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GWINNETT HOSPITAL SYSTEMINC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GWINNETT HOSPITAL SYSTEMINC (EIN 58-2002413)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-01
IRS object ID
201831219349300923
Schema version
2016v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-01T10:43:04-04:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1Txt
CityALBANYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317081309ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582002413EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GWINNETT HOSPITAL SYSTEMINCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGWINBusinessNameControlTxt
Phone6783124321PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 MEDICAL CENTER BLVDAddressLine1Txt
CityLAWRENCEVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30046ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS Y MCBRIDE IIIPersonNm
Person TitleEXECUTIVE VP & CFOPersonTitleTxt
Phone6783124321PhoneNum
Signature2018-04-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM EDWARD PHILLIPSPreparerPersonNm
PTINP00451499PTIN
Phone2298837878PhoneNum
Preparation2018-05-01PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id3DB754BF4A86932C7270BAD44D636E9B352C5FABAtSubmissionCreationDeviceId
At Submission Filing Device Id0937AA51FE1890DB268E62CCE5B9BDE6CC8E5F0BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPHILIP WOLFEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 MEDICAL CENTER BLVDAddressLine1Txt
CityLAWRENCEVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30046ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$741,571,340GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GWINNETTMEDICALCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionGWINNETT HOSPITAL SYSTEM, INC. IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GREATER GWINNETT COMMUNITY. GWINNETT HOSPITAL SYSTEM HAS TWO FACILITIES LOCATED IN DULUTH AND LAWRENCEVILLE, GEORGIA THAT TOGETHER PROVIDE ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALTY, OPEN HEART SURGERY, SEVERAL CLINICS, AND A FULL CONTINUUM OF WELLNESS SERVICES. THE FACILITIES EACH OPERATE A YEAR ROUND EMERGENCY ROOM OPEN 24 HOURS A DAY, 7 DAYS A WEEK.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee5706TotalEmployeeCnt
Total Volunteers402TotalVolunteersCnt
Total Gross UBI$240,134TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$132,535NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,730,330PYContributionsGrantsAmt
CY Contributions Grants$2,686,630CYContributionsGrantsAmt
PY Program Service Revenue$694,341,815PYProgramServiceRevenueAmt
CY Program Service Revenue$718,119,510CYProgramServiceRevenueAmt
PY Investment Income$16,205,340PYInvestmentIncomeAmt
CY Investment Income$11,950,668CYInvestmentIncomeAmt
PY Other Revenue$10,208,874PYOtherRevenueAmt
CY Other Revenue$8,651,927CYOtherRevenueAmt
PY Total Revenue$724,486,359PYTotalRevenueAmt
CY Total Revenue$741,408,735CYTotalRevenueAmt
PY Grants And Similar Paid$39,999,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$52,899,667CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$328,998,808PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$339,117,002CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$356,693,882PYOtherExpensesAmt
CY Other Expenses$355,616,553CYOtherExpensesAmt
PY Total Expenses$725,692,190PYTotalExpensesAmt
CY Total Expenses$747,633,222CYTotalExpensesAmt
PY Revenues Less Expenses-$1,205,831PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,224,487CYRevenuesLessExpensesAmt
Total Assets BOY$912,681,206TotalAssetsBOYAmt
Total Assets EOY$900,319,358TotalAssetsEOYAmt
Total Liabilities BOY$466,334,478TotalLiabilitiesBOYAmt
Total Liabilities EOY$421,701,221TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$446,346,728NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$478,618,137NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionGWINNETT 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$642,338,728ExpenseAmt
Grant$52,899,667GrantAmt
Revenue$719,377,381RevenueAmt
DescGWINNETT 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 MAMMOGRAPHY, 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

FieldValueIRS element (for citing)
Expense$5,169,692ExpenseAmt
Revenue$95,639RevenueAmt
DescTHE HOSPITAL SYSTEM PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES. THE LARGEST OF THESE PROGRAMS ARE THE SPORTS MEDICINE SUPPORT SERVICES. THESE SERVICES ARE OFFERED THROUGH OUR SCHOOLS, COLLEGES AND THE GWINNETT COUNTY PARKS AND RECREATION DEPARTMENT. THE CANCER INSTITUTE, WHICH IS PART OF THE COMMUNITY HEALTH IMPROVEMENT SERVICES, PROVIDES NAVIGATORS, A DIETITIAN AND SOCIAL WORKER TO SUPPORT PATIENTS WITH SPECIFIC TYPES OF CANCER. ANOTHER SERVICE THE FAITH COMMUNITY NURSING PROGRAM, WHICH IS LOCATED IN MANY OF OUR FAITH BASED ORGANIZATIONS AND OTHER COMMUNITY AGENCIES, PROVIDES SERVICES TO THE UNDERSERVED, LOW INCOME AND MINORITY POPULATION AS DO MANY OF THESE PROGRAMS. THE FAITH COMMUNITY NURSING PROGRAMS ARE CONDUCTED IN THE COMMUNITY THROUGH 11 FAITH-HEALTH ORGANIZATIONS AND 19 SCHOOLS AND MANY YOUTH SPORTS LEAGUES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$9,036,420ExpenseAmt
Revenue$3,337,800RevenueAmt
DescTHE GRADUATE MEDICAL EDUCATION PROGRAMS CONTINUE TO INCREASE THE NUMBER OF RESIDENTS WE HAVE IN OUR 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
FieldValueIRS element (for citing)
Total Program Service Expenses$656,544,840TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document508IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5706EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLAVERNE GROVEPersonNm
Phone6783125603PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 MEDICAL CENTER BLVDAddressLine1Txt
CityLAWRENCEVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30046ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
K CARLTON BUCHANAN MD
BOARD MEMBER2.003.00Yes (X)$53,000$3,000$0
A KEITH CARNES MD
BOARD MEMBER2.004.00Yes (X)$3,945$0$0
CAROLYN HILL
BOARD MEMBER2.005.00Yes (X)$3,375$0$0
J MICHAEL LEVENGOOD JD
CHAIRMAN2.005.00Yes (X)$3,375$0$0
TERRI JONDAHL
BOARD MEMBER2.001.00Yes (X)$3,375$0$0
L C JOHNSON
BOARD MEMBER2.005.00Yes (X)$3,100$0$0
PHILIP WOLFE
PRESIDENT &38.0023.00$1,080,840$0$38,413Yes (X)
ALAN BIER
EXECUTIVE VP60.00$562,656$0$37,120Yes (X)
THOMAS Y MCBRIDE III
EXECUTIVE VP40.0020.00$523,099$0$32,251Yes (X)
PETER WHEELER
GENERAL COUN40.0020.00$360,775$0$74,549Yes (X)
STEPHEN NADEAU
SR. VP OF HU60.00$359,554$0$68,522Yes (X)
PATRICIA A LAVELY
SR. VP & CIO60.00$343,418$0$43,874Yes (X)
CAROL DANIELSON
SR. VP & CHI60.00$336,761$0$64,917Yes (X)
JESSIE T SHEPHERD
EXECUTIVE VP60.00$516,604$0$96,217Yes (X)
JOE F CLEMENTS
MED DIR. CRI60.000.00$461,185$0$42,550Yes (X)
MARK D DARROW
DIRECTOR GME60.00$338,439$0$33,443Yes (X)
JAMES DENNARD JR
VP & COO GMC60.00$285,881$0$68,992Yes (X)
NISHITH PATEL
VP & COO GMC60.00$284,210$0$45,013Yes (X)
JANET SCHWALBE
VP PHYSICIAN60.00$249,441$0$44,426Yes (X)
SCOTT OREM
VP FINANCE60.00$241,749$0$61,116Yes (X)
THOMAS LYNCH
VP MANAGED C60.00$234,815$0$55,911Yes (X)
MICHAEL C BOBLITZ
VP PLANNING60.00$233,439$0$52,326Yes (X)
DONALD R BOLIN
EXEC. DIR. C60.00$233,085$0$56,283Yes (X)
CATHY DOUGHERTY
ASST. VP REV60.00$229,830$0$35,374Yes (X)
DIANA POTTS
CHIEF NURSIN60.00$214,051$0$33,912Yes (X)
BONNY RICHARDSON
ASSOCIATE GE40.0020.00$173,228$0$29,683Yes (X)
KEVIN E JOHNSON
PROGRAM DIRE60.00$251,622$0$42,037Yes (X)
KIMBERLY C BATES
GME PROGRAM60.00$243,758$0$41,116Yes (X)
DARVINA HEICHEMER
DIR. SURGICA60.00$206,993$0$30,483Yes (X)
CATHIE L BRAZELL
DIRECTOR WOM60.00$203,037$0$22,602Yes (X)
KARLA L BOOKER
FACULTY GME60.00$199,937$0$29,430Yes (X)
MANFRED A SANDLER MD
FORMER BOARD42.00$0$1,234,595$46,022Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,438,577TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,237,595TotReportableCompRltdOrgAmt
Total Other Compensation$1,226,582TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K388IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INNOVATIVE THERAPY CONCEPTS LLC
2 MASHBURN STREETHAWKINSVILLEGA31036STAFFING$4,528,419
ADCAP NETWORK
PO BOX 5365NEW YORKNY10087SOFTWARE/LICENS$3,748,606
ALLIANCE LAUNDRY & TEXTILE SERVICES
60 GRINDER STREETBUFFALONY14215LAUNDRY$3,190,606
AM ANESTHESIOLOGY ASSOC OF GA
PO BOX 932555ATLANTAGA31193MEDICAL$1,947,553
HMMG LL
PO BOX 400FORSTONGA31808MEDICAL$1,868,646
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K52CntrctRcvdGreaterThan100KCnt
Related Organizations$1,513,767RelatedOrganizationsAmt
Government Grants$807,533GovernmentGrantsAmt
All Other Contributions$365,330AllOtherContributionsAmt
Total Contributions$2,686,630TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE623000$711,855,954$711,855,954
DISCOUNTS623000$2,969,638$2,969,638
MANAGEMENT FEES900099$2,433,481$2,433,481
REFERENCE LAB621500$494,117$494,117
MANAGEMENT FEES - UNRELATED621990$366,320$366,320
FieldValueIRS element (for citing)
Total Program Service Revenue$718,119,510TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,063,426TotalRevenueColumnAmt
Exclusion$9,063,426ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$420,607RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$420,607RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$420,607TotalRevenueColumnAmt
Exclusion$420,607ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,572,645SecuritiesAmt
Other$477,202OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$162,605OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,572,645SecuritiesAmt
Other$314,597OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,887,242TotalRevenueColumnAmt
Exclusion$2,887,242ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA & VENDING722514$2,316,870$2,316,870
GME REVENUES900099$2,135,138$2,135,138
HUGHSTON CLINIC900099$1,263,361$1,263,361

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,515,951TotalRevenueColumnAmt
Related Or Exempt Func Income$2,153,248RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$620,303UnrelatedBusinessRevenueAmt
Exclusion$983,006ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,231,320OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$741,408,735TotalRevenueColumnAmt
Related Or Exempt Func Income$722,810,820RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$240,134UnrelatedBusinessRevenueAmt
Exclusion$15,671,151ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$52,854,167TotalAmt
Program Services$52,854,167ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$45,500TotalAmt
Program Services$45,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,392,990TotalAmt
Program Services$66,795ProgramServicesAmt
Management And General$7,326,195ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$267,588,744TotalAmt
Program Services$238,587,646ProgramServicesAmt
Management And General$29,001,098ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,067,936TotalAmt
Program Services$11,847,879ProgramServicesAmt
Management And General$1,220,057ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$32,642,054TotalAmt
Program Services$28,572,837ProgramServicesAmt
Management And General$4,069,217ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,425,278TotalAmt
Program Services$16,038,107ProgramServicesAmt
Management And General$2,387,171ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,095,991TotalAmt
Program Services$4,399,820ProgramServicesAmt
Management And General$696,171ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,116,875TotalAmt
Program Services$1,038,320ProgramServicesAmt
Management And General$1,078,555ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$559,997TotalAmt
Management And General$559,997ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$466,559TotalAmt
Management And General$466,559ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$65,026,622TotalAmt
Program Services$37,765,939ProgramServicesAmt
Management And General$27,260,683ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,267,498TotalAmt
Program Services$143,151ProgramServicesAmt
Management And General$2,124,347ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,988,560TotalAmt
Program Services$7,412,199ProgramServicesAmt
Management And General$3,576,361ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,607,209TotalAmt
Program Services$4,281,999ProgramServicesAmt
Management And General$7,325,210ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,832,960TotalAmt
Program Services$12,582,516ProgramServicesAmt
Management And General$250,444ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$424,912TotalAmt
Program Services$260,906ProgramServicesAmt
Management And General$164,006ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$357,300TotalAmt
Program Services$217,065ProgramServicesAmt
Management And General$140,235ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,953,090TotalAmt
Program Services$8,953,090ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$32,931,445TotalAmt
Program Services$32,931,445ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,896,801TotalAmt
Program Services$14,595,616ProgramServicesAmt
Management And General$301,185ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL & SURGICAL SUPPLI$149,313,757$148,814,195$499,562
EQUIPMENT RENTAL & MAINT.$17,823,343$15,563,911$2,259,432
OTHER$11,032,982$10,651,085$381,897
PROVIDER FEES$8,920,652$8,920,652

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$747,633,222TotalAmt
Program Services$656,544,840ProgramServicesAmt
Management And General$91,088,382ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$54,581,593BOYAmt
EOY$58,343,311EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$32,422,341BOYAmt
EOY$33,510,731EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$123,663,103BOYAmt
EOY$112,422,329EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,467,952BOYAmt
EOY$2,723,069EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,689,933BOYAmt
EOY$6,445,069EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,208,246BOYAmt
EOY$13,440,703EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$717,099,307LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$456,890,633LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$269,849,587BOYAmt
EOY$260,208,674EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$367,793,700BOYAmt
EOY$381,108,398EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$19,111,166BOYAmt
EOY$19,169,138EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$9,711,149BOYAmt
EOY$9,711,149EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,182,436BOYAmt
EOY$3,236,787EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$912,681,206BOYAmt
EOY$900,319,358EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$61,955,523BOYAmt
EOY$57,255,603EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$445,040BOYAmt
EOY$193,775EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$284,120,000BOYAmt
EOY$277,635,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$119,813,915BOYAmt
EOY$86,616,843EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$466,334,478BOYAmt
EOY$421,701,221EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$432,620,959BOYAmt
EOY$462,199,169EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,794,314BOYAmt
EOY$12,069,155EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,931,455BOYAmt
EOY$4,349,813EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$446,346,728BOYAmt
EOY$478,618,137EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$912,681,206BOYAmt
EOY$900,319,358EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,224,487ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,148,945NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$32,346,951OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$33,492OtherActivitiesAmt
Total Lobbying Expenditures$33,492TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationDUES PAID TO THE GEORGIA HOSPITAL ASSOCIATION WERE 133,967 OF THIS AMOUNT, 25%, OR 33,492 WERE FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,215,596BeginningYearBalanceAmt
Contributions$1,857,000ContributionsAmt
Investment Earnings Or Losses$141,806InvestmentEarningsOrLossesAmt
End Year Balance$10,214,402EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,094,379BeginningYearBalanceAmt
Contributions$2,121,218ContributionsAmt
End Year Balance$8,215,596EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.26490PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.73510TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$300,277,326OtherCostOrOtherBasisAmt
Depreciation$158,852,382DepreciationAmt
Book Value$141,424,944BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,904,167OtherCostOrOtherBasisAmt
Depreciation$17,726,676DepreciationAmt
Book Value$3,177,491BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$370,457,740OtherCostOrOtherBasisAmt
Depreciation$278,399,995DepreciationAmt
Book Value$92,057,745BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,725,860OtherCostOrOtherBasisAmt
Depreciation$1,911,580DepreciationAmt
Book Value$4,814,280BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$260,208,674TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDescAmtAmt
INTEREST RATE SWAPS$35,769,868
ACCRUED PENSION COSTS$13,394,904
DUE TO AFFILIATES$11,869,693
SELF-INSURANCE RESERVES$11,065,631
THIRD PARTY SETTLEMENTS$10,940,370
ACCRUED INTEREST PAYABLE$3,642,584
EXECUTIVE BENEFITS LIABILITY$1,950,004
CANCER COLLECTIONS PAYABLE$454,738
ASSET RETIREMENT OBLIGATION$300,865
FINANCING OBLIGATION$142,452
SALES & REALTY TAX$15,881
BOND EXPENSE PAYABLE-$2,930,147
FieldValueIRS element (for citing)
Total Liability$86,616,843TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$761,694,168TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$6,148,945NetUnrealizedGainsInvstAmt
Other Revenue$14,603,047OtherRevenueAmt
Revenue Not Reported$20,751,992RevenueNotReportedAmt
Revenue Subtotal$740,942,176RevenueSubtotalAmt
Investment Expenses Not Incld$466,559InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$466,559RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$741,408,735TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$694,328,663TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$694,328,663ExpensesSubtotalAmt
Investment Expenses Not Incld2$466,559InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$52,838,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$53,304,559ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$747,633,222TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4TO SUPPORT GWINNETT HOSPITAL SYSTEM, INC.
SCHEDULE D, PAGE 3, PART XTHE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX ON RELATED INCOME UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). THE HOSPITAL APPLIES FASB ASC TOPIC 740, INCOME TAXES (ASC 740), WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. IT ALSO PROVIDES GUIDANCE ON THE TIMING OF RECOGNITION OF TAX POSITIONS IN AN ENTITY'S FINANCIAL STATEMENTS AND THE DETERMINATION OF THE VALUES OF THESE POSITIONS. THERE IS CURRENTLY NO IMPACT ON THE SYSTEM'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740.
SCHEDULE D, PAGE 4, PART XI, LINE 2DINTEREST RATE SWAP CHANGE 14,603,047
SCHEDULE D, PAGE 4, PART XII, LINE 4BCONTRIBUTION TO RELATED PARTY 52,838,000

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other1.250000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,436,275TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,392,322DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,043,953NetCommunityBenefitExpnsAmt
Total Expense0.06830TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,845,626TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,388,854DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,456,772NetCommunityBenefitExpnsAmt
Total Expense0.03400TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,490TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,221DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,269NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$143,294,391TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,789,397DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,504,994NetCommunityBenefitExpnsAmt
Total Expense0.10230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs128ActivitiesOrProgramsCnt
Persons Served178694PersonsServedCnt
Total Community Benefit Expns$5,169,692TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$95,639DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,074,053NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs44ActivitiesOrProgramsCnt
Persons Served8418PersonsServedCnt
Total Community Benefit Expns$9,036,420TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,337,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,698,620NetCommunityBenefitExpnsAmt
Total Expense0.00760TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served10710PersonsServedCnt
Total Community Benefit Expns$38,761,066TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,097,746DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,663,320NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$7,868TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,868NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs180ActivitiesOrProgramsCnt
Persons Served197822PersonsServedCnt
Total Community Benefit Expns$52,975,046TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,531,185DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,443,861NetCommunityBenefitExpnsAmt
Total Expense0.01930TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs180ActivitiesOrProgramsCnt
Persons Served197822PersonsServedCnt
Total Community Benefit Expns$196,269,437TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$105,320,582DirectOffsettingRevenueAmt
Net Community Benefit Expns$90,948,855NetCommunityBenefitExpnsAmt
Total Expense0.12160TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served605PersonsServedCnt
Total Community Benefit Expns$400TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$400NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served220PersonsServedCnt
Total Community Benefit Expns$19,076TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,076NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$40,256TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,256NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served825PersonsServedCnt
Total Community Benefit Expns$59,732TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$59,732NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$95,892,742BadDebtExpenseAmt
Bad Debt Expense Attributable$31,181,147BadDebtExpenseAttributableAmt
Reimbursed By Medicare$200,038,864ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$229,727,323CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$29,688,459MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1GWINNETT PHY CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesRENTAL REAL ESTATEPrimaryActivitiesTxt
Org Profit Or Ownership0.07000OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.90000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumBusiness Name Line2BusinessName/BusinessNameLine2TxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
GWINNETT MEDICAL CENTER
1LAWRENCEVILLE1000 MEDICAL CENTER BLVDLAWRENCEVILLEGA30046WWW.GWINNETTMEDICALCENTER.ORG067-460Yes (X)Yes (X)Yes (X)Yes (X)A
GWINNETT MEDICAL CENTER
2DULUTH3620 HOWELL FERRY ROADDULUTHGA30096WWW.GWINNETTMEDICALCENTER.ORG067-628Yes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility12FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
OtherYes (X)OtherInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.GWINNETTMEDICALCENTER.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.GWINNETTMEDICALCENTER.ORG/ABOUT-USOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.GWINNETTMEDICALCENTER.ORG/ABOUT-USStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.GWINNETTMEDICALCENTER.ORG/MEDIA/FIFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.GWINNETTMEDICALCENTER.ORG/MEDIA/FIFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.GWINNETTMEDICALCENTER.ORG/PATIENTSFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
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Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 3JTHERE ARE SOME AREAS THAT DO NOT HAVE AVAILABLE SECONDARY DATA TO ASSESS WHETHER A PARTICULAR HEALTH NEED EXISTS. WHILE THERE IS A GWINNETT COUNTY INDICATOR IN THE HEALTH COMMUNITIES INSTITUTE'S ONLINE DATABASE FOR THE RATE OF DENTIST PER 100,000 POPULATION THERE IS NOT A MEASURE FOR THE NUMBER OF DENTIST THAT PROVIDE CARE FOR UNINSURED, UNDERINSURED OR LOW INCOME RESIDENTS. THE SAME COULD BE SAID FOR THE INDICATORS ASSOCIATED WITH PRIMARY CARE PROVIDERS OR NON-PHYSICIAN PRIMARY CARE PROVIDERS. THE NEED WAS IDENTIFIED THROUGH COMMUNITY INPUT.
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 5COMMUNITY INVOLVEMENT AND INPUT IS AN IMPORTANT COMPONENT OF OUR NEEDS ASSESSMENT PROCESS. GWINNETT MEDICAL CENTER HAS CONDUCTED GWINNETT COMMUNITY HEALTH STATUS REPORTS WITH THE GWINNETT COUNTY HEALTH DEPARTMENT SINCE 1999. 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 25 YEARS. IN JULY 2015, THE PLAN TO CONDUCT THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS APPROVED BY GWINNETT HOSPITAL SYSTEM SENIOR LEADERSHIP COMMITTEE AND THE COMMUNITY HEALTH AND WELLNESS COUNCIL. IN AUGUST 2015, 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 2007 THROUGH 2014. 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 A NATIVE OF GEORGIA WHO GRADUATED FROM SHORTER COLLEGE WITH A B.A. IN PSYCHOLOGY IN 1990 AND GEORGIA STATE UNIVERSITY WITH A MASTER OF ARTS IN PSYCHOLOGICAL SCIENCES IN 1993. CONNIE WORKED ON SEVERAL PUBLIC HEALTH RESEARCH PROJECTS RELATED TO MATERNAL SUBSTANCE ABUSE AT THE EMORY UNIVERSITY SCHOOL OF MEDICINE, DEPARTMENT OF PSYCHIATRY, PRIOR TO BECOMING A CASE MANAGER FOR THE BABIES CAN'T WAIT (EARLY INTERVENTION) PROGRAM IN GWINNETT, NEWTON, AND ROCKDALE COUNTIES. AFTER HOLDING VARIOUS POSITIONS WITH THAT PROGRAM, INCLUDING EARLY INTERVENTION COORDINATOR, SHE BECAME THE DISTRICT PROGRAM MANAGER FOR THE HEALTH DEPARTMENT IN 2004 AND THE DISTRICT PROGRAM DIRECTOR IN 2005. IN HER CURRENT POSITION, CONNIE OVERSEES PROGRAM COMPLIANCE AND BUDGET MANAGEMENT FOR OVER 15 PROGRAMS, INCLUDING FAMILY PLANNING, WIC NUTRITION, IMMUNIZATIONS, ADOLESCENT HEALTH AND YOUTH DEVELOPMENT, CHILDREN'S MEDICAL SERVICES, CHILD HEALTH PROGRAMS, PHARMACY, EMERGENCY PREPAREDNESS, AND COMMUNICATIONS. SHE ALSO SERVES AS COMMUNITY LIAISON FOR THE HEALTH DEPARTMENT, WORKING WITH A VARIETY OF ORGANIZATIONS TO SUPPORT THE HEALTH AND WELLBEING OF THE COMMUNITY. FARRAH MACHIDA, M.S.P.H. IS THE EPIDEMIOLOGY SUPERVISOR FOR THE GWINNETT, NEWTON, AND ROCKDALE COUNTY HEALTH DEPARTMENTS OVERSEES THE NOTIFIABLE DISEASE INVESTIGATIONS AT THE PUBLIC HEALTH DISTRICT OFFICE. FOR THE PAST SIX YEARS, SHE HAS WORKED AS AN INFECTIOUS DISEASE EPIDEMIOLOGIST AND HAS PROVIDED INFECTION CONTROL TRAININGS ACROSS THE COUNTY TO DAYCARES, SCHOOLS, COMMUNITY GROUPS, AND REHABILITATION CENTERS. SHE HAS WORKED WITH NUMEROUS COMMUNITY GROUPS ON HEALTH DATA ANALYSIS AND INFECTION CONTROL AND EMERGENCY PREPAREDNESS PLANNING. SARAH NEALE, MPH, CHES IS THE HEALTH COMMUNICATIONS COORDINATOR FOR THE GWINNETT, NEWTON AND ROCKDALE COUNTY HEALTH DEPARTMENTS. SARAH EARNED A BACHELOR OF SCIENCE IN BIOLOGY FROM THE UNIVERSITY OF VIRGINIA AND A MASTER OF PUBLIC HEALTH DEGREE FROM EMORY UNIVERSITY'S ROLLINS SCHOOL OF PUBLIC HEALTH. WHILE AT THE UNIVERSITY OF VIRGINIA, SARAH WORKED IN A CELL BIOLOGY RESEARCH LABORATORY AND BECAME INTERESTED IN PUBLIC HEALTH AFTER VOLUNTEERING AT THE UNIVERSITY'S OFFICE OF HEALTH PROMOTION. AS A PUBLIC HEALTH GRADUATE STUDENT AT EMORY UNIVERSITY, SARAH WORKED FOR THE INTERFAITH HEALTH PROGRAM IN THE HUBERT DEPARTMENT OF GLOBAL HEALTH. IN THIS POSITION, SHE ASSISTED IN THE DESIGN AND EVALUATION OF A COMMUNITY MOBILIZATION PROGRAM THAT BRINGS TOGETHER FAITH AND HEALTH SECTOR LEADERS TO ADDRESS HIV IN LIMURU, KENYA. SARAH IS A CONTRIBUTING AUTHOR TO TWO PUBLICATIONS IN DEVELOPMENT AND THE JOURNAL OF INDUSTRIAL MICROBIOLOGY AND BIOTECHNOLOGY. KINSEY MCMURTRY, MPH IS THE HEALTH PROMOTION COORDINATOR AT GWINNETT, NEWTON AND ROCKDALE COUNTY HEALTH DEPARTMENTS. SHE ATTENDED EMORY UNIVERSITY AT BOTH THE OXFORD AND ATLANTA CAMPUSES WHERE SHE RECEIVED HER BACHELOR OF ARTS IN ANTHROPOLOGY AND SPANISH. SHE RECEIVED HER MASTER OF PUBLIC HEALTH DEGREE WITH A CONCENTRATION HEALTH POLICY FROM EMORY UNIVERSITY'S ROLLINS SCHOOL OF PUBLIC HEALTH. AS A GRADUATE STUDENT SHE INTERNED IN THE CHRONIC DISEASE PREVENTION SECTION AT THE GEORGIA DEPARTMENT OF PUBLIC HEALTH, WHERE SHE WORKED ALONGSIDE THE DIRECTOR OF CHRONIC DISEASE PREVENTION ON WORKPLACE WELLNESS AND TOBACCO USE PREVENTION. DURING THIS TIME SHE ALSO WORKED AT THE EMORY UNIVERSITY GLOBAL DIABETES RESEARCH CENTER COORDINATING A PROGRAM CALLED PUBLIC HEALTH LEADERSHIP AND IMPLEMENTATION ACADEMY FOR NON-COMMUNICABLE DISEASES. IN HER CURRENT ROLE AS HEALTH PROMOTION COORDINATOR WITH THE HEALTH DEPARTMENT, KINSEY MANAGES HEALTH PROMOTION PROGRAMS AND EVENTS ON PHYSICAL ACTIVITY, NUTRITION, FOOD ACCESS, TOBACCO USE PREVENTION, WORKPLACE WELLNESS AND CHRONIC DISEASE PREVENTION EDUCATION. KINSEY IS A NATIVE GWINNETTIAN. THE FOCUS GROUP MEETINGS FOR THE GWINNETT COUNTY COMMUNITY NEEDS ASSESSMENT TOOK PLACE FROM AUGUST 2015 THROUGH OCTOBER 2015. THERE WERE SEVEN GROUPS WITH 62 TOTAL PARTICIPANTS. PARTICIPANTS REPRESENTED A WIDE VARIETY OF GWINNETT RESIDENTS AND INDIVIDUALS WHO WORK IN GWINNETT COUNTY. TOPICS DISCUSSED DURING THE FOCUS GROUP MEETINGS INCLUDED QUALITY OF LIFE, COMMUNITY RELATIONS AND ENGAGEMENT, ECONOMIC AND FINANCIAL STABILITY, EDUCATION, SAFETY, YOUTH, AND HEALTH AND WELLNESS. MANY OF THE CONCERNS RAISED IN THESE FOCUS GROUPS ECHOED THE FINDINGS FROM OUR PREVIOUS ASSESSMENT. GENERALLY, THE GROUP THOUGHT THE QUALITY OF LIFE IN THE COUNTY IS AVERAGE BUT THAT IT DEPENDS ON WHERE IN THE COUNTY ONE LIVES. THE MAJORITY OF THE GROUP THOUGHT THAT PARKS AND RECREATION AND THE PUBLIC SCHOOL SYSTEM ARE WELL PERCEIVED BY RESIDENTS. GWINNETT COUNTY WAS PERCEIVED AS NOT HAVING AFFORDABLE HOUSING BY SOME GROUPS AND THAT HOMELESSNESS IS AN INCREASING PROBLEM. THE GROUP FELT THAT THE COUNTY WAS NOT AS ECONOMICALLY STRONG AS IT WAS HISTORICALLY. THERE WERE CONCERNS ABOUT LACK OF JOBS AND INCREASED CRIME IN SOME COMMUNITIES. TRANSPORTATION AND TRAFFIC CONGESTION ARE SERIOUS ISSUES IN THE COUNTY, WITH THE LIMITED PUBLIC TRANSIT SYSTEM RAISED AS A MAJOR CONCERN THROUGHOUT ALL OF THE GROUPS. PARTICIPANTS SAID COMMUNICATION IS A MAJOR ISSUE IN GWINNETT COUNTY DUE TO THE DIVERSITY OF THE COMMUNITY AND THE VARIOUS WAYS RESIDENTS RECEIVE NEWS AND INFORMATION. THEY WERE CONCERNED THAT THERE WAS NO CENTRAL METHOD TO REACH A SIGNIFICANT NUMBER OF GWINNETT RESIDENTS AND THAT LANGUAGE BARRIERS WERE ALSO AN ISSUE. ANOTHER CONCERN OF PARTICIPANTS WAS THAT RESIDENTS WERE NOT ENGAGED IN COMMUNITY ACTIVITIES. THEY ALSO SAID THAT COMMUNITY ACTIVITIES ARE, AT TIMES, COST-PROHIBITIVE. THE GROUPS ALSO HAD CONCERNS ABOUT EMERGENCY PREPAREDNESS AND RESPONSE IN THE COMMUNITY. PARTICIPANTS REPRESENTED DIVERSE GROUPS RANGING FROM SENIORS TO ASIAN, HISPANIC AND AFRICA
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 6AYES. GWINNETT MEDICAL CENTER IN LAWRENCEVILLE AND GWINNETT MEDICAL CENTER - DULUTH ARE LOCATED 10 MILES APART IN GWINNETT COUNTY. 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 6BTHE 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 11BASED ON THE RESULTS OF THE 2016 CHNA THE TOP OPPORTUNITIES LIE IN THE FOLLOWING AREAS: 1) MANAGING HEALTH CONDITIONS AND CHRONIC DISEASE TREATMENTS 2) IMPROVING ACCESS TO CARE 3) PREVENTING CHRONIC DISEASES AND INCREASING WELLNESS OUR FACILITIES UPDATE THEIR IMPLEMENTATION STRATEGIES IN 2016 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 2016 LAWRENCEVILLE AND DULUTH IMPLEMENTATION STRATEGIES LINKED ABOVE 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 AND 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 13HTHE 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 16JGMC 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATIONTHE WOUND TREATMENT CENTER AND THE CONCUSSION INSTITUTE ARE PHYSICIAN PRACTICES THAT WERE INCLUDED IN THE SUBSIDIZED SERVICES CATEGORY. THE FACILITIES PROVIDE SERVICES THAT MEET IDENTIFIED COMMUNITY NEEDS. THE CENTERS OFFER SERVICES THAT THE COMMUNITY DOES NOT CURRENTLY HAVE THE CAPACITY TO PROVIDE. THE MEDICAL PRACTICES PROVIDES A SIGNIFICANT BENEFIT TO THE COMMUNITY AND DO NOT OPERATE PRIMARILY TO INCREASE REFERRALS OF PATIENTS WITH THIRD PARTY COVERAGE AS A MAJORITY OF THE PATIENTS ARE UNDERINSURED, UNINSURED OR COVERED BY FEDERAL OR STATE INSURANCE PLANS FOR AT-RISK POPULATIONS. IN ADDITION, THE MEDICAL PRACTICE IS OPERATED EFFICIENTLY AND PAYMENTS TO PHYSICIANS ARE REASONABLE AND IN-LINE WITH THE GUIDELINES FROM THE MEDICAL GROUP MANAGEMENT ASSOCIATION AS WELL AS PREVAILING COMMUNITY RATES FOR PHYSICIAN REIMBURSEMENT. EXPENSES AT COST FOR SUBSIDIZED SERVICES FOR THE PHYSICIAN PRACTICE HAS BEEN CALCULATED FROM TOTAL DEPARTMENT EXPENSES AT COST MINUS BAD DEBT, MEDICAID AND CHARITY CARE. - WOUND CARE CLINIC COSTS 632,978 WITH A NET COMMUNITY BENEFIT EXPENSE OF 212,475.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONLINE 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 7B, 7C & 7G - AN RVU BASED COST ACCOUNTING SYSTEM (HPM) WAS USED TO ESTIMATE THE MEDICAID FFS & MEDICAID MANAGED CARE AMOUNTS REPORTED ON LN 7B, THE PEACH CARE (GA SCHIP PROGRAM) REPORTED ON LN 7C AND THE SUBSIDIZED HEALTH SERVICES REPORTED ON LN 7G. HPM DOES INCLUDE INFORMATION FROM ALL PATIENT SEGMENTS REGARDLESS OF PAYOR. THE MEDICAID SHORTFALL REPORTED ON LINE 7B INCLUDES A NEGATIVE PRIOR YEAR SETTLEMENT ADJUSTMENT OF 133,226.
PART II - COMMUNITY BUILDING ACTIVITIESCOMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AND ARE CAPTURED IN THE CATEGORIES OF LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COALITION BUILDING AND WORKFORCE DEVELOPMENT IN AN EFFORT TO ENHANCE PUBLIC HEALTH. OUR ORGANIZATION DID NOT PARTICIPATE IN THESE ACTIVITIES TO INCREASE REFERRALS OR TO FULFILL REGULATORY REQUIREMENTS OR CURRENT STANDARDS-OF-CARE. COALITION BUILDING INCLUDES PARTICIPATION OF THE FAITH COMMUNITY NURSING, CENTER FOR NEUROSCIENCE, WOMEN'S SERVICES, DIABETES AND NUTRITION SERVICES, LEARNING RESOURCES AND PHYSICIAN SERVICES DEPARTMENTS. THESE DEPARTMENTS PARTICIPATE IN COMMUNITY COALITIONS AND OTHER COLLABORATIVE EFFORTS WITH THE COMMUNITY TO ADDRESS SAFETY AND HEALTH ISSUES TO PROMOTE THE HEALTH OF THE COMMUNITY; FOR EXAMPLES, CHILD PROTECTION TASK FORCE GWINNETT PUBLIC SCHOOL SYSTEM, AND THE YMCA BOARD OF DIRECTORS. OUR COMMUNITY COLLABORATIONS CONTINUE TO SUPPORT OUR VISION AND MISSION AND FURTHER TIE US TO THE COMMUNITY WE SERVE. GWINNETT HOSPITAL SYSTEM PARTICIPATED ON THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES BOARD THAT SERVES THE COMMUNITY THROUGH INITIATIVES DRIVEN BY ITS SUBCOMMITTEES (E.G., EXECUTIVE COMMITTEE, BOARD OF DIRECTORS, GREAT DAYS OF SERVICE, RESEARCH AND ACCOUNTABILITY COMMITTEE, HEALTH AND WELLNESS COMMITTEE AND THE TASK FORCE FOR THE YOUTH SURVEY FACT BOOK). WE COLLABORATE WITH AID GWINNETT, J. M. TULL - GWINNETT YMCA, GWINNETT UNITED IN DRUG EDUCATION, INC. (GUIDE), SAFE KIDS GWINNETT, GWINNETT FOSTER CHILDREN'S FOUNDATION AND BOY SCOUTS' MEDICAL EXPLORERS PROGRAM. OUR ORGANIZATION WORKS CLOSELY WITH THE GWINNETT CHAMBER OF COMMERCE AND ACTIVELY PARTICIPATES IN PARTNERSHIP GWINNETT, WHICH IS A COMPREHENSIVE PLAN THAT PARTNERS GOVERNMENT, EDUCATION, HEALTHCARE AND BUSINESS IN AN ECONOMIC DEVELOPMENT PLAN. IN ADDITION TO THE CHAMBER, GWINNETT HOSPITAL SYSTEM IS INVOLVED WITH INDIVIDUAL CITIES IN THE COUNTY. GWINNETT HOSPITAL SYSTEM IS INVOLVED WITH STATE AND COUNTY GOVERNMENT AGENCIES INCLUDING GEORGIA DEPARTMENT OF HEALTH AND HUMAN SERVICES, GWINNETT PUBLIC HEALTH DEPARTMENT, VIEW POINT HEALTH, GEORGIA TRAUMA CARE NETWORK COMMISSION, GEORGIA STATE OFFICE OF EMERGENCY MEDICAL SERVICES AND TRAUMA, PARTNERSHIP AGAINST DOMESTIC VIOLENCE (PADV), GWINNETT SEXUAL ASSAULT CENTER & CHILDREN'S ADVOCACY CENTER, GWINNETT COUNTY JUSTICE SYSTEM, GWINNETT COUNTY POLICE DEPARTMENT, GWINNETT COUNTY PUBLIC LIBRARY, GWINNETT COUNTY PUBLIC SCHOOL SYSTEM, DEPARTMENT OF FAMILY CHILDREN SERVICES (DFCS), DEPARTMENT OF AGING SERVICES (DAS), GWINNETT COUNTY SENIOR SERVICES AND THE GEORGIA MEDICARE FOUNDATION. GWINNETT HOSPITAL SYSTEM WORKS WITH NATIONAL AGENCIES WHICH HAVE LOCAL CHAPTERS INCLUDING THE AMERICAN HEART ASSOCIATION, AMERICAN RED CROSS, MARCH OF DIMES, AMERICAN STROKE ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION AND THE UNITED WAY. OUR EFFORTS IN WORKFORCE DEVELOPMENT INCLUDE RECRUITING PHYSICIANS IN MULTIPLE SPECIALTIES FOR COMMUNITY PRACTICES ACCORDING TO COMMUNITY NEEDS ESTABLISHED IN THE 2016 PHYSICIAN NEEDS ASSESSMENT. THE ORGANIZATION'S PRIMARY PURPOSE IN THESE EFFORTS IS TO ASSIST IN COMMUNITY PHYSICIAN RECRUITMENT TO IMPROVE ACCESS TO CARE IN OUR COMMUNITY.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYPART 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.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCETHE 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 31,181,147. THE ESTIMATED COSTS (CALCULATED USING THE RATIO OF COST TO CHARGES) ARE 9,887,355.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTSTHE 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 9,186,000 FROM 86,707,0000 IN FISCAL YEAR 2016 TO 95,893,000 IN FISCAL YEAR 2017.
PART III, LINE 8 - MEDICARE EXPLANATIONTHE 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. 2,548,605 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. THERE WERE PRIOR YEAR MEDICARE SETTLEMENTS MADE IN THE CURRENT YEAR THAT RESULTED IN A POPSITIVE ADJUSTMENT TO INCOME OF 1,551,255 THAT IS REFLECTED IN THE MEDICARE RECONCILIATION SUMMARY. MEDICARE RECONCILIATION SUMMARY - MEDICARE FFS SHORTFALL (MEDICARE COST REPORT) MEDICARE FFS SHORTFALL (LESS SUBSIDIZED SVCS - PT I, LN 7G) 6,756,748 OTHER MEDICARE SHORTFALLS (NON MEDICARE COST REPORT) MEDICARE REPLACEMENT SHORTFALL (PER HPM) 18,988,547 MEDICARE PRO FEE SHORTFALL (PER HPM) 3,306 MEDICARE FEE SCHEDULE SHORTFALL (PER CCR) 597,162 MEDICARE NON-ALLOWABLE COSTS 4,893,952 PY SETTLEMENT RECEIVED - SHORTFALL (LONGFALL) (IMPACT TO I/S) (1,551,255) TOTAL MEDICARE SHORTFALL 29,688,459
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONTHE 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.
PART VI, LINE 2 - NEEDS ASSESSMENTTHE 2015-2016 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 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 125 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. EXPANDING FROM THE COMMUNITY BENEFIT PLAN ARE THE FACILITY-LEVEL IMPLEMENTATION STRATEGIES DEVELOPED TO DESCRIBE HOW EACH FACILITY IS ADDRESSING IDENTIFIED COMMUNITY NEEDS THROUGH PROGRAMS AND COMMUNITY COLLABORATIONS. THE ORGANIZATION'S COMMUNITY HEALTH & WELLNESS COUNCIL IS AN INTERNAL COMMUNITY BENEFIT COMMITTEE WITH REPRESENTATIVES FROM 29 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://ASSETS.THEHCN.NET/CONTENT/SITES/GWINNETTHOSPITAL/CMT_GWINNETT_COMMUN ITY_STRATEGIC_PLAN_2014_2018_2015_04_15.PDF. THE GWINNETT PUBLIC HEALTH DEPARTMENT USED THE DATA SETS OBTAIN THROUGH THE HOSPITAL AND THE COALITION COLLABORATIONS TO DEVELOP THE 2013 COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. THIS IS A LINK TO THE DOCUMENT HTTP://ASSETS.THEHCN.NET/CONTENT/SITES/GWINNETTHOSPITAL/2013_GWINNETT_CHA_A ND_CHIP.PDF. THIS REPORT DESCRIBES A COMBINED COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR GWINNETT COUNTY USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. THE HOSPITALS WORK VERY CLOSELY WITH THE HEALTH DEPARTMENT TO IMPROVE THE HEALTH OF OUR COMMUNITY.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEEVERY 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, VIETNAMESE, MANDARIN AND BOSNIAN.
PART VI, LINE 4 - COMMUNITY INFORMATIONGWINNETT 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 (432.73 SQUARE MILES) AND THE SECOND LEADING BY POPULATION (877,922 ESTIMATED RESIDENTS IN 2014). 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 34.0 YEARS OF AGE ACCORDING TO THE 2009-2013 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES. IN 2014, 31 PERCENT OF THE POPULATION WAS UNDER 20 YEARS OF AGE AND 13 PERCENT WAS 60 YEARS OF AGE AND OLDER, ACCORDING TO THE GEORGIA DIVISION OF PUBLIC HEALTH (ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM, OASIS, 2015). FIGURE 2. POPULATION BY LIFESTAGES AND GENDER, GWINNETT COUNTY 2014 GWINNETT COUNTY, 2014 AGE GROUP MALE FEMALE TOTAL BY AGE PERCENTAGE BY AGE <1 YEAR 5,751 5,773 11,524 1% 1-4 YEARS 24,954 24,285 49,239 6% 5-9 YEARS 35,397 33,843 69,240 8% 10-14 YEARS 36,865 35,616 72,481 8% 15-19 YEARS 33,220 31,595 64,815 7% 20-24 YEARS 29,826 27,906 57,732 7% 25-29 YEARS 28,443 28,280 56,723 6% 30-34 YEARS 29,904 31,641 61,545 7% 35-39 YEARS 30,523 33,432 63,955 7% 40-44 YEARS 33,809 36,447 70,256 8% 45-49 YEARS 32,550 34,614 67,164 8% 50-54 YEARS 31,353 33,074 64,427 7% 55-59 YEARS 25,715 27,490 53,205 6% 60-64 YEARS 19,041 21,213 40,254 5% 65-69 YEARS 13,788 16,078 29,866 3% 70-74 YEARS 8,620 10,389 19,009 2% 75-79 YEARS 5,017 6,695 11,712 1% 80-84 YEARS 3,011 4,758 7,769 1% 85+ 2,228 4,778 7,006 1% 430,015 447,907 877,922 100% SOURCE: GEORGIA DIVISION OF PUBLIC HEALTH, OASIS, 2015 THE POPULATION HAS BECOME MORE RACIALLY AND ETHNICALLY DIVERSE WITH REPRESENTATION FROM ACROSS THE NATION AND AROUND THE WORLD. IN 2009-2013, THE AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATED THE GWINNETT COUNTY POPULATION TO BE 52.5 PERCENT WHITES ALONE, 24.2 PERCENT BLACKS ALONE, 10.8 PERCENT ASIANS ALONE ( 2.7 PERCENT KOREAN, 2.5 PERCENT ASIAN INDIAN, 1.9 PERCENT VIETNAMESE, 1.6 PERCENT OTHER ASIAN) AND 0.3 PERCENT WAS AMERICAN INDIAN OR ALASKA NATIVE, NATIVE HAWAIIAN OR PACIFIC ISLANDER, MULTIRACIAL OR UNKNOWN. ABOUT 20.2 PERCENT OF THE POPULATION WAS HISPANICS OR LATINO WITH 10.5 PERCENT OF THAT POPULATION BEING MEXICAN. IN 2009-2013 THE AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATED, 33 PERCENT THE GWINNETT COUNTY POPULATION OVER THE AGE OF FIVE SPEAK A LANGUAGE OTHER THAN ENGLISH (18 PERCENT SPANISH, 5.9 PERCENT OTHER INDO-EUROPEAN, 7.4 PERCENT ASIAN AND PACIFIC ISLAND, 1.6 PERCENT OTHER LANGUAGES). OF THE POPULATION 18 YEARS AND OVER, 20.1 PERCENT SPEAK A LANGUAGE OTHER THAN ENGLISH (8 PERCENT SPANISH AND 12.2 PERCENT OTHER LANGUAGES) FOR THE SAME TIME PERIOD. IN 2015-2016 THE GWINNETT COUNTY PUBLIC SCHOOL SYSTEM INCLUDES 136 SCHOOLS (79 ELEMENTARY SCHOOLS, 28 MIDDLE SCHOOLS, 21 HIGH SCHOOLS AND EIGHT OTHER EDUCATIONAL FACILITIES/SCHOOLS) AND SERVES NEARLY 176,000 STUDENTS. THE SCHOOL SYSTEM 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. ACCORDING TO COUNTY HEALTH RANKINGS IN 2011-2012, THE PRIMARY CARE PHYSICIAN RATE WAS 56 PROVIDERS PER 100,000 POPULATION IN GWINNETT COUNTY. THIS WAS BETTER THAN THE NATIONAL AVERAGE FOR 3,017 U.S. COUNTIES. ACCORDING TO THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES, THE AVERAGE NUMBER OF MEDICAID RECIPIENTS IN 2013 WAS 92,467 OR 11 PERCENT OF THE TOTAL GWINNETT POPULATION. ELDERLY MEDICARE RECIPIENTS IN 2013 WERE 32,496 AND DISABLED MEDICARE WAS 5,263. THE LACK OF HEALTH INSURANCE COVERAGE IS A SIGNIFICANT BARRIER TO ACCESSING NEEDED HEALTHCARE. IN 2014, THE AMERICAN COMMUNITY SURVEY ESTIMATED 75.1 PERCENT OF GWINNETT RESIDENTS OVER THE AGE OF 18 HAD HEALTH INSURANCE. FROM THE SAME SOURCE 90.2 PERCENT OF CHILDREN UNDER THE AGE OF 18 HAD HEALTH INSURANCE. ACCORDING TO COUNTY HEALTH RANKINGS IN 2012, GWINNETT HAD 58 PROVIDERS PER 100,000 POPULATION, AND IN 2014 GWINNETT HAD 43 NON-PHYSICIAN PRIMARY CARE PROVIDERS PER 100,000 POPULATION. COUNTY HEALTH RANKINGS ALSO REPORT IN 2013, 57 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 2009-2013 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 292,629 HOUSEHOLDS IN GWINNETT. THE AVERAGE HOUSEHOLD SIZE WAS THREE. FAMILIES MAKE UP 76.3 PERCENT OF THE HOUSEHOLDS; 57 PERCENT MARRIED-COUPLE FAMILIES AND 19.2 PERCENT OTHER FAMILIES. NONFAMILY HOUSEHOLDS MADE UP 23.7 PERCENT OF ALL HOUSEHOLDS; 19.2 PERCENT WERE PEOPLE LIVING ALONE. - EIGHTY-SEVEN PERCENT OF RESIDENTS 25 YEARS OF AGE AND OVER HAD AT LEAST GRADUATED FROM HIGH SCHOOL AND 33.9 PERCENT HAD A BACHELOR'S DEGREE OR HIGHER. THIRTEEN PERCENT OF RESIDENTS WERE DROPOUTS, WERE NOT ENROLLED IN SCHOOL AND HAD NOT GRADUATED FROM HIGH SCHOOL. - TWENTY-FIVE PERCENT OF THE POPULATION WAS FOREIGN BORN. "SEVENTY-ONE PERCENT 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 60,445. NINETY PERCENT OF THE HOUSEHOLDS RECEIVED EARNINGS AND 11.3 PERCENT RECEIVED RETIREMENT INCOME OTHER THAN SOCIAL SECURITY. MORE THAN 16.4 PERCENT OF THE HOUSEHOLDS RECEIVED SOCIAL SECURITY. THE AVERAGE INCOME FROM SOCIAL SECURITY WAS 17,818. THESE INCOME SOURCES ARE NOT MUTUALLY EXCLUSIVE; THAT IS, SOME HOUSEHOLDS RECEIVE INCOME FROM MORE THAN ONE SOURCE. - 14.9 PERCENT OF RESIDENTS WERE BELOW THE POVERTY LEVEL. ALMOST 20 PERCENT OF RELATED CHILDREN UNDER 18 WERE LIVING BELOW THE POVERTY LEVEL, COMPARED WITH 8.4 PERCENT OF THE PEOPLE 65 YEARS OF AGE OLD AND OVER. - THE MEDIAN MONTHLY HOUSING COSTS FOR MORTGAGED OWNERS WAS 1,603, NON- MORTGAGED OWNERS 463 AND RENTERS 1,002. EIGHTY-THREE PERCENT OF OWNERS WITH MORTGAGES, 17.4 PERCENT OF OWNERS WITHOUT MORTGAGES AND 54.1 PERCENT OF RENTERS SPENT 30 PERCENT OR MORE OF HOUSEHOLD INCOME ON HOUSING. - THERE WERE 282,629 HOUSING UNITS IN GWINNETT COUNTY, 8.8 PERCENT OF WHICH WERE VACANT. OF THE TOTAL NUMBER OF HOUSING UNITS 72.2 PERCENT WERE IN SINGLE-UNITS DETACHED STRUCTURES, 26 PERCENT WERE IN MULTI-UNIT STRUCTURES AND 1.7 PERCENT WERE MOBILE HOMES. THE COUNTY HAD 266,952 OCCUPIED HOUSING UNITS; 68.4 PERCENT (182,548 UNITS) WERE OWNER OCCUPIED AND 31.6 PERCENT (84,404 UNITS) WERE RENTER OCCUPIED. - TWO PERCENT OF THE HOUSEHOLDS DID NOT HAVE TELEPHONES. - THREE PERCENT OF THE HOUSEHOLDS DID NOT HAVE ACCESS TO A CAR, TRUCK OR VAN FOR PRIVATE USE. IN ADDITION TO OUR FACILITIES, GWINNETT COUNTY HAS ONE FOR-PROFIT HOSPITAL, EASTSIDE MEDICAL CENTER IN SNELLVILLE. THERE ARE MANY HOSPITALS IN SURROUNDING COUNTIES OF THE METROPOLITAN ATLANTA AREA. SUMMITRIDGE HOSPITAL IN LAWRENCEVILLE AND LAKEVIEW BEHAVIORAL HEALTH IN NORCROSS ARE FOR-PROFIT HOSPITALS TO SERVE MENTAL HEALTH AND SUBSTANCE ABUSE. ACCORDING TO THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICE ADMINISTRATION, FOUR CENSUS TRACTS ARE DESIGNATED MEDICALLY UNDERSERVED AREAS (CT 0503.19, CT 0503.20, CT 054.19 AND CT 0504.21) IN GWINNETT COUNTY. THERE ARE TWO FEDERALLY QUALIFIED HEALTH CENTERS IN GWINNETT COUNTY (NORCROSS) SERVING RESIDENTS FROM THESE CENSUS TRACTS AS WELL AS OTHER GWINNETT COUNTY RESIDENTS.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHGWINNETT 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 TOTAL NUMBER OF DISCHARGES FROM BOTH EMERGENCY DEPARTMENTS WAS 151,435 FOR FISCAL YEAR 2016. 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 24 OF THE STATE'S 152 ACUTE-CARE HOSPITALS ARE DESIGNATED TRAUMA CENTERS. BOTH GWINNETT MEDICAL CENTER IN LAWRENCEVILLE AND GWINNETT MEDICAL CENTER - DULUTH AND ASSOCIATED FACILITIES PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS AND PEACHCARE AS APPROPRIATE FOR SERVICES PROVIDED.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMGWINNETT 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.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORTGEORGIA
ADDITIONAL INFORMATIONLINKS TO THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR 2015 - 2016 AND 2012 - 2013 AND THE RELATED IMPLEMENTATION STRATEGIES CAN BE FOUND AT - HTTP://WWW.GWINNETTMEDICALCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS- ASSESSMENTS/DULUTH-COMMUNITY-REPORTS. LINKS TO THE FINANCIAL ASSISTANCE POLICY AND APPLICATION CAN BE FOUND AT - HTTP://WWW.GWINNETTMEDICALCENTER.ORG/PATIENTS-VISITORS/PATIENTS/PATIENT- FINANCIAL-ASSISTANCE-POLICY

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1GWINNETT MEDICAL GROUPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 MEDICAL CENTER BLVDAddressLine1Txt
CityLAWRENCEVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30046ZIPCd
FieldValueIRS element (for citing)
Recipient EIN582143107RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$52,854,167CashGrantAmt
Purpose Of GrantSUPPORT RELATED ORG.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEDUCATIONAL SCHOLARSHIPSGrantTypeTxt
Cash Grant$45,500CashGrantAmt
Valuation Method UsedFMV CASHValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
PHILIP WOLFE
PRESIDENT & CEO$675,930$104,860$300,050$14,575$23,838$1,119,253$92,917
ALAN BIER
EXECUTIVE VP & CMO$375,496$41,200$145,960$14,575$22,545$599,776$42,811
THOMAS Y MCBRIDE III
EXECUTIVE VP & CFO$432,876$90,223$19,875$12,376$555,350
PETER WHEELER
GENERAL COUNSEL$272,362$88,413$49,601$24,948$435,324$26,475
STEPHEN NADEAU
SR. VP OF HUMAN RES.$263,198$96,356$48,693$19,829$428,076$26,380
PATRICIA A LAVELY
SR. VP & CIO$289,943$53,475$42,550$1,324$387,292$15,102
CAROL DANIELSON
SR. VP & CHIEF NUR$257,215$79,546$43,176$21,741$401,678$26,181
JESSIE T SHEPHERD
EXECUTIVE VP AND COO$448,180$68,424$64,905$31,312$612,821$17,202
JOE F CLEMENTS
MED DIR. CRITICAL CA$436,363$22,500$2,322$13,250$29,300$503,735
MARK D DARROW
DIRECTOR GME$334,567$3,872$13,250$20,193$371,882
JAMES DENNARD JR
VP & COO GMC$235,260$50,621$39,786$29,206$354,873$14,914
NISHITH PATEL
VP & COO GMC$242,334$41,876$26,360$18,653$329,223
JANET SCHWALBE
VP PHYSICIAN SVC.$213,408$36,033$32,404$12,022$293,867$10,248
SCOTT OREM
VP FINANCE$218,092$23,657$32,669$28,447$302,865
THOMAS LYNCH
VP MANAGED CARE$203,982$30,833$27,519$28,392$290,726$9,922
MICHAEL C BOBLITZ
VP PLANNING & DEVEL.$224,930$8,509$27,112$25,214$285,765
DONALD R BOLIN
EXEC. DIR. CIN$227,329$5,756$27,970$28,313$289,368
CATHY DOUGHERTY
ASST. VP REVENUE$195,249$9,833$24,748$16,354$19,020$265,204$3,668
DIANA POTTS
CHIEF NURSING OFF.$180,322$33,729$23,579$10,333$247,963$8,459
BONNY RICHARDSON
ASSOCIATE GEN. LEGAL$171,638$1,590$13,333$16,350$202,911
KEVIN E JOHNSON
PROGRAM DIRECTOR GME$231,142$7,000$13,480$13,173$28,864$293,659
KIMBERLY C BATES
GME PROGRAM DIR.$226,616$10,000$7,142$12,274$28,842$284,874
DARVINA HEICHEMER
DIR. SURGICAL SVCS.$183,991$23,002$14,712$15,771$237,476
CATHIE L BRAZELL
DIRECTOR WOMEN'S SVC$200,903$2,134$13,982$8,620$225,639
KARLA L BOOKER
FACULTY GME$198,036$1,901$10,433$18,997$229,367
MANFRED A SANDLER MD
FORMER BOARD MEMBER$697,281$515,442$21,872$14,326$31,696$1,280,617

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1ATHE ORGANIZATION PAYS INCREMENTAL SPOUSAL TRAVELING COSTS FOR SPOUSAL ATTENDANCE AT GEORGIA HOSPITAL ASSOCIATION AND OTHER EVENTS WHERE SPOUSAL ATTENDANCE IS CONSIDERED IMPORTANT FOR BUSINESS PURPOSES. IN ADDITION, CERTAIN EXECUTIVES RECEIVE PAID MEMBERSHIP TO A LUNCHEON CLUB WHICH TO BE USED FOR APPROPRIATE BUSINESS MEETINGS. THESE BENEFITS ARE TREATED AS TAXABLE INCOME TO THE EXECUTIVES. TAX GROSS-UP PAYMENTS ARE MADE FOR BUSINESS SPOUSAL TRAVEL, LUNCHEON CLUB DUES AND FOR A LIMITED LIFE INSURANCE BENEFIT FOR CERTAIN EXECUTIVES.
SCHEDULE J, PAGE 1, PART I, LINE 3GWINNETT 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. THIS 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 KEY EMPLOYEES WITH OVERSIGHT BY THE COMMITTEE. AN INDEPENDENT PROFESSIONAL EXECUTIVE COMPENSATION CONSULTING COMPANY HIRED BY THE SYSTEM BOARD OF DIRECTORS PROVIDES COMPARATIVE SALARY AND BENEFIT INFORMATION AND MAKES RECOMMENDATIONS TO THE COMMITTEE REGARDING THE COMPENSATION OF THE CEO, TOP MANAGEMENT AND KEY EMPLOYEES. THESE PERIODIC SURVEYS ARE CONDUCTED TO ENSURE THE SALARIES AND BENEFITS FOR THESE EMPLOYEES ARE AT FAIR MARKET VALUE.
SCHEDULE J, PAGE 1, PART I, LINE 4PETER WHEELER 0 29,726 0 STEPHEN NADEAU 0 28,818 0 PATRICIA A. LAVELY 0 29,300 0 CAROL DANIELSON 0 28,601 0 JESSIE T. SHEPHERD 0 45,030 0 JAMES DENNARD, JR 0 25,300 0 NISHITH PATEL 0 16,800 0 JANET SCHWALBE 0 15,376 0 SCOTT OREM 0 15,502 0 THOMAS LYNCH 0 15,213 0 MICHAEL C. BOBLITZ 0 15,540 0 DIANA POTTS 0 9,241 0 CATHIE L. BRAZELL 0 3,768 0
SCHEDULE J, PART IIICERTAIN DESIGNATED EMPLOYEES ARE ALLOWED TO PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE SERP IS SUBJECT TO THE PROVISIONS OF SECTION 457(F) OF THE INTERNAL REVENUE CODE. PARTICIPANTS WHO SEPARATE FROM SERVICE DUE TO VOLUNTARY SEPARATION OR AN INVOLUNTARY SEPARATION FOR REASONABLE CAUSE FORFEIT ALL NONVESTED BENEFITS. CURRENT YEAR DEFERRALS ARE REPORTED IN THE PRECEDING TABLE. THE FOLLOWING PARTICIPANTS VESTED AND RECEIVED PAYMENT OF SERP BENEFITS IN THE 2014 CALENDAR YEAR THAT ARE INCLUDED IN REPORTABLE COMPENSATION ON THIS FORM 990, PART VII AND ON SCHEDULE J. THEY WERE ALSO REPORTED AS DEFERRED COMPENSATION ON PRIOR RETURNS: PHILIP WOLFE 92,917 ALAN BIER 42,811 JESSIE T. SHEPHERD 17,202 CAROL DANIELSON 26,180 STEPHEN NADEAU 26,380 PETER WHEELER 26,475 JAMES D. DENNARD 14,914 THOMAS LYNCH 9,922 SCOTT OREM 11,135 JANET SCHWALBE 10,248 DIANA POTTS 8,459 CATHY DOUGHERTY 3,668 PATRICIA LAVELY 15,102 MANFRED SANDLER, MD CURRENTLY SERVES AS AN EMPLOYED PHYSICIAN OF GWINNETT MEDICAL GROUP. HE SERVED AS A MEMBER OF THE BOARD OF DIRECTORS WITHIN THE PREVIOUS 5 YEARS AND IS THEREFORE DISCLOSED AS A FORMER BOARD MEMBER RECEIVING COMPENSATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
HOSPITAL AUTHORITY OF GWINNETT CO
A586011878403732DE72009-11-12$32,700,000ADVANCE REFUND PRIOR ISSUEfalsefalsefalse
HOSPITAL AUTHORITY OF GWINNETT CO
B586011878403732DS62009-11-12$36,435,000CURRENTLY REFUND PRIOR ISSUEfalsefalsefalse
HOSPITAL AUTHORITY OF GWINNETT CO
C586011878403732DU12009-11-12$19,240,000CAPITAL IMPROVEMENTSfalsefalsefalse
HOSPITAL AUTHORITY OF GWINNETT CO
D586011878403732DZ02009-11-12$61,095,000CAPITAL IMPROVEMENTSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$1,830,000$32,700,000$32,700,0002007falseYes (true)Yes (true)Yes (true)
B$8,740,000$36,435,000$36,435,0002007Yes (true)falseYes (true)Yes (true)
C$645,000$19,240,0002007Yes (true)falseYes (true)Yes (true)$19,240,000
D$3,125,000$61,095,0002007Yes (true)falseYes (true)Yes (true)$61,095,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalseYes (true)
CfalsefalsefalsefalsefalsefalseYes (true)
DfalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalsefalseYes (true)falsefalsefalsefalsefalse
BfalsefalsefalseYes (true)falsefalsefalsefalsefalse
CfalsefalsefalseYes (true)falsefalsefalsefalsefalse
DfalsefalsefalseYes (true)falsefalsefalsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse
Dfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K - DATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationHOSPITAL AUTHORITY OF GWINNETT CO. 04/14/16 HOSPITAL AUTHORITY OF GWINNETT CO. 04/14/16 HOSPITAL AUTHORITY OF GWINNETT CO. 04/14/16 HOSPITAL AUTHORITY OF GWINNETT CO. 04/14/16 HOSPITAL AUTHORITY OF GWINNETT CO. 10/05/15ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GWINNETT EMERGENCY SPECIALISTS
BOARD MEMBER$351,157MEDICAL SERVICESfalse
TRACEY WALDROP
FORMER BD MEMBE$61,190COMPENSATIONfalse
GARY LEVENGOOD MD
BOARD MEMBER$35,176COMPENSATIONfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationSCHEDULE 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: TRACEY WALDROP. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAUGHTER OF FORMER BOARD MEMBER. (D) DESCRIPTION OF TRANSACTION: TRACEY IS EMPLOYED BY GWINNETT HOSPITAL SYSTEM, INC. (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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONGWINNETT 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, PART I, LINE 6VOLUNTEER SERVICES HAS A DATABASE SYSTEM THAT TRACKS THE NUMBER OF VOLUNTEERS AND THEIR HOURS OF SERVICE.
FORM 990, PAGE 2, PART III, LINE 4AREHAB 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 2, PART III, LINE 4BSCHOOLS AND MANY YOUTH SPORTS LEAGUES.
FORM 990, PAGE 6, PART VI, LINE 6THE 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 7ATHE 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 7BCERTAIN 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 11BINFORMATION FOR PREPARATION OF THIS RETURN WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT. AFTER THE RETURN WAS PREPARED AND PRIOR TO FILING, IT WAS REVIEWED IN DETAIL BY SENIOR FINANCIAL MANAGEMENT. A COPY OF THE FINAL RETURN WAS THEN MADE AVAILABLE THROUGH A SECURE SERVER FOR ALL BOARD MEMBERS TO REVIEW PRIOR TO FILING. FORM 990 IS ALSO PRESENTED TO THE FINANCE COMMITTEE OF THE HEALTH SYSTEM BOARD PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CANNUALLY, 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 19GOVERNING DOCUMENTS ARE FILED WITH AND AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE OR THROUGH THAT OFFICE. GOVERNING DOCUMENTS CAN ALSO BE OBTAINED BY CONTACTING THE HOSPITAL. LIMITED FINANCIAL INFORMATION IS AVAILABLE ONLINE IN OUR COMMUNITY BENEFIT REPORT. IN ADDITION, OUR ANNUAL REPORT IS AVAILABLE ONLINE AT WWW.GWINNETTMEDICALCENTER.ORG. GWINNETT HOSPITAL'S CONFLICT OF INTEREST POLICY CAN BE OBTAINED BY CONTACTING THE HOSPITAL. THE HOSPITAL IS UNDER OBLIGATION TO DISCLOSE TO BOND HOLDERS PERTINENT FINANCIAL INFORMATION IN THE ANNUAL DISCLOSURE DOCUMENTS. CONTACT INFORMATION FOR THE HOSPITAL CAN BE OBTAINED AT WWW. GWINNETTMEDICALCENTER.ORG.
FORM 990, PART VIIBOARD 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 9BENEFICIAL INTEREST IN ASSETS OF FOUNDATION 2,693,199 ACCRUED PENSION COSTS ADJUSTMENT 15,782,705 CHANGE IN INTEREST RATE SWAP 14,603,047 FUND BALANCE TRANSFER RELATED PARTIES -732,000 TOTAL 32,346,951 TOTAL CHANGES IN FUND BALANCE 32,346,951

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1GWINNETT HOSPITAL SYSTEM GME LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O GWINNETT HOSPITAL SYSTEM INCAddressLine1Txt
Address Line21000 MEDICAL CENTER BLVDAddressLine2Txt
CityLAWRENCEVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30046ZIPCd
FieldValueIRS element (for citing)
EIN465634252EIN
Primary ActivitiesGMEPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GWHOSP SYSBusinessNameLine1Txt
Business Name Line2GWINNETT HOSPITAL SYSTEM INCBusinessNameLine2Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GWINNETT HEALTH SYSTEM INC
1000 MEDICAL CENTER BLVDLAWRENCEVILLEGA30046582135755PARENTGA501C312AN/Afalse
GWINNETT HOSPITAL SYSTEM FOUNDATION
1755 NORTH BROWN RD 100LAWRENCEVILLEGA30046581828486FUNDRAISINGA501C37N/Afalse
GWINNETT MEDICAL GROUP INC
1000 MEDICAL CENTER BLVDLAWRENCEVILLEGA30046582143107PHYSICIANGA501C33Yes (true)HEALTH SYS
GWINNETT MEDICAL PROPERTIES INC
1000 MEDICAL CENTER BLVDLAWRENCEVILLEGA30046582132516REAL ESTATGA501C312AYes (true)HEALTH SYS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
GWINNETT CARDIOVASCULAR SERVICES LL
1000 MEDICAL CENTER BLVDLAWRENCEVILLEGA30045263870307MEDICAL SVGAGWN HOSPITRELATED$366,851$121,434Yes (true)false0.92600
GWINNETT SURGERY CENTER LLC
631 PROFESSIONAL DRIVE STE 390LAWRENCEVILLEGA30046272819709MEDICAL SVGAGWN HOSPITRELATED$29,668$403,157falsefalse0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
GWINNETT MANAGED CARE INC
1000 MEDICAL CENTER BLVDLAWRENCEVILLEGA30046582135759PHOGAN/Afalse
SEQUENT HEALTH PHYSICIAN PARTNERS
1000 MEDICAL CENTER BLVDLAWRENCEVILLEGA30046471511997CL. INTEGRGAN/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd