2013-05-13T14:43:53-05:00 2012-06-30 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2011-07-01 582002413 GWINNETT HOSPITAL SYSTEMINC GWIN 6783124321 1000 MEDICAL CENTER BOULEVARD LAWRENCEVILLE GA 30046 THOMAS Y MCBRIDE III 6783124321 2013-05-15 true WILLIAM EDWARD PHILLIPS 2298837878 2013-05-13 2011 2016-02-24 21:20:13Z PHILIP R WOLFE 1000 MEDICAL CENTER BOULEVARD LAWRENCEVILLE GA 30046 645914306 false X WWW.GWINNETTMEDICALCENTER.ORG X 1992 GA GWINNETT HOSPITAL SYSTEM, INC. (GHSI) IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GWINNETT COMMUNITY AND BEYOND. GHSI HAS CAMPUSES IN DULUTH & LAWRENCEVILLE, GEORGIA. GHSI PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALITY, OPEN HEART SURGERY, AND OPERATES TWO EMERGENCY ROOMS AND SEVERAL CLINICS AS WELL AS A FULL CONTINUUM OF WELLNESS SERVICES. 5 2 4665 300 778138 237507 12836923 6070589 595270227 621420270 10023121 11859335 -34096 6445786 618096175 645795980 7799033 12653550 0 249431783 254119157 0 0 330335175 338995004 587565991 605767711 30530184 40028269 828442212 840356628 437216897 462597018 391225315 377759610 X GWINNETT HOSPITAL SYSTEM, INC. (GHSI) IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GWINNETT COMMUNITY AND BEYOND. GHSI HAS CAMPUSES IN DULUTH & LAWRENCEVILLE, GEORGIA. GHSI PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALITY, OPEN HEART SURGERY, AND OPERATES TWO EMERGENCY ROOMS AND SEVERAL CLINICS AS WELL AS A FULL CONTINUUM OF WELLNESS SERVICES. false true 515730131 12621550 622353804 GWINNETT HOSPITAL SYSTEM, INC'S PRIMARY PROGRAM ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITAL PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALITY, OPEN HEART SURGERY, AND OPERATES TWO EMERGENCY ROOMS AND SEVERAL CLINICS AS WELL AS A FULL CONTINUUM OF WELLNESS SERVICES. IN ADDITION, THE HOSPITAL PROVIDES NURSING CARE IN THE AREAS OF MEDICAL, POST-SURGICAL, OPEN HEART, EMERGENCY CARE, CRITICAL AND INTERMEDIATE CARE TO PATIENTS. 7565648 32000 THE HOSPITAL PROVIDES HEALTH PROFESSIONAL EDUCATION SERVICES WITH FOCUSES ON NURSING AND OTHER ALLIED HEALTH PROFESSIONS EDUCATION. 3028277 395177 THE HOSPITAL PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES. TWO OF THE LARGEST PROGRAMS INCLUDE THE CONGREGATIONAL HEALTH MINISTRY AND THE SPORTS MEDICINE SUPPORT SERVICES. THESE PROGRAMS ARE CONDUCTED IN THE COMMUNITY THROUGH FAITH-BASED ORGANIZATIONS, SCHOOLS AND THE GWINNETT COUNTY PARK AND RECREATION DEPARTMENT. 526324056 true true false true false false false false false true true false false false true true true true false false false false false false false false true true true true true true false false false false false false false false true true false false false false false true false false false false true 488 0 4665 true true true false false false false false false false false false X 5 2 false false false false true true true true true false false true true false true true true true true true true GA X LAVERNE GROVE 6783125603 1000 MEDICAL CENTER BLVD LAWRENCEVILLE GA 30046 X MILES H MASON III 2.00 X 51372 0 0 DAVID MCCLESKEY 2.00 X 1301 0 0 MANFRED SANDLER 2.00 X 1250 0 0 CHUNG H LEE 2.00 X 1125 0 0 EDWARD RADFORD 2.00 X 875 0 0 PHILIP WOLFE 38.00 X 903279 0 108716 THOMAS Y MCBRIDE III 38.00 X 517898 0 327303 ALAN BIER 60.00 X 508441 0 68325 JEFFERY NOWLIN 60.00 X 476486 0 62627 WALLACE BROWN 60.00 X 354711 0 69201 STEPHEN NADEAU 60.00 X 339308 0 58534 PETER WHEELER 38.00 X 336876 0 69198 CAROL DANIELSON 60.00 X 326007 0 53852 LEA BAY 60.00 X 319611 0 72330 CARLTON KEITH BUCHANAN MD 5.00 X 52000 0 0 JESSIE T SHEPHERD 60.00 X 294237 0 49460 THOMAS LYNCH 60.00 X 240124 0 39909 JAMES DENNARD JR 60.00 X 233532 0 38443 SCOTT OREM 60.00 X 218595 0 52835 DIANA POTTS 60.00 X 218390 0 30320 CATHY DOUGHERTY 60.00 X 181418 0 34159 BONNY RICHARDSON 38.00 X 178533 0 17635 MIKE HEMPHILL 60.00 X 160356 0 34197 LAURA TUCKER 60.00 X 251360 0 6447 JANET SCHWALBE 60.00 X 222138 0 34011 PAMELA KAUFFMAN 60.00 X 198118 0 26260 CATHIE L BRAZELL 60.00 X 169647 0 14241 RICHARD K ALLEN 60.00 X 164866 0 33993 6921854 1301996 25 false true false ALLIANCE LAUNDRY 7990 SECOND FLAGS DRIVE SUITE A AUSTELL GA 30168 LAUNDRY & TEXTI 2351710 GWINNETT ANESTHESIA SERVICE PC PO BOX 669 LAWRENCEVILLE GA 30046 ANESTHESIA 2014522 ABACUS SOLUTIONS LLC PO BOX 890932 CHARLOTTE NC 28289 INFORM TECHNOLO 1360772 CLINTON A HARKINS PC 4901 OLDE TOWNE PKWY STE 300 MARIETTA GA 30068 COLLECTIONS 1331982 PRICEWATERHOUSECOOPERS LLP PO BOX 932011 ATLANTA GA 31193 AUDIT/CONSULTIN 879271 52 5781000 281250 8339 6070589 PATIENT SERVICE REVENUE 621500 617101658 617101658 DISCOUNTS 900099 2613503 2613503 MANAGEMENT FEES 900099 530984 530984 REFERENCE LAB 900099 473294 473294 COMMUNITY HEALTH SERVICES 900099 395987 395987 304844 304844 621420270 9197691 9197691 164237 164237 164237 164237 2779970 118326 2779970 -118326 2661644 2661644 CAFETERIA & VENDING 900099 1987679 1987679 INTECH US LARGE CAP GROWTH 900099 1030596 1030596 PARKING 900099 959585 959585 2303689 1989706 313983 6281549 645795980 622631838 778138 16315415 12621550 12621550 32000 32000 202776362 171192322 31584040 11471654 9682076 1789578 25618732 21622210 3996522 14252409 12029033 2223376 878932 878932 929239 37870 891369 477939 477939 554761 554761 9153004 3406479 5746525 2164731 101579 2063152 8568256 5839728 2728528 9676499 1479629 8196870 11430982 10522397 908585 299288 127032 172256 252955 80875 172080 8625634 8625634 34315258 34315258 1395999 1203862 192137 BAD DEBTS 108013422 108013422 MEDICAL & SURGICAL SUPPLI 81559046 81526464 32582 PURCHASED SERVICES 31728440 15154279 16574161 OTHER 17819620 16967544 852076 11150999 10309120 841879 605767711 526324056 79443655 0 30344901 64787633 62694141 30765661 88705978 88720568 580924 1273630 4857955 5158876 6197320 8209111 615459349 313805074 300057632 301654275 314069368 319366863 8185532 8446860 3430000 3430000 9318461 8543151 828442212 840356628 38130845 38746167 214231 369519 315330000 307585000 1862910 81678911 115896332 437216897 462597018 X 381247441 371665231 9690779 5213640 287095 880739 391225315 377759610 828442212 840356628 X 40028269 -53493974 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false false false true 37519 37519 false false false false false SCHEDULE C, PART II-B, LINE 1 DUES PAID TO GEORGIA HOSPITAL ASSOCIATION WERE 163,125. OF THIS AMOUNT, 23%, OR 37,519 WENT FOR LOBBYING. false false false false false false false 9977875 1666000 155348 5704844 6094379 7757383 1970363 250129 9977875 6154854 4262776 -2658501 1750 7757379 3960633 44549 2149672 6154854 0.85550 0.14450 false true true 15862708 15862708 281726774 107890279 173836495 18128055 12946711 5181344 295199306 191721289 103478017 4542506 1246795 3295711 301654275 INTEREST RATE SWAPS 47592123 ACCRUED PENSION COSTS 44289697 THIRD PARTY SETTLEMENTS 10412884 SELF-INSURANCE RESERVES 7109562 ACCRUED INTEREST PAYABLE 3824075 EXECUTIVE BENEFITS LIABILITY 2172211 ASSET RETIREMENT OBLIGATION 276996 BOND EXPENSE PAYABLE 179540 SALES TAX & REAL ESTATE TAX PAYABLE 38275 ENDOSCOPY 969 DUE TO AFFILIATED ENTITIES 115896332 645795980 605767711 40028269 -2643689 -11558641 -14202330 25825939 510771264 -2643689 -22585408 -25229097 536000361 554761 109240858 109795619 645795980 484945325 484945325 554761 120267625 120822386 605767711 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 TERM ENDOWMENT FUNDS ARE USED TO SUPPORT SPECIFIC HOSPITAL PROJECTS OR PROGRAMS. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX OR 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 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL CURRENTLY NO IMPACT ON THE HOSPITAL'S FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740. RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 INTEREST RATE SWAP CHANGE -22,585,408 BAD DEBT EXPENSES RECLASSIFIED -108,013,422 PARTNERSHIP INCOME NOT IN BOOKS -1,227,436 BAD DEBT EXPENSES RECLASSIFIED 108,013,422 CONTRIBUTION 12,254,203 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D INTEREST RATE SWAP CHANGE -22,585,408 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B BAD DEBT EXPENSES RECLASSIFIED 108,013,422 PARTNERSHIP INCOME NOT IN BOOKS 1,227,436 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B BAD DEBT EXPENSES RECLASSIFIED 108,013,422 CONTRIBUTION 12,254,203 true true X true X 1.25000 true X true true true false true true 33403709 4571337 28832372 0.05790 77350791 59907899 17442892 0.03500 35652 24784 10868 110790152 64504020 46286132 0.09290 176 634814 3530120 251997 3278123 0.00660 29 4461 7739869 7739869 0.01550 5 6975 23766595 19999820 3766775 0.00760 4 1414 686813 686813 0.00140 4 2259 17642 17642 218 649923 35741039 20251817 15489222 0.03110 218 649923 146531191 84755837 61775354 0.12400 1 6 1457 1457 4 1418 34740 34740 0.00010 2 196171 196171 0.00040 7 1424 232368 232368 0.00050 false 108013422 3496475 98507193 101920428 -3413235 X true true GWINNETT ENDOSCOPY S ENDOSCOPY 0.55000 0.45000 2 1 GWINNETT MEDICAL CENTER LAWRENCEVILLE

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X X X 2 GWINNETT MEDICAL CENTER DULUTH

3620 HOWELL FERRY ROAD DULUTH GA 30096

X X X GWINNETT MEDICAL CENTER 1 true true 125.0 true 300.0 true X X X X X X true true X X X true false X X X true X false false GWINNETT MEDICAL CENTER DULUTH 2 true true 125.0 true 300.0 true X X X X X X true true X X X true false X X X true X false false SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G THE WOUND TREATMENT CENTER IS A PHYSICIAN PRACTICE THAT WAS INCLUDED IN THE SUBSIDIZED SERVICES CATEGORY THE CENTER PROVIDES SERVICES THAT MEET IDENTIFIED COMMUNITY NEEDS THE CENTER OFFERS SERVICES THAT THE COMMUNITY DOES NOT CURRENTLY HAVE THE CAPACITY TO PROVIDE THE MEDICAL PRACTICE PROVIDES A SIGNIFICANT BENEFIT TO THE COMMUNITY AND DOES 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 ATRISK POPULATIONS IN ADDITION THE MEDICAL PRACTICE IS OPERATED EFFICIENTLY AND PAYMENTS TO PHYSICIANS ARE REASONABLE AND INLINE 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 THE PHYSICIAN PRACTICE HAS BEEN CALCULATED FROM TOTAL DEPARTMENT EXPENSES AT COST MINUS BAD DEBT MEDICAID AND CHARITY CARE WOUND CARE CLINIC COSTS 1487510 WITH A NET COMMUNITY BENEFIT EXPENSE OF 943685 EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F XXX-XX-XXXX IN BAD DEBT EXPENSES WERE SUBTRACTED FROM FORM 990 PART IX LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN COSTING METHODOLOGY EXPLANATION PART I LINE 7 LINE 7A CHARITY CARE COSTS WERE CALCULATED USING A MEDICAID SPECIFIC COSTTOCHARGE RATIO CCR FROM THE MEDICARE COST REPORT A MEDICAID CCR WAS USED BECAUSE THE MEDICAID POPULATION BETTER REPRESENTS THE UTILIZATION AND ACUITY OF THE CHARITY POPULATION THAN THE USE OF AN OVERALL CCR AS CALCULATED IN WORKSHEET 2 A CCR WAS USED INSTEAD OF A COST ACCOUNTING SYSTEM BECAUSE CHARITY AS WELL AS BAD DEBTS REPRESENT ONLY A PORTION OF A PATIENT ACCOUNT THAT IS BEING WRITTEN OFF LINE 7B 7C 7G AN RVU BASED COST ACCOUNTING SYSTEM ADS WAS USED TO ESTIMATE THE MEDICAID FFS MEDICAID MANAGED CARE AMOUNTS REPORTED ON LN 7B THE PEACH CARE GA SCHIP PROGRAM REPORTED ON LN 7C AND THE SUBSIDIZED HEALTH SERVICES REPORTED ON LN 7G ADS DOES INCLUDE INFORMATION FROM ALL PATIENT SEGMENTS REGARDLESS OF PAYOR THE MEDICAID SHORTFALL REPORTED ON LINE 7B INCLUDES A PRIOR YEAR SETTLEMENT HIT OF 347926 COMMUNITY BUILDING ACTIVITIES PART II COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AND ARE CAPTURED IN THE CATEGORIES OF COALITION BUILDING AND WORKFORCE DEVELOPMENT IN AN EFFORT TO ENHANCE PUBLIC HEALTH OUR ORGANIZATION DID NOT PARTICIPATE IN THESE ACTIVITIES TO INCREASE REFERRALS OR TO FULFILL REGULATORY REQUIREMENTS OR CURRENT STANDARDSOFCARE COALITION BUILDING INCLUDES PARTICIPATION OF THE CHAPLAINCY COORDINATED CARE CONGREGATIONAL HEALTH MINISTRY WOMENS SERVICES PHYSICIAN SERVICES AND THE COMMUNITY BENEFIT RESEARCH DEPARTMENTS THESE DEPARTMENTS PARTICIPATE IN COMMUNITY COALITIONS AND OTHER COLLABORATIVE EFFORTS WITH THE COMMUNITY TO ADDRESS SAFETY AND HEALTH ISSUES TO PROMOTE THE HEALTH OF THE COMMUNITY FOR EXAMPLES GWINNETT FIRE SERVICES CRITICAL INCIDENT STRESS MANAGEMENT TEAM CHILD PROTECTION TASK FORCE AND THE YMCA BOARD OF DIRECTORS OUR COMMUNITY COLLABORATIONS CONTINUE TO SUPPORT OUR VISION AND MISSION AND FURTHER TIE US TO THE COMMUNITY WE SERVE GWINNETT HOSPITAL SYSTEM PARTICIPATED ON THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES BOARD THAT SERVES THE COMMUNITY THROUGH INITIATIVES DRIVEN BY ITS SUBCOMMITTEES EG 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 SAFE KIDS GWINNETT GWINNETT FOSTER CHILDRENS FOUNDATION AND BOY SCOUTS MEDICAL EXPLORERS PROGRAM OUR ORGANIZATION WORKS CLOSELY WITH THE GWINNETT CHAMBER OF COMMERCE AND ACTIVELY PARTICIPATES IN PARTNERSHIP GWINNETT WHICH IS A COMPREHENSIVE PLAN THAT PARTNERS GOVERNMENT EDUCATION HEALTHCARE AND BUSINESS IN AN ECONOMIC DEVELOPMENT PLAN IN ADDITION TO THE CHAMBER GWINNETT HOSPITAL SYSTEM IS INVOLVED WITH INDIVIDUAL CITIES IN THE COUNTY GWINNETT HOSPITAL SYSTEM IS INVOLVED WITH STATE AND COUNTY GOVERNMENT AGENCIES INCLUDING GEORGIA DEPARTMENT OF HEALTH AND HUMAN SERVICES GWINNETT PUBLIC HEALTH DEPARTMENT GRN COMMUNITY SERVICE BOARD GEORGIA TRAUMA CARE NETWORK COMMISSION GEORGIA STATE OFFICE OF EMERGENCY MEDICAL SERVICES AND TRAUMA PARTNERSHIP AGAINST DOMESTIC VIOLENCE PADV GWINNETT COUNTY RAPE CRISIS CENTER GWINNETT COUNTY JUSTICE SYSTEM GWINNETT COUNTY POLICE DEPARTMENT GWINNETT COUNTY PUBLIC LIBRARY GWINNETT COUNTY PUBLIC SCHOOL SYSTEM DEPARTMENT OF FAMILY CHILDREN SERVICES DFCS DEPARTMENT OF AGING SERVICES DAS GWINNETT COUNTY SENIOR SERVICES AND THE GEORGIA MEDICARE FOUNDATION GWINNETT HOSPITAL SYSTEM WORKS WITH NATIONAL AGENCIES WHICH HAVE LOCAL CHAPTERS INCLUDING THE AMERICAN HEART ASSOCIATION AMERICAN RED CROSS MARCH OF DIMES AMERICAN STROKE ASSOCIATION AMERICAN CANCER SOCIETY AMERICAN DIABETES ASSOCIATION AND THE UNITED WAY OUR EFFORTS IN WORKFORCE DEVELOPMENT INCLUDE RECRUITING PHYSICIANS IN MULTIPLE SPECIALTIES FOR COMMUNITY PRACTICES ACCORDING TO COMMUNITY NEEDS ESTABLISHED IN THE 2010 PHYSICIAN NEEDS ASSESSMENT THE ORGANIZATIONS PRIMARY PURPOSE IN THESE EFFORTS IS TO ASSIST IN COMMUNITY PHYSICIAN RECRUITMENT TO IMPROVE ACCESS TO CARE IN OUR COMMUNITY BAD DEBT EXPENSE EXPLANATION PART III LINE 4 AUDITED FINANCIAL STATEMENT FOOTNOTE THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS MANAGEMENT ROUTINELY ASSESSES IN THE NORMAL COURSE OF BUSINESS THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS ASSESSMENT OF THESE AND OTHER FACTORS BY PAYOR CATEGORY AND ADJUSTS THE ALLOWANCE AND RELATED PROVISION ACCORDINGLY FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE MANAGEMENT ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A RELATED PROVISION IF NECESSARY FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS WHICH INCLUDE PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL MANAGEMENT RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE RENDERED ON THE BASIS OF PAST EXPERIENCE WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE THE DIFFERENCE BETWEEN THE STANDARD RATES OR THE DISCOUNTED RATES IF NEGOTIATED AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THE HOSPITALS PROVISION FOR UNCOLLECTIBLE ACCOUNTS DECREASED 2718000 FROM XXX-XX-XXXX IN FISCAL YEAR 2011 TO XXX-XX-XXXX IN FISCAL YEAR 2012 THE DECREASE WAS A RESULT OF THE CHANGE IN ITS UNINSURED DISCOUNT POLICIES DURING FISCAL 2012 THE HOSPITAL DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS NOR DOES IT HAVE SIGNIFICANT WRITEOFFS RELATED TO THIRDPARTY PAYORS LINE 2 IN THE CURRENT YEAR BAD DEBTS ARE REPORTED AT CHARGES WRITTEN OFF IN THE PERIOD PLUS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS IN PRIOR YEARS BAD DEBT EXPENSE WAS REPORTED AT ESTIMATED COST PER SCHEDULE H INSTRUCTIONS SEE THE LINE 4 NOTE BELOW FOR A MORE DETAILED DESCRIPTION OF THE METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 PER THE FINANCIAL STATEMENT FOOTNOTE RELATED TO PROVISION FOR UNCOLLECTIBLE ACCOUNTS DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED IN THE PATIENT BALANCE PRIOR TO ACCOUNTS BEING WRITTEN OFF TO BAD DEBT LINE 3 THE HOSPITAL USES A NOTE ON THE PATIENT ACCOUNT TO IDENTIFY PATIENTS UNCOOPERATIVE WITH THE HOSPITALS FINANCIAL ASSISTANCE POLICY THAT WOULD HAVE LIKELY QUALIFIED FOR CHARITY IF INFORMATION HAD BEEN AVAILABLE TO DETERMINE ELIGIBILITY DUE TO THESE ACCOUNTS LIKELY BEING ELIGIBLE FOR FINANCIAL ASSISTANCE THEY SHOULD BE INCLUDED AS PART OF THE HOSPITALS COMMUNITY BENEFIT MEDICARE EXPLANATION PART III LINE 8 THE COST REPORTED ON LINE 6 ARE PER THE MEDICARE COST REPORT AND WERE CALCULATED BASED ON COSTTOCHARGE RATIOS SINCE THE AMOUNTS REPORTED ON LINES 5 6 ONLY INCLUDE MEDICARE PART A COSTS AND PAYMENTS THE OTHER MEDICARE IE MEDICARE PT C PHYSICIAN SERVICES FEE SCHEDULE NON ALLOWABLE COSTS AND PAYMENTS ARE INCLUDED IN THE ATTACHED MEDICARE RECONCILIATION NONE OF THE MEDICARE SHORTFALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT SINCE THERE WAS NOT A SHORTFALL RELATED TO THOSE PATIENTS THAT HAD MEDICAID AS A SECONDARY PAYOR AND THEREFORE DEEMED INDIGENT FOR MEDICARE BAD DEBT PURPOSES THERE WERE 2162752 IN PRIOR YEAR MEDICARE SETTLEMENTS RECEIVED IN THE CURRENT YEAR THAT ARE NOT REFLECTED IN THE SHORTFALL OR MEDICARE RECONCILIATION COLLECTION PRACTICES EXPLANATION PART III LINE 9B THE FINANCIAL ASSISTANCE POLICY STATES THAT THOSE PATIENTS APPROVED FOR FINANCIAL ASSISTANCE WILL BE BILLED AT MEDICARE RATES IN ADDITION THE CREDIT AND COLLECTION POLICY DESCRIBES HOW UNINSURED PATIENTS CAN RECEIVE A PROMPT PAY DISCOUNT THIS POLICY ALSO DESCRIBES THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM CONTACT INFORMATION IS PROVIDED FOR ANYONE NEEDING ASSISTANCE OR HAVING QUESTIONS UNINSURED PATIENTS ARE GIVEN AN AUTOMATIC DISCOUNT FROM GROSS CHARGES NOT RELATED TO THE FINANCIAL ASSISTANCE PROGRAM PATIENTS RECEIVE HOSPITAL STATEMENTS THROUGHOUT THE BILLING CYCLE UNPAID ACCOUNTS ARE REFERRED TO AN EXTERNAL COLLECTION AGENCY AFTER ALL EFFORTS BY THE HOSPITAL HAVE BEEN MADE COLLECTION AGENCIES NOTIFY THE HOSPITAL OF ANY ACCOUNTS THEY INDENTIFY THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE NEEDS ASSESSMENT PART VI FOR MORE THAN A DECADE OUR HOSPITALS HAVE CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS IN COLLABORATION WITH THE GWINNETT COUNTY HEALTH DEPARTMENT TO ASSESS THE HEALTHCARE NEEDS OF RESIDENTS OF GWINNETT COUNTY THE MAJORITY OF THE PATIENTS WHO UTILIZE OUR HOSPITALS ARE RESIDENTS OF GWINNETT COUNTY ON AVERAGE ABOUT 20 PERCENT OF OUR PATIENTS ARE FROM SURROUNDING COUNTIES THE HEALTH NEEDS ASSESSMENT PROVIDES A SNAPSHOT OF OUR COMMUNITY IN THE AREAS OF DEMOGRAPHICS INCLUDING POPULATION ECONOMICS EDUCATION HOUSING LABOR TRANSPORTATION AND PUBLIC ASSISTANCE AS WELL AS PROVIDING FIVEYEAR TREND DATA MEASURING MORTALITY AND HOSPITAL MORBIDITY RATES BY DISEASE STATES SELECT NOTIFIABLE DISEASES AND MATERNALINFANT 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 HEALTHS STANDARDIZED HEALTH DATA REPOSITORY DATA FROM THE US CENSUS BUREAU CENTERS FOR DISEASE CONTROL AND PREVENTION CDC AND THE COMPARISONS TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTHY PEOPLE 2010 OBJECTIVES ARE ALSO INCLUDED IN THE REPORT IN ADDITION TO THE PUBLISHED REPORT OUR PLANNING DEPARTMENT IDENTIFIES HOSPITALBASED NEEDS USING ADMISSIONDISCHARGE AND OTHER UTILIZATION DATA THE COMMUNITY BENEFIT PLAN IS UPDATED ANNUALLY THIS PLAN DESCRIBES HOW THE HOSPITALS AND SUPPORT FACILITIES ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS EACH YEAR PROGRAMS ARE EVALUATED FOR EFFICIENCY EFFECTIVENESS OUTCOMES AND COMMUNITY COLLABORATION THEN ADMINISTRATION PRIORITIZES HOW THE ORGANIZATION MEETS COMMUNITY NEEDS THROUGH DEPARTMENT BUDGETING FOR EACH COMMUNITY BENEFIT PROGRAM THE ORGANIZATIONS COMMUNITY HEALTH WELLNESS COUNCIL IS AN INTERNAL COMMUNITY BENEFIT COMMITTEE WITH REPRESENTATIVES FROM 29 DEPARTMENTS FROM BOTH HOSPITALS THIS COUNCIL IS TASKED WITH THE ANNUAL PLAN UPDATE THEN THE PLAN IS REVIEWED AND APPROVED BY HOSPITAL ADMINISTRATION AND IS PRESENTED TO THE GWINNETT HOSPITAL SYSTEM BOARD OF DIRECTORS FOR THEIR INPUT REVIEW AND APPROVAL COMMUNITY HEALTH NEEDS ARE INDENTIFIED BY OUR ORGANIZATION PRIMARILY THROUGH MORBIDITY AND MORTALITY VITAL STATISTICS MAJOR HEALTH PROBLEMS IN OUR COMMUNITY ARE IDENTIFIED BY MONITORING MORBIDITY THROUGH STATISTICS ASSOCIATED WITH THE LEADING CAUSES OF HOSPITAL DISCHARGES NOT INCLUDING EMERGENCY DEPARTMENT VISITS ACCORDING TO THE MOST RESENT FIVEYEAR AGGREGATE DATA FROM THE GEORGIA DEPARTMENT OF PUBLIC HEALTH OFFICE OF HEALTH INDICATORS FOR PLANNING OHIP THE TOP CAUSES OF HOSPITALIZATION FOR GWINNETT COUNTY RESIDENTS ARE 1 PREGNANCY AND CHILDBIRTH 2 DISEASE OF THE HEART 3 UNINTENTIONAL INJURIES 4 CANCER 5 INFLUENZA AND PNEUMONIA THE TOP CAUSES OF EMERGENCY ROOM VISITS ARE ANOTHER SET OF INDICATORS ACCORDING TO THE MOST RESENT FIVEYEAR AGGREGATE DATA FROM THE GEORGIA DEPARTMENT OF PUBLIC HEALTH OFFICE OF HEALTH INDICATORS FOR PLANNING OHIP THE TOP CAUSES OF EMERGENCY ROOM VISITS FOR GWINNETT COUNTY RESIDENTS ARE 1 UNINTENTIONAL INJURIES 2 PREGNANCY AND CHILDBIRTH 3 CHRONIC LOWER RESPIRATORY DISEASES 4 INFLUENZA AND PNEUMONIA 5 ACUTE BRONCHITIS THE LEADING CAUSES OF PREMATURE DEATH ARE IMPORTANT TO EVALUATE BECAUSE IN MANY SITUATIONS THESE MAY BE PREVENTABLE GWINNETT COUNTY HAS AN UNUSUAL AGE DISTRIBUTION PATTERN WITH 72 PERCENT OF THE POPULATION UNDER THE AGE OF 45 ACCORDING TO THE MOST RESENT FIVEYEAR AGGREGATE DATA FROM THE GEORGIA DEPARTMENT OF PUBLIC HEALTH OFFICE OF HEALTH INDICATORS FOR PLANNING OHIP THE TOP CAUSES OF PREMATURE DEATH RATES WHEN RANKED BY YEARS OF LIFE LOST BEFORE AGE 75 FOR GWINNETT COUNTY RESIDENTS ARE 1 CANCER 2 UNINTENTIONAL INJURIES 3 DISEASES OF THE HEART 4 PERINATAL CONDITIONS 5 SUICIDE MORTALITY IS ANOTHER MEASURE FOR ESTABLISHING COMMUNITY HEALTH NEEDS AGE ADJUSTED DEATH RATES PROVIDE COMPARABLE DATA ON DEATH BECAUSE THEY TAKE INTO CONSIDERATION THE AGE DISTRIBUTION OF THE POPULATION ACCORDING TO THE MOST RESENT FIVEYEAR AGGREGATE DATA FROM THE GEORGIA DEPARTMENT OF PUBLIC HEALTH OFFICE OF HEALTH INDICATORS FOR PLANNING OHIP THE TOP CAUSES OF AGEADJUSTED DEATH RATES FOR GWINNETT COUNTY RESIDENTS ARE 1 DISEASE OF THE HEART 2 CANCER 3 STROKE 4 CHRONIC LOWER RESPIRATORY DISEASES 5 UNINTENTIONAL INJURIES IN OUR ORGANIZATION SOME NEED AREAS HAVE MORE PROGRAMS THAN OTHERS CARDIOVASCULAR DISEASE HEART CONDITIONS AND STROKES CANCER EMERGENCY AND TRAUMA SERVICES RESPIRATORY DISEASES ASTHMA COPD FLU AND PNEUMONIA DIABETES MATERNAL INFANT HEALTH INJURY PREVENTION AND WELLNESS PROGRAMS ARE AREAS WE PROVIDE MOST OF OUR PROGRAMS TO IMPROVE COMMUNITY HEALTH THERE ARE IDENTIFIED COMMUNITY HEALTH NEEDS WHICH OUR HOSPITALS CURRENTLY ONLY PROVIDE MINIMAL SUPPORT AS WE DO NOT HAVE DESIGNATED MEDICAL UNITS OR OUTREACH PROGRAMS TO TREAT THESE CONDITIONS ALTHOUGH WE TRIAGE PATIENTS WITH MENTAL HEALTH AND SUBSTANCE ABUSE PROBLEMS IN OUR EMERGENCY SERVICE AREAS OUR ORGANIZATION DOES NOT HAVE A FACILITY TO TREAT METAL AND BEHAVIORAL CONDITIONS THERE IS A PRIVATE FORPROFIT MENTAL HEALTH AND SUBSTANCE ABUSE HOSPITAL IN OUR COMMUNITY AND THE STATE OF GEORGIA PROVIDES MENTAL HEALTH SERVICES OUR GMCLAWRENCEVILLE CAMPUS HAS A LEVEL III NEONATAL INTENSIVE CARE UNIT AND A 12BED 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 CHILDRENS HEALTHCARE OF ATLANTA PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI EVERY PATIENT REGISTERED AT A GHS FACILITY IS PROVIDED A DOCUMENT ALERTING THEM TO THE AVAILABILITY OF THE SYSTEMS FINANCIAL ASSISTANCE PROGRAM ADDITIONALLY PATIENTS ARE PROVIDED A BILLING AND COLLECTION INFORMATION DOCUMENT THAT AGAIN ADVISES THE PATIENT HOW TO APPLY FOR FINANCIAL ASSISTANCE FOR THOSE PATIENTS ADMITTED TO THE HOSPITAL THE INPATIENT HANDBOOK ALSO INSTRUCTS THEM HOW TO SEEK FINANCIAL ASSISTANCE FROM OUR TEAM OF FINANCIAL COUNSELORS IN ADDITION PATIENT BILLS INCLUDE CONTACT INFORMATION FOR SEEKING FINANCIAL ASSISTANCE VIA TELEPHONE OR BY EMAIL AT FINANCIALCOUNSELORGWINNETTMEDICALCENTERORG THE HOSPITAL SYSTEMS WEBSITE ALSO INCLUDES THE HOSPITALS FINANCIAL ASSISTANCE POLICY AND APPLICATIONS IN ENGLISH SPANISH KOREAN AND VIETNAMESE COMMUNITY INFORMATION PART VI 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 43273 SQUARE MILES AND THE SECOND LEADING BY POPULATION 805321 RESIDENTS IN 2010 THE POPULATION OF GWINNETT COUNTY HAS INCREASED BY 369 PERCENT SINCE 2000 AS SHOWN IN FIGURE 1 ACCORDING TO THE 2010 US CENSUS GWINNETT COUNTY IS THE 65TH MOST POPULATED COUNTY IN THE NATION FIGURE 1 HISTORICAL POPULATION GWINNETT COUNTY 19602010 HISTORICAL POPULATION GWINNETT COUNTY CENSUS POPULATION PERCENTAGE CHANGE 1960 43541 347 1970 72349 662 1980 116903 1307 1990 352910 1114 2000 588448 667 2010 805321 369 SOURCE US CENSUS BUREAU 2011 OVERALL GWINNETT COUNTY HAS A YOUNG POPULATION WITH THE MEDIAN AGE FROM 2005 THROUGH 2009 AT 331 YEARS OF AGE THIRTYONE PERCENT OF THE POPULATION WAS UNDER 20 YEARS OF AGE AND 11 PERCENT WAS 60 YEARS OF AGE AND OLDER ACCORDING TO THE GEORGIA DIVISION OF PUBLIC HEALTH ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM OASIS 2011 AS DEMONSTRATED IN FIGURE 2 FIGURE 2 POPULATION BY LIFESTAGES GWINNETT COUNTY 2010 POPULATION BY LIFESTAGES GENDER GWINNETT COUNTY 2010 LIFESTAGES MALE FEMALE TOTAL BY AGE PERCENTAGE BY AGE 1 INFANCY 5985 5783 11768 146 14 EARLY CHILDHOOD 25963 24511 50474 627 512 LATER CHILDHOOD 54245 52338 106583 1323 1319 ADOLESCENCE 44905 41496 86401 970 2029 EARLY ADULTHOOD 52964 50120 103084 1280 3044 YOUNG ADULTHOOD 93622 99909 193531 2403 4559 MIDDLE ADULTHOOD 80291 85148 165439 2054 6074 LATE ADULTHOOD 31311 35685 66996 832 75 OLDER ADULTHOOD 7867 13178 21045 261 GRAND TOTAL 397153 408168 805321 10000 SOURCE GEORGIA DIVISION OF PUBLIC HEALTH OASIS 2011 THE POPULATION HAS BECOME MORE RACIALLY AND ETHNICALLY DIVERSE WITH REPRESENTATION FROM ACROSS THE NATION AND AROUND THE WORLD IN 2010 THE US CENSUS BUREAU ESTIMATED THE GWINNETT COUNTY POPULATION TO BE 44 PERCENT NONHISPANIC WHITES 229 PERCENT NONHISPANIC BLACKS 105 PERCENT NONHISPANIC ASIANS 27 PERCENT KOREAN 26 PERCENT ASIAN INDIAN 20 PERCENT VIETNAMESE 33 OTHER ASIAN AND 22 PERCENT WAS NONHISPANIC OTHERS AMERICAN INDIAN OR ALASKA NATIVE NATIVE HAWAIIAN OR PACIFIC ISLANDER MULTIRACIAL OR UNKNOWN 201 PERCENT OF THE POPULATION WAS HISPANICS OR LATINO WITH 107 PERCENT OF THAT POPULATION BEING MEXICAN THE GWINNETT COUNTY PUBLIC SCHOOL SYSTEM INCLUDES 133 SCHOOLS AND OTHER EDUCATIONAL FACILITIES AND SERVES NEARLY 162000 STUDENTS THE RATIO OF POPULATION TO PRIMARY CARE PHYSICIANS IN GWINNETT COUNTY IS 13201 ACCORDING TO COUNTY HEALTH RANKINGS THE NATIONAL BENCHMARK IS 6311 90TH PERCENTILETHE DATA ON PRIMARY CARE PHYSICIANS WERE OBTAINED FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATIONS AREA RESOURCE FILE ARF FOR 2009 THE ARF DATA ON PRACTICING PHYSICIANS COMES FROM THE AMA MASTER FILE 2008 AND THE POPULATION ESTIMATES ARE FROM THE US CENSUS BUREAUS 2008 POPULATION ESTIMATES ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES CMS THE AVERAGE NUMBER OF MEDICAID RECIPIENTS IN 2009 WAS 138561 OR 171 PERCENT OF THE TOTAL GWINNETT POPULATION MEDICARE PAYMENTS FOR GWINNETT COUNTY RESIDENTS IN 2008 WERE XXX-XX-XXXX THE LACK OF HEALTH INSURANCE COVERAGE IS A SIGNIFICANT BARRIER TO ACCESSING NEEDED HEALTHCARE IN 2009 THE US CENSUS BUREAU SMALL AREA HEALTH INSURANCE ESTIMATED 229 PERCENT 168416 RESIDENTS OF GWINNETT RESIDENTS UNDER THE AGE OF 65 YEARS WERE UNINSURED ACCORDING TO CENSUS BUREAU REPORT 232856 GWINNETT COUNTY RESIDENTS ARE AT OR BELOW 200 PERCENT OF THE POVERTY LEVEL OF THAT NUMBER 431 PERCENT 100330 RESIDENTS ARE UNINSURED THE US CENSUS BUREAUS AMERICAN COMMUNITY SURVEY 5YEAR ESTIMATES FOR 20052009 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 255000 HOUSEHOLDS IN GWINNETT THE AVERAGE HOUSEHOLD SIZE WAS THREE FAMILIES MAKE UP 75 PERCENT OF THE HOUSEHOLDS 57 PERCENT MARRIEDCOUPLE FAMILIES AND 17 PERCENT OTHER FAMILIES NONFAMILY HOUSEHOLDS MADE UP 25 PERCENT OF ALL HOUSEHOLDS 20 PERCENT WERE PEOPLE LIVING ALONE AND FIVE PERCENT WERE COMPOSED OF PEOPLE LIVING IN HOUSEHOLDS IN WHICH NO ONE WAS RELATED TO THE HOUSEHOLDER EIGHTYEIGHT PERCENT OF RESIDENTS 25 YEARS OF AGE AND OVER HAD AT LEAST GRADUATED FROM HIGH SCHOOL AND 35 PERCENT HAD A BACHELORS DEGREE OR HIGHER TWELVE PERCENT OF RESIDENTS WERE DROPOUTS WERE NOT ENROLLED IN SCHOOL AND HAD NOT GRADUATED FROM HIGH SCHOOL TWENTYTHREE PERCENT OF THE POPULATION WAS FOREIGN BORN THIRTYSIX PERCENT WERE BORN IN GEORGIA OF INDIVIDUALS AT LEAST FIVE YEARS OF AGE 29 PERCENT SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME OF THAT 29 PERCENT 52 PERCENT SPOKE SPANISH AND 48 PERCENT SPOKE SOME OTHER LANGUAGE IN ADDITION OF THOSE WHO SPOKE ANOTHER LANGUAGE 50 PERCENT REPORTED THEY DID NOT SPEAK ENGLISH VERY WELL SEVENTYFOUR PERCENT OF THE POPULATION 16 YEARS OF AGE AND OLDER ARE IN THE LABOR FORCE SEVENTYNINE PERCENT OF WORKERS DROVE TO WORK ALONE 11 PERCENT CARPOOLED ONE PERCENT TOOK PUBLIC TRANSPORTATION AND THREE PERCENT USED OTHER MEANS THE REMAINING FIVE PERCENT WORKED FROM HOME FOR THOSE WHO COMMUTED THE AVERAGE TRAVEL TIME TO WORK WAS 324 MINUTES THE MEDIAN INCOME OF HOUSEHOLDS WAS 65136 NINETYONE PERCENT OF THE HOUSEHOLDS RECEIVED EARNINGS AND 11 PERCENT RECEIVED RETIREMENT INCOME OTHER THAN SOCIAL SECURITY FIFTEEN PERCENT OF THE HOUSEHOLDS RECEIVED SOCIAL SECURITY THE AVERAGE INCOME FROM SOCIAL SECURITY WAS 15586 THESE INCOME SOURCES ARE NOT MUTUALLY EXCLUSIVE THAT IS SOME HOUSEHOLDS RECEIVE INCOME FROM MORE THAN ONE SOURCE TEN PERCENT OF RESIDENTS WERE BELOW THE POVERTY LEVEL THIRTEEN PERCENT OF RELATED CHILDREN UNDER 18 WERE BELOW THE POVERTY LEVEL COMPARED WITH EIGHT PERCENT OF THE PEOPLE 65 YEARS OF AGE OLD AND OVER SEVEN PERCENT OF ALL FAMILIES AND 21 PERCENT OF FAMILIES WITH A FEMALE HEAD OF HOUSEHOLD AND NO HUSBAND PRESENT HAD INCOMES BELOW THE POVERTY LEVEL THE MEDIAN MONTHLY HOUSING COSTS FOR MORTGAGED OWNERS WAS 1591 NONMORTGAGED OWNERS 433 AND RENTERS 939 THIRTYSEVEN PERCENT OF OWNERS WITH MORTGAGES 12 PERCENT OF OWNERS WITHOUT MORTGAGES AND 49 PERCENT OF RENTERS SPENT 30 PERCENT OR MORE OF HOUSEHOLD INCOME ON HOUSING THERE WERE 280000 HOUSING UNITS IN GWINNETT COUNTY NINE PERCENT OF WHICH WERE VACANT OF THE TOTAL NUMBER OF HOUSING UNITS 78 PERCENT WERE IN SINGLEUNITS STRUCTURES 20 PERCENT WERE IN MULTIUNITY STRUCTURES AND TWO PERCENT WERE MOBILE HOMES THE COUNTY HAD 255000 OCCUPIED HOUSING UNITS 74 PERCENT 187000 UNITS WERE OWNER OCCUPIED AND 26 PERCENT 67000 UNITS WERE RENTER OCCUPIED FOUR PERCENT OF THE HOUSEHOLDS DID NOT HAVE TELEPHONES THREE PERCENT OF THE HOUSEHOLDS DID NOT HAVE ACCESS TO A CAR TRUCK OR VAN FOR PRIVATE USE IN ADDITION TO OUR FACILITIES GWINNETT COUNTY HAS ONE FORPROFIT HOSPITAL EASTSIDE MEDICAL CENTER IN SNELLVILLE THERE ARE MANY HOSPITALS IN SURROUNDING COUNTIES OF THE METROPOLITAN ATLANTA AREA SUMMITRIDGE HOSPITAL IN LAWRENCEVILLE IS A FORPROFIT HOSPITAL TO SERVE MENTAL HEALTH AND SUBSTANCE ABUSE THREE CENSUS TRACTS ARE DESIGNATED MEDICALLY UNDERSERVED AREAS CT 050312 CT 050419 AND CT 050421 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 HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI OUR VISION IS TO BE THE HEALTH SYSTEM OF CHOICE IN OUR COMMUNITY BY ENHANCING THE HEALTH OF OUR PATIENTS AND OTHER CUSTOMERS WE LIVE THAT VISION BY JOINING WITH PHYSICIANS COMMUNITY AND OTHER HEALTHCARE ORGANIZATIONS TO TREAT INJURY AND DISEASE AS WELL AS PROVIDING PREVENTIVE AND EARLY INTERVENTION CARE THE GWINNETT HOSPITAL SYSTEM BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY LEADERS DEDICATED TO PROVIDING QUALITY HEALTHCARE FOR OUR COMMUNITY THESE VOLUNTEER BOARD MEMBERS ARE PERSONS WHO RESIDE IN OUR PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION OR FAMILY MEMBERS MEDICAL STAFF PRIVILEGES IN THE HOSPITALS ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AS DETERMINED THROUGH A DETAILED CREDENTIALING PROCESS GWINNETT HOSPITAL SYSTEM HAS OVER 800 AFFILIATED PHYSICIANS PROVIDING HEALTHCARE SERVICES AT BOTH GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTERDULUTH CAMPUSES THE ORGANIZATION REINVESTS ALL PROFITS BACK INTO PHYSICIAN AND STAFF TRAINING FACILITIES AND EQUIPMENT TO CONTINUALLY IMPROVE PATIENT CARE IN CONTRAST TO INVESTOROWNED HOSPITALS NO PART OF NET EARNINGS DIRECTLY OR INDIRECTLY BENEFITS ANY PRIVATE SHAREHOLDERS OR INDIVIDUALS FULLTIME EMERGENCY DEPARTMENTS ARE OPERATED AT BOTH THE GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTERDULUTH CAMPUSES NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT THE TOTAL NUMBER OF DISCHARGES FROM BOTH EMERGENCY DEPARTMENTS WAS 137796 FOR FISCAL YEAR 2012 THE 60BED EMERGENCY DEPARTMENT AT GWINNETT MEDICAL CENTER LAWRENCEVILLE IS ONE OF THE BUSIEST IN GEORGIA THIS LOCATION HAS A12BED CHILDRENS EMERGENCY CENTER AN ACCREDITED CHEST PAIN CENTER AND IS DESIGNATED AS A LEVEL II TRAUMA CENTER PROVIDING 24 HOURS A DAY SEVEN DAYS A WEEK TRAUMA TEAM COVERAGE SERVING RESIDENTS OF GWINNETT COUNTY AND THE SURROUNDING AREA ONLY 19 OF THE STATES 152 ACUTECARE HOSPITALS ARE DESIGNATED TRAUMA CENTERS BOTH GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTER DULUTH AND ASSOCIATED FACILITIES PARTICIPATE IN MEDICARE MEDICAID CHAMPUS AND PEACHCARE AS APPROPRIATE FOR SERVICES PROVIDED AFFILIATED HEALTH CARE INFORMATION PART VI GWINNETT HOSPITAL SYSTEM IS A LICENSED 553 BED HEALTHCARE ORGANIZATION WITH TWO ACUTECARE HOSPITALS GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTERDULUTH THESE TWO FACILITIES SERVE AREAS OF BOTH GWINNETT COUNTY AND TO A LESSER EXTENT SEVERAL SURROUNDING COUNTIES IN ADDITION TO THE MEDICALSURGICAL HOSPITALS THE ORGANIZATION ALSO INCLUDES THE GWINNETT WOMENS PAVILION ON THE GWINNETT MEDICAL CENTERLAWRENCEVILLE CAMPUS AS WELL AS THE GLANCY REHABILITATION CENTER IN DULUTH OTHER AFFILIATED ORGANIZATIONS INCLUDE GWINNETT HEALTH SYSTEM INC THE NONPROFIT PARENT ORGANIZATION OF GWINNETT HOSPITAL SYSTEM AND ITS AFFILIATES GWINNETT MEDICAL CENTER FOUNDATION A NONPROFIT PHILANTHROPIC ORGANIZATION THAT SUPPORTS THE GWINNETT HOSPITAL SYSTEM BY RAISING MONEY FOR CAPITAL EQUIPMENT PURCHASES FOR GWINNETT MEDICAL CENTERDULUTH AND GWINNETT MEDICAL CENTERLAWRENCEVILLE NEUROSCIENCE ORTHOPEDICS AND A VARIETY OF OTHER PROGRAMS GWINNETT MEDICAL PROPERTIES A NONPROFIT ORGANIZATION THAT OWNS MEDICAL PROPERTIES IN AND AROUND GWINNETT COUNTY FOR THE PURPOSE OF AIDING GWINNETT HOSPITAL SYSTEM IN FULFILLING ITS MISSION GWINNETT MEDICAL SERVICES A NONPROFIT ORGANIZATION WHOSE MISSION IS TO OPERATE PHYSICIAN CLINICS IN AND AROUND GWINNETT COUNTY LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI GEORGIA GWINNETT MEDICAL CENTER LINE NUMBER 1 PART V LINE 13G PART V LINE 13G NOTICE REGARDING THE HOSPITALS FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS UPON ADMISSION AT PATIENT REGISTRATION AREAS AND IN OTHER PUBLIC PLACES THROUGHOUT THE FACILITY AND WITH PATIENT INVOICES POSTINGS ARE PROVIDED IN ENGLISH SPANISH VIETNAMESE AND KOREAN GWINNETT MEDICAL CENTER DULUTH LINE NUMBER 2 PART V LINE 13G PART V LINE 13G NOTICE REGARDING THE HOSPITALS FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS UPON ADMISSION AT PATIENT REGISTRATION AREAS AND IN OTHER PUBLIC PLACES THROUGHOUT THE FACILITY AND WITH PATIENT INVOICES POSTINGS ARE PROVIDED IN ENGLISH SPANISH VIETNAMESE AND KOREAN true GWINNETT MEDICAL GROUP INC 1000 MEDICAL CENTER BOULEVARD LAWRENCEVILLE GA 30046 582143107 501 12254203 TRANSFER CASH/ASSETS GWINNETT HOSPITAL SYSTEM FOUNDATION 1755 NORTH BROWN ROAD SUITE 100 LAWRENCEVILLE GA 30043 581828486 501 367347 OPERATING EXPENSES 2 EDUCATIONAL SCHOLARSHIPS 16 32000 FMV OF CAS PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 SCHEDULE I, PART I, LINE 2: GRANTS WERE MADE TO RELATED 501C3 ORGANIZATIONS. SCHOLARSHIPS ARE GIVEN ANNUALLY THROUGH AN OPEN APPLICATION PROCESS. APPLICATIONS ARE ACCEPTED FOR 6 WEEKS EACH YEAR. APPLICATIONS ARE REVIEWED BY A COMMITTE COMPRISED ON HUMAN RESOURCE AND LEARNING RESOURCE EMPLOYEES. THOSE SELECTED ARE ENROLLED IN A HEALTHCARE PROFESSIONAL DEGREE PROGRAM IN AN ACCREDITED COLLEGE OR UNIVERSITY. THE COMMITTEE EVALUATES APPLICANTS USING A 13 POINT PROCESS WITH EXTRA WEIGHTING GIVEN TO (1) THOSE APPLICANTS WITH HIGH GPAS; (2) STUDYING IN AREAS OF COMMUNITY NEED; (3) PROVIDING REFERENCE LETTERS FROM CREDENTIALED PROFESSIONALS; AND (4) INDICATES IN INTESEST IN WORKING WITH THE HOSPITAL UPON COMPLETION OF THE DEGREE. X X X true true X X X X X X true true false false false false false false false PHILIP WOLFE 569063 214420 119796 93829 14887 1011995 THOMAS Y MCBRIDE III 314578 106004 97316 316992 10311 845201 ALAN BIER 325880 107908 74653 47440 20885 576766 JEFFERY NOWLIN 314269 104259 57958 46250 16377 539113 WALLACE BROWN 246701 62225 45785 51050 18151 423912 STEPHEN NADEAU 225040 61399 52869 43403 15131 397842 PETER WHEELER 229747 63163 43966 44602 24596 406074 CAROL DANIELSON 227047 59912 39048 29638 24214 379859 LEA BAY 222219 67227 30165 52755 19575 391941 JESSIE T SHEPHERD 204270 53573 36394 26784 22676 343697 THOMAS LYNCH 164421 47565 28138 19619 20290 280033 JAMES DENNARD JR 178977 43555 11000 15705 22738 271975 SCOTT OREM 159108 43090 16397 26970 25865 271430 DIANA POTTS 134893 42526 40971 22439 7881 248710 CATHY DOUGHERTY 124402 27099 29917 12225 21934 215577 BONNY RICHARDSON 128855 28211 21467 11142 6493 196168 MIKE HEMPHILL 121682 18815 19859 11968 22229 194553 LAURA TUCKER 56808 15297 179255 6092 355 257807 JANET SCHWALBE 147977 42913 31248 23259 10752 256149 PAMELA KAUFFMAN 58389 33905 105824 11758 14502 224378 CATHIE L BRAZELL 134488 17933 17226 5084 9157 183888 RICHARD K ALLEN 125259 25817 13790 11065 22928 198859 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A GWINNETT HOSPITAL PAID FOR LIMITED SPOUSAL TRAVEL FOR CERTAIN EXECUTIVES WHEN ATTENDING MEETINGS WHERE SPOUSAL ATTENDANCE IS CONSIDERED APPROPRIATE BY THE HOSPITAL. THE COST OF SUCH TRAVEL IS INCLUDED ON EACH EMPLOYEE'S FORM W-2 AS TAXABLE WAGES. GWINNETT HOSPITAL PAID TAX GROSS-UP PAYMENTS ON CERTAIN EMPLOYEE BENEFITS, SUCH AS GROUP TERM LIFE INSURANCE, FOR CERTAIN EXECUTIVES. EACH INDIVIDUAL'S FORM W-2 INCLUDES ANY SUCH PAYMENTS AS TAXABLE WAGES. GWINNETT HOSPITAL PAID MONTHLY DUES FOR SIX (6) EXECUTIVES FOR A SOCIAL CLUB LOCATED NEAR THE HOSPITAL AND USED PRIMARILY FOR BUSINESS PURPOSES. ALL DUES PAID BY GWINNETT HOSPITAL FOR THESE EXECUTIVES WERE INCLUDED ON THEIR FORM W-2 AS TAXABLE WAGES. RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 3 COMPENSATION PRACTICES FOR ALL GWINNETT ENTITIES ARE SUBJECT TO THE CONTROL AND OVERSIGHT OF THE COMPENSATION COMMITTEE OF GWINNETT HEALTH SYSTEM. SEE SCHEDULE O EXPLANATION OF COMPENSATION COMMITTEE RESPONSIBILITIES AND PRACTICES. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 PHILIP WOLFE 0 81,579 0 THOMAS Y MCBRIDE, III 0 298,617 0 ALAN BIER 0 35,190 0 JEFFERY NOWLIN 0 34,000 0 WALLACE BROWN 0 35,125 0 STEPHEN NADEAU 0 25,028 0 PETER WHEELER 0 25,748 0 CAROL DANIELSON 0 17,388 0 LEA BAY 0 34,380 0 JESSIE T. SHEPHERD 0 16,967 0 THOMAS LYNCH 0 9,203 0 JAMES DENNARD JR 0 9,212 0 SCOTT OREM 0 11,643 0 DIANA POTTS 0 8,026 0 LAURA TUCKER 139,506 0 0 JANET SCHWALBE 0 10,321 0 PAMELA KAUFFMAN 58,590 5,962 0 HOSPITAL AUTHORITY OF GWINNETT CO 586011878 403732DE7 2009-11-12 32700000 CURRENT REFUNDING OF 7/26/07 ISSUE false false false HOSPITAL AUTHORITY OF GWINNETT CO 586011878 403732DS6 2009-11-12 36435000 CURRENT REFUNDING OF 7/26/07 ISSUE false false false HOSPITAL AUTHORITY OF GWINNETT CO 586011878 403732DU1 2009-11-12 19240000 CURRENT REFUNDING OF 7/26/07 ISSUE false false false HOSPITAL AUTHORITY OF GWINNETT CO 586011878 403732DZ0 2009-11-12 61095000 CURRENT REFUNDING OF 7/26/07 ISSUE false false false 140000 32560000 32560000 true false true true 1365000 35070000 35070000 true false true true 95000 19145000 19145000 true false true true 440000 60655000 60655000 2007 true false true true false false false false false false true false false false false false false true false false false false false false true false false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false DIFFERENCES IN ISSUE PRICE EXPLANATION SCHEDULE K HOSPITAL AUTHORITY OF GWINNETT CO BOND RETIREMENT HOSPITAL AUTHORITY OF GWINNETT CO 586011878 403732DE7 2009-11-12 32700000 CURRENT REFUNDING OF 7/26/07 ISSUE false false false HOSPITAL AUTHORITY OF GWINNETT CO 586011878 403732DS6 2009-11-12 36435000 CURRENT REFUNDING OF 7/26/07 ISSUE false false false HOSPITAL AUTHORITY OF GWINNETT CO 586011878 403732DU1 2009-11-12 19240000 CURRENT REFUNDING OF 7/26/07 ISSUE false false false HOSPITAL AUTHORITY OF GWINNETT CO 586011878 403732DZ0 2009-11-12 61095000 CURRENT REFUNDING OF 7/26/07 ISSUE false false false 140000 32560000 32560000 true false true true 1365000 35070000 35070000 true false true true 95000 19145000 19145000 true false true true 440000 60655000 60655000 2007 true false true true false false false false false false true false false false false false false true false false false false false false true false false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false DIFFERENCES IN ISSUE PRICE EXPLANATION SCHEDULE K HOSPITAL AUTHORITY OF GWINNETT CO BOND RETIREMENT TRACEY WALDROP 29375 DAUGHTER OF BOARD ME false CARDIOVASCULAR GROUP PC 784017 MEDICAL PRACTICE OF false ADDITIONAL INFORMATION SCHEDULE L PART V SCHEDULE L PART IV BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS A NAME OF PERSON TRACEY WALDROP B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION DAUGHTER OF BOARD MEMBER EDWARD RADFORD D DESCRIPTION OF TRANSACTION TRACEY IS EMPLOYED BY GWINNETT HOSPITAL SYSTEM INC A NAME OF PERSON CARDIOVASCULAR GROUP B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION MEDICAL PRACTICE OF BOARD MEMBER MANFRED SANDLER D DESCRIPTION OF TRANSACTION MEDICAL SERVICES PROVIDED BY GROUP ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION GWINNETT HOSPITAL SYSTEM, INC. (GHSI) IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GWINNETT COMMUNITY AND BEYOND. GHSI HAS CAMPUSES IN DULUTH & LAWRENCEVILLE, GEORGIA. GHSI PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALITY, OPEN HEART SURGERY, AND OPERATES TWO EMERGENCY ROOMS AND SEVERAL CLINICS AS WELL AS A FULL CONTINUUM OF WELLNESS SERVICES. EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS FORM 990, PAGE 1, PART I, LINE 6 VOLUNTEER SERVICES HAS A DATABASE SYSTEM THAT TRACKS THE NUMBER OF VOLUNTEERS AND THEIR HOURS. DURING FISCAL YEAR 2012 VOLUNTEERS CONTRIBUTED 55,000 HOURS OF SERVICE TO GWINNETT HOSPITAL SYSTEM, INC. ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICES FORM 990, PAGE 2, PART III, LINE 3 DURING FISCAL YEAR 2012 GHSI TRANSFERRED OPERATION OF MILES & LIB MASON CHILDREN'S CLINIC AS WELL AS CARDIOVASCULAR SURGERY TO GWINNETT PHYSICIANS GROUP, INC. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE SOLE MEMBER OF GWINNETT HOSPITAL SYSTEM, INC IS GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, 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. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE INFORMATION FOR THIS RETURN WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT FOR THE PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED AND PRIOR TO FILING, IT WAS REVIEWED IN DETAIL BY SENIOR MANAGEMENT. GWINNETT HOSPITAL SYSTEM MAKES A COPY OF THE 990 AVAILABLE TO ALL BOARD MEMBERS THROUGH A SECURE WEBSITE PRIOR TO FILING. IT IS ALSO PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD EACH YEAR. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C A CONFLICTS OF INTEREST QUESTIONNAIRE IS DISCUSSED AND DISTRIBUTED ANNUALLY TO EACH BOARD MEMBER. THE LEGAL DEPARTMENT IS RESPONSIBLE FOR ENSURING THESE QUESTIONNAIRES ARE SIGNED AND RETURNED. LEGAL MONITORS ALL TRANSACTIONS INVOLVING CONFLICTS OF INTEREST WITH BOARD MEMBERS. BOARD MEMBERS MUST DISCLOSE POTENTIAL CONFLICTS USING A REASONABLE BELIEF STANDARD; PLAY NO DIRECT OR INDIRECT PART IN DELIBERATIONS; AND ABSENT HIMSELF FROM THE MEETING AT WHICH ANY POTENTIAL CONFLICT IS DISCUSSED. ONLY NONCONFLICTED MEMBERS MAY DECIDE TO PURSUE A TRANSACTION OR ARRANGEMENT INVOLVING A POTENTIAL CONFLICT IF A MAJORITY DETERMINES THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. VIOLATION OF THE COI POLICY IS SUBJECT TO CORRECTIVE ACTION, INCLUDING EXONERATION, CENSURE AND REQUESTING THE RESIGNATION OF THE MEMBER. 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. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A GWINNETT HEALTH SYSTEM, INC. (HEALTH SYSTEM) 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. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE NARRATIVE AT LINE 15A. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE FILED AND AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE OR THROUGH THAT OFFICE. GOVERNING DOCUMENTS 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. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII AVERAGE WEEKLY HOURS DEVOTED TO RELATED ORGANIZATIONS BY INDIVIDUALS LISTED ON PART VII SECTION A: JASON CHANDLER 24 HOURS PHILIP WOLFE 24 HOURS CHUNG LEE 10 HOURS MILES MASON III 5 HOURS DAVID MCCLESKEY 5 HOURS MANFRED SANDLER 15 HOURS EDWARD RADFORD 10 HOURS THOMAS MCBRIDE III 23 HOURS PETER WHEELER 23 HOURS BONNIE RICHARDSON 23 HOURS ROMEO MASSOUD 60 HOURS MICHAEL AMARAL 60 HOURS MICHAEL STECHINSON 60 HOURS HERSCHEL SMITH III 60 HOURS MARTIN AUSTIN 60 HOURS CARLTON BUCHANAN 5 HOURS OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 INCREASES: PIP SETTLEMENT 2,198,311 OTHER ADJUSTMENT 290,000 CHANGE IN FOUNDATION INTEREST 155,348 TOTAL INCREASES 2,643,659 DECREASES: NET UNREALIZED LOSS ON INVESTMENTS ( 2,643,691) CHANGE IN PENSION ACCOUNTING (25,642,253) CHANGE IN SWAP (22,585,408) NET EQUITY TRANSFER ( 4,038,844) PARTNERSHIP INCOME ( 1,344,576) TOTAL DECREASES (56,254,772) NET CHANGES TO NET ASSETS (53,611,113) GWINNETT HEALTH SYSTEM INC (GHESI) 1000 MEDICAL CENTER BLVD LAWRENCEVILLE GA 30046 582135755 PARENT GA 501C3 11A N/A false GWINNETT HOSPITAL SYSTEM FOUNDATION 1755 NORTH BROWN RD 100 LAWRENCEVILLE GA 30046 581828486 FUNDRAISIN GA 501C3 7 N/A false GWINNETT MEDICAL GROUP INC 1000 MEDICAL CENTER BLVD LAWRENCEVILLE GA 30046 582143107 PHYSICIAN GA 501C3 3 HEALTH SYS false GWINNETT MEDICAL PROPERTIES INC 1000 MEDICAL CENTER BLVD LAWRENCEVILLE GA 30046 582132516 PROP - HOL GA 501C3 11A HEALTH SYS false GWINNETT ENDOSCOPY SERVICES LLC 1000 MEDICAL CENTER BLVD LAWRENCEVILLE GA 30046 262905890 ENDOSCOPY GA HOSPITAL RELATED -117150 false false 0.55520 GWINNETT MANAGED CARE INC 1000 MEDICAL CENTER BLVD LAWRENCEVILLE GA 30046 582135759 PHO GA N/A false true true true false false false true false false false false true true true false true true