GWINNETT HOSPITAL SYSTEMINC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: GWINNETT HOSPITAL SYSTEMINC (EIN 58-2002413)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-07
IRS object ID: 201241289349300604
Schema version: 2010v3.4
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-07T08:00:56-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PERSHING YOAKLEY & ASSOCIATES P C	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE CHEROKEE MILLS 220 SUTHERLAND A	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	379192363	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	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 SYSTEM INC	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	CFO	Title
Phone	6783125603	Phone
Date Signed	2012-05-03	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SUSAN P CLARK CPA	Name
Phone	8656730844	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	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	618096175	GrossReceipts
Group Return For Affiliates	0	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 HEALTHCARE SERVICES TO THE GWINNETT COMMUNITY AND BEYOND. GHSI HAS CAMPUSES IN DULUTH & LAWRENCEVILLE, GEORGIA. GHSI PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC & NEUROSCIENCE SPECIALTY CARE, TWO EMERGENCY ROOMS & 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	4850	TotalNbrEmployees
Total Nbr Volunteers	300	TotalNbrVolunteers
Total Gross UBI	681418	TotalGrossUBI
Net Unrelated Business Txbl Income	243272	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	10977083	ContributionsGrantsPriorYear
Contributions Grants Current Year	12836923	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	578979592	ProgramServiceRevenuePriorYear
Program Service Revenue CY	595270227	ProgramServiceRevenueCY
Investment Income Prior Year	7756579	InvestmentIncomePriorYear
Investment Income Current Year	10023121	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-344784	OtherRevenuePriorYear
Other Revenue Current Year	-34096	OtherRevenueCurrentYear
Total Revenue Prior Year	597368470	TotalRevenuePriorYear
Total Revenue Current Year	618096175	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3612215	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	7799033	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	270235251	SalariesEtcPriorYear
Salaries Etc Current Year	249431783	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	296380773	OtherExpensePriorYear
Other Expenses Current Year	330335175	OtherExpensesCurrentYear
Total Expenses Prior Year	570228239	TotalExpensesPriorYear
Total Expenses Current Year	587565991	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	27140231	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	30530184	RevenuesLessExpensesCY
Total Assets BOY	814489437	TotalAssetsBOY
Total Assets EOY	828442212	TotalAssetsEOY
Total Liabilities BOY	481162720	TotalLiabilitiesBOY
Total Liabilities EOY	437216897	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	333326717	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	391225315	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	GHSI IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTHCARE SERVICES TO THE GWINNETT COMMUNITY AND BEYOND. GHSI HAS CAMPUSES IN DULUTH AND LAWRENCEVILLE, GEORGIA. GHSI PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC AND NEUROSCIENCE SPECIALTY CARE, AS WELL AS A FULL CONTINUUM OF WELLNESS SERVICES TO THE COMMUNITY. THESE FACILITIES EMPLOYEE OVER 4,000 EMPLOYEES AND ARE AFFILIATED WITH OVER 800 PHYSICIANS. GHSI'S GOAL IS TO BE THE LEADING HOSPITAL SYSTEM IN OUR COMMUNITY BY NOT ONLY EFFECTIVELY TREATING DISEASES AND INJURIES, BUT TO PROVIDE EARLY INTERVENTION AND PREVENTION.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	503496496	Expense
Grants	7799033	Grants
Revenue	594794053	Revenue
Description	THE HOSPITAL'S PRIMARY PROGRAM ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITAL PROVIDED NURSING CARE IN THE AREAS OF MEDICAL, POST-SURGICAL, CRITICAL CARE, AND INTERMEDIATE CARE.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	4730592	Expense
Revenue	0	Revenue
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	3150356	Expense
Grants	0	Grants
Revenue	281116	Revenue
Description	THE HOSPITAL ALSO 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 AND SCHOOLS AND GWINNETT COUNTY'S PARKS AND RECREATION DEPARTMENT.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	511377444	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	483	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4850	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	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	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	0	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	6783125603	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (32 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
MANFRED SANDLER
PHYSICIAN/BOARD MEMBER	5.00	X	2776	0	0
DAVID MCCLESKEY
BOARD MEMBER	5.00	X	2125	0	0
CHUNG LEE
BOARD MEMBER	5.00	X	1625	0	0
MILES MASON III MD
PHYSICIAN/BOARD MEMBER	5.00	X	51747	0	759
ED RADFORD
BOARD MEMBER	5.00	X	1875	0	0
PHILIP R WOLFE
PRESIDENT & CEO	60.00		696711	0	132367	X
ALAN BIER
EXECUTIVE VP & CMO	60.00		381450	0	80574	X
THOMAS Y MCBRIDE III
EXECUTIVE VP & CFO	60.00		717272	0	330513	X
JEFFREY NOWLIN
EXECUTIVE VP & COO	60.00		351995	0	85716	X
PETER WHEELER
GENERAL COUNSEL (LEGAL)	60.00		285800	0	86264	X
WALLACE BROWN
SENIOR VP & CIO	60.00		306962	0	75566	X
STEPHEN NADEAU
SENIOR VP OF HR	60.00		293832	0	72298	X
CAROL DANIELSON
SENIOR VP & CNO	60.00		261640	0	64000	X
LEA BAY
SR VP & PRESIDENT OF GMCD	60.00		248699	0	60125	X
CARLTON KEITH BUCHANAN MD
INTERIM CMIO	5.00		52000	0	4688	X
JESSIE T SHEPHERD
SR VP PLANNING & BUS. DEV.	60.00		222992	0	62613		X
SCOTT OREM
VP FINANCE	60.00		172022	0	59158		X
JAMES DENNARD JR
VP & COO GMCD	60.00		188670	0	44967		X
DIANA POTTS
CHIEF NURSING OFFICER GMCD	60.00		171440	0	40681		X
CATHY DOUGHERTY
ASSISTANT VP REVENUE MGT.	60.00		162049	0	41776		X
BONNY RICHARDSON
ASSOCIATE LEGAL COUNSEL	60.00		150963	0	37728		X
PAMELA KAUFFMAN
VP & COO	60.00		144073	0	42178		X
MICHAEL HEMPHILL
DIRECTOR-MATERIALS MGMT	60.00		151752	0	41435		X
JASON CHANDLER
PRESIDENT & CEO OF GHSF	60.00		194605	0	48769		X
JANET SCHWALBE
VP OF PHYSICIAN SERVICES	60.00		177453	0	35948		X
THOMAS LYNCH
VP MANAGED CARE	60.00		188023	0	49466		X
LAURA TUCKER
DIRECTOR-CRITICAL CARE & CARDIAC SVCS	60.00		150651	0	21857		X
ROMEO P MASSOUD MD
PHYSICIAN	60.00		676715	0	55197			X
MICHAEL A AMARAL MD
PHYSICIAN	60.00		586922	0	67406			X
MICHAEL T STECHISON MD
PHYSICIAN	60.00		589521	0	50391			X
BARRY RENZ MD
PHYSICIAN	60.00		524769	0	55678			X
HERSCHEL W SMITH III MD
PHYSICIAN	60.00		372097	0	50328			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8337153	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1756268	TotalOtherCompensation
Number Individuals GT100 K	177	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MCKESSON TECHNOLOGIES INC
PO BOX 98347	CHICAGO	IL	606938347	SOFTWARE DEVELOPMENT & MAINTENANCE	5304979
ALLIANCE LAUNDRY
7990 SECOND FLAGS DRIVE SUITE A	AUSTELL	GA	30168	LAUNDRY & TEXTILE SERVICES	2335796
SYNTHES USA SALES LLC
PO BOX 8538-662	PHILADELPHIA	PA	191710662	SURGICAL PRODUCTS	2269785
GWINNETT ANESTHESIA SERVICE PC
PO BOX 669	LAWRENCEVILLE	GA	30046	ANESTHESIA	2254700
CLINTON A HARKINS PC
4901 OLDE TOWNE PARKWAY STE 300	MARIETTA	GA	300684354	COLLECTIONS	1387612

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	242	NumberOfContractorsGT100K
Related Organizations	2348637	RelatedOrganizations
Government Grants	10342572	GovernmentGrants
All Other Contributions	145714	AllOtherContributions
Noncash Contributions	104310	NoncashContributions
Total Contributions	12836923	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
PATIENT SERVICE REVENU	621500	583834799	583462805	371994
CLINIC REVENUE	900099	3205848	3205848
DISCOUNTS	900099	2773635	2773635
CAFETERIA & PARKING	900099	2674380			$2,674,380
MANAGEMENT FEES	900099	1253106	999444	253662

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1528459	TotalRevenueColumn
Related Or Exempt Function Income	1472697	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	55762	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	595270227	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9401191	TotalRevenueColumn
Exclusion	$9,401,191	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	160962	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	160962	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	160962	TotalRevenueColumn
Exclusion	$160,962	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	589090	Securities
Other	32840	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	589090	Securities
Other	32840	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	621930	TotalRevenueColumn
Exclusion	$621,930	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BARING FOCUSED INTERNA	900099	-26	-26
INTECH RISK MGD. LG. C	900099	-2920	-2920
GWINNETT ENDOSCOPY SER	900099	-192112	-192112

Field	Value	IRS element (for citing)
Total Other Revenue	-195058	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	618096175	TotalRevenueColumn
Related Or Exempt Function Income	591719371	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	681418	UnrelatedBusinessRevenue
Exclusion	$12,858,463	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	7725498	Total
Program Services	7725498	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	73535	Total
Program Services	73535	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	8588456	Total
Program Services	70590	ProgramServices
Management And General	8517866	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	187339666	Total
Program Services	166805529	ProgramServices
Management And General	20534137	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11954807	Total
Program Services	10161586	ProgramServices
Management And General	1793221	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	27469462	Total
Program Services	23350521	ProgramServices
Management And General	4118941	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	14079392	Total
Program Services	11967483	ProgramServices
Management And General	2111909	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	870523	Total
Program Services	870523	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	802796	Total
Program Services	127929	ProgramServices
Management And General	674867	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	530570	Total
Management And General	530570	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	485821	Total
Program Services	485821	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9591277	Total
Program Services	4398899	ProgramServices
Management And General	5192378	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1912996	Total
Program Services	38272	ProgramServices
Management And General	1874724	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7784048	Total
Program Services	5346558	ProgramServices
Management And General	2437490	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6868667	Total
Program Services	1133335	ProgramServices
Management And General	5735332	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10834400	Total
Program Services	9456032	ProgramServices
Management And General	1378368	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	276170	Total
Program Services	130540	ProgramServices
Management And General	145630	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	234562	Total
Program Services	76702	ProgramServices
Management And General	157860	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	8426611	Total
Program Services	8426611	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	35003606	Total
Program Services	35003606	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	490698	Total
Program Services	281832	ProgramServices
Management And General	208866	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	110732317	110732317
MEDICAL AND SURGICAL SU	76685215	76685215
PURCHASED SERVICES	26762662	14142019	12620643
EQUIPMENT RENTAL & MAIN	11342045	10287082	1054963
UBI TAX	108000	108000

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	20592191	Total
Program Services	13491409	ProgramServices
Management And General	7100782	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	587565991	Total
Program Services	511377444	ProgramServices
Management And General	76188547	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	137452974	BOY
EOY	93039042	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	5000000	BOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	90430037	BOY
EOY	88705978	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	1698594	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1001694	BOY
EOY	580924	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4781924	BOY
EOY	4857955	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6337838	BOY
EOY	6197320	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	587321042	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	287263410	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	292234097	BOY
EOY	300057632	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	257935934	BOY
EOY	314069368	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	8335360	BOY
EOY	8185532	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	3430000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	9280985	BOY
EOY	9318461	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	814489437	BOY
EOY	828442212	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	43934199	BOY
EOY	38130845	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	5000000	BOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	5126543	BOY
EOY	214231	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	322252000	BOY
EOY	317192910	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	104849978	BOY
EOY	81678911	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	481162720	BOY
EOY	437216897	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	325569334	BOY
EOY	381247441	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7570288	BOY
EOY	9690779	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	187095	BOY
EOY	287095	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	333326717	BOY
EOY	391225315	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	814489437	BOY
EOY	828442212	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	30530184	ReconcilationRevenueExpenses
Reconcilation Other Changes	27368414	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	0	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)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$29,979	OtherActivitiesAmount
Total Lobbying Expenditures IIB	29979	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
Explanation	DUES PAID TO GEORGIA HOSPITAL ASSOCIATION WERE $119,916. OF THIS AMOUNT, 25%, OR $29,979 WENT FOR LOBBYING.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7757383	BeginningOfYearBalance
Contributions	1970363	Contributions
Investment Earnings Or Losses	150129	InvestmentEarningsOrLosses
Other Expenditures	100000	OtherExpenditures
End Of Year Balance	9777875	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	0.97120	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.02880	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14184177	OtherCostOrOtherBasis
Book Value	14184177	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	258556972	OtherCostOrOtherBasis
Depreciation	95671536	Depreciation
Book Value	162885436	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17092263	OtherCostOrOtherBasis
Depreciation	11741579	Depreciation
Book Value	5350684	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	270262686	OtherCostOrOtherBasis
Depreciation	178696924	Depreciation
Book Value	91565762	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27224944	OtherCostOrOtherBasis
Depreciation	1153371	Depreciation
Book Value	26071573	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	300057632	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescription	AmountAmount
ACCRUED INTEREST PAYABLE	$3,853,141
ACCRUED PENSION COSTS	$27,486,355
SELF-INSURANCE RESERVES	$8,191,717
THIRD PARTY SETTLEMENTS	$13,436,115
ASSET RETIREMENT OBLIGATION	$265,362
INTEREST RATE SWAP	$25,006,715
EXECUTIVE BENEFITS LIABILITY	$1,812,275
BOND EXPENSE PAYABLE	$606,669
MINORITY INT. IN GWINNETT ENDOSCOPY	$290,000
DUE TO AFFILIATES	$730,562

Field	Value	IRS element (for citing)
Total Of Amounts	81678911	TotalOfAmounts
Total Revenue	618096175	TotalRevenue
Total Expenses	587565991	TotalExpenses
Excess Or Deficit For Year	30530184	ExcessOrDeficitForYear
Net Unrealized GL On Investments	13446994	NetUnrealizedGLOnInvestments
Donated Services And Facilities	104310	DonatedServicesAndFacilities
Prior Period Adjustments	-618342	PriorPeriodAdjustments
Other	$14,435,452	OtherAmount
Total Adjustments	27368414	TotalAdjustments
Excess Or Deficit Per FS	57898598	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	629431000	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	13446994	NetUnrealizedGainsInvestments
Other Revenues	149710	OtherRevenues
Revenue Not Rptd F990	13596704	RevenueNotRptdF990
Revenue Subtotal	615834296	RevenueSubtotal
Investment Expenses Not Included	485821	InvestmentExpensesNotIncluded
Other Revenues Not Included	1776058	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	2261879	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	618096175	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	587008000	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1365	OtherExpensesIncluded
Expenses Not Rptd F990	1365	ExpensesNotRptdF990
Expenses Subtotal	587006635	ExpensesSubtotal
Investment Expenses Not Included2	485821	InvestmentExpensesNotIncluded2
Other Expenses Not Included	73535	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	559356	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	587565991	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	TERM ENDOWMENT FUNDS WILL BE USED FOR SPECIFIC PROJECTS OR PROGRAMS OF THE HOSPITAL.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX ON RELATED INCOME UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). THE HOSPITAL 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 PROVIDED GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE HOSPITAL'S FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		CHANGE IN ASSETS OF FOUNDATION 250,129. LOSS ON BOND DEFEASANCE -864,954. GAIN FROM K-1 INVESTMENTS 805,749. CHANGE IN PENSION ACCOUNTING 14,026,533. OTHER CHANGES 217,995.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		DIFFERENCE IN TRANSFER FROM GMSI 149,710.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		NONCASH CONTRIBUTIONS 104,310. LOSS ON BOND DEFEASANCE 864,954. GAIN FROM K-1 INVESTMENTS 805,749. ROUNDING 1,045.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		ROUNDING 1,365.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		NONCASH GRANTS 33,535. ONCOLOGY GRANT 40,000.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	125.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	200.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	32624680	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2755254	DirectOffsettingRevenue
Net Community Benefit Expense	29869426	NetCommunityBenefitExpense
Percent Of Total Expense	0.06260	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	74076577	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51358799	DirectOffsettingRevenue
Net Community Benefit Expense	22717778	NetCommunityBenefitExpense
Percent Of Total Expense	0.04760	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	96318	TotalCommunityBenefitExpense
Direct Offsetting Revenue	49653	DirectOffsettingRevenue
Net Community Benefit Expense	46665	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	106797575	TotalCommunityBenefitExpense
Direct Offsetting Revenue	54163706	DirectOffsettingRevenue
Net Community Benefit Expense	52633869	NetCommunityBenefitExpense
Percent Of Total Expense	0.11030	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	183	NumberOfActivitiesOrPrograms
Persons Served	298308	PersonsServed
Total Community Benefit Expense	3299041	TotalCommunityBenefitExpense
Direct Offsetting Revenue	281116	DirectOffsettingRevenue
Net Community Benefit Expense	3017925	NetCommunityBenefitExpense
Percent Of Total Expense	0.00630	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	26	NumberOfActivitiesOrPrograms
Persons Served	3209	PersonsServed
Total Community Benefit Expense	4730592	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	4730592	NetCommunityBenefitExpense
Percent Of Total Expense	0.00990	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	14993	PersonsServed
Total Community Benefit Expense	26978254	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22838663	DirectOffsettingRevenue
Net Community Benefit Expense	4139591	NetCommunityBenefitExpense
Percent Of Total Expense	0.00870	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	1416	PersonsServed
Total Community Benefit Expense	577660	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	577660	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	1922	PersonsServed
Total Community Benefit Expense	11619	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	11619	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	227	NumberOfActivitiesOrPrograms
Persons Served	319848	PersonsServed
Total Community Benefit Expense	35597166	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23119779	DirectOffsettingRevenue
Net Community Benefit Expense	12477387	NetCommunityBenefitExpense
Percent Of Total Expense	0.02610	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	227	NumberOfActivitiesOrPrograms
Persons Served	319848	PersonsServed
Total Community Benefit Expense	142394741	TotalCommunityBenefitExpense
Direct Offsetting Revenue	77283485	DirectOffsettingRevenue
Net Community Benefit Expense	65111256	NetCommunityBenefitExpense
Percent Of Total Expense	0.13640	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	915	PersonsServed
Total Community Building Expense	17426	TotalCommunityBuildingExpense
Net Community Building Expense	17426	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	334133	TotalCommunityBuildingExpense
Net Community Building Expense	334133	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	915	PersonsServed
Total Community Building Expense	351559	TotalCommunityBuildingExpense
Net Community Building Expense	351559	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$31,840,996	BadDebtExpenseAmount
Amount Attributable To	23045	AmountAttributableTo
Amount Reimbursed By Medicare	85594643	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	88473535	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2878892	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	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 GWINNETT ENDOSCOPY SERVICES LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	ENDOSCOPY SERVICES	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.55520	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.44480	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	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
GWINNETT MEDICAL CENTER LAWRENCEVILLE
1	1000 MEDICAL CENTER BOULEVARD	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

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	10	NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
GLANCY REHABILITATION CENTER
3215 MCCLURE BRIDGE ROAD	DULUTH	GA	30096	REHABILITATION
575 OUTPATIENT IMAGING CENTER
575 PROFESSIONAL DRIVE FOURTH FLOOR	LAWRENCEVILLE	GA	30046	IMAGING
GWINNETT BREAST CENTER
631 PROFESSIONAL DRIVE SUITE 250	LAWRENCEVILLE	GA	30046	IMAGING
GWINNETT MEDICAL CENTER IMAGING CENTER
HAMILTON MILL STATION 2078 TERON	DACULA	GA	30019	IMAGING	TRACE
JOHNS CREEK ORTHOPEDIC SURGERY CENTER
10670 MEDLOCK BRIDGE RD	DULUTH	GA	30097	ORTHOPEDIC SURGERY
631 IMAGING CENTER (PETCT & MRI)
GWINNETT PHYS CTR 631 PROFESSIONAL	LAWRENCEVILLE	GA	30046	IMAGING	DR
OBGYN CLINIC
100 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	PHYSICIAN SERVICES
MILES & LIB MASON CHILDREN'S ASSOCIATES
555 OLD NORCROSS ROAD SUITE 210	LAWRENCEVILLE	GA	30045	PEDIATRIC SERVICES
GWINNETT EXTENDED CARE CENTER
650 PROFESSIONAL DDRIVE	LAWRENCEVILLE	GA	30046	NURSING HOME
GWINNETT DAY SURGERY
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	SURGERY

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: LINE 7A - CHARITY CARE COSTS WERE CALCULATED USING A MEDICAID SPECIFIC COST-TO-CHARGE RATIO (CCR) FROM THE MEDICARE COST REPORT. A MEDICAID CCR WAS USED BECAUSE THE MEDICAID POPULATION BETTER REPRESENTS THE UTILIZATION AND ACUITY OF THE CHARITY POPULATION THAN THE USE OF AN OVERALL CCR AS CALCULATED IN WORKSHEET 2. A CCR WAS USED INSTEAD OF A COST ACCOUNTING SYSTEM BECAUSE CHARITY, AS WELL AS BAD DEBTS, REPRESENT ONLY A PORTION OF A PATIENT ACCOUNT THAT IS BEING WRITTEN OFF.LINE 7B, 7C & 7G - AN RVU BASED COST ACCOUNTING SYSTEM (ADS) WAS USED TO ESTIMATE THE MEDICAID FFS & MEDICAID MANAGED CARE AMOUNTS REPORTED ON LINE 7B, THE PEACH CARE (GA SCHIP PROGRAM) REPORTED ON LINE 7C AND THE SUBSIDIZED HEALTH SERVICES REPORTED ON LINE 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 $60,352.
PART I, LINE 7G: THREE PHYSICIAN PRACTICES/CLINICS WERE INCLUDED IN THE SUBSIDIZED SERVICES CATEGORY, THE OB/GYN CLINIC, MILES AND LIB MASON CHILDREN'S CLINIC AND WOUND CARE CLINIC. EACH CLINIC PROVIDES SERVICES THAT MEET IDENTIFIED COMMUNITY NEEDS. THESE CLINICS OFFER SERVICES THAT THE COMMUNITY DOES NOT CURRENTLY HAVE THE CAPACITY TO PROVIDE. THESE MEDICAL PRACTICES PROVIDE A SIGNIFICANT BENEFIT TO THE COMMUNITY AND DO NOT OPERATE PRIMARILY TO INCREASE REFERRALS OF PATIENTS WITH THIRD PARTY COVERAGE AS A MAJORITY OF THE PATIENTS ARE UNDERINSURED, UNINSURED OR COVERED BY FEDERAL OR STATE INSURANCE PLANS FOR AT-RISK POPULATIONS (CHILDREN AND PREGNANT WOMEN AS AN EXAMPLE). IN ADDITION, THE MEDICAL PRACTICES ARE OPERATED EFFICIENTLY AND PAYMENTS TO PHYSICIANS ARE REASONABLE AND IN-LINE WITH THE GUIDELINES FROM THE MEDICAL GROUP MANAGEMENT ASSOCIATION AS WELL AS PREVAILING COMMUNITY RATES FOR PHYSICIAN REIMBURSEMENT. EXPENSES AT COST FOR SUBSIDIZED SERVICES FOR PHYSICIAN CLINICS HAVE BEEN CALCULATED FROM TOTAL DEPARTMENT EXPENSES AT COST MINUS BAD DEBT, MEDICAID AND CHARITY CARE. - OB/GYN CLINIC COSTS $735,378 WITH A NET COMMUNITY BENEFIT EXPENSE OF $508,444 - MILES AND LIB MASON CHILDREN'S CLINIC COSTS $294,157 WITH A NET COMMUNITY BENEFIT EXPENSE OF $112,805 - WOUND CARE CLINIC COSTS $1,056,827 WITH A NET COMMUNITY BENEFIT EXPENSE OF $578,840
PART I, L7 COL(F): $110,732,317 IN BAD DEBT EXPENSES WERE SUBTRACTED FROM FORM 990, PART IX, LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
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 STANDARDS-OF-CARE. COALITION BUILDING INCLUDES PARTICIPATION OF THE CHAPLAINCY, COORDINATED CARE, CONGREGATIONAL HEALTH MINISTRY, SPORTS REHABILITATION, WOMEN'S 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 (E.G., EXECUTIVE COMMITTEE, BOARD OF DIRECTORS, GREAT DAYS OF SERVICE, RESEARCH AND ACCOUNTABILITY COMMITTEE AND THE TASK FORCE FOR THE YOUTH SURVEY FACT BOOK). WE COLLABORATE WITH AIDGWINNETT, J. M. TULL - GWINNETT YMCA, GWINNETT UNITED IN DRUG EDUCATION, INC. (GUIDE), GWINNETT FOSTER CHILDREN'S FOUNDATION AND BOY SCOUTS' MEDICAL EXPLORERS PROGRAM. OUR ORGANIZATION WORKS CLOSELY WITH THE GWINNETT CHAMBER OF COMMERCE AND ACTIVELY PARTICIPATES IN PARTNERSHIP GWINNETT, WHICH IS A COMPREHENSIVE PLAN THAT PARTNERS GOVERNMENT, EDUCATION, HEALTHCARE AND BUSINESS IN AN ECONOMIC DEVELOPMENT PLAN. IN ADDITION TO THE CHAMBER, GWINNETT HOSPITAL SYSTEM IS INVOLVED WITH INDIVIDUAL CITIES IN THE COUNTY.GWINNETT HOSPITAL SYSTEM IS INVOLVED WITH STATE AND COUNTY GOVERNMENT AGENCIES INCLUDING GEORGIA DEPARTMENT OF HEALTH AND HUMAN SERVICES, GWINNETT PUBLIC HEALTH DEPARTMENT, 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 ORGANIZATION'S PRIMARY PURPOSE IN THESE EFFORTS IS TO ASSIST IN COMMUNITY PHYSICIAN RECRUITMENT TO IMPROVE ACCESS TO CARE IN OUR COMMUNITY.
PART III, LINE 4: LINE 2 - THE COST REPORTED ON LINE 2 WERE ARRIVED AT USING AN OVERALL CCR CALCULATED PER WORKSHEET 2 INSTRUCTIONS WITH A COUPLE OF EXCEPTIONS. BAD DEBT COSTS WERE SUBTRACTED WHEN COMING UP WITH SHORTFALL AMOUNTS FOR MEDICARE, MEDICAID, PEACH CARE AND SUBSIDIZED SERVICES SO THAT THOSE COSTS WOULD NOT BE DOUBLE COUNTED IN THE BAD DEBT SHORTFALL CALCULATION. THEREFORE IT IS NOT NECESSARY TO SUBTRACT CHARGES AND COSTS FOR THOSE POPULATIONS WHEN CALCULATING THE OVERALL CCR ON WORKSHEET 2 AS THOSE PAYORS ARE BEING ACCOUNTED FOR IN THE BAD DEBT CHARGES WRITTEN OFF.DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED IN THE PATIENT BALANCE PRIOR TO ACCOUNTS BEING WRITTEN OFF TO BAD DEBT. THE HOSPITAL'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE RELATED TO BAD DEBT EXPENSE. BAD DEBTS ARE REFLECTED IN THE FINANCIAL STATEMENTS AS AN OPERATING EXPENSE LINE ITEM LABELED "PROVISION FOR UNCOLLECTIBLE ACCOUNTS" IN THE STATEMENT OF OPERATIONS. LINE 3 - THE HOSPITAL USES A NOTE ON THE PATIENT ACCOUNT TO IDENTIFY PATIENTS UNCOOPERATIVE WITH THE HOSPITAL'S 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 HOSPITAL'S COMMUNITY BENEFIT.
PART III, LINE 8: THE COSTS REPORTED ON LINE 6 ARE PER THE MEDICARE COST REPORT AND WERE CALCULATED BASED ON COST-TO-CHARGE RATIOS. SINCE THE AMOUNTS REPORTED ON LINES 5 & 6 ONLY INCLUDE MEDICARE PART A COSTS AND PAYMENTS. THE OTHER MEDICARE SHORTFALL (I.E. FOR MEDICARE PART C, PHYSICIAN SERVICES, FEE SCHEDULE, NON-ALLOWABLE COSTS AND PAYMENTS) IS $12,556,121. THE PORTION OF THE MEDICARE SHORTFALL REPORTED ON LINE 7 THAT SHOULD BE TREATED AS A COMMUNITY BENEFIT IS $209,769 WHICH REPRESENTS THE SHORTFALL RELATED TO THOSE PATIENTS THAT HAD MEDICAID AS A SECONDARY PAYOR AND THEREFORE DEEMED INDIGENT FOR MEDICARE BAD DEBT PURPOSES. THE MEDICARE SHORTFALL REPORTED ON LINE 7 INCLUDES A PRIOR YEAR SETTLEMENT PICK-UP OF $572,084.
PART III, LINE 9B: THE CREDIT AND COLLECTION POLICY DESCRIBES HOW UNINSURED PATIENTS CAN RECEIVE A PROMPT PAY DISCOUNT. THE POLICY DESCRIBES THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM AND INDICATES THAT AN APPLICATION FOR FINANCIAL ASSISTANCE IS PART OF THE PROCESS FOR FINANCIALLY SECURING ACCOUNTS AND INDICATES THAT SENIOR FINANCIAL COUNSELORS ARE ON STAFF TO PROCESS THE APPLICATIONS. IN ADDITION, THE POLICY DICTATES THAT AN APPROVED FINANCIAL ASSISTANCE APPLICATION QUALIFIES AN ACCOUNT AS FINANCIALLY SECURED. THIS POLICY ALSO INDICATES THAT UNINSURED PATIENTS ARE GIVEN AN AUTOMATIC DISCOUNT FROM GROSS CHARGES NOT RELATED TO THE FINANCIAL ASSISTANCE PROGRAM. PATIENTS APPROVED FOR FREE CARE ARE NOT BILLED OR REQUESTED TO PAY AS THEIR TOTAL ACCOUNT BALANCE IS WRITTEN OFF TO INDIGENT CARE. PATIENTS APPROVED FOR DISCOUNTED CARE THROUGH THE CHARITY CRITERIA ARE ONLY BILLED FOR THE BALANCE LEFT AFTER THE CHARITY ADJUSTMENT IS MADE TO THEIR ACCOUNTS. PATIENTS ARE ALLOWED TO ENTER INTO A PAYMENT PLAN AGREEMENT TO SATISFY THEIR OUT OF POCKET COSTS.
PART VI, LINE 2: OVER THE PAST 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 FIVE-YEAR TREND DATA MEASURING MORTALITY AND HOSPITAL MORBIDITY RATES BY DISEASE STATES, SELECT NOTIFIABLE DISEASES AND MATERNAL/INFANT 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 HEALTH'S STANDARDIZED HEALTH DATA REPOSITORY. DATA FROM THE U.S. CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE COMPARISONS TO THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' HEALTH PEOPLE 2010 OBJECTIVES ARE ALSO INCLUDED IN THE REPORT.IN ADDITION TO THE PUBLISHED REPORT, OUR PLANNING DEPARTMENT IDENTIFIES HOSPITAL-BASED NEEDS USING ADMISSION/DISCHARGE 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 ORGANIZATION'S COMMUNITY HEALTH & WELLNESS COUNCIL IS AN INTERNAL COMMUNITY BENEFIT COMMITTEE WITH REPRESENTATIVES FROM 29 DEPARTMENTS FROM BOTH HOSPITALS. THIS COUNCIL IS TASKED WITH THE ANNUAL PLAN 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 IDENTIFIED 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 FIVE-YEAR 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 HEART3.UNINTENTIONAL INJURIES4.CANCER5.INFLUENZA AND PNEUMONIATHE TOP CAUSES OF EMERGENCY ROOM VISITS ARE ANOTHER SET OF INDICATORS. ACCORDING TO THE MOST RESENT FIVE-YEAR 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 INJURIES2.PREGNANCY AND CHILDBIRTH3.CHRONIC LOWER RESPIRATORY DISEASES4.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 FIVE-YEAR 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.CANCER2.UNINTENTIONAL INJURIES3.DISEASES OF THE HEART4.PERINATAL CONDITIONS5.SUICIDEMORTALITY 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 FIVE-YEAR AGGREGATE DATA FROM THE GEORGIA DEPARTMENT OF PUBLIC HEALTH - OFFICE OF HEALTH INDICATORS FOR PLANNING (OHIP) THE TOP CAUSES OF AGE-ADJUSTED DEATH RATES FOR GWINNETT COUNTY RESIDENTS ARE: 1.DISEASE OF THE HEARTH2.CANCER3.STROKE4.CHRONIC LOWER RESPIRATORY DISEASES5.UNINTENTIONAL INJURIESIN 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 FOR-PROFIT MENTAL HEALTH AND SUBSTANCE ABUSE HOSPITAL IN OUR COMMUNITY AND THE STATE OF GEORGIA PROVIDES MENTAL HEALTH SERVICES. OUR GMC-LAWRENCEVILLE CAMPUS HAS A LEVEL III NEONATAL INTENSIVE CARE UNIT AND A 12-BED PEDIATRIC EMERGENCY DEPARTMENT; HOWEVER, THE HOSPITAL DOES NOT HAVE A PRIMARY FOCUS ON INPATIENT PEDIATRICS (AFTER THE NEONATE PERIOD). IN GWINNETT COUNTY, THERE IS A WIDE RANGE OF PEDIATRIC HEALTHCARE SERVICES AVAILABLE THROUGH CHILDREN'S HEALTHCARE OF ATLANTA.
PART VI, LINE 3: EVERY PATIENT REGISTERED AT A GHS FACILITY IS PROVIDED A DOCUMENT ALERTING THEM TO THE AVAILABILITY OF THE SYSTEM'S FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, PATIENTS ARE PROVIDED A "BILLING AND COLLECTION INFORMATION" DOCUMENT THAT AGAIN ADVISES THE PATIENT HOW TO APPLY FOR FINANCIAL ASSISTANCE. FOR THOSE PATIENTS ADMITTED TO THE HOSPITAL, THE INPATIENT HANDBOOK ALSO INSTRUCTS THEM HOW TO SEEK FINANCIAL ASSISTANCE FROM OUR TEAM OF FINANCIAL COUNSELORS. IN ADDITION, PATIENT BILLS INCLUDE CONTACT INFORMATION FOR SEEKING FINANCIAL ASSISTANCE VIA TELEPHONE OR BY EMAIL AT FINANCIALCOUNSELOR@GWINNETTMEDICALCENTER.ORG. THE HOSPITAL SYSTEM'S WEBSITE ALSO INCLUDES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND APPLICATIONS IN ENGLISH, SPANISH, KOREAN AND VIETNAMESE.
PART VI, LINE 4: 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 (432.73 SQUARE MILES) AND THE SECOND LEADING BY POPULATION (805,321 RESIDENTS IN 2010). THE POPULATION OF GWINNETT COUNTY HAS INCREASED BY 36.9 PERCENT SINCE 2000. ACCORDING TO THE 2010 U.S. CENSUS, GWINNETT COUNTY IS THE 65TH MOST POPULATED COUNTY IN THE NATION.OVERALL, GWINNETT COUNTY HAS A YOUNG POPULATION WITH THE MEDIAN AGE FROM 2005 THROUGH 2009 AT 33.1 YEARS OF AGE. THIRTY-ONE PERCENT OF THE POPULATION WAS UNDER 20 YEARS OF AGE AND 11 PERCENT WAS 60 YEARS OF AGE AND OLDER, ACCORDING TO THE GEORGIA DIVISION OF PUBLIC HEALTH (ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM, OASIS, 2011).THE POPULATION HAS BECOME MORE RACIALLY AND ETHNICALLY DIVERSE WITH REPRESENTATION FROM ACROSS THE NATION AND AROUND THE WORLD. IN 2010, THE U.S. CENSUS BUREAU ESTIMATED THE GWINNETT COUNTY POPULATION TO BE 44 PERCENT NON-HISPANIC WHITES, 22.9 PERCENT NON-HISPANIC BLACKS, 10.5 PERCENT NON-HISPANIC ASIANS (2.7 PERCENT KOREAN, 2.6 PERCENT ASIAN INDIAN, 2.0 PERCENT VIETNAMESE, 3.3 OTHER ASIAN) AND 2.2 PERCENT WAS NON-HISPANIC OTHERS (AMERICAN INDIAN OR ALASKA NATIVE, NATIVE HAWAIIAN OR PACIFIC ISLANDER, MULTIRACIAL OR UNKNOWN). 20.1 PERCENT OF THE POPULATION WAS HISPANICS OR LATINO WITH 10.7 PERCENT OF THAT POPULATION BEING MEXICAN.THE GWINNETT COUNTY PUBLIC SCHOOL SYSTEM INCLUDES 133 SCHOOLS AND OTHER EDUCATIONAL FACILITIES AND SERVES NEARLY 162,000 STUDENTS.THE RATIO OF POPULATION TO PRIMARY CARE PHYSICIANS IN GWINNETT COUNTY IS 1,320:1. ACCORDING TO COUNTY HEALTH RANKINGS, THE NATIONAL BENCHMARK IS 631:1 (90TH PERCENTILE).THE DATA ON PRIMARY CARE PHYSICIANS WERE OBTAINED FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION'S 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 U.S. CENSUS BUREAU'S 2008 POPULATION ESTIMATES. ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), THE AVERAGE NUMBER OF MEDICAID RECIPIENTS IN 2009 WAS 138,561 OR 17.1 PERCENT OF THE TOTAL GWINNETT POPULATION. MEDICARE PAYMENTS FOR GWINNETT COUNTY RESIDENTS IN 2008 WERE $482,648,000. THE LACK OF HEALTH INSURANCE COVERAGE IS A SIGNIFICANT BARRIER TO ACCESSING NEEDED HEALTHCARE. IN 2009, THE U.S. CENSUS BUREAU SMALL AREA HEALTH INSURANCE ESTIMATED 22.9 PERCENT (168,416 RESIDENTS) OF GWINNETT RESIDENTS UNDER THE AGE OF 65 YEARS WERE UNINSURED. ACCORDING TO CENSUS BUREAU REPORT, 232,856 GWINNETT COUNTY RESIDENTS ARE AT OR BELOW 200 PERCENT OF THE POVERTY LEVEL; OF THAT NUMBER 43.1 PERCENT (100,330 RESIDENTS) ARE UNINSURED.THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES FOR 2005-2009 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 255,000 HOUSEHOLDS IN GWINNETT. THE AVERAGE HOUSEHOLD SIZE WAS THREE. FAMILIES MAKE UP 75 PERCENT OF THE HOUSEHOLDS; 57 PERCENT MARRIED-COUPLE 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. - EIGHTY-EIGHT PERCENT OF RESIDENTS 25 YEARS OF AGE AND OVER HAD AT LEAST GRADUATED FROM HIGH SCHOOL AND 35 PERCENT HAD A BACHELOR'S DEGREE OR HIGHER. TWELVE PERCENT OF RESIDENTS WERE DROPOUTS, WERE NOT ENROLLED IN SCHOOL AND HAD NOT GRADUATED FROM HIGH SCHOOL. - TWENTY-THREE PERCENT OF THE POPULATION WAS FOREIGN BORN. THIRTY-SIX PERCENT WAS 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". - SEVENTY-FOUR PERCENT OF THE POPULATION 16 YEARS OF AGE AND OLDER ARE IN THE LABOR FORCE. - SEVENTY-NINE PERCENT OF WORKERS DROVE TO WORK ALONE, 11 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 32.4 MINUTES. - THE MEDIAN INCOME OF HOUSEHOLDS WAS $65,136. NINETY-ONE 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 $15,586. 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 $1,591, NONMORTGAGED OWNERS $433 AND RENTERS $939. THIRTY-SEVEN 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 280,000 HOUSING UNITS IN GWINNETT COUNTY, NINE PERCENT OF WHICH WERE VACANT. OF THE TOTAL NUMBER OF HOUSING UNITS 78 PERCENT WERE IN SINGLE-UNITS STRUCTURES, 20 PERCENT WERE IN MULTI-UNIT STRUCTURES AND TWO PERCENT WERE MOBILE HOMES. THE COUNTY HAD 255,000 OCCUPIED HOUSING UNITS; 74 PERCENT (187,000 UNITS) WERE OWNER OCCUPIED AND 26 PERCENT (67,000 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 FOR-PROFIT HOSPITAL, EASTSIDE MEDICAL CENTER IN SNELLVILLE. THERE ARE MANY HOSPITALS IN SURROUNDING COUNTIES OF THE METROPOLITAN ATLANTA AREA. SUMMITRIDGE HOSPITAL IN LAWRENCEVILLE IS A FOR-PROFIT HOSPITAL TO SERVE MENTAL HEALTH AND SUBSTANCE ABUSE. THREE CENSUS TRACTS ARE DESIGNATED MEDICALLY UNDERSERVED AREAS (CT 0503.12, CT 0504.19 AND CT 0504.21) IN GWINNETT COUNTY. THERE IS ONE FEDERALLY QUALIFIED HEALTH CENTER IN GWINNETT COUNTY (NORCROSS) SERVING RESIDENTS FROM THESE CENSUS TRACTS AS WELL AS OTHER GWINNETT COUNTY RESIDENTS.
PART VI, LINE 6: 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 CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH CAMPUSES. THE ORGANIZATION REINVESTS ALL PROFITS BACK INTO PHYSICIAN AND STAFF TRAINING, FACILITIES AND EQUIPMENT TO CONTINUALLY IMPROVE PATIENT CARE. IN CONTRAST TO INVESTOR-OWNED HOSPITALS, NO PART OF NET EARNINGS DIRECTLY OR INDIRECTLY BENEFITS ANY PRIVATE SHAREHOLDERS OR INDIVIDUALS.FULL-TIME EMERGENCY DEPARTMENTS ARE OPERATED AT BOTH THE GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH CAMPUSES. NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT. THE TOTAL NUMBER OF DISCHARGES FROM BOTH EMERGENCY DEPARTMENTS WAS 132,293 FOR FISCAL YEAR 2011. THE 60-BED EMERGENCY DEPARTMENT AT GWINNETT MEDICAL CENTER-LAWRENCEVILLE IS ONE OF THE BUSIEST IN GEORGIA. THIS LOCATION HAS A 12-BED CHILDREN'S EMERGENCY CENTER, AN ACCREDITED CHEST PAIN CENTER AND IS DESIGNATED AS A LEVEL II TRAUMA CENTER PROVIDING 24 HOURS A DAY, SEVEN DAYS A WEEK TRAUMA TEAM COVERAGE SERVING RESIDENTS OF GWINNETT COUNTY AND THE SURROUNDING AREA. ONLY 19 OF THE STATE'S 152 ACUTE-CARE HOSPITALS ARE DESIGNATED TRAUMA CENTERS. BOTH GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH AND ASSOCIATED FACILITIES PARTICIPATE IN MEDICARE, MEDICAID, CHAMPUS AND PEACHCARE AS APPROPRIATE FOR SERVICES PROVIDED.
PART VI, LINE 7: GWINNETT HOSPITAL SYSTEM IS A LICENSED 553 BED HEALTHCARE ORGANIZATION WITH TWO ACUTE-CARE HOSPITALS: GWINNETT MEDICAL CENTER-LAWRENCEVILLE AND GWINNETT MEDICAL CENTER-DULUTH. THESE TWO FACILITIES SERVE AREAS OF BOTH GWINNETT COUNTY AND TO A LESSER EXTENT SEVERAL SURROUNDING COUNTIES. IN ADDITION TO THE MEDICAL-SURGICAL HOSPITALS, THE ORGANIZATION ALSO INCLUDES THE GWINNETT WOMEN'S PAVILION AND THE GWINNETT EXTENDED CARE CENTER ON THE GWINNETT MEDICAL CENTER-LAWRENCEVILLE CAMPUS AS WELL AS THE GLANCY REHABILITATION CENTER IN DULUTH. OTHER AFFILIATED ORGANIZATIONS INCLUDE: - GWINNETT HEALTH SYSTEM, INC. - THE NONPROFIT PARENT ORGANIZATION OF GWINNETT HOSPITAL SYSTEM AND ITS AFFILIATES. - GWINNETT MEDICAL CENTER FOUNDATION - A NONPROFIT PHILANTHROPIC ORGANIZATION THAT SUPPORTS THE GWINNETT HOSPITAL SYSTEM BY RAISING MONEY FOR THE MILES AND LIB MASON CHILDREN'S CLINIC, CAPITAL EQUIPMENT PURCHASES FOR GWINNETT MEDICAL CENTER-DULUTH AND GWINNETT MEDICAL CENTER-LAWRENCEVILLE, NEUROSCIENCE, ORTHOPEDICS AND A VARIETY OF OTHER PROGRAMS. - GWINNETT MEDICAL PROPERTIES - A NONPROFIT ORGANIZATION THAT OWNS MEDICAL PROPERTIES IN AND AROUND GWINNETT COUNTY FOR THE PURPOSE OF AIDING GWINNETT HOSPITAL SYSTEM IN FULFILLING ITS MISSION. - GWINNETT MEDICAL SERVICES - A NONPROFIT ORGANIZATION WHOSE MISSION IS TO OPERATE PHYSICIAN CLINICS IN AND AROUND GWINNETT COUNTY.
GA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	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 SERVICES INC
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	582143107	501(C)(3)	7408612	TRANSFER OF ASSETS
GWINNETT HOSPITAL SYSTEM FOUNDATION INC
1000 MEDICAL CENTER BLVD	LAWRENCEVILLE	GA	30046	581828486	501(C)(3)	316886	OPERATING EXPENSES

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

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
EDUCATIONAL SCHOLARSHIPS	16	40000	FMV OF CASH
BLOOD GLUCOSE METERS	978	0	MANUFACTURER'S PRICE	24675	BLOOD GLUCOSE METERS
INSULIN START KITS	443	0	MANUFACTURER'S PRICE	8860	INSULIN START KITS

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: GRANTS WERE MADE TO RELATED 501(C)(3) ORGANIZATIONS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	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	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PHILIP R WOLFE
535117	0	0	0	161594	0	101622	0	30745	0	829078	0	0	0
ALAN BIER
315932	0	0	0	65518	0	51498	0	29076	0	462024	0	0	0
THOMAS Y MCBRIDE III
319705	0	0	0	397567	0	303843	0	26670	0	1047785	0	0	0
JEFFREY NOWLIN
306491	0	0	0	45504	0	49975	0	35741	0	437711	0	0	0
PETER WHEELER
234843	0	0	0	50957	0	48024	0	38240	0	372064	0	0	0
WALLACE BROWN
218710	0	0	0	88252	0	53092	0	22474	0	382528	0	0	0
STEPHEN NADEAU
225391	0	0	0	68441	0	47154	0	25144	0	366130	0	0	0
CAROL DANIELSON
214605	0	0	0	47035	0	29904	0	34096	0	325640	0	0	0
LEA BAY
215864	0	0	0	32835	0	20825	0	39300	0	308824	0	0	0
JESSIE T SHEPHERD
193723	0	0	0	29269	0	30231	0	32382	0	285605	0	0	0
SCOTT OREM
145547	0	0	0	26475	0	27136	0	32022	0	231180	0	0	0
JAMES DENNARD JR
161403	0	0	0	27267	0	11897	0	33070	0	233637	0	0	0
DIANA POTTS
122344	0	0	0	49096	0	18493	0	22188	0	212121	0	0	0
CATHY DOUGHERTY
122126	0	0	0	39923	0	13198	0	28578	0	203825	0	0	0
BONNY RICHARDSON
138932	0	0	0	12031	0	11590	0	26138	0	188691	0	0	0
MICHAEL HEMPHILL
121554	0	0	0	30198	0	12597	0	28838	0	193187	0	0	0
JASON CHANDLER
169785	0	0	0	24820	0	16518	0	32251	0	243374	0	0	0
JANET SCHWALBE
143404	0	0	0	34049	0	21737	0	14211	0	213401	0	0	0
THOMAS LYNCH
150055	0	0	0	37968	0	20141	0	29325	0	237489	0	0	0
LAURA TUCKER
124415	0	0	0	26236	0	12205	0	9652	0	172508	0	0	0
ROMEO P MASSOUD MD
371910	0	81442	0	223363	0	15925	0	39272	0	731912	0	0	0
MICHAEL A AMARAL MD
533990	0	0	0	52932	0	13475	0	53931	0	654328	0	0	0
MICHAEL T STECHISON MD
544845	0	0	0	44676	0	13475	0	36916	0	639912	0	0	0
BARRY RENZ MD
425585	0	4337	0	94847	0	18375	0	37303	0	580447	0	0	0
HERSCHEL W SMITH III MD
251973	0	26010	0	94114	0	18375	0	31953	0	422425	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 4B	ReturnReference
Explanation	EMPLOYER CONTRIBUTIONS TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN PHILIP WOLFE 88,147 ALAN BIER 38,023 JEFFREY NOWLIN 36,500 WALLACE BROWN 37,167 PETER WHEELER 27,199 STEPHEN NADEAU 12,250 JESSIE T. SHEPHERD 11,147 THOMAS LYNCH 9,944 JAMES DENNARD 5,503 SCOTT OREM 12,320 JANET SCHWALBE 9,061 DIANA POTTS 4,347 CAROL DANIELSON 18,788 SETTLEMENT OF OUTSTANDING LOAN ON SERP THOMAS Y. MCBRIDE III $309,275 EMPLOYER CONTRIBUTION TO SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THOMAS Y. MCBRIDE III $283,018	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 COUNTY GEORGIA
586011878	403732DE7	2009-11-12	32700000	CURRENT REFUNDING OF 7/26/07 ISSUE	0	0	0
HOSPITAL AUTHORITY OF GWINNETT COUNTY GEORGIA
586011878	403732DS6	2009-11-12	36435000	CURRENT REFUNDING OF 7/26/07 ISSUE	0	0	0
HOSPITAL AUTHORITY OF GWINNETT COUNTY GEORGIA
586011878	403732DU1	2009-11-12	19240000	CURRENT REFUNDING OF 7/26/07 ISSUE	0	0	0
HOSPITAL AUTHORITY OF GWINNETT COUNTY GEORGIA
586011878	403732DZ0	2009-11-12	61095000	CURRENT REFUNDING OF 7/26/07 ISSUE	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Year Of Subst CompletionYearOfSubstCompletion
32700000	32700000	1	1	1
36435000	36435000	1	1	1
19240000	19240000	1	1	1
61095000	61095000	1	1	1	2007

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	1
0	0	0	0	1	1
0	0	0	0	1	1
0	0	0	0	1	1

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
0	0	0	0	0	0
0	0	0	0	0	0
0	0	0	0	0	0
0	0	0	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
HOSPITAL AUTHORITY OF GWINNETT COUNTY GEORGIA
586011878	403732EQ9	2009-11-24	78635000	RENOVATION & EXPANSION	0	0	0
HOSPITAL AUTHORITY OF GWINNETT COUNTY GEORGIA
586011878		2011-02-17	88425000	REFINANCINS 2008 A & C	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
78635000	60075000	454320	18105680	2008	1	0	1	1
88425000	88425000			2011	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	1
0	0	0	0	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	1	0	0	0	0
0	1	0	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
TRACY WALDROP
DAUGHTER OF BOARD MEMBER ED RADFORD	61207	TRACY IS EMPLOYED BY THE ORGANIZATION.	0
CARDIOVASCULAR GROUP
MEDICAL PRACTICE OF BOARD MEMBER MANFRED SANDLER	526324	MEDICAL SERVICES PROVIDED BY GROUP	0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	5	NumberOfContributions
Noncash Contribs Rptd F990	33310	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	FURNITURE	1	21000	FMV
X	MASON KIDS CLINIC RENOVATION	1	50000	FMV

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
OPTIONAL EXPLANATION FOR PART I, LINE 6:	VOLUNTEER SERVICES HAS A DATABASE SYSTEM THAT TRACKS THE NUMBER OF VOUNTEERS AND THEIR HOURS.
	THE SOLE MEMBER OF GWINNETT HOSPITAL SYSTEM, INC. IS GWINNETT HEALTH SYSTEM,INC., A RELATED 501(C)(3) ORGANIZATION.	FORM 990, PART VI, SECTION A, LINE 6
	THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. IS APPOINTED BY THE GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.	FORM 990, PART VI, SECTION A, LINE 7A
	CERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. MUST BE APPROVED BY THE BOARD OF DIRECTORS OF GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.	FORM 990, PART VI, SECTION A, LINE 7B
	GHSI MAKES A COPY OF THE 990 AVAILABLE TO ALL BOARD MEMBERS THROUGH A SECURE WEBSITE. IT IS ALSO PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD EACH YEAR.	FORM 990, PART VI, SECTION B, LINE 11
FORM 990, PART VI, SECTION B, LINE 12C	A CONFLICT OF INTEREST QUESTIONNAIRE IS DISCUSSED AND DISTRIBUTED ANNUALLY TO EACH BOARD MEMBER. THE LEGAL DEPARTMENT IS RESPONSIBLE FOR INSURING THESE ARE SIGNED AND RETURNED. LEGAL MONITORS ALL TRANSACTIONS INVOLVING CONFLICTS OF INTEREST WITH BOARD MEMBERS. 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.
FORM 990, PART VI, SECTION B, LINE 15	GWINNETT HOSPITAL SYSTEM, INC. (GHSI) 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.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS ARE FILED AND AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE OR THROUGH THAT OFFICE. THESE 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.
FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 13,446,994. DONATED SERVICES AND USE OF FACILITIES: 104,310. PRIOR PERIOD ADJUSTMENTS: -618,342. CHANGE IN ASSETS OF FOUNDATION 250,129. LOSS ON BOND DEFEASANCE -864,954. GAIN FROM K-1 INVESTMENTS 805,749. CHANGE IN PENSION ACCOUNTING 14,026,533. OTHER CHANGES 217,995. TOTAL TO FORM 990, PART XI, LINE 5: 27,368,414.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	GWINNETT HOSPITAL SYSTEM PHYSICIAN'S GROUP 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	204553410	EIN
Primary Activities	PHYSICIAN SERVICES	PrimaryActivities
Legal Domicile State	GA	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

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
1000 MEDICAL CENTER BOULEVARD	LAWRENCEVILLE	GA	30046	582135755	PARENT OF GWINNETT HOSPITAL	GA	501C(3)	11	N/A	0
GWINNETT HOSPITAL SYSTEM FOUNDATION
1755 NORTH BROWN ROAD 100	LAWRENCEVILLE	GA	30043	581828486	FUNDRAISING ORGANIZATION FOR GHSI	GA	501C(3)	7	N/A	0
GWINNETT MEDICAL SERVICES INC
1000 MEDICAL CENTER BOULEVARD	LAWRENCEVILLE	GA	30046	582143107	PHYSICIANS PRACTICE OWNER	GA	501C(3)	3		0	GWINNETT HEALTH SYSTEM INC
GWINNETT MEDICAL PROPERTIES INC
1000 MEDICAL CENTER BOULEVARD	LAWRENCEVILLE	GA	30046	582132516	PROPERTY HOLDING	GA	501C(3)	11		0	GWINNETT HEALTH SYSTEM INC

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3855 PLEASANT HILL ROAD SUITE 130	AddressLine1
City	DULUTH	City
State	GA	State
ZIP Code	30096	ZIPCode

Field	Value	IRS element (for citing)
EIN	262905890	EIN
Primary Activity	ENDOSCOPY HEALTHCARE	PrimaryActivity
Legal Domicile State	GA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	-192071	ShareOfTotalIncome
Share Of EOY Assets	684010	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner

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 BOULEVARD	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
Type Of Entity	C	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

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

Field	Value	IRS element (for citing)
Transaction Type	D	TransactionType