2011-07-15T13:47:04-04:00 2010-08-31 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2009-09-01 582137993 EMORY HEALTHCARE INC EMOR 4046862819 1440 clifton road ne whscab atlanta GA 30322 JAMES T HATCHER CFO 2011-07-13 3362753394 2009 2016-02-24 21:20:13Z JOHN T FOX 1440 clifton road ne WHSCAB ATLANTA GA 30322 65388139 false X WWW.EMORYHEALTHCARE.ORG X 1994 GA COORDINATED INTEGRATED HEALTH SYSTEM 22 9 11778 15 0 0 0 53972 122014079 59120179 -1682860 110777 29510799 6103211 149842018 65388139 0 0 0 0 73849841 84499672 0 0 0 67984540 -3211945 141834381 81287727 8007637 -15899588 -18719101 -35379415 24793580 24022417 -43512681 -59401832 EMORY HEALTHCARE IS THE CLINICAL ARM OF THE ROBERT W WOODRUFF HEALTH SCIENCES CENTER OF EMORY UNIVERSITY, WHICH FOCUSES ON PATIENT CARE, EDUCATION OF HEALTH PROFESSIONALS, RESEARCH ADDRESSING HEALTH AND ILLNESS, AND HEALTH POLICIES FOR PREVENTION AND TREATMENT OF DISEASE. false false 77794151 EMORY HEALTHCARE, INC. COORDINATES THE PROVISION OF NEEDED MEDICAL CARE TO ITS COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY. PROGRAMS INCLUDE MARKETING, INFORMATION SERVICES, MANAGED CARE, CREDENTIALING, RISK AND INSURANCE, STRATEGIC PLANNING, COMMUNITY RELATIONS, AND HUMAN RESOURCES. 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IT ALSO PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS AS A RESULT OF ASC 740. true true true X true X true true false true true 941321 941321 0.01160 2563714 1564287 999427 0.01230 3505035 1564287 1940748 0.02390 4377310 1536090 2841220 0.03490 4377310 1536090 2841220 0.03490 7882345 3100377 4781968 0.05880 true 1114420 941321 7134685 8126514 -991829 X true true SEE SCHEDULE O Emory Johns Creek Hospital 0.50000 EMORY JOHNS CREEK HOSPITAL

6325 HOSPITAL PKWY JOHNS CREEK GA 30097

X X X X X NOT APPLICABLE EMORY UNIVERSITY/WOODRUFF HEALTH SCIENCES CENTER COMMUNITY BENEFIT REPORT CAN BE FOUND ON THE WEB AT: HTTP://WHSC.EMORY.EDU/HOME/PUBLICATIONS/HEALTH-SCIENCES/COMMUNITY-BENE FITS-2010/INDEX.HTML EMORY UNIVERSITY INCLUDES ONE OF THE NATION'S LEADING ACADEMIC COMPLEXES FOR TEACHING, RESEARCH, AND PATIENT CARE-THE ROBERT W. WOODRUFF HEALTH SCIENCES CENTER (WHSC). THE WHSC INCLUDES EMORY UNIVERSITY SCHOOL OF MEDICINE, NELL HODGSON WOODRUFF SCHOOL OF NURSING, ROLLINS SCHOOL OF PUBLIC HEALTH, WINSHIP CANCER INSTITUTE, YERKES NATIONAL PRIMATE RESEARCH CENTER, AND EMORY HEALTHCARE, WHICH IS THE WHSC'S SYSTEM OF HEALTH CARE OPERATIONS. EMORY HEALTHCARE INCLUDES PHYSICIAN GROUPS FOR PEDIATRIC AND ADULT PATIENTS AS WELL AS THE FOLLOWING HOSPITALS: (1) TWO GENERAL AND ACUTE CARE HOSPITALS, EMORY UNIVERSITY HOSPITAL AND EMORY UNIVERSITY HOSPITAL MIDTOWN; (2) A GERIATRIC AND LONG-TERM CARE HOSPITAL, WESLEY WOODS GERIATRIC HOSPITAL AND WESLEY WOODS LONG-TERM CARE HOSPITAL; AND (3) THREE JOINT VENTURE HOSPITALS: EMORY-ADVENTIST HOSPITAL, EMORY JOHNS CREEK HOSPITAL AND EMORY EASTSIDE MEDICAL CENTER. ALTHOUGH PART OF THE EMORY HEALTHCARE SYSTEM FOR MANAGEMENT AND OPERATIONS THE VARIOUS HOSPITALS ARE OPERATING DIVISIONS OF DIFFERENT EMORY ENTITIES. EMORY UNIVERSITY HOSPITAL AND EMORY UNIVERSITY HOSPITAL MIDTOWN ARE OPERATING DIVISIONS OF EMORY UNIVERSITY. WESLEY WOODS GERIATRIC HOSPITAL IS AN OPERATING DIVISION OF WESLEY WOODS CENTER OF EMORY UNIVERSITY, INC. WESLEY WOODS LONG TERM HOSPITAL, INC. IS SEPARATELY INCORPORATED. EMORY ADVENTIST, INC. IS SEPARATELY INCORPORATED. EMORY JOHNS CREEK HOSPITAL AND EMORY EASTSIDE MEDICAL CENTER ARE PART OF A JOINT VENTURE WITH COLUMBIA HCA HEALTHCARE CORPORATION. IN ADDITION, EMORY HAS CLOSE WORKING RELATIONSHIPS WITH OTHER COMMUNITY HOSPITALS, INCLUDING GRADY MEMORIAL HOSPITAL ("GRADY"), CHILDREN'S HEALTHCARE OF ATLANTA, INC. AND THE ATLANTA VETERANS AFFAIRS MEDICAL CENTER ("ATLANTA VA"). EMORY UNIVERSITY SCHOOL OF MEDICINE IS A MAJOR SUPPLIER OF THE PHYSICIANS (BOTH MEDICAL FACULTY AND PHYSICIAN RESIDENTS IN TRAINING) AT GRADY, PROVIDING 85% OF PHYSICIAN CARE AT THIS FACILITY, WHICH IS ONE OF THE LARGEST PUBLIC HOSPITALS IN THE SOUTHEAST. EMORY UNIVERSITY HOSPITAL, EMORY UNIVERSITY HOSPITAL MIDTOWN, WESLEY WOODS GERIATRIC HOSPITAL AND WESLEY WOODS LONG TERM HOSPITAL, AS WELL AS GRADY, THE ATLANTA VA AND CHILDREN'S HEALTHCARE OF ATLANTA, SERVE AS TEACHING FACILITIES FOR THE EMORY UNIVERSITY SCHOOL OF MEDICINE (PROVIDING VENUES FOR RESIDENCY TRAINING) AND EMORY'S NELL HODGSON WOODRUFF SCHOOL OF NURSING (PROVIDING DEDICATED EDUCATION UNITS FOR NURSING STUDENTS). EMORY UNIVERSITY HOSPITAL AND EMORY UNIVERSITY HOSPITAL MIDTOWN ALSO ARE ACTIVE SITES WITHIN THE CLINICAL INTERACTION NETWORK OF THE NIH-SPONSORED ATLANTA CLINICAL & TRANSLATIONAL SCIENCE INSTITUTE (ACTSI), WHICH SEEKS TO MAKE CLINICAL TRIALS FOR NEW TREATMENTS MORE EFFICIENT AND MORE AVAILABLE THROUGHOUT THE COMMUNITY. EMORY IS THE LEAD PARTNER IN ACTSI, WHICH ALSO INVOLVES MOREHOUSE SCHOOL OF MEDICINE AND THE GEORGIA INSTITUE OF TECHNOLOGY. THROUGH THE EMORY MEDICAL CARE FOUNDATION, INC. (EMCF), WHICH IS CONTROLLED BY EMORY UNIVERSITY, EMORY PHYSICIANS PROVIDED $22.3 MILLION IN UNCOMPENSATED PATIENT CARE TO GRADY IN FY 2010. IN ADDITION, EMCF INVESTS ANY REIMBURSEMENTS THAT EMORY FACULTY DO RECEIVE AT GRADY TO UPGRADE EQUIPMENT AND SUPPORT VITAL SERVICES PROVIDED BY EMORY DOCTORS WORKING AT THE HOSPITAL. EMCF INVESTED $36 MILLION FOR THIS PURPOSE IN FY 2010. IN FY 2010 EMORY PROVIDED $12 MILLION TO GRADY FOR MEDICAL RESIDENTS AND PHYSICIANS. EMORY ALSO PROVIDES ABOUT 66% OF THE PHYSICIAN CARE AT CHILDREN'S AT HUGHES-SPALDING, A PEDIATRIC HOSPITAL ON GRADY'S CAMPUS OPERATED BY CHILDREN'S HEALTHCARE OF ATLANTA, INC. THE TOTAL CHARITY CARE AND COMMUNITY BENEFIT ATTRIBUTED TO EMORY HEALTHCARE'S 50% INTEREST IN EMORY JOHNS CREEK HOSPITAL IS LOCATED ON PART I, LINE 7 OF SCHEDULE H. FOR A MORE COMPREHENSIVE OVERVIEW OF THE TOTAL CHARITY CARE AND COMMUNITY BENEFIT PROVIDED BY EMORY HEALTHCARE, PLEASE VIEW THE EMORY UNIVERSITY / WOODRUFF HEALTH SCIENCES CENTER COMMUNITY BENEFIT REPORT AT HTTP://WHSC.EMORY.EDU/HOME/PUBLICATIONS/HEALTH-SCIENCES/COMMUNITY- BENEFITS-2010/. FOR MORE SPECIFICS AND A BREAKDOWN OF CHARITY CARE BY INDIVIDUAL FACILITY, SEE HTTP://WHSC.EMORY.EDU/HOME/PUBLICATIONS/HEALTH-SCIENCES/COMMUNITY-BENE FITS-2010/CHARITY/INDEX.HTML. FOR A CHART AGGREGATING A VARIETY OF COMMUNITY BENEFITS IN DOLLAR FIGURES, SEE HTTP://WHSC.EMORY.EDU/HOME/PUBLICATIONS/HEALTH-SCIENCES/COMMUNITY-BENE FITS-2010/ECONOMIC-ENGINE.HTML IN COMPARISON WITH OTHER HOSPITALS IN METRO ATLANTA AND THE SURROUNDING COMMUNITY, EMORY HEALTHCARE HOSPITALS ARE REFERRED A DISPROPORTIONATE NUMBER OF PATIENTS WITH EXTREMELY COMPLEX AND CHALLENGING CONDITIONS. OTHER AREA HOSPITALS ROUTINELY REFER PATIENTS TO EMORY FOR WHOM THEY HAVE NO OTHER TREATMENT RECOURSE. THESE "SICKEST-OF-THE-SICK" PATIENTS ARE NOT ONLY THE MOST CLINICALLY CHALLENGING BUT ALSO THE MOST COSTLY PATIENTS TO TREAT. THEY INCLUDE PATIENTS WHO ARE EXTREMELY IMMUNOCOMPROMISED; PATIENTS WHO BENEFIT FROM THE SKILL OF CARE TEAMS AT WESLEY WOODS GERIATRIC HOSPITAL WHO ARE EXPERT IN WEANING PATIENTS OFF VENTILATORS; AND PATIENTS LIKE ONE RECENTLY WHO WAS HOMELESS, HAD DEMENTIA, AND DIDN'T KNOW HIS OWN IDENTITY AND WAS SIMPLY CARED FOR AT WESLEY WOODS FOR SEVERAL MONTHS UNTIL HIS IDENTITY COULD BE ESTABLISHED AND MEDICARE COVERAGE SECURED. EMORY UNIVERSITY HOSPITAL, IN PARTICULAR, IS NOTED AS A DESTINATION FOR PATIENTS IN THIS HIGH-ACUITY CATEGORY. THIS HOSPITAL HAS THE HIGHEST CASE-MIX INDEX OF ANY HOSPITAL IN THE UNIVERSITY HEALTH SYSTEM CONSORTIUM DATABASE, WHICH MEANS THAT ITS PATIENTS ARE AMONG THE SICKEST TREATED ANYWHERE IN THE COUNTRY AND INCLUDE PATIENTS ROUTINELY REFERRED FROM HOSPITALS THROUGHOUT ATLANTA AND THE REGION. EMORY UNIVERSITY HOSPITAL ALSO PROVIDES SERVICES AND PROCEDURES AVAILABLE NOWHERE ELSE IN THE STATE, INCLUDING HIGHLY COMPLEX TRANSPLANT PROCEDURES, AMONG OTHERS. EMORY UNIVERSITY HOSPITAL HELPS PIONEER, TEST, AND DEVELOP NEW PROCEDURES THAT EVENTUALLY MAKE THEIR WAY INTO THE BROADER COMMUNITY OF HEALTH CARE PROVIDERS. IN ADDITION, IN PARTNERSHIP WITH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, EMORY UNIVERSITY HOSPITAL HAS A SPECIAL ISOLATION UNIT FOR THE CARE OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASES-SUCH AS CDC EMPLOYEES WHO HAVE CONFIRMED, PROBABLE, OR SUSPECTED INFECTION WITH OR EXPOSURE TO PATHOGENS SUCH AS EBOLA, SMALLPOX, PNEUMONIC PLAGUE, OR SARS THAT ARE ASSOCIATED WITH HIGH INFECTIVITY RATES. EMORY UNIVERSITY HOSPITAL MIDTOWN, WHICH INCLUDES A LEVEL III NEONATAL INTENSIVE CARE UNIT AMONG ITS OTHER ICUS, ALSO HAS A CASE-MIX INDEX THAT IS CONSIDERABLY HIGHER THAN THAT OF MOST COMMUNITY HOSPITALS. IN PARTNERSHIP WITH THE ATLANTA POLICE DEPARTMENT, EMORY UNIVERSITY HOSPITAL MIDTOWN HAS A MINI ATLANTA POLICE STATION PRECINCT ON ITS SITE, WHICH HOUSES THIRTY SWORN POLICE EMPLOYEES WITH RESPONSIBILITY FOR PATROLLING MIDTOWN AND DOWNTOWN ATLANTA. EUHM SPONSORS PERIODIC WORKDAYS DURING WHICH EMPLOYEES DO CLEAN-UP ACTIVITIES IN THE NEIGHBORHOOD AROUND EUHM. EUHM ALSO COLLABORATES WITH STATE AGENCIES IN GEORGIA AND THE ROSWELL EMPLOYMENT AGENCY BRIGGS & ASSOCIATES ON PROJECT SEARCH TO TARGET HIGH SCHOOL SENIORS WITH DEVELOPMENTAL DISABILITIES FOR ONE-ON-ONE JOB TRAINING AND COACHING. THESE YOUNG PEOPLE BECOME REGULAR EMPLOYEES, EARNING REGULAR WAGES. EUHM RECEIVED THE "FREEDOM TO COMPETE" AWARD IN 2007 FROM THE EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FOR ITS ROLE AS THE STARTING LOCATION FOR THIS PROGRAM. NOT APPLICABLE NOT APPLICABLE THE ORGANIZATION RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM PATIENTS NOT ABLE TO MAKE PAYMENTS FOR SERVICES. THE ALLOWANCE IS DETERMINED BY ANALYZING HISTORICAL DATA AND TRENDS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND COLLECTION EFFORTS CEASE. COST TO CHARGE RATIO IS USED TO DETERMINE THE COST ASSOCIATED WITH RENDERING SERVICES TO MEDICARE PATIENTS. ANY DISCOUNT ON A PATIENT ACCOUNT IS NOT CONSIDERED TO BE BAD DEBT. LIKEWISE ANY PAYMENTS RECEIVED ON ACCOUNTS ARE NOT CONTEMPLATED IN THE CALCULATION. SHORTFALL IS NOT REPORTED IN LINE 7 COMMUNITY BENEFIT. TO DETERMINE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT, THE COST-TO-CHARGE RATIO IS APPLIED TO GROSS PATIENT REVENUE ASSOCIATED WITH SERVICES PERFORMED FOR PATIENTS WHO ARE ELIGIBLE FOR MEDICARE. POLICY REQUIRES ALL ACCOUNTS TO BE REVIEWED FOR POSSIBLE CHARITY WRITE-OFF. COLLECTION PRACTICES ARE NOT UNDERTAKEN WITH RESPECT TO CHARGES RELATED TO SERVICES COVERED BY THE ORGANIZATION'S CHARITY CARE POLICY. EMORY HEALTHCARE, INC. HAS A 50% PARTNERSHIP INTEREST IN EMORY JOHNS CREEK HOSPITAL. PART VI, LINE 2: EMORY HEALTHCARE (EHC) CURRENTLY CONDUCTS AN EXTENSIVE ANNUAL ENVIRONMENTAL ASSESSMENT, WHICH ENCOMPASSES EACH ENTITY WITHIN THE ORGANIZATION. THIS ASSESSMENT IS UTILIZED TO PLAN THE STRATEGIC DIRECTION FOR THE FOLLOWING FISCAL YEAR. THE ENVIRONMENTAL ASSESSMENT INCLUDES A DETAILED REVIEW OF PATIENT ORIGIN AND PATIENT CHARACTERISTICS, INCLUDING AGE, ETHNICITY AND PAYER. THE POPULATION DEMOGRAPHICS FOR THE PRIMARY AND SECONDARY SERVICE AREAS ARE ANALYZED. THE ASSESSMENT ALSO INCLUDES A REVIEW OF SERVICES CURRENTLY UTILIZED BY PATIENTS ALONG WITH A FORECAST OF FUTURE SERVICE LINE NEEDS. IN ADDITION TO THIS ASSESSMENT, A DETAILED MEDICAL STAFF DEVELOPMENT ASSESSMENT IS CONDUCTED ANNUALLY TO DETERMINE SPECIALTY NEEDS. PART VI, LINE 3: CHARITY CARE POLICY AND FINANCIAL ASSISTANCE APPLICATIONS ARE DISCUSSED WITH PATIENTS DURING THE FINANCIAL SCREENING PROCESS. PATIENTS ARE NOTIFIED OF THEIR STATUS OF FINANCIAL ASSISTANCE AS EACH APPLICATION IS PROCESSED. WE ALSO UTILIZE A MEDICAID ELIGIBILITY VENDOR TO ASSIST PATIENTS IN APPLYING FOR MEDICAID OR OTHER GOVERNMENT PROGRAMS. PART VI, LINE 4: EMORY DEFINES THE COMMUNITY IT SERVES BROADLY TO INCLUDE THE LOCAL METROPOLITAN ATLANTA AREA AND THE STATE OF GEORGIA. EMORY IS ALSO ACTIVE THROUGHOUT THE COUNTRY AND THE GLOBAL COMMUNITY. FOR MORE INFORMATION PLEASE SEE "COMMUNITY" AS FOUND ON THE WEBSITE AT http://www.emoryhealthcare.org/community/index.html EMORY HEALTHCARE PARTICIPATES IN COUNTLESS LOCAL COMMUNITY EVENTS TO HELP RAISE FUNDING AND AWARENESS FOR IMPORTANT CAUSES. A FEW OF THESE ARE: ATLANTA HEART WALK, ATLANTA MOTOR SPEEDWAY, PEACHTREE ROAD RACE. EMORY HEALTHCARE IS ALSO ACTIVELY INVOLVED IN THE COMMUNITY AND CHARITABLE ORGANIZATIONS AROUND THE GLOBE. TO SEE A LIST OF ORGANIZATIONS WE SUPPORT PLEASE VISIT OUR WEBSITE AT http://www.emoryhealthcare.org/community/georgia/community-service/org anizations-we-support.html PART VI, LINE 5: NOT APPLICABLE PART VI, LINE 6: EMORY HEALTHCARE IS THE CLINICAL ENTERPRISE OF THE ROBERT W. WOODRUFF HEALTH SCIENCES CENTER OF EMORY UNIVERSITY, WHICH FOCUSES ON PATIENT CARE, EDUCATION OF HEALTH PROFESSIONALS, RESEARCH ADDRESSING HEALTH AND ILLNESS, AND HEALTH POLICIES FOR PREVENTION AND TREATMENT OF DISEASE. A KEY COMPONENT OF THE WOODRUFF HEALTH SCIENCES CENTER IS THE EMORY UNIVERSITY SCHOOL OF MEDICINE, WHICH HAS BEEN AT THE FOREFRONT OF MEDICAL KNOWLEDGE AND RESEARCH, PIONEERING MANY ADVANCES AND PROCEDURES THAT HAVE CHANGED THE FACE OF MEDICAL HISTORY. PART VI, LINE 7: SEE PART I, LINE 7 DISCLOSURE ABOVE. GA X X X true true X X X X X false true false false false false false false false DR TIMOTHY BUCHMAN 227 221572 0 25000 0 674 0 10125 0 8314 227 265685 0 0 DR S WRIGHT CAUGHMAN 0 592156 0 0 0 40480 0 23350 0 17696 0 673682 0 0 JOHN T FOX SEE PART III 448184 468066 0 0 37996 138613 1060616 27747 26141 212 1572937 634638 0 133294 DR LUCKY JAIN 0 291921 0 8700 0 2085 0 22050 0 15985 0 340741 0 0 DR CHRISTIAN P LARSEN 0 641595 0 0 0 34740 0 23350 0 17620 0 717305 0 0 DR THOMAS J LAWLEY 0 710156 0 0 0 33693 37258 27927 0 15320 37258 787096 0 0 DR ANGEL LEON 0 582864 0 0 0 20279 0 18100 0 8483 0 629726 0 0 MICHAEL J MANDL PART III 0 599624 0 0 0 97111 0 190943 0 14717 0 902395 0 41636 DR CAROLYN MELTZER 0 587194 0 0 0 6488 0 23350 0 13427 0 630459 0 0 DR FRED SANFILIPPO 400536 519838 0 0 9300 15079 32212 26881 15925 9580 457973 571378 0 0 JANE JORDAN CASAVANT 18128 245354 0 0 0 0 0 22050 0 4307 18128 271711 0 0 WILLIAM APICELLI 212072 0 23660 0 409 0 19149 0 12611 0 267901 0 0 0 DEDRA L CANTRELL 260725 0 38863 0 883 0 25056 0 12126 0 337653 0 0 0 SHARI CAPERS 165767 68117 28981 0 797 75 14502 6369 20047 0 230094 74561 0 0 SHAWN PATRICK HAMMOND 230488 12546 33972 0 555 48 12893 6507 20038 0 297946 19101 0 0 UNA E HUTTON NEWMAN 140418 15830 22772 0 151374 16797 18867 4687 10672 0 344103 37314 0 0 DR SARA L BERGA 0 465255 0 0 0 22631 0 23350 0 6591 0 517827 0 0 DR WILLIAM BORNSTEIN 0 349863 0 2561 0 2524 33252 6222 0 20441 33252 381611 0 0 DONALD I BRUNN 0 408477 0 0 0 9686 24971 4900 0 24172 24971 447235 0 0 DALLIS HOWARD CROW 328422 0 0 0 4690 0 13237 0 17493 0 363842 0 0 0 SUSAN GRANT 0 321072 0 75000 0 24117 17908 4900 0 19095 17908 444184 0 0 JAMES T HATCHER 0 345994 0 0 0 1342 23908 4900 0 16701 23908 368937 0 0 DR MICHAEL M E JOHNS 49231 537977 0 0 0 55680 0 23350 0 14792 49231 631799 0 0 RONNIE L JOWERS 124650 309181 0 0 1305 1044 26166 22762 11885 6486 164006 339473 0 0 DR ALLAN I LEVEY 0 466405 0 0 0 20340 0 23350 0 17462 0 527557 0 0 DR BARBARA J STOLL 0 204162 0 0 0 2374 0 18712 0 15995 0 241243 0 0 GARY TEAL 0 270848 0 41694 0 0 3307 21566 0 13821 3307 347929 0 0 FIRST CLASS OR CHARTER TRAVEL FORM 990, SCHEDULE J, PART I, QUESTION 1A FIRST CLASS OR CHARTER TRAVEL FOR ALL OFFICERS, DIRECTORS AND EMPLOYEES: FIRST CLASS TRAVEL IS NOT ALLOWED UNLESS IT IS THE ONLY SEAT AVAILABLE ON A REQUIRED FLIGHT OR IS A MEDICAL NECESSITY FOR THE EMPLOYEE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS FORM 990, SCHEDULE J, PART I, QUESTION 1A THE FOLLOWING TAX GROSS-UP PAYMENTS WERE MADE PURSUANT TO THE EMORY CLINIC, INC. RETIREMENT PLAN FOR PHYSICIANS. THE PLAN INCLUDES A CASH RETIREMENT CONTRIBUTION AND A TAX GROSS-UP INTENDED TO MAKE UP FOR THE FACT THAT THE CASH RETIREMENT CONTRIBUTION CAN NOT BE MADE ON A PRE-TAX BASIS. THE GROSS-UP PAYMENT IS MADE TO ALL PHYSICIAN RETIREMENT PLAN PARTICIPANTS. RECEIPIENTS: CAUGHMAN $3,697; FOX $3,697; LARSEN $3,697; LAWLEY $3,697; LEON $2,257; MELTZER $738; SANFILIPPO $645; BERGA $2,776; BORNSTEIN $6; JOHNS $3,697; LEVEY $2,480 HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES FORM 990, SCHEDULE J, PART I, QUESTION 1A EMORY UNIVERSITY PAID $5,267 IN CLUB DUES FOR JOHN T FOX. EMORY UNIVERSITY PAID $6,700 IN CLUB DUES FOR DR MICHAEL M E JOHNS. EMORY UNIVERSITY PAID $4,472 IN CLUB DUES FOR DR S WRIGHT CAUGHMAN. EMORY UNIVERSITY PAID $8,076 IN CLUB DUES FOR MICHAEL J MANDL. EMORY HEALTHCARE, INC. PAID $5,271 IN CLUB DUES FOR JOHN T FOX. THE EMORY CLINIC, INC. PAID $2,236 IN CLUB DUES FOR DR S WRIGHT CAUGHMAN. THE EMORY CLINIC, INC. PAID $6,980 IN CLUB DUES FOR DONALD I BRUNN. THESE AMOUNTS WERE TREATED AS TAXABLE COMPENSATION TO THE RECEIPIENTS. THE CLUB DUES FOR JOHN T FOX REFLECT CLUB DUES PAID FOR CALENDAR YEARS 2008 AND 2009. DEFERRED COMPENSATION FORM 990, SCHEDULE J, Part I, QUESTION 4B AND PART II FOR PURPOSES OF RETENTION, EMORY MADE A CONTRIBUTION OF $1,032,600 TO JOHN T FOX'S 457(F) DEFERRED COMPENSATION ACCOUNT, WHICH IS NOT VESTED AND IS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. IN ADDITION, MR. FOX RECEIVED A VESTED DISTRIBUTION FROM A 457(F) ACCOUNT IN THE AMOUNT OF $133,294, WHICH WAS RELATED TO AWARDS FROM PRIOR YEARS. FOR PURPOSES OF RETENTION, EMORY MADE A CONTRIBUTION OF $90,750 TO MICHAEL J MANDL'S 457(F) DEFERRED COMPENSATION ACCOUNT, WHICH IS NOT VESTED AND IS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. IN ADDITION, FOR PURPOSES OF RETENTION, EMORY AND MR. MANDL ENTERED INTO A 457(F) DEFERRED COMPENSATION AGREEMENT, PURSUANT TO WHICH EMORY MADE AN AWARD OF $547,000, WHICH IS NOT VESTED AND IS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND WHICH IS REPORTED RATABLY OVER SEVEN YEARS. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B CERTAIN EMORY UNIVERSITY EXECUTIVES PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PLAN INTENDED TO MAKE UP FOR LIMITS ON COMPENSATION IN THE QUALIFIED RETIREMENT PLAN. MICHAEL J MANDL - $32,400 JOHN D LAWLEY FAMILY MEMBER OF DIRECTOR 89627 EMPLOYEE OF EMORY UNIVERSITY false LESLIE LAWLEY FAMILY MEMBER OF DIRECTOR 174497 EMPLOYEE OF EMORY UNIV&CLINIC false RACHEL LAWLEY FAMILY MEMBER OF DIRECTOR 46445 EMPLOYEE OF EMORY UNIVERSITY false JANET SANFILIPPO FAMILY MEMBER OF DIRECTOR 117272 EMPLOYEE OF EMORY UNIVERSITY false PAMELA K ALLEN FAMILY MEMBER OF DIRECTOR 25281 EMPLOYEE OF EMORY UNIVERSITY false MICHAEL M JOHNS FAMILY MEM OF FORMER DIR 251599 EMPLOYEE OF EMORY UNIV&CLINIC false SHABNAM JAIN FAMILY MEMBER OF DIRECTOR 155297 EMPLOYEE OF EMORY UNIVERSITY false CAROLYN KATZEN FAMILY MEMBER OF DIRECTOR 287479 EMPLOYEE OF EMORY UNIVERSITY false CAROL HATCHER FAMILY MEM OF FORMER OFF 18579 EMPLOYEE OF EMORY UNIVERSITY false GEORGE H GRANT FAMILY MEM OF FORMER OFF 111452 EMPLOYEE OF EMORY UNIVERSITY false IVEY MILTON FAMILY MEM OF FORMER OFF 26754 EMPLOYEE OF EMORY UNIV&HEALTHC false CHRISTOPHER RYAN JOWERS FAMILY MEM OF FORMER OFF 72645 EMPLOYEE OF EMORY UNIVERSITY false JONATHAN MILTON FAMILY MEM OF FORMER OFF 40467 EMPLOYEE OF EMORY UNIVERSITY false ANDREW TEAL FAMILY MEM OF FORMER OFF 38622 EMPLOYEE OF EMORY UNIVERSITY false ASHLEY TEAL FAMILY MEM OF FORMER OFF 36987 EMPLOYEE OF EMORY UNIVERSITY false GEORGIA POWER COMPANY BOARD MEMBER IS TRUSTEE 28366309 UTILITIES false GENERAL ELECTRIC COMPANY BOARD MEM IS V CHAIRMAN 21194562 MEDICAL SUPPLIES & EQUIPMENT false JOHNSON JOHNSON FRMR BRD MEM IS DIRECTOR 6470088 MEDICAL SUPPLIES false AMN HEALTHCAREINC FRMR BRD MEM IS DIRECTOR 192823 STAFFING & MANAGED SERVICES false DEPUY DIR IS DIR OF PARENT CO 1021867 MEDICAL SUPPLIES false VISTAKON DIR IS DIR OF PARENT CO 146713 VISION CARE false MENTOR WORLDWIDELLC DIR IS DIR OF PARENT CO 345428 MEDICAL SUPPLIES false INTERPARK INC DIR IS OFF OF PARENT CO 141880 PARKING COUPON BOOKS false DATEX OHMEDA DIR IS OFF OF PARENT CO 862767 MEDICAL SUPPLIES false IKON FINANCIAL SERVICES DIR IS OFF OF PARENT CO 173457 DOCUMENT MGMT SYSTEMS SERVICES false VITAL SIGNS INC DIR IS OFF OF PARENT CO 11989 MEDICAL SUPPLIES false ACCLARENT DIR IS DIR OF PARENT CO 46385 MEDICAL SUPPLIES false ORKIN INC DIR IS DIR OF PARENT CO 556617 PEST CONTROL SERVICES false MEMBERS AND DECISIONS OF THE GOVERNING BODY Form 990, Part VI, Section A, QuestionS 7A AND 7b THE EMORY HEALTHCARE, INC. ("EMORY HEALTHCARE") ARTICLES AND BYLAWS MAY NOT BE AMENDED WITHOUT THE APPROVAL OF THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF EMORY UNIVERSITY, BASED ON THE RECOMMENDATION OF ITS ROBERT W. WOODRUFF HEALTH SCIENCES CENTER BOARD (THE "WOODRUFF BOARD"), A SUBCOMMITTEE OF THE EMORY UNIVERSITY BOARD OF TRUSTEES. In addition, Emory Healthcare may not take any of the following actions without the prior approval of the Executive Committee and the Finance Committee of the Board of Trustees of Emory University, based on the recommendation of the Woodruff Board: (a) organize any subsidiary corporation or enter into any joint venture or partnership; (b) adopt a plan of liquidation or dissolution, or file a voluntary petition in bankruptcy; (c) enter into any transaction providing for the sale, mortgage or other disposition of all or substantially all of the assets of Emory Healthcare; (d) adopt a plan of reorganization or of merger or consolidation with another corporation; (e) incur any single item of indebtedness in excess of $500,000; (f) adopt or amend any long-range plan; or (g) adopt or amend an annual operating budget or capital budget or make any expenditures except pursuant to budget or expenditure policies approved by Emory University. Emory Healthcare is also required to deliver to the Woodruff Board an annual report of the financial affairs of Emory Healthcare for the period concerned, including a statement of the assets and liabilities of Emory Healthcare, a statement of the receipts and distributions of Emory Healthcare, a statement of its then-current investment portfolio, and such other information as the directors of Emory Healthcare or the Trustees of the Woodruff Board deem appropriate and helpful. PROCESS USED TO REVIEW FORM 990 Form 990, Part VI, Section B, Question 11 Prior to finalization of the return, management provided access to a final draft of the Form 990 to all members of the Board of directors and gave them an opportunity to make comments. Management updated the Form 990 for all comments received and finalized the return. CONFLICT OF INTEREST POLICY Form 990, Part VI, Section B, Question 12c Emory Healthcare, Inc.'s Conflict of Interest Policy requires certain individuals to disclose participation in activities or circumstances that may present a conflict of interest on an annual basis or if at any time such individual becomes aware of circumstances that may present a conflict of interest. These disclosures are reviewed by the Board of directors, as necessary. IF THE CONFLICT OF INTEREST COMMITTTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST MAY MAKE A PRESENTATION TO SUCH CONFLICT OF INTEREST COMMITTEE, BUT AFTER SUCH PRESENTATION, THE INDIVIDUAL MUST LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTED IN THE CONFLICT OF INTEREST. DURING THE FISCAL YEAR NONE OF THE TRUSTEES WITH RELATED BUSINESS INTERESTS VOTED ON BUSINESS DECISIONS INVOLVING THEIR COMPANIES. DETERMINATION OF COMPENSATION Form 990, Part VI, Section B, Question 15b EMORY HEALTHCARE, INC. ("EMORY HEALTHCARE") HAS A COMPENSATION AND BENEFITS COMMITTEE COMPRISED OF FOUR INDEPENDENT, NON-EMPLOYEE MEMBERS OF THE EMORY HEALTHCARE BOARD OF DIRECTORS. EACH YEAR, THE COMMITTEE REVIEWS MARKET DATA COMPILED BY AN INDEPENDENT CONSULTING FIRM FROM COMPARABLE RESEARCH INSTITUTIONS FOR EACH POSITION IDENTIFIED AS A "DISQUALIFIED PERSON" FOR PURPOSES OF INTERMEDIATE SANCTIONS UNDER IRS REGULATIONS. THE COMMITTEE DISCUSSES THE PROPOSED COMPENSATION FOR EACH SUCH INDIVIDUAL IN THE CONTEXT OF THE MARKET DATA AND THE INDIVIDUAL'S PERFORMANCE AND CONTRIBUTION TO EMORY HEALTHCARE AND IT MAKES A DECISION REGARDING THE APPROPRIATENESS OF COMPENSATION AND ANY COMPENSATION INCREASE. THE DISCUSSIONS ARE DOCUMENTED IN THE COMMITTEE'S MINUTES BY A REPRESENTATIVE OF THE OFFICE OF THE GENERAL COUNSEL. THESE DECISIONS ARE THEN SUBJECT TO APPROVAL BY THE EXECUTIVE COMPENSATION AND TRUSTEES' CONFLICT OF INTEREST COMMITTEE OF THE EMORY UNIVERSITY BOARD OF TRUSTEES. AVAILABILITY OF DOCUMENTS TO THE PUBLIC Form 990, Part VI, Section C, Question 19 Generally, Emory Healthcare, Inc. does not make its governing documents or its conflict of interest policy available to the public. However, Emory Healthcare, Inc.'s Articles of Incorporation are publicly available through Georgia's Secretary of State Website. Emory Healthcare, Inc.'s financial statements are available to the public via the annual form 990 tax return. NUMBER OF HOURS WORKED AT RELATED ORGANIZATIONS FORM 990, PART VII, COLUMN B AVERAGE NUMBER OF HOURS WORKED AT RELATED ORGANIZATIONS: J DAVID ALLEN - 3 HOURS ELLEN A BAILEY - 4 HOURS DR TIMOTHY BUCHMAN - 59 HOURS DR S WRIGHT CAUGHMAN - 50 HOURS JOHN T FOX - 36 HOURS RUSSELL R FRENCH - 2 HOURS CHARLES B GINDEN - 1 HOUR JOHN T GLOVER - 3 HOURS ROBERT C GODDARD III - 1 HOUR DR LUCKY JAIN - 61 HOURS DR CHRISTIAN P LARSEN - 61 HOURS DR THOMAS J LAWLEY - 64 HOURS DR ANGEL LEON - 60 HOURS MICHAEL J MANDL - 65 HOURS DR CAROLYN MELTZER - 61 HOURS GEORGE D OVEREND - 3 HOURS J NEAL PURCELL - 3 HOURS JOHN G RICE - 1 HOUR DR FRED SANFILIPPO - 50 HOURS JANE JORDAN CASAVANT - 30 HOURS DR SARA L BERGA - 61 HOURS DR WILLIAM BORNSTEIN - 57 HOURS DONALD I BRUNN - 60 HOURS SUSAN GRANT - 50 HOURS JAMES T HATCHER - 50 HOURS DR MICHAEL M E JOHNS - 65 HOURS RONNIE L JOWERS - 35 HOURS DR ALLAN I LEVEY - 61 HOURS DR BARBARA J STOLL - 61 HOURS GARY TEAL - 30 HOURS FAMILY OR BUSINESS RELATIONSHIPS FORM 990, PART VI, QUESTION 2 BOARD MEMBERS J DAVID ALLEN AND RUSSELL R FRENCH WERE BOTH BOARD MEMBERS OF ATLANTIC CAPITAL BANCSHARES, INC. AND ATLANTIC CAPITAL BANK. BOARD MEMBERS ROBERT C GODDARD III AND RUSSELL R FRENCH WERE BOTH BOARD MEMBERS OF POST PROPERTIES,INC. Identification of related organizations taxable as a corporation Schedule R, Part IV (a)Name, address, and EIN of related organization The Clifton Casualty Insurance Company LTD (no EIN - foreign) PO BOX 1051 23 LIME TREE BAY AVENUE GRAND CAYMAN, CAYMAN ISLANDS KY1-1102 CJ (b)Primary Activity Captive Insurance Co. (c)Legal domicile (state or foreign country) Cayman Islands (d)Direct controlling entity Emory Healthcare, Inc. Primary Activity of Related Tax-Exempt Organizations Schedule R, Part II, Column B Emory University- Education The Emory Clinic, Inc. - MD Medical Practice Emory-Children's Center, Inc. - Pediatric MD Practice Emory Medical Laboratories, Inc.- MD Care Practice Wesley Woods Center of Emory University, INC.- Medical Services EMORY MEDICAL CARE FOUNDATION, INC. - MEDICAL EDUCATION & RESEARCH PROGRAM SERVICES FORM 990, PART III, QUESTION 4A Emory Healthcare, Inc. (Emory Healthcare) is the clinical arm of the Robert W. Woodruff Health Sciences Center of Emory University, which focuses on patient care, education of health professionals, research addressing health and illness, and health policies for prevention and treatment of disease. Emory Healthcare is at the forefront of medicine, putting cutting-edge interventional research and technology into lifesaving action. As the largest, most comprehensive health care system in Georgia, Emory Healthcare has 1,508 licensed patient beds, 11,682 employees and more than 20 health centers located throughout Metro Atlanta. Emory Healthcare, Inc. coordinates the provision of needed medical care to its community regardless of any individual's ability to pay. Programs include marketing, information services, managed care, credentialing, risk & insurance, strategic planning, community relations and human resources. Charity Care: During FY 2010, Emory Healthcare physicians provided $ 63.5 million in charity care, a total that does not include uncompensated care provided by Emory physicians practicing at publicly funded Grady Memorial Hospital and other affiliate institutions. Under Emory Healthcare policies, "charity care" refers to indigent care (that provided to patients with no health insurance, not even Medicare or Medicaid) and catastrophic care (that provided without charge to patients who have some coverage but whose medical bills are so enormous that to pay them would be permanently life-shattering). The $63.5 million represents the cost of providing charity care, based on actual expenses to Emory Healthcare. Cost reporting is now standard for calculating charity care totals, as required by the IRS and advocated by the Healthcare Financial Management Association and the Catholic Health Association. EMORY UNIVERSITY/WOODRUFF HEALTH SCIENCES CENTER COMMUNITY BENEFIT REPORT CAN BE FOUND ON THE WEB AT: http://whsc.emory.edu/home/publications/health-sciences/community-benefits -2010/index.html An abridged version of the Woodruff Health Sciences Center Community Benefits Report follows: PROGRAM SERVICES FORM 990, PART III, QUESTION 4A - CONTINUED CARE, COMPASSION, SERVICE: FOR MANY GEORGIANS, THIS PAST YEAR WAS ESPECIALLY HARD. UNEMPLOYMENT CONTINUED ABOVE THE NATIONAL AVERAGE. SIX OF THE 10 COUNTIES WITH THE HIGHEST RATE OF BANKRUPTCY FILINGS IN THE NATION WERE IN GEORGIA, MOST LOCATED IN OR AROUND ATLANTA. THE STATE HAD THE FIFTH-HIGHEST NUMBER OF MEDICALLY UNINSURED PEOPLE IN THE UNITED STATES: ALMOST ONE IN FIVE ADULTS UNDER 65, ONE IN 10 OF THOSE UNDER 18, FIGURES GEORGIA ECONOMISTS EXPECT TO RISE WHEN NEW CENSUS FIGURES ARE RELEASED. OTHER GEORGIANS HAD SOME INSURANCE - BUT NOT ENOUGH TO COVER THE ILLNESS OR INJURY THAT BROUGHT THEM TO THEIR FINANCIAL KNEES. WHILE EVERY HOSPITAL IN GEORGIA FELT THE IMPACT OF THIS CRISIS, EMORY HEALTHCARE IS REFERRED A DISPROPORTIONATE NUMBER OF PATIENTS WITH EXTREMELY COMPLEX AND CHALLENGING ILLNESSES, CASES THAT IN MANY INSTANCES HAVE ALREADY USED UP THE FAMILY'S RESOURCES AND THE LIMITS OF ANY INSURANCE COVERAGE THEY MIGHT HAVE HAD. THESE PATIENTS, LIKE ALL WHO ENTER THE DOORS OF EMORY'S HOSPITALS AND CLINICS, RECEIVE THE BEST AND MOST COMPASSIONATE CARE POSSIBLE FROM A HEALTH SYSTEM THAT PUTS SERVICE AHEAD OF REIMBURSEMENT. HERE THEY FOUND A NURTURING ENVIRONMENT IN WHICH THEY AND THEIR FAMILIES RECEIVED THE FINEST CUTTING-EDGE, COMPASSIONATE CARE AVAILABLE, REGARDLESS OF THEIR ABILITY TO PAY. FOR EMORY'S WOODRUFF HEALTH SCIENCES CENTER (WHSC), THE FIRST AND LAST WORD IN ALL THAT WE DO IS "PEOPLE", AND IN THESE CHALLENGING TIMES, CONCERN FOR THE PEOPLE WE SERVE MOTIVATES AND INSPIRES US MORE THAN EVER. THE CURRENT RECESSION HAS BEEN CHALLENGING FOR THE WHSC, AS IT HAS FOR SO MANY OTHER INSTITUTIONS AND INDIVIDUALS. BUT WHEN YOUR GOAL IS SERVING PEOPLE IN NEED, DOING LESS IS NEVER AN OPTION. INSTEAD WE EXERCISE CAUTION AND CREATIVITY - OPERATING AS LEANLY AND EFFICIENTLY AS POSSIBLE AND INNOVATING PROCESSES THAT ALLOW US TO USE OUR RESOURCES WISELY AND CONTINUE TO DELIVER ON OUR LIFESAVING MISSION. PROGRAM SERVICES FORM 990, PART III, QUESTION 4A - CONTINUED CHARITY CARE AT EMORY HEALTHCARE: IN FISCAL YEAR 2009-2010, EMORY HEALTHCARE (EHC) PHYSICIANS PROVIDED $63.5 MILLION IN CHARITY CARE, A NUMBER THAT APPEARS LIKELY TO KEEP RISING. WHAT IS CHARITY CARE? UNDER EHC POLICIES, CHARITY CARE ENCOMPASSES INDIGENT CARE (FOR PATIENTS WIH NO HEALTH INSURANCE, NOT EVEN MEDICAID OR MEDICARE, AND NO RESOURCES OF THEIR OWN) AND CATASTROPHIC CARE (FOR PATIENTS WHO MAY HAVE SOME COVERAGE BUT WHOSE HEALTH CARE BILLS ARE SO BIG THAT TO PAY THEM WOULD BE IMPOSSIBLE OR, IF POSSIBLE, WOULD LEAVE THEIR LIVES FURTHER SHATTERED). IN ADDITION TO CHARITY CARE, EHC PROVIDES NUMEROUS OTHER COMMUNITY SERVICES WHOSE GOAL IS TO IMPROVE ACCESS TO CARE, ADVANCE MEDICAL KNOWLEDGE, AND RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. THIS YEAR MARKS EHC'S INAUGURAL EFFORT TO QUANTIFY AND REPORT THE VALUE OF SUCH SERVICES. IN FISCAL YEAR 2009-2010, THIS TOTAL FOR EHC WAS $56.4 MILLION. AS AN ACADEMIC MEDICAL CENTER, EMORY HAS THE EXPERTISE TO TREAT THE SICKEST OF THE SICK - AS A RESULT, A DISPROPORTIONATE NUMBER OF PATIENTS WITH EXTREMELY COMPLEX AND CHALLENGING ILLNESSES ARE REFERRED HERE. THEY COME FROM NEARBY AND FROM LOCALES ACROSS THE STATE. CARING FOR THESE PATIENTS REQUIRES NOT ONLY MORE EXPERTISE BUT ALSO CONSIDERABLY MORE RESOURCES. CARING FOR CHILDREN: EMORY'S 250-PLUS PEDIATRIC SPECIALISTS ARE AN IMPORTANT PART OF THE SAFETY NET FOR GEORGIA'S YOUNGEST AND MOST VULNERABLE. IT'S A NET THAT SPREADS WIDE. EMORY-CHILDREN'S CENTER (ECC), A JOINT VENTURE BETWEEN EMORY HEALTHCARE AND CHILDREN'S HEALTHCARE OF ATLANTA, IS THE LARGEST PEDIATRIC MULTI-SPECIALTY GROUP PRACTICE IN GEORGIA. IN ADDITION TO PROVIDING ALMOST 50,000 OUTPATIENT SERVICES IN THE PAST YEAR THROUGOUT THE STATE, EMORY PEDIATRICIANS PROVIDE MOST OF THE INPATIENT CARE AT CHILDREN'S HEALTHCARE AT EGLESTON ON EMORY'S CAMPUS AND A SUBSTANTIAL PORTION OF INPATIENT CARE AT CHILDREN'S AT HUGHES SPALDING HOSPITAL ON THE CAMPUS OF THE PUBLICLY OWNED GRADY MEMORIAL HOSPITAL. EMORY PEDIATRICIANS ALSO CARE FOR SICK NEWBORNS AND OTHER HIGH-RISK BABIES AT THE EMORY REGIONAL PERINATAL CENTER AT GRADY AND IN THE NEONATAL INTENSIVE CARE UNIT AT EMORY UNIVERSITY HOSPITAL MIDTOWN. EMORY'S PEDIATRIC SAFETY NET IS ALSO ONE THAT GEORGIA FAMILIES INCREASINGLY NEED. THE LARGEST PROPORTION OF CHILDREN SEEN BY EMORY PEDIATRIC SPECIALISTS (56%) ARE COVERED BY MEDICAID, WHICH REIMBURSES AT A RATE FAR BELOW WHAT IT ACTUALLY COSTS EMORY TO PROVIDE CARE, EVEN LESS THAN REIMBURSEMENT FOR ADULT CARE. ANOTHER SIGNIFICANT PORTION OF PATIENTS SEEN BY EMORY PEDIATRICIANS ARE REFERRED TO AS "SELF-PAY", BUT IN REALITY FREQUENTLY THIS MEANS THAT THEY SIMPLY CAN'T PAY. BASED ON THE MOST RECENT CENSUS FIGURES AVAILABLE, MORE THAN ONE OUT OF NINE GEORGIA CHILDREN - THE VAST MAJORITY LIVING IN HOMES WHERE AT LEAST ONE PARENT WORKS - HAS NO HEALTH INSURANCE WHATSOEVER. WHETHER PATIENTS ARE COVERED OR NOT , HOWEVER, IS A DISTINCTION NOTED ONLY IN THE BUSINESS OFFICE. ALL THAT EMORY PEDIATRICIANS SEE ARE SICK CHILDREN WHO NEED THE EXPERTISE THEY CAN PROVIDE. SERVING THE ELDERLY AND CHRONICALLY ILL: WHAT EMORY'S WESLEY WOODS CENTER DOES EXTRAORDINARILY WELL ALSO MAKES THE GERIATRIC CENTER A NONPROFIT POSTER CHILD - MEETING THE NEEDS OF PATIENTS IN THEIR 70'S, 80'S, 90'S OR BEYOND AS WELL AS THOSE OF YOUNGER PATIENTS REQUIRING EXTENSIVE WOUND CARE, REHAB, OR RESPIRATORY CARE. MANY PATIENTS ARE ABLE TO PAY FOR SERVICES, BUT AN INCREASING NUMBER ARE EITHER INELIGILBLE FOR FEDERAL OR STATE PROGRAMS OR HAVE ALREADY REACHED THE LIMITS OF ANY COVERAGE OR PERSONAL RESOURCES THEY ONCE HAD. FOR MORE AND MORE OF THE 30,000 PATIENTS SEEN EVERY YEAR AT WESLEY WOODS HOSPITAL, OUTPATIENT CLINIC, AND NURSING CARE FACILITIES, REIMBURSEMENT FALLS SHORT, OFTEN FAR SHORT, OF THE ACTUAL COSTS OF PROVIDING SERVICES. DURING FISCAL YEAR 2009-2010, EXPENSES AT WESLEY WOODS CENTER EXCEEDED REVENUE BY $6.2 MILLION, A "NEGATIVE INCREASE OF 38% OVER THE PREVIOUS YEAR. WHILE NEXT YEAR IS EXPECTED TO BE EVEN WORSE FROM AN ECONOMIC POINT OF VIEW, CLINICIANS AT WESLEY WOODS EXPECT TO CONTINUE TO SERVE AS THE SAME SOURCE OF COMPASSION AND HOPE FOR THEIR PATIENTS THAT THEY ALWAYS HAVE. HELPING TRANSFORM GRADY AND THE LIVES OF ITS PATIENTS: LAST YEAR, EMORY PHYSICIANS PROVIDED MORE THAN $22.3 MILLION IN UNCOMPENSATED CARE AT PUBLICLY FUNDED GRADY MEMORIAL HOSPITAL, WHERE EMORY MEDICAL FACULTY ARE RESPONSIBLE FOR 85% OF PHYSICIAN CARE. AS MORE AND MORE ATLANTANS LOST JOBS AND INSURANCE DURING THE MOUNTING FINANCIAL CRISIS, THE HOSPITAL'S HISTORICAL ROLE AS A "SAFETY NET" FOR THE COMMUNITY BECAME EVEN MORE CRITICAL. JUST TWO YEARS AGO, THE 118-YEAR-OLD HOSPITAL WAS ON THE VERGE OF FINANCIAL COLLAPSE, WHICH WOULD HAVE BEEN A DISASTER NOT ONLY FOR GRADY'S PATIENTS AND THEIR FAMILIES BUT ALSO FOR THE CITY'S HEALTH SYSTEM AND ITS OVERALL ECONOMY. IN RECENT MONTHS, HOWEVER, NEW LEADERSHIP AT GRADY AND FINANCIAL SUPPORT FROM THE COMMUNITY - INCLUDING A $20 MILLION DEBT FORGIVENESS ON THE PART OF EMORY - STARTED PAYING OFF. DESPITE A 7% INCREASE IN UNINSURED PATIENTS, A CUT IN STATE TRAUMA FUNDING, AND A 25% INCREASE IN INDIGENT AND CHARITY CARE, GRADY IS OPERATING IN THE BLACK FOR THE FIRST TIME IN YEARS. EMORY MEDICAL FACULTY - AND THEIR WILLINGNESS TO PROVIDE VAST AMOUNTS OF UNREIMBURSED CARE - MAKE POSSIBLE THE STAGGERING NUMBER OF PATIENTS SEEN AT GRADY: 26,700 ADMISSIONS AND 616,271 OUTPATIENT AND EMERGENCY SERVICES LAST YEAR. ANY PAYMENTS EMORY PHYSICIANS DO RECEIVE GO TO THE EMORY MEDICAL CARE FOUNDATION, WHICH INVESTS EVERY CENT TO SUPPORT EMORY'S PATIENT SERVICES AT GRADY. IN FISCAL YEAR 2009-2010, THIS MEANT $36 MILLION WAS USED TO UPGRADE EQUIPMENT AND SUPPORT VITAL SERVICES PROVIDED BY EMORY DOCTORS WORKING AT THE HOSPITAL. EMORY AND THE ATLANTA VA MEDICAL CENTER: EMORY AND THE ATLANTA VA MEDICAL CENTER SHARE BACK-TO-BACK CAMPUSES, A PARTNERSHIP THAT STRETCHES OVER SIX DECADES, AND A COMMITMENT TO GIVE VETERANS THE QUALITY OF HEALTH CARE THEY DESERVE, DESIRE, AND NEED. SOME 250 EMORY PHYSICIANS ALONG WITH 142 FULL-TIME EQUIVALENT RESIDENTS PROVIDE PHYSICIAN CARE AT THE FACILITY, WHICH HAS 165 HOSPITAL BEDS AND 120 NURSING HOME BEDS. EMORY SCIENTISTS HAVE MADE THE ATLANTA VA MEDICAL CENTER ONE OF THE NATION'S TOP VA CENTERS FOR RESEARCH THAT IS DIRECTED AT SOME OF THE MOST SERIOUS PROBLEMS FACED BY VETERANS. LAST YEAR, EMORY-DIRECTED RESEARCH FUNDING TOTALED $29 MILLION AND INVOLVED MORE THAN 500 PROJECTS COVERING AREAS RANGING FROM DIABETES AND DRUG ADDICTION TO CANCER, HIV/AIDS, DEPRESSION, HYPERTENSION, AND DEMENTIA. FINANCIAL COMMITMENTS IN EDUCATION: STUDENT ENROLLMENT IN SCHOOLS WITHIN EMORY'S WOODRUFF HEALTH SCIENCES CENTER (WHSC) HAS NEVER BEEN HIGHER. PUBLIC HEALTH AND MEDICINE EACH HAS ITS LARGEST ENTERING CLASS EVER. NURSING HAS THE LARGEST GROUP OF MASTER'S STUDENTS IN HISTORY, AND APPLICANTS TO ITS SIX NURSE PRACTITIONER PROGRAMS HAVE GROWN BY DOUBLE - AND TRIPLE-DIGIT PERCENTAGES OVER THE PREVIOUS YEAR - IN PEDIATRIC ACUTE AND PRIMARY CARE, ALONE, FOR EXAMPLE, APPLICANTS INCREASED, RESPECTIVELY, BY 71% AND 112%. EMORY HEALTHCARE INVESTS MILLIONS EACH YEAR IN THE WHSC'S TEACHING AND RESEARCH MISSIONS, INCLUDING $83.1 MILLION IN FISCAL YEAR 2009-2010. WHILE EMORY IS DOING ITS PART TO EASE THE SHORTAGE OF PHYSICIANS AND OTHER HEALTH CARE PROVIDERS IN THIS COUNTRY, THE FOCUS REALLY IS MORE ON QUALITY THAN QUANTITY. THE GOAL IS TO PRODUCE STUDENTS WHO WILL BE LEADERS IN MAKING HEALTH CARE MORE COST-EFFECTIVE, ACCESSIBLE, FOCUSED ON PREVENTION, AND ORIENTED TO THE NEEDS OF SOCIETY AS A WHOLE AND TO INDIVIDUAL PATIENTS AND THEIR FAMILIES. LEARNING A HEALTH PROFESSION IS A VERY COSTLY PROPOSITION, WHICH IS WHY THE WOODRUFF HEALTH SCIENCE CENTER INVESTED 23.1% OF ITS TUITION INCOME IN FINANCIAL AID FOR STUDENTS LAST YEAR. FOR FISCAL YEAR 2009-2010, THIS AMOUNT TOTALED $15.1 MILLION. PROGRAM SERVICES FORM 990, PART III, QUESTION 4A - CONTINUED A POWERFUL ECONOMIC ENGINE: LAST MAY, THE SCIENCE COALITION RELEASED A REPORT DEMONSTRATING THE LINK BETWEEN FEDERALLY FUNDED RESEARCH AND ECONOMIC GROWTH. TO ILLUSTRATE THIS POINT, THE REPORT HIGHLIGHTED FOUR HEALTH-RELATED EMORY START-UP COMPANIES AMONG ITS 100 "SUCCESS STORIES", ALONG WITH SUPERSTARS LIKE GOOGLE, GENENTECH,AND CISCO SYSTEMS. THE FOUR COMPANIES CITED IN THE REPORT ARE AMONG 51 LAUNCHED AT EMORY OVER THE PAST DECADE. OVER THE PAST TWO DECADES, THE WOODRUFF HEATLH SCIENCE CENTER (WHSC) HAS HELPED EMORY BRING MORE THAN $788 MILLION INTO THE STATE IN LICENSING REVENUES FROM DRUGS, DIAGNOSTICS, DEVICES, AND CONSUMER PRODUCTS. MORE THAN 50 PRODUCTS CURRENTLY IN VARIOUS STAGES OF DEVELOPMENT OR REGULATORY APPROVAL, WITH 27 HAVING REACHED THE MARKETPLACE AND 12 MORE IN HUMAN CLINICAL TRIALS. IN THE PAST YEAR ALONE, EMORY ATTRACTED $535.1 MILLION IN RESEARCH FUNDING, $500.7 MILLION OF WHICH WAS IN HEALTH SCIENCES. CLEARLY, THE WHSC IS AN ECONOMIC DRIVER FOR ATLANTA, THE STATE, AND THE REGION. WITH ALMOST 18,000 EMPLOYEES, WHSC MAKES EMORY THE LARGEST EMPLOYER IN DEKALB COUNTY AND THE THIRD LARGEST PRIVATE EMPLOYER IN METRO ATLANTA. WITH $2.5 BILLION IN EXPENDITURES FOR FISCAL YEAR 2009-2010, THE WHSC HAS AN ESTIMATED ECONOMIC IMPACT ON METRO ATLANTA OF $5.8 BILLION. VALUE TO THE COMMUNITY: IN ADDITION TO PROVIDING CHARITY CARE, EMORY'S WOODRUFF HEALTH SCIENCES CENTER (WHSC) BENEFITED THE COMMUNITY IN MANY OTHER WAYS IN FISCAL YEAR 2009-2010 TOTAL AMOUNT WAS $380.0 MILLION AS FOLLOWS: $63.5 MILLION - COSTS OF CHARITY CARE PROVIDED BY EMORY HEALTHCARE $15.1 MILLION - FINANCIAL AID PROVIDED TO STUDENTS FROM TUITION INCOME $83.1 MILLION - EMORY HEALTHCARE INVESTMENT IN WHSC TEACHING AND RESEARCH $ 2.0 MILLION - COSTS OF EMERGENCY PREPAREDNESS PLANNING AND EDUCATIONAL PROGRAMS FOR THE PUBLIC, FUTURE HEALTH PROFESSIONALS, AND PATIENTS $54.4 MILLION - SHORTFALL BETWEEN EHC'S COST TO PROVIDE CARE TO MEDICAID PATIENTS AND MEDICAID REIMBURSEMENT, PLUS GEORGIA PROVIDER TAX TOTAL PAID BY EHC $103.6 MILLION - CASH LOSS FOR UNRECOVERED COSTS FOR WHSC RESEARCH $22.3 MILLION - UNREIMBURSED CARE PROVIDED AT GRADY HOSPITAL $36.0 MILLION - INVESTMENT OF EMORY MEDICAL CARE FOUNDATION IN SERVICES AT GRADY SCHEDULE H - MANAGEMENT COMPANIES AND JOINT VENTURES SCHEDULE H, PART IV, LINE 1(A) EHCA JOHNS CREEK HOLDINGS, LLC. 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