSTIC OUTREACH | 40.0 | 235075 | 0 | 21295 | X | ||||
| CANDICE L SAUNDERS | |||||||||
| SR VP ADMINISTRATOR | 40.0 | 0 | 400220 | 33623 | X | ||||
| PATRICK JANSEN | |||||||||
| VP CARDIAC SERVICES | 40.0 | 233543 | 0 | 19687 | X | ||||
| TRACEY ATWATER | |||||||||
| VP & FOUNDATION PRES. | 40.0 | 257161 | 0 | 20114 | X | ||||
| DON CAMPBELL | |||||||||
| SR VP TECHNICAL SOLUTIONS | 40.0 | 392181 | 0 | 31906 | X | ||||
| MARCIA DELK | |||||||||
| SR VP MED AFFAIRS/CQO | 40.0 | 420898 | 0 | 41945 | X | ||||
| BRUCE HARRISON | |||||||||
| SR VP PHYS ALIGNMENT & DEV | 1.0 | 378334 | 0 | 34449 | X | ||||
| BONNIE WILSON | |||||||||
| EXEC VP & GENERAL COUNSEL | 40.0 | 564617 | 0 | 45500 | X | ||||
| KENNETH C KUNZE MD | |||||||||
| SR VP CHIEF MEDICAL OFFICER | 40.0 | 497872 | 0 | 35952 | X | ||||
| BRUCE DEAN | |||||||||
| VP & ASST GENERAL COUNSEL | 40.0 | 231199 | 0 | 23450 | X | ||||
| A JAMES BUDZINSKI | |||||||||
| EXEC VP & CFO | 40.0 | 542322 | 0 | 42617 | X | ||||
| JONATHAN B MORRIS MD | |||||||||
| VP & CHIEF MED INFO OFFICER | 40.0 | 148980 | 0 | 12644 | X | ||||
| MICHAEL GRAUE | |||||||||
| EXEC VP COO | 40.0 | 658068 | 0 | 49874 | X | ||||
| ANTHONY M TRUPIANO | |||||||||
| VP SUPPLY CHAIN | 40.0 | 233753 | 0 | 17874 | X | ||||
| ELLEN LANGFORD | |||||||||
| VP MED AFFAIRS | 40.0 | 188974 | 0 | 17817 | X | ||||
| CRAIG OWENS | |||||||||
| SR VP & ADMIN | 40.0 | 0 | 221639 | 18157 | X | ||||
| ROBIN WILSON MD | |||||||||
| VP Medical Management | 40.0 | 154726 | 0 | 13389 | X | ||||
| JOSEPH L BRYWCZYNSKI | |||||||||
| Sr VP Health Parks Admin | 40.0 | 0 | 0 | 0 | X | ||||
| ELIZABETH A HOFFMANN | |||||||||
| VP Budget & Analysis | 40.0 | 0 | 0 | 0 | X | ||||
| RICHARD T LOPES MD | |||||||||
| Sr VP & President Medical Grp | 40.0 | 0 | 0 | 0 | X | ||||
| JAMES M SWARTZ | |||||||||
| VP Accounting | 40.0 | 0 | 0 | 0 | X | ||||
| MARY L WESLEY | |||||||||
| Sr VP Nursing Services & CNE | 40.0 | 0 | 0 | 0 | X | ||||
| BARRY MANGEL MD | |||||||||
| Chief of Cardiology | 40.0 | 734149 | 0 | 60405 | X | ||||
| WILLIAM MAYFIELD MD | |||||||||
| Chief of Surgery | 40.0 | 805896 | 0 | 58554 | X | ||||
| Stephen J Odom MD | |||||||||
| Physician | 40.0 | 753057 | 0 | 53555 | X | ||||
| Ward Houch MD | |||||||||
| Physician | 40.0 | 737151 | 0 | 55048 | X | ||||
| Harvey N Sacks MD | |||||||||
| Physician | 40.0 | 699746 | 0 | 57429 | X | ||||
| Donald A Page Jr MD | |||||||||
| Physician | 40.0 | 688837 | 0 | 53844 | X | ||||
| David Caras MD | |||||||||
| Physician | 40.0 | 670926 | 0 | 52743 | X | ||||
| MARSHA BURKE | |||||||||
| Former EXEC VP / CFO | 1.0 | 550796 | 0 | 43614 | X | ||||
| TAREY RAY | |||||||||
| SR VP NURSING EXEC | 1.0 | 322133 | 0 | 19811 | X | ||||
| ANDY TATNALL | |||||||||
| SR VP CLINICAL SERVICE | 1.0 | 187893 | 0 | 11548 | X | ||||
| NANCY KEMP | |||||||||
| VP MED MANAGEMENT | 1.0 | 226912 | 0 | 13955 | X | ||||
| LINDA CLARK | |||||||||
| EVEC VP COO | 1.0 | 402300 | 0 | 24741 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 16973808 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 971667 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1434696 | TotalOtherCompensation |
| Number Individuals GT100 K | 333 | 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 |
|---|---|---|---|---|---|
| McKESSON INFORMATION SOLUTIONS | |||||
| POBOX 98347 | CHICAGO | IL | 606938347 | INFORMATION TECH SRV | 8134778 |
| MINDPOWER INC | |||||
| 337 GEORGIA AVENUE | ATLANTA | GA | 30312 | MARKETING | 2781075 |
| WEBMEDX INC | |||||
| 5901 C PEACHTREE DUNWOODY ROAD STE | ATLANTA | GA | 30328 | TRANSCRIPTION SRV | 2202945 |
| CHAMBERLIN EDMONDS AND ASSOCIATES | |||||
| PO BOX 572490 | MURRAY | UT | 841572490 | COLLECTION SERVICE | 2054714 |
| HARKINS AND HENRY LAW OFFICES | |||||
| 4901 OLDE TOWNE PKWY 300 | MARIETTA | GA | 30068 | LEGAL SERVICES | 1752865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 106 | 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 | 205485010 | 205485010 |
| COBB COUNTY DETENTION CENTER | 621990 | 1262490 | 1262490 |
| PAYMENT FROM KENNESTONE HOSPITAL INC. (INCLUDES | 621990 | 112955123 | 112955123 |
| WINDY HILL) | |||
| PAYMENT FROM COBB HOSPITAL INC. | 621990 | 57846797 | 57846797 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31584443 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31584443 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 409133863 | 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 | 108206 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 108206 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 108206 | TotalRevenueColumn |
| Exclusion | $108,206 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3203987 | Securities |
| Other | 19261 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3155563 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 48424 | Securities |
| Other | 19261 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67685 | TotalRevenueColumn |
| Exclusion | $67,685 | 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 |
|---|---|---|---|---|
| LAUNDRY | 812300 | 323593 | 323593 | |
| DISTRIBUTION FEES | 493000 | 171513 | 171513 | |
| SEMINAR REVENUE | 26726 | $26,726 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1196498 | TotalRevenueColumn |
| Exclusion | $1,196,498 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1718330 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 411028084 | TotalRevenueColumn |
| Related Or Exempt Function Income | 409133863 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 495106 | UnrelatedBusinessRevenue |
| Exclusion | $1,399,115 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 422143 | Total |
| Program Services | 422143 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11892908 | Total |
| Program Services | 10108845 | ProgramServices |
| Management And General | 1514143 | ManagementAndGeneral |
| Fundraising | 269920 | Fundraising |
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 | 225952733 | Total |
| Program Services | 196488151 | ProgramServices |
| Management And General | 28724113 | ManagementAndGeneral |
| Fundraising | 740469 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17976804 | Total |
| Program Services | 15379406 | ProgramServices |
| Management And General | 2511067 | ManagementAndGeneral |
| Fundraising | 86331 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21751310 | Total |
| Program Services | 17579898 | ProgramServices |
| Management And General | 4035832 | ManagementAndGeneral |
| Fundraising | 135580 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13964736 | Total |
| Program Services | 11697512 | ProgramServices |
| Management And General | 2198373 | ManagementAndGeneral |
| Fundraising | 68851 | Fundraising |
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 | 328731 | Total |
| Management And General | 328731 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 251556 | Total |
| Management And General | 251556 | ManagementAndGeneral |
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 | 27871668 | Total |
| Program Services | 15866134 | ProgramServices |
| Management And General | 11926195 | ManagementAndGeneral |
| Fundraising | 79339 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7964381 | Total |
| Program Services | 1072620 | ProgramServices |
| Management And General | 6828516 | ManagementAndGeneral |
| Fundraising | 63245 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19630513 | Total |
| Program Services | 18084100 | ProgramServices |
| Management And General | 1453978 | ManagementAndGeneral |
| Fundraising | 92435 | Fundraising |
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 | 11051709 | Total |
| Program Services | 9840513 | ProgramServices |
| Management And General | 1204645 | ManagementAndGeneral |
| Fundraising | 6551 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1747174 | Total |
| Program Services | 662382 | ProgramServices |
| Management And General | 1068951 | ManagementAndGeneral |
| Fundraising | 15841 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1945490 | Total |
| Program Services | 1256060 | ProgramServices |
| Management And General | 670637 | ManagementAndGeneral |
| Fundraising | 18793 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13907000 | Total |
| Management And General | 13907000 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20957574 | Total |
| Program Services | 5588364 | ProgramServices |
| Management And General | 15350755 | ManagementAndGeneral |
| Fundraising | 18455 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6932114 | Total |
| Program Services | 5742316 | ProgramServices |
| Management And General | 1189798 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| REPAIRS & MAINTENANCE | 13971122 | 9138397 | 4832725 | |
| BAD DEBT | 18255852 | 8159537 | 10096315 | |
| OTHER OPERATING EXPENSE | 10580775 | 39341 | 10531811 | 9623 |
| EARLY EXTINGUISHMENT OF DEBT |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 447356293 | Total |
| Program Services | 327125719 | ProgramServices |
| Management And General | 118625141 | ManagementAndGeneral |
| Fundraising | 1605433 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17716 | BOY |
| EOY | 19691 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11803643 | BOY |
| EOY | 16196460 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16356751 | BOY |
| EOY | 18470039 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1804478 | BOY |
| EOY | 1376543 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 74423737 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 49479838 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26573445 | BOY |
| EOY | 24943899 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48809147 | BOY |
| EOY | 63299823 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 341425972 | BOY |
| EOY | 341348763 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 446791152 | BOY |
| EOY | 465655218 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17932501 | BOY |
| EOY | 20964486 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 346979996 | BOY |
| EOY | 347069865 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119669814 | BOY |
| EOY | 144433477 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 484582311 | BOY |
| EOY | 512467828 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -40212119 | BOY |
| EOY | -49387470 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2420960 | BOY |
| EOY | 2574860 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -37791159 | BOY |
| EOY | -46812610 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 446791152 | BOY |
| EOY | 465655218 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| COBB HOSPITALINC | |||||
| 580968382 | 03 | true | true | true | $57,846,797 |
| PAULDING MEDICAL CENTER INC | |||||
| 582095884 | 03 | true | true | true | $9,143,245 |
| KENNESTONE HOSPITAL INC | |||||
| 582032904 | 03 | true | true | true | $112,953,123 |
| DOUGLAS HOSPITALINC | |||||
| 582026750 | 03 | true | true | true | $20,134,939 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 200078104 | SumOfAmounts |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | true | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | true | MediaAdvertisements |
| Media Advertisements | $5,000 | MediaAdvertisementsAmount |
| Mailings Members | true | MailingsMembers |
| Mailings Members | $2,196 | MailingsMembersAmount |
| Publications Or Broadcast | true | PublicationsOrBroadcast |
| Publications Or Broadcast | $374 | PublicationsOrBroadcastAmount |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $135,781 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $184,743 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $250 | RalliesDemonstrationsAmount |
| Other Activities | true | OtherActivities |
| Other Activities | $124,027 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 452371 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Other Lobbying Expenses | Identifier |
| Return Reference | Form 990 Schedule C Part IV | ReturnReference |
| Explanation | During the reporting period Wellstar Health System, Inc. held a retainer for a local firm to provide professional services for community related activities including support in community benefit reporting and legislative healthcare initiatives affecting the system hospitals. Wellstar is also a party to several healthcare related coalitions that protect the interests of all member hospitals. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2420960 | BeginningOfYearBalance |
| Contributions | 153900 | Contributions |
| End Of Year Balance | 2574860 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 2420960 | Contributions |
| End Of Year Balance | 2420960 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2359685 | OtherCostOrOtherBasis |
| Book Value | 2359685 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 37713563 | OtherCostOrOtherBasis |
| Depreciation | 20294750 | Depreciation |
| Book Value | 17418813 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1073049 | OtherCostOrOtherBasis |
| Depreciation | 907749 | Depreciation |
| Book Value | 165300 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33277440 | OtherCostOrOtherBasis |
| Depreciation | 28277339 | Depreciation |
| Book Value | 5000101 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 24943899 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| UNAMORTIZED BORROWING COSTS | 68546 |
| OTHER RECEIVABLES | 70009 |
| KSU SPONSORSHIP | 118218 |
| TAX EXEMPT BOND - DUE FROM AFF | 341091990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 341348763 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION LIABILITY | $44,038,667 |
| OTHER LONG TERM LIABILITIES | $417,458 |
| INVESTMENT IN PHYSICANS GROUP | $40,316,255 |
| INSURANCE RESERVES | $59,278,746 |
| UNCLAIMED PROPERTY (ALLOCATED) | $189,131 |
| ASSET RETIREMENT OBLIGATION LT | $193,220 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 144433477 | TotalOfAmounts |
| Total Revenue | 411028084 | TotalRevenue |
| Total Expenses | 447356293 | TotalExpenses |
| Excess Or Deficit For Year | -36328209 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -36328209 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Endowment Funds | Form 990 Schedule D Part V Line 4 | The endowment funds held on Wellstar Health System are intended to be used for financial assistance for patients in the Wellstar Hospice Program. |
| SCHEDULE D PART X, LINE 2 TAX LIABILITY | The following footnote from the WellStar Health System and Affiliates audited financial statements details the income tax position for the reporting period: "WellStar and all but one of its affiliates have been recognized as exempt from Federal income tax under Internal Revenue Code Section 501 (a) as organizations described in Section 501 (c)(3) and, therefore, related income is generally not subject to Federal or state income taxes. CAC is a controlled foreign corporation not subject to Federal Tax. WellStar applies FASB ASC 740, Income Taxes, which addresses accounting for uncertainties in income tax positions. It also provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There is no impact on WellStar's combined financial statements as a result of the application of ASC 740." |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | Self Insurance | SpecificServicesProvided |
| Total Expenditures | 249313 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Amount Spent | 249313 | TotalAmountSpent |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| American Cancer Society | |||||||
| 1825 Barrett Lakes Blvd Suite 280 | Kennesaw | GA | 30144 | 131623888 | 501 (c) (3) | 52500 | Sponsor Fundraiser |
| American Heart Association | |||||||
| 1101 Northchase Parkway Suite 1 | Marietta | GA | 30067 | 580198114 | 501 (c) (3) | 25000 | Sponsor Fundraiser |
| Cobb Chamber of Commerce | |||||||
| PO Box 671868 | Marietta | GA | 30006 | 582487501 | 501 (c) (3) | 54000 | Sponsor Fundaraiser |
| Foundation of North Metro Technical College | |||||||
| 5198 Ross Road | Acworth | GA | 30102 | 580876634 | 501 (c) (3) | 130000 | Student Affliation Agree/PT |
| GA Highlands College Foundation | |||||||
| 3175 Cedartown Highway | Rome | GA | 30161 | 582080817 | 501 (c) (3) | 30113 | Student Affiliation Agree/LPN/RN |
| Kennesaw State University | |||||||
| 1000 Chastain Rd 3301 | Kennesaw | GA | 30144 | 581816825 | 501 (c) (3) | 15000 | Contribution |
| Kennesaw State University | |||||||
| 1000 Chastain Rd 3301 | Kennesaw | GA | 30144 | 580566194 | 501 (c) (3) | 75000 | Sponsor Nursing Program |
| March of Dimes | |||||||
| 1775 The Exchange Suite 515 | Atlanta | GA | 30339 | 131846366 | 501 (c)(3) | 20000 | Sponsor Fundraiser |
| Service League of Cherokee County | |||||||
| PO Box 1132 | Canton | GA | 30169 | 581685138 | 501 (c)(3) | 10000 | Sponsorship of Fundraiser |
| Marcus Jewish Community Center of Atlanta | |||||||
| 5345 Tilly Mill Road | Dunwoody | GA | 30338 | 580566126 | 501 (c)(3) | 7500 | Sponsorship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 53 | TotalNbrOf501C3AndGovtGrants |
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 (42 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 | |||||||||||||
| 277416 | 0 | 0 | 0 | 43274 | 0 | 24774 | 0 | 6313 | 0 | 351777 | 0 | 0 | 0 |
| JEFFREY THARP MD | |||||||||||||
| 252457 | 0 | 0 | 0 | 122518 | 0 | 28132 | 0 | 4691 | 0 | 407798 | 0 | 0 | 0 |
| GREGORY L SIMONE MD | |||||||||||||
| 809466 | 0 | 302279 | 0 | 15662 | 0 | 73802 | 0 | 3137 | 0 | 1204346 | 0 | 0 | 0 |
| MARSHA BURKE | |||||||||||||
| 550796 | 0 | 0 | 0 | 0 | 0 | 39033 | 0 | 4581 | 0 | 594410 | 0 | 0 | 0 |
| TAREY RAY | |||||||||||||
| 218400 | 0 | 18610 | 0 | 85123 | 0 | 19811 | 0 | 0 | 0 | 341944 | 0 | 0 | 0 |
| RONALD J STRACHAN | |||||||||||||
| 270123 | 0 | 57603 | 0 | 70594 | 0 | 28407 | 0 | 6227 | 0 | 432954 | 0 | 0 | 0 |
| ANDY TATNALL | |||||||||||||
| 147670 | 0 | 11584 | 0 | 28639 | 0 | 11548 | 0 | 0 | 0 | 199441 | 0 | 0 | 0 |
| BARBARA COREY | |||||||||||||
| 263238 | 0 | 80299 | 0 | 10950 | 0 | 26777 | 0 | 1500 | 0 | 382764 | 0 | 0 | 0 |
| DAVID ANDERSON | |||||||||||||
| 368147 | 0 | 120049 | 0 | 12683 | 0 | 35424 | 0 | 2965 | 0 | 539268 | 0 | 0 | 0 |
| KIMBERLY MENEFEE | |||||||||||||
| 235766 | 0 | 74822 | 0 | 11535 | 0 | 24820 | 0 | 3275 | 0 | 350218 | 0 | 0 | 0 |
| LOU LITTLE | |||||||||||||
| 210372 | 0 | 68687 | 0 | 11189 | 0 | 23133 | 0 | 8043 | 0 | 321424 | 0 | 0 | 0 |
| T MARK HANEY | |||||||||||||
| 242031 | 0 | 91501 | 0 | 14475 | 0 | 26541 | 0 | 5673 | 0 | 380221 | 0 | 0 | 0 |
| DAROLD ETHERIDGE | |||||||||||||
| 186959 | 0 | 55161 | 0 | 15201 | 0 | 20084 | 0 | 4860 | 0 | 282265 | 0 | 0 | 0 |
| NANCY KEMP | |||||||||||||
| 166656 | 0 | 11166 | 0 | 49090 | 0 | 13955 | 0 | 0 | 0 | 240867 | 0 | 0 | 0 |
| LEE EVINS | |||||||||||||
| 171405 | 0 | 39268 | 0 | 26487 | 0 | 18665 | 0 | 3775 | 0 | 259600 | 0 | 0 | 0 |
| CHRISTOPHER KANE | |||||||||||||
| 288428 | 0 | 60926 | 0 | 11825 | 0 | 27233 | 0 | 4813 | 0 | 393225 | 0 | 0 | 0 |
| LINDA CLARK | |||||||||||||
| 402300 | 0 | 0 | 0 | 0 | 0 | 24741 | 0 | 0 | 0 | 427041 | 0 | 0 | 0 |
| RANDY COOK | |||||||||||||
| 0 | 258850 | 0 | 78550 | 0 | 12408 | 0 | 26698 | 0 | 7259 | 0 | 383765 | 0 | 0 |
| ROBERT MANDLER | |||||||||||||
| 183917 | 0 | 27811 | 0 | 23347 | 0 | 18020 | 0 | 3275 | 0 | 256370 | 0 | 0 | 0 |
| CANDICE L SAUNDERS | |||||||||||||
| 0 | 322871 | 0 | 63588 | 0 | 13761 | 0 | 29572 | 0 | 4051 | 0 | 433843 | 0 | 0 |
| PATRICK JANSEN | |||||||||||||
| 178558 | 0 | 27979 | 0 | 27006 | 0 | 18097 | 0 | 1590 | 0 | 253230 | 0 | 0 | 0 |
| TRACEY ATWATER | |||||||||||||
| 207794 | 0 | 32834 | 0 | 16533 | 0 | 20114 | 0 | 0 | 0 | 277275 | 0 | 0 | 0 |
| DON CAMPBELL | |||||||||||||
| 295414 | 0 | 85967 | 0 | 10800 | 0 | 28784 | 0 | 3122 | 0 | 424087 | 0 | 0 | 0 |
| MARCIA DELK | |||||||||||||
| 316598 | 0 | 92972 | 0 | 11328 | 0 | 31275 | 0 | 10670 | 0 | 462843 | 0 | 0 | 0 |
| BRUCE HARRISON | |||||||||||||
| 278872 | 0 | 87392 | 0 | 12070 | 0 | 28459 | 0 | 5990 | 0 | 412783 | 0 | 0 | 0 |
| BONNIE WILSON | |||||||||||||
| 417321 | 0 | 134446 | 0 | 12850 | 0 | 39687 | 0 | 5813 | 0 | 610117 | 0 | 0 | 0 |
| KENNETH C KUNZE MD | |||||||||||||
| 405444 | 0 | 80238 | 0 | 12190 | 0 | 35410 | 0 | 542 | 0 | 533824 | 0 | 0 | 0 |
| BRUCE DEAN | |||||||||||||
| 191680 | 0 | 30424 | 0 | 9095 | 0 | 18417 | 0 | 5033 | 0 | 254649 | 0 | 0 | 0 |
| A JAMES BUDZINSKI | |||||||||||||
| 420659 | 0 | 108651 | 0 | 13012 | 0 | 38425 | 0 | 4192 | 0 | 584939 | 0 | 0 | 0 |
| Stephen J Odom MD | |||||||||||||
| 359084 | 0 | 327975 | 0 | 65998 | 0 | 51213 | 0 | 2342 | 0 | 806612 | 0 | 0 | 0 |
| Ward Houch MD | |||||||||||||
| 636944 | 0 | 95848 | 0 | 4359 | 0 | 50235 | 0 | 4813 | 0 | 792199 | 0 | 0 | 0 |
| Harvey N Sacks MD | |||||||||||||
| 588135 | 0 | 50000 | 0 | 61611 | 0 | 47934 | 0 | 9495 | 0 | 757175 | 0 | 0 | 0 |
| Donald A Page Jr MD | |||||||||||||
| 419366 | 0 | 264881 | 0 | 4590 | 0 | 47263 | 0 | 6581 | 0 | 742681 | 0 | 0 | 0 |
| David Caras MD | |||||||||||||
| 419366 | 0 | 246460 | 0 | 5100 | 0 | 46162 | 0 | 6581 | 0 | 723669 | 0 | 0 | 0 |
| JONATHAN B MORRIS MD | |||||||||||||
| 116750 | 0 | 25000 | 0 | 7230 | 0 | 11056 | 0 | 1588 | 0 | 161624 | 0 | 0 | 0 |
| MICHAEL GRAUE | |||||||||||||
| 492184 | 0 | 88589 | 0 | 77295 | 0 | 45369 | 0 | 4505 | 0 | 707942 | 0 | 0 | 0 |
| ANTHONY M TRUPIANO | |||||||||||||
| 185075 | 0 | 11541 | 0 | 37137 | 0 | 17874 | 0 | 0 | 0 | 251627 | 0 | 0 | 0 |
| ELLEN LANGFORD | |||||||||||||
| 153885 | 0 | 26364 | 0 | 8725 | 0 | 15558 | 0 | 2259 | 0 | 206791 | 0 | 0 | 0 |
| CRAIG OWENS | |||||||||||||
| 0 | 154421 | 0 | 0 | 0 | 67218 | 0 | 16396 | 0 | 1761 | 0 | 239796 | 0 | 0 |
| ROBIN WILSON MD | |||||||||||||
| 120878 | 0 | 0 | 0 | 33848 | 0 | 9717 | 0 | 3672 | 0 | 168115 | 0 | 0 | 0 |
| BARRY MANGEL MD | |||||||||||||
| 410564 | 0 | 145455 | 0 | 178130 | 0 | 50592 | 0 | 9813 | 0 | 794554 | 0 | 0 | 0 |
| WILLIAM MAYFIELD MD | |||||||||||||
| 537359 | 0 | 58446 | 0 | 210091 | 0 | 49973 | 0 | 8581 | 0 | 864450 | 0 | 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 recommended and approved by the compensation committee of the Board. The plan is designed to retain and reward leaders with incentives that keep them competitive with the market and comparable health systems. The criteria used to measure the performance consists of weighted factors in the areas of financial performance, customer service, employee engagement and quality indicatiors. Upon successful acheivement at various targeted levels for each factor an overall performance payout is recommended and approved by the Board after the annual financial audit is completed. |
| SEVERANCE PAYMENTS | PURSUANT TO THEIR RESPECTIVE EMPLOYMENT AGREEMENTS, THE FOLLOWING OFFICERS ARE ENTITLED TO SERVERANCE PAYMENTS BASED ON THEIR BASE SALARY AND WAGES AT THAT TIME IN THE EVENT OF CERTAIN IDENTIFIED CIRCUMSTANCES. OFFICER SEVERENCE BENEFIT PERIOD JOHN LAW 12 MONTHS LOU LITTLE 18 MONTHS KIMBERLY W. MENEFEE 18 MONTHS TAREY RAY 18 MONTHS ANDY TATNALL 18 MONTHS LEIGH COX 12 MONTHS BONNIE L. WILSON 24 MONTHS MARSHA BURKE 24 MONTHS GREGORY L. SIMONE 24 MONTHS CHRISTOPHER KANE 18 MONTHS RON STRACHAN 12 MONTHS CANDICE SAUNDERS 18 MONTHS DAVID W. ANDERSON 24 MONTHS DONALD H. CAMPBELL 18 MONTHS LINDA C. CLARK 24 MONTHS RANDY COOK 12 MONTHS BARBARA B. COREY 18 MONTHS MARCIA L. DELK, M.D. 18 MONTHS DAROLD ETHERIDGE 12 MONTHS LEE EVINS 12 MONTHS T. MARK HANEY 18 MONTHS BRUCE HARRISON 12 MONTHS NANCY KEMP 12 MONTHS JIM BUDZINSKI 18 MONTHS MIKE GRAUE 18 MONTHS ROBERT HAMILTON 12 MONTHS ROBERT JANSEN 12 MONTHS ELLEN LANGFORD 12 MONTHS KENNETH KUNZE, MD 18 MONTHS ROBERT MANDLER 12 MONTHS JONATHAN MORRIS 12 MONTHS ANTHONY TRUPIANO 12 MONTHS ROBIN WILSON, MD 12 MONTHS JOSEPH BRYWCZYNSKI 18 MONTHS ELIZABETH HOFFMANN 12 MONTHS RICHARD LOPES, MD 18 MONTHS JAMES SWARTZ 12 MONTHS MARY WESLEY 18 MONTHS During the year, the following individuals received a payout in the amounts listed in accordance with their severance agreements as set forth above: MARSHA BURKE $550,796 LINDA CLARK $402,300 LEIGH COX $ 34,560 NANCY KEMP $226,912 TERESA RAY $322,133 BRUCE HARRISON $141,995 ANDREW TATNALL $187,892 | |
| 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. |
| OFFICER COMPENSATION | SCHEDULE J PART III | The following individuals are officers who were employed during the reporting period July 1, 2009 to June 30, 2010. For purposes of the compensation listed in Schedule J of Form 990 these officers had no compensation during calendar year 2009 for which we report information on this return. The individuals are: Joseph L Brywczynski Elizabeth A Hoffmann Richard T Lopes, MD James M Swartz Mary L Wesley |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY OF COBB COUNTY | ||||||
| 582464600 | 19081PDR4 | 2003-04-30 | 121010000 | CONSTRUCTION | false | false |
| HOSPITAL AUTHORITY OF COBB COUNTY | ||||||
| 582464600 | 19081PEM4 | 2004-04-30 | 25000000 | EQUIPMENT POOL | false | false |
| COBB COUNTY KENNESTONE HOSPITAL AUTHORITY | ||||||
| 581147004 | 190813LN3 | 2005-10-31 | 95000000 | CAPITAL IMPROVEMENTS (SERIES A) | false | false |
| COBB COUNTY KENNESTONE HOSPITAL AUTHORITY | ||||||
| 581147004 | 190813LM5 | 2005-10-31 | 25000000 | CAPITAL IMPROVEMENTS (SERIES B) | false | false |
| HOSPITAL AUTHORITY OF COBB COUNTY | ||||||
| 582464600 | 19081PEN2 | 2006-06-30 | 25000000 | EQUIPMENT POOL | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)
| Total ProceedsTotalProceeds | Amount DefeasedAmountDefeased | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 132210370 | 53163166 | 1566767 | 74573976 | 2005 | true | true | true | true |
| 25000000 | 25000000 | 2004 | false | false | true | true | ||
| 95000000 | 924113 | 92584051 | 2007 | false | false | true | true | |
| 25000000 | 243188 | 24364224 | 2007 | false | false | true | true | |
| 25000000 | 25000000 | 2006 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|
| false | false | false | true | 0.00020 | 0.00020 | true |
| false | false | false | true | true | ||
| false | false | false | true | 0.00020 | 0.00020 | true |
| false | false | false | true | true | ||
| false | false | false | true | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| (no name) | |||||
| false | false | false | false | false | true |
| (no name) | |||||
| false | true | false | false | false | true |
| UBS | |||||
| false | true | true | false | false | true |
| (no name) | |||||
| false | false | false | false | true | |
| (no name) | |||||
| false | true | false | false | true | |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| PAMELA ETHERIDGE | |||
| WIFE OF OFFICER | 51723 | EMPLOYEE OF WELLSTAR | false |
| GREG FORTGANG | |||
| SON-IN-LAW OF TRUSTEE | 86813 | EMPLOYEE OF WELLSTAR | false |
| AMY SIMONE | |||
| DAUGHTER OF OFFICER | 88061 | EMPLOYEE OF WELLSTAR | false |
| GEORGE FLEMING | |||
| BROTHER OF OFFICER | 56575 | EMPLOYEE OF WELLSTAR/COBB | false |
| THOMAS E GEARHARD MD | |||
| BOARD MEMBER | 135874 | BUILDING LEASE | false |
| GREYSTONE POWER | |||
| BOARD MEMBER | 951403 | EXPLANATION IN SCH O | false |
| MATTHEW MADDOX | |||
| SON OF BOARD MEMBER | 36500 | EMPLOYEE OF WELLSTAR | false |
| PUCKETT EMS AMBULANCE SERVICE | |||
| BROTHER-IN-LAW OF OFFICER | 278868 | EXPLANATION IN SCH O | false |
| H S I FINANCIAL SERVICES | |||
| OFFICER IS DIR OF AGENCY | 352172 | EXPLANATION IN SCH O | false |
| BONNIE MILLER | |||
| WIFE OF BOARD MEMBER | 26996 | EMPLOYEE OF WELLSTAR | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION REPORTED ON FORM 990 & RELATIONSHIPS BETWEEN CURRENT OFFICERS | FORM 990 PART VII COMPENSATION, PART IX LINES 5-7 & SCHEDULE J & J-1 | ALL COMPENSATION AMOUNTS REPORTED ON FORM 990, PART VII; PART IX, LINES 5-7; AND SCHEDULE J REPRESENT COMPENSATION PROVIDED TO INDIVIDUALS THAT PROVIDE SERVICES TO THE ORGANIZATION. LIKEWISE, THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF INDIVIDUALS PROVIDING SERVICES TO THE ORGANIZATION. ALL FEDERAL EMPLOYMENT TAX RESPONSIBILITIES FOR THESE INDIVIDUALS (INCLUDING FEDERAL EMPLOYMENT TAX REPORTING RESPONSIBILITIES) ARE HANDLED BY WELLSTAR HEALTH SYSTEM, INC.(EIN 58-1649541). |
| CONFLICT OF INTEREST POLICY | FORM 990 PART VI SECTION B Line 12 | Our Conflict of Interest Policy requires all covered persons to annually review the policy and then complete, sign and return the Conflicts of Interest Survey and Attestation to the Compliance Office. The policy requires an on-going disclosure obligation in the event a conflict arises during the year. The following is our process to regularly and consistently monitor and enforce the policy: Compliance Identifies all covered persons who must complete the Survey and Attestation. Compliance verifies that the Survey and Attestation is distributed to these persons. Compliance verifies that these persons return a fully completed and signed Survey and Attestation. Compliance reviews each completed and signed Survey and Attestation to identify all conflicts listed in the document. All conflicts, potential conflicts and incidences of non-compliance are referred to the Chief Compliance Officer. The CCO takes appropriate action to completely resolve all identified conflicts and incidences of non-compliance. |
| PROCESS OF EXEC COMPENSATION | FORM 990 PART VI SECTION B Line 15a & b | WellStar engages the Hay Group to work with the governing board to review and recommend executive compensation. The executive compensation process at WellStar is overseen by a committee of independent trustees, which follows a board-approved executive compensation philosophy. The current members of the WellStar committee are: Kessel Stelling Chair Pete Wood Janie Maddox Al Separk Wellstar Board Chair Ex Officio CEO-- Ex Officio In committtee discussions about the compensation for the Chief Executive Officer, the CEO will recuse himself from that process but is a non-voting committee member for discussions on all other officers. The executive compensation philosophy empowers the committee to oversee the executive compensation process and administer the executive compensation program on behalf of the full board of trustee of WellStar; provided, however, the full Board of Trustees evaluates and approves the compensation of the Chief Executive Officer. The philosophy requires annual disclosure of the committee's actions and decisions to the full board, which it has done. The committee is guided by the board-approved philosophy. Overall, the philosophy is intended to reward for organizational and individual performance. When performance is at a predetermined targeted level, the compensation is intended to be at or around the median of compensation paid to similar positions at similar organizations (the "market"). WellStar's executive compensation philosophy defines the market as being comprised of comparable not-for-profit health care delivery systems, i.e., not-for-profit organizations similar in complexity and scale to Wellstar. To assist the committee in fulfilling its duties, the committee engaged the Hay Group to provide market compensation data to compare to the Wellstar positions whose compensation the committee oversees. The committee uses this data to provide context when making decisions in administering the compensation program. Accurate minutes of the committee's discussion and decisions are recorded during each committee meeting, and reviewed and approved at the following committee meeting. |
| DISCLOSURE OF FINANCIAL DOCUMENTS | FORM 990 PART VI SECTION C Line 19 | The organization and its subsidiaries are subject to the Open Records Law in the State of Georgia. Therefore, by law, citizens are permitted to inspect and copy its governing documents, policies and financial statements as may be requested from time to time. Additionally, the organization's Form 990 is made readily available on the Guidestar website. Periodically, the organization publishes its financial performance in the local newspaper for citizens to review, and it also publishes a community benefit report once a year for distribution to the public. |
| VOLUNTEERS | Form 990 Part I General Information | WellStar Health System, Inc. through its affiliated business organizations operates five hospitals and throughout the system there are approximately 795 volunteers who make up the network of people who donate their time to serving our healthcare community. |
| AUDITED FINANCIAL STATEMENTS | Form 990 Part IV Line 12 and Part XI | WellStar Health System, Inc. is audited on an annual basis by an outside auditing firm and as part of that audit a consolidated financial statement is issued for all of WellStar Health System, Inc and its Affiliates. |
| PROCESS OF 990 BOARD REVIEW | Form 990 PART VI LINE 11A | Internal staff prepare the organization's Form 990. Before filing the return with the Internal Revenue Service an external accounting firm, PricewaterhouseCoopers, reviews and sign-offs on the completed return. This reviewed form is then made available to both the organization's Finance committee of the Board of Directors as well as the full board in the form of an electronic (pdf. format) version and hard copy of the return. The organization's CFO or designee subsequently signs the return for either manual or electronic filing by the appropriate due date. |
| CURRENT OFFICERS/DIRECTORS RELATIONSHIPS | FORM 990 PART VI, SECTION A LINE 2 | Two of the current 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. |
| OFFICERS HOURS WORKED | FORM 990 GENERAL STATEMENT & SCHEDULE J | The officers devote their time to all of the organizations with WellStar Health System that are listed in Schedule R, Part II. As such, the total hours worked by the officers across all of the organizations exceeds 40 hours per week. |
| TAX EXEMPT BOND ALLOCATION | Form 990 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). The tax exempt bond liabilites allocated to Wellstar's affiliates are being reported on Part X, Line 15, Other assets. The beginning year Other Assets and Tax-Exempt Bond Liabilities balances are also being restated with respect to Tax Exempt Bond Liabilities due from WellStar's affiliates which are now included on Lines 15 and 20. |
| BYLAWS CHANGES | FORM 990, PART VI, LINE 4 | On June 17, 2010, Wellstar Health System and its affiliates amended its bylaws to address the manner of election and terms of office for members of the Board of Trustees. The Chair appoints a Governance Committee consisting of three (3) or more Trustees for purposes of recommending nominations. Nominations are voted upon by the full Board and each Trustee is appointed to serve terms of three years, although the Board can establish a shorter term at the time of election. Each Trustee may serve a "Term Limit" of not more than four (4) consecutive terms of three years. To provide continuity on the Board, there is established a methodology of rotation off the Board for the 18 existing Trustees effective June 30, 2010. One Trustee will rotate off the Board in year one; two Trustees will rotate off the Board in year two; one Trustee will rotate off the Board in year three; and continuing for all remaining positions until all Trustees have expired terms or elect to leave the Board. At the end of the "term limit" the Trustee may be re-electied after a one year absence from the board. |
| Transactions with Related Organizations | Form 990 Schedule R Part V Line 2 | The dollar amounts reported on Form 990 Schedule R Part V Line 2 for WellStar Health System, Inc. include the overhead allocations to affiliates and consists of the following types of transactions as listed in Line 1 (a-r): h) Exchange of Assets i) Lease of facilities, equipment, or other assets to other organizations j) Lease of facilities, equipment, or other assets from other organizations n) Sharing of paid employees o) Reimbursement paid to other organizations q) Other transfers of cash or property to other organizations r) Other transfers of cash or property from other organizations |
| SCH L PART IV EXPLANATIONS | On Schedule L Part IV we have several interested parties that require additional explanation for the transactions: Board Trustee Gary Miller is President of Greystone Power which provides electric service to certain Wellstar Hospitals and Physician practices in the normal course of business. The total amount of the transactions with Greystone is over $951,000 with $88,000 related to Paulding Hospital; $721,000 related to Douglas Hospital and $142,000 related to Wellstar Medical Group. Steve Puckett is the brother-in-law of Ellen Langford, an officer with Wellstar Health System. Mr. Puckett is the President of Puckett EMS Ambulance Service which provides ambulance services to several Wellstar Health System affiliates. Individually all of the entiity specific transactions are less than $100,000 but in aggregate total $279,514. These services are in the normal course of business with our hospitals. H.S.I. Financial Services is a local billing agency which provides services to Wellstar Health System in the form of routine collection services of outstanding patient balances. Lee Evins, an officer of Wellstar Health System is also a director on the H.S.I. board. The total amount of the transactions with H.S.I. equal $352,172 for the reporting period. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (84 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Wellstar Physician Group | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649541 | Healthcare | GA | 227445215 | 46657032 | NA |
| Cobb Gynecologists 2 LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 020808099 | Healthcare | GA | 0 | NA | |
| South Cobb OB-GYN 2 LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 020808071 | Healthcare | GA | 0 | NA | |
| WellStar Acworth Family Practice LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 412243451 | Healthcare | GA | 0 | NA | |
| WellStar Atlanta General Surgery LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 264271578 | Healthcare | GA | 0 | NA | |
| WellStar Behavioral Health LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582500211 | Healthcare | GA | 0 | NA | |
| Wellstar Cardiovascular Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 263557639 | Healthcare | GA | 0 | NA | |
| WellStar Cherokee Street Internal and Pr | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 161735178 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Family Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582560699 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Gynecologists LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582502440 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Hospitalists LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 753140245 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Medical Group LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586050 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Rehabilitation Medicine L | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582587322 | Healthcare | GA | 0 | NA | |
| WellStar Cobb Surgical Associates LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 562469675 | Healthcare | GA | 0 | NA | |
| WellStar Cooper Lake Family Medicine LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 264295540 | Healthcare | GA | 0 | NA | |
| WellStar Cornerstone Family Medicine LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 061745258 | Healthcare | GA | 0 | NA | |
| WellStar Cousins and Cantrell LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586291 | Healthcare | GA | 0 | NA | |
| WellStar Creekside Pediatrics LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582499179 | Healthcare | GA | 0 | NA | |
| WellStar Douglas Surgical Associates LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 300364595 | Healthcare | GA | 0 | NA | |
| WellStar Douglasville Medical Center at | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 753245214 | Healthcare | GA | 0 | NA | |
| WellStar Douglasville Medical Center LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577971 | Healthcare | GA | 0 | NA | |
| WellStar East Cobb Medical Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598851 | Healthcare | GA | 0 | NA | |
| WellStar East Paulding Pediatric Center | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598855 | Healthcare | GA | 0 | NA | |
| WellStar East Paulding Primary Care Cent | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598856 | Healthcare | GA | 0 | NA | |
| WellStar Infectious Disease LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582502436 | Healthcare | GA | 0 | NA | |
| WellStar Internal Medicine Associates of | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586054 | Healthcare | GA | 0 | NA | |
| WellStar Internal Medicine at Douglasvil | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598842 | Healthcare | GA | 0 | NA | |
| WellStar Internal Medicine at Paulding | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 300355547 | Healthcare | GA | 0 | NA | |
| WellStar Internal Medicine of Cobb LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 562445102 | Healthcare | GA | 0 | NA | |
| WellStar KenMar Pediatrics LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577974 | Healthcare | GA | 0 | NA | |
| WellStar Kennesaw Medical Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582568534 | Healthcare | GA | 0 | NA | |
| WellStar Kennestone OBGYN 2 LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 300355553 | Healthcare | GA | 0 | NA | |
| WellStar Kennestone OBGYN LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582499183 | Healthcare | GA | 0 | NA | |
| WellStar Kennestone Pediatric Associates | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586286 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Adult Medicine Associa | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582635392 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Family Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577972 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Internal Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586289 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Pediatrics LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598854 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Primary Care LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577979 | Healthcare | GA | 0 | NA | |
| WellStar Marietta Pulmonary Medicine LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586292 | Healthcare | GA | 0 | NA | |
| WellStar Medical Specialists 2 LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 753261729 | Healthcare | GA | 0 | NA | |
| WellStar Medical Specialists LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586293 | Healthcare | GA | 0 | NA | |
| WellStar Midani Pediatric Practice LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598853 | Healthcare | GA | 0 | NA | |
| WellStar Neurosurgery LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 300067488 | Healthcare | GA | 0 | NA | |
| WellStar North Cobb Pediatrics LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582518119 | Healthcare | GA | 0 | NA | |
| WellStar North Cobb Women's Health 2 LL | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 412243450 | Healthcare | GA | 0 | NA | |
| WellStar North Cobb Women's Health LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582499178 | Healthcare | GA | 0 | NA | |
| WellStar North Douglas OBGYN LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598852 | Healthcare | GA | 0 | NA | |
| WellStar Northwest Women's Care LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582499181 | Healthcare | GA | 0 | NA | |
| WellStar Occupational Health LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582510194 | Healthcare | GA | 0 | NA | |
| WellStar Palliative Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 223972021 | Healthcare | GA | 0 | NA | |
| WellStar Paulding Surgical Associates L | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 743130874 | Healthcare | GA | 0 | NA | |
| WellStar Pediatric & Adolescent Center | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582570392 | Healthcare | GA | 0 | NA | |
| WellStar Pediatric & Family Wellness Cen | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 264687089 | Healthcare | GA | 0 | NA | |
| WellStar Pediatric Professionals LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 320093335 | Healthcare | GA | 0 | NA | |
| WellStar Pediatrics at Brookstone LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598844 | Healthcare | GA | 0 | NA | |
| WellStar Phillips Women's Care LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586058 | Healthcare | GA | 0 | NA | |
| WellStar Physicians Group Douglas Hospit | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 161735192 | Healthcare | GA | 0 | NA | |
| WellStar Physicians Group ENT LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582473668 | Healthcare | GA | 0 | NA | |
| WellStar Physicians Group Hospitalists | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582461494 | Healthcare | GA | 0 | NA | |
| WellStar Physicians Group Pathologists | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582461493 | Healthcare | GA | 0 | NA | |
| WellStar Powder Springs Medical Center | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586052 | Healthcare | GA | 0 | NA | |
| WellStar Rehab Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582532917 | Healthcare | GA | 0 | NA | |
| WellStar Rheumatology Associates of Mari | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 450559274 | Healthcare | GA | 0 | NA | |
| WellStar Shallowford Medical Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598849 | Healthcare | GA | 0 | NA | |
| WellStar Smyrna Primary Care Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598843 | Healthcare | GA | 0 | NA | |
| WellStar South Cobb Primary Care LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586290 | Healthcare | GA | 0 | NA | |
| WellStar South Cobb Rheumatology LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 412243448 | Healthcare | GA | 0 | NA | |
| WellStar Surgical Associates of Marietta | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 562469677 | Healthcare | GA | 0 | NA | |
| WellStar Thoracic Surgery Associates LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 263540626 | Healthcare | GA | 0 | NA | |
| WellStar Towne Lake Medical Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586287 | Healthcare | GA | 0 | NA | |
| WellStar Towne Lake Pediatrics LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577980 | Healthcare | GA | 0 | NA | |
| WellStar Urgent Care at Cooper Lake LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 300378808 | Healthcare | GA | 0 | NA | |
| WellStar Urgent Care at Towne Lake LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586061 | Healthcare | GA | 0 | NA | |
| WellStar Urgent Care in Kennesaw LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582568565 | Healthcare | GA | 0 | NA | |
| WellStar Urgent Care on Delk Road LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582577976 | Healthcare | GA | 0 | NA | |
| WellStar Urgent Care on Sandy Plains Roa | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582598845 | Healthcare | GA | 0 | NA | |
| WellStar West Cobb Medical Center LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586288 | Healthcare | GA | 0 | NA | |
| WellStar Woodlawn Commons Family Practic | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582586053 | Healthcare | GA | 0 | NA | |
| Homecare Billing Services LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582479534 | Healthcare | GA | 11050887 | 742315 | NA |
| Wellstar Windy Hill Apothecary LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 562511925 | Healthcare | GA | 1269735 | 273237 | NA |
| Wellstar Bi-County ENT LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 272258194 | Healthcare | GA | 0 | NA | |
| Wellstar Comprehensive Bariatric Srv LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 271716783 | Healthcare | GA | 0 | NA | |
| Wellstar Family Medicine LLC | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 273565358 | Healthcare | GA | 0 | NA | |
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 |
|---|---|---|---|---|---|---|---|---|---|
| CHS Foundation Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581649540 | Foundation | GA | 501 (c)(3) | 11 | NA |
| Cobb Hospital Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 580968382 | Healthcare | GA | 501 (c)(3) | 3 | NA |
| Douglas Hospital Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582026750 | Healthcare | GA | 501 (c)(3) | 3 | NA |
| Kennestone Hospital Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582032904 | Healthcare | GA | 501 (c)(3) | 3 | NA |
| Paulding Medical Center Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 582095884 | Healthcare | GA | 501 (c)(3) | 3 | NA |
| Wellstar Foundation Inc | |||||||||
| 805 Sandy Plains Road | Marietta | GA | 30066 | 581627413 | Foundation | GA | 501 (c)(3) | 11 | NA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kennestone South Parking Deck | ||||||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 581649541 | PARKING | GA | NA | INVESTMENT | 193986 | 1887789 | false | false |
| Cobb Hospital Parking Company LLC | ||||||||||||
| 805 Sandy Plains Road | Marietta | GA | 300666340 | 752999669 | PARKING | GA | NA | INVESTMENT | 41418 | 840467 | 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 | Cayman Islands, BWI | ProvinceOrState |
| Country | CJ | Country |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581649541 | EIN |
| Primary Activity | INSURANCE | PrimaryActivity |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountry |
Direct Controlling Entity 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 Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 72634317 | 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 | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | 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 | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Cobb Hospital Inc | |
| q | 57002419 |
| Douglas Hospital Inc | |
| q | 19874875 |
| Kennestone Hospital Inc | |
| q | 111423511 |
| Paulding Medical Inc | |
| q | 8945839 |
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