2020-11-12T17:28:07-07:00 2019-12-31 KPMG LLP 303 Peachtree St NE Suite 2000 Atlanta GA 30308 990 2019-01-01 262037695 GRADY MEMORIAL HOSPITAL CORPORATION GRAD 4046161846 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 RICHARD RHINE CFO 4046167355 2020-11-16 1 Whitney E Blair P01226647 4047395994 2020-11-12 73.137.114.202 2019 2021-01-29 14:40:06Z JOHN M HAUPERT PRESIDENT and CEO 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 2032089475 0 X WWW.GRADYHEALTH.ORG X 2008 GA GRADY HEALTH SYSTEM IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER. GRADY MAINTAINS ITS COMMITMENT TO THE UNDERSERVED OF FULTON AND DEKALB COUNTIES WHILE ALSO PROVIDING CARE TO RESIDENTS OF METRO ATLANTA AND GEORGIA. GRADY LEADS THROUGH CLINICAL EXCELLENCE, INNOVATIVE RESEARCH AND PROGRESSIVE MEDICAL EDUCATION AND TRAINING. 17 17 8772 548 0 0 164405694 168835384 1442503180 1835997046 2876312 3956602 20066964 23300443 1629852150 2032089475 12285830 12020196 0 0 541101528 581323239 0 0 0 1045844106 1408971142 1599231464 2002314577 30620686 29774898 863217521 1004315025 258845888 290432158 604371633 713882867 GRADY HEALTH SYSTEM IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER. GRADY MAINTAINS ITS COMMITMENT TO THE UNDERSERVED OF FULTON AND DEKALB COUNTIES WHILE ALSO PROVIDING CARE TO RESIDENTS OF METRO ATLANTA AND GEORGIA. GRADY LEADS THROUGH CLINICAL EXCELLENCE, INNOVATIVE RESEARCH AND PROGRESSIVE MEDICAL EDUCATION AND TRAINING. 0 0 523419214 334772916 4A PROGRAM SERVICE -CHARITY, UNINSURED, UNDERINSURED AND INDIGENT CARE: IN THE 1800'S ATLANTA'S INDIGENT SICK HAD NO PLACE TO GO TO RECEIVE MEDICAL TREATMENT FOR ILLNESS OR INJURY. THEREFORE, A DRIVE WAS BEGUN TO BUILD GRADY MEMORIAL HOSPITAL (GRADY). ON JUNE 1, 1892, GRADY ADMITTED ITS FIRST PATIENT. AS OF TODAY, GRADY CONTINUES TO BE THE SAFETY NET HOSPITAL FOR THE UNINSURED AND UNDERINSURED CITIZENS OF FULTON AND DEKALB COUNTIES AND THE STATE OF GEORGIA. AS THE LARGEST SAFETY NET HOSPITAL IN THE STATE AND ONE OF THE LARGEST IN THE COUNTRY, ITS MISSION IS (1) TO PROVIDE MEDICAL SERVICES TO UNINSURED, UNDERINSURED, OR INDIGENT PATIENTS; (2) TO PROVIDE AN OPEN ACCESS POLICY FOR RESIDENTS OF FULTON AND DEKALB COUNTIES REGARDLESS OF THEIR ABILITY TO PAY; (3) AND TO PROVIDE A PROVISION FOR SIGNIFICANT UNCOMPENSATED INDIGENT AND CHARITY CARE. DURING 2019, GRADY PROVIDED CARE TO MORE THAN 118,318 UNDER AND UNINSURED PATIENTS WHICH REPRESENT APPROXIMATELY 64% OF ITS TOTAL PATIENTS WITH ABOUT 589,514 PATIENT ENCOUNTERS, COSTING APPROXIMATELY $523M. GRADY RECEIVES SOME REIMBURSEMENT FROM FULTON AND DEKALB COUNTIES, MEDICAID, AND SOME FUNDING FROM THE STATE OF GEORGIA'S INDIGENT CARE TRUST FUND (INCLUDING FEDERAL MATCHING FUNDS) TO HELP SUPPORT THE COSTS OF CARING FOR SO MANY IN THE REGION. GRADY HAS BEEN AND CONTINUES TO BE SIGNIFICANTLY CHALLENGED BY THE FINANCIAL BURDEN OF PROVIDING SO MUCH FREE CARE TO THE REGION. 115495615 12020196 59294405 4B PROGRAM SERVICE -GRADUATE MEDICAL EDUCATION: GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) HAS AFFILIATION AGREEMENTS WITH EMORY UNIVERSITY AND MOREHOUSE SCHOOLS OF MEDICINE TO SUPPORT THE TEACHING AND SUPERVISION OF RESIDENTS IN THE ORGANIZATION, AS WELL AS TO PROVIDE PROFESSIONAL CLINICAL AND ADMINISTRATIVE SERVICES. IN 2019 MORE THAN 1,000 RESIDENTS AND FELLOWS FROM EMORY AND MOREHOUSE PROGRAMS ROTATED THROUGH A BROAD SPECTRUM OF SERVICES IN THE ORGANIZATION. ADDITIONALLY, HUNDREDS OF MEDICAL STUDENTS BENEFITED FROM TRAINING IN THE ORGANIZATION. GMHC OFFERS UNIQUE LEARNING EXPERIENCES FOR RESIDENTS BY PROVIDING EXPOSURE TO TRAUMA, BURN, INFECTIOUS DISEASE, SICKLE CELL, NEUROLOGY AND OTHER COMPLEX CASES AND HOSTS A SIGNIFICANT NUMBER OF CLINICAL RESEARCH TRIALS TO ENHANCE THE RESIDENTS' EDUCATIONAL EXPERIENCE. GMHC PROVIDED IN EXCESS OF $115M IN SUPPORT RELATIVE TO TEACHING SERVICES. IN 2019, REIMBURSEMENT FOR TEACHING SERVICES FROM MEDICARE, MEDICAID AND OTHER GOVERNMENTAL FUNDS TOTALED $59M. 150079342 206049464 4C PROGRAM SERVICE -EMERGENCY AND TRAUMA SERVICES: GRADY OPERATES ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN THE EASTERN UNITED STATES AND THE COUNTRY'S LARGEST HOSPITAL-BASED AMBULANCE SERVICE. GMHC OPERATES THE LARGEST LEVEL 1 TRAUMA CENTER IN THE ATLANTA METROPOLITAN AREA WHICH HANDLED 5,086 ACUTE TRAUMA CASES IN 2019. ADDITIONALLY, AS PART OF ITS TRAUMA SERVICE, GMHC OPERATES ONE OF ONLY TWO BURN CENTERS IN GEORGIA. THE NATIONALLY ACCLAIMED EMERGENCY CARE CENTER (ECC) HANDLED 141,862 EMERGENCY CASES IN 2019. THE EMERGENCY ROOM WAS THE INTAKE POINT FOR 26,998 OF THE SAFETY NET HOSPITAL'S TOTAL ADMISSIONS. GRADY'S EMS DIVISION STATEWIDE EMS OPERATION IS THE EXCLUSIVE 911 AMBULANCE PROVIDER FOR THE CITY OF ATLANTA INCLUDING SOUTH FULTON COUNTY, BAKER, BALDWIN, BEN HILL, BROOKS, CLAY, COOK, DECATUR, HANCOCK, MCINTOSH, MITCHELL, PIERCE, QUITMAN, RANDOLPH, SEMINOLE, AND WORTH COUNTIES IN GEORGIA. THE GRADY EMS TEAM OF OVER 1350 EMS PROFESSIONALS HANDLE MORE THAN 245,000 CALLS THROUGHTOUT GEORGIA, IN 2019. ADDITIONALLY, GRADY EMS ALSO MANAGES A MOBILE INTEGRATED HEALTH (MIH) CARE PROGRAM WHICH PROVIDES PRE AND POST HOSPITAL CARE FOR PATIENTS IN AN EFFORT TO REDUCE THE STRAIN ON EMS AND ECC. MIH ALSO INCREASES ACCESS TO PREVENTATIVE CARE, WORKING TO REDUCE HOSPITAL RE-ADMITS AND LOWER LENGTH OF HOSPITAL STAYS. ALSO NOTABLE, GRADY EMS OPERATES ATLANTA'S LARGEST SPECIALIZED EVENT EMS DIVISION SERVING STADIUMS, CONCERTS, MARATHONS, AND FESTIVALS THROUGHOUT THE CITY OF ATLANTA. 949174179 0 1235880261 GRADY'S OTHER PROGRAMS INCLUDE NATIONALLY RECOGNIZED PROGRAMS IN THE AREAS OF INFECTIOUS DISEASE, DIABETES, AND SICKLE CELL AS WELL AS REGIONAL SERVICE FOR NEONATAL TRANSPORT, MATERNAL AND INFANT PROJECT, CARDIOVASCULAR HEALTH, PSYCHOLOGY, BURN, CANCER AND MARCUS STROKE AND NEUROSCIENCE CENTER. PRIMARY CARE SERVICES ARE ALSO PROVIDED THROUGH HOSPITAL MAIN-CAMPUS DEPARTMENTS AND NEIGHBORHOOD CLINICS. 949174179 0 1235880261 1738168350 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 265 0 1 8772 1 0 0 0 0 0 0 0 0 0 0 1 0 X 17 17 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X GINA SMITH -CONTROLLER 4046167355 50 HURT PLAZA SUITE 301 ATLANTA GA 30303 X JOHN M HAUPERT FACHE PRESIDENT AND CEO 40 0 X 1696291 0 31954 RHONDA SCOTT EXEC VP / COO 40 0 X 1106424 0 24490 KELLEY CARROLL SVP CHIEF AMBULATORY OFFICER 40 0 X 765355 0 30442 ROBERT JANSEN EXEC VP / CMO 40 0 X 717108 0 34239 CRAIG TINDALL SVP / CLINICAL OPERATIONS 40 0 X 717139 0 18851 RICHARD RHINE EXEC VP / CFO 40 0 X 708778 0 23122 TIMOTHY JEFFERSON EXEC VP / GENERAL COUNSEL 40 0 X 556708 0 44269 MARTY SCOTT SVP CHIEF QUALITY/PT SAFETY OFFICER 40 0 X 574428 0 17611 PETER RHEE SVP / CHIEF ACUTE CARE SURGERY 40 0 X 567000 0 0 BENJAMIN MCKEEBY SVP / CIO 40 0 X 502380 0 27508 MARY SALE SVP / CHIEF STRATEGY OFFICER 40 0 X 475202 0 11651 ALISA SMALLWOOD VP DEVELOPMENT 40 0 X 457626 0 11461 LINA GEORGE EXEC VP / CHIEF HR OFFICER 40 0 X 455327 0 10317 JACQUELINE HERD EXEC VP / CNO 40 0 X 391233 0 28955 WILLIAM COMPTON SVP EMERG MED SVCS 40 0 X 397378 0 18477 LINDSAY CAULFIELD SVP/CHF EXPERIENCE OFFICER 40 0 X 396048 0 15141 MICHELLE WALLACE SVP CHIEF CLINICAL OFFICER 40 0 X 377083 0 8813 FRANK BLAKE CHAIRMAN 5.00 0 X X 0 0 0 A D PETE CORRELL DIRECTOR 2 0 X 0 0 0 MARK P BECKER DIRECTOR 2 0 X 0 0 0 SHARON BENT-HARLEY MD DIRECTOR 2 0 X 0 0 0 ANNETTE BERNARD MD FACP DIRECTOR 2 0 X 0 0 0 WILLIAM A BORNSTEIN MD DIRECTOR 2 0 X 0 0 0 H JAMES DALLAS DIRECTOR 2 0 X 0 0 0 LARRY GELLERSTEDT DIRECTOR 2.0 0 X 0 0 0 EDWARD J HARDIN DIRECTOR 2 0 X 0 0 0 JOHN HOLLINS DIRECTOR 2 0 X 0 0 0 ERICA QUALLS-BATTEY DIRECTOR 2 0 X 0 0 0 SAM JOHNSON DIRECTOR 2 0 X 0 0 0 VALERIE MONTGOMERY RICE MD DIRECTOR 2 0 X 0 0 0 ROBERT SHEFT DIRECTOR 2 0 X 0 0 0 PAMELA S STEPHENSON ESQ DIRECTOR 2 0 X 0 0 0 DAVID P STOCKERT DIRECTOR 2 0 X 0 0 0 VIKAS P SUKHATME MD ScD DIRECTOR 2 0 X 0 0 0 BERNIE TOKARZ DIRECTOR 2 0 X 0 0 0 CAROL B TOME DIRECTOR 2 0 X 0 0 0 SAM A WILLIAMS DIRECTOR 2 0 X 0 0 0 10861508 0 357301 898 1 1 0 EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR ATLANTA GA 30322 MEDICAL 130574220 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE NW ATLANTA GA 30310 MEDICAL 31375281 SODEXO INC AND AFFILIATES P O BOX 360170 PITTSBURGH PA 15251 FOOD SERVICES 29091836 RANDSTAD P O BOX 105046 ATLANTA GA 30348 TEMPORARY EMPLOYEES 14459602 NORTH GEORGIA ACUTE P O BOX 101518 ATLANTA GA 30392 MEDICAL SERVICES 5614592 117 0 0 0 0 55434957 113400427 44197595 168835384 patient care 900099 1835997046 1835997046 0 0 0 0 0 0 1835997046 3873054 0 0 3873054 0 0 0 0 0 0 0 0 0 0 0 83548 0 0 0 83548 83548 83548 0 0 0 RENTAL INCOME 900099 2768466 0 0 2768466 CONTRACTED SVCS - EMS 900099 4402895 4402895 0 0 INCOME - CITY OF ATLANTA WATER 900099 5632836 5632836 0 0 10496246 10496246 0 0 23300443 2032089475 1856612571 0 6641520 X 12020196 12020196 10861508 1833423 9028085 467328048 350355838 116972210 15788003 11836266 3951737 55274781 41439503 13835278 32070899 24043553 8027346 10850076 6316914 4533162 1375892 801044 574848 484504 282078 202426 1129652 0 1129652 309554262 267567710 41986552 3649245 2124590 1524655 17982279 10469283 7512996 17415539 10139327 7276212 17056547 9930322 7126225 4042496 2353541 1688955 1468292 854840 613452 61442946 42005377 19437569 14042701 8175661 5867040 DRUGS 136402324 136402324 0 0 BAD DEBT 679431027 679431027 0 0 MEDICAL SUPPLIES 101868284 101868284 0 0 MEDICAL EQUIPMENT LEASES, TAXES, ETC 30775076 17917249 12857827 2002314577 1738168350 264146227 0 178762726 216344986 0 0 49023711 45268962 154761976 163730463 107599 3645 0 0 0 0 16404605 19951316 11226034 12885062 815909803 499879560 311031569 316030243 0 0 141899301 230100348 863217521 1004315025 162133133 186486837 5693386 5418755 35637182 33842742 55382187 64683824 258845888 290432158 X 576760313 629055814 27611320 84827053 604371633 713882867 863217521 1004315025 X 29774898 0 0 0 69567937 10168399 X 0 1 X 1 1 1 X 94845523 100085461 101216345 108970741 113400427 518518497 57415964 55421029 55434953 55434953 55434957 279141856 0 0 0 0 0 0 152261487 155506490 156651298 164405694 168835384 797660353 797660353 142404 376449 1391453 2794981 3873054 8578341 0 0 0 0 0 0 8443965 10244694 10406190 11937662 12804197 53836708 860075402 185512635 0.92743 0.92345 X Schedule A, Part II, Line 10 OTHER INCOME 12,804,197 FROM RENTS AND CONTRACTED SERVICES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 1099326 1 30326 0 1129652 0 Schedule C, Part II-B, Line 1 PERSONNEL ATTEND SEMINARS AND CONVENTIONS TO STAY CURRENT WITH INDUSTRY TRENDS AND TO NETWORK WITH LEGISLATORS, GOVERNMENT OFFICIALS AND OTHER LOBBYISTS. THE LOBBYING ACTIVITIES OF GMHC FOCUS ON COMMUNICATING GMHC'S STATUS AND IT'S BUSINESS CHALLENGES TO ELECTED OFFICIALS ON THE COUNTY, STATE AND FEDERAL LEVELS. GIVEN GMHC'S LARGE SHARE OF INDIGENT CARE IN GEORGIA, EFFORTS ARE PRIMARILY DIRECTED TO FINDING ADDITIONAL GOVERNMENT SUPPORT FOR DELIVERING CARE TO THAT UNDERSERVED POPULATION. GMHC IS ALSO A MEMEBER OF GEORGIA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND AMERICA'S ESSENTIAL HOSPITAL ORGANIZATIONS WHICH MAY LOBBY ON ITS BEHALF. 0 3062035 3062035 0 288011319 177642611 110368708 0 44550482 1796395 42754087 0 430845836 320440554 110405282 0 49440131 0 49440131 316030243 INVESTMENT IN HSOC 1455243 INSURANCE PROCEEDS RECEIVABLE 10020732 OTHER RECEIVABLES 44765944 PERMANENT ENDOWMENTS 23295677 GOODWILL 147065 NMTC NOTES RECEIVABLE 37024247 INVESTMENT IN NMTC 56307745 INVESTMENT IN AFFILIATES 57083695 230100348 WORKERS COMP RESERVE 641525 SELF INSURED LIABILITIES 39255117 OTHER RESERVES 24787182 64683824 X Schedule D, Part X, Line 2 GRADY APPLIES FASB ASC 740, INCOME TAXES (ASC 740), WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON GRADY'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740. 1 1 X 1 X 1 X 1 1 0 1 1 160488030 80623787 79864242 0.0603 256825869 226722585 30103283 0.0227 0 0 417313899 307346372 109967525 0.0830 18177172 9336378 8840795 0.0067 122439063 32619021 89820042 0.0678 117418002 10305375 107112627 0.0809 2131661 707300 1424361 0.0011 0 0 260165898 52968074 207197825 0.1565 0 0 677479797 360314446 317165350 0.2395 40000 40000 0 0 0 40000 0 40000 0 1 112419074 0 146379704 101035248 45344456 X 1 1 2 1 GRADY MEMORIAL HOSPITAL 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 https://www.gradyhealth.org X X X X X 2 HUGHES SPALDING CHILDRENS HOSPITAL 45 JESSE HILL JR DRIVE SE ATLANTA GA 30303 https://www.gradyhealth.org X X X GRADY MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X https://www.gradyhealth.org X 1 19 1 https://www.gradyhealth.org/static/community-benefit-summary/ 0 0 1 X 400 400 X X X X 1 1 X X X X X 1 X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X X 1 X 0 X 1 X X 0 0 HUGHES SPALDING CHILDRENS HOSPITAL 2 0 0 1 X X X X X X X X X 19 1 1 1 1 X https://www.gradyhealth.org/static/community-benefit-summary/ X 1 19 1 https://www.gradyhealth.org/static/community-benefit-summary/ 0 0 1 X 400 400 X X X X X 1 1 X X X X X 1 X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X X 1 X 0 X X 1 X X 0 0 Schedule H, Part V, Section B, Line 5-GRADY MEMORIAL HOSPITAL GEORGIA STATE UNIVERSITY'S GEORGIA HEALTH POLICY CENTER, WHICH LED THE COLLABORATIVE CHNA PROCESS, INTERVIEWED NEARLY 30 INDIVIDUAL STAKEHOLDERS AND CONDUCTED FOCUS GROUPS AND/OR LISTENING SESSIONS WITH TWO GROUPS OF GRADY PROVIDERS AND NINE GROUPS OF RESIDENTS REPRESENTING FOUR DIFFERENT POPULATIONS. INTERVIEWEES INCLUDED TWO REPRESENTATIVES FROM DEKALB COUNTY BOARD OF HEALTH, PARTNERS FOR HOME, GEORGIA EQUALITY, MERCY CARE HEALTH CENTER FOR THE HOMELESS, KAISER PERMANENTE, CATHOLIC CHARITIES, ATLANTA REGIONAL COMMISSION, UNITED WAY, A VARIETY OF GOVERNMENT OFFICIALS REPRESENTING CITY OF CHAMBLEE, DEKALB COUNTY AND FULTON COUNTY, AMONG OTHERS. FOCUS GROUPS WERE CONDUCTED TO ASSESS THE NEEDS OF FULTON RESIDENTS, DEKALB RESIDENTS, VIETNAMESE SENIORS, LATINOS, CANCER PATIENTS AND PATIENTS WITH BEHAVIORAL HEALTH CONDITIONS. Schedule H, Part V, Section B, Line 5-HUGHES SPALDING CHILDRENS HOSPITAL HUGHES SPALDING CHILDRENS HOSPITAL IS MANAGED BY CHILDRENS HEALTHCARE OF ATLANTA. Schedule H, Part V, Section B, Line 6a-GRADY MEMORIAL HOSPITAL GRADY'S CHNA WAS CONDUCTED COLLABORATIVELY THROUGH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). WELLSTAR HOSPITALS PARTICIPATED IN THIS 2019 CHNA PROCESS. Schedule H, Part V, Section B, Line 6a-HUGHES SPALDING CHILDRENS HOSPITAL GRADY'S CHNA WAS CONDUCTED COLLABORATIVELY THROUGH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). WELLSTAR HOSPITALS PARTICIPATED IN THIS 2019 CHNA PROCESS. Schedule H, Part V, Section B, Line 6b-GRADY MEMORIAL HOSPITAL MERCY CARE HEALTH CENTER FOR THE HOMELESS AND KAISER PERMANENTE OF GEORGIA ALSO PARTICIPATED IN ARCHI'S COLLABORATIVE CHNA TO INFORM THEIR ORGANIZATION'S COMMUNITY HEALTH PRIORITIES. ADDITIONALLY, MANY OTHER HEALTHCARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2019 CHNA. SOME OF THESE ORGANIZATIONS INCLUDE ATLANTA REGIONAL COMMISSION, UNITED WAY OF GREATER ATLANTA, CARTER CENTER, CENTERS FOR DISEASE CONTROL AND PREVENTION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, AND GEORGIA HEALTH POLICY CENTER, AMONG OTHERS. Schedule H, Part V, Section B, Line 6b-HUGHES SPALDING CHILDRENS HOSPITAL MERCY CARE HEALTH CENTER FOR THE HOMELESS AND KAISER PERMANENTE OF GEORGIA ALSO PARTICIPATED IN ARCHI'S COLLABORATIVE CHNA TO INFORM THEIR ORGANIZATION'S COMMUNITY HEALTH PRIORITIES. ADDITIONALLY, MANY OTHER HEALTHCARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2019 CHNA. SOME OF THESE ORGANIZATIONS INCLUDE ATLANTA REGIONAL COMMISSION, UNITED WAY OF GREATER ATLANTA, CARTER CENTER, CENTERS FOR DISEASE CONTROL AND PREVENTION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, AND GEORGIA HEALTH POLICY CENTER, AMONG OTHERS. Schedule H, Part V, Section B, Line 11-GRADY MEMORIAL HOSPITAL Grady's most recent CHNA was conducted in 2019 and our Implementation Strategy (IS) was adopted at the end of 2019. Listed below is an overview of our work in 2019, which addressed the priorities identified in the 2016 CHNA: 1. IMPROVE COORDINATION OF CARE FOR GRADY PATIENTS WITH DIABETES, HYPERTENSION, PROSTATE CANCER, HIV/AIDS AND BEHAVIORAL HEALTH CONDITIONS. In partnership with the Atlanta Regional Collaborative for Health Improvement (ARCHI), several health systems in metro-Atlanta-Grady Health System, St. Joseph's Mercy Care, Wellstar, Piedmont Hospital, and Kaiser Permanente-formed a collaborative to improve diabetes population health outcomes and launched a pilot that included digital education and telephonic coaching. Over 600 patients participated in the digital education program and nearly all who completed the program reported that it was helpful to their diabetes management. Among the 70 patients enrolled in telephonic coaching, a majority were able to lose weight, lower their blood pressure or lower their A1C. Nearly half (49%) of the coaching patients had two or more social needs, and coaches were able to connect patients to resources including financial assistance, housing, transportation, SNAP and mental health services. This pilot highlighted the complex nature of patients with uncontrolled diabetes and showed that person-centered coaching focused on addressing nonclinical needs is effective in improving clinical outcomes. The partners continue to work together to address diabetes and apply lessons learned to the next phase. Community Health Workers (CHWs) are critical members of a patient's care team, and Grady continues to expand access to CHWs to improve outcomes. In late 2018, in partnership with United Way of Greater Atlanta, Grady added a CHW in Women's Services to reduce preterm births, low birth weight, infant mortality, maternal mortality and the use of emergency services for pregnancy care. This CHW provides prenatal care coordination, linkage to other health, community or social services, and education to reinforce healthy behaviors. Within the first year, 26 women began working with the CHW and 22 completed the intervention. Among these patients, the CHW completed 35 home visits, coordinated 217 medical appointments, completed 13 community referrals, and helped secure housing, baby supplies, and transportation. Of the 22 women who completed the intervention, only four (18%) had an infant with low or very low birth weight, four (18%) had a pre-term delivery, 14 (63%) were breastfeeding one-week post-partum, and 14 (63%) were connected to a primary care physician. Grady is continuing to optimize this program through expanded referral pathways and partnerships with other Grady services to better serve moms and babies. Grady also worked with the Westside Health Collaborative (WHC) to refer patients with uncontrolled diabetes or hypertension to CHWs based at Chris 180, a WHC partner. The program was designed to help residents of Westside neighborhoods (Vine City and English Avenue) improve their health and connect to community resources. Ten percent of Grady's patients reside in Westside neighborhoods, a community with high poverty rates, low educational attainment and significant health disparities. Throughout 2019, a Nurse Care Coordinator at Grady's Asa Yancey Neighborhood Health Center identified and referred 111 eligible patients. Among the 59 patients who enrolled, 51 attended follow up appointments, 53 achieved blood glucose readings within the prescribed range and 57 recorded blood pressure readings within the healthy range. Just over half were taking their medication as prescribed and engaging in physical activity. In addition, the CHW was able to connect patients with transportation support, food assistance, utility assistance, and home health coordination. In 2019, Grady expanded Medication-Assisted Treatment (MAT) in partnership with Fulton County. MAT is a treatment that combines medications with counseling and behavioral therapies for patients who suffer from an opioid use disorder (OUD) related to prescription opioids. With the support of the County, Grady doubled the capacity of the service to increase access for Fulton County residents. Grady also added inductions, MAT initiation, at the main hospital to better facilitate the transition to outpatient care. Through this partnership, Grady served 139 people in 2019, about one-third of whom came from Grady Hospital following an overdose. 2. INCREASE OPPORTUNITIES FOR ALL GEORGIANS, WITH A FOCUS ON PERSONS SERVED BY GRADY HEALTH SYSTEM, TO ACCESS HEALTHCARE. Grady has engaged a number of resources to assist patients in gaining access to Medicaid and other public benefits. In 2019, Grady submitted more than 3,962 Medicaid applications for patients. Through our Food as Medicine Partnership, the Atlanta Community Food Bank and Wholesome Wave Georgia submitted 369 Medicaid and 681 Supplemental Nutrition Assistance Program (SNAP) applications on behalf of Grady patients. In 2019, Grady expanded critical health care services to southwest Atlanta with our newest facility, camp creek comprehensive care center. It is a state-of-the-art, one-stop shop for adult and pediatric primary care and specialty care, including women's health services, cardiology, orthopedics, geriatrics, and much more. The center has quick on-site lab services and advanced imaging including x-ray, CT scans and mammography. 3. INCREASE PATIENT AND COMMUNITY ENGAGEMENT IN HEALTHY BEHAVIORS TO PREVENT DIABETES, HYPERTENSION, HIV, UNINTENTIONAL INJURIES, AND HOMICIDE. Georgia has the highest rate of HIV diagnoses of all states and most HIV diagnoses occur in Atlanta. Pre-exposure Prophylaxis (PrEP) with once daily, oral Truvada(R) is up to 99% effective at preventing HIV infection in high-risk groups, including men who have sex with men. Despite its safety and effectiveness, PrEP use remains low in Atlanta and the Southern US. In 2018, GHS launched its first pilot PrEP program within the Primary Care Center and neighborhood health centers. After starting 94 individuals on PrEP during the nine-month pilot, Grady expanded the service in 2019. Through the Food as Medicine (FAM) Partnership, a collaboration between Grady, the Atlanta Community Food Bank, and Open Hand Atlanta, Grady established the Fresh Food Cart (FFC) at Grady's Brookhaven Health Center in June 2019 to pilot a scaled approach to fresh food distribution at our neighborhood health centers. In an effort to address both food insecurity and chronic disease, the FFC provides fresh produce to Grady patients and their families twice a month. In 2019, the FFC grew from serving about 100 patients per event to nearly 200. In 2019, there were 1,400 patient visits and we distributed over 41,000 pounds of fresh produce. FAM Partners also expanded the Fruit and Vegetable Prescription (FVRx) Program in partnership with Wholesome Wave Georgia in 2019 from four to seven cohorts. The Grady Nutrition Team achieved a 90% retention rate in this six-month program. This resulted in 156 patients receiving six cooking classes, six nutrition classes, and nearly $50,000 of food prescriptions redeemed for fresh produce at local farmers markets. Most importantly, patient health improved. We observed reductions in weight, waist circumference, blood pressure and A1C for those with diabetes. Although Grady did not select low birth weight (LBW) as a priority in 2016, Grady offers a robust centering program to address LBW and the CHW hired in Women's Services this year is having an impact on LBW. Similarly, Grady is continuously working to improve breast cancer services and has a robust patient-centered care initiative that drives this work. The other lower priorities of Grady's 2016 CHNA-obesity, poverty, and high school education non-attainment-were not included as areas of focus, because Grady does not have the resources or expertise to significantly address these community health needs, and because other ARCHI partners with the resources and expertise are leading various initiatives to address these needs. Schedule H, Part V, Section B, Line 11-HUGHES SPALDING CHILDRENS HOSPITAL INDIRECTLY BENEFITS FROM GMHC PLAN. Schedule H, Part V, Section B, Line 13h-GRADY MEMORIAL HOSPITAL REFER TO THE FINANCIAL ASSISTANCE POLICY (FAP) ATTACHED. FOR PROCESS, DEFINITIONS, AND TIER LEVELS, DISCOUNTED CARE WITH COPAYMENTS FOR PATIENTS WITH VERIFIED INCOME LEVELS OF ANNUAL GROSS FAMILY INCOMES FROM 251% TO 400% OF CURRENT FEDERAL POVERTY INCOME LEVEL(FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FREE CARE UP TO 400% FPL. Schedule H, Part V, Section B, Line 13h-HUGHES SPALDING CHILDRENS HOSPITAL REFER TO THE FINANCIAL ASSISTANCE POLICY (FAP) ATTACHED. FOR PROCESS, DEFINITIONS, AND TIER LEVELS, DISCOUNTED CARE WITH COPAYMENTS FOR PATIENTS WITH VERIFIED INCOME LEVELS OF ANNUAL GROSS FAMILY INCOMES FROM 251% TO 400% OF CURRENT FEDERAL POVERTY INCOME LEVEL(FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FREE CARE UP TO 400% FPL. Schedule H, Part V, Section B, Line 15e-GRADY MEMORIAL HOSPITAL THE FINANCIAL COUNSELORS WILL ADVISE ELIGIBLE PATIENTS VERBALLY AS TO WHERE AND HOW TO APPLY FOR FOOD STAMPS AND DETERMINE IF THEY MEET CRITERIA FOR MEDICAID, SOCIAL WORKERS WILL TYPICALLY PROVIDE INFORMATION REGARDING HOUSING, FOOD STAMPS, AND OTHER SERVICES TO PATIENTS. A FINANCIAL COUNSELOR MAY DETERMINE IF A PATIENT MEETS CRITERIA FOR PRESUMPTIVE MEDICAID, WOMEN'S HEALTH MEDICAID, WOMEN'S MEDICAID WAIVER, CANCER STATE AID, CRIME VICTIMS COMPENSATION PROGRAM, RIGHT FROM THE START MEDICAID FOR NEWBORNS, EMERGENCY MEDICAL ASSISTANCE, MEDICAID FOR UNDOCUMENTED WOMEN WHO DELIVER THEIR NEWBORNS, PRESUMPTIVE MEDICAID, LOW INCOME MEDICAID, ETC. AND COMPLETE THE APPLICATION AS APPROPRIATE. THE FINANCIAL COUNSELOR MAY ALSO REFER A PATIENT TO APPLY FOR MEDICAID WITH THE DEPARTMENT OF FAMILY AND CHILDRENS' SERVICES-GRADY OUTREACH UNIT. GMHC HAS VENDOR PARTNERSHIPS ON CAMPUS WHERE BY REPRESENTATIVES ARE COMPLETING APPLICATIONS FOR ELIGIBLE PATIENTS FOR VARIOUS MEDICAID PROGRAMS SUCH AS THOSE ABOVE, SSI, SSD, ETC. Schedule H, Part V, Section B, Line 15e-HUGHES SPALDING CHILDRENS HOSPITAL THE FINANCIAL ASSISTANCE PROGRAM POLICY, APPLICATION AND INSTRUCTIONS ARE PUBLICIZED TO INCLUDE CHILDREN'S HEALTHCARE OF ATLANTA WEBSITE. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE ELECTRONICALLY VIA EMAIL, MAY APPLY IN PERSON, BY MAIL, OR MAY QUALIFY AT THE POINT OF REGISTRATION THROUGH A PRESUMPTIVE AUTOMATED THIRD PARTY SOFTWARE. Schedule H, Part V, Section B, Line 16j-GRADY MEMORIAL HOSPITAL LINE 16a FAP POLICY IS ON THE INTERNET AT HTTPS://WWW.GRADYHEALTH.ORG/BILLING-INSURANCE/#financial-assistance-program LINE 16b FAP APPLICATION IS ONLINE AT HTTPS://WWW.GRADYHEALTH.ORG/wp-content/uploads/201804/Grady-financial- assistance-Application-2.pdf LINE 16c FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND ONLINE AT HTTPS://WWW.GRADYHEALTH.ORG/financial-assistance-program/ Schedule H, Part V, Section B, Line 16j-HUGHES SPALDING CHILDRENS HOSPITAL IN EARLY 2018, GMHC'S 2014 FORM 990 WAS AUDITED BY THE IRS WITH PARTICULAR EMPHASIS ON SECTION 501R. UPON COMPLETION OF THE AUDIT, GMHC WAS ADVISED TO ADD SOME ADDITIONAL VERBIAGE TO THE FAP AND PLAIN LANGUAGE SUMMARY, WHICH THE ORGANIZATION TOOK THE NECESSARY STEPS TO COMPLY. NO PENALTIES WERE ASSESSED AS THE CHANGES WERE ADVISORY IN NATURE. ALL FUTURE FORM 990 RETURNS WILL CONTAIN THE REQUIRED INFORMATION GOING FORWARD. Schedule H, Part V, Section B, Line 20a-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE. Schedule H, Part V, Section B, Line 20a-HUGHES SPALDING CHILDRENS HOSPITAL PROCESS NOT PERFORMED Schedule H, Part V, Section B, Line 20b-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE. Schedule H, Part V, Section B, Line 20c-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF THE ELIGIBILITY PROCESS PER #19 ABOVE. Schedule H, Part V, Section B, Line 20d-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE. Schedule H, Part V, Section B, Line 20d-HUGHES SPALDING CHILDRENS HOSPITAL THIS PROCESS NOT PERFORMED. 10 CRESTVIEW HEALTH & REHABILITATION 2800 SPRINGDALE RD ATLANTA GA 30315 NURSING HOME EMERGENCY MEDICAL SERVICE 745 MEMORIAL DRIVE ATLANTA GA 30316 AMBULANCE SERVICE KIRKWOOD PHARMACY 1863 MEMORIAL DRIVE ATLANTA GA 30317 PHARMACY BROOKHAVEN PHARMACY 2695 BUFORD HIGHWAY ATLANTA GA 30324 PHARMACY EAST POINT PHARMACY 1595 WEST CLEVELAND AVENUE EAST POINT GA 30344 PHARMACY PONCE INFECTIOUS DISEASE PHARMACY 341 PONCE DE LEON AVENUE ATLANTA GA 30308 PHARMACY GRADY BEHAVIORAL HEALTH PHARMACY 10 PARK PLACE 3RD FLOOR ATLANTA GA 30303 PHARMACY MAIN OUTPATIENT PHARMACY 48 COCA COLA PLACE ATLANTA GA 30303 PHARMACY ASA YANCEY PHARMACY 1247 DONALD LEE HOLLOWELL PARKWAY ATLANTA GA 30318 PHARMACY CENTRAL REFILL PHARMACY 1575 NORTHSIDE DRIVE BUILDING 400 SUITE 450 ATLANTA GA 30318 PHARMACY Schedule H, Part I, Line 3c THE FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE WITH 400% OF FPG BEING THE UPPER LIMIT OF QUALIFICATION TO THE PROGRAMS. Schedule H, Part I, Line 6a 2019 COMMUNITY BENEFIT REPORT WAS PREPARED IN 2020. Schedule H, Part I, Line 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS WERE DETERMINED USING DATA FROM THE AUDITED FINANCIAL STATEMENTS AND THE 2019 FILED MEDICARE AND MEDICAID COST REPORTS. Schedule H, Part II GRADY IS A MEMBER ORGANIZATION OF THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). ARCHI IS AN INTERDISCIPLINARY COALITION WORKING TO IMPROVE THE REGION'S (DEKALB AND FULTON COUNTIES) HEALTH THROUGH A COLLABORATIVE APPROACH TO CHNAS AND SUBSEQUENT HEALTH IMPROVEMENT INITIATIVES. GRADY HOLDS A SEAT ON THE ARCHI STEERING COMMITTEE FOR ONGOING LEADERSHIP AND CONNECTIVITY TO HEALTH IMPROVEMENT INITIATIVES, AND HAS SIGNED THE ARCHI MEMBERSHIP AGREEMENT IN SUPPORT OF SUSTAINABILITY AND AN ORGANIZATION STRUCTURE. GRADY ALSO PROVIDES FUNDINGTO ARCHI TO SUPPORT THE STAFFING, DATA ANALYTICS, AND PARTNERSHIP BUILDING ACTIVITIES. GRADY CONTINUES TO WORK WITH AND THROUGH ARCHI TO CONDUCT ITS CHNAS IN ORDER TO MAXIMIZE THE IMPACT OF COMMUNITY INVESTMENT IN HEALTH IMPROVEMENT. Schedule H, Part III, Section A, Line 4 GMHC ALSO INCURS SIGNIFICANT COSTS ASSOCIATED WITH CARE FOR THE UNDER AND UNINSURED THAT DO NOT APPLY AND/OR QUALIFY FOR CHARITY CARE ASSISTANCE. GMHC INCURRED BAD DEBT EXPENSE OF APPROXIMATELY $679M VALUED IN GROSS CHARGES. ON LINE 2, THE COST FOR BAD DEBT EXPENSE IS BASED UPON THE PATIENT CARE COST TO CHARGE PERCENTAGE OF 17% OF ACTUAL PROVISION OF $113M IN 2019. Schedule H, Part III, Section B, Line 8 EXPENSES ARE REPORTED FROM THE MEDICARE COST REPORT CMS-2552-86 FOR THE YEAR ENDED 12/31/19. Schedule H, Part III, Section C, Line 9b THE ORGANIZATION HAS UNIQUE ELIGIBILITY CODES TO EACH PATIENT QUALIFYING FOR CHARITY CARE TO ALLOW IT TO WRITE-OFF THE CHARITY CARE PRIOR TO THE COLLECTION PROCESS. Schedule H, Part VI, Line 2 IN ADDITION TO GRADY'S CHNA, MANY OF THE COALITIONS THAT GRADY PARTICIPATES IN, OR PARTNERS WITH OUTSIDE ORGANIZATIONS, ALSO ASSESS THE NEEDS OF THEIR COMMUNITIES OR TARGET POPULATIONS. MANY OF WHICH ALIGN OR OVERLAP WITH GRADY'S COMMUNITY, COALITIONS OR PARTNER ORGANIZATIONS WITH ASSESSMENTS THAT ALSO INFORM GRADY'S WORK INCLUDE ARTHUR BLANK FOUNDATION'S WESTSIDE ON THE RISE INITIATIVE, ATLANTA BELTLINE PARTNERSHIP, GEORGIA STATE DEPARTMENT OF PUBLIC HEALTH, ATLANTA REGIONAL COMMISSION, UNITED WAY, MERCY CARE, AND THE ATLANTA REGIONAL COMMUNITY FOOD BANK. Schedule H, Part VI, Line 3 PER STATE REGULATIONS, GMHC PLACES ANNUAL ICTF NOTICES IN THE LOCAL NEWSPAPER AND SIGNAGE IS POSTED, ADVISING PATIENTS OF ALL CHARITY CARE PROGRAMS WITHIN THE ORGANIZATION, BASED ON THE PATIENT'S FINANCIAL CIRCUMSTANCES, AND MEDICAL CONDITION. A FINANCIAL COUNSELOR WILL CONSULT WITH THE PATIENT TO DETERMINE BEST FIT FOR THE CRITERIA OF THE VARIOUS ASSISTANCE PROGRAMS. THE APPROPRIATE APPLICATION IS COMPLETED AND THE FINANCIAL ASSISTANCE PROGRAM IS EXPLAINED TO THE PATIENT SIMULTANEOUSLY. Schedule H, Part VI, Line 4 Grady is the safety-net provider for Fulton and DeKalb counties, our primary service area. About 2 million people live in these two counties and they are younger and more diverse, with a higher percentage of limited English-speaking skills, and higher-income earning when compared to the state as a whole. However, major disparities exist between racial and socio-economic groups. According to Grady's 2019 CHNA, African Americans make up 54% and 44% of the population in DeKalb and Fulton Counties, respectively, and 16-18% of residents live below the federal poverty level, an increase from the previous CHNA. Grady also provides specialized services to the greater metro area, which the Atlanta Regional Commission defines as a 10 county region with a total population of 4.7 million. The region continues to grow and become increasingly diverse. Schedule H, Part VI, Line 5 Grady launched the Marcus Stroke Scholars Program in 2019 to develop the academic careers of the most promising vascular neurologists. The up to four-year program at Grady's Marcus Stroke and Neuroscience Center focuses on enhancing each scholar's subspecialty and research skills in cerebrovascular disease. It will bring some of the brightest minds in the medical profession together at Grady and allow the Marcus Stroke and Neuroscience Center to have an even greater impact on the future of stroke treatment and patient care. In June 2019, Grady's hospital-based violence intervention program, known as PIVOT, celebrated its one-year anniversary of serving victims of firearm related injury. In the course of one year, the PIVOT team identified over 700 patients with firearm related injuries, worked with 25 community partners, and held 12 task force meetings. Community partners and resources provided to PIVOT participants included the domains of housing, education, job training, and substance use. The PIVOT team also explored partnerships to expand service to DeKalb County. Additionally in 2019, Grady's Injury Prevention Team was awarded federal funds to facilitate the statewide expansion of the Cardiff Model for Violence Prevention. One project, funded by the Centers for Disease Control and Prevention through Grady partner the Injury Prevention Research Center at Emory, facilitates the expansion through the Georgia Trauma System and its centers across the state. This two-year project was awarded $127,000. The second project, funded by the Bureau of Justice Assistance, focuses on expanding the Cardiff Model with metro Atlanta law enforcement agencies, and is funded for one year in the amount of $80,000. Schedule H, Part VI, Line 6 WHILE GRADY IS NOT LEGALLY AFFILIATED WITH THE EMORY HEALTHCARE SYSTEM, WE ARE PRIMARY TRAINING FOR MORE THE 1,000 EMORY AND MOREHOUSE INTERNS AND RESIDENTS EACH YEAR. Schedule H, Part VI, Line 7 GMHC FILES A COMMUNITY BENEFIT REPORT IN GEORGIA. 1 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE ATLANTA GA 30310 581438873 501 (c) (3) 12020196 RESIDENCY PROGRAM 1 0 Schedule I, Part I, Line 2 THE AMOUNT OF THE GRANT GIVEN TO THE GRANTEE IS SUBSTANTIATED BY THE ACCOUNTING SYSTEM AND AUDITED ANNUALLY. X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 JOHN M HAUPERT FACHE PRESIDENT AND CEO 1183835 0 477809 0 34648 0 11200 0 20754 0 1728246 0 0 0 RICHARD RHINE EXEC VP / CFO 558303 0 125476 0 25000 0 11200 0 11922 0 731901 0 0 0 RHONDA SCOTT EXEC VP / COO 989312 0 94050 0 23062 0 14461 0 10030 0 1130915 0 0 0 TIMOTHY JEFFERSON EXEC VP / GENERAL COUNSEL 433299 0 100035 0 23374 0 25121 0 19147 0 600976 0 0 0 LINA GEORGE EXEC VP / CHIEF HR OFFICER 349558 0 80769 0 25000 0 2160 0 8157 0 465644 0 0 0 CRAIG TINDALL SVP / CLINICAL OPERATIONS 621252 0 81510 0 14377 0 17245 0 1605 0 735989 0 0 0 JACQUELINE HERD EXEC VP / CNO 301495 0 64738 0 25000 0 11200 0 17755 0 420188 0 0 0 MICHELLE WALLACE SVP CHIEF CLINICAL OFFICER 278786 0 79297 0 19000 0 6323 0 2490 0 385896 0 0 0 ROBERT JANSEN EXEC VP / CMO 570666 0 122445 0 23998 0 11200 0 23039 0 751348 0 0 0 PETER RHEE SVP / CHIEF ACUTE CARE SURGERY 567000 0 0 0 0 0 0 0 0 0 567000 0 0 0 BENJAMIN MCKEEBY SVP / CIO 382580 0 100801 0 19000 0 11200 0 16308 0 529889 0 0 0 MARY SALE SVP / CHIEF STRATEGY OFFICER 354856 0 101346 0 19000 0 8522 0 3129 0 486853 0 0 0 KELLEY CARROLL SVP CHIEF AMBULATORY OFFICER 663049 0 86426 0 15879 0 11200 0 19242 0 795796 0 0 0 WILLIAM COMPTON SVP EMERG MED SVCS 303981 0 80798 0 12600 0 11200 0 7277 0 415856 0 0 0 LINDSAY CAULFIELD SVP/CHF EXPERIENCE OFFICER 304776 0 66272 0 25000 0 5015 0 10126 0 411189 0 0 0 MARTY SCOTT SVP CHIEF QUALITY/PT SAFETY OFFICER 497100 0 58329 0 19000 0 10319 0 7292 0 592040 0 0 0 ALISA SMALLWOOD VP DEVELOPMENT 388677 0 59047 0 9902 0 6601 0 4859 0 469086 0 0 0 Schedule J, Part I, Line 1a CLUB DUES ARE PAID FOR EXECUTIVE VICE PRESIDENTS AND HIGHER FOR BUSINESS PURPOSES. IN 2019, GMHC PAID DUES FOR SIX EXECUTIVES WITH NO PERSONAL USE REPORTED AS TAXABLE INCOME. Schedule J, Part I, Line 4 SEVERENCE PAYMENTS:PETER RHEE $567,000, RHONDA SCOTT $234,965, CRAIG TINDALL $152,000 NON QUALIFIED PLANS: EXECUTIVE STAFF PARTICIPATES IN 457F PLAN, PAYMENTS ARE MADE TO PARTICIPANTS LEAVING THE HEALTH SYSTEM 2019 PAYMENTS, SUCH PAYMENTS FOR 2019 WERE RHONDA SCOTT $424,355, CRAIG TINDALL $267,456 Schedule J, Part I, Line 7 DESCRIPTION OF NON-FIXED PAYMENTS: THERE WAS A FORMAL PLAN FOR SENIOR LEADERSHIP WITH SPECIFIC OBJECTIVES AND PERCENTAGE PAYOUTS BASED ON ACCOMPLISHMENT OF THOSE OBJECTIVES, THE PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE GMHC BOARD. JOHN M HAUPERT CEO FORGIVABLE X 500000 3645 0 1 1 3645 X 24 44197595 COST 0 0 0 1 Schedule M, Part I, Line 32b NONCASH CONTRIBUTIONS ARE PROCESSED AND SOLICITED BY THE HENRY W. GRADY HEALTH SYSTEM FOUNDATION. Form 990, Part VI, Section A, Line 3 GMHC HAS CONTRACTED WITH CHILDREN'S HEALTHCARE OF ATLANTA (CHOA) TO MANAGE OPERATIONS OF HUGHES SPALDING CHILDREN'S HOSPITAL. CHOA OVERSEES DAILY OPERATIONS. Form 990, Part VI, Section B, Line 11b IN NOVEMBER, 2020 THE AUDIT COMMITTEE OF GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) REVIEWED A DRAFT OF THE 2019 FORM 990, WHICH HAD PREVIOUSLY BEEN REVIEWED BY MANAGEMENT, WHICH WAS THEN DISTRIBUTED TO EACH COMMITTEE MEMBER, DISCUSSION ENSUED AND COMMENTS AND SUGGESTIONS WERE TAKEN INTO CONSIDERATION IN FINALIZING THE FORM SUBSEQUENT TO THE BOARD MEETING FOR FINAL APPROVAL. A FINAL DRAFT WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. Form 990, Part VI, Section B, Line 12c GMHC HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. GHMC IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT GHMC'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT WOULD IMPACT ITS BUSINESS. THUS GMHC'S EMPLOYEES MUST PARTICIPATE IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A COFLICT OF INTEREST. GMHC'S CONFLICT OF INTEREST SURVEY IS ADMINISTERED ANUALLY TO OFFICERS, DIRECTORS, KEY EMPLOYEES, AND OTHER IDENTIFIED PERSONNEL AND AT THE TIME OF APPOINTMENT AND REAPPOINTMET OF MEDICAL STAFF. AFFIRMATIVE REPLIES ARE REVIEWED FOR DETERMINING APPROPRIATE MANAGEMENT, WHERE APPLICABLE. Form 990, Part VI, Section B, Line 15 EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND IS REVIEWED ANNUALLY. GMHC'S BOARD OF DIRECTORS DESIGNATED THE COMPENSATION COMMITTEE TO BERESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION. Form 990, Part VI, Section C, Line 19 GMHC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS MADE PUBLIC BY POSTING ON THE WEBPAGE THAT CAN BE FOUND ON FORM 990, PAGE 1, ITEM J. Form 990, Part VII, Section A, Line 1a EX OFFICIO NON=VOTING MEMBERS OF THE BOARD OF DIRECTORS: AD "PETE" CORRELL, JOHN M HAUPERT FACHE, VALERIE MONTGOMERY RICE, MD, VIKAS P. SUKHATME, MD ScD Form 990, Part IX, Line 11g PROGRAM SERVICE EXPENSES TOTAL OTHER P/SCVS OF 267,567,710 BREAKDOWN TO PRO FEES 182,274,664 LINEN, CLEANING, DIETARY, ELIGIBILITY 23,631,590 MEDICAL P/SVCS 26,785,220 OTHER P/SCVS 12,300,000 OUTSIDE AGENCY 12,893,859 REPAIRS & MNTC 4,455,393 COLLECTIONS 5,226,984 WITH MGMT AND GEN EXPENSES OF 41,986,552 BREAKDOWN TO LINEN, CLEANING, DIETARY, ELIGIBILITY 16,958,568 OTHER P/SVCS 8,826,761 OUTSIDE AGENCY 9,252,928 REPAIRS & MNTC 3,197,292 COLLECTIONS 3,751,003 Form 990, Part XI, Line 9 INCREASE IN NET ASSETS CONSISTS OF CHANGES IN ASSET VALUATIONS AND INCREASE IN DONATIONS PUT INTO SERVICE. Schedule B, Part I 501(C)(3) ORGANIZATION GRADY EMS LLC 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 814571957 EMERGENCY TRANSPORTATION SERVICES GA 0 0 GRADY MEMORIAL HOSPITAL CORP HENRY W GRADY HEALTH SYSTEM FOUNDATION 191 PEACHTREE STREET Suite 820 ATLANTA GA 30303 582130437 HEALTH CARE GA 501(C) (3) 7 N/A 0 GRADY HEALTH RESOURCES INC 80 JESSE HILL DRIVE SE ATLANTA GA 30303 472922502 NMTC GA 501 (C) (2) NA GMHC 1 GRADY WIC INC 80 JESSE HILL JR DR SE ATLANTA GA 30303 821799159 NMTC GA 501 (C) (2) NA GMHC 1 RELIANT EMERGENCY SPECIALTIES 745 MEMORIAL DR SE ATLANTA GA 30316 471397856 AUTO REPAIR & MAINTENAINCE GA GMHC C -487302 357387 1 1 0 0 1 1 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 HENRY W GRADY HEALTH SYSTEM FOUNDATION c 27961689 FMV HENRY W GRADY HEALTH SYSTEM FOUNDATION m 2392811 FMV RELIANT EMERGENCY SPECIALTIES d 2368366 FMV RELIANT EMERGENCY SPECIALTIES o 61525 FMV GRADY HEALTH RESOURCES INC j 1365656 FMV GRADY HEALTH RESOURCES INC k 595472 FMV GRADY WIC INC j 711500 FMV GRADY WIC INC k 464000 FMV FILING DATE EXTENDED BY APPROPRIATE FORM SUBMISSION.