GWINNETT HOSPITAL SYSTEMINC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: GWINNETT HOSPITAL SYSTEMINC (EIN 58-2002413)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-02
IRS object ID: 202021549349300307
Schema version: 2018v3.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-02T08:52:22-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	580914992	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DRAFFIN & TUCKER LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 71309	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	317081309	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	582002413	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT HOSPITAL SYSTEMINC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GWIN	BusinessNameControlTxt
Phone	4043002980	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 JOHNSON FERRY ROAD NE	AddressLine1Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30342	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SEE SCHEDULE O	PersonNm
Person Title	SEE SCHEDULE O	PersonTitleTxt
Phone	6783124321	PhoneNum
Signature	2020-06-01	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WILLIAM EDWARD PHILLIPS	PreparerPersonNm
PTIN	P00451499	PTIN
Phone	2298837878	PhoneNum
Preparation	2020-06-02	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	208.73.87.26	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-06-02	IPDt
IP Tm	08:52:22	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	4CBA007748001054B08667E27937D55B21D3D7C4	AtSubmissionCreationDeviceId
At Submission Filing Device Id	BCE9FDEBD4CA8CCF95D3BA2F4EBE0DF2FFF03695	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-06 18:47:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	SEE SCHEDULE O	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 JOHNSON FERRY ROAD NE	AddressLine1Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30342	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$936,735,120	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GWINNETTMEDICALCENTER.ORG/FACILITI	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1992	FormationYr
Legal Domicile State	GA	LegalDomicileStateCd
Activity Or Mission	GWINNETT HOSPITAL SYSTEM, INC. IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GREATER GWINNETT COMMUNITY. GWINNETT HOSPITAL SYSTEM HAS TWO FACILITIES LOCATED IN DULUTH AND LAWRENCEVILLE, GEORGIA THAT TOGETHER PROVIDE ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALTY, OPEN HEART SURGERY, SEVERAL CLINICS, AND A FULL CONTINUUM OF WELLNESS SERVICES. THE FACILITIES EACH OPERATE A YEAR ROUND EMERGENCY ROOM OPEN 24 HOURS A DAY, 7 DAYS A WEEK.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	6005	TotalEmployeeCnt
Total Volunteers	390	TotalVolunteersCnt
Total Gross UBI	$266,217	TotalGrossUBIAmt
PY Contributions Grants	$2,822,891	PYContributionsGrantsAmt
CY Contributions Grants	$3,215,796	CYContributionsGrantsAmt
PY Program Service Revenue	$721,157,945	PYProgramServiceRevenueAmt
CY Program Service Revenue	$721,001,843	CYProgramServiceRevenueAmt
PY Investment Income	$14,075,124	PYInvestmentIncomeAmt
CY Investment Income	$17,405,169	CYInvestmentIncomeAmt
PY Other Revenue	$16,295,403	PYOtherRevenueAmt
CY Other Revenue	$10,289,197	CYOtherRevenueAmt
PY Total Revenue	$754,351,363	PYTotalRevenueAmt
CY Total Revenue	$751,912,005	CYTotalRevenueAmt
PY Grants And Similar Paid	$40,235,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$38,786,617	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$347,494,655	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$367,537,416	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$374,059,679	PYOtherExpensesAmt
CY Other Expenses	$390,240,621	CYOtherExpensesAmt
PY Total Expenses	$761,789,834	PYTotalExpensesAmt
CY Total Expenses	$796,564,654	CYTotalExpensesAmt
PY Revenues Less Expenses	-$7,438,471	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$44,652,649	CYRevenuesLessExpensesAmt
Total Assets BOY	$888,989,982	TotalAssetsBOYAmt
Total Assets EOY	$848,485,246	TotalAssetsEOYAmt
Total Liabilities BOY	$396,630,542	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$419,510,587	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$492,359,440	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$428,974,659	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	GWINNETT HOSPITAL SYSTEM, INC. IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GREATER GWINNETT COMMUNITY. GWINNETT HOSPITAL SYSTEM HAS TWO FACILITIES LOCATED IN DULUTH AND LAWRENCEVILLE, GEORGIA THAT TOGETHER PROVIDE ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALTY, OPEN HEART SURGERY, SEVERAL CLINICS, AND A FULL CONTINUUM OF WELLNESS SERVICES. THE FACILITIES EACH OPERATE A YEAR ROUND EMERGENCY ROOM OPEN 24 HOURS A DAY, 7 DAYS A WEEK.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$675,842,558	ExpenseAmt
Grant	$38,786,617	GrantAmt
Revenue	$720,909,738	RevenueAmt
Desc	GWINNETT HOSPITAL SYSTEM, INC.'S PRIMARY PROGRAM SERVICE ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITAL PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, OPEN HEART SURGERY, NEUROSCIENCE SPECIALTY; AND IT OPERATES TWO EMERGENCY ROOMS. IT OFFERS WELL WOMAN SERVICES, AND A FULL CONTINUUM OF WELLNESS SERVICES. IN ADDITION, THE HOSPITAL PROVIDES NURSING CARE IN THE AREAS OF MEDICAL, POST-SURGICAL, OPEN HEART, EMERGENCY CARE, CRITICAL AND INTERMEDIATE CARE TO PATIENTS. THE HOSPITAL NOW HAS AN EVER-EXPANDING GRADUATE MEDICAL EDUCATION PROGRAM WHICH SERVICES PATIENTS IN CLINICAL SETTINGS, TRAINING FUTURE PHYSICIANS. THE HOSPITAL PROVIDES SEVERAL SUBSIDIZED SERVICES TO THE PUBLIC BELOW COSTS, INCLUDING: A CARE-A-VAN FOR SPORTS MEDICINE, DIABETES AND NUTRITION SERVICES, REHAB AND RENAL SERVICES, AND A WOUND CARE CLINIC. THE HOSPITAL PROVIDES ORTHOPAEDIC TRAUMA SERVICES THROUGH AN AGREEMENT WITH HUGHSTON CLINIC, P.C. DURING FISCAL YEAR 2019, THE HOSPITAL OPENED A RADIOLOGY DEPARTMENT AT PEACHTREE CORNERS AND AN IMAGING AND SPECIALTY CENTER IN GRAYSON, GEORGIA TO BETTER SERVE THE POPULATION OF THOSE AREAS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$5,716,389	ExpenseAmt
Revenue	$99,614	RevenueAmt
Desc	THE HOSPITAL SYSTEM PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES. THE LARGEST OF THESE PROGRAMS IS THE SPORTS MEDICINE SUPPORT SERVICES OFFERED THROUGH OUR SCHOOLS, COLLEGES AND THE GWINNETT COUNTY PARKS AND RECREATION DEPARTMENT. ANOTHER OF THESE PROGRAMS IS THE CANCER INSTITUTE WHICH PROVIDES NAVIGATORS, A DIETITIAN AND SOCIAL WORKERS TO SUPPORT PATIENTS WITH SPECIFIC TYPES OF CANCER. ANOTHER OF THE PROGRAMS IS THE FAITH COMMUNITY NURSING PROGRAM WHICH IS LOCATED IN MANY OF OUR FAITH-BASED ORGANIZATIONS. THESE COMMUNITY FAITH-BASED PROGRAMS PROVIDE SERVICES TO THE UNDERSERVED, LOW INCOME AND MINORITY POPULATION. THESE HEALTH IMPROVEMENT SERVICES ARE CONDUCTED IN THE COMMUNITY THROUGH 10 FAITH-HEALTH ORGANIZATIONS AND 19 SCHOOLS, AS WELL AS MANY YOUTH SPORTS LEAGUES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$15,755,600	ExpenseAmt
Revenue	$6,253,766	RevenueAmt
Desc	THE GRADUATE MEDICAL EDUCATION PROGRAMS CONTINUE TO INCREASE THE NUMBER OF RESIDENTS WE HAVE AT GWINNETT HOSPITAL SYSTEM. THE HOSPITAL SYSTEM ALSO PROVIDES HEALTH PROFESSIONAL EDUCATION SERVICES WHICH FOCUS ON NURSING, OTHER ALLIED HEALTH PROFESSIONALS AND PHYSICIAN CONTINUING EDUCATION PROGRAMS. GWINNETT HOSPITAL SYSTEM IS ASSOCIATED WITH MORE THAN 40 ACADEMIC INSTITUTIONS FOR HEALTH PROFESSIONALS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$697,314,547	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	571	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	6005	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID THOMPSON	PersonNm
Phone	4043002980	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 JOHNSON FERRY ROAD	AddressLine1Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30342	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
K CARLTON BUCHANAN MD
BOARD MEMBER	2.00	3.00	Yes (X)	$50,139	$0	$0
A KEITH CARNES MD
BOARD MEMBER	2.00	4.00	Yes (X)	$3,805	$0	$0
J MICHAEL LEVENGOOD JD
CHAIRMAN	2.00	5.00	Yes (X)	$3,395	$0	$0
L C JOHNSON
BOARD MEMBER	2.00	5.00	Yes (X)	$2,945	$0	$0
TERRI JONDAHL
BOARD MEMBER	2.00	3.00	Yes (X)	$2,750	$0	$0
PHILIP WOLFE
PRESIDENT &	38.00	23.00		$1,319,212	$0	$39,731	Yes (X)
ALAN BIER
EXECUTIVE VP	60.00			$696,949	$0	$33,254	Yes (X)
JESSIE T SHEPHERD
EXECUTIVE VP	40.00	20.00		$693,269	$0	$103,936	Yes (X)
THOMAS Y MCBRIDE III
EXECUTIVE VP	40.00	20.00		$622,417	$0	$33,999	Yes (X)
STEPHEN NADEAU
SR. VP OF HU	60.00			$441,659	$0	$43,920	Yes (X)
PATRICIA A LAVELY
SR. VP & CIO	60.00			$439,426	$0	$50,397	Yes (X)
PETER WHEELER
GENERAL COUN	40.00	20.00		$410,979	$0	$74,375	Yes (X)
PAMELA GARLAND
VP & CNO	60.00			$216,480	$0	$53,250	Yes (X)
SEE SCHEDULE O
SEE SCHEDULE				$0	$0	$0	Yes (X)
SEE SCHEDULE O
SEE SCHEDULE				$0	$0	$0	Yes (X)
MARK D DARROW
DIRECTOR GME	60.00			$392,936	$0	$36,537		Yes (X)
NISHITH PATEL
VP & COO (GM	60.00			$375,842	$0	$33,253		Yes (X)
JAMES DENNARD JR
VP & COO (GM	60.00			$368,088	$0	$73,523		Yes (X)
MICHAEL C BOBLITZ
VP PLANNING	60.00			$301,641	$0	$59,285		Yes (X)
SCOTT OREM
VP FINANCE	60.00			$299,058	$0	$66,828		Yes (X)
JANET SCHWALBE
VP PHYSICIAN	60.00			$298,718	$0	$49,168		Yes (X)
THOMAS LYNCH
VP MANAGED C	60.00			$292,333	$0	$64,136		Yes (X)
CATHIE L BRAZELL
DIRECTOR WOM	60.00			$289,019	$0	$38,787		Yes (X)
CATHY DOUGHERTY
ASST. VP REV	60.00			$277,678	$0	$39,653		Yes (X)
TODD E VERMEER MD
CMIO	60.00			$258,982	$0	$44,427		Yes (X)
DIANA POTTS
CHIEF NURSIN	60.00			$258,322	$0	$28,175		Yes (X)
BONNY RICHARDSON
ASSOCIATE GE	40.00	20.00		$207,744	$0	$32,287		Yes (X)
MIKE HEMPHILL
DIRECTOR OF	60.00			$151,552	$0	$23,750		Yes (X)
PETER JKAPLAN MD
TEACHING FAC	40.00			$323,845	$3,738	$34,894			Yes (X)
JOHN S HARVEY MD
PRG. DIRECTO	60.00			$320,233	$3,986	$37,407			Yes (X)
KEVIN E JOHNSON MD
PROGRAM DIRE	60.00			$252,878	$0	$44,588			Yes (X)
KIMBERLY C BATES MD
PROGRAM DIRE	60.00			$252,180	$0	$43,689			Yes (X)
TANNA LIM MD
TEACHING FAC	40.00			$249,491	$0	$36,506			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,073,965	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,724	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,219,755	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	384	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ALLIANCE LAUNDRY & TEXTILE SERVICES
60 GRINDER STREET	BUFFALO	NY	14215	LAUNDRY	$3,190,606
ADCAP NETWORK SYSTEMS INC
PO BOX 5365	NEW YORK	NY	10087	IT SERVICES	$2,312,195
CUMBERLAND GROUP LLC
PO BOX 932555	ATLANTA	GA	31193	NETWORK SERVICE	$1,565,271
STRATEGIC PRODUCTS & SERVICES LLC
PO BOX 780987	PHILADELPHIA	PA	19178	IT	$1,436,412
BOTTOM LINE SYSTEMS LLC
541 BUTTERMILK PIKE	BUTTERMILK SPRINGS	KY	41017	BILLING	$1,213,579

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,008,923	RelatedOrganizationsAmt
Government Grants	$1,014,113	GovernmentGrantsAmt
All Other Contributions	$192,760	AllOtherContributionsAmt
Total Contributions	$3,215,796	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	623000	$715,026,129	$715,026,129
DISCOUNTS	623000	$3,001,196	$3,001,196
MANAGEMENT FEES	623000	$2,106,514	$2,106,514
OTHER REVENUE	623000	$500,384	$500,384
MANAGEMENT FEES - UNRELATED	561000	$318,381		$318,381

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,239	TotalRevenueColumnAmt
Unrelated Business Revenue	$49,239	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$721,001,843	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,650,351	TotalRevenueColumnAmt
Exclusion	$11,650,351	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$661,264	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$661,264	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$661,264	TotalRevenueColumnAmt
Exclusion	$661,264	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$189,518,266	SecuritiesAmt
Other	$1,059,667	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$184,594,531	SecuritiesAmt
Other	$228,584	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,923,735	SecuritiesAmt
Other	$831,083	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,754,818	TotalRevenueColumnAmt
Exclusion	$5,754,818	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
GME REVENUES	611600	$2,886,758	$2,886,758
CAFETERIA & VENDING	722514	$2,191,180		$2,191,180
HUGHSTON CLINIC	621110	$1,245,321	$1,245,321

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,304,674	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,496,816	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$101,403	UnrelatedBusinessRevenueAmt
Exclusion	$909,261	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,627,933	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$751,912,005	TotalRevenueColumnAmt
Related Or Exempt Func Income	$727,263,118	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$266,217	UnrelatedBusinessRevenueAmt
Exclusion	$21,166,874	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$38,721,851	TotalAmt
Program Services	$38,721,851	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$64,766	TotalAmt
Program Services	$64,766	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,641,692	TotalAmt
Program Services	$1,385,463	ProgramServicesAmt
Management And General	$7,256,229	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$292,610,236	TotalAmt
Program Services	$259,916,124	ProgramServicesAmt
Management And General	$32,694,112	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,033,974	TotalAmt
Program Services	$11,333,445	ProgramServicesAmt
Management And General	$1,700,529	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,251,974	TotalAmt
Program Services	$29,505,129	ProgramServicesAmt
Management And General	$3,746,845	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,999,540	TotalAmt
Program Services	$17,390,221	ProgramServicesAmt
Management And General	$2,609,319	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,868,622	TotalAmt
Program Services	$4,233,418	ProgramServicesAmt
Management And General	$635,204	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,047,711	TotalAmt
Program Services	$5,449,659	ProgramServicesAmt
Management And General	$1,598,052	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$437,783	TotalAmt
Program Services	$380,666	ProgramServicesAmt
Management And General	$57,117	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$353,485	TotalAmt
Management And General	$353,485	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$76,280,212	TotalAmt
Program Services	$48,152,876	ProgramServicesAmt
Management And General	$28,127,336	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,793,556	TotalAmt
Program Services	$176,647	ProgramServicesAmt
Management And General	$2,616,909	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,099,276	TotalAmt
Program Services	$10,123,369	ProgramServicesAmt
Management And General	$4,975,907	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,037,614	TotalAmt
Program Services	$4,635,762	ProgramServicesAmt
Management And General	$7,401,852	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,245,453	TotalAmt
Program Services	$13,386,395	ProgramServicesAmt
Management And General	$859,058	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$439,054	TotalAmt
Program Services	$276,828	ProgramServicesAmt
Management And General	$162,226	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$375,169	TotalAmt
Program Services	$274,519	ProgramServicesAmt
Management And General	$100,650	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,032,041	TotalAmt
Program Services	$11,032,041	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,636,970	TotalAmt
Program Services	$29,636,970	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$16,927,825	TotalAmt
Program Services	$16,618,676	ProgramServicesAmt
Management And General	$309,149	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL & SURGICAL SUPPLI	$162,059,416	$161,399,284	$660,132
EQUIPMENT RENTAL & MAINT.	$15,987,606	$13,772,551	$2,215,055
PROVIDER FEES	$9,766,015	$9,766,015
FOOD	$3,923,197	$3,244,188	$679,009

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,929,616	TotalAmt
Program Services	$6,437,684	ProgramServicesAmt
Management And General	$491,932	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$796,564,654	TotalAmt
Program Services	$697,314,547	ProgramServicesAmt
Management And General	$99,250,107	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$54,120,896	BOYAmt
EOY	$43,826,998	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$34,233,875	BOYAmt
EOY	$34,931,468	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$98,427,097	BOYAmt
EOY	$59,686,709	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$7,761,737	BOYAmt
EOY	$10,494,002	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,007,484	BOYAmt
EOY	$7,414,592	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,476,196	BOYAmt
EOY	$13,695,288	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$732,031,208	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$514,822,055	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$237,105,000	BOYAmt
EOY	$217,209,153	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$390,423,778	BOYAmt
EOY	$411,054,265	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$21,869,083	BOYAmt
EOY	$22,957,230	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,711,149	BOYAmt
EOY	$9,711,149	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,853,687	BOYAmt
EOY	$17,504,392	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$888,989,982	BOYAmt
EOY	$848,485,246	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$58,325,583	BOYAmt
EOY	$63,642,876	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$148,940	BOYAmt
EOY	$14,849,887	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$270,740,000	BOYAmt
EOY	$263,460,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$67,416,019	BOYAmt
EOY	$77,557,824	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$396,630,542	BOYAmt
EOY	$419,510,587	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$474,682,092	BOYAmt
EOY	$409,935,056	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,416,745	BOYAmt
EOY	$14,243,121	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,260,603	BOYAmt
EOY	$4,796,482	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$492,359,440	BOYAmt
EOY	$428,974,659	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$888,989,982	BOYAmt
EOY	$848,485,246	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$44,652,649	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,188,274	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$13,260,000	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$10,660,406	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$89,633	OtherActivitiesAmt
Total Lobbying Expenditures	$89,633	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	DUES PAID TO THE GEORGIA HOSPITAL ASSOCIATION WERE 315,061 OF THIS AMOUNT, APPROXIMATELY 25%, OR 78,795 WERE FOR LOBBYING. GHA ALSO COLLECTS DUES FOR THE AMERICAN HOSPITAL ASSOCIATION. GWNINNET HOSPITAL PAID AHA DUES IN THE AMOUNT OF 47,162; 22.98% OF WHICH WAS FOR LOBBYING (10,838).	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,677,348	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,362,255	InvestmentEarningsOrLossesAmt
End Year Balance	$19,039,603	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,418,968	BeginningYearBalanceAmt
Contributions	-$4,005	ContributionsAmt
Investment Earnings Or Losses	$1,262,385	InvestmentEarningsOrLossesAmt
End Year Balance	$17,677,348	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,725,769	BeginningYearBalanceAmt
Contributions	$674,126	ContributionsAmt
Investment Earnings Or Losses	$2,019,073	InvestmentEarningsOrLossesAmt
End Year Balance	$16,418,968	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,718,864	BeginningYearBalanceAmt
Contributions	$1,178,882	ContributionsAmt
Investment Earnings Or Losses	$828,023	InvestmentEarningsOrLossesAmt
End Year Balance	$13,725,769	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,214,402	BeginningYearBalanceAmt
Contributions	$1,970,731	ContributionsAmt
Investment Earnings Or Losses	-$466,269	InvestmentEarningsOrLossesAmt
End Year Balance	$11,718,864	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.25200	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.74800	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,734,214	OtherCostOrOtherBasisAmt
Book Value	$18,734,214	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$303,411,292	OtherCostOrOtherBasisAmt
Depreciation	$178,895,635	DepreciationAmt
Book Value	$124,515,657	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,116,817	OtherCostOrOtherBasisAmt
Depreciation	$19,068,502	DepreciationAmt
Book Value	$3,048,315	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$380,265,864	OtherCostOrOtherBasisAmt
Depreciation	$314,487,353	DepreciationAmt
Book Value	$65,778,511	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,503,021	OtherCostOrOtherBasisAmt
Depreciation	$2,370,565	DepreciationAmt
Book Value	$5,132,456	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$217,209,153	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
INTEREST RATE SWAPS	$35,026,866
SELF-INSURANCE RESERVES	$13,992,687
DUE TO AFFILIATES	$13,962,741
THIRD PARTY SETTLEMENTS	$9,213,620
ACCRUED INTEREST PAYABLE	$3,481,493
EXECUTIVE BENEFITS LIABILITY	$1,851,728
ACCRUED AUDIT LIABILITY	$1,500,000
CANCER COLLECTIONS PAYABLE	$654,956
ASSET RETIREMENT OBLIGATION	$300,865
SALES & REALTY TAX	$72,144
BOND EXPENSE PAYABLE	-$2,499,276

Field	Value	IRS element (for citing)
Total Liability	$77,557,824	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$749,467,192	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$5,188,274	NetUnrealizedGainsInvstAmt
Other Revenue	-$7,381,005	OtherRevenueAmt
Revenue Not Reported	-$2,192,731	RevenueNotReportedAmt
Revenue Subtotal	$751,659,923	RevenueSubtotalAmt
Investment Expenses Not Incld	$353,485	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$101,403	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$252,082	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$751,912,005	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$757,921,568	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$757,921,568	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$353,485	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$38,289,601	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$38,643,086	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$796,564,654	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4	TO SUPPORT GWINNETT HOSPITAL SYSTEM, INC.
SCHEDULE D, PAGE 3, PART X	THE HOSPITAL HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON UNRELATED BUSINESS INCOME. THE HOSPITAL APPLIES FASB ASC TOPIC 740, INCOME TAXES (ASC 740), WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS. IT ALSO PROVIDES GUIDANCE ON THE TIMING OF RECOGNITION OF TAX POSITIONS IN AN ENTITY'S FINANCIAL STATEMENTS AND THE DETERMINATION OF THE VALUES OF THESE POSITIONS. THE HOSPITAL DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX POSITIONS THAT SHOULD BE RECOGNIZED IN THE FINANCIAL STATEMENTS FOR 2019.
SCHEDULE D, PAGE 4, PART XI, LINE 2D	INTEREST RATE SWAP CHANGE -7,381,005
SCHEDULE D, PAGE 4, PART XI, LINE 4B	UBI FROM PARTNERSHIP K-1 -101,403
SCHEDULE D, PAGE 4, PART XII, LINE 4B	TRANSFERS TO AFFILIATES 38,289,601

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	1.250000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,356,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,472,015	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,884,609	NetCommunityBenefitExpnsAmt
Total Expense	0.07390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,761,608	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,446,417	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,315,191	NetCommunityBenefitExpnsAmt
Total Expense	0.04560	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$178,118,232	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,918,432	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,199,800	NetCommunityBenefitExpnsAmt
Total Expense	0.11950	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	98	ActivitiesOrProgramsCnt
Persons Served	207030	PersonsServedCnt
Total Community Benefit Expns	$5,716,389	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$99,614	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,616,775	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	42	ActivitiesOrProgramsCnt
Persons Served	7924	PersonsServedCnt
Total Community Benefit Expns	$15,755,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,253,766	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,501,834	NetCommunityBenefitExpnsAmt
Total Expense	0.01190	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	11028	PersonsServedCnt
Total Community Benefit Expns	$50,757,049	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,533,667	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,223,382	NetCommunityBenefitExpnsAmt
Total Expense	0.01030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,940	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,940	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	147	ActivitiesOrProgramsCnt
Persons Served	225982	PersonsServedCnt
Total Community Benefit Expns	$72,236,978	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,887,047	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,349,931	NetCommunityBenefitExpnsAmt
Total Expense	0.02930	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	147	ActivitiesOrProgramsCnt
Persons Served	225982	PersonsServedCnt
Total Community Benefit Expns	$250,355,210	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$131,805,479	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$118,549,731	NetCommunityBenefitExpnsAmt
Total Expense	0.14880	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	716	PersonsServedCnt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	372	PersonsServedCnt
Total Community Benefit Expns	$24,914	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,914	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1088	PersonsServedCnt
Total Community Benefit Expns	$24,914	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,914	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$128,232,247	BadDebtExpenseAmt
Bad Debt Expense Attributable	$26,439,266	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$126,598,671	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$141,731,006	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,132,335	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT PHY CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	RENTAL REAL ESTATE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.07000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.90000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Business Name Line2BusinessName/BusinessNameLine2Txt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
GWINNETT MEDICAL CENTER (GMC)
1	LAWRENCEVILLE	1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	WWW.GWINNETTMEDICALCENTER.ORG	067-460	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
GWINNETT MEDICAL CENTER
2	DULUTH	3620 HOWELL FERRY ROAD	DULUTH	GA	30096	WWW.GWINNETTMEDICALCENTER.ORG	067-628	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.GWINNETTMEDICALCENTER.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SUPPLEMENTAL INFORMATION	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	125.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.GWINNETTMEDICALCENTER.ORG/MEDIA/FI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.GWINNETTMEDICALCENTER.ORG/MEDIA/FI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.GWINNETTMEDICALCENTER.ORG/PATIENTS	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER (GMC) - PART V, LINE 3E	THE TOP PRIORITY AREAS WERE IDENTIFIED TO MEET COMMUNITY NEEDS: MANAGE HEALTH CONDITIONS AND CHRONIC DISEASE TREATMENTS - PROVIDE EMERGENCY SERVICES FOR ACUTE CONDITIONS AND INJURIES - PROVIDE SERVICES TO TREAT AND MANAGE CHRONIC DISEASES AND ACUTE CONDITIONS - PROVIDE SERVICES TO PROMOTE INDEPENDENCE FOR PERSONS WITH DISABLING CONDITION - PROVIDE COMPREHENSIVE SERVICES TO THOSE SUFFERING FROM THE DISEASE OF OBESITY - PROVIDE SERVICES TO THE INTERNATIONAL POPULATION IMPROVE ACCESS TO CARE - COLLABORATE WITH COMMUNITY HEALTHCARE PROVIDERS TO IMPROVE ACCESS TO CARE - ASSIST THE INTERNATIONAL COMMUNITY IN ACCESSIBILITY OF HEALTHCARE SERVICES - COLLABORATE WITH COMMUNITY ORGANIZATIONS FOR ACCESS TO TREATMENT OF BEHAVIORAL HEALTH AND MENTAL DISORDERS - COLLABORATE WITH COMMUNITY ORGANIZATIONS FOR ACCESS TO SERVICES FOR PERSONS WITH DISABILITIES PREVENT CHRONIC DISEASES AND INCREASE WELLNESS - COLLABORATE WITH COMMUNITY ORGANIZATIONS TO INCREASE PHYSICAL ACTIVITIES AND HEALTHY EATING - COLLABORATE WITH COMMUNITY ORGANIZATIONS TO RAISE HEALTHY KIDS - COLLABORATE WITH COMMUNITY ORGANIZATIONS TO PROMOTE HEALTHY AGING - COLLABORATE WITH COMMUNITY ORGANIZATIONS TO PREVENT AND DETECT CHRONIC DISEASE
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER (GMC) - PART V, LINE 5	COMMUNITY INVOLVEMENT AND INPUT IS AN IMPORTANT COMPONENT OF OUR NEEDS ASSESSMENT PROCESS. THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES IS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO ADDRESSING THE HEALTH AND HUMAN SERVICE NEEDS OF EVERYONE IN GWINNETT COUNTY. IT DOES SO THROUGH COLLABORATIVE COMMUNITY PLANNING, APPLIED RESEARCH, COMMUNITY EDUCATION, MEMBERSHIP DIVERSITY, CONSENSUS BUILD, ADVOCACY AND INNOVATION. OUR ORGANIZATION HAS BEEN AN ACTIVE PARTNER OF THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES (GWINNETT COALITION) FOR MORE THAN 30 YEARS. IN AUGUST 2018, THE PLAN TO CONDUCT THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS APPROVED BY GWINNETT HOSPITAL SYSTEM SENIOR LEADERSHIP COMMITTEE AND THE COMMUNITY HEALTH AND WELLNESS COUNCIL. IN AUGUST 2018, THE BOARD OF DIRECTORS COMMUNITY BENEFIT COMMITTEE APPROVED THE PLAN AND THE PLAN WAS SHARED WITH THE LEADERSHIP COMMITTEES AT THE LAWRENCEVILLE AND DULUTH HOSPITALS. THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES ALSO AGREED TO COLLABORATE WITH GWINNETT MEDICAL CENTER AND THE GWINNETT COUNTY HEALTH DEPARTMENT TO GATHER COMMUNITY DATA TO BE SHARED BY ALL THREE ORGANIZATIONS FOR COMMUNITY ASSESSMENT PROCESSES. THESE THREE ENTITIES COMMITTED TO PROVIDING FINANCIAL AND IN-KIND SUPPORT FOR THE ASSESSMENT PROCESS. THE ASSESSMENT ALSO INCLUDED PARTICIPATION OF COUNTY DEPARTMENTS, SCHOOL DISTRICTS AND COMMUNITY SERVICE AGENCIES PROVIDING HEALTH AND RELATED SERVICES. TO ENSURE INPUT FROM PERSONS WITH BROAD KNOWLEDGE OF THE COMMUNITY, THE PARTNERSHIP CONDUCTED FOCUS GROUPS, COMMUNITY SERVICE AGENCY COMMITTEE MEETINGS AND COMMUNITY KEY LEADER INTERVIEWS. THE GWINNETT COUNTY 2014 YOUTH SURVEY RESULTS WITH MORE THAN 48,000 PARTICIPANTS WERE INCLUDED IN THE COMMUNITY INPUT DATA SET AS WELL AS THE SUMMARY COMMUNITY REFERRAL TREND DATA FROM THE GWINNETT COALITION'S HELPLINE WERE INCLUDED IN THE ANALYSIS FROM 2015 THROUGH 2017. GWINNETT COUNTY COALITION FOR HEALTH AND HUMAN SERVICES LEADERSHIP INCLUDES ELLEN GERSTEIN, EXECUTIVE DIRECTOR, KEITH FENTON, CHIEF OPERATING OFFICER, SUZY BUS, HELPLINE DIRECTOR, KIM THOMAS, PLANNING AND EVALUATION MANAGER, SARAH JANE BASKIN, PROGRAM SPECIALIST, AND RACHAEL HOLDER, SPECIAL PROJECTS COORDINATOR. GWINNETT COUNTY PUBLIC HEALTH DEPARTMENT STAFF MEMBERS WHO PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDE THE FOLLOWING: LLOYD M. HOFER, M.D., M.P.H. RECEIVED HIS MEDICAL DEGREE IN 1973, FROM THE UNIVERSITY OF ALABAMA. DR. HOFER IS BOARD CERTIFIED IN PEDIATRICS AND CERTIFIED IN MEDICAL MANAGEMENT. DR. HOFER PRACTICED PEDIATRICS AND ADOLESCENT HEALTH IN HATTIESBURG, MISSISSIPPI AND MONTGOMERY, ALABAMA. IN 1987 DR. HOFER BEGAN HIS PROFESSIONAL CAREER IN PUBLIC HEALTH WITH THE ALABAMA DEPARTMENT OF PUBLIC HEALTH WHERE HE SERVED AS THE DIRECTOR OF THE DIVISION OF CHILD HEALTH UNTIL 1992. IN 1992, DR. HOFER ACCEPTED THE POSITION OF DISTRICT 4 HEALTH DIRECTOR IN LAGRANGE, GEORGIA, DIVISION OF PUBLIC HEALTH, DEPARTMENT OF HUMAN RESOURCES SERVING 12 COUNTIES. DR. HOFER DIRECTED MANAGEMENT OF FISCAL, CLINICAL, ADMINISTRATION, AND DAY TO DAY OPERATION OF THE COUNTY HEALTH DEPARTMENTS. HE SERVED IN THIS CAPACITY UNTIL 1997. FROM 1997 TO 2001 DR. HOFER WAS AN ASSOCIATE MEDICAL DIRECTOR FOR BLUE CROSS BLUE SHIELD IN TENNESSEE AND ALABAMA. DR. HOFER RETURNED TO GEORGIA PUBLIC HEALTH IN JANUARY 2002 AND IS THE DISTRICT HEALTH DIRECTOR FOR GWINNETT, NEWTON & ROCKDALE COUNTIES. CONNIE RUSSELL IS THE DISTRICT PROGRAM DIRECTOR FOR GWINNETT, NEWTON, AND ROCKDALE COUNTY HEALTH DEPARTMENTS, WHERE SHE HAS WORKED SINCE 2001 TO SUPPORT THE HEALTH AND WELLBEING OF THE COMMUNITY. IN ADDITION TO HER ADMINISTRATIVE RESPONSIBILITIES FOR MULTIPLE PUBLIC HEALTH PROGRAMS, SHE IS A COMMUNITY LIAISON FOR THE HEALTH DEPARTMENT. SHE SERVES ON THE BOARDS OF GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES, GWINNETT ADVISORY BOARD OF UNITED WAY OF GREATER ATLANTA AND THE GEORGIA EAST METRO MEDICAL RESERVE CORPS. CONNIE IS A NATIVE OF GEORGIA WHO HOLDS A B.A IN PSYCHOLOGY, M.A. IN PSYCHOLOGICAL SCIENCES (GSU), AND M.P.H IN HEALTH PROMOTION AND BEHAVIOR (GSU). SHE IS A MASTER CERTIFIED HEALTH EDUCATION SPECIALIST (MCHES). TARA ECHOLS RECEIVED HER BACHELOR OF SCIENCE DEGREE IN BIOLOGY FROM BOWLING GREEN STATE UNIVERSITY IN BOWLING GREEN, OHIO; A MASTER OF BUSINESS ADMINISTRATION DEGREE FROM THE UNIVERSITY OF PHOENIX-CLEVELAND CAMPUS; AND A MASTER OF PUBLIC HEALTH DEGREE FROM EMORY UNIVERSITY. SHE HAS SIXTEEN YEARS OF EXPERIENCE IN PUBLIC HEALTH INCLUDING WORK IN LEAD POISONING PREVENTION, FOOD SAFETY, EMERGENCY PREPAREDNESS, BEHAVIORAL HEALTH, HEALTH PROMOTION AND EDUCATION. TARA HAS SERVED IN VARIOUS LEADERSHIP CAPACITIES WITHIN THE GWINNETT, NEWTON AND ROCKDALE (GNR) COUNTY HEALTH DEPARTMENTS SINCE JANUARY 2013 AND IS CURRENTLY THE PERFORMANCE MANAGEMENT & COMMUNITY HEALTH DIRECTOR. SHE SUCCESSFULLY LED GNR TO BECOME THE THIRD HEALTH DISTRICT IN THE STATE OF GEORGIA TO BECOME ACCREDITED BY THE PUBLIC HEALTH ACCREDITATION BOARD IN 2016, AND AS PART OF THAT PROCESS MANAGED THE COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING EFFORTS. AS A CERTIFIED SIX SIGMA GREEN BELT, TARA MANAGES ALL QUALITY IMPROVEMENT EFFORTS, AS WELL AS DEVELOPING AND IMPLEMENTING THE DEPARTMENT'S STRATEGIC PLAN. VERONICA MAHATHRE HAS BEEN THE HEALTH COMMUNICATIONS COORDINATOR AT THE GWINNETT, NEWTON AND ROCKDALE COUNTY HEALTH DEPARTMENTS SINCE 2017. SHE IS PASSIONATE ABOUT SPREADING AWARENESS OF PUBLIC HEALTH, MENTAL HEALTH, AND WELLNESS INITIATIVES TO THE GENERAL PUBLIC AND STAFF MEMBERS. PART OF HER WORK INCLUDES DEVELOPMENT AND IMPLEMENTATION OF COMMUNICATION AND MARKETING STRATEGIES TO TARGETED POPULATIONS FOR DISEASE PREVENTION. SHE COORDINATES COMMUNICATIONS FOR PROGRAMS AND STAFF ACROSS THE ORGANIZATION AS WELL AS WORKS WITH LOCAL MEDIA NEWS OUTLETS. SHE ALSO ACTS AS DEPUTY PUBLIC INFORMATION OFFICER FOR THE EMERGENCY PREPAREDNESS DEPARTMENT. VERONICA RECEIVED HER MASTER'S IN PUBLIC HEALTH WITH A FOCUS ON HEALTH PROMOTION & BEHAVIOR FROM GEORGIA STATE UNIVERSITY IN 2016. SHE HAS PREVIOUS WORK EXPERIENCE WITH ASSESSING HIV/AIDS PREVENTION MESSAGES AT THE CENTERS FOR DISEASE CONTROL AND PREVENTION, EARLY BEHAVIORAL INTERVENTIONS AT GEORGIA STATE UNIVERSITY'S CENTER FOR LEADERSHIP IN DISABILITY, AND EVALUATING WORKPLACE MEDITATION INTERVENTIONS AT EMORY UNIVERSITY. THE FOCUS GROUP MEETINGS FOR THE GWINNETT COUNTY COMMUNITY NEEDS ASSESSMENT TOOK PLACE IN FEBRUARY 2018 WITH A TOTAL OF 90 PARTICIPANTS. THE FOCUS GROUPS WERE A COLLABORATION OF NINE DIFFERENT POPULATIONS, INCLUDING: ENGAGED CITIZENS, VETERANS, SENIORS, HOMELESS, HISPANIC/LATINO, BEHAVIORAL HEALTH/SUBSTANCE ABUSE, FAMILIES OF ADULTS WITH DEVELOPMENTAL DISABILITIES, AFRICAN AMERICAN AND ASIAN. TOPICS DISCUSSED DURING THE FOCUS GROUP MEETINGS INCLUDE COMMUNITY RELATIONS AND ENGAGEMENT, ECONOMIC AND FINANCIAL STABILITY, EDUCATION, SAFETY, AGE FOCUS, AND HEALTH AND WELLNESS. MANY OF THE CONCERNS RAISED IN THESE FOCUS GROUPS ECHOED THE FINDINGS FROM OUR PREVIOUS ASSESSMENT. MOST OF THEM WERE INVOLVED IN THEIR COMMUNITIES, FELT SAFE AT HOME, WERE SATISFIED WITH EMS AND FIRE SERVICES, AS WELL AS PUBLIC SCHOOLS, LIBRARIES AND PARKS. MOST OF THE CHALLENGING ISSUES DEALT WITH TRANSPORTATION AND COMMUNICATION IN VARIOUS PARTS OF THEIR LIVES. THEY FELT THERE WAS NOT ENOUGH PUBLIC TRANSPORTATION TO SUPPORT JOBS AND HOUSING NEEDS IN THE COUNTY, IN ADDITION TO TRANSPORTATION NEEDS FOR YOUTH, SENIORS AND DISABLED. THE GROUPS WERE CONCERNED ABOUT COMMUNICATION, WITH A MAJOR EMPHASIS ON RESOURCES AND HOW TO ACCESS THOSE RESOURCES. THEY WERE NOT AWARE OF HEALTH DEPARTMENT RESOURCES AND FELT EMERGENCY PREPAREDNESS NEEDED TO BE ADDRESSED. IN COMMUNITY RELATIONS AND ENGAGEMENT, THE FOCUS GROUPS SPOKE OPENLY ABOUT THE POLITICAL SYSTEM NOT REPRESENTING ALL PEOPLE IN GWINNETT. THEY FELT THERE WERE MANY TRANSPLANTS FROM OTHER PLACES, AND THEY LACK FAMILY AND COMMUNITY SUPPORT TO BE SUCCESSFUL HERE. ECONOMIC AND FINANCIAL STABILITY WERE WIDESPREAD ISSUES AND COVERED JOBS, HOUSING AND HOMELESSNESS. OVERALL, THE GROUPS FELT THAT AVAILABLE JOBS DO NOT COVER THE COST OF LIVING IN GWINNETT. MANY STRUGGLE WITH LOW-PAYING ENTRY-LEVEL JOBS OR NOT ENOUGH HOURS. AFFORDABLE HOUSING IS A MAJOR NEED FOR MANY OF THE GROUPS. INCREASING RENT AND COST OF LIVING WITHOUT JOB STABILITY IS A STRAIN FOR MANY GWINNETT HOUSEHOLDS. THEY WERE CONCERNED ABOUT HOMELESSNESS IN THE COUNTY, ESPECIALLY PEOPLE STAYING IN EXTENDED-STAY HOTELS, PEOPLE TEMPORARILY LIVING WITH OTHER PEOPLE, AND NO RESOURCES AVAILABLE FOR HOMELESS MEN. SEVERAL GROUPS WERE WORRIED ABOUT FUTURE FINANCIAL STABILITY, PARTICULARLY FOR DISABLED ADULTS AND SENIORS. EDUCATION WAS A KEY ISSUE FOR THE FOCUS GROUPS. THEY FELT THE SCHOOL LEADERSHIP WAS NOT REPRESENTATIVE OF THE DIVERSITY OF THE COMMUNITY. THEY NOTICED A DISPARITY BETWEEN SCHOOL DISTRICTS IN THE COUNTY, AND MANY TIMES, THIS CORRELATED BACK TO FINANCIAL STABILITY IN FINDING GOOD SCHOOLS WHERE THEY COULD AFFORD TO LIVE. THE GROUPS
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER (GMC) - PART V, LINE 6A	GWINNETT MEDICAL CENTER IN LAWRENCEVILLE AND GWINNETT MEDICAL CENTER - DULUTH ARE LOCATED 10 MILES APART IN GWINNETT COUNTY AND SERVE THE SAME COMMUNITY. THE MAJORITY OF PATIENTS WHO USE EACH FACILITY ARE GWINNETT COUNTY RESIDENTS; THEREFORE, BOTH FACILITIES PARTICIPATED IN GATHERING DATA.
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER (GMC) - PART V, LINE 6B	THE CHNA WAS CONDUCTED THROUGH COLLABORATION WITH THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES AND THE GWINNETT COUNTY HEALTH DEPARTMENT.
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER (GMC) - PART V, LINE 11	BASED ON THE RESULTS OF THE 2019 CHNA THE TOP OPPORTUNITIES LIE IN THE FOLLOWING AREAS: - MANAGING HEALTH CONDITIONS AND CHRONIC DISEASE TREATMENTS - IMPROVING ACCESS TO CARE - PREVENTING CHRONIC DISEASES AND INCREASING WELLNESS OUR FACILITIES UPDATE THEIR IMPLEMENTATION STRATEGIES IN 2019 TO ADDRESS HEART DISEASE, STROKE, CANCER, EMERGENCY AND TRAUMA SERVICES, CHRONIC LOWER RESPIRATORY DISEASE, DIABETES, MATERNAL/INFANT HEALTH, INJURY PREVENTION AND WELLNESS PROGRAMS. THESE IMPLEMENTATION STRATEGIES INCLUDE DEPARTMENT DESCRIPTIONS AND AN IN-DEPTH TABLE OF PROGRAMS AND COMMUNITY COLLABORATIONS WITH SPECIFIC STRATEGIES LINKED TO THE IDENTIFIED NEEDS. PLEASE SEE THE 2019 LAWRENCEVILLE AND DULUTH IMPLEMENTATION STRATEGIES FOR COMPLETE DESCRIPTIONS. WHEN GATHERING INPUT FROM COMMUNITY MEMBERS THROUGH FOCUS GROUPS, COALITION SUBCOMMITTEES AND KEY INFORMANT INTERVIEWS, OUR COMMUNITY IDENTIFIED NEEDS IN AREAS AFFECTING QUALITY OF LIFE, COMMUNITY RELATIONS AND ENGAGEMENT, ECONOMIC AND FINANCIAL STABILITY, EDUCATION, SAFETY, YOUTH, AS WELL AS HEALTH AND WELLNESS. THE LEADING CONCERNS CONTINUE TO BE TRANSPORTATION AND ROAD CONGESTION, COMMUNITY COMMUNICATION AND ENGAGEMENT, INCREASING HOMELESSNESS AND JOB LOSSES, CRIME, LACK OF DIVERSITY IN COMMUNITY LEADERSHIP AND RESIDENTS WITHOUT ADEQUATE HEALTH INSURANCE. THESE COMMUNITY NEEDS ARE NOT BEING ADDRESSED DIRECTLY BY THE HOSPITAL BECAUSE THESE NEEDS ARE OUTSIDE THE HOSPITAL'S SCOPE OF PRACTICE AND THE HOSPITAL DOES NOT HAVE RESOURCES TO ADDRESS THEM. HOWEVER, AS A MEMBER ORGANIZATION OF THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES, WE PARTICIPATE IN COALITION INITIATIVES TO STRIVE TO IMPROVE THESE ISSUES IN COLLABORATION WITH OTHERS IN OUR COMMUNITY. FROM A HEALTH PERSPECTIVE, LACK OF ADEQUATE DENTAL CARE FOR RESIDENTS WITHOUT INSURANCE AND LACK OF MENTAL HEALTH SERVICES WERE IDENTIFIED NEEDS BY COMMUNITY REPRESENTATIVES. WHILE HOSPITAL LEADERSHIP AGREES THAT ADEQUATE DENTAL CARE FOR RESIDENTS WITHOUT INSURANCE IS AN ISSUE, ADDRESSING THIS ISSUE IS OUTSIDE THE HOSPITAL'S SCOPE OF PRACTICE. THE COALITION'S HEALTH AND WELLNESS COMMITTEE IS AWARE DENTAL CARE IS BEING PROVIDED ON A SLIDING-SCALE AT GOOD SAMARIAN COMMUNITY CLINIC. AT THIS TIME LIMITED RESOURCES FOR THIS INITIATIVE HAS BEEN IDENTIFIED. THE AMERICAN DENTAL ASSOCIATION'S GWINNETT CHAPTER IS ALSO ADDRESSING THIS ISSUE. THERE ARE IDENTIFIED COMMUNITY HEALTH NEEDS IN WHICH OUR HOSPITALS ONLY PROVIDE MINIMAL SUPPORT BECAUSE WE DO NOT HAVE DESIGNATED TREATMENT UNITS OR OUTREACH PROGRAMS FOR THESE CONDITIONS. ALTHOUGH WE TRIAGE PATIENTS WITH BEHAVIORAL AND MENTAL HEALTH CONDITIONS AND SUBSTANCE ABUSE PROBLEMS IN OUR EMERGENCY DEPARTMENTS, OUR ORGANIZATION DOES NOT HAVE TREATMENT UNITS FOR THESE CONDITIONS. HOWEVER, GWINNETT HOSPITAL SYSTEM, INC. COVERS UP TO FIVE DAYS OF THE COST FOR TREATMENT AT RIVERWOODS FOR MEDICALLY INDIGENT EMERGENCY DEPARTMENT OR INPATIENT PATIENTS WHO MEET THE CRITERIA AND ARE IN NEED OF INPATIENT PSYCHIATRIC TREATMENT. SUMMITRIDGE HOSPITAL IN LAWRENCEVILLE AND LAKEVIEW BEHAVIORAL HEALTH IN NORCROSS ARE PRIVATE FOR-PROFIT PSYCHIATRY AND ADDICTION MEDICINE FACILITY. ADDITIONALLY, THE STATE OF GEORGIA PROVIDES MENTAL HEALTH SERVICES THROUGH VIEW POINT HEALTH (FORMERLY KNOWN AS GWINNETT ROCKDALE NEWTON COMMUNITY SERVICE BOARD). GMC-LAWRENCEVILLE HAS A LEVEL III NEONATAL INTENSIVE CARE UNIT AND A 12-BED PEDIATRIC EMERGENCY DEPARTMENT; HOWEVER, THE HOSPITAL DOES NOT HAVE A PRIMARY FOCUS ON INPATIENT PEDIATRICS. GWINNETT COUNTY HAS A WIDE RANGE OF PEDIATRIC HEALTHCARE SERVICES AVAILABLE THROUGH CHILDREN'S HEALTHCARE OF ATLANTA. THE SPORT'S MEDICINE PROGRAM IS A COMMUNITY OUTREACH PROGRAM THAT PROVIDES SPORTS MEDICINE TRAINERS FOR YOUTH IN LOCAL HIGH SCHOOLS AND COMMUNITY SPORTS ORGANIZATIONS.
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER (GMC) - PART V, LINE 13H	THE FOLLOWING TYPES OF ACCOUNTS MAY BE CONSIDERED CHARITY CARE ELIGIBLE WITHOUT ADDITIONAL DOCUMENTATION: (1) ACCOUNTS REFERRED TO COLLECTION AGENCIES THAT ARE RETURNED AS UNCOLLECTIBLE; (2) BANKRUPTCIES; (3) REFERRALS FROM APPROVED COMMUNITY AGENCIES; (4) NO ESTATE (DECEASED); (5) ELIGIBILITY FOR MEDICAID IN STATES OTHER THAN GEORGIA; ELIGIBILITY FOR STATE/FEDERAL PROGRAMS WHERE PROGRAM FUNDING HAS BEEN EXHAUSTED; (6) PRESUMPTIVE CHARITY QUALIFICATION. PRESUMPTIVE FINANCIAL ASSISTANCE IS A FAP DETERMINATION METHOD USED BY GHS. UPON INITIATION OF EMERGENCY, OUTPATIENT, AND INPATIENT SERVICES, GHS WILL UTILIZE A THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THIS PREDICTIVE MODEL INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIO- ECONOMIC AND FINANCIAL CAPACITY INDICATOR THAT INCLUDES ESTIMATES FOR INCOME, ASSETS AND LIQUIDITY. THE ELECTRONIC TECHNOLOGY IS DESIGNED TO ASSESS EACH PATIENT BY THE SAME STANDARDS AND IS CALIBRATED AGAINST HISTORICAL APPROVALS FOR GHS' FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS OUTLINED BELOW. THE INFORMATION RETURNED BY THIS MODELING APPLICATION WILL BE CONSIDERED ADEQUATE DOCUMENTATION FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. OTHER FINANCIAL DOCUMENTS WILL NOT BE REQUIRED IF THE PATIENT QUALIFIES FOR FREE CARE UNDER THE PRESUMPTIVE FINANCIAL ASSISTANCE METHODOLOGY.
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER (GMC) - PART V, LINE 16J	GMC COLLABORATES WITH COMMUNITY BASED CLINICS TO PROVIDE CHARITY CARE FOR CERTAIN SERVICES WITHOUT GOING THROUGH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IF CARE IS NEEDED BEYOND THE SERVICES EXCLUDED FROM THE PROCESS, THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE PROVIDED TO THE COMMUNITY MEMBER. THE THREE CLINICS ARE: 1.GOOD SAMARITAN CLINIC, 2.TRUTH'S COMMUNITY CLINIC, 3.HOPE CLINIC. IN ADDITION TO THE COMMUNITY BASED CLINICS, GMC HAS DEVELOPED THE FAITH COMMUNITY NETWORK WHICH CONNECTS THE HOSPITAL AND FAITH COMMUNITIES IN OUR AREA. THROUGH THIS OUTREACH, THE FINANCIAL ASSISTANCE IS SHARED WITH THE NETWORK TO ENSURE THE MEMBERS WITHIN THIS NETWORK ARE GIVEN OUR FINANCIAL ASSISTANCE INFORMATION. REGARDLESS IF A COMMUNITY MEMBER IS REFERRED BY AN OUTREACH PROGRAM, SHOULD HE PRESENT FOR CARE, OUR REGISTRATION TEAM PROVIDES DOCUMENTS THAT INCLUDE INFORMATION ABOUT OUR FINANCIAL ASSISTANCE POLICY AND APPLICATION. DURING THIS REGISTRATION, PAYMENT OPTIONS ARE DISCUSSED AND PROVIDED WHICH INCLUDES FINANCIAL ASSISTANCE AS AN OPTION. AS A REMINDER AFTER CARE, INFORMATION ABOUT FINANCIAL ASSISTANCE IS PROVIDED ON ALL BALANCE DUE STATEMENTS.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	THE WOUND TREATMENT CENTER IS A PHYSICIAN PRACTICE THAT WAS INCLUDED IN THE SUBSIDIZED SERVICES CATEGORY. THE FACILITIES PROVIDE SERVICES THAT MEET IDENTIFIED COMMUNITY NEEDS. THE CENTER OFFERS SERVICES THAT THE COMMUNITY DOES NOT CURRENTLY HAVE THE CAPACITY TO PROVIDE. THE MEDICAL PRACTICE PROVIDES A SIGNIFICANT BENEFIT TO THE COMMUNITY AND DOES NOT OPERATE PRIMARILY TO INCREASE REFERRALS OF PATIENTS WITH THIRD PARTY COVERAGE AS A MAJORITY OF THE PATIENTS ARE UNDERINSURED, UNINSURED OR COVERED BY FEDERAL OR STATE INSURANCE PLANS FOR AT-RISK POPULATIONS. IN ADDITION, THE MEDICAL PRACTICE IS OPERATED EFFICIENTLY AND PAYMENTS TO PHYSICIANS ARE REASONABLE AND IN-LINE WITH THE GUIDELINES FROM THE MEDICAL GROUP MANAGEMENT ASSOCIATION AS WELL AS PREVAILING COMMUNITY RATES FOR PHYSICIAN REIMBURSEMENT. EXPENSES AT COST FOR SUBSIDIZED SERVICES FOR THE PHYSICIAN PRACTICE HAS BEEN CALCULATED FROM TOTAL DEPARTMENT EXPENSES AT COST MINUS BAD DEBT, MEDICAID AND CHARITY CARE. - WOUND CARE CLINIC COSTS 648,401 WITH A NET COMMUNITY BENEFIT EXPENSE OF 173,827 - RENAL SERVICES COSTS 20,978,404 WITH A NET COMMUNITY BENEFIT EXPENSE OF 3,023,877 - DIABETES & NUTRITION COSTS 809,633 WITH A NET COMMUNITY BENEFIT EXPENSE OF 651,498 - TRAUMA SERVICES COSTS 25,874,150 WITH A NET COMMUNITY BENEFIT EXPENSE OF 3,703,400 - CONCUSSION INSTITUTE COSTS 1,204,936 WITH A NET COMMUNITY BENEFIT EXPENSE OF 613,560 - REHAB SERVICES COSTS 1,241,525 WITH A NET COMMUNITY BENEFIT EXPENSE OF 57,221
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	BAD DEBT EXPENSE OF 128,232,247 WAS OFFSET AGAINST REVENUES IN THE FINANCIAL STATEMENTS. THERE IS NO NEED TO ADJUST THE TOTAL EXPENSES USED TO CALCULATE THE PERCENTAGES IN PART 1, LINE 7, COLUMN (F).
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	LINE 7A - CHARITY CARE COSTS WERE CALCULATED USING A MEDICAID SPECIFIC COST-TO-CHARGE RATIO (CCR) FROM THE MEDICARE COST REPORT. A MEDICAID CCR WAS USED BECAUSE THE MEDICAID POPULATION BETTER REPRESENTS THE UTILIZATION AND ACUITY OF THE CHARITY POPULATION THAN THE USE OF AN OVERALL CCR AS CALCULATED IN WORKSHEET 2. A CCR WAS USED INSTEAD OF A COST ACCOUNTING SYSTEM BECAUSE CHARITY, AS WELL AS BAD DEBTS, REPRESENT ONLY A PORTION OF A PATIENT ACCOUNT THAT IS BEING WRITTEN OFF. LINE 7C - MEDICAID SHORTFALL WAS CALCULATED USING A MEDICAID SPECIFIC COST-TO-CHARGE RATIO FROM THE MEDICAID COST REPORT.
PART II - COMMUNITY BUILDING ACTIVITIES	COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AND ARE CAPTURED IN THE CATEGORIES OF LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COALITION BUILDING AND WORKFORCE DEVELOPMENT IN AN EFFORT TO ENHANCE PUBLIC HEALTH. OUR ORGANIZATION DID NOT PARTICIPATE IN THESE ACTIVITIES TO INCREASE REFERRALS OR TO FULFILL REGULATORY REQUIREMENTS OR CURRENT STANDARDS-OF-CARE. COALITION BUILDING INCLUDES PARTICIPATION OF THE FAITH COMMUNITY NURSING, WOMEN'S SERVICES, DIABETES AND NUTRITION SERVICES, LEARNING RESOURCES, TRAUMA SERVICES AND PHYSICIAN SERVICES DEPARTMENTS. THESE DEPARTMENTS PARTICIPATE IN COMMUNITY COALITIONS AND OTHER COLLABORATIVE EFFORTS WITH THE COMMUNITY TO ADDRESS SAFETY AND HEALTH ISSUES TO PROMOTE THE HEALTH OF THE COMMUNITY; FOR EXAMPLES, CHILD PROTECTION TASK FORCE, GWINNETT PUBLIC SCHOOL SYSTEM, AND THE YMCA BOARD OF DIRECTORS. OUR COMMUNITY COLLABORATIONS CONTINUE TO SUPPORT OUR VISION AND MISSION AND FURTHER TIE US TO THE COMMUNITY WE SERVE. GWINNETT HOSPITAL SYSTEM PARTICIPATED ON THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES BOARD THAT SERVES THE COMMUNITY THROUGH INITIATIVES DRIVEN BY ITS SUBCOMMITTEES (E.G., EXECUTIVE COMMITTEE, BOARD OF DIRECTORS, GREAT DAYS OF SERVICE, RESEARCH AND ACCOUNTABILITY COMMITTEE, HEALTH AND WELLNESS COMMITTEE AND SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT COMMITTEE). WE COLLABORATE WITH J. M. TULL - GWINNETT YMCA, GWINNETT UNITED IN DRUG EDUCATION, INC. (GUIDE), SAFE KIDS GWINNETT, AND BOY SCOUTS' MEDICAL EXPLORERS PROGRAM. OUR ORGANIZATION WORKS CLOSELY WITH THE GWINNETT CHAMBER OF COMMERCE AND ACTIVELY PARTICIPATES IN PARTNERSHIP GWINNETT, WHICH IS A COMPREHENSIVE PLAN THAT PARTNERS GOVERNMENT, EDUCATION, HEALTHCARE AND BUSINESS IN AN ECONOMIC DEVELOPMENT PLAN. IN ADDITION TO THE CHAMBER, GWINNETT HOSPITAL SYSTEM IS INVOLVED WITH INDIVIDUAL CITIES IN THE COUNTY. GWINNETT HOSPITAL SYSTEM IS INVOLVED WITH STATE AND COUNTY GOVERNMENT AGENCIES INCLUDING GEORGIA DEPARTMENT OF HEALTH AND HUMAN SERVICES, GWINNETT PUBLIC HEALTH DEPARTMENT, VIEW POINT HEALTH, GEORGIA TRAUMA CARE NETWORK COMMISSION, GEORGIA STATE OFFICE OF EMERGENCY MEDICAL SERVICES AND TRAUMA, PARTNERSHIP AGAINST DOMESTIC VIOLENCE (PADV), GWINNETT SEXUAL ASSAULT CENTER & CHILDREN'S ADVOCACY CENTER, GWINNETT COUNTY JUSTICE SYSTEM, GWINNETT COUNTY POLICE DEPARTMENT, GWINNETT COUNTY PUBLIC LIBRARY, GWINNETT COUNTY PUBLIC SCHOOL SYSTEM, DEPARTMENT OF FAMILY CHILDREN SERVICES (DFCS), DEPARTMENT OF AGING SERVICES (DAS), GWINNETT COUNTY SENIOR SERVICES AND THE GEORGIA MEDICARE FOUNDATION. GWINNETT HOSPITAL SYSTEM WORKS WITH NATIONAL AGENCIES WHICH HAVE LOCAL CHAPTERS INCLUDING THE AMERICAN HEART ASSOCIATION, AMERICAN RED CROSS, MARCH OF DIMES, AMERICAN STROKE ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION AND THE UNITED WAY. OUR EFFORTS IN WORKFORCE DEVELOPMENT INCLUDE RECRUITING PHYSICIANS IN MULTIPLE SPECIALTIES FOR COMMUNITY PRACTICES ACCORDING TO COMMUNITY NEEDS ESTABLISHED IN THE 2018 PHYSICIAN NEEDS ASSESSMENT. THE ORGANIZATION'S PRIMARY PURPOSE IN THESE EFFORTS IS TO ASSIST IN COMMUNITY PHYSICIAN RECRUITMENT TO IMPROVE ACCESS TO CARE IN OUR COMMUNITY.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	IN THE CURRENT YEAR, BAD DEBTS ARE REPORTED AT CHARGES WRITTEN OFF IN THE PERIOD PLUS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS. SEE THE LINE 4 NOTE BELOW FOR A MORE DETAILED DESCRIPTION OF THE METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 PER THE FINANCIAL STATEMENT FOOTNOTE RELATED TO "PROVISION FOR UNCOLLECTIBLE ACCOUNTS". DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED IN THE PATIENT BALANCE PRIOR TO ACCOUNTS BEING WRITTEN OFF TO BAD DEBT.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	THE HOSPITAL USES A NOTE ON THE PATIENT ACCOUNT TO IDENTIFY PATIENTS UNCOOPERATIVE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY THAT WOULD HAVE LIKELY QUALIFIED FOR CHARITY IF INFORMATION HAD BEEN AVAILABLE TO DETERMINE ELIGIBILITY. DUE TO THESE ACCOUNTS LIKELY BEING ELIGIBLE FOR FINANCIAL ASSISTANCE, THEY SHOULD BE INCLUDED AS PART OF THE HOSPITAL'S COMMUNITY BENEFIT. THE TOTAL BAD DEBT EXPENSE ESTIMATED TO QUALIFY AS FAP- ELIGIBLE IS 26,439,266. THE ESTIMATED COSTS (CALCULATED USING THE RATIO OF COST TO CHARGES) ARE 8,699,981.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES, IN THE NORMAL COURSE OF BUSINESS, THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS ASSESSMENT OF THESE AND OTHER FACTORS BY PAYOR CATEGORY, AND ADJUSTS THE ALLOWANCE AND RELATED PROVISION ACCORDINGLY. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, MANAGEMENT ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A RELATED PROVISION, IF NECESSARY, FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF- PAY PATIENTS, WHICH INCLUDE PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, MANAGEMENT RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE RENDERED ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE HOSPITAL'S STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL'S PROVISION FOR UNCOLLECTIBLE ACCOUNTS INCREASED 29,824,287 FROM 98,408,000 IN FISCAL YEAR 2018 TO 128,232,247 IN FISCAL YEAR 2019.
PART III, LINE 8 - MEDICARE EXPLANATION	THE COSTS REPORTED ON LINE 6 ARE PER THE MEDICARE COST REPORT AND WERE CALCULATED BASED ON COST-TO-CHARGE RATIOS. SINCE THE AMOUNTS REPORTED ON LINES 5 & 6 ONLY INCLUDE MEDICARE PART A COSTS AND PAYMENTS, THE OTHER MEDICARE (I.E. - MEDICARE PT C, PHYSICIAN SERVICES, FEE SCHEDULE, NON- ALLOWABLE) COSTS AND PAYMENTS ARE INCLUDED IN THE ATTACHED MEDICARE RECONCILIATION. 15,132,335 OF THE MEDICARE SHORTFALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT SINCE THAT PORTION OF THE SHORTFALL WAS RELATED TO THOSE PATIENTS THAT HAD MEDICAID AS A SECONDARY PAYOR AND THEREFORE DEEMED INDIGENT FOR MEDICARE BAD DEBT PURPOSES. MEDICARE FFS SHORTFALL (MEDICARE COST REPORT) MEDICARE FFS SHORTFALL (LESS SUBSIDIZED SVCS - PT I, LN 7G) 15,132,335 OTHER MEDICARE SHORTFALLS (NON MEDICARE COST REPORT) MEDICARE REPLACEMENT (OVERAGE)(PER HPM) 29,230,487 MEDICARE PRO FEE SHORTFALL (PER HPM) (148,233) MEDICARE FEE SCHEDULE SHORTFALL (PER CCR) 785,488 MEDICARE NON-ALLOWABLE COSTS 6,785,476 PY SETTLEMENT RECEIVED - SHORTFALL (IMPACT TO I/S) TOTAL MEDICARE SHORTFALL 51,785,553
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	THE FINANCIAL ASSISTANCE POLICY STATES THAT THOSE PATIENTS APPROVED FOR FINANCIAL ASSISTANCE WILL BE BILLED AT MEDICARE RATES. IN ADDITION, THE CREDIT AND COLLECTION POLICY DESCRIBES HOW UNINSURED PATIENTS CAN RECEIVE A PROMPT PAY DISCOUNT. THIS POLICY ALSO DESCRIBES THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. CONTACT INFORMATION IS PROVIDED FOR ANYONE NEEDING ASSISTANCE OR HAVING QUESTIONS. UNINSURED PATIENTS ARE GIVEN AN AUTOMATIC DISCOUNT FROM GROSS CHARGES NOT RELATED TO THE FINANCIAL ASSISTANCE PROGRAM. PATIENTS RECEIVE HOSPITAL STATEMENTS THROUGH THE BILLING CYCLE. UNPAID ACCOUNTS ARE REFERRED TO AN EXTERNAL COLLECTION AGENCY AFTER ALL EFFORTS BY THE HOSPITAL HAVE BEEN MADE. COLLECTION AGENCIES NOTIFY THE HOSPITAL OF ANY ACCOUNTS THEY IDENTIFY THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2 - NEEDS ASSESSMENT	THE 2019 GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH COMMUNITY HEALTH NEEDS ASSESSMENT ARE OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS. AS PREVIOUSLY STATED, THE TWO FACILITIES ARE 10 MILES APART AND BOTH ARE IN GWINNETT COUNTY. DATA FOR EACH ASSESSMENT WAS GATHERED AT THE COUNTY LEVEL BECAUSE THE MAJORITY OF THE PATIENTS WHO UTILIZE OUR HOSPITALS ARE RESIDENTS OF GWINNETT COUNTY; ON AVERAGE, ABOUT 20 PERCENT OF OUR PATIENTS ARE FROM SURROUNDING COUNTIES. RESIDENTS OF THE COUNTY USE BOTH FACILITIES DEPENDING ON THEIR PERSONAL PREFERENCES OR AVAILABILITY OF SERVICES. SECONDARY DATA FOR OUR CHNAS WAS GATHERED THROUGH MULTIPLE DATA SOURCES. THE HOSPITALS HAVE A LICENSE FOR CONDUENT HEALTHY COMMUNITIES INSTITUTES THAT PROVIDES A CONSTANTLY UPDATED WEB-BASED PLATFORM WITH DEMOGRAPHIC INFORMATION AND HEALTHY PEOPLE 2020 TRACKER FOR GWINNETT COUNTY RESIDENTS. THIS INFORMATION PLATFORM INCLUDES BOTH A DISPARITIES DASHBOARD AND A COMMUNITY DASHBOARD OF ABOUT 145 INDICATORS INCLUDING THE FOLLOWING CATEGORIES: HEALTH, ECONOMY, EDUCATION, ENVIRONMENT, GOVERNMENT AND POLITICS, PUBLIC SAFETY AND SOCIAL ENVIRONMENT. ADDITIONAL SECONDARY VITAL STATISTICS DATA ARE PROVIDED BY THE ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM (OASIS), WHICH IS A TOOLSET THAT ALLOWS ACCESS TO THE GEORGIA DIVISION OF PUBLIC HEALTH'S STANDARDIZED HEALTH DATA REPOSITORY. OUR PLANNING DEPARTMENT IDENTIFIES HOSPITAL-BASED NEEDS USING ADMISSION/DISCHARGE AND OTHER UTILIZATION DATA. THE SYSTEM-LEVEL ANNUAL COMMUNITY BENEFIT PLAN DESCRIBES HOW THE HOSPITALS AND SUPPORT FACILITIES ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. EACH YEAR PROGRAMS ARE EVALUATED FOR EFFICIENCY, EFFECTIVENESS, OUTCOMES AND COMMUNITY COLLABORATION; THEN, ADMINISTRATION PRIORITIZES HOW THE ORGANIZATION MEETS COMMUNITY NEEDS THROUGH DEPARTMENT BUDGETING FOR EACH COMMUNITY BENEFIT PROGRAM. THE ORGANIZATION'S COMMUNITY HEALTH & WELLNESS COUNCIL IS AN INTERNAL COMMUNITY BENEFIT COMMITTEE WITH REPRESENTATIVES FROM MORE THAN 25 DEPARTMENTS FROM BOTH HOSPITALS. THIS COUNCIL IS TASKED WITH THE ANNUAL PLAN AND IMPLEMENTATION STRATEGIES UPDATES AND SUBMISSION FOR APPROVAL BY HOSPITAL ADMINISTRATION AND THE GWINNETT HOSPITAL SYSTEM BOARD OF DIRECTORS. IN ADDITION TO THE GMC'S CHNA, HOSPITAL STAFF HAS BEEN ACTIVE PARTICIPANTS IN THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES DEVELOPMENT AND MONITORING OF THE 2014-2018 GWINNETT COMMUNITY STRATEGIC PLAN. THE SUBCOMMITTEES ARE INVOLVED WITH MANY COMMUNITY-LEVEL ACTIVITIES TO MEET COMMUNITY NEEDS. THE COALITION'S FIVE-YEAR STRATEGIC PLAN IS ALSO INCLUDED ON OUR HOSPITAL WEBSITE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT SECTION UNDER COMMUNITY HEALTH COLLABORATIONS. THIS IS A LINK TO THE DOCUMENT HTTP://WWW.GWINNETTCOALITION.ORG/PRIORITY-AREAS/ THE GWINNETT PUBLIC HEALTH DEPARTMENT USED THE DATA SETS OBTAIN THROUGH THE HOSPITAL AND THE COALITION COLLABORATIONS TO DEVELOP THE 2019 COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. THIS IS A LINK TO THE DOCUMENT HTTP://WWW.GNRHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH- ASSESSMENTCOMMUNITY-IMPROVEMENT-PLAN/.THIS REPORT DESCRIBES A COMBINED COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR GWINNETT COUNTY USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. THE HOSPITALS WORK VERY CLOSELY WITH THE HEALTH DEPARTMENT TO IMPROVE THE HEALTH OF OUR COMMUNITY.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	EVERY PATIENT REGISTERED AT A GMC FACILITY IS PROVIDED A DOCUMENT ALERTING HIM OR HER TO THE AVAILABILITY OF THE SYSTEM'S FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, PATIENTS ARE PROVIDED A "BILLING AND COLLECTION INFORMATION" DOCUMENT THAT AGAIN ADVISES THE PATIENT HOW TO APPLY FOR FINANCIAL ASSISTANCE. FOR THOSE PATIENTS ADMITTED TO THE HOSPITAL, THE INPATIENT HANDBOOK ALSO INSTRUCTS THEM HOW TO SEEK FINANCIAL ASSISTANCE FROM OUR TEAM OF FINANCIAL COUNSELORS. IN ADDITION, PATIENT BILLS INCLUDE CONTACT INFORMATION FOR SEEKING FINANCIAL ASSISTANCE VIA TELEPHONE OR BY EMAIL AT FINANCIALCOUNSELOR@GWINNETTMEDICALCENTER.ORG. THE HOSPITAL SYSTEM'S WEBSITE ALSO INCLUDES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND APPLICATIONS IN ENGLISH, SPANISH, KOREAN AND VIETNAMESE.
PART VI, LINE 4 - COMMUNITY INFORMATION	GWINNETT COUNTY IS LOCATED IN THE NORTHEAST SUBURBS OF THE METROPOLITAN ATLANTA AREA AND IS 98 PERCENT URBAN. THIS IS THE 46TH LARGEST COUNTY IN THE STATE OF GEORGIA BY LAND MASS (430.38 SQUARE MILES) AND THE SECOND LEADING BY POPULATION (920,260 ESTIMATED RESIDENTS IN 2017). THE POPULATION OF GWINNETT COUNTY HAS INCREASED BY 36.9 PERCENT SINCE 2000 AS SHOWN IN FIGURE 1. ACCORDING TO THE 2010 U.S. CENSUS, GWINNETT COUNTY IS THE 59TH MOST POPULATED COUNTY IN THE NATION. FIGURE 1. HISTORICAL POPULATION, GWINNETT COUNTY 1960-2010 CENSUS POPULATION PERCENTAGE CHANGE 1960 43,541 34.7% 1970 72,349 66.2% 1980 116,903 130.7% 1990 352,910 111.4% 2000 588,448 66.7% 2010 805,321 36.9% SOURCE: U.S. CENSUS BUREAU, 2015 OVERALL, GWINNETT COUNTY HAS A YOUNG POPULATION WITH THE MEDIAN AGE AT 34.9 YEARS OF AGE ACCORDING TO THE 2013-2017 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES. FIGURE 2. POPULATION BY GENDER, GWINNETT COUNTY 2017 AGE IN YEARS MALES FEMALES TOTAL 0-4 31,070 30,174 61,244 5-9 34,899 34,899 68,869 10-14 37,946 36,707 74,653 15-19 35,551 33,628 69,179 20-24 30,197 29,408 59,605 25-29 30,515 30,690 61,205 30-34 29,910 31,114 61,024 35-39 32,490 34,715 67,205 40-44 32,012 35,531 67,543 45-49 34,172 36,719 70,891 50-54 31,890 33,935 65,825 55-59 28,552 30,061 58,613 60-64 21,943 24,036 45,979 65-69 15,781 18,706 34,487 70-74 10,749 12,903 23,652 75-79 6,236 7,952 14,188 80-84 3,469 5,026 8,495 85+ 2,585 5,018 7,063 SOURCE: GEORGIA DIVISION OF PUBLIC HEALTH, OASIS, 2018 THE POPULATION HAS BECOME MORE RACIALLY AND ETHNICALLY DIVERSE WITH REPRESENTATION FROM ACROSS THE NATION AND AROUND THE WORLD. IN 2013-2017, THE AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATED THE GWINNETT COUNTY POPULATION TO BE 349,434 (39.3 PERCENT) WHITES ALONE, 230,815 (25.9 PERCENT) BLACKS ALONE, 99,659 (11.2 PERCENT) ASIANS ALONE AND 1,688 (0.2 PERCENT) WAS AMERICAN INDIAN OR ALASKA NATIVE, NATIVE HAWAIIAN OR PACIFIC ISLANDER, AND 19,491, TWO OR MORE RACES. IT WAS ALSO NOTED 184,621 (20.7 PERCENT) OF THE POPULATION WAS HISPANICS OR LATINO. IN 2013-2017 THE AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATED, 34.4 PERCENT THE GWINNETT COUNTY POPULATION OVER THE AGE OF FIVE SPEAK A LANGUAGE OTHER THAN ENGLISH (18.5 PERCENT SPANISH, 6.1 PERCENT OTHER INDO-EUROPEAN, 7.4 PERCENT ASIAN AND PACIFIC ISLAND, 2.4 PERCENT OTHER LANGUAGES). OF THE POPULATION 18 YEARS AND OVER, 22.5 PERCENT SPEAK A LANGUAGE OTHER THAN ENGLISH (8.6 PERCENT SPANISH AND 13.9 PERCENT OTHER LANGUAGES) FOR THE SAME TIME PERIOD. IN 2018-2019 THE GWINNETT COUNTY PUBLIC SCHOOL SYSTEM INCLUDES 140 SCHOOLS (80 ELEMENTARY SCHOOLS, 29 MIDDLE SCHOOLS, 22 HIGH SCHOOLS AND 9 OTHER EDUCATIONAL FACILITIES/SCHOOLS) AND SERVES NEARLY 180,320 STUDENTS. THE SCHOOL HAS APPROXIMATELY 22,000 EMPLOYEES. IT HOLDS THE POSITION OF THE LARGEST EMPLOYER IN THE COUNTY AND IS ONE OF THE LARGEST EMPLOYERS IN GEORGIA. THE SCHOOL BUS SYSTEM IS THE THIRD LARGEST TRANSPORTER OF STUDENTS IN THE COUNTRY WITH 1,980 BUSES. PRIMARY CARE PROVIDER RATE: 61 PROVIDERS PER 100,000 POPULATION IN 2015 (U.S. COUNTIES AVERAGE: 75 PROVIDERS). THIS TREND IS A SLIGHT IMPROVEMENT SINCE THE 2014 RATE OF 60 PROVIDERS. (CONDUENT HEALTHY COMMUNITIES INSTITUTE) IN 2017, ADULTS 19-64 WITH HEALTH INSURANCE: 76.4 PERCENT IN 2017 (U.S. COUNTIES AVERAGE: 87.7 PERCENT). THIS IS A SLIGHT IMPROVEMENT WHEN COMPARED WITH 75.1 PERCENT REPORTED IN 2014. THE NUMBER OF RESIDENTS WITH INSURANCE IS WELL BELOW THE HEALTHY PEOPLE 2020 TARGET OF 100 PERCENT. (CONDUENT HEALTHY COMMUNITIES INSTITUTE) CERTAIN RACE/ETHNICITY AND AGE GROUPS WERE MUCH LESS LIKELY TO HAVE INSURANCE THAN OTHERS. WHILE WHITE ALONE (88.7 PERCENT), AFRICAN AMERICAN ALONE (82.2 PERCENT) AND ASIAN ALONE (80.4 PERCENT) WERE MORE LIKELY TO HAVE INSURANCE, HISPANIC (41.1 PERCENT) AND OTHER RACES (28.3 PERCENT) WERE THE LESS LIKELY TO HAVE INSURANCE. WHEN COMPARED BY ADULT AGE GROUPS, AGES 55-64 (83.8 PERCENT) AND AGES 45-54 (81.6 PERCENT) WERE MORE LIKELY TO HAVE INSURANCE WHILE AGES 19-25 (70.7 PERCENT) WERE LEAST LIKELY TO HAVE INSURANCE. (CONDUENT HEALTHY COMMUNITIES INSTITUTE) IN 2016, CHILDREN UNDER THE AGE OF 18 WITH HEALTH INSURANCE: 91.6 PERCENT (U.S. COUNTIES AVERAGE: 95.5 PERCENT). THIS IS A SLIGHT IMPROVEMENT WHEN COMPARED WITH 90.2 PERCENT REPORTED IN 2014. HOWEVER, THE HEALTHY PEOPLE 2020 TARGET IS 100 PERCENT. (HEALTH COMMUNITIES INSTITUTE) AS REPORTED WITH ADULTS, CERTAIN RACE/ETHNICITY GROUPS WERE MUCH LESS LIKELY TO HAVE INSURANCE THAN OTHERS. WHILE WHITE, NON-HISPANIC (93.0 PERCENT), AFRICAN AMERICAN (95.7 PERCENT) AND ASIAN (90.3 PERCENT) WERE MORE LIKELY TO HAVE INSURANCE, HISPANIC (85.3 PERCENT) AND OTHER RACES (84.8 PERCENT) WERE THE LESS LIKELY TO HAVE INSURANCE. (CONDUENT HEALTHY COMMUNITIES INSTITUTE) ACCORDING TO COUNTY HEALTH RANKINGS IN 2015, GWINNETT HAD 61 PROVIDERS PER 100,000 POPULATION, AND IN 2016 GWINNETT HAD 60 NON-PHYSICIAN PRIMARY CARE PROVIDERS PER 100,000 POPULATION. COUNTY HEALTH RANKINGS ALSO REPORT IN 2016, 59 DENTISTS PER 100,000 POPULATION. WHILE THESE RATES DEMONSTRATE THE PRESENCE OF HEALTH CARE PROFESSIONAL IN THE COUNTY, THE COST OF CARE FOR THOSE WITHOUT ADEQUATE INCOME OR INSURANCE ARE PREVENTING THESE RESIDENCE FROM RECEIVING CARE. THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES FOR 2013-2017 PROVIDES A REPRESENTATION OF AVERAGE CHARACTERISTICS OF THE POPULATION AND IS NOT REPRESENTATIVE OF A SINGLE POINT IN TIME. FROM THESE SURVEYS, THE FOLLOWING INFORMATION HAS BEEN MADE AVAILABLE ABOUT GWINNETT COUNTY RESIDENTS. - THERE WERE 268,519 HOUSEHOLDS IN GWINNETT. THE AVERAGE HOUSEHOLD SIZE WAS THREE. FAMILIES MAKE UP 75.7 PERCENT OF THE HOUSEHOLDS. NONFAMILY HOUSEHOLDS MADE UP 24.3 PERCENT OF ALL HOUSEHOLDS; 10.7 PERCENT WERE PEOPLE LIVING ALONE. - EIGHTY-SEVEN PERCENT OF RESIDENTS 25 YEARS OF AGE AND OVER HAD AT LEAST GRADUATED FROM HIGH SCHOOL AND 32.4 PERCENT HAD A BACHELOR'S DEGREE OR HIGHER. - TWENTY-FIVE PERCENT OF THE POPULATION WAS FOREIGN BORN. - IT IS ESTIMATED 467,633 OF THE POPULATION 16 YEARS OF AGE AND OLDER ARE IN THE LABOR FORCE. - SEVENTY-NINE PERCENT OF WORKERS DROVE TO WORK ALONE, 11.6 PERCENT CARPOOLED, ONE PERCENT TOOK PUBLIC TRANSPORTATION AND TWO PERCENT USED OTHER MEANS. THE REMAINING FIVE PERCENT WORKED FROM HOME. FOR THOSE WHO COMMUTED, THE AVERAGE TRAVEL TIME TO WORK WAS 31.6 MINUTES. - THE MEDIAN HOUSEHOLD INCOME WAS 64,496. EIGHTY-NINE PERCENT OF THE HOUSEHOLDS RECEIVED EARNINGS AND 12.2 PERCENT RECEIVED RETIREMENT INCOME OTHER THAN SOCIAL SECURITY. MORE THAN 19.5 PERCENT OF THE HOUSEHOLDS RECEIVED SOCIAL SECURITY. THE AVERAGE INCOME FROM SOCIAL SECURITY WAS 19,392. THESE INCOME SOURCES ARE NOT MUTUALLY EXCLUSIVE; THAT IS, SOME HOUSEHOLDS RECEIVE INCOME FROM MORE THAN ONE SOURCE. - TWELVE PERCENT OF RESIDENTS WERE BELOW THE POVERTY LEVEL. 17.7 PERCENT UNDER 18 WERE LIVING BELOW THE POVERTY LEVEL, COMPARED WITH 7.5 PERCENT OF THE PEOPLE 65 YEARS OF AGE OLD AND OVER. - THE MEDIAN MONTHLY HOUSING COSTS FOR MORTGAGED OWNERS WAS 1,500, NON- MORTGAGED OWNERS 482 AND RENTERS 1,142. SEVENTY-SEVEN PERCENT OF OWNERS WITH MORTGAGES, 23.0 PERCENT OF OWNERS WITHOUT MORTGAGES AND 50.6 PERCENT OF RENTERS SPENT 30 PERCENT OR MORE OF HOUSEHOLD INCOME ON HOUSING. - THERE WERE 283,256 HOUSING UNITS IN GWINNETT COUNTY, 6.3 PERCENT OF WHICH WERE VACANT. OF THE TOTAL NUMBER OF HOUSING UNITS, 73.3 PERCENT WERE IN SINGLE UNIT DETACHED STRUCTURES, AND 1.5 PERCENT WERE IN MOBILE HOMES. - LESS THAN TWO PERCENT OF THE HOUSEHOLDS DID NOT HAVE TELEPHONES. - LESS THAN ONE PERCENT OF THE HOUSEHOLDS DID NOT HAVE ACCESS TO A CAR, TRUCK OR VAN FOR PRIVATE USE. IN ADDITION TO OUR FACILITIES, GWINNETT COUNTY HAS ONE FOR-PROFIT HOSPITAL, EASTSIDE MEDICAL CENTER IN SNELLVILLE. THERE ARE MANY HOSPITALS IN SURROUNDING COUNTIES OF THE METROPOLITAN ATLANTA AREA. SUMMITRIDGE HOSPITAL IN LAWRENCEVILLE AND LAKEVIEW BEHAVIORAL HEALTH IN NORCROSS ARE FOR-PROFIT HOSPITALS TO SERVE MENTAL HEALTH AND SUBSTANCE ABUSE. ACCORDING TO THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICE ADMINISTRATION, FOUR CENSUS TRACTS ARE DESIGNATED MEDICALLY UNDERSERVED AREAS (CT 0503.19, CT 0503.20, CT 054.19 AND CT 0504.21) IN GWINNETT COUNTY. THERE ARE TWO FEDERALLY QUALIFIED HEALTH CENTERS IN GWINNETT COUNTY (NORCROSS) SERVING RESIDENTS FROM THESE CENSUS TRACTS AS WELL AS OTHER GWINNETT COUNTY RESIDENTS.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	GWINNETT HOSPITAL SYSTEM'S VISION IS TO BE THE HEALTH SYSTEM OF CHOICE IN OUR COMMUNITY BY ENHANCING THE HEALTH OF OUR PATIENTS AND OTHER CUSTOMERS. GHS IMPLEMENTS ITS VISION AND PROMOTES THE HEALTH OF THE COMMUNITY BY JOINING WITH PHYSICIANS, COMMUNITY MEMBERS AND ORGANIZATION, AND OTHER HEALTHCARE ORGANIZATIONS TO TREAT INJURY AND DISEASE AS WELL AS PROVIDING PREVENTIVE AND EARLY INTERVENTION CARE TO OUR CUSTOMERS. THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE BOARD MEMBERS ARE DEDICATED TO PROVING QUALITY HEALTHCARE TO OUR COMMUNITY. GHS EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR A MAJORITY OF OUR DEPARTMENTS. GWINNETT HOSPITAL SYSTEM HAS OVER 800 AFFILIATED PHYSICIANS PROVIDING HEALTHCARE SERVICES AT BOTH GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH CAMPUSES. GHS CONTINUALLY SEEKS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY APPLYING ITS SURPLUS FUNDS TO PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. FULL-TIME EMERGENCY DEPARTMENTS ARE OPERATED AT BOTH THE GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH CAMPUSES. NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT. THE 60-BED EMERGENCY DEPARTMENT AT GWINNETT MEDICAL CENTER-LAWRENCEVILLE IS ONE OF THE BUSIEST IN GEORGIA. THIS LOCATION HAS A 12-BED CHILDREN'S EMERGENCY CENTER, AN ACCREDITED CHEST PAIN CENTER AND IS DESIGNATED AS A LEVEL II TRAUMA CENTER PROVIDING 24 HOURS A DAY, SEVEN DAYS A WEEK TRAUMA TEAM COVERAGE SERVING RESIDENTS OF GWINNETT COUNTY AND THE SURROUNDING AREA. ONLY 25 OF THE STATE'S 152 ACUTE-CARE HOSPITALS ARE DESIGNATED TRAUMA CENTERS. BOTH GWINNETT MEDICAL CENTER IN LAWRENCEVILLE AND GWINNETT MEDICAL CENTER - DULUTH AND ASSOCIATED FACILITIES PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS AND PEACHCARE AS APPROPRIATE FOR SERVICES PROVIDED.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	GWINNETT HOSPITAL SYSTEM IS A LICENSED 464 BED HEALTHCARE ORGANIZATION WITH TWO ACUTE-CARE HOSPITALS: GWINNETT MEDICAL CENTER IN LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH. THESE TWO FACILITIES SERVE AREAS OF BOTH GWINNETT COUNTY AND TO A LESSER EXTENT SEVERAL SURROUNDING COUNTIES. IN ADDITION TO THE MEDICAL-SURGICAL HOSPITALS, THE ORGANIZATION ALSO INCLUDES THE GWINNETT WOMEN'S PAVILION ON THE GWINNETT MEDICAL CENTER-LAWRENCEVILLE CAMPUS AS WELL AS THE GLANCY REHABILITATION CENTER IN DULUTH. OTHER AFFILIATED ORGANIZATIONS INCLUDE: - GWINNETT HEALTH SYSTEM, INC. - THE NONPROFIT PARENT ORGANIZATION OF GWINNETT HOSPITAL SYSTEM AND ITS AFFILIATES. - GWINNETT MEDICAL CENTER FOUNDATION - A NONPROFIT PHILANTHROPIC ORGANIZATION THAT SUPPORTS THE GWINNETT HOSPITAL SYSTEM BY RAISING MONEY FOR CAPITAL EQUIPMENT PURCHASES FOR GWINNETT MEDICAL CENTER-DULUTH AND GWINNETT MEDICAL CENTER-LAWRENCEVILLE, NEUROSCIENCE, ORTHOPEDICS AND A VARIETY OF OTHER PROGRAMS. - GWINNETT MEDICAL PROPERTIES - A NONPROFIT ORGANIZATION THAT OWNS MEDICAL PROPERTIES IN AND AROUND GWINNETT COUNTY FOR THE PURPOSE OF AIDING GWINNETT HOSPITAL SYSTEM IN FULFILLING ITS MISSION. - GWINNETT MEDICAL GROUP - A NONPROFIT ORGANIZATION WHOSE MISSION IS TO OPERATE PHYSICIAN CLINICS IN AND AROUND GWINNETT COUNTY.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	GEORGIA
ADDITIONAL INFORMATION	THE URL TO THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR 2018 - 2019 CAN BE FOUND - HTTP://CHNADASHBOARD.GWINNETTMEDICALCENTER.ORG/CONTENT/SITES/GWINNETTHOSPIT AL/FY2019_COMMUNITY_HEALTH_NEEDS_ASSESSMENT.PDF THE URL FOR THE RELATED IMPLEMENTATION STRATEGIES CAN BE FOUND - FOR GWINNETT MEDICAL CENTER IN LAWRENCEVILLE HTTP://CHNADASHBOARD.GWINNETTMEDICALCENTER.ORG/CONTENT/SITES/GWINNETTHOSPIT AL/FY2019_IMPLEMENTATIONSTRATEGIES_GMCL_HR.PDF. FOR GWINNETT MEDICAL CENTER IN DULUTH - HTTP://CHNADASHBOARD.GWINNETTMEDICALCENTER.ORG/CONTENT/SITES/GWINNETTHOSPIT AL/FY2019_IMPLEMENTATIONSTRATEGIES_GMCD_HR.PDF. THE URL TO THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND - HTTP://WWW.GWINNETTMEDICALCENTER.ORG/MEDIA/FILE/100-18%20FINANCIAL %20ASSISTANCE%20PROGRAM_2011%20FINAL.PDF. FOR THE FINANCIAL ASSISTANCE APPLICATION - HTTP://WWW.GWINNETTMEDICALCENTER.ORG/MEDIA/FILE/27987-FIN%20ASSESSMENT %20APPLICATION(1).PDF. FOR THE PLAIN LANGUAGE SUMMARY - HTTP://WWW.GWINNETTMEDICALCENTER.ORG/PATIENTS-VISITORS/PATIENTS/PATIENT- FINANCIAL-ASSISTANCE-POLICY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GWINNETT MEDICAL GROUP
1000 JOHNSON FERRY ROAD	ATLANTA	GA	30342	582143107	501C3	$32,665,587	SUPPORT RELATED ORG.
GWINNETT HEALTH SYSTEM
1000 JOHNSON FERRY ROAD	ATLANTA	GA	30342	582135755	501C3	$5,624,014	SUPPORT RELATED ORG.
GWINNETT HOSPITAL SYSTEM FOUNDATION
1755 NORTH BROWN ROAD SUITE 100	LAWRENCEVILLE	GA	30043	581828486	501C3	$30,000	SUPPORT RELATED ORG.
GEORGIA GWINNETT COLLEGE FOUNDATION
1000 UNIVERSTIY CENTER LANE	LAWRENCEVILLE	GA	30043	205107997	501C3	$180,000	SUPPORT NURSING PROG
GWINNETT TECH FOUNDATION INC
5150 SUGARLOAF PARKWAY	LAWRENCEVILLE	GA	30043	582106879	501C3	$180,000	SUPPORT NURSING PROG
LEADERSHIP GWINNETT FOUNDATION
6500 SUGARLOAF PARKWAY	DULUTH	GA	30097	261522249	501C3	$10,000	COMMUNITY SUPPORT
NE GEORGIA COUNCIL BOY SCOUTS OF AM
PO BOX 399	JEFFERSON	GA	30549	030229256	501C3	$7,500	COMMUNITY SUPPORT
CINK CHARITIES
6555 SUGARLOAF PARKWAY	DULUTH	GA	30097	455277628	501C3	$19,750	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EDUCATIONAL SCHOLARSHIPS	GrantTypeTxt
Recipient	22	RecipientCnt
Cash Grant	$64,766	CashGrantAmt
Valuation Method Used	FMV CASH	ValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	SCHEDULE I, PART I, LINE 2: GRANTS TO ORGANIZATIONS WERE MADE ONLY TO SECTION 501(C)(3)ORGANIZATIONS OR GOVERNMENTAL AGENCIES. SCHOLARSHIPS ARE GIVEN ANNUALLY THROUGH AN OPEN APPLICATION PROCESS. APPLICATIONS ARE ACCEPTED FOR 6 WEEKS EACH YEAR. APPLICATIONS ARE REVIEWED BY A COMMITTEE COMPRISED OF HUMAN RESOURCE AND LEARNING RESOURCE EMPLOYEES. THOSE SELECTED ARE ENROLLED IN A HEALTHCARE PROFESSIONAL DEGREE PROGRAM IN AN ACCREDITED COLLEGE OR UNIVERSITY. THE COMMITTEE EVALUATES APPLICANTS USING A 13 POINT PROCESS WITH EXTRA WEIGHTING GIVEN TO (1) THOSE APPLICANTS WITH HIGH GPAS; (2) STUDYING IN AREAS OF COMMUNITY NEED; (3) PROVIDING REFERENCE LETTERS FROM CREDENTIALED PROFESSIONALS; AND (4) INDICATING AN INTEREST IN WORKING WITH THE HOSPITAL UPON COMPLETION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
PHILIP WOLFE
PRESIDENT & CEO	$752,882	$335,205	$231,125	$17,875	$21,856	$1,358,943	$101,847
ALAN BIER
EXECUTIVE VP & CMO	$431,701	$150,979	$114,269	$15,125	$18,129	$730,203	$48,614
JESSIE T SHEPHERD
EXECUTIVE VP AND COO	$495,280	$123,446	$74,543	$70,926	$33,010	$797,205	$41,427
THOMAS Y MCBRIDE III
EXECUTIVE VP & CFO	$447,185	$109,455	$65,777	$20,625	$13,374	$656,416
STEPHEN NADEAU
SR. VP OF HUMAN RES.	$301,521	$90,601	$49,537	$20,625	$23,295	$485,579	$27,997
PATRICIA A LAVELY
SR. VP & CIO	$318,950	$61,072	$59,404	$44,856	$5,541	$489,823	$35,380
PETER WHEELER
GENERAL COUNSEL	$299,295	$60,112	$51,572	$51,243	$23,132	$485,354	$28,879
PAMELA GARLAND
VP & CNO	$179,177	$24,366	$12,937	$23,879	$29,371	$269,730
MARK D DARROW
DIRECTOR GME	$341,778	$47,013	$4,145	$13,750	$22,787	$429,473
NISHITH PATEL
VP & COO (GMC, INC.)	$235,842	$82,520	$57,480	$13,750	$19,503	$409,095	$4,209
JAMES DENNARD JR
VP & COO (GMC, INC.)	$260,354	$72,336	$35,398	$42,026	$31,497	$441,611	$16,370
MICHAEL C BOBLITZ
VP PLANNING & DEVEL.	$234,780	$50,468	$16,393	$30,150	$29,135	$360,926	$14,458
SCOTT OREM
VP FINANCE	$224,513	$46,138	$28,407	$36,253	$30,575	$365,886	$18,515
JANET SCHWALBE
VP PHYSICIAN SVC.	$230,794	$46,006	$21,918	$36,044	$13,124	$347,886	$11,534
THOMAS LYNCH
VP MANAGED CARE	$220,241	$42,143	$29,949	$32,943	$31,193	$356,469	$19,182
CATHIE L BRAZELL
DIRECTOR WOMEN'S SVC	$225,626	$44,081	$19,312	$29,476	$9,311	$327,806
CATHY DOUGHERTY
ASST. VP REVENUE	$213,162	$60,423	$4,093	$19,350	$20,303	$317,331
TODD E VERMEER MD
CMIO	$238,286		$20,696	$13,750	$30,677	$303,409
DIANA POTTS
CHIEF NURSING OFF.	$191,946	$45,797	$20,579	$17,301	$10,874	$286,497	$8,978
BONNY RICHARDSON
ASSOCIATE GEN. LEGAL	$180,924	$24,976	$1,844	$15,405	$16,882	$240,031
MIKE HEMPHILL
DIRECTOR OF MATERIAL	$135,131	$13,901	$2,520	$11,599	$12,151	$175,302
PETER JKAPLAN MD
TEACHING FACULTY GME	$285,367	$18,984	$19,494	$17,823	$17,071	$358,739		$3,738	$3,738
JOHN S HARVEY MD
PRG. DIRECTOR GME	$311,227	$8,775	$231	$15,045	$22,362	$357,640		$3,986	$3,986
KEVIN E JOHNSON MD
PROGRAM DIRECTOR GME	$232,498	$8,800	$11,580	$13,243	$31,345	$297,466
KIMBERLY C BATES MD
PROGRAM DIRECTOR GME	$231,155	$11,025	$10,000	$12,825	$30,864	$295,869
TANNA LIM MD
TEACHING FACULTY GME	$244,218	$5,000	$273	$11,770	$24,736	$285,997

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 3	GWINNETT HOSPTIAL SYSTEM RELIES UPON GWINNETT HEALTH SYSTEM (THE PARENT ORGANIZATION OF A MULTI-ENTITY HEALTH SYSTEM THAT INCLUDES GWINNETT HOSPITAL SYSTEM) TO ESTABLISH AND MONITOR EXECUTIVE COMPENSATION. GWINNETT HEALTH SYSTEM, INC. (THE SYSTEM) BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE (THE COMMITTEE) MADE UP OF VARIOUS INDEPENDENT BOARD MEMBERS WHO REVIEW THE COMPENSATION OF THE CEO, TOP MANAGEMENT AND OTHER KEY-EMPLOYEES THROUGHOUT THE MULTI-ENTITY SYSTEM. THE COMMITTEE IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE CEO. THE CEO IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE OTHER MEMBERS OF TOP MANAGEMENT AND OF THE KEY EMPLOYEES WITH OVERSIGHT FROM THE COMMITTEE. AN INDEPENDENT PROFESSIONAL EXECUTIVE COMPENSATION CONSULTING COMPANY PROVIDES COMPARATIVE SALARY AND BENEFIT INFORMATION AND MAKES RECOMMENDATIONS TO THE COMMITTEE REGARDING EXECUTIVE COMPENSATION. PERIODIC SURVEYS ARE CONDUCTED TO ENSURE FAIR MARKET VALUE EXECUTIVE COMPENSATION.
SCHEDULE J, PAGE 1, PART I, LINE 4	JESSIE T. SHEPHERD 0 50,301 0 PATRICIA A. LAVELY 0 31,106 0 PETER WHEELER 0 30,618 0 PAMELA GARLAND 0 7,805 0 JAMES DENNARD, JR 0 26,901 0 MICHAEL C. BOBLITZ 0 17,037 0 SCOTT OREM 0 16,450 0 JANET SCHWALBE 0 16,312 0 THOMAS LYNCH 0 16,170 0 CATHIE L. BRAZELL 0 15,562 0
SCHEDULE J, PART III	CERTAIN DESIGNATED EMPLOYEES ARE ALLOWED TO PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE SERP IS SUBJECT TO THE PROVISIONS OF SECTION 457(F) OF THE INTERNAL REVENUE CODE. PARTICIPANTS WHO SEPARATE FROM SERVICE DUE TO VOLUNTARY SEPARATION OR AN INVOLUNTARY SEPARATION FOR REASONABLE CAUSE FORFEIT ALL NONVESTED BENEFITS. CURRENT YEAR DEFERRALS ARE REPORTED IN THE PRECEDING TABLE. THE FOLLOWING PARTICIPANTS VESTED AND RECEIVED PAYMENT OF SERP BENEFITS IN THE CALENDAR YEAR THAT ARE INCLUDED IN REPORTABLE COMPENSATION ON THIS FORM 990, PART VII AND ON SCHEDULE J. THEY WERE ALSO REPORTED AS DEFERRED COMPENSATION ON PRIOR RETURNS: PHILIP WOLFE 101,847 ALAN BIER 48,614 JESSIE T. SHEPHERD 41,427 PATRICIA LAVELY 35,380 PETER WHEELER 28,879 STEPHEN A. NADEAU 27,997 THOMAS M. LYNCH 19,182 SCOTT E. OREM 18,515 JAMES D. DENNARD, JR. 16,370 MICHAEL C. BOBLITZ 14,458 JANET M. SCHWALBE 11,534 DIANA C. POTTS 8,978 NISHITH PATEL 4,209

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HOSPITAL AUTHORITY OF GWINNETT CO
A	586011878	403732DE7	2009-11-12	$32,700,000	ADVANCE REFUND PRIOR ISSUE	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
B	586011878	403732DS6	2009-11-12	$36,435,000	CURRENTLY REFUND PRIOR ISSUE	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
C	586011878	403732DU1	2009-11-12	$19,240,000	CAPITAL IMPROVEMENTS	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
D	586011878	403732DZ0	2009-11-12	$61,095,000	CAPITAL IMPROVEMENTS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$2,830,000	$32,700,000	$32,700,000	2007	false	Yes (true)	Yes (true)	Yes (true)
B	$12,055,000	$36,435,000	$36,435,000	2007	Yes (true)	false	Yes (true)	Yes (true)
C	$910,000	$19,240,000		2007	Yes (true)	false	Yes (true)	Yes (true)	$19,240,000
D	$4,415,000	$61,095,000		2007	Yes (true)	false	Yes (true)	Yes (true)	$61,095,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	false
B	false	false	false	Yes (true)	false	false	false	false	false
C	false	false	false	Yes (true)	false	false	false	false	false
D	false	false	false	Yes (true)	false	false	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false
D	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K - DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	HOSPITAL AUTHORITY OF GWINNETT CO. 04/14/16 HOSPITAL AUTHORITY OF GWINNETT CO. 04/14/16 HOSPITAL AUTHORITY OF GWINNETT CO. 04/14/16 HOSPITAL AUTHORITY OF GWINNETT CO. 04/14/16 HOSPITAL AUTHORITY OF GWINNETT CO. 10/05/15 HOSPITAL AUTHORITY OF GWINNETT CO. 04/12/19	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GWINNETT EMERGENCY SPECIALISTS
BOARD MEMBER	$351,512	MEDICAL SERVICES	false
GARY LEVENGOOD MD
BOARD MEMBER	$14,575	COMPENSATION	false
SPORTS MEDICINE SOUTH
BOARD MEMBER	$69,988	MEDICAL SERVICES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV (A) NAME OF PERSON: GWINNETT EMERGENCY SPECIALISTS. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MEDICAL PRACTICE OF BOARD MEMBER CARLTON BUCHANAN, MD. (D) DESCRIPTION OF TRANSACTION: ADMINISTRATION OF EMERGENCY DEPARTMENT OF GWINNETT HOSPITAL. (A) NAME OF PERSON: GARY LEVENGOOD, MD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BROTHER OF A BOARD MEMBER. (D) DESCRIPTION OF TRANSACTION: COMPENSATION FOR PHYSICIAN SERVICES. (A) NAME OF PERSON: SPORTS MEDICINE SOUTH (GARY LEVENGOOD) (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OWNED BY BROTHER OF A BOARD MEMBER. (D) DESCRIPTION FO TRANSACTION: PROVIDED MEDICAL SERVICES.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	GWINNETT HOSPITAL SYSTEM, INC. IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GREATER GWINNETT COMMUNITY. GWINNETT HOSPITAL SYSTEM HAS TWO FACILITIES LOCATED IN DULUTH AND LAWRENCEVILLE, GEORGIA THAT TOGETHER PROVIDE ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALTY, OPEN HEART SURGERY, SEVERAL CLINICS, AND A FULL CONTINUUM OF WELLNESS SERVICES. THE FACILITIES EACH OPERATE A YEAR ROUND EMERGENCY ROOM OPEN 24 HOURS A DAY, 7 DAYS A WEEK.
FORM 990	PAGE 1 PRINCIPAL OFFICER AND SIGNING OFFICER - ROBERT T. QUATTROCCHI IS PRESIDENT AND CEO OF NORTHSIDE HOSPITAL, INC. MR. QUATTROCCHI SERVES AS THE PRINCIPAL OFFICER OF GWINNETT HOSPITAL SYSTEM FOR FISCAL YEAR ENDED JUNE 30, 2019 SOLELY IN HIS CAPACITY AS PRESIDENT AND CEO OF NORTHSIDE HOSPITAL, INC., SUCCESSOR-IN-INTEREST BY MERGER TO GWINNETT HOSPITAL SYSTEM, INC. SHANNON A. BANNA IS THE CFO OF NORTHSIDE HOSPITAL, INC. MS. BANNA SERVES AS THE CFO OF GWINNETT HOSPITAL SYSTEM FOR FISCAL YEAR ENDED JUNE 30, 2019 SOLELY IN HER CAPACITY AS CFO, NORTHSIDE HOSPITAL, INC., SUCCESSOR-IN- INTEREST BY MERGER TO GWINNETT HOSPITAL SYSTEM, INC.
FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEER SERVICES HAS A DATABASE SYSTEM THAT TRACKS THE NUMBER OF VOLUNTEERS AND THEIR HOURS OF SERVICE.
FORM 990, PAGE 2, PART III, LINE 4A	GWINNETT HOSPITAL SYSTEM, INC.'S PRIMARY PROGRAM SERVICE ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITAL PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, OPEN HEART SURGERY, NEUROSCIENCE SPECIALTY; AND IT OPERATES TWO EMERGENCY ROOMS. IT OFFERS WELL WOMAN SERVICES, AND A FULL CONTINUUM OF WELLNESS SERVICES. IN ADDITION, THE HOSPITAL PROVIDES NURSING CARE IN THE AREAS OF MEDICAL, POST-SURGICAL, OPEN HEART, EMERGENCY CARE, CRITICAL AND INTERMEDIATE CARE TO PATIENTS. THE HOSPITAL NOW HAS AN EVER-EXPANDING GRADUATE MEDICAL EDUCATION PROGRAM WHICH SERVICES PATIENTS IN CLINICAL SETTINGS, TRAINING FUTURE PHYSICIANS. THE HOSPITAL PROVIDES SEVERAL SUBSIDIZED SERVICES TO THE PUBLIC BELOW COSTS, INCLUDING: A CARE-A-VAN FOR SPORTS MEDICINE, DIABETES AND NUTRITION SERVICES, REHAB AND RENAL SERVICES, AND A WOUND CARE CLINIC. THE HOSPITAL PROVIDES ORTHOPAEDIC TRAUMA SERVICES THROUGH AN AGREEMENT WITH HUGHSTON CLINIC, P.C. DURING FISCAL YEAR 2019, THE HOSPITAL OPENED A RADIOLOGY DEPARTMENT AT PEACHTREE CORNERS AND AN IMAGING AND SPECIALTY CENTER IN GRAYSON, GEORGIA TO BETTER SERVE THE POPULATION OF THOSE AREAS.
FORM 990, PAGE 6, PART VI, LINE 6	THE SOLE MEMBER OF GWINNETT HOSPITAL SYSTEM, INC. IS GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. IS APPOINTED BY THE CHARIMAN OF THE BOARD OF DIRECTORS OF GWINNETT HEALTH SYSTEM, INC.
FORM 990, PAGE 6, PART VI, LINE 7B	CERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. MUST BE APPROVED BY THE BOARD OF DIRECTORS OF GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 11B	EFFECTIVE 12:01 A.M. ON AUGUST 28, 2019, GWINNETT HOSPITAL SYSTEM, INC. MERGED WITH AND INTO NORTHSIDE HOSPITAL,INC., AN UNRELATED GEORGIA NONPROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS EXEMPT UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE OF 1986 (THE SUCCESSOR ORGANIZATION), WITH THE SUCCESSOR ORGANIZATION SURVIVING THE MERGER. THE MERGER OCCURRED PRIORTO THE FILING OF THIS RETURN. AFTER THE RETURN WAS PREPARED AND PRIOR TO FILING, IT WAS REVIEWED IN DETAIL BY SENIOR FINANCIAL MANAGEMENT OF THE SUCCESSOR ORGANIZATION. A SHORT PERIOD FINAL RETURN FOR GWINNETT HOSPITAL SYSTEM, INC. WILL BE FILED SUBSEQUENT TO THE FILING OF THIS RETURN.
FORM 990, PAGE 6, PART VI, LINE 12C	ANNUALLY, A CONFLICTS OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO AND DISCUSSED WITH EACH MEMBER OF THE BOARD OF DIRECTORS. THE LEGAL DEPARTMENT IS RESPONSIBLE FOR ENSURING THESE QUESTIONNAIRES ARE SIGNED AND RETURNED. LEGAL MONITORS ALL TRANSACTIONS INVOLVING CONFLICTS OF INTEREST WITH BOARD MEMBERS. BOARD MEMBERS MUST DISCLOSE POTENTIAL CONFLICTS USING A REASONABLE BELIEF STANDARD; PLAY NO DIRECT OR INDIRECT PART IN DELIBERATIONS; AND ABSENT THEMSELVES FROM THE MEETING AT WHICH ANY POTENTIAL CONFLICT IS DISCUSSED. ONLY NON-CONFLICTED MEMBERS MAY DECIDE TO PURSUE A TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT IF A MAJORITY DETERMINES THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. VIOLATION OF THE COI POLICY IS SUBJECT TO CORRECTIVE ACTION, INCLUDING EXONERATION, CENSURE, AND/OR REQUESTING THE RESIGNATION OF THE MEMBER. APPROVAL FOR ANY LOANS, PAYMENTS, HONORARIUMS, TRIP OR TRAVEL REIMBURSEMENTS, SERVICES, PRODUCTS, ENTERTAINMENT, PRIZES OR AWARDS PROVIDED TO ANY BOARD MEMBER MUST BE APPROVED BY AN ADMINISTRATIVE OFFICER OR HIS OR HER DESIGNEE. THE CEO MUST OBTAIN THE APPROVAL OF THE CHAIRMAN OF THE BOARD (AND PAYMENTS TO THE CEO ARE APPROVED BY ANOTHER ADMINISTRATIVE OFFICER). IN ADDITION, THE HUMAN RESOURCE DEPARTMENT SENDS OUT A COI POLICY AND DISCLOSURE FORM TO OFFICERS AND KEY EMPLOYEES EVERY 3 - 5 YEARS. THESE OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS THAT ARISE DURING THE FISCAL YEAR.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE FILED WITH AND AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE OR THROUGH THAT OFFICE. THESE DOCUMENTS CAN ALSO BE OBTAINED BY CONTACTING GWINNETT HOSPITAL SYSTEM. THE CONFLICT OF INTEREST POLICY CAN BE OBTAINED BY CONTACTING THE HOSPITAL. THE HOSPITAL IS UNDER OBLIGATION TO DISCLOSE TO BOND HOLDERS PERTINENT FINANCIAL INFORMATION IN THE ANNUAL DISCLOSURE DOCUMENTS. CERTAIN DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE HOSPITAL. FOR MORE INFORMATION VISIT - HTTPS://WWW.GWINNETTMEDICALCENTER.ORG/FACILITIES/NORTHSIDE-HOSPITAL- GWINNETT.
FORM 990, PART VII	BOARD MEMBERS OF GWINNETT ENTITIES ARE PROVIDED A SMALL STIPEND FOR THEIR SERVICES. K. CARLTON BUCHANAN, MD RECEIVES MEDICAL AND HEALTH CARE PAYMENTS AS COMPENSATION FOR PHYSICIAN SERVICES.
FORM 990, PART XI	THE 2019 STATEMENT OF CHANGES IN NET ASSETS WAS REVISED TO CORRECT NET ASSETS WITHOUT DONOR RESTRICTIONS AND TOTAL NET ASSETS AS OF JUNE 30, 2018. NET ASSETS AS OF JUNE 30, 2018 HAVE BEEN REDUCED AS A RESULT OF NET PATIENT SERVICE REVENUE ADJUSTMENTS IDENTIFIED BY MANAGEMENT SUBSEQUENT TO JUNE 30, 2019 THAT RELATE TO PRIODS PRIOR TO JULY 1, 2018. THE CORRECTION WAS CONSIDERED IMMATERIAL AS NOTED IN THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS.
FORM 990, PART XI, LINE 9	BENEFICIAL INTEREST IN ASSETS OF FOUNDATION 1,340,176 ACCRUED PENSION COSTS ADJUSTMENT -4,240,973 CHANGE IN INTEREST RATE SWAP -7,381,005 UBI FROM K-1 NOT ON BOOKS 101,403 MINORITY INTEREST -480,000 ROUNDING -7 TOTAL -10,660,406

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT HOSPITAL SYSTEM GME LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O GWINNETT HOSPITAL SYSTEM INC	AddressLine1Txt
Address Line2	1000 JOHNSON FERRY ROAD	AddressLine2Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30342	ZIPCd

Field	Value	IRS element (for citing)
EIN	465634252	EIN
Primary Activities	GME	PrimaryActivitiesTxt
Legal Domicile State	GA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GWHOSP SYS	BusinessNameLine1Txt
Business Name Line2	GWINNETT HOSPITAL SYSTEM INC	BusinessNameLine2Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GWINNETT HEALTH SYSTEM INC
1000 JOHNSON FERRY ROAD	ATLANTA	GA	30342	582135755	PARENT	GA	501C3	12C	N/A	false
GWINNETT HOSPITAL SYSTEM FOUNDATION
1755 NORTH BROWN ROAD 100	LAWRENCEVILLE	GA	30046	581828486	FUNDRAISIN	GA	501C3	7	N/A	false
GWINNETT MEDICAL GROUP INC
1000 JOHNSON FERRY ROAD	ATLANTA	GA	30342	582143107	PHYSICIAN	GA	501C3	3		Yes (true)	HEALTH SYS
GWINNETT MEDICAL PROPERTIES INC
1000 JOHNSON FERRY ROAD	LAWRENCEVILLE	GA	30342	582132516	REAL ESTAT	GA	501C3	12B		Yes (true)	HEALTH SYS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
GWINNETT CARDIOVASCULAR SERVICES LL
1000 JOHNSON FERRY ROAD	ATLANTA	GA	30342	263870307	MEDICAL SV	GA	GWN HOSPIT	RELATED	$4,860,301	$199,998	Yes (true)	false	0.78550
GWINNETT SURGERY CENTER LLC
631 PROFESSIONAL DRIVE STE 390	LAWRENCEVILLE	GA	30046	272819709	MEDICAL SV	GA	GWN HOSPIT	RELATED			false	false	0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
GWINNETT MANAGED CARE INC
1000 JOHNSON FERRY ROAD	ATLANTA	GA	30342	582135759	PHO	GA	N/A	false
SEQUENT HEALTH PHYSICIAN PARTNERS
1000 JOHNSON FERRY ROAD	ATLANTA	GA	30342	471511997	CL. INTEGR	GA	N/A	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd