Civic Intelligence

Au Medical Associates Inc

EIN 58-0705892 • 501(c)3 • Marietta, GA

Profile

The objects and purposes of this corporation are, either directly or through subsidiaries or partnerships, to administer the practice of medicine, to manage ambulatory care services and other clinical services, and to acquire and administer funds and property, which after the payment of necessary expenses, shall be devoted exclusively to the charitable, scientific, and educational missions of augusta university and its nonprofit affiliates.

793 Sawyer RoadMarietta, GA 30062-2222

www.wellstar.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

99th percentile

2.22x

Higher debt load relative to assets than 99% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2023

Liabilities / Revenue

73rd percentile

1.03x

Higher debt load relative to revenue than 73% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2023

Net Margin

11th percentile

-16%

Higher net margin than 11% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2023

Top Officer Pay

76th percentile

$949,289

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2020

Asset Growth

8th percentile

-7.8%

Faster asset growth than 8% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2023

Revenue Growth

71st percentile

16%

Faster revenue growth than 71% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2023

Assets

Up

$100,137,421

Up $1,985,714 (+2.0%) from 2023

Liabilities

Down

$40,765,808

Down $177,043,035 (-81%) from 2023

Net Assets

Up

$59,371,613

Up $179,028,749 (+150%) from 2023

Revenue

Down

$177,655,226

Down $33,416,645 (-16%) from 2023

Expenses

Down

$216,194,506

Down $28,834,189 (-12%) from 2023

Net Income

Down

-$38,539,280

Down $4,582,456 (-13%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0-$100M-$200MAssets 2011: $125,045,374Liabilities 2011: $39,987,218Net Assets 2011: $85,058,1562011Assets 2012: $123,771,487Liabilities 2012: $34,864,310Net Assets 2012: $88,907,1772012Assets 2013: $115,613,544Liabilities 2013: $36,803,091Net Assets 2013: $78,810,4532013Assets 2014: $115,211,797Liabilities 2014: $40,326,337Net Assets 2014: $74,885,4602014Assets 2015: $102,301,297Liabilities 2015: $40,142,196Net Assets 2015: $62,159,1012015Assets 2016: $96,346,259Liabilities 2016: $42,402,022Net Assets 2016: $53,944,2372016Assets 2017: $96,682,544Liabilities 2017: $62,607,951Net Assets 2017: $34,074,5932017Assets 2018: $80,874,470Liabilities 2018: $52,998,911Net Assets 2018: $27,875,5592018Assets 2019: $76,400,768Liabilities 2019: $78,897,211Net Assets 2019: -$2,496,4432019Assets 2020: $85,230,065Liabilities 2020: $110,673,675Net Assets 2020: -$25,443,6102020Assets 2021: $105,089,351Liabilities 2021: $157,860,715Net Assets 2021: -$52,771,3642021Assets 2022: $106,450,597Liabilities 2022: $192,049,260Net Assets 2022: -$85,598,6632022Assets 2023: $98,151,707Liabilities 2023: $217,808,843Net Assets 2023: -$119,657,1362023Assets 2024: $100,137,421Liabilities 2024: $40,765,808Net Assets 2024: $59,371,6132024

Highlighted filing

2024

Assets$100,137,421
Liabilities$40,765,808
Net Assets$59,371,613

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300M$200M$100M$0-$100MExpenses 2011: $111,697,6242011Expenses 2012: $112,692,3142012Expenses 2013: $142,946,1882013Revenue 2014: $154,256,342Expenses 2014: $161,387,700Net Income 2014: -$7,131,3582014Revenue 2015: $159,590,391Expenses 2015: $167,887,135Net Income 2015: -$8,296,7442015Revenue 2016: $158,365,345Expenses 2016: $164,891,661Net Income 2016: -$6,526,3162016Revenue 2017: $183,431,159Expenses 2017: $201,489,449Net Income 2017: -$18,058,2902017Revenue 2018: $157,225,922Expenses 2018: $130,417,919Net Income 2018: $26,808,0032018Revenue 2019: $139,905,106Expenses 2019: $170,867,016Net Income 2019: -$30,961,9102019Revenue 2020: $145,298,033Expenses 2020: $168,994,476Net Income 2020: -$23,696,4432020Revenue 2021: $157,030,283Expenses 2021: $185,690,511Net Income 2021: -$28,660,2282021Revenue 2022: $181,842,735Expenses 2022: $213,991,491Net Income 2022: -$32,148,7562022Revenue 2023: $211,071,871Expenses 2023: $245,028,695Net Income 2023: -$33,956,8242023Revenue 2024: $177,655,226Expenses 2024: $216,194,506Net Income 2024: -$38,539,2802024

Highlighted filing

2024

Revenue$177,655,226
Expenses$216,194,506
Net Income-$38,539,280

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$100$40.8$59.4$178$216$38.5
2023Detailed filing. Detailed filing data is available for this year.$98.2$218$120$211$245$34.0
2022Detailed filing. Detailed filing data is available for this year.$106$192$85.6$182$214$32.1
2021Detailed filing. Detailed filing data is available for this year.$105$158$52.8$157$186$28.7
2020Detailed filing. Detailed filing data is available for this year.$85.2$111$25.4$145$169$23.7
2019Detailed filing. Detailed filing data is available for this year.$76.4$78.9$2.50$140$171$31.0
2018Detailed filing. Detailed filing data is available for this year.$80.9$53.0$27.9$157$130$26.8
2017Detailed filing. Detailed filing data is available for this year.$96.7$62.6$34.1$183$201$18.1
2016Detailed filing. Detailed filing data is available for this year.$96.3$42.4$53.9$158$165$6.53
2015Detailed filing. Detailed filing data is available for this year.$102$40.1$62.2$160$168$8.30
2014Detailed filing. Detailed filing data is available for this year.$115$40.3$74.9$154$161$7.13
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$116$36.8$78.8$143
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$124$34.9$88.9$113
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$125$40.0$85.1$112
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 14, 2025
Return Version
2023v6.0
Gross Receipts
$177,655,226
Mission and Program Overview

Mission

The objects and purposes of this corporation are, either directly or through subsidiaries or partnerships, to administer the practice of medicine, to manage ambulatory care services and other clinical services, and to acquire and administer funds and property, which after the payment of necessary expenses, shall be devoted exclusively to the charitable, scientific, and educational missions of augusta university and its nonprofit affiliates.

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$28,935,728$30,016,955▲ $1,081,227
Accounts Receivable$21,454,457$24,643,184▲ $3,188,727
Land, Buildings, and Equipment, Net$19,117,409$17,340,446▼ $1,776,963
Savings and Temporary Cash Investments$4,566,739$13,660,581▲ $9,093,842
Prepaid Expenses and Deferred Charges$3,868,589$6,270,485▲ $2,401,896
Inventories for Sale or Use$1,177,395$1,197,800▲ $20,405
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$-63,603,672$100,137,421▲ $163,741,093
Other Assets Total$-142,723,989$7,007,970▲ $149,731,959
Liabilities
Accounts Payable and Accrued Expenses$59,976,514$27,703,664▼ $32,272,850
Other Liabilities$15,991,139$13,062,144▼ $2,928,995
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$75,967,653$40,765,808▼ $35,201,845
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-139,571,325$59,371,613▲ $198,942,938
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$-139,571,325$59,371,613▲ $198,942,938
Total Liabilities and Net Assets / Fund Balance$-63,603,672$100,137,421▲ $163,741,093

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$8,509,166$8,463,277$16,972,443
Equipment$-1,354,130$12,107,399$10,753,269
Buildings$5,685,125$0$5,685,125
Land$4,020,757-$4,020,757
Leasehold Improvements$479,528$0$479,528
Other Assets Org$7,007,970--
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
Jigarkumar ParikhMedical Doctor$1,440,305$62,733$1,503,038
Anusha VakitiMedical Doctor$965,394$60,034$1,025,428
Ahmad K MirzaMedical Doctor$519,690$92,002$611,692
Phillip L CouleVP, Medical Affairs$558,109$16,214$574,323
Abdul R AbualruzMedical Doctor$513,929$56,907$570,836
W Charles BrockTrustee-$41,497$41,497
Ed RichardsonTrustee-$15,806$15,806
Mitzi MooreTrustee-$13,338$13,338
O Scott Swayze MdTrustee-$11,859$11,859
Frank RosTrustee-$9,633$9,633
Mark BerryTrustee-$8,873$8,873
James L HolmesTrustee-$8,198$8,198
Greg MorganTrustee-$5,707$5,707
H Speer Burdette IiiTrustee-$4,358$4,358
Keith ParkerTrustee-$4,051$4,051
John MckibbenTrustee-$3,675$3,675
Jay CunninghamTrustee-$3,092$3,092
David BottomsTrustee-$1,995$1,995
Edward TateTrustee (beg 11/23)-$358$358

Board Members and Trustees

NameTitle
Candice SaundersPresident & CEO
Arif Aziz MdTrustee & Physician
James L HornsbyTrustee & Physician
Paul Douglass MdTrustee & Physician
Anthony BudzinskiEvp & CFO
Leo ReichertEvp & General Counsel
Mary ChatmanEvp Acute Care Operations
Kem MullinsEvp Ambulatory Ops & Bus Dev
Susan GrantEvp Chief Experience Off & CNE
David JonesEvp Chief Human Resources Offr
Richard CappsEvp Chief Info & Digital Offcr
Julie TeerSVP & Wellstar Foundation Pres
Beth KostSVP Chief Compliance Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$161,523,811
Investment Income
$1,430,682
Other Revenue
$14,700,733
Change in Net Assets
$-38,539,280
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$147,175,558
Salaries, Compensation, and Employee Benefits$69,018,948
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$128,152,870--$128,152,870
Other Salaries and Wages$55,109,675$6,948,109-$62,057,784
Depreciation Depletion$2,371,475$1,144,344-$3,515,819
Payroll Taxes$3,175,370--$3,175,370
Other Employee Benefits$242,153$1,839,656-$2,081,809
Pension Plan Contributions$1,703,985--$1,703,985
Insurance$1,528,439--$1,528,439
Office Expenses$1,234,615--$1,234,615
Other Expenses$1,086,681$-50,590-$1,036,091
Occupancy$1,020,369$20-$1,020,389
Interest$482,324$50,814-$533,137
Travel$185,527$127,086-$312,613
Advertising$232,789--$232,789
Fees for Services Legal$73,954--$73,954
Fees for Services Accounting$23,200--$23,200
Fees for Services Other$-21,031,737$4,362,032-$-16,669,705
Total Functional Expenses$201,552,777$14,641,730$0$216,194,506
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Tax Exempt Bond Liab. Due to Whs$12,274,003
Other Long-term Liabilities$788,141
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 4

The bylaws were amended to change the board of directors to reflect that of the ultimate sole member, wellstar health system, inc. Form 990, part vi, section a, line 7b powers of the board as per the articles of incorporation, the sole member of the organization is wellstar health system, inc., a georgia nonprofit corporation. As a sole member, wellstar health system, inc. Holds certain powers of election and approval in connection with the governing body of the organization. These powers are presented in detail in the governing documents which the company makes available to the public upon request.

Form 990, Part VI, Section B, Line 11B

Board review of form 990 internal staff prepares the organization's form 990. Before filing the return with the internal revenue service an external accounting firm, pwc us tax llp, reviews and sign-offs on the completed return of each organization. The current year form 990 is provided to the finance committee for review. Opportunities for detailed reviews along with a question-and-answer session is offered to the finance committee both in the finance committee meeting or in a separate session. Final copies of the 990 are provided to each board member through the board portal along with a summary memo of the current year preparation process highlighting any key aspects of the 990. 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 our board of trustees designates a compensation committee made up of outside board members to establish the executive compensation philosophy of the system, and to review and set the compensation annually for the chief executive officer and the salary parameters for all other officers of the company. The committee utilizes the outside consulting firm of sullivan cotter and associates, inc. To provide expert information regarding industry-wide compensation norms. The company philosophy is to match the market on base pay identifying the median. Total cash compensation is generally geared to compensation determined by our consultants to be at the 75th percentile of its peers.

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).

Filing and Contact Details

Filer

Filer Name
Au Medical Associates Inc
EIN
58-0705892
In Care Of
% JAMES M SWARTZ
Phone
7709567827
Address
793 SAWYER ROAD, MARIETTA, GA 30062-2222

Signing Officer

Name
James M Swartz
Title
VP Accounting
Phone
7709567827
Signed
2025-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James M Swartz
Formed
1958
Legal Domicile
Ga
Voting Board Members
17
Independent Board Members
10
Employees
621
Volunteers
71

Preparer

Firm
PwC US Tax LLP
Address
2001 MARKET ST SUITE 1800, PHILADELPHIA, PA 19103
Preparer
Joanne Krueger
Phone
2673303000
Supplemental Narrative

Additional Explanations

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 about wellstar at wellstar, people are at the center of everything we do and every decision we make. As a not-for-profit organization, we have made a generational commitment to transform healthcare for all. We work to ensure every person has access to personalized care that helps them spend more time being a person, rather than a patient. That's what we mean when we say we're more than healthcare-we're peoplecare. Wellstar is nationally recognized for our inclusive culture, exceptional doctors and team members, and personal, high-quality care. We thoughtfully reinvest in prevention, wellness programs and charity care, and provide access to compassionate, world-class care through our expansive system of 11 hospitals, 412 medical office locations, 11 cancer centers, 91 rehabilitation centers, 35 imaging centers, 20 urgent care locations, five health parks, three hospice facilities and two retirement villages. To learn more about how we care for the communities we serve, visit wellstar.org. Mission, vision, and values - our mission is to enhance the health and well-being of every person we serve. - our vision is to deliver world-class healthcare to every person, every time. - our values are to serve with compassion, pursue excellence and honor every voice. Milestones wellstar has a breadth of historical firsts, including, but not limited to: - performed the nation's first laparoscopic gallbladder removal at kennestone regional medical center (1988), now known as wellstar kennestone regional medical center - acquired georgia's first open high-field mri scanner at paulding hospital (2008), now known as wellstar paulding medical center - first orthopedic center in georgia to achieve the joint commission's certificates of distinction in both management of hip fracture and advanced total joint replacement at wellstar kennestone regional medical center (2018) - launched catalyst by wellstar, a first-of-its-kind global digital health and innovation center (2021) - recognized as the only healthcare system in georgia and one of 25 nationwide to receive a $2 million grant from the u.s. Department of health and human services through the substance abuse and mental health services administration (2023) - named the second highest provider of charity care in the nation by modern healthcare (2023) - first health system in georgia and the fifth in the nation to be accredited as a network cancer program run by the american college of surgeons - first health system in the nation to offer sharecare digital health and wellness app to its team members coverage at a glance when we say we serve the community, we mean it. Wellstar medical centers, health parks, medical offices and other facilities are conveniently located across the state of georgia. - 11 hospitals - 2,729 licensed beds - 5 health parks - 20 urgent care locations - 329+ medical offices - 11 cancer centers - 91 rehabilitation centers - 35 imaging centers - 3 hospice facilities - 2 retirement villages - 9 pediatric centers - 11 sleep labs - 7 wound care centers - 10 counties offering home health services with more than 1 million patient visits in 2023, the wellstar health parks in east cobb, acworth, avalon, cherokee and vinings provided patients with seamless care and convenient access to primary care, specialists, outpatient procedures, pharmacy, urgent care, physical therapy, and imaging-all at a single location. It's part of our commitment to offer access to quality healthcare at the right time and place for our patients. Clinical expertise led by physicians and other clinicians, our service lines support and connect people, processes and technologies. Experts within each specialty bring their insight and innova

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, - TRANSPLANT SERVICES - LEVEL 1, 2, 3 TRAUMA CENTERS - OUTPATIENT SERVICES, - DIAGNOSTIC AND THERAPEUTIC SERVICES, - ANCILLARY AND SUPPORT SERVICES, - PRIMARY CARE & SPECIALTY PHYSICIAN 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 IN LAGRANGE GEORGIA 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 412 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. THE AFFILIATED ENTITIES OF THE WELLSTAR 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, EXCEPT FOUR OF ITS AFFILIATES THAT OPERATE AS OTHER THAN NOT-FOR-PROFIT ENTITIES INCLUDING (1) WELLSTAR HEALTH PLAN, INC, A STATE OF GEORGIA LICENSED HEALTH MAINTENANCE ORGANIZATION (EIN 46-1922499), (2) WELLSTAR PHYSICIAN HOSPITAL ORGANIZATION, (EIN 58-2116179), (3) WEST GEORGIA HEALTH PHYSICIANS, INC (EIN 27-5125341), (4) COMMUNITY ASSURANCE COMPANY LTD., A CAYMAN DOMICILED CAPTIVE INSURANCE COMPANY (EIN 58-1649541). 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. 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 FOLLOWING IS THE COST TO PROVIDE CARE TO THOSE PATIENTS QUALIFYING FOR COMMUNITY FINANCIAL AID ALONG WITH THE UNREIMBURSED COST OF PROVIDING CARE TO MEDICARE AND MEDICAID BENEFICIARIES AND OTHER PATIENTS. THESE C0STS ARE DETERMINED USING A COST-TO-CHARGE RATIO. Cost of providing charity care $204,783 Unreimbursed cost of providing care to Medicaid beneficiaries $59,205 Unreimbursed cost of providing care to Medicare beneficiaries $733,422 Unreimbursed cost of providing care to other patients $262,212 Cost of other Community Programs $46,825 Total Uncompensated Care and Community Programs $1,306,447 Community Investments- Funds Back Into Infrastructure $182,090,000 Community Investments- Allied Health/Medical education 19,409,000 Community Investments- Operations- Staff/Software 2,444.000 Total Community Investments $203,943,000 IN ADDITION, WELLSTAR AFFILIATE HOSPITALS MADE $56.2 MILLION AND $40.5 MILLION, RESPECTIVELY, IN PROVIDER PAYMENTS (CHARITY CARE COST) AND RECOGNIZED SUCH PAYMENTS AS A REDUCTION IN NET PATIENT SERVICE REVENUE IN THE FISCAL 2024 AND 2023

Financial & Data Statistics

FINANCIAL & DATA STATISTICS 2023(1) 2024 Licensed Beds 2,775 2,729 Staffed Beds 1,803 (2) 2,310 Inpatient Admissions 103,514 127,931 Inpatient Census Days 526,966 652,691 Observation Patients 22,134 21,548 Average Length of Stay 5.09 5.10 Average Daily Census 1,469 1,783 Outpatient Visits 1,350,792 2,287,668 Emergency Room Visits 520,914 592,415 Deliveries 13,126 14,344 Inpatient Surgery Cases 20,252 26,658 Outpatient Surgery Cases 42,726 54,407 Case Mix Index 1.7046 1.6842 (entire System) (3) Case Mix Index 1.8636 1.8492 (Kennestone) (1) Does not include utilization statistics for WMCG and its consolidated subsidiaries, acquired August 29, 2023 (2) The reduction in staff beds as of June 30, 2023, is attributable primarily to the closure of AMC, which closed on November 1, 2022 (3)All patient case mix index excluding newborn, inpatient rehab patients and psychiatric patients COMMUNITY PARTNERSHIPS AND ENGAGEMENT - WELLSTAR IS COMMITTED TO REINVESTNG 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, GEORGIA ALLIANCE FOR BREAST CANCER, 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-CLINCAL 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 COMMUNITYCARE PROGRAM. WELLSTAR HEALTH SYSTEM'S COMMUNITY ACTIVITIES TO ADDRESS GEORGIA'S NURSING SHORTAGE WELLSTAR HEALTH SYSTEM CONTINUES TO STRENGTHEN ITS COMMUNITY INITIATIVES THROUGH ACADEMIC PARTNERSHIPS TO STRATEGICALLY ADDRESS GEORGIA'S NURSING SHORTAGE. WELLSTAR IS COMMITTED TO BUILDING A STRONGER CLINICAL WORKFORCE TO ENHANCE PRACTICE READY NURSES ENTERING THE PROFESSION. WELLSTAR SERVES AS A PREMIERE CLINICAL SITE SUPPORTING SCHOOLS OF NURSING COHORTS AND SENIOR PRACTICUM PLACEMENTS. OUR ACADEMIC PARTNERSHIP MODEL AIMS TO SUPPORT THE STUDENT NURSE EXPERIENCE, FACULTY EXPERIENCE, EDUCATIONAL PROCESS, AND DEVELOPMENT/MENTORING OF OUR NURSING PIPELINE. TO ACHIEVE THE STRATEGIC GOALS THROUGH COMMUNITY ENGAGEMENT, WELLSTAR CONTINUES TO IMPLEMENT TACTICS AND OBJECTIVES TO ATTRACT, RECRUIT, AND RETAIN BEST TALENT FOR THE NURSING CLINICAL WORKFORCE. THE FOLLOWING PARTNERSHIPS ARE A FEW EXAMPLES OF WELLSTAR'S STRATEGIC FOCUS AREAS TO ENHANCE THE CLINICAL WORKFORCE. MERCER UNIVERSITY PARTNERSHIP: WELLSTAR HAS CONTINUED ITS CLINICAL AFFILIATION WITH MERCER UNIVERSITY'S SCHOOL OF NURSING AND ORBIS TO TRAIN AND RECRUIT GRADUATES OF THE ACCELERATED BACHELOR OF SCIENCE (ABSN) PROGRAM. THE ABSN PROGRAM IS DESIGNED FOR INDIVIDUALS HOLDING A NON-NURSING BACHELOR OF SCIENCE (BS) DEGREE, ENABLING THEM TO EARN A BACHELOR OF SCIENCE IN NURSING (BSN) WITHIN 12 MONTHS. WELLSTAR'S RELATIONSHIP WITH MERCER AS A TOP TIER PARTNER OFFERS BENEFITS TO THE ABSN STUDENTS BY PRIORITIZING CLINICAL PLACEMENT REQUESTS IN VARIOUS SPECIALTY AREAS ACROSS THE HEALTH SYSTEM. MERCER STUDENTS ARE ALSO RECRUITED AFTER COMPLETION OF THEIR INITIAL CLINICAL COURSE TO WORK AS AN EXTERN THROUGH WELLSTAR'S NURSE EXTERN PROGRAM. MERCER UNIVERSITY HAS ABOUT 300 NURSES TO GRADUATE EACH YEAR. KENNESAW STATE UNIVERSITY (KSU) PARTNERSHIP: WELLSTAR HAS A LONGSTANDING AFFILIATION WITH KSU, LOCATED WITHIN WELLS

Community Clinic Network (cont.)

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) 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 graduate medical education (gme) clinics. 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 resident physicians serving at gme clinics, 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, p

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. Prostate cancer screening to increase access to screening and education resources in medically underserved communities, wellstar community health partners with wellstar urology, wellstar laboratory outreach services, and faith communities within the wellstar congregational health network to offer free prostate cancer screenings in high-risk zip codes. Success stories have included participants previously in remission for prostate cancer receiving abnormal psa results, leading to further testing and the resumption of treatment. 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. Since inception, the mobile market program has served 16,000 registrants throughout the wellstar footprint. Thirty-nine percent (39%) of registrants indicate delaying or avoiding medical visits to afford food. 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

Commitment to the Community

Wellstar awards received fy24 - the trauma surgery unit at wellstar kennestone regional medical center received the prestigious academy of medical-surgical nurses (amsn) prism award, an honor that recognizes exceptional nursing practice, leadership and outcomes in hospital medical-surgical units. The award, which stands for "premier recognition in the specialty of med-surg," is the first of its kind, honoring med-surg nursing units in the united states and internationally. It is co-sponsored by the?amsn and medical-surgical nursing certification board. The award is given to outstanding acute care/med-surg units or adult/pediatric units classified as med-surg. - wellstar kennestone and wellstar west georgia medical centers received the georgia oglethorpe award from the sterling council. The sterling council is a public/private not-for-profit corporation supported by the executive office of the governor. The council oversees the governor's sterling award for performance excellence and the georgia oglethorpe award, which is based on the national malcolm baldrige award, with awards being presented annually to high-performing, role-model organizations, both private and public, which demonstrate superior management approaches and role-model results. - wellstar west georgia medical center and sylvan grove medical center received the sustained excellence award from the florida sterling council. The governor's sterling sustained excellence award is designed to enable sterling award recipients to retain their role model status. This high-level assessment process examines how well an organization has strengthened, improved, and innovated winning systems to ensure long-term success and sustainability in a competitive environment. Highly trained examiners review and evaluate the application and clarify and verify the organization's responses through interviews with leaders and performance excellence professionals. - the atlanta business chronicle named wellstar health system as one of the healthiest employers in the extra-large company category, recognizing innovative organizations that have created robust and healthy workplace programs. The atlanta business chronicle's healthiest employer award is based on the analysis of over 60 scored questions with more than 600 data points for scoring and benchmarking.? - wellstar health system, one of georgia's largest and most integrated health systems, was ranked in the?top 10 best workplaces in health care by fortune in the large company category.?to determine the best workplaces in health care list, great place to work analyzed the survey responses of over 161,000 employees from great place to work-certified companies in the healthcare industry. - diversityinc included wellstar among 20 organizations on its 2023?list?of top hospitals and health systems for diversity. The top hospitals and health systems specialty list is included in diversityinc's annual top 50 companies for diversity ranking, which recognizes companies that hire, retain and promote women, minorities, people with disabilities, lgbtq+ individuals and veterans. Diversity is scored on six key areas: leadership accountability, human capital diversity metrics, talent programs, workforce practices, supplier diversity and philanthropy. - becker's hospital review has named wellstar health system as one of its spine and neurosurgery programs to watch. This list of 53 health systems and hospitals nationwide recognizes those dedicated to expanding neurosurgical care and providing world-class neuro treatments. Those on the list have earned national recognition for having top spine and neurosurgery programs. - wellstar health system was named by fortune as one of america's most innovative companies for 2023, which honors 300 companies transforming industries from the inside out. Nearly every company on this list posted revenue growth in the last three years. Fortune partnered with market research and data company?statista?to compile america's

Form 990, Part IV, Line 12B

Audited financial statements wellstar health system, inc 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 au medical center, inc., au medical associates, inc., cobb hospital, inc., douglas hospital inc., kennestone hospital, inc., paulding medical center, inc.,wellstar atlanta medical center, inc., wellstar mcg health, inc.,wellstar north fulton hospital, inc., wellstar spalding regional medical center, inc., wellstar sylvan grove hospital, inc., wellstar mcg warm springs, inc.,wellstar west georgia medical center, inc., windy hill hospital, wellstar medical group, llc, wellstar foundation, inc. And various other owned entites as listed in schedule r. All significant intercompany accounts and transactions have been eliminated in combination.

Form 990, Part XI, Line 9

Other changes in net assets for the reporting period wellstar au medical associates, inc. Had a change in net assets of $237,482,218 related to transfers to affiliates as part of the allocation of income statement and balance sheet transactions over the year.

Financial Statement Notes

Schedule D, Part X, Line 2

The following footnote is related to the organization's application of fasb asc 740 (previously fin 48): "wellstar and its affiliates have been recognized as exempt from federal income tax under internal revenue code section 501(a) as organizations described in section 501(c)(3), and therefore, related income is generally not subject to federal or state income taxes. Wellstar applies fasb asc 740, income taxes, which addresses accounting for uncertainties in income tax positions. It also provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There is no impact on wellstar's combined financial statements as a result of the application of asc 740. Wellstar has evaluated its tax positions and does not believe there are any material unrecognized tax benefits or obligations as of june 30, 2024, or 2023."

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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt5EVP AMBULATORY OPS & BUS DEV
IRS990/Form990PartVIISectionAGrp/TitleTxt6EVP ACUTE CARE OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt7EVP CHIEF INFO & DIGITAL OFFCR
IRS990/Form990PartVIISectionAGrp/TitleTxt8EVP CHIEF EXPERIENCE OFF & CNE
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IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE & PHYSICIAN
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IRS990/Form990PartVIISectionAGrp/TitleTxt29TRUSTEE
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