GWINNETT HOSPITAL SYSTEMINC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: GWINNETT HOSPITAL SYSTEMINC (EIN 58-2002413)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-11
IRS object ID: 201711319349304031
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-11T15:13:27-04:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	580914992	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DRAFFIN & TUCKER LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 71309	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	317081309	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	582002413	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT HOSPITAL SYSTEMINC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GWIN	BusinessNameControlTxt
Phone	6783124321	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 MEDICAL CENTER BOULEVARD	AddressLine1Txt
City	LAWRENCEVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30046	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS Y MCBRIDE III	PersonNm
Person Title	EXECUTIVE VP & CFO	PersonTitleTxt
Phone	6783124321	PhoneNum
Signature	2017-05-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WILLIAM EDWARD PHILLIPS	PreparerPersonNm
PTIN	P00451499	PTIN
Phone	2298837878	PhoneNum
Preparation	2017-05-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PHILIP WOLFE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 MEDICAL CENTER BLVD	AddressLine1Txt
City	LAWRENCEVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30046	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$724,781,145	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GWINNETTMEDICALCENTER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1992	FormationYr
Legal Domicile State	GA	LegalDomicileStateCd
Activity Or Mission	GWINNETT HOSPITAL SYSTEM, INC. IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GREATER GWINNETT COMMUNITY. GWINNETT HOSPITAL SYSTEM HAS TWO FACILITIES LOCATED IN DULUTH AND LAWRENCEVILLE, GEORGIA THAT TOGETHER PROVIDE ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALTY, OPEN HEART SURGERY, SEVERAL CLINICS, AND A FULL CONTINUUM OF WELLNESS SERVICES. THE FACILITIES EACH OPERATE A YEAR ROUND EMERGENCY ROOM OPEN 24 HOURS A DAY, 7 DAYS A WEEK.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	5485	TotalEmployeeCnt
Total Volunteers	402	TotalVolunteersCnt
Total Gross UBI	$858,040	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$385,020	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,514,007	PYContributionsGrantsAmt
CY Contributions Grants	$3,730,330	CYContributionsGrantsAmt
PY Program Service Revenue	$662,207,205	PYProgramServiceRevenueAmt
CY Program Service Revenue	$694,341,815	CYProgramServiceRevenueAmt
PY Investment Income	$24,856,416	PYInvestmentIncomeAmt
CY Investment Income	$16,205,340	CYInvestmentIncomeAmt
PY Other Revenue	$9,459,634	PYOtherRevenueAmt
CY Other Revenue	$10,208,874	CYOtherRevenueAmt
PY Total Revenue	$701,037,262	PYTotalRevenueAmt
CY Total Revenue	$724,486,359	CYTotalRevenueAmt
PY Grants And Similar Paid	$35,374,800	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$39,999,500	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$304,672,481	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$328,998,808	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$322,716,880	PYOtherExpensesAmt
CY Other Expenses	$356,693,882	CYOtherExpensesAmt
PY Total Expenses	$662,764,161	PYTotalExpensesAmt
CY Total Expenses	$725,692,190	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,273,101	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,205,831	CYRevenuesLessExpensesAmt
Total Assets BOY	$925,263,221	TotalAssetsBOYAmt
Total Assets EOY	$912,681,206	TotalAssetsEOYAmt
Total Liabilities BOY	$440,864,932	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$466,334,478	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$484,398,289	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$446,346,728	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	GWINNETT HOSPITAL SYSTEM, INC. IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GREATER GWINNETT COMMUNITY. GWINNETT HOSPITAL SYSTEM HAS TWO FACILITIES LOCATED IN DULUTH AND LAWRENCEVILLE, GEORGIA THAT TOGETHER PROVIDE ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALTY, OPEN HEART SURGERY, SEVERAL CLINICS, AND A FULL CONTINUUM OF WELLNESS SERVICES. THE FACILITIES EACH OPERATE A YEAR ROUND EMERGENCY ROOM OPEN 24 HOURS A DAY, 7 DAYS A WEEK.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$621,550,461	ExpenseAmt
Grant	$39,999,500	GrantAmt
Revenue	$698,087,308	RevenueAmt
Desc	GWINNETT HOSPITAL SYSTEM, INC.'S PRIMARY PROGRAM SERVICE ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITAL PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, OPEN HEART SURGERY, NEUROSCIENCE SPECIALTY; AND IT OPERATES TWO EMERGENCY ROOMS. IT OFFERS WELL WOMAN SERVICES, AND A FULL CONTINUUM OF WELLNESS SERVICES. IN ADDITION, THE HOSPITAL PROVIDES NURSING CARE IN THE AREAS OF MEDICAL, POST-SURGICAL, OPEN HEART, EMERGENCY CARE, CRITICAL AND INTERMEDIATE CARE TO PATIENTS. THE HOSPITAL NOW HAS AN EVER EXPANDING GRADUATE MEDICAL EDUCATION PROGRAM WHICH SERVICES PATIENTS IN CLINICAL SETTINGS, TRAINING FUTURE PHYSICIANS. THE HOSPITAL PROVIDES SEVERAL SUBSIDIZED SERVICES TO THE PUBLIC BELOW COSTS, INCLUDING: A CARE-A-VAN FOR 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

Field	Value	IRS element (for citing)
Expense	$5,415,364	ExpenseAmt
Revenue	$134,896	RevenueAmt
Desc	THE HOSPITAL PROVIDES MULTIPLE COMMUNITY HEALTH IMPROVEMENT SERVICES. THE LARGEST OF THESE PROGRAMS IS SPORTS MEDICINE SUPPORT SERVICES WHICH IS OFFERED THROUGH OUR SCHOOLS, COLLEGES AND THE GWINNETT COUNTY PARKS AND RECREATION DEPARTMENT. THE HOSPITAL'S CANCER INSTITUTE PROVIDES NAVIGATORS, A DIETICIAN AND A SOCIAL WORKER TO SUPPORT PATIENTS WITH SPECIFIC TYPES OF CANCER. THE HOSPITAL ALSO SUPPORTS THE FAITH COMMUNITY NURSING PROGRAM LOCATED IN MANY OF OUR FAITH BASED ORGANIZATIONS AND OTHER COMMUNITY AGENCIES. THE HOSPITAL'S FAITH COMMUNITY NURSING PROGRAM OFFERS SERVICES TO UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. THE PROGRAMS ARE CONDUCTED IN THE COMMUNITY THROUGH 18 FAITH-HEALTH ORGANIZATIONS, 24 SCHOOLS AND 27 YOUTH SPORTS LEAGUES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,063,960	ExpenseAmt
Revenue	$1,701,193	RevenueAmt
Desc	THE HOSPITAL PROVIDES HEALTH PROFESSIONAL EDUCATION SERVICES WHICH FOCUS ON NURSING, OTHER ALLIED HEALTH PROFESSIONALS AND PHYSICIAN CONTINUING EDUCATION PROGRAMS. THE HOSPITAL IS ASSOCIATED WITH 40 ACADEMIC INSTITUTIONS FOR HEALTH PROFESSIONALS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$631,029,785	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	652	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5485	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LAVERNE GROVE	PersonNm
Phone	6783125603	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 MEDICAL CENTER BLVD	AddressLine1Txt
City	LAWRENCEVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30046	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
K CARLTON BUCHANAN MD
BOARD MEMBER	2.00	3.00	Yes (X)	$55,072	$3,125	$0
A KEITH CARNES MD
BOARD MEMBER	2.00	4.00	Yes (X)	$3,300	$0	$0
J MICHAEL LEVENGOOD JD
CHAIRMAN	2.00	3.00	Yes (X)	$3,000	$0	$0
CAROLYN HILL
BOARD MEMBER	2.00	5.00	Yes (X)	$2,750	$0	$0
L C JOHNSON
BOARD MEMBER	2.00	3.00	Yes (X)	$2,750	$0	$0
PHILIP WOLFE
PRESIDENT &	38.00	23.00		$1,210,214	$0	$139,889	Yes (X)
LEA BAY
SR. VP & PR	60.00	0.00		$738,700	$0	$64,153	Yes (X)
ALAN BIER
EXECUTIVE VP	60.00	0.00		$629,781	$0	$81,836	Yes (X)
THOMAS Y MCBRIDE III
EXECUTIVE VP	40.00	20.00		$625,401	$0	$32,050	Yes (X)
PETER WHEELER
GENERAL COUN	40.00	20.00		$415,882	$0	$76,024	Yes (X)
STEPHEN NADEAU
SR. VP OF HU	60.00	0.00		$411,687	$0	$76,640	Yes (X)
CAROL DANIELSON
SR. VP & CHI	60.00	0.00		$389,423	$0	$69,760	Yes (X)
PATRICIA A LAVELY
SR. VP & CIO	60.00	0.00		$378,809	$0	$57,085	Yes (X)
JESSIE T SHEPHERD
EXECUTIVE VP	60.00	0.00		$594,458	$0	$94,043		Yes (X)
JANET SCHWALBE
VP PHYSICIAN	60.00	0.00		$371,239	$0	$37,484		Yes (X)
MARK D DARROW
DIRECTOR GME	60.00	0.00		$370,553	$0	$32,831		Yes (X)
JAMES DENNARD JR
VP & COO GMC	60.00	0.00		$298,563	$0	$58,589		Yes (X)
SCOTT OREM
VP FINANCE	60.00	0.00		$286,822	$0	$60,509		Yes (X)
THOMAS LYNCH
VP MANAGED C	60.00	0.00		$272,062	$0	$55,603		Yes (X)
MICHAEL C BOBLITZ
VP PLANNING	60.00	0.00		$259,827	$0	$48,159		Yes (X)
DIANA POTTS
CHIEF NURSIN	60.00	0.00		$243,503	$0	$34,643		Yes (X)
CATHY DOUGHERTY
ASST. VP REV	60.00	0.00		$228,057	$0	$37,159		Yes (X)
BONNY RICHARDSON
ASSOCIATE GE	40.00	20.00		$193,742	$0	$28,508		Yes (X)
MIKE HEMPHILL
DIRECTOR OF	60.00	0.00		$165,883	$0	$28,932		Yes (X)
TODD E VERMEER
CHIEF MED. I	60.00	0.00		$247,618	$0	$44,940			Yes (X)
KEVIN E JOHNSON
PROGRAM DIRE	60.00	0.00		$232,264	$0	$40,321			Yes (X)
KIMBERLY C BATES
GME PROGRAM	60.00	0.00		$228,486	$0	$38,284			Yes (X)
CATHIE L BRAZELL
DIRECTOR WOM	60.00	0.00		$224,308	$0	$22,611			Yes (X)
DARVINA HEICHEMER
DIR. SURGICA	60.00	0.00		$221,323	$0	$26,763			Yes (X)
MANFRED A SANDLER MD
FORMER BOARD	0.00	42.00		$0	$1,032,941	$44,471				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,305,477	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,036,066	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,331,287	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	300	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
INNOVATIVE THERAPY CONCEPTS LLC
2 MASHBURN STREET	HAWKINSVILLE	GA	31036	STAFFING	$5,183,750
ALLIANCE LAUNDRY & TEXTILE SERVICES
60 GRINDER STREET	BUFFALO	NY	14215	LAUNDRY	$2,550,264
CUMBERLAND GROUP LLC
PO BOX 932555	ATLANTA	GA	311932555	IS SUPPORT	$2,268,113
AM ANESTHESIOLOGY ASSOC OF GA
PO BOX 535375	ATLANTA	GA	30353	MEDICAL	$2,145,648
KH ACQUISITION LLC
8610 SOLUTION CENTER	CHICAGO	IL	606778006	CONSULTING	$1,868,677

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	75	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,520,724	RelatedOrganizationsAmt
Government Grants	$796,289	GovernmentGrantsAmt
All Other Contributions	$413,317	AllOtherContributionsAmt
Noncash Contributions	$91,675	NoncashContributionsAmt
Total Contributions	$3,730,330	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	623000	$687,762,584	$687,762,584
DISCOUNTS	623000	$2,873,450	$2,873,450
MANAGEMENT FEES	900099	$2,500,395	$2,500,395
REFERENCE LAB	621500	$494,117		$494,117
MANAGEMENT FEES - UNRELATED	621990	$367,635		$367,635

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$343,634	TotalRevenueColumnAmt
Related Or Exempt Func Income	$347,346	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$3,712	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$694,341,815	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,178,454	TotalRevenueColumnAmt
Exclusion	$13,178,454	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$326,633	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$326,633	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$326,633	TotalRevenueColumnAmt
Exclusion	$326,633	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,245,020	SecuritiesAmt
Other	$76,652	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$294,786	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,245,020	SecuritiesAmt
Other	-$218,134	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,026,886	TotalRevenueColumnAmt
Exclusion	$3,026,886	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA & VENDING	722514	$2,395,348	$2,395,348
EHR INCENTIVE	900099	$2,250,572		$2,250,572
GME REVENUES	900099	$1,188,143		$1,188,143

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,048,178	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,000,907	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,047,271	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,882,241	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$724,486,359	TotalRevenueColumnAmt
Related Or Exempt Func Income	$699,923,397	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$858,040	UnrelatedBusinessRevenueAmt
Exclusion	$19,974,592	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$39,950,000	TotalAmt
Program Services	$39,950,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$49,500	TotalAmt
Program Services	$49,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,308,952	TotalAmt
Program Services	$50,000	ProgramServicesAmt
Management And General	$8,258,952	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$258,971,078	TotalAmt
Program Services	$230,198,882	ProgramServicesAmt
Management And General	$28,772,196	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,904,628	TotalAmt
Program Services	$11,978,837	ProgramServicesAmt
Management And General	$1,925,791	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$29,737,971	TotalAmt
Program Services	$25,612,406	ProgramServicesAmt
Management And General	$4,125,565	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,076,179	TotalAmt
Program Services	$15,547,099	ProgramServicesAmt
Management And General	$2,529,080	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,903,428	TotalAmt
Program Services	$4,822,632	ProgramServicesAmt
Management And General	$1,080,796	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,593,569	TotalAmt
Program Services	$1,466,506	ProgramServicesAmt
Management And General	$1,127,063	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$546,533	TotalAmt
Management And General	$546,533	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$492,187	TotalAmt
Management And General	$492,187	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$63,283,186	TotalAmt
Program Services	$34,626,098	ProgramServicesAmt
Management And General	$28,657,088	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,591,361	TotalAmt
Program Services	$143,802	ProgramServicesAmt
Management And General	$2,447,559	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,210,192	TotalAmt
Program Services	$7,937,822	ProgramServicesAmt
Management And General	$3,272,370	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,597,455	TotalAmt
Program Services	$3,980,621	ProgramServicesAmt
Management And General	$7,616,834	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,894,994	TotalAmt
Program Services	$13,637,277	ProgramServicesAmt
Management And General	$257,717	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$477,214	TotalAmt
Program Services	$302,571	ProgramServicesAmt
Management And General	$174,643	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$325,704	TotalAmt
Program Services	$203,124	ProgramServicesAmt
Management And General	$122,580	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,679,700	TotalAmt
Program Services	$8,679,700	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$33,742,811	TotalAmt
Program Services	$33,742,811	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,613,409	TotalAmt
Program Services	$13,308,767	ProgramServicesAmt
Management And General	$304,642	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL & SURGICAL SUPPLI	$146,123,367	$145,720,876	$402,491
EQUIPMENT RENTAL & MAINT.	$16,812,166	$15,505,928	$1,306,238
OTHER	$12,658,585	$11,416,505	$1,242,080
PROVIDER FEES	$8,234,129	$8,234,129

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,913,892	TotalAmt
Program Services	$3,913,892	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$725,692,190	TotalAmt
Program Services	$631,029,785	ProgramServicesAmt
Management And General	$94,662,405	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$63,254,050	BOYAmt
EOY	$54,581,593	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$32,176,845	BOYAmt
EOY	$32,422,341	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$134,254,191	BOYAmt
EOY	$123,663,103	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,512,624	BOYAmt
EOY	$3,467,952	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,303,995	BOYAmt
EOY	$6,689,933	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,783,549	BOYAmt
EOY	$12,208,246	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$697,591,497	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$427,741,910	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$286,241,175	BOYAmt
EOY	$269,849,587	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$363,844,301	BOYAmt
EOY	$367,793,700	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$15,985,998	BOYAmt
EOY	$19,111,166	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,430,000	BOYAmt
EOY	$9,711,149	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,476,493	BOYAmt
EOY	$13,182,436	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$925,263,221	BOYAmt
EOY	$912,681,206	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$63,457,002	BOYAmt
EOY	$61,955,523	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$403,414	BOYAmt
EOY	$445,040	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$290,455,000	BOYAmt
EOY	$284,120,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$86,549,516	BOYAmt
EOY	$119,813,915	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$440,864,932	BOYAmt
EOY	$466,334,478	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$472,679,425	BOYAmt
EOY	$432,620,959	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,016,781	BOYAmt
EOY	$11,794,314	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,702,083	BOYAmt
EOY	$1,931,455	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$484,398,289	BOYAmt
EOY	$446,346,728	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$925,263,221	BOYAmt
EOY	$912,681,206	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,205,831	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,363,527	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$28,482,203	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$33,492	OtherActivitiesAmt
Total Lobbying Expenditures	$33,492	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	DUES 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,094,379	BeginningYearBalanceAmt
Contributions	$2,121,218	ContributionsAmt
End Year Balance	$8,215,596	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,977,875	BeginningYearBalanceAmt
Contributions	$1,666,000	ContributionsAmt
Investment Earnings Or Losses	$155,348	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,704,844	OtherExpendituresAmt
End Year Balance	$6,094,379	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.14070	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.85930	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$296,589,959	OtherCostOrOtherBasisAmt
Depreciation	$148,796,171	DepreciationAmt
Book Value	$147,793,788	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,463,111	OtherCostOrOtherBasisAmt
Depreciation	$17,061,460	DepreciationAmt
Book Value	$3,401,651	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$354,821,610	OtherCostOrOtherBasisAmt
Depreciation	$260,167,118	DepreciationAmt
Book Value	$94,654,492	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,982,603	OtherCostOrOtherBasisAmt
Depreciation	$1,717,161	DepreciationAmt
Book Value	$5,265,442	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$269,849,587	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDesc	AmtAmt
INTEREST RATE SWAPS	$50,372,915
ACCRUED PENSION COSTS	$37,100,000
SELF-INSURANCE RESERVES	$10,929,010
DUE TO AFFILIATES	$7,542,759
THIRD PARTY SETTLEMENTS	$6,942,324
ACCRUED INTEREST PAYABLE	$4,090,886
EXECUTIVE BENEFITS LIABILITY	$1,816,983
FINANCING OBLIGATION	$371,426
CANCER COLLECTIONS PAYABLE	$319,315
ASSET RETIREMENT OBLIGATION	$300,865
SALES & REALTY TAX	$27,432
BOND EXPENSE PAYABLE

Field	Value	IRS element (for citing)
Total Liability	$119,813,915	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$700,709,926	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$8,363,527	NetUnrealizedGainsInvstAmt
Other Revenue	-$13,637,296	OtherRevenueAmt
Revenue Not Reported	-$22,000,823	RevenueNotReportedAmt
Revenue Subtotal	$722,710,749	RevenueSubtotalAmt
Investment Expenses Not Incld	$492,187	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$1,283,423	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,775,610	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$724,486,359	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$685,250,003	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$685,250,003	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$492,187	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$39,950,000	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$40,442,187	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$725,692,190	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4	TO SUPPORT GWINNETT HOSPITAL SYSTEM, INC.
SCHEDULE D, PAGE 3, PART X	THE 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 HOSPITAL'S FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740.
SCHEDULE D, PAGE 4, PART XI, LINE 2D	INTEREST RATE SWAP CHANGE -13,637,296
SCHEDULE D, PAGE 4, PART XI, LINE 4B	TRANFER FROM RELATED PARTY 1,275,960 CHOICEONE K1 LOSS 7,463
SCHEDULE D, PAGE 4, PART XII, LINE 4B	CONTRIBUTION TO RELATED PARTY 39,950,000

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	1.250000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,014,899	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,316,217	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,698,682	NetCommunityBenefitExpnsAmt
Total Expense	0.06160	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,851,467	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,738,561	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,112,906	NetCommunityBenefitExpnsAmt
Total Expense	0.03460	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,069	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,898,475	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,062,818	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,835,657	NetCommunityBenefitExpnsAmt
Total Expense	0.09620	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	133	ActivitiesOrProgramsCnt
Persons Served	177202	PersonsServedCnt
Total Community Benefit Expns	$5,550,260	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$134,896	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,415,364	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	48	ActivitiesOrProgramsCnt
Persons Served	9379	PersonsServedCnt
Total Community Benefit Expns	$5,765,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,701,193	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,063,960	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	11219	PersonsServedCnt
Total Community Benefit Expns	$22,045,717	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,573,660	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,472,057	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$44,896	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,896	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,676	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,676	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	190	ActivitiesOrProgramsCnt
Persons Served	197800	PersonsServedCnt
Total Community Benefit Expns	$33,413,702	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,409,749	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,003,953	NetCommunityBenefitExpnsAmt
Total Expense	0.01650	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	190	ActivitiesOrProgramsCnt
Persons Served	197800	PersonsServedCnt
Total Community Benefit Expns	$180,312,177	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$98,472,567	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,839,610	NetCommunityBenefitExpnsAmt
Total Expense	0.11280	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1555	PersonsServedCnt
Total Community Benefit Expns	$255	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$255	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	314	PersonsServedCnt
Total Community Benefit Expns	$16,338	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,338	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$136,073	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$136,073	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	1869	PersonsServedCnt
Total Community Benefit Expns	$152,666	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$152,666	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$86,706,935	BadDebtExpenseAmt
Bad Debt Expense Attributable	$21,890,264	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$133,460,856	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$143,885,826	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,424,970	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT PHY CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	RENTAL REAL ESTATE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.07000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.90000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Business Name Line2BusinessName/BusinessNameLine2Txt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
GWINNETT MEDICAL CENTER
1	LAWRENCEVILLE	1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	WWW.GWINNETTMEDICALCENTER.ORG	067-460	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
GWINNETT MEDICAL CENTER
2	DULUTH	3620 HOWELL FERRY ROAD	DULUTH	GA	30096	WWW.GWINNETTMEDICALCENTER.ORG	067-628	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.GWINNETTMEDICALCENTER.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.GWINNETTMEDICALCENTER.ORG/ABOUT-US	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GWINNETTMEDICALCENTER.ORG/ABOUT-US	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	125.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWWGWINNETTMEDICALCENTERORGMEDIAFI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWWGWINNETTMEDICALCENTERORGMEDIAFI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWWGWINNETTMEDICALCENTERORGPATIENTS	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 3J	THERE 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 5	RESPONSE: YES. COMMUNITY 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 SERVING12 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, HISPA
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 6A	YES. 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 6B	THE CHNA WAS CONDUCTED THROUGH COLLABORATION WITH THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES AND THE GWINNETT COUNTY HEALTH DEPARTMENT.
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 11	BASED ON THE RESULTS OF THE 2016 CHNA THE TOP OPPORTUNITIES LIE IN THE FOLLOWING AREAS: "MANAGING HEALTH CONDITIONS AND CHRONIC DISEASE TREATMENTS "IMPROVING ACCESS TO CARE "PREVENTING CHRONIC DISEASES AND INCREASING WELLNESS OUR FACILITIES UPDATE THEIR IMPLEMENTATION STRATEGIES IN 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 13H	THE FOLLOWING TYPES OF ACCOUNTS MAY BE CONSIDERED CHARITY CARE ELIGIBLE WITHOUT ADDITIONAL DOCUMENTATION: (1) ACCOUNTS REFERRED TO COLLECTION AGENCIES THAT ARE RETURNED AS UNCOLLECTIBLE; (2) BANKRUPTCIES; (3) REFERRALS FROM APPROVED COMMUNITY AGENCIES; (4) NO ESTATE (DECEASED); (5) ELIGIBILITY FOR MEDICAID IN STATES OTHER THAN GEORGIA; ELIGIBILITY FOR STATE/FEDERAL PROGRAMS WHERE PROGRAM FUNDING HAS BEEN EXHAUSTED; (6) PRESUMPTIVE CHARITY QUALIFICATION. PRESUMPTIVE FINANCIAL ASSISTANCE IS AN FAP DETERMINATION METHOD USED BY GHS. UPON INITIATION OF EMERGENCY, OUTPATIENT, AND INPATIENT SERVICES, GHS WILL UTILIZE A THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THIS PREDICTIVE MODEL INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIO- ECONOMIC AND FINANCIAL CAPACITY INDICATOR THAT INCLUDES ESTIMATES FOR INCOME, ASSETS AND LIQUIDITY. THE ELECTRONIC TECHNOLOGY IS DESIGNED TO ASSESS EACH PATIENT BY THE SAME STANDARDS AND IS CALIBRATED AGAINST HISTORICAL APPROVALS FOR GHS' FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS OUTLINED BELOW. THE INFORMATION RETURNED BY THIS MODELING APPLICATION WILL BE CONSIDERED ADEQUATE DOCUMENTATION FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. OTHER FINANCIAL DOCUMENTS WILL NOT BE REQUIRED IF THE PATIENT QUALIFIES FOR FREE CARE UNDER THE PRESUMPTIVE FINANCIAL ASSISTANCE METHODOLOGY.
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 16I	GMC COLLABORATES WITH COMMUNITY BASED CLINICS TO PROVIDE CHARITY CARE FOR CERTAIN SERVICES WITHOUT GOING THROUGH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IF CARE IS NEEDED BEYOND THE SERVICES EXCLUDED FROM THE PROCESS, THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE PROVIDED TO THE COMMUNITY MEMBER. THE THREE CLINICS ARE: 1.GOOD SAMARITAN CLINIC, 2.HEBRON COMMUNITY CLINIC, 3.HOPE CLINIC. IN ADDITION TO THE COMMUNITY BASED CLINICS, GMC HAS DEVELOPED THE FAITH COMMUNITY NETWORK WHICH CONNECTS THE HOSPITAL AND FAITH COMMUNITIES IN OUR AREA. THROUGH THIS OUTREACH, THE FINANCIAL ASSISTANCE IS SHARED WITH THE NETWORK TO ENSURE THE MEMBERS WITHIN THIS NETWORK ARE GIVEN OUR FINANCIAL ASSISTANCE INFORMATION. REGARDLESS IF A COMMUNITY MEMBER IS REFERRED BY AN OUTREACH PROGRAM, SHOULD HE PRESENT FOR CARE, OUR REGISTRATION TEAM PROVIDES DOCUMENTS THAT INCLUDE INFORMATION ABOUT OUR FINANCIAL ASSISTANCE POLICY AND APPLICATION. DURING THIS REGISTRATION, PAYMENT OPTIONS ARE DISCUSSED AND PROVIDED WHICH INCLUDES FINANCIAL ASSISTANCE AS AN OPTION. AS A REMINDER AFTER CARE, INFORMATION ABOUT FINANCIAL ASSISTANCE IS PROVIDED ON ALL BALANCE DUE STATEMENTS.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	THE 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 640,273 WITH A NET COMMUNITY BENEFIT EXPENSE OF 173,574. - CONCUSSION INSTITUTE COSTS 993,653 WITH A NET COMMUNITY BENEFIT EXPENSE OF 608,343.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	LINE 7A - CHARITY CARE COSTS WERE CALCULATED USING A MEDICAID SPECIFIC COST-TO-CHARGE RATIO (CCR) FROM THE MEDICARE COST REPORT. A MEDICAID CCR WAS USED BECAUSE THE MEDICAID POPULATION BETTER REPRESENTS THE UTILIZATION AND ACUITY OF THE CHARITY POPULATION THAN THE USE OF AN OVERALL CCR AS CALCULATED IN WORKSHEET 2. A CCR WAS USED INSTEAD OF A COST ACCOUNTING SYSTEM BECAUSE CHARITY, AS WELL AS BAD DEBTS, REPRESENT ONLY A PORTION OF A PATIENT ACCOUNT THAT IS BEING WRITTEN OFF. LINE 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 277,484.
PART II - COMMUNITY BUILDING ACTIVITIES	COMMUNITY 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 METHODOLOGY	PART III, LINE 2 - IN THE CURRENT YEAR, BAD DEBTS ARE REPORTED AT CHARGES WRITTEN OFF IN THE PERIOD PLUS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS. SEE THE LINE 4 NOTE BELOW FOR A MORE DETAILED DESCRIPTION OF THE METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 PER THE FINANCIAL STATEMENT FOOTNOTE RELATED TO "PROVISION FOR UNCOLLECTIBLE ACCOUNTS." DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED IN THE PATIENT BALANCE PRIOR TO ACCOUNTS BEING WRITTEN OFF TO BAD DEBT.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	THE HOSPITAL USES A NOTE ON THE PATIENT ACCOUNT TO IDENTIFY PATIENTS UNCOOPERATIVE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY THAT LIKELY WOULD HAVE QUALIFIED FOR CHARITY IF INFORMATION HAD BEEN AVAILABLE TO DETERMINE ELIGIBILITY. DUE TO THESE ACCOUNTS LIKELY BEING ELIGIBLE FOR FINANCIAL ASSISTANCE, THEY SHOULD BE INCLUDED AS PART OF THE HOSPITAL'S COMMUNITY BENEFIT. THE TOTAL BAD DEBT EXPENSE ESTIMATED TO QUALIFY AS FAP-ELIGIBLE IS 21,890,264. THE ESTIMATED COSTS (CALCULATED USING THE RATIO OF COST TO CHARGES) ARE 7,158,664.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES, IN THE NORMAL COURSE OF BUSINESS, THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS ASSESSMENT OF THESE AND OTHER FACTORS BY PAYOR CATEGORY, AND ADJUSTS THE ALLOWANCE AND RELATED PROVISION ACCORDINGLY. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, MANAGEMENT ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A RELATED PROVISION, IF NECESSARY, FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDE PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, MANAGEMENT RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE RENDERED ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL'S PROVISION FOR UNCOLLECTIBLE ACCOUNTS INCREASED 10,210,000 FROM 76,497,000 IN FISCAL YEAR 2015 TO 86,707,000 IN FISCAL YEAR 2016.
PART III, LINE 8 - MEDICARE EXPLANATION	THE COST REPORTED ON LINE 6 ARE PER THE MEDICARE COST REPORT AND WERE CALCULATED BASED ON COST-TO-CHARGE RATIOS. SINCE THE AMOUNTS REPORTED ON LINES 5 & 6 ONLY INCLUDE MEDICARE PART A COSTS AND PAYMENTS, THE OTHER MEDICARE (I.E. - MEDICARE PART C, PHYSICIAN SERVICES, FEE SCHEDULE, NON- ALLOWABLE) COSTS AND PAYMENTS ARE INCLUDED IN THE MEDICARE RECONCILIATION SUMMARY SHOWN BELOW. 1,287,065 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 NEGATIVE ADJUSTMENT TO INCOME OF 30,652 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) 10,424,970 OTHER MEDICARE SHORTFALLS (NON MEDICARE COST REPORT) MEDICARE REPLACEMENT SHORTFALL (PER HPM) 17,033,005 MEDICARE PRO FEE SHORTFALL (PER HPM) (8,472) MEDICARE FEE SCHEDULE SHORTFALL (PER CCR) 488,956 MEDICARE NON-ALLOWABLE COSTS 4,601,126 PY SETTLEMENT RECEIVED - SHORTFALL (LONGFALL) (IMPACT TO I/S) 30,652 TOTAL MEDICARE SHORTFALL 32,570,237
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	THE FINANCIAL ASSISTANCE POLICY STATES THAT THOSE PATIENTS APPROVED FOR FINANCIAL ASSISTANCE WILL BE BILLED AT MEDICARE RATES. IN ADDITION, THE CREDIT AND COLLECTION POLICY DESCRIBES HOW UNINSURED PATIENTS CAN RECEIVE A PROMPT PAY DISCOUNT. THIS POLICY ALSO DESCRIBES THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. CONTACT INFORMATION IS PROVIDED FOR ANYONE NEEDING ASSISTANCE OR HAVING QUESTIONS. UNINSURED PATIENTS ARE GIVEN AN AUTOMATIC DISCOUNT FROM GROSS CHARGES THAT IS NOT RELATED TO THE FINANCIAL ASSISTANCE PROGRAM. PATIENTS RECEIVE HOSPITAL STATEMENTS THROUGHOUT THE BILLING CYCLE. UNPAID ACCOUNTS ARE REFERRED TO AN EXTERNAL COLLECTION AGENCY AFTER ALL EFFORTS BY THE HOSPITAL HAVE BEEN MADE. COLLECTION AGENCIES NOTIFY THE HOSPITAL OF ANY ACCOUNTS THEY IDENTIFY THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2 - NEEDS ASSESSMENT	THE 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 ASSISTANCE	EVERY PATIENT REGISTERED AT A GHS FACILITY IS PROVIDED A DOCUMENT ALERTING THEM TO THE AVAILABILITY OF THE SYSTEMS FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, PATIENTS ARE PROVIDED A BILLING AND COLLECTION INFORMATION DOCUMENT THAT AGAIN ADVISES THE PATIENT HOW TO APPLY FOR FINANCIAL ASSISTANCE. FOR THOSE PATIENTS ADMITTED TO THE HOSPITAL, THE INPATIENT HANDBOOK ALSO INSTRUCTS THEM HOW TO SEEK FINANCIAL ASSISTANCE FROM OUR TEAM OF FINANCIAL COUNSELORS. IN ADDITION, PATIENT BILLS INCLUDE CONTACT INFORMATION FOR SEEKING FINANCIAL ASSISTANCE VIA TELEPHONE OR BY EMAIL AT FINANCIALCOUNSELOR@GWINNETTMEDICALCENTER.ORG. THE HOSPITAL SYSTEMS WEBSITE ALSO INCLUDES THE HOSPITALS FINANCIAL ASSISTANCE POLICY AND APPLICATIONS IN ENGLISH, SPANISH, KOREAN, VIETNAMESE, MANDARIN AND BOSNIAN.
PART VI, LINE 4 - COMMUNITY INFORMATION	GWINNETT COUNTY IS LOCATED IN THE NORTHEAST SUBURBS OF THE METROPOLITAN ATLANTA AREA AND IS 98 PERCENT URBAN. THIS IS THE 46TH LARGEST COUNTY IN THE STATE OF GEORGIA BY LAND MASS (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 HEALTH	GWINNETT HOSPITAL SYSTEM'S VISION IS TO BE THE HEALTH SYSTEM OF CHOICE IN OUR COMMUNITY BY ENHANCING THE HEALTH OF OUR PATIENTS AND OTHER CUSTOMERS. GHS IMPLEMENTS ITS VISION AND PROMOTES THE HEALTH OF THE COMMUNITY BY JOINING WITH PHYSICIANS, COMMUNITY MEMBERS AND ORGANIZATION, AND OTHER HEALTHCARE ORGANIZATIONS TO TREAT INJURY AND DISEASE AS WELL AS PROVIDING PREVENTIVE AND EARLY INTERVENTION CARE TO OUR CUSTOMERS. THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE BOARD MEMBERS ARE DEDICATED TO PROVING QUALITY HEALTHCARE TO OUR COMMUNITY. GHS EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR A MAJORITY OF OUR DEPARTMENTS. GWINNETT HOSPITAL SYSTEM HAS OVER 800 AFFILIATED PHYSICIANS PROVIDING HEALTHCARE SERVICES AT BOTH GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH CAMPUSES. GHS CONTINUALLY SEEKS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY APPLYING ITS SURPLUS FUNDS TO PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. FULL-TIME EMERGENCY DEPARTMENTS ARE OPERATED AT BOTH THE GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH CAMPUSES. NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT. THE 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 SYSTEM	GWINNETT HOSPITAL SYSTEM IS A LICENSED 464 BED HEALTHCARE ORGANIZATION WITH TWO ACUTE-CARE HOSPITALS: GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH. THESE TWO FACILITIES SERVE AREAS OF BOTH GWINNETT COUNTY AND TO A LESSER EXTENT SEVERAL SURROUNDING COUNTIES. IN ADDITION TO THE MEDICAL-SURGICAL HOSPITALS, THE ORGANIZATION ALSO INCLUDES THE GWINNETT WOMENS PAVILION ON THE GWINNETT MEDICAL CENTER-LAWRENCEVILLE CAMPUS AS WELL AS THE GLANCY REHABILITATION CENTER IN DULUTH. OTHER AFFILIATED ORGANIZATIONS INCLUDE: GWINNETT HEALTH SYSTEM, INC. THE NONPROFIT PARENT ORGANIZATION OF GWINNETT HOSPITAL SYSTEM AND ITS AFFILIATES. GWINNETT MEDICAL CENTER FOUNDATION A NONPROFIT PHILANTHROPIC ORGANIZATION THAT SUPPORTS THE GWINNETT HOSPITAL SYSTEM BY RAISING MONEY FOR CAPITAL EQUIPMENT PURCHASES FOR GWINNETT MEDICAL CENTER-DULUTH AND GWINNETT MEDICAL CENTER-LAWRENCEVILLE, NEUROSCIENCE, ORTHOPEDICS AND A VARIETY OF OTHER PROGRAMS. GWINNETT MEDICAL PROPERTIES A NONPROFIT ORGANIZATION THAT OWNS MEDICAL PROPERTIES IN AND AROUND GWINNETT COUNTY FOR THE PURPOSE OF AIDING GWINNETT HOSPITAL SYSTEM IN FULFILLING ITS MISSION. GWINNETT MEDICAL GROUP A NONPROFIT ORGANIZATION WHOSE MISSION IS TO OPERATE PHYSICIAN CLINICS IN AND AROUND GWINNETT COUNTY, AS WELL AS TO PROVIDE CERTAIN INPATIENT PHYSICIAN SERVICES.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	GEORGIA
ADDITIONAL INFORMATION	LINKS 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

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GWINNETT MEDICAL GROUP
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	582143107	501C3	$39,650,000	SUPPORT RELATED ORG.
GWINNETT HEALTH SYSTEM
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	582135755	501C3	$300,000	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EDUCATIONAL SCHOLARSHIPS	GrantTypeTxt
Recipient	23	RecipientCnt
Cash Grant	$49,500	CashGrantAmt
Valuation Method Used	FMV CASH	ValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	SCHEDULE 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

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
PHILIP WOLFE
PRESIDENT & CEO	$637,123	$279,749	$293,342	$116,445	$23,444	$1,350,103	$89,440
LEA BAY
SR. VP & PRESIDENT	$78,581	$70,402	$589,717	$41,835	$22,318	$802,853	$110,639
ALAN BIER
EXECUTIVE VP & CMO	$344,894	$128,266	$156,621	$59,791	$22,045	$711,617	$50,402
THOMAS Y MCBRIDE III
EXECUTIVE VP & CFO	$409,106	$130,832	$85,463	$19,875	$12,175	$657,451
PETER WHEELER
GENERAL COUNSEL	$255,293	$74,035	$86,554	$48,763	$27,261	$491,906	$25,784
STEPHEN NADEAU
SR. VP OF HUMAN RES.	$240,438	$71,774	$99,475	$55,271	$21,369	$488,327	$33,079
CAROL DANIELSON
SR. VP & CHIEF NUR	$239,845	$64,769	$84,809	$48,492	$21,268	$459,183	$31,619
PATRICIA A LAVELY
SR. VP & CIO	$253,895	$72,855	$52,059	$41,650	$15,435	$435,894
JESSIE T SHEPHERD
EXECUTIVE VP AND COO	$402,938	$132,756	$58,764	$63,219	$30,824	$688,501	$13,369
JANET SCHWALBE
VP PHYSICIAN SVC.	$233,824	$50,543	$86,872	$26,204	$11,280	$408,723	$11,724
MARK D DARROW
DIRECTOR GME	$317,832	$46,589	$6,132	$13,250	$19,581	$403,384
JAMES DENNARD JR
VP & COO GMC	$213,298	$54,717	$30,548	$30,192	$28,397	$357,152	$6,002
SCOTT OREM
VP FINANCE	$206,166	$55,154	$25,502	$33,321	$27,188	$347,331	$12,981
THOMAS LYNCH
VP MANAGED CARE	$191,844	$48,967	$31,251	$27,622	$27,981	$327,665	$9,765
MICHAEL C BOBLITZ
VP PLANNING & DEVEL.	$201,441	$49,899	$8,487	$23,807	$24,352	$307,986
DIANA POTTS
CHIEF NURSING OFF.	$174,123	$44,142	$25,238	$24,489	$10,154	$278,146	$4,245
CATHY DOUGHERTY
ASST. VP REVENUE	$178,898	$32,917	$16,242	$15,519	$21,640	$265,216
BONNY RICHARDSON
ASSOCIATE GEN. LEGAL	$167,775	$24,391	$1,576	$14,042	$14,466	$222,250
MIKE HEMPHILL
DIRECTOR OF MATERIAL	$127,552	$17,436	$20,895	$16,608	$12,324	$194,815
TODD E VERMEER
CHIEF MED. INFO. OFF	$247,440		$178	$10,991	$33,949	$292,558
KEVIN E JOHNSON
PROGRAM DIRECTOR GME	$218,842	$6,000	$7,422	$12,314	$28,007	$272,585
KIMBERLY C BATES
GME PROGRAM DIR.	$204,851	$9,800	$13,835	$10,005	$28,279	$266,770
CATHIE L BRAZELL
DIRECTOR WOMEN'S SVC	$182,757	$39,713	$1,838	$10,010	$12,601	$246,919
DARVINA HEICHEMER
DIR. SURGICAL SVCS.	$177,577	$22,258	$21,488	$15,052	$11,711	$248,086
MANFRED A SANDLER MD
FORMER BOARD MEMBER								$678,317	$333,102	$21,522	$13,250	$31,221	$1,077,412

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1A	THE HOSPITAL SYSTEM 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 IS 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 4	PHILIP WOLFE 0 101,780 0 LEA BAY 362,274 25,772 0 ALAN BIER 0 40,000 0 PETER WHEELER 0 28,860 0 STEPHEN NADEAU 0 27,979 0 CAROL DANIELSON 0 27,768 0 PATRICIA A. LAVELY 0 28,400 0 JESSIE T. SHEPHERD 0 41,400 0 JANET SCHWALBE 0 9,375 0 JAMES DENNARD, JR 0 16,359 0 SCOTT OREM 0 15,050 0 THOMAS LYNCH 0 14,770 0 DIANA POTTS 0 8,972 0
SCHEDULE J, PART III	CERTAIN DESIGNATED EMPLOYEES ARE ALLOWED TO PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE SERP IS SUBJECT TO THE PROVISIONS OF SECTION 457(F) OF THE INTERNAL REVENUE CODE. PARTICIPANTS WHO SEPARATE FROM SERVICE DUE TO VOLUNTARY SEPARATION OR AN INVOLUNTARY SEPARATION FOR REASONABLE CAUSE FORFEIT ALL NONVESTED BENEFITS. CURRENT YEAR DEFERRALS 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 89,440 ALAN BIER 50,402 JESSIE T. SHEPHERD 13,369 CAROL DANIELSON 31,619 STEPHEN NADEAU 33,079 PETER WHEELER 25,784 LEA BAY 110,639 JAMES D. DENNARD 6,002 THOMAS LYNCH 9,765 SCOTT OREM 12,981 JANET SCHWALBE 11,724 DIANA POTTS 4,245 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 ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HOSPITAL AUTHORITY OF GWINNETT CO
A	586011878	403732DE7	2009-11-12	$32,700,000	ADVANCE REFUND PRIOR ISSUE	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
B	586011878	403732DS6	2009-11-12	$36,435,000	CURRENTLY REFUND PRIOR ISSUE	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
C	586011878	403732DU1	2009-11-12	$19,240,000	CAPITAL IMPROVEMENTS	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
D	586011878	403732DZ0	2009-11-12	$61,095,000	CAPITAL IMPROVEMENTS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$1,360,000	$32,700,000	$32,700,000	2007	false	Yes (true)	Yes (true)	Yes (true)
B	$7,195,000	$36,435,000	$36,435,000	2007	Yes (true)	false	Yes (true)	Yes (true)
C	$525,000	$19,240,000		2007	Yes (true)	false	Yes (true)	Yes (true)	$19,240,000
D	$2,570,000	$61,095,000		2007	Yes (true)	false	Yes (true)	Yes (true)	$61,095,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	false
B	false	false	false	Yes (true)	false	false	false	false	false
C	false	false	false	Yes (true)	false	false	false	false	false
D	false	false	false	Yes (true)	false	false	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false
D	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K - DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	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. 04/14/16 HOSPITAL AUTHORITY OF GWINNETT CO 10/05/15	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GWINNETT EMERGENCY SPECIALISTS
BOARD MEMBER	$293,206	MEDICAL SERVICES	false
TRACEY WALDROP
FAMILY FORMER B	$57,449	COMPENSATION	false
PAM KAUFFMAN
FORMER OFFICER	$27,981	COMPENSATION	false
MILES H MASON III
FORMER DIRECTOR	$3,125	COMPENSATION	false
SPORTS MEDICINE SOUTH
BOARD MEMBER	$49,769	MEDICAL SERVICES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV (A) NAME OF PERSON: GWINNETT EMERGENCY SPECIALISTS. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MEDICAL PRACTICE OF BOARD MEMBER CARLTON BUCHANAN, MD. (D) DESCRIPTION OF TRANSACTION: ADMINISTRATION OF EMERGENCY DEPARTMENT OF GWINNETT HOSPITAL. (A) NAME OF PERSON: 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: PAM KAUFFMAN. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FORMER OFFICER MEMBER. (D) DESCRIPTION OF TRANSACTION: KAUFFMAN BALDWIN & ASSOCIATES, LLC WAS PAID FOR CONSULTING SERVICES. (A) NAME OF PERSON: MILES H. MASON, MD. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FORMER BOARD MEMBER (D) DESCRIPTION OF TRANSACTION: DR. MASON WAS PAID FOR MEDICAL SERVICES. (A) NAME OF PERSON: SPORTS MEDICINE SOUTH (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: PRACTICE IS OWNED BY THE BROTHER OF A BAORD MEMBER. (D) DESCRIPTION OF TRANSACTION: ORGANIZATION IS PAID FOR MEDICAL SERVICES.	ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$91,675	NoncashContributionsRptF990Amt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	GWINNETT HOSPITAL SYSTEM, INC. IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GREATER GWINNETT COMMUNITY. GWINNETT HOSPITAL SYSTEM HAS TWO FACILITIES LOCATED IN DULUTH AND LAWRENCEVILLE, GEORGIA THAT TOGETHER PROVIDE ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALTY, OPEN HEART SURGERY, SEVERAL CLINICS, AND A FULL CONTINUUM OF WELLNESS SERVICES. THE FACILITIES EACH OPERATE A YEAR ROUND EMERGENCY ROOM OPEN 24 HOURS A DAY, 7 DAYS A WEEK.
FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEER SERVICES HAS A DATABASE SYSTEM THAT TRACKS THE NUMBER OF VOLUNTEERS AND THEIR HOURS OF SERVICE.
FORM 990, PAGE 2, PART III, LINE 4A	REHAB AND RENAL SERVICES, AND A WOUND CARE CLINIC. THE HOSPITAL PROVIDES ORTHOPAEDIC TRAUMA SERVICES THROUGH AN AGREEMENT WITH HUGHSTON CLINIC, P.C.
FORM 990, PAGE 6, PART VI, LINE 6	THE SOLE MEMBER OF GWINNETT HOSPITAL SYSTEM, INC. IS GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. IS APPOINTED BY THE CHARIMAN OF THE BOARD OF DIRECTORS OF GWINNETT HEALTH SYSTEM, INC.
FORM 990, PAGE 6, PART VI, LINE 7B	CERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. MUST BE APPROVED BY THE BOARD OF DIRECTORS OF GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 11B	INFORMATION 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 12C	ANNUALLY, A CONFLICTS OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO AND DISCUSSED WITH EACH MEMBER OF THE BOARD OF DIRECTORS. THE LEGAL DEPARTMENT IS RESPONSIBLE FOR ENSURING THESE QUESTIONNAIRES ARE SIGNED AND RETURNED. LEGAL MONITORS ALL TRANSACTIONS INVOLVING CONFLICTS OF INTEREST WITH BOARD MEMBERS. BOARD MEMBERS MUST DISCLOSE POTENTIAL CONFLICTS USING A REASONABLE BELIEF STANDARD; PLAY NO DIRECT OR INDIRECT PART IN DELIBERATIONS; AND ABSENT THEMSELVES FROM THE MEETING AT WHICH ANY POTENTIAL CONFLICT IS DISCUSSED. ONLY NON-CONFLICTED MEMBERS MAY DECIDE TO PURSUE A TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT IF A MAJORITY DETERMINES THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. VIOLATION OF THE COI POLICY IS SUBJECT TO CORRECTIVE ACTION, INCLUDING EXONERATION, CENSURE, AND/OR REQUESTING THE RESIGNATION OF THE MEMBER. APPROVAL FOR ANY LOANS, PAYMENTS, HONORARIUMS, TRIP OR TRAVEL REIMBURSEMENTS, SERVICES, PRODUCTS, ENTERTAINMENT, PRIZES OR AWARDS PROVIDED TO ANY BOARD MEMBER MUST BE APPROVED BY AN ADMINISTRATIVE OFFICER OR HIS OR HER DESIGNEE. THE CEO MUST OBTAIN THE APPROVAL OF THE CHAIRMAN OF THE BOARD (AND PAYMENTS TO THE CEO ARE APPROVED BY ANOTHER ADMINISTRATIVE OFFICER). IN ADDITION, THE HUMAN RESOURCE DEPARTMENT SENDS OUT A COI POLICY AND DISCLOSURE FORM TO OFFICERS AND KEY EMPLOYEES EVERY 3 - 5 YEARS. THESE OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS THAT ARISE DURING THE FISCAL YEAR.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE FILED WITH AND AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE OR THROUGH THAT OFFICE. 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 VII	BOARD MEMBERS OF GWINNETT ENTITIES ARE PROVIDED A SMALL STIPEND FOR THEIR SERVICES. K. CARLTON BUCHANAN, MD RECEIVES MEDICAL AND HEALTH CARE PAYMENTS AS COMPENSATION FOR PHYSICIAN SERVICES.
FORM 990, PART XI, LINE 9	BENEFICIAL INTEREST IN ASSETS OF FOUNDATION 828,023 ACCRUED PENSION COSTS ADJUSTMENT -19,195,990 CHANGE IN INTEREST RATE SWAP -13,637,296 INVESTMENT GWINNETT SURGICAL CENTER 3,515,597 CHOICEONE SURGERY CENTER K-1 LOSS 7,463 TOTAL -28,482,203

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT HOSPITAL SYSTEM GME LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O GWINNETT HOSPITAL SYSTEM INC	AddressLine1Txt
Address Line2	1000 MEDICAL CENTER BLVD	AddressLine2Txt
City	LAWRENCEVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30046	ZIPCd

Field	Value	IRS element (for citing)
EIN	465634252	EIN
Primary Activities	GME	PrimaryActivitiesTxt
Legal Domicile State	GA	LegalDomicileStateCd
Total Income	$1,188,143	TotalIncomeAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GWHOSP SYS	BusinessNameLine1Txt
Business Name Line2	GWINNETT HOSPITAL SYSTEM INC	BusinessNameLine2Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GWINNETT HEALTH SYSTEM INC
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	582135755	PARENT	GA	501C3	11A	N/A	false
GWINNETT HOSPITAL SYSTEM FOUNDATION
1755 NORTH BROWN RD 100	LAWRENCEVILLE	GA	30046	581828486	FUNDRAISIN	GA	501C3	7	N/A	false
GWINNETT MEDICAL GROUP INC
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	582143107	PHYSICIAN	GA	501C3	3		Yes (true)	HEALTH SYS
GWINNETT MEDICAL PROPERTIES INC
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	582132516	REAL ESTAT	GA	501C3	11A		Yes (true)	HEALTH SYS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT CARDIOVASCULAR SERVICES LL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 MEDICAL CENTER BLVD	AddressLine1Txt
City	LAWRENCEVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30045	ZIPCd

Field	Value	IRS element (for citing)
EIN	263870307	EIN
Primary Activities	MEDICAL SV	PrimaryActivitiesTxt
Legal Domicile State	GA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$2,227,559	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,414,364	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.86900	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
GWINNETT MANAGED CARE INC
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	582135759	PHO	GA	N/A	false
SEQUENT HEALTH PHYSICIAN PARTNERS
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	471511997	CL. INTEGR	GA	N/A	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd