GWINNETT HOSPITAL SYSTEMINC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: GWINNETT HOSPITAL SYSTEMINC (EIN 58-2002413)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-13
IRS object ID: 201121339349300117
Schema version: 2009v1.7
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	2011-05-13T08:15:43-05:00	Timestamp
Tax Period End Date	2010-06-30	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	2009-07-01	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	6783125603	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	2011-05-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	8656730844	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	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	597368470	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	4842	TotalNbrEmployees
Total Nbr Volunteers	300	TotalNbrVolunteers
Total Gross UBI	731093	TotalGrossUBI
Net Unrelated Business Txbl Income	332834	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	11198782	ContributionsGrantsPriorYear
Contributions Grants Current Year	10977083	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	567127119	ProgramServiceRevenuePriorYear
Program Service Revenue CY	578979592	ProgramServiceRevenueCY
Investment Income Prior Year	-1951832	InvestmentIncomePriorYear
Investment Income Current Year	7756579	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-955623	OtherRevenuePriorYear
Other Revenue Current Year	-344784	OtherRevenueCurrentYear
Total Revenue Prior Year	575418446	TotalRevenuePriorYear
Total Revenue Current Year	597368470	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1138978	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3612215	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	253095787	SalariesEtcPriorYear
Salaries Etc Current Year	270235251	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	283480779	OtherExpensePriorYear
Other Expenses Current Year	296380773	OtherExpensesCurrentYear
Total Expenses Prior Year	537715544	TotalExpensesPriorYear
Total Expenses Current Year	570228239	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	37702902	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	27140231	RevenuesLessExpensesCY
Total Assets BOY	772580561	TotalAssetsBOY
Total Assets EOY	814489437	TotalAssetsEOY
Total Liabilities BOY	445520000	TotalLiabilitiesBOY
Total Liabilities EOY	481162720	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	327060561	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	333326717	NetAssetsOrFundBalancesEOY
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	486213620	Expense
Grants	3612215	Grants
Revenue	573854594	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	19526670	Expense
Revenue	4308586	Revenue
Description	The Hospital provided clinic services for pregnancy, Labor and Delivery, Post partum, and nursery.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	933618	Expense
Revenue	471628	Revenue
Description	the Hospital provided various programs to the community including diabetes and nutrition education, workplace health, lactation, women's services, and community health and wellness.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	506673908	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
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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
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	1	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
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	497	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4842	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
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	1	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 (33 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	FormerFormer
Manfred Sandler
Physician	5.00	X	21800	0	1514
David McCleskey
Community Member	5.00	X	2750	0	0
Chung Lee
Board Member	5.00	X	2000	0	0
Miles Mason III
Board Member	5.00	X	50000	0	0
Ed Radford
Board Member	5.00	X	2750	0	0
Philip R Wolfe
President & CEO	60.00		886219	0	126379	X
ALAN BREIR
Executive VP & CMO	60.00		506048	0	89141	X
Thomas Y McBride III
Executive VP & CFO	60.00		515567	0	44668	X
Jeffrey Nowlin
Executive VP & COO	60.00		419659	0	82824	X
Peter Wheeler
General Counsel (Legal)	60.00		340985	0	77685	X
Wallace Brown
Senior VP & CIO	60.00		327987	0	72311	X
Stephen Nadeau
Senior VP of HR	60.00		325908	0	60834	X
Carol Danielson
Senior VP & Chief Nursing	60.00		305917	0	66164	X
Lea Bay
SR VP & President of GMCD	60.00		280890	0	56258	X
Jessie T Shepherd
SR VP Planning & Business	60.00		267113	0	54506		X
Scott Orem
VP Finance	60.00		208825	0	53099		X
James Dennard JR
VP & COO	60.00		202169	0	52398		X
Diana Potts
Chief Nursing Officer GMCD	60.00		187404	0	39961		X
Cathy Dougherty
Assistant VP Revenue Mgt.	60.00		182262	0	41689		X
Bonny Richardson
Associate Legal Counsel	60.00		169637	0	34755		X
Pamela Kauffman
VP & COO	60.00		164615	0	41704		X
Michael Hemphill
Director-Materials Mgmt	60.00		156624	0	41254		X
Jason Chandler
President & CEO of GHSF	60.00		217193	0	48214		X
Janet Schwalbe
VP of Physician Services	60.00		215345	0	35524		X
Thomas Lynch
VP Managed Care	60.00		227883	0	43412		X
Romeo P Massoud
Physician	60.00		619529	0	55816			X
Michael A Amaral
Physician	60.00		577792	0	58611			X
Michael T Stechison
Physician	60.00		568745	0	51873			X
Barry Renz
Physician	60.00		555174	0	59468			X
Martin Austin
Physician	60.00		373246	0	51785			X
Keith Buchanan
Former Board Member	5.00		52000	0	3978				X
Thomas J Karr Jr
Former Executive VP & COO	0.00		531357	0	14799				X
Ronald Corder
Former Officer	60.00		303936	0	19574				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9769329	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1480198	TotalOtherCompensation
Number Individuals GT100 K	174	NumberIndividualsGT100K
Formers Listed	1	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 Corporation
PO Box 98347	Chicago	IL	606938347	Software Development & Maintenance	3457375
synthes USA
PO Box 8538-662	philadelphia	PA	191710662	Surgical Products	2824101
Gwinnett Anesthesia Service PC
po box 669	lawrenceville	GA	30046	anesthesia	2405422
clint harkins pc
4901 olde towne parkway Ste 300	marietta	GA	300684354	collections	1532294
Cardinal Health 200 LLC
PO Box 905867	Charlotte	NC	282905867	Healthcare Products	1373080

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	487	NumberOfContractorsGT100K
Related Organizations	4686461	RelatedOrganizations
Government Grants	5722986	GovernmentGrants
All Other Contributions	567636	AllOtherContributions
Noncash Contributions	90508	NoncashContributions
Total Contributions	10977083	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	567370312	566947749	422563
CLINIC Revenue		4308586	4308586
Discounts		2827528	2827528
CAFETERIA & Parking		2692235			$2,692,235
Trauma Care Revenue		519525	519525

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1261406	TotalRevenueColumn
Related Or Exempt Function Income	952876	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	308530	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	578979592	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7284497	TotalRevenueColumn
Exclusion	$7,284,497	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	110660	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	110660	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	110660	TotalRevenueColumn
Related Or Exempt Function Income	110660	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	387832	Securities
Other	84250	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	387832	Securities
Other	84250	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	472082	TotalRevenueColumn
Exclusion	$472,082	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Baring Focused Interna	87213	87213
INTECH RISK MGD. LG. C	2073	2073
Georgia Behavioral Hea	-375	-375

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-544355	TotalRevenueColumn
Related Or Exempt Function Income	-544355	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	-455444	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	597368470	TotalRevenueColumn
Related Or Exempt Function Income	575211480	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	731093	UnrelatedBusinessRevenue
Exclusion	$10,448,814	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3435235	Total
Program Services	3435235	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	176980	Total
Program Services	176980	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	9468156	Total
Program Services	3311375	ProgramServices
Management And General	6156781	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	201312256	Total
Program Services	177218709	ProgramServices
Management And General	24093547	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	12366993	Total
Program Services	12366993	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	31927192	Total
Program Services	31927192	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	15160654	Total
Program Services	15160654	ProgramServices

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	956428	Total
Program Services	956428	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	815781	Total
Program Services	5646	ProgramServices
Management And General	810135	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	483507	Total
Management And General	483507	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	507242	Total
Management And General	507242	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	39229386	Total
Program Services	19639247	ProgramServices
Management And General	19590139	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1756934	Total
Program Services	64233	ProgramServices
Management And General	1692701	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	11339912	Total
Program Services	8529139	ProgramServices
Management And General	2810773	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6381704	Total
Program Services	1124846	ProgramServices
Management And General	5256858	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9815194	Total
Program Services	9415310	ProgramServices
Management And General	399884	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	329313	Total
Program Services	148612	ProgramServices
Management And General	180701	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	215688	Total
Program Services	63034	ProgramServices
Management And General	152654	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5731446	Total
Program Services	5731446	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	33195741	Total
Program Services	33195741	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1982324	Total
Program Services	1755339	ProgramServices
Management And General	226985	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	92273132	92273132
MEDICAL AND SURGICAL SU	73355582	73355582
Equipment rental & main	11758460	10873700	884760

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6252999	Total
Program Services	5945335	ProgramServices
Management And General	307664	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	570228239	Total
Program Services	506673908	ProgramServices
Management And General	63554331	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	135192806	BOY
EOY	137452974	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	10000000	BOY
EOY	5000000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	87968749	BOY
EOY	90430037	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

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

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	853729	BOY
EOY	1001694	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4616240	BOY
EOY	4781924	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5490358	BOY
EOY	6337838	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	548910270	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	256676173	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	291315531	BOY
EOY	292234097	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	213376308	BOY
EOY	257935934	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	9872182	BOY
EOY	8335360	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	12196064	BOY
EOY	9280985	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	772580561	BOY
EOY	814489437	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	45491306	BOY
EOY	43934199	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	5000000	BOY
EOY	5000000	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	10050369	BOY
EOY	5126543	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	305425000	BOY
EOY	322252000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	79553325	BOY
EOY	104849978	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	445520000	BOY
EOY	481162720	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	320905703	BOY
EOY	325569334	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5994863	BOY
EOY	7570288	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	159995	BOY
EOY	187095	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	327060561	BOY
EOY	333326717	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	772580561	BOY
EOY	814489437	EOY

Field	Value	IRS element (for citing)
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	$19,820	OtherActivitiesAmount
Total Lobbying Expenditures IIB	19820	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i:	Identifier
Return Reference	Explanation of Other Lobbying Activities:	ReturnReference
Explanation	Dues paid to Georgia Hospital Association were $82,585. Of this amount, 24%, or $19,820 went for lobbying.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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)
Permanent Endowment EOY Balance	0.02400	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.97600	TermEndowmentEOYBalance
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	14198383	OtherCostOrOtherBasis
Book Value	14198383	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	256048602	OtherCostOrOtherBasis
Depreciation	84740289	Depreciation
Book Value	171308313	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14354683	OtherCostOrOtherBasis
Depreciation	10691195	Depreciation
Book Value	3663488	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	255947483	OtherCostOrOtherBasis
Depreciation	160257524	Depreciation
Book Value	95689959	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8361119	OtherCostOrOtherBasis
Depreciation	987165	Depreciation
Book Value	7373954	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	292234097	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
Accrued Interest Payable	$3,902,121
Accrued Pension Costs	$47,521,202
Self-Insurance Reserves	$9,203,990
Third Party Settlements	$11,667,859
Asset Retirement Obligation	$254,217
Interest rate swap	$30,560,942
Executive benefits liability	$813,957
BOnd expense payable	$750,690
Minority interest in Gwinnett Endoscopy	$175,000

Field	Value	IRS element (for citing)
Total Of Amounts	104849978	TotalOfAmounts
Total Revenue	597368470	TotalRevenue
Total Expenses	570228239	TotalExpenses
Excess Or Deficit For Year	27140231	ExcessOrDeficitForYear
Net Unrealized GL On Investments	13357703	NetUnrealizedGLOnInvestments
Donated Services And Facilities	-21028	DonatedServicesAndFacilities
Other	-$34,210,750	OtherAmount
Total Adjustments	-20874075	TotalAdjustments
Excess Or Deficit Per FS	6266156	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	594731000	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	13357703	NetUnrealizedGainsInvestments
Other Revenues	284709	OtherRevenues
Revenue Not Rptd F990	13642412	RevenueNotRptdF990
Revenue Subtotal	581088588	RevenueSubtotal
Investment Expenses Not Included	507242	InvestmentExpensesNotIncluded
Other Revenues Not Included	15772640	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	16279882	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	597368470	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	569648000	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	569648000	ExpensesSubtotal
Investment Expenses Not Included2	507242	InvestmentExpensesNotIncluded2
Other Expenses Not Included	72997	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	580239	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	570228239	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	Term Endowment Funds will be used for specific projects or programs of the hospital.
Part X:	Description of Uncertain Tax Positions Under FIN 48:	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 any such positions are determined. There is currently no impact on the Hospital's financial statements from application of the provision of ASC 740.
Part XI, Line 8 - Other Adjustments:		Change in assets of Foundation: -2658502. Change in fair value of interest rate swaps: -7433619. Loss from K-1 investments: 1014263. Minority interest in Gwinnett Endoscopy Services: 282897. Change in pension accounting: -25416245. rounding: 456.
Part XII, Line 2d - Other Adjustments:		Minority interest in Endoscopy: 282897. rounding: 1812.
Part XII, Line 4b - Other Adjustments:		Change in FMV of interest rate swap: 7433619. Loss from K-1 Investments: -1014263. HAGC Contribution: 5000000. Noncash Contributions: 90508. Tranfer from Foundation: 4262776.
Part XIII, Line 4b - Other Adjustments:		Noncash Grants: 69480. Oncology Grant: 1750. rounding: 1767.

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	36110268	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2539603	DirectOffsettingRevenue
Net Community Benefit Expense	33570665	NetCommunityBenefitExpense
Percent Of Total Expense	0.07020	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	61935584	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41745746	DirectOffsettingRevenue
Net Community Benefit Expense	20189838	NetCommunityBenefitExpense
Percent Of Total Expense	0.04220	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	141904	TotalCommunityBenefitExpense
Direct Offsetting Revenue	79730	DirectOffsettingRevenue
Net Community Benefit Expense	62174	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	98187756	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44365079	DirectOffsettingRevenue
Net Community Benefit Expense	53822677	NetCommunityBenefitExpense
Percent Of Total Expense	0.11250	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	159	NumberOfActivitiesOrPrograms
Persons Served	203172	PersonsServed
Total Community Benefit Expense	2854927	TotalCommunityBenefitExpense
Direct Offsetting Revenue	322300	DirectOffsettingRevenue
Net Community Benefit Expense	2532627	NetCommunityBenefitExpense
Percent Of Total Expense	0.00530	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	31	NumberOfActivitiesOrPrograms
Persons Served	2586	PersonsServed
Total Community Benefit Expense	5157298	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1125	DirectOffsettingRevenue
Net Community Benefit Expense	5156173	NetCommunityBenefitExpense
Percent Of Total Expense	0.01080	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	14244	PersonsServed
Total Community Benefit Expense	24651621	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20688133	DirectOffsettingRevenue
Net Community Benefit Expense	3963488	NetCommunityBenefitExpense
Percent Of Total Expense	0.00830	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	1410	PersonsServed
Total Community Benefit Expense	581471	TotalCommunityBenefitExpense
Net Community Benefit Expense	581471	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	2043	PersonsServed
Total Community Benefit Expense	298811	TotalCommunityBenefitExpense
Net Community Benefit Expense	298811	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	207	NumberOfActivitiesOrPrograms
Persons Served	223455	PersonsServed
Total Community Benefit Expense	33544128	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21011558	DirectOffsettingRevenue
Net Community Benefit Expense	12532570	NetCommunityBenefitExpense
Percent Of Total Expense	0.02620	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	207	NumberOfActivitiesOrPrograms
Persons Served	223455	PersonsServed
Total Community Benefit Expense	131731884	TotalCommunityBenefitExpense
Direct Offsetting Revenue	65376637	DirectOffsettingRevenue
Net Community Benefit Expense	66355247	NetCommunityBenefitExpense
Percent Of Total Expense	0.13870	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	1161	PersonsServed
Total Community Building Expense	12267	TotalCommunityBuildingExpense
Net Community Building Expense	12267	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	192213	TotalCommunityBuildingExpense
Net Community Building Expense	192213	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	1161	PersonsServed
Total Community Building Expense	204480	TotalCommunityBuildingExpense
Net Community Building Expense	204480	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$28,743,366	BadDebtExpenseAmount
Amount Reimbursed By Medicare	86917164	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	95155620	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-8238456	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	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

Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Critical Access HospitalCriticalAccessHospital	Er24 HoursEr24Hours	OtherOther
Gwinnett Medical Center Lawrenceville
1000 Medical Center Boulevard	Lawrenceville	GA	30046	X	X	X	X
Gwinnett Medical Center Duluth
3620 Howell Ferry road	Duluth	GA	30096	X	X	X	X
GWINNETT EXTENDED CARE CENTER
650 PROFESSIONAL DRIVE	LAWRENCEVILLE	GA	30046					NURSING HOME

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	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. A CCR was used instead of a cost accounting system because charity write offs may only represent a portion of a patient account being written off and the cost accounting system does not distinguish between the portion of costs written off to charity and other write-offs.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.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g: Three physician practices/clinics were included in the Subsidized Services category, the OB/GYN Clinic, the Miles and Lib Mason Children's Clinic and the Wound Care Clinic. Each clinic provides services that meet identified community needs. These clinics offer services that the community does not currently otherwise 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 $1,129,477 with a net community benefit expense of $137,363- Miles and Lib Mason Children's Clinic costs $355,881 with a net community benefit expense of $209,495- Wound Care Clinic costs $956,619 with a net community benefit expense of $464,715	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: $92,273,132 in bad debt expenses were subtracted from Form 990, Part IX, line 25 for purposes of calculating the percentage in this column.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Part III, Line 4: The costs reported on line 2 were arrived at using an overall Cost to charge ration (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.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: The cost reported on line 6 are per the Medicare cost report and were calculated based on cost-to-charge ratios. The amounts reported on lines 5 & 6 only include Medicare Part A costs and payments. Other Medicare shortfall (for Medicare Pt C, physician services, fee schedule, etc)is $4,850,167. The portion of the Medicare shortfall reported on line 7 that should be treated as a community benefit is $3,193,675 which represents the shortfall related to those patients that had Medicaid as a secondary payor and therefore deemed indigent for Medicare bad debt purposes.	ShortfallAsCommunityBenefit
Debt Collection Policy	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. 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.	DebtCollectionPolicy
Number Of Facility Type Expln	Part V: n/a	NumberOfFacilityTypeExpln
Needs Assessment	Part VI, Line 2: Over the past decade, our hospitals have conducted a community health needs assessment 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; however, we also serve individuals from surrounding counties such as Barrow, Jackson and Walton. 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. The information provided to answer Question 4 "Community information" was taken from updated information from our needs assessment.In addition to the published report, our Planning department identifies hospital-based needs using admission/discharge and other utilization data. Over the years, our hospitals have responded to physicians who identified unmet needs of pregnant women and their infants by providing services through the OB/GYN Clinic. The local health department requested our support for the care of sick infants and children which led us to open the Miles & Lib Mason Children's Clinic.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 sets the organization's priorities for community needs through department budgeting for each community benefit program. The organization's Community Health & Wellness Council, an internal community benefit committee with representatives from 35 departments from both hospitals, is tasked with the annual plan update. Then the plan is reviewed and approved by hospital administration and is presented to the GHS 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 hospitalization (not including Emergency Department visits). In Gwinnett County, the leading causes of hospitalization are:1. Pregnancy with childbirth complications2. Major cardiovascular diseases, including heart attack and stroke3. Respiratory diseases (influenza/pneumonia, asthma)4. External causes , including accidents and injuries (falls ranked as the number one reason for hospital admissions and motor vehicle crashes (MVC) ranked second)5. Cancer 6. Metabolic diseases (including diabetes)Mortality is another measure for establishing community health needs. 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. The leading causes of premature death (when ranked by years of life lost rates) are:1. External causes - unintentional injuries or accidents (e.g., MVCs, poisonings, falls) and intentional injuries (e.g., suicides, homicides)2. Cancer 3. Major cardiovascular diseases4. Respiratory diseases including chronic obstructive pulmonary disease and asthma 5. Metabolic diseases including diabetesIn our organization, some identified need areas are served by more clinical 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 concentrate our efforts to improve community health.There are identified community health needs which our hospitals currently only provide minimal support since the hospital does not currently have medical units or outreach programs to treat these conditions. For example, 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 mental and behavioral conditions. There is a private for-profit mental health and substance abuse hospital in our community. Additionally the state of Georgia provides mental health services through the Gwinnett Rockdale Newton Community Service Board. 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.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: Every patient registered at a GHS facility is provided a "Billing and Collection Information" document. This document advises the patient about the hospital's financial assistance program. The inpatient handbook also instructs patients on how to seek and apply for financial assistance through 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 information about applying for financial assistance. Patient billing statements inform patients that the financial assistance policy and applications are on the website for easy access. The financial assistance assessment form is available in the facility and on the website in English, Spanish, Korean and Vietnamese.Financial Counselors meet with all uninsured patients who are admitted as an inpatient or who have a scheduled procedure or high dollar imaging test. Patients who are unable to pay deposits for medical service are also referred to a financial counselor by the patient registration staff. There is a financial counselor assigned to walk-ins Monday through Friday to ensure that all patients who are seeking assistance are interviewed at their convenience.	PatientEducationAssistance
Community Information	Part VI, Line 4: Gwinnett Hospital System serves the area in and around Gwinnett County, Georgia. 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 largest by population (808,167 residents in 2009). The population of Gwinnett County has increased by 37.3 percent since 2000. By 2007, Gwinnett had grown to become the 66th most populated county in the nation. 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.Gwinnett County has one for-profit general acute care hospital, Emory Eastside Medical Center in Snellville. Other hospitals are also located in surrounding counties of the metropolitan Atlanta area. SummitRidge Hospital in Lawrenceville is a for-profit hospital serving mental health and substance abuse patients.The population has become more racially and ethnically diverse with representation from across the nation and around the world. In 2009, the U.S. Census Bureau estimated the Gwinnett County population to be 49.2 percent non-Hispanic Whites, 22.1 percent non-Hispanic Blacks, 18 percent Hispanics, 9.6 percent non-Hispanic Asians and 2.5 percent was non-Hispanic Others (American Indian or Alaska Native, Native Hawaiian or Pacific Islander, Multiracial or Unknown).Gwinnett County has an unusual age distribution pattern with 72 percent of the population under the age of 45. Because of this distribution pattern, the median age of the total population from 2000 through 2007 was 33.8 years of age; when viewed by race and ethnicity, the median age of non-Hispanic Whites was 34.7, non-Hispanic Blacks 29.1 and Hispanics 25.1. Thirty percent of the population was under 18 years of age and 6.8 percent was 65 years of age and older.The U.S. Census Bureau estimate for 2008 reported there were 178,712 females between the ages of 13 and 44 in Gwinnett County. This age-range is usually considered the childbearing years.According to the Centers for Medicare and Medicaid Services (CMS), the percentage of Medicaid recipients compared to the total Gwinnett County population has increased from 15.8 percent in 2004 to 16.6 percent in 2008 or 131,310 recipients. According to the CMS in 2007, there were 51,104 Medicare beneficiaries in Gwinnett County.The lack of health insurance coverage is a significant barrier to accessing needed healthcare. In 2005, the U.S. Census Bureau Small Area Health Insurance estimated 24 percent of Gwinnett residents were uninsured; however, there is strong likelihood that this percentage has increased dramatically due to the recent economic downturn.The U.S. Census Bureau's American Community Survey 3-Year Estimates for 2006-2008 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 256,000 households in Gwinnett. Families make up 75 percent of the households; 57 percent married-couple families and 18 percent other families. People living alone make up 20 percent of the population.- Eighty-seven percent of residents 25 years of age and over had at least graduated from high school and 36 percent had a bachelor's degree or higher. Thirteen percent of residents were not enrolled in school, had not graduated from high school, and were considered to have dropped out of school.- Twenty-four percent of the population was foreign born.- Of individuals at least five years of age, 30 percent spoke a language other than English at home; of that 30 percent, 51 percent spoke Spanish. 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. - The median income of households was $66,846.- Nine percent of residents were below the poverty level. Thirteen percent of children under 18 were below the poverty level, compared with eight percent of the people 65 years of age and over. Seven percent of all families and 20 percent of families with a female head of household and no husband present had incomes below the poverty level.- 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.	CommunityInformation
Community Building Activities	Part VI, Line 5: 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, Physician Services and the Community Benefit & Research departments. These departments participate in community coalitions and other collaborative efforts 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. The organization has actively participated with the Gwinnett Coalition for Health and Human Services for 20 years as a founding and permanent member. This coalition is a county-level organization with representatives from 56 board members from county government, state government, services providers, schools, corporate/professional services, funders and other community groupsthat 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, GHS is involved with individual cities in the county.GHS 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.GHS 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 across 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.	CommunityBuildingActivities
Other Information	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 GHS Board of Directors is comprised of independent community leaders dedicated to providing quality healthcare for our community. In general, our volunteer board members are persons who reside in our primary service area and neither they (nor their family members)are employees or contractors of the organization.Medical staff privileges in the hospitals are available to all qualified physicians as determined through a detailed credentialing process. GHS has over 800 affiliated physicians with 590 physicians in the active or active-provisional categories providing healthcare services at both GMC-Lawrenceville and GMC-Duluth campuses.The organization reinvests all profits back into physician and staff training, and 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 GMC-Lawrenceville and GMC-Duluth campuses. No one requiring emergency care is denied treatment regardless of their ability to pay. The total number of discharges from both Emergency Departments was 134,058 for fiscal year 2010. The 60-bed Emergency Department at GMC-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 15 of the state's 152 acute-care hospitals are designated trauma centers.Both GMC-Lawrenceville and GMC-Duluth hospitals and all facilities participate in Medicare, Medicaid, CHAMPUS and PeachCare as appropriate for services provided.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: Gwinnett Hospital System is a licensed 553 bed healthcare organization with two acute-care hospitals: Gwinnett Medical Center-Lawrenceville (GMC-L) and Gwinnett Medical Center-Duluth (GMC-D). GMC-L and GMC-D 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 GMC-Lawrenceville campus as well as the Glancy Rehabilitation Center in Duluth. Gwinnett Hospital System is part of the Gwinnett Health System. 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 the GMC-Duluth and GMC-Lawrenceville hospitals, cardiovascular services, cancer care, children's and women's services, neuroscience, orthopedicas and a variety of other programs.Gwinnett Medical Properties - a nonprofit organziation that owns medical properties in and around Gwinnett County for the purpose of aiding Gwinnett Hospital Systems in fulfilling its mission.Gwinnett Medical Services - a nonprofit organization whose mission is to operate physician clinics in and around Gwinnett County.	AffiliatedHealthCareSystem
Reports Filed With States	GA	ReportsFiledWithStates

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 Hospital System Foundation Inc
1000 Medical Center Blvd	Lawrenceville	GA	30045	581828486	501(c)(3)	433485	operating expenses
Gwinnett Medical Services inc
1000 Medical Center Blvd	Lawrenceville	GA	30046	582143107	501(c)(3)	3000000	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	43	107500	FMV of Cash
Blood Glucose Meters	951		Manufacturer's Price	57060	Blood Glucose Meters
INSULIN START KITS	414		Manufacturer's Price	12420	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 a related 501(c)(3) organization.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
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	1	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 (28 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
551419	0	197028	0	137772	0	93605	0	32774	0	1012598	0	0	0
ALAN BREIR
318696	0	95803	0	91549	0	51456	0	37685	0	595189	0	0	0
Thomas Y McBride III
317107	0	94112	0	104348	0	21463	0	23205	0	560235	0	0	0
Jeffrey Nowlin
284153	0	84532	0	50974	0	44918	0	37906	0	502483	0	0	0
Peter Wheeler
231369	0	60275	0	49341	0	44691	0	32994	0	418670	0	0	0
Wallace Brown
222478	0	50944	0	54565	0	49933	0	22378	0	400298	0	0	0
Stephen Nadeau
220173	0	50268	0	55467	0	35996	0	24838	0	386742	0	0	0
Carol Danielson
218644	0	39800	0	47473	0	34485	0	31679	0	372081	0	0	0
Lea Bay
206124	0	42060	0	32706	0	25195	0	31063	0	337148	0	0	0
Jessie T Shepherd
182036	0	45084	0	39993	0	25097	0	29409	0	321619	0	0	0
Scott Orem
153089	0	39046	0	16690	0	27249	0	25850	0	261924	0	0	0
James Dennard JR
170507	0	21796	0	9866	0	20451	0	31947	0	254567	0	0	0
Diana Potts
132142	0	15731	0	39531	0	18013	0	21948	0	227365	0	0	0
Cathy Dougherty
126485	0	22387	0	33390	0	14080	0	27609	0	223951	0	0	0
Bonny Richardson
131575	0	25046	0	13016	0	10605	0	24150	0	204392	0	0	0
Pamela Kauffman
113290	0	17587	0	33738	0	14726	0	26978	0	206319	0	0	0
Michael Hemphill
126882	0	0	0	29742	0	12758	0	28496	0	197878	0	0	0
Jason Chandler
154192	0	0	0	63001	0	20814	0	27400	0	265407	0	0	0
Janet Schwalbe
147009	0	38947	0	29389	0	21482	0	14042	0	250869	0	0	0
Thomas Lynch
157624	0	40963	0	29296	0	20415	0	22997	0	271295	0	0	0
Romeo P Massoud
376638	0	54575	0	188316	0	22014	0	33802	0	675345	0	0	0
Michael A Amaral
504716	0	0	0	73076	0	23393	0	35218	0	636403	0	0	0
Michael T Stechison
530007	0	0	0	38738	0	23393	0	28480	0	620618	0	0	0
Barry Renz
426455	0	3814	0	124905	0	26405	0	33063	0	614642	0	0	0
Martin Austin
270939	0	58217	0	44090	0	16658	0	35127	0	425031	0	0	0
Keith Buchanan
0	0	52000	0	0	0	0	0	3978	0	55978	0	0	0
Thomas J Karr Jr
0	0	0	0	531357	0	0	0	14799	0	546156	0	0	0
Ronald Corder
17500	0	9972	0	276464	0	3913	0	15661	0	323510	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	Part I, Line 4a	ReturnReference
Explanation	Part I, Line 4a: Thomas Karr $ 14,215 Ronald Corder $234,143 Part I, Line 4b: Employer Contributions to 457(f) Executive Retirement Benefit Plan Philip Wolfe 72,252 Alan Bier 31,167 Jeffery Nowlin 27,500 Wallace Brown 22,468 Peter Wheeler 15,963 Stephen Nadeau 14,309 Jessie T. Shepherd 9,500 Lea Bay 7,960 Thomas Lynch 8,151 James Dennard 5,208 Scott Orem 7,446 Janet Schwalbe 7,428 Diana Potts 5,531 Carol Danielson 22,400 Pamela Kauffman 6,141 Jason Chandler 8,741 Payment from a Split Dollar Insurance Plan Thomas Karr $516,979	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
Hospital Authority of Gwinnett County Georgia
586011878	403732DE7	2009-11-12	32855000	Current refunding of 7/26/07 Issue	0	0
hospital Authority of Gwinnett County Georgia
586011878	403732DS6	2009-11-12	37745000	Current refunding of 7/26/07 Issue	0	0
hospital Authority of Gwinnett County Georgia
586011878	403732DU1	2009-11-12	19240000	Current refunding of 7/26/07 Issue	0	0
hospital Authority of Gwinnett County Georgia
586011878	403732DZ0	2009-11-12	61095000	Current refunding of 7/26/07 Issue	0	0
hospital Authority of Gwinnett County Georgia
586011878	403732CT5	2008-05-22	34750000	Current refunding of 7/26/07 Issue	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)

Total ProceedsTotalProceeds	Amount DefeasedAmountDefeased	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Year Of Subst CompletionYearOfSubstCompletion
32855000	32855000	1	1	1
37745000	37745000	1	1	1
19240000	19240000	1	1	1
61095000	61095000	1	1	1	2007
34025000	34025000	1	1	1	2008

Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (5 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
0	1	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
hospital Authority of Gwinnett County Georgia
586011878	403732CV0	2008-05-22	59925000	Current refunding of 7/26/07 Issue	0	0
HOSPITAL AUTHORITY OF GWINNETT COUNTY GEORGIA
586011878	403732EQ9	2009-11-24	78635000	Renovation & Expansion and Current refunding of 5/22/08 Issue	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount DefeasedAmountDefeased	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures
56625000	56625000	1	0	1	1
78635000	60075000	1	0	1	1	454320	18105680

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	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	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

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	Thomas Y McBride III	NamePerson
Purpose Of Loan	Loan premium payment for split dollar Life Insurance	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$1,698,594	OriginalPrincipalAmount
Balance Due	1698594	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	1698594	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Tracy Waldrop
Daughter of Board Member Ed Radford	56958	Tracy is employed by the Organization.	0
Miles Mason III Md
Board Member of GHSI	48583	Board services and medical Services	0
Manfred Sandler
Board Member of GHSI	23314	Board services and medical services	0
Cardiovascular Group
Medical Practice of Board Member Manfred Sandler	289180	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
Noncash Contribs Rptd F990	90508	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 5	A check for $360,000 was cashed through our checking account. As soon as GHSI became aware that the check was going to be paid from our account, we notified the bank. However, the check was inadvertently cashed by the bank. GHSI completed a police report and notified the bank. Our bank worked with the bank sending the check through and subsequently all funds were returned to our account. GHSI runs postive or control pay daily to prevent such events.
Form 990, Part VI, Section A, line 6	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 7a	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 7b	Certain actions of the board of directors of Gwinnett Hospital System, Inc. must be approved by the board of directors of Gwinnett Health System, Inc., a related 501(c)(3) organization.
Form 990, Part VI, Section B, line 11	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 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.

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	-9714136	TotalIncome
EOY Assets	1877888	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
Gwinnett Health System Inc
1000 Medical Center Boulevard	Lawrenceville	GA	30046	582135755	Parent of Gwinnett Hospital	GA	501C(3)	11	N/A
Gwinnett Hospital System Foundation
1755 North Brown Road 100	Lawrenceville	GA	30043	581828486	Fundraising organization for GHSI	GA	501C(3)	7	N/A
Gwinnett Medical Services Inc
1000 Medical Center Boulevard	Lawrenceville	GA	30046	582143107	Physicians Practice Owner	GA	501C(3)	3	N/A
Gwinnett Medical Properties Inc
1000 Medical Center Boulevard	Lawrenceville	GA	30046	582132516	Property Holding	GA	501C(3)	11	N/A

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	16464	ShareOfTotalIncome
Share Of EOY Assets	684446	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
Amount Involved	26642	AmountInvolved