Civic Intelligence

Chs Foundation Inc

990 • Fiscal year 2018 • EIN 58-1649540

Jul 01, 2017 to Jun 30, 2018 • Filed on May 09, 2019

793 Sawyer RoadMarietta, GA 30062-2222

(770) 956-7827

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

90th percentile

0.54x

Higher debt load relative to assets than 90% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Liabilities / Revenue

91st percentile

0.39x

Higher debt load relative to revenue than 91% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Net Margin

100th percentile

118%

Higher net margin than 100% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Top Officer Pay

100th percentile

$2,197,988

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 1914.2% of source-year revenue.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Asset Growth

8th percentile

-52%

Faster asset growth than 8% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Revenue Growth

8th percentile

-55%

Faster revenue growth than 8% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Assets

Down

$81,677

Down $88,204 (-52%) from 2017

Net Assets

Down

$37,436

Down $46,650 (-55%) from 2017

Liabilities

Down

$44,241

Down $41,554 (-48%) from 2017

Revenue

Down

$114,824

Down $140,264 (-55%) from 2017

Expenses

Down

-$20,723

Down $57,908 (-156%) from 2017

Net Income

Down

$135,547

Down $82,356 (-38%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0M$500K$0Assets 2010: $926,833Liabilities 2010: $105,368Net Assets 2010: $821,4652010Assets 2011: $728,943Liabilities 2011: $38,522Net Assets 2011: $690,4212011Assets 2012: $566,871Liabilities 2012: $94,039Net Assets 2012: $472,8322012Assets 2013: $524,696Liabilities 2013: $91,522Net Assets 2013: $433,1742013Assets 2014: $399,684Liabilities 2014: $89,261Net Assets 2014: $310,4232014Assets 2015: $272,452Liabilities 2015: $87,933Net Assets 2015: $184,5192015Assets 2016: $193,144Liabilities 2016: $85,505Net Assets 2016: $107,6392016Assets 2017: $169,881Liabilities 2017: $85,795Net Assets 2017: $84,0862017Assets 2018: $81,677Liabilities 2018: $44,241Net Assets 2018: $37,4362018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2018

Assets$81,677
Liabilities$44,241
Net Assets$37,436

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400K$200K$0-$200KRevenue 2010: $331,840Expenses 2010: $281,074Net Income 2010: $50,7662010Expenses 2011: $169,4732011Expenses 2012: $131,1482012Revenue 2013: $207,527Expenses 2013: $96,451Net Income 2013: $111,0762013Revenue 2014: $224,732Expenses 2014: $89,094Net Income 2014: $135,6382014Revenue 2015: $240,295Expenses 2015: -$139,242Net Income 2015: $379,5372015Revenue 2016: $215,565Expenses 2016: $58,735Net Income 2016: $156,8302016Revenue 2017: $255,088Expenses 2017: $37,185Net Income 2017: $217,9032017Revenue 2018: $114,824Expenses 2018: -$20,723Net Income 2018: $135,5472018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019

Highlighted filing

2018

Revenue$114,824
Expenses-$20,723
Net Income$135,547
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 9, 2019
Return Version
2017v2.3
Gross Receipts
$114,824
Mission and Program Overview

Mission

Support for cobb hospital, inc. In their efforts to provide quality health services to the community.

Support for cobb hospital, inc. In their efforts to provide health services to the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$132,791$111,999▼ $20,792
Prepaid Expenses and Deferred Charges$2,884$2,884→ $0
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$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
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Cash and Non-Interest-Bearing Accounts$34,206$-33,206▼ $67,412
Total Assets$169,881$81,677▼ $88,204
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$81,144$39,846▼ $41,298
Accounts Payable and Accrued Expenses$3,023$4,395▲ $1,372
Mortgage Notes Payable Secured by Investment Property$1,628$0▼ $1,628
Grants Payable$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$85,795$44,241▼ $41,554
Net Assets / Fund Balance
Unrestricted Net Assets$84,086$37,436▼ $46,650
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$84,086$37,436▼ $46,650
Total Liabilities and Net Assets / Fund Balance$169,881$81,677▼ $88,204

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$99,765$5,408,416$5,508,181
Equipment$11,671$1,448,431$1,460,102
Leasehold Improvements$563$587,426$587,989
Other Land Buildings-$14,826$14,826
Compensation and Service Providers

Employees

NameTitleOtherTotal
Kent HaythornVP Clncl. Nursing (end. 10/17)$135,650$135,650
Andrew LeeVP Chief Div. Off.(beg. 10/17)$119,484$119,484
Ellen WrightVP Him CDI & Policies$78,615$78,615
David H Hafner MdTrustee$55,331$55,331
Otis a Brumby IiiTrustee$48,879$48,879
R Randall Bentley Sr EsqTrustee$48,405$48,405
W Charles BrockTrustee$46,215$46,215
T Fitz JohnsonTrustee$40,981$40,981
Robert N Cross MdTrustee$15,971$15,971
Mitzi MooreTrustee$9,175$9,175
Walter G RobinsonTrustee$8,062$8,062
Charles J JonesTrustee$6,339$6,339
O Scott Swayze MdTrustee$5,724$5,724
Frank RosTrustee$4,959$4,959
Ambica YadavTrustee$4,284$4,284
Michael B PattonTrustee$4,011$4,011
Gary a MillerTrustee$3,586$3,586
H Speer Burdette IiiTrustee$3,400$3,400
Greg MorganTrustee$3,104$3,104
Thomas M PhillipsTrustee$2,467$2,467

Board Members and Trustees

NameTitle
Rob SchreinerEvp & President Medical Group
Candice L SaundersPresident & CEO
Steven Oweida MdFormer Trustee
Te Rusty DurhamFormer Trustee
Peter R Jungblut Md MbaSVP & Medical Director
Jeffrey L Tharp Md MphTrustee & Chief Medicine Srvs
Avril P Beckford MdTrustee & Chief Pediatric Off.
Paul Douglass MdTrustee & Physician
Anthony J BudzinskiEvp & CFO
Carrie O PlietzEvp & COO Hospital Division
Leo E ReichertEvp & General Counsel
Kem M MullinsEvp Ambulatory & Bus. Dev.
John a BrennanEvp Chief Clin. Intg. Officer
David W AndersonEvp/hr/ol/CCO
Jonathan B Morris MdFormer SVP Chief Info. Off.
Douglas S FosterFormer VP Financial Plan.
Beth KostSVP Compliance CHF Privacy Off
Douglas Arvin CPA MbaSVP Finance
Joseph L BrywczynskiSVP Health Parks Development
Valery a Akopov MdSVP Hospital Division Wmg
Barbara B CoreySVP Managed Care
Jill M Case-wirthSVP Nursing Services
Timothy HaneySVP R.e. Fac. & Dev. Srvs.
Alan R Muster MdSVP Specialty Division Wmg
Kimberly W MenefeeSVP Strat. Comm.dev.(end.4/18)
Anthony M TrupianoSVP Supply Chain
Alan WildeSVP Supply Chain (beg. 6/18)
Ellen LangfordSVP Wmg Amb. Trans. (end.4/18)
James M SwartzVP Accounting
Stephen VaultVP Business Development
Richard S SiegelVP Cardiology & CVM Admin.
Jennifer GiustiVP Clinical Outcomes
Keith BowermasterVP Communication
Robert J DecouxVP Corporate Med Staff Svcs
Jason StevensVP Deputy General Counsel
Kristen S TriceVP Diagnostic Outreach
Rebecca L RuhlVP Facility Compliance Ops
Maxwell KaganVP Finance & CFO
Elizabeth H LoudermilkVP Financial Planning
Mary L TavernaroVP Human Resources Operations
Sandra LuciusVP Info Technology Apps
Andrew AlberryVP Info Technology Operations
Bradford B NewtonVP Info. Technology Admin.
Michelle M RobinsonVP Marketing (end. 4/2018)
Paul MurphreeVP Medical Outcomes
Tom BonieckiVP Muscuskeletal Neuro.
Kevin Schaeffer MdVP Oncology
Elizabeth PapettiVP Ops Hospital Division
Kimberly TaacaVP Ops Specialty Division
Varma Rameswar MdVP Pediatric Operations
Yvette Brewer MdVP Primary Care Medicine
Sean P TurnerVP Revenue Cycle Management
Marcus P Charlson MdVP Surgery
Freda LyonVP System Emergency Services
Snehal H DoshiVP System Pharmacist
Sonya E AldyVP Talent Acquisition
Robin G BoehringerVP Total Rewards (end. 5/2018)
Stephen L BadgerVP Wmg Strategic Services
Bethany RobertsonVP/chief Learn.off.(end.4/18)
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$114,824
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$135,547
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Other Expenses$-20,723

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$20,792--$20,792
Interest$1,974--$1,974
Other Expenses$69$0$0$69
Occupancy$-54,681--$-54,681
Total Functional Expenses$-20,723$0$0$-20,723
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
Other Long Term Liabilities$39,846
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
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
Filing and Contact Details

Filer

Filer Name
Chs Foundation Inc
EIN
58-1649540
In Care Of
% ANTHONY J BUDZINSKI
Phone
7709567827
Address
793 SAWYER ROAD, Marietta, GA 30062-2222

Signing Officer

Name
Anthony J Budzinski
Title
Evp
Phone
7709567827
Signed
2019-05-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Candice L Saunders
Legal Domicile
Ga
Voting Board Members
20
Independent Board Members
10
Employees
0
Volunteers
0

Preparer

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

Additional Explanations

Form 990, Part I, Lines 7A & 7B

UNRELATED BUSINESS INCOME CHS FOUNDATION, INC. generated no unrelated business income ("ubi") for the reporting period. As a result the FILED 990-T shows no activity. If subsequent review of the books reveals any unreported UBI we will file an amended return for the tax period ended June 30, 2018. FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B POWERS OF THE BOARD As per the articles of incorporation, the sole member of the organization is WellStar Health System, Inc., a GA non-profit corporation. As sole member, WellStar Health System holds certain powers of election and approval in connections with the governing body of the organization. These powers are presented in detail in the company's 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, PricewaterhouseCoopers LLP reviews and sign-offs on the completed return. This reviewed form is then made available to both the organization's Finance committee of the Board of Directors as well as the full board in the form of an electronic (pdf. format) version and hard copy of the return. The organization's CFO or designee subsequently signs the return for either manual or electronic filing by the appropriate due date. 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 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 AS WELL AS THE CEO IN AN ADVISORY ROLE AND NOT A VOTING MEMBER. FURTHER IN COMMITTEE DISCUSSIONS ABOUT THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, THE CEO WILL RECUSE HIM/HERSELF FROM THAT PROCESS AND IS A NON-VOTING COMMITTEE MEMBER FOR DISCUSSIONS ON ALL OTHER OFFICERS. THE EXECUTIVE COMPENSATION PHILOSOPHY EMPOWERS THE COMMITTEE TO OVERSEE THE EXECUTIVE COMPENSATION PROCESS AND ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM ON BEHALF OF THE FULL BOARD OF 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 DEPENDE

Financial Statement Notes

Schedule D, Part X, Line 2

The following footnote is related to the organization's application of FIN 48 (ASC 740): "WELLSTAR AND ITS AFFILIATES HAVE BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3), AND THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES, EXCEPT FOR CAC AND WGHP. WELLSTAR APPLIES FASB ASC 740, INCOME TAXES, WHICH ADDRESSES ACCOUNTING FOR UNCERTAINTIES IN INCOME TAX POSITIONS. IT ALSO PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITYS FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON WELLSTARS COMBINED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740."

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