2018-11-14T12:32:06-07:00 2017-12-31 135565207 KPMG LLP 303 Peachtree St NE Suite 2000 Atlanta GA 30308 990 2017-01-01 262037695 GRADY MEMORIAL HOSPITAL CORPORATION GRAD 4046161846 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 Richard Rhine CFO 4046163504 2018-11-14 1 Whitney E Blair P01226647 4047395994 2018-11-14 199.207.253.101 2017 2019-02-21 02:37:17Z JOHN M HAUPERT PRESIDENTandCEO 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 1496059611 0 X WWW.GRADYHEALTH.ORG X 2008 GA GRADY HEALTH SYSTEM IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER. GRADY MAINTAINS ITS COMMITMENT TO THE UNDERSERVED OF FULTON AND DEKALB COUNTIES WHILE ALSO PROVIDING CARE TO RESIDENTS OF METRO ATLANTA AND GEORGIA. GRADY LEADS THROUGH CLINICAL EXCELLENCE, INNOVATIVE RESEARCH AND PROGRESSIVE MEDICAL EDUCATION AND TRAINING. 17 17 7832 470 0 0 155506490 156651298 1269236119 1319937855 348546 1808353 19804996 16399584 1444896151 1494797090 11763207 11855801 0 0 414423519 470583310 0 0 0 970990131 969488126 1397176857 1451927237 47719294 42869853 762204333 830185805 255464342 261028064 506739991 569157741 GRADY HEALTH SYSTEM IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER. GRADY MAINTAINS ITS COMMITMENT TO THE UNDERSERVED OF FULTON AND DEKALB COUNTIES WHILE ALSO PROVIDING CARE TO RESIDENTS OF METRO ATLANTA AND GEORGIA. GRADY LEADS THROUGH CLINICAL EXCELLENCE, INNOVATIVE RESEARCH AND PROGRESSIVE MEDICAL EDUCATION AND TRAINING. 0 0 445491797 273618714 4A PROGRAM SERVICE -CHARITY, UNINSURED, UNDERINSURED AND INDIGENT CARE: IN THE 1800'S ATLANTA'S INDIGENT SICK HAD NO PLACE TO GO TO RECEIVE MEDICAL TREATMENT FOR ILLNESS OR INJURY. THEREFORE, A DRIVE WAS BEGUN TO BUILD GRADY MEMORIAL HOSPITAL (GRADY). ON JUNE 1, 1892, GRADY ADMITTED ITS FIRST PATIENT. AS OF TODAY, GRADY CONTINUES TO BE THE SAFETY NET HOSPITAL FOR THE UNINSURED AND UNDERINSURED CITIZENS OF FULTON AND DEKALB COUNTIES AND THE STATE OF GEORGIA. AS THE LARGEST SAFETY NET HOSPITAL IN THE STATE AND ONE OF THE LARGEST IN THE COUNTRY, ITS MISSION IS (1) TO PROVIDE MEDICAL SERVICES TO UNINSURED, UNDERINSURED, OR INDIGENT PATIENTS; (2) TO PROVIDE AN OPEN ACCESS POLICY FOR RESIDENTS OF FULTON AND DEKALB COUNTIES REGARDLESS OF THEIR ABILITY TO PAY; (3) AND TO PROVIDE A PROVISION FOR SIGNIFICANT UNCOMPENSATED INDIGENT AND CHARITY CARE. DURING 2017, GRADY PROVIDED CARE TO MORE THAN 143,384 UNDER AND UNINSURED PATIENTS WHICH REPRESENT APPROXIMATELY 70% OF ITS TOTAL PATIENTS WITH ABOUT 579,296 PATIENT ENCOUNTERS, COSTING APPROXIMATELY $445M. GRADY RECEIVES SOME REIMBURSEMENT FROM FULTON AND DEKALB COUNTIES, MEDICAID, AND SOME FUNDING FROM THE STATE OF GEORGIA'S INDIGENT CARE TRUST FUND (INCLUDING FEDERAL MATCHING FUNDS) TO HELP SUPPORT THE COSTS OF CARING FOR SO MANY IN THE REGION. GRADY HAS BEEN AND CONTINUES TO BE SIGNIFICANTLY CHALLENGED BY THE FINANCIAL BURDEN OF PROVIDING SO MUCH FREE CARE TO THE REGION. 102661648 11855801 57714011 4B PROGRAM SERVICE -GRADUATE MEDICAL EDUCATION: GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) HAS AFFILIATION AGREEMENTS WITH EMORY UNIVERSITY AND MOREHOUSE SCHOOLS OF MEDICINE TO SUPPORT THE TEACHING AND SUPERVISION OF RESIDENTS IN THE ORGANIZATION, AS WELL AS TO PROVIDE PROFESSIONAL CLINICAL AND ADMINISTRATIVE SERVICES. IN 2017, MORE THAN 1,000 RESIDENTS AND FELLOWS FROM EMORY AND MOREHOUSE PROGRAMS ROTATED THROUGH A BROAD SPECTRUM OF SERVICES IN THE ORGANIZATION. ADDITIONALLY, HUNDREDS OF MEDICAL STUDENTS BENEFITED FROM TRAINING IN THE ORGANIZATION. GMHC OFFERS UNIQUE LEARNING EXPERIENCES FOR RESIDENTS BY PROVIDING EXPOSURE TO TRAUMA, BURN, INFECTIOUS DISEASE, SICKLE CELL, NEUROLOGY AND OTHER COMPLEX CASES AND HOSTS A SIGNIFICANT NUMBER OF CLINICAL RESEARCH TRIALS TO ENHANCE THE RESIDENTS' EDUCATIONAL EXPERIENCE. GMHC PROVIDED IN EXCESS OF $102M IN SUPPORT RELATIVE TO TEACHING SERVICES. IN 2017, REIMBURSEMENT FOR TEACHING SERVICES FROM MEDICARE, MEDICAID AND OTHER GOVERNMENTAL FUNDS TOTALED $57M. 131717132 126163022 4C PROGRAM SERVICE -EMERGENCY AND TRAUMA SERVICES: GRADY OPERATES ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN THE EASTERN UNITED STATES AND THE COUNTRY'S LARGEST HOSPITAL-BASED AMBULANCE SERVICE. GMHC OPERATES THE LARGEST LEVEL 1 TRAUMA CENTER IN THE ATLANTA METROPOLITAN AREA WHICH HANDLED 4,603 ACUTE TRAUMA CASES IN 2017. ADDITIONALLY, AS PART OF ITS TRAUMA SERVICE, GMHC OPERATES ONE OF ONLY TWO BURN CENTERS IN GEORGIA. THE NATIONALLY ACCLAIMED EMERGENCY CARE CENTER (ECC) HANDLED 142,903 EMERGENCY CASES IN 2017. THE EMERGENCY ROOM WAS THE INTAKE POINT FOR 24,047 OF THE SAFETY NET HOSPITAL'S TOTAL ADMISSIONS. GRADY'S EMS DEPARTMENT IS ONE OF THE MOST ADVANCED PRE-HOSPITAL EMERGENCY CARE DELIVERY SYSTEMS IN THE COUNTRY. AS THE EXCLUSIVE 911 AMBULANCE PROVIDER FOR THE CITY OF ATLANTA INCLUDING SOUTH FULTON COUNTY, BAKER, BALDWIN, BEN HILL, BROOKS, CLAY, COOK, DECATUR, HANCOCK, MITCHELL, PIKE, QUITMAN, RANDOLPH, SEMINOLE, AND WORTH COUNTY GEORGIA, GRADY'S TEAM OF OVER 1300 PROFESSIONALS HANDLE MORE THAN 180,000 CALLS A YEAR. ADDITIONALLY, GRADY EMS ALSO MANAGES A MOBILE INTEGRATED HEALTH CARE PROGRAM WHICH PROVIDES PRE AND POST HOSPITAL CARE TO CHECK UP ON HIGH-RISK PATIENTS IN AREAS SUCH AS CHRONIC DISEASE MANAGEMENT, PREVENTATIVE OR POST-DISCHARGE FOLLOW UP CARE AND MORE. THESE EFFORTS REDUCE THE STRAIN ON EMS SYSTEMS AND ERS AS WELL AS OFFERING INCREASED ACCESS TO CARE. ALSO NOTABLE, GRADY EMS OPERATES ATLANTA'S LARGEST SPECIALIZED EVENT EMS DIVISION WHICH PROVIDES SUPPORT TO EVENTS AT STADIUMS, CONCERTS, MARATHONS, AND FESTIVALS THROUGHOUT THE CITY OF ATLANTA. 558946373 862442108 GRADY'S OTHER PROGRAMS INCLUDE NATIONALLY RECOGNIZED PROGRAMS IN THE AREAS OF INFECTIOUS DISEASE, DIABETES, AND SICKLE CELL AS WELL AS REGIONAL SERVICE FOR NEONATAL TRANSPORT, MATERNAL AND INFANT PROJECT, CARDIOVASCULAR HEALTH, PSYCHOLOGY, BURN, CANCER AND MARCUS STROKE AND NEUROSCIENCE CENTER. PRIMARY CARE SERVICES ARE ALSO PROVIDED THROUGH HOSPITAL MAIN-CAMPUS DEPARTMENTS AND NEIGHBORHOOD CLINICS. 558946373 0 862442108 1238816950 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 341 0 1 7832 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X GINA SMITH -CONTROLLER 4046167355 50 HURT PLAZA SUITE 301 ATLANTA GA 30303 X FRANK BLAKE CHAIRMAN 5 0 X X 0 0 0 A D PETE CORRELL DIRECTOR 2 0 X 0 0 0 THOMAS W DOTCH JR VICE CHAIRMAN 2 0 X X 0 0 0 MARK P BECKER DIRECTOR 2 0 X 0 0 0 ANNETTE BERNARD MD FACP DIRECTOR 2 0 X 0 0 0 WILLIAM A BORNSTEIN MD DIRECTOR 2 0 X 0 0 0 H JAMES DALLAS DIRECTOR 2 0 X 0 0 0 ANDREW W EVANS DIRECTOR 2 0 X 0 0 0 EDWARD J HARDIN DIRECTOR 2 0 X 0 0 0 JOHN HOLLINS DIRECTOR 2 0 X 0 0 0 KELLY L LOEFFLER DIRECTOR 2 0 X 0 0 0 ERICA QUALLS-BATTEY DIRECTOR 2 0 X 0 0 0 PAMELA S STEPHENSON ESQ DIRECTOR 2 0 X 0 0 0 DAVID P STOCKERT DIRECTOR 2 0 X 0 0 0 BERNIE TOKARZ DIRECTOR 2 0 X 0 0 0 CAROL B TOME DIRECTOR 2 0 X 0 0 0 SAM A WILLIAMS DIRECTOR 2 0 X 0 0 0 JOHN M HAUPERT FACHE PRESIDENT AND CEO 40 0 X 1576423 0 23055 RICHARD RHINE EXEC VP / CFO (BEG SEPT 2017) 40 0 X 510087 0 24007 MARK MEYER EXEC VP / CFO (THRU SEPT 2017) 40 0 X 1321460 0 15129 RHONDA SCOTT EXEC VP / COO 40 0 X 632461 0 29382 TIMOTHY JEFFERSON EXEC VP / GENERAL COUNSEL 40 0 X 613120 0 36923 LINA GEORGE EXEC VP / CHIEF HR OFFICER 40 0 X 544029 0 14500 CRAIG TINDALL SVP / CLINICAL OPERATIONS 40 0 X 440172 0 23061 JACQUELINE HERD EXEC VP / CNO 40 0 X 392702 0 27044 ROBERT JANSEN EXEC VP / CMO 40 0 X 712033 0 25773 PETER RHEE SVP / CHIEF ACUTE CARE SURGERY 40 0 X 704366 0 8302 BENJAMIN MCKEEBY SVP / CIO 40 0 X 494889 0 23519 PATRICIA PLAIR SVP / FIN/MATL MGMT 40 0 X 437093 0 17603 MARY SALE SVP / CHIEF STRATEGY OFFICER 40 0 X 428604 0 10468 8807439 0 278766 635 0 1 0 EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR ATLANTA GA 30322 MEDICAL 115357452 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE NW ATLANTA GA 30310 MEDICAL 32494337 RANDSTAD P O BOX 416692 BOSTON MA 02241 TEMPORARY STAFFING 21921820 ARAMARK 24863 NETWORK PLACE CHICAGO IL 60673 CLEANING 11732495 MORRISON MANAGEMENT SPECIALISTS P O BOX 102289 ATLANTA GA 30342 DIETARY 5693733 70 0 0 0 0 55434953 101216345 38596792 156651298 PATIENT SERVICE REVENUE 900099 1319937855 1319937855 0 0 0 0 0 0 1319937855 1391453 0 0 1391453 0 0 0 0 0 0 0 0 0 0 0 1679421 0 1262521 0 416900 416900 416900 0 0 0 RENTAL INCOME 900099 2865720 0 0 2865720 CONTRACTED SVCS - EMS 900099 1907634 1907634 0 0 INCOME - CITY OF ATLANTA WATER 900099 5632836 5632836 0 0 5993394 5993394 0 0 16399584 1494797090 1333888619 0 4257173 X 11855801 11855801 7485980 7485980 1321460 0 1321460 0 385353297 296132962 89220335 0 7820834 5875793 1945041 0 42090061 31622263 10467798 0 26511678 19918224 6593454 0 6548304 3896241 2652063 0 509919 303402 206517 0 321537 191315 130222 0 1204776 0 1204776 0 0 0 0 0 0 250373046 216797046 33576000 0 3697182 2199823 1497359 0 15335171 9124427 6210744 0 15272325 9087033 6185292 0 0 0 0 0 15313816 9111721 6202095 0 0 0 0 0 0 0 0 0 3901906 2321634 1580272 0 1175958 699695 476263 0 0 0 0 0 51205563 30467310 20738253 0 13771847 8194249 5577598 0 DRUGS 116489113 116489113 0 0 BAD DEBT 363623764 363623764 0 0 MEDICAL SUPPLIES 86450649 86450649 0 0 MAINTENANCE MATERIAL 1911306 1137227 774079 0 22381944 13317258 9064686 0 1451927237 1238816950 213110287 0 190660748 218456582 1434582 1447641 44833727 39293386 107289145 113216398 316192 211740 0 0 0 0 15849056 15602852 5718698 9679156 681145459 387332177 292662712 293813282 1743 0 103437730 138464768 762204333 830185805 154735449 164103067 5493823 6210559 37947602 37573957 57287468 53140481 255464342 261028064 X 483535018 542762893 7743243 7743243 15461730 18651605 506739991 569157741 762204333 830185805 X 42869853 0 0 0 0 19547897 X 0 1 X 1 1 1 X 64639534 71085824 94845523 100085461 101216345 431872687 61232343 56239768 57415964 55421029 55434953 285744057 0 0 0 0 0 0 125871877 127325592 152261487 155506490 156651298 717616744 717616744 242204 91099 142404 376449 1391453 2243609 0 0 0 0 0 0 23740383 16852091 8443965 10244694 10406190 69687323 789547676 1494797090 0.90890 0.9016 X Schedule A, Part I, Line 10 OTHER INCOME OF 10,406,190 Schedule A, Part II, Line 10 OTHER INCOME OF 10,406,190 FROM RENTS AND CONTRACTED SERVICES 0 1 0 0 0 0 1 1165385 1 39391 0 1204776 0 Schedule C, Part II-B, Line 1 PART II-B LINE 1B, 1G, 1H: PERSONNEL ATTEND SEMINARS AND CONVENTIONS TO STAY CURRENT WITH INDUSTRY TRENDS AND TO NETWORK WITH LEGISLATORS, GOVERNMENT OFFICIALS AND OTHER LOBBYISTS. THE LOBBYING ACTIVITIES OF GMHC FOCUS ON COMMUNICATING GMHC'S STATUS AND ITS BUSINESS CHALLENGES TO ELECTED OFFICIALS ON THE COUNTY, STATE AND FEDERAL LEVELS. GIVEN GMHC'S LARGE SHARE OF INDIGENT CARE IN GEORGIA, EFFORTS ARE PRIMARILY DIRECTED TO FINDING ADDITIONAL GOVERNMENT SUPPORT FOR DELIVERING CARE TO THAT UNDERSERVED POPULATION. GMHC IS ALSO A MEMBER OF THE GEORGIA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND AMERICA'S ESSENTIAL HOSPITAL ORGANIZATIONS WHICH MAY LOBBY ON ITS BEHALF. 0 2899788 2899788 0 237738542 132502409 105236133 0 47718403 1077862 46640541 0 352608534 253751906 98856628 0 40180192 0 40180192 293813282 INVESTMENT - HSOC 1455243 SOFTWARE LICENSING 267164 OTHER RECEIVABLES 24391036 PERMANENT ENDOWMENTS 19123098 GOODWILL 147065 NMTC NOTE RECEIVABLES 37024247 INVESTMENT IN NMTC 56056915 138464768 0 DUE TO THIRD PARTIES 3486128 WORKERS COMP RESERVE 246738 SELF INSURED LIABILITY 35870725 OTHER RESERVES 13536890 53140481 X Schedule D, Part X, Line 2 FORM 990, PART IV, LINE 11F AND SCHEDULE D, PART X, LINE 2 THE SYSTEM APPLIES FASB ASC 740, INCOME TAXES (ASC 740), WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON THE SYSTEM'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740. 1 1 X 1 X 1 X 1 1 0 1 1 160964578 84708172 76256406 0.0701 225909284 219955642 5953642 0.0055 0 0 386873862 304663814 82210048 0.0756 19617465 9646707 9970758 0.0092 109058286 30175515 78882771 0.0725 79800420 10789812 69010608 0.0634 1874744 608193 1266551 0.0012 0 0 210350915 51220227 159130688 0.1463 0 0 597224777 355884041 241340736 0.2219 40000 40000 0 0 0 40000 0 40000 0 1 64707608 0 106450357 93956373 12493984 X 1 1 2 1 GRADY MEMORIAL HOSPITAL 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 https://www.gradyhealth.org X X X X X 2 HUGHES SPALDING CHILDRENS HOSPITAL 45 JESSE HILL JR DRIVE SE ATLANTA GA 30303 https://www.gradyhealth.org X X X GRADY MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X https://www.gradyhealth.org X 1 16 1 https://na01.safelinks.protection.outlook.com/?url=https:\\www.gradyhealth.org 0 0 1 X 400 400 X X X X 1 1 X X X X X 1 X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X X 1 X 0 X 1 X X 0 0 HUGHES SPALDING CHILDRENS HOSPITAL 2 0 0 1 X X X X X X X X X 16 1 1 1 1 X https://www.gradyhealth.org/static/community-benefit-summary/ X 1 16 1 https://www.gradyhealth.org/static/community-benefit-summary/ 0 0 1 X 400 400 X X X X X 1 1 X X X X X 1 X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X X X X 1 X 0 X X 1 X X 0 0 Schedule H, Part V, Section B, Line 5-GRADY MEMORIAL HOSPITAL GEORGIA STATE UNIVERSITY'S GEORGIA HEALTH POLICY CENTER, WHICH LED THE COLLABORATIVE CHNA PROCESS, INTERVIEWED NEARLY 30 INDIVIDUAL STAKEHOLDERS AND CONDUCTED FOCUS GROUPS AND/OR LISTENING SESSIONS WITH TWO GROUPS OF GRADY PROVIDERS AND NINE GROUPS OF RESIDENTS REPRESENTING FOUR DIFFERENT POPULATIONS. INTERVIEWEES INCLUDED TWO REPRESENTATIVES FROM DEKALB COUNTY BOARD OF HEALTH, PARTNERS FOR HOME, GEORGIA EQUALITY, MERCY CARE HEALTH CENTER FOR THE HOMELESS, KAISER PERMANENTE, CATHOLIC CHARITIES, ATLANTA REGIONAL COMMISSION, UNITED WAY, A VARIETY OF GOVERNMENT OFFICIALS REPRESENTING CITY OF CHAMBLEE, DEKALB COUNTY AND FULTON COUNTY, AMONG OTHERS. FOCUS GROUPS WERE CONDUCTED TO ASSESS THE NEEDS OF FULTON RESIDENTS, DEKALB RESIDENTS, VIETNAMESE SENIORS, LATINOS, CANCER PATIENTS AND PATIENTS WITH BEHAVIORAL HEALTH CONDITIONS. Schedule H, Part V, Section B, Line 5-HUGHES SPALDING CHILDRENS HOSPITAL HUGHES SPALDING CHILDRENS HOSPITAL IS MANAGED BY CHILDRENS HEALTHCARE OF ATLANTA. Schedule H, Part V, Section B, Line 6a-GRADY MEMORIAL HOSPITAL GRADY'S CHNA WAS CONDUCTED COLLABORATIVELY THROUGH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). OTHER HOSPITALS THAT PARTICIPATED IN THE 2016 CHNA PROCESS INCLUDE WELLSTAR AND PIEDMONT HEALTHCARE. Schedule H, Part V, Section B, Line 6a-HUGHES SPALDING CHILDRENS HOSPITAL GRADY'S CHNA WAS CONDUCTED COLLABORATIVELY THROUGH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). OTHER HOSPITALS THAT PARTICIPATED IN THE 2016 CHNA PROCESS INCLUDE WELLSTAR AND PIEDMONT HEALTHCARE. Schedule H, Part V, Section B, Line 6b-GRADY MEMORIAL HOSPITAL MERCY CARE HEALTH CENTER FOR THE HOMELESS AND KAISER PERMANENTE OF GEORGIA ALSO PARTICIPATED IN ARCHI'S COLLABORATIVE CHNA TO INFORM THEIR ORGANIZATION'S COMMUNITY HEALTH PRIORITIES. ADDITIONALLY, MANY OTHER HEALTH CARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2016 CHNA. SOME OF THESE ORGANIZATIONS INCLUDE ATLANTA REGIONAL COMMISSION, UNITED WAY OF GREATER ATLANTA, CARTER CENTER, CENTERS FOR DISEASE CONTROL AND PREVENTION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, GEORGIA HEALTH POLICY CENTER, AND WHOLESOME WAVE GEORGIA, AMONG OTHERS. Schedule H, Part V, Section B, Line 6b-HUGHES SPALDING CHILDRENS HOSPITAL MERCY CARE HEALTH CENTER FOR THE HOMELESS AND KAISER PERMANENTE OF GEORGIA ALSO PARTICIPATED IN ARCHI'S COLLABORATIVE CHNA TO INFORM THEIR ORGANIZATION'S COMMUNITY HEALTH PRIORITIES. ADDITIONALLY, MANY OTHER HEALTH CARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2016 CHNA. SOME OF THESE ORGANIZATIONS INCLUDE ATLANTA REGIONAL COMMISSION, UNITED WAY OF GREATER ATLANTA, CARTER CENTER, CENTERS FOR DISEASE CONTROL AND PREVENTION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, GEORGIA HEALTH POLICY CENTER, AND WHOLESOME WAVE GEORGIA, AMONG OTHERS. Schedule H, Part V, Section B, Line 11-GRADY MEMORIAL HOSPITAL SINCE GRADY'S MOST RECENT CHNA WAS CONDUCTED IN 2016 AND OUR IMPLEMENTATION STRATEGY (IS) WAS ADOPTED AT THE END OF 2016. Listed below are a sample of activities related to the priorities identified in the 2016 CHNA: 1. Improve coordination of care for Grady patients with diabetes, hypertension, prostate cancer, HIV/AIDS and behavioral health conditions. To improve care coordination for high risk patients and reduce unnecessary emergency department utilization, Grady launched the Chronic Care Clinic in 2017. The goal of the program is to engage patients in their care to identify and remove barriers and foster self-management. The multi-disciplinary care team establishes patient-specific care goals, and patients received monthly clinic visits with home visits and telephone follow-ups in between. Patients enrolled in the program have reduced emergency department use and inpatient admissions. Grady partnered with the Atlanta Regional Commission (ARC) and MARTA to address a significant barrier to accessing health care: transportation. Through the Rides to Wellness pilot program, funded by the Federal Transportation Administration, about 200 Grady patients who were missing appointments received six months of free rides on public transportation. Eligible patients also received travel training and assistance with enrolling in MARTA's Paratransit or Reduced Fare programs. As the pilot phase of the program concludes, Grady and the partners are exploring ways of sustaining this critical resource. The Georgia Cancer Center for Excellence at Grady was selected by the Merck Foundation as one of six sites across the nation to participate in the Alliance to Advance Patient-Centered Cancer Care. Through this initiative, Grady has expanded nurse navigation to improve timely access to and coordination of care, began a rigorous patient-centered designation process with Planetree to enhance patient-provider communication and patient engagement, and expanded partnerships with community organizations to strengthen psychosocial and supportive care for patients. Grady has remained committed to community collaboration through the Atlanta Regional Collaborative for Health Improvement (ARCHI). Grady has representation on the Steering Committee and has continued to participate in the diabetes hospital collaborative launched in 2016. Through this effort, Grady is working with Kaiser Permanente, Wellstar and Piedmont Healthcare to implement digital diabetes self-management education (DSME) and coaching. 2. Increase opportunities for all Georgians, with a focus on persons served by Grady Health System, to access healthcare coverage.Grady has engaged a number of resources to assist patients in gaining access to Medicaid and Marketplace health insurance. In 2017, Grady assisted 63 patients with Marketplace insurance enrollment, and submitted about 7,500 Medicaid applications for patients. Through our Food as Medicine Partnership, the Atlanta Community Food Bank and Wholesome Wave Georgia submitted 63 Medicaid applications and 502 SNAP applications on behalf of our patients. 3. Increase patient and community engagement in healthy behaviors to prevent diabetes, hypertension, HIV, unintentional injuries, and homicide. Through a CDC Foundation grant funded by the Robert Wood Johnson Foundation, Grady Memorial Hospital and DeKalb County Police Department are partnering to prevent violence and make communities safer. The Partnership uses the Cardiff Model established in Europe to collect anonymous information on the location and timing of violent events reported at the hospital. Along with existing law enforcement records, they create local maps of where violence occurs, and identify hot spots throughout the county. This information and predictive analysis has been used to develop public health strategies and environmental approaches to address violence in South DeKalb. In 2017, the Injury Prevention Research Center at Emory University, along with Grady Memorial Hospital and collaborators at the University of Michigan, were awarded a five-year, $4 million grant to study metro-Atlanta motor vehicle crashes that result in injuries treated at Grady. The goal of this project, funded by the National Highway Traffic Safety Administration (NHTSA), is to improve vehicle safety and support injury prevention. The Emory/Grady center is one of seven designated Crash Injury Research and Engineering Network (CIREN) centers in the U.S. After successfully launching a Fruit and Vegetable Prescription (FVRx) Program in partnership with Wholesome Wave Georgia in 2016, Grady expanded its commitment to addressing food insecurity. In 2017, the Food as Medicine Partnership was established to bring innovative food and nutrition solutions to Grady patients, staff and community. Grady worked with WWG, Open Hand, and the Atlanta Community Food Bank to create a comprehensive plan, which was approved by Grady's leadership. The plan includes expanding the FVRx program, establishing an onsite food pharmacy, opening a healthy café and farmers market, and strategies to better connect patients with existing resources like SNAP and local food pantries. Several components began in 2017 and the full plan will be implemented throughout 2018 and 2019. Grady continues to partner with the Atlanta Beltline to increase access to safe parks, trails and health education. In 2017, Grady received a Health Grant to support a wellness program for community members. Grady's comprehensive program, Walk the Line, launched in September in collaboration with the opening of the BeltLine's Westside Trail. Walk the Line is a 10 week, healthy lifestyle class targeting African American adults. The lower priorities of Grady's 2016 CHNA-low birth weight, obesity, breast cancer, poverty, and high school education non-attainment-were not included as areas of focus for several reasons. First, Grady already offers a robust women's program to address low birth weight as well as continuously working to improve our services for breast cancer. For the other priorities, Grady does not have the resources or expertise to significantly address these community health needs but these are being supplemented by other ARCHI partners with the appropriate resources and expertise to significantly address those needs. Schedule H, Part V, Section B, Line 11-HUGHES SPALDING CHILDRENS HOSPITAL INDIRECTLY BENEFITS FROM THE GMHC PLAN. Schedule H, Part V, Section B, Line 13-GRADY MEMORIAL HOSPITAL Refer to the Financial Assistance Policy attached. Discount Levels with Copayments: Tier 1: Patients with Annual Gross Family Incomes up to 250% of the current Federal Poverty Income Level will be eligible for discounts assuming they meet criteria for financial assistance. Tier 2: Patients with Annual Gross Family Incomes 251% to 400% of the Federal Poverty Income Level will be eligible for discounts assuming they meet criteria for financial assistance. 100% Free Care: Homeless Patients with 0% FPG are exempt from copayments 100% Free Care after Copayment: 0% - 400% Schedule H, Part V, Section B, Line 13h-GRADY MEMORIAL HOSPITAL REFER TO THE FINANCIAL ASSISTANCE POLICY ATTACHED FOR PROCESS, DEFINITIONS, AND TIER LEVELS OF POLICY. DISCOUNTED CARE WITH COPAYMENTS HAVE VERIFIED INCOME LEVELS FROM 251% TO 400% FEDERAL POVERTY INCOME (FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FREE CARE UP TO 400% FPI. Schedule H, Part V, Section B, Line 13h-HUGHES SPALDING CHILDRENS HOSPITAL REFER TO THE FINANCIAL ASSISTANCE POLICY ATTACHED FOR PROCESS, DEFINITIONS, AND TIER LEVELS OF POLICY. DISCOUNTED CARE WITH COPAYMENTS HAVE VERIFIED INCOME LEVELS FROM 251% TO 400% FEDERAL POVERTY INCOME (FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FREE CARE UP TO 400% FPI. Schedule H, Part V, Section B, Line 14-GRADY MEMORIAL HOSPITAL Eligibility determination for financial assistance is based on county of residence, gross income, family size and Federal Poverty Level (FPL). PATIENTS ARE ELIGIBLE FOR FREE CARE UP TO 400% OF FPL, AFTER THE COPAYMENT. HOMELESS PATIENTS WITH 0% FPL MAY BE EXEMPT FROM COPAYMENTS. The copayment is driven by the FPL Tier (0-250%) or (251-400%), county of residency and level of care/service. Schedule H, Part V, Section B, Line 15-GRADY MEMORIAL HOSPITAL The Financial Assistance Program Policy, application and instructions are publicized to include Grady's website. Patients may apply for financial assistance electronically via email, may apply in person, by mail or may qualify at the point of registration through a presumptive automated third-party software. Schedule H, Part V, Section B, Line 15e-GRADY MEMORIAL HOSPITAL THE FINANCIAL COUNSELORS WILL ADVISE ELIGIBLE PATIENTS VERBALLY AS TO WHERE AND HOW TO APPLY FOR FOOD STAMPS AND DETERMINE IF THEY MEET CRITERIA FOR MEDICAID. SOCIAL WORKERS WILL TYPICALLY PROVIDE INFORMATION REGARDING HOUSING, FOOD STAMPS, AND OTHER SERVICES TO PATIENTS. A FINANCIAL COUNSELOR MAY DETERMINE IF A PATIENT MEETS CRITERIA FOR PRESUMPTIVE MEDICAID, WOMEN'S HEALTH MEDICAID, WOMEN MEDICAID WAVIER, CANCER STATE AID, CRIME VICTIMS COMPENSATION PROGRAM, RIGHT FROM THE START MEDICAID FOR NEWBORNS, EMERGENCY MEDICAL ASSISTANCE - MEDICAID FOR UNDOCUMENTED WOMEN WHO DELIVER THEIR NEWBORNS, PRESUMPTIVE MEDICAID FOR PREGNANT WOMEN, LOW INCOME MEDICAID, ETC., AND COMPLETE THE APPLICATION AS APPROPRIATE. THE FINANCIAL COUNSELOR MAY ALSO REFER A PATIENT TO APPLY FOR MEDICAID WITH THE DEPARTMENT OF FAMILY AND CHILDREN SERVICES GRADY OUTREACH UNIT. GMHC HAS VENDOR PARTNERSHIPS ON CAMPUS WHEREBY REPRESENTATIVES ARE COMPLETING APPLICATIONS FOR ELIGIBLE PATIENTS FOR VARIOUS MEDICAID PROGRAMS, E.G., LOW INCOME MEDICAID, SSI, SSD, ETC. REPRESENTATIVES ARE COMPLETING APPLICATIONS FOR ELIGIBLE PATIENTS FOR VARIOUS MEDICAID PROGRAMS, E.G., LOW INCOME MEDICAID, SSI, SSD, ETC. Schedule H, Part V, Section B, Line 15e-HUGHES SPALDING CHILDRENS HOSPITAL The FINANCIAL ASSISTANCE PROGRAM POLICY, APPLICATION AND INSTRUCTIONS ARE PUBLICIZED TO INCLUDE CHILDREN'S HEALTHCARE OF ATLANTA WEBSITE. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE ELECTRONICALLY VIA EMAIL, MAY APPLY IN PERSON, BY MAIL OR MAY QUALIFY AT THE POINT OF REGISTRATION THROUGH A PRESUMPTIVE AUTOMATED THIRD-PARTY SOFTWARE. Schedule H, Part V, Section B, Line 16a-GRADY MEMORIAL HOSPITAL POLICY (INCLUDES SUMMARY) - HTTPS://WWW.GRADYHEALTH.ORG/FAP/POLICY/ Schedule H, Part V, Section B, Line 16b-GRADY MEMORIAL HOSPITAL APPLICATION - HTTPS://WWW.GRADYHEALTH.ORG/FAP/APPLICATION/ Schedule H, Part V, Section B, Line 16c-GRADY MEMORIAL HOSPITAL SUMMARY - HTTPS://WWW.GRADYHEALTH.ORG/FAP/SUMMARY/ Schedule H, Part V, Section B, Line 16j-GRADY MEMORIAL HOSPITAL IN EARLY 2018, GMHC'S 2014 FORM 990 WAS AUDITED BY THE IRS WITH PARTICULAR EMPHASIS ON SECTION 501r. UPON COMPLETION OF THE AUDIT, GMHC WAS ADVISED TO ADD SOME ADDITIONAL VERBIAGE TO THE FAP AND PLAIN LANGUAGE SUMMARY, WHICH THE ORGANIZATION TOOK THE NECESSARY STEPS TO COMPLY. NO PENALTIES WERE ASSESSED AS THE CHANGES WERE ADVISORY IN NATURE. ALL FUTURE FORM 990 RETURNS WILL CONTAIN THE REQIRED INFORMATION GOING FORWARD. Schedule H, Part V, Section B, Line 16j-HUGHES SPALDING CHILDRENS HOSPITAL IN EARLY 2018, GMHC'S 2014 FORM 990 WAS AUDITED BY THE IRS WITH PARTICULAR EMPHASIS ON SECTION 501r. UPON COMPLETION OF THE AUDIT, GMHC WAS ADVISED TO ADD SOME ADDITIONAL VERBIAGE TO THE FAP AND PLAIN LANGUAGE SUMMARY, WHICH THE ORGANIZATION TOOK THE NECESSARY STEPS TO COMPLY. NO PENALTIES WERE ASSESSED AS THE CHANGES WERE ADVISORY IN NATURE. ALL FUTURE FORM 990 RETURNS WILL CONTAIN THE REQIRED INFORMATION GOING FORWARD. Schedule H, Part V, Section B, Line 20e-GRADY MEMORIAL HOSPITAL ADMISSIONS REPRESENTATIVE NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE ON ADMISSION. NONE OF THE ACTIONS LISTED IN LINE 19 ARE FOLLOWED BY GMHC. Schedule H, Part V, Section B, Line 22d-GRADY MEMORIAL HOSPITAL AFTER INITIAL MEDICAL EVALUATION, FAMILY COMMUNICATES/PROVIDES FINANCIAL PROOF, RESIDENCY INFORMATION, ETC. SO THAT THE ELIGIBILITY REQUIREMENTS FOR FINANCIAL ASSISTANCE ARE MET. THE SLIDING SCALE IS DISCUSSED IN LINE 13A-E. 10 CRESTVIEW HEALTH & REHABILITATION 2800 SPRINGDALE RD ATLANTA GA 30315 NURSING HOME EMERGENCY MEDICAL SERVICE 745 MEMORIAL DRIVE ATLANTA GA 30316 AMBULANCE SERVICE KIRKWOOD PHARMACY 1863 MEMORIAL DRIVE ATLANTA GA 30317 PHARMACY BROOKHAVEN PHARMACY 2695 BUFORD HIGHWAY ATLANTA GA 30324 PHARMACY EAST POINT PHARMACY 1595 WEST CLEVELAND AVENUE EAST POINT GA 30344 PHARMACY PONCE INFECTIOUS DISEASE PHARMACY 341 PONCE DE LEON AVENUE ATLANTA GA 30308 PHARMACY GRADY BEHAVIORAL HEALTH PHARMACY 10 PARK PLACE 3RD FLOOR ATLANTA GA 30303 PHARMACY MAIN OUTPATIENT PHARMACY 48 COCA COLA PLACE ATLANTA GA 30303 PHARMACY ASA YANCEY PHARMACY 1247 DONALD LEE HOLLOWELL PARKWAY ATLANTA GA 30318 PHARMACY CENTRAL REFILL PHARMACY 1575 NORTHSIDE DRIVE BUILDING 400 SUITE 450 ATLANTA GA 30318 PHARMACY Schedule H, Part I, Line 3c THE FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE WITH 400% OF FPG BEING THE UPPER LIMIT OF QUALIFICATION TO THE PROGRAMS. Schedule H, Part I, Line 6a 2016 COMMUNITY BENEFIT REPORT WAS PREPARED IN 2017. Schedule H, Part I, Line 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS WERE DETERMINED USING DATA FROM THE AUDITED FINANCIAL STATEMENTS AND THE 2017 FILED MEDICARE AND MEDICAID COST REPORTS. Schedule H, Part I, Line 7, Column f THIS IS THE PERCENTAGE OF NET COMMUNITY BENEFIT OF TOTAL EXPENSE OF GRADY. Schedule H, Part II SEE line 6 Schedule H, Part II, Line 6 GRADY IS A MEMBER ORGANIZATION OF THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). ARCHI IS AN INTERDISCIPLINARY COALITION WORKING TO IMPROVE THE REGION'S (DEKALB AND FULTON COUNTIES) HEALTH THROUGH A COLLABORATIVE APPROACH TO CHNAS AND SUBSEQUENT HEALTH IMPROVEMENT INITIATIVES. GRADY HOLDS A SEAT ON THE ARCHI STEERING COMMITTEE FOR ONGOING LEADERSHIP AND CONNECTIVITY TO HEALTH IMPROVEMENT INITIATIVES, AND HAS SIGNED THE ARCHI MEMBERSHIP AGREEMENT IN SUPPORT OF SUSTAINABILITY AND AN ORGANIZATION STRUCTURE. GRADY ALSO PROVIDES FUNDING TO ARCHI TO SUPPORT THE STAFFING, DATA ANALYTICS, AND PARTNERSHIP BUILDING ACTIVITIES. GRADY CONTINUES TO WORK WITH AND THROUGH ARCHI TO CONDUCT ITS CHNAS IN ORDER TO MAXIMIZE THE IMPACT OF COMMUNITY INVESTMENT IN HEALTH IMPROVEMENT. Schedule H, Part III, Section A, Line 2 THE COST ESTIMATE FOR BAD DEBT EXPENSE IS BASED UPON THE PATIENT CARE COST TO CHARGE PERCENTAGE OF 18% OF ACTUAL PROVISION OF $363M IN 2017. Schedule H, Part III, Section A, Line 4 GMHC ALSO INCURS SIGNIFICANT COST ASSOCIATED WITH CARE FOR THE UNDER AND UNINSURED THAT DO NOT APPLY AND/OR QUALIFY FOR CHARITY CARE ASSISTANCE. GMHC INCURRED BAD DEBT EXPENSE OF APPROXIMATELY $363.6 MILLION VALUED IN GROSS CHARGES. Schedule H, Part III, Section B, Line 8 EXPENSES ARE REPORTED FROM THE MEDICARE COST REPORT CMS-2552-96 FOR THE YEAR ENDED 12/31/17. Schedule H, Part III, Section C, Line 9b THE ORGANIZATION HAS UNIQUE ELIGIBILITY CODES TO IDENTIFY EACH PATIENT QUALIFYING FOR CHARITY CARE TO ALLOW IT TO WRITE-OFF THE CHARITY CARE AMOUNTS PRIOR TO THE COLLECTION PROCESS. Schedule H, Part VI, Line 2 IN ADDITION TO GRADY'S CHNA, MANY OF THE COALITIONS THAT GRADY PARTICIPATES IN, OR ORGANIZATIONS THAT GRADY WORKS WITH, ALSO ASSESS THE NEEDS OF THEIR COMMUNITIES OR TARGET POPULATIONS, MANY OF WHICH ALIGN OR OVERLAP WITH GRADY'S COMMUNITY. COALITIONS OR PARTNER ORGANIZATIONS WITH ASSESSMENTS THAT ALSO INFORM GRADY'S WORK INCLUDE ARTHUR BLANK FOUNDATION'S WESTSIDE ON THE RISE INITIATIVE, ATLANTA BELTLINE PARTNERSHIP, GEORGIA STATE DEPARTMENT OF PUBLIC HEALTH, ATLANTA, REGIONAL COMMISSION, UNITED WAY, MERCY CARE, AND THE ATLANTA COMMUNITY FOOD BANK. Schedule H, Part VI, Line 3 PER STATE REGULATIONS, GMHC PLACES ANNUAL ICTF NOTICES IN THE LOCAL NEWSPAPER AND SIGNAGE IS POSTED, ADVISING PATIENTS OF ALL CHARITY CARE PROGRAMS WITHIN THE ORGANIZATION. BASED ON THE PATIENT'S FINANCIAL CIRCUMSTANCES, AND MEDICAL CONDITION, A FINANCIAL COUNSELOR WILL CONSULT WITH THE PATIENT TO DETERMINE BEST FIT FOR THE CRITERIA OF THE VARIOUS ASSISTANCE PROGRAMS. THE APPROPRIATE APPLICATION IS COMPLETED AND THE FINANCIAL ASSISTANCE PROGRAM IS EXPLAINED TO THE PATIENT SIMULTANEOUSLY. Schedule H, Part VI, Line 4 Grady is the safety net provider for the core of the metropolitan Atlanta. This area includes five counties and more than 3 million people. Grady's primary service area is Fulton and DeKalb Counties, which contain about 1.7 million people or 17 percent of the state's total population. According to Grady's 2016 CHNA, the African American population constitutes more than half of the population in DeKalb County and more than 40 percent of the population in Fulton County, while the Hispanic Latino population constitutes about 10 percent in both counties. The DeKalb and Fulton populations are also relatively young. More than 40 percent of the population in both counties is in the 18-44 age cohort and the median age is 35 years. The percentage of the population living at or below the Federal Poverty Level 24,300 for a family of four has increased in both counties. Nearly 40 percent and 35 percent of DeKalb and Fulton residents, respectively, live at 200 percent of the FPL. Schedule H, Part VI, Line 5 Grady's Marcus Stroke and Neuroscience Center expanded its internationally acclaimed care with the opening of a new outpatient center in 2017. The state-of-the-art center provides a multi-disciplinary approach to care for patients with advanced neurological conditions. The new outpatient center centralizes diagnosis and treatment functions, allowing for enhanced patient care coordination. In 2017, Grady became the first hospital verified as a Level I trauma center at the national level in metro Atlanta and north Georgia. Grady's Marcus Trauma Center has been designated a Level I trauma center at the state level since 1987, and now holds the highest national trauma center recognition verified by the American College of Surgeons (ACS). Level I status verifies that in addition to providing all of the necessary services, it also has a training program and actively conducts research on trauma. Through a grant from James M. Cox Foundation, Grady launched the Talk With Me Baby pilot program designed to improve language development in the first years of life. Grady is leveraging its many touch points with expectant and new parents to share video content with tips on building a child's vocabulary. Nurses are trained to educate caregivers on the importance of talking with a baby every day, and parents are taught about important milestones to monitor a child's language development. Staff and physicians across Grady also participate in many advocacy and awareness events such as Trauma Awareness Day at the Georgia State Capitol, Making Strides Walk with American Cancer Society, Atlanta Heart Walk with American Heart Associate, World Sight Day 2017, among others. Schedule H, Part VI, Line 6 WHILE GRADY IS NOT LEGALLY AFFILIATED WITH THE EMORY HEALTHCARE SYSTEM, WE ARE THE PRIMARY TRAINING SITE FOR MORE THAN 1,000 EMORY AND MOREHOUSE INTERNS AND RESIDENTS EACH YEAR. Schedule H, Part VI, Line 7 GMHC FILES A COMMUNITY BENEFIT REPORT IN GEORGIA. 1 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE ATLANTA GA 30310 581438873 501 (C) (3) 11855801 RESIDENCY PROGRAM 0 0 Schedule I, Part I, Line 2 THE AMOUNT OF THE GRANT GIVEN TO THE GRANTEE IS SUBSTANTIATED BY THE ACCOUNTING SYSTEM AND AUDITED ANNUALLY. X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 JOHN M HAUPERT FACHE PRESIDENT AND CEO 1075609 0 464816 0 35998 0 10800 0 12255 0 1599478 0 0 0 MARK MEYER EXEC VP / CFO 1135666 0 161795 0 24000 0 5362 0 9767 0 1336590 0 0 0 ROBERT JANSEN EXEC VP / CMO 503435 0 184600 0 23998 0 10800 0 14973 0 737806 0 0 0 PETER RHEE SVP / CHIEF ACUTE CARE SURGERY 595398 0 84969 0 24000 0 4467 0 3834 0 712668 0 0 0 RHONDA SCOTT EXEC VP / COO 467465 0 142740 0 22256 0 13758 0 15625 0 661844 0 0 0 TIMOTHY JEFFERSON EXEC VP / GENERAL COUNSEL 452195 0 137655 0 23270 0 23427 0 13497 0 650044 0 0 0 LINA GEORGE EXEC VP / CHIEF HR OFFICER 362504 0 157525 0 24000 0 5388 0 9111 0 558528 0 0 0 RICHARD RHINE EXEC VP / CFO 324367 0 161720 0 24000 0 10800 0 13207 0 534094 0 0 0 BENJAMIN MCKEEBY SVP / CIO 328311 0 148578 0 18000 0 10800 0 12719 0 518408 0 0 0 CRAIG TINDALL SVP / CLINICAL OPERATIONS 288594 0 127580 0 23998 0 20306 0 2754 0 463232 0 0 0 PATRICIA PLAIR SVP / FIN/MATL MGMT 292194 0 120899 0 24000 0 6428 0 11175 0 454696 0 0 0 MARY SALE SVP / CHIEF STRATEGY OFFICER 301164 0 109440 0 18000 0 8146 0 2322 0 439072 0 0 0 JACQUELINE HERD EXEC VP / CNO 293207 0 75495 0 24000 0 10800 0 16244 0 419746 0 0 0 Schedule J, Part I, Line 1a CLUB DUES ARE PAID FOR EXECUTIVE VICE PRESIDENTS AND HIGHER FOR BUSINESS PURPOSES. IN 2017 GMHC PAID DUES FOR 6 EXECUTIVES, WITH NO PERSONAL USE REPORTED AS TAXABLE INCOME. Schedule J, Part I, Line 4 2017 SEVERANCE PAYMENTS: MARK MEYER $734,000 LINE 4B EXECUTIVE STAFF PARTICIPATES IN 457F PLAN, NO PAYMENTS WERE MADE IN 2017. Schedule J, Part I, Line 7 DESCRIPTION OF NON-FIXED PAYMENTS: THERE WAS A FORMAL PLAN FOR SENIOR LEADERSHIP WITH SPECIFIC OBJECTIVES AND PERCENTAGE PAYOUTS BASED ON ACCOMPLISHMENT OF THOSE OBJECTIVES. THE PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE GMHC BOARD. JOHN M HAUPERT CEO FORGIVABLE X 500000 211740 0 1 1 211740 X 12 38596792 COST 0 0 1 Schedule M, Part I, Line 32b NONCASH CONTRIBUTIONS ARE PROCESSED AND SOLICITED BY THE HENRY W GRADY HEALTH SYSTEM FOUNDATION. Form 990, Part VI, Section A, Line 3 GMHC HAS CONTRACTED WITH CHILDREN'S HEALTHCARE OF ATLANTA (CHOA) TO MANAGE OPERATIONS OF HUGHES SPALDING CHILDREN'S HOSPITAL. CHOA OVERSEES DAILY OPERATIONS. Form 990, Part VI, Section B, Line 11b IN NOVEMBER 2018, THE AUDIT COMMITTEE OF THE GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) REVIEWED A DRAFT OF THE 2017 FORM 990, WHICH HAD PREVIOUSLY BEEN REVIEWED BY MANAGEMENT, WHICH WAS DISTRIBUTED TO EACH COMMITTEE MEMBER. DISCUSSION ENSUED AND COMMENTS AND SUGGESTIONS WERE TAKEN INTO CONSIDERATION IN FINALIZING THE FORM SUBSEQUENT TO THE MEETING. A FINAL DRAFT WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. Form 990, Part VI, Section B, Line 12c GRADY MEMORIAL HOSPITAL CORPORATION HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. GRADY MEMORIAL HOSPITAL CORPORATION IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT GRADY MEMORIAL HOSPITAL CORPORATION'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT WOULD IMPACT ITS BUSINESS, THUS GRADY MEMORIAL HOSPITAL CORPORATION'S EMPLOYEES MUST AVOID PARTICIPATING IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. GMHC'S CONFLICT OF INTEREST SURVEY IS ADMINISTERED ANNUALLY TO OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER IDENTIFIED PERSONNEL AND AT THE TIME OF APPOINTMENT AND REAPPOINTMENT OF MEDICAL STAFF. AFFIRMATIVE REPLIES ARE REVIEWED FOR DETERMINING APPROPRIATE MANAGEMENT, WHERE APPLICABLE. Form 990, Part VI, Section B, Line 15 EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND IS REVIEWED ANNUALLY. GRADY MEMORIAL HOSPITAL CORPORATION'S BOARD OF DIRECTORS DESIGNATED THE COMPENSATION COMMITTEE TO BE RESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION. Form 990, Part VI, Section C, Line 19 - DOCUMENTS MADE PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED ON THE WEBPAGE REFERENCED ON FORM 990, PAGE 1, ITEM J. Form 990, Part VII, Section A, Line 1a EX OFFICIO NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS: JOHN M. HAUPERT, FACHE, VALERIE MONTGOMERY RICE, MD, VIKAS P. SUKHATME, MD ScD Form 990, Part IX, Line 11g PROGRAM SERVICE EXPENSES TOTAL 216,797,046 BREAKDOWN TO PRO FEES 145,776,515 LINEN, CLEANING,DIETARY 17,343,926 MEDICAL PS 21,692,828 OTHER PS 8,636,280 OUTSIDE AGENCY 14,170,848 REPAIRS & MNTC 5,021,920 COLLECTIONS 4,154,729 MGMT AND GEN EXPENSES TOTAL 33,576,000 BREAKDOWN TO LINEN, CLEANING,DIETARY 11,805,530 OTHER PS 5,878,476 OUTSIDE AGENCY 9,645,704 REPAIRS & MNTC 3,418,282 COLLECTIONS 2,828,008 Form 990, Part XI, Line 9 INCREASE IN NET ASSETS CONSISTS OF CHANGES IN ASSET VALUATIONS AND INCREASE IN DONATIONS PUT INTO SERVICE Schedule B, Part I 501(C)(3) ORGANIZATION GRADY EMS LLC 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 814571957 EMERGENCY TRANSPORTATION SERVICES GA 0 0 GRADY MEMORIAL HOSPITAL CORP HENRY W GRADY HEALTH SYSTEM FOUNDATION 191 PEACHTREE STREET Suite 820 ATLANTA GA 30303 582130437 HEALTH CARE GA 501(C) (3) 11 N/A 0 GRADY HEALTH RESOURCES INC 80 JESSE HILL DRIVE SE ATLANTA GA 30303 472922502 NMTC GA 501 (C) (2) NA GMHC 1 GRADY WIC INC 80 JESSE HILL JR DR SE ATLANTA GA 30303 821799159 NMTC GA 501 (C) (2) NA GMHC 1 RELIANT EMERGENCY SPECIALTIES 745 MEMORIAL DR SE ATLANTA GA 30316 471397856 AUTO REPAIR & MAINTENAINCE GA GMHC C -364385 1466041 1 1 0 0 1 1 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 HENRY W GRADY HEALTH SYSTEM FOUNDATION c 22547268 FMV HENRY W GRADY HEALTH SYSTEM FOUNDATION m 2080218 FMV RELIANT EMERGENCY SPECIALTIES d 1882844 FMV RELIANT EMERGENCY SPECIALTIES o 44648 FMV GRADY HEALTH RESOURCES INC j 1365656 FMV GRADY HEALTH RESOURCES INC k 595472 GRADY WIC INC j 242333 FMV GRADY WIC INC k 193000 FMV