2023-11-13T09:56:01-07:00 2022-12-31 135665207 KPMG LLP 303 PEACHTREE ST SUITE 2000 ATLANTA GA 30308 990 2022-01-01 262037695 GRADY MEMORIAL HOSPITAL CORPORATION GRAD 4046161846 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 ANTHONY SAUL CHIEF FINANCIAL OFFICER 4046167655 2023-11-13 1 1 WHITNEY B HEBRON P01226647 4047395994 2023-11-11 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z John M Haupert President and CEO 80 Jessie Hill Junior Drive SE Atlanta GA 30303 2032410898 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 9020 17 0 0 173908740 197983428 1825436527 1782121909 1599659 460590 142210399 51801023 2143155325 2032366950 16767283 16578068 0 0 665203437 746400400 0 0 0 1340200024 1250568865 2022170744 2013547333 120984581 18819617 1383912597 1558983877 378289150 433883465 1005623447 1125100412 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 621546311 355856831 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 2022, GRADY PROVIDED CARE TO MORE THAN 91,382 UNDER AND UNINSURED PATIENTS WHICH REPRESENT APPROXIMATELY 60% OF ITS TOTAL PATIENTS WITH ABOUT 418,249 PATIENT ENCOUNTERS, COSTING APPROXIMATELY $622M. 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. 111802531 16578068 68829451 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 2022 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 ABOUT $112M IN SUPPORT RELATIVE TO TEACHING SERVICES. IN 2022, REIMBURSEMENT FOR TEACHING SERVICES FROM MEDICARE, MEDICAID AND OTHER GOVERNMENTAL FUNDS TOTALED $69M. 128852384 180819192 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 ONLY LEVEL 1 TRAUMA CENTER IN THE ATLANTA METROPOLITAN AREA WHICH HANDLED 10,832 ACUTE TRAUMA CASES IN 2022. ADDITIONALLY, AS PART OF ITS TRAUMA SERVICE, GMHC OPERATES ONE OF ONLY TWO BURN CENTERS IN GEORGIA. THE NATIONALLY ACCLAIMED EMERGENCY CARE CENTER (ECG) HANDLED 113,741 EMERGENCY CASES IN 2022. THE EMERGENCY ROOM WAS THE INTAKE POINT FOR 24,593 OF THE SAFETY NET HOSPITAL'S TOTAL ADMISSIONS. GRADY'S EMS DIVISION STATEWIDE EMS OPERATION IS THE EXCLUSIVE 911 AMBULANCE PROVIDER FOR THE CITY OF ATLANTA INCLUDING SOUTH FULTON COUNTY, BROOKS, BAKER, DECATUR, MITCHELL, AND SEMINOLE. THE GRADY EMS TEAM OF OVER 700 EMS PROFESSIONALS, MAINTAINS A FLEET OF MORE THAN 200 AMBULANCE AND SUPPORT VEHICLES, HANDLE MORE THAN 185,000 CALLS THROUGHOUT GEORGIA IN 2022. ADDITIONALLY, GRADY EMS ALSO MANAGES A MOBILE INTEGRATED HEALTH (MIH) CARE PROGRAM WHICH PROVIDES PRE AND POST HOSPITAL CARE FOR PATIENTS IN AN EFFORT TO REDUCE THE STRAIN ON EMS AND ECC. MIH ALSO INCREASES ACCESS TO PREVENTATIVE CARE, WORKING TO REDUCE HOSPITAL RE-ADMITS AND LOWER LENGTH OF HOSPITAL STAYS. ALSO NOTABLE, GRADY EMS OPERATES ATLANTA'S LARGEST SPECIALIZED EVENT EMS DIVISION SERVING STADIUMS, CONCERTS, MARATHONS, AND FESTIVALS THROUGHOUT THE CITY OF ATLANTA. GRADY EMS OPERATIONAL STANDARDS FUNCTION IN COMPLIANCE WITH STANDARDS DEFINED BY THE JOINT COMMISSION, THE AMERICAN COLLEGE OF SURGEONS, AND THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH. THIS IS AN IMPORTANT DISTINCTION AND HOLDS OUR EMS DIVISION TO THE HIGHEST STANDARDS ENSURING A COMPLIANT, ETHICAL AND CONFIDENTIAL OPERATION. 781197453 1228526804 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. 781197453 0 1228526804 1643398679 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 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 263 0 1 9020 1 0 0 0 0 0 0 0 0 0 0 0 0 1 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 X GINA SMITH VP FISCAL SVC CONTROLLER 4046167355 50 HURT PLAZA SUITE 1300 ATLANTA GA 30303 X JOHN M HAUPERT FACHE PRESIDENT/CEO 40 0 X X 2069579 0 38587 ROBERT JANSEN EVP/CMO 40 0 X 961465 0 39413 SAMUAL TODD SVP/CHIEF ACUTE CARE SURGERY 40 0 X 908452 0 33056 TIMOTHY JEFFERSON EVP/GENERAL COUNSEL 40 0 X 836880 0 52103 KELLEY CARROLL EVP/CHIEF AMBULATORY OFFICER 40 0 X 769669 0 35096 ANTHONY SAUL EVP/CFO 40 0 X 760965 0 33072 BENJAMIN MCKEEBY SVP/CIO 40 0 X 612422 0 34533 RICHARD ROCHE SVP/CHIEF PEOPLE OFFICER 40 0 X 591261 0 25566 MARY SALE EVP/CHIEF STRATEGY OFFICER 40 0 X 568509 0 13922 GINA PIRKLE VP PATIENT EXPERIENCE 40 0 X X 545841 0 20489 MICHELLE WALLACE EVP/CHIEF NURSING OFFICER 40 0 X 556087 0 8520 WILLIAM COMPTON SVP EMS 40 0 X X 509206 0 0 GEORGE WILLIAMS III VP PERIOPERATIVE SERVICES 40 0 X 357839 0 11089 LARRY GELLERSTEDT CHAIRMAN 5 0 X X 0 0 0 BRIAN BLAKE DIRECTOR 2 0 X 0 0 0 PEDRO CHERRY DIRECTOR 2 0 X 0 0 0 ALICIA IVEY DIRECTOR 2 0 X 0 0 0 H JAMES DALLAS DIRECTOR 2 0 X 0 0 0 SHAN COOPER DIRECTOR 2 0 X 0 0 0 JOHN GREGG 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 SAM JOHNSON DIRECTOR 2 0 X 0 0 0 ROBERT SHEFT DIRECTOR 2 0 X 0 0 0 DAVID P STOCKERT DIRECTOR 2 0 X 0 0 0 VIKAS P SUKHATME MD ScD 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 ADRIAN TYNDALL DIRECTOR 2 0 X 0 0 0 DAVID C MOODY DIRECTOR 2 0 X 0 0 0 ERIC THOMAS DIRECTOR 2 0 X 0 0 0 KATHRYN FLOWERS-GLASCO DIRECTOR 2 0 X 0 0 0 DREW EVANS DIRECTOR 2 0 X 0 0 0 10048175 0 345446 1883 1 1 0 EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR ATLANTA GA 30322 MEDICAL 163816354 SKANSKA-RUSSELL A JOINT VENTURE 389 INTERPACE PARKWAY SUITE 5 PARSIPPANY NJ 07054 CONSTRUCTION SERVICES 63202086 RANDSTAD MAIL STOP 5602 ATLANTA GA 30348 OUTSIDE AGENCY 49172326 MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DR SW ATLANTA GA 30310 MEDICAL SERVICES 43298984 HEALTHCARE WORKFORCE LOGISTICS 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 OUTSIDE AGENCY 31268734 143 0 0 0 0 55434957 142548471 42332708 197983428 Patient Care 900099 1782121909 1782121909 0 0 0 0 0 0 1782121909 351244 0 0 351244 0 0 0 0 0 0 0 0 0 0 0 153294 0 43948 0 109346 109346 109346 0 0 0 Cares Funding 900099 12445013 12445013 0 0 GHRI Income 900099 9041953 9041953 0 0 Professional Billing Revenue 900099 8092836 8092836 0 0 22221221 22221221 0 0 51801023 2032366950 1834032278 0 351244 X 16578068 16578068 10048175 1696132 8352043 613641418 455751481 157889937 18034077 13393909 4640168 63644492 47268764 16375728 41032238 30474643 10557595 14877032 8381720 6495312 907818 511465 396353 771017 434391 336626 866209 866209 409933173 325256066 84677107 2181021 1228787 952234 12477174 7029640 5447534 27111081 15274383 11836698 20612950 11613336 8999614 2346290 1321900 1024390 1717256 967502 749754 74719700 51078387 23641313 20005087 11270866 8734221 Bad Debt 347416201 347416201 0 0 Drugs 159995633 159995633 0 0 Medical Supplies 113000857 113000857 0 0 R&M, Med Equip, Leases, Etc 41630366 23454548 18175818 0 2013547333 1643398679 370148654 0 118648928 56823075 112055867 145211016 49323261 68721605 182422319 204880141 0 0 0 0 0 0 28882877 32176279 15505882 12129720 1218250998 710901848 444603085 507349150 80627080 79062477 0 0 0 351843298 452630414 1383912597 1558983877 278795375 311583684 0 13160749 16660020 0 0 0 30553684 30025368 0 55779342 75614393 378289150 433883465 X 944287984 1057987636 61335463 67112776 1005623447 1125100412 1383912597 1558983877 X 18819617 -9427168 0 0 0 110084516 X 0 1 X 1 1 1 X 108970741 113400427 119277245 118473787 142548471 602670671 55434953 55434957 55434953 55434953 55434957 277174773 0 0 0 0 0 0 164405694 168835384 174712198 173908740 197983428 879845444 0 879845444 2794981 3873054 1177412 1493649 351244 9690340 0 0 0 0 0 0 11937662 12804197 13054160 11764946 11979628 61540593 951076377 8767349459 0.92510 0.92224 X Schedule A, Part II, Line 10 2017-2022 includes water expense offset from the City of Atlanta, EMS contracted services, and misc rental revenue. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 850444 1 15765 0 866209 0 Schedule C, Part II-B, Line 1 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 IT'S 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 GEORGIA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND AMERICA'S ESSENTIAL HOSPITAL ORGANIZATIONS WHICH MAY LOBBY ON ITS BEHALF. 0 5101306 5101306 0 582198811 283953661 298245150 0 47995175 0 47995175 0 540719685 424694422 116025263 0 42236021 2253765 39982256 507349150 Investment in Affiliates 283528418 NMTC Notes Receivable 69466750 ROU Operating Lease 26894994 Permanent Endowment 26028191 Other Receivables 33368478 Investments & Assets Limited as to Use 10946426 Other Assets 2250092 Goodwill 147065 452630414 0 Self Insured Liabilities 40803839 Operating Lease Payable 24224389 Other Reserves 9961734 Workers Comp Reserve 624431 75614393 X Schedule D, Part X, Line 2 GRADY 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 GRADY'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740. 1 1 X 1 X 1 X 1 1 0 1 1 201333808 130838996 70494812 0.0425 315888530 291737697 24150832 0.0146 0 0 517222338 422576693 94645644 0.0571 18958362 7871404 11086959 0.0067 120924819 33351744 87573075 0.0528 138249922 27563692 110686230 0.0668 1879400 911581 967819 0.0006 0 0 280012503 69698421 210314083 0.1269 0 0 797234841 492275114 304959727 0.1840 40000 40000 0 0 0 40000 0 40000 0 1 63143357 0 127230538 111568010 15662528 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 HUGHES SPALDING CHILDRENS HOSPITAL 2 0 0 1 X X X X X X X X X 22 1 1 1 1 X https://www.gradyhealth.org/about-us/community-benefit/ X 1 22 1 https://www.gradyhealth.org/about-us/community-benefit/ 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 1 X 0 X X 1 X X 0 0 GRADY MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X https://www.gradyhealth.org/about-us/community-benefit/ X 1 22 1 https://www.gradyhealth.org/about-us/community-benefit/ 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 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 50 INDIVIDUAL STAKEHOLDERS AND CONDUCTED FOCUS GROUPS AND/OR LISTENING SESSIONS WITH THREE GROUPS OF RESIDENTS REPRESENTING THREE DIFFERENT POPULATIONS. INTERVIEWEES INCLUDED REPRESENTIVES FROM DEKALB COUNTY BOARD OF HEALTH, ATLANTA COMMUNITY FOOD BANK, ATLANTA HARM REDUCTION COALITION, BLACK CHILD DEVELOPMENT INITIATIVE, ATLANTA REGIONAL COMMISSION, FATHERS INCORPORATED, GATEWAY CENTER, GA CHAPTER OF AMERICAN PEDIATRICS, QUALITY LIVING SERVICES, THE URBAN CLINIC OF ATLANTA, ZION HILL COMMUNITY DEVELOPMENT CORPORATION ANDA VARIETY OF GOVERNMENT OFFICIALS REPRESENTING DEKALB COUNTY AND FULTON COUNTY, AMONG OTHERS. FOCUS GROUPS WERE CONDUCTED TO WITH FULTON AND DEKALB RESIDENTS TO IDENTIFY PUBLIC HEALTH CONCERNS, COMMUNITY STRENGTHS, AND DETERMINE HEALTH PRIORITIES AND POTENTIAL SOLUTIONS TO ADDRESS THOSE PRIORITIES IN WAYS THAT HAVE LOCAL MEANING AND UTILITY. 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). 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). WELLSTAR HOSPITALS PARTICIPATED IN THIS 2022 CHNA PROCESS. Schedule H, Part V, Section B, Line 6b-GRADY MEMORIAL HOSPITAL MERCY CARE HEALTH CARE 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 HEALTHCARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2022 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, AND GEORGIA HEALTH POLICY CENTER, AMONG OTHERS. Schedule H, Part V, Section B, Line 6b-HUGHES SPALDING CHILDRENS HOSPITAL MERCY CARE HEALTH CARE 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 HEALTHCARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2022 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, AND GEORGIA HEALTH POLICY CENTER, AMONG OTHERS. Schedule H, Part V, Section B, Line 11-GRADY MEMORIAL HOSPITAL GRADY'S MOST RECENT CHNA WAS CONDUCTED IN 2022 AND OUR IMPLEMENTATION STRATEGY (IS) WAS ADOPTED AT THE END OF 2022. LISTED BELOW IS AN OVERVIEW OF OUR WORK IN 2022, WHICH ADDRESSED THE CHNA PRIORITIES: 1. IMPROVE COORDINATION OF CARE FOR GRADY PATIENTS WITH DIABETES, HYPERTENSION, PROSTATE CANCER, HIV/AIDS AND BEHAVIORAL HEALTH CONDITIONS. ACCORDING TO THE WORLD HEALTH ORGANIZATION, THE SOCIAL DETERMINANTS OF HEALTH (SDOH) ARE THE ECONOMIC, EDUCATIONAL, POLITICAL, AND ENVIRONMENTAL CIRCUMSTANCES IN WHICH PEOPLE ARE BORN, GROW UP, LIVE, WORK AND AGE. THESE FACTORS CAN INCLUDE FOOD SECURITY, EDUCATION, NEIGHBORHOOD/PHYSICAL ENVIRONMENT, AND ECONOMIC STABILITY. FOR THE PAST SIX YEARS, SDOH HAS BEEN A MAIN PRIORITY FOR GRADY, BASED ON DATA FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. IN OCTOBER 2019, GRADY BEGAN INITIATING SDOH SCREENING WITH A SERIES OF NINE QUESTIONS THAT COVERS TOPICS SUCH AS FOOD AND HOUSING INSECURITY. HOWEVER, THE PROCESS WAS PAUSED DURING THE PANDEMIC. THE SCREENING PROCESS WAS RELAUNCHED IN APRIL 2022, COVERING 19 CLINICS THROUGHOUT THE GRADY HEALTH SYSTEM. OVER 150 EMPLOYEES HAVE BEEN TRAINED ON HOW TO CONDUCT SCREENING IN A CULTURALLY SENSITIVE MANNER. AS OF DECEMBER 31, 2022, OVER 39,600 PATIENTS HAVE BEEN SCREENED FOR FOOD, TRANSPORTATION, FINANCIAL, AND/OR HOUSING INSECURITY. GRADY DEVELOPED A MULTI-PRONGED APPROACH TO LINKING PATIENTS WITH IDENTIFIED HEALTH-RELATED SOCIAL NEEDS IN THE SDOH SCREENING TO RESOURCES IN THE COMMUNITY. TWO NEW APPROACHES INCLUDE REFERRALS THROUGH THE ONLINE REFERRAL PLATFORM, UNITE US AND DIRECT PATIENT REFERRALS. FIRST, UNITE US IS AN ELECTRONIC BI-DIRECTIONAL REFERRAL PLATFORM THAT CONNECTS PATIENTS TO RESOURCES TO ADDRESS THEIR NEEDS. THE SOFTWARE ALLOWS HEALTHCARE WORKERS TO TRACK, MANAGE, AND FOLLOW-UP ON COMMUNITY REFERRALS TO SDOH NEEDS. THIS REFERRAL PLATFORM WAS LAUNCHED IN APRIL 2022 AND IMPACTED 339 PATIENTS OVER A 9-MONTH PERIOD. IN TOTAL, 2,962 WERE MADE. ADDITIONALLY, GRADY PROVIDED DIRECT PATIENT SUPPORTS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY WERE GIVEN FOOD VOUCHERS TO THE EAST POINT FARMERS MARKET TO PURCHASE FRESH PRODUCE. BETWEEN OCTOBER TO DECEMBER 2022, APPROXIMATELY 1,160 OF THESE VOUCHERS WERE DISTRIBUTED. GRANT FUNDS WERE ALSO USED TO PROVIDE PATIENTS WITH MARTA TRANSPORTATION VOUCHERS IF THEY SCREENED POSITIVE FOR TRANSPORTATION INSECURITY. OVER THREE-MONTHS, EIGHT PATIENTS WERE ASSISTED WITH EITHER A 10-TRIP OR ROUNDTRIP MARTA CARD FOR TRANSPORTATION TO THEIR MEDICAL APPOINTMENTS. IN 2022, CASE MANAGEMENT'S SUPPORT HELPED 110 COMMUNITY MEMBERS MAINTAIN TENANCY. SERVICES PROVIDED INCLUDED FINANCIAL SUPPORT FOR FOOD, HOUSING GOODS, AND UNPAID BILLS (FAILURE TO PAY WOULD HAVE RESULTED IN EVICTION). FORTY-NINE INDIVIDUALS WERE ABLE TO FIND HOUSING WITH RENTAL ASSISTANCE. THROUGH COLLABORATION WITH PARTNERS FOR HOME AND FUNDING FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), GRADY PROVIDES 24/7 PEER SUPPORT IN A TRANSITIONAL HOTEL. THIS HOTEL HAS HOUSED 67 GUESTS AND HELPED TRANSITION 24 INDIVIDUALS INTO PERMANENT HOUSING. FOURTEEN GUESTS HAVE BEEN APPROVED FOR RENTAL ASSISTANCE AND ARE SEEKING HOUSING WHILE TEN HAVE SUBMITTED APPLICATIONS TO RECEIVE RENTAL ASSISTANCE. 2. INCREASE OPPORTUNITIES FOR ALL GEORGIANS, WITH A FOCUS ON PERSONS SERVED BY GRADY HEALTH SYSTEM, TO ACCESS HEALTHCARE. SINCE OUR FOUNDING, GRADY'S MISSION HAS BEEN TO PROVIDE EXCELLENT CARE TO ANYONE WHO ENTERS OUR DOORS. IN 2021 , GRADY PROVIDED MORE THAN $556 MILLION IN CARE TO OUR UNINSURED AND LOW-INCOME NEIGHBORS. MEDICAID REIMBURSEMENT AND THE INDIGENT CARE TRUST FUND COVERED 65% OF THESE COSTS, WHILE THE REMAINING $197 MILLION WAS A SHORTFALL GRADY HAD TO COVER. IN 2022, GRADY COMPLETED MEDICAID ENROLLMENT FOR AN ESTIMATED 4,846 PATIENTS - A 100% INCREASE COMPARED TO THE ESTIMATED 2,235 PATIENTS WHO COMPLETED ENROLLMENT IN 2021. GRADY CONTINUED TO REFER PATIENTS TO THE ATLANTA COMMUNITY FOOD BANK AND WHOLESOME WAVE GEORGIA FOR ASSISTANCE WITH SNAP ENROLLMENT. IN THE FALL, GRADY ALSO INITIATED A TEXT MESSAGE CAMPAIGN TO REMIND PATIENTS WHEN A SNAP SCREENER WOULD BE AVAILABLE AT THE NEIGHBORHOOD HEALTH CENTERS. WITH THE CLOSURE OF WELLSTAR ATLANTA MEDICAL CENTER ON NOVEMBER 1, 2022, GRADY BECAME ATLANTA'S ONLY LEVEL 1 TRAUMA CENTER. RISING TO CONTINUE ADDRESSING PATIENTS' NEEDS, GRADY CREATED A 29-BED UNIT ADJACENT TO THE EMERGENCY DEPARTMENT AND CONTINUES ITS EFFORTS IN ADDING MORE BEDS. GRADY ALSO INTRODUCED VIRTUAL ON DEMAND VISITS IN THE LAST QUARTER OF 2022, BRINGING CARE AND CONVENIENCE TO PATIENTS. WITH THIS RESOURCE PATIENTS CAN REMOTELY RECEIVE CARE FOR ROUTINE, NON-EMERGENCY HEALTH ISSUES THROUGH THEIR VIDEO-ENABLED COMPUTER, TABLET, OR SMARTPHONE INSTEAD OF COMING INTO A CLINIC FOR AN APPOINTMENT. BESIDES SAVING PATIENTS TIME AND PROVIDING CONVENIENCE, THE VISITS ARE COST EFFECTIVE WITH COSTS AS LOW AS $0 AND AS HIGH AS $20. IN THE THREE-MONTH PERIOD FOLLOWING THE LAUNCH OF VIRTUAL ON DEMAND VISITS, 214 PATIENTS WERE SERVED OVER 229 VISITS. 3. INCREASE PATIENT AND COMMUNITY ENGAGEMENT IN HEALTHY BEHAVIORS TO PREVENT DIABETES, HYPERTENSION, HIV, UNINTENTIONAL INJURIES, AND HOMICIDE. LAUNCHED IN 2018, THE GRADY PREP PROGRAM OFFERS HIV PRE-EXPOSURE PROPHYLAXIS (PREP), WHICH CAN BE USED BY ANY SEXUALLY ACTIVE PERSON WHO'S HIV-NEGATIVE, REGARDLESS OF SEXUAL ORIENTATION OR GENDER IDENTITY. PATIENTS LIVING IN FULTON OR DEKALB COUNTY RECEIVE PREP AT NO COST, INDEPENDENT OF INSURANCE STATUS. IN 2022, THE PONCE DE LEON CENTER SERVED 5,631 PATIENTS LIVING WITH HUMAN IMMUNODEFICIENCY VIRUS (HIV). FOUR-HUNDRED AND FORTY-SEVEN NEW PATIENTS WERE ENROLLED INTO THE PREP PROGRAM. THE VIRAL LOAD SUPPRESSION RATE WAS OVER 80%. MPOX, ALSO COMMONLY CALLED MONKEYPOX, IS A VIRAL DISEASE CAUSED BY THE MONKEYPOX VIRUS, WHICH CAUSES SKIN RASHES WITH POSSIBLE ADDITIONAL SYMPTOMS OF FEVER, HEADACHE, MUSCLE ACHES, BACK PAIN, LOW ENERGY, AND SWOLLEN LYMPH NODES. AN OUTBREAK OF THIS DISEASE WAS CONFIRMED IN MAY 2022. THE GRADY TEAMS MOBILIZED QUICKLY. THE PONCE DE LEON CLINIC ADMINISTERED 1,829 DOSES OF MPOX VACCINE TO 1,092 PERSONS FROM JULY THROUGH DECEMBER 2022. IN ADDITION TO VACCINE ADMINISTRATION, THE GRADY EMS BIOSAFETY TRANSPORT TEAM PREPARED FOR THE INCREASED CASES OF MPOX IN THE COMMUNITY BY TRAINING ITS TEAM ON HOW TO SAFELY TRANSPORT PATIENTS WITH SUSPECTED INFECTION. THE INSIDE OF THE AMBULANCE WAS WRAPPED AND PROTECTED WITH BLUE TAPS, WHICH CONTAINED PARTICULATES. THE SPECIALLY TRAINED TRANSPORTATION TEAM CONSISTED OF 15 MEMBERS, WHO WERE ON-CALL 24 HOURS A DAY, EVERY DAY OF THE WEEK. TEAM MEMBERS WERE HIGHLY SPECIALIZED WITH BACKGROUNDS IN AREAS SUCH AS HAZARDOUS MATERIALS AND CRITICAL CARE. STOP THE BLEED IS A COURSE THAT TEACHES THE COMMUNITY HOW TO PREVENT SOMEONE FROM BLEEDING OUT THROUGH THREE TECHNIQUES: 1. USING YOUR HANDS TO APPLY PRESSURE TO A WOUND 2. PACKING A WOUND TO CONTROL BLEEDING 3. APPLYING A TOURNIQUET IN 2020 AND 2021, GRADY WASN'T ABLE TO OFFER MANY STOP THE BLEED COURSES DUE TO THE PANDEMIC. HOWEVER, STARTING JANUARY 2022 GRADY BEGAN OFFERING STOP THE BLEED TRAINING IN NEW NURSING ORIENTATION. APPROXIMATELY 13 COURSES WERE COMPLETED. SIX ADDITIONAL COURSES WERE OFFERED IN THE COMMUNITY, WITH MORE SCHEDULED IN COLLABORATION WITH THE MAYOR'S OFFICE OF VIOLENCE REDUCTION. Schedule H, Part V, Section B, Line 11-HUGHES SPALDING CHILDRENS HOSPITAL INDIRECTLY BENEFITS FROM GMHC PLAN. Schedule H, Part V, Section B, Line 13h-GRADY MEMORIAL HOSPITAL REFER TO THE FINANCIAL ASSISTANCE POLICY (FAP) ATTACHED. FOR PROCESS, DEFINITIONS, AND TIER LEVELS, DISCOUNTED CARE WITH COPAYMENTS FOR PATIENTS WITH VERIFIED INCOME LEVELS OF ANNUAL GROSS FAMILY INCOMES FROM 251% TO 400% OF CURRENT FEDERAL PROVERTY INCOME LEVEL (FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FEE CARE UP TO 400% FPL WITH SOME COPAY. Schedule H, Part V, Section B, Line 13h-HUGHES SPALDING CHILDRENS HOSPITAL REFER TO THE FINANCIAL ASSISTANCE POLICY (FAP) ATTACHED. FOR PROCESS, DEFINITIONS, AND TIER LEVELS, DISCOUNTED CARE WITH COPAYMENTS FOR PATIENTS WITH VERIFIED INCOME LEVELS OF ANNUAL GROSS FAMILY INCOMES FROM 251% TO 400% OF CURRENT FEDERAL POVERTY INCOME LEVEL (FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FEE CARE UP TO 400% FPL WITH SOME COPAY. Schedule H, Part V, Section B, Line 15e-GRADY MEMORIAL HOSPITAL THE FINANCIAL COUNSELORS WILL ADVISE ELGIBILE 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'S MEDICAID WAIVER, 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, LOW INCOME MEDICAID, ETC. AND COMPLETE THE APPLICATION AS APPROPRIATE. THE FINANCIAL COUNSELOR MAY ALSO PREFER A PATIENT TO APPLY FOR MEDICAID WITH THE DEPARTMENT OF FAMILY AND CHILDRENS' SERVICES-GRADY OUTREACH UNIT. GMHC HAS VENDOR PARTNERSHIPS ON CAMPUS WHERE BY REPRESENTATIVES ARE COMPLETING APPLICATIONS FOR ELIGIBLE PATIENTS FOR VARIOUS MEDICAID PROGRAMS SUCH AS THOSE ABOVE, 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 FAP POLICY IN ON THE INTERNET AT https://www.gradyhealth.org/wp-content/uploads/2018/04/Financial-Assistance-Program-Policy.pdf Schedule H, Part V, Section B, Line 16b-GRADY MEMORIAL HOSPITAL FAP APPLICATION IS ON THE INTERNET AT https://www.gradyhealth.org/wp-content/uploads/2018/04/Grady-Financial-Assistance-Application-2.pdf Schedule H, Part V, Section B, Line 16c-GRADY MEMORIAL HOSPITAL FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND ONLINE AT https://www.gradyhealth.org/financial-assistance-program/ Schedule H, Part V, Section B, Line 20a-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE. Schedule H, Part V, Section B, Line 20a-HUGHES SPALDING CHILDRENS HOSPITAL THIS PROCESS WAS NOT PERFORMED. Schedule H, Part V, Section B, Line 20b-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE. Schedule H, Part V, Section B, Line 20b-HUGHES SPALDING CHILDRENS HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE. Schedule H, Part V, Section B, Line 20c-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE. Schedule H, Part V, Section B, Line 20d-GRADY MEMORIAL HOSPITAL THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE. Schedule H, Part V, Section B, Line 20d-HUGHES SPALDING CHILDRENS HOSPITAL THIS PROCESS WAS NOT PERFORMED. 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 (FPF) 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 2022 COMMUNITY BENEFIT REPORT WAS PREPARED IN 2023. 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 2022 FILED MEDICARE AND MEDICAID COST REPORTS. Schedule H, Part II 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 4 GMHC ALSO INCURS SIGNIFICANT COSTS ASSOCIATED WITH CARE FOR THE UNDER AND UNISURED THAT DO NOT APPLY AND/OR QUALIFY FOR CHARITY CARE ASSISTANCE. GMHC INCURRED BAD DEBT EXPENSE OF APPROXIMATELY $347M VALUED IN GROSS CHARGES. ON LINE 2, THE COST FOR BAD DEBT EXPENSE IS BASED UPON THE PATIENT CARE COST TO CHARGE PERCENTAGE OF 18% OF ACTUAL PROVISION OF $63M IN 2022. Schedule H, Part III, Section B, Line 8 EXPENSES ARE REPORTED FROM THE MEDICARE COST REPORT CMS-2552-86 FOR THE YEAR ENDED 12/31/22. Schedule H, Part III, Section C, Line 9b THE ORGANIZATION HAS UNIQUE ELIGIBILITY CODES TO EACH PATIENT QUALIFYING FOR CHARITY CARE TO ALLOW IT TO WRITE-OFF THE CHARITY CARE 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 PARTNERS WITH OUTSIDE ORGANIZATIONS, 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 INITITIVE, ATLANTA BELTLINE PARTNERSHIP, GEORGIA STATE DEPARTMENT OF PUBLIC HEALTH, ATLANTA REGIONAL COMMISSION, UNITED WAY, MERCY CARE, AND THE ATLANTA REGIONAL COMMUNITY FOOD BANK. CONTINUATION FROM SCH H SEC C LINE 11: FRESH FOOD CARTS (FFCS) ALSO MADE HEALTHY EATING EASIER FOR PATIENTS AT OUR NEIGHBORHOOD HEALTH CENTERS. THAT PROGRAM DISTRIBUTED MORE THAN 296,000 POUNDS OF PRODUCE ACROSS 38 EVENTS WITH NEARLY 1,000 PATIENT VISITS. 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 COUNSEOR 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 FULTON AND DEKALB COUNTIES, OUR PRIMARY SERVICE AREA. ABOUT 2 MILLION PEOPLE LIVE IN THESE TWO COUNTIES AND THEY ARE YOUNGER AND MORE DIVERSE, WITH A HIGHER PERCENTAGE OF LIMITED ENGLISH-SPEAKING SKILLS, AND ACCORDING TO GRADY'S 2022 CHNA, AFRICAN AMERICANS MAKE UP 53% AND 43% OF THE POPULATION OF DEKALB AND FULTON COUNTIES REPSECTIVELY, AND 13-14% OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL. GRADY ALSO PROVIDES SPECIALIZED SERVICES TO THE GREATER METRO AREA, WHICH THE ATLANTA REGIONAL COMMISSION DEFINES AS A 10 COUNTY REGION WITH A TOTAL POPULATION OF 4.7 MILLION. THE REGION CONTINUES TO GROW AND BECOME INCREASINGLY DIVERSE. Schedule H, Part VI, Line 5 GRADY'S FOOD AS MEDICINE PARTNERSHIP CONTINUED TO GROW IN 2022. FOOD PRESCRIPTION PROGRAM ENROLLEES INCREASED BY 58 IN 2022 WITH 655 ENROLLMENTS SERVING MORE PATIENTS WITH FOOD INSECURITY AND UNMANAGED HYPERTENSION AND DIABETES. AS A RESULT OF THIS PROGRAM, PARTICIPANTS HAD 4,500 VISITS TO THE FOOD PHARMACY, 963 ATTENDEES AT COOKING CLASSES AND RECEIVED OVER 118,000 POUNDS OF FRESH PRODUCE AND HEALTHY DRY GOODS. FRESH FOOD CARTS (FFCS) ALSO MADE HEALTHY EATING EASIER FOR PATIENTS AT OUR NEIGHBORHOOD HEALTH CENTERS. THAT PROGRAM DISTRIBUTED MORE THAN 296,000 POUNDS OF PRODUCE ACROSS 38 EVENTS WITH NEARLY 1,000 PATIENT VISITS. RECOGNIZING THE NEED TO EXPAND OPPORTUNITIES IN NURSING EDUCATION, GRADY HEALTH SYSTEM PARTNERED WITH GEORGIA STATE UNIVERSITY'S BYRDINE F. LEWIS COLLEGE OF NURSING AND HEALTH PROFESSIONS AND ESTABLISHED A SCHOLARSHIP PROGRAM. THIS SCHOLARSHIP WILL HELP UP TO 120 STUDENTS OVER THREE YEARS WITH EDUCATION COSTS. GRADY WILL DRAW ON THE EXPERTISE OF THE STATE'S TOP TEACHING HOSPITAL AS THE PRIMARY CLINICAL TRAINING SITE FOR THESE STUDENTS. BEYOND CREATING MORE OPPORTUNITIES FOR STUDENTS, THIS SCHOLARSHIP WILL HELP ADDRESS THE NURSING SHORTAGE EXACERBATED BY THE COVID-19 PANDEMIC AND ALLOW GRADY TO CONTINUE PROVIDING EXCELLENT CARE TO ITS PATIENTS. GRADY'S COMMITMENT TO PROVIDING CARE IN A CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER EXTENDS TO OUR PROCUREMENT PROCESS, AND A CORNERSTONE OF THOSE EFFORTS IS OUR SUPPLIER DIVERSITY PROGRAM. GRADY COMMITTED TO INCLUSION IN OUR PROCUREMENT ACTIVITIES. IN 2022, GRADY INCREASED THE SPEND WITH MINORITY AND WOMEN-OWNED ENTERPRISES BY OVER $35 MILLION. A TOTAL OF 127 DIVERSE SUPPLIERS PROVIDED PRODUCT TO GRADY IN 2022 WITH A TOTAL OF $176.4 MILLION IN SPEND, 23.5% OF TOTAL SPEND. ORGANIZATIONS THAT GRADY PARTNERED WITH IN 2022 INCLUDED 100 BLACK MEN OF ATLANTA, NATIONAL COALITION OF 100 BLACK WOMEN, ATLANTA BUSINESS LEAGUE, GEORGIA HISPANIC CHAMBER OF COMMERCE, LATIN AMERICAN CHAMBER OF COMMERCE, MOGUL CON, UNITED STATES PAN-ASIAN AMERICAN CHAMBER OF COMMERCE, GEORGIA MINORITY SUPPLIER DEVELOPMENT COUNCIL, NATIONAL MINORITY SUPPLIER DEVELOPMENT COUNCIL, GREATER WOMEN'S BUSINESS COUNCIL, WOMEN'S BUSINESS ENTERPRISE COUNCIL, AND OUT GEORGIA BUSINESS ALLIANCE, AMONG MANY OTHERS. IN 2022, GRADY ADVANCED ITS COMMITMENT TO DIVERSITY AND IMPROVING CARE FOR PATIENTS BY DEVELOPING THE HEALTH EQUITY OFFICE (HEO), WHICH IS LED BY DR. YOLANDA WIMBERLY. THE HEO ADDRESSES HEALTH DISPARITIES ACROSS METRO ATLANTA AND THE ENTIRE REGION. THE TEAM ADVANCES THEIR MISSION OF ACHIEVING HEALTH EQUITY THROUGH FOUR STRATEGIC PILLARS: CARE QUALITY, COMMUNITY ENGAGEMENT, CROSS-CULTURAL EMPATHY, AND SOCIAL JUSTICE/ADVOCACY. IN THE PAST YEAR, THE HEO PLANNED MORE THAN 40 COMMUNITY EVENTS AND PARTNERED WITH OVER 36 ORGANIZATIONS SUCH AS THE CENTER FOR BLACK WOMEN'S WELLNESS, WESTLAKE HIGH SCHOOL, BOYS TO MEN DREAM HOUSE FOUNDATION, FRIENDSHIP BAPTIST CHURCH, HOPE THRU SOAP, AND FLOWING WITH BLESSINGS, INC. THEIR WORK TOUCHED APPROXIMATELY 15,940 COMMUNITY MEMBERS. SUMMER EXPERIENCES HAVE THE POWER TO SHAPE THE DREAMS AND EXPERIENCES OF TEENAGERS. GRADY IS COMMITTED TO PROVIDING HEALTHCARE OPPORTUNITIES FOR HIGH SCHOOL STUDENTS BETWEEN THE AGES OF 14-19. THE TEENAGE EXPERIENCE AND LEADERSHIP PROGRAM (TELP) IS A HALLMARK OF THE HEALTH EQUITY OFFICE STRATEGIC PLAN THAT ALLOWS PROGRAM PARTICIPANTS TO SHADOW PROFESSIONALS IN 4-HOUR SHIFTS AND LEARN ABOUT THE DIFFERENT FACETS OF HEALTHCARE. ALL HOURS COUNT AS VOLUNTEER HOURS AND PROVIDES STUDENTS WITH FIRSTHAND EXPERIENCE IN HEALTH OCCUPATIONS AND OPPORTUNITIES FOR LEADERSHIP DEVELOPMENT. IN ITS INAUGURAL YEAR, 129 STUDENTS APPLIED FOR TELP AND 80 TEAM LEADERS WERE INVITED INTO THE PROGRAM. THESE STUDENTS REPRESENTED 72 HIGH SCHOOLS ACROSS 32 COUNTIES IN GEORGIA. FIFTY PERCENT OF THESE LEADERS WERE FROM FULTON OR DEKALB COUNTY. OVER SIX WEEKS, THESE OUTSTANDING LEADERS PROVIDED 2,000 HOURS OF VOLUNTEER SERVICE TO 29 DIFFERENT DEPARTMENTS ACROSS GRADY. Schedule H, Part VI, Line 6 GRADY TRAINS 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) 16578068 0 SCHEDULE I, PART 1, LINE 2 - RESIDENCY PROGRAM SUPPORT 1 0 Schedule I, Part I, Line 2 GRADY USES ACCOUNTABILITY METRICS SUCH AS TRACKING SCHEDULES, CALENDARS, GRANT REVIEW AND AUDITS TO MONITOR GRANT FUNDS AND TO ENSURE COMPLIANCE. X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 JOHN M HAUPERT FACHE PRESIDENT/CEO 1321292 0 722288 0 26000 0 12200 0 26387 0 2108167 0 0 0 ROBERT JANSEN EVP/CMO 633810 0 180154 0 147501 0 12200 0 27213 0 1000878 0 0 0 SAMUAL TODD SVP/CHIEF ACUTE CARE SURGERY 688682 0 193034 0 26736 0 12200 0 20856 0 941508 0 0 0 TIMOTHY JEFFERSON EVP/GENERAL COUNSEL 510516 0 205738 0 120626 0 28315 0 23787 0 888982 0 0 0 KELLEY CARROLL EVP/CHIEF AMBULATORY OFFICER 416175 0 116730 0 236764 0 12200 0 22896 0 804765 0 0 0 ANTHONY SAUL EVP/CFO 577825 0 162640 0 20500 0 12200 0 20872 0 794037 0 0 0 BENJAMIN MCKEEBY SVP/CIO 442271 0 150001 0 20150 0 12200 0 22333 0 646955 0 0 0 RICHARD ROCHE SVP/CHIEF PEOPLE OFFICER 427641 0 140220 0 23400 0 12200 0 13366 0 616827 0 0 0 MARY SALE EVP/CHIEF STRATEGY OFFICER 426084 0 115425 0 27000 0 12200 0 1722 0 582431 0 0 0 MICHELLE WALLACE EVP/CHIEF NURSING OFFICER 417756 0 117830 0 20500 0 5785 0 2735 0 564606 0 0 0 GINA PIRKLE VP PATIENT EXPERIENCE 193795 0 51140 0 300905 0 8361 0 12128 0 566329 0 0 0 WILLIAM COMPTON SVP EMS 0 0 0 0 509206 0 0 0 0 0 509206 0 0 0 GEORGE WILLIAMS III VP PERIOPERATIVE SERVICES 269821 0 71302 0 16715 0 10909 0 180 0 368927 0 0 0 Schedule J, Part I, Line 1a CLUB DUES ARE PAID FOR EXECUTIVE VICE PRESIDENTS AND HIGHER FOR BUSINESS PURPOSES. IN 2022 GMHC PAID DUES FOR A FEW EXECUTIVES WITH NO PERSONAL USE REPORTED AS TAXABLE INCOME. Schedule J, Part I, Line 4 SEVERANCE PAYMENTS IN 2022: GINA PIRKLE $278,000 WILLIAM COMPTON $509206 EXECUTIVE STAFF PARTICIPATES IN 457F PLAN AND PAYMENTS ARE MADE TO PARTICIPANTS OF THE HEALTH SYSTEM UNDER THE PROGRAM RULES. SUCH PAYMENTS MADE IN 2022 WERE: ROBERT JANSEN $121,501 TIMOTHY JEFFERSON $97,200 KELLEY CARROLL $218,989. Schedule J, Part I, Line 7 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 COMMITEE OF THE GMHC BOARD. X 12 42332708 Cost 0 0 0 1 Schedule M, Part I, Line 32b NONCASH CONTRIBUTIONS ARE PROCESSED AND SOLICITED BY THE GRADY HEALTH FOUNDATION, INC. 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 2023 THE AUDIT COMMITEE OF GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) REVIEWED A DRAFT OF THE 2022 FORM 990, WHICH HAD PREVIOUSLY BEEN REVIEWED BY MANAGEMENT, WHICH WAS THEN DISTRIBUTED TO EACH COMMITEE MEMBER. DISCUSSION ENSUED AND COMMENTS AND SUGGESTIONS WERE TAKEN INTO CONSIDERATION IN FINALIZING THE FORM SUBSEQUENT TO THE BOARD MEETING FOR FINAL APPROVAL. A FINAL DRAFT WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. Form 990, Part VI, Section B, Line 12c GMHC HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. GMHC IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT GMHC'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT WOULD IMPACT ITS BUSINESS. THUS GMHC'S EMPLOYEES MUST PARTICIPATE 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 INDENTIFIED PERSONNEL AND AT THE TIME OF APPOINTMENT AND RE-APPOINTMENT 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 COMMITEE OF THE BOARD OF DIRECTORS AND IS REVIEWED ANNUALLY. GMHC'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 GMHC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE PUBLIC BY POSTING ON THE WEBPAGE THAT CAN BE FOUND 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, VIKAS P. SUKHATME, MD ScD., ADRIAN TYNDALL. Form 990, Part IX, Line 11g PROFESSIONAL FEES $181,169,042; ELIGIBILITY, CLEANING, DIETARY $46,648,800; MEDICAL, LANGUAGE INTERPRET SERVICES, CLINICAL ENGAGEMENT $34,817,482; PURCHASED SERVICES $14,767,502; AGENCY $107,692,248; REPAIRS & MAINTENANCE $15,378,532; COLLECTION AGENCIES $9,459,567 Form 990, Part XI, Line 9 INCREASE IN NET ASSETS CONSISTS OF CHANGES IN ASSET VALUATIONS AND INCREASE IN DONATION PUT INTO SERVICE. GRADY EMS LLC 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 814571957 EMERGENCY TRANSPORTATION SERVICES GA 0 0 GRADY MEMORIAL HOSPITAL CORP ONE GRADY LLC 80 JESSE HILL JUNIOR DRIVE SE ATLANTA GA 30303 872692696 ADMINISTRATIVE SERVICES GA 8942287 3040768 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) 7 N/A 0 GRADY WIC INC 80 JESSE HILL JR DR SE ATLANTA GA 30303 821799159 NMTC GA 501 (C) (2) NA GMHC 1 GRADY CASS INC 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 852828602 NMTC GA 501 (C) (2) NA GMHC 1 GRADY PONCE INC 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 873600624 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 344215 327909 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 14630799 FMV HENRY W GRADY HEALTH SYSTEM FOUNDATION m 2466764 FMV RELIANT EMERGENCY SPECIALTIES d 1168915 FMV RELIANT EMERGENCY SPECIALTIES o 56951 FMV GRADY WIC INC j 776383 FACILITY LEASE CONTRACT GRADY WIC INC k 464000 SUBLEASE CONTRACT GRADY CASS INC j 4615680 SUBLEASE CONTRACT GRADY PONCE INC j 257193 SUBLEASE CONTRACT