2019-11-13T13:55:11-07:00 2018-12-31 135565207 KPMG LLP 303 Peachtree St NE Suite 2000 Atlanta GA 30308 990 2018-01-01 262037695 GRADY MEMORIAL HOSPITAL CORPORATION GRAD 4046161846 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 RICHARD RHINE CFO 4046167355 2019-11-13 1 Whitney Blair P01226647 4047395994 2019-11-13 199.207.253.96 2018 2020-04-17 16:48:07Z JOHN M HAUPERT PRESIDENTand CEO 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 1629852150 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 8717 616 0 1214715 156651298 164405694 1319937855 1442503180 1808353 2876312 16399584 20066964 1494797090 1629852150 11855801 12285830 0 0 470583310 541101528 0 0 0 969488126 1045844106 1451927237 1599231464 42869853 30620686 830185805 863217521 261028064 258845888 569157741 604371633 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 573840717 0 335114189 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 2018, GRADY PROVIDED CARE TO MORE THAN 125,067 UNDER AND UNINSURED PATIENTS WHICH REPRESENT APPROXIMATELY 68% OF ITS TOTAL PATIENTS WITH ABOUT 656,717 PATIENT ENCOUNTERS, COSTING APPROXIMATELY $574M. 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. 105799990 12285830 58463226 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 2018, 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 $105M IN SUPPORT RELATIVE TO TEACHING SERVICES. IN 2018, REIMBURSEMENT FOR TEACHING SERVICES FROM MEDICARE, MEDICAID AND OTHER GOVERNMENTAL FUNDS TOTALED $58M. 150076227 144369697 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 4,959 ACUTE TRAUMA CASES IN 2018. 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 150,755 EMERGENCY CASES IN 2018. THE EMERGENCY ROOM WAS THE INTAKE POINT FOR 25,488 OF THE SAFETY NET HOSPITAL'S TOTAL ADMISSIONS. GRADY'S EMS DEPARTMENT IS ONE OF THE MOST ADVANCED PRE-HOSPITAL EMERGENCY CARE DELIVERY SYSTEMS IN THE COUNTRY. AS THE EXCLUSIVE 911 AMBULANCE PROVIDER FOR THE CITY OF ATLANTA INCLUDING SOUTH FULTON COUNTY, BAKER, BALDWIN, BEN HILL, BROOKS, CLAY, COOK, DECATUR, HANCOCK, MITCHELL, PIKE, QUITMAN, RANDOLPH, SEMINOLE, AND WORTH COUNTY GEORGIA, GRADY'S TEAM OF OVER 1350 PROFESSIONALS HANDLE MORE THAN 240,000 CALLS A YEAR, IN 2018. ADDITIONALLY, GRADY EMS ALSO MANAGES A MOBILE INTEGRATED HEALTH CARE PROGRAM WHICH PROVIDES PRE AND POST HOSPITAL CARE TO CHECK UP ON HIGH-RISK PATIENTS IN AREAS SUCH AS CHRONIC DISEASE MANAGEMENT, PREVENTATIVE OR POST-DISCHARGE FOLLOW UP CARE AND MORE. THESE EFFORTS REDUCE THE STRAIN ON EMS SYSTEMS AND ERS AS WELL AS OFFERING INCREASED ACCESS TO CARE. ALSO NOTABLE, GRADY EMS OPERATES ATLANTA'S LARGEST SPECIALIZED EVENT EMS DIVISION WHICH PROVIDES SUPPORT TO EVENTS AT STADIUMS, CONCERTS, MARATHONS, AND FESTIVALS THROUGHOUT THE CITY OF ATLANTA. 526712100 0 904556068 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. 526712100 0 904556068 1356429034 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 1 304 0 1 8717 1 1 1 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 FRANK BLAKE CHAIRMAN 5.0 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 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 EDWARD J HARDIN DIRECTOR 2 0 X 0 0 0 JOHN HOLLINS DIRECTOR 2 0 X 0 0 0 KELLY L LOEFFLER DIRECTOR 2 0 X 0 0 0 ERICA QUALLS-BATTEY DIRECTOR 2 0 X 0 0 0 SAM JOHNSON DIRECTOR 2.00 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 JOHN M HAUPERT FACHE PRESIDENT AND CEO 40.0 0 X 1565772 0 22911 RICHARD RHINE EXEC VP / CFO 40 0 X 652536 0 23879 RHONDA SCOTT EXEC VP / COO 40 0 X 618125 0 29327 TIMOTHY JEFFERSON EXEC VP / GENERAL COUNSEL 40 0 X 592506 0 37411 LINA GEORGE EXEC VP / CHIEF HR OFFICER 40 0 X 448191 0 10828 CRAIG TINDALL SVP / CLINICAL OPERATIONS 40 0 X 395626 0 24816 JACQUELINE HERD EXEC VP / CNO 40 0 X 389303 0 27268 MICHELLE WALLACE SVP CHIEF CLINICAL OFFICER 40 0 X 333033 0 9221 ROBERT JANSEN EXEC VP / CMO 40 0 X 653015 0 29480 PETER RHEE SVP / CHIEF ACUTE CARE SURGERY 40 0 X 939944 0 7212 BENJAMIN MCKEEBY SVP / CIO 40 0 X 485143 0 23108 PATRICIA PLAIR SVP / FIN/MATL MGMT 40 0 X 502416 0 12842 MARY SALE SVP / CHIEF STRATEGY OFFICER 40 0 X 455283 0 10684 MARK MEYER EXEC VP / CFO 0 0 X 448467 0 0 8479360 0 268987 746 1 1 0 EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR ATLANTA GA 30322 MEDICAL 148971854 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE NW ATLANTA GA 30310 MEDICAL 29765426 RANDSTAD P O BOX 416692 BOSTON MA 02241 TEMPORARY STAFFING 11932900 ARAMARK 24863 NETWORK PLACE CHICAGO IL 60673 CLEANING 10299933 CAREFUSION SOLUTIONS LLC 3750 TORREY VIEW COURT SAN DIEGO CA 92130 IV SOLUTIONS AND DELIVERY SYSTEM 5477793 137 0 0 0 0 55434953 108970741 41299858 164405694 PATIENT CARE 900099 1442503180 1442503180 0 0 0 0 0 0 1442503180 2794981 0 0 2794981 0 0 0 0 0 0 0 0 0 0 0 81331 0 0 0 81331 81331 81331 0 0 0 RENTAL INCOME 900099 2765948 0 0 2765948 CONTRACTED SVCS - EMS 900099 3538878 3538878 0 0 INCOME - CITY OF ATLANTA WATER 900099 5632836 5632836 0 0 8129302 8129302 0 0 20066964 1629852150 1459885527 0 5560929 X 12285830 12285830 8030893 1199012 6831881 448467 448467 439560448 329579594 109980854 12805821 9621013 3184808 50084878 37628769 12456109 30171021 22667488 7503533 8065844 4799177 3266667 868213 516587 351626 518276 308374 209902 1444861 1444861 274439739 239305093 35134646 2573663 1531329 1042334 17847715 10619390 7228325 16756234 9969959 6786275 16466157 9797363 6668794 3931102 2339006 1592096 1454090 865184 588906 56915744 38910363 18005381 23292963 13859313 9433650 DRUGS 126364141 126364141 0 0 BAD DEBT 367721377 367721377 0 0 MEDICAL SUPPLIES 100904192 100904192 0 0 MAINTENANCE MATERIAL 1990483 1184337 806146 0 24289312 14452143 9837169 1599231464 1356429034 242802430 0 218456582 178762726 1447641 0 39293386 49023711 113216398 154761976 211740 107599 0 0 0 0 15602852 16404605 9679156 11226034 754851692 443820123 293813282 311031569 0 0 138464768 141899301 830185805 863217521 164103067 162133133 6210559 5693386 37573957 35637182 53140481 55382187 261028064 258845888 X 542762893 576760313 7743243 7729032 18651605 19882288 569157741 604371633 830185805 863217521 X 30620686 0 0 0 0 4593206 X 0 1 X 1 1 1 X 71085824 94845523 100085461 101216345 108970741 476203894 56239768 57415964 55421029 55434953 55434953 279946667 0 0 0 0 0 127325592 152261487 155506490 156651298 164405694 756150561 756150561 91099 142404 376449 1391453 2794981 4796386 0 0 0 0 0 0 16852091 8443965 10244694 10406190 11937662 57884602 818831549 1629852150 0.92345 0.90890 X Schedule A, Part II, Line 10 OTHER INCOME OF 14,031,620 FROM RENTS AND CONTRACTED SERVICES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 1401869 1 42992 0 1444861 0 Schedule C, Part II-B, Line 1 SCHEDULE C, PART II-B LINE 1B, 1G, 1H: 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 ITS BUSINESS CHALLENGES TO ELECTED OFFICIALS ON THE COUNTY, STATE AND FEDERAL LEVELS. GIVEN GMHC'S LARGE SHARE OF INDIGENT CARE IN GEORGIA, EFFORTS ARE PRIMARILY DIRECTED TO FINDING ADDITIONAL GOVERNMENT SUPPORT FOR DELIVERING CARE TO THAT UNDERSERVED POPULATION. GMHC IS ALSO A MEMBER OF THE GEORGIA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND AMERICA'S ESSENTIAL HOSPITAL ORGANIZATIONS WHICH MAY LOBBY ON ITS BEHALF. 0 3062035 3062035 0 271644029 155787410 115856619 0 48941684 1717871 47223813 0 392454239 286314842 106139397 0 38749705 0 38749705 311031569 INVESTMENT IN HSOC 1455243 SOFTWARE LICENSING 267164 OTHER RECEIVABLES 26344055 PERMANENT ENDOWMENTS 20353781 GOODWILL 147065 NMTC NOTES RECEIVABLE 37024247 INVESTMENT IN NMTC 56307746 141899301 0 WORKERS COMP RESERVE 437886 SELF INSURED LIABILITIES 40780616 OTHER RESERVES 14163685 55382187 X Schedule D, Part X, Line 2 THE SYSTEM 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 THE SYSTEM'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740. 1 1 X 1 X 1 X 1 1 0 1 1 185440258 80463113 104977146 0.0852 247434548 245207997 2226551 0.0018 0 0 432874806 325671110 107203697 0.0870 21772648 9202716 12569932 0.0102 112542913 30433981 82108932 0.0666 108439104 10789812 97649292 0.0792 2072530 663470 1409060 0.0011 0 0 0 0 0 0 244827195 51089979 193737216 0.1571 0 0 677702001 376761089 300940913 0.2441 40000 40000 0 0 0 40000 0 40000 0 1 62568757 0 119849995 94023963 25826032 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 16 1 1 1 1 X https://www.gradyhealth.org X 1 16 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 16 1 1 1 1 X https://www.gradyhealth.org/static/community-benefit-summary/ X 1 16 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 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. THE INTERVIEWED SAMPLE 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). OTHER HOSPITALS THAT PARTICIPATED IN THE 2016 CHNA PROCESS INCLUDE WELLSTAR AND PIEDMONT HEALTHCARE. 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). OTHER HOSPITALS THAT PARTICIPATED IN THE 2016 CHNA PROCESS INCLUDE WELLSTAR AND PIEDMONT HEALTHCARE. 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 HEALTH CARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2016 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, GEORGIA HEALTH POLICY CENTER, AND WHOLESOME WAVE GEORGIA, 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 HEALTH CARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2016 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, GEORGIA HEALTH POLICY CENTER, AND WHOLESOME WAVE GEORGIA, AMONG OTHERS. Schedule H, Part V, Section B, Line 11-GRADY MEMORIAL HOSPITAL Grady's most recent CHNA was conducted in 2016 and our Implementation Strategy (IS) was adopted at the end of 2016. Listed below are a sample of activities related to 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. GRADY LAUNCHED AN INTEGRATED BEHAVIORAL HEALTH PROGRAM WHICH PLACES LICENSED THERAPISTS AND HEALTH COACHES IN PRIMARY CARE CENTERS AND SEVERAL SPECIALTY CLINICS TO OFFER REAL TIME SERVICES DURING VISITS. THE BEHAVIORAL HEALTH TEAM ASSESSES AND TREATS PATIENTS, AND PROVIDES EXPERT GUIDANCE TO PRIMARY CARE PHYSICIANS ON MEDICATION USE, SIDE EFFECTS, AND TREATMENT PRACTICES. IN 2018, THE BEHAVIORAL HEALTH TEAM CONDUCTED OVER 2,500 VISITS WITH PRIMARY CARE PATIENTS. THIS COLLABORATION REDUCES THE STIGMA OF MENTAL HEALTH CARE AND IS PART OF OUR HOLISTIC APPROACH TO PATIENT HEALTH. IN 2018, GRADY LAUNCHED THE TRANSITIONS OF CARE CLINIC (TOC) FOR NEWLY DISCHARGED PATIENTS AT HIGH RISK OF READMISSIONS. ELIGIBLE PATIENTS ARE IDENTIFIED, VISITED BY A TOC NAVIGATOR, AND SCHEDULED FOR A VISIT IN THIS CLINIC WHILE IN THE HOSPITAL. THE MULTI-DISCIPLINARY TEAM ASSISTS THE PATIENT WITH A RANGE OF MEDICAL AND SOCIAL NEEDS FROM SCHEDULING APPOINTMENTS, TRANSPORTATION, MEDICATION MANAGEMENT, AND SUCCESSFUL TRANSITION TO ONGOING PRIMARY CARE. THE GEORGIA CANCER CENTER FOR EXCELLENCE AT GRADY CONTINUES TO IMPROVE NURSE NAVIGATION SERVICES AND PATIENT-CENTERED CARE THROUGH THE ALLIANCE TO ADVANCE PATIENT-CENTERED CANCER CARE AND PLANETREE DESIGNATION PROCESS. SINCE STARTING THIS WORK, THE CANCER CENTER HAS ACHIEVED REDUCTIONS IN AVERAGE TIME FROM DIAGNOSIS TO TREATMENT FOR PRIORITY CANCER SITES, DECLINES IN APPOINTMENT NO-SHOW RATES, AND MORE THAN 200 PATIENTS HAVE RECEIVED NUTRITION COUNSELING FROM A REGISTERED DIETITIAN DURING TREATMENT. GRADY HAS REMAINED COMMITTED TO COMMUNITY COLLABORATION THROUGH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). GRADY HAS REPRESENTATION ON THE STEERING COMMITTEE AND HAS CONTINUED TO PARTICIPATE IN THE DIABETES HOSPITAL COLLABORATIVE LAUNCHED IN 2016. THROUGH THIS EFFORT, GRADY AND PARTNER HEALTH SYSTEMS, WELLSTAR AND MERCY, ARE IMPLEMENTING DIGITAL DIABETES SELF-MANAGEMENT EDUCATION (DSME) AND TELEPHONIC COACHING. 2. INCREASE OPPORTUNITIES FOR ALL GEORGIANS, WITH A FOCUS ON PERSONS SERVED BY GRADY HEALTH SYSTEM, TO ACCESS HEALTHCARE COVERAGE. GRADY HAS ENGAGED A NUMBER OF RESOURCES TO ASSIST PATIENTS IN GAINING ACCESS TO MEDICAID AND OTHER PUBLIC BENEFITS. IN 2018, GRADY SUBMITTED MORE THAN 11,000 MEDICAID APPLICATIONS FOR PATIENTS. THROUGH OUR FOOD AS MEDICINE PARTNERSHIP, THE ATLANTA COMMUNITY FOOD BANK AND WHOLESOME WAVE GEORGIA SUBMITTED 257 MEDICAID APPLICATIONS AND 814 SNAP APPLICATIONS ON BEHALF OF GRADY PATIENTS. 3. INCREASE PATIENT AND COMMUNITY ENGAGEMENT IN HEALTHY BEHAVIORS TO PREVENT DIABETES, HYPERTENSION, HIV, UNINTENTIONAL INJURIES, AND HOMICIDE. GRADY LAUNCHED THE TALK WITH ME BABY (TWMB) PILOT PROGRAM DESIGNED TO IMPROVE LANGUAGE DEVELOPMENT IN THE FIRST YEARS OF LIFE. NURSES ARE TRAINED TO EDUCATE CAREGIVERS ON THE IMPORTANCE OF TALKING WITH A BABY EVERY DAY, AND PARENTS ARE TAUGHT ABOUT IMPORTANT MILESTONES TO MONITOR A CHILD'S LANGUAGE DEVELOPMENT. OVER 2,100 GRADY STAFF MEMBERS HAVE RECEIVED TWMB TRAINING, AND MORE THAN 1,700 MOTHERS, MOTHERS-TO-BE AND FAMILY MEMBERS HAVE PARTICIPATED IN TWMB EDUCATION. OF THE MOTHERS WHO RECEIVED FULL TWMB TRAINING, 78% INDICATE AN UNDERSTANDING OF THE LASTING EFFECTS ON LANGUAGE AND NUTRITION, WHILE 80% OF MOTHERS TRAINED HAVE COMMITTED TO SPEAKING 15 MINUTES PER WAKING HOUR WITH THEIR BABY. MANY PROGRAMS ESTABLISHED IN PREVIOUS YEARS CONTINUE TO EXPAND AND IMPROVE INCLUDING THE FOOD AS MEDICINE PARTNERSHIP, WALK THE LINE, CARDIFF, AND PIVOT. THE FOOD AS MEDICINE PARTNERS, WHOLESOME WAVE GEORGIA, OPEN HAND, AND THE ATLANTA COMMUNITY FOOD BANK, BEGAN FUNDRAISING FOR THE ONSITE FOOD PHARMACY, TEACHING KITCHEN, AND HEALTHY MARKET. PARTNERS ALSO GREW THE FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM TO MORE THAN 100 PATIENTS IN 2018, AND SUCCESSFULLY TRANSITIONED TO THE PROGRAM INTO THE MEDICAL NUTRITION THERAPY DEPARTMENT TO SUPPORT SUSTAINABILITY. FINALLY, ONSITE SNAP SCREENING AND ENROLLMENT EXPANDED TO THREE GRADY CLINICS. IN PARTNERSHIP WITH THE ATLANTA BELTLINE, GRADY OFFERS A COMMUNITY-BASED WELLNESS PROGRAM, WALK THE LINE. IN 2018, ABOUT 60 COMMUNITY MEMBERS PARTICIPATED IN THE PROGRAM AND A MAJORITY ACHIEVED HEALTH IMPROVEMENTS BY THE END OF THE 10 WEEKS. GRADY HAS COMMITTED TO CONTINUING THIS PROGRAM AFTER THE PILOT GRANT ENDED IN 2018. BOTH THE CARDIFF AND PIVOT PROGRAMS ARE WORKING TO REDUCE INJURY AND VIOLENCE IN THE COMMUNITY. IN 2018, GRADY HIRED A CARE RESOURCE COORDINATOR TO WORK WITHPATIENTS IMPACTED BY VIOLENCE WITH THE GOAL OF PREVENTING RETALIATION. THE LOWER PRIORITIES OF GRADY'S 2016 CHNA-LOW BIRTH WEIGHT, OBESITY, BREAST CANCER, POVERTY, AND HIGH SCHOOL EDUCATION NON-ATTAINMENT-WERE NOT INCLUDED AS AREAS OF FOCUS FOR SEVERAL REASONS. FIRST, GRADY ALREADY OFFERS A ROBUST CENTERING PROGRAM TO ADDRESS LBW AS WELL AS CONTINUOUSLY WORKING TO IMPROVE OUR SERVICES FOR BREAST CANCER. FOR THE OTHER PRIORITIES, GRADY DOES NOT HAVE THE RESOURCES OR EXPERTISE TO SIGNIFICANTLY ADDRESS THESE COMMUNITY HEALTH NEEDS. FINALLY, 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 THE GMHC PLAN. Schedule H, Part V, Section B, Line 13h-GRADY MEMORIAL HOSPITAL Refer to the Financial Assistance Policy attached. Discount Levels with Copayments: Tier 1: Patients with Annual Gross Family Incomes up to 250% of the current Federal Poverty Income Level will be eligible for discounts assuming they meet criteria for financial assistance. Tier 2: Patients with Annual Gross Family Incomes 251% to 400% of the Federal Poverty Income Level will be eligible for discounts assuming they meet criteria for financial assistance. 100% Free Care: Homeless Patients with 0% FPG are exempt from copayments 100% Free Care after Copayment: 0% - 400% Schedule H, Part V, Section B, Line 13h-HUGHES SPALDING CHILDRENS HOSPITAL REFER TO THE FINANCIAL ASSISTANCE POLICY ATTACHED FOR PROCESS, DEFINITIONS, AND TIER LEVELS OF POLICY. DISCOUNTED CARE WITH COPAYMENTS HAVE VERIFIED INCOME LEVELS FROM 251% TO 400% FEDERAL POVERTY INCOME (FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FREE CARE UP TO 400% FPI. 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 WAVIER, 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 FOR PREGNANT WOMEN, 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 CHILDREN SERVICES GRADY OUTREACH UNIT.GMHC HAS VENDOR PARTNERSHIPS ON CAMPUS WHEREBY REPRESENTATIVES ARE COMPLETING APPLICATIONS FOR ELIGIBLE PATIENTS FOR VARIOUS MEDICAID PROGRAMS, E.G., LOW INCOME MEDICAID, SSI, SSD, ETC. REPRESENTATIVES ARE COMPLETING APPLICATIONS FOR ELIGIBLE PATIENTS FOR VARIOUS MEDICAID PROGRAMS, E.G., LOW INCOME MEDICAID, SSI, SSD, ETC. Schedule H, Part V, Section B, Line 15e-HUGHES SPALDING CHILDRENS HOSPITAL THE FINANCIAL ASSISTANCE PROGRAM POLICY, APPLICATION AND INSTRUCTIONS ARE PUBLICIZED TO INCLUDE CHILDREN'S HEALTHCARE OF ATLANTA WEBSITE. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE ELECTRONICALLY VIA EMAIL, MAY APPLY IN PERSON, BY MAIL OR MAY QUALIFY AT THE POINT OF REGISTRATION THROUGH A PRESUMPTIVE AUTOMATED THIRD-PARTY SOFTWARE. Schedule H, Part V, Section B, Line 16a-GRADY MEMORIAL HOSPITAL HTTPS://WWW.GRADYHEALTH.ORG/BILLING-INSURANCE/#financial-assistance-program Schedule H, Part V, Section B, Line 16b-GRADY MEMORIAL HOSPITAL HTTPS://WWW.GRADYHEALTH.ORG/wp-content/uploads/2018/04/Grady-Financial-Assistance-Application-2.pdf Schedule H, Part V, Section B, Line 16c-GRADY MEMORIAL HOSPITAL HTTPS://WWW.GRADYHEALTH.ORG/financial-assistance-program/ Schedule H, Part V, Section B, Line 16j-GRADY MEMORIAL 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 16j-HUGHES SPALDING CHILDRENS HOSPITAL GRADY MEMORIAL 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 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 PROCESS NOT PERFORMED Schedule H, Part V, Section B, Line 20e-GRADY MEMORIAL HOSPITAL ADMISSIONS REPRESENTATIVE NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE ON ADMISSION. NONE OF THE ACTIONS LISTED IN LINE 19 ARE FOLLOWED BY GMHC. 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 2018 COMMUNITY BENEFIT REPORT WAS PREPARED IN 2019. 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 2018 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 FUNDING TO ARCHI TO SUPPORT THE STAFFING, DATA ANALYTICS, AND PARTNERSHIP BUILDING ACTIVITIES. GRADY CONTINUES TO WORK WITH AND THROUGH ARCHI TO CONDUCT ITS CHNAS IN ORDER TO MAXIMIZE THE IMPACT OF COMMUNITY INVESTMENT IN HEALTH IMPROVEMENT. Schedule H, Part III, Section A, Line 4 GMHC ALSO INCURS SIGNIFICANT COST 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 $367.7 MILLION VALUED IN GROSS CHARGES. ON LINE 2, THE COST ESTIMATE FOR BAD DEBT EXPENSE IS BASED UPON THE PATIENT CARE COST TO CHARGE PERCENTAGE OF 18% OF ACTUAL PROVISION OF $367.7 M IN 2018. Schedule H, Part III, Section B, Line 8 EXPENSES ARE REPORTED FROM THE MEDICARE COST REPORT CMS-2552-96 FOR THE YEAR ENDED 12/31/18. Schedule H, Part III, Section C, Line 9b THE ORGANIZATION HAS UNIQUE ELIGIBILITY CODES TO IDENTIFY EACH PATIENT QUALIFYING FOR CHARITY CARE TO ALLOW IT TO WRITE-OFF THE CHARITY CARE AMOUNTS 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 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 the core of the metropolitan Atlanta. This area includes five counties and more than 3 million people. Grady's primary service area is Fulton and DeKalb Counties, which contain about 1.7 million people or 17 percent of the state's total population. According to Grady's 2016 CHNA, the African American population constitutes more than half of the population in DeKalb County and more than 40 percent of the population in Fulton County, while the Hispanic Latino population constitutes about 10 percent in both counties. The DeKalb and Fulton populations are also relatively young. More than 40 percent of the population in both counties is in the 18-44 age cohort and the median age is 35 years. The percentage of the population living at or below the Federal Poverty Level 24,300 for a family of four has increased in both counties. Nearly 40 percent and 35 percent of DeKalb and Fulton residents, respectively, live at 200 percent of the FPL. Schedule H, Part VI, Line 5 GRADY, IN PARTNERSHIP WITH EMORY UNIVERSITY SCHOOL OF MEDICINE AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION, LAUNCHED GEORGIA'S FIRST MOBILE STROKE UNIT, AN AMBULANCE DESIGNED TO TAKE CUTTING EDGE STROKE CARE DIRECTLY TO PATIENTS. THE MOBILE STROKE UNIT IS PART OF THE MARCUS STROKE NETWORK, ALSO LAUNCHED IN 2018 AND MADE POSSIBLE THROUGH THE THE MARCUS FOUNDATION. THE MARCUS STROKE NETWORK IS A COORDINATED AND COLLABORATIVE EFFORT TO HELP REDUCE STROKE DISABILITY AND DEATH RATES IN THE SOUTHEASTERN UNITED STATES. THE MOBILE STROKE AMBULANCE WILL OPERATE IN THE CITY OF ATLANTA THROUGH GRADY'S RENOWNED EMS SYSTEM, LINKING THE NETWORK DOCTORS DIRECTLY TO PATIENTS IN THE FIELD BY UTILIZING AN ON-BOARD CT SCANNER TO FACILITATE THE EARLIEST TREATMENT POSSIBLE. GRADY MEMORIAL HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES(R)- STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES THE HOSPITAL'S COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES BASED ON THE LATEST SCIENTIFIC EVIDENCE. GRADY ALSO RECEIVED THE HEART FAILURE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINED BY THE AMERICAN HEART ASSOCIATION/AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION'S SECONDARY PREVENTION GUIDELINES FOR PATIENTS WITH HEART FAILURE. THE GEORGIA CANCER CENTER FOR EXCELLENCE AT GRADY HEALTH SYSTEM WAS RECOGNIZED BY THE QOPI(R) CERTIFICATION PROGRAM LLC OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY, INC. (ASCO(R)) AS SUCCESSFULLY COMPLETING A THREE-YEAR CERTIFICATION PROGRAM FOR OUTPATIENT HEMATOLOGY-ONCOLOGY PRACTICES THAT MEET NATIONALLY RECOGNIZED STANDARDS FOR QUALITY CANCER CARE. FINALLY, GRADY LAUNCHED A DOG THERAPY PROGRAM IN 2018. HOSPITALIZED PATIENTS CAN NOW GET A HELPING PAW FROM CERTIFIED THERAPY DOGS ON THEIR ROAD TO RECOVERY, AS RESEARCH HAS SHOWN THIS TYPE OF INTERACTION CAN SUBSTANTIALLY EASE PATIENTS' PHYSICAL AND EMOTIONAL PAIN. Schedule H, Part VI, Line 6 WHILE GRADY IS NOT LEGALLY AFFILIATED WITH THE EMORY HEALTHCARE SYSTEM, WE ARE THE PRIMARY TRAINING SITE FOR MORE THAN 1,000 EMORY AND MOREHOUSE INTERNS AND RESIDENTS EACH YEAR. Schedule H, Part VI, Line 7 GMHC FILES A COMMUNITY BENEFIT REPORT IN GEORGIA. 1 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE ATLANTA GA 30310 581438873 501 (c) (3) 12285830 RESIDENCY PROGRAM 1 0 Schedule I, Part I, Line 2 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 1142609 0 386665 0 36498 0 11000 0 11911 0 1588683 0 0 0 RICHARD RHINE EXEC VP / CFO 492257 0 136255 0 24024 0 11000 0 12879 0 676415 0 0 0 MARK MEYER EXEC VP / CFO 324872 0 123595 0 0 0 0 0 0 0 448467 0 0 0 RHONDA SCOTT EXEC VP / COO 469139 0 126730 0 22256 0 14105 0 15221 0 647451 0 0 0 TIMOTHY JEFFERSON EXEC VP / GENERAL COUNSEL 452904 0 116280 0 23322 0 24258 0 13153 0 629917 0 0 0 LINA GEORGE EXEC VP / CHIEF HR OFFICER 303649 0 120042 0 24500 0 2400 0 8428 0 459019 0 0 0 CRAIG TINDALL SVP / CLINICAL OPERATIONS 291334 0 79800 0 24492 0 20982 0 3834 0 420442 0 0 0 JACQUELINE HERD EXEC VP / CNO 293900 0 70903 0 24500 0 11000 0 16268 0 416571 0 0 0 ROBERT JANSEN EXEC VP / CMO 509716 0 119301 0 23998 0 11000 0 18480 0 682495 0 0 0 PETER RHEE SVP / CHIEF ACUTE CARE SURGERY 769144 0 146300 0 24500 0 5147 0 2065 0 947156 0 0 0 BENJAMIN MCKEEBY SVP / CIO 352591 0 114051 0 18500 0 11000 0 12108 0 508250 0 0 0 PATRICIA PLAIR SVP / FIN/MATL MGMT 375600 0 111872 0 14944 0 6428 0 6414 0 515258 0 0 0 MARY SALE SVP / CHIEF STRATEGY OFFICER 334373 0 102410 0 18500 0 8362 0 2322 0 465967 0 0 0 MICHELLE WALLACE SVP CHIEF CLINICAL OFFICER 244233 0 70300 0 18500 0 7259 0 1962 0 342254 0 0 0 Schedule J, Part I, Line 1a CLUB DUES ARE PAID FOR EXECUTIVE VICE PRESIDENTS AND HIGHER FOR BUSINESS PURPOSES. IN 2018 GMHC PAID DUES FOR 6 EXECUTIVES, WITH NO PERSONAL USE REPORTED AS TAXABLE INCOME. Schedule J, Part I, Line 4 LINE 4A:2018 SEVERANCE PAYMENTS: PETER RHEE $258,000, LINE 4B: EXECUTIVE STAFF PARTICIPATES IN 457F PLAN, PAYMENTS WERE MADE TO PARTICIPANTS LEAVING THE HEALTH SYSTEM. MARK MEYER $324,872 PATRICIA PLAIR $198,692 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 107599 0 1 1 107599 X 12 41299858 cost 0 0 1 Schedule M, Part I, Line 32b 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 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 2019, THE AUDIT COMMITTEE OF THE GRADY MEMORIAL HOSPITALCORPORATION (GMHC) REVIEWED A DRAFT OF THE 2018 FORM 990, WHICH HAD PREVIOUSLY BEEN REVIEWED BY MANAGEMENT, WHICH WAS DISTRIBUTED TO EACH COMMITTEE MEMBER. DISCUSSION ENSUED AND COMMENTS AND SUGGESTIONS WERE TAKEN INTO CONSIDERATION IN FINALIZING THE FORM SUBSEQUENT TO THE MEETING. A FINAL DRAFT WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. Form 990, Part VI, Section B, Line 12c GRADY MEMORIAL HOSPITAL CORPORATION HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. GRADY MEMORIAL HOSPITALCORPORATION IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT GRADY MEMORIAL HOSPITAL CORPORATION'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT WOULD IMPACT ITS BUSINESS, THUS GRADY MEMORIAL HOSPITAL CORPORATION'S EMPLOYEES MUST AVOID PARTICIPATING IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. GMHC'S CONFLICT OF INTEREST SURVEY IS ADMINISTERED ANNUALLY TO OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER IDENTIFIED PERSONNEL AND AT THE TIME OF APPOINTMENT AND REAPPOINTMENT OF MEDICALSTAFF. 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 COMPENSATIONCOMMITTEE OF THE BOARD OF DIRECTORS AND IS REVIEWED ANNUALLY. GRADY MEMORIAL HOSPITAL CORPORATION'S BOARD OF DIRECTORS DESIGNATED THE COMPENSATION COMMITTEE TO BE RESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION. Form 990, Part VI, Section C, Line 19 DOCUMENTS MADE PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE WEBPAGE REFERENCED 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, VALERIE MONTGOMERY RICE, MD, VIKAS P. SUKHATME, MD ScD, Form 990, Part IX, Line 11g PROGRAM SERVICE EXPENSES TOTAL OTHER P/SCVS OF 239,305,093 BREAKDOWN TO PRO FEES 164,195,498 LINEN, CLEANING, DIETARY, ELIGIBILITY 20,987,440 MEDICAL P/SVCS 23,492,030 OTHER P/SVCS 10,469,246 OUTSIDE AGENCY 9,995,596 REPAIRS & MNTC 5,149,523 COLLECTIONS 5,015,760 AND MGMT AND GEN EXPENSES TOTAL 35,134,646 BREAKDOW TO LINEN,CLEANING, DIETARY, ELIGIBILITY 14,285,569 OTHER P/SVCS 7,126,126 OUTSIDE AGENCY 6,803,725 REPAIRS & MTNC 3,505,137 COLLECTIONS 3,414,089 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) 11 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 -138877 278437 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 10351854 FMV HENRY W GRADY HEALTH SYSTEM FOUNDATION m 2080218 FMV RELIANT EMERGENCY SPECIALTIES d 1882844 FMV RELIANT EMERGENCY SPECIALTIES o 47133 FMV GRADY HEALTH RESOURCES INC j 1365656 FMV GRADY HEALTH RESOURCES INC k 595472 FMV GRADY WIC INC j 593000 FMV GRADY WIC INC k 464000 FMV FILING DATE EXTENTED BY APPROPRIATE FORM SUBMISSION.