2022-11-14T13:11:42-07:00 2021-12-31 135565207 KPMG LLP 303 Peachtree St NE Suite 2000 Atlanta GA 30308 990 2021-01-01 262037695 GRADY MEMORIAL HOSPITAL CORPORATION GRAD 4046161846 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 ANTHONY SAUL CFO 4046167355 2022-11-14 1 Whitney B Hebron P01226647 4047395994 2022-11-14 1 11 1 AAL2 2021 2022-09-23 18:48:47Z JOHN M HAUPERT PRESIDENT AND CEO 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 2143247710 0 X WWW.GRADYHEALTH.ORG X 2008 GA GRADY HEALTH SYSTEM IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER. GRADY MAINTAINS ITS COMMITMENT TO THE UNDERSERVED OF FULTON AND DEKALB COUNTIES WHILE ALSO PROVIDING CARE TO RESIDENTS OF METRO ATLANTA AND GEORGIA. GRADY LEADS THROUGH CLINICAL EXCELLENCE, INNOVATIVE RESEARCH AND PROGRESSIVE MEDICAL EDUCATION AND TRAINING. 17 17 9106 17 0 0 174712198 173908740 1840095642 1825436527 1322465 1599659 233627204 142210399 2249757509 2143155325 13725352 16767283 0 0 610452107 665203437 0 0 0 1489742070 1340200024 2113919529 2022170744 135837980 120984581 1235998165 1383912597 370787434 378289150 865210731 1005623447 X GRADY HEALTH SYSTEM IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER. GRADY MAINTAINS ITS COMMITMENT TO THE UNDERSERVED OF FULTON AND DEKALB COUNTIES WHILE ALSO PROVIDING CARE TO RESIDENTS OF METRO ATLANTA AND GEORGIA. GRADY LEADS THROUGH CLINICAL EXCELLENCE, INNOVATIVE RESEARCH AND PROGRESSIVE MEDICAL EDUCATION AND TRAINING. 0 0 535551238 320356286 4A PROGRAM SERVICE -CHARITY, UNINSURED, UNDERINSURED AND INDIGENT CARE: IN THE 1800'S ATLANTA'S INDIGENT SICK HAD NO PLACE TO GO TO RECEIVE MEDICAL TREATMENT FOR ILLNESS OR INJURY. THEREFORE, A DRIVE WAS BEGUN TO BUILD GRADY MEMORIAL HOSPITAL (GRADY). ON JUNE 1, 1892, GRADY ADMITTED ITS FIRST PATIENT. AS OF TODAY, GRADY CONTINUES TO BE THE SAFETY NET HOSPITAL FOR THE UNINSURED AND UNDERINSURED CITIZENS OF FULTON AND DEKALB COUNTIES AND THE STATE OF GEORGIA. AS THE LARGEST SAFETY NET HOSPITAL IN THE STATE AND ONE OF THE LARGEST IN THE COUNTRY, ITS MISSION IS (1) TO PROVIDE MEDICAL SERVICES TO UNINSURED, UNDERINSURED, OR INDIGENT PATIENTS; (2) TO PROVIDE AN OPEN ACCESS POLICY FOR RESIDENTS OF FULTON AND DEKALB COUNTIES REGARDLESS OF THEIR ABILITY TO PAY; (3) AND TO PROVIDE A PROVISION FOR SIGNIFICANT UNCOMPENSATED INDIGENT AND CHARITY CARE. DURING 2021, GRADY PROVIDED CARE TO MORE THAN 114,225 UNDER AND UNINSURED PATIENTS WHICH REPRESENT APPROXIMATELY 59% OF ITS TOTAL PATIENTS WITH ABOUT 460,287 PATIENT ENCOUNTERS, COSTING APPROXIMATELY $ 536M. GRADY RECEIVES SOME REIMBURSEMENT FROM FULTON AND DEKALB COUNTIES, MEDICAID, AND SOME FUNDING FROM THE STATE OF GEORGIA'S INDIGENT CARE TRUST FUND (INCLUDING FEDERAL MATCHING FUNDS) TO HELP SUPPORT THE COSTS OF CARING FOR SO MANY IN THE REGION. GRADY HAS BEEN AND CONTINUES TO BE SIGNIFICANTLY CHALLENGED BY THE FINANCIAL BURDEN OF PROVIDING SO MUCH FREE CARE TO THE REGION. 120869103 16767283 68306004 4B PROGRAM SERVICE -GRADUATE MEDICAL EDUCATION: GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) HAS AFFILIATION AGREEMENTS WITH EMORY UNIVERSITY AND MOREHOUSE SCHOOLS OF MEDICINE TO SUPPORT THE TEACHING AND SUPERVISION OF RESIDENTS IN THE ORGANIZATION, AS WELL AS TO PROVIDE PROFESSIONAL CLINICAL AND ADMINISTRATIVE SERVICES. IN 2021 MORE THAN 1,000 RESIDENTS AND FELLOWS FROM EMORY AND MOREHOUSE PROGRAMS ROTATED THROUGH A BROAD SPECTRUM OF SERVICES IN THE ORGANIZATION. ADDITIONALLY, HUNDREDS OF MEDICAL STUDENTS BENEFITED FROM TRAINING IN THE ORGANIZATION. GMHC OFFERS UNIQUE LEARNING EXPERIENCES FOR RESIDENTS BY PROVIDING EXPOSURE TO TRAUMA, BURN, INFECTIOUS DISEASE, SICKLE CELL, NEUROLOGY AND OTHER COMPLEX CASES AND HOSTS A SIGNIFICANT NUMBER OF CLINICAL RESEARCH TRIALS TO ENHANCE THE RESIDENTS' EDUCATIONAL EXPERIENCE. GMHC PROVIDED IN EXCESS OF $121M IN SUPPORT RELATIVE TO TEACHING SERVICES. IN 2021, REIMBURSEMENT FOR TEACHING SERVICES FROM MEDICARE, MEDICAID AND OTHER GOVERNMENTAL FUNDS TOTALED $ 68M. 109608452 136458121 4C PROGRAM SERVICE -EMERGENCY AND TRAUMA SERVICES: GRADY OPERATES ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN THE EASTERN UNITED STATES AND THE COUNTRY'S LARGEST HOSPITAL-BASED AMBULANCE SERVICE. GMHC OPERATES THE LARGEST LEVEL 1 TRAUMA CENTER IN THE ATLANTA METROPOLITAN AREA WHICH HANDLED 11,000 ACUTE TRAUMA CASES IN 2021. ADDITIONALLY, AS PART OF ITS TRAUMA SERVICE, GMHC OPERATES ONE OF ONLY TWO BURN CENTERS IN GEORGIA. THE NATIONALLY ACCLAIMED EMERGENCY CARE CENTER (ECC) HANDLED 111,592 EMERGENCY CASES IN 2021. THE EMERGENCY ROOM WAS THE INTAKE POINT FOR 22,000 OF THE SAFETY NET HOSPITAL'S TOTAL ADMISSIONS. GRADY'S EMS DIVISION STATEWIDE EMS OPERATION IS THE EXCLUSIVE 911 AMBULANCE PROVIDER FOR THE CITY OF ATLANTA INCLUDING SOUTH FULTON COUNTY, ALBANY, BALDWIN, BEN HILL, BROOKS, COOK, DECATUR, HANCOCK, MCINTOSH, MITCHELL, SEMINOLE, AND WORTH COUNTIES IN GEORGIA. THE GRADY EMS TEAM OF OVER 1350 EMS PROFESSIONALS HANDLE MORE THAN 246,000 CALLS THROUGHTOUT GEORGIA, IN 2021. ADDITIONALLY, GRADY EMS ALSO MANAGES A MOBILE INTEGRATED HEALTH (MIH) CARE PROGRAM WHICH PROVIDES PRE AND POST HOSPITAL CARE FOR PATIENTS IN AN EFFORT TO REDUCE THE STRAIN ON EMS AND ECC. MIH ALSO INCREASES ACCESS TO PREVENTATIVE CARE, WORKING TO REDUCE HOSPITAL RE-ADMITS AND LOWER LENGTH OF HOSPITAL STAYS. ALSO NOTABLE, GRADY EMS OPERATES ATLANTA'S LARGEST SPECIALIZED EVENT EMS DIVISION SERVING STADIUMS, CONCERTS, MARATHONS, AND FESTIVALS THROUGHOUT THE CITY OF ATLANTA. 941346553 1442632525 GRADY'S OTHER PROGRAMS INCLUDE NATIONALLY RECOGNIZED PROGRAMS IN THE AREAS OF INFECTIOUS DISEASE, DIABETES, AND SICKLE CELL AS WELL AS REGIONAL SERVICE FOR NEONATAL TRANSPORT, MATERNAL AND INFANT PROJECT, CARDIOVASCULAR HEALTH, PSYCHOLOGY, BURN, CANCER AND MARCUS STROKE AND NEUROSCIENCE CENTER. PRIMARY CARE SERVICES ARE ALSO PROVIDED THROUGH HOSPITAL MAIN-CAMPUS DEPARTMENTS AND NEIGHBORHOOD CLINICS. 941346553 0 1442632525 1707375346 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 271 0 1 9106 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 X 17 17 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X GINA SMITH VP FISCAL SVC CONTROLLER 4046167355 50 HURT PLAZA SUITE 1300 ATLANTA GA 30303 X JOHN M HAUPERT FACHE PRESIDENT AND CEO 40 0 X 4043310 0 36366 TIMOTHY JEFFERSON EXEC VP / GENERAL COUNSEL 40 0 X 1243414 0 46451 RICHARD RHINE EXEC VP / CFO 40 0 X 1183164 0 14731 ROBERT JANSEN EXEC VP / CMO 40 0 X 1111921 0 34583 JACQUELINE HERD EXEC VP / CNO 40 0 X 1094778 0 21289 SAMUAL TODD SVP/CHIEF ACUTE CARE 40 0 X 957350 0 19090 LINDSAY CAULFIELD SVP/CHF EXPERIENCE OFFICER 40 0 X 746109 0 15759 BENJAMIN MCKEEBY SVP / CIO 40 0 X 718469 0 32487 MICHELLE WALLACE SVP CHIEF CLINICAL OFFICER 40 0 X 687503 0 8214 RICHARD ROCHE EXEC VP/CHIEF PEOPLE OFFICER 40 0 X 648786 0 23926 MARY SALE SVP / CHIEF STRATEGY OFFICER 40 0 X 642137 0 11900 ANTHONY SAUL EXEC VP / CFO 40 0.00 X 535688 0 29843 LARRY GELLERSTEDT CHAIRMAN 5.0 0 X X 0 0 0 SHARON BENT-HARLEY MD DIRECTOR 2 0 X 0 0 0 PEDRO CHERRY DIRECTOR 2 0 X 0 0 0 WILLIAM A BORNSTEIN MD DIRECTOR 2 0 X 0 0 0 H JAMES DALLAS DIRECTOR 2 0 X 0 0 0 SHAN COOPER DIRECTOR 2 0 X 0 0 0 JOHN GREGG DIRECTOR 2 0 X 0 0 0 EDWARD J HARDIN DIRECTOR 2 0 X 0 0 0 JOHN HOLLINS DIRECTOR 2 0 X 0 0 0 SAM JOHNSON DIRECTOR 2 0 X 0 0 0 ROBERT SHEFT DIRECTOR 2 0 X 0 0 0 DAVID P STOCKERT DIRECTOR 2 0 X 0 0 0 VIKAS P SUKHATME MD ScD DIRECTOR 2 0 X 0 0 0 BERNIE TOKARZ DIRECTOR 2 0 X 0 0 0 CAROL B TOME DIRECTOR 2 0 X 0 0 0 ADRIAN TYNDALL DIRECTOR 2 0 X 0 0 0 DREW EVANS DIRECTOR 2 0 X 0 0 0 ERIC THOMAS DIRECTOR 2 0 X 0 0 0 KATHRYN FLOWERS-GLASCO DIRECTOR 2 0 X 0 0 0 13612629 0 294639 1405 0 1 0 EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR ATLANTA GA 30322 MEDICAL 111639265 SKANSKA-RUSSELL A JOINT VENTURE 389 INTERPACE PARKWAY SUITE 5 PARSIPPANY NJ 07054 CONSTRUCTION SERVICES 51564556 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DR SW ATLANTA GA 30310 MEDICAL SERVICES 45964064 SODEXO INC AND AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD AND CLEANING SERVICES 32981745 RANDSTAD MAIL STOP 5602 ATLANTA GA 30348 DRUG SUPPLIER 31015782 110 55434953 118473787 42773876 173908740 Patient Care 900099 1825436527 1825436527 0 0 1825436527 1493649 1493649 0 0 198395 92385 0 106010 106010 106010 Insurance Proceeds 900099 87704181 87704181 0 0 Cares Funding 900099 30093065 30093065 0 0 Income-City Of Atl-Water 900099 5632836 5632836 0 0 18780317 18780317 0 0 142210399 2143155325 1967752936 0 1493649 X 16767283 16767283 0 0 0 0 9455426 1596076 7859350 0 0 0 0 0 539858504 400952911 138905593 0 19135908 14212239 4923669 0 60078585 44620365 15458220 0 36675014 27238533 9436481 0 7192403 4052200 3140203 0 1066182 600687 465495 0 598552 337224 261328 0 933382 0 933382 0 0 0 0 0 0 0 318908650 262794198 56114452 0 2325548 1310214 1015334 0 19524589 11000153 8524436 0 23142881 13038699 10104182 0 0 0 0 0 17057698 9610307 7447391 0 0 0 0 0 0 0 0 0 1206495 679739 526756 0 1301615 733330 568285 0 0 0 0 0 70515010 48204061 22310949 0 28272322 15928626 12343696 0 Bad Debt 549072344 549072344 0 0 Drugs 154079958 154079958 0 0 Medical Supplies 111891548 111891548 0 0 Maintenance Materials, Medical Equip Leases , Taxes, Etc 33110847 18654651 14456196 0 0 0 0 2022170744 1707375346 314795398 0 264897509 118648928 0 112055867 52512541 49323261 168302135 182422319 0 0 0 0 0 0 29001723 28882877 18492110 15505882 1080868705 636265620 432389069 444603085 0 80627080 0 0 0 0 0 0 270403078 351843298 1235998165 1383912597 225849252 278795375 0 0 34279431 13160749 0 0 0 0 0 0 61904509 30553684 0 0 48754242 55779342 370787434 378289150 X 802188840 944287984 63021891 61335463 865210731 1005623447 1235998165 1383912597 X 120984581 0 0 0 0 19428135 X 0 1 X 1 1 1 X 101216345 108970741 113400427 119277245 118473787 561338545 55434953 55434953 55434957 55434953 55434953 277174769 0 0 0 0 0 156651298 164405694 168835384 174712198 173908740 838513314 838513314 1391453 2794981 3873054 1177412 1493649 10730549 0 0 0 0 0 10406190 11937662 12804197 13054160 11764946 59967155 909211018 8312627204 0.92224 0.92337 X Schedule A, Part II, Line 10 2017 - 2022 includes Water expense offset from the City of Atlanta, EMS Contracted services, & Misc Rental Revenue RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 912542 1 20840 0 933382 0 Schedule C, Part II-B, Line 1 PERSONNEL ATTEND SEMINARS AND CONVENTIONS TO STAY CURRENT WITH INDUSTRY TRENDS AND TO NETWORK WITH LEGISLATORS, GOVERNMENT OFFICIALS AND OTHER LOBBYISTS. THE LOBBYING ACTIVITIES OF GMHC FOCUS ON COMMUNICATING GMHC'S STATUS AND IT'S BUSINESS CHALLENGES TO ELECTED OFFICIALS ON THE COUNTY, STATE AND FEDERAL LEVELS. GIVEN GMHC'S LARGE SHARE OF INDIGENT CARE IN GEORGIA, EFFORTS ARE PRIMARILY DIRECTED TO FINDING ADDITIONAL GOVERNMENT SUPPORT FOR DELIVERING CARE TO THAT UNDERSERVED POPULATION. GMHC IS ALSO A MEMBER OF GEORGIA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND AMERICA'S ESSENTIAL HOSPITAL ORGANIZATIONS WHICH MAY LOBBY ON ITS BEHALF. 0 3810951 3810951 0 484223442 250202427 234021015 0 44944585 0 44944585 0 508687074 384185141 124501933 0 39202653 1878052 37324601 444603085 Investment in Affiliates 223728104 NMTC Notes Receivable 62126497 Permanent Endowment 29299514 Other Receivables 22919042 Investments & Assets Limited as to Use 10024488 Other Assets 2143346 Investments In HSOC 1455242 Goodwill 147065 351843298 Workers Comp Reserve 1078922 Self Insured Liabilities 41400782 Other Reserves 13299638 55779342 X Schedule D, Part X, Line 2 GRADY APPLIES FASB ASC 740, INCOME TAXES (ASC 740) WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS. ASC 740 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 GRADY'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740. 1 1 X 1 X 1 X 1 1 0 1 1 187632927 87766633 99866294 0.0677 278773468 262087568 16685900 0.0113 0 0 466406395 349854201 116552194 0.0790 19085309 9532509 9552800 0.0065 129578429 31217807 98360622 0.0667 90446906 9332408 81114498 0.055 1662172 807293 854879 0.0006 0 0 240772816 50890017 189882799 0.1288 0 0 707179211 400744218 306434993 0.2078 40000 40000 0 0 0 40000 0 40000 0 1 93260281 0 125585895 99114524 26471371 X 1 1 2 1 GRADY MEMORIAL HOSPITAL 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 https://www.gradyhealth.org X X X X X 2 HUGHES SPALDING CHILDRENS HOSPITAL 45 JESSE HILL JR DRIVE SE ATLANTA GA 30303 https://www.gradyhealth.org X X X HUGHES SPALDING CHILDRENS HOSPITAL 2 0 0 1 X X X X X X X X X 19 1 1 1 1 X https://www.gradyhealth.org/about-us/community-benefit/ X 1 19 1 https://www.gradyhealth.org/about-us/community-benefit/ 0 0 1 X 400 400 X X X X X 1 1 X X X X X 1 X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X 1 X 0 X X 1 X X 0 0 GRADY MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X https://www.gradyhealth.org/about-us/community-benefit/ X 1 19 1 https://www.gradyhealth.org/about-us/community-benefit/ 0 0 1 X 400 400 X X X X X 1 1 X X X X X 1 X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X 1 X 0 X X 1 X X 0 0 Schedule H, Part V, Section B, Line 5-GRADY MEMORIAL HOSPITAL GEORGIA STATE UNIVERSITY'S GEORGIA HEALTH POLICY CENTER, WHICH LED THE COLLABORATIVE CHNA PROCESS, INTERVIEWED NEARLY 30 INDIVIDUAL STAKEHOLDERS AND CONDUCTED FOCUS GROUPS AND/OR LISTENING SESSIONS WITH TWO GROUPS OF GRADY PROVIDERS AND NINE GROUPS OF RESIDENTS REPRESENTING FOUR DIFFERENT POPULATIONS. INTERVIEWEES INCLUDED TWO REPRESENTIVES FROM DEKALB COUNTY BOARD OF HEALTH, PARTNERS FOR HOME, GEORGIA EQUALITY, MERCY CARE HEALTH CENTER FOR THE HOMELESS, KAISER PERMANENTE, CATHOLIC CHARITIES, ATLANTA REGIONAL COMMISSION, UNITED WAY, A VARIETY OF GOVERNMENT OFFICIALS REPRESENTING CITY OF CHAMBLEE, DEKALB COUNTY AND FULTON COUNTY, AMONG OTHERS. FOCUS GROUPS WERE CONDUCTED TO ASSESS THE NEEDS OF FULTON RESIDENTS, DEKALB RESIDENTS, VIETNAMESE SENIORS, LATINOS, CANCER PATIENTS AND PATIENTS WITH BEHAVIORAL HEALTH CONDITIONS. Schedule H, Part V, Section B, Line 5-HUGHES SPALDING CHILDRENS HOSPITAL HUGHES SPALDING CHILDRENS HOSPITAL IS MANAGED BY CHILDRENS HEALTHCARE OF ATLANTA Schedule H, Part V, Section B, Line 6a-GRADY MEMORIAL HOSPITAL GRADY'S CHNA WAS CONDUCTED COLLABORATIVELY THROUGH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). WELLSTAR HOSPITALS PARTICIPATED IN THIS 2019 CHNA PROCESS Schedule H, Part V, Section B, Line 6a-HUGHES SPALDING CHILDRENS HOSPITAL GRADY'S CHNA WAS CONDUCTED COLLABORATIVELY THROUGH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). WELLSTAR HOSPITALS PARTICIPATED IN THIS 2019 CHNA PROCESS Schedule H, Part V, Section B, Line 6b-GRADY MEMORIAL HOSPITAL MERCY CARE HEALTH CARE CENTER FOR THE HOMELESS AND KAISER PERMANENTE OF GEORGIA ALSO PARTICIPATED IN ARCHI'S COLLABORATIVE CHNA TO INFORM THEIR ORGANIZATION'S COMMUNITY HEALTH PRIORITIES. ADDITIONALLY, MANY OTHER HEALTHCARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2019 CHNA. SOME OT THESE ORGANIZATIONS INCLUDE ATLANTA REGIONAL COMMISSION, UNITED WAY OF GREATER ATLANTA, CARTER CENTER, CENTERS FOR DISEASE CONTROL AND PREVENTION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, AND GEORGIA HEALTH POLICY CENTER, AMONG OTHERS. Schedule H, Part V, Section B, Line 6b-HUGHES SPALDING CHILDRENS HOSPITAL MERCY CARE HEALTH CARE CENTER FOR THE HOMELESS AND KAISER PERMANENTE OF GEORGIA ALSO PARTICIPATED IN ARCHI'S COLLABORATIVE CHNA TO INFORM THEIR ORGANIZATION'S COMMUNITY HEALTH PRIORITIES. ADDITIONALLY, MANY OTHER HEALTHCARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2019 CHNA. SOME OT THESE ORGANIZATIONS INCLUDE ATLANTA REGIONAL COMMISSION, UNITED WAY OF GREATER ATLANTA, CARTER CENTER, CENTERS FOR DISEASE CONTROL AND PREVENTION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, AND GEORGIA HEALTH POLICY CENTER, AMONG OTHERS. Schedule H, Part V, Section B, Line 11-GRADY MEMORIAL HOSPITAL Grady's most recent CHNA was conducted in 2019 and our Implementation Strategy (IS) was adopted at the end of 2019. Listed below is an overview of our work in 2021, which addressed the CHNA priorities: 1. IMPROVE COORDINATION OF CARE FOR GRADY PATIENTS WITH DIABETES, HYPERTENSION, PROSTATE CANCER, HIV/AIDS AND BEHAVIORAL HEALTH CONDITIONS. Since launching in 2020, Grady's Trauma Recovery Center (TRC) has provided behavioral health counseling and wrap around services to more than 50 patients who are survivors of violent crime. Grady TRC provides trauma-informed clinical case management, psychotherapy, crisis intervention, medication management, and legal advocacy at no cost to survivors and secondary victims of physical assault, firearm violence, domestic violence, human trafficking, and sexual assault. In 2021, the TRC team moved into its own clinical space, hired additional providers, and collaborated with many Grady departments to train staff on how to identify and refer eligible patients. Grady's orthopedic surgeons are leading the way in developing a new position in health care to provide trauma-informed care and comprehensive pain management focused on physical and mental wellness. Life Care Specialists (LCS), a critical part of Grady's ortho-trauma team, are helping to prevent opioid dependence. LCSs attend patient appointments for up to a year to assess the need for resources and pain management strategies. Based on the individual patient needs, the LCS will provide a variety of support from education to referrals and care coordination to training on evidence-based nonpharmaceutical pain management techniques. Grady completed a pilot study in 2020 and began a randomized control trial with more than 200 patients in 2021. Grady's Ponce de Leon Center specializes in comprehensive care of patients with HIV. To better support African American women with HIV who have multiple co-morbidities, have missed appointments, and are having difficulties sustaining viral suppression, Ponce launched the Black Women First Initiative. This two-part bundled intervention is comprised of patient navigation and self-efficacy. The program leverages a mobile app to foster increased patient engagement in the care plan and a Patient Navigator to support the patient. The Navigator orients the patient on the app, provides structured education sessions, interacts with patients through messaging on the app, helps schedule appointments, and acts as a liaison between the patient and the entire care team. The app also offers an opportunity for enrolled participants to interact and uplift each other and learn about resources for employment and housing support. By the end of 2021, Ponce had enrolled 43 patients. All were reporting a high level of medication adherence and reduced viral load, and 25 had achieved viral suppression. 2. INCREASE OPPORTUNITIES FOR ALL GEORGIANS, WITH A FOCUS ON PERSONS SERVED BY GRADY HEALTH SYSTEM, TO ACCESS HEALTHCARE. In 2021, Grady worked diligently to support the community and our patient population in understanding the benefits of obtaining the COVID-19 vaccine and improving access to the vaccine. Overall, Grady administered over 41,000 COVID-19 vaccines to patients and community members in 2021. Grady employed COVID-19 navigators to conduct outreach campaigns with patients and host community events. The navigators were able to connect with over 10,000 patients via text and phone calls to share information about vaccine availability, schedule appointments and transportation, and answer questions. Vaccines were also available in all clinics, in the Emergency Department and a temporary clinic built out in the hospital lobby. During this pandemic, MIH expanded its services to care for Grady patients, employees, and community members impacted by COVID. Through collaboration with Population Health and Strategy, MIH's impact extended into the community. Twenty onsite vaccine events were held at senior living facilities (Berean Village, Heritage Station) and local organizations (MARTA, Focused Community Strategies, and Sheltering Arms) where over 900 vaccines were administered to both residents and employees. The emergency use authorization of monoclonal antibody (MAB) in the outpatient setting created additional opportunity for MIH provide COVID-related treatment in the home for both Grady patients and employees. Close to 150 patients received MAB treatment in the home. Additionally, an initiative launched in 2020 to contact seniors at high risk of COVID in grew substantially in 2021. Medical students from Emory University and Morehouse Schools of Medicine contacted 2,200 patients in 2021. They provided phone-based health and safety education, social support, and resource connection. With in-person services still limited in 2021, Grady's financial services and many of the benefits screening initiatives continued to be offered primarily via telephone support. In 2021, Grady completed Medicaid enrollment for an estimated 2,235 patients. Grady also continued referring patients to the Atlanta Community Food Bank and Wholesome Wave Georgia for assistance with SNAP enrollment. 3. INCREASE PATIENT AND COMMUNITY ENGAGEMENT IN HEALTHY BEHAVIORS TO PREVENT DIABETES, HYPERTENSION, HIV, UNINTENTIONAL INJURIES, AND HOMICIDE. With Atlanta at the center of the HIV epidemic, Grady continues to provide critical access to HIV pre-exposure prophylaxis (PrEP) and sexual health services to prevent HIV. In 2021, Grady's PrEP program achieved notable growth and quality improvement leading to greater impact. Streamlined processes improved both medication refills and net margin. Updated and expanded web and social media marketing efforts contributed to volume growth. In 2021, the PrEP program was awarded the Emory at Grady Community Impact Award and received new grant funding from the Emory Medical Care Foundation. After many cancer screenings were delayed during the first year of the COVID pandemic, Grady prioritized getting our community back up to date on these critical preventive care services. Through an American Cancer Society and NFL Crucial Catch grant, Grady took a multi-pronged approach to increasing access to breast cancer screenings. In 2021 screening efforts resulted in included, 11,375 screening mammograms, 2,680 orders for diagnostic imaging, and 115 breast cancer diagnoses. Overall, these efforts resulted in a 42% improvement in breast cancer screening compliance, increasing from 31% of patients being up to date to 44% by December 2021. Crucial Catch grant funds were used to cover the cost of screening procedures, as well as support enhanced patient engagement efforts including patient navigators and transportation support. Navigators sent more than 11,000 reminders, assisted with rescheduling, and provided patient education. The Cancer Center also held six virtual education events with community partners and one internal event educating other Grady providers on the breast cancer screening referral process. Grady also expanded Saturday screening events to specifically target patients that had gone over one year without a screening. Between June and September, nearly 100 patients were screened at these events. Grady received a second American Cancer Society and NFL Crucial Catch grant to increase access to lung cancer screening. Similar comprehensive patient engagement efforts were implemented throughout 2021 to identify high risk patients and connect them to low-dose CT screenings. Patient Navigators made reminder calls, scheduled appointments, educated patients, and provided transportation support when needed. Several Cancer Center team members also participated in community events to provide education on the risks associated with lung cancer and proper prevention and detection methods. In 2021, Grady's Injury and Violence team engaged community members in various events to promote injury and violence prevention. Grady hosted a Gun Violence Awareness event and participated in Peace Week ATL and Midnight Basketball with the Mayor's Office. Grady experts also did numerous webinars, lectures, and panel discussions for academic institutions and community partners, podcasts and radio shows on the root causes of injury. They also expertise on intimate partner violence and hospital-based solutions in op-eds featured in the AJC and USA Today. Grady's Food as Medicine partnership continued to grow in 2021. By opening up referrals to the Food Pharmacy from Grady's Heart and Vascular clinics and Women's Services, more patients experiencing food insecurity and managing chronic conditions were able to connect to the food prescription program. More than 400 patients were enrolled in the food prescription program and the food pharmacy increased food distribution from 6,500 to 10,000 pounds per month. (Continued on Sch H Part VI Line II) Schedule H, Part V, Section B, Line 11-HUGHES SPALDING CHILDRENS HOSPITAL INDIRECTLY BENEFITS FROM GMHC PLAN Schedule H, Part V, Section B, Line 13h-GRADY MEMORIAL HOSPITAL REFER TO THE FINANCIAL ASSISTANCE POLICY (FAP) ATTACHED. FOR PROCESS, DEFINITIONS, AND TIER LEVELS, DISCOUNTED CARE WITH COPAYMENTS FOR PATIENTS WITH VERIFIED INCOME LEVELS OF ANNUAL GROSS FAMILY INCOMES FROM 251% TO 400% OF CURRENT FEDERAL PROVERTY INCOME LEVEL (FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FEE CARE UP TO 400% FPL WITH SOME COPAY. Schedule H, Part V, Section B, Line 13h-HUGHES SPALDING CHILDRENS HOSPITAL REFER TO THE FINANCIAL ASSISTANCE POLICY (FAP) ATTACHED. FOR PROCESS, DEFINITIONS, AND TIER LEVELS, DISCOUNTED CARE WITH COPAYMENTS FOR PATIENTS WITH VERIFIED INCOME LEVELS OF ANNUAL GROSS FAMILY INCOMES FROM 251% TO 400% OF CURRENT FEDERAL PROVERTY INCOME LEVEL (FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FEE CARE UP TO 400% FPL WITH SOME COPAY. Schedule H, Part V, Section B, Line 15e-GRADY MEMORIAL HOSPITAL THE FINANCIAL COUNSELORS WILL ADVISE ELGIBILE PATIENTS VERBALLY AS TO WHERE AND HOW TO APPLY FOR FOOD STAMPS AND DETERMINE IF THEY MEET CRITERIA FOR MEDICAID. SOCIAL WORKERS WILL TYPICALLY PROVIDE INFORMATION REGARDING HOUSING, FOOD STAMPS, AND OTHER SERVICES TO PATIENTS. A FINANCIAL COUNSELOR MAY DETERMINE IF A PATIENT MEETS CRITERIA FOR PRESUMPTIVE MEDICAID, WOMEN'S HEALTH MEDICAID, WOMEN'S MEDICAID WAIVER, CANCER STATE AID, CRIME VICTIMS COMPENSATION PROGRAM, RIGHT FROM THE START MEDICAID FOR NEWBORNS, EMERGENCY MEDICAL ASSISTANCE, MEDICAID FOR UNDOCUMENTED WOMEN WHO DELIVER THEIR NEWBORNS, PRESUMPTIVE MEDICAID, LOW INCOME MEDICAID, ETC. AND COMPLETE THE APPLICATION AS APPROPRIATE. THE FINANCIAL COUNSELOR MAY ALSO PREFER A PATIENT TO APPLY FOR MEDICAID WITH THE DEPARTMENT OF FAMILY AND CHILDRENS' SERVICES-GRADY OUTREACH UNIT. GMHC HAS VENDOR PARTNERSHIPS ON CAMPUS WHERE BY REPRESENTATIVES ARE COMPLETING APPLICATIONS FOR ELIGIBLE PATIENTS FOR VARIOUS MEDICAID PROGRAMS SUCH AS THOSE ABOVE, SSI, SSD, ETC. Schedule H, Part V, Section B, Line 15e-HUGHES SPALDING CHILDRENS HOSPITAL THE FINANCIAL ASSISTANCE PROGRAM POLICY, APPLICATION AND INSTRUCTIONS ARE PUBLICIZED TO INCLUDE CHILDREN'S HEALTHCARE OF ATLANTA WEBSITE. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE ELECTRONICALLY VIA EMAIL, MAY APPLY IN PERSON, BY MAIL, OR MAY QUALIFY AT THE POINT OF REGISTRATION THROUGH A PRESUMPTIVE AUTOMATED THIRD PARTY SOFTWARE. Schedule H, Part V, Section B, Line 16a-GRADY MEMORIAL HOSPITAL FAP POLICY IS ON THE INTERNET AT HHPS://WWW.GRADYHEALTH.ORG/BILLING-INSURANCE/financial-assistance-program Schedule H, Part V, Section B, Line 16b-GRADY MEMORIAL HOSPITAL FAP APPLICATION IS ON THE INTERNET AT HTTPS://WWW.GRADYHEALTH.ORG/WP-CONTENT/UPLOADS/FAP-APPLICATION.PDF Schedule H, Part V, Section B, Line 16c-GRADY MEMORIAL HOSPITAL FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND ONLINE AT HTTPS://WWW.GRADYHEALTH.ORG/FINANCIAL-ASSISTANCE-PROGRAM/ Schedule H, Part V, Section B, Line 20a-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE Schedule H, Part V, Section B, Line 20a-HUGHES SPALDING CHILDRENS HOSPITAL THIS PROCESS WAS NOT PERFORMED Schedule H, Part V, Section B, Line 20b-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE Schedule H, Part V, Section B, Line 20b-HUGHES SPALDING CHILDRENS HOSPITAL THIS PROCEDURE WAS NOT PART OF THE ELIGIBILITY PROCESS PER #19 ABOVE Schedule H, Part V, Section B, Line 20c-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE Schedule H, Part V, Section B, Line 20d-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE Schedule H, Part V, Section B, Line 20d-HUGHES SPALDING CHILDRENS HOSPITAL THIS PROCESS WAS NOT PERFORMED 10 CRESTVIEW HEALTH & REHABILITATION 2800 SPRINGDALE RD ATLANTA GA 30315 NURSING HOME EMERGENCY MEDICAL SERVICE 745 MEMORIAL DRIVE ATLANTA GA 30316 AMBULANCE SERVICE KIRKWOOD PHARMACY 1863 MEMORIAL DRIVE ATLANTA GA 30317 PHARMACY BROOKHAVEN PHARMACY 2695 BUFORD HIGHWAY ATLANTA GA 30324 PHARMACY EAST POINT PHARMACY 1595 WEST CLEVELAND AVENUE EAST POINT GA 30344 PHARMACY PONCE INFECTIOUS DISEASE PHARMACY 341 PONCE DE LEON AVENUE ATLANTA GA 30308 PHARMACY GRADY BEHAVIORAL HEALTH PHARMACY 10 PARK PLACE 3RD FLOOR ATLANTA GA 30303 PHARMACY MAIN OUTPATIENT PHARMACY 48 COCA COLA PLACE ATLANTA GA 30303 PHARMACY ASA YANCEY PHARMACY 1247 DONALD LEE HOLLOWELL PARKWAY ATLANTA GA 30318 PHARMACY CENTRAL REFILL PHARMACY 1575 NORTHSIDE DRIVE BUILDING 400 SUITE 450 ATLANTA GA 30318 PHARMACY Schedule H, Part I, Line 3c THE FEDERAL POVERTY GUIDELINES (FPF) ARE USED TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE WITH 400% OF FPG BEING THE UPPER LIMIT OF QUALIFICATION TO THE PROGRAMS. Schedule H, Part I, Line 6a 2021 COMMUNITY BENEFIT REPORT WAS NOT DUE FOR RESUBMISSION IN 2021, BUT WAS UPDATED IN 2021. Schedule H, Part I, Line 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS WERE DETERMINED USING DATA FROM THE AUDITED FINANCIAL STATEMENTS AND THE 2021 FILED MEDICARE AND MEDICAID COST REPORTS Schedule H, Part II GRADY IS A MEMBER ORGANIZATION OF THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI) ARCHI IS AN INTERDISCIPLINARY COALITION WORKING TO I MPROVE THE REGION'S (DEKALB AND FULTON COUNTIES) HEALTH THROUGH A COLLABORATIVE APPROACH TO CHNAS AND SUBSEQUENT HEALTH IMPROVEMENT INITIATIVES. GRADY HOLDS A SEAT ON THE ARCHI STERRING COMMITTEE FOR ONGOING LEADERSHIP AND CONNECTIVITIY TO HEALTH IMPROVEMENT INITIATIVES, AND HAS SIGNED THE ARCHI MEMEBERSHIP AGREEMENT IN SUPPORT OF SUSTAINABILITY AND AN ORGANIZATION STRUCTURE. GRADY ALSO PROVIDES FUNDING TO ARCHI TO SUPPORT THE STAFFING, DATA ANALYTICS, AND PARTNERSHIP BUILDING ACTIVITIES. GRADY CONTINUES TO WORK WITH AND THROUGH ARCHI TO CONDUCT ITS CHNAS IN ORDER TO MAXIMIZE THE IMPACT OF COMMUNITY INVESTMENT IN HEALTH IMPROVEMENT. Schedule H, Part III, Section A, Line 4 GMHC ALSO INCURS SIGNIFICANT COSTS ASSOCIATED WITH CARE FOR THE UNDER AND UNISURED THAT DO NOT APPLY AND/OR QUALIFY FOR CHARITY CARE ASSISTANCE. GMHC INCURRED BAD DEBT EXPENSE OF APPROXIMATELY $549M VALUED IN GROSS CHARGES. ON LINE 2, THE COST FOR BAD DEBT EXPENSE IS BASED UPON THE PATIENT CARE COST TO CHARGE PERCENTAGE OF 17% OF ACTUAL PROVISION OF $93M IN 2021 Schedule H, Part III, Section B, Line 8 EXPENSES ARE REPORTED FROM THE MEDICARE COST REPORT CMS-2552-86 FOR THE YEAR ENDED 12/31/21 Schedule H, Part III, Section C, Line 9b THE ORGANIZATION HAS UNIQUE ELIGIBILITY CODES TO EACH PATIENT QUALIFYING FOR CHARITY CARE TO ALLOW IT TO WRITE-OFF THE CHARITY CARE PRIOR TO THE COLLECITON PROCESS. Schedule H, Part VI, Line 2 IN ADDITION TO GRADY'S CHNA, MANY OF THE COALITIONS THAT GRADY PARTICIPATES IN, OR PARTNERS WITH OUTSIDE ORGANIZATIONS, ALSO ASSESS THE NEEDS OF THEIR COMMUNITIES OR TARGET POPULATIONS. MANY OF WHICH ALIGN OR OVERLAP WITH GRADY'S COMMUNITY, COALITIONS OR PARTNER ORGANIZATIONS WITH ASSESSMENTS THAT ALSO INFORM GRADY'S WORK INCLUDE ARTHUR BLANK FOUNDATION'S WESTSIDE ON THE RISE INITITIVE, ATLANTA BELTLINE PARTNERSHIP, GEORGIA STATE DEPARTMENT OF PUBLIC HEALTH, ATLANTA REGIONAL COMMISSION, UNITED WAY, MERCY CARE, AND THE ATLANTA REGIONAL COMMUNITY FOOD BANK. CONTINUATION FROM SCH H SEC C LINE 11 : Fresh Food Carts (FFCs) also made healthy eating easier for patients at our neighborhood health centers. That program distributed more than 356,000 pounds of produce across 47 events with nearly 12,000 patient visits. Finally, Grady provided more than 12,000 home-delivered meals to over 600 patients after discharge from the hospital. In addition to patients experiencing food insecurity, Grady expanded the service to patients admitted with COVID-19. The medically tailored meals purchased through Open Hand support patient health, food access and safety during a critical recovery period. Schedule H, Part VI, Line 3 PER STATE REGULATIONS, GMHC PLACES ANNUAL ICTF NOTICES IN THE LOCAL NEWSPAPER AND SIGNAGE IS POSTED, ADVISING PATIENTS OF ALL CHARITY CARE PROGRAMS WITHIN THE ORGANIZATION, BASED ON THE PATIENT'S FINANCIAL CIRCUMSTANCES, AND MEDICAL CONDITION. A FINANCIAL COUNSEOR WILL CONSULT WITH THE PATIENT TO DETERMINE BEST FIT FOR THE CRITERIA OF THE VARIOUS ASSISTANCE PROGRAMS. THE APPROPRIATE APPLICATION IS COMPLETED AND THE FINANCIAL ASSISTANCE PROGRAM IS EXPLAINED TO THE PATIENT SIMULTANEOUSLY. Schedule H, Part VI, Line 4 GRADY IS THE SAFETY-NET PROVIDER FOR FULTON AND DEKALB COUNTIES, OUR PRIMARY SERVICE AREA. ABOUT 2 MILLION PEOPLE LIVE IN THESE TWO COUNTIES AND THEY ARE YOUNGER AND MORE DIVERSE, WITH A HIGHER PERCENTAGE OF LIMITED ENGLISH-SPEAKING SKILLS, AND ACCORDING TO GRADY'S 2019 CHNA. AFRICAN AMERICANS MAKE UP 54% AND 44% OF THE POPULATION OF DEKALB AND FULTON COUNTIES REPSECTIVELY, AND 16-18% OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL, AN INCREASE FROM THE PREVIOUS CHNA. GRADY ALSO PROVIDES SPECIALIZED SERVICES TO THE GREATER METRO AREA, WHICH THE ATLANTA REGIONAL COMMISSION DEFINES AS A 10 COUNTY REGION WITH A TOTAL POPULATION OF 4.7 MILLION. THE REGION CONTINUES TO GROW AND BECOME INCREASINGLY DIVERSE. Schedule H, Part VI, Line 5 In 2021, Grady participated in a City-wide effort to rapidly rehouse individuals on the housing queue in the City of Atlanta. This collaborative effort led by Partners for HOME included 10 different case management agencies, Open Doors, Project Community Connections Inc. (PCCI), and City of Atlanta. The collaborative housed about 700 clients of the 800 goal in 2021. Three Grady case managers successfully housed 74 households, most of whom were chronically homeless. Grady also employed a Housing Support Navigator to help connect patients experiencing homelessness with various community resources based on the individual's needs. The navigator assists social workers with coordinated entry referrals through the City of Atlanta Continuum of Care's Homeless Management Information System (HMIS), a first for Grady, and a significant improvement in care coordination between the health and homelessness systems. Grady built new skills and capacity to address the housing needs of our patients through this program. In the first 8 months of the program, 323 referrals were reviewed and assessed, 286 patients received resources from the housing support navigator, and 65 patients were connected to a 90-day transitional housing program Grady's Injury Prevention Team continued to work on the statewide expansion of the Cardiff Model, which allows stakeholders to create local maps of where violence occurs by combining anonymous information about the location and timing of violent events reported at the hospital with existing law enforcement records. This information and predictive analysis are then used to develop public health strategies and environmental approaches to address violence. Since 2020, Grady and the Atlanta-based Cardiff team are surveying hospitals and their community partners to assess readiness to implement Cardiff. The team has also been involved in more than 20 conversations with health systems, police departments, city governments, public health partners, and researchers throughout the country that are beginning to implement or are interested in the Cardiff model. Schedule H, Part VI, Line 6 GRADY TRAINS MORE THAN 1,000 EMORY AND MOREHOUSE INTERNS AND RESIDENTS EACH YEAR. Schedule H, Part VI, Line 7 GMHC FILES A COMMUNITY BENEFIT REPORT IN GEORGIA 1 Sch I Stmt 1 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE ATLANTA GA 30310 581438873 501 (C) (3) 16767283 0 Schedule I, Part 1, Line 2 - Residency Program Support 1 0 Schedule I, Part I, Line 2 Grady uses accountability metrics such as tracking schedules, calendars, grant review and audits to monitor grant funds and to ensure compliance. X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 JOHN M HAUPERT FACHE PRESIDENT AND CEO 1279429 0 676500 0 2087381 0 11600 0 24766 0 4079676 0 0 0 RICHARD RHINE EXEC VP / CFO 694844 0 246308 0 242011 0 2908 0 11823 0 1197894 0 0 0 TIMOTHY JEFFERSON EXEC VP / GENERAL COUNSEL 555079 0 202684 0 485651 0 26948 0 19503 0 1289865 0 0 0 ROBERT JANSEN EXEC VP / CMO 681974 0 191852 0 238094 0 11600 0 22983 0 1146503 0 0 0 JACQUELINE HERD EXEC VP / CNO 481639 0 0 0 613138 0 8579 0 12710 0 1116066 0 0 0 SAMUAL TODD SVP/CHIEF ACUTE CARE 749077 0 208273 0 0 0 0 0 19090 0 976440 0 0 0 BENJAMIN MCKEEBY SVP / CIO 495313 0 132430 0 90726 0 11600 0 20887 0 750956 0 0 0 LINDSAY CAULFIELD SVP/CHF EXPERIENCE OFFICER 365301 0 102703 0 278105 0 5208 0 10551 0 761868 0 0 0 MARY SALE SVP / CHIEF STRATEGY OFFICER 449305 0 126198 0 66633 0 8723 0 3177 0 654036 0 0 0 MICHELLE WALLACE SVP CHIEF CLINICAL OFFICER 371399 0 120958 0 195146 0 5483 0 2731 0 695717 0 0 0 RICHARD ROCHE EXEC VP/CHIEF PEOPLE OFFICER 497241 0 128315 0 23230 0 11600 0 12326 0 672712 0 0 0 ANTHONY SAUL EXEC VP / CFO 367468 0 154386 0 13835 0 11600 0 18243 0 565532 0 0 0 Schedule J, Part I, Line 1a CLUB DUES ARE PAID FOR EXECUTIVE VICE PRESIDENTS AND HIGHER FOR BUSINESS PURPOSES. IN 2021 GMHC PAID DUES FOR A FEW EXECUTIVES WITH NO PERSONAL USE REPORTED AS TAXABLE INCOME. Schedule J, Part I, Line 4 SEVERANCE PAYMENTS IN 2021: Herd, Jacqueline $595,981 EXECUTIVE STAFF PARTICIPATES IN 457F PLAN AND PAYMENTS ARE MADE TO PARTICIPANTS OF THE HEALTH SYSTEM UNDER THE PROGRAM RULES. SUCH PAYMENTS MADE IN 2021 WERE: John Haupert $2,061,617 Richard Rhine $216,011 Timothy Jefferson $462,225 Robert Jansen $212,402 Benjamin McKeeby $71,226 Lindsay Caulfield $252,105 Mary Sale $47,133 Michelle Wallace $175,646 Schedule J, Part I, Line 7 THERE WAS A FORMAL PLAN FOR SENIOR LEADERSHIP WITH SPECIFIC OBJECTIVES AND PERCENTAGE PAYOUTS BASED ON ACCOMPLISHMENT OF THOSE OBJECTIVES. THE PLAN WAS APPROVED BY THE COMPENSATION COMMITEE OF THE GMHC BOARD. X 12 42773876 Cost 0 0 0 1 Schedule M, Part I, Line 32b NONCASH CONTRIBUTIONS ARE PROCESSED AND SOLICITED BY THE HENRY W. GRADY HEALTH SYSTEM FOUNDATION Form 990, Part I, Line 6 VOLUNTEER PROGRAM SUSPENDED IN MARCH 2020 FOR COVID PRECAUTIONS Form 990, Part III, Line 1 GRADY HEALTH SYSTEM IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER, GRADY MAINTAINS ITS COMMITMENT TO THE UNDERSERVED OF FULTON AND DEKALB COUNTIES WHILE ALSO PROVIDING CARE TO RESIDENTS OF METRO ATLANTA AND GEORGIA. GRADY LEADS THROUGH CLINCAL EXCELLENCE, INNOVATIVE RESEARACH AND PROGRESSIVE MEDICAL EDUCATION AND TRAINING. Form 990, Part VI, Section A, Line 3 GMHC HAS CONTRACTED WITH CHILDREN'S HEALTHCARE OF ATLANTA (CHOA) TO MANAGE OPERATIONS OF HUGHES SPALDING CHILDREN'S HOSPITAL. CHOA OVERSEES DAILY OPERATIONS. Form 990, Part VI, Section B, Line 11b IN NOVEMBER 2022 THE AUDIT COMMITEE OF GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) REVIEWED A DRAFT OF THE 2021 FORM 990, WHICH HAD PREVIOUSLY BEEN REVIEWED BY MANAGEMENT, WHICH WAS THEN DISTRIBUTED TO EACH COMMITEE MEMBER, DISCUSSION ENSUED AND COMMENTS AND SUGGESTIONS WERE TAKEN INTO CONSIDERATION IN FINALIZING THE FORM SUBSEQUENT TO THE BOARD MEETING FOR FINAL APPROVAL. A FINAL DRAFT WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. Form 990, Part VI, Section B, Line 12c GMHC HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. GMHC IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT GMHC'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT WOULD IMPACT ITS BUSINESS. THUS GMHC'S EMPLOYEES MUST PARTICIPATE IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. GMHC'S CONFLICT OF INTEREST SURVEY IS ADMINISTERED ANNUALLY TO OFFICERS, DIRECTORS, KEY EMPLOYEES, AND OTHER INDENTIFIED PERSONNEL AND AT THE TIME OF APPOINTMENT AND RE-APPOINTMENT OF MEDICAL STAFF. AFFIRMATIVE REPLIES ARE REVIEWED FOR DETERMINING APPROPRIATE MANAGEMENT, WHERE APPLICABLE. Form 990, Part VI, Section B, Line 15 EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE COMPENSATION COMMITEE OF THE BOARD OF DIRECTORS AND IS REVIEWED ANNUALLY. GMHC'S BOARD OF DIRECTORS DESIGNATED THE COMPENSATION COMMITTEE TO BE RESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION Form 990, Part VI, Section C, Line 19 GMHC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE PUBLIC BY POSTING ON THE WEBPAGE THAT CAN BE FOUND ON FORM 990, PAGE 1 ITEM J. Form 990, Part VII, Section A, Line 1a EX OFFICIO NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS: JOHN M HAUPERT FACHE, VIKAS P. SUKHATME, MD ScD., ADRIAN TYNDALL, Form 990, Part IX, Line 11g 158,558,936 Pro Fees 44,298,013 Eligibility, Linen, Dietary, Cleaning 31,823,714 Medical, Lang Svcs 12,951,500 Purchased Svcs 50,075,013 Agency 12,105,622 Maint & Repairs 9,095,852 Collections Form 990, Part XI, Line 9 INCREASE IN NET ASSETS CONSISTS OF CHANGES IN ASSET VALUATIONS AND INCREASE IN DONATIONS PUT INTO SERVICE Schedule B, Part I 501(C)(3) ORGANIZATION GRADY EMS LLC 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 814571957 EMERGENCY TRANSPORTATION SERVICES GA 0 0 GRADY MEMORIAL HOSPITAL CORP ONE GRADY LLC 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 872692696 ADMINISTRATIVE SERVICES GA 0 0 GRADY MEMORIAL HOSPITAL CORP HENRY W GRADY HEALTH SYSTEM FOUNDATION 191 PEACHTREE STREET Suite 820 ATLANTA GA 30303 582130437 HEALTH CARE GA 501(C) (3) 7 N/A 0 GRADY HEALTH RESOURCES INC 80 JESSE HILL DRIVE SE ATLANTA GA 30303 472922502 NMTC GA 501 (C) (2) NA GMHC 1 GRADY WIC INC 80 JESSE HILL JR DR SE ATLANTA GA 30303 821799159 NMTC GA 501 (C) (2) NA GMHC 1 GRADY CASS INC 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 852828602 NMTC GA 501 (C) (2) NA GMHC 1 GRADY PONCE INC 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 873600624 NMTC GA 501 (c) (2) NA GMHC 1 RELIANT EMERGENCY SPECIALTIES 745 MEMORIAL DR SE ATLANTA GA 30316 471397856 AUTO REPAIR & MAINTENAINCE GA GMHC C 389708 326592 1 1 0 0 1 1 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 HENRY W GRADY HEALTH SYSTEM FOUNDATION c 14110656 FMV HENRY W GRADY HEALTH SYSTEM FOUNDATION m 2237646 FMV RELIANT EMERGENCY SPECIALTIES d 2237397 FMV RELIANT EMERGENCY SPECIALTIES o 54938 FMV GRADY HEALTH RESOURCES INC j 1365656 FACILITY LEASE CONTRACT GRADY HEALTH RESOURCES INC k 595472 SUBLEASE CONTRACT GRADY WIC INC j 753769 FACILITY LEASE CONTRACT GRADY WIC INC k 464000 SUBLEASE CONTRACT GRADY CASS INC j 4615680 FACILITY LEASE CONTRACT