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      <Desc>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 2024, GRADY PROVIDED CARE TO 88,051 UNDER AND UNINSURED PATIENTS WHICH REPRESENT APPROXIMATELY 50% OF ITS TOTAL PATIENTS WITH ABOUT 388,158 PATIENT ENCOUNTERS, COSTING APPROXIMATELY $605M. 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.</Desc>
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        <Desc>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 15,037 ACUTE TRAUMA CASES IN 2024. 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 148,907 EMERGENCY CASES IN 2024. THE EMERGENCY ROOM WAS THE INTAKE POINT FOR APPROXIMATELY 32,045 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. THE GRADY EMS TEAM OF APPROXIMATELY 700 EMS PROFESSIONALS MAINTAINS A FLEET OF ABOUT 250 AMBULANCE AND SUPPORT VEHICLES AND HANDLED APPROXIMATELY 180,000 CALLS THROUGHOUT GEORGIA IN 2024. BEYOND EMERGENCY RESPONSE, GRADY EMS OPERATES 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. THIS PROGRAM EXPANDS ACCESS TO PREVENTATIVE CARE SERVICES, LOWERS READMISSISION RATES, SHORTENS HOSPITAL STAYS, AND INCLUDES MOBILE MAMMOGRAPHY SCREENINGS FOR COMMUNITY OUTREACH. 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.</Desc>
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        <TitleTxt>EVP/CHIEF STRATEGY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>746517</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18114</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELLEY CARROLL</PersonNm>
        <TitleTxt>EVP/CHIEF AMBULATORY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>716123</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42477</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE WALLACE</PersonNm>
        <TitleTxt>EVP/CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>700775</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12786</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YOLANDA WIMBERLY</PersonNm>
        <TitleTxt>CHIEF HEALTH EQUITY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>596540</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37887</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN LOKE</PersonNm>
        <TitleTxt>SVP/CHIEF HEALTH POLICY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>591249</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20699</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE WILLIAMS III</PersonNm>
        <TitleTxt>VP PERIOPERATIVE SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>449965</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>14286</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY GELLERSTEDT</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>5</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN BLAKE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PEDRO CHERRY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALICIA IVEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES H DALLAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAN COOPER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN GREGG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD J HARDIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN HOLLINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAM JOHNSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT SHEFT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL HERTZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAVI THADHANI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BERNIE TOKARZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL B TOME</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIAN TYNDALL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID C MOODY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC THOMAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN FLOWERS-GLASCO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>11817293</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>446030</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2777</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EMORY UNIVERSITY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1599 CLIFTON ROAD</AddressLine1Txt>
            <AddressLine2Txt>3RD FLOOR</AddressLine2Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30322</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>172805763</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MOREHOUSE SCHOOL OF MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>720 WESTVIEW DR SW</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30310</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>46683554</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RANDSTAD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>MAIL STOP 5602</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30348</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSIDE STAFFING AGENCY</ServicesDesc>
        <CompensationAmt>28271536</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>915 MEETING STREET</AddressLine1Txt>
            <CityNm>NORTH BETHESDA</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20852</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT COMPANY</ServicesDesc>
        <CompensationAmt>20743481</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SELLERS DORSEY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1635 MARKET STREET</AddressLine1Txt>
            <AddressLine2Txt>SUITE 301</AddressLine2Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>16706665</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>190</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>61888375</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>162950419</AllOtherContributionsAmt>
      <NoncashContributionsAmt>64786274</NoncashContributionsAmt>
      <TotalContributionsAmt>224838794</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Care</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>2400497511</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2400497511</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>2400497511</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>16356157</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>16356157</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <GrossRentsGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>-154886</OtherAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>-154886</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-154886</TotalRevenueColumnAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Professional Billing Revenue</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>10948851</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10948851</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>GWIC Miscellaneous Income</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>6128800</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6128800</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>City of Atlanta Water</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>5632836</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5632836</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>24898945</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24898945</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>47609432</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2689147008</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2447952057</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>16356157</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>16134785</TotalAmt>
        <ProgramServicesAmt>16134785</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>11817294</TotalAmt>
        <ProgramServicesAmt>2746339</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9070955</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>830802276</TotalAmt>
        <ProgramServicesAmt>637723827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>193078449</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>24323846</TotalAmt>
        <ProgramServicesAmt>18670984</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5652862</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>79595005</TotalAmt>
        <ProgramServicesAmt>61097126</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18497879</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>56377942</TotalAmt>
        <ProgramServicesAmt>43275708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13102234</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>33549684</TotalAmt>
        <ProgramServicesAmt>19546046</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14003638</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
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        <FAPAvailableOnWebsiteURLTxt>SEE SUPPLEMENTAL INFO</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SUPPLEMENTAL INFO</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>SEE SUPPLEMENTAL INFO</FAPSummaryOnWebsiteURLTxt>
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        <FAPAvailableOnWebsiteURLTxt>SEE SUPPLEMENTAL INFO</FAPAvailableOnWebsiteURLTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>SEE SUPPLEMENTAL INFO</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>SEE SUPPLEMENTAL INFO</FAPSummaryOnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>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 AND A VARIETY OF GOVERNMENT OFFICIALS REPRESENTING DEKALB COUNTY AND FULTON COUNTY, AMONG OTHERS. FOCUS GROUPS WERE CONDUCTED 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5-HUGHES SPALDING CHILDRENS HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>HUGHES SPALDING CHILDRENS HOSPITAL IS MANAGED BY CHILDRENS HEALTHCARE OF ATLANTA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>GRADY'S CHNA WAS CONDUCTED COLLABORATIVELY THROUGH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). WELLSTAR HOSPITALS PARTICIPATED IN THIS 2022 CHNA PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a-HUGHES SPALDING CHILDRENS HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>GRADY'S CHNA WAS CONDUCTED COLLABORATIVELY THROUGH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). WELLSTAR HOSPITALS PARTICIPATED IN THIS 2022 CHNA PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>MERCY CARE HEALTH CARE CENTER FOR THE HOMELESS AND KAISER PERMANENTE OF GEORGIA ALSO PARTICIPATED IN ARCHl'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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b-HUGHES SPALDING CHILDRENS HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>MERCY CARE HEALTH CARE CENTER FOR THE HOMELESS AND KAISER PERMANENTE OF GEORGIA ALSO PARTICIPATED IN ARCHl'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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2024, WHICH ADDRESSED THE CHNA PRIORITIES: 1. IMPROVE COORDINATION OF CARE FOR GRADY PATIENTS WITH DIABETES, HYPERTENSION, PROSTATE CANCER, HIV/AIDS AND BEHAVIORAL HEALTH CONDITIONS. SDOH (SOCIAL DETERMINANTS OF HEALTH) SCREENING - BASED ON OUR COMMUNITY HEALTH NEEDS ASSESSMENT DATA, SDOH HAS BEEN GRADY'S MAIN PRIORITY FOR THE PAST SEVEN YEARS. IN OCTOBER 2019, GRADY BEGAN INITIATING SDOH SCREENING WITH NINE QUESTIONS COVERING FOOD AND HOUSING INSECURITY TOPICS, COVERING 19 CLINICS THROUGHOUT THE GRADY HEALTH SYSTEM. BY THE END OF 2024, 31 OUTPATIENT CLINICS WERE TRAINED AND ACTIVELY SCREENED 106,006 PATIENTS. INPATIENT HOSPITAL UNITS WENT LIVE IN ALL UNITS AT THE BEGINNING OF THE YEAR. ADDITIONALLY, 350 EMPLOYEES RECEIVED TRAINING ON A PERSON-CENTERED APPROACH TO SDOH SCREENING. BY PROVIDING THIS TRAINING, GRADY IS POSITIONED TO IDENTIFY THE SOCIAL NEEDS OF OUR PATIENT POPULATION AND DIRECT OUR PATIENTS TO PROGRAMS THAT CAN HELP ALLEVIATE SOME OF THOSE NEEDS. IN 2024, GRADY HAD A SYSTEM-WIDE OUTPATIENT SCREENING RATE OF 80%, A 10% INCREASE FROM THE 2023 RATE. INPATIENT UNITS AT THE HOSPITAL HAD A 55% SCREENING RATE. COMMUNITY REFERRALS TO ADDRESS HEALTH-RELATED SOCIAL NEEDS - IN 2022, GRADY DEVELOPED A MULTI-PRONGED APPROACH TO LINKING PATIENTS WITH IDENTIFIED HEALTH-RELATED SOCIAL NEEDS IDENTIFIED THROUGH SDOH SCREENING TO COMMUNITY RESOURCES. IN 2024, WE CONTINUED TO UTILIZE THESE APPROACHES. WE HAVE MAINTAINED THE UTILIZATION OF REFERRALS THROUGH THE ONLINE PLATFORM UNITE US, AS WELL AS DIRECT PATIENT REFERRALS, TO LINK PATIENTS WITH IDENTIFIED HEALTH-RELATED SOCIAL NEEDS TO COMMUNITY RESOURCES. IN 2024, 326 REFERRALS WERE MADE ON THE UNITE US PLATFORM. PATIENTS SCREENING POSITIVE FOOD INSECURITY WERE GIVEN FOOD VOUCHERS FROM A LOCAL GROCERY STORE, EDEN FRESH, TO PURCHASE FRESH PRODUCE. APPROXIMATELY 272 VOUCHERS WERE DISTRIBUTED IN 2024. IN 2024, 141 PATIENTS WERE ASSISTED WITH EITHER A 10-TRIP OR ROUND-TRIP MARTA CARD FOR TRANSPORTATION TO THEIR MEDICAL APPOINTMENTS. IN 2024, GRADY CONTINUED ITS WORK WITH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI) ON A COMMUNITY RESOURCE HUB PILOT PROJECT. THIS PILOT PROJECT HAS PROVIDED SUPPORT TO 100 PATIENTS, WITH THE ASSISTANCE OF COMMUNITY HEALTH WORKERS (CHWS), AND HAS STRENGTHENED CONNECTIONS TO LOCAL COMMUNITY ORGANIZATIONS THAT SUPPORT GRADY PATIENTS. ADDRESSING MENTAL HEALTH SUPPORT - IN 2024, THE GRADY BEHAVIORAL HEALTH DEPARTMENT EXPANDED MEDICATION- ASSISTED TREATMENT (MAT) FOR OPIOID USE DISORDER AT THE NORTH FULTON BEHAVIORAL HEALTH CLINIC, WHICH SERVES BOTH THE COMMUNITY AND DETAINEES FROM THE FULTON COUNTY JAIL. THE OPENING OF THE FULTON COUNTY BEHAVIORAL HEALTH CRISIS CENTER ALLOWED RESIDENTS IN SOUTH FULTON COUNTY TO ACCESS CRISIS CARE MORE CONVENIENTLY. ADDITIONALLY, THE TEAM INTRODUCED INNOVATIVE SERVICES AIMED AT YOUTH AND FAMILIES TO IDENTIFY EARLY SYMPTOMS OF POTENTIAL PSYCHOSIS. THE DEPARTMENT HAS ALSO TAKEN PROACTIVE STEPS TO SUPPORT INDIVIDUALS EXPERIENCING HOMELESSNESS AND BEHAVIORAL HEALTH CONCERNS BY BECOMING A HOUSING SUPPORT PROVIDER FOR THE GEORGIA DEPARTMENT OF BEHAVIORAL HEALTH. THESE EFFORTS HIGHLIGHT GRADY'S COMPREHENSIVE APPROACH TO ADDRESSING MENTAL HEALTH CONCERNS ACROSS VARIOUS SETTINGS. 2. INCREASE OPPORTUNITIES FOR ALL GEORGIANS, WITH A FOCUS ON PERSONS SERVED BY GRADY HEALTH SYSTEM, TO ACCESS HEALTHCARE. FINANCIAL ASSISTANCE AND UNCOMPENSATED CARE - SINCE OUR FOUNDING, GRADY'S MISSION HAS BEEN TO PROVIDE EXCELLENT CARE TO ANYONE WHO ENTERS OUR DOORS. IN 2023, GRADY PROVIDED MORE THAN $701 MILLION IN CARE TO OUR UNINSURED AND LOW-INCOME NEIGHBORS. MEDICAID REIMBURSEMENT AND THE INDIGENT CARE TRUST FUND COVERED 77% OF THESE COSTS, WHILE THE REMAINING $164 MILLION WAS A SHORTFALL GRADY HAD TO COVER. PUBLIC BENEFITS ENROLLMENT - IN 2024, GRADY COMPLETED MEDICAID ENROLLMENT FOR AN ESTIMATED 6,080 PATIENTS (4,764 FOR MEDICAL/SURGICAL AND 1,316 FOR OB/NEWBORN SERVICES) - A 25% INCREASE COMPARED TO THE ESTIMATED 4,846 PATIENTS WHO COMPLETED ENROLLMENT IN 2023. GRADY CONTINUED TO REFER PATIENTS TO THE ATLANTA COMMUNITY FOOD BANK AND OPEN HAND FOR ASSISTANCE WITH SNAP ENROLLMENT. GRADY ALSO INITIATED A TEXT MESSAGE CAMPAIGN TO REMIND PATIENTS WHEN A SNAP SCREENER WOULD BE AVAILABLE AT THE NEIGHBORHOOD HEALTH CENTERS. VIRTUAL ON DEMAND VISITS - GRADY STARTED VIRTUAL ON DEMAND VISITS IN 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. THE VISITS ARE COST-EFFECTIVE, AS UNINSURED PATIENTS HAVE A CO-PAY OF $0-$20, AND INSURED PATIENTS ARE BILLED $180 FOR VIDEO VISITS. IN 2024, THE CLINIC BECAME A FORMAL SERVICE AND RECEIVED FULL FUNDING AND SUPPORT. THE TEAM'S EXPANSION IN STAFFING AND PATIENT COVERAGE RESULTED IN BETTER PATIENT ACCESS AND AN INCREASE IN PATIENT VOLUME. VIRTUAL ON DEMAND IS LOOKING TO EXPAND INTO BETTER SERVICING SPECIALTY CLINICS. EXPANSION OF OUTPATIENT CLINICS - IN 2023, GRADY ANNOUNCED THE EXPANSION OF NEW PRIMARY CARE CLINICS INTO FOUR NEW GEOGRAPHICAL LOCATIONS IN DEKALB AND FULTON COUNTIES. THE HEALTH SYSTEM REVEALED PLANS FOR NEW CLINIC SITES ON CASCADE RD, LEE AND WHITE RD, FLAT SHOALS, AND CANDLER RD. THE CASCADE CLINIC OPENED PART OF THE CLINIC IN SEPTEMBER OF 2023, FOCUSING ON FAMILY MEDICINE. IN 2024, CASCADE CLINIC EXPANDED ITS SERVICES TO OFFER INCREASED ACCESS TO PRIMARY CARE SERVICES, BEHAVIORAL HEALTH, AND OUTPATIENT REHABILITATION. SIMILARLY, THE LEE AND WHITE CLINIC WELCOMED ITS FIRST PATIENTS IN EARLY SEPTEMBER 2024. WHILE FLAT SHOALS AND CANDLER ARE SCHEDULED TO OPEN IN LATE 2025 AND EARLY 2026, RESPECTIVELY, PROVIDER RECRUITMENT ACROSS THE OUTPATIENT CENTERS IS PROGRESSING SMOOTHLY, AS SEVERAL PROVIDERS HAVE ALREADY STARTED IN 2024. TO STRENGTHEN ITS COMMITMENT TO MEETING THE REGION'S EVOLVING MEDICAL NEEDS, GRADY IS PROJECTED TO OPEN A FREE-STANDING EMERGENCY DEPARTMENT IN NOVEMBER 2026. CONSTRUCTION ON THE FREE-STANDING EMERGENCY DEPARTMENT BEGAN IN THE FALL OF 2024. THE 20,000 SQUARE FOOT EMERGENCY DEPARTMENT WILL BE LOCATED IN SOUTH FULTON COUNTY AND WILL PROVIDE CARE TO ADULT AND PEDIATRIC PATIENTS WITH SERIOUS INJURIES OR LIFE-THREATENING CONDITIONS. MOBILE SCREENING SERVICES - THE CANCER CENTER AT GRADY HAS MADE SIGNIFICANT STRIDES IN PROVIDING ACCESSIBLE HEALTHCARE SERVICES TO MEDICALLY UNDERSERVED COMMUNITIES. THE HEALTH SYSTEM HAS CONTINUED TO ADDRESS THE PRESSING NEED FOR EQUITABLE HEALTHCARE ACCESS, BRINGING SERVICES DIRECTLY TO THE ATLANTA COMMUNITY. IN 2024, THE MOBILE SCREENING UNIT SERVED 3,513 PATIENTS AT GRADY NEIGHBORHOOD HEALTH CENTERS AND COMMUNITY EVENTS IN TARGETED ZIP CODES ACROSS FULTON AND DEKALB COUNTIES. IN JULY 2024, CERVICAL CANCER SCREENING SERVICES WERE ADDED TO THE MOBILE SCREENING UNIT, SO WOMEN HAVE A ONE-STOP-SHOP FOR CANCER SCREENINGS. IN 2024, 149 PATIENTS RECEIVED BREAST SCREENINGS, 79 RECEIVED CERVICAL SCREENINGS, AND 67 RECEIVED BOTH BREAST AND CERVICAL SCREENINGS- EXEMPLIFYING THE PROGRAM'S DEDICATION TO EARLY DETECTION AND PREVENTIVE CARE. PROGRESS IS WELL UNDERWAY FOR THE ROLL-OUT OF GRADY HEALTH SYSTEM'S SECOND MOBILE UNIT FOCUSED ON INCREASING ACCESS TO PRIMARY CARE SERVICES. THIS MOBILE PRIMARY CARE UNIT DEMONSTRATES GRADY'S COMMITMENT TO COMPREHENSIVE CARE AND IS PROJECTED TO OPEN IN 2025. 3. INCREASE PATIENT AND COMMUNITY ENGAGEMENT IN HEALTHY BEHAVIORS TO PREVENT DIABETES, HYPERTENSION, HIV, UNINTENTIONAL INJURIES, AND HOMICIDE. PONCE CENTER ACHIEVEMENTS - IN 2024, THE PONCE CENTER DEMONSTRATED REMARKABLE PROGRESS IN EXPANDING AND DIVERSIFYING ACCESS OPTIONS TO HIV CARE AND PREVENTION FOR THE COMMUNITY. THE CENTER EXPANDED HIV SERVICES INTO FOUR NEIGHBORHOOD HEALTH CLINICS - ASA YANCEY, LEE &amp; WHITE, CAMP CREEK, AND EAST POINT - BRINGING CARE CLOSER TO 400 NEW PATIENTS. THE PONCE CENTERS INSURANCE ENROLLMENT INITIATIVE, SUPPORTED BY THE RYAN WHITE PART B-FUNDED GEORGIA HICP PROGRAM, ENABLED 410 PATIENTS TO ACCESS ACA GOLD PLANS AT NO COST. THESE PATIENTS WERE ABLE TO ACCESS SERVICES ACROSS 56 DIFFERENT TYPES OF CARE OR SPECIALTIES, WITHOUT HAVING TO PAY OUT-OF-POCKET COSTS THAT ARE NORMALLY REQUIRED UNDER CHARITY CARE PROGRAMS. IN ADDITION TO ACCESS IMPROVEMENTS, THE PONCE CENTER SAW SIGNIFICANT CLINICAL OUTCOMES, WITH PATIENT RETENTION RISING TO 83% UP FROM 71%, AND 92% OF RETAINED PATIENTS ACHIEVED VIRAL LOAD SUPPRESSION. THE CENTER HAS GROWN TO HAVE ONE OF THE LARGEST LONG-ACTING INJECTABLE HIV TREATMENT AND PREVENTION PROGRAMS IN THE US. OVER 800 PATIENTS NOW ACCESS INJECTABLE TREATMENT OR PREVENTION EVERY 2 MONTHS, INSTEAD OF DEPENDING ON DAILY PILL ADHERENCE TO EITHER RENDER THE VIRUS UNDETECTABLE/UNTRANSMISSIBLE OR PREVENT HIV INFECTION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11-HUGHES SPALDING CHILDRENS HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>HUGHES SPALDING CHILDRENS HOSPITAL INDIRECTLY BENEFITS FROM GMHC'S PLAN.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13h-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13h-HUGHES SPALDING CHILDRENS HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 15e-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 15e-HUGHES SPALDING CHILDRENS HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>FAP POLICY IS ON THE INTERNET AT https://www.gradyhealth.org/wp-content/uploads/Financial-Assistance-Policy.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>FAP APPLICATION IS ON THE INTERNET AT https://www.gradyhealth.org/wp-content/uploads/Grady-Financial-Assistance-Application-2.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND ONLINE AT https://www.gradyhealth.org/financial-assistance-program/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20a-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20a-HUGHES SPALDING CHILDRENS HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS WAS NOT PERFORMED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20b-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20b-HUGHES SPALDING CHILDRENS HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20c-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20c-HUGHES SPALDING CHILDRENS HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20d-GRADY MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20d-HUGHES SPALDING CHILDRENS HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS WAS NOT PERFORMED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>15</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRESTVIEW HEALTH &amp; REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2800 SPRINGDALE RD</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30315</ZIPCd>
          </USAddress>
          <FacilityTxt>NURSING HOME</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMERGENCY MEDICAL SERVICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>745 MEMORIAL DRIVE</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30316</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULANCE SERVICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>KIRKWOOD PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1863 MEMORIAL DRIVE</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30317</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BROOKHAVEN PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2695 BUFORD HIGHWAY</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30324</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EAST POINT PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1595 WEST CLEVELAND AVENUE</AddressLine1Txt>
            <CityNm>EAST POINT</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30344</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PONCE INFECTIOUS DISEASE PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>341 PONCE DE LEON AVENUE</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30308</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GRADY BEHAVIORAL HEALTH PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10 PARK PLACE</AddressLine1Txt>
            <AddressLine2Txt>3RD FLOOR</AddressLine2Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30303</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MAIN OUTPATIENT PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>48 COCA COLA PLACE</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30303</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ASA YANCEY PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1247 DONALD LEE HOLLOWELL PARKWAY</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30318</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRAL REFILL PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1575 NORTHSIDE DRIVE</AddressLine1Txt>
            <AddressLine2Txt>BUILDING 400 SUITE 450</AddressLine2Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30318</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CORRELL RETAIL PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>80 GILMER ST SE</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30303</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CORRELL CANCER CENTER PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>80 GILMER ST SE</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30303</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SENIOR CARE PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>80 JESSE HILL JR DR SE</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30303</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CASCADE OUTPATIENT CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3355 CASCADE RD</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30311</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>LEE &amp; WHITE OUTPATIENT CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1000 WHITE ST SW</AddressLine1Txt>
            <AddressLine2Txt>SUITE 1004</AddressLine2Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30310</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE WITH 400% OF FPG BEING THE UPPER LIMIT OF QUALIFICATION TO THE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>2024 COMMUNITY BENEFIT REPORT WAS PREPARED IN 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS WERE DETERMINED USING DATA FROM THE AUDITED FINANCIAL STATEMENTS AND THE 2024 FILED MEDICARE AND MEDICAID COST REPORTS. BEGINNING IN JULY 2022 AND CONTINUING INTO 2024 AND BEYOND, GEORGIA ADVANCING INNOVATION TO DELIVER EQUITY (GA-AIDE) USED DIRECTED PAYMENTS THROUGH THE MANAGED CARE MEDICAID PROGRAM TO SUPPORT THE TRANSFORMATION OF HEALTHCARE DELIVERY AT GRADY HEALTH SYSTEM. FOR EACH YEAR OF APPROVAL FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), AT LEAST $100M EACH YEAR IN NEW FUNDING FOR GA-AIDE WILL BE USED TO ACHIEVE IMPROVED HEALTH OUTCOMES, INCREASED HEALTH EQUITY, AND INCREASED ACCESS TO CARE. THE GA-AIDE MARRIES DELIVERY SYSTEM REFORM - PROVIDING CARE COORDINATION AND CASE MANAGEMENT THAT HAS BEEN PROVEN TO CONTRIBUTE TO BETTER OUTCOMES - WITH PAYMENT SYSTEM REFORM - REWARDING GOOD OUTCOMES AND VALUE RATHER THAN VOLUME. A PORTION OF THE NEW FUNDS WILL BE "AT-RISK", MEANING HEALTH SYSTEM PARTICIPANTS MUST ACHIEVE CERTAIN GOALS TO RECEIVE ALL THE FUNDS. THE AT-RISK QUALITY MEASURES ARE FOCUSED ON THE MANAGEMENT AND PREVENTION OF CHRONIC DISEASES, INCLUDING DIABETES, CANCER, CARDIOVASCULAR DISEASE, AND BEHAVIORAL HEALTH. GA-AIDE INCLUDES REPORTING DATA STRATIFIED BY RACE AND ETHNICITY TO LAY A FOUNDATION FOR ASSESSING THE PROGRAM'S IMPACT ON HEALTH EQUITY AND INFORM WHERE GAPS EXIST TO HELP TARGET RESOURCES AND SHAPE STRATEGIC EFFORTS. IN PERFORMANCE Y3 (JULY 1, 2024 - JUNE 30, 2025), GRADY FOCUSED ON IMPROVING PERFORMANCE ON AT-RISK QUALITY MEASURES FROM PERFORMANCE YEAR 2 AND CONTINUING TO EXPAND ACCESS TO ADDITIONAL COMMUNITY MEMBERS THROUGH THE GROWTH AND DEVELOPMENT OF NEW ACCESS SITES. THIS INCLUDED THE OPENING OF THE EIGHTH NEIGHBORHOOD HEALTH CENTER, LEE &amp; WHITE CENTER, EXPANDING OUTPATIENT REHABILITATION SERVICES AT CASCADE NEIGHBORHOOD HEALTH CENTER, LAUNCHING A MOBILE PRIMARY CARE UNIT, EXPANDING REMOTE PATIENT MONITORING SERVICES, ADDING TWO NEW BEHAVIORAL HEALTH ACCESS CENTERS, AND PLANNING FOR THE OPENING OF TWO CLINICS IN DEKALB COUNTY, CANDLER ROAD CLINIC AND FLAT SHOALS CLINIC (ESTIMATED OPENING DECEMBER 2025) AND THE FREE-STANDING EMERGENCY DEPARTMENT IN SOUTH FULTON, A MEDICALLY UNDERSERVED COMMUNITY (ESTIMATED OPENING JUNE 2026). GRADY PROVIDED HIGH QUALITY CARE AND IMPROVED OUTCOMES FOR OUR MANAGED MEDICAID POPULATION. GRADY MET ALL AT-RISK MEASURES IN PERFORMANCE YEAR 3 WHILE AT THE SAME TIME ACHIEVING IMPROVED YEAR-OVER-YEAR PERFORMANCE ON ALL MEASURES BUT ONE. WITH A FOCUS ON IMPROVING ACCESS AND SCREENING RATES WITHIN TARGETED COMMUNITIES WITH LOW LIFE EXPECTANCY, GRADY IS ACTIVELY REDUCING HEALTH INEQUITIES IN OUR COMMUNITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $304M VALUED IN GROSS CHARGES. ON LINE 2, THE COST FOR BAD DEBT EXPENSE IS BASED UPON THE PATIENT CARE COST TO CHARGE PERCENTAGE OF 17% OF ACTUAL PROVISION OF $52M IN 2024.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section B, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES ARE REPORTED FROM THE MEDICARE COST REPORT CMS-2552-10 FOR THE YEAR ENDED 12/31/24.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section C, Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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 INITIATIVE, ATLANTA BELTLINE PARTNERSHIP, GEORGIA STATE DEPARTMENT OF PUBLIC HEALTH, ATLANTA REGIONAL COMMISSION, UNITED WAY, MERCY CARE, AND THE ATLANTA REGIONAL COMMUNITY FOOD BANK.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PER STATE REGULATIONS, GMHC PLACES ANNUAL ICTF NOTICES IN THE LOCAL NEWSPAPER AND SIGNAGE IS POSTED, ADVISING PATIENTS OF ALL CHARITY CARE PROGRAMS WITHIN THE ORGANIZATION, BASED ON THE PATIENT'S FINANCIAL CIRCUMSTANCES, AND MEDICAL CONDITION. A FINANCIAL COUNSELOR WILL CONSULT WITH THE PATIENT TO DETERMINE BEST FIT FOR THE CRITERIA OF THE VARIOUS ASSISTANCE PROGRAMS. THE APPROPRIATE APPLICATION IS COMPLETED AND THE FINANCIAL ASSISTANCE PROGRAM IS EXPLAINED TO THE PATIENT SIMULTANEOUSLY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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 RESPECTIVELY, 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDRESSING MATERNAL HEALTH AND POSTPARTUM CARE - IN 2024, GRADY'S WOMEN'S SERVICES HAVE CONTINUED TO ADDRESS MATERNAL MORTALITY AND IMPROVE CARE FOR HIGH-RISK PREGNANCIES. ACCORDING TO THE NATIONAL PERINATAL INFORMATION CENTER (NPIC), 51% OF DELIVERIES AT GRADY IN 2024 HAD HYPERTENSION, AND 79% OF POSTPARTUM READMISSIONS WERE A RESULT OF HYPERTENSION DIAGNOSIS. WITH OVER 3,400 DELIVERIES, AND A HIGH PREVALENCE OF HYPERTENSIVE DIAGNOSES, GRADY'S WOMEN'S SERVICES CENTER HAS IMPLEMENTED PROGRAMS SUCH AS THE POSTPARTUM HYPERTENSION PROGRAM, REMOTE PATIENT MONITORING PROGRAM, AND HYPERTENSIVE NURSE NAVIGATOR SERVICES TO ADDRESS THESE CHALLENGES. THESE INITIATIVES HAVE RESULTED IN 1,318 HYPERTENSIVE NURSE NAVIGATOR ENCOUNTERS AND 1,513 OB HYPERTENSIVE MOBILE INTEGRATED HEALTH (MIH) REFERRALS IN 2024. GRADY WOMEN'S HEALTH CENTER WILL CONTINUE A SYSTEMATIC APPROACH TO PROVIDING COMPREHENSIVE AND EQUITABLE CARE FOR ALL PATIENTS. FOOD AS MEDICINE PARTNERSHIP - AT GRADY, PATIENTS WHO HAVE BEEN IDENTIFIED AS HAVING UNCONTROLLABLE DIABETES OR ARE HYPERTENSIVE CAN TAKE PART IN OUR FOOD AS MEDICINE PROGRAM. IN THIS PROGRAM, PATIENTS CAN RECEIVE FRESH PRODUCE, NUTRITIONAL GUIDANCE, AND COOKING CLASSES. IN 2024, THE FOOD AS MEDICINE PROGRAM AT GRADY MADE SIGNIFICANT STRIDES IN ADDRESSING FOOD INSECURITY AND IMPROVING PATIENT HEALTH OUTCOMES. A NOTABLE HIGHLIGHT WAS THE EXPANSION OF THE ATLANTA COMMUNITY FOOD BANK PARTNERSHIP THROUGH THE LAUNCH OF THE NEIGHBOR PROGRAM IN FEBRUARY 2024. THIS PROGRAM SERVES AS A CONTINUATION OF SUPPORT FOR GRADUATES FROM OUR FOOD AS MEDICINE (FAM) INITIATIVE, ENSURING THAT INDIVIDUALS WHO HAVE COMPLETED FAM CAN CONTINUE RECEIVING FRESH PRODUCE AND ASSISTANCE IN TACKLING FOOD INSECURITY. THE NEIGHBOR PROGRAM SPECIFICALLY TARGETS FOOD-INSECURE PATIENTS WHO DO NOT SUFFER FROM UNCONTROLLED DIABETES OR HYPERTENSION, TAILORING OUR APPROACH TO MEET DIVERSE COMMUNITY NEEDS. SUPPLIER DIVERSITY - 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 SOCIAL IMPACT. IN 2024, WE HAD THE OPPORTUNITY TO COLLABORATE WITH 127 DIVERSE SUPPLIERS, INCLUDING ORGANIZATIONS SUCH AS 100 BLACK MEN OF ATLANTA - METRO ATLANTA CHAPTER, NATIONAL COALITION OF 100 BLACK WOMEN - METRO ATLANTA CHAPTER, ATLANTA BUSINESS LEAGUE, BRONZE LENS FILM FESTIVAL, GEORGIA HISPANIC CHAMBER OF COMMERCE, LATIN AMERICAN CHAMBER OF COMMERCE, MOGUL CON, ONE MILLION DREAMS FOUNDATION FOR BLACK WOMEN AND GIRLS, 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, OUT GEORGIA BUSINESS ALLIANCE, NATIONAL VETERAN-OWNED BUSINESS ASSOCIATION (NAVOBA), AND THE HEALTHCARE SUPPLIER DIVERSITY ALLIANCE - HSDA. HEALTH EQUITY - IN 2024, THE OFFICE OF HEALTH OUTCOMES CONTINUED ITS SUCCESSFUL TEEN EXPERIENCE AND LEADERSHIP PROGRAM (TELP). TELP ENGAGES HIGH SCHOOL TEENS WHO ARE INTERESTED IN LEARNING ABOUT AND GAINING EXPERIENCE IN THE HEALTHCARE FIELD. TELP IS A SEVEN-WEEK PROGRAM IN WHICH TEENS CAN SHADOW CLINICAL AND NON-CLINICAL UNITS AT GRADY HOSPITAL. IN THIS, THE PARTICIPANTS GAIN EXPOSURE TO AND EXPERIENCE WITH THE ACTIVITIES AND SKILLS INVOLVED IN A HEALTH CARE WORKER'S DAILY SCHEDULE. GRADY HOSPITAL ALSO HOSTS WORK-BASED LEARNING EXPERIENCES IN PARTNERSHIP WITH WESTLAKE HIGH SCHOOL AND THE ATLANTA PUBLIC SCHOOL'S ATLANTA COLLEGE AND CAREER ACADEMY FOR ITS PATIENT CARE TECH PROGRAM. IN 2024, TELP HOSTED 597 TEENS, FROM 151 UNIQUE HIGH SCHOOLS, AND 17 COUNTIES IN GEORGIA. TELP LEADERS SELECTED OVER 71 CLINICAL AND NON-CLINICAL ROTATION ASSIGNMENTS AT GRADY, AND 40 PROFESSIONAL DEVELOPMENT WORKSHOPS WERE OFFERED. TELP CONTINUES TO EMPOWER YOUTH THROUGH MEANINGFUL ENGAGEMENT AND LEADERSHIP DEVELOPMENT.</ExplanationTxt>
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        <ExplanationTxt>GRADY TRAINS MORE THAN 1,000 EMORY AND MOREHOUSE INTERNS AND RESIDENTS EACH YEAR.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>GMHC FILES A COMMUNITY BENEFIT REPORT IN GEORGIA.</ExplanationTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE WALLACE</PersonNm>
        <TitleTxt>EVP/CHIEF NURSING OFFICER</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YOLANDA WIMBERLY</PersonNm>
        <TitleTxt>CHIEF HEALTH EQUITY OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>30614</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <PersonNm>RYAN LOKE</PersonNm>
        <TitleTxt>SVP/CHIEF HEALTH POLICY OFFICER</TitleTxt>
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        <PersonNm>GEORGE WILLIAMS III</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>CLUB DUES ARE PAID FOR EXECUTIVE VICE PRESIDENTS AND HIGHER FOR BUSINESS PURPOSES. IN 2024, GMHC PAID DUES FOR A FEW EXECUTIVES WITH NO PERSONAL USE REPORTED AS TAXABLE INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE STAFF PARTICIPATES IN 457F PLAN AND PAYMENTS ARE MADE TO PARTICIPANTS OF THE HEALTH SYSTEM UNDER THE PROGRAM RULES. NO SUCH PAYMENTS WERE MADE IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>12</ContributionCnt>
        <NoncashContributionsRptF990Amt>64786274</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Line 32b</FormAndLineReferenceDesc>
        <ExplanationTxt>NONCASH CONTRIBUTIONS ARE PROCESSED AND SOLICITED BY THE GRADY HEALTH FOUNDATION, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>GMHC HAS CONTRACTED WITH CHILDREN'S HEALTHCARE OF ATLANTA (CHOA) TO MANAGE OPERATIONS OF HUGHES SPALDING CHILDREN'S HOSPITAL. CHOA OVERSEES DAILY OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>IN NOVEMBER 2025 THE AUDIT COMMITEE OF GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) REVIEWED A DRAFT OF THE 2024 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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 NOT 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>EX OFFICIO NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS: JOHN M HAUPERT FACHE, ADRIAN TYNDALL, AND RAVI THADHANI.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES $214,200,823; ELIGIBILITY, CLEANING, DIETARY $38,049,809; MEDICAL, LANGUAGE INTERPRET SERVICES, CLINICAL ENGAGEMENT $46,173,297; PURCHASED SERVICES $23,666,542; AGENCY $59,997,842; REPAIRS &amp; MAINTENANCE $28,714,700; COLLECTION AGENCIES $11,573,137</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>INCREASE IN NET ASSETS CONSISTS OF CHANGES IN ASSET VALUATIONS AND INCREASE IN DONATION PUT INTO SERVICE.</ExplanationTxt>
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      <IdRelatedTaxExemptOrgGrp>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>FACILITY LEASE CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>FACILITY LEASE CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GRADY WIC INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>SUBLEASE CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GRADY PONCE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
        <InvolvedAmt>261552</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SUBLEASE CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
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</Return>