TY 2015 Form 990

- TIN:

Form990

Department of the TreasuryInternal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)

Do not enter social security numbers on this form as it may be made public.

Information about Form 990 and its instructions is at www.IRS.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

A For the 2015 calendar year, or tax year beginning 07-01-2015 , and ending 06-30-2016

BCheck if applicable: Address change Name change Initial return Final return/terminated Amended return Application pending

CName of organization
WELLSTAR HEALTH SYSTEM INC

% JAMES M SWARTZ

Doing business as

Number and street (or P.O. box if mail is not delivered to street address)
793 SAWYER ROAD

Room/suite

City or town, state or province, country, and ZIP or foreign postal code
MARIETTA, GA300622222

D Employer identification number

58-1649541

E Telephone number

G Gross receipts $ 930,056,007

F Name and address of principal officer:
CANDICE L SAUNDERS
793 SAWYER ROAD
MARIETTA,GA300622222

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

www.wellstar.org

H(a)

Is this a group return for
subordinates? Yes No

H(b)

Are all subordinates
included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1994

M State of legal domicile: GA

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: TO DELIVER WORLD-CLASS CHARITABLE HEALTHCARE TO THE COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	20
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	5,998
6	Total number of volunteers (estimate if necessary) .............	6	401
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,403,367
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-93,896

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	800,436,589	896,062,377
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-17,068,471	-8,514,386
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	40,547,855	34,042,235
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	823,915,973	921,590,226
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,558,623	1,834,237
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	507,948,700	554,581,049
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,570,890
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	264,562,149	293,950,917
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	774,069,472	850,366,203
19	Revenue less expenses. Subtract line 18 from line 12.......	49,846,501	71,224,023
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,287,456,665	2,455,522,653
21	Total liabilities (Part X, line 26).............	1,043,356,754	1,276,480,141
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,244,099,911	1,179,042,512

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name MediumBullet

Firm's EIN MediumBullet

Firm's address MediumBullet

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ..........YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y Form 990 (2015)

Form 990 (2015)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response or note to any line in this Part III ..............

Briefly describe the organization’s mission: 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.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ..................... Yes No

If "Yes," describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ........................... Yes No

If "Yes," describe these changes on Schedule O.

Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ 539,431,179 including grants of $ 1,834,237 ) (Revenue $ 896,062,377 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses539,431,179

Form 990 (2015)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A Click to see attachment

.....................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I Click to see attachment

.............

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II Click to see attachment

..............

Yes

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I Click to see attachment

..................

Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II Click to see attachment

...

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment

.............

Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV Click to see attachment

..............

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V Click to see attachment

......

Yes

If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI. Click to see attachment

...................

11a

Yes

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII Click to see attachment

.......

11b

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII Click to see attachment

.......

11c

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX Click to see attachment

............

11d

Yes

Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X Click to see attachment

11e

Yes

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X Click to see attachment

11f

Yes

12a

Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment

.................

12a

Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment

12b

Yes

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E

14a

Did the organization maintain an office, employees, or agents outside of the United States? .....

14a

Yes

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........

14b

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...

Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................

20a

Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....

20a

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

20b

Form 990 (2015)

Page 4

Part IV

Checklist of Required Schedules (continued)

Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..... Click to see attachment

Yes

Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment

Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment

Yes

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a............... Click to see list of attachments

24a

Yes

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............

24c

Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...

24d

25a

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............ Click to see attachment

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ................... Click to see attachment

25b

Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................ Click to see attachment

Yes

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment

Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV ........................ Click to see attachment

28a

Yes

A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV..................... Click to see attachment

28b

Yes

An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment

28c

Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............

Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........ Click to see attachment

Yes

Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1......................... Click to see attachment

Yes

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

Yes

If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ... Click to see attachment

35b

Yes

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment

Yes

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI Click to see attachment

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Form 990 (2015)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........

Yes

Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..

804

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................

5,998

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?...

Yes

If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...

Yes

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..

Yes

If "Yes," enter the name of the foreign country: MediumBullet

CJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...

If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................

If "Yes," did the organization notify the donor of the value of the goods or services provided? .....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................

If "Yes," indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................

Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................

Did the sponsoring organization make any taxable distributions under section 4966?...

Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

12a

If "Yes," enter the amount of tax-exempt interest received or accrued during the year.

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.

13a

Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....

13b

Enter the amount of reserves on hand ............

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..

14b

Form 990 (2015)

Page 6

Part VI

Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response or note to any line in this Part VI ..............

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year

If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................

Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................

Yes

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Did the organization have members or stockholders? ................

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .......................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Yes

10a

Did the organization have local chapters, branches, or affiliates? ............

10a

If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?

10b

11a

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................

11a

Yes

Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....

12a

Did the organization have a written conflict of interest policy? If "No," go to line 13.......

12a

Yes

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................

12b

Yes

Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................

12c

Yes

Did the organization have a written whistleblower policy? ...............

Yes

Did the organization have a written document retention and destruction policy? .........

Yes

Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

Other officers or key employees of the organization ................

15b

Yes

If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).

16a

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................

16a

Yes

If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Yes

Section C. Disclosure

List the States with which a copy of this Form 990 is required to be filed MediumBullet

Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.

State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBullet

JAMES M SWARTZ793 SAWYER ROAD MARIETTA,GA300622222 (770) 956-7827

Form 990 (2015)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response or note to any line in this Part VII ..............

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet

List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See instructions for definition of "key employee."

List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) AVRIL P BECKFORD MD...................................................................... TRUSTEE & CHIEF PEDIATRIC OFF.	32.0 ................. 18.0	X	X	553,416	0	30,618
(2) W CHARLES BROCK...................................................................... TRUSTEE	1.0 ................. 9.0	X		21,470	0	0
(3) CHARLES J JONES...................................................................... TRUSTEE	1.0 ................. 9.0	X		4,079	0	0
(4) DAVID H HAFNER MD...................................................................... TRUSTEE	1.0 ................. 9.0	X		23,923	0	0
(5) FRANK ROS...................................................................... TRUSTEE	1.0 ................. 9.0	X		3,478	0	0
(6) GARY A MILLER...................................................................... TRUSTEE - CHAIR	1.0 ................. 9.0	X		4,120	0	0
(7) GREG MORGAN...................................................................... TRUSTEE	1.0 ................. 9.0	X		2,324	0	0
(8) JANIE MADDOX...................................................................... TRUSTEE	1.0 ................. 9.0	X		7,482	0	0
(9) JEFFREY L THARP MD MPH...................................................................... TRUSTEE & CHIEF MEDICINE SRVS	32.0 ................. 18.0	X	X	593,302	0	79,458
(10) MICHAEL B PATTON...................................................................... TRUSTEE	1.0 ................. 9.0	X		0	0	0
(11) MITZI MOORE...................................................................... TRUSTEE	1.0 ................. 9.0	X		3,074	0	0
(12) O SCOTT SWAYZE MD...................................................................... TRUSTEE	1.0 ................. 9.0	X		4,304	0	0
(13) OTIS A BRUMBY III...................................................................... TRUSTEE	1.0 ................. 9.0	X		16,930	0	0
(14) RANDALL BENTLEY SR...................................................................... TRUSTEE	1.0 ................. 9.0	X		20,441	0	0
(15) ROBERT N CROSS MD...................................................................... TRUSTEE	1.0 ................. 9.0	X		14,803	0	0
(16) H SPEER BURDETTE III...................................................................... TRUSTEE	1.0 ................. 9.0	X		0	0	0
(17) TE RUSTY DURHAM...................................................................... TRUSTEE EMERITUS	1.0 ................. 5.0	X		0	0	0

Form 990 (2015)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) T FITZ JOHNSON........................................................................ TRUSTEE	1.0 .......................11.0	X				17,999	0	0
(19) THOMAS E GEARHARD MD........................................................................ TRUSTEE	1.0 .......................9.0	X				2,070	0	0
(20) THOMAS M PHILLIPS........................................................................ TRUSTEE	1.0 .......................9.0	X				2,638	0	0
(21) WALTER G ROBINSON........................................................................ TRUSTEE	1.0 .......................9.0	X				4,348	0	0
(22) STEVEN OWEIDA MD........................................................................ TRUSTEE EMERITUS	1.0 .......................5.0	X				787	0	0
(23) W ALLEN SEPARK........................................................................ TRUSTEE EMERITUS	1.0 .......................5.0	X				1,059	0	0
(24) SHAN COOPER........................................................................ TRUSTEE EMERITUS	1.0 .......................5.0	X				126	0	0
(25) AMY ELLEN F CARRIER........................................................................ SVP HOSPITAL PRESIDENT	2.0 .......................48.0		X			0	144,589	18,782
(26) ANTHONY J BUDZINSKI........................................................................ EVP & CFO	32.0 .......................20.0		X			793,732	0	76,107
(27) ANTHONY M TRUPIANO........................................................................ SVP SUPPLY CHAIN	32.0 .......................18.0		X			377,102	0	49,343
(28) BARBARA B COREY........................................................................ SVP MANAGED CARE	32.0 .......................18.0		X			416,030	0	47,665
(29) BETH KOST........................................................................ SVP COMPLIANCE CHF PRIVACY OFF	32.0 .......................18.0		X			331,271	0	34,355
(30) BETHANY ROBERTSON........................................................................ VP & CHIEF LEARNING OFFICER	32.0 .......................18.0		X			300,438	0	46,673
(31) BRADFORD B NEWTON........................................................................ VP INFO. TECHNOLOGY ADMIN.	32.0 .......................18.0		X			251,598	0	50,475
(32) BRUCE A DEAN........................................................................ VP REAL ESTATE DEPUTY GEN CNSL	32.0 .......................18.0		X			304,967	0	72,423
(33) CANDICE L SAUNDERS........................................................................ PRESIDENT & CEO	32.0 .......................20.0		X			2,070,332	0	77,248
(34) CARRIE O PLIETZ........................................................................ EVP & COO HOSP DIV(BEG.2/2016)	32.0 .......................18.0		X			0	0	0
(35) CRAIG OWENS........................................................................ SVP & HOSPITAL PRESIDENT	2.0 .......................48.0		X			0	362,527	51,393
(36) DANIEL J STYF........................................................................ SVP PW HEALTH PLAN	32.0 .......................18.0		X			401,787	0	30,738
(37) DAVID W ANDERSON........................................................................ EVP/HR/OL/CCO	32.0 .......................18.0		X			728,341	0	73,566
(38) DEBORAH C KEEL........................................................................ SVP HOSP. PRES.(BEGIN. 4/2016)	2.0 .......................48.0		X			0	0	0
(39) DONALD CAMPBELL MD........................................................................ SVP PHYS EDUC&STUDENT AFF	32.0 .......................18.0		X			363,405	0	0
(40) ELIZABETH H LOUDERMILK........................................................................ VP ENT INTELLIGENCE & INTGRTN	32.0 .......................18.0		X			293,860	0	42,566
(41) ELLEN LANGFORD........................................................................ SVP & COO WELLSTAR MED GROUP	32.0 .......................18.0		X			330,231	0	71,209
(42) FREDA LYON........................................................................ VP SYSTEM EMERGENCY & TRAUMA	32.0 .......................18.0		X			148,720	0	21,078
(43) JAMES M SWARTZ........................................................................ VP ACCOUNTING	32.0 .......................18.0		X			265,746	0	44,824
(44) JILL M CASE-WIRTH........................................................................ SVP & CHIEF NURSE EXECUTIVE	32.0 .......................18.0		X			424,761	0	56,220
(45) JIMMY E FRANCIS........................................................................ VP INFO TECHNOLOGY OPERATIONS	32.0 .......................18.0		X			266,152	0	49,549
(46) JOEL W HELMKE........................................................................ VP ONCOLOGY	32.0 .......................18.0		X			319,000	0	70,175
(47) JOHN A BRENNAN........................................................................ EVP CHIEF CLNC. OFF (BEG.4/16)	32.0 .......................18.0		X			0	0	0
(48) JONATHAN B MORRIS MD........................................................................ SVP CHF INFO OFFICER	32.0 .......................18.0		X			511,024	0	53,680
(49) JOSEPH L BRYWCZYNSKI........................................................................ SVP HEALTH PARKS DEVELOPMENT	32.0 .......................18.0		X			418,368	0	72,424
(50) KEM M MULLINS........................................................................ EVP COO AMBULATORY & BUS DEV	32.0 .......................18.0		X			596,655	0	52,732
(51) KIMBERLY J RYAN........................................................................ SVP HOSP. PRES. (BEGIN.4/2016)	2.0 .......................48.0		X			0	0	0
(52) KIMBERLY W MENEFEE........................................................................ SVP STRATEGIC COMMUNITY DEV	32.0 .......................18.0		X			385,571	0	50,772
(53) KRISTYN M GREIFER MD........................................................................ VP POPULATION MANAGEMENT	32.0 .......................18.0		X			397,576	0	18,767
(54) LEO E REICHERT........................................................................ EVP & GENERAL COUNSEL	32.0 .......................18.0		X			744,526	0	63,211
(55) MARCUS P CHARLSON MD........................................................................ VP SURGERY (BEG. 6/2016)	32.0 .......................18.0		X			0	0	0
(56) MARY L TAVERNARO........................................................................ VP HUMAN RESOURCES OPERATIONS	32.0 .......................18.0		X			317,618	0	51,130
(57) MICHELLE M ROBINSON........................................................................ VP MKTNG/PR/INTERNAL COMM	32.0 .......................18.0		X			253,969	0	42,237
(58) NICOLE V ASHE........................................................................ VP FINANCE & CFO WMG	32.0 .......................18.0		X			284,586	0	49,175
(59) PETER R JUNGBLUT MD MBA........................................................................ SVP & MEDICAL DIR WMG	32.0 .......................18.0		X			422,089	0	71,361
(60) REYNOLD J JENNINGS MD........................................................................ CHIEF STRATEGY OFFICER	40.0 .......................10.0		X			1,651,584	0	2,064
(61) RICHARD S SIEGEL........................................................................ VP CARDIOLOGY & CVM ADMIN	32.0 .......................18.0		X			353,273	0	76,096
(62) ROBERT D JANSEN MD........................................................................ EVP & PRES MED. GROUP	32.0 .......................18.0		X			1,130,961	0	65,599
(63) ROBERT J DECOUX........................................................................ VP CORPORATE MED STAFF SVCS	32.0 .......................18.0		X			195,690	0	45,418
(64) ROBERT MANDLER........................................................................ VP DIAGNOSTIC OUTREACH	32.0 .......................18.0		X			295,448	0	63,575
(65) SANDRA LUCIUS........................................................................ VP INFO TECHNOLOGY APPS	32.0 .......................18.0		X			262,637	0	49,160
(66) SEAN P TURNER........................................................................ VP REVENUE CYCLE MANAGEMENT	32.0 .......................18.0		X			317,142	0	51,201
(67) SNEHAL H DOSHI........................................................................ VP SYSTEM PHARMACIST	32.0 .......................18.0		X			175,084	0	26,331
(68) TAMARA D ISON........................................................................ SVP HOSP. PRES. (BEGIN.4/2016)	2.0 .......................48.0		X			0	0	0
(69) TIMOTHY HANEY........................................................................ SVP & HOSPITAL PRESIDENT	2.0 .......................48.0		X			0	382,922	44,686
(70) VALERY A AKOPOV MD........................................................................ SVP HOSPITAL DIVISION WMG	32.0 .......................18.0		X			460,432	0	54,453
(71) WANDA Y ROBINSON........................................................................ VP COMPLIANCE PWHP	32.0 .......................18.0		X			226,225	0	23,315
(72) MICHAEL G PAUL........................................................................ VP FACILITIES ENG SUPPORT SVCS	32.0 .......................18.0		X			233,220	0	24,754
(73) DANIEL J WOODS........................................................................ SVP & HOSPITAL PRESIDENT	2.0 .......................48.0		X			0	510,262	74,763
(74) STEPHEN L BADGER........................................................................ CHIEF ADMIN. OFF. (BEG.2/2016)	32.0 .......................18.0		X			0	0	0
(75) KRISTEN S TRICE........................................................................ VP DIAG. OUTREACH (BEG. 1/16)	32.0 .......................18.0		X			0	0	0
(76) DOUGLAS ARVIN CPA MBA........................................................................ SVP FINANCE (BEGIN. 3/2016)	32.0 .......................18.0		X			0	0	0
(77) DOUGLAS S FOSTER........................................................................ VP FINANCIAL PLAN.(BEG.3/2016)	32.0 .......................18.0		X			0	0	0
(78) REBECCA L RUHL........................................................................ VP FACILITY CMPL. (BEG.4/2016)	32.0 .......................18.0		X			0	0	0
(79) ROBIN G BOEHRINGER........................................................................ VP TOTAL REWARDS (BEG.11/2015)	32.0 .......................18.0		X			0	0	0
(80) AHMAD KHALDI MD........................................................................ MD PHYSICIAN GROUP	50.0 .......................0.0			X		1,193,360	0	47,076
(81) RICHARD MYUNG MD........................................................................ MD PHYSICIAN GROUP	50.0 .......................0.0			X		1,348,937	0	53,248
(82) RISHI GUPTA MD........................................................................ MD PHYSICIAN GROUP	50.0 .......................0.0			X		1,129,678	0	72,799
(83) SAID ELSHIHABI MD........................................................................ MD PHYSICIAN GROUP	50.0 .......................0.0			X		1,246,062	0	72,248
(84) WILLIAM A COOPER MD MBA........................................................................ MD PHYSICIAN GROUP	50.0 .......................0.0			X		1,344,007	0	71,633
(85) BARBARA G BALLARD........................................................................ FORMER VP HOMECARE & HOSPICE	0.0 .......................0.0				X	168,038	0	0
(86) CHESTER A ZBOROWSKI........................................................................ FORMER VP HEALTH PARKS OPS.	0.0 .......................0.0				X	205,315	0	10,185
(87) CHRISTOPHER B SCULLEN........................................................................ FRMR VP PULMONOLOGY OPERATIONS	0.0 .......................0.0				X	121,351	0	0
(88) CHRISTOPHER M KANE........................................................................ FRMR SVP STRAT. PLAN & BUS DEV	0.0 .......................0.0				X	341,744	0	0
(89) DEBORAH ROEGGE DE VITA........................................................................ FRMR VP WOMEN&NEWBORN SVC LINE	0.0 .......................0.0				X	137,762	0	0
(90) JAMES E CLEMENTS........................................................................ FRMR VP BUS DEV & STRAT. PSHIP	0.0 .......................0.0				X	148,488	0	0
(91) JEFFERY D STANLEY........................................................................ FRMR VP PHARM & SYSTEM COORD.	0.0 .......................0.0				X	269,264	0	14,507
(92) LEE R COOK........................................................................ FRMR VP MED & BEHAVIORAL HLTH	0.0 .......................0.0				X	105,339	0	0
(93) LOUIS W LITTLE........................................................................ FMR SVP PST ACTE SVC&HOSP PRES	0.0 .......................0.0				X	174,084	0	0
(94) MARCIA DELK-PAYNE MD........................................................................ FRMR SVP MED AFFAIR & C.Q.O.	0.0 .......................0.0				X	370,531	0	0
(95) NANCY R DOELLING MD........................................................................ FRMR VP WS PED. ACUTE CARE SVC	0.0 .......................0.0				X	382,950	0	8,158
(96) ROBIN WILSON MD........................................................................ FORMER SVP CHIEF HEALTH OFFCR	0.0 .......................0.0				X	350,907	0	0
(97) STEVEN L GRACE........................................................................ FORMER VP TALENT ACQUISITION	0.0 .......................0.0				X	161,549	0	0
(98) TRACEY ATWATER MD........................................................................ FORMER VP & FDN. PRESIDENT	0.0 .......................0.0				X	106,522	0	0
(99) PATRICIA A MAYNE........................................................................ FORMER VP EMERGENCY SERVICES	0.0 .......................0.0				X	179,810	0	5,244

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	28,809,022	1,400,300	2,576,467

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet

1,085

Yes

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............

Yes

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................

Yes

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

(A) Name and business address	(B) Description of services	(C) Compensation
EPIC SYSTEMS CORPORATION, PO BOX 88314 MILWAUKEE,WI532880314	INFORMATION SERVICES	8,318,376
PRESIDIO NETWORKED SOLUTIONS, PO BOX 822169-2169 PHILADELPHIA,PA19182	INFORMATION SERVICES	8,230,837
FTI CONSULTING INC, PO BOX 88314 BOSTON,MA022418005	CONSULTING	7,052,923
BRASFIELD AND GORRIE LLC, 1190 VAUGHN RD NW SUITE 100 KENNESAW,GA30144	GENERAL CONTRACTOR	6,405,050
PT SOLUTIONS HOLDINGS, PO BOX 441146 KENNESAW,GA30160	MEDICAL	5,816,335
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 272

Form 990 (2015)

Page 9

Part VIII

Statement of Revenue

Check if Schedule O contains a response or note to any line in this Part VIII .............

(A)
Total revenue

(B)
Related or
exempt
function
revenue

(D)
Revenue
excluded from
tax under sections
512-514

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		0

		Business Code
2a	PATIENT REVENUE	621990	336,135,958	336,135,958	0	0
b	COBB COUNTY DETENTION CENTER	621990	6,061,453	6,061,453	0	0
c	EQUITY IN EARNINGS OF HOSP AFFILIATES	621990	239,529,735	239,529,735	0	0
d	SHARED SERVICES COSTS RECOUPMENT	621990	271,891,256	271,891,256	0	0
e	WELLNESS CENTER	621400	2,101,678	2,101,678	0	0
f	All other program service revenue.			40,342,297	40,342,297	0	0
g Total.Add lines 2a–2f.....			896,062,377

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			-48,605			-48,605
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		258,238
b	Less: rental expenses
c	Rental income or (loss)	0	258,238
d	Net rental income or (loss)......			258,238			258,238
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	0
b	Less: cost or other basis and sales expenses	8,465,781
c	Gain or (loss)	-8,465,781
d	Net gain or (loss).....			-8,465,781			-8,465,781
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	LAUNDRY		812300	1,403,367		1,403,367
b	CHILDCARE REVENUE		621990	1,834,994			1,834,994
c	OTHER REVENUE		621990	30,545,636			30,545,636
d	All other revenue ....
e	Total. Add lines 11a–11d ......			33,783,997
12	Total revenue. See Instructions......			921,590,226	896,062,377	1,403,367	24,124,482

Form 990 (2015)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	1,834,237	1,834,237
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	36,064,228	29,762,187	6,273,472	28,569
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	368,607	294,885	73,722	0
7	Other salaries and wages	427,280,431	332,091,420	94,348,682	840,329
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	21,513,064	17,465,239	4,015,009	32,816
9	Other employee benefits .......	42,079,528	28,127,214	13,817,178	135,136
10	Payroll taxes ...........	27,275,191	19,676,708	7,533,964	64,519
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	5,685,205	6,445	5,678,760
c	Accounting ...........	539,370		539,370
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	93,604,129	35,699,977	57,819,142	85,010
12	Advertising and promotion ....	7,636,497	2,179,028	5,428,554	28,915
13	Office expenses .......	10,998,354	6,770,365	4,227,989
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	29,794,371	20,728,148	9,060,206	6,017
17	Travel ............	2,605,626	1,184,148	1,405,831	15,647
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	3,347,210	1,603,575	1,720,984	22,651
20	Interest ...........	1,257,864		1,257,864
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	48,435,499	6,996,377	41,424,056	15,066
23	Insurance ...	33,361,994	11,522,133	21,839,861
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	REPAIRS & MAINTENANCE	32,060,255	3,290,544	28,769,681	30
b	MEDICAL SUPPLIES	20,991,979	20,159,266	536,528	296,185
c	OTHER OPERATING EXPENSES	3,632,564	39,283	3,593,281
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	850,366,203	539,431,179	309,364,134	1,570,890
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Form 990 (2015)

Page 11

Part X

Balance Sheet

Check if Schedule O contains a response or note to any line in this Part IX ..............

				(A) Beginning of year		(B) End of year

1	Cash–non-interest-bearing ........			0	1	0
2	Savings and temporary cash investments .........			52,896,450	2	38,358,341
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			31,871,362	4	32,875,608
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			7,271,962	8	9,622,214
9	Prepaid expenses and deferred charges ......			31,079,463	9	36,815,703
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	672,039,190
b	Less: accumulated depreciation	10b	364,113,689	328,714,600	10c	307,925,501
11	Investments—publicly traded securities .			744,692,488	11	791,079,030
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			1,090,930,340	15	1,238,846,256
16	Total assets. Add lines 1 through 15 (must equal line 34)...			2,287,456,665	16	2,455,522,653

17	Accounts payable and accrued expenses .....	189,760,804	17	242,914,343
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	9,327,364	20	472,106,309
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	844,268,586	25	561,459,489
26	Total liabilities. Add lines 17 through 25..	1,043,356,754	26	1,276,480,141

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,227,850,129	27	1,135,715,379
28	Temporarily restricted net assets ...........	11,430,819	28	26,999,339
29	Permanently restricted net assets	4,818,963	29	16,327,794
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	1,244,099,911	33	1,179,042,512
34	Total liabilities and net assets/fund balances ........	2,287,456,665	34	2,455,522,653

Form 990 (2015)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response or note to any line in this Part XI ..............

Total revenue (must equal Part VIII, column (A), line 12) ............

921,590,226

Total expenses (must equal Part IX, column (A), line 25) ............

850,366,203

Revenue less expenses. Subtract line 2 from line 1 ..............

71,224,023

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..

1,244,099,911

Net unrealized gains (losses) on investments ...............

-15,859,657

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

Other changes in net assets or fund balances (explain in Schedule O) ........

-120,421,765

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))

1,179,042,512

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response or note to any line in this Part XII .............

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization’s financial statements audited by an independent accountant?

Yes

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?

Yes

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?

If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.

Form 990 (2015)

Additional Data

Software ID:
Software Version:

Form 990, Special Condition Description:

Special Condition Description

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

WELLSTAR HEALTH SYSTEM INC

Employer identification number

58-1649541

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............. 9

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 9 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) COBB HOSPITAL INC	580968382	3	Yes		67,958,957	0
(B) PAULDING MEDICAL CENTER INC	582095884	3	Yes		21,933,539	0
(C) KENNESTONE HOSPITAL INC	582032904	3	Yes		153,583,818	0
(D) DOUGLAS HOSPITAL INC	582026750	3	Yes		25,466,377	0
(E) WELLSTAR ATLANTA MEDICAL CENTER INC	810837031	3	Yes		1,297,635	0
(F) WELLSTAR SPALDING REGIONAL HOSPITAL INC	810864789	3	Yes		854,082	0
(G) WELLSTAR SYLVAN GROVE HOSPITAL INC	810875069	3	Yes		70,770	0
(H) WELLSTAR NORTH FULTON HOSPITAL INC	810851756	3	Yes		726,078	0
(I) WEST GEORGIA MEDICAL CENTER INC	205497506	3	Yes		0	0
Total 9					271,891,256	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Yes

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Yes

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Yes

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Yes

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 5A	ON APRIL 1, 2016 WELLSTAR HEALTH SYSTEM, INC. ACQUIRED FIVE NEW HOSPITALS AND FINALIZED A PARTNERSHIP WITH WEST GEORGIA HEALTH. THE NEWEST MEMBERS OF OUR FAMILY INCLUDE: WELLSTAR ATLANTA MEDICAL CENTER; WELLSTAR ATLANTA MEDICAL CENTER SOUTH; WELLSTAR NORTH FULTON HOSPITAL; WELLSTAR SPALDING REGIONAL HOSPITAL; WELLSTAR SYLVAN GROVE HOSPITAL; AND WELLSTAR WEST GEORGIA MEDICAL CENTER. THE ADDITION EXTENDS THE COMMUNITIES WE SERVE TO BUTTS, FULTON, JACKSON, SPALDING AND TROUP COUNTIES, MAKING WELLSTAR THE LARGEST HEALTH SYSTEM IN GEORGIA AND ONE OF THE LARGEST NOT-FOR-PROFIT HEALTH SYSTEMS IN THE COUNTRY.

Return Reference

Explanation

FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 5A

ON APRIL 1, 2016 WELLSTAR HEALTH SYSTEM, INC. ACQUIRED FIVE NEW HOSPITALS AND FINALIZED A PARTNERSHIP WITH WEST GEORGIA HEALTH. THE NEWEST MEMBERS OF OUR FAMILY INCLUDE: WELLSTAR ATLANTA MEDICAL CENTER; WELLSTAR ATLANTA MEDICAL CENTER SOUTH; WELLSTAR NORTH FULTON HOSPITAL; WELLSTAR SPALDING REGIONAL HOSPITAL; WELLSTAR SYLVAN GROVE HOSPITAL; AND WELLSTAR WEST GEORGIA MEDICAL CENTER. THE ADDITION EXTENDS THE COMMUNITIES WE SERVE TO BUTTS, FULTON, JACKSON, SPALDING AND TROUP COUNTIES, MAKING WELLSTAR THE LARGEST HEALTH SYSTEM IN GEORGIA AND ONE OF THE LARGEST NOT-FOR-PROFIT HEALTH SYSTEMS IN THE COUNTRY.

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

WELLSTAR HEALTH SYSTEM INC

Employer identification number

58-1649541

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Yes

2,459

Grants to other organizations for lobbying purposes? ..........................................................

Yes

11,000

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

273,962

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Yes

14,496

Other activities? ...................................................................................................................

Yes

170,784

Total. Add lines 1c through 1i ....................................................................................................

472,701

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1	OTHER LOBBYING EXPENSES: 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.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINE 1

OTHER LOBBYING EXPENSES: 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.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WELLSTAR HEALTH SYSTEM INC

Employer identification number

58-1649541

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	6,611,000	6,485,000	4,915,000	4,286,000	4,416,000
b	Contributions ...	127,000	64,000	771,000	162,000	75,000
c	Net investment earnings, gains, and losses	94,000	62,000	799,000	467,000	-37,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...					168,000
f	Administrative expenses ....
g	End of year balance ......	6,832,000	6,611,000	6,485,000	4,915,000	4,286,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

72.000 %

Temporarily restricted endowment SchDMd Bullet

28.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	43,699,654		43,699,654
b	Buildings	116,273,504	57,673,261	58,600,243
c	Leasehold improvements	11,931,275	9,086,392	2,844,883
d	Equipment ...	496,666,437	296,071,082	200,595,355
e	Other ...	3,468,320	1,282,954	2,185,366
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				307,925,501

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) OTHER RECEIVABLES				61,582,249
(2) OTHER PREPAIDS				125,078
(3) EQUITY IN AFFILIATES				1,172,417,960
(4) OTHER LONG TERM ASSETS				4,720,969
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,238,846,256

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
ACCRUED PENSION LIABILITY	408,345,045
OTHER LONG TERM LIABILITIES	28,996,165
INSURANCE RESERVES	98,027,240
ASSET RETIREMENT OBLIGATION LT	736,723
SWAP CONTRACT 2005 ISSUE LT LI	25,354,316
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	561,459,489
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

SCHEDULE D, PART V, LINE 4

ENDOWMENT FUNDS The endowment funds held on Wellstar Health System, INC. are intended to be held in perpetuity and the earnings thereon are to be used for financial assistance for patients in the Wellstar Hospice Program. All funds were expended during the fiscal year for the Wellstar Hospice Program and a new inpatient Hospice facility at Kennestone Hospital.

SCHEDULE D, PART X, LINE 2

The following footnote is related to the organization's application of FIN 48 (ASC 740): 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, EXCEPT FOR CAC AND WGHP, A TAXABLE NOT-FOR-PROFIT. 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 ENTITYS FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON WELLSTARS COMBINED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
WELLSTAR HEALTH SYSTEM INC

Employer identification number
58-1649541

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) American Cancer Society 1825 BARRETT LAKES BLVD STE 280 KENNESAW,GA30144	58-0659875	501(C)(3)	97,500	FMV	N/A	SPONSORSHIP
(2) American Heart Association 1101 NORTHCHASE PARKWAY STE 1 Harris Tower Suite 2225 MARIETTA,GA30067	13-5613797	501(C)(3)	80,000	FMV	N/A	SPONSORSHIP
(3) Atlanta Blaze 1301 SHILOH RD NW STE 340 KENNESAW,GA30144	47-3671706		35,000	FMV	N/A	SPONSORSHIP
(4) Camp Kudzu 5885 GLENRIDGE DR STE 160 ATLANTA,GA30328	58-2449646	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(5) City of Kennesaw 2529 JO STEPHENSON AVE KENNESAW,GA30144	58-6010582		15,500	FMV	N/A	SPONSORSHIP
(6) Cobb Chamber of Commerce PO BOX 671868 MARIETTA,GA30061	58-0198114	501(C)(6)	126,000	FMV	N/A	SPONSORSHIP
(7) Cobb County Senior Services PO BOX 649 MARIETTA,GA30061	55-0912698	501(C)(6)	20,000	FMV	N/A	SPONSORSHIP
(8) Cobb Landmark Historical Society 65 WHITLOCK AVE MARIETTA,GA30060	58-1827362	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(9) Davis Direction Foundation Inc 1150 BAGWELL DRIVE KENNESAW,GA30152	47-1370495	501(C)(3)	31,000	FMV	N/A	SPONSORSHIP
(10) Douglas County Chamber of Commerce 6658 CHURCH STREET DOUGLASVILLE,GA30134	58-1950186	501(C)(6)	16,795	FMV	N/A	SPONSORSHIP
(11) East Cobber Parade PO BOX 680455 MARIETTA,GA30068			30,000	FMV	N/A	SPONSORSHIP
(12) Goshen Valley Boys Ranch 387 GOSHEN CHURCH WAY WALESKA,GA30183	58-2361483	501(C)(3)	50,000	FMV	N/A	SPONSORSHIP
(13) Habitat for Humanity 3530 TEN OAKS CT POWDER SPRINGS,GA30127	91-1914868	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(14) Kennesaw State University 1000 CHASTAIN RD KENNESAW,GA30144			125,000	FMV	N/A	SPONSORSHIP
(15) LakePoint Sports 755 HWY 293 EMERSON,GA30137	45-2322479		125,000	FMV	N/A	SPONSORSHIP
(16) Latin American Association 2750 BUFORD HWY ATLANTA,GA30324	58-1237316	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(17) March of Dimes PO BOX 932852 ATLANTA,GA311932852	13-1846366	501(C)(3)	42,000	FMV	N/A	SPONSORSHIP
(18) MUST Ministries PO BOX 1717 MARIETTA,GA30061	58-2034725	501(C)(3)	40,000	FMV	N/A	SPONSORSHIP
(19) Nobis Works 1480 BELLS FERRY RD MARIETTA,GA30066	58-1290439	501(C)(3)	35,000	FMV	N/A	SPONSORSHIP
(20) Positive Athlete Georgia 9055 FOREST PATH DR STE 200 GAINESVILLE,GA30506	27-2198723		15,000	FMV	N/A	SPONSORSHIP
(21) Rotary of East Cobb 3436 SOMERSET TRACE MARIETTA,GA30067	58-1654204	501(c)(4)	7,500	FMV	N/A	SPONSORSHIP
(22) Rotary Foundation Donor Advised Fund PO BOX 761 ALPHARETTA,GA30009	36-3245072	501(c)(3)	10,000	FMV	N/A	SPONSORSHIP
(23) Rotary of Roswell PO BOX 783 ROSWELL,GA30077	58-1716982	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(24) SAFEPATH CHILDREN'S ADVOCACY CENTER 736 WHITLOCK AVE STE 600 MARIETTA,GA30064	58-1662987	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(25) SER Familia PO BOX 146 ACWORTH,GA30101	35-2166123	501(C)(3)	15,000	FMV	N/A	SPONSORSHIP
(26) SUSAN G KOMEN BREAST CANCER FDN 5005 LBJ FREEWAY STE 250 DALLAS,TX75244	75-1835298	501(C)(3)	30,000	FMV	N/A	SPONSORSHIP
(27) The CarePlace 5357 CHAPEL HILL ROAD DOUGLASVILLE,GA30135	27-0070164	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(28) The Center for Family Resources 995 ROSWELL ST NE STE 100 MARIETTA,GA300602151	58-0876634	501(C)(3)	15,000	FMV	N/A	SPONSORSHIP
(29) The Georgia Ballet 1255 FIELD PARKWAY MARIETTA,GA30066	58-1420599	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(30) University System of Georgia Foundation Inc 270 WASHINGTON ST SW 7TH FL ATLANTA,GA30334	58-6333106	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(31) YWCA OF NORTHEAST GEORGIA 48 HENDERSON STREET 1459 Laney Walker Blvd MARIETTA,GA30064	58-0617782	501(C)(3)	20,000	FMV	N/A	SPONSORSHIP

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

SCHEDULE I, PART I, LINE 2

PROCEDURES FOR MONITORING THE USE OF GRANTS: WELLSTAR HEALTH SYSTEM, INC. AND ITS AFFILIATES HAVE SET ASIDE FUNDS FOR CONTRIBUTIONS AND SPONSORSHIPS ON AN ANNUAL BASIS THAT PROVIDE ASSISTANCE TO NATIONAL AND LOCAL ORGANIZATIONS IN THE FURTHERANCE OF THE COMMUNITY NEEDS. WELLSTAR ALSO HAS SEVERAL AGREEMENTS WITH AREA COLLEGES AND UNIVERSITIES TO PROMOTE HEALTHCARE RELATED CAREER OPPORTUNITIES. ALL SPONSORSHIPS ARE AWARDED BASED ON SPECIFIC QUALIFICATIONS WITHOUT REGARD TO AGE, GENDER, OR ETHNICITY.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WELLSTAR HEALTH SYSTEM INC

Employer identification number

58-1649541

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1AHMAD KHALDI MDMD PHYSICIAN GROUP	(i) (ii)	762,092 ------------- 0	428,928 ------------- 0	2,340 ------------- 0	23,300 ------------- 0	23,776 ------------- 0	1,240,436 ------------- 0	0 ------------- 0
2AMY ELLEN F CARRIERSVP HOSPITAL PRESIDENT	(i) (ii)	0 ------------- 74,464	0 ------------- 68,000	0 ------------- 2,125	0 ------------- 17,302	0 ------------- 1,480	0 ------------- 163,371	0 ------------- 0
3ANTHONY J BUDZINSKIEVP & CFO	(i) (ii)	606,611 ------------- 0	162,569 ------------- 0	24,552 ------------- 0	47,300 ------------- 0	28,807 ------------- 0	869,839 ------------- 0	0 ------------- 0
4ANTHONY M TRUPIANOSVP SUPPLY CHAIN	(i) (ii)	288,371 ------------- 0	73,361 ------------- 0	15,370 ------------- 0	47,300 ------------- 0	2,043 ------------- 0	426,445 ------------- 0	0 ------------- 0
5AVRIL P BECKFORD MDTRUSTEE & CHIEF PEDIATRIC OFF.	(i) (ii)	492,548 ------------- 0	58,415 ------------- 0	2,453 ------------- 0	28,660 ------------- 0	1,958 ------------- 0	584,034 ------------- 0	0 ------------- 0
6BARBARA B COREYSVP MANAGED CARE	(i) (ii)	321,048 ------------- 0	81,823 ------------- 0	13,159 ------------- 0	21,392 ------------- 0	26,273 ------------- 0	463,695 ------------- 0	0 ------------- 0
7BARBARA G BALLARDFORMER VP HOMECARE & HOSPICE	(i) (ii)	36,730 ------------- 0	0 ------------- 0	131,308 ------------- 0	0 ------------- 0	0 ------------- 0	168,038 ------------- 0	0 ------------- 0
8BETH KOSTSVP COMPLIANCE CHF PRIVACY OFF	(i) (ii)	271,419 ------------- 0	49,750 ------------- 0	10,102 ------------- 0	22,418 ------------- 0	11,937 ------------- 0	365,626 ------------- 0	0 ------------- 0
9BETHANY ROBERTSONVP & CHIEF LEARNING OFFICER	(i) (ii)	203,392 ------------- 0	87,926 ------------- 0	9,120 ------------- 0	17,301 ------------- 0	29,372 ------------- 0	347,111 ------------- 0	0 ------------- 0
10BRADFORD B NEWTONVP INFO. TECHNOLOGY ADMIN.	(i) (ii)	202,322 ------------- 0	40,120 ------------- 0	9,156 ------------- 0	22,555 ------------- 0	27,920 ------------- 0	302,073 ------------- 0	0 ------------- 0
11BRUCE A DEANVP REAL ESTATE DEPUTY GEN CNSL	(i) (ii)	242,590 ------------- 0	48,105 ------------- 0	14,272 ------------- 0	47,300 ------------- 0	25,123 ------------- 0	377,390 ------------- 0	0 ------------- 0
12CANDICE L SAUNDERSPRESIDENT & CEO	(i) (ii)	929,590 ------------- 0	231,348 ------------- 0	909,394 ------------- 0	46,319 ------------- 0	30,929 ------------- 0	2,147,580 ------------- 0	889,660 ------------- 0
13CHESTER A ZBOROWSKIFORMER VP HEALTH PARKS OPS.	(i) (ii)	139,238 ------------- 0	26,427 ------------- 0	39,650 ------------- 0	0 ------------- 0	10,185 ------------- 0	215,500 ------------- 0	0 ------------- 0
14CHRISTOPHER B SCULLENFRMR VP PULMONOLOGY OPERATIONS	(i) (ii)	13,262 ------------- 0	0 ------------- 0	108,089 ------------- 0	0 ------------- 0	0 ------------- 0	121,351 ------------- 0	0 ------------- 0
15CHRISTOPHER M KANEFRMR SVP STRAT. PLAN & BUS DEV	(i) (ii)	52,576 ------------- 0	0 ------------- 0	289,168 ------------- 0	0 ------------- 0	0 ------------- 0	341,744 ------------- 0	0 ------------- 0
16CRAIG OWENSSVP & HOSPITAL PRESIDENT	(i) (ii)	0 ------------- 283,837	0 ------------- 65,639	0 ------------- 13,051	0 ------------- 29,300	0 ------------- 22,093	0 ------------- 413,920	0 ------------- 0
17DANIEL J STYFSVP PW HEALTH PLAN	(i) (ii)	290,368 ------------- 0	96,256 ------------- 0	15,163 ------------- 0	21,353 ------------- 0	9,385 ------------- 0	432,525 ------------- 0	0 ------------- 0
18DAVID W ANDERSONEVP/HR/OL/CCO	(i) (ii)	460,491 ------------- 0	152,440 ------------- 0	115,410 ------------- 0	47,185 ------------- 0	26,381 ------------- 0	801,907 ------------- 0	92,098 ------------- 0
19DEBORAH ROEGGE DE VITAFRMR VP WOMEN&NEWBORN SVC LINE	(i) (ii)	30,112 ------------- 0	0 ------------- 0	107,650 ------------- 0	0 ------------- 0	0 ------------- 0	137,762 ------------- 0	0 ------------- 0
20DONALD CAMPBELL MDSVP PHYS EDUC&STUDENT AFF	(i) (ii)	50,387 ------------- 0	35,888 ------------- 0	277,130 ------------- 0	0 ------------- 0	0 ------------- 0	363,405 ------------- 0	0 ------------- 0
21ELIZABETH H LOUDERMILKVP ENT INTELLIGENCE & INTGRTN	(i) (ii)	239,990 ------------- 0	43,990 ------------- 0	9,880 ------------- 0	23,251 ------------- 0	19,315 ------------- 0	336,426 ------------- 0	0 ------------- 0
22ELLEN LANGFORDSVP & COO WELLSTAR MED GROUP	(i) (ii)	253,469 ------------- 0	64,482 ------------- 0	12,280 ------------- 0	41,525 ------------- 0	29,684 ------------- 0	401,440 ------------- 0	0 ------------- 0
23FREDA LYONVP SYSTEM EMERGENCY & TRAUMA	(i) (ii)	117,693 ------------- 0	25,000 ------------- 0	6,027 ------------- 0	8,903 ------------- 0	12,175 ------------- 0	169,798 ------------- 0	0 ------------- 0
24JAMES E CLEMENTSFRMR VP BUS DEV & STRAT. PSHIP	(i) (ii)	31,933 ------------- 0	0 ------------- 0	116,555 ------------- 0	0 ------------- 0	0 ------------- 0	148,488 ------------- 0	0 ------------- 0
25JAMES M SWARTZVP ACCOUNTING	(i) (ii)	215,613 ------------- 0	41,138 ------------- 0	8,995 ------------- 0	18,573 ------------- 0	26,251 ------------- 0	310,570 ------------- 0	0 ------------- 0
26JEFFERY D STANLEYFRMR VP PHARM & SYSTEM COORD.	(i) (ii)	146,681 ------------- 0	27,840 ------------- 0	94,743 ------------- 0	10,802 ------------- 0	3,705 ------------- 0	283,771 ------------- 0	56,284 ------------- 0
27JEFFREY L THARP MD MPHTRUSTEE & CHIEF MEDICINE SRVS	(i) (ii)	512,199 ------------- 0	78,598 ------------- 0	2,505 ------------- 0	47,185 ------------- 0	32,273 ------------- 0	672,760 ------------- 0	0 ------------- 0
28JILL M CASE-WIRTHSVP & CHIEF NURSE EXECUTIVE	(i) (ii)	336,440 ------------- 0	73,003 ------------- 0	15,318 ------------- 0	46,319 ------------- 0	9,901 ------------- 0	480,981 ------------- 0	0 ------------- 0
29JIMMY E FRANCISVP INFO TECHNOLOGY OPERATIONS	(i) (ii)	215,259 ------------- 0	41,071 ------------- 0	9,822 ------------- 0	46,420 ------------- 0	3,129 ------------- 0	315,701 ------------- 0	0 ------------- 0
30JOEL W HELMKEVP ONCOLOGY	(i) (ii)	260,000 ------------- 0	49,580 ------------- 0	9,420 ------------- 0	41,300 ------------- 0	28,875 ------------- 0	389,175 ------------- 0	0 ------------- 0
31JONATHAN B MORRIS MDSVP CHF INFO OFFICER	(i) (ii)	397,155 ------------- 0	101,035 ------------- 0	12,834 ------------- 0	25,576 ------------- 0	28,104 ------------- 0	564,704 ------------- 0	0 ------------- 0
32JOSEPH L BRYWCZYNSKISVP HEALTH PARKS DEVELOPMENT	(i) (ii)	283,379 ------------- 0	74,924 ------------- 0	60,065 ------------- 0	47,300 ------------- 0	25,124 ------------- 0	490,792 ------------- 0	42,507 ------------- 0
33KEM M MULLINSEVP COO AMBULATORY & BUS DEV	(i) (ii)	496,864 ------------- 0	87,504 ------------- 0	12,287 ------------- 0	23,300 ------------- 0	29,432 ------------- 0	649,387 ------------- 0	0 ------------- 0
34KIMBERLY W MENEFEESVP STRATEGIC COMMUNITY DEV	(i) (ii)	293,842 ------------- 0	77,691 ------------- 0	14,038 ------------- 0	29,300 ------------- 0	21,472 ------------- 0	436,343 ------------- 0	0 ------------- 0
35KRISTYN M GREIFER MDVP POPULATION MANAGEMENT	(i) (ii)	333,466 ------------- 0	54,496 ------------- 0	9,614 ------------- 0	9,013 ------------- 0	9,754 ------------- 0	416,343 ------------- 0	0 ------------- 0
36LEE R COOKFRMR VP MED & BEHAVIORAL HLTH	(i) (ii)	19,734 ------------- 0	0 ------------- 0	85,605 ------------- 0	0 ------------- 0	0 ------------- 0	105,339 ------------- 0	0 ------------- 0
37LEO E REICHERTEVP & GENERAL COUNSEL	(i) (ii)	531,190 ------------- 0	168,916 ------------- 0	44,420 ------------- 0	29,300 ------------- 0	33,911 ------------- 0	807,737 ------------- 0	27,209 ------------- 0
38LOUIS W LITTLEFMR SVP PST ACTE SVC&HOSP PRES	(i) (ii)	38,051 ------------- 0	0 ------------- 0	136,033 ------------- 0	0 ------------- 0	0 ------------- 0	174,084 ------------- 0	0 ------------- 0
39MARCIA DELK-PAYNE MDFRMR SVP MED AFFAIR & C.Q.O.	(i) (ii)	57,005 ------------- 0	0 ------------- 0	313,526 ------------- 0	0 ------------- 0	0 ------------- 0	370,531 ------------- 0	0 ------------- 0
40MARY L TAVERNAROVP HUMAN RESOURCES OPERATIONS	(i) (ii)	227,968 ------------- 0	45,205 ------------- 0	44,445 ------------- 0	29,060 ------------- 0	22,070 ------------- 0	368,748 ------------- 0	34,242 ------------- 0
41MICHELLE M ROBINSONVP MKTNG/PR/INTERNAL COMM	(i) (ii)	204,235 ------------- 0	40,499 ------------- 0	9,235 ------------- 0	15,206 ------------- 0	27,031 ------------- 0	296,206 ------------- 0	0 ------------- 0
42NANCY R DOELLING MDFRMR VP WS PED. ACUTE CARE SVC	(i) (ii)	242,323 ------------- 0	80,333 ------------- 0	60,294 ------------- 0	5,179 ------------- 0	2,979 ------------- 0	391,108 ------------- 0	0 ------------- 0
43NICOLE V ASHEVP FINANCE & CFO WMG	(i) (ii)	234,187 ------------- 0	41,156 ------------- 0	9,243 ------------- 0	23,487 ------------- 0	25,688 ------------- 0	333,761 ------------- 0	0 ------------- 0
44PETER R JUNGBLUT MD MBASVP & MEDICAL DIR WMG	(i) (ii)	322,899 ------------- 0	86,624 ------------- 0	12,566 ------------- 0	41,300 ------------- 0	30,061 ------------- 0	493,450 ------------- 0	0 ------------- 0
45REYNOLD J JENNINGS MDCHIEF STRATEGY OFFICER	(i) (ii)	975,000 ------------- 0	656,466 ------------- 0	20,118 ------------- 0	0 ------------- 0	2,064 ------------- 0	1,653,648 ------------- 0	0 ------------- 0
46RICHARD MYUNG MDMD PHYSICIAN GROUP	(i) (ii)	784,380 ------------- 0	562,398 ------------- 0	2,159 ------------- 0	41,300 ------------- 0	11,948 ------------- 0	1,402,185 ------------- 0	0 ------------- 0
47RICHARD S SIEGELVP CARDIOLOGY & CVM ADMIN	(i) (ii)	289,286 ------------- 0	53,009 ------------- 0	10,978 ------------- 0	47,300 ------------- 0	28,796 ------------- 0	429,369 ------------- 0	0 ------------- 0
48RISHI GUPTA MDMD PHYSICIAN GROUP	(i) (ii)	686,277 ------------- 0	441,061 ------------- 0	2,340 ------------- 0	41,300 ------------- 0	31,499 ------------- 0	1,202,477 ------------- 0	0 ------------- 0
49ROBERT D JANSEN MDEVP & PRES MED. GROUP	(i) (ii)	530,908 ------------- 0	171,132 ------------- 0	428,921 ------------- 0	42,129 ------------- 0	23,470 ------------- 0	1,196,560 ------------- 0	380,649 ------------- 0
50ROBERT J DECOUXVP CORPORATE MED STAFF SVCS	(i) (ii)	167,823 ------------- 0	23,013 ------------- 0	4,854 ------------- 0	20,316 ------------- 0	25,102 ------------- 0	241,108 ------------- 0	0 ------------- 0
51ROBERT MANDLERVP DIAGNOSTIC OUTREACH	(i) (ii)	214,261 ------------- 0	42,487 ------------- 0	38,700 ------------- 0	46,766 ------------- 0	16,809 ------------- 0	359,023 ------------- 0	21,426 ------------- 0
52ROBIN WILSON MDFORMER SVP CHIEF HEALTH OFFCR	(i) (ii)	60,909 ------------- 0	0 ------------- 0	289,998 ------------- 0	0 ------------- 0	0 ------------- 0	350,907 ------------- 0	0 ------------- 0
53SAID ELSHIHABI MDMD PHYSICIAN GROUP	(i) (ii)	1,029,432 ------------- 0	214,549 ------------- 0	2,081 ------------- 0	40,954 ------------- 0	31,294 ------------- 0	1,318,310 ------------- 0	0 ------------- 0
54SANDRA LUCIUSVP INFO TECHNOLOGY APPS	(i) (ii)	209,269 ------------- 0	41,497 ------------- 0	11,871 ------------- 0	46,691 ------------- 0	2,469 ------------- 0	311,797 ------------- 0	0 ------------- 0
55SEAN P TURNERVP REVENUE CYCLE MANAGEMENT	(i) (ii)	248,019 ------------- 0	59,082 ------------- 0	10,041 ------------- 0	22,462 ------------- 0	28,739 ------------- 0	368,343 ------------- 0	0 ------------- 0
56SNEHAL H DOSHIVP SYSTEM PHARMACIST	(i) (ii)	102,312 ------------- 0	68,000 ------------- 0	4,772 ------------- 0	14,909 ------------- 0	11,422 ------------- 0	201,415 ------------- 0	0 ------------- 0
57STEVEN L GRACEFORMER VP TALENT ACQUISITION	(i) (ii)	30,771 ------------- 0	0 ------------- 0	130,778 ------------- 0	0 ------------- 0	0 ------------- 0	161,549 ------------- 0	0 ------------- 0
58TIMOTHY HANEYSVP & HOSPITAL PRESIDENT	(i) (ii)	0 ------------- 290,410	0 ------------- 75,204	0 ------------- 17,308	0 ------------- 29,300	0 ------------- 15,386	0 ------------- 427,608	0 ------------- 0
59THOMAS M PHILLIPSTRUSTEE	(i) (ii)	0 ------------- 0	0 ------------- 0	2,638 ------------- 0	0 ------------- 0	0 ------------- 0	2,638 ------------- 0	0 ------------- 0
60TRACEY ATWATER MDFORMER VP & FDN. PRESIDENT	(i) (ii)	0 ------------- 0	0 ------------- 0	106,522 ------------- 0	0 ------------- 0	0 ------------- 0	106,522 ------------- 0	0 ------------- 0
61VALERY A AKOPOV MDSVP HOSPITAL DIVISION WMG	(i) (ii)	364,063 ------------- 0	78,508 ------------- 0	17,861 ------------- 0	28,177 ------------- 0	26,276 ------------- 0	514,885 ------------- 0	0 ------------- 0
62WANDA Y ROBINSONVP COMPLIANCE PWHP	(i) (ii)	207,043 ------------- 0	7,312 ------------- 0	11,870 ------------- 0	6,692 ------------- 0	16,623 ------------- 0	249,540 ------------- 0	0 ------------- 0
63WILLIAM A COOPER MD MBAMD PHYSICIAN GROUP	(i) (ii)	800,400 ------------- 0	540,890 ------------- 0	2,717 ------------- 0	41,300 ------------- 0	30,333 ------------- 0	1,415,640 ------------- 0	0 ------------- 0
64PATRICIA A MAYNEFORMER VP EMERGENCY SERVICES	(i) (ii)	27,999 ------------- 0	0 ------------- 0	151,811 ------------- 0	2,659 ------------- 0	2,585 ------------- 0	185,054 ------------- 0	0 ------------- 0
65MICHAEL G PAULVP FACILITIES ENG SUPPORT SVCS	(i) (ii)	186,846 ------------- 0	34,053 ------------- 0	12,321 ------------- 0	0 ------------- 0	24,754 ------------- 0	257,974 ------------- 0	0 ------------- 0
66DANIEL J WOODSSVP & HOSPITAL PRESIDENT	(i) (ii)	0 ------------- 398,237	0 ------------- 96,773	0 ------------- 15,252	0 ------------- 47,300	0 ------------- 27,463	0 ------------- 585,025	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

SCHEDULE J, PART I, LINE 1B

REIMBURSEMENT POLICY: While WellStar Health System and its affiliates do not have a written policy regarding payment or reimbursement of the items listed in SCHEDULE J, Part I, Line 1a, the organization follows IRS guidelines in the payment of any of these items to individuals listed in Form 990, Part VII, Section A. These items are added as taxable wages on the individual's Form W-2 as appropriate. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: Pursuant to their respective employment agreements, the following groups of officers are entitled to severance payments based on their compensation at that time in the event of certain identified circumstances. The severance payment periods are 24 months for Executive Vice Presidents, 18 months for Senior Vice Presidents, and 12 months for Vice Presidents. The following officers/KEY EMPLOYEES received severance pay during the 2015 CALENDAR YEAR FROM EITHER THE ORGANIZATION OR A RELATED ORGANIZATION: MARCIA DELK-PAYNE $313,526 ROBIN WILSON 289,998 CHRISTOPHER M. KANE 289,168 DONALD CAMPBELL, MD 277,130 PATRICIA MAYNE 150,603 LOUIS W. LITTLE 136,033 BARBARA G. BALLARD 131,308 STEVEN L. GRACE 130,778 JAMES E. CLEMENTS 116,555 CHRISTOPHER B. SCULLEN 108,089 DEBORAH ROEGGE DE VITA 107,650 TRACEY ATWATER 106,522 LEE R. COOK 88,605 NANCY R. DOELLING 57,696 ROBERT D. JANSEN 32,542 JEFFERY D. STANLEY 34,924 CHESTER A. ZBOROWSKI 33,152 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 individuals received payments from the plan included in Schedule J, Part II, Column (B): CANDICE L. SAUNDERS $889,660 ROBERT D. JANSEN 380,649 DAVID W. ANDERSON 92,098 JEFFERY D. STANLEY 56,284 JOSEPH L. BRYWCZYNSKI 42,507 MARY L. TAVERNARO 34,242 LEO E. REICHERT 27,209 ROBERT MANDLER 21,426 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.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
WELLSTAR HEALTH SYSTEM INC

Employer identification number
58-1649541

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HOSPITAL AUTHORITY OF COBB COUNTY	58-2464600	19081PEM4	04-30-2004	25,000,000	EQUIPMENT POOL		X		X		X
B	COBB COUNTY KENNESTONE HOPSITAL AUTHORITY	58-1147004	190813LN3	10-31-2005	120,000,000	CAP. IMPROVEMENTS (SERIES A & B)		X		X		X
C	HOSPITAL AUTHORITY OF COBB COUNTY	58-2464600	19081PEN2	06-30-2005	25,000,000	EQUIPMENT POOL		X		X		X
D	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	19081PEN2	11-01-2011	127,345,930	CONSTRUCTION		X		X		X
	PAULDING COUNTY HOSPITAL AUTHORITY	58-6011214	703596DH6	06-28-2012	32,711,016	CONSTRUCTION SERIES A		X		X		X
	PAULDING COUNTY HOSPITAL AUTHORITY	58-6011214	703596DK9	06-28-2012	68,750,000	CONSTRUCTION SERIES B		X		X		X
	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-6011214	190813PH2	11-15-2012	122,366,879	ADVANCED REFUNDING CONSTRUCTION		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		6,150,000		0		11,440,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	25,000,000		120,000,000		25,000,000		127,345,930
4 Gross proceeds in reserve funds .............	96,810		1,026,000		82,775		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		50,962,739
7 Issuance costs from proceeds ...............	0		1,167,300		0		1,383,191
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	25,000,000		116,948,276		25,000,000		75,000,000
11 Other spent proceeds .............	0		1,884,424		0		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2004		2007		2006		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X	X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0.200 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........			0.200 %
6 Total of lines 4 and 5 .............			0.400 %
7 Does the bond issue meet the private security or payment test? ...
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K, PART V

PROCEDURES TO UNDERTAKE CORRECTIVE ACTION: WELLSTAR HEALTH SYSTEM, INC (THE BORROWER ON TAX EXEMPT BONDS) HAS ESTABLISHED POLICIES AND PROCEDURES THAT WILL MAXIMIZE THE LIKELIHOOD THAT ALL APPLICABLE POST-ISSUANCE REQUIREMENTS OF FEDERAL INCOME TAX LAW NEEDED TO PRESERVE THE TAX-EXEMPT STATUS OF THE BONDS ARE MET. THE PROCEDURES INCLUDE EXTERNAL ADVISORS SUCH AS BOND COUNSEL AND OTHER LEGAL COUNSEL WHO ASSIST THE BORROWER IN MAINTAINING THE TAX-EXEMPT STATUS OF ALL BONDS; ARBITRAGE REBATE CALCULATIONS THAT NEED TO BE MADE FOR EACH BOND ISSUE; DOCUMENTATION OF THE USE OF BOND PROCEEDS INCLUDING POTENTIAL PRIVATE BUSINESS USE APPLICABLE TO THE BONDS AFTER AN ANNUAL INTERNAL REVIEW OF THOSE USES; AND PROPER RECORD KEEPING OF ALL DOCUMENTS RELATED TO THE ISSUANCE OF TAX-EXEMPT BONDS. THESE PROCEDURES APPLY TO ALL LISTED TAX-EXEMPT BONDS.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
WELLSTAR HEALTH SYSTEM INC

Employer identification number
58-1649541

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HOSPITAL AUTHORITY OF COBB COUNTY	58-2464600	19081PEM4	04-30-2004	25,000,000	EQUIPMENT POOL		X		X		X
B	COBB COUNTY KENNESTONE HOPSITAL AUTHORITY	58-1147004	190813LN3	10-31-2005	120,000,000	CAP. IMPROVEMENTS (SERIES A & B)		X		X		X
C	HOSPITAL AUTHORITY OF COBB COUNTY	58-2464600	19081PEN2	06-30-2005	25,000,000	EQUIPMENT POOL		X		X		X
D	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	19081PEN2	11-01-2011	127,345,930	CONSTRUCTION		X		X		X
	PAULDING COUNTY HOSPITAL AUTHORITY	58-6011214	703596DH6	06-28-2012	32,711,016	CONSTRUCTION SERIES A		X		X		X
	PAULDING COUNTY HOSPITAL AUTHORITY	58-6011214	703596DK9	06-28-2012	68,750,000	CONSTRUCTION SERIES B		X		X		X
	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-6011214	190813PH2	11-15-2012	122,366,879	ADVANCED REFUNDING CONSTRUCTION		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		6,150,000		0		11,440,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	25,000,000		120,000,000		25,000,000		127,345,930
4 Gross proceeds in reserve funds .............	96,810		1,026,000		82,775		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		50,962,739
7 Issuance costs from proceeds ...............	0		1,167,300		0		1,383,191
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	25,000,000		116,948,276		25,000,000		75,000,000
11 Other spent proceeds .............	0		1,884,424		0		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2004		2007		2006		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X	X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0.200 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........			0.200 %
6 Total of lines 4 and 5 .............			0.400 %
7 Does the bond issue meet the private security or payment test? ...
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K, PART V

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WELLSTAR HEALTH SYSTEM INC

Employer identification number

58-1649541

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) VALERY A AKOPOV MD	OFFICER	TUITION		X	31,250	25,200		No	Yes		Yes
(2) ANTHONY J BUDZINSKI	OFFICER	TUITION		X	31,250	25,200		No	Yes		Yes








Total ............... $						50,400

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) PAMELA ETHERIDGE	WIFE OF OFFICER	72,091	EMPLOYEE OF WELLSTAR	Yes
(2) GREG FORTGANG	SON-IN-LAW OF TRUSTEE	88,648	EMPLOYEE OF WELLSTAR	Yes
(3) JESSICA HANEY	DAUGHTER OF OFFICER	38,716	EMPLOYEE OF WELLSTAR	Yes
(4) MISTY S DECOUX	WIFE OF OFFICER	76,950	EMPLOYEE OF WELLSTAR	Yes
(5) NADINE FRANCIS	WIFE OF OFFICER	76,007	EMPLOYEE OF WELLSTAR	Yes
(6) JENNIFER HANEY	DAUGHTER-IN-LAW OF OFFcr.	81,489	EMPLOYEE OF WELLSTAR	Yes
(7) MATTHEW MADDOX	SON OF BOARD MEMBER	84,611	EMPLOYEE OF WELLSTAR	Yes
(8) BONNIE MILLER	WIFE OF BOARD MEMBER	34,191	EMPLOYEE OF WELLSTAR	Yes

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART IV, LINES 1-8	BUSINESS TRANSACTIONS WITH INTERESTED PARTIES: All transactions listed in Schedule L, Part IV are for interested parties or in this case family members of either trustees or officers of wellstar health system, inc. or its related organizations. The transactions all represent payment of services as employees of Wellstar Health System.

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

WELLSTAR HEALTH SYSTEM INC

Employer identification number

58-1649541

Return Reference	Explanation
FORM 990, HEADING, ITEM B, AMENDED RETURN	FORM 990, PART VII AND SCHEDULE J HAVE BEEN AMENDED TO REFLECT CERTAIN SECTION 457(B) PAYMENTS MADE TO CERTAIN INDIVIDUALS DURING CALENDAR YEAR 2015 THAT WERE NOT REPORTED ON THE ORIGINALLY FILED FORM 990 BUT WERE INCLUDED IN TAXABLE COMPENSATION REPORTED ON FORM W-2. PART X HAS BEEN AMENDED TO REFLECT ADJUSTMENTS TO THE END-OF-YEAR BALANCE SHEET. PART XI HAS BEEN ADJUSTED ACCORDINGLY TO RECONCILE THE ORGANIZATIONS END-OF-YEAR NET ASSETS. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS 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 11 hospitals (kennestone, cobb, paulding medical, douglas, windy hill, atlanta medical center downtown and south, north fulton, spalding, sylvan grove and west georgia), multiple physician offices, primary care centers, outpatient care facilities, a nursing home and other health related services including two inpatient hospice facilities. The system is supported financially by a fundraising organization, wellstar foundation, inc. The service area for the system encompasses parts of the northwestern, central and western sections of the state of georgia - the primary area being in bartow, cherokee, cobb, douglas, Paulding, fulton, butts, spalding and troup counties. Approximately more than 90% of inpatient discharges and outpatients served are from the aforementioned counties. The wellstar vision is to deliver world class healthcare. Our 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 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 disassociated from and became totally independent of promina in 1999. In 2016 WellStar acquired atlanta medical center, north fulton hospital, spalding hospital, sylvan grove hospital and west georgia medical center. Wellstar health system is a parent corporation which provides overall coordination including governing body to its 11 subordinate affiliates: - cobb hospital, inc.; - chs foundation, inc. (investment management); - douglas hospital inc.; - kennestone hospital, inc.; - paulding medical center, inc.; - wellstar foundation inc.; - wellStar atlanta medical center, inc.; - wellstar north fulton hospital, inc.; - wellstar spalding regional hospital, inc.; - wellstar sylvan grove hospital, inc.; - wellstar west georgia health services, inc . 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, - ancillary and support services, - urgent care services, - home health services, - skilled nursing services and - hospice services. The system includes a residential facility on the kennestone hospital campus, called atherton place. Atherton place also houses an assisted living unit as an additional level of care. The 11 hospital locations are acute care facilities with inpatient, outpatient, and emergency services. Paulding medical center is home to a full care nursing home, paulding nursing center and west georgia medical center also home to two full care nursing homes. 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. Kennestone hospital also opened a residential hospice facility not far from its main campus. The system is complimented with approximately 100 physician practices and several urgent care centers. The system is thus able to provide a complete continuum of care for the community it 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. In fiscal year 2016 and 2015, wellstar affiliate hospitals made $147.9 million and $100.9 million, respectively, in provider payments and recognized such payments as a reduction in net patient service revenue in the accompanying combined financial statements. 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 most 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): Licensed Beds 2,775 Adult Discharges 80,835 Newborn Discharges 10,896 Emergency Room Visits - 453,429 Surgeries - 52,301 Cath Lab/Pacemakers/EP 11,238 Non-ED O/P Radiology Procedures - 373,364 Med/Surg. Short Stay Cases - 355 GI Lab Procedures - 6,790 Radiology Oncology Procedures - 24,431 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. Community Health/Education: Wellstar's Marketing and
FORM 990, PART IV, LINE 12B	AUDITED FINANCIAL STATEMENTS WellStar Health System, Inc. is audited on an annual basis by an outside auditing firm, KPMG, and as part of that audit a consolidated financial statement is issued for all of WellStar Health System, Inc. and its CONTROLLED Affiliates. The independent auditors report includes the accounts of Wellstar and its controlled affiliates, WELLSTAR Kennestone Hospital, Inc., WELLSTAR Cobb Hospital, Inc., WELLSTAR Douglas Hospital, Inc., WELLSTAR Paulding Medical Center, Inc., WELLSTAR ATLANTA MEDICAL CENTER, INC., WELLSTAR NORTH FULTON HOSPITAL, INC., WELLSTAR SPALDING REGIONAL HOSPITAL, INC., WELLSTAR SYLVAN GROVE HOSPITAL, INC., WELLSTAR WEST GEORGIA HEALTH SERVICES, INC., WELLSTAR WEST GEORGIA MEDICAL CENTER, INC., Wellstar Foundation, Inc., WELLSTAR WEST GEORGIA FOUNDATION, INC., CHS Foundation, Inc., Community Assurance Company, Ltd., various Wellstar owned physician practices, a hospice facility, a nursing facility, home health business, and entities for infusion therapy and durable medical equipment. All significant intercompany accounts and transactions have been eliminated in combination. The Board of Trustees of Wellstar HEALTH SYSTEM, INC. has the authority to approve appointments of the members of the board of trustees of all affiliate corporations. FORM 990, PART VI, SECTION B, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATION'S GOVERNING DOCUMENTS During the fiscal year ending June 30, 2016, the bylaws of WellStar Health System, Inc. were amended to increase the maximum number of members on the Board of Trustees as well change the composition of the board to include Trustees from West Georgia Medical Center, Inc., a controlled subsidiary of WellStar Health System, Inc.
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, PricewaterhouseCoopers LLP, reviews and sign-offs on the completed return of each organization. Generally, Form 990 is then reviewed by the Finance Committee along with a question and answer session. A motion is then made by the Finance committee to approve the returns and present to the full board copies of the forms in an electronic (PDF format) version as well as a hard copy. The organization's CFO or designee subsequently signs the return for either manual or electronic filing by the appropriate due date. 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 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. Currently the executive compensation committee consists of five members of the Board of Trustees as well as the CEO. In committee discussions about the compensation for the Chief Executive Officer, the CEO will recuse him/herself from that process and 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. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS MADE AVAILABLE TO THE PUBLIC 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 publishes a community benefit report once a year for distribution to the public. 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 of the organizations exceeds 40 hours per 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 HEALTH SYSTEM, INC. HAD THE FOLLOWING CHANGES IN NET ASSETS: PENSION ADJUSTMENT ($199,849,000) ASSETS RELEASED FROM RESTRICTION 1,075,000 OTHER CHANGES* 78,352,235 -------------- Total Other Changes in Net Assets ($120,421,765) *FOR THE REPORTING PERIOD, WELLSTAR HEALTH SYSTEM, INC. HAD A CHANGE IN NET ASSETS OF $78,352,235 RELATED TO TRANSFERS TO AFFILIATES AS PART OF THE ALLOCATION OF INCOME STATEMENT AND BALANCE SHEET TRANSACTIONS OVER THE YEAR.
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES/CONTRACTS TOTAL FEES:79353321
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:4297014
FORM 990 PART IX LINE 11G	DESCRIPTION:TAXES, LICENSES TOTAL FEES:3441707
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:6512087

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WELLSTAR HEALTH SYSTEM INC

Employer identification number

58-1649541

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(f) Direct controlling entity
(1) Wellstar Medical Group LLC 793 SAWYER ROAD Marietta,GA300622222 27-3818647	Healthcare	GA	WHS Inc
(2) Cobb Gynecologists 2 LLC 793 SAWYER ROAD Marietta,GA300622222 02-0808099	Healthcare	GA	WHS INC
(3) South Cobb OB-GYN 2 LLC 793 SAWYER ROAD Marietta,GA300622222 02-0808071	Healthcare	GA	WHS INC
(4) WellStar Psychiatry LLC 793 SAWYER ROAD Marietta,GA300622222 58-2500211	Healthcare	GA	WHS INC
(5) WellStar Kennestone OBGYN 2 LLC 793 SAWYER ROAD Marietta,GA300622222 30-0355553	Healthcare	GA	WHS INC
(6) WellStar Kennestone OBGYN LLC 793 SAWYER ROAD Marietta,GA300622222 58-2499183	Healthcare	GA	WHS INC
(7) WellStar Medical Specialists 2 LLC 793 SAWYER ROAD Marietta,GA300622222 75-3261729	Healthcare	GA	WHS INC
(8) WellStar Homecare Billing Services LLC 793 SAWYER ROAD Marietta,GA300622222 58-2479534	Healthcare	GA	WHS INC
(9) Wellstar Windy Hill Apothecary Bill Srv 793 SAWYER ROAD Marietta,GA300622222 56-2511925	Healthcare	GA	WHS INC
(10) Wellstar Home Health LLC 793 SAWYER ROAD Marietta,GA300622222 27-0277843	Healthcare	GA	WHS INC
(11) Wellstar Health Network LLC 793 SAWYER ROAD Marietta,GA300622222 27-3870970	Healthcare	GA	WHS Inc
(12) Wellstar Health Ventures LLC 793 SAWYER ROAD Marietta,GA300622222 45-3754932	Healthcare	GA	WHS INC
(13) Wellstar IPA LLC 793 SAWYER ROAD Marietta,GA300622222 58-1649541	Insurance	GA	WHS INC
(14) Wellstar Community Hospice LLC 793 SAWYER ROAD Marietta,GA300622222 13-4350580	Healthcare	GA	WHS INC
(15) Center for Health Transformation 793 SAWYER ROAD Marietta,GA300622222 58-1649541	Healthcare	GA	WHS INC
(16) WellStar Clinical Partners LLC 793 SAWYER ROAD Marietta,GA300622222 58-1649541	HEALTHCARE	GA	WHS INC
(17) WELLSTAR RESTAURANT SERVICES LLC 793 SAWYER ROAD MARIETTA,GA300622222 58-1649541	FOOD SERVICES	GA	WHS INC
(18) WELLSTAR CLINICAL PARTNERS ATLANTA LLC 793 SAWYER ROAD MARIETTA,GA300622222 58-1649541	HEALTHCARE	GA	WHS INC

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CHS Foundation Inc 793 SAWYER ROAD Marietta,GA300622222 58-1649540	Foundation	GA	501(C)(3)	11 Type 2	WHS INC	Yes
(2)Cobb Hospital Inc 793 SAWYER ROAD Marietta,GA300622222 58-0968382	Healthcare	GA	501(C)(3)	3	WHS INC	Yes
(3)Douglas Hospital Inc 793 SAWYER ROAD Marietta,GA300622222 58-2026750	Healthcare	GA	501(C)(3)	3	WHS INC	Yes
(4)Kennestone Hospital Inc 793 SAWYER ROAD Marietta,GA300622222 58-2032904	Healthcare	GA	501(C)(3)	3	WHS INC	Yes
(5)Paulding Medical Center Inc 793 SAWYER ROAD Marietta,GA300622222 58-2095884	Healthcare	GA	501(C)(3)	3	WHS INC	Yes
(6)Wellstar Foundation Inc 793 SAWYER ROAD Marietta,GA300622222 58-1627413	Foundation	GA	501(C)(3)	11 Type 2	WHS INC	Yes
(7)WELLSTAR ATLANTA MEDICAL CENTER INC 793 SAWYER ROAD MARIETTA,GA300622222 81-0837031	HEALTHCARE	GA	501(C)(3)	3	WHS INC	Yes
(8)WELLSTAR NORTH FULTON HOSPITAL INC 793 SAWYER ROAD MARIETTA,GA300622222 81-0851756	HEALTHCARE	GA	501(C)(3)	3	WHS INC	Yes
(9)WELLSTAR SPALDING REGIONAL HOSPITALINC 793 SAWYER ROAD MARIETTA,GA300622222 81-0864789	HEALTHCARE	GA	501(C)(3)	3	WHS INC	Yes
(10)WELLSTAR SYLVAN GROVE HOSPITAL INC 793 SAWYER ROAD MARIETTA,GA300622222 81-0875069	HEALTHCARE	GA	501(C)(3)	3	WHS INC	Yes
(11)WEST GEORGIA MEDICAL CENTER INC 793 SAWYER ROAD MARIETTA,GA300622222 20-5497506	HEALTHCARE	GA	501(C)(3)	3	WHS INC	Yes
(12)WEST GEORGIA HEALTH SERVICES INC 793 SAWYER ROAD MARIETTA,GA300622222 20-5497622	HEALTHCARE	GA	501(C)(3)	11 TYPE 3FI	WHS INC	Yes
(13)VERNON WOODS RETIREMENT COMMUNITY INC 793 SAWYER ROAD MARIETTA,GA300622222 58-2575049	HEALTHCARE	GA	501(C)(3)	9	WHS INC	Yes
(14)WEST GEORGIA HEALTH FOUNDATION INC 793 SAWYER ROAD MARIETTA,GA300622222 20-0936376	FOUNDATION	GA	501(C)(3)	7	whs inc	Yes
(15)MEDICAL PARK FOUNDATION INC 793 SAWYER ROAD MARIETTA,GA300622222 58-1303478	FOUNDATION	GA	501(C)(3)	7	WHS INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Kennestone EAST Parking Deck LLC 793 SAWYER ROAD Marietta,GA300666340 20-0537100	PARKING	GA	WHS INC	EXCLUDED	-104,495	2,238,524		No	0		No	73.000 %
(2) COBB SOUTH PARKING DECK LLC 793 SAWYER ROAD Marietta,GA300622222 75-2999669	PARKING	GA	WHS INC	EXCLUDED	-10,389	645,938		No	0		No	62.500 %
(3) GRIFFIN IMAGING LLC 793 SAWYER ROAD MARIETTA,GA300622222	IMAGING CENTER	GA	NA	N/A
(4) TENET EMSSPALDING 911 LLC 793 SAWYER ROAD MARIETTA,GA300622222	OFF.BLDG/EMS CTR	GA	NA	N/A
(5) NORTH FULTON PARKING DECK LP 793 SAWYER ROAD MARIETTA,GA300622222	PARKING	GA	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) Community Assurance Co 3rd Fl Barclays Hse Shedden Rd George Town CJ 58-1649541	INSURANCE	CJ	WHS INC	C CORP	23,871,317	81,943,249	100.000 %	Yes
(2) WEST GEORGIA HEALTH PHYSICIANS INC 793 SAWYER ROAD MARIETTA,GA300622222 27-5125341	PHYSICIAN PRAC.	GA	WHS INC	C CORP					No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

Yes

i Exchange of assets with related organization(s) ............................

Yes

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Cobb Hospital Inc	q	67,958,957	actual cost
(2) Douglas Hospital Inc	q	25,466,377	actual cost
(3) Kennestone Hospital Inc	q	153,583,818	actual cost
(4) Paulding Medical Center Inc	q	21,933,539	actual cost
(5) COBB SOUTH PARKING DECK LLC	S	27,901	ACTUAL COST
(6) WELLSTAR NORTH FULTON HOSPITAL INC	Q	726,078	ACTUAL COST
(7) WELLSTAR ATLANTA MEDICAL CENTER INC	Q	1,297,635	ACTUAL COST
(8) WELLSTAR SPALDING REGIONAL HOSPITAL INC	Q	854,082	ACTUAL COST
(9) WELLSTAR SYLVAN GROVE HOSPITAL INC	Q	70,770	ACTUAL COST

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

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 organization(s), j) Lease of facilities, equipment, or other assets from other organization(s), k) LEASE OF FACILITIES, EQUIPMENT, OR OTHER ASSETS FROM RELATED ORGANIZATION(S) n) Sharing of paid employees, o) Reimbursement paid to other organization(s), q) Other transfers of cash or property to other organization(S), AND r) Other transfers of cash or property from other organization(s).

Schedule R (Form 990) 2015

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