TY 2021 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.

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

A For the 2021 calendar year, or tax year beginning 07-01-2021 , and ending 06-30-2022

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 $ 1,854,364,444

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: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	9,846
6	Total number of volunteers (estimate if necessary) .............	6	44
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	146,796
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	30,426,315	12,033,437
9	Program service revenue (Part VIII, line 2g) .........	1,823,461,570	1,678,043,721
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	107,735,247	109,772,110
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	28,980,989	52,956,726
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,990,604,121	1,852,805,994
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,340,940	4,690,951
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)	1,038,056,429	1,165,441,644
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 4,732,231
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	447,773,894	481,904,103
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,490,171,263	1,652,036,698
19	Revenue less expenses. Subtract line 18 from line 12.......	500,432,858	200,769,296
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,270,610,039	5,349,628,793
21	Total liabilities (Part X, line 26).............	2,598,390,087	2,745,711,320
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,672,219,952	2,603,917,473

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 (2021)

Form 990 (2021)

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: SEE SCHEDULE O

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 $ 1,074,760,417 including grants of $ 4,690,951 ) (Revenue $ 1,678,043,721 )
	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 expenses1,074,760,417

Form 990 (2021)

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. Click to see attachment

...

Yes

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 Rev. Proc. 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

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

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

Form 990 (2021)

Page 4

Part IV

Checklist of Required Schedules (continued)

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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II Click to see attachment

...........

Yes

Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) 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 the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

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

28a

A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV..... Click to see attachment

28b

Yes

A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? 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 on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

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 ..

807

Enter the number of Forms W-2G included on 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? ..................

Yes

Form 990 (2021)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance (continued)

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

9,846

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? ........

Sponsoring organizations maintaining donor advised funds.

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

Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.

Yes

Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.

Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.

Form 990 (2021)

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 on 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 on 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 on 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 (1024 or 1024-A, if applicable), 990, and 990-T (section 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 (2021)

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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.

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/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) CANDICE SAUNDERS...................................................................... PRESIDENT & CEO	38.0 ................. 12.0	X	X		3,624,780	0	111,032
(2) JOHN BRENNAN...................................................................... EVP CHIEF CLIN INTEG OFFICER	38.0 ................. 12.0		X		2,651,304	0	110,256
(3) RICHARD MYUNG...................................................................... MD PHYSICIAN GROUP	50.0 ................. 0.0			X	2,141,848	0	105,890
(4) ROB SCHREINER...................................................................... EVP CHIEF PHYSICIAN EXECUTIVE	38.0 ................. 12.0		X		1,963,136	0	60,405
(5) KEM MULLINS...................................................................... EVP AMBULATORY & BUS DEV	38.0 ................. 12.0		X		1,758,042	0	78,964
(6) JAMES BURKE...................................................................... MD PHYSICIAN GROUP	50.0 ................. 0.0			X	1,528,221	0	99,716
(7) AHMAD KHALDI...................................................................... MD PHYSICIAN GROUP	50.0 ................. 0.0			X	1,542,415	0	79,522
(8) TERESA LUU...................................................................... MD PHYSICIAN GROUP	50.0 ................. 0.0			X	1,494,921	0	98,079
(9) JUI EN HSU...................................................................... MD PHYSICIAN GROUP	50.0 ................. 0.0			X	1,350,234	0	87,926
(10) ANTHONY J BUDZINSKI...................................................................... EVP & CFO	38.0 ................. 12.0		X		1,311,524	0	110,899
(11) MARY CHATMAN...................................................................... EVP & PRESIDENT KENNESTONE	2.0 ................. 48.0		X		0	1,251,531	94,817
(12) LEO REICHERT...................................................................... EVP & GENERAL COUNSEL	38.0 ................. 12.0		X		1,160,035	0	117,488
(13) VALERY AKOPOV...................................................................... SVP HOSPITAL DIVISION WMG	38.0 ................. 12.0		X		1,060,084	0	76,014
(14) ALAN MUSTER...................................................................... SVP SPECIALTY DIVISION WMG	38.0 ................. 12.0		X		840,201	0	140,491
(15) DAVID JONES...................................................................... EVP CHIEF HUMAN RESOURCES OFFI	38.0 ................. 12.0		X		886,597	0	72,851
(16) RICHARD CAPPS...................................................................... EVP CHIEF INFO & DIGITAL OFFCR	38.0 ................. 12.0		X		849,070	0	73,866
(17) PAUL DOUGLASS MD...................................................................... TRUSTEE & PHYSICIAN	38.0 ................. 12.0	X			785,281	0	89,016

Form 990 (2021)

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/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) JILL CASE-WIRTH........................................................................ SVP NURSING SERVICES CNE	38.0 .......................12.0		X		727,440	0	80,991
(19) ARIF AZIZ MD........................................................................ TRUSTEE & SLL DIGESTIVE HEALTH	38.0 .......................12.0	X			702,518	0	87,370
(20) JOSEPH REPPERT........................................................................ SVP FINANCE	38.0 .......................12.0		X		667,031	0	81,700
(21) CATHERINE ANDREWS........................................................................ FORMER SVP & COO KH (BEG 4/21)	38.0 .......................12.0			X	677,436	0	68,952
(22) BARBARA COREY........................................................................ SVP MANAGED CARE	38.0 .......................12.0		X		652,028	0	91,268
(23) STEPHEN BADGER........................................................................ VP WMG STRATEGIC SERVICES	38.0 .......................12.0		X		633,361	0	104,894
(24) JONATHAN CROOM........................................................................ SVP & HOSPITAL PRESIDENT	2.0 .......................48.0		X		0	670,003	66,003
(25) BETH KOST........................................................................ SVP CHIEF COMPLIANCE OFFICER	38.0 .......................12.0		X		640,389	0	83,483
(26) MICHAEL MCCULLOUGH........................................................................ SVP SUPPLY CHAIN	38.0 .......................12.0		X		624,734	0	72,862
(27) JULIE TEER........................................................................ SVP & WELLSTAR FOUNDATION PRES	38.0 .......................12.0		X		659,288	0	35,012
(28) CRAIG OWENS........................................................................ SVP & HOSPITAL PRESIDENT	2.0 .......................48.0		X		0	593,548	92,781
(29) REMINGTON FOSS........................................................................ SVP HOSPITAL PRESIDENT WG	2.0 .......................48.0		X		0	581,337	92,066
(30) PAUL MURPHREE........................................................................ VP MEDICAL OUTCOMES	38.0 .......................12.0		X		579,847	0	90,862
(31) JASON STEVENS........................................................................ SVP DEPUTY GENERAL COUNSEL	38.0 .......................12.0		X		589,307	0	80,362
(32) DAVID PRESTON........................................................................ VP BRAND AND MARKETING	38.0 .......................12.0		X		604,507	0	59,977
(33) PETER R JUNGBLUT MD MBA........................................................................ FORMER SVP & MEDICAL DIRECTOR	0.0 .......................0.0			X	564,534	0	99,158
(34) TAMARA ISON........................................................................ SVP HOSPITAL PRESIDENT	2.0 .......................48.0		X		0	550,375	92,412
(35) JOHN KUEVEN........................................................................ SVP & HOSPITAL PRESIDENT	2.0 .......................48.0		X		0	566,021	68,040
(36) SOPHIA MCINTYRE........................................................................ SVP WMG AMBULATORY CARE DIV	38.0 .......................12.0		X		558,038	0	51,890
(37) JENNIFER GIUSTI........................................................................ VP CLINICAL OUTCOMES	38.0 .......................12.0		X		516,446	0	87,308
(38) JAMES L HORNSBY........................................................................ TRUSTEE & PHYSICIAN	38.0 .......................12.0	X			486,086	0	90,712
(39) AVRIL BECKFORD MD........................................................................ TRUSTEE & SLL PEDIATRIC PHYSIC	38.0 .......................12.0	X			465,188	0	80,511
(40) LINDA HUFFER........................................................................ VP POST ACUTE SERVICES	38.0 .......................12.0		X		444,896	0	72,765
(41) DANIEL ABAD........................................................................ VP TOTAL REWARDS & CHIEF TM EN	38.0 .......................12.0		X		454,424	0	62,007
(42) SNEHAL DOSHI........................................................................ SVP ANCILLARY AND SUPPORT SVC	38.0 .......................12.0		X		436,930	0	67,197
(43) KATHARINE LEONARD........................................................................ VP REAL ESTATE & FACILITY DEVE	38.0 .......................12.0		X		420,076	0	74,726
(44) MARY TAVERNARO........................................................................ VP HUMAN RESOURCES OPERATIONS	38.0 .......................12.0		X		388,458	0	97,234
(45) LAURA DANNELS........................................................................ VP & CHIEF TALENT OFFICER	38.0 .......................12.0		X		426,432	0	50,228
(46) ELIZABETH LOUDERMILK........................................................................ VP FINANCIAL PLANNING	38.0 .......................12.0		X		388,114	0	86,210
(47) ANDREW COX........................................................................ VP CHIEF OF STAFF & LEADERSHIP	38.0 .......................12.0		X		404,521	0	64,972
(48) KIMBERLY TAACA........................................................................ VP WMG OPS SPECIALTY DIV	38.0 .......................12.0		X		399,205	0	65,561
(49) MAXWELL KAGAN........................................................................ VP FINANCE & CFO WMG	38.0 .......................12.0		X		410,726	0	51,929
(50) SANDRA LUCIUS........................................................................ VP HEAD OF CARE PLATFORMS	38.0 .......................12.0		X		381,258	0	68,645
(51) ELIZABETH PAPETTI........................................................................ VP WMG OPS HOSPITAL DIV	38.0 .......................12.0		X		392,522	0	54,980
(52) JOSEPH BRAUD........................................................................ VP INFO SECURITY & CISO	38.0 .......................12.0		X		398,971	0	47,213
(53) NICKOLOS YAITSKY........................................................................ VP HEAD OF DIGITAL PLATFORMS	38.0 .......................12.0		X		365,638	0	55,060
(54) JAMES SWARTZ........................................................................ VP ACCOUNTING	38.0 .......................12.0		X		351,167	0	57,502
(55) VARMA RAMESWAR........................................................................ VP PEDIATRIC OPS AND SVC LINE	38.0 .......................12.0		X		325,474	0	80,030
(56) DANYALE ZIGLOR........................................................................ VP HUMAN RESOURCE	38.0 .......................12.0		X		325,057	0	77,097
(57) THOMAS DRAPER........................................................................ VP CARDIOVASCULAR SERVICE LINE	38.0 .......................12.0		X		334,967	0	62,525
(58) FREDA LYON........................................................................ VP SYSTEM EMERGENCY SERVICES	38.0 .......................12.0		X		325,737	0	65,883
(59) JESSICA KOVALESKY........................................................................ VP CARE COORDINATION & POPULAT	38.0 .......................12.0		X		356,903	0	34,639
(60) PRANAV JAIN........................................................................ VP & CHIEF MEDICAL INFORMATION	38.0 .......................12.0		X		359,737	0	31,223
(61) LEANNE COOK........................................................................ VP CONSUMER ENGAGEMENT	38.0 .......................12.0		X		314,780	0	62,413
(62) CAROL TODD........................................................................ VP ASST GENERAL COUNSEL	38.0 .......................12.0		X		297,924	0	79,251
(63) STEVEN HUNT........................................................................ VP HUMAN RESOURCES	38.0 .......................12.0		X		305,045	0	69,579
(64) STEPHEN VAULT........................................................................ VP STRATEGIC COMMUNITY DEVELOP	38.0 .......................12.0		X		328,137	0	44,496
(65) MARCUS CHARLSON........................................................................ VP SURGERY & ORTHOPEDICS SERVI	38.0 .......................12.0		X		311,924	0	50,825
(66) ELLEN WRIGHT........................................................................ VP HIM CDI & POLICIES	38.0 .......................12.0		X		310,381	0	46,057
(67) KRISTEN TRICE........................................................................ VP DIAGNOSTIC OUTREACH	38.0 .......................12.0		X		288,210	0	65,080
(68) SONYA ALDY........................................................................ VP TALENT ACQUISITION	38.0 .......................12.0		X		302,784	0	49,180
(69) SOPHIA MARSHALL........................................................................ VP ORGANIZATIONAL COMMUNICATIO	38.0 .......................12.0		X		308,372	0	42,063
(70) IVY SPENCER........................................................................ VP CNO WMG	38.0 .......................12.0		X		298,656	0	51,692
(71) SUSAN JACKSON........................................................................ VP PHARMACY SVCS	38.0 .......................12.0		X		274,766	0	65,278
(72) ROBERT DECOUX........................................................................ VP CORPORATE MED STAFF SVCS	38.0 .......................12.0		X		255,374	0	70,630
(73) REBECCA RUHL........................................................................ VP COMPLIANCE CPO	38.0 .......................12.0		X		270,758	0	42,841
(74) JONATHAN MAURER........................................................................ FORMER VP INFO SECURITY & CISO	0.0 .......................0.0			X	310,880	0	921
(75) MATTHEW TERRY........................................................................ SVP CHIEF STRATEGY OFFICER	38.0 .......................12.0		X		283,117	0	17,783
(76) SANA BRUNO........................................................................ VP LABORATORY SERVICES SYSTEM	38.0 .......................12.0		X		240,706	0	30,040
(77) LE JOYCE NAYLOR........................................................................ SVP & CHIEF DIVERSITY & INCLUS	38.0 .......................12.0		X		251,142	0	5,740
(78) WILLIAM BELLANDO........................................................................ VP CHIEF TECHNOLOGY OFFICER	38.0 .......................12.0		X		195,083	0	17,438
(79) DONALD ZARKOU........................................................................ VP OF ONCOLOGY SERVICE LINE	38.0 .......................12.0		X		178,990	0	27,557
(80) TIMOTHY HANEY........................................................................ FORMR SVP RL EST FAC&DVLP SVCS	0.0 .......................0.0			X	200,797	0	0
(81) ANDREW LEE........................................................................ FORMER VP CHIEF DIVERSITY OFF.	0.0 .......................0.0			X	195,245	0	2,188
(82) JOE CASTANON........................................................................ VP CONTRACTING & VALUE ANALYSI	38.0 .......................12.0		X		180,488	0	10,935
(83) ANDREW VON ESCHENBACH........................................................................ VP REVENUE CYCLE MANAGEMENT	38.0 .......................12.0		X		166,945	0	18,604
(84) AVIRAL SINGH........................................................................ VP BRAND & MARKETING STRATEGY	38.0 .......................12.0		X		154,669	0	30,296
(85) JASON KELSEY........................................................................ VP REHAB AND SPORTS MEDICINE S	38.0 .......................12.0		X		110,768	0	39,607
(86) STUART DOWNS........................................................................ VP NURSING OPERATIONS	38.0 .......................12.0		X		117,644	0	23,746
(87) JAMES LORIMER........................................................................ SVP HR CONSULTING	38.0 .......................12.0		X		128,445	0	6,490
(88) MARK ROWE........................................................................ VP TALENT ACQUISITION	38.0 .......................12.0		X		72,978	0	5,838
(89) OTIS A BRUMBY III........................................................................ TRUSTEE	1.0 .......................12.0	X			48,384	0	0
(90) T FITZ JOHNSON........................................................................ TRUSTEE	1.0 .......................12.0	X			44,226	0	0
(91) RANDALL BENTLEY SR........................................................................ FORMER DIRECTOR	0.0 .......................0.0			X	40,163	0	0
(92) CHARLES BROCK........................................................................ TRUSTEE	1.0 .......................12.0	X			39,679	0	0
(93) DAVID HAFNER........................................................................ FORMER DIRECTOR	0.0 .......................0.0			X	24,610	0	0
(94) MITZI MOORE........................................................................ TRUSTEE	1.0 .......................12.0	X			7,406	0	0
(95) JAMES HOLMES........................................................................ TRUSTEE	1.0 .......................12.0	X			7,332	0	0
(96) AMBICA YADAV........................................................................ TRUSTEE	1.0 .......................12.0	X			5,307	0	0
(97) JAY CUNNINGHAM........................................................................ TRUSTEE	1.0 .......................12.0	X			5,000	0	0
(98) O SCOTT SWAYZE MD........................................................................ TRUSTEE	1.0 .......................12.0	X			4,690	0	0
(99) GREG MORGAN........................................................................ TRUSTEE	1.0 .......................12.0	X			2,530	0	0
(100) H SPEER BURDETTE III........................................................................ TRUSTEE	1.0 .......................12.0	X			2,421	0	0
(101) FRANK ROS........................................................................ TRUSTEE	1.0 .......................12.0	X			1,856	0	0
(102) JOHN MCKIBBEN........................................................................ TRUSTEE	1.0 .......................12.0	X			1,831	0	0
(103) ED RICHARDSON........................................................................ TRUSTEE	1.0 .......................12.0	X			1,532	0	0
(104) MARK BERRY........................................................................ TRUSTEE	1.0 .......................12.0	X			568	0	0
(105) MICHAEL GARRARD........................................................................ VP REHAB & SPORTS MED SVCS	38.0 .......................12.0		X		0	0	0
(106) SHARON ROBINSON........................................................................ VP FDN STRATEGY & GROWTH	38.0 .......................12.0		X		0	0	0
(107) JESSICA ROSENBERG........................................................................ VP PHILANTHROPY	38.0 .......................12.0		X		0	0	0
(108) JOEL SHU........................................................................ VP WELLSTAR CLINICAL PARTNERS	38.0 .......................12.0		X		0	0	0
(109) JEREMY STEFFENS........................................................................ VP ORGANIZATIONAL COMM	38.0 .......................12.0		X		0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	29,647,896	1,921,534	2,271,893

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

2,594

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
PT SOLUTIONS HOLDINGS LLC, PO BOX 724557 ATLANTA,GA31139	MEDICAL	43,857,431
NORTHWEST GEORGIA ONCOLOGY, 531 ROSELANE STREET SUITE 710 MARIETTA,GA30060	MEDICAL	30,466,118
MAK ANESTHESIA HOLDINGS LLC, 1300 RIDENOUR BLVD SUITE 300 KENNESAW,GA30152	MEDICAL	10,504,828
MAK ANESTHESIA WELLSTAR, 1300 RIDENOUR BLVD SUITE 300 KENNESAW,GA30152	MEDICAL	7,216,256
FRESENIUS MEDICAL CARE, PO BOX 101518 ATLANTA,GA303740709	MEDICAL	6,052,692
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 259

Form 990 (2021)

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	12,033,437

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

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		12,033,437

		Business Code
2a	PATIENT REVENUE	622110	562,252,838	562,252,838
b	SHARED SERVICE RECOUPMENT	622110	557,335,439	557,335,439
c	EQUITY EARNINGS IN HOSP AFFILIATES	622110	554,320,447	554,320,447
d	KSU CLINIC	622110	3,151,328	3,151,328
e	WELLNESS CENTER	622110	983,669	983,669
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,678,043,721

3 Investment income (including dividends, interest, and othersimilar amounts) ......			35,617,948			35,617,948
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		145,522	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	145,522	6c
d	Net rental income or (loss).......			145,522			145,522
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		75,712,612	7a
b	Less: cost or other basis and sales expenses	1,558,450		7b
c	Gain or (loss)	-1,558,450	75,712,612	7c
d	Net gain or (loss).........			74,154,162			74,154,162
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CAC PREMIUMS		622110	32,748,842			32,748,842
b	MEDICARE SHARED SAVING RECEIPTS		622110	6,987,217			6,987,217
c	LAUNDRY		812320	146,796		146,796
d	All other revenue ....			12,928,349			12,928,349
e	Total. Add lines 11a–11d ......			52,811,204
12	Total revenue. See instructions.....			1,852,805,994	1,678,043,721	146,796	162,582,040

Form 990 (2021)

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 ....	4,690,951	4,690,951
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 ...........	44,414,689	35,531,751	8,882,938	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0	0	0	0
7	Other salaries and wages........	962,403,206	651,562,441	308,990,273	1,850,492
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	16,825,657	10,465,079	6,360,578	0
9	Other employee benefits .......	85,162,830	84,654,705	510,115	-1,990
10	Payroll taxes ...........	56,635,262	33,265,388	23,237,023	132,851
11	Fees for services (non-employees):
a	Management ......	35,676,693	31,256,184	4,420,509	0
b	Legal .........	2,738,295	847	2,737,448	0
c	Accounting ...........	895,000	0	895,000	0
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)	173,515,933	16,886,453	154,515,181	2,114,299
12	Advertising and promotion ....	10,808,297	576,520	10,073,632	158,145
13	Office expenses .......	12,988,198	2,069,962	10,875,509	42,727
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	49,226,741	36,250,470	12,965,947	10,324
17	Travel ............	2,274,771	1,023,763	1,240,910	10,098
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	968,827	767,203	201,624	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	67,170,686	14,195,904	52,965,992	8,790
23	Insurance ...	77,977,661	77,803,755	173,906	0
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	MEDICAL SUPPLIES	40,626,200	42,578,224	-3,406,231	1,454,207
b	REPAIR & MAINTENANCE	14,724,983	1,297,862	13,427,089	32
c	NON-MEDICAL SUPPLIES	-5,306,033	1,230,977	-5,281,502	-1,255,508
d	CAPTIVE PREMIUMS	23,251,858	23,251,858	0	0
e	All other expenses	-25,634,007	5,400,120	-31,241,891	207,764
25	Total functional expenses. Add lines 1 through 24e	1,652,036,698	1,074,760,417	572,544,050	4,732,231
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 (2021)

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 .........			116,677,469	2	43,549,287
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			39,897,072	4	39,902,491
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			36,632,988	8	44,820,567
9	Prepaid expenses and deferred charges ......			113,810,668	9	110,597,041
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,024,556,616
b	Less: accumulated depreciation	10b	709,084,792	290,359,022	10c	315,471,824
11	Investments—publicly traded securities .			2,147,794,720	11	2,100,271,185
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 ...........			2,525,438,100	15	2,695,016,398
16	Total assets. Add lines 1 through 15 (must equal line 33)...			5,270,610,039	16	5,349,628,793

17	Accounts payable and accrued expenses .....	545,026,801	17	611,653,004
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	1,340,134,386	20	1,522,545,447
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		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	713,228,900	25	611,512,869
26	Total liabilities. Add lines 17 through 25..	2,598,390,087	26	2,745,711,320

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	2,626,593,584	27	2,555,552,944
28	Net assets with donor restrictions ...........	45,626,368	28	48,364,529
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	2,672,219,952	32	2,603,917,473
33	Total liabilities and net assets/fund balances ........	5,270,610,039	33	5,349,628,793

Form 990 (2021)

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) ............

1,852,805,994

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

1,652,036,698

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

200,769,296

Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..

2,672,219,952

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

-349,439,043

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

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

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

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

80,367,268

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))

2,603,917,473

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 on
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?

Yes

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.

Yes

Form 990 (2021)

Additional Data

Software ID:
Software Version:

Form 990, Special Condition Description:

Special Condition Description

- TIN:

SCHEDULE A
(Form 990)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 12, 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).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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- 10 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		108,531,468	0
(B) PAULDING MEDICAL CENTER INC	582095884	3	Yes		36,279,687	0
(C) KENNESTONE HOSPITAL INC	582032904	3	Yes		202,726,984	0
(D) DOUGLAS HOSPITAL INC	582026750	3	Yes		34,953,348	0
(E) WELLSTAR ATLANTA MEDICAL CENTER INC	810837031	3	Yes		72,723,083	0
(F) WELLSTAR SPALDING REGIONAL HOSPITAL INC	810864789	3	Yes		27,524,816	0
(G) WELLSTAR SYLVAN GROVE HOSPITAL INC	810875069	3	Yes		2,648,371	0
(H) WELLSTAR NORTH FULTON HOSPITAL INC	810851756	3	Yes		33,587,024	0
(I) WEST GEORGIA MEDICAL CENTER INC	205497506	3	Yes		38,360,657	0
Total 9					557,335,438

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

Cat. No. 11285F

Schedule A (Form 990) 2021

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 5 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 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 5 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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).

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.

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) .

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

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 on 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 on 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) 2021

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

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 (explain in Part VI). 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 0.015 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 0.035	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) 2021

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

WELLSTAR HEALTH SYSTEM INC

Employer identification number

58-1649541

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization WELLSTAR HEALTH SYSTEM INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization WELLSTAR HEALTH SYSTEM INC		Employer identification number 58-1649541

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization WELLSTAR HEALTH SYSTEM INC			Employer identification number 58-1649541
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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|No

(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

500

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

Yes

15,000

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

Yes

35,374

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

Yes

68,712

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

Yes

787,845

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

907,431

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 WITH 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 WITH 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) 2021

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2021

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 ....	9,743,000	7,756,000	7,936,000	7,710,000	7,685,000
b	Contributions ...	52,000	65,000	42,000	29,000	193,000
c	Net investment earnings, gains, and losses	-1,399,000	1,922,000	-222,000	197,000	-168,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	8,396,000	9,743,000	7,756,000	7,936,000	7,710,000

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

65.000 %

Term endowment SchDMd Bullet

35.000 %

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 .....	32,419,053		32,419,053
b	Buildings ....	131,634,848	78,375,003	53,259,845
c	Leasehold improvements	87,482,045	27,651,811	59,830,234
d	Equipment ....	716,435,793	587,720,303	128,715,490
e	Other .....	56,584,877	15,337,675	41,247,202
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				315,471,824

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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

Investments - Program 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)EQUITY IN AFFILIATES				2,400,061,091
(2)OTHER RECEIVABLES				294,955,307
(3)OTHER LONG-TERM ASSETS				0
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				2,695,016,398

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
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	611,512,869
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) 2021

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: WELLSTAR FOUNDATION, INC. HELD TWO ENDOWMENT FUNDS AT THE END OF THE REPORTING PERIOD ON BEHALF OF WELLSTAR HEALTH SYSTEM, INC. ONE ENDOWMENT, THE HODGES FUND, IS ESTABLISHED FOR THE PURPOSE OF PROVIDING SCHOLARSHIPS TO ELIGIBLE STUDENTS IN HEALTHCARE RELATED COURSE STUDIES. THE SECOND ENDOWMENT, HOSPICE FUND, IS ESTABLISHED TO PROVIDE FINANCIAL ASSISTANCE TO INDIGENT PATIENTS IN THE WELLSTAR HOSPICE PROGRAM.

SCHEDULE D, PART X, LINE 2

THE FOLLOWING FOOTNOTE IS RELATED TO THE ORGANIZATION'S APPLICATION OF FASB ASC 740 (PREVIOUSLY FIN 48): "WELLSTAR AND IT AFFILIATES HAVE BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3), AND THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. WELLSTAR APPLIES FASB ASC 740, INCOME TAXES, WHICH ADDRESSES ACCOUNTING FOR UNCERTAINTIES IN INCOME TAX POSITIONS. IT ALSO PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON WELLSTAR'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740. WELLSTAR HAS EVALUATED ITS TAX POSITIONS AND DOES NOT BELIEVE THERE ARE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2022, OR 2021."

Schedule D (Form 990) 2021

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

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	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) ADA-AMERICAN DIABETES ASSOCIATION PO BOX 7023 MERRIFIELD,VA22116	13-1623888	501(C)(3)	7,500	FMV	N/A	SPONSORSHIP
(2) ALPHARETTA ROTARY FOUNDATION INC PO BOX 119 ALPHARETTA,GA30009	85-3967959	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(3) AMERICAN CANCER SOCIETY INC PO BOX 12685 ATLANTA,GA30301	13-1788491	501(C)(3)	62,500	FMV	N/A	SPONSORSHIP
(4) AMERICAN HEART ASSOCIATION 10 GLENLAKE PARKWAY SOUTH TOWER S ATLANTA,GA30328	13-5613797	501(C)(3)	100,000	FMV	N/A	SPONSORSHIP
(5) AMERICAN LUNG ASSOCIATION 2452 SPRING ROAD SE SMYRNA,GA30080	13-1632524	501(C)(3)	12,000	FMV	N/A	SPONSORSHIP
(6) ATLANTA BELTLINE PARTNERSHIP 970 JEFFERSON STREET NW SUITE 4 ATLANTA,GA30318	56-2464486	501(C)(3)	35,000	FMV	N/A	SPONSORSHIP
(7) ATLANTA PRIDE COMMITTEE INC 1530 DEKALB AVENUE NE ATLANTA,GA30307	58-2032010	501(C)(3)	25,000	FMV	N/A	SPONSORSHIP
(8) CAMP KUDZU INC 8601 DUNWOODY PLACE SUITE 508 ATLANTA,GA30350	58-2449646	501(C)(3)	15,000	FMV	N/A	SPONSORSHIP
(9) CHEROKEE BY CHOICE INC 1 INNOVATION WAY WOODSTOCK,GA30188	83-1981790	501(C)(3)	122,500	FMV	N/A	SPONSORSHIP
(10) CHEROKEE COUNTY CHAMBER OF COMMERCE PO BOX 4998 CANTON,GA30114	58-1090796	501(C)(6)	11,145	FMV	N/A	SPONSORSHIP
(11) COBB CHAMBER OF COMMERCE 1100 CIRCLE 75 PARKWAY SUITE 1000 ATLANTA,GA30339	58-0198114	501(C)(6)	247,500	FMV	N/A	SPONSORSHIP
(12) COUNCIL FOR QUALITY GROWTH 5901-C PEACHTREE DUNWOODY ROAD SUI ATLANTA,GA30328	58-1664710	501(C)(6)	11,500	FMV	N/A	SPONSORSHIP
(13) DOUGLAS COUNTY CHAMBER OF COMMERCE 6658 CHURCH STREET DOUGLASVILLE,GA30134	58-1950186	501(C)(6)	12,645	FMV	N/A	SPONSORSHIP
(14) FRIENDS OF THE THREAD PO BOX 19 LAGRANGE,GA30241	81-3580329	501(C)(3)	12,000	FMV	N/A	SPONSORSHIP
(15) GEORGIA CHAMBER OF COMMERCE PO BOX 102676 ATLANTA,GA30368	58-1537370	501(C)(6)	50,000	FMV	N/A	SPONSORSHIP
(16) GEORGIA CHAPTER AMERICAN AAP 1350 SPRING STREET NW SUITE 700 ATLANTA,GA30309	58-1164164	501(C)(6)	7,650	FMV	N/A	SPONSORSHIP
(17) GOOD SAMARITAN HEALTH CENTER 1605 ROBERTA DRIVE MARIETTA,GA30008	32-0045238	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(18) GREATER NORTH FULTON CHAMBER OF COMMERCE 11605 HAYNES BRIDGE ROAD SUITE 100 ALPHARETTA,GA30009	58-1157316	501(C)(6)	68,400	FMV	N/A	SPONSORSHIP
(19) HISTORIC ROSWELL CONVENTION 821 ATLANTA STREET ROSWELL,GA30075	58-1979994	501(C)(6)	15,000	FMV	N/A	SPONSORSHIP
(20) LEADERSHIP GEORGIA FOUNDATION INC 3348 PEACHTREE ROAD NE SUITE 700 ATLANTA,GA30326	58-1329285	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(21) MARCH OF DIMES FOUNDATION 1550 CRYSTAL DRIVE SUITE 1300 ARLINGTON,VA22202	13-1846366	501(C)(3)	30,000	FMV	N/A	SPONSORSHIP
(22) MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE SW ATLANTA,GA30310	58-1438873	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(23) MUST MINISTRIES PO BOX 1717 MARIETTA,GA30061	58-2034725	501(C)(3)	7,500	FMV	N/A	SPONSORSHIP
(24) NORTH FULTON COMMUNITY CHARITIES 11270 ELKINS ROAD ROSWELL,GA30076	58-1521088	501(C)(3)	15,000	FMV	N/A	SPONSORSHIP
(25) PAULDING COUNTY CHAMBER OF COMMERCE 455 JIMMY CAMPBELL PARKWAY DALLAS,GA30132	58-0945354	501(C)(6)	11,750	FMV	N/A	SPONSORSHIP
(26) PROSTAWARE INC 28 BALL MILL PLACE SANDY SPRINGS,GA30350	27-0599329	501(C)(3)	30,000	FMV	N/A	SPONSORSHIP
(27) ROTARY CLUB OF EAST COBB PO BOX 72081 MARIETTA,GA30007	58-1654204	501(C)(4)	7,500	FMV	N/A	SPONSORSHIP
(28) SAFE PATH CHILDRENS ADVOCACY CENTER INC 736 WHITLOCK AVENUE SUITE 600 MARIETTA,GA30064	58-1662987	501(C)(3)	11,500	FMV	N/A	SPONSORSHIP
(29) SERVICE LEAGUE OF CHEROKEE COUNTY PO BOX 1132 CANTON,GA30169	58-1685138	501(C)(3)	15,000	FMV	N/A	SPONSORSHIP
(30) SPALDING COUNTY BOC-SAFE KIDS SPALDING COUNTY 119 EAST SOLOMON STREET GRIFFIN,GA30223	58-6000886	501(C)(6)	20,478	FMV	N/A	SPONSORSHIP
(31) SUSAN G KOMEN BREAST CANCER FOUNDATION INC 13770 NOEL ROAD SUITE 801889 DALLAS,TX75380	75-1835298	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(32) THE CENTER FOR FAMILY RESOURCES 400 FRANKLIN GATEWAY SUITE 250 MARIETTA,GA30067	58-0876634	501(C)(3)	10,000	FMV	N/A	SPONSORSHIP
(33) THE TOMMY NOBIS CENTER 1480 BELLS FERRY ROAD MARIETTA,GA30066	58-1290439	501(C)(3)	15,000	FMV	N/A	SPONSORSHIP
(34) UNITED LEADERSHIP PROGRAM INC 2620 ATLANTA ROAD SMYRNA,GA30080	87-1915561	501(C)(3)	7,500	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) 2021

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash 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) 2021

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 on 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 on 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 nonfixed
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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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 MD PHYSICIAN GROUP	(i) (ii)	917,486 ------------- 0	599,269 ------------- 0	25,660 ------------- 0	19,500 ------------- 0	60,022 ------------- 0	1,621,937 ------------- 0	0 ------------- 0
2ALAN MUSTER SVP SPECIALTY DIVISION WMG	(i) (ii)	524,112 ------------- 0	301,654 ------------- 0	14,435 ------------- 0	52,993 ------------- 0	87,498 ------------- 0	980,692 ------------- 0	0 ------------- 0
3ANDREW COX VP CHIEF OF STAFF & LEADERSHIP	(i) (ii)	309,982 ------------- 0	83,695 ------------- 0	10,844 ------------- 0	23,938 ------------- 0	41,034 ------------- 0	469,493 ------------- 0	0 ------------- 0
4ANDREW LEE FORMER VP CHIEF DIVERSITY OFF.	(i) (ii)	0 ------------- 0	0 ------------- 0	195,245 ------------- 0	0 ------------- 0	2,188 ------------- 0	197,433 ------------- 0	153,124 ------------- 0
5ANDREW VON ESCHENBACH VP REVENUE CYCLE MANAGEMENT	(i) (ii)	94,231 ------------- 0	50,000 ------------- 0	22,714 ------------- 0	13,252 ------------- 0	5,352 ------------- 0	185,549 ------------- 0	0 ------------- 0
6ANTHONY J BUDZINSKI EVP & CFO	(i) (ii)	770,794 ------------- 0	518,859 ------------- 0	21,871 ------------- 0	52,207 ------------- 0	58,692 ------------- 0	1,422,423 ------------- 0	0 ------------- 0
7ARIF AZIZ MD TRUSTEE & SLL DIGESTIVE HEALTH	(i) (ii)	490,385 ------------- 0	205,142 ------------- 0	6,991 ------------- 0	54,105 ------------- 0	33,265 ------------- 0	789,888 ------------- 0	0 ------------- 0
8AVIRAL SINGH VP BRAND & MARKETING STRATEGY	(i) (ii)	148,749 ------------- 0	500 ------------- 0	5,420 ------------- 0	1,125 ------------- 0	29,171 ------------- 0	184,965 ------------- 0	0 ------------- 0
9AVRIL BECKFORD MD TRUSTEE & SLL PEDIATRIC PHYSIC	(i) (ii)	123,922 ------------- 0	332,156 ------------- 0	9,110 ------------- 0	28,965 ------------- 0	51,546 ------------- 0	545,699 ------------- 0	0 ------------- 0
10BARBARA COREY SVP MANAGED CARE	(i) (ii)	413,112 ------------- 0	222,048 ------------- 0	16,868 ------------- 0	23,050 ------------- 0	68,218 ------------- 0	743,296 ------------- 0	0 ------------- 0
11BETH KOST SVP CHIEF COMPLIANCE OFFICER	(i) (ii)	406,236 ------------- 0	218,502 ------------- 0	15,651 ------------- 0	33,081 ------------- 0	50,402 ------------- 0	723,872 ------------- 0	0 ------------- 0
12CANDICE SAUNDERS PRESIDENT & CEO	(i) (ii)	1,565,088 ------------- 0	1,621,788 ------------- 0	437,904 ------------- 0	54,200 ------------- 0	56,832 ------------- 0	3,735,812 ------------- 0	419,245 ------------- 0
13CAROL TODD VP ASST GENERAL COUNSEL	(i) (ii)	226,518 ------------- 0	61,160 ------------- 0	10,246 ------------- 0	29,643 ------------- 0	49,608 ------------- 0	377,175 ------------- 0	0 ------------- 0
14CATHERINE ANDREWS FORMER SVP & COO KH (BEG 4/21)	(i) (ii)	437,756 ------------- 0	225,484 ------------- 0	14,196 ------------- 0	39,921 ------------- 0	29,031 ------------- 0	746,388 ------------- 0	0 ------------- 0
15CRAIG OWENS SVP & HOSPITAL PRESIDENT	(i) (ii)	0 ------------- 347,047	0 ------------- 228,812	0 ------------- 17,689	0 ------------- 50,922	0 ------------- 41,859	0 ------------- 686,329	0 ------------- 0
16DANIEL ABAD VP TOTAL REWARDS & CHIEF TM EN	(i) (ii)	347,127 ------------- 0	97,589 ------------- 0	9,708 ------------- 0	40,573 ------------- 0	21,434 ------------- 0	516,431 ------------- 0	0 ------------- 0
17DANYALE ZIGLOR VP HUMAN RESOURCE	(i) (ii)	248,296 ------------- 0	67,040 ------------- 0	9,721 ------------- 0	43,443 ------------- 0	33,654 ------------- 0	402,154 ------------- 0	0 ------------- 0
18DAVID JONES EVP CHIEF HUMAN RESOURCES OFFI	(i) (ii)	517,493 ------------- 0	348,014 ------------- 0	21,090 ------------- 0	43,041 ------------- 0	29,810 ------------- 0	959,448 ------------- 0	0 ------------- 0
19DAVID PRESTON VP BRAND AND MARKETING	(i) (ii)	384,018 ------------- 0	206,410 ------------- 0	14,079 ------------- 0	22,895 ------------- 0	37,082 ------------- 0	664,484 ------------- 0	0 ------------- 0
20DONALD ZARKOU VP OF ONCOLOGY SERVICE LINE	(i) (ii)	101,543 ------------- 0	25,000 ------------- 0	52,447 ------------- 0	16,720 ------------- 0	10,837 ------------- 0	206,547 ------------- 0	0 ------------- 0
21ELIZABETH LOUDERMILK VP FINANCIAL PLANNING	(i) (ii)	297,418 ------------- 0	80,303 ------------- 0	10,393 ------------- 0	37,921 ------------- 0	48,289 ------------- 0	474,324 ------------- 0	0 ------------- 0
22ELIZABETH PAPETTI VP WMG OPS HOSPITAL DIV	(i) (ii)	269,843 ------------- 0	77,728 ------------- 0	44,951 ------------- 0	24,742 ------------- 0	30,238 ------------- 0	447,502 ------------- 0	35,648 ------------- 0
23ELLEN WRIGHT VP HIM CDI & POLICIES	(i) (ii)	209,773 ------------- 0	57,139 ------------- 0	43,469 ------------- 0	17,317 ------------- 0	28,740 ------------- 0	356,438 ------------- 0	32,238 ------------- 0
24FREDA LYON VP SYSTEM EMERGENCY SERVICES	(i) (ii)	246,524 ------------- 0	67,062 ------------- 0	12,151 ------------- 0	32,306 ------------- 0	33,577 ------------- 0	391,620 ------------- 0	0 ------------- 0
25IVY SPENCER VP CNO WMG	(i) (ii)	215,472 ------------- 0	72,741 ------------- 0	10,443 ------------- 0	23,767 ------------- 0	27,925 ------------- 0	350,348 ------------- 0	0 ------------- 0
26JAMES BURKE MD PHYSICIAN GROUP	(i) (ii)	881,910 ------------- 0	644,251 ------------- 0	2,060 ------------- 0	39,000 ------------- 0	60,716 ------------- 0	1,627,937 ------------- 0	0 ------------- 0
27JAMES L HORNSBY TRUSTEE & PHYSICIAN	(i) (ii)	319,596 ------------- 0	160,969 ------------- 0	5,521 ------------- 0	45,528 ------------- 0	45,184 ------------- 0	576,798 ------------- 0	0 ------------- 0
28JAMES SWARTZ VP ACCOUNTING	(i) (ii)	269,519 ------------- 0	72,770 ------------- 0	8,878 ------------- 0	24,573 ------------- 0	32,929 ------------- 0	408,669 ------------- 0	0 ------------- 0
29JASON KELSEY VP REHAB AND SPORTS MEDICINE S	(i) (ii)	104,913 ------------- 0	500 ------------- 0	5,355 ------------- 0	13,273 ------------- 0	26,334 ------------- 0	150,375 ------------- 0	0 ------------- 0
30JASON STEVENS SVP DEPUTY GENERAL COUNSEL	(i) (ii)	328,266 ------------- 0	168,918 ------------- 0	92,123 ------------- 0	44,046 ------------- 0	36,316 ------------- 0	669,669 ------------- 0	77,976 ------------- 0
31JENNIFER GIUSTI VP CLINICAL OUTCOMES	(i) (ii)	354,286 ------------- 0	96,157 ------------- 0	66,003 ------------- 0	52,035 ------------- 0	35,273 ------------- 0	603,754 ------------- 0	54,554 ------------- 0
32JESSICA KOVALESKY VP CARE COORDINATION & POPULAT	(i) (ii)	271,781 ------------- 0	75,381 ------------- 0	9,741 ------------- 0	24,650 ------------- 0	9,989 ------------- 0	391,542 ------------- 0	0 ------------- 0
33JILL CASE-WIRTH SVP NURSING SERVICES CNE	(i) (ii)	407,474 ------------- 0	219,017 ------------- 0	100,949 ------------- 0	49,459 ------------- 0	31,532 ------------- 0	808,431 ------------- 0	81,495 ------------- 0
34JOE CASTANON VP CONTRACTING & VALUE ANALYSI	(i) (ii)	115,392 ------------- 0	30,000 ------------- 0	35,096 ------------- 0	1,195 ------------- 0	9,740 ------------- 0	191,423 ------------- 0	0 ------------- 0
35JOHN BRENNAN EVP CHIEF CLIN INTEG OFFICER	(i) (ii)	909,257 ------------- 0	590,801 ------------- 0	1,151,246 ------------- 0	54,200 ------------- 0	56,056 ------------- 0	2,761,560 ------------- 0	1,133,479 ------------- 0
36JOHN KUEVEN SVP & HOSPITAL PRESIDENT	(i) (ii)	0 ------------- 352,701	0 ------------- 201,210	0 ------------- 12,110	0 ------------- 26,403	0 ------------- 41,637	0 ------------- 634,061	0 ------------- 0
37JONATHAN CROOM SVP & HOSPITAL PRESIDENT	(i) (ii)	0 ------------- 354,786	0 ------------- 191,385	0 ------------- 123,832	0 ------------- 22,681	0 ------------- 43,322	0 ------------- 736,006	0 ------------- 112,172
38JONATHAN MAURER FORMER VP INFO SECURITY & CISO	(i) (ii)	0 ------------- 0	0 ------------- 0	310,880 ------------- 0	0 ------------- 0	921 ------------- 0	311,801 ------------- 0	81,940 ------------- 0
39JOSEPH BRAUD VP INFO SECURITY & CISO	(i) (ii)	290,472 ------------- 0	96,927 ------------- 0	11,572 ------------- 0	5,943 ------------- 0	41,270 ------------- 0	446,184 ------------- 0	0 ------------- 0
40JOSEPH REPPERT SVP FINANCE	(i) (ii)	450,008 ------------- 0	138,646 ------------- 0	78,377 ------------- 0	48,400 ------------- 0	33,300 ------------- 0	748,731 ------------- 0	0 ------------- 0
41JUI EN HSU MD PHYSICIAN GROUP	(i) (ii)	737,442 ------------- 0	610,402 ------------- 0	2,390 ------------- 0	37,024 ------------- 0	50,902 ------------- 0	1,438,160 ------------- 0	0 ------------- 0
42JULIE TEER SVP & WELLSTAR FOUNDATION PRES	(i) (ii)	525,000 ------------- 0	118,449 ------------- 0	15,839 ------------- 0	9,869 ------------- 0	25,143 ------------- 0	694,300 ------------- 0	0 ------------- 0
43KATHARINE LEONARD VP REAL ESTATE & FACILITY DEVE	(i) (ii)	323,074 ------------- 0	87,730 ------------- 0	9,272 ------------- 0	46,046 ------------- 0	28,680 ------------- 0	494,802 ------------- 0	0 ------------- 0
44KEM MULLINS EVP AMBULATORY & BUS DEV	(i) (ii)	740,400 ------------- 0	557,919 ------------- 0	459,723 ------------- 0	25,650 ------------- 0	53,314 ------------- 0	1,837,006 ------------- 0	445,660 ------------- 0
45KIMBERLY TAACA VP WMG OPS SPECIALTY DIV	(i) (ii)	273,078 ------------- 0	79,667 ------------- 0	46,460 ------------- 0	43,345 ------------- 0	22,216 ------------- 0	464,766 ------------- 0	37,026 ------------- 0
46KRISTEN TRICE VP DIAGNOSTIC OUTREACH	(i) (ii)	210,366 ------------- 0	68,299 ------------- 0	9,545 ------------- 0	22,164 ------------- 0	42,916 ------------- 0	353,290 ------------- 0	0 ------------- 0
47LAURA DANNELS VP & CHIEF TALENT OFFICER	(i) (ii)	311,683 ------------- 0	103,846 ------------- 0	10,903 ------------- 0	27,516 ------------- 0	22,712 ------------- 0	476,660 ------------- 0	0 ------------- 0
48LE JOYCE NAYLOR SVP & CHIEF DIVERSITY & INCLUS	(i) (ii)	141,347 ------------- 0	57,500 ------------- 0	52,295 ------------- 0	1,362 ------------- 0	4,378 ------------- 0	256,882 ------------- 0	0 ------------- 0
49LEANNE COOK VP CONSUMER ENGAGEMENT	(i) (ii)	239,005 ------------- 0	64,531 ------------- 0	11,244 ------------- 0	18,791 ------------- 0	43,622 ------------- 0	377,193 ------------- 0	0 ------------- 0
50LEO REICHERT EVP & GENERAL COUNSEL	(i) (ii)	676,982 ------------- 0	455,370 ------------- 0	27,683 ------------- 0	51,030 ------------- 0	66,458 ------------- 0	1,277,523 ------------- 0	0 ------------- 0
51LINDA HUFFER VP POST ACUTE SERVICES	(i) (ii)	311,314 ------------- 0	84,555 ------------- 0	49,027 ------------- 0	49,877 ------------- 0	22,888 ------------- 0	517,661 ------------- 0	31,131 ------------- 0
52MARCUS CHARLSON VP SURGERY & ORTHOPEDICS SERVI	(i) (ii)	238,183 ------------- 0	64,809 ------------- 0	8,932 ------------- 0	12,854 ------------- 0	37,971 ------------- 0	362,749 ------------- 0	0 ------------- 0
53MARY CHATMAN EVP & PRESIDENT KENNESTONE	(i) (ii)	0 ------------- 621,008	0 ------------- 451,975	0 ------------- 178,548	0 ------------- 53,660	0 ------------- 41,157	0 ------------- 1,346,348	0 ------------- 165,889
54MARY TAVERNARO VP HUMAN RESOURCES OPERATIONS	(i) (ii)	296,126 ------------- 0	80,454 ------------- 0	11,878 ------------- 0	31,480 ------------- 0	65,754 ------------- 0	485,692 ------------- 0	0 ------------- 0
55MATTHEW TERRY SVP CHIEF STRATEGY OFFICER	(i) (ii)	217,059 ------------- 0	50,000 ------------- 0	16,058 ------------- 0	5,238 ------------- 0	12,545 ------------- 0	300,900 ------------- 0	0 ------------- 0
56MAXWELL KAGAN VP FINANCE & CFO WMG	(i) (ii)	276,515 ------------- 0	80,824 ------------- 0	53,387 ------------- 0	23,020 ------------- 0	28,909 ------------- 0	462,655 ------------- 0	43,657 ------------- 0
57MICHAEL MCCULLOUGH SVP SUPPLY CHAIN	(i) (ii)	397,097 ------------- 0	213,940 ------------- 0	13,697 ------------- 0	31,096 ------------- 0	41,766 ------------- 0	697,596 ------------- 0	0 ------------- 0
58NICKOLOS YAITSKY VP HEAD OF DIGITAL PLATFORMS	(i) (ii)	280,010 ------------- 0	76,103 ------------- 0	9,525 ------------- 0	10,969 ------------- 0	44,091 ------------- 0	420,698 ------------- 0	------------- 0
59PAUL DOUGLASS MD TRUSTEE & PHYSICIAN	(i) (ii)	407,740 ------------- 0	369,949 ------------- 0	7,592 ------------- 0	34,096 ------------- 0	54,920 ------------- 0	874,297 ------------- 0	0 ------------- 0
60PAUL MURPHREE VP MEDICAL OUTCOMES	(i) (ii)	396,906 ------------- 0	107,665 ------------- 0	75,276 ------------- 0	52,084 ------------- 0	38,778 ------------- 0	670,709 ------------- 0	60,466 ------------- 0
61PRANAV JAIN VP & CHIEF MEDICAL INFORMATION	(i) (ii)	274,231 ------------- 0	80,000 ------------- 0	5,506 ------------- 0	28,614 ------------- 0	2,609 ------------- 0	390,960 ------------- 0	0 ------------- 0
62REBECCA RUHL VP COMPLIANCE CPO	(i) (ii)	184,744 ------------- 0	73,381 ------------- 0	12,633 ------------- 0	6,450 ------------- 0	36,391 ------------- 0	313,599 ------------- 0	0 ------------- 0
63REMINGTON FOSS SVP HOSPITAL PRESIDENT WG	(i) (ii)	0 ------------- 365,685	0 ------------- 199,298	0 ------------- 16,354	0 ------------- 49,044	0 ------------- 43,022	0 ------------- 673,403	0 ------------- 0
64RICHARD CAPPS EVP CHIEF INFO & DIGITAL OFFCR	(i) (ii)	566,170 ------------- 0	263,206 ------------- 0	19,694 ------------- 0	36,186 ------------- 0	37,680 ------------- 0	922,936 ------------- 0	0 ------------- 0
65RICHARD MYUNG MD PHYSICIAN GROUP	(i) (ii)	1,099,193 ------------- 0	1,037,659 ------------- 0	4,996 ------------- 0	45,500 ------------- 0	60,390 ------------- 0	2,247,738 ------------- 0	------------- 0
66ROB SCHREINER EVP CHIEF PHYSICIAN EXECUTIVE	(i) (ii)	600,814 ------------- 0	404,548 ------------- 0	957,774 ------------- 0	28,900 ------------- 0	31,505 ------------- 0	2,023,541 ------------- 0	934,146 ------------- 0
67ROBERT DECOUX VP CORPORATE MED STAFF SVCS	(i) (ii)	191,030 ------------- 0	52,228 ------------- 0	12,116 ------------- 0	36,012 ------------- 0	34,618 ------------- 0	326,004 ------------- 0	0 ------------- 0
68SANA BRUNO VP LABORATORY SERVICES SYSTEM	(i) (ii)	149,134 ------------- 0	50,000 ------------- 0	41,572 ------------- 0	14,853 ------------- 0	15,187 ------------- 0	270,746 ------------- 0	0 ------------- 0
69SANDRA LUCIUS VP HEAD OF CARE PLATFORMS	(i) (ii)	267,311 ------------- 0	72,174 ------------- 0	41,773 ------------- 0	49,489 ------------- 0	19,156 ------------- 0	449,903 ------------- 0	26,731 ------------- 0
70SNEHAL DOSHI SVP ANCILLARY AND SUPPORT SVC	(i) (ii)	327,600 ------------- 0	96,041 ------------- 0	13,289 ------------- 0	25,045 ------------- 0	42,152 ------------- 0	504,127 ------------- 0	0 ------------- 0
71SONYA ALDY VP TALENT ACQUISITION	(i) (ii)	224,453 ------------- 0	69,007 ------------- 0	9,324 ------------- 0	10,350 ------------- 0	38,830 ------------- 0	351,964 ------------- 0	0 ------------- 0
72SOPHIA MARSHALL VP ORGANIZATIONAL COMMUNICATIO	(i) (ii)	231,259 ------------- 0	69,082 ------------- 0	8,031 ------------- 0	23,450 ------------- 0	18,613 ------------- 0	350,435 ------------- 0	0 ------------- 0
73SOPHIA MCINTYRE SVP WMG AMBULATORY CARE DIV	(i) (ii)	400,005 ------------- 0	145,886 ------------- 0	12,147 ------------- 0	43,164 ------------- 0	8,726 ------------- 0	609,928 ------------- 0	0 ------------- 0
74STEPHEN BADGER VP WMG STRATEGIC SERVICES	(i) (ii)	442,983 ------------- 0	128,079 ------------- 0	62,299 ------------- 0	52,595 ------------- 0	52,299 ------------- 0	738,255 ------------- 0	44,298 ------------- 0
75STEPHEN VAULT VP STRATEGIC COMMUNITY DEVELOP	(i) (ii)	250,242 ------------- 0	68,753 ------------- 0	9,142 ------------- 0	23,494 ------------- 0	21,002 ------------- 0	372,633 ------------- 0	0 ------------- 0
76STEVEN HUNT VP HUMAN RESOURCES	(i) (ii)	229,694 ------------- 0	66,152 ------------- 0	9,199 ------------- 0	24,674 ------------- 0	44,905 ------------- 0	374,624 ------------- 0	0 ------------- 0
77SUSAN JACKSON VP PHARMACY SVCS	(i) (ii)	232,928 ------------- 0	35,440 ------------- 0	6,398 ------------- 0	30,133 ------------- 0	35,145 ------------- 0	340,044 ------------- 0	0 ------------- 0
78TAMARA ISON SVP HOSPITAL PRESIDENT	(i) (ii)	0 ------------- 349,331	0 ------------- 187,948	0 ------------- 13,096	0 ------------- 34,138	0 ------------- 58,274	0 ------------- 642,787	0 ------------- 0
79TERESA LUU MD PHYSICIAN GROUP	(i) (ii)	1,031,022 ------------- 0	460,451 ------------- 0	3,448 ------------- 0	45,500 ------------- 0	52,579 ------------- 0	1,593,000 ------------- 0	0 ------------- 0
80THOMAS DRAPER VP CARDIOVASCULAR SERVICE LINE	(i) (ii)	260,000 ------------- 0	64,353 ------------- 0	10,614 ------------- 0	24,912 ------------- 0	37,613 ------------- 0	397,492 ------------- 0	0 ------------- 0
81TIMOTHY HANEY FORMR SVP RL EST FAC&DVLP SVCS	(i) (ii)	0 ------------- 0	0 ------------- 0	200,797 ------------- 0	0 ------------- 0	0 ------------- 0	200,797 ------------- 0	0 ------------- 0
82VALERY AKOPOV SVP HOSPITAL DIVISION WMG	(i) (ii)	516,227 ------------- 0	289,587 ------------- 0	254,270 ------------- 0	32,358 ------------- 0	43,656 ------------- 0	1,136,098 ------------- 0	233,626 ------------- 0
83VARMA RAMESWAR VP PEDIATRIC OPS AND SVC LINE	(i) (ii)	240,266 ------------- 0	74,372 ------------- 0	10,836 ------------- 0	50,030 ------------- 0	30,000 ------------- 0	405,504 ------------- 0	0 ------------- 0
84WILLIAM BELLANDO VP CHIEF TECHNOLOGY OFFICER	(i) (ii)	132,701 ------------- 0	50,000 ------------- 0	12,382 ------------- 0	6,416 ------------- 0	11,022 ------------- 0	212,521 ------------- 0	0 ------------- 0
85DAVID HAFNER FORMER DIRECTOR	(i) (ii)	24,610 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	24,610 ------------- 0	0 ------------- 0
86RANDALL BENTLEY SR FORMER DIRECTOR	(i) (ii)	40,163 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	40,163 ------------- 0	0 ------------- 0
87PETER R JUNGBLUT MD MBA FORMER SVP & MEDICAL DIRECTOR	(i) (ii)	366,558 ------------- 0	191,060 ------------- 0	6,916 ------------- 0	53,359 ------------- 0	45,799 ------------- 0	663,692 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

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 1A

THE ITEMS, AS INDICATED IN LINE 1A, WERE PROVIDED, IN SOME INSTANCES, TO BOARD MEMBERS AND TO CERTAIN EMPLOYED INDIVIDUALS LISTED IN FORM 990, PART VII BY THE ORGANIZATION. THE ORGANIZATION FOLLOWS IRS GUIDELINES AND THESE ITEMS WERE ADDED AS TAXABLE INCOME AS APPROPRIATE. 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 OFFICER RECEIVED SEVERANCE PAY DURING THE 2021 CALENDAR YEAR FROM EITHER THE ORGANIZATION OR A RELATED ORGANIZATION: ANDREW LEE 41,930 JONATHAN D. MAURER 228,940 TIMOTHY HANEY 200,797 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): ANDREW LEE 153,124 CANDICE L. SAUNDERS 419,245 ELIZABETH PAPETTI 35,648 ELLEN WRIGHT 32,238 JASON STEVENS 77,976 JENNIFER GIUSTI 54,554 JILL CASE-WIRTH 81,495 JOHN BRENNAN 1,133,479 JONATHAN MAURER 81,940 KEM MULLINS 445,660 KIMBERLY TAACA 37,026 LINDA HUFFER 31,131 MAXWELL KAGAN 43,657 PAUL MURPHREE 60,466 ROB SCHREINER 934,146 SANDRA LUCIUS 26,731 STEPHEN BADGER 44,298 VALERY AKOPOV 233,626 VICKY HOGUE 24,578 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) 2021

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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	04-01-2004	25,000,000	EQUIPMENT POOL		X		X		X
B	HOSPITAL AUTHORITY OF COBB COUNTY	58-2464600	19081PEN2	04-01-2006	25,000,000	EQUIPMENT POOL		X		X		X
C	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813PH2	11-15-2012	122,366,879	ADVANCED REFUNDING CONSTRUCTION		X		X		X
D	SEE PART VI			08-03-2017	260,085,000	CONSTRUCTION/REFUNDING		X		X		X
	SEE PART VI			08-03-2017	611,463,388	CONSTRUCTION/REFUNDING		X		X		X
	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813SC0	08-06-2020	93,340,000	CONSTRUCTION/REFUNDING		X		X		X
	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813SY2	01-04-2021	89,661,453	CONSTRUCTION/REFUNDING		X		X		X
	DEVELOPMENT AUTHORITY OF FULTON COUNTY	58-1506878	36005GAZ6	08-06-2020	70,165,000	CONSTRUCTION/REFUNDING		X		X		X
	PAULDING COUNTY HOSPITAL AUTHORITY	58-6011214	703596EG7	03-08-2022	95,875,162	CONSTRUCTION/REFUNDING		X		X		X
	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813SZ0	03-08-2022	201,389,838	CONSTRUCTION		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		0		35,370,000		30,860,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	25,000,000		25,000,000		122,366,879		260,085,000
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	0		0		1,079,370		705,000
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		0		0		0
11 Other spent proceeds .............	25,000,000		25,000,000		121,287,509		259,380,000
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2004		2006
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

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
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?		X		X		X		X
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?
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 %		0 %		1.400 %
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 .........
6 Total of lines 4 and 5 .............	1.250 %						1.400 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
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

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........		X
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, PART I, COLUMNS (A), (B), & (C)	AS PART OF THE VARIABLE RATE COMPOSITE BOND ISSUE, ISSUED 8/3/2017, IN THE TOTAL AMOUNT OF $260,085,000 THE FOLLOWING INFORMATION IS BEING PROVIDED: ISSUER NAME EIN CUSIP # COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 58-1147004 DEVELOPMENT AUTHORITY OF FULTON COUNTY 58-1506878 36005GAY9 GRIFFIN-SPALDING COUNTY HOSPITAL AUTHORITY 58-6212778
SCHEDULE K, PART I, COLUMNS (A), (B), & (C)	AS PART OF THE FIXED RATE COMPOSITE BOND ISSUE, ISSUED 8/3/2017, IN THE TOTAL AMOUNT OF $611,463,388 THE FOLLOWING INFORMATION IS BEING PROVIDED: ISSUER NAME EIN CUSIP # DEVELOPMENT AUTHORITY OF FULTON COUNTY 58-1506878 36005GAX1 GRIFFIN-SPALDING COUNTY HOSPITAL AUTHORITY 58-6212778 398258AX1 LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY 56-2609278 507152AX4 COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 58-1147004 190813RF4

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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	04-01-2004	25,000,000	EQUIPMENT POOL		X		X		X
B	HOSPITAL AUTHORITY OF COBB COUNTY	58-2464600	19081PEN2	04-01-2006	25,000,000	EQUIPMENT POOL		X		X		X
C	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813PH2	11-15-2012	122,366,879	ADVANCED REFUNDING CONSTRUCTION		X		X		X
D	SEE PART VI			08-03-2017	260,085,000	CONSTRUCTION/REFUNDING		X		X		X
	SEE PART VI			08-03-2017	611,463,388	CONSTRUCTION/REFUNDING		X		X		X
	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813SC0	08-06-2020	93,340,000	CONSTRUCTION/REFUNDING		X		X		X
	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813SY2	01-04-2021	89,661,453	CONSTRUCTION/REFUNDING		X		X		X
	DEVELOPMENT AUTHORITY OF FULTON COUNTY	58-1506878	36005GAZ6	08-06-2020	70,165,000	CONSTRUCTION/REFUNDING		X		X		X
	PAULDING COUNTY HOSPITAL AUTHORITY	58-6011214	703596EG7	03-08-2022	95,875,162	CONSTRUCTION/REFUNDING		X		X		X
	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813SZ0	03-08-2022	201,389,838	CONSTRUCTION		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		0		35,370,000		30,860,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	25,000,000		25,000,000		122,366,879		260,085,000
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	0		0		1,079,370		705,000
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		0		0		0
11 Other spent proceeds .............	25,000,000		25,000,000		121,287,509		259,380,000
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2004		2006
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

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
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?		X		X		X		X
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?
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 %		0 %		1.400 %
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 .........
6 Total of lines 4 and 5 .............	1.250 %						1.400 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
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

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........		X
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, PART I, COLUMNS (A), (B), & (C)	AS PART OF THE VARIABLE RATE COMPOSITE BOND ISSUE, ISSUED 8/3/2017, IN THE TOTAL AMOUNT OF $260,085,000 THE FOLLOWING INFORMATION IS BEING PROVIDED: ISSUER NAME EIN CUSIP # COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 58-1147004 DEVELOPMENT AUTHORITY OF FULTON COUNTY 58-1506878 36005GAY9 GRIFFIN-SPALDING COUNTY HOSPITAL AUTHORITY 58-6212778
SCHEDULE K, PART I, COLUMNS (A), (B), & (C)	AS PART OF THE FIXED RATE COMPOSITE BOND ISSUE, ISSUED 8/3/2017, IN THE TOTAL AMOUNT OF $611,463,388 THE FOLLOWING INFORMATION IS BEING PROVIDED: ISSUER NAME EIN CUSIP # DEVELOPMENT AUTHORITY OF FULTON COUNTY 58-1506878 36005GAX1 GRIFFIN-SPALDING COUNTY HOSPITAL AUTHORITY 58-6212778 398258AX1 LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY 56-2609278 507152AX4 COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 58-1147004 190813RF4

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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	04-01-2004	25,000,000	EQUIPMENT POOL		X		X		X
B	HOSPITAL AUTHORITY OF COBB COUNTY	58-2464600	19081PEN2	04-01-2006	25,000,000	EQUIPMENT POOL		X		X		X
C	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813PH2	11-15-2012	122,366,879	ADVANCED REFUNDING CONSTRUCTION		X		X		X
D	SEE PART VI			08-03-2017	260,085,000	CONSTRUCTION/REFUNDING		X		X		X
	SEE PART VI			08-03-2017	611,463,388	CONSTRUCTION/REFUNDING		X		X		X
	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813SC0	08-06-2020	93,340,000	CONSTRUCTION/REFUNDING		X		X		X
	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813SY2	01-04-2021	89,661,453	CONSTRUCTION/REFUNDING		X		X		X
	DEVELOPMENT AUTHORITY OF FULTON COUNTY	58-1506878	36005GAZ6	08-06-2020	70,165,000	CONSTRUCTION/REFUNDING		X		X		X
	PAULDING COUNTY HOSPITAL AUTHORITY	58-6011214	703596EG7	03-08-2022	95,875,162	CONSTRUCTION/REFUNDING		X		X		X
	COBB COUNTY KENNESTONE HOSPITAL AUTHORITY	58-1147004	190813SZ0	03-08-2022	201,389,838	CONSTRUCTION		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		0		35,370,000		30,860,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	25,000,000		25,000,000		122,366,879		260,085,000
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	0		0		1,079,370		705,000
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		0		0		0
11 Other spent proceeds .............	25,000,000		25,000,000		121,287,509		259,380,000
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2004		2006
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

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
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?		X		X		X		X
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?
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 %		0 %		1.400 %
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 .........
6 Total of lines 4 and 5 .............	1.250 %						1.400 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
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

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........		X
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, PART I, COLUMNS (A), (B), & (C)	AS PART OF THE VARIABLE RATE COMPOSITE BOND ISSUE, ISSUED 8/3/2017, IN THE TOTAL AMOUNT OF $260,085,000 THE FOLLOWING INFORMATION IS BEING PROVIDED: ISSUER NAME EIN CUSIP # COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 58-1147004 DEVELOPMENT AUTHORITY OF FULTON COUNTY 58-1506878 36005GAY9 GRIFFIN-SPALDING COUNTY HOSPITAL AUTHORITY 58-6212778
SCHEDULE K, PART I, COLUMNS (A), (B), & (C)	AS PART OF THE FIXED RATE COMPOSITE BOND ISSUE, ISSUED 8/3/2017, IN THE TOTAL AMOUNT OF $611,463,388 THE FOLLOWING INFORMATION IS BEING PROVIDED: ISSUER NAME EIN CUSIP # DEVELOPMENT AUTHORITY OF FULTON COUNTY 58-1506878 36005GAX1 GRIFFIN-SPALDING COUNTY HOSPITAL AUTHORITY 58-6212778 398258AX1 LAGRANGE-TROUP COUNTY HOSPITAL AUTHORITY 56-2609278 507152AX4 COBB COUNTY KENNESTONE HOSPITAL AUTHORITY 58-1147004 190813RF4

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 section 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 the 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






Total ............... $

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) 2021

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) JENNIFER HANEY	DAUGHTER-IN-LAW OF OFFICER	152,176	EMPLOYEE OF WELLSTAR		No
(2) CARL GOOLSBY JR MD	HUSBAND OF OFFICER	432,829	EMPLOYEE OF WELLSTAR		No
(3) BRANDY N CROSS MD	DAUGHTER OF BOARD MEMBER	498,082	EMPLOYEE OF WELLSTAR		No
(4) LAWRENCE ROWLEY MD	HUSBAND OF BOARD MEMBER/OFFICER	38,716	EMPLOYEE OF WELLSTAR		No
(5) SHEILA ROBINSON MD	WIFE OF BOARD MEMBER	486,813	EMPLOYEE OF WELLSTAR		No
(6) RACHEL GARNER	GRANDDAUGHTER OF BOARD MEMBER	35,341	EMPLOYEE OF WELLSTAR		No
(7) SAMANTHA ROS	DAUGHTER-IN-LAW OF BOARD MEMBER	151,170	EMPLOYEE OF WELLSTAR		No
(8) JOSEPH BURNS MD	FATHER-IN-LAW OF BOARD MEMBER	872,652	EMPLOYEE OF WELLSTAR		No
(9) BROOK HURST	CHILD OF BOARD MEMBER	35,684	EMPLOYEE OF WELLSTAR		No
(10) JOYLETTA FINLEY-BRUNO	SPOUSE OF OFFICER	69,467	EMPLOYEE OF WELLSTAR		No
(11) NOLAN TAACA	SPOUSE OF OFFICER	74,935	EMPLOYEE OF WELLSTAR		No

Part V

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

Return Reference	Explanation
SCHEDULE L, PART IV, LINES 1-7	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) 2021

Additional Data

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- TIN:

SCHEDULE O
(Form 990)

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.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

WELLSTAR HEALTH SYSTEM INC

Employer identification number

58-1649541

Return Reference	Explanation
FORM 990, PART I, LINE 1 & PART III, LINE 1	VISION: DELIVER WORLD-CLASS HEALTHCARE TO EVERY PERSON, EVERY TIME. MISSION: TO ENHANCE THE HEALTH AND WELL-BEING OF EVERY PERSON WE SERVE. VALUES: WE SERVE WITH COMPASSION. WE PURSUE EXCELLENCE. WE HONOR EVERY VOICE.
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, HOSPICE AND LONG-TERM NURSING CARE. THE SYSTEM THROUGH ITS AFFILIATED BUSINESS ORGANIZATIONS OPERATES 11 HOSPITALS (KENNESTONE, COBB, PAULDING MEDICAL CENTER, 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 AFFILIATES: - COBB HOSPITAL, INC. - DOUGLAS HOSPITAL INC. - KENNESTONE HOSPITAL, INC. - PAULDING MEDICAL CENTER, INC. - WELLSTAR FOUNDATION INC. - WELLSTAR ATLANTA MEDICAL CENTER, INC. - TWO CAMPUSES - 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 11 HOSPITAL LOCATIONS ARE ACUTE CARE FACILITIES WITH INPATIENT, OUTPATIENT, AND EMERGENCY 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. PAULDING MEDICAL CENTER IS HOME TO A FULL CARE NURSING HOME, PAULDING NURSING CENTER AND WEST GEORGIA MEDICAL CENTER IS ALSO HOME TO TWO FULL CARE NURSING HOMES. VERNON WOODS RETIREMENT COMMUNITY IS AN ASSISTED LIVING FACILITY. 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 367 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 COMMUNITY FINANCIAL AID POLICY. IN FISCAL YEAR 2022 AND 2021, WELLSTAR AFFILIATE HOSPITALS MADE $347.3 MILLION AND $309.8 MILLION, RESPECTIVELY, IN PROVIDER PAYMENTS (CHARITY CARE COST) 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, BONE DENSITY, 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 AND HEALTH SCREENINGS, MEDICAL SUPPLIES, AND IMMUNIZATIONS ARE PROVIDED TO CHILDREN THROUGH LOCAL HEALTH DEPARTMENTS AND HEALTH FAIRS. THE COSTS OF THESE SERVICES ARE INCLUDED IN UNRESTRICTED REVENUE, GAINS AND OTHER SUPPORT IN EXCESS OF EXPENSES AND LOSSES IN THE FINANCIAL STATEMENTS. 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 STATISTICS	SERVICES PROVIDED SYSTEM-WIDE: LICENSED BEDS - 2,775 ADULT DISCHARGES - 104,092 NEWBORN DISCHARGES -13,626 EMERGENCY ROOM VISITS - 558,476 SURGERIES - 61,254 CATH LAB/PACEMAKERS/EP - 17,401 NON-ED O/P RADIOLOGY PROCEDURES - 516,441 MED/SURG. SHORT STAY CASES - 321 GI LAB PROCEDURES - 12,132 RADIOLOGY ONCOLOGY PROCEDURES - 38,321 COMMUNITY PARTNERSHIPS AND ENGAGEMENT - WELLSTAR IS COMMITTED TO REINVESTING IN OUR COMMUNITIES BY ENGAGING IN PARTNERSHIPS AND SUPPORTING SPONSORSHIP OPPORTUNITIES THAT ALIGN WITH OUR MISSION, VISION, AND VALUES TO IMPROVE THE HEALTH AND WELL-BEING OF ALL THE PEOPLE AND COMMUNITIES WE SERVE TO ACHIEVE POSITIVE COMMUNITY IMPACT. COMMUNITY BASED PARTNERSHIPS MAY INCLUDE MISSION ALIGNED PARTNERS SUCH AS THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN LUNG ASSOCIATION, IT'S THE JOURNEY, MARCH OF DIMES; OTHER NOT-FOR-PROFITS THAT FURTHER A SOCIAL CAUSE AND PROVIDE COMMUNITY BENEFIT SUCH AT THE ATLANTA COMMUNITY FOOD BANK, MUST MINISTRIES, TOMMY NOBIS CENTER; BUSINESS AND CIVIC ORGANIZATIONS SUCH AS CHAMBERS OF COMMERCE AND ROTARY, KIWANIS CLUBS; AND ACADEMIC AND WORKFORCE DEVELOPMENT PARTNERS INCLUDING LOCAL SCHOOL DISTRICTS AND OTHER SECONDARY EDUCATION INSTITUTIONS, AND PARTNERS FOCUSED ON CAREER EXPLORATION AND DEVELOPMENT AND CREATING PIPELINES FOR BOTH CLINICAL AND NON-CLINICAL HEALTHCARE CAREERS. MANY EMPLOYEES SUPPORT OUR COMMUNITY PARTNERS THROUGH VOLUNTEERISM OR OTHER SERVICES/ACTIVITIES SUCH AS ORGANIZING A COLLECTION OF GOODS FOR DONATION THROUGH WELLSTAR'S COMMUNITY CARE PROGRAM. COMMUNITY ACTIVITIES - RECOGNIZING THE CRITICAL NEED TO ADDRESS THE NURSING SHORTAGE IN GEORGIA AND INCREASE THE NUMBER OF QUALIFIED NURSES WHO CAN JOIN THE WORKFORCE, WELLSTAR IS COMMITTED TO PROACTIVELY ADDRESSING THE NURSING SHORTAGE. WITH QUALITY EDUCATION AND TRAINING, WELLSTAR HAS EXPANDED ITS CLINICAL AFFILIATION WITH MERCER UNIVERSITY'S SCHOOL OF NURSING TO CREATE A NEW ACCELERATED BACHELOR OF SCIENCE IN NURSING ("ABSN") PROGRAM WITH THE POTENTIAL TO GRADUATE AN ADDITIONAL 300 NURSES PER YEAR IN ADDITION TO THE TRADITIONAL BSN PROGRAM AT MERCER. THIS PROGRAM ACCEPTS INDIVIDUALS WITH A BACHELOR OF SCIENCE (BS) AND GRADUATES THEM WITH A BACHELOR OF NURSING (BSN) IN 12-MONTHS WELLSTAR ALSO HAS A LONG-STANDING AFFILIATION WITH KENNESAW STATE UNIVERSITY ("KSU"), WHICH IS IN WELLSTAR'S SERVICE AREA. WELLSTAR IS ALSO WORKING IN PARTNERSHIP WITH KSU, TO ADDRESS THE SIGNIFICANT NURSING SHORTAGE IN GEORGIA. WELLSTAR HAS PROVIDED ENDOWMENTS AND GRANTS IN SUPPORT OF EDUCATIONAL PROGRAMS AT KSU. WELLSTAR HAS ALSO PARTICIPATED IN AND JOINTLY SPONSORED TEACHING AND TRAINING PROGRAMS AT KSU, INCLUDING A STRONG PARTNERSHIP WITH THE SCHOOL OF NURSING. THIS PARTNERSHIP INCLUDES AN ESTABLISHED TRANSFORMATIONAL GIFT FROM THE WELLSTAR BOARD OF DIRECTORS WHICH ESTABLISHED THE WELLSTAR SCHOOL OF NURSING (WSON). IT SUPPORTS THE ACADEMIC PREPARATION OF NURSING STUDENTS, THROUGH THEIR TRANSITION INTO PRACTICE, ASSURING THEY HAVE THE KNOWLEDGE, SKILL, AND EXPERIENCE TO BE "JOB READY" FOR SUCCESS AS A PROFESSIONAL GRADUATE NURSE. WELLSTAR PROVIDES 70% OF KSU STUDENT CLINICAL EXPERIENCES, WITH NEARLY 50% OF THE CLINICAL FACULTY AS WELLSTAR NURSES. WELLSTAR HAS ALSO CREATED AN ENDOWMENT THAT WILL FUND ANNUAL NURSING SCHOLARSHIPS FOR NEED-BASED STUDENTS. THE GRANT OF $6.2 MILLION WILL SUPPORT THE HIRING ADDITIONAL FACULTY AND NEW STAFF POSITIONS BY 2025 TO SUPPORT THE INCREASE IN STUDENT ENROLLMENT. WELLSTAR HEALTH SYSTEM ANNOUNCED ITS PARTICIPATION IN THE NURSING CAREER PATHWAY PROGRAM PILOT, AN INDUSTRY-DRIVEN INITIATIVE DESIGNED TO ADDRESS THE STATEWIDE NEED FOR NURSING ASSISTANTS, LICENSED PRACTICAL NURSES, REGISTERED NURSES, AND REGISTERED NURSES WITH A BACHELOR'S DEGREE IN NURSING. THE NURSING CAREER PATHWAY PROGRAM OF STUDY LINKS THE PROGRESSIVE ATTAINMENT OF ACADEMIC CREDENTIALS AND THE REQUIRED CERTIFICATION AND LICENSURE WHICH ARE ASSOCIATED WITH SELECT CAREERS AS A NURSING ASSISTANT, LICENSED NURSE, REGISTERED NURSE, AND REGISTERED NURSE WITH A BACHELOR'S DEGREE. THE HIGH SCHOOL EXPERIENCE FOR STUDENTS PARTICIPATING IN THE INCLUDES THE THREE-COURSE CTAE (CAREER, TECHNICAL, AND AGRICULTURAL EDUCATION) CURRICULUM OF INTRODUCTION TO HEALTHCARE, ESSENTIALS OF HEALTHCARE AND PATIENT CARE FUNDAMENTALS, WHICH INCLUDES THE REQUIRED ATTAINMENT OF CERTIFIED NURSING ASSISTANT CERTIFICATION (CNA IN SENIOR YEAR). THE CTAE CURRICULUM IS SUPPLEMENTED WITH A SPECIFIED NINE DUAL ENROLLMENT COURSES (26 COLLEGE CREDIT HOURS) CURRICULA OFFERED THROUGH CHATTAHOOCHEE TECHNICAL COLLEGE. PATHWAY PROGRAMS ARE OFFERED AT MCEACHERN IN COBB COUNTY, MARIETTA CITY HIGH SCHOOL AND HIRAM HIGH SCHOOL. WELLSTAR SPEAKERS BUREAU: WELLSTAR'S SPEAKERS BUREAU PROVIDES OUR COMMUNITY WITH DIRECT ACCESS TO OUR NETWORK OF HEALTHCARE PROFESSIONALS AND SUBJECT MATTER EXPERTS. PROGRAMS MAY BE VIRTUAL OR IN-PERSON AND COVER HEALTH AND WELLNESS TOPICS INCLUDING BUT NOT LIMITED TO HEART HEALTH, NUTRITION, MENTAL HEALTH, CANCER PREVENTION AND TREATMENT, AND COVID-19 RELATED TOPICS. WOMEN & CHILDREN RESOURCE CENTERS: WOMEN'S HEALTH PATIENT EDUCATION AND SUPPORT SERVICES PROVIDES PATIENT EDUCATION CLASSES AND EDUCATIONAL MATERIALS AND OVERSEES SERVICES RELATED TO LACTATION AND BEREAVEMENT AT COBB, DOUGLAS, KENNESTONE, NORTH FULTON, SPALDING, AND WEST GEORGIA HOSPITALS. THE SERVICES DELIVER MUCH NEEDED SUPPORT FOR MOTHERS AND THEIR NEWBORNS THROUGH PATIENT EDUCATION MATERIALS WHICH ARE PROVIDED TO EXPECTANT MOTHERS AT WMG OB OFFICES FOR EACH OB VISIT INCLUDING POSTPARTUM. IN-PERSON, VIRTUAL AND E-CLASS CHILDBIRTH; NEWBORN CARE, GRANDPARENTING, BREASTFEEDING AND FATHERHOOD CLASSES ARE OFFERED TO THE COMMUNITY AT EACH OF THE HOSPITAL LOCATIONS. FREE SUPPORT GROUPS ARE OFFERED FOR BREASTFEEDING, BEREAVEMENT, MOTHERS SUPPORT CIRCLE, AND Q&A SESSIONS. FINALLY, INPATIENT AND OUTPATIENT LACTATION CONSULTATIONS, LACTATION NICU CONSULTATIONS, PUMPS LOANED FOR NICU MOTHERS, AND WARM LINE PHONE CALLS ARE ALSO OFFERED TO LACTATING MOTHERS. THESE OFFERINGS DEMONSTRATE WELLSTAR'S COMMITMENT TO THE HEALTH AND WELL-BEING OF NEW MOTHERS AND THEIR BABIES IN OUR COMMUNITY. IN FY 2022, THE UNREIMBURSED COSTS ASSOCIATED WITH THESE OFFERINGS TOTALED MORE THAN $ 824,000 WITH MORE THAN 73,822 PATIENT/FAMILY INTERACTIONS PARTICIPATING IN PRENATAL AND CHILDBIRTH PROGRAMS. COMMUNITY BENEFIT PROGRAMS - AT WELLSTAR, WE HAVE MOVED BEYOND IRS REQUIREMENTS - FROM COMPLIANCE TO STRATEGIC ALIGNMENT - WHICH ALLOWS THE SYSTEM TO IMPROVE COMMUNITY HEALTH AND DEMONSTRATE RETURN ON INVESTMENT FOR COMMUNITY BENEFIT ACTIVITIES. MAINTAINING EFFORTS BEYOND THE THREE-YEAR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CYCLE HELPS WELLSTAR ADDRESS PERSISTENT COMMUNITY HEALTH ISSUES AND ENSURE CONTINUITY FROM ONE IMPLEMENTATION PLAN TO THE NEXT. THE FOLLOWING PROGRAMS DESCRIBE HOW WELLSTAR HEALTH SYSTEM HAS CONTINUED BUILDING AND ALIGNING FOR HEALTH EQUITY. CONGREGATIONAL HEALTH NETWORK WELLSTAR'S CONGREGATIONAL HEALTH NETWORK (CHN) SERVES AS A BRIDGE BETWEEN OUR HEALTHCARE SYSTEM AND FAITH COMMUNITIES. COORDINATED BY A FULL-TIME REGISTERED NURSE WHO SPECIALIZES IN FAITH COMMUNITY NURSING, WELLSTAR'S PROGRAM IS DESIGNED TO ASSIST CONGREGATIONS OF ALL FAITHS TO DEVELOP OR SUPPORT VOLUNTEER OR PAID HEALTH MINISTRIES. WITH MORE THAN 100 CONGREGATIONS AND 1,500 SPIRITUAL CARE PARTNERS, CHN SERVES AS A KEY TO WELLSTAR'S SUCCESSFUL IMPLEMENTATION OF EQUITY-CENTERED PROGRAMS. THROUGH THIS NETWORK, WELLSTAR CAN DIFFUSE INFORMATION, IMPLEMENT PROGRAMS AT TRUSTED NEIGHBORHOOD-BASED SITES AND STRENGTHEN THE ORGANIZATIONS TO PROVIDE WHOLE-PERSON SUPPORT. COMMUNITY CLINIC NETWORK ACCORDING TO THE CHNA ACCESS TO CARE INDICATORS, MANY MEMBERS OF WELLSTAR'S COMMUNITY HAVE CARE ACCESS CHALLENGES IN LARGE PART DUE TO INSURANCE CONSTRAINTS AND PROVIDER ACCESS SHORTAGES. ACCORDING TO HEALTHY PEOPLE 2020, "ACCESS TO COMPREHENSIVE, QUALITY HEALTH CARE SERVICES IS IMPORTANT FOR PROMOTING AND MAINTAINING HEALTH, PREVENTING AND MANAGING DISEASE, REDUCING UNNECESSARY DISABILITY AND PREMATURE DEATH, AND ACHIEVING HEALTH EQUITY." WELLSTAR IS COMMITTED TO SERVING OUR COMMUNITY'S MOST VULNERABLE AND UNDER-RESOURCED POPULATIONS. IN 2016, WELLSTAR 4-1 CARE WAS CREATED TO INCREASE ACCESS TO CARE AND THE CAPACITY OF PARTNERING COMMUNITY CLINICS BY PROVIDING REDUCED-COST OUTPATIENT MEDICAL SERVICES. RESEARCH HAS SHOWN THAT WHEN HEALTHCARE SYSTEMS LIKE WELLSTAR PARTNER WITH COMMUNITY SAFETY-NET CLINICS, THE FOLLOWING CAN OCCUR. - REDUCTION IN EMERGENCY DEPARTMENT VISITS - REDUCTION IN AVOIDABLE READMISSIONS - INCREASE IN PATIENT SATISFACTION SCORES PREVENT ILLNESS BY PROMOTING HEALTHY BEHAVIORS IN PEOPLE WITHOUT RISK FACTORS (E.G., DIET AND EXERCISE COUNSELING) - PREVENT ILLNESS BY PROVIDING PROTECTION TO THOSE AT RISK (E.G., CHILDHOOD VACCINATIONS) - IDENTIFY AND TREAT PEOPLE WITH NO SYMPTOMS, BUT WHO HAVE RISK FACTORS, BEFORE THE CLINICAL ILLNESS DEVELOPS (E.G., SCREENING FOR HYPERTENSION OR DIABETES)
COMMUNITY CLINIC NETWORK (CONT.)	THE COMMUNITY CLINIC NETWORK HAS EVOLVED TO ADVANCE WELLSTAR'S ABILITY TO SUPPORT COMMUNITY ACCESS TO CARE AND SOCIAL SUPPORT SERVICES. AS WELLSTAR'S GEOGRAPHICAL FOOTPRINT HAS EXPANDED, WELLSTAR IS ALSO COMMITTED TO FORGING NEW PARTNERSHIPS WITH COMMUNITY CLINICS (I.E., COMMUNITY SAFETY-NET CLINICS, COMMUNITY HEALTH CENTERS AND FEDERALLY QUALIFIED HEALTH CENTERS) TO MORE COLLECTIVELY ACHIEVE OPTIMAL OUTCOMES FOR MORE MEDICALLY UNDERSERVED AND UNINSURED RESIDENTS. IN ADDITION, THE COMMUNITY CLINIC NETWORK EVOLVED TO INCLUDE COMMUNITY BENEFIT SUPPORT OF WELLSTAR'S THREE COMMUNITY CLINICS-WELLSTAR AMC SHEFFIELD COMMUNITY CLINIC, WELLSTAR KENNESTONE COMMUNITY CLINIC AND WELLSTAR WEST GEORGIA COMMUNITY SERVICE CLINIC. IN ALIGNMENT WITH WELLSTAR'S FINANCIAL ASSISTANCE PROGRAM (FAP), THESE COMMUNITY-BASED CLINICS PROVIDE CHARITABLE DISCOUNTED OR FREE CARE BASED ON SOCIOECONOMIC FACTORS LIKE A PATIENT'S HOUSEHOLD INCOME, INSURANCE STATUS AND/OR FAMILY SIZE. THESE CLINICS HELP SOME OF WELLSTAR'S MOST UNDER-RESOURCED AND VULNERABLE COMMUNITY MEMBERS RECEIVE MEDICAL SERVICES LIKE CHRONIC DISEASE MANAGEMENT, WELLNESS EXAMS, VACCINATIONS AND MEDICATION COUNSELING. IN PARTNERSHIP WITH PHYSICIAN LEADERSHIP, GRADUATE MEDICAL EDUCATION (GME) RESIDENTS SERVE PATIENTS AT THE SHEFFIELD AND KENNESTONE CLINICS. TO SUPPORT THESE WELLSTAR GME RESIDENTS, STRUCTURED EDUCATION HAS BEEN PROVIDED TO HELP RESIDENTS BETTER UNDERSTAND HEALTH DISPARITIES, HEALTH EQUITY AND COMMUNITY HEALTH PRIORITIES. THROUGH THE COMMUNITY CLINIC NETWORK, WELLSTAR WILL CONTINUE TO LEVERAGE THE FACT THAT COMMUNITY-BASED CLINICS ARE LONG RECOGNIZED FOR THEIR ABILITY TO EFFECTIVELY IMPROVE AND EXPAND PATIENT ACCESS TO MEDICAL, DENTAL AND MENTAL HEALTH SERVICES. COMMUNITY TRANSFORMATION PROGRAM ACCESS TO HEALTH CARE IMPACTS AN INDIVIDUAL'S ABILITY TO OBTAIN AND MAINTAIN ADEQUATE PHYSICAL, SOCIAL AND MENTAL HEALTH STATUS. WELLSTAR'S CHNA IDENTIFIED BOTH THE NEED FOR ACCESS TO HEALTH CARE AND SOCIAL SUPPORT AS LEADING HEALTH CONCERNS FOR DISPARATE AND UNDERSERVED COMMUNITIES. DURING THE COVID-19 PANDEMIC, UNDERSERVED COMMUNITIES INCREASINGLY EXPERIENCED HEALTH DISPARITIES AND GAPS IN SUPPORT; COMMUNITY-BASED ORGANIZATIONS EXPERIENCED NEED FOR RELIABLE AND SUSTAINABLE SOLUTIONS FOR OFFERING VIRTUAL CARE. WELLSTAR CENTER FOR HEALTH EQUITY'S COMMUNITY TRANSFORMATION PROGRAM PROVIDES A SCALABLE SOLUTION FOR IMPROVING ACCESS TO CARE IN PARTNERSHIP WITH TRUSTED COMMUNITY NON-PROFIT ORGANIZATIONS. EACH YEAR, WELLSTAR FUNDS A COHORT OF INITIATIVES THAT LEVERAGE TECHNOLOGY TO PRODUCE LONG-TERM, SUSTAINABLE CHANGES IN THE COMMUNITIES WE SERVE. INITIATIVES ARE EXPECTED TO BE TAILORED TO A COMMUNITY NEED AND ALIGN WITH EACH PARTNER'S MISSION. AT THE END OF 12 MONTHS, PARTNERS ARE EXPECTED TO DEMONSTRATE IMPROVEMENTS IN: - ACCESS TO HEALTH CARE SO THAT RESIDENTS RECEIVE TIMELY, HIGH-QUALITY AND CULTURALLY APPROPRIATE MEDICAL CARE WHEN THEY NEED IT; OR, - ACCESS TO SOCIAL DETERMINANTS OF HEALTH SUPPORT SERVICES SO THAT RESIDENTS RECEIVE TIMELY, HIGH-QUALITY FOOD, EMPLOYMENT, HOUSING, TRANSPORTATION, EDUCATION AND LEGAL RESOURCES TO IMPROVE DAILY LIVING WHEN THEY NEED IT. SOUL SUPPORT TO ADDRESS THE BEHAVIORAL NEEDS OF COMMUNITY MEMBERS AND MITIGATE THE ROLE OF MENTAL HEALTH STIGMA, WELLSTAR LAUNCHED AN INITIATIVE CALLED SOUL SUPPORT, WHICH INCLUDES THREE EVIDENCE-BASED PROGRAMS TO PROVIDE MENTAL HEALTH EDUCATION AND SUPPORT. THE FOLLOWING PROGRAMS ARE FACILITATED THROUGH WELLSTAR'S CONGREGATIONAL HEALTH NETWORK, WHEREBY PROGRAMS TAKE PLACE AT FAITH-BASED ORGANIZATIONS. 1. WELLSTAR PARTNERS WITH ATLANTA REGIONAL COMMISSION'S HEALTHY AGING DIVISION TO PROVIDE "POWERFUL TOOLS FOR CAREGIVERS" - A SIX-WEEK SERIES SPECIFICALLY DESIGNED TO HELP CAREGIVERS LEARN TO TAKE BETTER CARE OF THEMSELVES. POWERFUL TOOLS IS PRESENTED BY CERTIFIED LAY LEADERS. THE WORKSHOP USES AN EVIDENCE-BASED CURRICULUM THAT HAS BEEN FOUND TO HAVE SIGNIFICANT POSITIVE RESULTS FOR PARTICIPANTS. 2. QUESTION, PERSUADE AND REFER (QPR) INSTITUTE STARTED AS A JOINT EFFORT WITH A WASHINGTON STATE MENTAL HEALTH CENTER AND THEIR MISSION IS TO "SAVE LIVES AND REDUCE SUICIDAL BEHAVIORS BY PROVIDING INNOVATIVE, PRACTICAL AND PROVEN SUICIDE PREVENTION TRAINING." THE PRIMARY OBJECTIVES ARE TO TRAIN PARTICIPANTS TO UNDERSTAND THE NATURE AND RANGE OF SUICIDAL COMMUNICATIONS AND HOW TO INTERVENE ON BEHALF OF SUICIDAL AND IN-CRISIS PEOPLE, PROVIDING LOCAL MENTAL HEALTH RESOURCES AS WELL. QPR IS USED TO HELP SAVE LIVES FROM SUICIDE BY TRAINING INDIVIDUALS HOW TO RECOGNIZE THE WARNING SIGNS OF A SUICIDE CRISIS AND HOW TO "QUESTION, PERSUADE AND REFER SOMEONE TO HELP." 3. MENTAL HEALTH FIRST AID IS A PUBLIC EDUCATION PROGRAM "THAT CAN HELP COMMUNITIES UNDERSTAND MENTAL ILLNESSES, SEEK TIMELY INTERVENTION, AND SAVE LIVES." BY PROVIDING EDUCATION SURROUNDING MENTAL ILLNESS AS WELL AS RESOURCES AVAILABLE IN THEIR AREA, FAITH-BASED LEADERS WILL BE MORE KNOWLEDGEABLE IN WAYS TO SUPPORT THEIR CONGREGANTS. IT WAS DEVELOPED IN 2001 WITH THE GOAL OF PROVIDING PARTICIPANTS WITH THE TOOLS NEEDED TO START A CONVERSATION ABOUT MENTAL HEALTH AND SUBSTANCE USE PROBLEMS AS WELL AS RESOURCES AVAILABLE. COLORECTAL CANCER SCREENING IN PARTNERSHIP WITH BLKHLTH AND COTTONELLE WELLSTAR CENTER FOR HEALTH EQUITY ESTABLISHED A PARTNERSHIP WITH BLKHLTH, A NON-PROFIT ORGANIZATION WHOSE MISSION IS TO REDUCE THE IMPACT OF RACISM THROUGH EDUCATION AND ACTION. ONE OF THEIR CURRENT INITIATIVES IS A COLLABORATION WITH COTTONELLE ON THE #GOODDOWNTHERE CAMPAIGN. THIS NATIONAL PROGRAM IS DESIGNED TO REDUCE STIGMA SURROUNDING COLORECTAL CARE BY PROVIDING EQUITY-CENTRIC ACCESS FOR COLORECTAL CANCER TO BLACK AMERICANS. COLORECTAL CANCER, ALSO CALLED COLON OR RECTAL CANCER, IS THE THIRD MOST COMMON CANCER IN THE UNITED STATES AND THE SECOND MOST COMMON CANCER-RELATED DEATH. THROUGH THEIR COLLABORATION WITH COTTONELLE, BLKHLTH PROVIDES WELLSTAR WITH COMPLIMENTARY COLORECTAL CANCER SCREENING KITS TO BE DISTRIBUTED ACROSS OUR SERVICE AREA. MEMBERS OF WELLSTAR'S CONGREGATIONAL HEALTH NETWORK SERVE AS AMBASSADORS TO DISTRIBUTE THE SCREENING KITS WITHIN THEIR COMMUNITIES. OUR GOAL IS TO BRING EDUCATION AND ACCESS TO INDIVIDUALS WHO HAVE NOT BEEN SCREENED DUE TO FEAR, LACK OF HEALTH INSURANCE OR LACK OF KNOWLEDGE. BREAST CANCER SCREENING FOR THE PAST TEN YEARS, WELLSTAR HAS PROVIDED BREAST SCREENING AND DIAGNOSTIC SERVICES TO INDIVIDUALS WHO LACK ACCESS TO OR ARE UNABLE TO AFFORD THESE LIFE-SAVING SERVICES WITHIN WELLSTAR'S SERVICE AREAS. BY PROVIDING THESE SERVICES AT NO COST TO THOSE IN NEED, WE SEEK TO ELIMINATE EXISTING BREAST CANCER DISPARITIES AND DECREASE THE NUMBER OF LATE-STAGE BREAST CANCER DIAGNOSES BY PROVIDING ACCESS TO HEALTHCARE WITHIN THE COMMUNITIES WE SERVE. THIS PROGRAM INCREASES THE NUMBER OF REGULAR MAMMOGRAM SCREENINGS AND DIAGNOSTIC SERVICES PROVIDED, PARTICULARLY WITHIN HIGH-RISK COMMUNITIES, ENABLING WELLSTAR HEALTHCARE PROVIDERS TO DETECT BREAST CANCER AT AN EARLIER STAGE AND RESULTING IN BETTER TREATMENT OPTIONS AND IMPROVED OUTCOMES FOR OUR COMMUNITY MEMBERS. TO IDENTIFY PATIENTS WHO NEED ACCESS TO THESE SERVICES MOST, WE PARTNER WITH LOCAL HEALTH DEPARTMENTS, COMMUNITY CLINICS, A CONGREGATIONAL NURSE NETWORK AND A ROBUST LIST OF OTHER TRUSTED COMMUNITY ORGANIZATIONS. THE WELLSTAR PHYSICIAN LIAISON TEAM AND WELLSTAR CLINICAL PARTNERS TEAM ALSO WORKS WITH 3,000+ WELLSTAR MEDICAL GROUP PHYSICIANS AND PARTNER PHYSICIANS THROUGHOUT OUR SERVICE AREA TO GENERATE REFERRALS TO THE PROGRAM. MOBILE MARKET PROGRAM IN 2020, WELLSTAR LAUNCHED A MOBILE MARKET PROGRAM TO FEED MORE THAN 700 METRO ATLANTA AT-RISK FAMILIES ACROSS SIX GEORGIA COUNTIES. IN COLLABORATION WITH GOODR, THE JOINT INITIATIVE ADDRESSES FOOD ACCESS FOR VULNERABLE COMMUNITIES IN WELLSTAR'S SERVICE AREAS. THE SPRING-SUMMER MOBILE MARKET PROGRAM INCLUDED SEVEN COMMUNITY-BASED LOCATIONS THAT PROVIDED FREE, FRESH AND HEALTHY FOOD OPTIONS MONTHLY TO 100 FAMILIES IN NEED AT EACH LOCATION. THROUGH WELLSTAR FOUNDATION AND VITAL COMMUNITY FUNDING, GOODR PROVIDED FOOD AND STAFFING SUPPORT FOR THIS PROGRAM, REGISTERED PARTICIPANTS AND PROVIDED IMPACT REPORTING EACH MONTH. WELLSTAR PROVIDED PROGRAM LOGISTICAL SUPPORT, PARTICIPANT INCENTIVES AND NUTRITION EDUCATION. NEW COMMUNITY PARTNERS HELPED RECRUIT VOLUNTEERS AND SET UP FOOD DISTRIBUTION SITES IN KEY SERVICE AREAS, INCLUDING COBB, TROUP, FULTON, SPALDING, PAULDING, AND DOUGLAS COUNTIES. SINCE THEN, THE WELLSTAR MOBILE MARKET PROGRAM HAS EXPANDED TO INCLUDE: - THE ADDITION OF BUTTS COUNTY AS A PRIORITY LOCATION, - ON-SITE HEALTH EDUCATION IN ALIGNMENT WITH HEALTH AWARENESS MONTHS, AND - AVAILABILITY OF A BENEFITS SPECIALIST TO ASSIST FAMILIES WITH ENROLLMENT INTO PUBLIC FOOD PROGRAMS.
FOOD RESCUE PROGRAM	IN GEORGIA, FOOD RESIDUALS MAKE UP 12% OF LANDFILL WASTE ANNUALLY. THAT'S NEARLY 151 POUNDS OF FOOD PER GEORGIAN EVERY YEAR, A TOTAL OF 1.6 BILLION POUNDS OF TRASH ANNUALLY IN GEORGIA. THIS AMOUNT OF FOOD WASTE ALSO WASTES $1.92 BILLION EACH YEAR. IN PARTNERSHIP WITH SECOND HELPINGS ATLANTA AND GOODR, WELLSTAR LAUNCHED A FOOD RESCUE PROGRAM. THROUGH THIS PROGRAM, HIGH-QUALITY AND NUTRITIOUS FOOD FROM WELLSTAR EATERIES, INCLUDE SELECT HOSPITAL CAFETERIAS, IS PICKED UP AND REDISTRIBUTED TO NON-PROFIT ORGANIZATIONS THROUGHOUT WELLSTAR'S SERVICE AREA. BY RECAPTURING FRESH FOOD THAT MIGHT OTHERWISE BE DISCARDED, WE REDUCE FOOD WASTE WHILE GUARANTEEING ACCESS TO FRESH PRODUCE AND HEALTHY MEALS FOR EMERGENCY FOOD PROGRAMS AND INDIVIDUALS IN NEED. THE GOAL IS TO BECOME A ZERO-FOOD WASTE HEALTHCARE SYSTEM IN THE NEXT TEN YEARS. PERINATAL KIT PROGRAM WITH HEALTHY MOTHERS, HEALTHY BABIES - TO ADDRESS THE MATERNAL HEALTH CRISIS THROUGH AN EQUITY LENS, WELLSTAR COMMUNITY HEALTH AND WELLSTAR CENTER FOR HEALTH EQUITY HAS PARTNERED WITH HEALTHY MOTHERS, HEALTHY BABIES COALITION OF GEORGIA (HMHBGA). HMHBGA HAS IMPACTED THE HEALTH AND WELLBEING OF WOMEN, CHILDREN, AND FAMILIES FOR THE PAST 40 YEARS BY SUPPORTING THE COMMUNITY THROUGH DIRECT SERVICES, ADVOCACY, AND COMMUNITY EDUCATION. WELLSTAR'S PARTNERSHIP TO HELP EXPAND THE ORGANIZATION'S PERINATAL CARE PACKAGE PROJECT (PCP) PROVIDES SUPPORT TO PREGNANT AND POSTPARTUM BIRTH GIVERS AND ENCOURAGES POSITIVE MATERNAL HEALTH AND WELLNESS BY PROVIDING VITAL RESOURCES AND EDUCATION. THE PARTNERSHIP REACHES 150 BIRTH GIVERS PER MONTH WHO RESIDE IN GEORGIA'S MOST VULNERABLE COMMUNITIES. WELLSTAR PARTNERS WITH MOREHOUSE SCHOOL OF MEDICINE TO SUPPORT AT-RISK POPULATIONS - WELLSTAR HEALTH SYSTEM JOINED THE MOREHOUSE SCHOOL OF MEDICINE (MSM) NATIONAL COVID-19 RESILIENCY NETWORK (NCRN) OF PARTNERS TO FURTHER INFORM COMMUNITY-DRIVEN RESPONSE, RECOVERY AND RESILIENCY STRATEGIES FOR ADDRESSING THE IMPACT OF COVID-19 ON COMMUNITIES. IN RESPONSE TO THE NEEDS OF AT-RISK COMMUNITIES ACROSS THE HEALTH SYSTEM'S SERVICE AREAS, WELLSTAR HAS PARTNERED WITH THE MSM-NCRN AND ITS 40 NETWORK PARTNERS ACROSS THE U.S. TO COLLABORATE ON OFFERING COVID-19-RELATED SERVICES TO DISPROPORTIONATELY IMPACTED COMMUNITIES. WELLSTAR WAS THE FIRST GEORGIA-BASED HEALTH SYSTEM TO BECOME A NATIONAL PARTNER IN THIS IMPORTANT NEW INITIATIVE. THE MSM-NCRN COORDINATES A STRATEGIC AND STRUCTURED NATIONAL NETWORK OF NATIONAL, STATE/TERRITORIAL/TRIBAL AND LOCAL PUBLIC AND COMMUNITY-BASED ORGANIZATIONS THAT, TOGETHER, WORK TO MITIGATE THE IMPACT OF COVID-19 ON RACIAL AND ETHNIC MINORITY AND RURAL POPULATIONS. THE NETWORK HELPS TO PROVIDE AWARENESS OF CULTURALLY APPROPRIATE HEALTH EDUCATION INFORMATION AND LINKAGE TO CARE, HELPING ORGANIZATIONS AND FAMILIES RECOVER FROM PANDEMIC DIFFICULTIES. IN ADDITION TO EDUCATIONAL AND INFORMATIONAL RESOURCES IN AT LEAST 10 LANGUAGES TO ACCOMMODATE CULTURAL COMPETENCY, INITIATIVES WILL INCLUDE COVID-19 TESTING, VACCINATIONS FOLLOWING PHASES DIRECTED BY DPH AND TRAINING OPPORTUNITIES FOR COMMUNITY LEADERS. IN FY2022 THE TOTAL UNCOMPENSATED CARE, OTHER COMMUNITY BENEFITS AND COMMUNITY INVESTMENTS PROVIDED BY WELLSTAR WAS OVER $ 1.4 BILLION. COMMITMENT TO THE COMMUNITY BREAKDOWN: CHARITY & INDIGENT (UNCOMPENSATED CARE COSTS) - $ 347,351,000 MEDICAID1- SHORTFALLS (UNCOMPENSATED CARE COSTS) - $ 213,474,000 MEDICARE SHORTFALLS (UNCOMPENSATED CARE COSTS) - $ 419,782,000 OTHER PATIENTS (UNCOMPENSATED CARE COSTS) - $ 184,238,000 TOTAL UNCOMPENSATED CARE - $ 1,164,845,000 OTHER COMMUNITY PROGRAMS (PARTICIPATION IN COALITIONS) - $ 629,000 OTHER COMMUNITY PROGRAMS (COMMUNITY HEALTH EDUCATION) - $ 809,000 OTHER COMMUNITY PROGRAMS (HEALTH CARE SUPPORT) - $ 12,659,000 TOTAL OTHER COMMUNITY PROGRAMS - $ 14,097,000 COMMUNITY INVESTMENTS (FUNDS BACK INTO INFRASTRUCTURE) - $ 187,158,000 COMMUNITY INVESTMENTS (ALLIED HLTH/MEDICAL EDUCATION) - $ 10,836,000 COMMUNITY INVESTMENTS (OPERATIONS - STAFF/SOFTWARE) - $ 1,560,000 TOTAL COMMUNITY INVESTMENTS - $ 199,554,000 WELLSTAR CONTINUES TO PARTICIPATE IN THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) MEDICARE SAVINGS PROGRAM AS AN ACCOUNTABLE CARE ORGANIZATION (ACO). WELLSTAR'S ACO IS THE LARGEST ACO IN GEORGIA AND 2,906 PHYSICIANS INCLUDING 43,004 MEMBERS. THE ACO HAS BEEN RECOGNIZED AS ONE OF THE TOP 100 ACO'S IN THE COUNTRY. THE PROGRAM HAS BEEN SUCCESSFUL THROUGH A FOCUS ON WELLNESS AND THE IMPROVED MANAGEMENT OF CHRONIC ILLNESSES AND THE RELATED COORDINATION OF CARE, TO ENSURE PATIENTS, ESPECIALLY CHRONICALLY ILL, GET THE RIGHT CARE AT THE RIGHT TIME TO MAINTAIN THEIR OPTIMAL HEALTH AND AVOID THE NEED FOR HIGH-COST EMERGENCY AND HOSPITAL CARE.
AWARDS, RECOGNITION AND ACCOMPLISHMENTS	WELLSTAR WAS INCLUDED IN THE 2021 SERAMOUNT BEST COMPANIES FOR MULTICULTURAL WOMEN. THIS LIST HIGHLIGHTS COMPANIES THAT HELP BLACK, HISPANIC, ASIAN, NATIVE AMERICAN AND PACIFIC ISLANDER WOMEN ADVANCE. THIS INCLUDES EVALUATION OF LEADERSHIP DEVELOPMENT, SPONSORSHIP, EMPLOYEE RESOURCE GROUPS AND MANAGEMENT ACCOUNTABILITY FOR PROMOTIONS. WELLSTAR WAS ALSO INCLUDED IN THE TOP COMPANIES FOR EXECUTIVE WOMEN. SINCE 1986, SERAMOUNT HAS SURVEYED ORGANIZATIONS THAT ARE COMMITTED TO WOMEN'S ADVANCEMENT, DIVERSITY AND INCLUSION AND FAMILY-FRIENDLY WORKPLACE CULTURE. HEALTHGRADES RECOGNIZES HOSPITALS THAT DELIVER SUPERIOR PATIENT OUTCOMES WITHIN 17 SERVICE LINES AS RECIPIENTS OF HEALTHGRADES SPECIALTY EXCELLENCE AWARDS. HEALTHGRADES EVALUATES HOSPITAL QUALITY FOR CONDITIONS AND PROCEDURES BASED SOLELY ON CLINICAL OUTCOMES TO HELP CONSUMERS UNDERSTAND AND COMPARE HOSPITAL PERFORMANCE TO SUPPORT THEIR CARE CHOICES. IN 2022 WELLSTAR COBB MEDICAL CENTER RECEIVED EXCELLENCE AWARDS FOR VASCULAR SURGERY, STROKE CARE, JOINT REPLACEMENT AND PULMONARY CARE. HEALTHGRADES NAMED BOTH WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER AND WELLSTAR COBB MEDICAL CENTER IN THE TOP 5 PERCENT IN THE NATION FOR OVERALL CLINICAL EXCELLENCE AND RANKED BOTH IN THE 2021 "TOP 250 BEST HOSPITALS." WELLSTAR PAULDING MEDICAL CENTER WAS A 2021 RECIPIENT OF THE EMERGENCY NURSES ASSOCIATION (ENA) LANTERN AWARD. THIS RECOGNITION AWARD IS GIVEN TO EMERGENCY DEPARTMENTS THAT EXEMPLIFY EXCEPTIONAL PRACTICE AND INNOVATIVE PERFORMANCE IN THE CORE AREAS OF LEADERSHIP, PRACTICE, EDUCATION, ADVOCACY AND RESEARCH. THIS AWARD IS A VISIBLE SYMBOL OF AN EMERGENCY DEPARTMENT'S COMMITMENT TO QUALITY AND SAFETY AND THE PRESENCE OF A HEALTHY WORK ENVIRONMENT. WELLSTAR HEALTH SYSTEM WAS RECOGNIZED AS A PEOPLE MAGAZINE COMPANIES THAT CARE. THIS LIST HIGHLIGHTS THE TOP U.S. COMPANIES THAT HAVE SUCCEEDED IN BUSINESS WHILE ALSO DEMONSTRATING OUTSTANDING RESPECT, CARE AND CONCERN FOR THEIR EMPLOYEES, COMMUNITIES AND THE ENVIRONMENT. PEOPLE MAGAZINE TEAMED UP WITH GREAT PLACE TO WORK TO PRODUCE THE RANKING USING THE WORKPLACE ANALYTIC FIRM'S EXTENSIVE DATABASE AND INSIDE KNOWLEDGE OF OUTSTANDING WORKPLACES AROUND THE GLOBE. JOHN KUEVEN, PRESIDENT OF WELLSTAR PAULDING MEDICAL CENTER, WAS AN HONORED 2022 RECIPIENT OF THE BALDRIGE FOUNDATION AWARDS FOR LEADERSHIP EXCELLENCE. THE BALDRIGE FOUNDATION INSPIRES ORGANIZATIONS TO ACHIEVE EXCELLENCE IN ALL THEY DO WITH PRIDE AND SOCIETAL RESPONSIBILITY. THE AWARDS FOR LEADERSHIP EXCELLENCE RECOGNIZE LEADERS IN MULTIPLE SECTORS WHO PROVIDE OUTSTANDING SUPPORT TO BALDRIGE AND THE FOUNDATION'S MISSION TO SUPPORT ORGANIZATIONAL PERFORMANCE EXCELLENCE IN THE UNITED STATES AND THROUGHOUT THE WORLD. WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER WAS THE FIRST IN METRO ATLANTA TO BE ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER (NAPRC), A QUALITY PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS. THIS IS THE MOST CHALLENGING RECOGNITION TO ACHIEVE IN RECTAL CANCER TREATMENT, HIGHLIGHTING THE EXCEPTIONAL LEVEL OF RECTAL CANCER CARE PEOPLE RECEIVE HERE. THE ACCREDITATION WAS GRANTED IN 2022. THE NAPRC IS BASED ON SUCCESSFUL INTERNATIONAL MODELS THAT EMPHASIZE PROGRAM STRUCTURE, PATIENT CARE PROCESSES, PERFORMANCE IMPROVEMENT AND PERFORMANCE MEASURES. AS A RESULT OF ITS COMMITMENT TO PATIENTS IN THEIR TIMES OF NEED, WELLSTAR WEST GEORGIA MEDICAL CENTER WAS DESIGNATED A LEVEL IV TRAUMA CENTER BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTH (DPH). LEVEL IV TRAUMA CENTERS DEMONSTRATE THE ABILITY TO PROVIDE TRAUMA LIFE SUPPORT PRIOR TO TRANSFER OF PATIENTS TO A HIGHER-LEVEL TRAUMA CENTER WHEN NECESSARY. THE DIFFERENT LEVEL NUMBERS INDICATE THE KINDS OF RESOURCES AVAILABLE IN A TRAUMA CENTER AND THE NUMBER OF PATIENTS ADMITTED YEARLY.
FORM 990, PART IV, LINE 12B	AUDITED FINANCIAL STATEMENTS WELLSTAR HEALTH SYSTEM, INC., AND ITS CONTROLLED AFFILIATES ARE AUDITED ON AN ANNUAL BASIS BY AN OUTSIDE AUDITING FIRM, KPMG, AND AS PART OF THAT AUDIT A CONSOLIDATED FINANCIAL STATEMENT IS ISSUED. THE INDEPENDENT AUDITORS REPORT INCLUDES THE ACCOUNTS OF WELLSTAR AND ITS CONTROLLED AFFILIATES INCLUDING COBB HOSPITAL, INC., DOUGLAS HOSPITAL INC., KENNESTONE HOSPITAL, INC., PAULDING MEDICAL CENTER, INC., WELLSTAR ATLANTA MEDICAL CENTER, INC., WELLSTAR NORTH FULTON HOSPITAL, INC., WELLSTAR SPALDING REGIONAL MEDICAL CENTER, INC., WELLSTAR SYLVAN GROVE HOSPITAL, INC., WELLSTAR WEST GEORGIA MEDICAL CENTER, INC., WINDY HILL HOSPITAL, WELLSTAR MEDICAL GROUP, LLC AND VARIOUS OTHER OWNED ENTITES AS LISTED IN SCHEDULE R. ALL SIGNIFICANT INTERCOMPANY ACCOUNTS AND TRANSACTIONS HAVE BEEN ELIMINATED IN COMBINATION.
FORM 990, PART IV, LINE 24A	TAX EXEMPT BOND REPORTING FOR PURPOSES OF THE FORM 990 REPORTING, WELLSTAR HEALTH SYSTEM, INC. (EIN 58-1649541) WILL LIST ALL TAX-EXEMPT BONDS ISSUED SINCE JANUARY 1, 2003 ON SCHEDULE K AS IT TYPICALLY ALLOCATES THE PROCEEDS OF THE BONDS TO MEMBERS OF THE OBLIGATED GROUP (INCLUDING THE HOSPITALS AND PHYSICIAN GROUP). ALL APPLICABLE CONTROLLED AFFILIATES WILL REPORT THIS TAX EXEMPT BOND LIABILITY ON FORM 990, PART X, LINE 25 OTHER LIABILITIES DUE TO WHS, INC.
FORM 990, PART VI, SECTION A, LINE 4	EFFECTIVE APRIL 2022, WELLSTAR HEALTH SYSTEM THROUGH BOARD RESOLUTION CHANGED THE COMPOSITION OF THE OFFICERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	BOARD REVIEW OF FORM 990 INTERNAL STAFF PREPARES THE ORGANIZATION'S FORM 990. BEFORE FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE AN EXTERNAL ACCOUNTING FIRM, PRICEWATERHOUSECOOPERS LLP, REVIEWS AND SIGN-OFFS ON THE COMPLETED RETURN OF EACH ORGANIZATION. THE CURRENT YEAR FORM 990 IS THEN REVIEWED BY THE FINANCE COMMITTEE ALONG WITH A QUESTION-AND-ANSWER SESSION. A MOTION IS THEN MADE BY THE FINANCE COMMITTEE TO APPROVE THE RETURNS AND PRESENT TO THE FULL BOARD COPIES OF THE FORMS IN AN ELECTRONIC (PDF FORMAT) VERSION AS WELL AS A HARD COPY PRIOR TO FILING. THE ORGANIZATION'S CFO OR DESIGNEE SUBSEQUENTLY SIGNS THE RETURN FOR EITHER MANUAL OR ELECTRONIC FILING BY THE APPROPRIATE DUE DATE.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY OUR CONFLICT-OF-INTEREST POLICY REQUIRES ALL COVERED PERSONS TO ANNUALLY REVIEW THE POLICY AND THEN COMPLETE, SIGN AND RETURN THE CONFLICTS OF INTEREST SURVEY AND ATTESTATION TO THE COMPLIANCE OFFICE. THE POLICY REQUIRES AN ON-GOING DISCLOSURE OBLIGATION IN THE EVENT A CONFLICT ARISES DURING THE YEAR. THE FOLLOWING IS OUR PROCESS TO REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE THE POLICY: COMPLIANCE IDENTIFIES ALL COVERED PERSONS WHO MUST COMPLETE THE SURVEY AND ATTESTATION. COMPLIANCE VERIFIES THAT THE SURVEY AND ATTESTATION IS DISTRIBUTED TO THESE PERSONS. COMPLIANCE VERIFIES THAT THESE PERSONS RETURN A FULLY COMPLETED AND SIGNED SURVEY AND ATTESTATION. COMPLIANCE REVIEWS EACH COMPLETED AND SIGNED SURVEY AND ATTESTATION TO IDENTIFY ALL CONFLICTS LISTED IN THE DOCUMENT. ALL CONFLICTS, POTENTIAL CONFLICTS AND INCIDENCES OF NON-COMPLIANCE ARE REFERRED TO THE CHIEF COMPLIANCE OFFICER. THE CCO TAKES APPROPRIATE ACTION TO COMPLETELY RESOLVE ALL IDENTIFIED CONFLICTS AND INCIDENCES OF NON-COMPLIANCE.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	COMPENSATION OF OFFICERS WELLSTAR HEALTH SYSTEM, INC. HAS ENGAGED SULLIVAN COTTER TO WORK WITH THE GOVERNING BOARD AND COMPENSATION COMMITTEE TO REVIEW AND RECOMMEND EXECUTIVE COMPENSATION. THE EXECUTIVE COMPENSATION PROCESS AT WELLSTAR IS OVERSEEN BY A COMMITTEE OF INDEPENDENT TRUSTEES, WHICH FOLLOWS A BOARD-APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. THE COMPENSATION COMMITTEE CONSISTS OF FIVE TRUSTEES. THE CEO AND CHIEF HUMAN RESOURCES OFFICERS PARTICIPATE IN AN ADVISORY ROLE, AND NOT AS VOTING MEMBERS. FURTHER IN COMMITTEE DISCUSSIONS ABOUT THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, THE CEO RECUSES HIM/HERSELF FROM THAT PROCESS. THE EXECUTIVE COMPENSATION PHILOSOPHY EMPOWERS THE COMMITTEE TO OVERSEE THE EXECUTIVE COMPENSATION PROCESS AND ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM ON BEHALF OF THE FULL BOARD OF TRUSTEES OF WELLSTAR; PROVIDED, HOWEVER, THE FULL BOARD OF TRUSTEES EVALUATES AND APPROVES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THE PHILOSOPHY REQUIRES ANNUAL DISCLOSURE OF THE COMMITTEE'S ACTIONS AND DECISIONS TO THE FULL BOARD, WHICH IT HAS DONE. THE COMMITTEE IS GUIDED BY THE BOARD-APPROVED PHILOSOPHY. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD FOR ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. BASE COMPENSATION IS TARGETED AT THE MEDIAN BASE COMPENSATION PAID TO SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS (THE MARKET). OFFICERS OF THE COMPANY ALSO RECEIVE VARIABLE COMPENSATION THAT IS DEPENDENT ON INDIVIDUAL AND ORGANIZATION PERFORMANCE. WHEN PERFORMANCE IS FULLY SUSTAINED AT A SATISFACTORY LEVEL, THE TOTAL COMPENSATION, BOTH BASE AND VARIABLE, IS INTENDED TO BE AT OR AROUND THE 75TH% OF COMPENSATION PAID TO SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS. WELLSTAR'S EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET AS BEING COMPRISED OF COMPARABLE NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS, I.E., NOT-FOR-PROFIT ORGANIZATIONS SIMILAR IN COMPLEXITY AND SCALE TO WELLSTAR. TO ASSIST THE COMMITTEE IN FULFILLING ITS DUTIES, THE COMMITTEE ENGAGED SULLIVAN COTTER TO PROVIDE MARKET COMPENSATION DATA TO COMPARE TO THE WELLSTAR POSITIONS WHOSE COMPENSATION THE COMMITTEE OVERSEES. THE COMMITTEE USES THIS DATA TO PROVIDE CONTEXT WHEN MAKING DECISIONS IN ADMINISTERING THE COMPENSATION PROGRAM. ACCURATE MINUTES OF THE COMMITTEE'S DISCUSSION AND DECISIONS ARE RECORDED DURING EACH COMMITTEE MEETING AND REVIEWED AND PROVIDED TO THE FULL BOARD OF TRUSTEES FOR REVIEW.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS MADE AVAILABLE TO THE PUBLIC THE ORGANIZATION AND ITS AFFILIATES ARE SUBJECT TO THE OPEN RECORDS LAW IN THE STATE OF GEORGIA. THEREFORE, BY LAW, CITIZENS ARE PERMITTED TO INSPECT AND COPY ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AS MAY BE REQUESTED FROM TIME TO TIME. ADDITIONALLY, THE ORGANIZATION'S FORM 990 IS MADE READILY AVAILABLE ON THE GUIDESTAR WEBSITE. PERIODICALLY, THE ORGANIZATION PUBLISHES A COMMUNITY BENEFIT REPORT ONCE A YEAR FOR DISTRIBUTION TO THE PUBLIC. IN ACCORDANCE WITH O.C.G.A SECTION 31-7-22 AND THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH'S RULES AND REGULATIONS FOR HOSPITAL TRANSPARENCY CHAPTER 111-8-41 THE APPLICABLE DOCUMENTS ARE POSTED ON THE WELLSTAR.ORG WEBSITE IN THE WELLSTAR HOSPITAL TRANSPARENT INFORMATION SECTION. UNDER ITS CONTINUING DISCLOSURE AGREEMENTS FOR PUBLIC BONDS OUTSTANDING FINANCIAL AND STATISTICAL INFORMATION IS POSTED AND REPORTED ON EMMA.MSRB.ORG ON A QUARTERLY AND ANNUAL BASIS.
FORM 990, PART VII	OFFICERS HOURS WORKED THE OFFICERS DEVOTE THEIR TIME TO ALL OF THE ORGANIZATIONS WITHIN WELLSTAR HEALTH SYSTEM THAT ARE LISTED IN SCHEDULE R, PART II. AS SUCH, THE TOTAL HOURS WORKED BY THE OFFICERS ACROSS ALL ORGANIZATIONS EXCEEDS 40 HOURS A WEEK.
FORM 990, PART VII & FORM 990, SCHEDULE J	COMPENSATION ALL COMPENSATION AMOUNTS REPORTED ON FORM 990, PART VII; PART IX, LINES 5-7; AND SCHEDULE J REPRESENT COMPENSATION PROVIDED TO INDIVIDUALS THAT PROVIDE SERVICES TO THE ORGANIZATION. LIKEWISE, THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF INDIVIDUALS PROVIDING SERVICES TO THE ORGANIZATION. ALL FEDERAL EMPLOYMENT TAX RESPONSIBILITIES FOR THESE INDIVIDUALS (INCLUDING FEDERAL EMPLOYMENT TAX REPORTING RESPONSIBILITIES) ARE HANDLED BY WELLSTAR HEALTH SYSTEM, INC.(EIN 58-1649541).
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS FOR THE REPORTING PERIOD WELLSTAR HEALTH SYSTEM, INC. HAD THE FOLLOWING CHANGES IN NET ASSETS: PENSION ADJUSTMENT $ 85,605,000 ASSETS RELEASED FROM RESTRICTION 731,000 CHANGE IN DEBT RECEIVABLES/PAYABLE 2,739,370 FEMA FUNDING REIMBURSEMENT (9,838,102) OTHER CHANGES* 1,130,000 ---------------- TOTAL OTHER CHANGES IN NET ASSETS $ 80,367,268 *FOR THE REPORTING PERIOD, WELLSTAR HEALTH SYSTEM, INC. HAD A CHANGE IN NET ASSETS OF $1,130,000 RELATED TO CHANGES IN THE INTEREST IN THE NET ASSETS OF AFFILIATES AND TRANSFERS TO/FROM AFFILIATES DURING THE YEAR.
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:XXX-XX-XXXX

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) WELLSTAR MEDICAL GROUP LLC 793 SAWYER ROAD Marietta,GA30062 27-3818647	Healthcare	GA	588,427,781	50,556,825	WHS Inc
(2) COBB GYNECOLOGISTS 2 LLC 793 SAWYER ROAD Marietta,GA30062 02-0808099	Healthcare	GA	0	0	WHS INC
(3) SOUTH COBB OB-GYN 2 LLC 793 SAWYER ROAD Marietta,GA30062 02-0808071	Healthcare	GA	0	0	WHS INC
(4) WELLSTAR PSYCHIATRY LLC 793 SAWYER ROAD Marietta,GA30062 58-2500211	Healthcare	GA	0	0	WHS INC
(5) WellStar Kennestone OBGYN 2 LLC 793 SAWYER ROAD Marietta,GA30062 30-0355553	Healthcare	GA	0	0	WHS INC
(6) WellStar Kennestone OBGYN LLC 793 SAWYER ROAD Marietta,GA30062 58-2499183	Healthcare	GA	0	0	WHS INC
(7) WellStar Medical Specialists 2 LLC 793 SAWYER ROAD Marietta,GA30062 75-3261729	Healthcare	GA	0	0	WHS INC
(8) WellStar Homecare Billing Services LLC 793 SAWYER ROAD Marietta,GA30062 58-2479534	Healthcare	GA	0	0	WHS INC
(9) Wellstar Windy Hill Apothecary Bill Srv 793 SAWYER ROAD Marietta,GA30062 56-2511925	Healthcare	GA	0	0	WHS INC
(10) Wellstar Home Health LLC 793 SAWYER ROAD Marietta,GA30062 27-0277843	Healthcare	GA	0	0	WHS INC
(11) WELLSTAR CLNCL PARTNERS MEDICARE ACOLLC 793 SAWYER ROAD Marietta,GA30062 27-3870970	Healthcare	GA	0	0	WHS Inc
(12) Wellstar Health Ventures LLC 793 SAWYER ROAD Marietta,GA30062 45-3754932	Healthcare	GA	0	0	WHS INC
(13) Wellstar IPA LLC 793 SAWYER ROAD Marietta,GA30062 58-1649541	Insurance	GA	0	0	WHS INC
(14) Wellstar Community Hospice LLC 793 SAWYER ROAD Marietta,GA30062 13-4350580	Healthcare	GA	0	0	WHS INC
(15) CATALYST BY WELLSTAR LLC 793 SAWYER ROAD Marietta,GA30062 88-3730634	Healthcare	GA	0	0	WHS INC
(16) WellStar Clinical Partners LLC 793 SAWYER ROAD Marietta,GA30062 58-1649541	HEALTHCARE	GA	0	0	WHS INC
(17) WELLSTAR RESTAURANT SERVICES LLC 793 SAWYER ROAD MARIETTA,GA30062 58-1649541	FOOD SERVICES	GA	0	0	WHS INC
(18) WELLSTAR CLINICAL PARTNERS ATLANTA LLC 793 SAWYER ROAD MARIETTA,GA30062 58-1649541	HEALTHCARE	GA	0	0	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)COBB HOSPITAL INC 793 SAWYER ROAD Marietta,GA30062 58-0968382	Healthcare	GA	501(C)(3)	3	WHS INC	Yes
(2)DOUGLAS HOSPITAL INC 793 SAWYER ROAD Marietta,GA30062 58-2026750	Healthcare	GA	501(C)(3)	3	WHS INC	Yes
(3)KENNESTONE HOSPITAL INC 793 SAWYER ROAD Marietta,GA30062 58-2032904	Healthcare	GA	501(C)(3)	3	WHS INC	Yes
(4)PAULDING MEDICAL CENTER INC 793 SAWYER ROAD Marietta,GA30062 58-2095884	Healthcare	GA	501(C)(3)	3	WHS INC	Yes
(5)WELLSTAR FOUNDATION INC 793 SAWYER ROAD Marietta,GA30062 58-1627413	Foundation	GA	501(C)(3)	12 II	WHS INC	Yes
(6)WELLSTAR ATLANTA MEDICAL CENTER INC 793 SAWYER ROAD MARIETTA,GA30062 81-0837031	HEALTHCARE	GA	501(C)(3)	3	WHS INC	Yes
(7)WELLSTAR NORTH FULTON HOSPITAL INC 793 SAWYER ROAD MARIETTA,GA30062 81-0851756	HEALTHCARE	GA	501(C)(3)	3	WHS INC	Yes
(8)WELLSTAR SPALDING REGIONAL HOSPITALINC 793 SAWYER ROAD MARIETTA,GA30062 81-0864789	HEALTHCARE	GA	501(C)(3)	3	WHS INC	Yes
(9)WELLSTAR SYLVAN GROVE HOSPITAL INC 793 SAWYER ROAD MARIETTA,GA30062 81-0875069	HEALTHCARE	GA	501(C)(3)	3	WHS INC	Yes
(10)WEST GEORGIA MEDICAL CENTER INC 793 SAWYER ROAD MARIETTA,GA30062 20-5497506	HEALTHCARE	GA	501(C)(3)	3	WGHS INC	Yes
(11)WEST GEORGIA HEALTH SERVICES INC 793 SAWYER ROAD MARIETTA,GA30062 20-5497622	HEALTHCARE	GA	501(C)(3)	12 II	WHS INC	Yes
(12)VERNON WOODS RETIREMENT COMMUNITY INC 793 SAWYER ROAD MARIETTA,GA30062 58-2575049	HEALTHCARE	GA	501(C)(3)	10	WGHS INC	Yes
(13)WEST GEORGIA HEALTH FOUNDATION INC 793 SAWYER ROAD MARIETTA,GA30062 20-0936376	FOUNDATION	GA	501(C)(3)	12 II	WGHS INC	Yes
(14)MEDICAL PARK FOUNDATION INC 793 SAWYER ROAD MARIETTA,GA30062 58-1303478	FOUNDATION	GA	501(C)(3)	7	WGHS INC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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	(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	(k) Percentage ownership
(1) KENNESTONE EAST PARKING DECK LLC 793 SAWYER ROAD MARIETTA,GA300622222 20-0537100	PARKING	GA	WHS INC				No	0
(2) GRIFFIN IMAGING LLC 793 SAWYER ROAD MARIETTA,GA300622222	IMAGING CENTER	GA	NA
(3) WELLSTAR SPALD EMSSPALD 911 LLC 793 SAWYER ROAD MARIETTA,GA300622222	OFF.BLDG/EMS 911	GA	NA
(4) NORTH FULTON PARKING DECK LP 793 SAWYER ROAD MARIETTA,GA300622222	PARKING	GA	NA
(5) COBB SOUTH PARKING DECK LLC 793 SAWYER ROAD MARIETTA,GA300622222	PARKING	GA	NA
(6) SPALDING HEALTH SYSTEM LLC 793 SAWYER ROAD MARIETTA,GA300622222 58-2148398	PHYS. HOSP. ORG.	GA	WHS INC				No	0

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	(h) Percentage ownership	Yes	No
(1) COMMUNITY ASSURANCE CO 3rd Fl Barclays Hse Shedden Rd George Town CJ 58-1649541	INSURANCE	CJ	WHS INC	C CORP	76,185,564	220,327,682	100.000 %	Yes
(2) WEST GEORGIA HEALTH PHYSICIANS INC 793 SAWYER ROAD MARIETTA,GA300622222 27-5125341	PHYSICIAN PRAC.	GA	WGHS INC	C CORP					No
(3) WELLSTAR HEALTH PLAN INC 793 SAWYER ROAD MARIETTA,GA300622222 46-1922499	HEALTH INSURANCE	GA	WHS INC	C CORP	-219,818	3,648,042	100.000 %	Yes

Schedule R (Form 990) 2021

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) .....................

Yes

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

Yes

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

Yes

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	108,531,468	ACTUAL COST
(2) DOUGLAS HOSPITAL INC	Q	34,953,348	ACTUAL COST
(3) KENNESTONE HOSPITAL INC	Q	202,726,984	ACTUAL COST
(4) PAULDING MEDICAL CENTER INC	Q	36,279,687	ACTUAL COST
(5) WELLSTAR NORTH FULTON HOSPITAL INC	Q	33,587,024	ACTUAL COST
(6) WELLSTAR ATLANTA MEDICAL CENTER INC	Q	72,723,083	ACTUAL COST
(7) WELLSTAR SPALDING REGIONAL HOSPITAL INC	Q	27,524,816	ACTUAL COST
(8) WELLSTAR SYLVAN GROVE HOSPITAL INC	Q	2,648,371	ACTUAL COST
(9) WEST GEORGIA MEDICAL CENTER INC	Q	38,360,657	ACTUAL COST

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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), O) SHARING OF PAID EMPLOYEES, P) 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) 2021

Additional Data

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