2015-11-16T15:20:47-06:00 2014-12-31 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2014-01-01 262037695 GRADY MEMORIAL HOSPITAL CORPORATION % GINA SMITH CONTROLLER GRAD 4046161846 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 JOHN M HAUPERT PRESIDENT & CEO 4046161846 2015-11-13 true KPMG LLP 3362753394 2014 2016-03-07 17:11:31Z JOHN M HAUPERT PRESIDENTCEO 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 1196228119 false X WWW.GRADYHEALTH.ORG X 2008 GA IMPROVING THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER. 17 17 6669 3273 0 125871877 127325592 894176212 1051079962 242204 91099 27173232 17731466 1047463525 1196228119 0 4606764 0 0 339384335 336609859 0 0 0 688759727 820715549 1028144062 1161932172 19319463 34295947 652202975 655347893 272646658 243401302 379556317 411946591 X SEE SCHEDULE O, STATEMENT 1 false false 366585322 291912242 SEE SCHEDULE O, STATEMENT 2 95735083 45059370 SEE SCHEDULE O, STATEMENT 2 85073882 79470793 SEE SCHEDULE O, STATEMENT 2 466291084 634637557 1013685371 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false true false false false false true false false false false true true true false false true 340 0 true 6669 true false false false false false false false false false false X 17 17 true true false false false false false true true false false true true true true true true true true false GA X GINA SMITH CONTROLLER 4046167355 50 HURT PLAZA SUITE 301 ATLANTA GA 30303 A D PETE CORRELL CHAIRMAN OF THE BOARD 5.0 0.0 X X 0 0 0 THOMAS DORTCH JR VICE CHAIR 2.0 0.0 X X 0 0 0 MARK P BECKER DIRECTOR 2.0 0.0 X 0 0 0 SAM WILLIAMS DIRECTOR 2.0 0.0 X 0 0 0 THOMAS D BELL JR DIRECTOR 2.0 0.0 X 0 0 0 SHARON BENT-HARLEY MD DIRECTOR 2.0 0.0 X 0 0 0 HENRY W GRADY III DIRECTOR 2.0 0.0 X 0 0 0 ANDREW W EVANS DIRECTOR 2.0 0.0 X 0 0 0 G LEMUEL HEWES ESQ DIRECTOR 2.0 0.0 X 0 0 0 PIERLUIGI MANCINI PhD DIRECTOR 2.0 0.0 X 0 0 0 AASIA MUSTAKEEM DIRECTOR 2.0 0.0 X 0 0 0 CHRISTIAN P LARSEN MD DPhil DIRECTOR 2.0 0.0 X 0 0 0 JOE W ROGERS JR DIRECTOR 2.0 0.0 X 0 0 0 MICHAEL RUSSELL DIRECTOR 2.0 0.0 X 0 0 0 JAMES E STEPHENSON DIRECTOR 2.0 0.0 X 0 0 0 PAMELA S STEPHENSON ESQ DIRECTOR 2.0 0.0 X 0 0 0 LOUIS W SULLIVAN MD DIRECTOR 2.0 0.0 X 0 0 0 LISA BORDERS DIRECTOR 2.0 0.0 X 0 0 0 VALERIE MONTGOMERY-RICE MD DIRECTOR 2.0 0.0 X 0 0 0 JOHN M HAUPERT PRESIDENT AND CEO 40.0 0.0 X 998126 0 18987 MARK MEYER EXEC VP/CFO 40.0 0.0 X 606663 0 19236 CHRISTOPHER MOSLEY EVP/CHIEF OPERATING OFFICER 40.0 0.0 X 598197 0 18841 TIMOTHY JEFFERSON EXEC VP -GENERAL COUNSEL 40.0 0.0 X 492513 0 32017 RHONDA SCOTT EXEC VP /CNO 40.0 0.0 X 393895 0 21220 CRAIG TINDALL SR VP -OPERATIONS 40.0 0.0 X 359064 0 20938 WILLIAM COMPTON VP -EMS 40.0 0.0 X 327551 0 12730 PATRICIA PLAIR SVP FINANCE/MATERIALS MGMT 40.0 0.0 X 347168 0 19380 HOGAI NASSERY ADMIN - COMM MED 40.0 0.0 X 302898 0 18920 LINDSAY CAULFIELD SVP MKTNG 40.0 0.0 X 340971 0 11876 RICHARD RHINE SVP REVENUE CYCLE 40.0 0.0 X 370687 0 14233 DEBORAH CANCILLA CHIEF INFORMATION OFFICER 40.0 0.0 X 395533 0 12591 LARRY CALLAHAN SVP/CHIEF HR OFF 40.0 0.0 X 555483 0 18811 6088749 0 239780 385 true true false EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR159900 ATLANTA GA 30322 MEDICAL 81658908 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE NW ATLANTA GA 30310 MEDICAL 18410036 RANDSTAD PO BOX 416692 BOSTON MA 02241 TEMPORARY STAFFING 8305952 ARAMARK 24863 NETWORK PLACE CHICAGO IL 606731248 LAUNDRY SERVICE 9787338 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30342 DIETARY 6142897 62 56239768 71085824 26535830 127325592 PATIENT SERVICE REVENUE 900099 1051079962 1051079962 1051079962 91099 91099 0 0 0 0 0 0 0 0 0 RENTAL AND PARKING INCOME 900099 2816748 2816748 EHR 900099 879375 879375 MISC 900099 14035343 14035343 17731466 1196228119 1065994680 2907847 4606764 4606764 0 0 0 5137733 5137733 951016 951016 286897345 274993411 11903934 -1156650 -708738 -447912 23981101 14694433 9286668 20799314 12744792 8054522 13511237 8279018 5232219 1394148 854265 539883 307769 188586 119183 791428 791428 0 0 181462557 111191286 70271271 3638871 2229720 1409151 12708405 7787082 4921323 8379587 5134597 3244990 0 14383221 8813327 5569894 0 0 429734 263320 166414 1110339 680361 429978 0 42329596 25937484 16392112 9264304 5676708 3587596 DRUGS 74056386 74056386 BAD DEBT 368861506 368861506 MEDICAL SUPPLIES 66235326 66235326 MAINTENANCE MATERIAL 1727278 1058391 668887 20123857 20107346 16511 1161932172 1013685371 148246801 0 75512027 73571414 1440872 1426554 114046953 103216035 70941114 81258840 0 504074 0 0 0 0 12878942 10614077 11782564 10069375 563654537 251923435 317939486 311731102 0 0 0 0 0 30000996 0 0 47661017 32955426 652202975 655347893 132463848 117985692 0 0 5002626 8227181 0 0 0 0 0 0 57632369 47821189 0 0 77547815 69367240 272646658 243401302 X 304483764 343329778 60051579 53285331 15020974 15331482 379556317 411946591 652202975 655347893 X 34295947 -1905673 X false true X true true true X 82239775 62572224 61728551 64639534 71085824 342265908 70592918 64405080 63332343 61232343 56239768 315802452 0 152832693 126977304 125060894 125871877 127325592 658068360 0 658068360 176621 29396 73409 242204 91099 612729 0 12304907 17552801 16053854 23732427 16886719 86530708 745211797 745211797 0.88306 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 775911 true 15517 false 791428 false false SCHEDULE C -LOBBYING LOBBYING ACTIVITIES THE LOBBYING ACTIVITIES OF GMHC FOCUS ON COMMUNICATING GMHC'S STATUS AND ITS BUSINESS CHALLENGES TO ELECTED OFFICIALS ON THE COUNTY, STATE AND FEDERAL LEVELS. GIVEN GMHC'S LARGE SHARE OF INDIGENT CARE IN GEORGIA, EFFORTS ARE PRIMARILY DIRECTED TO FINDING ADDITIONAL GOVERNMENT SUPPORT FOR DELIVERING CARE TO THAT UNDERSERVED POPULATION. PART II-B LINE 1b, 1g, 1h: PERSONNEL ATTEND SEMINARS AND CONVENTIONS TO STAY CURRENT WITH INDUSTRY TRENDS AND TO NETWORK WITH LEGISLATORS, GOVERNMENT OFFICIALS AND OTHER LOBBYISTS. 2764734 2764734 211627362 79485095 132142267 42402896 74655 42328241 279549328 172363684 107185644 27310216 27310216 311731102 INVESTMENT - HSOC 1455243 SOFTWARE LICENSING 1878713 NET OTHER RECEIVABLES 13818495 PERMANENT ENDOWMENTS 15802975 32955426 0 DUE TO THIRD PARTIES 5524021 WORKERS COMP LIABILITY 913306 SELF INSURED LIABILITY 44933995 OTHER RESERVES 17995918 69367240 X FORM 990, PART IV, LINE 11F AND SCHEDULE D, PART X, LINE 2 THE SYSTEM APPLIES FASB ASC 740, INCOME TAXES (ASC 740), WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON THE SYSTEM'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740. true true X true X 126. true X true true false true true 74975572 50395261 24580311 0.03100 182013459 208346827 -26333368 256989031 258742088 -1753057 0.00000 17143174 8512256 8630918 0.01100 97649287 28839261 68810026 0.08700 71877435 27698487 44178948 0.05600 186669896 65050004 121619892 0.15400 443658927 323792092 119866835 0.15400 40000 40000 40000 40000 true 368861506 107381554 77532987 29848567 X true true 2 1 GRADY MEMORIAL HOSPITAL 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 WWW.GRADYHEALTH.ORG 00000525A X X X X X 2 HUGHES SPALDING CHILDREN'S HOSPITAL 45 JESSE HILL JR DRIVE ATLANTA GA 30303 WWW.GRADYHEALTH.ORG X X X GRADY MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 13 true true true true X WWW.GRADYHEALTH.ORG X true 14 false true false true X 126. 250. X X X true true X X X true X X X X X X true X false X true X false false HUGHES SPALDING CHILDREN'S HOSPITAL 2 false false true X X X X X X X X 13 true true true true X WWW.GRADYHEALTH.ORG X true 14 false true false true X 139. 400. X X true true X X true X X X X X X X X X true X false X true X X false false PART V, LINE 3 A NUMBER OF ORGANIZATIONS PROVIDED INPUT, DATA, AND CONTEXT FOR THIS CHNA. WITHIN GEORGIA STATE UNIVERSITY, THE FOLLOWING ENTITIES WERE INVOLVED IN THE CHNA PROCESS: DEPARTMENT OF GEOSCIENCES, INSTITUTE OF PUBLIC HEALTH, AND GEORGIA HEALTH POLICY CENTER (GHPC). A NUMBER OF STATE OF GEORGIA AGENCIES CONTRIBUTED TO THE DATA AND REPORT, INCLUDING: DEPARTMENT OF EDUCATION, DEPARTMENT OF PUBLIC HEALTH, DEPARTMENT OF COMMUNITY HEALTH, AND DEPARTMENT OF AGRICULTURE. THE DEKALB AND FULTON COUNTY DISTRICT HEALTH DIRECTORS PARTICIPATED IN STAKEHOLDER INTERVIEWS AS WELL AS REPRESENTATIVES FROM THE HEALTH PROMOTION SECTION OF FULTON COUNTY DEPARTMENT OF HEALTH AND WELLNESS HEALTH. NON-PROFIT ORGANIZATIONS WERE ALSO ENGAGED VIA KEY INFORMANT INTERVIEWS INCLUDING LEADERS FROM THE ATLANTA WOMEN'S FOUNDATION, THE COMMUNITY FOUNDATION FOR GREATER ATLANTA, AND THE UNITED WAY OF METRO ATLANTA. KEY INFORMANT INTERVIEWS: MUCH OF THE WORK IN ARCHI (ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT), HAS INCLUDED THE INPUT OF COLLABORATIVE PARTNERS, AND CONTRIBUTED TO THE ASSESSMENT OF THE HEALTH NEEDS AND THE IDENTIFICATION OF HEALTH PRIORITIES IN GRADY'S SERVICE AREA. ARCHI RECEIVED COMMUNITY INPUT FROM A VARIETY OF SOURCES INCLUDING STAKEHOLDER MEETINGS, ONE-ON-ONE INTERVIEWS, AND WRITTEN FEEDBACK. MANY DIFFERENT TYPES OF ORGANIZATIONS AND INDIVIDUALS WITH DIFFERENT TYPES OF EXPERTISE WERE REPRESENTED, INCLUDING: BEHAVIORAL HEALTH, BUSINESS COMMUNITY, CIVIC AND ADVOCACY ORGANIZATIONS, FAITH COMMUNITY, FEDERALLY QUALIFIED HEALTH CENTERS, HEALTH PLANS, LOCAL GOVERNMENTS, MEDIA, PHILANTHROPY, PHYSICIANS,PUBLIC HEALTH, SOCIAL SERVICE PROVIDERS, UNIVERSITIES. AS PART OF THE DATA COLLECTION PROCESS FOR ARCHI, THE GHPC CONDUCTED SEVERAL KEY INFORMANT INTERVIEWS WITH PUBLIC HEALTH LEADERS, COUNTY GOVERNMENT REPRESENTATIVES, AND REPRESENTATIVES OF THE PHILANTHROPIC COMMUNITY IN FULTON AND DEKALB COUNTIES. FOCUS GROUPS: A TOTAL OF FIVE FOCUS GROUPS WERE HELD IN THE TARGET COUNTIES. ENGLISH SPEAKING AND LATINO GROUPS WERE RECRUITED BY OUTSIDE FOCUS GROUPS FROM FIVE DIFFERENT CENSUS TRACTS, IDENTIFIED AS BEING HOT SPOTS FOR THE KEY INDICATORS OF DEMOGRAPHICS, POVERTY, UNINSURED POPULATION, EDUCATION ATTAINMENT AND ECONOMIC FACTORS. PART V, LINE 4 A NUMBER OF HOSPITALS AND PROVIDERS ARE PARTICIPATING IN THE ARCHI COALITION AND THEREFORE, WORKING TOWARDS THE SAME HEALTH PRIORITIES. OTHER PROVIDERS PARTICIPATING IN ARCHI INCLUDE EMORY HEALTHCARE, PIEDMONT HEALTHCARE, SOUTHSIDE MEDICAL CENTER, SAINT JOSEPH'S HEALTHCARE, SAINT JOSEPH'S MERCY CARE AND THE FAMILY HEALTH CENTERS OF GEORGIA (FORMERLY KNOWN AS WESTEND MEDICAL CENTER). PART V, LINE 7 A TWO-PHASED PROCESS WAS DEVELOPED AND FOLLOWED IN DETERMINING THE HEALTH NEEDS THAT WOULD BE ADDRESSED AND THE TYPES OF STRATEGIES TO BE ENGAGED. IN THE FIRST PHASE, GRADY'S EXECUTIVE PLANNING COUNCIL REVIEWED AND PRIORITIZED HEALTH NEEDS FROM THE CHNA. THE SECOND PHASE RESULTED IN CHOOSING NEEDS THAT WOULD BE ADDRESSED AND THE STRATEGIES TO ADDRESS THEM, USING THE ARCHI FRAMEWORK. STAKEHOLDERS USED THE FOLLOWING CRITERIA TO RANK OUTCOME-BASED HEALTH NEEDS THAT WERE IDENTIFIED AND PRIORITIZED IN THE ASSESSMENT: -MAGNITUDE/SCALE OF THE PROBLEM -SEVERITY OF THE PROBLEM -GRADY ASSETS -ABILITY TO LEVERAGE A PRE-POPULATED TEMPLATE (WITH THE LIST OF NEEDS FROM THE CHNA, THE FOCUS AREA UNDER WHICH THEY FELL, AND THE CRITERIA) WAS PROVIDED TO THE PLANNING COUNCIL. THE PLANNING COUNCIL RANKED NEEDS AND CAME TO CONSENSUS WITHIN THREE ARCHI FOCUS AREAS BASED ON THE CRITERIA PROVIDED. AFTER TALLYING THE RANKINGS, COORDINATED CARE, HEALTH INSURANCE COVERAGE, AND ENCOURAGING HEALTHY BEHAVIORS WERE SELECTED AS THE PRIMARY FOCUS OF ACTIVITY FOR THE NEXT THREE YEARS. PART V, LINE 11 IMPLEMENTATION ACTIVITIES ON MEETING NEEDS IDENTIFIED IN CHNA 1) EFFECTIVE AND EFFICIENT PATIENT CARE COORDINATION AMONG GMHC PATIENTS USING ARCHI, LEVEL III PATIENT CENTERED MEDICAL HOME, FQHCS, AND UNITED WAY. 2) BETTER ACCESS TO UNDERSERVED POPULATIONS BY MAXIMIZING ELECTRONIC SYSTEMS 3) IMPROVED SEXUAL HEALTH FOR HIGH RISK POPULATIONS 4) EVIDENCE BASED INTERVENTIONS AIMED AT REDUCING OBESITY 5) REDUCED RISK OF HOMOCIDE AND INJURY THROUGH SCHOOL BASED EDUCATION PART V, LINE 20 DESCRIPTION OF UNINSURED AMOUNT OF BILLING: PERSONS THAT HAVE NO EMERGENCY CARE INSURANCE ARE GIVEN A 30% DISCOUNT ON GROSS CHARGES. THE SAME POLICY IS IN EFFECT AT HUGHES SPALDING CHILDREN'S HOSPITAL. LINES 21 AND 22 ALL PATIENTS AT BOTH GRADY AND HUGHES SPALDING ARE CHARGED BASED ON OUR GROSS FEE SCHEDULE WHICH IS THEN DISCOUNTED, 30% TO 100%, BASED ON THE PATIENT'S UNINSURED STATUS AND PATIENT'S INCOME DRIVEN SLIDING SCALE. 10 CRESTVIEW HEALTH & REHABILITATION 2800 SPRINGDALE RD ATLANTA GA 30315 NURSING HOME EMERGENCY MEDICAL SERVICE 745 MEMORIAL DRIVE ATLANTA GA 30316 AMBULANCE SERVICE DEKALB GRADY PHARMACY 1863 MEMORIAL DRIVE ATLANTA GA 30317 PHARMACY NORTH DEKALB PHARMACY 3807 CLAIRMONT RD CHAMBLEE GA 30341 PHARMACY EAST POINT PHARMACY 1595 WEST CLEVELAND AVE EAST POINT GA 30344 PHARMACY PONCE INFECTIOUS DISEASE CTR 341 PONCE DE LEON ATLANTA GA 30308 PHARMACY GRADY BEHAVIORAL HEALTH CTR 10 PARK PLACE ATLANTA GA 30303 PHARMACY MAIN OUTPATIENT PHARMACY 80 JESSE HILL JR DR ATLANTA GA 30303 PHARMACY ASA YANCEY PHARMACY 1247 DONALD LEE HOLLOWELL PKWY ATLANTA GA 30318 PHARMACY CENTRAL REFILL PHARMACY 1575 NORTHSIDE DRIVE BLDG 400 ATLANTA GA 30318 PHARMACY PART I, LINE 3C: FPG ARE USED TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PART I, LINE 6A: OUR ANNUAL FINANCIAL SURVEY IS FILED WITH GEORGIA DEPARTMENT OF COMMUNITY HEALTH. PART I, LINE 7G: GRADY SUBSIDIZES THE COST OF CARING FOR UNINSURED PATIENTS INCLUDING THE COST OF PHYSICIANS, OTHER CARE GIVERS, DRUGS AND SUPPLIES. PART I, LINE 7, COLUMN F: THIS IS THE PERCENTAGE OF NET COMMUNITY BENEFIT OF TOTAL EXPENSE OF GRADY. PART I, LINE 7: CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS WERE DETERMINED USING DATA FROM THE AUDITED FINANCIAL STATEMENTS AND THE 2014 FILED MEDICARE AND MEDICAID COST REPORTS. PART II, LINE 6: GRADY IS A MEMBER ORGANIZATION OF THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). ARCHI IS AN INTERDISCIPLINARY COALITION WORKING TO IMPROVE THE REGION'S (DEKALB AND FULTON COUNTIES) HEALTH THROUGH A COLLABORATIVE APPROACH TO COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPROVEMENT. THE GEORGIA HEALTH POLICY, THE UNITED WAY OF METROPOLITAN ATLANTA, AND THE ATLANTA REGIONAL COMMISSION PROVIDE ONGOING PROJECT MANAGEMENT, DATA AND PLANNING RESOURSES, FACILITATION, AND PARTNERSHIP BUILDING ASSISTANCE TO ARCHI. GRADY HOLDS A SEAT ON THE ARCHI STEERING COMMITTEE FOR ONGOING LEADERSHIP AND CONNECTIVITY TO THE COMMUNITY INITIATIVES AND HAS SIGNED THE MEMBERSHIP AGREEMENT IN SUPPORT OF SUSTAINABILITY AND AN ORGANIZATION STRUCTURE. GRADY ALSO PROVIDES FUNDING TO ARCHI TO SUPPORT THE STAFFING, DATA ANALYTICS AND PARTNERSHIP BUILDING ACTIVITIES. AS SUPPORTED BY GUIDANCE FROM THE FEDERAL GOVERNMENT, GRADY HAS CONDUCTED ITS CHNA WITH AND THROUGH ARCHI IN ORDER TO MAXIMIZE THE IMPACT OF COMMUNITY INVESTMENT IN HEALTH IMPROVEMENT. PART III, LINE 4: GMHC ALSO INCURS SIGNIFICANT COST ASSOCIATED WITH CARE FOR THE UNDER AND UNINSURED THAT DO NOT APPLY AND/OR QUALIFY FOR CHARITY CARE ASSISTANCE. GMHC INCURRED BAD DEBT EXPENSE OF APPROXIMATELY $368.9 MILLION VALUED IN GROSS CHARGES. PART III, LINE 8: LINE 6 EXPENSES ARE REPORTED FROM THE MEDICARE COST REPORT CMS-2552-96 FOR THE YEAR ENDED 12/31/14. PART III, LINE 9B: THE ORGANIZATION HAS UNIQUE ELIGIBILITY CODES TO IDENTIFY EACH PATIENT QUALIFYING FOR CHARITY CARE TO ALLOW IT TO WRITE-OFF THE CHARITY CARE AMOUNTS PRIOR TO THE COLLECTION PROCESS. PART VI, 2. NEEDS ASSESSMENT RESEARCHERS ASSISTED IN EVALUATION OF SECONDARY DATA SOURCES IN THE FORM OF MAPS AND TABLES. DATA WAS COLLECTED FROM NATIONAL RESOURSES AND GEORGIA SPECIFIC ENTITIES TO PROVIDE A MORE TARGETED FOCUS ON GRADY'S PRIMARY SERVICE AREA. THE SOURCES INCLUDE THE CENSUS BUREAU, THE AMERICAN COMMUNITY SURVEY, SOCIAL EXPLORER, AND THE ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM (OASIS) FROM THE GEORGIA DEPARTMENT OF PUBLIC HEALTH. THE DATA WAS DIVIDED INTO SEVERAL CATEGORIES INCLUDING: DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, ACCESS TO CARE, HEALTH BEHAVIORS, HEALTH OUTCOMES, AND COMMUNITY ASSETS. MOST OF THE DATA, PARTICULARLY HEALTH BEHAVIORS AND OUTCOMES, WERE ONLY AVAILABLE AT THE COUNTY LEVEL,HOWEVER, WHEREVER POSSIBLE THE DATA WAS ANALYZED AT THE ZIP CODE OR CENSUS TRACT LEVEL, TO GET A MORE COMPREHENSIVE UNDERSTANDING OF THE CHALLENGES IN GRADY'S PRIMARY SERVICE AREA. PART VI, 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PER STATE REGULATIONS, GMHC PLACES ANNUAL ICTF NOTICES IN THE LOCAL NEWSPAPER AND SIGNAGE IS POSTED, ADVISING PATIENTS OF ALL CHARITY CARE PROGRAMS WITHIN THE ORGANIZATION. BASED ON THE PATIENT'S FINANCIAL CIRCUMSTANCES, AND MEDICAL CONDITION, A FINANCIAL COUNSELOR WILL CONSULT WITH THE PATIENT TO DETERMINE BEST FIT FOR THE CRITERIA OF THE VARIOUS ASSISTANCE PROGRAMS. THE APPROPRIATE APPLICATION IS COMPLETED AND THE FINANCIAL ASSISTANCE PROGRAM IS EXPLAINED TO THE PATIENT SIMULTANEOUSLY. PART VI, 4. COMMUNITY INFORMATION: GMHC IS THE SAFETY NET HEALTHCARE PROVIDER FOR THE CORE OF METROPOLITAN ATLANTA. THIS AREA INCLUDES FIVE COUNTIES AND MORE THAN 3 MILLION PEOPLE. THROUGH ANALYZING THE AVAILABLE DATA SOURCES, GMHC'S PRIMARY SERVICE AREA IS FULTON AND DEKALB COUNTIES, WHICH CONTAIN 1.6 MILLION PEOPLE INCLUDING THE ENTIRE CITY OF ATLANTA, GEORGIA, (17 PERCENT OF THE STATE OF GEORGIA'S POPULATION). DEMOGRAPHICALLY, THE AFRICAN-AMERICAN POPULATION CONSTITUTES 53.9 PERCENT IN DEKALB COUNTY AND 43.7 PERCENT IN FULTON COUNTY, WHILE HISPANIC PATIENTS MAKE UP 9.5 PERCENT ON DEKALB COUNTY AND 7.8 PERCENT IN FULTON COUNTY. WHILE THE MEDIAN AGE OF BOTH COUNTIES IS A RELATIVELY YOUNG 34, FEMALES MAKE UP SLIGHTLY MORE THAN HALF OF THE TOTAL POPULATION. SOCIO-ECONOMICALLY, 17 PERCENT OF DEKALB COUNTY AND ALMOST 16 PERCENT OF FULTON COUNTY'S POPULATION LIVE BELOW THE FEDERAL POVERTY LINE(FPL), $23,550 FOR A FAMILY OF 4. NEARLY 37 PERCENT AND 32 PERCENT OF DEKALB AND FULTON COUNTY RESIDENTS, RESPECTIVELY, LIVE AT 200 PERCENT OF THE FEDERAL POVERTY LEVEL. GRADY'S TARGET SERVICE POPULATION INCLUDES THOSE RESIDENTS WHO LIVE AT OR BELOW 250 PERCENT OF FPL. THERE ARE MANY CENSUS TRACTS WITHIN BOTH COUNTIES WHERE AT LEAST 40 PERCENT OF THE POPULATION HAS INCOME THAT EQUALS OR IS BELOW 250 PERCENT OF FPL. PART VI, 5. PROMOTION OF COMMUNITY HEALTH: GMHC HAS NUMEROUS COLLABORATIONS WITH FULTON AND DEKALB COUNTIES TO DELIVER PRIMARY CARE. IN ADDITION, GMHC COLLABORATES WITH THE LOCAL FEDERALLY QUALIFIED HEALTH CENTERS AS WELL AS EMORY AND MOREHOUSE SCHOOLS OF MEDICINE. GMHC HAS A NOT-FOR-PROFIT COMMUNITY BOARD PROVIDING OVERSIGHT TO ONE OF THE LARGEST SAFETY NET HOSPITALS IN THE SOUTHEAST AND THE LARGEST TRAUMA CENTER IN GEORGIA. PART VI, 6. AFFILIATED HEALTH CARE SYSTEM ROLES: WHILE GRADY IS NOT LEGALLY AFFILIATED WITH THE EMORY HEALTHCARE SYSTEM, WE ARE THE PRIMARY TRAINING SITE FOR MORE THAN 1,000 EMORY AND MOREHOUSE INTERNS AND RESIDENTS EACH YEAR. PART VI, 7. STATE FILING OF COMMUNITY BENEFIT REPORT: GMHC FILES A COMMUNITY BENEFIT REPORT IN GEORGIA. true MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE SW ATLANTA GA 30310 581438873 4606764 RESIDENCY PROGRAM 1 X false true X X X X X true true false false false false false true false JOHN M HAUPERT PRESIDENT AND CEO 752985 0 210141 0 35000 0 10400 0 8587 0 1017113 0 0 0 CHRISTOPHER MOSLEY EVP/CHIEF OPERATING OFFICER 447800 0 127397 0 23000 0 10400 0 8441 0 617038 0 0 0 DEBORAH CANCILLA CHIEF INFORMATION OFFICER 226092 0 156181 0 13260 0 7715 0 4876 0 408124 0 0 0 TIMOTHY JEFFERSON EXEC VP -GENERAL COUNSEL 377782 0 91731 0 23000 0 21307 0 10710 0 524530 0 0 0 WILLIAM COMPTON VP -EMS 193469 0 127851 0 6231 0 6231 0 6499 0 340281 0 0 0 RHONDA SCOTT EXEC VP /CNO 295714 0 85500 0 12681 0 12955 0 8265 0 415115 0 0 0 PATRICIA PLAIR SVP FINANCE/MATERIALS MGMT 247790 0 77543 0 21835 0 9377 0 10003 0 366548 0 0 0 MARK MEYER EXEC VP/CFO 447716 0 135947 0 23000 0 10400 0 8836 0 625899 0 0 0 HOGAI NASSERY ADMIN - COMM MED 224974 0 64424 0 13500 0 9919 0 9001 0 321818 0 0 0 CRAIG TINDALL SR VP -OPERATIONS 267565 0 68499 0 23000 0 18612 0 2326 0 380002 0 0 0 LINDSAY CAULFIELD SVP MKTNG 251671 0 73739 0 15561 0 6362 0 5514 0 352847 0 0 0 LARRY CALLAHAN SVP/CHIEF HR OFF 433519 0 103740 0 18224 0 8989 0 9822 0 574294 0 0 0 RICHARD RHINE SVP REVENUE CYCLE 347687 0 0 23000 0 5077 0 9156 0 384920 0 0 0 PART I - QUESTIONS REGARDING COMPENSATION LINE 1B WRITTEN POLICY: WHILE GMHC HAD NO FORMAL WRITTEN POLICY REGARDING CLUB DUES OF EMPLOYEES, SUCH ACTIVITY PAYMENTS TO EMPLOYEES WERE BASED ON AN ACCOUNTABLE PLAN. CLUB DUES EXPENSES INCURRED ON BEHALF OF: JOHN HAUPERT $2,436 CHRISTOPHER MOSLEY $2,436 MARK MEYER $2,436 LINE4A 2014 SEVERANCE PAYMENTS: LARRY CALLAHAN $141,347 LINE 4B 2014 GROSS SERP PAYMENTS: LARRY CALLAHAN $47,152 lINE 7 DESCRIPTION OF NON-FIXED PAYMENTS: THERE WAS A FORMAL PLAN FOR SENIOR LEADERSHIP WITH SPECIFIC OBJECTIVES AND PERCENTAGE PAYOUTS BASED ON ACCOMPLISHMENT OF THOSE OBJECTIVES. THE PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE GMHC BOARD. JOHN HAUPERT CEO FORGIVABLE X 500000 504074 false true true 504074 X 12 26535830 COST false false true Noncash Contributions Noncash contributions are processed and solicited by the Henry Woodruff Grady Foundation. STATEMENT 1 GRADY HEALTH SYSTEM IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER. GRADY MAINTAINS ITS COMMITMENT TO THE UNDERSERVED OF FULTON AND DEKALB COUNTIES WHILE ALSO PROVIDING CARE TO RESIDENTS OF METRO ATLANTA AND GEORGIA. GRADY LEADS THROUGH CLINICAL EXCELLENCE, INNOVATIVE RESEARCH AND PROGRESSIVE MEDICAL EDUCATION AND TRAINING. STATEMENT 2 4A PROGRAM SERVICE CHARITY, UNINSURED, UNDERINSURED AND INDIGENT CARE IN THE 1800'S ATLANTA'S INDIGENT SICK HAD NO PLACE TO GO TO RECEIVE MEDICAL TREATMENT FOR ILLNESS OR INJURY. THEREFORE, A DRIVE WAS BEGUN TO BUILD GRADY MEMORIAL HOSPITAL (GRADY). ON JUNE 1, 1892, GRADY ADMITTED ITS FIRST PATIENT. AS OF TODAY, GRADY CONTINUES TO BE THE SAFETY NET HOSPITAL FOR THE UNINSURED AND UNDERINSURED CITIZENS OF FULTON AND DEKALB COUNTIES AND THE STATE OF GEORGIA. AS THE LARGEST SAFETY NET HOSPITAL IN THE STATE AND ONE OF THE LARGEST IN THE COUNTRY, ITS MISSION IS (1) TO PROVIDE MEDICAL SERVICES TO UNINSURED, UNDERINSURED, OR INDIGENT PATIENTS; (2) TO PROVIDE AN OPEN ACCESS POLICY FOR RESIDENTS OF FULTON AND DEKALB COUNTIES REGARDLESS OF THEIR ABILITY TO PAY; (3) AND TO PROVIDE A PROVISION FOR SIGNIFICANT UNCOMPENSATED INDIGENT AND CHARITY CARE. DURING 2014, GRADY PROVIDED CARE TO MORE THAN 103,293 UNDER AND UNINSURED PATIENTS WHICH REPRESENT APPROXIMATELY 74% OF ITS TOTAL PATIENTS WITH ABOUT 438,184 PATIENT ENCOUNTERS, COSTING APPROXIMATELY $402M. GRADY RECEIVES SOME REIMBURSEMENT FROM FULTON AND DEKALB COUNTIES, MEDICAID, AND SOME FUNDING FROM THE STATE OF GEORGIA'S INDIGENT CARE TRUST FUND (INCLUDING FEDERAL MATCHING FUNDS) TO HELP SUPPORT THE COSTS OF CARING FOR SO MANY IN THE REGION. GRADY HAS BEEN AND CONTINUES TO BE SIGNIFICANTLY CHALLENGED BY THE FINANCIAL BURDEN OF PROVIDING SO MUCH FREE CARE TO THE REGION. 4B PROGRAM SERVICE GRADUATE MEDICAL EDUCATION GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) HAS AFFILIATION AGREEMENTS WITH EMORY UNIVERSITY AND MOREHOUSE SCHOOLS OF MEDICINE TO SUPPORT THE TEACHING AND SUPERVISION OF RESIDENTS IN THE ORGANIZATION, AS WELL AS TO PROVIDE PROFESSIONAL CLINICAL AND ADMINISTRATIVE SERVICES. IN 2014, MORE THAN 1,000 RESIDENTS AND FELLOWS FROM EMORY AND MOREHOUSE PROGRAMS ROTATED THROUGH A BROAD SPECTRUM OF SERVICES IN THE ORGANIZATION. ADDITIONALLY, HUNDREDS OF MEDICAL STUDENTS BENEFITED FROM TRAINING IN THE ORGANIZATION. GMHC OFFERS UNIQUE LEARNING EXPERIENCES FOR RESIDENTS BY PROVIDING EXPOSURE TO TRAUMA, BURN, INFECTIOUS DISEASE, SICKLE CELL, NEUROLOGY AND OTHER COMPLEX CASES AND HOSTS A SIGNIFICANT NUMBER OF CLINICAL RESEARCH TRIALS TO ENHANCE THE RESIDENTS EDUCATIONAL EXPERIENCE. GMHC PROVIDED IN EXCESS OF $95M IN SUPPORT RELATIVE TO TEACHING SERVICES IN 2014, REIMBURSEMENT FOR TEACHING SERVICES FROM MEDICARE, MEDICAID AND OTHER GOVERNMENTAL FUNDS TOTALED $45M. 4C PROGRAM SERVICE EMERGENCY AND TRAUMA SERVICES GRADY OPERATES ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN THE EASTERN UNITED STATES AND THE COUNTRY'S LARGEST HOSPITAL-BASED AMBULANCE SERVICE. GMHC OPERATES THE LARGEST LEVEL 1 TRAUMA CENTER IN THE ATLANTA METROPOLITAN AREA WHICH HANDLED 3,548 ACUTE TRAUMA CASES IN 2014. ADDITIONALLY, AS PART OF ITS TRAUMA SERVICE, GMHC OPERATES ONE OF ONLY TWO BURN CENTERS IN GEORGIA. THE NATIONALLY ACCLAIMED EMERGENCY CARE CENTER (ECC) HANDLED 118,779 EMERGENCY CASES IN 2014. THE EMERGENCY ROOM WAS THE INTAKE POINT FOR 18,934 OF THE SAFETY NET HOSPITAL'S TOTAL ADMISSIONS. ALSO, GRADY'S EMS AMBULANCE FLEET OF 45 UNITS COMPLETED 129,592 TRIPS IN A 142 SQUARE-MILE AREA. AND OF COURSE, THEY ALL OPERATE 24 HOURS A DAY, 365 DAYS A YEAR. GMHC'S LEVEL 1 TRAUMA CENTER IS A REGIONAL RESOURCE TRAUMA CENTER THAT IS A TERTIARY CARE FACILITY, CENTRAL TO THE STATE'S TRAUMA CARE SYSTEM. AS A LEVEL 1 TRAUMA CENTER, THE HOSPITAL MUST HAVE THE CAPABILITY OF PROVIDING LEADERSHIP AND TOTAL CARE FOR EVERY ASPECT OF INJURY, FROM PREVENTION THROUGH REHABILITATION. LEVEL 1 TRAUMA SERVICES REQUIRE DEDICATED ONSITE PHYSICIANS, NURSING STAFF AND FACILITIES RESOURCES TO PROVIDE THE PATIENT CARE, EDUCATION, AND RESEARCH COMMITMENTS. 4D PROGRAM SERVICE OTHER PROGRAM SERVICES GRADY'S OTHER PROGRAMS INCLUDE NATIONALLY RECOGNIZED PROGRAMS IN THE AREAS OF INFECTIOUS DISEASE, DIABETES, AND SICKLE CELL AS WELL AS REGIONAL SERVICE FOR NEONATAL TRANSPORT, MATERNAL AND INFANT PROJECT, CARDIOVASCULAR HEALTH, PSYCHOLOGY, BURN, CANCER AND MARCUS STROKE AND NEUROSCIENCE CENTER. PRIMARY CARE SERVICES ARE ALSO PROVIDED THROUGH HOSPITAL MAIN-CAMPUS DEPARTMENTS AND NEIGHBORHOOD CLINICS. PART VI, SECTION A LINE 2- DIRECTOR RELATIONSHIPS THOMAS D BELL JR - A D CORRELL -BUSINESS RELATIONSHIP ANDREW W EVANS-THOMAS BELL -BUSINESS RELATIONSHIP LINE 3 - DELEGATION OF CONTROL- GMHC HAS CONTRACTED WITH CHILDREN'S HEALTHCARE OF ATLANTA (CHOA) TO MANAGE OPERATIONS OF HUGHES SPALDING CHILDREN'S HOSPITAL. CHOA OVERSEES DAILY OPERATION. PART VI, SECTION B LINE 11A- REVIEW PROCESS OF FORM 990 IN NOVEMBER, 2015 THE AUDIT COMMITTEE OF THE GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) REVIEWED A DRAFT OF THE 2014 FORM 990, WHICH HAD PREVIOUSLY BEEN REVIEWED BY MANAGEMENT, WHICH WAS DISTRIBUTED TO EACH COMMITTEE MEMBER. DISCUSSION ENSUED AND COMMENTS AND SUGGESTIONS WERE TAKEN INTO CONSIDERATION IN FINALIZING THE FORM SUBSEQUENT TO THE MEETING. A FINAL DRAFT WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. LINE 12C- ENFORCEMENT OF CONFLICT OF INTEREST POLICY GRADY MEMORIAL HOSPITAL CORPORATION HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. GRADY MEMORIAL HOSPITAL CORPORATION IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT GRADY MEMORIAL HOSPITAL CORPORATION'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT WOULD IMPACT ITS BUSINESS, THUS GRADY MEMORIAL HOSPITAL CORPORATION'S EMPLOYEES MUST AVOID PARTICIPATING IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. GMHC'S CONFLICT OF INTEREST SURVEY IS ADMINISTERED ANNUALLY TO OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER IDENTIFIED PERSONNEL AND AT THE TIME OF APPOINTMENT AND REAPPOINTMENT OF MEDICAL STAFF. AFFIRMATIVE REPLIES ARE REVIEWED FOR DETERMINING APPROPRIATE MANAGEMENT, WHERE APPLICABLE. LINE 15B- COMPENSATION OF CEO AND KEY EMPLOYEES EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND IS REVIEWED ANNUALLY. GRADY MEMORIAL HOSPITAL CORPORATION'S BOARD OF DIRECTORS DESIGNATED THE COMPENSATION COMMITTEE TO BE RESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION. PART VI, SECTION C LINE 19- DOCUMENTS MADE PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE WEBPAGE REFERENCED ON FORM 990, PAGE 1, ITEM J. PART XI LINE 9- OTHER CHANGES IN NET ASSETS CONSISTS OF CHANGES IN RESTRICTED CONTRIBUTIONS. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:XXX-XX-XXXX HENRY W GRADY FOUNDATION 191 PEACHTREE STREET NE 820 ATLANTA GA 30303 582130437 HEALTH CARE GA 501(c)(3) 11 NA false RELIANT EMERGENCY SPECIALTIES 745 MEMORIAL DR SE ATLANTA GA 30316 471397856 FLEET MAINTENANCE GA GMHC C 100 100 1.00000 true false false true true false false false false false false false false true false true false false false false HENRY W GRADY FOUNDATION c 11823240 FMV HENRY W GRADY FOUNDATION m 1397154 FMV RELIANT EMERGENCY SPECIALTIES d 13320 FMV RELIANT EMERGENCY SPECIALTIES o 7243 FMV