GWINNETT HOSPITAL SYSTEMINC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: GWINNETT HOSPITAL SYSTEMINC (EIN 58-2002413)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-13
IRS object ID: 201321339349303867
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-13T14:43:53-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DRAFFIN & TUCKER LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 71309	AddressLine1
City	ALBANY	City
State	GA	State
ZIP Code	317081309	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	582002413	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT HOSPITAL SYSTEMINC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GWIN	NameControl
Phone	6783124321	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 MEDICAL CENTER BOULEVARD	AddressLine1
City	LAWRENCEVILLE	City
State	GA	State
ZIP Code	30046	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	THOMAS Y MCBRIDE III	Name
Title	EXECUTIVE VP & CFO	Title
Phone	6783124321	Phone
Date Signed	2013-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	WILLIAM EDWARD PHILLIPS	Name
Phone	2298837878	Phone
Date Prepared	2013-05-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PHILIP R WOLFE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1000 MEDICAL CENTER BOULEVARD	AddressLine1
City	LAWRENCEVILLE	City
State	GA	State
ZIP Code	30046	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	645914306	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.GWINNETTMEDICALCENTER.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1992	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	GWINNETT HOSPITAL SYSTEM, INC. (GHSI) IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GWINNETT COMMUNITY AND BEYOND. GHSI HAS CAMPUSES IN DULUTH & LAWRENCEVILLE, GEORGIA. GHSI PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALITY, OPEN HEART SURGERY, AND OPERATES TWO EMERGENCY ROOMS AND SEVERAL CLINICS AS WELL AS A FULL CONTINUUM OF WELLNESS SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	2	NbrIndependentVotingMembers
Total Nbr Employees	4665	TotalNbrEmployees
Total Nbr Volunteers	300	TotalNbrVolunteers
Total Gross UBI	778138	TotalGrossUBI
Net Unrelated Business Txbl Income	237507	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	12836923	ContributionsGrantsPriorYear
Contributions Grants Current Year	6070589	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	595270227	ProgramServiceRevenuePriorYear
Program Service Revenue CY	621420270	ProgramServiceRevenueCY
Investment Income Prior Year	10023121	InvestmentIncomePriorYear
Investment Income Current Year	11859335	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-34096	OtherRevenuePriorYear
Other Revenue Current Year	6445786	OtherRevenueCurrentYear
Total Revenue Prior Year	618096175	TotalRevenuePriorYear
Total Revenue Current Year	645795980	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	7799033	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	12653550	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	249431783	SalariesEtcPriorYear
Salaries Etc Current Year	254119157	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	330335175	OtherExpensePriorYear
Other Expenses Current Year	338995004	OtherExpensesCurrentYear
Total Expenses Prior Year	587565991	TotalExpensesPriorYear
Total Expenses Current Year	605767711	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	30530184	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	40028269	RevenuesLessExpensesCY
Total Assets BOY	828442212	TotalAssetsBOY
Total Assets EOY	840356628	TotalAssetsEOY
Total Liabilities BOY	437216897	TotalLiabilitiesBOY
Total Liabilities EOY	462597018	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	391225315	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	377759610	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	GWINNETT HOSPITAL SYSTEM, INC. (GHSI) IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GWINNETT COMMUNITY AND BEYOND. GHSI HAS CAMPUSES IN DULUTH & LAWRENCEVILLE, GEORGIA. GHSI PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALITY, OPEN HEART SURGERY, AND OPERATES TWO EMERGENCY ROOMS AND SEVERAL CLINICS AS WELL AS A FULL CONTINUUM OF WELLNESS SERVICES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	true	SignificantChange
Expense	515730131	Expense
Grants	12621550	Grants
Revenue	622353804	Revenue
Description	GWINNETT HOSPITAL SYSTEM, INC'S PRIMARY PROGRAM ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITAL PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALITY, OPEN HEART SURGERY, AND OPERATES TWO EMERGENCY ROOMS AND SEVERAL CLINICS AS WELL AS 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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	7565648	Expense
Grants	32000	Grants
Description	THE HOSPITAL PROVIDES HEALTH PROFESSIONAL EDUCATION SERVICES WITH FOCUSES ON NURSING AND OTHER ALLIED HEALTH PROFESSIONS EDUCATION.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	3028277	Expense
Revenue	395177	Revenue
Description	THE HOSPITAL PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES. TWO OF THE LARGEST PROGRAMS INCLUDE THE CONGREGATIONAL HEALTH MINISTRY AND THE SPORTS MEDICINE SUPPORT SERVICES. THESE PROGRAMS ARE CONDUCTED IN THE COMMUNITY THROUGH FAITH-BASED ORGANIZATIONS, SCHOOLS AND THE GWINNETT COUNTY PARK AND RECREATION DEPARTMENT.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	526324056	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	488	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	4665	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	2	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	LAVERNE GROVE	NamePerson
Telephone Number	6783125603	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1000 MEDICAL CENTER BLVD	AddressLine1
City	LAWRENCEVILLE	City
State	GA	State
ZIP Code	30046	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
MILES H MASON III
BOARD MEMBER	2.00	X	51372	0	0
DAVID MCCLESKEY
BOARD MEMBER	2.00	X	1301	0	0
MANFRED SANDLER
BOARD MEMBER	2.00	X	1250	0	0
CHUNG H LEE
BOARD MEMBER	2.00	X	1125	0	0
EDWARD RADFORD
BOARD MEMBER	2.00	X	875	0	0
PHILIP WOLFE
PRESIDENT &	38.00		903279	0	108716	X
THOMAS Y MCBRIDE III
EXECUTIVE VP	38.00		517898	0	327303	X
ALAN BIER
EXECUTIVE VP	60.00		508441	0	68325	X
JEFFERY NOWLIN
EXECUTIVE VP	60.00		476486	0	62627	X
WALLACE BROWN
SENIOR VP &	60.00		354711	0	69201	X
STEPHEN NADEAU
SENIOR VP OF	60.00		339308	0	58534	X
PETER WHEELER
GENERAL LEGA	38.00		336876	0	69198	X
CAROL DANIELSON
SENIOR VP &	60.00		326007	0	53852	X
LEA BAY
SR. VP & PRE	60.00		319611	0	72330	X
CARLTON KEITH BUCHANAN MD
INTERIM CMIO	5.00		52000	0	0	X
JESSIE T SHEPHERD
SR VP PLAN &	60.00		294237	0	49460		X
THOMAS LYNCH
VP MANAGED C	60.00		240124	0	39909		X
JAMES DENNARD JR
VP & COO GMC	60.00		233532	0	38443		X
SCOTT OREM
VP FINANCE	60.00		218595	0	52835		X
DIANA POTTS
CHIEF NURSIN	60.00		218390	0	30320		X
CATHY DOUGHERTY
ASSISTANT VP	60.00		181418	0	34159		X
BONNY RICHARDSON
ASSOCIATE LE	38.00		178533	0	17635		X
MIKE HEMPHILL
DIRECTOR OF	60.00		160356	0	34197		X
LAURA TUCKER
DIRECTOR/CRI	60.00		251360	0	6447			X
JANET SCHWALBE
VP PHYSICIAN	60.00		222138	0	34011			X
PAMELA KAUFFMAN
EXECUTIVE DI	60.00		198118	0	26260			X
CATHIE L BRAZELL
DIRECTOR WOM	60.00		169647	0	14241			X
RICHARD K ALLEN
ASST. VP INF	60.00		164866	0	33993			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6921854	TotalReportableCompFromOrg
Total Other Compensation	1301996	TotalOtherCompensation
Number Individuals GT100 K	25	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ALLIANCE LAUNDRY
7990 SECOND FLAGS DRIVE SUITE A	AUSTELL	GA	30168	LAUNDRY & TEXTI	2351710
GWINNETT ANESTHESIA SERVICE PC
PO BOX 669	LAWRENCEVILLE	GA	30046	ANESTHESIA	2014522
ABACUS SOLUTIONS LLC
PO BOX 890932	CHARLOTTE	NC	28289	INFORM TECHNOLO	1360772
CLINTON A HARKINS PC
4901 OLDE TOWNE PKWY STE 300	MARIETTA	GA	30068	COLLECTIONS	1331982
PRICEWATERHOUSECOOPERS LLP
PO BOX 932011	ATLANTA	GA	31193	AUDIT/CONSULTIN	879271

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	52	NumberOfContractorsGT100K
Related Organizations	5781000	RelatedOrganizations
Government Grants	281250	GovernmentGrants
All Other Contributions	8339	AllOtherContributions
Total Contributions	6070589	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE	621500	617101658	617101658
DISCOUNTS	900099	2613503	2613503
MANAGEMENT FEES	900099	530984	530984
REFERENCE LAB	900099	473294		473294
COMMUNITY HEALTH SERVICES	900099	395987	395987

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	304844	TotalRevenueColumn
Unrelated Business Revenue	304844	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	621420270	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9197691	TotalRevenueColumn
Exclusion	$9,197,691	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	164237	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	164237	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	164237	TotalRevenueColumn
Exclusion	$164,237	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2779970	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	118326	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2779970	Securities
Other	-118326	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2661644	TotalRevenueColumn
Exclusion	$2,661,644	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA & VENDING	900099	1987679	$1,987,679
INTECH US LARGE CAP GROWTH	900099	1030596	$1,030,596
PARKING	900099	959585	$959,585

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2303689	TotalRevenueColumn
Related Or Exempt Function Income	1989706	RelatedOrExemptFunctionIncome
Exclusion	$313,983	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6281549	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	645795980	TotalRevenueColumn
Related Or Exempt Function Income	622631838	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	778138	UnrelatedBusinessRevenue
Exclusion	$16,315,415	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	12621550	Total
Program Services	12621550	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	32000	Total
Program Services	32000	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	202776362	Total
Program Services	171192322	ProgramServices
Management And General	31584040	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11471654	Total
Program Services	9682076	ProgramServices
Management And General	1789578	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25618732	Total
Program Services	21622210	ProgramServices
Management And General	3996522	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	14252409	Total
Program Services	12029033	ProgramServices
Management And General	2223376	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	878932	Total
Program Services	878932	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	929239	Total
Program Services	37870	ProgramServices
Management And General	891369	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	477939	Total
Management And General	477939	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	554761	Total
Program Services	554761	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9153004	Total
Program Services	3406479	ProgramServices
Management And General	5746525	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2164731	Total
Program Services	101579	ProgramServices
Management And General	2063152	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8568256	Total
Program Services	5839728	ProgramServices
Management And General	2728528	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9676499	Total
Program Services	1479629	ProgramServices
Management And General	8196870	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	11430982	Total
Program Services	10522397	ProgramServices
Management And General	908585	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	299288	Total
Program Services	127032	ProgramServices
Management And General	172256	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	252955	Total
Program Services	80875	ProgramServices
Management And General	172080	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	8625634	Total
Program Services	8625634	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	34315258	Total
Program Services	34315258	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1395999	Total
Program Services	1203862	ProgramServices
Management And General	192137	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	108013422	108013422
MEDICAL & SURGICAL SUPPLI	81559046	81526464	32582
PURCHASED SERVICES	31728440	15154279	16574161
OTHER	17819620	16967544	852076

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	11150999	Total
Program Services	10309120	ProgramServices
Management And General	841879	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	605767711	Total
Program Services	526324056	ProgramServices
Management And General	79443655	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	30344901	BOY
EOY	64787633	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	62694141	BOY
EOY	30765661	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	88705978	BOY
EOY	88720568	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	580924	BOY
EOY	1273630	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4857955	BOY
EOY	5158876	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6197320	BOY
EOY	8209111	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	615459349	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	313805074	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	300057632	BOY
EOY	301654275	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	314069368	BOY
EOY	319366863	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	8185532	BOY
EOY	8446860	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	3430000	BOY
EOY	3430000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	9318461	BOY
EOY	8543151	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	828442212	BOY
EOY	840356628	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	38130845	BOY
EOY	38746167	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	214231	BOY
EOY	369519	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	315330000	BOY
EOY	307585000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1862910	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	81678911	BOY
EOY	115896332	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	437216897	BOY
EOY	462597018	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	381247441	BOY
EOY	371665231	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9690779	BOY
EOY	5213640	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	287095	BOY
EOY	880739	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	391225315	BOY
EOY	377759610	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	828442212	BOY
EOY	840356628	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	40028269	ReconcilationRevenueExpenses
Reconcilation Other Changes	-53493974	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Form1120 Pol Filed	false	Form1120PolFiled
Form4720 Filed	false	Form4720Filed
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$37,519	OtherActivitiesAmount
Total Lobbying Expenditures IIB	37519	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax
Substantially All Dues Nondeduct	false	SubstantiallyAllDuesNondeduct
Only In House Lobbying	false	OnlyInHouseLobbying
Agree To Carryover Prior Year	false	AgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Return Reference	SCHEDULE C, PART II-B, LINE 1	ReturnReference
Explanation	DUES PAID TO GEORGIA HOSPITAL ASSOCIATION WERE 163,125. OF THIS AMOUNT, 23%, OR 37,519 WENT FOR LOBBYING.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9977875	BeginningOfYearBalance
Contributions	1666000	Contributions
Investment Earnings Or Losses	155348	InvestmentEarningsOrLosses
Other Expenditures	5704844	OtherExpenditures
End Of Year Balance	6094379	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7757383	BeginningOfYearBalance
Contributions	1970363	Contributions
Investment Earnings Or Losses	250129	InvestmentEarningsOrLosses
End Of Year Balance	9977875	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6154854	BeginningOfYearBalance
Contributions	4262776	Contributions
Investment Earnings Or Losses	-2658501	InvestmentEarningsOrLosses
Other Expenditures	1750	OtherExpenditures
End Of Year Balance	7757379	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3960633	BeginningOfYearBalance
Contributions	44549	Contributions
Investment Earnings Or Losses	2149672	InvestmentEarningsOrLosses
End Of Year Balance	6154854	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.85550	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.14450	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15862708	OtherCostOrOtherBasis
Book Value	15862708	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	281726774	OtherCostOrOtherBasis
Depreciation	107890279	Depreciation
Book Value	173836495	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18128055	OtherCostOrOtherBasis
Depreciation	12946711	Depreciation
Book Value	5181344	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	295199306	OtherCostOrOtherBasis
Depreciation	191721289	Depreciation
Book Value	103478017	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4542506	OtherCostOrOtherBasis
Depreciation	1246795	Depreciation
Book Value	3295711	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	301654275	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (11 entries)

DescriptionDescription	AmountAmount
INTEREST RATE SWAPS	$47,592,123
ACCRUED PENSION COSTS	$44,289,697
THIRD PARTY SETTLEMENTS	$10,412,884
SELF-INSURANCE RESERVES	$7,109,562
ACCRUED INTEREST PAYABLE	$3,824,075
EXECUTIVE BENEFITS LIABILITY	$2,172,211
ASSET RETIREMENT OBLIGATION	$276,996
BOND EXPENSE PAYABLE	$179,540
SALES TAX & REAL ESTATE TAX PAYABLE	$38,275
ENDOSCOPY	$969
DUE TO AFFILIATED ENTITIES

Field	Value	IRS element (for citing)
Total Of Amounts	115896332	TotalOfAmounts
Total Revenue	645795980	TotalRevenue
Total Expenses	605767711	TotalExpenses
Excess Or Deficit For Year	40028269	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-2643689	NetUnrealizedGLOnInvestments
Other	-$11,558,641	OtherAmount
Total Adjustments	-14202330	TotalAdjustments
Excess Or Deficit Per FS	25825939	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	510771264	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-2643689	NetUnrealizedGainsInvestments
Other Revenues	-22585408	OtherRevenues
Revenue Not Rptd F990	-25229097	RevenueNotRptdF990
Revenue Subtotal	536000361	RevenueSubtotal
Investment Expenses Not Included	554761	InvestmentExpensesNotIncluded
Other Revenues Not Included	109240858	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	109795619	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	645795980	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	484945325	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	484945325	ExpensesSubtotal
Investment Expenses Not Included2	554761	InvestmentExpensesNotIncluded2
Other Expenses Not Included	120267625	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	120822386	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	605767711	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDS	SCHEDULE D, PAGE 2, PART V, LINE 4	TERM ENDOWMENT FUNDS ARE USED TO SUPPORT SPECIFIC HOSPITAL PROJECTS OR PROGRAMS.
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX OR RELATED INCOME UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). THE HOSPITAL FOLLOWS FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. IT ALSO PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL CURRENTLY NO IMPACT ON THE HOSPITAL'S FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740.
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	INTEREST RATE SWAP CHANGE -22,585,408 BAD DEBT EXPENSES RECLASSIFIED -108,013,422 PARTNERSHIP INCOME NOT IN BOOKS -1,227,436 BAD DEBT EXPENSES RECLASSIFIED 108,013,422 CONTRIBUTION 12,254,203
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	INTEREST RATE SWAP CHANGE -22,585,408
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	BAD DEBT EXPENSES RECLASSIFIED 108,013,422 PARTNERSHIP INCOME NOT IN BOOKS 1,227,436
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 4B	BAD DEBT EXPENSES RECLASSIFIED 108,013,422 CONTRIBUTION 12,254,203

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	1.25000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33403709	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4571337	DirectOffsettingRevenue
Net Community Benefit Expense	28832372	NetCommunityBenefitExpense
Percent Of Total Expense	0.05790	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	77350791	TotalCommunityBenefitExpense
Direct Offsetting Revenue	59907899	DirectOffsettingRevenue
Net Community Benefit Expense	17442892	NetCommunityBenefitExpense
Percent Of Total Expense	0.03500	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	35652	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24784	DirectOffsettingRevenue
Net Community Benefit Expense	10868	NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	110790152	TotalCommunityBenefitExpense
Direct Offsetting Revenue	64504020	DirectOffsettingRevenue
Net Community Benefit Expense	46286132	NetCommunityBenefitExpense
Percent Of Total Expense	0.09290	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	176	NumberOfActivitiesOrPrograms
Persons Served	634814	PersonsServed
Total Community Benefit Expense	3530120	TotalCommunityBenefitExpense
Direct Offsetting Revenue	251997	DirectOffsettingRevenue
Net Community Benefit Expense	3278123	NetCommunityBenefitExpense
Percent Of Total Expense	0.00660	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	29	NumberOfActivitiesOrPrograms
Persons Served	4461	PersonsServed
Total Community Benefit Expense	7739869	TotalCommunityBenefitExpense
Net Community Benefit Expense	7739869	NetCommunityBenefitExpense
Percent Of Total Expense	0.01550	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	6975	PersonsServed
Total Community Benefit Expense	23766595	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19999820	DirectOffsettingRevenue
Net Community Benefit Expense	3766775	NetCommunityBenefitExpense
Percent Of Total Expense	0.00760	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	1414	PersonsServed
Total Community Benefit Expense	686813	TotalCommunityBenefitExpense
Net Community Benefit Expense	686813	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	2259	PersonsServed
Total Community Benefit Expense	17642	TotalCommunityBenefitExpense
Net Community Benefit Expense	17642	NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	218	NumberOfActivitiesOrPrograms
Persons Served	649923	PersonsServed
Total Community Benefit Expense	35741039	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20251817	DirectOffsettingRevenue
Net Community Benefit Expense	15489222	NetCommunityBenefitExpense
Percent Of Total Expense	0.03110	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	218	NumberOfActivitiesOrPrograms
Persons Served	649923	PersonsServed
Total Community Benefit Expense	146531191	TotalCommunityBenefitExpense
Direct Offsetting Revenue	84755837	DirectOffsettingRevenue
Net Community Benefit Expense	61775354	NetCommunityBenefitExpense
Percent Of Total Expense	0.12400	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	6	PersonsServed
Total Community Building Expense	1457	TotalCommunityBuildingExpense
Net Community Building Expense	1457	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	1418	PersonsServed
Total Community Building Expense	34740	TotalCommunityBuildingExpense
Net Community Building Expense	34740	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	196171	TotalCommunityBuildingExpense
Net Community Building Expense	196171	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	1424	PersonsServed
Total Community Building Expense	232368	TotalCommunityBuildingExpense
Net Community Building Expense	232368	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$108,013,422	BadDebtExpenseAmount
Amount Attributable To	3496475	AmountAttributableTo
Amount Reimbursed By Medicare	98507193	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	101920428	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3413235	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT ENDOSCOPY S	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	ENDOSCOPY	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.55000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.45000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Business Name Line2Name/BusinessNameLine2	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
GWINNETT MEDICAL CENTER
1	LAWRENCEVILLE	1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	X	X	X
GWINNETT MEDICAL CENTER DULUTH
2		3620 HOWELL FERRY ROAD	DULUTH	GA	30096	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Medicare RateMedicareRate	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
GWINNETT MEDICAL CENTER
1	true	true	125.0	true	300.0	true	X	X	X	X	X	X	true	true	X	X	X	true	false	X	X	X	true	X	false	false
GWINNETT MEDICAL CENTER DULUTH
2	true	true	125.0	true	300.0	true	X	X	X	X	X	X	true	true	X	X	X	true	false	X	X	X	true	X	false	false

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	THE WOUND TREATMENT CENTER IS A PHYSICIAN PRACTICE THAT WAS INCLUDED IN THE SUBSIDIZED SERVICES CATEGORY THE CENTER PROVIDES SERVICES THAT MEET IDENTIFIED COMMUNITY NEEDS THE CENTER 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 ATRISK POPULATIONS IN ADDITION THE MEDICAL PRACTICE IS OPERATED EFFICIENTLY AND PAYMENTS TO PHYSICIANS ARE REASONABLE AND INLINE 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 1487510 WITH A NET COMMUNITY BENEFIT EXPENSE OF 943685
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	XXX-XX-XXXX IN BAD DEBT EXPENSES WERE SUBTRACTED FROM FORM 990 PART IX LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	LINE 7A CHARITY CARE COSTS WERE CALCULATED USING A MEDICAID SPECIFIC COSTTOCHARGE 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 ADS 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 ADS DOES INCLUDE INFORMATION FROM ALL PATIENT SEGMENTS REGARDLESS OF PAYOR THE MEDICAID SHORTFALL REPORTED ON LINE 7B INCLUDES A PRIOR YEAR SETTLEMENT HIT OF 347926
COMMUNITY BUILDING ACTIVITIES	PART II	COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AND ARE CAPTURED IN THE CATEGORIES OF 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 STANDARDSOFCARE COALITION BUILDING INCLUDES PARTICIPATION OF THE CHAPLAINCY COORDINATED CARE CONGREGATIONAL HEALTH MINISTRY WOMENS SERVICES PHYSICIAN SERVICES AND THE COMMUNITY BENEFIT RESEARCH 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 EG 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 GRN COMMUNITY SERVICE BOARD GEORGIA TRAUMA CARE NETWORK COMMISSION GEORGIA STATE OFFICE OF EMERGENCY MEDICAL SERVICES AND TRAUMA PARTNERSHIP AGAINST DOMESTIC VIOLENCE PADV GWINNETT COUNTY RAPE CRISIS 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 2010 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
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	AUDITED FINANCIAL STATEMENT FOOTNOTE THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENTS 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 THIRDPARTY 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 SELFPAY PATIENTS WHICH INCLUDE PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY 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 HOSPITALS PROVISION FOR UNCOLLECTIBLE ACCOUNTS DECREASED 2718000 FROM XXX-XX-XXXX IN FISCAL YEAR 2011 TO XXX-XX-XXXX IN FISCAL YEAR 2012 THE DECREASE WAS A RESULT OF THE CHANGE IN ITS UNINSURED DISCOUNT POLICIES DURING FISCAL 2012 THE HOSPITAL DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS NOR DOES IT HAVE SIGNIFICANT WRITEOFFS RELATED TO THIRDPARTY PAYORS 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 MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS IN PRIOR YEARS BAD DEBT EXPENSE WAS REPORTED AT ESTIMATED COST PER SCHEDULE H INSTRUCTIONS 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 LINE 3 THE HOSPITAL USES A NOTE ON THE PATIENT ACCOUNT TO IDENTIFY PATIENTS UNCOOPERATIVE WITH THE HOSPITALS FINANCIAL ASSISTANCE POLICY THAT WOULD HAVE LIKELY 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 HOSPITALS COMMUNITY BENEFIT
MEDICARE EXPLANATION	PART III LINE 8	THE COST REPORTED ON LINE 6 ARE PER THE MEDICARE COST REPORT AND WERE CALCULATED BASED ON COSTTOCHARGE RATIOS SINCE THE AMOUNTS REPORTED ON LINES 5 6 ONLY INCLUDE MEDICARE PART A COSTS AND PAYMENTS THE OTHER MEDICARE IE MEDICARE PT C PHYSICIAN SERVICES FEE SCHEDULE NON ALLOWABLE COSTS AND PAYMENTS ARE INCLUDED IN THE ATTACHED MEDICARE RECONCILIATION NONE OF THE MEDICARE SHORTFALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT SINCE THERE WAS NOT A SHORTFALL RELATED TO THOSE PATIENTS THAT HAD MEDICAID AS A SECONDARY PAYOR AND THEREFORE DEEMED INDIGENT FOR MEDICARE BAD DEBT PURPOSES THERE WERE 2162752 IN PRIOR YEAR MEDICARE SETTLEMENTS RECEIVED IN THE CURRENT YEAR THAT ARE NOT REFLECTED IN THE SHORTFALL OR MEDICARE RECONCILIATION
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	THE FINANCIAL ASSISTANCE POLICY STATES THAT THOSE PATIENTS APPROVED FOR FINANCIAL ASSISTANCE WILL BE BILLED AT MEDICARE RATES IN ADDITION THE CREDIT AND COLLECTION POLICY DESCRIBES HOW UNINSURED PATIENTS CAN RECEIVE A PROMPT PAY DISCOUNT THIS POLICY ALSO DESCRIBES THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM CONTACT INFORMATION IS PROVIDED FOR ANYONE NEEDING ASSISTANCE OR HAVING QUESTIONS UNINSURED PATIENTS ARE GIVEN AN AUTOMATIC DISCOUNT FROM GROSS CHARGES 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 INDENTIFY THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE
NEEDS ASSESSMENT	PART VI	FOR MORE THAN A DECADE OUR HOSPITALS HAVE CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS IN COLLABORATION WITH THE GWINNETT COUNTY HEALTH DEPARTMENT TO ASSESS THE HEALTHCARE NEEDS OF RESIDENTS OF GWINNETT COUNTY 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 THE HEALTH NEEDS ASSESSMENT PROVIDES A SNAPSHOT OF OUR COMMUNITY IN THE AREAS OF DEMOGRAPHICS INCLUDING POPULATION ECONOMICS EDUCATION HOUSING LABOR TRANSPORTATION AND PUBLIC ASSISTANCE AS WELL AS PROVIDING FIVEYEAR TREND DATA MEASURING MORTALITY AND HOSPITAL MORBIDITY RATES BY DISEASE STATES SELECT NOTIFIABLE DISEASES AND MATERNALINFANT HEALTH THE LAST HEALTH STATUS REPORT WAS PUBLISHED IN 2007 THIS REPORT WAS MADE AVAILABLE TO THE PUBLIC THROUGH MAILINGS TO CITY COUNTY STATE AND FEDERAL GOVERNMENT REPRESENTATIVES TO COMMUNITY SERVICE ORGANIZATIONS AND UPON REQUEST THE REPORT IS ALSO AVAILABLE ON OUR WEBSITE THE INFORMATION CONTAINED IN THE NEEDS ASSESSMENT IS UPDATED BETWEEN PUBLISHED REPORTS THROUGH SECONDARY VITAL STATISTICS DATA PROVIDED BY THE ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM OASIS WHICH IS A TOOLSET THAT ALLOWS ACCESS TO THE GEORGIA DIVISION OF PUBLIC HEALTHS STANDARDIZED HEALTH DATA REPOSITORY DATA FROM THE US CENSUS BUREAU CENTERS FOR DISEASE CONTROL AND PREVENTION CDC AND THE COMPARISONS TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTHY PEOPLE 2010 OBJECTIVES ARE ALSO INCLUDED IN THE REPORT IN ADDITION TO THE PUBLISHED REPORT OUR PLANNING DEPARTMENT IDENTIFIES HOSPITALBASED NEEDS USING ADMISSIONDISCHARGE AND OTHER UTILIZATION DATA THE COMMUNITY BENEFIT PLAN IS UPDATED ANNUALLY THIS 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 THE ORGANIZATIONS 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 UPDATE THEN THE PLAN IS REVIEWED AND APPROVED BY HOSPITAL ADMINISTRATION AND IS PRESENTED TO THE GWINNETT HOSPITAL SYSTEM BOARD OF DIRECTORS FOR THEIR INPUT REVIEW AND APPROVAL COMMUNITY HEALTH NEEDS ARE INDENTIFIED BY OUR ORGANIZATION PRIMARILY THROUGH MORBIDITY AND MORTALITY VITAL STATISTICS MAJOR HEALTH PROBLEMS IN OUR COMMUNITY ARE IDENTIFIED BY MONITORING MORBIDITY THROUGH STATISTICS ASSOCIATED WITH THE LEADING CAUSES OF HOSPITAL DISCHARGES NOT INCLUDING EMERGENCY DEPARTMENT VISITS ACCORDING TO THE MOST RESENT FIVEYEAR AGGREGATE DATA FROM THE GEORGIA DEPARTMENT OF PUBLIC HEALTH OFFICE OF HEALTH INDICATORS FOR PLANNING OHIP THE TOP CAUSES OF HOSPITALIZATION FOR GWINNETT COUNTY RESIDENTS ARE 1 PREGNANCY AND CHILDBIRTH 2 DISEASE OF THE HEART 3 UNINTENTIONAL INJURIES 4 CANCER 5 INFLUENZA AND PNEUMONIA THE TOP CAUSES OF EMERGENCY ROOM VISITS ARE ANOTHER SET OF INDICATORS ACCORDING TO THE MOST RESENT FIVEYEAR AGGREGATE DATA FROM THE GEORGIA DEPARTMENT OF PUBLIC HEALTH OFFICE OF HEALTH INDICATORS FOR PLANNING OHIP THE TOP CAUSES OF EMERGENCY ROOM VISITS FOR GWINNETT COUNTY RESIDENTS ARE 1 UNINTENTIONAL INJURIES 2 PREGNANCY AND CHILDBIRTH 3 CHRONIC LOWER RESPIRATORY DISEASES 4 INFLUENZA AND PNEUMONIA 5 ACUTE BRONCHITIS THE LEADING CAUSES OF PREMATURE DEATH ARE IMPORTANT TO EVALUATE BECAUSE IN MANY SITUATIONS THESE MAY BE PREVENTABLE GWINNETT COUNTY HAS AN UNUSUAL AGE DISTRIBUTION PATTERN WITH 72 PERCENT OF THE POPULATION UNDER THE AGE OF 45 ACCORDING TO THE MOST RESENT FIVEYEAR AGGREGATE DATA FROM THE GEORGIA DEPARTMENT OF PUBLIC HEALTH OFFICE OF HEALTH INDICATORS FOR PLANNING OHIP THE TOP CAUSES OF PREMATURE DEATH RATES WHEN RANKED BY YEARS OF LIFE LOST BEFORE AGE 75 FOR GWINNETT COUNTY RESIDENTS ARE 1 CANCER 2 UNINTENTIONAL INJURIES 3 DISEASES OF THE HEART 4 PERINATAL CONDITIONS 5 SUICIDE MORTALITY IS ANOTHER MEASURE FOR ESTABLISHING COMMUNITY HEALTH NEEDS AGE ADJUSTED DEATH RATES PROVIDE COMPARABLE DATA ON DEATH BECAUSE THEY TAKE INTO CONSIDERATION THE AGE DISTRIBUTION OF THE POPULATION ACCORDING TO THE MOST RESENT FIVEYEAR AGGREGATE DATA FROM THE GEORGIA DEPARTMENT OF PUBLIC HEALTH OFFICE OF HEALTH INDICATORS FOR PLANNING OHIP THE TOP CAUSES OF AGEADJUSTED DEATH RATES FOR GWINNETT COUNTY RESIDENTS ARE 1 DISEASE OF THE HEART 2 CANCER 3 STROKE 4 CHRONIC LOWER RESPIRATORY DISEASES 5 UNINTENTIONAL INJURIES IN OUR ORGANIZATION SOME NEED AREAS HAVE MORE PROGRAMS THAN OTHERS CARDIOVASCULAR DISEASE HEART CONDITIONS AND STROKES CANCER EMERGENCY AND TRAUMA SERVICES RESPIRATORY DISEASES ASTHMA COPD FLU AND PNEUMONIA DIABETES MATERNAL INFANT HEALTH INJURY PREVENTION AND WELLNESS PROGRAMS ARE AREAS WE PROVIDE MOST OF OUR PROGRAMS TO IMPROVE COMMUNITY HEALTH THERE ARE IDENTIFIED COMMUNITY HEALTH NEEDS WHICH OUR HOSPITALS CURRENTLY ONLY PROVIDE MINIMAL SUPPORT AS WE DO NOT HAVE DESIGNATED MEDICAL UNITS OR OUTREACH PROGRAMS TO TREAT THESE CONDITIONS ALTHOUGH WE TRIAGE PATIENTS WITH MENTAL HEALTH AND SUBSTANCE ABUSE PROBLEMS IN OUR EMERGENCY SERVICE AREAS OUR ORGANIZATION DOES NOT HAVE A FACILITY TO TREAT METAL AND BEHAVIORAL CONDITIONS THERE IS A PRIVATE FORPROFIT MENTAL HEALTH AND SUBSTANCE ABUSE HOSPITAL IN OUR COMMUNITY AND THE STATE OF GEORGIA PROVIDES MENTAL HEALTH SERVICES OUR GMCLAWRENCEVILLE CAMPUS HAS A LEVEL III NEONATAL INTENSIVE CARE UNIT AND A 12BED PEDIATRIC EMERGENCY DEPARTMENT HOWEVER THE HOSPITAL DOES NOT HAVE A PRIMARY FOCUS ON INPATIENT PEDIATRICS AFTER THE NEONATE PERIOD IN GWINNETT COUNTY THERE IS A WIDE RANGE OF PEDIATRIC HEALTHCARE SERVICES AVAILABLE THROUGH CHILDRENS HEALTHCARE OF ATLANTA
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	EVERY PATIENT REGISTERED AT A GHS FACILITY IS PROVIDED A DOCUMENT ALERTING THEM TO THE AVAILABILITY OF THE SYSTEMS FINANCIAL ASSISTANCE PROGRAM ADDITIONALLY PATIENTS ARE PROVIDED A BILLING AND COLLECTION INFORMATION DOCUMENT THAT AGAIN ADVISES THE PATIENT HOW TO APPLY FOR FINANCIAL ASSISTANCE FOR THOSE PATIENTS ADMITTED TO THE HOSPITAL THE INPATIENT HANDBOOK ALSO INSTRUCTS THEM HOW TO SEEK FINANCIAL ASSISTANCE FROM OUR TEAM OF FINANCIAL COUNSELORS IN ADDITION PATIENT BILLS INCLUDE CONTACT INFORMATION FOR SEEKING FINANCIAL ASSISTANCE VIA TELEPHONE OR BY EMAIL AT FINANCIALCOUNSELORGWINNETTMEDICALCENTERORG THE HOSPITAL SYSTEMS WEBSITE ALSO INCLUDES THE HOSPITALS FINANCIAL ASSISTANCE POLICY AND APPLICATIONS IN ENGLISH SPANISH KOREAN AND VIETNAMESE
COMMUNITY INFORMATION	PART VI	GWINNETT 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 43273 SQUARE MILES AND THE SECOND LEADING BY POPULATION 805321 RESIDENTS IN 2010 THE POPULATION OF GWINNETT COUNTY HAS INCREASED BY 369 PERCENT SINCE 2000 AS SHOWN IN FIGURE 1 ACCORDING TO THE 2010 US CENSUS GWINNETT COUNTY IS THE 65TH MOST POPULATED COUNTY IN THE NATION FIGURE 1 HISTORICAL POPULATION GWINNETT COUNTY 19602010 HISTORICAL POPULATION GWINNETT COUNTY CENSUS POPULATION PERCENTAGE CHANGE 1960 43541 347 1970 72349 662 1980 116903 1307 1990 352910 1114 2000 588448 667 2010 805321 369 SOURCE US CENSUS BUREAU 2011 OVERALL GWINNETT COUNTY HAS A YOUNG POPULATION WITH THE MEDIAN AGE FROM 2005 THROUGH 2009 AT 331 YEARS OF AGE THIRTYONE 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 5985 5783 11768 146 14 EARLY CHILDHOOD 25963 24511 50474 627 512 LATER CHILDHOOD 54245 52338 106583 1323 1319 ADOLESCENCE 44905 41496 86401 970 2029 EARLY ADULTHOOD 52964 50120 103084 1280 3044 YOUNG ADULTHOOD 93622 99909 193531 2403 4559 MIDDLE ADULTHOOD 80291 85148 165439 2054 6074 LATE ADULTHOOD 31311 35685 66996 832 75 OLDER ADULTHOOD 7867 13178 21045 261 GRAND TOTAL 397153 408168 805321 10000 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 2010 THE US CENSUS BUREAU ESTIMATED THE GWINNETT COUNTY POPULATION TO BE 44 PERCENT NONHISPANIC WHITES 229 PERCENT NONHISPANIC BLACKS 105 PERCENT NONHISPANIC ASIANS 27 PERCENT KOREAN 26 PERCENT ASIAN INDIAN 20 PERCENT VIETNAMESE 33 OTHER ASIAN AND 22 PERCENT WAS NONHISPANIC OTHERS AMERICAN INDIAN OR ALASKA NATIVE NATIVE HAWAIIAN OR PACIFIC ISLANDER MULTIRACIAL OR UNKNOWN 201 PERCENT OF THE POPULATION WAS HISPANICS OR LATINO WITH 107 PERCENT OF THAT POPULATION BEING MEXICAN THE GWINNETT COUNTY PUBLIC SCHOOL SYSTEM INCLUDES 133 SCHOOLS AND OTHER EDUCATIONAL FACILITIES AND SERVES NEARLY 162000 STUDENTS THE RATIO OF POPULATION TO PRIMARY CARE PHYSICIANS IN GWINNETT COUNTY IS 13201 ACCORDING TO COUNTY HEALTH RANKINGS THE NATIONAL BENCHMARK IS 6311 90TH PERCENTILETHE DATA ON PRIMARY CARE PHYSICIANS WERE OBTAINED FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATIONS AREA RESOURCE FILE ARF FOR 2009 THE ARF DATA ON PRACTICING PHYSICIANS COMES FROM THE AMA MASTER FILE 2008 AND THE POPULATION ESTIMATES ARE FROM THE US CENSUS BUREAUS 2008 POPULATION ESTIMATES ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES CMS THE AVERAGE NUMBER OF MEDICAID RECIPIENTS IN 2009 WAS 138561 OR 171 PERCENT OF THE TOTAL GWINNETT POPULATION MEDICARE PAYMENTS FOR GWINNETT COUNTY RESIDENTS IN 2008 WERE XXX-XX-XXXX THE LACK OF HEALTH INSURANCE COVERAGE IS A SIGNIFICANT BARRIER TO ACCESSING NEEDED HEALTHCARE IN 2009 THE US CENSUS BUREAU SMALL AREA HEALTH INSURANCE ESTIMATED 229 PERCENT 168416 RESIDENTS OF GWINNETT RESIDENTS UNDER THE AGE OF 65 YEARS WERE UNINSURED ACCORDING TO CENSUS BUREAU REPORT 232856 GWINNETT COUNTY RESIDENTS ARE AT OR BELOW 200 PERCENT OF THE POVERTY LEVEL OF THAT NUMBER 431 PERCENT 100330 RESIDENTS ARE UNINSURED THE US CENSUS BUREAUS AMERICAN COMMUNITY SURVEY 5YEAR ESTIMATES FOR 20052009 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 255000 HOUSEHOLDS IN GWINNETT THE AVERAGE HOUSEHOLD SIZE WAS THREE FAMILIES MAKE UP 75 PERCENT OF THE HOUSEHOLDS 57 PERCENT MARRIEDCOUPLE FAMILIES AND 17 PERCENT OTHER FAMILIES NONFAMILY HOUSEHOLDS MADE UP 25 PERCENT OF ALL HOUSEHOLDS 20 PERCENT WERE PEOPLE LIVING ALONE AND FIVE PERCENT WERE COMPOSED OF PEOPLE LIVING IN HOUSEHOLDS IN WHICH NO ONE WAS RELATED TO THE HOUSEHOLDER EIGHTYEIGHT PERCENT OF RESIDENTS 25 YEARS OF AGE AND OVER HAD AT LEAST GRADUATED FROM HIGH SCHOOL AND 35 PERCENT HAD A BACHELORS DEGREE OR HIGHER TWELVE PERCENT OF RESIDENTS WERE DROPOUTS WERE NOT ENROLLED IN SCHOOL AND HAD NOT GRADUATED FROM HIGH SCHOOL TWENTYTHREE PERCENT OF THE POPULATION WAS FOREIGN BORN THIRTYSIX PERCENT WERE BORN IN GEORGIA OF INDIVIDUALS AT LEAST FIVE YEARS OF AGE 29 PERCENT SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME OF THAT 29 PERCENT 52 PERCENT SPOKE SPANISH AND 48 PERCENT SPOKE SOME OTHER LANGUAGE IN ADDITION OF THOSE WHO SPOKE ANOTHER LANGUAGE 50 PERCENT REPORTED THEY DID NOT SPEAK ENGLISH VERY WELL SEVENTYFOUR PERCENT OF THE POPULATION 16 YEARS OF AGE AND OLDER ARE IN THE LABOR FORCE SEVENTYNINE PERCENT OF WORKERS DROVE TO WORK ALONE 11 PERCENT CARPOOLED ONE PERCENT TOOK PUBLIC TRANSPORTATION AND THREE PERCENT USED OTHER MEANS THE REMAINING FIVE PERCENT WORKED FROM HOME FOR THOSE WHO COMMUTED THE AVERAGE TRAVEL TIME TO WORK WAS 324 MINUTES THE MEDIAN INCOME OF HOUSEHOLDS WAS 65136 NINETYONE PERCENT OF THE HOUSEHOLDS RECEIVED EARNINGS AND 11 PERCENT RECEIVED RETIREMENT INCOME OTHER THAN SOCIAL SECURITY FIFTEEN PERCENT OF THE HOUSEHOLDS RECEIVED SOCIAL SECURITY THE AVERAGE INCOME FROM SOCIAL SECURITY WAS 15586 THESE INCOME SOURCES ARE NOT MUTUALLY EXCLUSIVE THAT IS SOME HOUSEHOLDS RECEIVE INCOME FROM MORE THAN ONE SOURCE TEN PERCENT OF RESIDENTS WERE BELOW THE POVERTY LEVEL THIRTEEN PERCENT OF RELATED CHILDREN UNDER 18 WERE BELOW THE POVERTY LEVEL COMPARED WITH EIGHT PERCENT OF THE PEOPLE 65 YEARS OF AGE OLD AND OVER SEVEN PERCENT OF ALL FAMILIES AND 21 PERCENT OF FAMILIES WITH A FEMALE HEAD OF HOUSEHOLD AND NO HUSBAND PRESENT HAD INCOMES BELOW THE POVERTY LEVEL THE MEDIAN MONTHLY HOUSING COSTS FOR MORTGAGED OWNERS WAS 1591 NONMORTGAGED OWNERS 433 AND RENTERS 939 THIRTYSEVEN PERCENT OF OWNERS WITH MORTGAGES 12 PERCENT OF OWNERS WITHOUT MORTGAGES AND 49 PERCENT OF RENTERS SPENT 30 PERCENT OR MORE OF HOUSEHOLD INCOME ON HOUSING THERE WERE 280000 HOUSING UNITS IN GWINNETT COUNTY NINE PERCENT OF WHICH WERE VACANT OF THE TOTAL NUMBER OF HOUSING UNITS 78 PERCENT WERE IN SINGLEUNITS STRUCTURES 20 PERCENT WERE IN MULTIUNITY STRUCTURES AND TWO PERCENT WERE MOBILE HOMES THE COUNTY HAD 255000 OCCUPIED HOUSING UNITS 74 PERCENT 187000 UNITS WERE OWNER OCCUPIED AND 26 PERCENT 67000 UNITS WERE RENTER OCCUPIED FOUR 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 FORPROFIT HOSPITAL EASTSIDE MEDICAL CENTER IN SNELLVILLE THERE ARE MANY HOSPITALS IN SURROUNDING COUNTIES OF THE METROPOLITAN ATLANTA AREA SUMMITRIDGE HOSPITAL IN LAWRENCEVILLE IS A FORPROFIT HOSPITAL TO SERVE MENTAL HEALTH AND SUBSTANCE ABUSE THREE CENSUS TRACTS ARE DESIGNATED MEDICALLY UNDERSERVED AREAS CT 050312 CT 050419 AND CT 050421 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
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	OUR VISION IS TO BE THE HEALTH SYSTEM OF CHOICE IN OUR COMMUNITY BY ENHANCING THE HEALTH OF OUR PATIENTS AND OTHER CUSTOMERS WE LIVE THAT VISION BY JOINING WITH PHYSICIANS COMMUNITY AND OTHER HEALTHCARE ORGANIZATIONS TO TREAT INJURY AND DISEASE AS WELL AS PROVIDING PREVENTIVE AND EARLY INTERVENTION CARE THE GWINNETT HOSPITAL SYSTEM BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY LEADERS DEDICATED TO PROVIDING QUALITY HEALTHCARE FOR OUR COMMUNITY THESE VOLUNTEER BOARD MEMBERS ARE PERSONS WHO RESIDE IN OUR PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION OR FAMILY MEMBERS MEDICAL STAFF PRIVILEGES IN THE HOSPITALS ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AS DETERMINED THROUGH A DETAILED CREDENTIALING PROCESS GWINNETT HOSPITAL SYSTEM HAS OVER 800 AFFILIATED PHYSICIANS PROVIDING HEALTHCARE SERVICES AT BOTH GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTERDULUTH CAMPUSES THE ORGANIZATION REINVESTS ALL PROFITS BACK INTO PHYSICIAN AND STAFF TRAINING FACILITIES AND EQUIPMENT TO CONTINUALLY IMPROVE PATIENT CARE IN CONTRAST TO INVESTOROWNED HOSPITALS NO PART OF NET EARNINGS DIRECTLY OR INDIRECTLY BENEFITS ANY PRIVATE SHAREHOLDERS OR INDIVIDUALS FULLTIME EMERGENCY DEPARTMENTS ARE OPERATED AT BOTH THE GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTERDULUTH CAMPUSES NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT THE TOTAL NUMBER OF DISCHARGES FROM BOTH EMERGENCY DEPARTMENTS WAS 137796 FOR FISCAL YEAR 2012 THE 60BED EMERGENCY DEPARTMENT AT GWINNETT MEDICAL CENTER LAWRENCEVILLE IS ONE OF THE BUSIEST IN GEORGIA THIS LOCATION HAS A12BED CHILDRENS 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 19 OF THE STATES 152 ACUTECARE HOSPITALS ARE DESIGNATED TRAUMA CENTERS BOTH GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTER DULUTH AND ASSOCIATED FACILITIES PARTICIPATE IN MEDICARE MEDICAID CHAMPUS AND PEACHCARE AS APPROPRIATE FOR SERVICES PROVIDED
AFFILIATED HEALTH CARE INFORMATION	PART VI	GWINNETT HOSPITAL SYSTEM IS A LICENSED 553 BED HEALTHCARE ORGANIZATION WITH TWO ACUTECARE HOSPITALS GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTERDULUTH THESE TWO FACILITIES SERVE AREAS OF BOTH GWINNETT COUNTY AND TO A LESSER EXTENT SEVERAL SURROUNDING COUNTIES IN ADDITION TO THE MEDICALSURGICAL HOSPITALS THE ORGANIZATION ALSO INCLUDES THE GWINNETT WOMENS PAVILION ON THE GWINNETT MEDICAL CENTERLAWRENCEVILLE 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 CENTERDULUTH AND GWINNETT MEDICAL CENTERLAWRENCEVILLE 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 SERVICES A NONPROFIT ORGANIZATION WHOSE MISSION IS TO OPERATE PHYSICIAN CLINICS IN AND AROUND GWINNETT COUNTY
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	GEORGIA
GWINNETT MEDICAL CENTER LINE NUMBER 1 PART V LINE 13G	PART V LINE 13G	NOTICE REGARDING THE HOSPITALS FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS UPON ADMISSION AT PATIENT REGISTRATION AREAS AND IN OTHER PUBLIC PLACES THROUGHOUT THE FACILITY AND WITH PATIENT INVOICES POSTINGS ARE PROVIDED IN ENGLISH SPANISH VIETNAMESE AND KOREAN
GWINNETT MEDICAL CENTER DULUTH LINE NUMBER 2 PART V LINE 13G	PART V LINE 13G	NOTICE REGARDING THE HOSPITALS FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS UPON ADMISSION AT PATIENT REGISTRATION AREAS AND IN OTHER PUBLIC PLACES THROUGHOUT THE FACILITY AND WITH PATIENT INVOICES POSTINGS ARE PROVIDED IN ENGLISH SPANISH VIETNAMESE AND KOREAN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
GWINNETT MEDICAL GROUP INC
1000 MEDICAL CENTER BOULEVARD	LAWRENCEVILLE	GA	30046	582143107	501	12254203	TRANSFER CASH/ASSETS
GWINNETT HOSPITAL SYSTEM FOUNDATION
1755 NORTH BROWN ROAD SUITE 100	LAWRENCEVILLE	GA	30043	581828486	501	367347	OPERATING EXPENSES

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	EDUCATIONAL SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	16	NumberOfRecipients
Amount Of Cash Grant	32000	AmountOfCashGrant
Method Of Valuation	FMV OF CAS	MethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES	Identifier
Return Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: GRANTS WERE MADE TO RELATED 501C3 ORGANIZATIONS. SCHOLARSHIPS ARE GIVEN ANNUALLY THROUGH AN OPEN APPLICATION PROCESS. APPLICATIONS ARE ACCEPTED FOR 6 WEEKS EACH YEAR. APPLICATIONS ARE REVIEWED BY A COMMITTE COMPRISED ON 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) INDICATES IN INTESEST IN WORKING WITH THE HOSPITAL UPON COMPLETION OF THE DEGREE.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
PHILIP WOLFE
569063	214420	119796	93829	14887	1011995
THOMAS Y MCBRIDE III
314578	106004	97316	316992	10311	845201
ALAN BIER
325880	107908	74653	47440	20885	576766
JEFFERY NOWLIN
314269	104259	57958	46250	16377	539113
WALLACE BROWN
246701	62225	45785	51050	18151	423912
STEPHEN NADEAU
225040	61399	52869	43403	15131	397842
PETER WHEELER
229747	63163	43966	44602	24596	406074
CAROL DANIELSON
227047	59912	39048	29638	24214	379859
LEA BAY
222219	67227	30165	52755	19575	391941
JESSIE T SHEPHERD
204270	53573	36394	26784	22676	343697
THOMAS LYNCH
164421	47565	28138	19619	20290	280033
JAMES DENNARD JR
178977	43555	11000	15705	22738	271975
SCOTT OREM
159108	43090	16397	26970	25865	271430
DIANA POTTS
134893	42526	40971	22439	7881	248710
CATHY DOUGHERTY
124402	27099	29917	12225	21934	215577
BONNY RICHARDSON
128855	28211	21467	11142	6493	196168
MIKE HEMPHILL
121682	18815	19859	11968	22229	194553
LAURA TUCKER
56808	15297	179255	6092	355	257807
JANET SCHWALBE
147977	42913	31248	23259	10752	256149
PAMELA KAUFFMAN
58389	33905	105824	11758	14502	224378
CATHIE L BRAZELL
134488	17933	17226	5084	9157	183888
RICHARD K ALLEN
125259	25817	13790	11065	22928	198859

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	GWINNETT HOSPITAL PAID FOR LIMITED SPOUSAL TRAVEL FOR CERTAIN EXECUTIVES WHEN ATTENDING MEETINGS WHERE SPOUSAL ATTENDANCE IS CONSIDERED APPROPRIATE BY THE HOSPITAL. THE COST OF SUCH TRAVEL IS INCLUDED ON EACH EMPLOYEE'S FORM W-2 AS TAXABLE WAGES. GWINNETT HOSPITAL PAID TAX GROSS-UP PAYMENTS ON CERTAIN EMPLOYEE BENEFITS, SUCH AS GROUP TERM LIFE INSURANCE, FOR CERTAIN EXECUTIVES. EACH INDIVIDUAL'S FORM W-2 INCLUDES ANY SUCH PAYMENTS AS TAXABLE WAGES. GWINNETT HOSPITAL PAID MONTHLY DUES FOR SIX (6) EXECUTIVES FOR A SOCIAL CLUB LOCATED NEAR THE HOSPITAL AND USED PRIMARILY FOR BUSINESS PURPOSES. ALL DUES PAID BY GWINNETT HOSPITAL FOR THESE EXECUTIVES WERE INCLUDED ON THEIR FORM W-2 AS TAXABLE WAGES.
RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 3	COMPENSATION PRACTICES FOR ALL GWINNETT ENTITIES ARE SUBJECT TO THE CONTROL AND OVERSIGHT OF THE COMPENSATION COMMITTEE OF GWINNETT HEALTH SYSTEM. SEE SCHEDULE O EXPLANATION OF COMPENSATION COMMITTEE RESPONSIBILITIES AND PRACTICES.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	PHILIP WOLFE 0 81,579 0 THOMAS Y MCBRIDE, III 0 298,617 0 ALAN BIER 0 35,190 0 JEFFERY NOWLIN 0 34,000 0 WALLACE BROWN 0 35,125 0 STEPHEN NADEAU 0 25,028 0 PETER WHEELER 0 25,748 0 CAROL DANIELSON 0 17,388 0 LEA BAY 0 34,380 0 JESSIE T. SHEPHERD 0 16,967 0 THOMAS LYNCH 0 9,203 0 JAMES DENNARD JR 0 9,212 0 SCOTT OREM 0 11,643 0 DIANA POTTS 0 8,026 0 LAURA TUCKER 139,506 0 0 JANET SCHWALBE 0 10,321 0 PAMELA KAUFFMAN 58,590 5,962 0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
HOSPITAL AUTHORITY OF GWINNETT CO
586011878	403732DE7	2009-11-12	32700000	CURRENT REFUNDING OF 7/26/07 ISSUE	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
586011878	403732DS6	2009-11-12	36435000	CURRENT REFUNDING OF 7/26/07 ISSUE	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
586011878	403732DU1	2009-11-12	19240000	CURRENT REFUNDING OF 7/26/07 ISSUE	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
586011878	403732DZ0	2009-11-12	61095000	CURRENT REFUNDING OF 7/26/07 ISSUE	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Year Of Subst CompletionYearOfSubstCompletion
140000	32560000	32560000	true	false	true	true
1365000	35070000	35070000	true	false	true	true
95000	19145000	19145000	true	false	true	true
440000	60655000	60655000	true	false	true	true	2007

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	false	false	true
false	false	false	false	false	false	true
false	false	false	false	false	false	true
false	false	false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	DIFFERENCES IN ISSUE PRICE EXPLANATION	Identifier
Return Reference	SCHEDULE K	ReturnReference
Explanation	HOSPITAL AUTHORITY OF GWINNETT CO BOND RETIREMENT	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
HOSPITAL AUTHORITY OF GWINNETT CO
586011878	403732DE7	2009-11-12	32700000	CURRENT REFUNDING OF 7/26/07 ISSUE	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
586011878	403732DS6	2009-11-12	36435000	CURRENT REFUNDING OF 7/26/07 ISSUE	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
586011878	403732DU1	2009-11-12	19240000	CURRENT REFUNDING OF 7/26/07 ISSUE	false	false	false
HOSPITAL AUTHORITY OF GWINNETT CO
586011878	403732DZ0	2009-11-12	61095000	CURRENT REFUNDING OF 7/26/07 ISSUE	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Year Of Subst CompletionYearOfSubstCompletion
140000	32560000	32560000	true	false	true	true
1365000	35070000	35070000	true	false	true	true
95000	19145000	19145000	true	false	true	true
440000	60655000	60655000	true	false	true	true	2007

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	false	false	true
false	false	false	false	false	false	true
false	false	false	false	false	false	true
false	false	false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	DIFFERENCES IN ISSUE PRICE EXPLANATION	Identifier
Return Reference	SCHEDULE K	ReturnReference
Explanation	HOSPITAL AUTHORITY OF GWINNETT CO BOND RETIREMENT	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
TRACEY WALDROP
29375	DAUGHTER OF BOARD ME	false
CARDIOVASCULAR GROUP PC
784017	MEDICAL PRACTICE OF	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE L PART V	ReturnReference
Explanation	SCHEDULE L PART IV BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS A NAME OF PERSON TRACEY WALDROP B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION DAUGHTER OF BOARD MEMBER EDWARD RADFORD D DESCRIPTION OF TRANSACTION TRACEY IS EMPLOYED BY GWINNETT HOSPITAL SYSTEM INC A NAME OF PERSON CARDIOVASCULAR GROUP B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION MEDICAL PRACTICE OF BOARD MEMBER MANFRED SANDLER D DESCRIPTION OF TRANSACTION MEDICAL SERVICES PROVIDED BY GROUP	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	GWINNETT HOSPITAL SYSTEM, INC. (GHSI) IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GWINNETT COMMUNITY AND BEYOND. GHSI HAS CAMPUSES IN DULUTH & LAWRENCEVILLE, GEORGIA. GHSI PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALITY, OPEN HEART SURGERY, AND OPERATES TWO EMERGENCY ROOMS AND SEVERAL CLINICS AS WELL AS A FULL CONTINUUM OF WELLNESS SERVICES.
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEER SERVICES HAS A DATABASE SYSTEM THAT TRACKS THE NUMBER OF VOLUNTEERS AND THEIR HOURS. DURING FISCAL YEAR 2012 VOLUNTEERS CONTRIBUTED 55,000 HOURS OF SERVICE TO GWINNETT HOSPITAL SYSTEM, INC.
ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICES	FORM 990, PAGE 2, PART III, LINE 3	DURING FISCAL YEAR 2012 GHSI TRANSFERRED OPERATION OF MILES & LIB MASON CHILDREN'S CLINIC AS WELL AS CARDIOVASCULAR SURGERY TO GWINNETT PHYSICIANS GROUP, INC.
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	THE SOLE MEMBER OF GWINNETT HOSPITAL SYSTEM, INC IS GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. IS APPOINTED BY THE GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	CERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. MUST BE APPROVED BY THE BOARD OF DIRECTORS OF GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE INFORMATION FOR THIS RETURN WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT FOR THE PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED AND PRIOR TO FILING, IT WAS REVIEWED IN DETAIL BY SENIOR MANAGEMENT. GWINNETT HOSPITAL SYSTEM MAKES A COPY OF THE 990 AVAILABLE TO ALL BOARD MEMBERS THROUGH A SECURE WEBSITE PRIOR TO FILING. IT IS ALSO PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD EACH YEAR.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	A CONFLICTS OF INTEREST QUESTIONNAIRE IS DISCUSSED AND DISTRIBUTED ANNUALLY TO EACH BOARD MEMBER. 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 HIMSELF FROM THE MEETING AT WHICH ANY POTENTIAL CONFLICT IS DISCUSSED. ONLY NONCONFLICTED MEMBERS MAY DECIDE TO PURSUE A TRANSACTION OR ARRANGEMENT INVOLVING A POTENTIAL 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 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/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, HUMAN RESOURCES SENDS OUT A CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM TO OFFICERS AND KEY EMPLOYEES EVERY 3-5 YEARS.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	GWINNETT HEALTH SYSTEM, INC. (HEALTH SYSTEM) BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE MADE UP OF VARIOUS BOARD MEMBERS WHO REVIEW COMPENSATION OF THE CEO, TOP MANAGEMENT, AND OTHER KEY EMPLOYEES. THIS COMPENSATION COMMITTEE IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF THE SALARY OF THE CEO. THE CEO IS RESPONSIBLE FOR DETERMINING THE SALARIES OF TOP MANAGEMENT WITH OVERSIGHT BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. AN INDEPENDENT PROFESSIONAL EXECUTIVE COMPENSATION CONSULTING COMPANY HIRED BY THE BOARD PROVIDES SALARY AND BENEFIT SURVEY INFORMATION AND MAKES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE REGARDING COMPENSATION OF THE CEO, TOP MANAGEMENT, AND KEY EMPLOYEES. THESE PERIODIC SURVEYS ARE CONDUCTED TO ENSURE THE SALARIES AND BENEFITS FOR GHSI EXECUTIVES AND OTHER DISQUALIFIED PARTIES ARE COMPENSATED APPROPRIATELY AT FAIR MARKET VALUE.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	SEE NARRATIVE AT LINE 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE FILED AND AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE OR THROUGH THAT OFFICE. GOVERNING DOCUMENTS CAN ALSO BE OBTAINED BY CONTACTING GHSI. LIMITED FINANCIAL INFORMATION IS AVAILABLE ONLINE THROUGH THE COMMUNITY BENEFIT REPORT AS WELL AS OUR ANNUAL REPORT, BOTH OF WHICH ARE AVAILABLE ON LINE AT WWW.GWINNETTMEDICALCENTER.ORG. GWINNETT HOSPITAL'S CONFLICT OF INTEREST POLICY CAN BE OBTAINED BY CONTACTING GHSI. GHSI IS UNDER OBLIGATION TO DISCLOSE TO BOND HOLDERS PERTINENT FINANCIAL INFORMATION IN THE ANNUAL DISCLOSURE DOCUMENTS. CONTACT INFORMATION FOR GHSI CAN BE OBTAINED AT WWW.GWINNETTMEDICALCENTER.ORG.
RELATED ORGANIZATIONS	FORM 990, PAGE 7, PART VII	AVERAGE WEEKLY HOURS DEVOTED TO RELATED ORGANIZATIONS BY INDIVIDUALS LISTED ON PART VII SECTION A: JASON CHANDLER 24 HOURS PHILIP WOLFE 24 HOURS CHUNG LEE 10 HOURS MILES MASON III 5 HOURS DAVID MCCLESKEY 5 HOURS MANFRED SANDLER 15 HOURS EDWARD RADFORD 10 HOURS THOMAS MCBRIDE III 23 HOURS PETER WHEELER 23 HOURS BONNIE RICHARDSON 23 HOURS ROMEO MASSOUD 60 HOURS MICHAEL AMARAL 60 HOURS MICHAEL STECHINSON 60 HOURS HERSCHEL SMITH III 60 HOURS MARTIN AUSTIN 60 HOURS CARLTON BUCHANAN 5 HOURS
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	INCREASES: PIP SETTLEMENT 2,198,311 OTHER ADJUSTMENT 290,000 CHANGE IN FOUNDATION INTEREST 155,348 TOTAL INCREASES 2,643,659 DECREASES: NET UNREALIZED LOSS ON INVESTMENTS ( 2,643,691) CHANGE IN PENSION ACCOUNTING (25,642,253) CHANGE IN SWAP (22,585,408) NET EQUITY TRANSFER ( 4,038,844) PARTNERSHIP INCOME ( 1,344,576) TOTAL DECREASES (56,254,772) NET CHANGES TO NET ASSETS (53,611,113)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
GWINNETT HEALTH SYSTEM INC (GHESI)
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	582135755	PARENT	GA	501C3	11A	N/A	false
GWINNETT HOSPITAL SYSTEM FOUNDATION
1755 NORTH BROWN RD 100	LAWRENCEVILLE	GA	30046	581828486	FUNDRAISIN	GA	501C3	7	N/A	false
GWINNETT MEDICAL GROUP INC
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	582143107	PHYSICIAN	GA	501C3	3		false	HEALTH SYS
GWINNETT MEDICAL PROPERTIES INC
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	582132516	PROP - HOL	GA	501C3	11A		false	HEALTH SYS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT ENDOSCOPY SERVICES LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1000 MEDICAL CENTER BLVD	AddressLine1
City	LAWRENCEVILLE	City
State	GA	State
ZIP Code	30046	ZIPCode

Field	Value	IRS element (for citing)
EIN	262905890	EIN
Primary Activity	ENDOSCOPY	PrimaryActivity
Legal Domicile State	GA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	-117150	ShareOfTotalIncome
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.55520	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT MANAGED CARE INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1000 MEDICAL CENTER BLVD	AddressLine1
City	LAWRENCEVILLE	City
State	GA	State
ZIP Code	30046	ZIPCode

Field	Value	IRS element (for citing)
EIN	582135759	EIN
Primary Activity	PHO	PrimaryActivity
Legal Domicile State	GA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	true	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg