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Nonprofiteer
← WELLSTAR FOUNDATION INC

Form 990 for tax year 2022

Filed by WELLSTAR FOUNDATION INC.

Totals

Total revenue
$17,978,656
Total expenses
$11,321,118
Contributions and grants received
$17,450,871
Grants paid
$3,915,089
Program service revenue
$0
Investment income
$804,275
Other revenue
-$276,490
Total assets, end of year
$46,447,133
Total liabilities, end of year
$364,905
Net assets or fund balances, end of year
$46,082,228
Program services expenses (Part IX)
$5,902,181
Management and general expenses
$2,654,209
Fundraising expenses
$2,764,728
Program service expenses (Part III)
$5,902,181

Program services were 52.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CANDICE SAUNDERS

    PRESIDENT & CEO;FDN.BRD.MEMBER

    Total calculated
    $4,821,669
    From this org
    $0
    From related orgs
    $4,720,755
    Other
    $100,914
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,729,808 related
    Bonus
    $0 + $2,512,996 related
    Other
    $0 + $477,951 related
    Deferred
    $0 + $50,240 related
    Nontaxable benefits
    $0 + $50,674 related
    Filer's total
    $0 + $4,821,669 related

  • ANTHONY J BUDZINSKI

    EXEC. VP & CFO;FDN.BRD.MEMBER

    Total calculated
    $1,547,939
    From this org
    $0
    From related orgs
    $1,443,498
    Other
    $104,441
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    not reported + $859,990 related
    Bonus
    $0 + $557,287 related
    Other
    $0 + $26,221 related
    Deferred
    $0 + $51,631 related
    Nontaxable benefits
    $0 + $52,810 related
    Filer's total
    $0 + $1,547,939 related

  • JULIE TEER

    FOUNDATION BOARD MEMBER

    Total calculated
    $827,161
    From this org
    $0
    From related orgs
    $782,757
    Other
    $44,404
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $540,829 related
    Bonus
    $0 + $227,468 related
    Other
    $0 + $14,460 related
    Deferred
    $0 + $11,705 related
    Nontaxable benefits
    $0 + $32,699 related
    Filer's total
    $0 + $827,161 related

  • THEOLYN PRICE MD

    FOUNDATION BOARD MEMBER

    Total calculated
    $789,015
    From this org
    $0
    From related orgs
    $707,034
    Other
    $81,981
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $575,000 related
    Bonus
    $0 + $121,670 related
    Other
    $0 + $10,364 related
    Deferred
    $0 + $51,613 related
    Nontaxable benefits
    $0 + $30,368 related
    Filer's total
    $0 + $789,015 related

  • SCOTT MILLER MD

    FDN. BOARD MEMBER & PHYSICIAN

    Total calculated
    $780,097
    From this org
    $0
    From related orgs
    $674,969
    Other
    $105,128
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $420,602 related
    Bonus
    $0 + $247,615 related
    Other
    $0 + $6,752 related
    Deferred
    $0 + $58,161 related
    Nontaxable benefits
    $0 + $46,967 related
    Filer's total
    $0 + $780,097 related

  • ANDREW JOHNSON

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • BIRD BLITCH

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • CHRIS PUMPHREY

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • DAN BUYERS

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • DAVID BOTTOMS

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • DEBBIE THATCH

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • EMIL HILL

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • FRANK MCCOY MD

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • GARY A MILLER

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • KELLY JANZEN

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • MATT WEBB

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • REAGAN MCLAUGHLIN

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • STEPHANIE WINDHAM

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • WILLIAM LAKO

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • LARRY HORNSBY MD

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • RANDY KOPORC

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • CONDACE PRESSLEY

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • JASMINE CROWE-HOUSTON

    FOUNDATION BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 4B
PARTICIPATION IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: DURING THE YEAR, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS AND CERTAIN PHYSICIANS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SPONSORED BY WELLSTAR HEALTH SYSTEM, INC. THE AMOUNTS RELATED TO THIS PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING OFFICER RECEIVED SEVERANCE PAY DURING THE 2022 CALENDAR YEAR FROM EITHER THE ORGANIZATION OR A RELATED ORGANIZATION: CANDICE L. SAUNDERS 446,498 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS TO OFFICERS: AS PART OF THE WELLSTAR EXECUTIVE COMPENSATION PHILOSOPHY A PERFORMANCE PAY PLAN WAS INSTITUTED SEVERAL YEARS AGO WHEREBY THE WELLSTAR BOARD OF TRUSTEES APPROVES AN ANNUAL INCENTIVE PLAN WHICH CONSISTS OF SEVERAL PERFORMANCE GOALS OR FACTORS THAT UPON ATTAINMENT WILL RESULT IN PAYOUTS TO ELIGIBLE PLAN PARTICIPANTS. THOSE FACTORS ARE: (1) PEOPLE & CUSTOMER SERVICE GOAL FOR EMPLOYEE "TRUST INDEX (2) QUALITY & SAFETY GOAL FOR CLINICAL EXCELLENCE AND PATIENT SATISFACTION; AND (3) FINANCIAL GOAL FOR ATTAINING A POSITIVE OPERATING MARGIN. CONFIRMATION OF ACHIEVING THESE GOALS IS TYPICALLY RECEIVED THROUGH THE ANNUAL EXTERNAL AUDIT PROCESS AND APPROVED BY THE BOARD OF TRUSTEES AT THAT TIME.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Cobb SOUTH PARKING DECK

    Parking · GA

    Directly controlled by NA

  • KENNESTONE EAST PARKING DECK

    PARKING · GA

    Directly controlled by NA

  • GRIFFIN IMAGING LLC

    IMAGING CENTER · GA

    Directly controlled by NA

  • WELLSTAR SPALD EMSSPALD 911

    OFF. BLDG/EMS · GA

    Directly controlled by NA

  • NORTH FULTON PARKING DECK LP

    PARKING · GA

    Directly controlled by NA

  • SPALDING HEALTH SYSTEM LLC

    PHYS. HOSP. ORG · GA

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202441369349311734

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