2016-11-15T14:49:10-06:00 2015-12-31 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2015-01-01 262037695 GRADY MEMORIAL HOSPITAL CORPORATION % GINA SMITH CONTROLLER GRAD 4046161846 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 MARK MEYER DIRECTOR 4046161846 2016-11-14 true ALLISON H FRANKLIN CPA P00448640 3362753394 2016-11-09 2015 2017-02-10 21:41:12Z JOHN M HAUPERT PRESIDENTCEO 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 1230398225 false X WWW.GRADYHEALTH.ORG X 2008 GA IMPROVING THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER. 17 17 6954 485 0 127325592 152261487 1051079962 1061994716 91099 309229 17731466 15832793 1196228119 1230398225 4606764 17124176 0 0 336609859 388724577 0 0 0 820715549 776975669 1161932172 1182824422 34295947 47573803 655347893 700367308 243401302 250533651 411946591 449833657 X SEE SCHEDULE O, STATEMENT 1 false false 362636828 277044129 SEE SCHEDULE O, STATEMENT 2 101336571 17124176 50688239 SEE SCHEDULE O, STATEMENT 2 87271806 91124229 SEE SCHEDULE O, STATEMENT 2 437045950 811541638 988291155 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false true false false false false true false false false false true true true false false true 368 0 true 6954 true false false false false false false false false false false X 17 17 true true false false false false false true true false false true true true true true true true true false GA X GINA SMITH CONTROLLER 4046167355 50 HURT PLAZA SUITE 301 ATLANTA GA 30303 A D PETE CORRELL CHAIRMAN OF THE BOARD 5.0 0.0 X X 0 0 0 THOMAS DORTCH JR VICE CHAIR 2.0 0.0 X X 0 0 0 MARK P BECKER DIRECTOR 2.0 0.0 X 0 0 0 SAM A WILLIAMS DIRECTOR 2.0 0.0 X 0 0 0 THOMAS D BELL JR DIRECTOR 2.0 0.0 X 0 0 0 SHARON BENT-HARLEY MD DIRECTOR 2.0 0.0 X 0 0 0 HENRY W GRADY III DIRECTOR 2.0 0.0 X 0 0 0 ANDREW W EVANS DIRECTOR 2.0 0.0 X 0 0 0 ERICA QUALLS-BATTEY DIRECTOR 2.0 0.0 X 0 0 0 PIERLUIGI MANCINI PhD DIRECTOR 2.0 0.0 X 0 0 0 LISA M BORDERS DIRECTOR 2.0 0.0 X 0 0 0 CHRISTIAN P LARSEN MD DPhil DIRECTOR 2.0 0.0 X 0 0 0 G LEMUEL HEWES ESQ DIRECTOR 2.0 0.0 X 0 0 0 MICHAEL RUSSELL DIRECTOR 2.0 0.0 X 0 0 0 KELLY L LOEFFLER DIRECTOR 2.0 0.0 X 0 0 0 PAMELA S STEPHENSON ESQ DIRECTOR 2.0 0.0 X 0 0 0 FRANK BLAKE DIRECTOR 2.0 0.0 X 0 0 0 DAVID P STOCKERT DIRECTOR 2.0 0.0 X 0 0 0 VALERIE MONTGOMERY-RICE MD DIRECTOR 2.0 0.0 X X 0 0 0 JOHN M HAUPERT PRESIDENT AND CEO 40.0 0.0 X 1370953 0 19310 MARK MEYER EXEC VP/CFO 40.0 0.0 X 685512 0 16592 TIMOTHY JEFFERSON EXEC VP -GENERAL COUNSEL 40.0 0.0 X 614720 0 31192 RHONDA SCOTT EXEC VP /COO/CNO 40.0 0.0 X 464173 0 23622 CRAIG TINDALL SR VP -OPERATIONS 40.0 0.0 X 366856 0 21549 STERLING MCHORNEY SVP-CLINICAL OPER 40.0 0.0 X 258977 0 8765 LINA GEORGE EXEC VP/CHIEF HR OFFICER 40.0 0.0 X 438133 0 5751 BENJAMIN MCKEEBY SVP/CHIEF INFO OFF 40.0 0.0 X 419839 0 20872 RICHARD RHINE SVP REVENUE CYCLE 40.0 X 386774 0 16595 MARY SALE SVP-PLANNING/BUS DEVEL 40.0 0.0 X 389434 0 9971 RENAY BLUMENTHAL PRESIDENT HWG FOUNDATION 40.0 0.0 X 367944 0 12202 CHRISTOPHER MOSLEY EVP/CHIEF OPERATING OFFICER 40.0 0.0 X 855911 0 17253 LARRY CALLAHAN SVP -CHIEF HR OFF 0.0 0.0 X 208655 0 0 6827881 0 203674 417 true true false EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR159900 ATLANTA GA 30322 MEDICAL 93047254 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE NW ATLANTA GA 30310 MEDICAL 21701909 RANDSTAD PO BOX 416692 BOSTON MA 02241 TEMPORARY STAFFING 6660766 ARAMARK 24863 NETWORK PLACE CHICAGO IL 606731248 LAUNDRY SERVICE 8257413 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30342 DIETARY 6082139 79 X 57415964 94845523 33711981 152261487 PATIENT SERVICE REVENUE 900099 1061994716 1061994716 1061994716 142404 142404 0 0 0 0 0 166825 166825 166825 166825 0 0 0 RENTAL AND PARKING INCOME 900099 2811034 2811034 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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. 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. 2848115 2848115 216433180 94328120 122105060 47139619 1017633 46121986 304672685 199437595 105235090 74809340 74809340 351119591 INVESTMENT - HSOC 1455243 SOFTWARE LICENSING 151418 NET OTHER RECEIVABLES 16935978 PERMANENT ENDOWMENTS 15367599 GOODWILL 147065 NMTC NOTE RECEIVABLE 21313047 55370350 0 DUE TO THIRD PARTIES 6773558 WORKERS COMP LIABILITY 333719 SELF INSURED LIABILITY 36184911 OTHER RESERVES 6156863 NMTC LIABILITY 28261334 77710385 X 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. true true X true X 139. true X true true false false 70255310 45916776 24338534 0.02710 193163828 193501469 263419138 239418245 24338534 0.02710 23372187 7711080 15661107 0.01750 103793809 28963993 74829816 0.08340 93975568 32371098 61604469 0.06870 221141564 69046171 152095392 0.16960 484560702 308464416 176433926 0.19670 40000 40000 40000 40000 true 285819661 84962462 74085422 10877040 X true true 2 1 GRADY MEMORIAL HOSPITAL 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 WWW.GRADYHEALTH.ORG 00000525A X X X X X 2 HUGHES SPALDING CHILDREN'S HOSPITAL 45 JESSE HILL JR DRIVE ATLANTA GA 30303 WWW.GRADYHEALTH.ORG 00000525A X X X GRADY MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 13 true true true true X WWW.GRADYHEALTH.ORG/learn-about-us X true 14 false true false true X 139. 400. X X X true true X X X X true X WWW.GRADYHEALTH.ORG X X X X true X false X true X false false HUGHES SPALDING CHILDREN'S HOSPITAL 2 false false true X X X X X X X X 13 true true true true X WWW.GRADYHEALTH.ORG/LEARN-ABOUT-US X true 14 false true false true X 139. 400. X X X X true true X X X true X WWW.CHOA.ORG X WWW.CHOA.ORG X WWW.CHOA.ORG X X X true X false X true X X false false PART V, SECTION B, LINE 5 A NUMBER OF ORGANIZATIONS PROVIDED INPUT, DATA, AND CONTEXT FOR THIS CHNA. WITHIN GEORGIA STATE UNIVERSITY, THE FOLLOWING ENTITIES WERE INVOLVED IN THE CHNA PROCESS: DEPARTMENT OF GEOSCIENCES, INSTITUTE OF PUBLIC HEALTH, AND GEORGIA HEALTH POLICY CENTER (GHPC). A NUMBER OF STATE OF GEORGIA AGENCIES CONTRIBUTED TO THE DATA AND REPORT, INCLUDING: DEPARTMENT OF EDUCATION, DEPARTMENT OF PUBLIC HEALTH, DEPARTMENT OF COMMUNITY HEALTH, AND DEPARTMENT OF AGRICULTURE. THE DEKALB AND FULTON COUNTY DISTRICT HEALTH DIRECTORS PARTICIPATED IN STAKEHOLDER INTERVIEWS AS WELL AS REPRESENTATIVES FROM THE HEALTH PROMOTION SECTION OF FULTON COUNTY DEPARTMENT OF HEALTH AND WELLNESS HEALTH. NON-PROFIT ORGANIZATIONS WERE ALSO ENGAGED VIA KEY INFORMANT INTERVIEWS INCLUDING LEADERS FROM THE ATLANTA WOMEN'S FOUNDATION, THE COMMUNITY FOUNDATION FOR GREATER ATLANTA, AND THE UNITED WAY OF METRO ATLANTA. KEY INFORMANT INTERVIEWS: MUCH OF THE WORK IN ARCHI (ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT), HAS INCLUDED THE INPUT OF COLLABORATIVE PARTNERS, AND CONTRIBUTED TO THE ASSESSMENT OF THE HEALTH NEEDS AND THE IDENTIFICATION OF HEALTH PRIORITIES IN GRADY'S SERVICE AREA. ARCHI RECEIVED COMMUNITY INPUT FROM A VARIETY OF SOURCES INCLUDING STAKEHOLDER MEETINGS, ONE-ON-ONE INTERVIEWS, AND WRITTEN FEEDBACK. MANY DIFFERENT TYPES OF ORGANIZATIONS AND INDIVIDUALS WITH DIFFERENT TYPES OF EXPERTISE WERE REPRESENTED, INCLUDING: BEHAVIORAL HEALTH, BUSINESS COMMUNITY, CIVIC AND ADVOCACY ORGANIZATIONS, FAITH COMMUNITY, FEDERALLY QUALIFIED HEALTH CENTERS, HEALTH PLANS, LOCAL GOVERNMENTS, MEDIA, PHILANTHROPY, PHYSICIANS,PUBLIC HEALTH, SOCIAL SERVICE PROVIDERS, AND UNIVERSITIES. AS PART OF THE DATA COLLECTION PROCESS FOR ARCHI, THE GHPC CONDUCTED SEVERAL KEY INFORMANT INTERVIEWS WITH PUBLIC HEALTH LEADERS, COUNTY GOVERNMENT REPRESENTATIVES, AND REPRESENTATIVES OF THE PHILANTHROPIC COMMUNITY IN FULTON AND DEKALB COUNTIES. FOCUS GROUPS: A TOTAL OF FIVE FOCUS GROUPS WERE HELD IN THE TARGET COUNTIES. ENGLISH SPEAKING AND LATINO GROUPS WERE RECRUITED BY OUTSIDE FOCUS GROUPS FROM FIVE DIFFERENT CENSUS TRACTS, IDENTIFIED AS BEING HOT SPOTS FOR THE KEY INDICATORS OF DEMOGRAPHICS, POVERTY, UNINSURED POPULATION, EDUCATION ATTAINMENT AND ECONOMIC FACTORS. PART V, SECTION B, LINE 6A A NUMBER OF HOSPITALS AND PROVIDERS ARE PARTICIPATING IN THE ARCHI COALITION AND THEREFORE, WORKING TOWARDS THE SAME HEALTH PRIORITIES. OTHER PROVIDERS PARTICIPATING IN ARCHI INCLUDE EMORY HEALTHCARE, PIEDMONT HEALTHCARE, SOUTHSIDE MEDICAL CENTER, SAINT JOSEPH'S HEALTHCARE, SAINT JOSEPH'S MERCY CARE AND THE FAMILY HEALTH CENTERS OF GEORGIA (FORMERLY KNOWN AS WESTEND MEDICAL CENTER). PART V, SECTION B, LINE 6B MANY HEALTH CARE,PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE PARTICIPATING IN ARCHI INCLUDING ATLANTA REGIONAL COMMISSION, KAISER PERMANENTE OF GEORGIA, UNITED WAY OF GREATER ATLANTA, CARTER CENTER, CENTER FOR DISEASE CONTROL AND PREVENTION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, GEORGIA HEALTH POLICY CENTER, UNIVERSITY SYSTEM OF GEORGIA, AMONG OTHERS. PART V, SECTION B, LINE 11 In 2015, Grady Health System focused on the implementation strategy through both collective impact with our community partners and investments within the health system to increase access and coordination of care. Below are the activities related to the strategies identified in the Grady Health System Community Benefit Implementation Strategy: 1. Effective and efficient patient care coordination among persons served by the Grady Health System. Grady continues to lead in Community collaboration through the Atlanta Regional Collaborative for Health Improvement (ARCHI). Grady has representation on the Steering Committee and has participated in community-wide care coordination planning and implementation. In 2015, ARCHI launched the Tri-Cities Community Pilot Project. With a neighborhood health center in the East Point neighborhood, Grady is a critical partner in care coordination for this pilot. In 2015, Grady opened updated and expanded urology services. These facilities showed improved access and volumes through 2015. Grady continues to invest in the success of these services to ensure community access to high quality, affordable care. Also, Grady finalized the implementation of the CareLink electronic medical record module to extend patient information to the federally qualified health centers and post-acute partners. CareLink allows external providers to access patient information securely i.e., if a patient visits the Grady emergency department and then later visits a federally qualified health center (FQHC), the physician at the FQHC can access information from the patients ED visit. Physicians can also request specialty appointments and follow up on whether or not the patient kept the appointment. Post-acute providers can access discharge information to facilitate activities that support appropriate care and reductions in re-admissions. Throughout 2015, Grady continued several initiatives begun in 2014 including maintaining Level III Patient Centered Medical Home (PCMH) certification to support coordination as a safety net medical home. The guidelines for PCMH continue to evolve to meet research literature and targeted outcomes. Grady continues to evolve our care delivery model to ensure effective care giver roles and optimization of the electronic health record. Grady also continued two community health worker programs. In partnership with the United Way and the federally qualified health centers, the first program targets individuals with high risk for re-admission after a hospitalization and has been shown to decrease re-admissions in this vulnerable population. Similarly, the community health worker and telehealth program supports the congestive heart Failure program, identifying patients at risk in the inpatient setting and aligning them to a nurse practitioner to manage their care. PART V, SECTION B, LINE 11 (CONTINUED) 2. Increase opportunities among persons served by the Grady Health System to access appropriate health care services. Grady has engaged a number of resources to assist patients in gaining access to Medicaid and Marketplace health insurance. In 2015, Grady partnered with Enroll America to complete outreach to former patients. Enroll America contacted over 2,000 people of which nearly half were uninsured and 502 were successfully scheduled for in person assistance. To assist with individual enrollment into Marketplace insurance, Grady previously partnered with Seedco for patient navigators and RING volunteers for patient education. After the grant supporting these navigators expired in 2015, Grady hired the navigators to continue enrollment assistance. In 2015, the navigators helped 163 patients successfully gain health insurance through the Marketplace. Grady also has dedicated employees who work with patients to ensure they have the right information to support the Medicaid application, and we facilitate them through this process to ensure access. In 2015, nearly 6,000 individuals (4,825 adults and 1,051 children) were approved for Medicaid. 3. Improved sexual health in high risk populations in DeKalb and Fulton counties. Grady Health System operates the largest HIV program in Georgia, providing treatment TO over 5,800 people, WHICH IS approximately 25% of people living with HIV in the state. Because strict adherence to antiretroviral therapy (ART) keeps people healthy and significantly reduces risk of transmission, Grady is committed to providing excellent care to all HIV positive patients. 4. Evidence based interventions to reduce obesity in residents of DeKalb and Fulton counties. Grady continues to partner with the Atlanta Beltline to increase access to safe parks, walk/run/bike pathways and health education. Grady is currently on the Beltline Health Steering Committee which provides guidance on a range of health programming. 5. Reduced risk of homicide and injury in target populations in Fulton and DeKalb counties. In 2015, the Injury Prevention and Trauma Research Program facilitated 35 injury prevention presentations and educational activities across the state. Topics included safe driving, fall prevention, violence prevention, child physical abuse prevention, and general trauma awareness. More than 1,500 individuals representing the general public (teens, parents, older adults), nurses, doctors, EMS providers, leadership, and others attended the events. Partnering agencies included the Shepherd Center, Georgia Department of Public Health, Childrens Healthcare of Atlanta, Atlanta Public Schools, DeKalb School System, Georgia EMS, and local senior centers. The lower priorities, which included low birth weight, STDs and high school education non-attainment, were not included as areas of focus for several reasons. Other organizations around Atlanta focus on low birth weight prevention. Similarly, the Georgia Department of Public Health Office of Sexually Transmitted Diseases funds screening and treatment services throughout the state, and other coalitions and non-profit organizations are diligently addressing STD prevention. Likewise, various initiatives led by the Georgia Department of Education and the United Way of Greater Atlanta are underway to address high school graduation non-attainment. PART V, PART B, LINE 15, BOX E 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. PART V, LINE 20A: ADMISSIONS REPRESENTATIVE USUALLY NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE ON ADMISSION. NONE OF THE ACTIONS LISTED IN LINE 19 ARE FOLLOWED. PART V, LINE 22D: 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 DEKALB GRADY PHARMACY 1863 MEMORIAL DRIVE ATLANTA GA 30317 PHARMACY NORTH DEKALB PHARMACY 3807 CLAIRMONT RD CHAMBLEE GA 30341 PHARMACY EAST POINT PHARMACY 1595 WEST CLEVELAND AVE EAST POINT GA 30344 PHARMACY PONCE INFECTIOUS DISEASE CTR 341 PONCE DE LEON ATLANTA GA 30308 PHARMACY GRADY BEHAVIORAL HEALTH CTR 10 PARK PLACE ATLANTA GA 30303 PHARMACY MAIN OUTPATIENT PHARMACY 80 JESSE HILL JR DR ATLANTA GA 30303 PHARMACY ASA YANCEY PHARMACY 1247 DONALD LEE HOLLOWELL PKWY ATLANTA GA 30318 PHARMACY CENTRAL REFILL PHARMACY 1575 NORTHSIDE DRIVE BLDG 400 ATLANTA GA 30318 PHARMACY PART I, LINE 3C: FPG ARE USED TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PART I, LINE 6A: A COMMUNITY BENEFIT REPORT. PART I, LINE 7G: GRADY SUBSIDIZES THE COST OF CARING FOR UNINSURED PATIENTS INCLUDING THE COST OF PHYSICIANS, OTHER CARE GIVERS, DRUGS AND SUPPLIES. PART I, LINE 7, COLUMN F: THIS IS THE PERCENTAGE OF NET COMMUNITY BENEFIT OF TOTAL EXPENSE OF GRADY. PART I, LINE 7: CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS WERE DETERMINED USING DATA FROM THE AUDITED FINANCIAL STATEMENTS AND THE 2015 FILED MEDICARE AND MEDICAID COST REPORTS. 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 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPROVEMENT. THE GEORGIA HEALTH POLICY, THE UNITED WAY OF METROPOLITAN ATLANTA, AND THE ATLANTA REGIONAL COMMISSION PROVIDE ONGOING PROJECT MANAGEMENT, DATA AND PLANNING RESOURCES, FACILITATION, AND PARTNERSHIP BUILDING ASSISTANCE TO ARCHI. GRADY HOLDS A SEAT ON THE ARCHI STEERING COMMITTEE FOR ONGOING LEADERSHIP AND CONNECTIVITY TO THE COMMUNITY INITIATIVES AND HAS SIGNED THE 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. AS SUPPORTED BY GUIDANCE FROM THE FEDERAL GOVERNMENT, GRADY HAS CONDUCTED ITS CHNA WITH AND THROUGH ARCHI IN ORDER TO MAXIMIZE THE IMPACT OF COMMUNITY INVESTMENT IN HEALTH IMPROVEMENT. PART III, LINE 2: THE PROVISION FOR BAD DEBT EXPENSE IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. PART III, 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 $285.8 MILLION VALUED IN GROSS CHARGES. PART III, LINE 8: LINE 6 EXPENSES ARE REPORTED FROM THE MEDICARE COST REPORT CMS-2552-96 FOR THE YEAR ENDED 12/31/15. PART III, 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. PART VI, 2. NEEDS ASSESSMENT: THE REQUIRED CHNA PROVIDES DIRECTION TO ADDRESSING NEEDS OF THE SERVICE AREA. PART VI, 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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. PART VI, 4. COMMUNITY INFORMATION: GMHC IS THE SAFETY NET HEALTHCARE PROVIDER FOR THE CORE OF METROPOLITAN ATLANTA. THIS AREA INCLUDES FIVE COUNTIES AND MORE THAN 3 MILLION PEOPLE. THROUGH ANALYZING THE AVAILABLE DATA SOURCES, GMHC'S PRIMARY SERVICE AREA IS FULTON AND DEKALB COUNTIES, WHICH CONTAIN 1.6 MILLION PEOPLE INCLUDING THE ENTIRE CITY OF ATLANTA, GEORGIA, (17 PERCENT OF THE STATE OF GEORGIA'S POPULATION). DEMOGRAPHICALLY, THE AFRICAN-AMERICAN POPULATION CONSTITUTES 53.9 PERCENT IN DEKALB COUNTY AND 43.7 PERCENT IN FULTON COUNTY, WHILE HISPANIC PATIENTS MAKE UP 9.5 PERCENT ON DEKALB COUNTY AND 7.8 PERCENT IN FULTON COUNTY. WHILE THE MEDIAN AGE OF BOTH COUNTIES IS A RELATIVELY YOUNG 34, FEMALES MAKE UP SLIGHTLY MORE THAN HALF OF THE TOTAL POPULATION. SOCIO-ECONOMICALLY, 17 PERCENT OF DEKALB COUNTY AND ALMOST 16 PERCENT OF FULTON COUNTY'S POPULATION LIVE BELOW THE FEDERAL POVERTY LINE(FPL), $23,550 FOR A FAMILY OF 4. NEARLY 37 PERCENT AND 32 PERCENT OF DEKALB AND FULTON COUNTY RESIDENTS, RESPECTIVELY, LIVE AT 200 PERCENT OF THE FEDERAL POVERTY LEVEL. GRADY'S TARGET SERVICE POPULATION INCLUDES THOSE RESIDENTS WHO LIVE AT OR BELOW 250 PERCENT OF FPL. THERE ARE MANY CENSUS TRACTS WITHIN BOTH COUNTIES WHERE AT LEAST 40 PERCENT OF THE POPULATION HAS INCOME THAT EQUALS OR IS BELOW 250 PERCENT OF FPL. PART VI, 5. PROMOTION OF COMMUNITY HEALTH: GMHC HAS NUMEROUS COLLABORATIONS WITH FULTON AND DEKALB COUNTIES TO DELIVER PRIMARY CARE. IN ADDITION, GMHC COLLABORATES WITH THE LOCAL FEDERALLY QUALIFIED HEALTH CENTERS AS WELL AS EMORY AND MOREHOUSE SCHOOLS OF MEDICINE. GMHC HAS A NOT-FOR-PROFIT COMMUNITY BOARD PROVIDING OVERSIGHT TO ONE OF THE LARGEST SAFETY NET HOSPITALS IN THE SOUTHEAST AND THE LARGEST TRAUMA CENTER IN GEORGIA. In addition, Grady provides many unique services that contribute to improving community health. Some of these include: 1. An EMS team conducts home visits to behavioral health patients that may benefit from occasional checkups and patients who frequently use 911 to access care. 2. In partnership with the state, Grady oversees three Assertive Community Treatment (ACT) teams that provide comprehensive behavioral health care to 300 patients (total) who are homeless. 3. The Senior Services Manager provides educational outreach to seniors in the community about a variety of topics including Medicare benefits and enrollment and end of life care and planning. 4. Grady led a team of stakeholders to explore options for expanding health insurance coverage in Georgia. PART VI, 6. AFFILIATED HEALTH CARE SYSTEM 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. PART VI, 7. STATE FILING OF COMMUNITY BENEFIT REPORT: GMHC FILES A COMMUNITY BENEFIT REPORT IN GEORGIA. true MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE SW ATLANTA GA 30310 581438873 501(c)(3) 17124176 RESIDENCY PROGRAM 1 SCHEDULE I, PART IV THE AMOUNT OF THE GRANT GIVEN TO THE GRANTEE IS SUBSTANTIATED BY THE ACCOUNTING SYSTEM AND AUDITED ANNUALLY. X false true X X X X X true true false false false false false true false JOHN M HAUPERT PRESIDENT AND CEO 935702 0 399253 0 35998 0 10600 0 8710 0 1390263 0 0 0 CHRISTOPHER MOSLEY EVP/CHIEF OPERATING OFFICER 726499 0 114367 0 15045 0 10600 0 6653 0 873164 0 0 0 TIMOTHY JEFFERSON EXEC VP -GENERAL COUNSEL 429591 0 161963 0 23166 0 22053 0 9139 0 645912 0 0 0 LARRY CALLAHAN SVP -CHIEF HR OFF 208655 0 0 0 0 0 0 0 0 0 208655 0 0 0 RHONDA SCOTT EXEC VP /COO/CNO 348973 0 91200 0 24000 0 13283 0 10339 0 487795 0 0 0 MARK MEYER EXEC VP/CFO 488390 0 173122 0 24000 0 7549 0 9043 0 702104 0 0 0 CRAIG TINDALL SR VP -OPERATIONS 264883 0 78287 0 23686 0 19223 0 2326 0 388405 0 0 0 LINA GEORGE EXEC VP/CHIEF HR OFFICER 428614 0 0 0 9519 0 0 0 5751 0 443884 0 0 0 BENJAMIN MCKEEBY SVP/CHIEF INFO OFF 299087 0 102752 0 18000 0 10600 0 10272 0 440711 0 0 0 RICHARD RHINE SVP REVENUE CYCLE 276043 0 86731 0 24000 0 10600 0 5995 0 403369 0 0 0 MARY SALE SVP-PLANNING/BUS DEVEL 279308 0 92126 0 18000 0 8074 0 1897 0 399405 0 0 0 STERLING MCHORNEY SVP-CLINICAL OPER 255446 0 0 0 3531 0 2818 0 5947 0 267742 0 0 0 RENAY BLUMENTHAL PRESIDENT HWG FOUNDATION 267792 0 88491 0 11661 0 10600 0 1602 0 380146 0 0 0 PART I - QUESTIONS REGARDING COMPENSATION LINE 1B WRITTEN POLICY: WHILE GMHC HAD NO FORMAL WRITTEN POLICY REGARDING CLUB DUES OF EMPLOYEES, SUCH ACTIVITY PAYMENTS TO EMPLOYEES WERE BASED ON AN ACCOUNTABLE PLAN. CLUB DUES EXPENSES INCURRED ON BEHALF OF: JOHN HAUPERT $2,436 CHRISTOPHER MOSLEY $1,827 MARK MEYER $2,436 LINE4A 2015 SEVERANCE PAYMENTS: LARRY CALLAHAN $208,655 CHRISTOPHER MOSLEY $155,772 LINE 4B 2015 GROSS SERP PAYMENTS: CHRISTOPHER MOSLEY $142,769 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 HAUPERT CEO FORGIVABLE X 500000 419632 false true true 419632 X 12 33575577 COST false false true Noncash Contributions Noncash contributions are processed and solicited by the Henry Woodruff Grady Foundation. PART I, STATEMENT 1 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. PART III, STATEMENT 2 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 2015, GRADY PROVIDED CARE TO MORE THAN 114,064 UNDER AND UNINSURED PATIENTS WHICH REPRESENT APPROXIMATELY 75% OF ITS TOTAL PATIENTS WITH ABOUT 538,137 PATIENT ENCOUNTERS, COSTING APPROXIMATELY $363M. 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. 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 2015, 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 $101M IN SUPPORT RELATIVE TO TEACHING SERVICES. IN 2015, REIMBURSEMENT FOR TEACHING SERVICES FROM MEDICARE, MEDICAID AND OTHER GOVERNMENTAL FUNDS TOTALED $51M. 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 3,951 ACUTE TRAUMA CASES IN 2015. 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 124,368 EMERGENCY CASES IN 2015. THE EMERGENCY ROOM WAS THE INTAKE POINT FOR 19,688 OF THE SAFETY NET HOSPITAL'S TOTAL ADMISSIONS. Gradys 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, Decatur, Pike, Brooks, Hancock, Worth and Baldwin County Georgia, Gradys team of over 700 professionals handle more than 140,000 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 Atlantas largest specialized Event EMS division which provides support to events at stadiums, concerts, marathons, and festivals throughout the city of Atlanta. 4D PROGRAM SERVICE OTHER PROGRAM SERVICES: 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. PART VI, SECTION A LINE 2- DIRECTOR RELATIONSHIPS THOMAS D BELL JR - A D CORRELL -BUSINESS RELATIONSHIP ANDREW W EVANS - THOMAS D BELL JR -BUSINESS RELATIONSHIP LINE 3 - DELEGATION OF CONTROL- GMHC HAS CONTRACTED WITH CHILDREN'S HEALTHCARE OF ATLANTA (CHOA) TO MANAGE OPERATIONS OF HUGHES SPALDING CHILDREN'S HOSPITAL. CHOA OVERSEES DAILY OPERATIONS. PART VI, SECTION B LINE 11A- REVIEW PROCESS OF FORM 990 IN NOVEMBER, 2016 THE AUDIT COMMITTEE OF THE GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) REVIEWED A DRAFT OF THE 2015 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. LINE 12C- ENFORCEMENT OF CONFLICT OF INTEREST POLICY 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. LINE 15B- COMPENSATION OF CEO AND KEY EMPLOYEES 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. 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. PART XI LINE 9- OTHER CHANGES IN NET ASSETS CONSISTS OF CHANGES IN ASSET VALUATIONS. FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES-MED SCHOOLS TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING, LINEN, DIETARY TOTAL FEES:28727381 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCH SVCS TOTAL FEES:12741911 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCH SVCS TOTAL FEES:16457724 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE AGENCY TOTAL FEES:10268785 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS AND MAINTENANCE TOTAL FEES:9947519 Henry W Grady Health System Foundation 191 PEACHTREE STREET NE 820 ATLANTA GA 30303 582130437 HEALTH CARE GA 501(c)(3) 11 NA false GRADY HEALTH RESOURCES INC 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 472922502 NMTC GA 501(C)(2) NA GMHC true RELIANT EMERGENCY SPECIALTIES 745 MEMORIAL DR SE ATLANTA GA 30316 471397856 FLEET MAINTEN GA GMHC C -229964 1056165 1.00000 true false false true true false false false false false true true false true false true false false false false Henry W Grady Health System Foundation Inc c 5600921 FMV Henry W Grady Health System Foundation Inc m 1399568 FMV RELIANT EMERGENCY SPECIALTIES d 1086259 FMV RELIANT EMERGENCY SPECIALTIES o 99378 FMV GRADY HEALTH RESOURCES INC J 446604 FMV GRADY HEALTH RESOURCES INC K 492005 FMV