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" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
KENNESTONE HOSPITAL INC
 
Employer identification number

58-2032904
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
No
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
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.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in 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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014
Page 2

Schedule J (Form 990) 2014
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 in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Valery A Akopov MDVP & Chief of Hospitalist Svcs (i)
(ii)		 0
.................
329,534 		0
.................
59,170 		0
.................
11,041 		0
.................
28,200 		0
.................
25,463 		0
.................
453,408 		0
.................
0
2David W AndersonEVP HR OL CCO (i)
(ii)		 0
.................
414,523 		0
.................
205,272 		0
.................
29,134 		0
.................
45,700 		0
.................
24,590 		0
.................
719,219 		0
.................
0
3Nicole V AsheVP Finance & CFO WMG (i)
(ii)		 0
.................
219,898 		0
.................
32,783 		0
.................
9,504 		0
.................
22,403 		0
.................
23,482 		0
.................
308,070 		0
.................
0
4Barbara G BallardVP Homecare & Hospice (i)
(ii)		 0
.................
238,742 		0
.................
33,691 		0
.................
10,403 		0
.................
43,913 		0
.................
21,002 		0
.................
347,751 		0
.................
0
5Betty A BrakovichVP CNO Patient Care Services (i)
(ii)		 157,685
.................
0 		28,582
.................
0 		10,302
.................
0 		23,465
.................
0 		12,327
.................
0 		232,361
.................
0 		0
.................
0
6Joseph L BrywczynskiSVP Health Parks Development (i)
(ii)		 0
.................
266,989 		0
.................
285,443 		0
.................
17,664 		0
.................
45,700 		0
.................
24,444 		0
.................
640,240 		0
.................
0
7Anthony J BudzinskiEVP & CFO (i)
(ii)		 0
.................
539,386 		0
.................
134,954 		0
.................
14,896 		0
.................
45,700 		0
.................
25,396 		0
.................
760,332 		0
.................
0
8Donald Campbell MDSVP Phys Educ & Student Aff (i)
(ii)		 0
.................
327,517 		0
.................
167,537 		0
.................
18,263 		0
.................
45,700 		0
.................
16,783 		0
.................
575,800 		0
.................
0
9Laura CaramanicaVP CNO Patient Care Services (i)
(ii)		 271,856
.................
0 		171,232
.................
0 		11,564
.................
0 		45,700
.................
0 		9,834
.................
0 		510,186
.................
0 		0
.................
0
10James E ClementsVP Bus Dev & Strategic Prtnrsp (i)
(ii)		 0
.................
207,563 		0
.................
49,762 		0
.................
6,691 		0
.................
0 		0
.................
17,453 		0
.................
281,469 		0
.................
0
11Lee R CookVP Med & Behavioral Health (i)
(ii)		 0
.................
256,547 		0
.................
327,425 		0
.................
8,736 		0
.................
27,624 		0
.................
17,428 		0
.................
637,760 		0
.................
0
12Barbara B CoreySVP Managed Care (i)
(ii)		 0
.................
301,454 		0
.................
65,765 		0
.................
11,944 		0
.................
21,292 		0
.................
26,837 		0
.................
427,292 		0
.................
0
13Bruce A DeanVP Real Estate Deputy Gen Cnsl (i)
(ii)		 0
.................
227,781 		0
.................
40,345 		0
.................
14,335 		0
.................
45,675 		0
.................
24,166 		0
.................
352,302 		0
.................
0
14Marcia Delk-Payne MDSVP Med Affair & Chf Qlty Ofcr (i)
(ii)		 0
.................
370,531 		0
.................
544,886 		0
.................
10,395 		0
.................
45,700 		0
.................
4,190 		0
.................
975,702 		0
.................
0
15Nancy R DoellingVP Pediatric SRVS.(BEGIN. 8/4) (i)
(ii)		 0
.................
117,427 		0
.................
16,910 		0
.................
6,672 		0
.................
11,120 		0
.................
691 		0
.................
152,820 		0
.................
0
16Jimmy E FrancisVP Info Technology Operations (i)
(ii)		 0
.................
205,005 		0
.................
42,280 		0
.................
9,742 		0
.................
33,822 		0
.................
2,370 		0
.................
293,219 		0
.................
0
17Steven L GraceVP Talent Acquisition (i)
(ii)		 0
.................
200,013 		0
.................
52,892 		0
.................
14,048 		0
.................
14,653 		0
.................
18,078 		0
.................
299,684 		0
.................
0
18Michael L GraueFORMER EVP & COO (i)
(ii)		 0
.................
0 		0
.................
0 		0
.................
522,266 		0
.................
0 		0
.................
0 		0
.................
522,266 		0
.................
0
19Kristyn M Greifer MDVP Population Management (i)
(ii)		 0
.................
307,528 		0
.................
52,230 		0
.................
10,225 		0
.................
18,722 		0
.................
9,958 		0
.................
398,663 		0
.................
0
20Martin L GutkinVP Finance & Hospital CFO (i)
(ii)		 190,902
.................
0 		52,190
.................
0 		15,231
.................
0 		0
.................
0 		9,294
.................
0 		267,617
.................
0 		0
.................
0
21Joel W HelmkeVP Oncology (BEGIN. 7/21) (i)
(ii)		 0
.................
110,000 		0
.................
51,610 		0
.................
3,904 		0
.................
20,081 		0
.................
8,794 		0
.................
194,389 		0
.................
0
22Robert D Jansen MDEVP & Pres Medical Group (i)
(ii)		 0
.................
591,219 		0
.................
170,344 		0
.................
20,977 		0
.................
45,700 		0
.................
29,543 		0
.................
857,783 		0
.................
0
23Reynold J JenningsPRESIDENT & CEO (i)
(ii)		 0
.................
975,000 		0
.................
708,390 		0
.................
18,591 		0
.................
0 		0
.................
2,056 		0
.................
1,704,037 		0
.................
0
24Peter R Jungblut MDSVP & Medical Dir WMG (i)
(ii)		 0
.................
307,528 		0
.................
78,959 		0
.................
12,316 		0
.................
40,200 		0
.................
29,199 		0
.................
468,202 		0
.................
0
25Christopher M KaneSVP Strategic Plan & Bus Dev (i)
(ii)		 0
.................
341,744 		0
.................
454,243 		0
.................
10,413 		0
.................
21,954 		0
.................
20,378 		0
.................
848,732 		0
.................
0
26Beth KostVP Compliance Chf Privacy Ofcr (i)
(ii)		 0
.................
244,733 		0
.................
77,006 		0
.................
9,961 		0
.................
22,318 		0
.................
11,704 		0
.................
365,722 		0
.................
0
27Kenneth C Kunze MDFRMR SVP CHIEF MEDICAL OFFICER (i)
(ii)		 0
.................
0 		0
.................
0 		0
.................
383,389 		0
.................
0 		0
.................
0 		0
.................
383,389 		0
.................
0
28Ellen LangfordSVP & COO WellStar Med Group (i)
(ii)		 0
.................
220,376 		0
.................
46,995 		0
.................
11,936 		0
.................
36,643 		0
.................
22,323 		0
.................
338,273 		0
.................
0
29Louis W LittleSVP Post Acute Svc & Hosp Pres (i)
(ii)		 247,333
.................
0 		321,759
.................
0 		9,969
.................
0 		44,057
.................
0 		22,463
.................
0 		645,581
.................
0 		0
.................
0
30Elizabeth H LoudermilkVP Ent Intelligence & Intgrtn (i)
(ii)		 0
.................
225,680 		0
.................
73,283 		0
.................
9,197 		0
.................
6,309 		0
.................
19,342 		0
.................
333,811 		0
.................
0
31Robert M Lubitz MDVP Medical Affairs (i)
(ii)		 348,421
.................
0 		62,338
.................
0 		11,023
.................
0 		45,700
.................
0 		4,848
.................
0 		472,330
.................
0 		0
.................
0
32Sandra LuciusVP Info Technology Apps (i)
(ii)		 0
.................
185,834 		0
.................
30,026 		0
.................
8,564 		0
.................
44,758 		0
.................
2,235 		0
.................
271,417 		0
.................
0
33Robert MandlerVP Diagnostic Outreach (i)
(ii)		 0
.................
214,261 		0
.................
58,412 		0
.................
18,167 		0
.................
45,249 		0
.................
16,275 		0
.................
352,364 		0
.................
0
34Patricia A MayneVP Emergency Services (i)
(ii)		 177,986
.................
0 		122,895
.................
0 		10,448
.................
0 		26,305
.................
0 		23,814
.................
0 		361,448
.................
0 		0
.................
0
35Kimberly W MenefeeSVP Strategic Community Dev (i)
(ii)		 0
.................
282,547 		0
.................
66,726 		0
.................
13,682 		0
.................
28,200 		0
.................
17,826 		0
.................
408,981 		0
.................
0
36Christopher L MorganVP & Admin. CLIO (BEGIN. 7/7) (i)
(ii)		 0
.................
110,770 		0
.................
52,731 		0
.................
4,638 		0
.................
20,102 		0
.................
1,645 		0
.................
189,886 		0
.................
0
37Jonathan B Morris MDSVP Chief Info Officer (i)
(ii)		 0
.................
369,512 		0
.................
80,613 		0
.................
12,264 		0
.................
23,553 		0
.................
26,705 		0
.................
512,647 		0
.................
0
38Bradford B NewtonVP Information Technology Admi (i)
(ii)		 0
.................
192,691 		0
.................
30,661 		0
.................
8,988 		0
.................
20,598 		0
.................
27,113 		0
.................
280,051 		0
.................
0
39Michael G PaulVP Facilities Eng Support Svcs (i)
(ii)		 0
.................
181,401 		0
.................
27,532 		0
.................
12,020 		0
.................
0 		0
.................
24,150 		0
.................
245,103 		0
.................
0
40Leo E ReichertEVP & General Counsel (i)
(ii)		 0
.................
489,341 		0
.................
247,184 		0
.................
15,552 		0
.................
0 		0
.................
29,200 		0
.................
781,277 		0
.................
0
41Bethany RobertsonVP & Chief Learning Officer (i)
(ii)		 0
.................
178,067 		0
.................
31,215 		0
.................
9,391 		0
.................
13,097 		0
.................
28,511 		0
.................
260,281 		0
.................
0
42Michelle M RobinsonVP Mktng/PR/Internal Comm (i)
(ii)		 0
.................
196,373 		0
.................
33,264 		0
.................
9,210 		0
.................
14,300 		0
.................
26,351 		0
.................
279,498 		0
.................
0
43Deborah Roegge De VitaVP Women & Newborn Svc Line (i)
(ii)		 0
.................
195,728 		0
.................
27,621 		0
.................
8,576 		0
.................
25,759 		0
.................
6,141 		0
.................
263,825 		0
.................
0
44Candice L SaundersPresident & CEO (i)
(ii)		 0
.................
621,461 		0
.................
174,240 		0
.................
16,525 		0
.................
45,334 		0
.................
27,582 		0
.................
885,142 		0
.................
0
45Christopher B ScullenVP Pulmonology Operations (i)
(ii)		 0
.................
172,411 		0
.................
112,906 		0
.................
6,929 		0
.................
0 		0
.................
17,839 		0
.................
310,085 		0
.................
0
46Richard S SiegelVP Cardiology & CVM Admin (i)
(ii)		 0
.................
271,627 		0
.................
40,496 		0
.................
11,541 		0
.................
45,700 		0
.................
24,762 		0
.................
394,126 		0
.................
0
47Jeffery D StanleyVP Pharmacy & System Coor (i)
(ii)		 0
.................
176,156 		0
.................
30,945 		0
.................
9,170 		0
.................
21,580 		0
.................
8,658 		0
.................
246,509 		0
.................
0
48Daniel J StyfSVP PW Health Plan (i)
(ii)		 0
.................
281,902 		0
.................
39,983 		0
.................
15,148 		0
.................
18,663 		0
.................
9,070 		0
.................
364,766 		0
.................
0
49James M SwartzVP Accounting (i)
(ii)		 0
.................
200,242 		0
.................
63,140 		0
.................
8,971 		0
.................
16,856 		0
.................
25,406 		0
.................
314,615 		0
.................
0
50Mary L TavernaroVP Human Resources Operations (i)
(ii)		 0
.................
212,056 		0
.................
37,659 		0
.................
9,442 		0
.................
27,690 		0
.................
21,436 		0
.................
308,283 		0
.................
0
51Adam C ThompsonVP Surgery (i)
(ii)		 0
.................
166,858 		0
.................
51,698 		0
.................
9,517 		0
.................
0 		0
.................
21,830 		0
.................
249,903 		0
.................
0
52Anthony M TrupianoSVP Supply Chain (i)
(ii)		 0
.................
268,258 		0
.................
61,742 		0
.................
15,219 		0
.................
45,700 		0
.................
1,896 		0
.................
392,815 		0
.................
0
53Sean P TurnerVP Rev.Cycle MGMT (BEGIN.9/28) (i)
(ii)		 0
.................
233,395 		0
.................
36,468 		0
.................
3,219 		0
.................
20,091 		0
.................
26,574 		0
.................
319,747 		0
.................
0
54Monte A WilsonVP & COO Kennestone Hospital (i)
(ii)		 287,019
.................
0 		48,986
.................
0 		10,221
.................
0 		0
.................
0 		26,235
.................
0 		372,461
.................
0 		0
.................
0
55Robin Wilson MDSVP Chief Hlth Innov Officer (i)
(ii)		 0
.................
395,907 		0
.................
232,368 		0
.................
9,718 		0
.................
0 		0
.................
22,144 		0
.................
660,137 		0
.................
0
56Daniel J WoodsSVP & Hospital President (i)
(ii)		 379,267
.................
0 		87,679
.................
0 		15,644
.................
0 		45,700
.................
0 		24,659
.................
0 		552,949
.................
0 		0
.................
0
57Chester A ZborowskiVP Health Parks Operations (i)
(ii)		 0
.................
165,755 		0
.................
45,188 		0
.................
12,208 		0
.................
0 		0
.................
24,265 		0
.................
247,416 		0
.................
0
58Avril P Beckford MDTRUSTEE (i)
(ii)		 0
.................
395,084 		0
.................
86,393 		0
.................
2,531 		0
.................
27,460 		0
.................
1,940 		0
.................
513,408 		0
.................
0
59Jeffrey L Tharp MDTRUSTEE (i)
(ii)		 0
.................
480,597 		0
.................
147,676 		0
.................
2,596 		0
.................
45,700 		0
.................
29,025 		0
.................
705,594 		0
.................
0
60THOMAS E GEARHARD MDTRUSTEE (i)
(ii)		 0
.................
293,273 		0
.................
48,916 		0
.................
5,186 		0
.................
42,668 		0
.................
30,543 		0
.................
420,586 		0
.................
0
61LOUIS LOVETTAVP GME/DIO (i)
(ii)		 245,575
.................
0 		39,483
.................
0 		3,838
.................
0 		42,138
.................
0 		23,353
.................
0 		354,387
.................
0 		0
.................
0
62JYOTSNA R VANAPALLIRad Oncology Chief Physicist (i)
(ii)		 198,869
.................
0 		315
.................
0 		448
.................
0 		21,484
.................
0 		20,912
.................
0 		242,028
.................
0 		0
.................
0
63SHERRON KURTZExec Dir Surgical Svcs KH/CH (i)
(ii)		 160,326
.................
0 		18,484
.................
0 		5,389
.................
0 		11,459
.................
0 		3,522
.................
0 		199,180
.................
0 		0
.................
0
64JANET P MEMARKMD Physician Group (i)
(ii)		 160,000
.................
0 		14,344
.................
0 		1,848
.................
0 		19,367
.................
0 		1,132
.................
0 		196,691
.................
0 		0
.................
0
65CAROLE J HARMANExec Dir Women's Nursing (i)
(ii)		 149,760
.................
0 		17,172
.................
0 		1,962
.................
0 		11,615
.................
0 		21,467
.................
0 		201,976
.................
0 		0
.................
0
Schedule J (Form 990) 2014
Page 3

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE J, PART I, LINE 1B REIMBURSEMENT POLICY While WellStar Health System and its affiliates do not have a written policy regarding payment or reimbursement of the items listed in Part I Line 1a, the organization follows IRS guidelines in the payment of any of these items to individuals listed in Form 990 Part VII Section A. These items are added as taxable wages on the individual's Form W-2 as appropriate. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS Pursuant to their respective employment agreements, the following groups of officers are entitled to severance payments based on their compensation at that time in the event of certain identified circumstances. The severance payment periods are 24 months for Executive Vice Presidents, 18 months for Senior Vice Presidents, and 12 months for Vice Presidents. The following officerS/KEY EMPLOYEES received severance pay during the 2014 CALENDAR YEAR FROM EITHER THE ORGANIZATION OR A RELATED ORGANIZATION: KENNETH C. KUNZE, MD $ 383,389 MICHAEL L. GRAUE, MD 522,266 SCHEDULE J, PART I, LINE 4B The following officers/KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE YEAR. Valery Akopov Nicole Ashe JOSEPH L. BRYWCZYNSKI ANTHONY J. BUDZINSKI Laura Caramanica James Clements BARBARA B. COREY BRUCE ALAN DEAN Sarath Degala Marcia Delk-Payne JIMMY E. FRANCIS KRISTYN M. GREIFER ROBERT D. JANSEN PETER R. JUNGBLUT CHRISTOPHER MICHAEL KANE Beth Kost Ellen Langford Elizabeth Loudermilk PATRICIA A. MAYNE KIMBERLY W. MENEFEE JONATHAN B. MORRIS Bradford Newton Leo Reichert Bethany Robertson Michelle Robinson CANDICE LYNN SAUNDERS Richard Siegel CHRISTOPHER B. SCULLEN Jeffery Stanley Daniel Styf JAMES M. SWARTZ MARY LOUISE TAVERNARO Adam Thompson ANTHONY MICHAEL TRUPIANO Monte Wilson Robin Wilson DANIEL WOODS DONALD CAMPBELL ROBERT MANDLER DEBORAH ROEGGE DE VITA DAVID W. ANDERSON CHESTER ZBOROWSKI BARBARA BALLARD Betty Brakovich Lee R. Cook Louis Little Robert Lubitz Martin Gutkin SCHEDULE J, PART I, LINE 7B 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: People & Customer Service goal for employee "Trust Index", Quality & Safety goal for clinical excellence and patient satisfaction, 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) 2014

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