GWINNETT HOSPITAL SYSTEMINC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- GWINNETT HOSPITAL SYSTEMINC (EIN 58-2002413)
- Tax period
- 2019-07-01 to 2019-08-31
- Filed
- 2020-07-09
- IRS object ID
- 202021919349302282
- Schema version
- 2019v5.0
- 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 D
- Schedule H
- Schedule J
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-09T15:30:04-05:00 | ReturnTs |
| Tax Period End | 2019-08-31 | 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 | 2019-07-01 | 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 | 2020-06-23 | 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 | 2020-07-09 | 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 | 2020-07-09 | IPDt |
| IP Tm | 15:30:04 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3DB754BF4A86932C7270BAD44D636E9B352C5FAB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C1C869F3CF31F885C27693CFACFCA97566C65977 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
| 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 | $129,740,486 | 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 |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $103,593 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $32,161 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,215,796 | PYContributionsGrantsAmt |
| CY Contributions Grants | $183,403 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $717,719,015 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $125,884,405 | CYProgramServiceRevenueAmt |
| PY Investment Income | $17,405,169 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,141,135 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,572,025 | PYOtherRevenueAmt |
| CY Other Revenue | $2,029,256 | CYOtherRevenueAmt |
| PY Total Revenue | $751,912,005 | PYTotalRevenueAmt |
| CY Total Revenue | $129,238,199 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $38,786,617 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $367,537,416 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $63,883,996 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $390,240,621 | PYOtherExpensesAmt |
| CY Other Expenses | $64,571,060 | CYOtherExpensesAmt |
| PY Total Expenses | $796,564,654 | PYTotalExpensesAmt |
| CY Total Expenses | $128,455,056 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$44,652,649 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $783,143 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $848,485,246 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $419,510,587 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $428,974,659 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | 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 | Yes (true) | SignificantChangeInd |
| Expense | $108,828,375 | ExpenseAmt |
| Revenue | $126,898,973 | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,746,851 | ExpenseAmt |
| Revenue | $405,415 | RevenueAmt |
| Desc | THE GRADUATE MEDICAL EDUCATION PROGRAMS CONTINUE TO INCREASE THE NUMBER OF RESIDENTS 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 | $110,575,226 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | Yes (true) | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 | false | 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 (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| JESSIE T SHEPHERD | |||||||||
| EXECUTIVE VP | 40.00 | 20.00 | Yes (X) | $1,779,850 | $0 | $43,465 | |||
| THOMAS Y MCBRIDE III | |||||||||
| EXECUTIVE VP | 40.00 | 20.00 | Yes (X) | $1,550,268 | $0 | $30,204 | |||
| PHILIP WOLFE | |||||||||
| PRESIDENT & | 38.00 | 23.00 | Yes (X) | $1,218,681 | $0 | $36,190 | |||
| STEPHEN NADEAU | |||||||||
| SR. VP OF HU | 60.00 | Yes (X) | $1,157,771 | $0 | $36,432 | ||||
| ALAN BIER | |||||||||
| EXECUTIVE VP | 60.00 | Yes (X) | $1,162,723 | $0 | $27,856 | ||||
| PATRICIA A LAVELY | |||||||||
| SR. VP & CIO | 60.00 | Yes (X) | $1,106,860 | $0 | $42,624 | ||||
| PETER WHEELER | |||||||||
| GENERAL COUN | 40.00 | 20.00 | Yes (X) | $1,082,183 | $0 | $35,711 | |||
| NISHITH PATEL | |||||||||
| VP & COO GMC | 60.00 | $690,551 | $0 | $24,330 | Yes (X) | ||||
| JANET SCHWALBE | |||||||||
| VP PHYSICIAN | 60.00 | $581,178 | $0 | $35,934 | Yes (X) | ||||
| THOMAS LYNCH | |||||||||
| VP MANAGED C | 40.00 | $561,830 | $0 | $44,098 | Yes (X) | ||||
| CATHY DOUGHERTY | |||||||||
| ASST. VP REV | 60.00 | $488,961 | $0 | $26,589 | Yes (X) | ||||
| CATHIE L BRAZELL | |||||||||
| DIRECTOR WOM | 60.00 | $483,085 | $0 | $29,805 | Yes (X) | ||||
| DIANA POTTS | |||||||||
| CHIEF NURSIN | 60.00 | $407,343 | $0 | $19,474 | Yes (X) | ||||
| JAMES DENNARD JR | |||||||||
| VP & COO GMC | 60.00 | $340,090 | $0 | $64,630 | Yes (X) | ||||
| MARK D DARROW | |||||||||
| DIRECTOR GME | 60.00 | $301,880 | $0 | $30,900 | Yes (X) | ||||
| SCOTT OREM | |||||||||
| VP FINANCE | 60.00 | $262,325 | $0 | $50,547 | Yes (X) | ||||
| MICHAEL C BOBLITZ | |||||||||
| VP PLANNING | 60.00 | $260,123 | $0 | $42,438 | Yes (X) | ||||
| PAMELA GARLAND | |||||||||
| VP & CNO | 60.00 | Yes (X) | $234,418 | $0 | $48,997 | ||||
| JOHN S HARVEY MD | |||||||||
| PRG. DIRECTO | 60.00 | $238,096 | $0 | $30,699 | Yes (X) | ||||
| PETER JKAPLAN MD | |||||||||
| TEACHING FAC | 60.00 | $235,675 | $0 | $28,378 | Yes (X) | ||||
| TODD E VERMEER MD | |||||||||
| CMIO | 60.00 | $226,765 | $0 | $30,667 | Yes (X) | ||||
| KIMBERLY C BATES MD | |||||||||
| PROGRAM DIRE | 60.00 | $197,103 | $0 | $31,468 | Yes (X) | ||||
| KEVIN E JOHNSON MD | |||||||||
| PROGRAM DIRE | 60.00 | $195,784 | $0 | $31,610 | Yes (X) | ||||
| TANNA LIM MD | |||||||||
| TEACHING FAC | 60.00 | $184,226 | $0 | $26,843 | Yes (X) | ||||
| BONNY RICHARDSON | |||||||||
| ASSOCIATE GE | 40.00 | 20.00 | $161,108 | $0 | $27,708 | Yes (X) | |||
| K CARLTON BUCHANAN MD | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | $40,500 | $0 | $0 | Yes (X) | |||
| J MICHAEL LEVENGOOD JD | |||||||||
| CHAIRMAN | 2.00 | 5.00 | $2,250 | $0 | $0 | Yes (X) | |||
| L C JOHNSON | |||||||||
| BOARD MEMBER | 2.00 | 5.00 | $2,000 | $0 | $0 | Yes (X) | |||
| TERRI JONDAHL | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | $2,000 | $0 | $0 | Yes (X) | |||
| A KEITH CARNES MD | |||||||||
| BOARD MEMBER | 2.00 | 4.00 | $2,000 | $0 | $0 | Yes (X) | |||
| SEE SCHEDULE O | |||||||||
| SEE SCHEDULE | Yes (X) | $0 | $0 | $0 | |||||
| SEE SCHEDULE O | |||||||||
| SEE SCHEDULE | Yes (X) | $0 | $0 | $0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $15,157,627 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $877,597 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 109 | 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 |
|---|---|---|---|---|---|
| INNOVATIVE THERAPY CONCEPTS | |||||
| 2 MASHBURN ST SUITE 102 | HAWKINSVILLE | GA | 31036 | MEDICAL | $4,319,642 |
| MEDICAL IMAGING SOLUTIONS | |||||
| 229 ARNOLD MILL ROAD SUITE 100 | WOODSTOCK | GA | 30188 | EQUIP. REPAIR | $3,137,382 |
| ROI HEALTHCARE SOLUTIONS | |||||
| 5555 GLENRIDGE CONNECTOR SUITE 200 | ATLANTA | GA | 30342 | CONSULTING | $3,048,182 |
| NOVO HEALTH SERVICES | |||||
| PO BOX 71132 | CHARLOTTE | NC | 28272 | LAUNDRY | $2,342,331 |
| CHANGE HEALTHCARE | |||||
| PO BOX 98347 | CHICAGO | IL | 60693 | IT | $2,191,852 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 56 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $94,935 | RelatedOrganizationsAmt |
| Government Grants | $88,468 | GovernmentGrantsAmt |
| Total Contributions | $183,403 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 623000 | $125,363,083 | $125,363,083 | |
| MANAGEMENT FEES | 561000 | $253,964 | $253,964 | |
| COMMUNITY HEALTH | 623000 | $65,316 | $65,316 | |
| MANAGEMENT FEES - UNRELATED | 561000 | $54,354 | $54,354 | |
| REFERENCE LAB | 623000 | $49,239 | $49,239 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,449 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $98,449 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $125,884,405 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,560,487 | TotalRevenueColumnAmt |
| Exclusion | $1,560,487 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $136,336 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $136,336 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $136,336 | TotalRevenueColumnAmt |
| Exclusion | $136,336 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $82,935 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $502,287 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$502,287 | SecuritiesAmt |
| Other | $82,935 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$419,352 | TotalRevenueColumnAmt |
| Exclusion | -$419,352 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| GME REVENUES | 611600 | $405,415 | $405,415 | |
| CAFETERIA & VENDING | 722514 | $369,344 | $369,344 | |
| CLINIC | 621110 | $163,020 | $163,020 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $955,141 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $955,141 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,892,920 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,238,199 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $127,304,388 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $103,593 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,646,815 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,097,637 | TotalAmt |
| Program Services | $3,243,688 | ProgramServicesAmt |
| Management And General | $6,853,949 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,275,920 | TotalAmt |
| Program Services | $38,652,591 | ProgramServicesAmt |
| Management And General | $623,329 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,550,017 | TotalAmt |
| Program Services | $3,013,082 | ProgramServicesAmt |
| Management And General | $536,935 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,890,639 | TotalAmt |
| Program Services | $6,697,191 | ProgramServicesAmt |
| Management And General | $1,193,448 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,069,783 | TotalAmt |
| Program Services | $2,605,482 | ProgramServicesAmt |
| Management And General | $464,301 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,672 | TotalAmt |
| Program Services | $761,052 | ProgramServicesAmt |
| Management And General | $135,620 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,415 | TotalAmt |
| Program Services | $422,554 | ProgramServicesAmt |
| Management And General | $195,861 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,166 | TotalAmt |
| Program Services | $57,856 | ProgramServicesAmt |
| Management And General | $10,310 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,472 | TotalAmt |
| Management And General | $99,472 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,681,542 | TotalAmt |
| Program Services | $7,979,031 | ProgramServicesAmt |
| Management And General | $4,702,511 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,125 | TotalAmt |
| Program Services | $22,718 | ProgramServicesAmt |
| Management And General | $557,407 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,203,642 | TotalAmt |
| Program Services | $1,637,715 | ProgramServicesAmt |
| Management And General | $565,927 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,223,148 | TotalAmt |
| Program Services | $1,038,568 | ProgramServicesAmt |
| Management And General | $1,184,580 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,337,456 | TotalAmt |
| Program Services | $2,252,823 | ProgramServicesAmt |
| Management And General | $84,633 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,492 | TotalAmt |
| Program Services | $35,709 | ProgramServicesAmt |
| Management And General | $16,783 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,445 | TotalAmt |
| Program Services | $41,579 | ProgramServicesAmt |
| Management And General | $14,866 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,712,721 | TotalAmt |
| Program Services | $1,712,721 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,671,980 | TotalAmt |
| Program Services | $4,671,980 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,140,971 | TotalAmt |
| Program Services | $2,069,601 | ProgramServicesAmt |
| Management And General | $71,370 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL & SURGICAL SUPPLI | $27,677,840 | $27,626,005 | $51,835 |
| EQUIPMENT RENTAL & MAINT. | $2,553,435 | $2,222,966 | $330,469 |
| OTHER | $2,325,817 | $2,139,593 | $186,224 |
| PROVIDER FEES | $1,670,721 | $1,670,721 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,455,056 | TotalAmt |
| Program Services | $110,575,226 | ProgramServicesAmt |
| Management And General | $17,879,830 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,826,998 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,931,468 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,686,709 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,494,002 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,414,592 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,695,288 | BOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,209,153 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $411,054,265 | BOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,957,230 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,711,149 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,504,392 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $848,485,246 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,642,876 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,849,887 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,460,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,557,824 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,510,587 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $409,935,056 | BOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,039,603 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $428,974,659 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $848,485,246 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $783,143 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$8,471,455 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$421,286,347 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| 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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,039,603 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $34,970 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $19,074,573 | GrantsOrScholarshipsAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | TO PROVIDE SUPPORT TO GWINNETT HOSPITAL SYSTEM. |
| SCHEDULE D, PAGE 4, PART XIII | GWINNETT HOSPITAL SYSTEM, INC. WAS ACQUIRED BY AND LIQUIDATED INTO NORTHSIDE HOSPITAL, INC. EFFECTIVE 12:01 AM ON AUGUST 28, 2019. ALL ASSETS AND LIABILITIES WERE TRANSFERRED. NORTHSIDE HOSPITAL IS A TAX-EXEMPT SECTION 501(C)(3) ORGANIZATION. |
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 | $14,882,398 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $88,468 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,793,930 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11520 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,816,391 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,928,001 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,888,390 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09250 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,698,789 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,016,469 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,682,320 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.20770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 39 | ActivitiesOrProgramsCnt |
| Persons Served | 5801 | PersonsServedCnt |
| Total Community Benefit Expns | $1,172,354 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,679 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,141,675 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Persons Served | 643 | PersonsServedCnt |
| Total Community Benefit Expns | $2,614,974 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $513,434 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,101,540 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01640 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,716,718 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,749,722 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,966,996 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01530 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 62 | ActivitiesOrProgramsCnt |
| Persons Served | 6444 | PersonsServedCnt |
| Total Community Benefit Expns | $8,504,046 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,293,835 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,210,211 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04060 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 62 | ActivitiesOrProgramsCnt |
| Persons Served | 6444 | PersonsServedCnt |
| Total Community Benefit Expns | $42,202,835 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,310,304 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,892,531 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.24830 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,432,210 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,373,318 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $19,611,619 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,813,652 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,202,033 | 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 | ||||||||||||
| 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 | WWW.GWINNETTMEDICALCENTER.ORG/ABOUTUS | 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 | HTTPS://WWW.GWINNETTMEDICALCENTER.ORG/ | 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 - 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 - 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 - 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 - 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 - 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 - 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 AN 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 - 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.HEBRON 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 (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7G | 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, DIABETES & NUTRITION, TRAUMA SERVICES, CONCUSSION INSTITUTE AND REHAB SERVICES ARE SUBSIDZED SERVICES. |
| SCHEDULE H, PART I, LINE 7, COLUMN (F) | BAD DEBT EXPENSE OF 16,432,210 WAS OFFSET AGAINST REVENUES IN THE FINANCIAL STATEMENTS. THERE IS NO NEED TO ADJUST TOTAL EXPENSES USED TO CALCULATE THE PERCENTAGES IN PART I, LINE 7, COLUMN (F). |
| SCHEDULE H, PART I, LINE 7 | 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 JUNE 30, 2019 MEDICAID COST REPORT. |
| SCHEDULE H, PART III, LINE 2 | 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. |
| SCHEDULE H, PART III, LINE 3 | THE HOSPITAL USES A NOTE ON THE PATIENT ACCOUNT TO IDENTIFY PATIENTS UNCOOPERATIVE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY THAT LIKELY WOULD HAVE 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 5,373,318. THE ESTIMATED COSTS (CALCULATED USING THE RATIO OF COST TO CHARGES) ARE 2,292,087. |
| SCHEDULE H, PART III, LINE 4 | THE SHORT PERIOD ENDING AUGUST 27, 2019 WAS NOT AUDITED. FOLLOWING IS THE FOOTNOTE FROM THE JUNE 30, 2019 AUDITED 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 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. (NOTE, FOR THE PERIOD 7/1/9 THROUGH 8/27/19 THE AMOUNT OF THE HOSPITAL'S PROVISION FOR UNCOLLECTIBLE ACCOUNTS WAS 16,432,210.) |
| SCHEDULE H, PART III, LINE 8 | THE COST 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 PART C, PHYSICIAN SERVICES, FEE SCHEDULE, NON- ALLOWABLE) COSTS AND PAYMENTS ARE INCLUDED IN THE MEDICARE RECONCILIATION SUMMARY SHOWN BELOW. 671,530 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 RECONCILIATION SUMMARY - MEDICARE FFS SHORTFALL (MEDICARE COST REPORT) 2,202,033 OTHER MEDICARE SHORTFALLS (NON MEDICARE COST REPORT) MEDICARE REPLACEMENT (OVERAGE)(PER HPM) 5,272,305 MEDICARE PRO FEE SHORTFALL (PER HPM) (8,056) MEDICARE FEE SCHEDULE SHORTFALL (PER CCR) 124,817 MEDICARE NON-ALLOWABLE COSTS 468,850 PY SETTLEMENT RECEIVED - SHORTFALL (IMPACT TO I/S) - TOTAL MEDICARE SHORTFALL 8,059,949 |
| SCHEDULE H, PART III, LINE 9B | 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 THAT IS NOT RELATED TO THE FINANCIAL ASSISTANCE PROGRAM. PATIENTS RECEIVE HOSPITAL STATEMENTS THROUGHOUT 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. |
| SCHEDULE H, PART VI, LINE 2 | 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. |
| SCHEDULE H, PART VI, LINE 3 | EVERY PATIENT REGISTERED AT A GHS FACILITY IS PROVIDED A DOCUMENT ALERTING THEM TO THE AVAILABILITY OF THE SYSTEMS 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 SYSTEMS WEBSITE ALSO INCLUDES THE HOSPITALS FINANCIAL ASSISTANCE POLICY AND APPLICATIONS IN ENGLISH, SPANISH, KOREAN AND VIETNAMESE. |
| SCHEDULE H, PART VI, LINE 4 | 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 65TH 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 PREVENT 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 WAS 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. |
| SCHEDULE H, PART VI, LINE 5 | 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. |
| SCHEDULE H, PART VI, LINE 6 | GWINNETT HOSPITAL SYSTEM IS A LICENSED 464 BED HEALTHCARE ORGANIZATION WITH TWO ACUTE-CARE HOSPITALS: GWINNETT MEDICAL CENTER-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 WOMENS 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, AS WELL AS TO PROVIDE CERTAIN INPATIENT PHYSICIAN SERVICES. |
| SCHEDULE H, PART VI, LINE 7 | GEORGIA |
| SCHEDULE H, PART VI | 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | 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 (25 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 |
|---|---|---|---|---|---|---|---|
| JESSIE T SHEPHERD | |||||||
| EXECUTIVE VP AND COO | $355,690 | $212,060 | $1,212,100 | $21,000 | $22,465 | $1,823,315 | $45,166 |
| THOMAS Y MCBRIDE III | |||||||
| EXECUTIVE VP & CFO | $316,790 | $142,088 | $1,091,390 | $21,000 | $9,204 | $1,580,472 | |
| PHILIP WOLFE | |||||||
| PRESIDENT & CEO | $670,732 | $406,192 | $141,757 | $18,200 | $17,990 | $1,254,871 | |
| STEPHEN NADEAU | |||||||
| SR. VP OF HUMAN RES. | $184,707 | $111,541 | $861,523 | $18,207 | $18,225 | $1,194,203 | $28,905 |
| ALAN BIER | |||||||
| EXECUTIVE VP & CMO | $310,741 | $184,271 | $667,711 | $16,508 | $11,348 | $1,190,579 | |
| PATRICIA A LAVELY | |||||||
| SR. VP & CIO | $207,641 | $81,590 | $817,629 | $36,008 | $6,616 | $1,149,484 | $25,671 |
| PETER WHEELER | |||||||
| GENERAL COUNSEL | $217,732 | $109,575 | $754,876 | $19,876 | $15,835 | $1,117,894 | $29,816 |
| NISHITH PATEL | |||||||
| VP & COO GMC | $168,278 | $71,813 | $450,460 | $9,273 | $15,057 | $714,881 | $16,851 |
| JANET SCHWALBE | |||||||
| VP PHYSICIAN SVC. | $146,608 | $66,013 | $368,557 | $25,609 | $10,325 | $617,112 | $15,422 |
| THOMAS LYNCH | |||||||
| VP MANAGED CARE | $151,723 | $55,489 | $354,618 | $23,137 | $20,961 | $605,928 | $17,515 |
| CATHY DOUGHERTY | |||||||
| ASST. VP REVENUE | $153,168 | $84,503 | $251,290 | $12,618 | $13,971 | $515,550 | |
| CATHIE L BRAZELL | |||||||
| DIRECTOR WOMEN'S SVC | $164,749 | $54,047 | $264,289 | $22,365 | $7,440 | $512,890 | |
| DIANA POTTS | |||||||
| CHIEF NURSING OFF. | $145,736 | $25,136 | $236,471 | $11,579 | $7,895 | $426,817 | $9,269 |
| JAMES DENNARD JR | |||||||
| VP & COO GMC | $210,173 | $88,114 | $41,803 | $37,021 | $27,609 | $404,720 | $18,186 |
| MARK D DARROW | |||||||
| DIRECTOR GME | $248,126 | $50,936 | $2,818 | $14,284 | $16,616 | $332,780 | |
| SCOTT OREM | |||||||
| VP FINANCE | $167,573 | $64,895 | $29,857 | $28,108 | $22,439 | $312,872 | $18,186 |
| MICHAEL C BOBLITZ | |||||||
| VP PLANNING & DEVEL. | $173,635 | $60,982 | $25,506 | $28,449 | $13,989 | $302,561 | $15,586 |
| PAMELA GARLAND | |||||||
| VP & CNO | $154,382 | $44,969 | $35,067 | $27,782 | $21,215 | $283,415 | |
| JOHN S HARVEY MD | |||||||
| PRG. DIRECTOR GME | $229,396 | $8,700 | $13,153 | $17,546 | $268,795 | ||
| PETER JKAPLAN MD | |||||||
| TEACHING FACULTY GME | $208,382 | $8,910 | $18,383 | $14,619 | $13,759 | $264,053 | |
| TODD E VERMEER MD | |||||||
| CMIO | $210,553 | $16,212 | $11,274 | $19,393 | $257,432 | ||
| KIMBERLY C BATES MD | |||||||
| PROGRAM DIRECTOR GME | $176,607 | $9,850 | $10,646 | $9,093 | $22,375 | $228,571 | |
| KEVIN E JOHNSON MD | |||||||
| PROGRAM DIRECTOR GME | $174,413 | $9,700 | $11,671 | $9,247 | $22,363 | $227,394 | |
| TANNA LIM MD | |||||||
| TEACHING FACULTY GME | $178,805 | $5,000 | $421 | $9,190 | $17,653 | $211,069 | |
| BONNY RICHARDSON | |||||||
| ASSOCIATE GEN. LEGAL | $132,466 | $27,193 | $1,449 | $15,405 | $12,303 | $188,816 | |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 3 | GWINNETT HOSPITAL SYSTEM, INC. RELIES UPON GWINNETT HEALTH SYSTEM, INC. (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 1,129,418 0 0 THOMAS Y. MCBRIDE, III 1,034,625 0 0 STEPHEN NADEAU 764,037 0 0 ALAN BIER 596,160 0 0 PATRICIA A. LAVELY 736,612 24,729 0 PETER WHEELER 722,080 0 0 NISHITH PATEL 356,573 0 0 JANET SCHWALBE 318,890 12,601 0 THOMAS LYNCH 308,420 12,491 0 CATHY DOUGHERTY 248,458 0 0 CATHIE L. BRAZELL 240,510 12,335 0 DIANA POTTS 210,649 0 0 JAMES DENNARD, JR 0 21,083 0 SCOTT OREM 0 12,707 0 MICHAEL C. BOBLITZ 0 18,811 0 PAMELA GARLAND 0 11,708 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, IF ANY, 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: JESSIE T. SHEPHERD 45,166 PATRICIA LAVELY 25,671 PETER WHEELER 29,816 STEPHEN A. NADEAU 28,905 THOMAS M. LYNCH 17,515 JAMES D. DENNARD, JR. 18,186 MICHAEL C. BOBLITZ 15,586 DIANA C. POTTS 9,269 NISHITH PATEL 16,851 JANET SCHWALBE 15,422 SCOTT OREM 18,186 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| GWINNETT EMERGENCY SPECIALISTS | |||
| BOARD MEMBER | $41,536 | MEDICAL SERVICES | false |
| GARY LEVENGOOD MD | |||
| BOARD MEMBER | $20,212 | COMPENSATION | false |
| SPORTS MEDICINE SOUTH | |||
| BOARD MEMBER | $16,971 | 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 N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | ALL ASSETS- SEE PART 3 | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2019-08-27 | DistributionDt |
| EIN | 581954432 | EIN |
| Person | NORTHSIDE HOSPITAL INC | PersonNm |
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) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | Yes (true) | DirectorOfSuccessorInd |
| Employee Of Successor | false | EmployeeOfSuccessorInd |
| Owner Of Successor | false | OwnerOfSuccessorInd |
| Receive Compensation | Yes (true) | ReceiveCompensationInd |
| Assets Distributed | Yes (true) | AssetsDistributedInd |
| Required To Notify AG | Yes (true) | RequiredToNotifyAGInd |
| Liabilities Paid | Yes (true) | LiabilitiesPaidInd |
| Bonds Outstanding | Yes (true) | BondsOutstandingInd |
| Bond Liabilities Discharged | Yes (true) | BondLiabilitiesDischargedInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE N, PAGE 1, PART I, LINE 2E | THE FOLLOWING 4 MEMBERS OF THE GWINNETT HOSPITAL SYSTEM, INC. BOARD OF DIRECTORS BECAME MEMBERS OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS IN NOVEMBER 2019: 1) CARLTON BUCHANAN, MD 2) KEITH CARNES, MD 3) TERRI JONDAHL 5) J. MICHAEL LEVENGOOD NORTHSIDE HOSPITAL, INC. IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). SEVERANCE PAYMENTS WERE MADE BY GWINNETT HOSPITAL SYSTEM TO THE FOLLOWING 12 INDIVIDUALS: 1) JESSIE T. SHEPHERD 2) THOMAS Y. MCBRIDE, III 3) STEPHEN NADEAU 4) PATRICIA LAVELY 5) PETER WHEELER 6) ALAN BIER 7) NISHITH C. PATEL 8) JANET SCHWALBE 9) THOMAS LYNCH 10) CATHY DOUGHERTY 11) CATHIE L. BRAZELL 12) DIANA POTTS THESE PAYMENTS ARE DISCLOSED ON SCHEDULE J, PART III. |
| SCHEDULE N, PAGE 2, PART I, LINE 6C | SIMULTANEOUS WITH THE CLOSING OF THE MERGER, NORTHSIDE PAID OFF AND LEGALLY DEFEASED GWINNETTS OUTSTANDING DEBT AND TERMINATED GWINNETTS INTEREST RATE SWAPS, WHICH CONSTITUTED THE TRANSFER OF CONSIDERATION. PROCEEDS FOR THE DEFEASANCE WERE PROVIDED BY THE MERGED ENTITIES CASH ON HAND AND EXISTING GWINNETT ASSETS LIMITED AS TO USE AND HELD BY THE DESIGNATED TRUSTEE UNDER THE GOVERNING BOND DOCUMENTS. A PORTION OF THE LEGAL DEFEASANCE REQUIRED A DIRECT PAY LETTER OF CREDIT, WHICH WAS PAID OFF SIMULTANEOUSLY WITH THE MERGER. |
| SCHEDULE N | AT 12:01 A.M. ON AUGUST 28, 2019 GWINNETT HOSPITAL SYSTEM, INC. MERGED WITH NORTHSIDE HOSPITAL, INC. NORTHSIDE HOSPITAL IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN IRC SECTION 501(C)(3). ALL ASSETS AND LIABILITIES WERE ASSUMED BY NORTHSIDE PURSUANT TO THE MERGER. THE BALANCE SHEET OF GWINNETT HOSPITAL SYSTEM IMMEDIATELY PRIOR TO THE MERGER REFLECTED: CASH 65,524,513 ACCOUNTS RECEIVABLE 64,667,427 NOTES RECEIVABLE 7,942,516 INVENTORIES 7,257,571 PREPAID EXPENSES 13,947,045 FIXED ASSETS 215,097,965 INVESTMENTS 427,556,088 INTANGIBLE ASSETS 9,711,149 OTHER ASSETS 17,121,593 TAX-EXEMPT BONDS (260,385,000) LIABILITIES (154,546,451) NET ASSETS 413,,894,416 A VALUATION OF THE GWINNETT HEALTH SYSTEM WAS PERFORMED ON A SYSTEM WIDE BASIS AND IS REPORTED ON SCHEDULE N OF THE THE FORM 990 FOR GWINNETT HEALTH SYSTEM,INC. THE VALUATION WAS NOT PREPARED ON A SEPARATE COMPANY BASIS. |
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 PERIOD ENDED AUGUST 27, 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 PERIOD ENDED AUGUST 27, 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 3 | 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 RESULTED IN THE REQUIREMENT TO FILE THIS FINAL, SHORT PERIOD TAX RETURN. THE ACTIVITY REPRESENTED IN THIS SHORT PERIOD FORM 990 IS FOR THE PERIOD JULY 1, 2019 THROUGH AUGUST 27, 2019. |
| 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. |
| 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 PRIOR TO 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. THIS RETURN IS THE FINAL RETURN FOR GWINNETT HOSPITAL SYSTEM. |
| 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. 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, LINE 9 | BENEFICIAL INTEREST IN ASSETS OF FOUNDATION 34,970 ACCRUED PENSION COSTS ADJUSTMENT -7,326,902 GWINNETT SURGERY CENTER TRANSFER -100,000 ROUNDING 1 MERGER INTO NORTHSIDE HOSPITAL -413,894,416 TOTAL -421,286,347 |
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
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GWINNETT SURGERY CENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 631 PROFESSIONAL DRIVE STE 390 | AddressLine1Txt |
| City | LAWRENCEVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30046 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272819709 | EIN |
| Primary Activities | MEDICAL SV | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GWN HOSPIT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
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 | false | 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 |