2017-11-15T07:34:55-06:00 2016-12-31 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2016-01-01 262037695 GRADY MEMORIAL HOSPITAL CORPORATION % GINA SMITH CONTROLLER GRAD 4046161846 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 RICHARD RHINE INTERIM CFO 2017-11-10 WHITNEY E BLAIR P01226647 3362753394 2017-11-07 167.68.102.5 56038220173195000003 2017-11-15 P BF6483DECB90F70326CC894A38BFB9FC800DCBC6 0B59326EE39435C45FCCD6109CF22637C0E88F4F 2016 2021-01-29 14:40:06Z JOHN M HAUPERT PRESIDENTCEO 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 1445558767 false X WWW.GRADYHEALTH.ORG X 2008 GA SEE SCHEDULE O, STATEMENT 1 16 16 7214 498 0 152261487 155506490 1061994716 1269236119 309229 348546 15832793 19804996 1230398225 1444896151 17124176 11763207 0 0 388724577 414423519 0 0 0 776975669 970990131 1182824422 1397176857 47573803 47719294 700367308 762204333 250533651 255464342 449833657 506739991 X SEE SCHEDULE O, STATEMENT 1 false false 381080959 285610987 SEE SCHEDULE O, 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GIVEN GMHC'S LARGE SHARE OF INDIGENT CARE IN GEORGIA, EFFORTS ARE PRIMARILY DIRECTED TO FINDING ADDITIONAL GOVERNMENT SUPPORT FOR DELIVERING CARE TO THAT UNDERSERVED POPULATION. GMHC IS ALSO A MEMBER OF THE GEORGIA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND AMERICA'S ESSENTIAL HOSPITAL ORGANIZATIONS WHICH MAY LOBBY ON ITS BEHALF. PART II-B LINE 1b, 1g, 1h: PERSONNEL ATTEND SEMINARS AND CONVENTIONS TO STAY CURRENT WITH INDUSTRY TRENDS AND TO NETWORK WITH LEGISLATORS, GOVERNMENT OFFICIALS AND OTHER LOBBYISTS. 2848115 2848115 277875007 111101501 166773506 47719135 1041840 46677295 262997034 227474500 35522534 40841263 40841263 292662713 INVESTMENT - HSOC 1455243 SOFTWARE LICENSING 151418 OTHER RECEIVABLES 17459603 PERMANENT ENDOWMENTS 15933223 GOODWILL 147065 NMTC NOTE RECEIVABLE 21313047 INVESTMENT IN GHRI 46978130 103437729 0 DUE TO THIRD PARTIES 2981210 WORKERS COMP LIABILITY 29187 SELF INSURED LIABILITY 37905366 OTHER RESERVES 16371706 57287469 X FORM 990, PART IV, LINE 11F AND SCHEDULE D, PART X, LINE 2 THE SYSTEM APPLIES FASB ASC 740, INCOME TAXES (ASC 740), WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON THE SYSTEM'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740. true true X true X true X true true false true true 77979508 59471527 18507981 0.01950 196627638 195739787 887851 0.00090 274607146 255211314 19395832 0.02040 22617188 9944883 12672305 0.01290 103269858 29283462 73986396 0.07540 90885520 30938013 59947507 0.06110 1690504 528261 1162243 0.00120 218463070 70694619 147768451 0.15060 493070216 325905933 167164283 0.17100 40000 40000 40000 40000 true 415665271 96444450 89194559 7249891 X true true 2 1 GRADY MEMORIAL HOSPITAL 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 WWW.GRADYHEALTH.ORG X X X X X 2 HUGHES SPALDING CHILDREN'S HOSPITAL 45 JESSE HILL JR DRIVE ATLANTA GA 30303 WWW.GRADYHEALTH.ORG X X X GRADY MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 16 true true true true X SEE SUPPLEMENTAL INFO X true 16 true SEE SUPPLEMENTAL INFO false true X 100 400. X X X true true X X X X X true X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X true X false X true X false false HUGHES SPALDING CHILDREN'S HOSPITAL 2 false false true X X X X X X X X X 16 true true true true X SEE SUPPLEMENTAL INFO X true 16 true SEE SUPPLEMENTAL INFO false true X 100 400. X X X X true true X X X true X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X true X false X X true X X false false PART V, SECTION B, LINE 5 Georgia State Universitys Georgia Health Policy Center, which led the collaborative CHNA process, interviewed nearly 30 individual stakeholders and conducted focus groups and/or listening sessions with two groups of Grady providers and nine groups of residents representing four different populations. Interviewees included two representatives from DeKalb County Board of Health, Partners for Home, Georgia Equality, Mercy Care Health Center for the Homeless, Kaiser Permanente, Catholic Charities, Atlanta Regional Commission, United Way, a variety of government officials representing City of Chamblee, DeKalb County and Fulton County, among others. Focus groups were conducted to assess the needs of Fulton residents, DeKalb residents, Vietnamese Seniors, Latinos, cancer patients and patients with behavioral health conditions. PART V, SECTION B, LINE 6A Gradys CHNA was conducted collaboratively through the Atlanta Regional Collaborative for Health Improvement (ARCHI). Other hospitals that participated in the 2016 CHNA process include Wellstar and Piedmont Healthcare. PART V, SECTION B, LINE 6B Mercy Care Health Center for the Homeless and Kaiser Permanente of Georgia also participated in ARCHIs collaborative CHNA to inform their organizations community health priorities. Additionally, many other health care, public health, academic, non-profit and philanthropic organizations are members of ARCHI and helped to form the 2016 CHNA. Some of these organizations include Atlanta Regional Commission, United Way of Greater Atlanta, Carter Center, Centers for Disease Control and Prevention, Georgia Department of Public Health, Georgia Health Policy Center, AND Wholesome Wave Georgia, among others. PART V,SECTION B: COMMUNITY HEALTH NEEDS ASSESSMENT LINE 7A: WEBSITE https://www.gradyhealth.org/static/community-benefit-summary/ LINE 10A: WEBSITE https://www.gradyhealth.org/static/community-benefit-summary/ FINANCIAL ASSISTANCE POLICY (FAP) LINE 16A: WEBITE Policy (includes summary) https://www.gradyhealth.org/fap/policy/ LINE 16B: WEBITE Application https://www.gradyhealth.org/fap/application/ LINE 16C: WEBITE Summary https://www.gradyhealth.org/fap/summary/ PART V, SECTION B, LINE 11 Since Gradys most recent CHNA was conducted in 2016 and our Implementation Strategy (IS) was adopted at the end of 2016, Grady had not begun activities outlined in the most recent IS in 2016. However, since many of the priorities were the same as those identified in 2013, Grady continued that work into 2016. Below are the three activities related to the priorities identified in Gradys 2016 CHNA: 1. Improve coordination of care for Grady patients with diabetes, hypertension, prostate cancer, HIV/AIDS and behavioral health conditions. Grady was a lead partner in establishing a statewide Community Health Worker Convention with the purpose of creating a common understanding among stakeholders on the definition, roles and value of community health workers (CHW); and fostering alignment of CHW efforts in supporting health improvement and healthcare access in Georgia. Grady continued to lead in community collaboration through the Atlanta Regional Collaborative for Health Improvement (ARCHI). Grady has representation on the Steering Committee and has participated in community-wide care coordination planning and implementation for ARCHIs Tri-Cities Pilot Project. Grady has met with the Tri-Cities community through this project to address barriers to access for care. In 2016, ARCHI launched an effort to address a common CHNA priority, diabetes, among several healthcare providers in ARCHI. Grady joined this effort in 2016 and will continue to partner with Kaiser Permanente, Wellstar and Piedmont Healthcare to collaboratively address diabetes among underserved communities. 2. Increase opportunities for all Georgians, with a focus on persons served by Grady Health System, to access healthcare coverage. Grady has engaged a number of resources to assist patients in gaining access to Medicaid and Marketplace health insurance. In 2016, more than 4,100 individuals were approved for Medicaid, and 234 were enrolled in Marketplace insurance (110 in OEP3 January 2016; 124 in OEP4 November-December 2016). Grady partnered with CSRA and Health Initiative In-Person Assisters and Health Insurance Navigators to assist our patients during Open Enrollment. 3. Increase patient and community engagement in healthy behaviors to prevent diabetes, hypertension, HIV, unintentional injuries, and homicide. In 2016, Grady launched a Fruit and Vegetable Prescription (FVRx) Program in partnership with Wholesome Wave Georgia, Open Hand, and Common Market. FVRx is a multicomponent clinic-based program intended to increase access to healthy foods among low-income patients with diet-related chronic diseases. For six months, patients meet with a clinician for a monthly nutrition class, attend six cooking classes, and receive a prescription for fruits and vegetables, which is filled onsite by Common Market. Sixteen patients completed the program in 2016, and Grady is expanding the program in 2017. In 2016, the Injury Prevention Program facilitated 50 injury prevention presentations and educational activities across the state. Topics included safe driving, fall prevention, violence prevention, child physical abuse prevention, and general trauma awareness. More than 1,500 individuals representing the general public (teens, parents, older adults), nurses, doctors, EMS providers, leadership, and others attended PART V, SECTION B, LINE 11, 3.(CONTINUED) the events. Partnering agencies included the Centers for Disease Control AND Prevention, Childrens Healthcare of Atlanta, Georgia EMS, Latin American Association, US MedClinic, local senior centers, local schools, and more. Grady continues to partner with the Atlanta Beltline to increase access to safe parks, trails and health education. Grady is currently on the Beltline Health Steering Committee which provides guidance on a range of health programming. In 2016, Grady began the process of applying for a Health Grant to support a wellness program for community members in partnership with the BeltLines Westside Trail opening in 2017. Grady continues to operate the largest HIV program in Georgia, providing treatment to more than 5,800 people, approximately 25% of people living with HIV in the state. Because strict adherence to antiretroviral therapy (ART) keeps people healthy and significantly reduces risk of transmission, Grady is committed to providing excellent care to all HIV positive patientS. THE LOWER PRIORITIES OF GRADY'S 2016 CHNA- LOW BIRTH WEIGHT(LBW), OBESITY, breast cancer, poverty, and high school education non-attainment were not included as areas of focus for several reasons. First, Grady IS already offering a robust program to address LBW as well as continuously working to improve our services for breast cancer. For the other priorities, Grady does not have the resources or expertise to significantly address these community health needs. Finally, other ARCHI partners with the resources and expertise are leading various initiatives to address these needs. PART V, SECTION B, LINE 15, BOX E The Financial Counselors will advise eligible patients verbally as to where and how to apply for Food Stamps and determine if they meet criteria for Medicaid. Social Workers will typically provide information regarding housing, Food Stamps, and other services to patients. A Financial Counselor may determine if a patient meets criteria for Presumptive Medicaid, Women's Health Medicaid, Women Medicaid Wavier, Cancer State Aid, Crime Victims Compensation Program, Right From The Start Medicaid for newborns, Emergency Medical Assistance - Medicaid for undocumented women who deliver their newborns, Presumptive Medicaid for Pregnant women, Low Income Medicaid, etc., and complete the application as appropriate. The Financial Counselor may also refer a patient to apply for Medicaid with the Department of Family and Children Services Grady Outreach Unit. GMHC haS vendor partnerships on campus whereby representatives are completing applications for eligible patients for various Medicaid Programs, e.g., Low Income Medicaid, SSI, SSD, ETC. representatives are completing applications for eligible patients for various Medicaid Programs, e.g., Low Income Medicaid, SSI, SSD, ETC. PART V, LINE 20E: ADMISSIONS REPRESENTATIVE USUALLY NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE ON ADMISSION. NONE OF THE ACTIONS LISTED IN LINE 19 ARE FOLLOWED. PART V, LINE 22D: AFTER INITIAL MEDICAL EVALUATION, FAMILY COMMUNICATES/PROVIDES FINANCIAL PROOF, RESIDENCY INFORMATION, ETC. SO THAT THE ELIGIBILITY REQUIREMENTS FOR FINANCIAL ASSISTANCE ARE MET. THE SLIDING SCALE IS DISCUSSED IN LINE 13A-E. 10 CRESTVIEW HEALTH & REHABILITATION 2800 SPRINGDALE RD ATLANTA GA 30315 NURSING HOME EMERGENCY MEDICAL SERVICE 745 MEMORIAL DRIVE ATLANTA GA 30316 AMBULANCE SERVICE DEKALB GRADY PHARMACY 1863 MEMORIAL DRIVE ATLANTA GA 30317 PHARMACY NORTH DEKALB PHARMACY 3807 CLAIRMONT RD CHAMBLEE GA 30341 PHARMACY EAST POINT PHARMACY 1595 WEST CLEVELAND AVE EAST POINT GA 30344 PHARMACY PONCE INFECTIOUS DISEASE PHARMACY 341 PONCE DE LEON ATLANTA GA 30308 PHARMACY GRADY BEHAVIORAL HEALTH PHARMACY 10 PARK PLACE ATLANTA GA 30303 PHARMACY MAIN OUTPATIENT PHARMACY 80 JESSE HILL JR DR ATLANTA GA 30303 PHARMACY ASA YANCEY PHARMACY 1247 DONALD LEE HOLLOWELL PKWY ATLANTA GA 30318 PHARMACY CENTRAL REFILL PHARMACY 1575 NORTHSIDE DRIVE BLDG 400 ATLANTA GA 30318 PHARMACY PART I, LINE 3C: THE FEDERAL POVERTY GUIDELINES(FPG) ARE USED TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PART I, LINE 6A: 2015 Community Benefit Report was prepared in 2016. PART I, LINE 7G: GRADY SUBSIDIZES THE COST OF CARING FOR UNINSURED PATIENTS INCLUDING THE COST OF PHYSICIANS, OTHER CARE GIVERS, DRUGS AND SUPPLIES. PART I, LINE 7, COLUMN F: THIS IS THE PERCENTAGE OF NET COMMUNITY BENEFIT OF TOTAL EXPENSE OF GRADY. PART I, LINE 7: CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS WERE DETERMINED USING DATA FROM THE AUDITED FINANCIAL STATEMENTS AND THE 2016 FILED MEDICARE AND MEDICAID COST REPORTS. PART II, LINE 6: Grady is a member organization of the Atlanta Regional Collaborative for Health Improvement (ARCHI). ARCHI is an interdisciplinary coalition working to improve the regions (DeKalb and Fulton Counties) health through a collaborative approach to CHNAs and subsequent health improvement initiatives. Grady holds a seat on the ARCHI Steering Committee for ongoing leadership and connectivity to health improvement initiatives, and has signed the ARCHI membership agreement in support of sustainability and an organization structure. Grady also provides funding to ARCHI to support the staffing, data analytics, and partnership building activities. Grady continues to work with and through ARCHI to conduct its CHNAs in order to maximize the impact of community investment in health improvement. PART III, LINE 2: THE PROVISION FOR BAD DEBT EXPENSE IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. PART III, LINE 4: GMHC ALSO INCURS SIGNIFICANT COST ASSOCIATED WITH CARE FOR THE UNDER AND UNINSURED THAT DO NOT APPLY AND/OR QUALIFY FOR CHARITY CARE ASSISTANCE. GMHC INCURRED BAD DEBT EXPENSE OF APPROXIMATELY $415.7 MILLION VALUED IN GROSS CHARGES. PART III, LINE 8: LINE 6 EXPENSES ARE REPORTED FROM THE MEDICARE COST REPORT CMS-2552-96 FOR THE YEAR ENDED 12/31/16. PART III, LINE 9B: THE ORGANIZATION HAS UNIQUE ELIGIBILITY CODES TO IDENTIFY EACH PATIENT QUALIFYING FOR CHARITY CARE TO ALLOW IT TO WRITE-OFF THE CHARITY CARE AMOUNTS PRIOR TO THE COLLECTION PROCESS. PART VI, 2. NEEDS ASSESSMENT In addition to Gradys CHNA, many of the coalitions that Grady participates in, or organizations that Grady works with, also assess the needs of their communities or target populations, many of which align or overlap with Gradys community. Coalitions or partner organizations with assessments that also inform Gradys work include Arthur Blank Foundations Westside on the Rise Initiative, Atlanta BeltLine Partnership, Georgia State Department of Public Health, Atlanta, Regional Commission, United Way, Mercy Care, and the Atlanta Community Food Bank. PART VI, 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PER STATE REGULATIONS, GMHC PLACES ANNUAL ICTF NOTICES IN THE LOCAL NEWSPAPER AND SIGNAGE IS POSTED, ADVISING PATIENTS OF ALL CHARITY CARE PROGRAMS WITHIN THE ORGANIZATION. BASED ON THE PATIENT'S FINANCIAL CIRCUMSTANCES, AND MEDICAL CONDITION, A FINANCIAL COUNSELOR WILL CONSULT WITH THE PATIENT TO DETERMINE BEST FIT FOR THE CRITERIA OF THE VARIOUS ASSISTANCE PROGRAMS. THE APPROPRIATE APPLICATION IS COMPLETED AND THE FINANCIAL ASSISTANCE PROGRAM IS EXPLAINED TO THE PATIENT SIMUTANEOUSLY. PART VI, 4. COMMUNITY INFORMATION: GMHC IS THE SAFETY NET HEALTHCARE PROVIDER FOR THE CORE OF METROPOLITAN ATLANTA. THIS AREA INCLUDES FIVE COUNTIES AND MORE THAN 3 MILLION PEOPLE. THROUGH ANALYZING THE AVAILABLE DATA SOURCES, GMHC'S PRIMARY SERVICE AREA IS FULTON AND DEKALB COUNTIES, WHICH CONTAIN 1.7 MILLION PEOPLE INCLUDING THE ENTIRE CITY OF ATLANTA, GEORGIA, (17 PERCENT OF THE STATE OF GEORGIA'S POPULATION). According to Gradys 2016 CHNA, the African-American population constitutes more than half of the population in DeKalb County and more than 40 percent of the population in Fulton County, while the Hispanic/Latino population constitutes about 10 percent in both counties. The DeKalb and Fulton populations are also relatively young. More than 40 percent of the population in both counties is in the 18-44 age cohort and the median age is 35 years. THE PERCENTAGE OF THE POPULATION LIVING AT OR BELOW THE FEDERAL POVERTY LEVEL (FPL)-$24,300 FOR A FAMILY OF FOUR- HAS INCREASED IN BOTH COUNTIES. NEARLY 40 PERCENT AND 35 percent of DeKalb and Fulton residents, respectively, live at 200 percent of the FPL. PART VI, 5. PROMOTION OF COMMUNITY HEALTH: GMHC HAS NUMEROUS COLLABORATIONS WITH FULTON AND DEKALB COUNTIES TO DELIVER PRIMARY CARE. IN ADDITION, GMHC COLLABORATES WITH THE LOCAL FEDERALLY QUALIFIED HEALTH CENTERS AS WELL AS EMORY AND MOREHOUSE SCHOOLS OF MEDICINE. GMHC HAS A NOT-FOR-PROFIT COMMUNITY BOARD PROVIDING OVERSIGHT TO ONE OF THE LARGEST SAFETY NET HOSPITALS IN THE SOUTHEAST AND THE LARGEST TRAUMA CENTER IN GEORGIA. Grady is committed to providing critical services our community and state count on every day. Grady is the exclusive 911 provider for Atlanta covering 132 square miles and handling more than 120,000 emergency and non-emergency ambulance requests annually. Grady is also the 911 EMS provider for six counties across Georgia. Grady continues to operate the Georgia Poison Center (GPC), which has been serving the state of Georgia since 1970. GPC provides free assistance and expertise to diagnose and manage human and animal poisonings. This service provides a benefit of more than $4 million to the people of Georgia. Grady is also always looking for ways to innovate and provide better care for our patients and community. For example, Gradys Mobile Integrated Health service conducts home visits for patients who have a high risk of readmission or frequently use 911 for non-emergent care. In 2016, this service expanded from one shift per week to three or four shifts per week and added new providers. PART VI, 5. PROMOTION OF COMMUNITY HEALTH (CONTINUED) Lastly, Grady is also working to ensure our economic impact is also benefiting our community. In less than five years, Grady has grown supplier diversity from 5% to 28% and extended diversity requirements to subcontractors. Because economic security directly impacts health access and outcomes, these investments will promote equity and contribute to improvements in health and well-being among those disproportionately affected by health disparities. Gradys award winning Supplier Diversity program is the only program of its kind among hospitals in the region, and we are committed to being a pioneer in this important field. PART VI, 6. AFFILIATED HEALTH CARE SYSTEM WHILE GRADY IS NOT LEGALLY AFFILIATED WITH THE EMORY HEALTHCARE SYSTEM, WE ARE THE PRIMARY TRAINING SITE FOR MORE THAN 1,000 EMORY AND MOREHOUSE INTERNS AND RESIDENTS EACH YEAR. PART VI, 7. STATE FILING OF COMMUNITY BENEFIT REPORT: GMHC FILES A COMMUNITY BENEFIT REPORT IN GEORGIA. true MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE SW ATLANTA GA 30310 581438873 501(c)(3) 11763207 RESIDENCY PROGRAM 1 SCHEDULE I, PART IV THE AMOUNT OF THE GRANT GIVEN TO THE GRANTEE IS SUBSTANTIATED BY THE ACCOUNTING SYSTEM AND AUDITED ANNUALLY. X false true X X X X X true true false false false false false true false JOHN M HAUPERT PRESIDENT AND CEO 984101 0 357200 0 35998 0 10600 0 12179 0 1400078 0 0 CHRISTOPHER MOSLEY EVP/CHIEF OPERATING OFFICER 460391 149371 0 0 609762 0 TIMOTHY JEFFERSON EXEC VP -GENERAL COUNSEL 452958 149796 23218 22625 0 13850 0 662447 0 RHONDA SCOTT EXEC VP /COO/CNO 441714 154237 24000 13417 0 13977 0 647345 0 MARK MEYER EXEC VP/CFO 463290 163736 24000 6039 0 11235 0 668300 0 CRAIG TINDALL SR VP -OPERATIONS 264571 89205 23998 19654 0 3478 0 400906 0 LINA GEORGE EXEC VP/CHIEF HR OFFICER 347901 115563 24000 9721 0 8858 0 506043 0 BENJAMIN MCKEEBY SVP/CHIEF INFO OFF 326488 108063 18000 10600 0 12613 0 475764 0 RICHARD RHINE SVP REVENUE CYCLE 278070 102372 24000 10600 0 10326 0 425368 0 STERLING MCHORNEY SVP-CLINICAL OPER 548341 85424 3570 3368 0 7758 0 648461 0 PATRICIA PLAIR SVP FINANCE 292374 91188 24000 6493 0 11580 0 425635 0 ROBERT JANSEN EXEC VP/ CMO 480143 41488 23998 5767 0 15326 0 566722 0 GAYNELL MILLER VP PT CARE OPER 400541 66026 17600 7254 0 14784 0 506205 0 MICHELLE WALLACE SVP/CLINICAL OPERATIONS 209144 61698 16339 9033 0 1225 0 297439 0 JACQUELINE HERD EVP/CNO 256617 21846 0 11218 0 289681 0 PART I - QUESTIONS REGARDING COMPENSATION LINE 1B WRITTEN POLICY: WHILE GMHC HAD NO FORMAL WRITTEN POLICY REGARDING CLUB DUES OF EMPLOYEES, SUCH ACTIVITY PAYMENTS TO EMPLOYEES WERE BASED ON AN ACCOUNTABLE PLAN. CLUB DUES EXPENSES INCURRED ON BEHALF OF: JOHN HAUPERT $2,880 MARK MEYER $2,880 RHONDA SCOTT $2,880 JACKIE HERD $ 480 ROBERT JANSEN $2,880 TIMOTHY JEFFERSON $2,880 LINE 4A 2016 SEVERANCE PAYMENTS: STERLING MCHORNEY $285,000 CHRISTOPHER MOSLEY $450,008 GAYNELL MILLER $200,637 LINE 4B 2015 GROSS SERP PAYMENTS: STERLING MCHORNEY $31,625 LINE 7 DESCRIPTION OF NON-FIXED PAYMENTS: THERE WAS A FORMAL PLAN FOR SENIOR LEADERSHIP WITH SPECIFIC OBJECTIVES AND PERCENTAGE PAYOUTS BASED ON ACCOMPLISHMENT OF THOSE OBJECTIVES. THE PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE GMHC BOARD. JOHN HAUPERT CEO FORGIVABLE X 500000 316192 false true true 316192 X 12 39241651 COST false false true Noncash Contributions Noncash contributions are processed and solicited by the Henry Woodruff Grady Foundation. PART I, STATEMENT 1 GRADY HEALTH SYSTEM IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER. GRADY MAINTAINS ITS COMMITMENT TO THE UNDERSERVED OF FULTON AND DEKALB COUNTIES WHILE ALSO PROVIDING CARE TO RESIDENTS OF METRO ATLANTA AND GEORGIA. GRADY LEADS THROUGH CLINICAL EXCELLENCE, INNOVATIVE RESEARCH AND PROGRESSIVE MEDICAL EDUCATION AND TRAINING. PART III, STATEMENT 2 4A PROGRAM SERVICE -CHARITY, UNINSURED, UNDERINSURED AND INDIGENT CARE: IN THE 1800'S ATLANTA'S INDIGENT SICK HAD NO PLACE TO GO TO RECEIVE MEDICAL TREATMENT FOR ILLNESS OR INJURY. THEREFORE, A DRIVE WAS BEGUN TO BUILD GRADY MEMORIAL HOSPITAL (GRADY). ON JUNE 1, 1892, GRADY ADMITTED ITS FIRST PATIENT. AS OF TODAY, GRADY CONTINUES TO BE THE SAFETY NET HOSPITAL FOR THE UNINSURED AND UNDERINSURED CITIZENS OF FULTON AND DEKALB COUNTIES AND THE STATE OF GEORGIA. AS THE LARGEST SAFETY NET HOSPITAL IN THE STATE AND ONE OF THE LARGEST IN THE COUNTRY, ITS MISSION IS (1) TO PROVIDE MEDICAL SERVICES TO UNINSURED, UNDERINSURED, OR INDIGENT PATIENTS; (2) TO PROVIDE AN OPEN ACCESS POLICY FOR RESIDENTS OF FULTON AND DEKALB COUNTIES REGARDLESS OF THEIR ABILITY TO PAY; (3) AND TO PROVIDE A PROVISION FOR SIGNIFICANT UNCOMPENSATED INDIGENT AND CHARITY CARE. DURING 2016, GRADY PROVIDED CARE TO MORE THAN 111,947 UNDER AND UNINSURED PATIENTS WHICH REPRESENT APPROXIMATELY 71% OF ITS TOTAL PATIENTS WITH ABOUT 557,325 PATIENT ENCOUNTERS, COSTING APPROXIMATELY $381M. GRADY RECEIVES SOME REIMBURSEMENT FROM FULTON AND DEKALB COUNTIES, MEDICAID, AND SOME FUNDING FROM THE STATE OF GEORGIA'S INDIGENT CARE TRUST FUND (INCLUDING FEDERAL MATCHING FUNDS) TO HELP SUPPORT THE COSTS OF CARING FOR SO MANY IN THE REGION. GRADY HAS BEEN AND CONTINUES TO BE SIGNIFICANTLY CHALLENGED BY THE FINANCIAL BURDEN OF PROVIDING SO MUCH FREE CARE TO THE REGION. 4B PROGRAM SERVICE -GRADUATE MEDICAL EDUCATION: GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) HAS AFFILIATION AGREEMENTS WITH EMORY UNIVERSITY AND MOREHOUSE SCHOOLS OF MEDICINE TO SUPPORT THE TEACHING AND SUPERVISION OF RESIDENTS IN THE ORGANIZATION, AS WELL AS TO PROVIDE PROFESSIONAL CLINICAL AND ADMINISTRATIVE SERVICES. IN 2016, MORE THAN 1,000 RESIDENTS AND FELLOWS FROM EMORY AND MOREHOUSE PROGRAMS ROTATED THROUGH A BROAD SPECTRUM OF SERVICES IN THE ORGANIZATION. ADDITIONALLY, HUNDREDS OF MEDICAL STUDENTS BENEFITED FROM TRAINING IN THE ORGANIZATION. GMHC OFFERS UNIQUE LEARNING EXPERIENCES FOR RESIDENTS BY PROVIDING EXPOSURE TO TRAUMA, BURN, INFECTIOUS DISEASE, SICKLE CELL, NEUROLOGY AND OTHER COMPLEX CASES AND HOSTS A SIGNIFICANT NUMBER OF CLINICAL RESEARCH TRIALS TO ENHANCE THE RESIDENTS' EDUCATIONAL EXPERIENCE. GMHC PROVIDED IN EXCESS OF $97M IN SUPPORT RELATIVE TO TEACHING SERVICES. IN 2016, REIMBURSEMENT FOR TEACHING SERVICES FROM MEDICARE, MEDICAID AND OTHER GOVERNMENTAL FUNDS TOTALED $54M. 4C PROGRAM SERVICE -EMERGENCY AND TRAUMA SERVICES: GRADY OPERATES ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN THE EASTERN UNITED STATES AND THE COUNTRY'S LARGEST HOSPITAL-BASED AMBULANCE SERVICE. GMHC OPERATES THE LARGEST LEVEL 1 TRAUMA CENTER IN THE ATLANTA METROPOLITAN AREA WHICH HANDLED 4,384 ACUTE TRAUMA CASES IN 2016. ADDITIONALLY, AS PART OF ITS TRAUMA SERVICE, GMHC OPERATES ONE OF ONLY TWO BURN CENTERS IN GEORGIA. THE NATIONALLY ACCLAIMED EMERGENCY CARE CENTER (ECC) HANDLED 129,732 EMERGENCY CASES IN 2016. THE EMERGENCY ROOM WAS THE INTAKE POINT FOR 21,314 OF THE SAFETY NET HOSPITAL'S TOTAL ADMISSIONS. Gradys EMS department is one of the most advanced pre-hospital emergency care delivery systems in the country. As the exclusive 911 ambulance provider for the City of Atlanta, Baker, Baldwin, Ben Hill, Brooks, Clay, Decatur, Hancock, Mitchell, Pike, Quitman, Randolph, and Worth County Georgia, Gradys team of over 900 professionals handle more than 149,000 calls a year. Additionally, Grady EMS also manages a Mobile Integrated Health Care program which provides pre and post hospital care to check up on high-risk patients in areas such as chronic disease management, preventative or post-discharge follow up care and more. These efforts reduce the strain on EMS systems and ERs as well as offering increased access to care. Also notable, Grady EMS operates Atlantas largest specialized Event EMS division which provides support to events at stadiums, concerts, marathons, and festivals throughout the city of Atlanta. 4D PROGRAM SERVICE -OTHER PROGRAM SERVICES: GRADY'S OTHER PROGRAMS INCLUDE NATIONALLY RECOGNIZED PROGRAMS IN THE AREAS OF INFECTIOUS DISEASE, DIABETES, AND SICKLE CELL AS WELL AS REGIONAL SERVICE FOR NEONATAL TRANSPORT, MATERNAL AND INFANT PROJECT, CARDIOVASCULAR HEALTH, PSYCHOLOGY, BURN, CANCER AND MARCUS STROKE AND NEUROSCIENCE CENTER. PRIMARY CARE SERVICES ARE ALSO PROVIDED THROUGH HOSPITAL MAIN-CAMPUS DEPARTMENTS AND NEIGHBORHOOD CLINICS. PART VI, SECTION A LINE 3 DELEGATION OF CONTROL: GMHC HAS CONTRACTED WITH CHILDREN'S HEALTHCARE OF ATLANTA (CHOA) TO MANAGE OPERATIONS OF HUGHES SPALDING CHILDREN'S HOSPITAL. CHOA OVERSEES DAILY OPERATIONS. PART VI, SECTION B LINE 11A- REVIEW PROCESS OF FORM 990 IN NOVEMBER 2017, THE AUDIT COMMITTEE OF THE GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) REVIEWED A DRAFT OF THE 2016 FORM 990, WHICH HAD PREVIOUSLY BEEN REVIEWED BY MANAGEMENT, WHICH WAS DISTRIBUTED TO EACH COMMITTEE MEMBER. DISCUSSION ENSUED AND COMMENTS AND SUGGESTIONS WERE TAKEN INTO CONSIDERATION IN FINALIZING THE FORM SUBSEQUENT TO THE MEETING. A FINAL DRAFT WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. LINE 12C- ENFORCEMENT OF CONFLICT OF INTEREST POLICY GRADY MEMORIAL HOSPITAL CORPORATION HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. GRADY MEMORIAL HOSPITAL CORPORATION IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT GRADY MEMORIAL HOSPITAL CORPORATION'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT WOULD IMPACT ITS BUSINESS, THUS GRADY MEMORIAL HOSPITAL CORPORATION'S EMPLOYEES MUST AVOID PARTICIPATING IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. GMHC'S CONFLICT OF INTEREST SURVEY IS ADMINISTERED ANNUALLY TO OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER IDENTIFIED PERSONNEL AND AT THE TIME OF APPOINTMENT AND REAPPOINTMENT OF MEDICAL STAFF. AFFIRMATIVE REPLIES ARE REVIEWED FOR DETERMINING APPROPRIATE MANAGEMENT, WHERE APPLICABLE. LINE 15B- COMPENSATION OF CEO AND KEY EMPLOYEES EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND IS REVIEWED ANNUALLY. GRADY MEMORIAL HOSPITAL CORPORATION'S BOARD OF DIRECTORS DESIGNATED THE COMPENSATION COMMITTEE TO BE RESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION. PART VI, SECTION C LINE 19- DOCUMENTS MADE PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE WEBPAGE REFERENCED ON FORM 990, PAGE 1, ITEM J. PART VII, SECTION A EX OFFICIO MEMBERS OF THE BOARD OF DIRECTORS: A.D. "PETE" CORRELL JOHN M. HAUPERT, FACHE CHRISTIAN P. LARSEN, MD,DPHIL VALERIE MONTGOMERY RICE, MD PART XI LINE 9- OTHER CHANGES IN NET ASSETS CONSISTS OF CHANGES IN ASSET VALUATIONS. FORM 990 PART IX LINE 11G DESCRIPTION:PROF FEES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:LINEN,CLEANING,DIETARY,ELIGIBI TOTAL FEES:25113880 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCH SVCS TOTAL FEES:13061556 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCH SVCS TOTAL FEES:18906456 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY FEES TOTAL FEES:17148292 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:10126127 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTIONS TOTAL FEES:6419021 HENRY W GRADY HEALTH SYSTEM FOUNDATION 191 PEACHTREE STREET NE 820 ATLANTA GA 30303 582130437 HEALTH CARE GA 501(c)(3) 11 NA false GRADY HEALTH RESOURCES INC 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 472922502 NMTC GA 501(C)(2) NA GMHC true RELIANT EMERGENCY SPECIALTIES 745 MEMORIAL DR SE ATLANTA GA 30316 471397856 FLEET MAINTEN GA GMHC C 63278 1692518 1.00000 true false false true true false false false false false true true false true false true false false false false HENRY W GRADY HEALTH SYSTEM FOUNDATION c 29479501 FMV HENRY W GRADY HEALTH SYSTEM FOUNDATION m 2674361 FMV RELIANT EMERGENCY SPECIALTIES d 1733130 FMV RELIANT EMERGENCY SPECIALTIES o 116739 FMV GRADY HEALTH RESOURCES INC J 896566 FMV GRADY HEALTH RESOURCES INC K 595472 FMV