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GWINNETT HOSPITAL SYSTEMINC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
GWINNETT HOSPITAL SYSTEMINC (EIN 58-2002413)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-09
IRS object ID
201631309349300913
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-09T09:39:55-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1Txt
CityALBANYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31708ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582002413EIN

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 MEDICAL CENTER BOULEVARDAddressLine1Txt
CityLAWRENCEVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30046ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS Y MCBRIDE IIIPersonNm
Person TitleEXECUTIVE VP & CFOPersonTitleTxt
Phone6783124321PhoneNum
Signature2016-04-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM EDWARD PHILLIPSPreparerPersonNm
PTINP00451499PTIN
Phone2298837878PhoneNum
Preparation2016-05-09PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPHILIP R WOLFEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 MEDICAL CENTER BOULEVARDAddressLine1Txt
CityLAWRENCEVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30046ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$701,240,562GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GWINNETTMEDICALCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionGWINNETT HOSPITAL SYSTEM, INC. IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GREATER GWINNETT COMMUNITY. GWINNETT HOSPITAL SYSTEM HAS TWO FACILITIES LOCATED IN DULUTH AND LAWRENCEVILLE, GEORGIA THAT TOGETHER PROVIDE ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALTY, OPEN HEART SURGERY, SEVERAL CLINICS, AND A FULL CONTINUUM OF WELLNESS SERVICES. THE FACILITIES EACH OPERATE A YEAR ROUND EMERGENCY ROOM OPEN 24 HOURS A DAY, 7 DAYS A WEEK.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee5208TotalEmployeeCnt
Total Gross UBI$787,269TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$406,173NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,754,394PYContributionsGrantsAmt
CY Contributions Grants$4,514,007CYContributionsGrantsAmt
PY Program Service Revenue$633,686,172PYProgramServiceRevenueAmt
CY Program Service Revenue$662,207,205CYProgramServiceRevenueAmt
PY Investment Income$12,015,503PYInvestmentIncomeAmt
CY Investment Income$24,856,416CYInvestmentIncomeAmt
PY Other Revenue$8,214,306PYOtherRevenueAmt
CY Other Revenue$9,459,634CYOtherRevenueAmt
PY Total Revenue$660,670,375PYTotalRevenueAmt
CY Total Revenue$701,037,262CYTotalRevenueAmt
PY Grants And Similar Paid$25,031,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$35,374,800CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$299,071,842PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$304,672,481CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$495,461CYTotalFundraisingExpenseAmt
PY Other Expenses$308,813,108PYOtherExpensesAmt
CY Other Expenses$322,716,880CYOtherExpensesAmt
PY Total Expenses$632,916,450PYTotalExpensesAmt
CY Total Expenses$662,764,161CYTotalExpensesAmt
PY Revenues Less Expenses$27,753,925PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,273,101CYRevenuesLessExpensesAmt
Total Assets BOY$900,724,006TotalAssetsBOYAmt
Total Assets EOY$925,263,221TotalAssetsEOYAmt
Total Liabilities BOY$430,480,370TotalLiabilitiesBOYAmt
Total Liabilities EOY$440,864,932TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$470,243,636NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$484,398,289NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionGWINNETT HOSPITAL SYSTEM, INC. IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GREATER GWINNETT COMMUNITY. GWINNETT HOSPITAL SYSTEM HAS TWO FACILITIES LOCATED IN DULUTH AND LAWRENCEVILLE, GEORGIA THAT TOGETHER PROVIDE ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALTY, OPEN HEART SURGERY, SEVERAL CLINICS, AND A FULL CONTINUUM OF WELLNESS SERVICES. THE FACILITIES EACH OPERATE A YEAR ROUND EMERGENCY ROOM OPEN 24 HOURS A DAY, 7 DAYS A WEEK.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$558,030,028ExpenseAmt
Grant$35,627,300GrantAmt
Revenue$675,825,570RevenueAmt
DescGWINNETT HOSPITAL SYSTEM, INC.'S PRIMARY PROGRAM SERVICE ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITAL PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, OPEN HEART SURGERY, NEUROSCIENCE SPECIALTY; AND IT OPERATES TWO EMERGENCY ROOMS. IT OFFERS WELL WOMAN SERVICES, AND A FULL CONTINUUM OF WELLNESS SERVICES. IN ADDITION, THE HOSPITAL PROVIDES NURSING CARE IN THE AREAS OF MEDICAL, POST-SURGICAL, OPEN HEART, EMERGENCY CARE, CRITICAL AND INTERMEDIATE CARE TO PATIENTS. THE HOSPITAL RECENTLY DEVELOPED A GRADUATE MEDICAL EDUCATION PROGRAM WHICH SERVICES PATIENTS IN CLINICAL SETTINGS. THE HOSPITAL PROVIDES SEVERAL SUBSIDIZED SERVICES TO THE PUBLIC BELOW COSTS, INCLUDING: A CARE-A-VAN FOR MAMMOGRAPHY, DIABETES AND NUTRITION SERVICES, REHAB AND RENAL SERVICES, AND A WOUND CARE CLINIC. THE HOSPITAL PROVIDES ORTHOPAEDIC TRAUMA SERVICES THROUGH AN AGREEMENT WITH HUGHSTON CLINIC, P.C.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,360,433ExpenseAmt
Revenue$179,058RevenueAmt
DescTHE 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

FieldValueIRS element (for citing)
Expense$3,831,061ExpenseAmt
Revenue$557,870RevenueAmt
DescTHE 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
FieldValueIRS element (for citing)
Total Program Service Expenses$567,221,522TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document498IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5208EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLAVERNE GROVEPersonNm
Phone6783125603PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CARLTON KEITH BUCHANAN MD
BOARD MEMBER2.003.00Yes (X)$54,111$0$0
DAVID MCCLESKEY
CHAIRMAN2.002.00Yes (X)$3,000$0$0
L C JOHNSON
BOARD MEMBER2.004.00Yes (X)$3,000$0$0
A KEITH CARNES MD
BOARD MEMBER2.002.00Yes (X)$2,750$0$0
CAROLYN HILL
BOARD MEMBER2.005.00Yes (X)$2,750$0$0
THOMAS Y MCBRIDE III
EXECUTIVE VP48.0012.00$1,261,916$0$31,921Yes (X)
PHILIP WOLFE
PRESIDENT &38.0023.00$1,056,205$0$133,175Yes (X)
ALAN BIER
EXECUTIVE VP60.00$555,994$0$77,616Yes (X)
STEPHEN NADEAU
SENIOR VP OF60.00$374,800$0$74,265Yes (X)
PETER WHEELER
GENERAL COUN48.0012.00$372,799$0$76,571Yes (X)
CAROL DANIELSON
SENIOR VP &60.00$360,050$0$72,850Yes (X)
LEA BAY
SR VP & PRES60.00$336,763$0$60,599Yes (X)
PATRICIA A LAVELY
SR. VP AND C60.00$331,452$0$48,914Yes (X)
WALLACE BROWN
SENIOR VP &60.00$220,884$0$46,653Yes (X)
JESSIE T SHEPHERD
EXECUTIVE VP60.00$477,596$0$74,795Yes (X)
MARK D DARROW
DIRECTOR G.M60.00$349,282$0$32,016Yes (X)
JAMES DENNARD JR
VP & COO GMC60.00$265,907$0$56,302Yes (X)
SCOTT OREM
VP FINANCE60.00$257,522$0$67,516Yes (X)
THOMAS LYNCH
VP MANAGED C60.00$248,756$0$59,655Yes (X)
DIANA POTTS
CHIEF NURSIN60.00$228,380$0$34,164Yes (X)
CATHY DOUGHERTY
ASSISTANT VP60.00$194,397$0$48,602Yes (X)
BONNY RICHARDSON
ASSOCIATE GE48.0012.00$181,497$0$24,862Yes (X)
MIKE HEMPHILL
DIRECTOR OF60.00$164,044$0$35,081Yes (X)
JANET SCHWALBE
VP PHYSICIAN60.00$246,044$0$41,415Yes (X)
KEVIN E JOHNSON
PROGRAM DIRE60.00$224,917$0$36,398Yes (X)
GWENDOLYN C HUDSON
MANAGER CL.60.00$211,139$0$31,299Yes (X)
NANCY L STOCKSLAGER
DIRECTOR INF60.00$196,816$0$20,198Yes (X)
CATHIE L BRAZELL
DIRECTOR WOM60.00$192,833$0$21,574Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,375,604TotalReportableCompFromOrgAmt
Total Other Compensation$1,206,441TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INNOVATIVE THERAPY CONCEPTS LLC
2 MASHBURN STREETHAWKINSVILLEGA31036STAFFING$4,386,250
ABACUS SOLUTIONS LLC
PO BOX 936122ATLANTAGA31193IS SUPPORT$2,476,472
ALLIANCE LAUNDRY & TEXTILE SERVICES
60 GRINDER STREETBUFFALONY14215LAUNDRY$2,341,032
HMMG LLC DBA HUGHSTON CLINIC PC
PO BOX 400FORTSONGA31808MEDICAL$2,023,771
AM ANESTHESIOLOGY ASSOC OF GA
PO BOX 535375ATLANTAGA30353MEDICAL$1,836,291
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K77CntrctRcvdGreaterThan100KCnt
Related Organizations$2,710,407RelatedOrganizationsAmt
Government Grants$1,578,900GovernmentGrantsAmt
All Other Contributions$224,700AllOtherContributionsAmt
Total Contributions$4,514,007TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE623000$657,226,778$657,226,778
DISCOUNTS623000$2,528,984$2,528,984
MANAGEMENT FEES900099$1,303,302$1,303,302
REFERENCE LAB621500$494,117$494,117
COMMUNITY HEALTH SERVICES621990$293,215$293,215

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$360,809TotalRevenueColumnAmt
Related Or Exempt Func Income$67,657RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$293,152UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$662,207,205TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,623,702TotalRevenueColumnAmt
Exclusion$15,623,702ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$309,596RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$309,596RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$309,596TotalRevenueColumnAmt
Exclusion$309,596ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,339,924SecuritiesAmt
Other$96,090OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$203,300OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,339,924SecuritiesAmt
Other-$107,210OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,232,714TotalRevenueColumnAmt
Related Or Exempt Func Income$9,232,714RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
EHR INCENTIVE722514$3,128,977$3,128,977
CAFETERIA & VENDING900099$2,229,098$2,229,098
HUGHSTON CLINIC900099$1,247,011$1,247,011

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,544,952TotalRevenueColumnAmt
Related Or Exempt Func Income$1,533,860RelatedOrExemptFuncIncomeAmt
Exclusion$1,011,092ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$9,150,038OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$701,037,262TotalRevenueColumnAmt
Related Or Exempt Func Income$676,562,498RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$787,269UnrelatedBusinessRevenueAmt
Exclusion$19,173,488ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$35,327,300TotalAmt
Program Services$35,327,300ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$47,500TotalAmt
Program Services$47,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,696,937TotalAmt
Management And General$7,696,937ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$160,722TotalAmt
Management And General$160,722ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$238,300,376TotalAmt
Program Services$212,188,226ProgramServicesAmt
Management And General$26,112,150ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,542,534TotalAmt
Program Services$11,425,566ProgramServicesAmt
Management And General$2,116,968ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$28,456,381TotalAmt
Program Services$25,152,983ProgramServicesAmt
Management And General$3,303,398ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,515,531TotalAmt
Program Services$14,720,293ProgramServicesAmt
Management And General$1,795,238ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,699,628TotalAmt
Program Services$3,678,696ProgramServicesAmt
Management And General$1,020,932ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,136,658TotalAmt
Program Services$102,858ProgramServicesAmt
Management And General$2,033,800ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$564,089TotalAmt
Management And General$564,089ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$546,396TotalAmt
Management And General$546,396ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$65,295,160TotalAmt
Program Services$29,688,354ProgramServicesAmt
Management And General$35,606,806ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,481,106TotalAmt
Program Services$2,357,674ProgramServicesAmt
Management And General$123,432ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,377,349TotalAmt
Program Services$7,349,941ProgramServicesAmt
Management And General$3,027,408ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,712,868TotalAmt
Program Services$2,909,114ProgramServicesAmt
Management And General$7,803,754ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,973,814TotalAmt
Program Services$13,592,172ProgramServicesAmt
Management And General$381,642ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$405,380TotalAmt
Program Services$237,139ProgramServicesAmt
Management And General$168,241ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$325,891TotalAmt
Program Services$161,103ProgramServicesAmt
Management And General$164,788ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,849,262TotalAmt
Program Services$8,849,262ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$34,472,168TotalAmt
Program Services$34,472,168ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,885,884TotalAmt
Program Services$8,668,843ProgramServicesAmt
Management And General$217,041ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL & SURGICAL SUPPLI$125,122,354$124,911,929$210,425
EQUIPMENT RENTAL & MAINT.$14,927,151$13,567,719$1,359,432
OTHER$11,631,395$10,502,355$633,579$495,461
PROVIDER FEES$7,310,327$7,310,327

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$662,764,161TotalAmt
Program Services$567,221,522ProgramServicesAmt
Management And General$95,047,178ManagementAndGeneralAmt
Fundraising$495,461FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$24,487,590BOYAmt
EOY$63,254,050EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$31,779,155BOYAmt
EOY$32,176,845EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$144,072,713BOYAmt
EOY$134,254,191EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,985,935BOYAmt
EOY$2,512,624EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,811,177BOYAmt
EOY$6,303,995EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,686,261BOYAmt
EOY$9,783,549EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$682,432,434LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$396,191,259LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$303,047,918BOYAmt
EOY$286,241,175EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$358,716,234BOYAmt
EOY$363,844,301EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,855,140BOYAmt
EOY$15,985,998EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,430,000BOYAmt
EOY$3,430,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,851,883BOYAmt
EOY$7,476,493EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$900,724,006BOYAmt
EOY$925,263,221EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$51,891,070BOYAmt
EOY$63,457,002EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$209,630BOYAmt
EOY$403,414EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$296,325,000BOYAmt
EOY$290,455,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$82,054,670BOYAmt
EOY$86,549,516EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$430,480,370BOYAmt
EOY$440,864,932EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$460,029,234BOYAmt
EOY$472,679,425EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,637,319BOYAmt
EOY$10,016,781EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,577,083BOYAmt
EOY$1,702,083EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$470,243,636BOYAmt
EOY$484,398,289EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$900,724,006BOYAmt
EOY$925,263,221EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$38,273,101ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$14,100,989NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$10,017,459OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$44,305OtherActivitiesAmt
Total Lobbying Expenditures$44,305TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationDUES PAID TO THE GEORGIA HOSPITAL ASSOCIATION WERE 177,220 OF THIS AMOUNT, 25%, OR 44,305 WERE FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,757,383BeginningYearBalanceAmt
Contributions$1,970,363ContributionsAmt
Investment Earnings Or Losses$250,129InvestmentEarningsOrLossesAmt
End Year Balance$9,977,875EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.14520PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.85480TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$295,910,311OtherCostOrOtherBasisAmt
Depreciation$138,612,234DepreciationAmt
Book Value$157,298,077BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,558,498OtherCostOrOtherBasisAmt
Depreciation$16,340,030DepreciationAmt
Book Value$3,218,468BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$343,183,779OtherCostOrOtherBasisAmt
Depreciation$239,709,714DepreciationAmt
Book Value$103,474,065BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,045,632OtherCostOrOtherBasisAmt
Depreciation$1,529,281DepreciationAmt
Book Value$3,516,351BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$286,241,175TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDescAmtAmt
INTEREST RATE SWAPS$36,735,619
ACCRUED PENSION COSTS$24,184,210
SELF-INSURANCE RESERVES$10,445,200
THIRD PARTY SETTLEMENTS$6,600,521
ACCRUED INTEREST PAYABLE$3,687,725
DUE TO AFFILIATES$2,476,730
EXECUTIVE BENEFITS LIABILITY$1,403,400
FINANCING OBLIGATION$634,229
ASSET RETIREMENT OBLIGATION$300,865
BOND EXPENSE PAYABLE$76,637
SALES & REALTY TAX$4,380
FieldValueIRS element (for citing)
Total Liability$86,549,516TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$681,231,000TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$14,100,989NetUnrealizedGainsInvstAmt
Other Revenue-$3,188,144OtherRevenueAmt
Revenue Not Reported-$17,289,133RevenueNotReportedAmt
Revenue Subtotal$698,520,133RevenueSubtotalAmt
Investment Expenses Not Incld$546,398InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,970,731OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,517,129RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$701,037,262TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$626,907,000TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$626,907,000ExpensesSubtotalAmt
Investment Expenses Not Incld2$546,398InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$35,310,763OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$35,857,161ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$662,764,161TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4TO SUPPORT GWINNETT HOSPITAL SYSTEM, INC.
SCHEDULE D, PAGE 3, PART XTHE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX ON RELATED INCOME UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). THE HOSPITAL APPLIES FASB ASC TOPIC 740, INCOME TAXES (ASC 740) WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. IT ALSO PROVIDES GUIDANCE ON THE TIMING OF RECOGNITION OF TAX POSITIONS IN AN ENTITY'S FINANCIAL STATEMENTS AND THE DETERMINATION OF THE VALUES OF THESE POSITIONS. THERE IS CURRENTLY NO IMPACT ON THE HOSPITAL'S FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740.
SCHEDULE D, PAGE 4, PART XI, LINE 2DINTEREST RATE SWAP CHANGE -3,187,714 ROUNDING -430
SCHEDULE D, PAGE 4, PART XI, LINE 4BTRANFER FROM RELATED PARTY 1,970,731
SCHEDULE D, PAGE 4, PART XII, LINE 4BCONTRIBUTION TO RELATED PARTY 35,310,000 ROUNDING 763

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,157,040TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,071,943DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,085,097NetCommunityBenefitExpnsAmt
Total Expense0.07260TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,901,562TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,638,933DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,262,629NetCommunityBenefitExpnsAmt
Total Expense0.02600TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,331TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,439DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,892NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$138,077,933TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,724,315DirectOffsettingRevenueAmt
Net Community Benefit Expns$65,353,618NetCommunityBenefitExpnsAmt
Total Expense0.09860TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs159ActivitiesOrProgramsCnt
Persons Served155146PersonsServedCnt
Total Community Benefit Expns$5,360,433TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$179,058DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,181,375NetCommunityBenefitExpnsAmt
Total Expense0.00780TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs46ActivitiesOrProgramsCnt
Persons Served6492PersonsServedCnt
Total Community Benefit Expns$3,831,062TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$557,870DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,273,192NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served11093PersonsServedCnt
Total Community Benefit Expns$21,161,982TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,511,608DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,650,374NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served48PersonsServedCnt
Total Community Benefit Expns$83,451TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,623DirectOffsettingRevenueAmt
Net Community Benefit Expns$71,828NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served23PersonsServedCnt
Total Community Benefit Expns$7,676TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,676NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs215ActivitiesOrProgramsCnt
Persons Served172802PersonsServedCnt
Total Community Benefit Expns$30,444,604TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,260,159DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,184,445NetCommunityBenefitExpnsAmt
Total Expense0.01690TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs215ActivitiesOrProgramsCnt
Persons Served172802PersonsServedCnt
Total Community Benefit Expns$168,522,537TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$91,984,474DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,538,063NetCommunityBenefitExpnsAmt
Total Expense0.11550TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served13PersonsServedCnt
Total Community Benefit Expns$516TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$516NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served172PersonsServedCnt
Total Community Benefit Expns$12,249TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,249NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$190,842TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$190,842NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served185PersonsServedCnt
Total Community Benefit Expns$203,607TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$203,607NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$76,496,698BadDebtExpenseAmt
Bad Debt Expense Attributable$16,415,068BadDebtExpenseAttributableAmt
Reimbursed By Medicare$129,620,948ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$138,300,854CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,679,906MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.GWINNETTMEDICALCENTER.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.GWINNETTMEDICALCENTER.ORG/ABOUT-USOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWWGWINNETTMEDICALCENTERORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWWGWINNETTMEDICALCENTERORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWWGWINNETTMEDICALCENTERORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesYes (true)CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 3JTHERE ARE SOME AREAS THAT DO NOT HAVE AVAILABLE SECONDARY DATA TO ASSESS WHETHER A PARTICULAR HEALTH NEED EXISTS. WHILE THERE IS AN GWINNETT COUNTY INDICATOR IN THE HEALTH COMMUNITIES INSTITUTE'S ONLINE DATABASE FOR THE RATE OF DENTIST PER 100,000 POPULATION THERE IS NOT A MEASURE FOR THE NUMBER OF DENTIST THAT PROVIDE CARE FOR UNINSURED, UNDERINSURED OR LOW INCOME RESIDENTS. THE SAME COULD BE SAID FOR THE INDICATORS ASSOCIATED WITH PRIMARY CARE PROVIDERS OR NON-PHYSICIAN PRIMARY CARE PROVIDERS. THE NEED WAS IDENTIFIED THROUGH COMMUNITY INPUT.
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 5COMMUNITY INVOLVEMENT AND INPUT IS AN IMPORTANT COMPONENT OF OUR NEEDS ASSESSMENT PROCESS. GWINNETT MEDICAL CENTER HAS CONDUCTED GWINNETT COMMUNITY HEALTH STATUS REPORTS WITH THE GWINNETT COUNTY HEALTH DEPARTMENT SINCE 1999. THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES IS A NOT- FOR-PROFIT ORGANIZATION DEDICATED TO ADDRESSING THE HEALTH AND HUMAN SERVICE NEEDS OF EVERYONE IN GWINNETT COUNTY. IT DOES SO THROUGH COLLABORATIVE COMMUNITY PLANNING, APPLIED RESEARCH, COMMUNITY EDUCATION, MEMBERSHIP DIVERSITY, CONSENSUS BUILD, ADVOCACY AND INNOVATION. OUR ORGANIZATION HAS BEEN AN ACTIVE PARTNER OF THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES (GWINNETT COALITION) FOR MORE THAN 25 YEARS. IN SEPTEMBER 2011, THE INITIAL PLAN TO CONDUCT THE NEXT FIVE-YEAR STRATEGIC PLAN WAS APPROVED BY THE GWINNETT COALITION'S EXECUTIVE BOARD OF DIRECTORS. THE BOARD 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 TOWN HALL MEETINGS AND COMMUNITY KEY LEADER INTERVIEWS. SUMMARY COMMUNITY REFERRAL DATA FROM THE GWINNETT COALITION'S HELPLINE WERE INCLUDED IN THE ANALYSIS. IN ADDITION, THE GWINNETT COUNTY 2010 YOUTH SURVEY RESULTS WERE INCLUDED IN THE COMMUNITY INPUT DATA SET. 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, MISS. AND MONTGOMERY, ALA. 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, GA., DIVISION OF PUBLIC HEALTH, DEPARTMENT OF HUMAN RESOURCES SERVING 12 COUNTIES. DR. HOFER DIRECTED MANAGEMENT OF FISCAL, CLINICAL, ADMINISTRATION, AND DAY TO DAY OPERATIONS 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 TENN. AND ALA. DR. HOFER RETURNED TO GA. PUBLIC HEALTH IN JANUARY 2002 AND IS THE DISTRICT HEALTH DIRECTOR FOR GWINNETT, NEWTON AND ROCKDALE COUNTIES. CONNIE RUSSELL IS A NATIVE OF GEORGIA WHO GRADUATED FROM SHORTER COLLEGE WITH A BUSINESS ADMINISTRATION DEGREE 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 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 MORE THAN 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 WELL-BEING OF THE COMMUNITY. FARRAH MACHIDA, M.S.P.H., IS THE EPIDEMIOLOGY SUPERVISOR FOR THE GWINNETT, NEWTON AND ROCKDALE COUNTY HEALTH DEPARTMENTS AND 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. SHAUNA METTEE, R.N., M.S.N., M.P.H., IS ORIGINALLY FROM COLO. WHERE SHE COMPLETED A BACHELOR'S DEGREE FROM THE UNIVERSITY OF COLORADO IN MOLECULAR, CELLULAR AND DEVELOPMENTAL BIOLOGY. AFTER GRADUATING IN 1996, SHAUNA WAS ACCEPTED INTO THE EMERGING INFECTIOUS DISEASE LABORATORY FELLOWSHIP AT CDC, ASSISTING ON NUMEROUS OUTBREAK INVESTIGATIONS, INCLUDING A CHOLERA OUTBREAK IN WEST AFRICA. SHAUNA BECAME AN ER NURSE IN 2008 AND THEN COMPLETED TWO MASTER'S DEGREES IN INTERNATIONAL NURSING AND GLOBAL PUBLIC HEALTH FROM EMORY UNIVERSITY. WHILE AT EMORY, SHAUNA WAS PRESIDENT OF SORT-THE STUDENT OUTBREAK AND RESPONSE TEAM. IN 2009, SHAUNA JOINED THE U.S. PUBLIC HEALTH SERVICE AS AN EPIDEMIC INTELLIGENCE SERVICE OFFICER AT CDC, WHERE SHE INVESTIGATED FOOD AND WATERBORNE DISEASE OUTBREAKS BOTH IN THE U.S. AND INTERNATIONALLY. SINCE 2011, SHAUNA HAS SERVED THE GWINNETT, NEWTON AND ROCKDALE COUNTY HEALTH DEPARTMENTS AS A CDC PREVENTIVE MEDICINE FELLOW, WORKING WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN THE DISTRICT. FOCUS GROUPS - EIGHT COMMUNITY FOCUS GROUPS WERE CONDUCTED OVER A TWO MONTH PERIOD. ONE HUNDRED COMMUNITY REPRESENTATIVES OF DIFFERENT AGES, RACES AND INTERESTS PARTICIPATED. MEMBERS OF MEDICALLY UNDER-SERVED; LOW-INCOME AND MINORITY POPULATIONS; AS WELL AS POPULATIONS WITH CHRONIC DISEASE NEEDS PARTICIPATED IN THE FOCUS GROUPS. THE FOCUS GROUPS WERE ORGANIZED THROUGH THE GWINNETT COALITION'S RESEARCH AND ACCOUNTABILITY COMMITTEE'S MEMBER ORGANIZATIONS AND CONDUCTED IN VARIOUS COMMUNITY LOCATIONS ACCORDING TO THE SPECIFIC NEEDS OF THE GROUP. TOPICS OF DISCUSSION INCLUDED: QUALITY OF LIFE; COMMUNITY RELATIONS AND ENGAGEMENT; ECONOMIC AND FINANCIAL STABILITY; EDUCATION; SAFETY; YOUTH; AND HEALTH AND WELLNESS. PLACE OF RESIDENCE FOR PARTICIPANTS INCLUDED BUFORD, DACULA, DULUTH, GRAYSON, LAWRENCEVILLE, LILBURN, NORCROSS, SNELLVILLE AND SUWANEE. OF THE 83 PARTICIPANTS WHO PROVIDED THEIR GENDER, 62.70 PERCENT WERE FEMALE AND 37.30 PERCENT WERE MALE. THERE WERE ALSO 83 PARTICIPANTS WHO PROVIDED INFORMATION AS TO WHETHER THEY WERE HISPANIC OR NOT. ANSWERS SHOWED THAT 80.00 PERCENT WERE NON-HISPANIC AND 20.00 PERCENT WERE HISPANIC. A VARIETY OF LANGUAGES WERE REPRESENTED IN THE GROUPS, INCLUDING CHINESE, ENGLISH, GUJARATI, KOREAN, NEPALI, SPANISH AND VIETNAMESE. THERE WAS ALSO A WIDE RANGE OF AGES THROUGHOUT THE FOCUS GROUPS. THE AGE DISTRIBUTION OF PARTICIPANTS WAS FROM 13 TO 74, WITH 69 OF THE PARTICIPANTS RESPONDING. PARTICIPANTS NOTED HAVING THE FOLLOWING CHRONIC CONDITIONS: COPD, DIABETES, HEART DISEASE, HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, LOW BLOOD PRESSURE, MENTAL ILLNESS, SEIZURES AND SLEEP APNEA. INCOME LEVELS THROUGHOUT THE GROUPS VARIED. THIRTEEN PERCENT OF PARTICIPANTS HAD AN INCOME LEVEL OF LESS THAN 10,000. THE LARGEST GROUP CONSISTED OF 22 PERCENT OF PARTICIPANTS WHO HAD AN INCOME LEVEL BETWEEN 25,000 AND 35,000. THE DISTRIBUTION OF PARTICIPANTS' INCOME LEVELS WAS, HOWEVER, SPREAD SOMEWHAT EVENLY THROUGHOUT THE INCOME LEVEL RANGES. TOWN HALL MEETINGS - THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES, IN COOPERATION WITH GWINNETT MEDICAL CENTER AND THE GWINNETT COUNTY HEALTH DEPARTMENT, CONDUCTED A TOWN HALL MEETING AT THE NORCROSS COMMUNITY CENTER, LOCATED AT 10 COLLEGE STREET, NORCROSS, GA. TWO SESSIONS WERE HELD TO MAXIMIZE ATTENDANCE. APPROXIMATELY 88 INDIVIDUALS FROM VARIOUS GWINNETT COUNTY AGENCIES PARTICIPATED. EACH SESSION, MORNING AND AFTERNOON, CONSISTED OF A THREE-HOUR PERIOD WHERE ATTENDEES ENGAGED IN ONE OF SIX BREAK-OUT GROUPS DEFINED BY THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES STRATEGIC PLAN AREAS (HEALTH AND WELL BEING, COMMUNITY ENGAGEMENT, EDUCATION, SAFETY, ECONOMIC AND FINANCIAL STABILITY, AND BASIC NEEDS) AND DEVELOPED A LIST OF COMMUNITY NEEDS. FROM THIS LIST, THE TOP FIVE NEEDS WERE CHOSEN IN NO CHRONOLOGICAL ORDER AND SUBMITTED FOR A LARGE GROUP PRIORITIZATION SESSION. THE LARGE GROUP PRIORITIZATION SESSION, CONDUCTED BY CAROLYN AIDMAN OF THE URBAN HEALTH INITIATIVE, CONSISTED OF A THREE- TIERED VOTING SYSTEM TO RANK EACH NEED WITHIN EACH SPECIFIC STRATEGIC PLAN AREA AND TO GARNER AN OVERALL RATING OF ALL COMMUNITY NEEDS FOR GWINNETT COUNTY. KEY INFORMANT INTERVIEWS - FIFTEEN INDIVIDUAL KEY INFORMANT INTERVIEWS WERE CONDUCTED BY A REPRESENTATIVE FROM THE GWINNETT COUNTY HEALTH DEPARTMENT. KEY INFORMANTS ARE COMMUNIT
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 6BTHE CHNA WAS CONDUCTED THROUGH COLLABORATION WITH THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES AND THE GWINNETT COUNTY HEALTH DEPARTMENT.
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 11BASED ON THE RESULTS OF THE 2013 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 ANNUALLY OUR FACILITIES UPDATE THEIR IMPLEMENTATION STRATEGIES 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 ATTACHED 2015 LAWRENCEVILLE AND DULUTH IMPLEMENTATION STRATEGIES FOR COMPLETE DESCRIPTIONS. WHEN GATHERING INPUT FROM COMMUNITY MEMBERS THROUGH FOCUS GROUPS, TOWN HALL MEETINGS 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 WERE TRANSPORTATION AND ROAD CONGESTION, COMMUNITY COMMUNICATION AND ENGAGEMENT, INCREASING HOMELESSNESS AND JOB LOSSES, 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, 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 OF THIS PROBLEM AND WOULD LIKE TO WORK WITH THE COMMUNITY'S DENTAL CARE PROVIDERS TO DEVELOP A PLAN OF SUPPORT FOR THIS ISSUE. AT THIS TIME, NO CHAMPION FOR THIS INITIATIVE HAS BEEN IDENTIFIED. 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 IS A PRIVATE FOR-PROFIT PSYCHIATRY AND ADDICTION MEDICINE FACILITY IN LAWRENCEVILLE. ADDITIONALLY, THE STATE OF GEORGIA PROVIDES MENTAL HEALTH SERVICES THROUGH VIEW POINT HEALTH (FORMERLY KNOWN AS GWINNETT ROCKDALE NEWTON COMMUNITY SERVICE BOARD). GMC-LAWRENCEVILLE HAS A LEVEL III NEONATAL INTENSIVE CARE UNIT AND A 12-BED PEDIATRIC EMERGENCY DEPARTMENT; HOWEVER, THE HOSPITAL DOES NOT HAVE A PRIMARY FOCUS ON INPATIENT PEDIATRICS. GWINNETT COUNTY HAS A WIDE RANGE OF PEDIATRIC HEALTHCARE SERVICES AVAILABLE THROUGH CHILDREN'S HEALTHCARE OF ATLANTA. THE SPORT'S MEDICINE PROGRAM IS A COMMUNITY OUTREACH PROGRAM THAT PROVIDES SPORTS MEDICINE TRAINERS FOR YOUTH IN LOCAL HIGH SCHOOLS AND COMMUNITY SPORTS ORGANIZATIONS.
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 13HTHE FOLLOWING TYPES OF ACCOUNTS MAY BE CONSIDERED CHARITY CARE ELIGIBLE WITHOUT ADDITIONAL DOCUMENTATION: (1) ACCOUNTS REFERRED TO COLLECTION AGENCIES THAT ARE RETURNED AS UNCOLLECTIBLE; (2) BANKRUPTCIES; (3) REFERRALS FROM APPROVED COMMUNITY AGENCIES; (4) NO ESTATE (DECEASED); (5) ELIGIBILITY FOR MEDICAID IN STATES OTHER THAN GEORGIA; ELIGIBILITY FOR STATE/FEDERAL PROGRAMS WHERE PROGRAM FUNDING HAS BEEN EXHAUSTED; (6) PRESUMPTIVE CHARITY QUALIFICATION. PRESUMPTIVE FINANCIAL ASSISTANCE IS AN FAP DETERMINATION METHOD USED BY GHS. UPON INITIATION OF EMERGENCY, OUTPATIENT, AND INPATIENT SERVICES, GHS WILL UTILIZE A THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THIS PREDICTIVE MODEL INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIO- ECONOMIC AND FINANCIAL CAPACITY INDICATOR THAT INCLUDES ESTIMATES FOR INCOME, ASSETS AND LIQUIDITY. THE ELECTRONIC TECHNOLOGY IS DESIGNED TO ASSESS EACH PATIENT BY THE SAME STANDARDS AND IS CALIBRATED AGAINST HISTORICAL APPROVALS FOR GHS' FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS OUTLINED BELOW. THE INFORMATION RETURNED BY THIS MODELING APPLICATION WILL BE CONSIDERED ADEQUATE DOCUMENTATION FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. OTHER FINANCIAL DOCUMENTS WILL NOT BE REQUIRED IF THE PATIENT QUALIFIES FOR FREE CARE UNDER THE PRESUMPTIVE FINANCIAL ASSISTANCE METHODOLOGY.
GROUP A, FACILITY 1, GWINNETT MEDICAL CENTER - PART V, LINE 16IGMC 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 (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATIONTHE WOUND TREATMENT CENTER AND THE CONCUSSION INSTITUTE ARE A PHYSICIAN PRACTICES THAT WERE INCLUDED IN THE SUBSIDIZED SERVICES CATEGORY. THE FACILITIES PROVIDE SERVICES THAT MEET IDENTIFIED COMMUNITY NEEDS. THE CENTERS OFFERS SERVICES THAT THE COMMUNITY DOES NOT CURRENTLY HAVE THE CAPACITY TO PROVIDE. THE MEDICAL PRACTICE PROVIDES A SIGNIFICANT BENEFIT TO THE COMMUNITY AND DOES 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 822,056 WITH A NET COMMUNITY BENEFIT EXPENSE OF 149,448. - CONCUSSION INSTITUTE COSTS 1,332,341 WITH A NET COMMUNITY BENEFIT EXPENSE OF 673,298.
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE76,496,698 IN BAD DEBT EXPENSES WERE OFFSET FROM REVENUES IN THE FINANCIAL STATEMENTS. THERE IS NO NEED TO ADJUST THE TOTAL EXPENSES USED TO CALCULATE THE PERCENTAGES IN PART I, LINE 7, COLUMN (F).
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONLINE 7A - CHARITY CARE COSTS WERE CALCULATED USING A MEDICAID SPECIFIC COST-TO-CHARGE RATIO (CCR) FROM THE MEDICARE COST REPORT. A MEDICAID CCR WAS USED BECAUSE THE MEDICAID POPULATION BETTER REPRESENTS THE UTILIZATION AND ACUITY OF THE CHARITY POPULATION THAN THE USE OF AN OVERALL CCR AS CALCULATED IN WORKSHEET 2. A CCR WAS USED INSTEAD OF A COST ACCOUNTING SYSTEM BECAUSE CHARITY, AS WELL AS BAD DEBTS, REPRESENT ONLY A PORTION OF A PATIENT ACCOUNT THAT IS BEING WRITTEN OFF. LINE 7B, 7C & 7G - AN RVU BASED COST ACCOUNTING SYSTEM (HPM) WAS USED TO ESTIMATE THE MEDICAID FFS & MEDICAID MANAGED CARE AMOUNTS REPORTED ON LN 7B, THE PEACH CARE (GA SCHIP PROGRAM) REPORTED ON LN 7C AND THE SUBSIDIZED HEALTH SERVICES REPORTED ON LN 7G. HPM DOES INCLUDE INFORMATION FROM ALL PATIENT SEGMENTS REGARDLESS OF PAYOR. THE MEDICAID SHORTFALL REPORTED ON LINE 7B INCLUDES A PRIOR YEAR SETTLEMENT PICK-UP OF 152,993.
PART II - COMMUNITY BUILDING ACTIVITIESCOMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AND ARE CAPTURED IN THE CATEGORIES OF LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COALITION BUILDING, AND WORKFORCE DEVELOPMENT IN AN EFFORT TO ENHANCE PUBLIC HEALTH. OUR ORGANIZATION DID NOT PARTICIPATE IN THESE ACTIVITIES TO INCREASE REFERRALS OR TO FULFILL REGULATORY REQUIREMENTS OR CURRENT STANDARDS-OF-CARE. COALITION BUILDING INCLUDES PARTICIPATION OF THE CHAPLAINCY, FAITH COMMUNITY NURSING, CENTER FOR NEUROSCIENCE, WOMENS SERVICES, 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, GWINNETT FIRE SERVICES CRITICAL INCIDENT STRESS MANAGEMENT TEAM, CHILD PROTECTION TASK FORCE 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 AND THE TASK FORCE FOR THE YOUTH SURVEY FACT BOOK). WE COLLABORATE WITH AIDGWINNETT, J. M. TULL - GWINNETT YMCA, GWINNETT UNITED IN DRUG EDUCATION, INC. (GUIDE), SAFE KIDS GWINNETT, GWINNETT FOSTER CHILDRENS 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 COUNTY 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 2013 PHYSICIAN NEEDS ASSESSMENT. THE ORGANIZATIONS PRIMARY PURPOSE IN THESE EFFORTS IS TO ASSIST IN COMMUNITY PHYSICIAN RECRUITMENT TO IMPROVE ACCESS TO CARE IN OUR COMMUNITY.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYPART III, LINE 2 - IN THE CURRENT YEAR, BAD DEBTS ARE REPORTED AT CHARGES WRITTEN OFF IN THE PERIOD PLUS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS. SEE THE LINE 4 NOTE BELOW FOR A MORE DETAILED DESCRIPTION OF THE METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 PER THE FINANCIAL STATEMENT FOOTNOTE RELATED TO "PROVISION FOR UNCOLLECTIBLE ACCOUNTS." DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED IN THE PATIENT BALANCE PRIOR TO ACCOUNTS BEING WRITTEN OFF TO BAD DEBT.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCETHE HOSPITAL USES A NOTE ON THE PATIENT ACCOUNT TO IDENTIFY PATIENTS UNCOOPERATIVE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY THAT LIKELY WOULD HAVE QUALIFIED FOR CHARITY IF INFORMATION HAD BEEN AVAILABLE TO DETERMINE ELIGIBILITY. DUE TO THESE ACCOUNTS LIKELY BEING ELIGIBLE FOR FINANCIAL ASSISTANCE, THEY SHOULD BE INCLUDED AS PART OF THE HOSPITAL'S COMMUNITY BENEFIT.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTSTHE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES, IN THE NORMAL COURSE OF BUSINESS, THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS ASSESSMENT OF THESE AND OTHER FACTORS BY PAYOR CATEGORY, AND ADJUSTS THE ALLOWANCE AND RELATED PROVISION ACCORDINGLY. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, MANAGEMENT ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A RELATED PROVISION, IF NECESSARY, FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDE PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, MANAGEMENT RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE RENDERED ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL'S PROVISION FOR UNCOLLECTIBLE ACCOUNTS DECREASED 8,153,000 FROM 84,650,000 IN FISCAL YEAR 2014 TO 76,497,000 IN FISCAL YEAR 2015. THE DECREASE WAS A RESULT OF MORE PATIENTS QUALIFYING FOR INDIGENT AND CHARITY CARE DURING 2015 AS COMPARED TO THE PRIOR PERIOD.
PART III, LINE 8 - MEDICARE EXPLANATIONTHE COST REPORTED ON LINE 6 ARE PER THE MEDICARE COST REPORT AND WERE CALCULATED BASED ON COST-TO-CHARGE RATIOS. SINCE THE AMOUNTS REPORTED ON LINES 5 & 6 ONLY INCLUDE MEDICARE PART A COSTS AND PAYMENTS, THE OTHER MEDICARE (I.E. - MEDICARE PT C, PHYSICIAN SERVICES, FEE SCHEDULE, NON- ALLOWABLE) COSTS AND PAYMENTS ARE INCLUDED IN THE MEDICARE RECONCILIATION SUMMARY SHOWN BELOW. 4,618,890 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. THERE WERE PRIOR YEAR MEDICARE SETTLEMENTS MADE IN THE CURRENT YEAR THAT RESULTED IN A NEGATIVE ADJUSTMENT TO INCOME OF 1,931,277 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) 8,679,906 OTHER MEDICARE SHORTFALLS (NON MEDICARE COST REPORT) MEDICARE REPLACEMENT SHORTFALL (PER HPM) 12,035,740 MEDICARE PRO FEE SHORTFALL (PER HPM) 48,777 MEDICARE FEE SCHEDULE SHORTFALL (PER CCR) 538,504 MEDICARE NON-ALLOWABLE COSTS 6,587,766 PY SETTLEMENT RECEIVED - SHORTFALL (LONGFALL) (IMPACT TO I/S) 1,931,277 TOTAL MEDICARE SHORTFALL 29,821,970
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONTHE FINANCIAL ASSISTANCE POLICY STATES THAT THOSE PATIENTS APPROVED FOR FINANCIAL ASSISTANCE WILL BE BILLED AT MEDICARE RATES. IN ADDITION THE CREDIT AND COLLECTION POLICY DESCRIBES HOW UNINSURED PATIENTS CAN RECEIVE A PROMPT PAY DISCOUNT. THIS POLICY ALSO DESCRIBES THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. CONTACT INFORMATION IS PROVIDED FOR ANYONE NEEDING ASSISTANCE OR HAVING QUESTIONS. UNINSURED PATIENTS ARE GIVEN AN AUTOMATIC DISCOUNT FROM GROSS CHARGES THAT IS NOT RELATED TO THE FINANCIAL ASSISTANCE PROGRAM. PATIENTS RECEIVE HOSPITAL STATEMENTS THROUGHOUT THE BILLING CYCLE. UNPAID ACCOUNTS ARE REFERRED TO AN EXTERNAL COLLECTION AGENCY AFTER ALL EFFORTS BY THE HOSPITAL HAVE BEEN MADE. COLLECTION AGENCIES NOTIFY THE HOSPITAL OF ANY ACCOUNTS THEY IDENTIFY THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2 - NEEDS ASSESSMENTTHE 2012-2013 GWINNETT MEDICAL CENTER-LAWRENCEVILLE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 2012-2013 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 100 INDICATORS INCLUDING THE FOLLOWING CATEGORIES: HEALTH, ECONOMY, EDUCATION, ENVIRONMENT, GOVERNMENT AND POLITICS, PUBLIC SAFETY AND SOCIAL ENVIRONMENT. ADDITIONAL SECONDARY VITAL STATISTICS DATA ARE PROVIDED BY THE ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM (OASIS), WHICH IS A TOOLSET THAT ALLOWS ACCESS TO THE GEORGIA DIVISION OF PUBLIC HEALTH'S STANDARDIZED HEALTH DATA REPOSITORY. OUR PLANNING DEPARTMENT IDENTIFIES HOSPITAL-BASED NEEDS USING ADMISSION/DISCHARGE AND OTHER UTILIZATION DATA. THE SYSTEM-LEVEL ANNUAL COMMUNITY BENEFIT PLAN DESCRIBES HOW THE HOSPITALS AND SUPPORT FACILITIES ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. EACH YEAR PROGRAMS ARE EVALUATED FOR EFFICIENCY, EFFECTIVENESS, OUTCOMES AND COMMUNITY COLLABORATION; THEN, ADMINISTRATION PRIORITIZES HOW THE ORGANIZATION MEETS COMMUNITY NEEDS THROUGH DEPARTMENT BUDGETING FOR EACH COMMUNITY BENEFIT PROGRAM. EXPANDING FROM THE COMMUNITY BENEFIT PLAN ARE THE FACILITY-LEVEL IMPLEMENTATION STRATEGIES DEVELOPED TO DESCRIBE HOW EACH FACILITY IS ADDRESSING IDENTIFIED COMMUNITY NEEDS THROUGH PROGRAMS AND COMMUNITY COLLABORATIONS. THE ORGANIZATION'S COMMUNITY HEALTH & WELLNESS COUNCIL IS AN INTERNAL COMMUNITY BENEFIT COMMITTEE WITH REPRESENTATIVES FROM 29 DEPARTMENTS FROM BOTH HOSPITALS. THIS COUNCIL IS TASKED WITH THE ANNUAL PLAN AND IMPLEMENTATION STRATEGIES UPDATES AND SUBMISSION FOR APPROVAL BY HOSPITAL ADMINISTRATION AND THE GWINNETT HOSPITAL SYSTEM BOARD OF DIRECTORS. IN ADDITION TO THE GMC'S CHNA, HOSPITAL STAFF HAS BEEN ACTIVE PARTICIPANTS IN THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES DEVELOPMENT AND MONITORING OF THE 2014-2018 GWINNETT COMMUNITY STRATEGIC PLAN. THE SUBCOMMITTEES ARE INVOLVED WITH MANY COMMUNITY-LEVEL ACTIVITIES TO MEET COMMUNITY NEEDS. THE COALITION'S FIVE-YEAR STRATEGIC PLAN IS ALSO INCLUDED ON OUR HOSPITAL WEBSITE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT SECTION UNDER COMMUNITY HEALTH COLLABORATIONS. THIS IS A LINK TO THE DOCUMENT HTTP://ASSETS.THEHCN.NET/CONTENT/SITES/GWINNETTHOSPITAL/CMT_GWINNETT_COMMUN ITY_STRATEGIC_PLAN_2014_2018_2015_04_15.PDF. THE GWINNETT PUBLIC HEALTH DEPARTMENT USED THE DATA SETS OBTAIN THROUGH THE HOSPITAL AND THE COALITION COLLABORATIONS TO DEVELOP THE 2013 COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. THIS IS A LINK TO THE DOCUMENT HTTP://ASSETS.THEHCN.NET/CONTENT/SITES/GWINNETTHOSPITAL/2013_GWINNETT_CHA_A ND_CHIP.PDF. THIS REPORT DESCRIBES A COMBINED COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR GWINNETT COUNTY USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. THE HOSPITALS WORK VERY CLOSELY WITH THE HEALTH DEPARTMENT TO IMPROVE THE HEALTH OF OUR COMMUNITY
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEEVERY PATIENT REGISTERED AT A GHS FACILITY IS PROVIDED A DOCUMENT ALERTING THEM TO THE AVAILABILITY OF THE SYSTEMS FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, PATIENTS ARE PROVIDED A BILLING AND COLLECTION INFORMATION DOCUMENT THAT AGAIN ADVISES THE PATIENT HOW TO APPLY FOR FINANCIAL ASSISTANCE. FOR THOSE PATIENTS ADMITTED TO THE HOSPITAL, THE INPATIENT HANDBOOK ALSO INSTRUCTS THEM HOW TO SEEK FINANCIAL ASSISTANCE FROM OUR TEAM OF FINANCIAL COUNSELORS. IN ADDITION, PATIENT BILLS INCLUDE CONTACT INFORMATION FOR SEEKING FINANCIAL ASSISTANCE VIA TELEPHONE OR BY EMAIL AT FINANCIALCOUNSELOR@GWINNETTMEDICALCENTER.ORG. THE HOSPITAL SYSTEMS WEBSITE ALSO INCLUDES THE HOSPITALS FINANCIAL ASSISTANCE POLICY AND APPLICATIONS IN ENGLISH, SPANISH, KOREAN AND VIETNAMESE.
PART VI, LINE 4 - COMMUNITY INFORMATIONGWINNETT COUNTY IS LOCATED IN THE NORTHEAST SUBURBS OF THE METROPOLITAN ATLANTA AREA AND IS 98 PERCENT URBAN. THIS IS THE 50TH LARGEST COUNTY IN THE STATE OF GEORGIA BY LAND MASS (432.73 SQUARE MILES) AND THE SECOND LEADING BY POPULATION (842,046 ESTIMATED RESIDENTS IN 2012). 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 HISTORICAL POPULATION GWINNETT COUNTY 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, 2011 OVERALL, GWINNETT COUNTY HAS A YOUNG POPULATION WITH THE MEDIAN AGE FROM 2005 THROUGH 2009 AT 33.1 YEARS OF AGE. THIRTY-ONE PERCENT OF THE POPULATION WAS UNDER 20 YEARS OF AGE AND 11 PERCENT WAS 60 YEARS OF AGE AND OLDER, ACCORDING TO THE GEORGIA DIVISION OF PUBLIC HEALTH (ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM, OASIS, 2011) AS DEMONSTRATED IN FIGURE 2. FIGURE 2. POPULATION BY LIFESTAGES, GWINNETT COUNTY 2010 POPULATION BY LIFESTAGES & GENDER GWINNETT COUNTY, 2010 LIFESTAGES MALE FEMALE TOTAL BY AGE PERCENTAGE BY AGE <1 INFANCY 5,985 5,783 11,768 1.46% 1-4 EARLY CHILDHOOD 25,963 24,511 50,474 6.27% 5-12 LATER CHILDHOOD 54,245 52,338 106,583 13.23% 13-19 ADOLESCENCE 44,905 41,496 86,401 9.70% 20-29 EARLY ADULTHOOD 52,964 50,120 103,084 12.80% 30-44 YOUNG ADULTHOOD 93,622 99,909 193,531 24.03% 45-59 MIDDLE ADULTHOOD 80,291 85,148 165,439 20.54% 60-74 LATE ADULTHOOD 31,311 35,685 66,996 8.32% 75+ OLDER ADULTHOOD 7,867 13,178 21,045 2.61% GRAND TOTAL 397,153 408,168 805,321 100.00% SOURCE: GEORGIA DIVISION OF PUBLIC HEALTH, OASIS, 2011 THE POPULATION HAS BECOME MORE RACIALLY AND ETHNICALLY DIVERSE WITH REPRESENTATION FROM ACROSS THE NATION AND AROUND THE WORLD. IN 2012, THE U.S. CENSUS BUREAU ESTIMATED THE GWINNETT COUNTY POPULATION TO BE 42.4 PERCENT WHITE (NOT HISPANIC OR LATINO), 25.9 PERCENT BLACK OR AFRICAN AMERICAN, 11.1 PERCENT ASIAN AND 2.2 PERCENT WAS NON-HISPANIC OTHERS (AMERICAN INDIAN OR ALASKA NATIVE, NATIVE HAWAIIAN OR PACIFIC ISLANDER, MULTIRACIAL OR UNKNOWN). THE HISPANIC OR LATINO POPULATION WAS ESTIMATED AT 20.7 PERCENT WITH 10.7 PERCENT OF THAT POPULATION BEING MEXICAN. IN THE 2012-2013 SCHOOL TERM, THE GWINNETT COUNTY PUBLIC SCHOOL SYSTEM (GCPS) INCLUDES 132 SCHOOLS AND OTHER EDUCATIONAL FACILITIES AND SERVES NEARLY 164,900 STUDENTS (THIS DOES NOT INCLUDE BUFORD CITY SCHOOLS OR PRIVATE SCHOOLS). ACCORDING TO GCPS THE CLASS OF 2013 HAD MORE THAN 10,500 GRADUATES AND ABOUT 84 PERCENT REPORTED PLANS TO ATTEND COLLEGE. 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 2012 THE U.S. CENSUS BUREAU ESTIMATED 74.8 PERCENT OF GWINNETT RESIDENTS 18-64 YEARS WERE INSURED AND 90.7 PERCENT OF CHILDREN AGES 0-17 HAD ANY TYPE OF HEALTH INSURANCE COVERAGE. THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES FOR 2007-2011 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 292,402 HOUSING UNITS IN GWINNETT WITH 20.6 PERCENT IDENTIFIED AS HOUSING UNITS IN MULTI-UNIT STRUCTURES. HOMEOWNERSHIP RATE WAS 70.9 PERCENT. THE MEDIAN VALUE OF OWNER-OCCUPIED HOUSING UNITS WAS 190,100. - THERE WERE 262,169 HOUSEHOLDS IN GWINNETT WITH THE AVERAGE HOUSEHOLD SIZE OF THREE. - EIGHTY-SEVEN PERCENT OF RESIDENTS 25 YEARS OF AGE AND OVER HAD AT LEAST GRADUATED FROM HIGH SCHOOL AND 34.7 PERCENT HAD A BACHELOR'S DEGREE OR HIGHER. - TWENTY-SIX PERCENT OF THE POPULATION WAS FOREIGN BORN. - OF INDIVIDUALS AT LEAST FIVE YEARS OF AGE, 32.9 PERCENT SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME. - SEVENTY-EIGHT PERCENT OF WORKERS DROVE TO WORK ALONE. FOR THOSE WHO COMMUTED, THE AVERAGE TRAVEL TIME TO WORK WAS 32.2 MINUTES. WORKERS WHO COMMUTED BY PUBLIC TRANSPORTATION WAS 1.1 PERCENT. - THE MEDIAN INCOME OF HOUSEHOLDS WAS 63,076. - TWELVE PERCENT OF THE ALL RESIDENTS WERE BELOW THE POVERTY LEVEL. SEVENTEEN PERCENT OF CHILDREN LIVE BELOW THE POVERTY LEVEL WHICH IS AN INCREASE FROM 15.1 PERCENT IN THE 2006-2010 TIME PERIOD. EIGHT PERCENT OF GWINNETT RESIDENTS AGE 65 AND OLDER LIVE BELOW THE POVERTY LEVEL. - THREE 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 IS A FOR-PROFIT HOSPITAL 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 IS ONE FEDERALLY QUALIFIED HEALTH CENTER IN GWINNETT COUNTY (NORCROSS) SERVING RESIDENTS FROM THESE CENSUS TRACTS AS WELL AS OTHER GWINNETT COUNTY RESIDENTS.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHGWINNETT HOSPITAL SYSTEM'S VISION IS TO BE THE HEALTH SYSTEM OF CHOICE IN OUR COMMUNITY BY ENHANCING THE HEALTH OF OUR PATIENTS AND OTHER CUSTOMERS. GHS IMPLEMENTS ITS VISION AND PROMOTES THE HEALTH OF THE COMMUNITY BY JOINING WITH PHYSICIANS, COMMUNITY MEMBERS AND ORGANIZATION, AND OTHER HEALTHCARE ORGANIZATIONS TO TREAT INJURY AND DISEASE AS WELL AS PROVIDING PREVENTIVE AND EARLY INTERVENTION CARE TO OUR CUSTOMERS. THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE BOARD MEMBERS ARE DEDICATED TO PROVING QUALITY HEALTHCARE TO OUR COMMUNITY. GHS EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR A MAJORITY OF OUR DEPARTMENTS. GWINNETT HOSPITAL SYSTEM HAS OVER 800 AFFILIATED PHYSICIANS PROVIDING HEALTHCARE SERVICES AT BOTH GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH CAMPUSES. GHS CONTINUALLY SEEKS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY APPLYING ITS SURPLUS FUNDS TO PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. FULL-TIME EMERGENCY DEPARTMENTS ARE OPERATED AT BOTH THE GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH CAMPUSES. NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT. THE TOTAL NUMBER OF DISCHARGES FROM BOTH EMERGENCY DEPARTMENTS WAS 149,535 FOR FISCAL YEAR 2015. THE 60-BED EMERGENCY DEPARTMENT AT GWINNETT MEDICAL CENTER- LAWRENCEVILLE IS ONE OF THE BUSIEST IN GEORGIA. THIS LOCATION HAS A12-BED CHILDREN'S EMERGENCY CENTER, AN ACCREDITED CHEST PAIN CENTER AND IS DESIGNATED AS A LEVEL II TRAUMA CENTER PROVIDING 24 HOURS A DAY, SEVEN DAYS A WEEK TRAUMA TEAM COVERAGE SERVING RESIDENTS OF GWINNETT COUNTY AND THE SURROUNDING AREA. ONLY 24 OF THE STATE'S 152 ACUTE-CARE HOSPITALS ARE DESIGNATED TRAUMA CENTERS. BOTH GWINNETT MEDICAL CENTER IN LAWRENCEVILLE AND GWINNETT MEDICAL CENTER - DULUTH AND ASSOCIATED FACILITIES PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS AND PEACHCARE AS APPROPRIATE FOR SERVICES PROVIDED.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMGWINNETT HOSPITAL SYSTEM IS A LICENSED 464 BED HEALTHCARE ORGANIZATION WITH TWO ACUTE-CARE HOSPITALS: GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH. THESE TWO FACILITIES SERVE AREAS OF BOTH GWINNETT COUNTY AND TO A LESSER EXTENT SEVERAL SURROUNDING COUNTIES. IN ADDITION TO THE MEDICAL-SURGICAL HOSPITALS, THE ORGANIZATION ALSO INCLUDES THE GWINNETT WOMENS PAVILION ON THE GWINNETT MEDICAL CENTER-LAWRENCEVILLE CAMPUS AS WELL AS THE GLANCY REHABILITATION CENTER IN DULUTH. OTHER AFFILIATED ORGANIZATIONS INCLUDE: GWINNETT HEALTH SYSTEM, INC. THE NONPROFIT PARENT ORGANIZATION OF GWINNETT HOSPITAL SYSTEM AND ITS AFFILIATES. GWINNETT MEDICAL CENTER FOUNDATION A NONPROFIT PHILANTHROPIC ORGANIZATION THAT SUPPORTS THE GWINNETT HOSPITAL SYSTEM BY RAISING MONEY FOR CAPITAL EQUIPMENT PURCHASES FOR GWINNETT MEDICAL CENTER-DULUTH AND GWINNETT MEDICAL CENTER-LAWRENCEVILLE, NEUROSCIENCE, ORTHOPEDICS AND A VARIETY OF OTHER PROGRAMS. GWINNETT MEDICAL PROPERTIES A NONPROFIT ORGANIZATION THAT OWNS MEDICAL PROPERTIES IN AND AROUND GWINNETT COUNTY FOR THE PURPOSE OF AIDING GWINNETT HOSPITAL SYSTEM IN FULFILLING ITS MISSION. GWINNETT MEDICAL GROUP A NONPROFIT ORGANIZATION WHOSE MISSION IS TO OPERATE PHYSICIAN CLINICS IN AND AROUND GWINNETT COUNTY, AS WELL AS TO PROVIDE CERTAIN INPATIENT PHYSICIAN SERVICES.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORTGEORGIA
ADDITIONAL INFORMATIONTHE WEBSITE URL FOR THE 2012 - 2013 CHNAS ARE AS FOLLOWS: GWINNETT MEDICAL CENTER IN LAWRENCEVILLE HTTP://GWINNETTHOSPITAL.THEHCN.NET/JAVASCRIPT/HTMLEDITOR/UPLOADS/FINAL_GMCL _WHOLE_DOCUMENT__2_.PDF GWINNETT MEDICAL CENTER - DULUTH HTTP://GWINNETTHOSPITAL.THEHCN.NET/JAVASCRIPT/HTMLEDITOR/UPLOADS/FINAL_GMCD _WHOLE_DOCUMENT__2_.PDF?WWPARAM=1353440747 A COPY OF THE IMPLEMENTATION STRATEGIES FOR EACH CHNA ARE ATTACHED TO THIS RETURN. IN ADDITION, THE WWEBSITE URL FOR EACH IS AS FOLLOWS: GMC LAWRENCEVILLE HTTP://WWW.GWINNETTMEDICALCENTER.ORG/MEDIA/FILE/FY%202015%20GMC-L %20IMPLEMENTATION%20STRATEGIES.PDF GMC DULUTH HTTP://WWW.GWINNETTMEDICALCENTER.ORG/MEDIA/FILE/FY%202015%20GMC-D %20IMPLEMENTATION%20STRATEGY.PDF THE WEBSITE URL FOR THE FAP, THE FAP APPLICATION AND THE THE FAP PLAIN LANGUAGE SUMMARY ARE AS FOLLOWS: FAP HTTP://WWW.GWINNETTMEDICALCENTER.ORG/MEDIA/FILE/100-18%20FINANCIAL %20ASSISTANCE%20PROGRAM_2011%20FINAL.PDF APPLICATION HTTP://WWW.GWINNETTMEDICALCENTER.ORG/MEDIA/FILE/27987-FIN%20ASSESSMENT %20APPLICATION(1).PDF PLAIN LANGUAGE SUMMARY HTTP://WWW.GWINNETTMEDICALCENTER.ORG/PATIENTS-VISITORS/PATIENTS/PATIENT- FINANCIAL-ASSISTANCE-POLICY

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
GWINNETT MEDICAL GROUP
1000 MEDICAL CENTER BLVDLAWRENCEVILLEGA30046582143107501C3$35,100,000SUPPORT RELATED ORG.
LEADERSHIP GWINNETT
6500 SUGARLOAF PARKWAYDULUTHGA30097261522249501C3$10,000SUPPORT
CINK CHARITIES
6555 SUGARLOAF PARKWAYDULUTHGA30097455277628501C3$6,000SUPPORT
GWINNETT HOSPITAL SYSTEM FOUNDATION
1755 N BROWN ROADLAWRENCEVILLEGA30046581828486501C3$210,000SUPPORT RELATED ORG.SUITE 100
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEDUCATIONAL SCHOLARSHIPSGrantTypeTxt
Recipient22RecipientCnt
Cash Grant$47,500CashGrantAmt
Valuation Method UsedFMV CASHValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
THOMAS Y MCBRIDE III
EXECUTIVE VP & CFO$385,584$72,697$803,635$19,500$12,421$1,293,837$332,443
PHILIP WOLFE
PRESIDENT & CEO$676,052$158,909$221,244$109,980$23,195$1,189,380$81,625
ALAN BIER
EXECUTIVE VP & CMO$380,127$74,003$101,864$55,743$21,873$633,610$40,923
STEPHEN NADEAU
SENIOR VP OF HUMAN$265,261$42,107$67,432$52,948$21,317$449,065$25,042
PETER WHEELER
GENERAL COUNSEL$268,492$42,260$62,047$49,410$27,161$449,370$25,763
CAROL DANIELSON
SENIOR VP & CHIEF$244,013$53,853$62,184$46,009$26,841$432,900$17,398
LEA BAY
SR VP & PRESIDENT$264,780$51,701$20,282$44,383$16,216$397,362$13,428
PATRICIA A LAVELY
SR. VP AND CIO$267,046$41,231$23,175$38,121$10,793$380,366
WALLACE BROWN
SENIOR VP & CHIEF IN$85,643$32,075$103,166$41,378$5,275$267,537$43,966
JESSIE T SHEPHERD
EXECUTIVE VP AND COO$366,016$67,624$43,956$45,300$29,495$552,391$9,852
MARK D DARROW
DIRECTOR G.M.E.$311,726$34,143$3,413$13,000$19,016$381,298
JAMES DENNARD JR
VP & COO GMC$213,438$39,413$13,056$28,385$27,917$322,209$5,215
SCOTT OREM
VP FINANCE$197,185$31,920$28,417$39,261$28,255$325,038$16,046
THOMAS LYNCH
VP MANAGED CARE$195,514$32,290$20,952$32,117$27,538$308,411$9,208
DIANA POTTS
CHIEF NURSING OFFICE$173,073$33,728$21,579$23,789$10,375$262,544$4,977
CATHY DOUGHERTY
ASSISTANT VP REVENUE$163,556$14,760$16,081$22,217$26,385$242,999
BONNY RICHARDSON
ASSOCIATE GEN. LEGAL$160,988$18,950$1,559$11,637$13,225$206,359
MIKE HEMPHILL
DIRECTOR OF MATERIAL$128,577$17,556$17,911$12,414$22,667$199,125
JANET SCHWALBE
VP PHYSICIAN SVC.$180,965$36,135$28,944$30,952$10,463$287,459$13,927
KEVIN E JOHNSON
PROGRAM DIRECTOR GME$214,569$8,800$1,548$9,585$26,813$261,315
GWENDOLYN C HUDSON
MANAGER CL. SURGICAL$98,374$112,765$8,074$23,225$242,438
NANCY L STOCKSLAGER
DIRECTOR INFO. SYS.$171,004$17,194$8,618$9,713$10,485$217,014
CATHIE L BRAZELL
DIRECTOR WOMEN'S SVC$171,754$19,287$1,792$9,149$12,425$214,407

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1ATHE ORGANIZATION PAYS INCREMENTAL SPOUSAL TRAVEL COSTS FOR SPOUSAL ATTENDANCE AT GEORGIA HOSPITAL ASSOCIATION 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. TAX GROSS-UP PAYMENTS ARE MADE FOR BUSINESS SPOUSAL TRAVEL, BUSINESS LUNCHEON CLUB DUES AND FOR A LIMITED LIFE INSURANCE BENEFIT FOR CERTAIN EXECUTIVES.
SCHEDULE J, PAGE 1, PART I, LINE 3THE GWINNETT HEALTH SYSTEM, INC. (HEALTH SYSTEM) BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE MADE UP OF VARIOUS INDEPENDENT BOARD MEMBERS WHO REVIEW THE COMPENSATION OF THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES THROUGHOUT THE MULTI-ENTITY SYSTEM. THIS COMMITTEE IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE CEO. THE CEO IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE OTHER MEMBERS OF TOP MANAGEMENT AND KEY EMPLOYEES WITH OVERSIGHT BY THE COMMITTEE. AN INDEPENDENT PROFESSIONAL EXECUTIVE COMPENSATION CONSULTING COMPANY HIRED BY THE HEALTH SYSTEM BOARD OF DIRECTORS PROVIDES SALARY AND BENEFIT INFORMATION AND MAKES RECOMMENDATIONS TO THE COMMITTEE REGARDING THE COMPENSATION OF THE CEO, TOP MANAGEMENT AND KEY EMPLOYEES. THESE PERIODIC SURVEYS ARE CONDUCTED TO ENSURE THE SALARIES AND BENEFITS FOR THESE EMPLOYEES ARE AT FAIR MARKET VALUE.
SCHEDULE J, PAGE 1, PART I, LINE 4THOMAS Y. MCBRIDE, III 0 720,865 0 PHILIP WOLFE 0 95,680 0 ALAN BIER 0 38,192 0 STEPHEN NADEAU 0 27,164 0 PETER WHEELER 0 27,262 0 CAROL DANIELSON 0 26,959 0 LEA BAY 0 27,296 0 PATRICIA A. LAVELY 0 26,600 0 JESSIE T. SHEPHERD 0 34,900 0 JAMES DENNARD JR 0 15,357 0 SCOTT OREM 0 14,414 0 THOMAS LYNCH 0 14,305 0 DIANA POTTS 0 8,710 0 CATHY DOUGHERTY 0 8,450 0 JANET SCHWALBE 0 9,102 0 GWENDOLYN C. HUDSON 104,696 0 0
SCHEDULE J, PART IIICERTAIN DESIGNATED EMPLOYEES ARE ALLOWED TO PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE SERP IS SUBJECT TO THE PROVISIONS OF SECTION 457(F) OF THE INTERNAL REVENUE CODE. PARTICIPANTS WHO SEPARATE FROM SERVICE DUE TO VOLUNTARY SEPARATION OR AN INVOLUNTARY SEPARATION FOR REASONABLE CAUSE FORFEIT ALL NONVESTED BENEFITS. CURRENT YEAR DEFERRALS ARE REPORTED IN THE PRECEDING TABLE. THE FOLLOWING PARTICIPANTS VESTED AND RECEIVED PAYMENT OF SERP BENEFITS IN THE 2014 CALENDAR YEAR THAT ARE INCLUDED IN REPORTABLE COMPENSATION ON THIS FORM 990, PART VII AND ON SCHEDULE J. THEY WERE ALSO REPORTED AS DEFERRED COMPENSATION ON PRIOR RETURNS: TOMMY MCBRIDE 332,443 PHILIP WOLFE 81,625 WALLACE BROWN 43,966 ALAN BIER 40,923 JESSIE T. SHEPHERD 9,852 CAROL DANIELSON 17,398 STEPHEN NADEAU 25,042 PETER WHEELER 25,763 JEFFERY NOWLIN 36,435 LEA BAY 13,428 JAMES D. DENNARD 5,215 THOMAS LYNCH 9,208 SCOTT OREM 16,046 JANET SCHWALBE 13,927 DIANA POTTS 4,977

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A2007falseYes (true)Yes (true)Yes (true)
B2007Yes (true)falseYes (true)Yes (true)
C2007Yes (true)falseYes (true)Yes (true)
D2007Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse
Dfalse

Supplemental Information Detail SupplementalInformationDetail

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GWINNETT EMERGENCY SPECIALISTS
BOARD MEMBER$218,412MEDICAL SERVICESfalse
TRACEY WALDROP
FAMILY FORMER B$55,067COMPENSATIONfalse
PAM KAUFFMAN
FORMER OFFICER$80,702COMPENSATIONfalse
MILES H MASON III
FORMER DIRECTOR$2,500COMPENSATIONfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationSCHEDULE L, PART IV (A) NAME OF PERSON: GWINNETT EMERGENCY SPECIALISTS. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MEDICAL PRACTICE OF BOARD MEMBER CARLTON BUCHANAN, MD. (D) DESCRIPTION OF TRANSACTION: ADMINISTRATION OF EMERGENCY DEPARTMENT OF GWINNETT HOSPITAL. (A) NAME OF PERSON: TRACEY WALDROP. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAUGHTER OF FORMER BOARD MEMBER. (C) 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. (C) 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 (C) DESCRIPTION OF TRANSACTION: DR. MASON WAS PAID FOR MEDICAL SERVICES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONGWINNETT HOSPITAL SYSTEM, INC. IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GREATER GWINNETT COMMUNITY. GWINNETT HOSPITAL SYSTEM HAS TWO FACILITIES LOCATED IN DULUTH AND LAWRENCEVILLE, GEORGIA THAT TOGETHER PROVIDE ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALTY, OPEN HEART SURGERY, SEVERAL CLINICS, AND A FULL CONTINUUM OF WELLNESS SERVICES. THE FACILITIES EACH OPERATE A YEAR ROUND EMERGENCY ROOM OPEN 24 HOURS A DAY, 7 DAYS A WEEK.
FORM 990, PAGE 1, PART I, LINE 6VOLUNTEER SERVICES HAS A DATABASE SYSTEM THAT TRACKS THE NUMBER OF VOLUNTEERS AND THEIR HOURS OF SERVICE.
FORM 990, PAGE 2, PART III, LINE 4AA WOUND CARE CLINIC. THE HOSPITAL PROVIDES ORTHOPAEDIC TRAUMA SERVICES THROUGH AN AGREEMENT WITH HUGHSTON CLINIC, P.C.
FORM 990, PAGE 6, PART VI, LINE 6THE SOLE MEMBER OF GWINNETT HOSPITAL SYSTEM, INC. IS GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7ATHE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. IS APPOINTED BY THE CHARIMAN OF THE BOARD OF DIRECTORS OF GWINNETT HEALTH SYSTEM, INC.
FORM 990, PAGE 6, PART VI, LINE 7BCERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. MUST BE APPROVED BY THE BOARD OF DIRECTORS OF GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 11BINFORMATION FOR PREPARATION OF THIS RETURN WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT. AFTER THE RETURN WAS PREPARED AND PRIOR TO FILING, IT WAS REVIEWED IN DETAIL BY SENIOR FINANCIAL MANAGEMENT. A COPY OF THE FINAL RETURN WAS THEN MADE AVAILABLE THROUGH A SECURE SERVER FOR ALL BOARD MEMBERS TO REVIEW PRIOR TO FILING. FORM 990 IS ALSO PRESENTED TO THE FINANCE COMMITTEE OF THE HEALTH SYSTEM BOARD PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CANNUALLY, A CONFLICTS OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO AND DISCUSSED WITH EACH MEMBER OF THE BOARD OF DIRECTORS. THE LEGAL DEPARTMENT IS RESPONSIBLE FOR ENSURING THESE QUESTIONNAIRES ARE SIGNED AND RETURNED. LEGAL MONITORS ALL TRANSACTIONS INVOLVING CONFLICTS OF INTEREST WITH BOARD MEMBERS. BOARD MEMBERS MUST DISCLOSE POTENTIAL CONFLICTS USING A REASONABLE BELIEF STANDARD; PLAY NO DIRECT OR INDIRECT PART IN DELIBERATIONS; AND ABSENT THEMSELVES FROM THE MEETING AT WHICH ANY POTENTIAL CONFLICT IS DISCUSSED. ONLY NON-CONFLICTED MEMBERS MAY DECIDE TO PURSUE A TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT IF A MAJORITY DETERMINES THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. VIOLATION OF THE COI POLICY IS SUBJECT TO CORRECTIVE ACTION, INCLUDING EXONERATION, CENSURE, AND/OR REQUESTING THE RESIGNATION OF THE MEMBER. APPROVAL FOR ANY LOANS, PAYMENTS, HONORARIUMS, TRIP OR TRAVEL REIMBURSEMENTS, SERVICES, PRODUCTS, ENTERTAINMENT, PRIZES OR AWARDS PROVIDED TO ANY BOARD MEMBER MUST BE APPROVED BY AN ADMINISTRATIVE OFFICER OR HIS OR HER DESIGNEE. THE CEO MUST OBTAIN THE APPROVAL OF THE CHAIRMAN OF THE BOARD (AND PAYMENTS TO THE CEO ARE APPROVED BY ANOTHER ADMINISTRATIVE OFFICER). IN ADDITION, THE HUMAN RESOURCE DEPARTMENT SENDS OUT A COI POLICY AND DISCLOSURE FORM TO OFFICERS AND KEY EMPLOYEES EVERY 3 - 5 YEARS. THESE OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS THAT ARISE DURING THE FISCAL YEAR.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE FILED WITH AND AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE OR THROUGH THAT OFFICE. GOVERNING DOCUMENTS CAN ALSO BE OBTAINED BY CONTACTING THE HOSPITAL. LIMITED FINANCIAL INFORMATION IS AVAILABLE ONLINE IN OUR COMMUNITY BENEFIT REPORT. IN ADDITION, OUR ANNUAL REPORT IS AVAILABLE ONLINE AT WWW.GWINNETTMEDICALCENTER.ORG. GWINNETT HOSPITAL'S CONFLICT OF INTEREST POLICY CAN BE OBTAINED BY CONTACTING THE HOSPITAL. THE HOSPITAL IS UNDER OBLIGATION TO DISCLOSE TO BOND HOLDERS PERTINENT FINANCIAL INFORMATION IN THE ANNUAL DISCLOSURE DOCUMENTS. CONTACT INFORMATION FOR THE HOSPITAL CAN BE OBTAINED AT WWW. GWINNETTMEDICALCENTER.ORG.
FORM 990, PART VIIBOARD MEMBERS OF GWINNETT ENTITIES ARE PROVIDED A SMALL STIPEND FOR THEIR SERVICES. MANFRED SANDLER, MD ALSO RECEIVED COMPENSATION AS AN EMPLOYED CARDIOLOGIST OF GWINNETT MEDICAL GROUP, INC.
FORM 990, PART XI, LINE 9INTEREST RATE SWAP CHANGE -3,187,714 ROUNDING -430 TRANFER FROM RELATED PARTY -1,970,731 CONTRIBUTION TO RELATED PARTY 35,310,000 ROUNDING 763
FORM 990, PART XI, LINE 9BENEFICIAL INTEREST IN ASSETS OF FOUNDATION -466,269 ACCRUED PENSION COSTS ADJUSTMENT -6,063,476 CHANGE IN INTEREST RATE SWAP -3,187,714 RELATED PARTY CAPITAL CONTRIBUTION -300,000 SCHEDULE D (ABOVE) - TRANSFER TO RELATED PARTY -35,310,000 SCHEDULE D (ABOVE) - TRANSFER FROM RELATED PARTY 1,970,731 SCHEDULE D (ABOVE) - ROUNDING NET -333 SCHEDULE D (ABOVE) - SWAP DUPLICATED 3,187,714 TOTAL CHANGE -10,017,459

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O GWINNETT HOSPITAL SYSTEM INCAddressLine1Txt
Address Line21000 MEDICAL CENTER BLVDAddressLine2Txt
CityLAWRENCEVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30046ZIPCd
FieldValueIRS element (for citing)
EIN465634252EIN
Primary ActivitiesGMEPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Total Income$836,534TotalIncomeAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GWINNETT HEALTH SYSTEM INC
1000 MEDICAL CENTER BLVDLAWRENCEVILLEGA30046582135755PARENTGA501C311AN/Afalse
GWINNETT HOSPITAL SYSTEM FOUNDATION
1755 NORTH BROWN RD 100LAWRENCEVILLEGA30046581828486FUNDRAISINGA501C37N/Afalse
GWINNETT MEDICAL GROUP INC
1000 MEDICAL CENTER BLVDLAWRENCEVILLEGA30046582143107PHYSICIANGA501C33falseHEALTH SYS
GWINNETT MEDICAL PROPERTIES INC
1000 MEDICAL CENTER BLVDLAWRENCEVILLEGA30046582132516REAL ESTATGA501C311AfalseHEALTH SYS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GWINNETT CARDIOVASCULAR SERVICES LLBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 MEDICAL CENTER BLVDAddressLine1Txt
CityLAWRENCEVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30045ZIPCd
FieldValueIRS element (for citing)
EIN263870307EIN
Primary ActivitiesMEDICAL SVPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income-$1,000ShareOfTotalIncomeAmt
Share Of EOY Assets$186,805ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.50000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

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