2021-11-11T15:44:36-07:00 2020-12-31 135665207 KPMG LLP 303 PEACHTREE ST NE STE 2000 ATLANTA GA 30308 990 2020-01-01 262037695 GRADY MEMORIAL HOSPITAL CORPORATION GRAD 4046161846 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 ANTHONY SAUL CHIEF FINANCIAL OFFICER 4046161846 2021-11-12 1 WHITNEY B HEBRON P01226647 4047395994 2021-11-11 1 11 1 AAL2 X 2020 2022-09-23 18:48:47Z JOHN M HAUPERT PRESIDENT AND CEO 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 2249810321 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 9016 233 0 0 168835384 174712198 1835997046 1840095642 3956602 1322465 23300443 233627204 2032089475 2249757509 12020196 13725352 0 0 581323239 610452107 0 0 0 1408971142 1489742070 2002314577 2113919529 29774898 135837980 1004315025 1235998165 290432158 370787434 713882867 865210731 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 571814480 292393021 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 2020, GRADY PROVIDED CARE TO MORE THAN 105,866 UNDER AND UNINSURED PATIENTS WHICH REPRESENT APPROXIMATELY 62% OF ITS TOTAL PATIENTS WITH ABOUT 438,060 PATIENT ENCOUNTERS, COSTING APPROXIMATELY $ 572M. 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. 121153082 13725352 60084722 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 2020 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 2020, REIMBURSEMENT FOR TEACHING SERVICES FROM MEDICARE, MEDICAID AND OTHER GOVERNMENTAL FUNDS TOTALED $ 60M. 147330536 169134002 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 5,627 ACUTE TRAUMA CASES IN 2020. 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 2020. THE EMERGENCY ROOM WAS THE INTAKE POINT FOR 21,674 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 245,000 CALLS THROUGHTOUT GEORGIA, IN 2020. 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. 986637030 1387232563 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. 986637030 0 1387232563 1826935128 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 1 290 0 1 9016 1 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 1764154 0 32184 ROBERT JANSEN EXEC VP / CMO 40 0 X 788107 0 34133 RICHARD RHINE EXEC VP / CFO 40 0 X 782939 0 23352 SAMUAL TODD SVP/CHIEF ACUTE CARE 40 0 X 754972 0 18779 TIMOTHY JEFFERSON EXEC VP / GENERAL COUNSEL 40 0 X 646774 0 45194 JACQUELINE HERD EXEC VP / CNO 40 0 X 651884 0 31999 BENJAMIN MCKEEBY SVP / CIO 40 0 X 546441 0 30412 MARTY SCOTT SVP CHIEF QUALITY/PT SAFETY OFFICER 40 0 X 570801 0 0 WILLIAM COMPTON SVP EMERG MED SVCS 40 0 X 548493 0 18721 KELLEY CARROLL SVP CHIEF AMBULATORY OFFICER 40 0 X 516405 0 31050 MARY SALE SVP / CHIEF STRATEGY OFFICER 40 0 X 522043 0 11994 RHONDA SCOTT EXEC VP / COO 0 0 X 485904 0 3424 LINDSAY CAULFIELD SVP/CHF EXPERIENCE OFFICER 40 0 X 421762 0 15386 SANDRA JOHNSON VP REVENUE CYCLE 40 0 X 415434 0 17442 MICHELLE WALLACE SVP CHIEF CLINICAL OFFICER 40 0 X 409796 0 8545 WILLIAM HILBURN VP CLINICAL APPLICATIONS 40 0 X 394254 0 21810 LAWRENCE SANDERS SVP UTILIZATION AND CARE MGMT 40 0 X 392302 0 22294 JOSELYN BAKER PRESIDENT HWG FOUNDATION 40 0 X 366957 0 15338 MATHEW HICKS SVP GOVERNMENT RELATIONS 40 0 X 349792 0 20700 LARRY GELLERSTEDT CHAIRMAN 5.00 0 X X 0 0 0 A D PETE CORRELL DIRECTOR 2 0 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 SHAN COOPER DIRECTOR 2 0 X 0 0 0 H JAMES DALLAS 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 VALERIE MONTGOMERY RICE MD 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 11329214 0 402757 1028 1 1 0 EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR ATLANTA GA 30322 MEDICAL 156387626 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE NW ATLANTA GA 30310 MEDICAL 43022329 SODEXO INC AND AFFILIATES P O BOX 360170 PITTSBURGH PA 15251 FOOD SERVICES 32145933 RANDSTAD P O BOX 105046 ATLANTA GA 30348 TEMPORARY EMPLOYEES 19766917 NORTH GEORGIA ACUTE P O BOX 101518 ATLANTA GA 30392 MEDICAL SERVICES 5170248 92 0 0 0 0 55434953 119277245 44321891 174712198 patient care 900099 1840095642 1840095642 0 0 0 0 0 0 1840095642 1177412 0 1177412 0 0 0 0 0 0 0 0 0 197865 0 52812 0 145053 145053 145053 0 0 0 INSURANCE PROCEEDS 900099 137703390 137703390 0 0 CARES FUNDING 900099 68748666 68748666 0 0 CONTRACTED SVCS- EMS 900099 6055518 6055518 0 0 21119630 21119630 0 0 233627204 2249757509 2073867899 0 1177412 X 13725352 13725352 11329214 1912371 9416843 0 0 0 487343489 361950009 125393480 16678603 12387198 4291405 60443054 44891056 15551998 34657747 25740309 8917438 8156202 4595204 3560998 1354194 762953 591241 516170 290810 225360 834825 834825 331186532 285515865 45670667 2042486 1150737 891749 18388537 10360102 8028435 20881720 11764761 9116959 16241553 9150491 7091062 1460462 822824 637638 1735435 977744 757691 66500994 45463304 21037690 21661823 12204271 9457552 BAD DEBT 745105703 745105703 0 0 DRUGS 138347103 138347103 0 0 MEDICAL SUPPLIES 79800686 79800686 0 0 MEDICAL EQUIPMENT LEASES, TAXES, ETC 35527645 20016275 15511370 0 2113919529 1826935128 286984401 0 216344986 264897509 0 0 45268962 52512541 163730463 168302135 3645 0 0 0 0 0 19951316 29001723 12885062 18492110 998550832 566161763 316030243 432389069 230100348 270403078 1004315025 1235998165 186486837 225849252 5418755 34279431 33842742 61904509 64683824 48754242 290432158 370787434 X 629055814 802188840 84827053 63021891 713882867 865210731 1004315025 1235998165 X 135837980 0 0 0 0 15489884 X 0 1 X 1 1 1 X 100085461 101216345 108970741 113400427 119277245 542950219 55421029 55434953 55434953 55434957 55434953 277160845 0 0 0 0 0 0 155506490 156651298 164405694 168835384 174712198 820111064 820111064 376449 1391453 2794981 3873054 1177412 9613349 0 0 0 0 0 0 10244694 10406190 11937662 12804197 13054160 58446903 888171316 7753232393 0.92337 0.92743 X Schedule A, Part II, Line 10 OTHER INCOME 13,054,160 FROM RENTS AND CONTRACTED SERVICES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 828915 1 5910 0 834825 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 MEMEBER OF GEORGIA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND AMERICA'S ESSENTIAL HOSPITAL ORGANIZATIONS WHICH MAY LOBBY ON ITS BEHALF. 0 3383319 3383319 0 424236758 207724960 216511798 0 44702341 0 44702341 0 419527194 356609849 62917345 0 106701220 1826954 104874266 432389069 INVESTMENT IN HSOC 1455243 OTHER RECEIVABLES 31841732 PERMANENT ENDOWMENT 25303355 GOODWILL 147065 NMTC NOTES RECEIVABLE 54940497 INVESTMENT IN AFFILIATES 156715186 270403078 WORKERS COMP RESERVE 1160488 SELF INSURED LIABILITIES 39740155 OTHER RESERVES 7853599 48754242 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 139414721 78952392 60462329 0.0433 277057013 228900695 48156318 0.0345 0 0 416471734 307853087 108618647 0.0778 18812992 9298566 9514426 0.0068 128752191 31071007 97681184 0.0699 127466107 8431825 119034282 0.0852 1616503 777695 638808 0.0006 0 0 276647793 49579093 226868700 0.1625 0 0 693119527 357432180 335487347 0.2403 40000 40000 0 0 0 40000 0 40000 0 1 139416140 0 116880411 94263719 22616692 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 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 X 1 19 1 https://www.gradyhealth.org/static/community-benefit-summary/ 0 0 1 X 400 400 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 X 1 X 0 X 1 X X 0 0 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/static/community-benefit-summary/ X 1 19 1 https://www.gradyhealth.org/static/community-benefit-summary/ 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 REPRESENTATIVES 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 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 OF 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 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 OF 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 2020, which addressed the CHNA priorities: 1. IMPROVE COORDINATION OF CARE FOR GRADY PATIENTS WITH DIABETES, HYPERTENSION, PROSTATE CANCER, HIV/AIDS AND BEHAVIORAL HEALTH CONDITIONS. To support those most at risk of COVID-19 and its impact on daily life, Grady mobilized volunteers to support older adults. In collaboration with Emory University and Morehouse School of Medicine, Grady launched a phone-based program for both patients and seniors in the community. Over 50 students participated in training and they contacted 850 Grady patients and 300 seniors in the community across multiple facilities from April 2020 into 2021. These truly meaningful and critical conversations included a wide range of topics including education on COVID-19 prevention, symptom identification, self-care and medical monitoring at home, and medication delivery. Over 500 seniors received community referrals to address health and social needs. A second phase of the program is continuing in 2021. With support from the Greater Atlanta COVID-19 Response and Recovery Fund, Grady quickly expanded the mail order pharmacy program. The pharmacy launched a text and phone campaign to enroll more patients. Approximately 19% of prescriptions were for hypertension medication and another 19% for diabetes medications and supplies, two of Grady's community health priorities. The program expansion also resulted in a lower return to stock rate; decreasing from a monthly average of 12.5% to 5% from May-June 2020, indicating that patients received their medications more often and thus are better able to be compliant with their therapies. In 2020, Grady launched a new initiative to address the impact of violence, the Grady Trauma Recovery Center (TRC). Every year in the US, there are an estimated 5.4 million incidents of violent crime among people 12 and older, and few survivors receive mental health treatment or other forms of support. The TRC is funded through the Georgia Victims of Crime Act to provide trauma-informed clinical case management, psychotherapy, crisis intervention, medication management, legal advocacy, and more at no cost to survivors. The TRC serves survivors and secondary victims of firearm violence, domestic violence, human trafficking, and sexual assault, and works with other Grady programs to ensure patients receive comprehensive care. After the Women's Service's department temporarily lost 32 beds due to a flood, the team partnered with Grady's Mobile Integrated Health (MIH) service to reduce length of stay and provide care at home for postpartum mothers with hypertensive disorders. MIH completed home visits to mothers after discharge, which helped mothers with the transition home, provided critical BP monitoring, and ensured continuity of care until their follow up visit. The new process served about 70 mothers per month in 2020, and reduced LOS by 12.4%. The OB MIH partnership successfully bridged the gap in a crisis, maintained access to care at Grady, and promoted patient safety during the pandemic. Grady will continue to offer this service in the future. 2. INCREASE OPPORTUNITIES FOR ALL GEORGIANS, WITH A FOCUS ON PERSONS SERVED BY GRADY HEALTH SYSTEM, TO ACCESS HEALTHCARE. Access to testing and care for those with COVID-19 was of critical importance to Grady given the disproportion burden of cases and death in the communities Grady serves. Grady launched COVID-19 testing at all primary care locations and even made in-home testing, and later vaccination, available through the Mobile Integrated Health unit performing over 35,000 Polymerase Chain Reaction (PCR) tests in 2020. Grady patients received high touch care following a COVID-19 diagnosis with twice weekly calls if the patient was able to safely be at home and, if additional monitoring was clinically warranted, patients could participate in 24/7 remote patient monitoring. The remote monitoring program began in May 2020. The monitoring kits include a blue tooth enabled pulse ox and blood pressure monitor, a tablet with internet connectivity embedded, tablet stand and power cord, and were given to patients and employees with COVID as well as patients with Chronic Heart Failure (CHF). CHF patients also received a scale and they manually entered their weights. Grady used 89 kits for COVID and 12 for CHF in 2020. Among those individuals who received kits, Grady nurses and providers managed 11,335 alerts regarding patient vital signs, messages, etc. to ensure patients had the care they needed at the right time. Grady patients had access to numerous clinical trials and advanced therapies like monoclonal antibody treatment. Additionally, Grady partnered with the State of Georgia to operate the Georgia World Congress Center overflow hospital to ensure all patients could access acute care if needed. With face-to-face interactions limited during COVID, Grady's financial services and many of the benefits screening initiatives transitioned to telephone based support. In 2020, Grady completed Medicaid enrollment for an estimated 3,170 patients. Grady also continued to refer 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. In 2020, Grady's PrEP program, which provides access to HIV pre-exposure prophylaxis (PrEP), sexual health services, and prevent HIV in communities with limited access to care, began accepting community referrals. Since its launch in 2018, the program has received 638 referrals and has started 332 patients on PrEP. Among patients referred, 99% are sexually active, 77% are African American, and 56% are uninsured, demonstrating that the program is reaching those most at risk of HIV. Patients in the program receive HIV testing and counseling, same-day and long term PrEP provision, counseling, lab monitoring, and STI testing and treatment. Since 2017, the Food as Medicine (FAM) partners, Grady, the Atlanta Community Food Bank and Open Hand Atlanta, have been working to address food insecurity and chronic disease at Grady. As the economic impact of the pandemic became clear, the partners understood this meant an even greater urgency to address growing food insecurity. Thus, Grady opened Jesse Hill Market, a food pharmacy, teaching kitchen and healthy café and farmers market on Grady's main hospital campus. By the end of 2020, Grady enrolled 236 patients into the food prescription program. These patients received nearly 20,000 pounds of fresh produce, participated in 40 cooking classes, and completed 186 visits with a dietitian. In addition, more than 100 Grady employees participated in 30 cooking classes. The kitchen also held weekly food demonstrations, and the café and farmers market grew their customer base month over month. At our Brookhaven Neighborhood Health Center, the twice-monthly Fresh Food Cart (FFC) distributing fresh produce to patients more than doubled in the early months of the pandemic. With growing demand and support from donors, Grady expanded the FFC to two additional clinics, the Ponce Center and Asa Yancey Neighborhood Health Center in May 2020. At the 39 FFCs in 2020, we distributed more than 240,000 pounds of food across 10,488 patient visits. All three FFCs will continue in 2021. Grady also continued providing Open Hand's home-delivered, medically-tailored meals after discharge for patients experiencing food insecurity. In 2020, 292 patients received 2,920 meals, and 95% reported the meals helped them follow their doctor's discharge instructions. Grady's Mobile Integrated Health division started a Post Overdose Program (POP) that provides peer support in a home visitation model to opioid overdose survivors. The POP team consists of a Peer Support Specialist, Advanced EMT, and a Nurse Practitioner, they provide therapeutic outreach visits to discuss concerns related to opioid use and strategies to reduce risk of future overdose. In 2020, the program served 49 patients, who received 55 referrals to services including 12-step meetings, residential recovery programs, inpatient treatment centers, and medication for opioid use disorder clinics. The program also distributed 31 Naloxone kits and conducted a SOAR training, focused on substance use disorder, first-responder self-care, and naloxone administration, for law enforcement. 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 POVERTY INCOME LEVEL(FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FREE 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 POVERTY INCOME LEVEL(FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FREE CARE UP TO 400% FPL WITH A COPAY. Schedule H, Part V, Section B, Line 15e-GRADY MEMORIAL HOSPITAL THE FINANCIAL COUNSELORS WILL ADVISE ELIGIBLE 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 REFER 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 16j-GRADY MEMORIAL HOSPITAL LINE 16a FAP POLICY IS ON THE INTERNET AT HTTPS://WWW.GRADYHEALTH.ORG/BILLING-INSURANCE/financial-assistance-program ____________________________________________________________________________---LINE 16b FAP APPLICATION IS ONLINE AT https://www.gradyhealth.org/wp-content/uploads/fap-application.pdf ___ LINE 16c 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 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 20c-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF THE 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 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 (FPG) 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 COMMUNITY BENEFIT REPORT WAS NOT DUE FOR RESUBMISSION IN 2020, 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 2020 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 IMPROVE 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 STEERING COMMITTEE FOR ONGOING LEADERSHIP AND CONNECTIVITY TO HEALTH IMPROVEMENT INITIATIVES, AND HAS SIGNED THE ARCHI MEMBERSHIP AGREEMENT IN SUPPORT OF SUSTAINABILITY AND AN ORGANIZATION STRUCTURE. GRADY ALSO PROVIDES FUNDINGTO 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 UNINSURED THAT DO NOT APPLY AND/OR QUALIFY FOR CHARITY CARE ASSISTANCE. GMHC INCURRED BAD DEBT EXPENSE OF APPROXIMATELY $745M VALUED IN GROSS CHARGES. ON LINE 2, THE COST FOR BAD DEBT EXPENSE IS BASED UPON THE PATIENT CARE COST TO CHARGE PERCENTAGE OF 18.7% OF ACTUAL PROVISION OF $139M IN 2020. Schedule H, Part III, Section B, Line 8 - EXPENSES ARE REPORTED FROM THE MEDICARE COST REPORT CMS-2552-86 FOR THE YEAR ENDED 12/31/20. 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 COLLECTION 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 INITIATIVE, ATLANTA BELTLINE PARTNERSHIP, GEORGIA STATE DEPARTMENT OF PUBLIC HEALTH, ATLANTA REGIONAL COMMISSION, UNITED WAY, MERCY CARE, AND THE ATLANTA REGIONAL COMMUNITY FOOD BANK. 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 COUNSELOR 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 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 in DeKalb and Fulton Counties, respectively, 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 2020, Grady collaborated with Mercy Care, Partners for HOME and United Way to pilot an integrated care permanent supportive housing program for chronically homeless high utilizers. Grady enrolled 32 patients into the voucher program and two thirds were housed despite COVID-19 delays. In addition, Grady was selected to provide rapid rehousing case management services to homeless individuals as part of the City of Atlanta's COVID response for the homeless population. For Lung Cancer Awareness Month in November, Grady launched a digital awareness campaign to increase low dose CT lung screenings. The campaign targeted adults 55 years and older, smokers, and former smokers who quit within last 15 years around Grady's Camp Creek Care Center and in several target ZIP codes within Grady's service area. The campaign resulted in more than 1 million impressions and nearly 4,000 clicks. Ultimately, 206 individuals at risk based on age and smoking history completed the assessment. Grady also participated in the USDA's Farmers to Families program to address food insecurity and health among Grady employees, frontline workers bearing the brunt of the pandemic. From childcare challenges, family members losing jobs or getting ill, fear and stress, and personal illness, Grady employees had increasing needs to support their health and wellbeing. In partnership with Common Market, Grady offered an employee nutrition program for frontline staff that provided over 12,000 boxes of produce and nutrition education to 3,330 employees. Schedule H, Part VI, Line 6 WHILE GRADY IS NOT LEGALLY AFFILIATED WITH THE EMORY HEALTHCARE SYSTEM, WE ARE PRIMARY TRAINING FOR MORE THE 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 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE ATLANTA GA 30310 581438873 501 (C) (3) 13725352 0 SUPPORT RESIDENCY PROGRAM 1 0 Schedule I, Part I, Line 2 RESIDENCY PROGRAM SUPPORT X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 JOHN M HAUPERT FACHE PRESIDENT AND CEO 1131954 0 607552 0 24648 0 11400 0 20784 0 1796338 0 0 0 ROBERT JANSEN EXEC VP / CMO 597850 0 166259 0 23998 0 11400 0 22733 0 822240 0 0 0 RICHARD RHINE EXEC VP / CFO 591826 0 165612 0 25500 0 11400 0 11952 0 806290 0 0 0 SAMUAL TODD SVP/CHIEF ACUTE CARE 729472 0 0 0 25500 0 0 0 18779 0 773751 0 0 0 TIMOTHY JEFFERSON EXEC VP / GENERAL COUNSEL 496665 0 126683 0 23426 0 26017 0 19177 0 691968 0 0 0 JACQUELINE HERD EXEC VP / CNO 536451 0 89933 0 25500 0 11400 0 20599 0 683883 0 0 0 MARTY SCOTT SVP CHIEF QUALITY/PT SAFETY OFFICER 570801 0 0 0 0 0 0 0 0 0 570801 0 0 0 BENJAMIN MCKEEBY SVP / CIO 408737 0 118204 0 19500 0 11400 0 19012 0 576853 0 0 0 WILLIAM COMPTON SVP EMERG MED SVCS 472188 0 63584 0 12721 0 11400 0 7321 0 567214 0 0 0 KELLEY CARROLL SVP CHIEF AMBULATORY OFFICER 406567 0 108171 0 1667 0 11400 0 19650 0 547455 0 0 0 MARY SALE SVP / CHIEF STRATEGY OFFICER 388514 0 114029 0 19500 0 8756 0 3238 0 534037 0 0 0 RHONDA SCOTT EXEC VP / COO 485904 0 0 0 0 0 3424 0 0 0 489328 0 0 0 LINDSAY CAULFIELD SVP/CHF EXPERIENCE OFFICER 307193 0 89069 0 25500 0 5116 0 10270 0 437148 0 0 0 SANDRA JOHNSON VP REVENUE CYCLE 307170 0 82764 0 25500 0 8631 0 8811 0 432876 0 0 0 MICHELLE WALLACE SVP CHIEF CLINICAL OFFICER 305793 0 84503 0 19500 0 5814 0 2731 0 418341 0 0 0 WILLIAM HILBURN VP CLINICAL APPLICATIONS 297810 0 72446 0 23998 0 11400 0 10410 0 416064 0 0 0 JOSELYN BAKER PRESIDENT HWG FOUNDATION 270908 0 81653 0 14396 0 11400 0 3938 0 382295 0 0 0 MATHEW HICKS SVP GOVERNMENT RELATIONS 250178 0 80112 0 19500 0 8748 0 11952 0 370490 0 0 0 LAWRENCE SANDERS SVP UTILIZATION AND CARE MGMT 310420 0 62843 0 19038 0 11400 0 10895 0 414596 0 0 0 Schedule J, Part I, Line 1a CLUB DUES ARE PAID FOR EXECUTIVE VICE PRESIDENTS AND HIGHER FOR BUSINESS PURPOSES. IN 2020, GMHC PAID DUES FOR FOUR EXECUTIVES WITH NO PERSONAL USE REPORTED AS TAXABLE INCOME. Schedule J, Part I, Line 4 SEVERENCE PAYMENTS IN 2020: MARTY SCOTT $473,000, RHONDA SCOTT $425,000 AND TERESA BOLDEN $103,646. EXECUTIVE STAFF PARTICIPATES IN 457F PLAN, PAYMENTS ARE MADE TO PARTICIPANTS LEAVING THE HEALTH SYSTEM OR UNDER PROGRAM RULES. SUCH PAYMENTS MADE IN 2020 WERE MARTY SCOTT $54,470, LINA GEORGE $277,655, WILLIAM COMPTON $168,440, JACQUELINE HERD $184,319, PETER RHEE $147,329 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 COMMITTEE OF THE GMHC BOARD. X 12 44321891 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 CLINICAL EXCELLENCE, INNOVATIVE RESEARCH 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, 2021 THE AUDIT COMMITTEE OF GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) REVIEWED A DRAFT OF THE 2020 FORM 990, WHICH HAD PREVIOUSLY BEEN REVIEWED BY MANAGEMENT, WHICH WAS THEN DISTRIBUTED TO EACH COMMITTEE 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. GHMC IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT GHMC'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 IDENTIFIED 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 COMMITTEE 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 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: AD "PETE" CORRELL, JOHN M HAUPERT FACHE, VALERIE MONTGOMERY RICE, MD, VIKAS P. SUKHATME, MD ScD Form 990, Part IX, Line 11g PROGRAM SERVICE EXPENSES TOTAL OTHER P/SCVS OF 331,186,532 BREAKDOWN TO PRO FEES 197,065,069 LINEN, CLEANING, DIETARY, ELIGIBILITY 44,131,457 MEDICAL P/SVCS 29,516,182 OTHER P/SCVS 20,438,801 OUTSIDE AGENCY 23,423,598 REPAIRS & MNTC 7,472,995 COLLECTIONS 9,138,430 WITH MGMT AND GEN EXPENSES OF 47,670,667 BREAKDOWN TO LINEN, CLEANING, DIETARY, ELIGIBILITY 19,267,794 OTHER P/SVCS 8,923,581 OUTSIDE AGENCY 10,226,743 REPAIRS & MNTC 3,262,710 COLLECTIONS 3,989,839 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 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 RELIANT EMERGENCY SPECIALTIES 745 MEMORIAL DR SE ATLANTA GA 30316 471397856 AUTO REPAIR & MAINTENAINCE GA GMHC C 709057 535684 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 19128325 FMV HENRY W GRADY HEALTH SYSTEM FOUNDATION m 1827600 FMV RELIANT EMERGENCY SPECIALTIES d 2583573 FMV RELIANT EMERGENCY SPECIALTIES o 70825 FMV GRADY HEALTH RESOURCES INC j 1365656 FACILITY LEASE CONTRACT GRADY HEALTH RESOURCES INC k 595472 LEASE CONTRACT GRADY WIC INC j 733616 FACILITY LEASE CONTRACT GRADY WIC INC k 464000 SUBLEASE CONTRACT GRADY CASS INC j 384640 LEASE CONTRACT EXTENSION FILED