2024-05-15T14:10:06-05:00 2023-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-07-01 581627413 WELLSTAR FOUNDATION INC % JAMES M SWARTZ WELL 7709567827 793 SAWYER ROAD MARIETTA GA 300622222 JAMES M SWARTZ VP ACCOUNTING 7709567827 2024-05-15 true JAMES M SWARTZ 999009999 JOANNE KRUEGER P01235586 2673303000 2024-05-14 2 2022 2023-04-26 12:10:37Z CANDICE L SAUNDERS 793 SAWYER ROAD MARIETTA GA 300622222 18389196 false X www.wellstar.org X 1984 GA To support the charitable activities of all WellStar Health System organizations. 23 18 0 21 0 0 13979490 17450871 0 0 1046785 804275 -110266 -276490 14916009 17978656 1744344 3915089 0 0 2164599 2959088 0 0 2764728 4583839 4446941 8492782 11321118 6423227 6657538 42111336 46447133 3441533 364905 38669803 46082228 X SEE SCHEDULE O false false 5902181 3915089 0 SEE SCHEDULE O 5902181 true true false false false false false false true false false false false true false true true false false false false false false true false false true true true false false false false false false false false false false false false false true true false false false true 0 0 0 true false false false false false true true false false false false false false false X 23 18 false false false false true true true true true false false true true true true true true true true false GA X JAMES M SWARTZ 7709567827 793 SAWYER ROAD MARIETTA GA 300622222 CANDICE SAUNDERS PRESIDENT & CEO;FDN.BRD.MEMBER 2.0 48.0 X X 0 4720755 100914 ANTHONY J BUDZINSKI EXEC. VP & CFO;FDN.BRD.MEMBER 2.0 48.0 X X 0 1443498 104441 JULIE TEER FOUNDATION BOARD MEMBER 2.0 48.0 X X 0 782757 44404 THEOLYN PRICE MD FOUNDATION BOARD MEMBER 2.0 48.0 X 0 707034 81981 SCOTT MILLER MD FDN. BOARD MEMBER & PHYSICIAN 2.0 48.0 X 0 674969 105128 ANDREW JOHNSON FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 BIRD BLITCH FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 CHRIS PUMPHREY FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 DAN BUYERS FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 DAVID BOTTOMS FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 DEBBIE THATCH FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 EMIL HILL FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 FRANK MCCOY MD FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 GARY A MILLER FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 KELLY JANZEN FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 MATT WEBB FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 REAGAN MCLAUGHLIN FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 STEPHANIE WINDHAM FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 WILLIAM LAKO FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 LARRY HORNSBY MD FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 RANDY KOPORC FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 CONDACE PRESSLEY FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 JASMINE CROWE-HOUSTON FOUNDATION BOARD MEMBER 2.0 0.0 X 0 0 0 0 8329013 436868 0 false true false 0 1204586 5553681 37375 10655229 17450871 0 804275 804275 0 0 0 0 0 0 134050 134050 410540 -276490 -276490 0 0 0 0 0 0 0 17978656 527785 3789499 3789499 125590 125590 0 0 0 0 2959088 177545 1272408 1509135 0 0 0 0 0 0 0 0 0 2961504 1312899 1073681 574924 232164 9204 0 222960 1052957 393570 290024 369363 0 0 10222 0 10222 0 18431 757 0 17674 0 83670 25307 0 58363 0 0 7623 0 7623 0 0 OTHER EXPENSES 80370 67810 251 12309 11321118 5902181 2654209 2764728 0 0 10825078 5463816 872622 4746699 0 0 0 0 0 0 0 0 0 0 415047 76880 0 0 29998589 36159738 0 0 0 0 0 0 0 0 42111336 46447133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3441533 364905 3441533 364905 X 5224606 5162834 33445197 40919394 38669803 46082228 42111336 46447133 X 6657538 720080 34807 X false true X true false X X 9 DOUGLAS HOSPITAL INC 582026750 3 true 800235 0 COBB HOSPITAL INC 580968382 3 true 90511 0 PAULDING MEDICAL CENTER INC 582095884 3 true 365447 0 KENNESTONE HOSPITAL INC 582032904 3 true 1162659 0 WELLSTAR ATLANTA MEDICAL CENTER INC 810837031 3 true 25209 0 WELLSTAR SPALDING REGIONAL HOSPITAL INC 810864789 3 true 272920 0 WELLSTAR SYLVAN GROVE HOSPITAL INC 810875069 3 true 0 0 WELLSTAR NORTH FULTON HOSPITAL INC 810851756 3 true 97117 0 WEST GEORGIA MEDICAL CENTER INC 205497506 3 true 3143 0 9 2817241 0 9866089 8448758 10186157 13979490 17450871 59931365 0 0 9866089 8448758 10186157 13979490 17450871 59931365 0 59931365 512792 478163 570239 1046785 804275 3412254 0 0 63343619 0.94613 0.94197 X true false false false false false false false false false false false false false false false SCHEDULE A, PART IV, SECTION C, LINE 1 WELLSTAR HEALTH SYSTEM IS THE COMMON PARENT OF WELLSTAR FOUNDATION AND EACH OF ITS SUPPORTED ORGANIZATIONS, DOUGLAS HOSPITAL, COBB HOSPITAL, PAULDING MEDICAL CENTER, KENNESTONE HOSPITAL, WELLSTAR ATLANTA MEDICAL CENTER, WELLSTAR NORTH FULTON HOSPITAL, WELLSTAR SPALDING REGIONAL HOSPITAL, WELLSTAR SYLVAN GROVE HOSPITAL, AND WELLSTAR WEST GEORGIA MEDICAL CENTER EACH LISTED ON SCHEDULE A, PART VI. WELLSTAR HEALTH SYSTEM IS ALSO THE SOLE MEMBER OF EACH ORGANIZATION. AS SOLE MEMBER, WELLSTAR HEALTH SYSTEM HOLDS CERTAIN POWERS OF ELECTION AND APPROVAL IN CONNECTION WITH THE GOVERNING BODY OF WELLSTAR FOUNDATION AND EACH OF ITS SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8396000 89000 -5000 8480000 9743000 52000 -1399000 8396000 7756000 65000 1922000 9743000 7936000 42000 -222000 7756000 7710000 29000 197000 7936000 0.65000 0.35000 false true true 0 DUE TO AFFILIATES 73571 LIAB. UNDER SPLIT-INT. AGREEMENT 291334 364905 X SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS: WELLSTAR FOUNDATION, INC. HELD TWO ENDOWMENT FUNDS AT THE END OF THE REPORTING PERIOD. ONE ENDOWMENT, THE HODGES FUND, IS ESTABLISHED FOR THE PURPOSE OF PROVIDING SCHOLARSHIPS TO ELIGIBLE STUDENTS IN HEALTHCARE RELATED COURSE STUDIES. THE SECOND ENDOWMENT, HOSPICE FUND, IS ESTABLISHED TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PATIENTS IN THE WELLSTAR HOSPICE PROGRAM. SCHEDULE D, PART X, LINE 2 THE FOLLOWING FOOTNOTE IS RELATED TO THE ORGANIZATION'S APPLICATION OF FASB ASC 740 (PREVIOUSLY FIN 48): "WELLSTAR AND 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. 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. WELLSTAR HAS EVALUATED ITS TAX POSITIONS AND DOES NOT BELIEVE THERE ARE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2023, or 2022." GALA 991111 904486 86625 203244 83414 GOLF OUTING 175430 139205 36225 48031 4684 1 172095 160895 11200 69350 1817 1338636 1204586 134050 320625 89915 410540 -276490 true WELLSTAR HEALTH SYSTEM INC 793 SAWYER ROAD Marietta GA 300622222 581649541 501(C)(3) 3341437 FMV N/A CAPITAL PURCHASES WELLSTAR HEALTH SYSTEM INC 793 SAWYER ROAD MARIETTA GA 300622222 581649541 501(C)(3) 448062 FMV N/A SUPPORT 1 0 EDUCATIONAL SCHOLARSHIPS 106 125950 FMV N/A SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANTS: WELLSTAR FOUNDATION, INC. MAKES GRANTS TO ITS SUPPORTED ORGANIZATIONS, IN SUPPORT OF THEIR CHARITABLE PURPOSES. AS PART OF AN INTEGRATED HEALTH SYSTEM, ALL DOCUMENTATION OF SUPPORT IS MAINTAINED AND TRACKED AS THEY ARE MADE. false true false false false false false true false ANTHONY J BUDZINSKI EXEC. VP & CFO;FDN.BRD.MEMBER 859990 0 557287 0 26221 0 51631 0 52810 0 1547939 0 0 CANDICE SAUNDERS PRESIDENT & CEO;FDN.BRD.MEMBER 0 1729808 0 2512996 0 477951 0 50240 0 50674 0 4821669 0 446498 JULIE TEER FOUNDATION BOARD MEMBER 0 540829 0 227468 0 14460 0 11705 0 32699 0 827161 0 0 SCOTT MILLER MD FDN. BOARD MEMBER & PHYSICIAN 0 420602 0 247615 0 6752 0 58161 0 46967 0 780097 0 0 THEOLYN PRICE MD FOUNDATION BOARD MEMBER 0 575000 0 121670 0 10364 0 51613 0 30368 0 789015 0 0 SCHEDULE J, PART I, LINE 4B PARTICIPATION IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: DURING THE YEAR, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS AND CERTAIN PHYSICIANS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SPONSORED BY WELLSTAR HEALTH SYSTEM, INC. THE AMOUNTS RELATED TO THIS PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING OFFICER RECEIVED SEVERANCE PAY DURING THE 2022 CALENDAR YEAR FROM EITHER THE ORGANIZATION OR A RELATED ORGANIZATION: CANDICE L. SAUNDERS 446,498 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS TO OFFICERS: AS PART OF THE WELLSTAR EXECUTIVE COMPENSATION PHILOSOPHY A PERFORMANCE PAY PLAN WAS INSTITUTED SEVERAL YEARS AGO WHEREBY THE WELLSTAR BOARD OF TRUSTEES APPROVES AN ANNUAL INCENTIVE PLAN WHICH CONSISTS OF SEVERAL PERFORMANCE GOALS OR FACTORS THAT UPON ATTAINMENT WILL RESULT IN PAYOUTS TO ELIGIBLE PLAN PARTICIPANTS. THOSE FACTORS ARE: (1) PEOPLE & CUSTOMER SERVICE GOAL FOR EMPLOYEE "TRUST INDEX (2) QUALITY & SAFETY GOAL FOR CLINICAL EXCELLENCE AND PATIENT SATISFACTION; AND (3) FINANCIAL GOAL FOR ATTAINING A POSITIVE OPERATING MARGIN. CONFIRMATION OF ACHIEVING THESE GOALS IS TYPICALLY RECEIVED THROUGH THE ANNUAL EXTERNAL AUDIT PROCESS AND APPROVED BY THE BOARD OF TRUSTEES AT THAT TIME. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION THE ORGANIZATION'S MISSION IS TO CREATE AND DELIVER HIGH QUALITY HOSPITAL, PHYSICIAN AND OTHER HEALTHCARE-RELATED SERVICES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES WE SERVICE. OUR VISION IS TO JOIN AND SERVE THE COMMUNITY TO PROVIDE AND FUND COMPASSIONATE, WORLD-CLASS HEALTHCARE FOR EVERYONE IN OUR WELLSTAR COMMUNITY. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS WELLSTAR FOUNDATION IS THE DEVELOPMENT AND FUNDRAISING CENTER FOR WELLSTAR HEALTH SYSTEM, AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3). IT IS DEDICATED TO SERVING OUR COMMUNITY AND GIVING PEOPLE THE TOOLS AND FACILITIES TO BECOME STRONGER AND HEALTHIER. WELLSTAR FOUNDATION BEGAN IN 1995 IN RESPONSE TO MEDICAL ADVANCES NEEDED BY OUR HEALTHCARE SYSTEM TO CONTINUE THE PURSUIT OF WORLD-CLASS HEALTHCARE. FROM ITS MODEST BEGINNINGS WITH FOUR DEDICATED AND EXPERIENCED TEAM MEMBERS TO THE CURRENT 18-MEMBER STAFF, THE FOUNDATION HAS BEEN INSTRUMENTAL IN RALLYING EMPLOYEE, VOLUNTEER, CORPORATE AND COMMUNITY SUPPORT FOR WELLSTAR HEALTH SYSTEM INITIATIVES. THE MEMBERS OF THE FOUNDATION COLLABORATE WITH OTHER COMMUNITY LEADERS TO RAISE FUNDS AND PROVIDE PROGRAMS AND SERVICES, WHICH RESULT IN HEALTH IMPROVEMENTS FOR ALL. PAYMENTS TO HOSPITAL PROJECTS FOR THE REPORTING PERIOD EXCEEDED $1.6 MILLION. SINCE 1985, THE WELLSTAR FOUNDATION HAS BEEN AT THE FOREFRONT OF SECURING LIFE-SAVING RESOURCES FOR THE WELLSTAR HEALTH SYSTEM. AS A 501(C)(3) NOT-FOR PROFIT ORGANIZATION, DONATIONS ARE CRITICAL IN HELPING WELLSTAR ACHIEVE ITS VISION OF DELIVERING WORLD-CLASS HEALTHCARE. IN FYE 2023, THE FOUNDATION RAISED MORE THAN $13.2 MILLION FOR THE SYSTEM. DONATIONS ARE RECEIVED FROM GENEROUS INDIVIDUALS THROUGH PRINCIPAL GIFTS, ANNUAL GIFTS, TRIBUTE GIFTS, SPECIAL EVENTS, AND LEGACY PLANNING; CORPORATE AND COMMUNITY ORGANIZATIONS, PUBLIC GRANTS AND OTHER STRATEGIC OPPORTUNITIES AND WELLSTAR'S OWN TEAM MEMBERS DONATE JUST OVER $1 MILLION EACH YEAR THROUGH ITS TEAM MEMBER GIVING PROGRAM. MANY TEAM MEMBER DONATIONS ARE DESIGNATED TOWARD EDUCATIONAL SCHOLARSHIPS AND EMERGENCY ASSISTANCE FOR TEAM MEMBERS IN NEED. HOSPITAL AUXILIARIES CONTRIBUTED MORE THAN $400,000 ANNUALLY THAT SUPPORT ENHANCEMENTS AT LOCAL WELLSTAR FACILITIES. ENHANCEMENT PROJECTS MAY BENEFIT COMMUNITY MEMBERS AT THEIR LOCAL HOSPITAL, HEALTH PARK, HOSPICE, PEDIATRIC CENTER OR OTHER WELLSTAR FACILITY. IN THE PAST, CONTRIBUTIONS TO THE FOUNDATION HAVE SUPPORTED THE DEVELOPMENT OF AN INNOVATIVE CANCER TREATMENT, WORKFORCE DEVELOPMENT INITIATIVES, WOMEN'S HEALTH DOULA SERVICES AND ACCESS TO CARE AS WELL AS MUCH NEEDED BEHAVIORAL HEALTH PROGRAMS FOR ADOLESCENCE THROUGH ELDERLY, AND MOBILE FOOD MARKETS SERVING A DIVERSE POPULATION. WELLSTAR CONSISTENTLY SEEKS TOTAL PATIENT WELLNESS AND WORKS TO ENSURE THAT ALL SYSTEMS, WITHIN THE HOSPITAL AND COMMUNITY, SUPPORT THAT FOCUS. THROUGH COMMUNITY PARTNERSHIPS, THE WELLSTAR FOUNDATION PROVIDES FUNDING FOR BABIES BORN HEALTHY IN PARTNERSHIP WITH PUBLIC HEALTH, BI-LINGUAL HEALTH FAIRS AND MOBILE FOOD MARKET AND SOCIAL SERVICES, EDUCATION SERVICES IN PARTNERSHIP WITH SERFAMILIA, HEALTH EQUITY AND COMMUNITY HEALTH PROGRAMS INCLUDING NUTRITION SERVICES AND EDUCATION, HEALTH SCREENINGS AND COMMUNITY HEALTH WORKERS. HEALTH, SAFETY & EDUCATION: WELLSTAR FOUNDATION CONTINUES TO HAVE INITIATIVES FOR FUNDRAISING THAT WILL HELP TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES IN THE WELLSTAR SERVICE AREA WITH AN EMPHASIS ON SOME OF THE FOLLOWING SERVICE LINES AND DISCIPLINES-BEHAVIORAL HEALTH, CANCER, CARDIAC, STROKE, PEDIATRIC, END-OF-LIFE, PREVENTION & WELLNESS, AND OVERALL FACILITIES IMPROVEMENTS. OVER THE PAST FIVE YEARS WELLSTAR TEAM MEMBERS HAVE DONATED OVER $5 MILLION TOWARDS SYSTEM INITIATIVES THROUGH THE ANNUAL EMPLOYEE GIVING CAMPAIGNS. CHARITABLE DONATIONS PROVIDE THE MEDICAL TECHNOLOGY OUR PHYSICIANS USE TO TREAT AND HEAL PATIENTS ACROSS A VARIETY OF SERVICE AREAS, INCLUDING CANCER, STROKE, HOSPICE, CARDIOLOGY, PEDIATRICS, WOMEN'S HEALTH, ORTHOPEDICS, BEHAVIORAL HEALTH AND MORE. AS A LEADER IN ADDRESSING HEALTH EQUITY, THE FOUNDATION RAISES FUNDS TO SUPPORT WELLSTAR'S COMMITMENT TO DELIVER WORLD-CLASS HEALTHCARE TO EVERY PERSON, EVERY TIME. THIS INCLUDES PROGRAMS AND SERVICES FOCUSED ON SIX CRITICAL AREAS OF DISPARITIES: ACCESS TO CARE, BEHAVIORAL HEALTH, CANCER, FOOD INSECURITY, SUICIDE AND WOMEN'S HEALTH. SOME OF THESE PROGRAMS INCLUDE COMMUNITY CLINICS, IMPROVING ACCESS THROUGH VIRTUAL HEALTH, MENTAL HEALTH, AND OPIOID ABUSE. THE FOUNDATION IS COMMITTED TO ADVANCING THE LEVEL OF HEALTHCARE PROVIDED TO WELLSTAR COMMUNITIES THROUGH IMPROVED PATIENT SERVICES AND ASSISTANCE FOR THOSE IN NEED. OTHER PROGRAMS AND FACILITIES ENHANCEMENTS BENEFITING FROM THE GENEROUS SUPPORT OF DONORS IN THE COMMUNITY INCLUDE: HOSPICE-- WITH SUPPORT FROM THE COMMUNITY, WELLSTAR COMMUNITY HOSPICE AT KENNESAW MOUNTAIN AND TRANQUILITY HOSPICE AT COBB HOSPITAL ESTABLISHED A GARDEN OF HOPE FOR PATIENTS AND FAMILY TO ENJOY DURING DIFFICULT LAST DAYS. CANCER SERVICES-- WELLSTAR PROVIDED MORE THAN 1,000 FREE MAMMOGRAMS FOR LOW-INCOME PATIENTS ACROSS WELLSTAR HEALTH SYSTEM'S SERVICE AREA. COVID SLIGHTLY DECREASED THESE VOLUMES IN FY22. WOMEN'S SERVICES-DONATIONS WERE RECEIVED AND USED TO SUPPORT BABIES BORN HEALTHY, A PRE-NATAL HEALTH SERVICES PROGRAM TO ASSIST LOW INCOME AND AT RISK POPULATIONS BY PROVIDING ACCESS TO CRITICAL, LIFE SAVING AND INFANT SAVING PREVENTATIVE CARE, AS WELL AS PROVIDING DOULA SERVICES, COMMUNITY OUTREACH-IN PARTNERSHIP WITH WELLSTAR'S CENTER FOR HEALTH EQUITY, THE FOUNDATION SUPPORTED THE STAFFING AND EQUIPPING OF 2 SOCIAL WORKERS TO SERVE ACROSS 6 DIFFERENT COMMUNITIES WITH AT RISK, LOW ACCESS POPULATIONS. GENERAL FACILITIES IMPROVEMENTS-- WITH THE SUPPORT OF TEAM MEMBERS AND VOLUNTEER GROUPS AND AUXILIARIES AT EACH OF THE HOSPITALS IN THE SYSTEM A PORTION OF THE $13.2M RAISED DURING THE REPORTING PERIOD WERE TO BE USED FOR RENOVATIONS AND OTHER INITIATIVES THROUGHOUT THE WELLSTAR NETWORK. FORM 990, PART I, LINES 7A & 7B UNRELATED BUSINESS INCOME WHS FOUNDATION, INC. GENERATED NO UNRELATED BUSINESS INCOME ("UBI") FOR THE REPORTING PERIOD. AS A RESULT THE FILED 990-T SHOWS NO ACTIVITY. IF SUBSEQUENT REVIEW OF THE BOOKS REVEALS ANY UNREPORTED UBI WE WILL FILE AN AMENDED RETURN FOR THE TAX PERIOD ENDED JUNE 30, 2023. FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B POWERS OF THE BOARD/ORGANIZATIONAL STRUCTURE AS PER THE ARTICLES OF INCORPORATION, THE SOLE MEMBER OF THE ORGANIZATION IS WELLSTAR HEALTH SYSTEM, INC., A GA NONPROFIT CORPORATION. AS SOLE MEMBER, WELLSTAR HEALTH SYSTEM, INC. HOLDS CERTAIN POWERS OF ELECTION AND APPROVAL IN CONNECTION WITH THE GOVERNING BODY OF THE ORGANIZATION. THESE POWERS ARE PRESENTED IN DETAIL IN THE COMPANY'S GOVERNING DOCUMENTS, WHICH THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC UPON REQUEST. IN FURTHERANCE OF THE FOREGOING, THE BOARD OF TRUSTEES OF THE ORGANIZATION MAY NOT TAKE ANY ACTIONS THAT IN ANY WAY ARE INCONSISTENT OR CONFLICT WITH THE ACTIONS OR DIRECTIONS OF THE BOARD OF TRUSTEES OF WELLSTAR HEALTH SYSTEM, INC. THE DUTIES AND RESPONSIBILITIES OF THE OFFICERS OF THE ORGANIZATION ARE DELINEATED BY THE CEO OF WELLSTAR HEALTH SYSTEM, INC., AND THE ACTIONS OF THE OFFICERS OF THE ORGANIZATION ARE SUBJECT TO THE APPROVAL OF THE CEO OF WELLSTAR HEALTH SYSTEM, INC. ADDITIONALLY WELLSTAR HEALTH SYSTEM, INC. IS THE ONLY CORPORATE MEMBER OF THE ORGANIZATION AND HAS EXPRESSLY RESERVED CERTAIN POWERS AS FOLLOWS THROUGH THE BOARD OF TRUSTEES OR CEO OF WELLSTAR HEALTH SYSTEM, INC.: A) APPOINT, ELECT, REMOVE (IF NECESSARY) AND FILL VACANCIES OF ALL TRUSTEES AND EXECUTIVE AND BOARD OFFICERS OF THE ORGANIZATION; B) APPROVE AND REVISE THE OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION; C) APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE ORGANIZATION; D) APPROVE ANY MERGER, SALE, LIQUIDATION OR VOLUNTARY BANKRUPTCY OR RECEIVERSHIP PETITION OF THE ORGANIZATION; E) TO IMPLEMENT POLICIES AND DIRECTIVES (INCLUDING CONFLICTS OF INTEREST) AND TO TAKE ANY OTHER ACTION AS PROVIDED IN THESE BYLAWS; F) TO BE THE POINT OF CONTACT WITH RESPECT TO VENDORS OF THE ORGANIZATION AND TO REQUIRE THE ORGANIZATION'S PARTICIPATION IN ANY AGREEMENT NEGOTIATED BY WELLSTAR AS IT RELATES TO THE ORGANIZATION; G) TO ADOPT A STRATEGIC PLAN FOR THE ORGANIZATION OR APPROVE OR PERMIT ANY MATERIAL DEPARTURE FROM A PREVIOUSLY-APPROVED STRATEGIC PLAN; H) ADD TO, SUBTRACT FROM, REVISE OR OTHERWISE AMEND THE PURPOSE OF THE ORGANIZATION; I) ENTER INTO, PARTICIPATE IN OR RENEW ANY MATERIAL STRATEGIC RELATIONSHIP, OR CREATE ANY NEW AFFILIATE; J) APPROVE THE PURCHASE OR LEASE OF ASSETS OR SERVICES OTHER THAN PURSUANT TO APPROVED BUDGETS; K) APPROVE THE INCURRENCE OF DEBT WHETHER THROUGH LOAN, LEASE, INSTALLMENT PURCHASE OR OTHER ARRANGEMENT OTHER THAN PURSUANT TO APPROVED BUDGETS; L) APPROVE THE CONTRIBUTION, DONATION OR TRANSFER OF ASSETS WITH OR WITHOUT CONSIDERATION TO RECIPIENTS OUTSIDE WELLSTAR HEALTH SYSTEM, INC.; M) TO REQUIRE PARTICIPATION BY THE ORGANIZATION IN WELLSTAR HEALTH SYSTEM, INC. INDEBTEDNESS OF A TAXABLE OR NON-TAXABLE NATURE; AND N) TO ACCESS OR REQUIRE ASSET TRANSFERS (WITH OR WITHOUT CONSIDERATION) BY THE ORGANIZATION TO ANY WELLSTAR HEALTH SYSTEM, INC. AFFILIATE, FOR ANY PURPOSE THAT IT DETERMINES TO BE IN THE BEST INTEREST OF THE SYSTEM. AS A RESULT, THE SAME GROUP OF PEOPLE WHO MANAGE AND DIRECT THE ACTIVITIES OF WELLSTAR HEALTH SYSTEM, INC. ALSO MANAGE AND DIRECT THE ACTIVITIES OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B BOARD REVIEW OF FORM 990 INTERNAL STAFF PREPARES THE ORGANIZATION'S FORM 990. BEFORE FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE AN EXTERNAL ACCOUNTING FIRM, PWC US TAX LLP, REVIEWS AND SIGN-OFFS ON THE COMPLETED RETURN. THE ORGANIZATION'S CFO OR DESIGNEE SUBSEQUENTLY SIGNS THE RETURN FOR EITHER MANUAL OR ELECTRONIC FILING BY THE APPROPRIATE DUE DATE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY 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. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION OF OFFICERS WELLSTAR HEALTH SYSTEM, INC. HAS ENGAGED SULLIVAN COTTER TO WORK WITH THE GOVERNING BOARD AND COMPENSATION COMMITTEE TO REVIEW AND RECOMMEND EXECUTIVE COMPENSATION. THE EXECUTIVE COMPENSATION PROCESS AT WELLSTAR IS OVERSEEN BY A COMMITTEE OF INDEPENDENT TRUSTEES, WHICH FOLLOWS A BOARD-APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. THE COMPENSATION COMMITTEE CONSISTS OF FIVE TRUSTEES. THE CEO AND CHIEF HUMAN RESOURCES OFFICERS PARTICIPATE IN AN ADVISORY ROLE, AND NOT AS VOTING MEMBERS. FURTHER IN COMMITTEE DISCUSSIONS ABOUT THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, THE CEO RECUSES HIM/HERSELF FROM THAT PROCESS. 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 TRUSTEES 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. BASE COMPENSATION IS TARGETED AT THE MEDIAN BASE COMPENSATION PAID TO SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS (THE MARKET). OFFICERS OF THE COMPANY ALSO RECEIVE VARIABLE COMPENSATION THAT IS DEPENDENT ON INDIVIDUAL AND ORGANIZATION PERFORMANCE. WHEN PERFORMANCE IS FULLY SUSTAINED AT A SATISFACTORY LEVEL, THE TOTAL COMPENSATION, BOTH BASE AND VARIABLE, IS INTENDED TO BE AT OR AROUND THE 75TH% OF COMPENSATION PAID TO SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS. 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 SULLIVAN COTTER 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 PROVIDED TO THE FULL BOARD OF TRUSTEES FOR REVIEW. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS MADE AVAILABLE TO THE PUBLIC THE ORGANIZATION AND ITS AFFILIATES 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 A COMMUNITY BENEFIT REPORT ONCE A YEAR FOR DISTRIBUTION TO THE PUBLIC. IN ACCORDANCE WITH O.C.G.A SECTION 31-7-22 AND THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH'S RULES AND REGULATIONS FOR HOSPITAL TRANSPARENCY CHAPTER 111-8-41 THE APPLICABLE DOCUMENTS ARE POSTED ON THE WELLSTAR.ORG WEBSITE IN THE WELLSTAR HOSPITAL TRANSPARENT INFORMATION SECTION. UNDER ITS CONTINUING DISCLOSURE AGREEMENTS FOR PUBLIC BONDS OUTSTANDING FINANCIAL AND STATISTICAL INFORMATION IS POSTED AND REPORTED ON EMMA.MSRB.ORG ON A QUARTERLY AND ANNUAL BASIS. FORM 990, PART VII OFFICERS HOURS WORKED THE OFFICERS DEVOTE THEIR TIME TO ALL OF THE ORGANIZATIONS WITHIN WELLSTAR HEALTH SYSTEM THAT ARE LISTED IN SCHEDULE R, PART II. AS SUCH, THE TOTAL HOURS WORKED BY THE OFFICERS ACROSS ALL ORGANIZATIONS EXCEEDS 40 HOURS A WEEK. FORM 990, PART VII & FORM 990, SCHEDULE J COMPENSATION 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). FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS FOR THE REPORTING PERIOD, WELLSTAR FOUNDATION, INC. HAD A CHANGE IN NET ASSETS OF $34,807 RELATED TO CHANGES IN TEMPORARY RESTRICTED PLEDGES. FORM 990 PART IX LINE 11G DESCRIPTION:PATIENT SERVICES TOTAL FEES:283158 FORM 990 PART IX LINE 11G DESCRIPTION:COMMUNITY SERVICES TOTAL FEES:504565 FORM 990 PART IX LINE 11G DESCRIPTION:EDU & EMPLOYEE ASSISTANCE TOTAL FEES:489852 FORM 990 PART IX LINE 11G DESCRIPTION:HOSPITAL GENERAL PURPOSE TOTAL FEES:35324 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:1648605 Cobb Hospital Inc 793 SAWYER ROAD Marietta GA 30062 580968382 Healthcare GA 501(C)(3) 3 WHS INC true Douglas Hospital Inc 793 SAWYER ROAD Marietta GA 30062 582026750 Healthcare GA 501(C)(3) 3 WHS INC true Kennestone Hospital Inc 793 SAWYER ROAD Marietta GA 30062 582032904 Healthcare GA 501(C)(3) 3 WHS INC true Paulding Medical Center Inc 793 SAWYER ROAD Marietta GA 30062 582095884 Healthcare GA 501(C)(3) 3 WHS INC true Wellstar Health System Inc 793 SAWYER ROAD Marietta GA 30062 581649541 Healthcare GA 501(C)(3) 12 II NA false WELLSTAR ATLANTA MEDICAL CENTER INC 793 SAWYER ROAD MARIETTA GA 30062 810837031 HEALTHCARE GA 501(C)(3) 3 WHS INC true WELLSTAR NORTH FULTON HOSPITAL INC 793 SAWYER ROAD MARIETTA GA 30062 810851756 HEALTHCARE GA 501(C)(3) 3 WHS INC true WELLSTAR SPALDING REGIONAL HOSPITALINC 793 SAWYER ROAD MARIETTA GA 30062 810864789 HEALTHCARE GA 501(C)(3) 3 WHS INC true WELLSTAR SYLVAN GROVE HOSPITAL INC 793 SAYWER ROAD MARIETTA GA 30062 810875069 HEALTHCARE GA 501(C)(3) 3 WHS INC true WEST GEORGIA HEALTH SERVICES INC 793 SAWYER ROAD MARIETTA GA 30062 205497622 HEALTHCARE GA 501(C)(3) 12 II WHS INC true WEST GEORGIA MEDICAL CENTER INC 793 SAWYER ROAD MARIETTA GA 30062 205497506 HEALTHCARE GA 501(C)(3) 3 WGHS INC true VERNON WOODS RETIREMENT COMMUNITY INC 793 SAWYER ROAD MARIETTA GA 30062 582575049 HEALTHCARE GA 501(C)(3) 10 WGHS INC true WEST GEORGIA HEALTH FOUNDATION INC 793 SAWYER ROAD MARIETTA GA 30062 200936376 FOUNDATION GA 501(C)(3) 12 II WGHS INC true MEDICAL PARK FOUNDATION INC 1514 VERNON ROAD LAGRANGE GA 30240 581303478 FOUNDATION GA 501(C)(3) 7 WGHS INC true Cobb SOUTH PARKING DECK 793 SAWYER ROAD MARIETTA GA 300622222 Parking GA NA KENNESTONE EAST PARKING DECK 793 SAWYER ROAD MARIETTA GA 300622222 200537100 PARKING GA NA GRIFFIN IMAGING LLC 793 SAWYER ROAD MARIETTA GA 300622222 IMAGING CENTER GA NA WELLSTAR SPALD EMSSPALD 911 793 SAWYER ROAD MARIETTA GA 300622222 OFF. BLDG/EMS GA NA NORTH FULTON PARKING DECK LP 793 SAWYER ROAD MARIETTA GA 300622222 PARKING GA NA SPALDING HEALTH SYSTEM LLC 793 SAWYER ROAD MARIETTA GA 300622222 PHYS. HOSP. ORG GA NA Community Assurance Co 3rd Fl Barclays Hse Shedden Rd George Town CJ 581649541 Insurance CJ WHS INC C CORP WEST GEORGIA HEALTH PHYSICIANS INC 793 SAWYER ROAD MARIETTA GA 300622222 275125341 PHYSICIAN PRAC GA WGHS INC C CORP WELLSTAR HEALTH PLAN INC 793 SAWYER ROAD MARIETTA GA 300622222 461922499 HEALTH INSURANCE GA WHS INC C CORP false true true false false false false false false false true false false true false true true true