TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) CARLTON KEITH BUCHANAN MD........................................................................ INTERIM CMIO	5.00 .......................4.00	X	X	35,567	0
(2) CHUNG H LEE........................................................................ BOARD MEMBER	2.00 .......................4.00	X		2,250	795
(3) MILES H MASON III MD........................................................................ BOARD MEMBER	2.00 .......................4.00	X		2,250	47,935
(4) A KEITH CARNES MD........................................................................ BOARD MEMBER	2.00 .......................2.00	X		2,125	295
(5) DAVID MCCLESKEY........................................................................ CHAIRMAN	2.00 .......................8.00	X		2,000	295
(6) EDWARD RADFORD........................................................................ BOARD MEMBER	2.00 .......................6.00	X		2,000	295
(7) MANFRED SANDLER MD........................................................................ BOARD MEMBER	2.00 .......................8.00	X		1,875	1,872
(8) CAROLYN HILL........................................................................ BOARD MEMBER	2.00 .......................6.00	X		1,875	295
(9) L C JOHNSON........................................................................ BOARD MEMBER	2.00 .......................4.00	X		0	0
(10) PHILIP WOLFE........................................................................ PRESIDENT &	38.00 .......................24.00		X	1,080,322	118,657
(11) THOMAS Y MCBRIDE III........................................................................ EXECUTIVE VP	38.00 .......................22.00		X	535,659	330,025
(12) ALAN BIER........................................................................ EXECUTIVE VP	60.00 .......................		X	528,380	73,621
(13) JEFFERY NOWLIN........................................................................ EXECUTIVE VP	60.00 .......................		X	510,368	66,891
(14) WALLACE BROWN........................................................................ SENIOR VP &	60.00 .......................		X	406,784	34,948
(15) STEPHEN NADEAU........................................................................ SENIOR VP OF	60.00 .......................		X	360,341	60,081
(16) PETER WHEELER........................................................................ GENERAL LEGA	38.00 .......................22.00		X	350,856	69,979
(17) LEA BAY........................................................................ SR. VP & PRE	60.00 .......................		X	344,306	66,850

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) CAROL DANIELSON........................................................................ SENIOR VP &	60.00 .......................	X			340,487	63,911
(19) JESSIE T SHEPHERD........................................................................ SR VP PLAN &	60.00 .......................		X		320,323	58,954
(20) JAMES DENNARD JR........................................................................ VP & COO GMC	60.00 .......................		X		254,339	41,963
(21) THOMAS LYNCH........................................................................ VP MANAGED C	60.00 .......................		X		243,532	47,418
(22) SCOTT OREM........................................................................ VP FINANCE	60.00 .......................		X		238,231	54,252
(23) DIANA POTTS........................................................................ CHIEF NURSIN	60.00 .......................		X		225,297	32,680
(24) CATHY DOUGHERTY........................................................................ ASSISTANT VP	60.00 .......................		X		185,500	36,216
(25) BONNY RICHARDSON........................................................................ ASSOCIATE LE	38.00 .......................22.00		X		182,767	22,958
(26) MIKE HEMPHILL........................................................................ DIRECTOR OF	60.00 .......................		X		167,433	35,578
(27) JANET SCHWALBE........................................................................ VP PHYSICIAN	60.00 .......................			X	231,386	33,257
(28) RICHARD K ALLEN........................................................................ AVP INFORMAT	60.00 .......................			X	184,844	35,629
(29) DARVINA HEICHEMER........................................................................ DIR. SURGICA	60.00 .......................			X	171,916	16,690
(30) CATHIE L BRAZELL........................................................................ DIRECTOR WOM	60.00 .......................			X	171,036	15,905
(31) CHRISTOPHER R TROCCHIO........................................................................ DIR. PERFUSI	60.00 .......................			X	161,971	29,785

(A) Name and business address	(B) Description of services	(C) Compensation
ALLIANCE LAUNDRY7990 SECOND FLAGS DRIVE SUITE AAUSTELLGA30168	LAUNDRY/LINENS	2,661,905
GWINNETT ANESTHESIA SERVICE PCPO BOX 669LAWRENCEVILLEGA30046	ANESTHESIA	2,041,906
CLINTON A HARKINS PC4901 OLDE TOWNE PKWY STE 300MARIETTAGA30068	COLLECTIONS	1,236,154
GEORGIA MEDICAL RESOURCE POOL1000 CIRCLE 75 PKWY SUITE 650ATLANTAGA30339	AUDIT/CONSULTIN	1,156,285
CARDIOVASCULAR GROUP LLC755 WALTHER WAYLAWRENCEVILLEGA30046	MEDICAL	1,048,759
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 41

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	25,033,722	25,033,722
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	42,500	42,500
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	7,318,803	7,500	7,311,303
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	212,620,679	187,763,437	24,857,242
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	13,406,053	11,445,725	1,960,328
9	Other employee benefits .......	28,528,441	24,350,596	4,177,845
10	Payroll taxes ...........	15,499,598	13,233,137	2,266,461
11	Fees for services (non-employees):
a	Management ......	2,308,905	17,754	2,291,151
b	Legal .........	1,171,260	90,019	1,081,241
c	Accounting ...........	494,298		494,298
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	560,059		560,059
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	51,011,148	26,995,460	24,015,688
12	Advertising and promotion ....	2,145,154	124,727	2,020,427
13	Office expenses .......	9,405,091	6,220,872	3,184,219
14	Information technology ......	8,120,607	763,707	7,356,900
15	Royalties ..
16	Occupancy ...........	13,709,158	12,949,477	759,681
17	Travel ............	382,480	140,536	241,944
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	289,196	111,719	177,477
20	Interest ...........	8,537,379	8,537,379
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	33,946,306	33,946,306
23	Insurance ..............	10,205,613	9,990,516	215,097
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL & SURGICAL SUPPLI	104,527,646	104,393,501	134,145
b	BAD DEBTS	101,998,959	101,998,959
c	EQUIPMENT RENTAL & MAINTE	13,322,732	12,144,108	1,178,624
d	PROVIDER FEES	7,044,137	7,044,137
e	All other expenses	12,494,309	11,055,158	1,077,228	361,923
25	Total functional expenses. Add lines 1 through 24e	684,124,233	598,400,952	85,361,358	361,923
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	64,787,633	1	49,396,553
2	Savings and temporary cash investments .........	30,765,661	2	31,216,329
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	88,720,468	4	105,869,398
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	1,273,630	7	936,107
8	Inventories for sale or use ..............	5,158,876	8	6,234,850
9	Prepaid expenses and deferred charges ..........	8,209,111	9	8,604,336
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	636,539,084
b	Less: accumulated depreciation .....	10b	339,686,679	301,654,275	10c	296,852,405
11	Investments—publicly traded securities ..........	319,366,863	11	336,304,848
12	Investments—other securities. See Part IV, line 11 .....	8,446,959	12	9,365,303
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	3,430,000	14	3,430,000
15	Other assets. See Part IV, line 11 ...........	8,543,152	15	5,466,318
16	Total assets. Add lines 1 through 15 (must equal line 34)......	840,356,628	16	853,676,447
	17	Accounts payable and accrued expenses .........	38,746,167	17	40,568,504
18	Grants payable .................		18
19	Deferred revenue ................	369,519	19	405,220
20	Tax-exempt bond liabilities .............	307,585,000	20	301,935,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	115,896,332	25	77,035,385
26	Total liabilities. Add lines 17 through 25.........	462,597,018	26	419,944,109
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	371,665,231	27	425,516,742
28	Temporarily restricted net assets ...........	5,213,640	28	7,088,513
29	Permanently restricted net assets ...........	880,739	29	1,127,083
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	377,759,610	33	433,732,338
34	Total liabilities and net assets/fund balances ........	840,356,628	34	853,676,447

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

GWINNETT HOSPITAL SYSTEMINC

Employer identification number

58-2002413

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

GWINNETT HOSPITAL SYSTEMINC

Employer identification number

58-2002413

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization GWINNETT HOSPITAL SYSTEMINC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization GWINNETT HOSPITAL SYSTEMINC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
GWINNETT HOSPITAL SYSTEMINC

Employer identification number

58-2002413

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

GWINNETT HOSPITAL SYSTEMINC

Employer identification number

58-2002413

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

40,892

Total. Add lines 1c through 1i ...............................

40,892

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
	SCHEDULE C, PART II-B, LINE 1	DUES PAID TO GEORGIA HOSPITAL ASSOCIATION WERE 163,566 OF THIS AMOUNT, 25%, OR 40,892 WENT FOR LOBBYING.

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

GWINNETT HOSPITAL SYSTEMINC

Employer identification number

58-2002413

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	6,094,379	9,977,875	7,757,383	6,154,854	3,960,633
b	Contributions ........	2,121,218	1,666,000	1,970,363	4,262,776	44,549
c	Net investment earnings, gains, and losses		155,348	250,129	-2,658,501	2,149,672
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........		5,704,844		1,750
f	Administrative expenses ....
g	End of year balance ......	8,215,596	6,094,379	9,977,875	7,757,379	6,154,854

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

13.720 %

Temporarily restricted endowment SchDMd Bullet

86.280 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	19,309,381		19,309,381
b	Buildings ................	289,466,015	117,345,551	172,120,464
c	Leasehold improvements ............	18,750,781	14,215,519	4,535,262
d	Equipment ................	304,215,866	206,778,571	97,437,295
e	Other .................	4,797,041	1,347,038	3,450,003
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				296,852,405

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
INTEREST RATE SWAPS		33,352,095
ACCRUED PENSION COSTS		24,646,173
SELF-INSURANCE RESERVES		7,161,433
THIRD PARTY SETTLEMENTS		5,811,573
ACCRUED INTEREST PAYABLE		3,779,650
EXECUTIVE BENEFITS LIABILITY		1,648,874
BOND EXPENSE PAYABLE		329,444
ASSET RETIREMENT OBLIGATION		289,138
SALES TAX & REAL ESTATE TAX PAYABLE		17,005
ENDOSCOPY
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		77,035,385
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	619,745,838
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	-2,682,563
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	14,058,685
e	Add lines 2a through 2d .....................			2e	11,376,122
3	Subtract line 2e from line 1.....................			3	608,369,716
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	560,059
b	Other (Describe in Part XIII.) ...........	4b	101,998,959
c	Add lines 4a and 4b.......................			4c	102,559,018
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	710,928,734

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........			1	556,565,215
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................			2e
3	Subtract line 2e from line 1.....................			3	556,565,215
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	560,059
b	Other (Describe in Part XIII.) ............	4b	126,998,959
c	Add lines 4a and 4b.......................			4c	127,559,018
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	684,124,233

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
INTENDED USES FOR ENDOWMENT FUNDS	SCHEDULE D, PAGE 2, PART V, LINE 4	ENDOWMENT FUNDS ARE USED TO SUPPORT SPECIFIC HOSPITAL PROJECTS OR PROGRAMS.
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	THE HOSPITAL APPLIES FASB ASC TOPIC 740, INCOME TAXES (ASC740), WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. IT ALSO PROVIDES GUIDANCE ON THE TIMING OF RECOGNITION OF TAX POSITIONS IN AN ENTITY'S FINANCIAL STATEMENTS AND THE DETERMINATION OF THE VALUES OF THESE POSITIONS. THERE IS CURRENTLY NO IMPACT ON THE HOSPITAL'S FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740.
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 2D	INTEREST RATE SWAP CHANGE 14,240,028 BOND DEFEASEMENT -429,106 INCREASE IN INTEREST IN FOUNDATION 247,763
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 4B	BAD DEBT EXPENSES RECLASSIFIED 101,998,959
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	BAD DEBT EXPENSES RECLASSIFIED 101,998,959 CONTRIBUTION TO RELATED PARTY 25,000,000

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

GWINNETT HOSPITAL SYSTEMINC

Employer identification number

58-2002413

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 125.000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..			46,074,915	6,478,259	39,596,656	6.800 %
b	Medicaid (from Worksheet 3, column a) ....			79,707,636	62,462,020	17,245,616	2.960 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .			40,769	31,639	9,130
d	Total Financial Assistance and Means-Tested Government Programs .			125,823,320	68,971,918	56,851,402	9.760 %
Other Benefits		176	834,938	4,806,475	217,576	4,588,899	0.790 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	176	834,938	4,806,475	217,576	4,588,899	0.790 %
f	Health professions education (from Worksheet 5) ..	56	10,635	3,423,089	6,265	3,416,824	0.590 %
g	Subsidized health services (from Worksheet 6) ..	5	10,856	21,771,182	17,632,688	4,138,494	0.710 %
h	Research (from Worksheet 7)	2	1,579	550,952		550,952	0.090 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	2	218	10,938		10,938
j	Total. Other Benefits ..	241	858,226	30,562,636	17,856,529	12,706,107	2.180 %
k	Total. Add lines 7d and 7j .	241	858,226	156,385,956	86,828,447	69,557,509	11.940 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members	1		611	611
6	Coalition building	3	483	32,226	32,226	0.010 %
7	Community health improvement advocacy
8	Workforce development	2		54,563	54,563	0.010 %
9	Other
10	Total	6	483	87,400	87,400	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

101,998,959

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

15,327,799

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

114,026,903

Enter Medicare allowable costs of care relating to payments on line 5.....

116,112,637

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-2,085,734

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, and primary website address
1	GWINNETT MEDICAL CENTER LAWRENCEVILLE 1000 MEDICAL CENTER BLVD LAWRENCEVILLE,GA30046 WWWGWINNETTMEDICALCENTERORG	X	X	X
2	GWINNETT MEDICAL CENTER DULUTH 3620 HOWELL FERRY ROAD DULUTH,GA30096 WWWGWINNETTMEDICALCENTERORG	X	X	X

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	GWINNETT MEDICAL CENTER
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 125.0% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.0% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	GWINNETT MEDICAL CENTER
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 125.0% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.0% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	THE WOUND TREATMENT CENTER IS A PHYSICIAN PRACTICE THAT WAS INCLUDED IN THE SUBSIDIZED SERVICES CATEGORY THE CENTER PROVIDES SERVICES THAT MEET IDENTIFIED COMMUNITY NEEDS THE CENTER OFFERS SERVICES THAT THE COMMUNITY DOES NOT CURRENTLY HAVE THE CAPACITY TO PROVIDE THE MEDICAL PRACTICE PROVIDES A SIGNIFICANT BENEFIT TO THE COMMUNITY AND DOES NOT OPERATE PRIMARILY TO INCREASE REFERRALS OF PATIENTS WITH THIRD PARTY COVERAGE AS A MAJORITY OF THE PATIENTS ARE UNDERINSURED UNINSURED OR COVERED BY FEDERAL OR STATE INSURANCE PLANS FOR ATRISK POPULATIONS IN ADDITION THE MEDICAL PRACTICE IS OPERATED EFFICIENTLY AND PAYMENTS TO PHYSICIANS ARE REASONABLE AND INLINE WITH THE GUIDELINES FROM THE MEDICAL GROUP MANAGEMENT ASSOCIATION AS WELL AS PREVAILING COMMUNITY RATES FOR PHYSICIAN REIMBURSEMENT EXPENSES AT COST FOR SUBSIDIZED SERVICES FOR THE PHYSICIAN PRACTICE HAS BEEN CALCULATED FROM TOTAL DEPARTMENT EXPENSES AT COST MINUS BAD DEBT MEDICAID AND CHARITY CARE WOUND CARE CLINIC COSTS 998317 WITH A NET COMMUNITY BENEFIT EXPENSE OF 627278
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	XXX-XX-XXXX IN BAD DEBT EXPENSES WERE SUBTRACTED FROM FORM 990 PART IX LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	LINE 7A CHARITY CARE COSTS WERE CALCULATED USING A MEDICAID SPECIFIC COSTTOCHARGE RATIO CCR FROM THE MEDICARE COST REPORT A MEDICAID CCR WAS USED BECAUSE THE MEDICAID POPULATION BETTER REPRESENTS THE UTILIZATION AND ACUITY OF THE CHARITY POPULATION THAN THE USE OF AN OVERALL CCR AS CALCULATED IN WORKSHEET 2 A CCR WAS USED INSTEAD OF A COST ACCOUNTING SYSTEM BECAUSE CHARITY AS WELL AS BAD DEBTS REPRESENT ONLY A PORTION OF A PATIENT ACCOUNT THAT IS BEING WRITTEN OFF LINE 7B 7C 7G AN RVU BASED COST ACCOUNTING SYSTEM ADS WAS USED TO ESTIMATE THE MEDICAID FFS MEDICAID MANAGED CARE AMOUNTS REPORTED ON LN 7B THE PEACH CARE GA SCHIP PROGRAM REPORTED ON LN 7C AND THE SUBSIDIZED HEALTH SERVICES REPORTED ON LN 7G ADS DOES INCLUDE INFORMATION FROM ALL PATIENT SEGMENTS REGARDLESS OF PAYOR THE MEDICAID SHORTFALL REPORTED ON LINE 7B INCLUDES A PRIOR YEAR SETTLEMENT HIT OF 694367
COMMUNITY BUILDING ACTIVITIES	PART II	COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AND ARE CAPTURED IN THE CATEGORIES OF LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS COALITION BUILDING AND WORKFORCE DEVELOPMENT IN AN EFFORT TO ENHANCE PUBLIC HEALTH OUR ORGANIZATION DID NOT PARTICIPATE IN THESE ACTIVITIES TO INCREASE REFERRALS OR TO FULFILL REGULATORY REQUIREMENTS OR CURRENT STANDARDSOFCARE COALITION BUILDING INCLUDES PARTICIPATION OF THE CHAPLAINCY FAITH COMMUNITY NURSING CENTER FOR NEUROSCIENCE WOMENS SERVICES AND PHYSICIAN SERVICES DEPARTMENTS THESE DEPARTMENTS PARTICIPATE IN COMMUNITY COALITIONS AND OTHER COLLABORATIVE EFFORTS WITH THE COMMUNITY TO ADDRESS SAFETY AND HEALTH ISSUES TO PROMOTE THE HEALTH OF THE COMMUNITY FOR EXAMPLES GWINNETT FIRE SERVICES CRITICAL INCIDENT STRESS MANAGEMENT TEAM CHILD PROTECTION TASK FORCE AND THE YMCA BOARD OF DIRECTORS OUR COMMUNITY COLLABORATIONS CONTINUE TO SUPPORT OUR VISION AND MISSION AND FURTHER TIE US TO THE COMMUNITY WE SERVE GWINNETT HOSPITAL SYSTEM PARTICIPATED ON THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES BOARD THAT SERVES THE COMMUNITY THROUGH INITIATIVES DRIVEN BY ITS SUBCOMMITTEES EG EXECUTIVE COMMITTEE BOARD OF DIRECTORS GREAT DAYS OF SERVICE RESEARCH AND ACCOUNTABILITY COMMITTEE AND THE TASK FORCE FOR THE YOUTH SURVEY FACT BOOK WE COLLABORATE WITH AIDGWINNETT J M TULL GWINNETT YMCA GWINNETT UNITED IN DRUG EDUCATION INC GUIDE SAFE KIDS GWINNETT GWINNETT FOSTER CHILDRENS FOUNDATION AND BOY SCOUTS MEDICAL EXPLORERS PROGRAM OUR ORGANIZATION WORKS CLOSELY WITH THE GWINNETT CHAMBER OF COMMERCE AND ACTIVELY PARTICIPATES IN PARTNERSHIP GWINNETT WHICH IS A COMPREHENSIVE PLAN THAT PARTNERS GOVERNMENT EDUCATION HEALTHCARE AND BUSINESS IN AN ECONOMIC DEVELOPMENT PLAN IN ADDITION TO THE CHAMBER GWINNETT HOSPITAL SYSTEM IS INVOLVED WITH INDIVIDUAL CITIES IN THE COUNTY GWINNETT HOSPITAL SYSTEM IS INVOLVED WITH STATE AND COUNTY GOVERNMENT AGENCIES INCLUDING GEORGIA DEPARTMENT OF HEALTH AND HUMAN SERVICES GWINNETT PUBLIC HEALTH DEPARTMENT VIEW POINT HEALTH GEORGIA TRAUMA CARE NETWORK COMMISSION GEORGIA STATE OFFICE OF EMERGENCY MEDICAL SERVICES AND TRAUMA PARTNERSHIP AGAINST DOMESTIC VIOLENCE PADV GWINNETT COUNTY SEXUAL ASSAULT CENTER CHILDRENS ADVOCACY CENTER GWINNETT COUNTY JUSTICE SYSTEM GWINNETT COUNTY POLICE DEPARTMENT GWINNETT COUNTY PUBLIC LIBRARY GWINNETT COUNTY PUBLIC SCHOOL SYSTEM DEPARTMENT OF FAMILY CHILDREN SERVICES DFCS DEPARTMENT OF AGING SERVICES DAS GWINNETT COUNTY SENIOR SERVICES AND THE GEORGIA MEDICARE FOUNDATION GWINNETT HOSPITAL SYSTEM WORKS WITH NATIONAL AGENCIES WHICH HAVE LOCAL CHAPTERS INCLUDING THE AMERICAN HEART ASSOCIATION AMERICAN RED CROSS MARCH OF DIMES AMERICAN STROKE ASSOCIATION AMERICAN CANCER SOCIETY AMERICAN DIABETES ASSOCIATION AND THE UNITED WAY OUR EFFORTS IN WORKFORCE DEVELOPMENT INCLUDE RECRUITING PHYSICIANS IN MULTIPLE SPECIALTIES FOR COMMUNITY PRACTICES ACCORDING TO COMMUNITY NEEDS ESTABLISHED IN THE 2013 PHYSICIAN NEEDS ASSESSMENT THE ORGANIZATIONS PRIMARY PURPOSE IN THESE EFFORTS IS TO ASSIST IN COMMUNITY PHYSICIAN RECRUITMENT TO IMPROVE ACCESS TO CARE IN OUR COMMUNITY
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	PART III LINE 2 IN THE CURRENT YEAR BAD DEBTS ARE REPORTED AT CHARGES WRITTEN OFF IN THE PERIOD PLUS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS SEE THE LINE 4 NOTE BELOW FOR A MORE DETAILED DESCRIPTION OF THE METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 PER THE FINANCIAL STATEMENT FOOTNOTE RELATED TO PROVISION FOR UNCOLLECTIBLE ACCOUNTS DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED IN THE PATIENT BALANCE PRIOR TO ACCOUNTS BEING WRITTEN OFF TO BAD DEBT PART III LINE 3 THE HOSPITAL USES A NOTE ON THE PATIENT ACCOUNT TO IDENTIFY PATIENTS UNCOOPERATIVE WITH THE HOSPITALS FINANCIAL ASSISTANCE POLICY THAT WOULD HAVE LIKELY QUALIFIED FOR CHARITY IF INFORMATION HAD BEEN AVAILABLE TO DETERMINE ELIGIBILITY DUE TO THESE ACCOUNTS LIKELY BEING ELIGIBLE FOR FINANCIAL ASSISTANCE THEY SHOULD BE INCLUDED AS PART OF THE HOSPITALS COMMUNITY BENEFIT PART III LINE 4 AUDITED FINANCIAL STATEMENT FOOTNOTE THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS MANAGEMENT ROUTINELY ASSESSES IN THE NORMAL COURSE OF BUSINESS THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS ASSESSMENT OF THESE AND OTHER FACTORS BY PAYOR CATEGORY AND ADJUSTS THE ALLOWANCE AND RELATED PROVISION ACCORDINGLY FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE MANAGEMENT ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A RELATED PROVISION IF NECESSARY FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS WHICH INCLUDE PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL MANAGEMENT RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE RENDERED ON THE BASIS OF PAST EXPERIENCE WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE THE DIFFERENCE BETWEEN THE STANDARD RATES OR THE DISCOUNTED RATES IF NEGOTIATED AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THE HOSPITALS PROVISION FOR UNCOLLECTIBLE ACCOUNTS DECREASED 6015000 FROM XXX-XX-XXXX IN FISCAL YEAR 2012 TO XXX-XX-XXXX IN FISCAL YEAR 2012 THE DECREASE WAS A RESULT OF OF MORE PATIENTS QUALIFYING FOR INDIGENT AND CHARITY CARE DURING 2013 AS COMPARED TO THE PRIOR PERIOD
MEDICARE EXPLANATION	PART III LINE 8	THE COST REPORTED ON LINE 6 ARE PER THE MEDICARE COST REPORT AND WERE CALCULATED BASED ON COSTTOCHARGE RATIOS SINCE THE AMOUNTS REPORTED ON LINES 5 6 ONLY INCLUDE MEDICARE PART A COSTS AND PAYMENTS THE OTHER MEDICARE IE MEDICARE PT C PHYSICIAN SERVICES FEE SCHEDULE NON ALLOWABLE COSTS AND PAYMENTS ARE INCLUDED IN THE MEDICARE RECONCILIATION SUMMARY SHOWN BELOW NONE OF THE MEDICARE SHORTFALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT SINCE THERE WAS NOT A SHORTFALL RELATED TO THOSE PATIENTS THAT HAD MEDICAID AS A SECONDARY PAYOR AND THEREFORE DEEMED INDIGENT FOR MEDICARE BAD DEBT PURPOSES THERE WERE 486671 IN PRIOR YEAR MEDICARE SETTLEMENTS RECEIVED IN THE CURRENT YEAR THAT RESULTED IN A POSITIVE ADJUSTMENT TO INCOME OF 103982 THAT IS REFLECTED IN THE MEDICARE RECONCILIATION SUMMARY MEDICARE RECONCILIATION SUMMARY MEDICARE FFS SHORTFALL MEDICARE COST REPORT MEDICARE FFS SHORTFALL LESS SUBSIDIZED SVCS PT I LN 7G 2085734 OTHER MEDICARE SHORTFALLS NON MEDICARE COST REPORT MEDICARE REPLACEMENT SHORTFALL PER ADS 10334740 MEDICARE PRO FEE SHORTFALL PER ADS 182723 MEDICARE FEE SCHEDULE SHORTFALL PER CCR 750985 MEDICARE NONALLOWABLE COSTS 3859723 PY SETTLEMENT RECEIVED SHORTFALL LONGFALL IMPACT TO IS 103982 TOTAL MEDICARE SHORTFALL 17109923
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	THE FINANCIAL ASSISTANCE POLICY STATES THAT THOSE PATIENTS APPROVED FOR FINANCIAL ASSISTANCE WILL BE BILLED AT MEDICARE RATES IN ADDITION THE CREDIT AND COLLECTION POLICY DESCRIBES HOW UNINSURED PATIENTS CAN RECEIVE A PROMPT PAY DISCOUNT THIS POLICY ALSO DESCRIBES THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM CONTACT INFORMATION IS PROVIDED FOR ANYONE NEEDING ASSISTANCE OR HAVING QUESTIONS UNINSURED PATIENTS ARE GIVEN AN AUTOMATIC DISCOUNT FROM GROSS CHARGES THAT IS NOT RELATED TO THE FINANCIAL ASSISTANCE PROGRAM PATIENTS RECEIVE HOSPITAL STATEMENTS THROUGHOUT THE BILLING CYCLE UNPAID ACCOUNTS ARE REFERRED TO AN EXTERNAL COLLECTION AGENCY AFTER ALL EFFORTS BY THE HOSPITAL HAVE BEEN MADE COLLECTION AGENCIES NOTIFY THE HOSPITAL OF ANY ACCOUNTS THEY IDENTIFY THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE
NEEDS ASSESSMENT	PART VI	THE 20122013 GWINNETT MEDICAL CENTERLAWRENCEVILLE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE 20122013 GWINNETT MEDICAL CENTERDULUTH COMMUNITY HEALTH NEEDS ASSESSMENT ARE OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS AS PREVIOUSLY STATED THE TWO FACILITIES ARE 10 MILES APART AND BOTH ARE IN GWINNETT COUNTY DATA FOR EACH ASSESSMENT WAS GATHERED AT THE COUNTY LEVEL BECAUSE THE MAJORITY OF THE PATIENTS WHO UTILIZE OUR HOSPITALS ARE RESIDENTS OF GWINNETT COUNTY ON AVERAGE ABOUT 20 PERCENT OF OUR PATIENTS ARE FROM SURROUNDING COUNTIES RESIDENTS OF THE COUNTY USE BOTH FACILITIES DEPENDING ON THEIR PERSONAL PREFERENCES OR AVAILABILITY OF SERVICES SECONDARY DATA FOR OUR CHNAS WAS GATHERED THROUGH MULTIPLE DATA SOURCES THE HOSPITALS HAVE A LICENSE FOR HEALTHY COMMUNITIES INSTITUTES THAT PROVIDES A CONSTANTLY UPDATED WEBBASED PLATFORM WITH DEMOGRAPHIC INFORMATION AND HEALTHY PEOPLE 2020 TRACKER FOR GWINNETT COUNTY RESIDENTS THIS INFORMATION PLATFORM INCLUDES BOTH A DISPARITIES DASHBOARD AND A COMMUNITY DASHBOARD OF ABOUT 100 INDICATORS INCLUDING THE FOLLOWING CATEGORIES HEALTH ECONOMY EDUCATION ENVIRONMENT GOVERNMENT AND POLITICS PUBLIC SAFETY AND SOCIAL ENVIRONMENT ADDITIONAL SECONDARY VITAL STATISTICS DATA ARE PROVIDED BY THE ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM OASIS WHICH IS A TOOLSET THAT ALLOWS ACCESS TO THE GEORGIA DIVISION OF PUBLIC HEALTHS STANDARDIZED HEALTH DATA REPOSITORY OUR PLANNING DEPARTMENT IDENTIFIES HOSPITALBASED NEEDS USING ADMISSIONDISCHARGE AND OTHER UTILIZATION DATA THE SYSTEMLEVEL ANNUAL COMMUNITY BENEFIT PLAN DESCRIBES HOW THE HOSPITALS AND SUPPORT FACILITIES ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS EACH YEAR PROGRAMS ARE EVALUATED FOR EFFICIENCY EFFECTIVENESS OUTCOMES AND COMMUNITY COLLABORATION THEN ADMINISTRATION PRIORITIZES HOW THE ORGANIZATION MEETS COMMUNITY NEEDS THROUGH DEPARTMENT BUDGETING FOR EACH COMMUNITY BENEFIT PROGRAM EXPANDING FROM THE COMMUNITY BENEFIT PLAN ARE THE FACILITYLEVEL IMPLEMENTATION STRATEGIES DEVELOPED TO DESCRIBE HOW EACH FACILITY IS ADDRESSING IDENTIFIED COMMUNITY NEEDS THROUGH PROGRAMS AND COMMUNITY COLLABORATIONS THE ORGANIZATIONS COMMUNITY HEALTH WELLNESS COUNCIL IS AN INTERNAL COMMUNITY BENEFIT COMMITTEE WITH REPRESENTATIVES FROM 29 DEPARTMENTS FROM BOTH HOSPITALS THIS COUNCIL IS TASKED WITH THE ANNUAL PLAN AND IMPLEMENTATION STRATEGIES UPDATES AND SUBMISSION FOR APPROVAL BY HOSPITAL ADMINISTRATION AND THE GWINNETT HOSPITAL SYSTEM BOARD OF DIRECTORS DIRECT LINKS TO GWINNETT MEDICAL CENTER IN LAWRENCEVILLES IMPLEMENTATION STRATEGIES HTTPASSETSTHEHCNNETCONTENTSITESGWINNETTHOSPITALFY2013GMCLIMPLE MENTATIONSTRATEGYPDF DIRECT LINKS TO GWINNETT MEDICAL CENTER DULUTHS IMPLEMENTATION STRATEGIES HTTPASSETSTHEHCNNETCONTENTSITESGWINNETTHOSPITALFY2013GMCDIMPLE MENTATIONSTRATEGYPDF
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	EVERY PATIENT REGISTERED AT A GHS FACILITY IS PROVIDED A DOCUMENT ALERTING THEM TO THE AVAILABILITY OF THE SYSTEMS FINANCIAL ASSISTANCE PROGRAM ADDITIONALLY PATIENTS ARE PROVIDED A BILLING AND COLLECTION INFORMATION DOCUMENT THAT AGAIN ADVISES THE PATIENT HOW TO APPLY FOR FINANCIAL ASSISTANCE FOR THOSE PATIENTS ADMITTED TO THE HOSPITAL THE INPATIENT HANDBOOK ALSO INSTRUCTS THEM HOW TO SEEK FINANCIAL ASSISTANCE FROM OUR TEAM OF FINANCIAL COUNSELORS IN ADDITION PATIENT BILLS INCLUDE CONTACT INFORMATION FOR SEEKING FINANCIAL ASSISTANCE VIA TELEPHONE OR BY EMAIL AT FINANCIALCOUNSELORGWINNETTMEDICALCENTERORG THE HOSPITAL SYSTEMS WEBSITE ALSO INCLUDES THE HOSPITALS FINANCIAL ASSISTANCE POLICY AND APPLICATIONS IN ENGLISH SPANISH KOREAN AND VIETNAMESE
COMMUNITY INFORMATION	PART VI	GWINNETT COUNTY IS LOCATED IN THE NORTHEAST SUBURBS OF THE METROPOLITAN ATLANTA AREA AND IS 98 PERCENT URBAN THIS IS THE 50TH LARGEST COUNTY IN THE STATE OF GEORGIA BY LAND MASS 43273 SQUARE MILES AND THE SECOND LEADING BY POPULATION 842046 ESTIMATED RESIDENTS IN 2012 THE POPULATION OF GWINNETT COUNTY HAS INCREASED BY 369 PERCENT SINCE 2000 AS SHOWN IN FIGURE 1 ACCORDING TO THE 2010 US CENSUS GWINNETT COUNTY IS THE 65TH MOST POPULATED COUNTY IN THE NATION FIGURE 1 HISTORICAL POPULATION GWINNETT COUNTY 19602010 HISTORICAL POPULATION GWINNETT COUNTY CENSUS POPULATION PERCENTAGE CHANGE 1960 43541 347 1970 72349 662 1980 116903 1307 1990 352910 1114 2000 588448 667 2010 805321 369 SOURCE US CENSUS BUREAU 2011 OVERALL GWINNETT COUNTY HAS A YOUNG POPULATION WITH THE MEDIAN AGE FROM 2005 THROUGH 2009 AT 331 YEARS OF AGE THIRTYONE PERCENT OF THE POPULATION WAS UNDER 20 YEARS OF AGE AND 11 PERCENT WAS 60 YEARS OF AGE AND OLDER ACCORDING TO THE GEORGIA DIVISION OF PUBLIC HEALTH ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM OASIS 2011 AS DEMONSTRATED IN FIGURE 2 FIGURE 2 POPULATION BY LIFESTAGES GWINNETT COUNTY 2010 POPULATION BY LIFESTAGES GENDER GWINNETT COUNTY 2010 LIFESTAGES MALE FEMALE TOTAL BY AGE PERCENTAGE BY AGE 1 INFANCY 5985 5783 11768 146 14 EARLY CHILDHOOD 25963 24511 50474 627 512 LATER CHILDHOOD 54245 52338 106583 1323 1319 ADOLESCENCE 44905 41496 86401 970 2029 EARLY ADULTHOOD 52964 50120 103084 1280 3044 YOUNG ADULTHOOD 93622 99909 193531 2403 4559 MIDDLE ADULTHOOD 80291 85148 165439 2054 6074 LATE ADULTHOOD 31311 35685 66996 832 75 OLDER ADULTHOOD 7867 13178 21045 261 GRAND TOTAL 397153 408168 805321 10000 SOURCE GEORGIA DIVISION OF PUBLIC HEALTH OASIS 2011 THE POPULATION HAS BECOME MORE RACIALLY AND ETHNICALLY DIVERSE WITH REPRESENTATION FROM ACROSS THE NATION AND AROUND THE WORLD IN 2012 THE US CENSUS BUREAU ESTIMATED THE GWINNETT COUNTY POPULATION TO BE 424 PERCENT WHITE NOT HISPANIC OR LATINO 259 PERCENT BLACK OR AFRICAN AMERICAN 111 PERCENT ASIAN AND 22 PERCENT WAS NONHISPANIC OTHERS AMERICAN INDIAN OR ALASKA NATIVE NATIVE HAWAIIAN OR PACIFIC ISLANDER MULTIRACIAL OR UNKNOWN THE HISPANIC OR LATINO POPULATION WAS ESTIMATED AT 207 PERCENT WITH 107 PERCENT OF THAT POPULATION BEING MEXICAN IN THE 20122013 SCHOOL TERM THE GWINNETT COUNTY PUBLIC SCHOOL SYSTEM GCPS INCLUDES 132 SCHOOLS AND OTHER EDUCATIONAL FACILITIES AND SERVES NEARLY 164900 STUDENTS THIS DOES NOT INCLUDE BUFORD CITY SCHOOLS OR PRIVATE SCHOOLS ACCORDING TO GCPS THE CLASS OF 2013 HAD MORE THAN 10500 GRADUATES AND ABOUT 84 PERCENT REPORTED PLANS TO ATTEND COLLEGE ACCORDING TO COUNTY HEALTH RANKINGS IN 20112012 THE PRIMARY CARE PHYSICIAN RATE WAS 56 PROVIDERS PER 100000 POPULATION IN GWINNETT COUNTY THIS WAS BETTER THAN THE NATIONAL AVERAGE FOR 3017 US COUNTIES ACCORDING TO THE US DEPARTMENT OF HEALTH HUMAN SERVICES THE AVERAGE NUMBER OF MEDICAID RECIPIENTS IN 2013 WAS 92467 OR 11 PERCENT OF THE TOTAL GWINNETT POPULATION ELDERLY MEDICARE RECIPIENTS IN 2013 WERE 32496 AND DISABLED MEDICARE WAS 5263 THE LACK OF HEALTH INSURANCE COVERAGE IS A SIGNIFICANT BARRIER TO ACCESSING NEEDED HEALTHCARE IN 2012 THE US CENSUS BUREAU ESTIMATED 748 PERCENT OF GWINNETT RESIDENTS 1864 YEARS WERE INSURED AND 907 PERCENT OF CHILDREN AGES 017 HAD ANY TYPE OF HEALTH INSURANCE COVERAGE THE US CENSUS BUREAUS AMERICAN COMMUNITY SURVEY 5YEAR ESTIMATES FOR 20072011 PROVIDES A REPRESENTATION OF AVERAGE CHARACTERISTICS OF THE POPULATION AND IS NOT REPRESENTATIVE OF A SINGLE POINT IN TIME FROM THESE SURVEYS THE FOLLOWING INFORMATION HAS BEEN MADE AVAILABLE ABOUT GWINNETT COUNTY RESIDENTS THERE WERE 292402 HOUSING UNITS IN GWINNETT WITH 206 PERCENT IDENTIFIED AS HOUSING UNITS IN MULTIUNIT STRUCTURES HOMEOWNERSHIP RATE WAS 709 PERCENT THE MEDIAN VALUE OF OWNEROCCUPIED HOUSING UNITS WAS 190100 THERE WERE 262169 HOUSEHOLDS IN GWINNETT WITH THE AVERAGE HOUSEHOLD SIZE OF THREE EIGHTYSEVEN PERCENT OF RESIDENTS 25 YEARS OF AGE AND OVER HAD AT LEAST GRADUATED FROM HIGH SCHOOL AND 347 PERCENT HAD A BACHELORS DEGREE OR HIGHER TWENTYSIX PERCENT OF THE POPULATION WAS FOREIGN BORN OF INDIVIDUALS AT LEAST FIVE YEARS OF AGE 329 PERCENT SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME SEVENTYEIGHT PERCENT OF WORKERS DROVE TO WORK ALONE FOR THOSE WHO COMMUTED THE AVERAGE TRAVEL TIME TO WORK WAS 322 MINUTES WORKERS WHO COMMUTED BY PUBLIC TRANSPORTATION WAS 11 PERCENT THE MEDIAN INCOME OF HOUSEHOLDS WAS 63076 TWELVE PERCENT OF THE ALL RESIDENTS WERE BELOW THE POVERTY LEVEL SEVENTEEN PERCENT OF CHILDREN LIVE BELOW THE POVERTY LEVEL WHICH IS AN INCREASE FROM 151 PERCENT IN THE 20062010 TIME PERIOD EIGHT PERCENT OF GWINNETT RESIDENTS AGE 65 AND OLDER LIVE BELOW THE POVERTY LEVEL THREE PERCENT OF THE HOUSEHOLDS DID NOT HAVE TELEPHONES THREE PERCENT OF THE HOUSEHOLDS DID NOT HAVE ACCESS TO A CAR TRUCK OR VAN FOR PRIVATE USE IN ADDITION TO OUR FACILITIES GWINNETT COUNTY HAS ONE FORPROFIT HOSPITAL EASTSIDE MEDICAL CENTER IN SNELLVILLE THERE ARE MANY HOSPITALS IN SURROUNDING COUNTIES OF THE METROPOLITAN ATLANTA AREA SUMMITRIDGE HOSPITAL IN LAWRENCEVILLE IS A FORPROFIT HOSPITAL TO SERVE MENTAL HEALTH AND SUBSTANCE ABUSE ACCORDING TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICE ADMINISTRATION FOUR CENSUS TRACTS ARE DESIGNATED MEDICALLY UNDERSERVED AREAS CT 050319 CT 050320 CT 05419 AND CT 050421 IN GWINNETT COUNTY THERE IS ONE FEDERALLY QUALIFIED HEALTH CENTER IN GWINNETT COUNTY NORCROSS SERVING RESIDENTS FROM THESE CENSUS TRACTS AS WELL AS OTHER GWINNETT COUNTY RESIDENTS
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	OUR VISION IS TO BE THE HEALTH SYSTEM OF CHOICE IN OUR COMMUNITY BY ENHANCING THE HEALTH OF OUR PATIENTS AND OTHER CUSTOMERS WE LIVE THAT VISION BY JOINING WITH PHYSICIANS COMMUNITY AND OTHER HEALTHCARE ORGANIZATIONS TO TREAT INJURY AND DISEASE AS WELL AS PROVIDING PREVENTIVE AND EARLY INTERVENTION CARE THE GWINNETT HOSPITAL SYSTEM BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY LEADERS DEDICATED TO PROVIDING QUALITY HEALTHCARE FOR OUR COMMUNITY THESE VOLUNTEER BOARD MEMBERS ARE PERSONS WHO RESIDE IN OUR PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION OR FAMILY MEMBERS MEDICAL STAFF PRIVILEGES IN THE HOSPITALS ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AS DETERMINED THROUGH A DETAILED CREDENTIALING PROCESS GWINNETT HOSPITAL SYSTEM HAS OVER 800 AFFILIATED PHYSICIANS PROVIDING HEALTHCARE SERVICES AT BOTH GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTERDULUTH CAMPUSES THE ORGANIZATION REINVESTS ALL PROFITS BACK INTO PHYSICIAN AND STAFF TRAINING FACILITIES AND EQUIPMENT TO CONTINUALLY IMPROVE PATIENT CARE IN CONTRAST TO INVESTOROWNED HOSPITALS NO PART OF NET EARNINGS DIRECTLY OR INDIRECTLY BENEFITS ANY PRIVATE SHAREHOLDERS OR INDIVIDUALS FULLTIME EMERGENCY DEPARTMENTS ARE OPERATED AT BOTH THE GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTERDULUTH CAMPUSES NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT THE TOTAL NUMBER OF DISCHARGES FROM BOTH EMERGENCY DEPARTMENTS WAS 140470 FOR FISCAL YEAR 2013 THE 60BED EMERGENCY DEPARTMENT AT GWINNETT MEDICAL CENTER LAWRENCEVILLE IS ONE OF THE BUSIEST IN GEORGIA THIS LOCATION HAS A 12BED CHILDRENS EMERGENCY CENTER AN ACCREDITED CHEST PAIN CENTER AND IS DESIGNATED AS A LEVEL II TRAUMA CENTER PROVIDING 24 HOURS A DAY SEVEN DAYS A WEEK TRAUMA TEAM COVERAGE SERVING RESIDENTS OF GWINNETT COUNTY AND THE SURROUNDING AREA ONLY 21 OF THE STATES 152 ACUTECARE HOSPITALS ARE DESIGNATED TRAUMA CENTERS BOTH GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTER DULUTH AND ASSOCIATED FACILITIES PARTICIPATE IN MEDICARE MEDICAID CHAMPUS AND PEACHCARE AS APPROPRIATE FOR SERVICES PROVIDED
AFFILIATED HEALTH CARE INFORMATION	PART VI	GWINNETT HOSPITAL SYSTEM IS A LICENSED 464 BED HEALTHCARE ORGANIZATION WITH TWO ACUTECARE HOSPITALS GWINNETT MEDICAL CENTERLAWRENCEVILLE AND GWINNETT MEDICAL CENTERDULUTH THESE TWO FACILITIES SERVE AREAS OF BOTH GWINNETT COUNTY AND TO A LESSER EXTENT SEVERAL SURROUNDING COUNTIES IN ADDITION TO THE MEDICALSURGICAL HOSPITALS THE ORGANIZATION ALSO INCLUDES THE GWINNETT WOMENS PAVILION ON THE GWINNETT MEDICAL CENTERLAWRENCEVILLE CAMPUS AS WELL AS THE GLANCY REHABILITATION CENTER IN DULUTH OTHER AFFILIATED ORGANIZATIONS INCLUDE GWINNETT HEALTH SYSTEM INC THE NONPROFIT PARENT ORGANIZATION OF GWINNETT HOSPITAL SYSTEM AND ITS AFFILIATES GWINNETT MEDICAL CENTER FOUNDATION A NONPROFIT PHILANTHROPIC ORGANIZATION THAT SUPPORTS THE GWINNETT HOSPITAL SYSTEM BY RAISING MONEY FOR CAPITAL EQUIPMENT PURCHASES FOR GWINNETT MEDICAL CENTERDULUTH AND GWINNETT MEDICAL CENTERLAWRENCEVILLE NEUROSCIENCE ORTHOPEDICS AND A VARIETY OF OTHER PROGRAMS GWINNETT MEDICAL PROPERTIES A NONPROFIT ORGANIZATION THAT OWNS MEDICAL PROPERTIES IN AND AROUND GWINNETT COUNTY FOR THE PURPOSE OF AIDING GWINNETT HOSPITAL SYSTEM IN FULFILLING ITS MISSION GWINNETT MEDICAL SERVICES A NONPROFIT ORGANIZATION WHOSE MISSION IS TO OPERATE PHYSICIAN CLINICS IN AND AROUND GWINNETT COUNTY
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	GEORGIA
GWINNETT MEDICAL CENTER LINE NUMBER 1 PART V LINE 3	PART V LINE 3	COMMUNITY INVOLVEMENT AND INPUT IS AN IMPORTANT COMPONENT OF OUR NEEDS ASSESSMENT PROCESS GWINNETT MEDICAL CENTER HAS CONDUCTED GWINNETT COMMUNITY HEALTH STATUS REPORTS WITH THE GWINNETT COUNTY HEALTH DEPARTMENT SINCE 1999 THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES IS A NOT FORPROFIT ORGANIZATION DEDICATED TO ADDRESSING THE HEALTH AND HUMAN SERVICE NEEDS OF EVERYONE IN GWINNETT COUNTY IT DOES SO THROUGH COLLABORATIVE COMMUNITY PLANNING APPLIED RESEARCH COMMUNITY EDUCATION MEMBERSHIP DIVERSITY CONSENSUS BUILD ADVOCACY AND INNOVATION OUR ORGANIZATION HAS BEEN AN ACTIVE PARTNER OF THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES GWINNETT COALITION FOR MORE THAN 20 YEARS IN SEPTEMBER 2011 THE INITIAL PLAN TO CONDUCT THE NEXT FIVEYEAR STRATEGIC PLAN WAS APPROVED BY THE GWINNETT COALITIONS EXECUTIVE BOARD OF DIRECTORS THE BOARD ALSO AGREED TO COLLABORATE WITH GWINNETT MEDICAL CENTER AND THE GWINNETT COUNTY HEALTH DEPARTMENT TO GATHER COMMUNITY DATA TO BE SHARED BY ALL THREE ORGANIZATIONS FOR COMMUNITY ASSESSMENT PROCESSES THESE THREE ENTITIES COMMITTED TO PROVIDING FINANCIAL AND INKIND SUPPORT FOR THE ASSESSMENT PROCESS THE ASSESSMENT ALSO INCLUDED PARTICIPATION OF COUNTY DEPARTMENTS SCHOOL DISTRICTS AND COMMUNITY SERVICE AGENCIES PROVIDING HEALTH AND RELATED SERVICES TO ENSURE INPUT FROM PERSONS WITH BROAD KNOWLEDGE OF THE COMMUNITY THE PARTNERSHIP CONDUCTED FOCUS GROUPS COMMUNITY SERVICE AGENCY TOWN HALL MEETINGS AND COMMUNITY KEY LEADER INTERVIEWS SUMMARY COMMUNITY REFERRAL DATA FROM THE GWINNETT COALITIONS HELPLINE WERE INCLUDED IN THE ANALYSIS IN ADDITION THE GWINNETT COUNTY 2010 YOUTH SURVEY RESULTS WERE INCLUDED IN THE COMMUNITY INPUT DATA SET GWINNETT COUNTY PUBLIC HEALTH DEPARTMENT STAFF MEMBERS WHO PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDE THE FOLLOWING LLOYD M HOFER MD MPH RECEIVED HIS MEDICAL DEGREE IN 1973 FROM THE UNIVERSITY OF ALABAMA DR HOFER IS BOARD CERTIFIED IN PEDIATRICS AND CERTIFIED IN MEDICAL MANAGEMENT DRHOFER PRACTICED PEDIATRICS AND ADOLESCENT HEALTH IN HATTIESBURG MISS AND MONTGOMERY ALA IN 1987 DR HOFER BEGAN HIS PROFESSIONAL CAREER IN PUBLIC HEALTH WITH THE ALABAMA DEPARTMENT OF PUBLIC HEALTH WHERE HE SERVED AS THE DIRECTOR OF THE DIVISION OF CHILD HEALTH UNTIL 1992 IN 1992 DR HOFER ACCEPTED THE POSITION OF DISTRICT 4 HEALTH DIRECTOR IN LAGRANGE GA DIVISION OF PUBLIC HEALTH DEPARTMENT OF HUMAN RESOURCES SERVING 12 COUNTIES DR HOFER DIRECTED MANAGEMENT OF FISCAL CLINICAL ADMINISTRATION AND DAY TO DAY OPERATIONS OF THE COUNTY HEALTH DEPARTMENTS HE SERVED IN THIS CAPACITY UNTIL 1997 FROM 1997 TO 2001 DR HOFER WAS AN ASSOCIATE MEDICAL DIRECTOR FOR BLUE CROSS BLUE SHIELD IN TENN AND ALA DR HOFER RETURNED TO GA PUBLIC HEALTH IN JANUARY 2002 AND IS THE DISTRICT HEALTH DIRECTOR FOR GWINNETT NEWTON AND ROCKDALE COUNTIES CONNIE RUSSELL IS A NATIVE OF GEORGIA WHO GRADUATED FROM SHORTER COLLEGE WITH A BUSINESS ADMINISTRATION DEGREE IN PSYCHOLOGY IN 1990 AND GEORGIA STATE UNIVERSITY WITH A MASTER OF ARTS IN PSYCHOLOGICAL SCIENCES IN 1993 CONNIE WORKED ON SEVERAL PUBLIC HEALTH RESEARCH PROJECTS RELATED TO MATERNAL SUBSTANCE ABUSE AT EMORY UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF PSYCHIATRY PRIOR TO BECOMING A CASE MANAGER FOR THE BABIES CANT WAIT EARLY INTERVENTION PROGRAM IN GWINNETT NEWTON AND ROCKDALE COUNTIES AFTER HOLDING VARIOUS POSITIONS WITH THAT PROGRAM INCLUDING EARLY INTERVENTION COORDINATOR SHE BECAME THE DISTRICT PROGRAM MANAGER FOR THE HEALTH DEPARTMENT IN 2004 AND THE DISTRICT PROGRAM DIRECTOR IN 2005 IN HER CURRENT POSITION CONNIE OVERSEES PROGRAM COMPLIANCE AND BUDGET MANAGEMENT FOR MORE THAN 15 PROGRAMS INCLUDING FAMILY PLANNING WIC NUTRITION IMMUNIZATIONS ADOLESCENT HEALTH AND YOUTH DEVELOPMENT CHILDRENS MEDICAL SERVICES CHILD HEALTH PROGRAMS PHARMACY EMERGENCY PREPAREDNESS AND COMMUNICATIONS SHE ALSO SERVES AS COMMUNITY LIAISON FOR THE HEALTH DEPARTMENT WORKING WITH A VARIETY OF ORGANIZATIONS TO SUPPORT THE HEALTH AND WELLBEING OF THE COMMUNITY FARRAH MACHIDA MSPH IS THE EPIDEMIOLOGY SUPERVISOR FOR THE GWINNETT NEWTON AND ROCKDALE COUNTY HEALTH DEPARTMENTS AND OVERSEES THE NOTIFIABLE DISEASE INVESTIGATIONS AT THE PUBLIC HEALTH DISTRICT OFFICE FOR THE PAST SIX YEARS SHE HAS WORKED AS AN INFECTIOUS DISEASE EPIDEMIOLOGIST AND HAS PROVIDED INFECTION CONTROL TRAININGS ACROSS THE COUNTY TO DAYCARES SCHOOLS COMMUNITY GROUPS AND REHABILITATION CENTERS SHE HAS WORKED WITH NUMEROUS COMMUNITY GROUPS ON HEALTH DATA ANALYSIS AND INFECTION CONTROL AND EMERGENCY PREPAREDNESS PLANNING SHAUNA METTEE RN MSN MPH IS ORIGINALLY FROM COLO WHERE SHE COMPLETED A BACHELORS DEGREE FROM THE UNIVERSITY OF COLORADO IN MOLECULAR CELLULAR AND DEVELOPMENTAL BIOLOGY AFTER GRADUATING IN 1996 SHAUNA WAS ACCEPTED INTO THE EMERGING INFECTIOUS DISEASE LABORATORY FELLOWSHIP AT CDC ASSISTING ON NUMEROUS OUTBREAK INVESTIGATIONS INCLUDING A CHOLERA OUTBREAK IN WEST AFRICA SHAUNA BECAME AN ER NURSE IN 2008 AND THEN COMPLETED TWO MASTERS DEGREES IN INTERNATIONAL NURSING AND GLOBAL PUBLIC HEALTH FROM EMORY UNIVERSITY WHILE AT EMORY SHAUNA WAS PRESIDENT OF SORTTHE STUDENT OUTBREAK AND RESPONSE TEAM IN 2009 SHAUNA JOINED THE US PUBLIC HEALTH SERVICE AS AN EPIDEMIC INTELLIGENCE SERVICE OFFICER AT CDC WHERE SHE INVESTIGATED FOOD AND WATERBORNE DISEASE OUTBREAKS BOTH IN THE US AND INTERNATIONALLY SINCE 2011 SHAUNA HAS SERVED THE GWINNETT NEWTON AND ROCKDALE COUNTY HEALTH DEPARTMENTS AS A CDC PREVENTIVE MEDICINE FELLOW WORKING WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN THE DISTRICT FOCUS GROUPS EIGHT COMMUNITY FOCUS GROUPS WERE CONDUCTED OVER A TWO MONTH PERIOD ONE HUNDRED COMMUNITY REPRESENTATIVES OF DIFFERENT AGES RACES AND INTERESTS PARTICIPATED MEMBERS OF MEDICALLY UNDERSERVED LOWINCOME AND MINORITY POPULATIONS AS WELL AS POPULATIONS WITH CHRONIC DISEASE NEEDS PARTICIPATED IN THE FOCUS GROUPS THE FOCUS GROUPS WERE ORGANIZED THROUGH THE GWINNETT COALITIONS RESEARCH AND ACCOUNTABILITY COMMITTEES MEMBER ORGANIZATIONS AND CONDUCTED IN VARIOUS COMMUNITY LOCATIONS ACCORDING TO THE SPECIFIC NEEDS OF THE GROUP TOPICS OF DISCUSSION INCLUDED QUALITY OF LIFE COMMUNITY RELATIONS AND ENGAGEMENT ECONOMIC AND FINANCIAL STABILITY EDUCATION SAFETY YOUTH AND HEALTH AND WELLNESS PLACE OF RESIDENCE FOR PARTICIPANTS INCLUDED BUFORD DACULA DULUTH GRAYSON LAWRENCEVILLE LILBURN NORCROSS SNELLVILLE AND SUWANEE OF THE 83 PARTICIPANTS WHO PROVIDED THEIR GENDER 6270 PERCENT WERE FEMALE AND 3730 PERCENT WERE MALE THERE WERE ALSO 83 PARTICIPANTS WHO PROVIDED INFORMATION AS TO WHETHER THEY WERE HISPANIC OR NOT ANSWERS SHOWED THAT 8000 PERCENT WERE NONHISPANIC AND 2000 PERCENT WERE HISPANIC A VARIETY OF LANGUAGES WERE REPRESENTED IN THE GROUPS INCLUDING CHINESE ENGLISH GUJARATI KOREAN NEPALI SPANISH AND VIETNAMESE THERE WAS ALSO A WIDE RANGE OF AGES THROUGHOUT THE FOCUS GROUPS THE AGE DISTRIBUTION OF PARTICIPANTS WAS FROM 13 TO 74 WITH 69 OF THE PARTICIPANTS RESPONDING PARTICIPANTS NOTED HAVING THE FOLLOWING CHRONIC CONDITIONS COPD DIABETES HEART DISEASE HIGH BLOOD PRESSURE HIGH CHOLESTEROL LOW BLOOD PRESSURE MENTAL ILLNESS SEIZURES AND SLEEP APNEA INCOME LEVELS THROUGHOUT THE GROUPS VARIED THIRTEEN PERCENT OF PARTICIPANTS HAD AN INCOME LEVEL OF LESS THAN 10000 THE LARGEST GROUP CONSISTED OF 22 PERCENT OF PARTICIPANTS WHO HAD AN INCOME LEVEL BETWEEN 25000 AND 35000 THE DISTRIBUTION OF PARTICIPANTS INCOME LEVELS WAS HOWEVER SPREAD SOMEWHAT EVENLY THROUGHOUT THE INCOME LEVEL RANGES TOWN HALL MEETINGS THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES IN COOPERATION WITH GWINNETT MEDICAL CENTER AND THE GWINNETT COUNTY HEALTH DEPARTMENT CONDUCTED A TOWN HALL MEETING AT THE NORCROSS COMMUNITY CENTER LOCATED AT 10 COLLEGE STREET NORCROSS GA TWO SESSIONS WERE HELD TO MAXIMIZE ATTENDANCE APPROXIMATELY 88 INDIVIDUALS FROM VARIOUS GWINNETT COUNTY AGENCIES PARTICIPATED EACH SESSION MORNING AND AFTERNOON CONSISTED OF A THREEHOUR PERIOD WHERE ATTENDEES ENGAGED IN ONE OF SIX BREAKOUT GROUPS DEFINED BY THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES STRATEGIC PLAN AREAS HEALTH AND WELL BEING COMMUNITY ENGAGEMENT EDUCATION SAFETY ECONOMIC AND FINANCIAL STABILITY AND BASIC NEEDS AND DEVELOPED A LIST OF COMMUNITY NEEDS FROM THIS LIST THE TOP FIVE NEEDS WERE CHOSEN IN NO CHRONOLOGICAL ORDER AND SUBMITTED FOR A LARGE GROUP PRIORITIZATION SESSION THE LARGE GROUP PRIORITIZATION SESSION CONDUCTED BY CAROLYN AIDMAN OF THE URBAN HEALTH INITIATIVE CONSISTED OF A THREE TIERED VOTING SYSTEM TO RANK EACH NEED WITHIN EACH SPECIFIC STRATEGIC PLAN AREA AND TO GARNER AN OVERALL RATING OF ALL COMMUNITY NEEDS FOR GWINNETT COUNTY KEY INFORMANT INTERVIEWS FIFTEEN INDIVIDUAL KEY INFORMANT INTERVIEWS WERE CONDUCTED BY A REPRESENTATIVE FROM THE GWINNETT COUNTY HEALTH DEPARTMENT KEY INFORMANTS ARE COMMUNITY LEADERS WITH UNIQUE KNOWLEDGE AND INFLUENCE IN THE COMMUNITY THE PARTICIPANTS WERE CHOSEN USING MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS MAPP GUIDELINES THE FACETOFACE INTERVIEWS WERE CONDUCTED BY A SINGLE INTERVIEWER OVER A THREE
GWINNETT MEDICAL CENTER LINE NUMBER 1 PART V LINE 4	PART V LINE 4	GWINNETT MEDICAL CENTER IN LAWRENCEVILLE AND GWINNETT MEDICAL CENTER DULUTH ARE LOCATED 10 MILES APART IN GWINNETT COUNTY THE MAJORITY OF PATIENTS WHO USE EACH FACILITY ARE GWINNETT COUNTY RESIDENTS THEREFORE BOTH FACILITIES PARTICIPATED IN GATHERING DATA FOR THEIR CHNAS WITH THE GWINNETT COALITION AND THE GWINNETT HEALTH DEPARTMENT
GWINNETT MEDICAL CENTER LINE NUMBER 1 PART V LINE 7	PART V LINE 7	WHEN GATHERING INPUT FROM COMMUNITY MEMBERS THROUGH FOCUS GROUPS TOWN HALL MEETINGS AND KEY INFORMANT INTERVIEWS OUR COMMUNITY IDENTIFIED NEEDS IN AREAS AFFECTING QUALITY OF LIFE COMMUNITY RELATIONS AND ENGAGEMENT ECONOMIC AND FINANCIAL STABILITY EDUCATION SAFETY YOUTH AS WELL AS HEALTH AND WELLNESS THE LEADING CONCERNS WERE TRANSPORTATION AND ROAD CONGESTION COMMUNITY COMMUNICATION AND ENGAGEMENT INCREASING HOMELESSNESS AND JOB LOSSES LACK OF DIVERSITY IN COMMUNITY LEADERSHIP AND RESIDENTS WITHOUT ADEQUATE HEALTH INSURANCE THESE COMMUNITY NEEDS ARE NOT BEING ADDRESSED DIRECTLY BY THE HOSPITAL BECAUSE THESE NEEDS ARE OUTSIDE THE HOSPITALS SCOPE OF PRACTICE AND THE HOSPITAL DOES NOT HAVE RESOURCES TO ADDRESS THEM HOWEVER AS A MEMBER ORGANIZATION OF THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES WE PARTICIPATE IN COALITION INITIATIVES TO STRIVE TO IMPROVE THESE ISSUES IN COLLABORATION WITH OTHERS IN OUR COMMUNITY FROM A HEALTH PERSPECTIVE LACK OF ADEQUATE DENTAL CARE FOR RESIDENTS WITHOUT INSURANCE AND LACK OF MENTAL HEALTH SERVICES WERE IDENTIFIED NEEDS BY COMMUNITY REPRESENTATIVES WHILE HOSPITAL LEADERSHIP AGREES THAT ADEQUATE DENTAL CARE FOR RESIDENTS WITHOUT INSURANCE IS AN ISSUE ADDRESSING THIS ISSUE IS OUTSIDE THE HOSPITALS SCOPE OF PRACTICE THE COALITIONS HEALTH AND WELLNESS COMMITTEE IS AWARE OF THIS PROBLEM AND WOULD LIKE TO WORK WITH THE COMMUNITYS DENTAL CARE PROVIDERS TO DEVELOP A PLAN OF SUPPORT FOR THIS ISSUE AT THIS TIME NO CHAMPION FOR THIS INITIATIVE HAS BEEN IDENTIFIED THERE ARE IDENTIFIED COMMUNITY HEALTH NEEDS IN WHICH OUR HOSPITALS ONLY PROVIDE MINIMAL SUPPORT BECAUSE WE DO NOT HAVE DESIGNATED TREATMENT UNITS OR OUTREACH PROGRAMS FOR THESE CONDITIONS ALTHOUGH WE TRIAGE PATIENTS WITH BEHAVIORAL AND MENTAL HEALTH CONDITIONS AND SUBSTANCE ABUSE PROBLEMS IN OUR EMERGENCY DEPARTMENTS OUR ORGANIZATION DOES NOT HAVE TREATMENT UNITS FOR THESE CONDITIONS HOWEVER GWINNETT HOSPITAL SYSTEM INC COVERS UP TO FIVE DAYS OF THE COST FOR TREATMENT AT RIVERWOODS FOR MEDICALLY INDIGENT EMERGENCY DEPARTMENT OR INPATIENT PATIENTS WHO MEET THE CRITERIA AND ARE IN NEED OF INPATIENT PSYCHIATRIC TREATMENT SUMMITRIDGE HOSPITAL IS A PRIVATE FORPROFIT PSYCHIATRY AND ADDICTION MEDICINE FACILITY IN LAWRENCEVILLE ADDITIONALLY THE STATE OF GEORGIA PROVIDES MENTAL HEALTH SERVICES THROUGH VIEW POINT HEALTH FORMERLY KNOWN AS GWINNETT ROCKDALE NEWTON COMMUNITY SERVICE BOARD GMCLAWRENCEVILLE HAS A LEVEL III NEONATAL INTENSIVE CARE UNIT AND A 12BED PEDIATRIC EMERGENCY DEPARTMENT HOWEVER THE HOSPITAL DOES NOT HAVE A PRIMARY FOCUS ON INPATIENT PEDIATRICS GWINNETT COUNTY HAS A WIDE RANGE OF PEDIATRIC HEALTHCARE SERVICES AVAILABLE THROUGH CHILDRENS HEALTHCARE OF ATLANTA THE SPORTS MEDICINE PROGRAM IS A COMMUNITY OUTREACH PROGRAM THAT PROVIDES SPORTS MEDICINE TRAINERS FOR YOUTH IN LOCAL HIGH SCHOOLS AND COMMUNITY SPORTS ORGANIZATIONS
GWINNETT MEDICAL CENTER LINE NUMBER 1 PART V LINE 14G	PART V LINE 14G	GWINNETT MEDICAL CENTER NOTICE REGARDING THE HOSPITALS FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS UPON ADMISSION AT PATIENT REGISTRATION AREAS AND IN OTHER PUBLIC PLACES THROUGHOUT THE FACILITY AND WITH PATIENT INVOICES POSTINGS ARE PROVIDED IN ENGLISH SPANISH VIETNAMESE AND KOREAN GWINNETT MEDICAL CENTER DULUTH SAME AS ABOVE
GWINNETT MEDICAL CENTER LINE NUMBER 2 PART V LINE 3	PART V LINE 3	SEE DISCUSSION FOR GWINNETT MEDICAL CENTER PREVIOUSLY DISCLOSED GWINNETT MEDICAL CENTER IN LAWRENCEVILLE AND GWINNETT MEDICAL CENTER DULUTH ARE LOCATED 10 MILES APART IN GWINNETT COUNTY THE MAJORITY OF PATIENTS WHO USE EACH FACILITY ARE GWINNETT COUNTY RESIDENTS THEREFORE BOTH FACILITIES PARTICIPATED IN GATHERING DATA FOR THEIR CHNAS WITH THE GWINNETT COALITION AND THE GWINNETT HEALTH DEPARTMENT
GWINNETT MEDICAL CENTER LINE NUMBER 2 PART V LINE 4	PART V LINE 4	GWINNETT MEDICAL CENTER IN LAWRENCEVILLE AND GWINNETT MEDICAL CENTER DULUTH ARE LOCATED 10 MILES APART IN GWINNETT COUNTY THE MAJORITY OF PATIENTS WHO USE EACH FACILITY ARE GWINNETT COUNTY RESIDENTS THEREFORE BOTH FACILITIES PARTICIPATED IN GATHERING DATA FOR THEIR CHNAS WITH THE GWINNETT COALITION AND THE GWINNETT HEALTH DEPARTMENT
GWINNETT MEDICAL CENTER LINE NUMBER 2 PART V LINE 7	PART V LINE 7	SEE PREVIOUSLY DISCLOSED DISCUSSION FOR GWINNETT MEDICAL CENTER
GWINNETT MEDICAL CENTER LINE NUMBER 2 PART V LINE 14G	PART V LINE 14G	NOTICE REGARDING THE HOSPITALS FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS UPON ADMISSION AT PATIENT REGISTRATION AREAS AND IN OTHER PUBLIC PLACES THROUGHOUT THE FACILITY AND WITH PATIENT INVOICES POSTINGS ARE PROVIDED IN ENGLISH SPANISH VIETNAMESE AND KOREAN

Schedule H (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
GWINNETT HOSPITAL SYSTEMINC

Employer identification number
58-2002413

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) GWINNETT MEDICAL GROUP INC 1000 MEDICAL CENTER BOULEVARD LAWRENCEVILLE,GA30046	58-2143107	501C3	25,000,000	TRANSFER CASH/ASSETS
(2) PARTNERSHIP AGAINST DOMESTIC VIOLAN PO BOX 170225 DECATUR,GA30030	58-1314556	501C3	25,000	SUPPORT
(3) CINK CHARITIES 6555 SUGARLOAF PARKWAY SUITE 330 DULUTH,GA30097	45-5277628	501C3	6,000	SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(e)Method of valuation (book, FMV, appraisal, other)
(1) EDUCATIONAL SCHOLARSHIPS	41	42,500	FMV OF CAS

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES	SCHEDULE I, PAGE 1, PART I, LINE 2	SCHEDULE I, PART I, LINE 2: GRANTS WERE MADE ONLY TO 501C3 ORGANIZATIONS. SCHOLARSHIPS ARE GIVEN ANNUALLY THROUGH AN OPEN APPLICATION PROCESS. APPLICATIONS ARE ACCEPTED FOR 6 WEEKS EACH YEAR. APPLICATIONS ARE REVIEWED BY A COMMITTE COMPRISED ON HUMAN RESOURCE AND LEARNING RESOURCE EMPLOYEES. THOSE SELECTED ARE ENROLLED IN A HEALTHCARE PROFESSIONAL DEGREE PROGRAM IN AN ACCREDITED COLLEGE OR UNIVERSITY. THE COMMITTEE EVALUATES APPLICANTS USING A 13 POINT PROCESS WITH EXTRA WEIGHTING GIVEN TO (1) THOSE APPLICANTS WITH HIGH GPAS; (2) STUDYING IN AREAS OF COMMUNITY NEED; (3) PROVIDING REFERENCE LETTERS FROM CREDENTIALED PROFESSIONALS; AND (4) INDICATES AN INTEREST IN WORKING WITH THE HOSPITAL UPON COMPLETION OF THE DEGREE.

Schedule I (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

GWINNETT HOSPITAL SYSTEMINC

Employer identification number

58-2002413

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)PHILIP WOLFEPRESIDENT & CEO	(i) (ii)	565,249	245,564	269,509	103,070	15,587	1,198,979	72,659
(2)THOMAS Y MCBRIDE IIIEXECUTIVE VP & CFO	(i) (ii)	321,695	113,651	100,313	317,367	12,658	865,684
(3)ALAN BIEREXECUTIVE VP & CFO	(i) (ii)	328,550	115,693	84,137	48,570	25,051	602,001
(4)JEFFERY NOWLINEXECUTIVE VP & CHIEF	(i) (ii)	297,314	119,478	93,576	46,646	20,245	577,259
(5)WALLACE BROWNSENIOR VP & CHIEF IN	(i) (ii)	220,040	92,713	94,031	16,250	18,698	441,732	12,114
(6)STEPHEN NADEAUSENIOR VP OF HUMAN	(i) (ii)	241,876	65,828	52,637	44,404	15,677	420,422	6,220
(7)PETER WHEELERGENERAL LEGAL COUNSE	(i) (ii)	214,860	66,068	69,928	44,523	25,456	420,835	9,677
(8)LEA BAYSR VP & PRESIDENT	(i) (ii)	223,002	67,056	54,248	44,529	22,321	411,156	16,615
(9)CAROL DANIELSONSENIOR VP & CHIEF	(i) (ii)	221,013	64,739	54,735	37,961	25,950	404,398
(10)JESSIE T SHEPHERDSR VP PLAN & DEVELOP	(i) (ii)	218,927	61,327	40,069	35,353	23,601	379,277
(11)JAMES DENNARD JRVP & COO GMC	(i) (ii)	188,727	48,566	17,046	17,443	24,520	296,302
(12)THOMAS LYNCHVP MANAGED CARE	(i) (ii)	176,625	41,325	25,582	21,597	25,821	290,950	4,663
(13)SCOTT OREMVP FINANCE	(i) (ii)	174,476	47,181	16,574	26,257	27,995	292,483
(14)DIANA POTTSCHIEF NURSING OFFICE	(i) (ii)	139,721	41,483	44,093	23,167	9,513	257,977
(15)CATHY DOUGHERTYASSISTANT VP REVENUE	(i) (ii)	137,259	27,084	21,157	12,559	23,657	221,716
(16)BONNY RICHARDSONASSOCIATE LEGAL COUN	(i) (ii)	136,093	29,508	17,166	11,311	11,647	205,725
(17)MIKE HEMPHILLDIRECTOR OF MATERIAL	(i) (ii)	123,722	18,421	25,290	12,509	23,069	203,011
(18)JANET SCHWALBEVP PHYSICIAN SVC	(i) (ii)	158,986	46,352	26,048	21,723	11,534	264,643
(19)RICHARD K ALLENAVP INFORMATION SVC	(i) (ii)	148,335	30,449	6,060	11,803	23,826	220,473
(20)DARVINA HEICHEMERDIR SURGICAL SVCS	(i) (ii)	128,413	18,950	24,553	11,868	4,822	188,606
(21)CATHIE L BRAZELLDIRECTOR WOMEN'S SVC	(i) (ii)	141,811	16,067	13,158	6,513	9,392	186,941
(22)CHRISTOPHER R TROCCHIODIR PERFUSION CV SV	(i) (ii)	139,136	13,260	9,575	6,356	23,429	191,756

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	GWINNETT HOSPITAL PAID FOR LIMITED SPOUSAL TRAVEL FOR CERTAIN EXECUTIVES WHEN ATTENDING MEETINGS WHERE SPOUSAL ATTENDANCE IS CONSIDERED APPROPRIATE BY THE HOSPITAL. THE COST OF SUCH TRAVEL IS INCLUDED ON EACH EMPLOYEE'S FORM W-2 AS TAXABLE WAGES. GWINNETT HOSPITAL PAID TAX GROSS-UP PAYMENTS ON CERTAIN EMPLOYEE BENEFITS, SUCH AS GROUP TERM LIFE INSURANCE, FOR CERTAIN EXECUTIVES. EACH INDIVIDUAL'S FORM W-2 INCLUDES ANY SUCH PAYMENTS AS TAXABLE WAGES. GWINNETT HOSPITAL PAID MONTHLY DUES FOR CERTAIN EXECUTIVES FOR A SOCIAL CLUB LOCATED NEAR THE HOSPITAL AND USED PRIMARILY FOR BUSINESS PURPOSES. ALL DUES PAID BY THE HOSPITAL FOR THESE EXECUTIVES WERE INCLUDED ON THEIR FORM W-2 AS TAXABLE WAGES.
RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 3	COMPENSATION PRACTICES FOR ALL GWINNETT ENTITIES ARE SUBJECT TO THE CONTROL AND OVERSIGHT OF THE COMPENSATION COMMITTEE OF GWINNETT HEALTH SYSTEM. SEE SCHEDULE O EXPLANATION OF COMPENSATION COMMITTEE RESPONSIBILITIES AND PRACTICES.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	PHILIP WOLFE 0 89,320 0 THOMAS Y MCBRIDE, III 0 298,617 0 ALAN BIER 0 36,070 0 JEFFERY NOWLIN 0 34,146 0 STEPHEN NADEAU 0 25,654 0 PETER WHEELER 0 25,748 0 LEA BAY 0 25,779 0 CAROL DANIELSON 0 25,461 0 JESSIE T. SHEPHERD 0 16,730 0 JAMES DENNARD JR 0 10,000 0 THOMAS LYNCH 0 9,650 0 SCOTT OREM 0 9,265 0 DIANA POTTS 0 8,226 0 JANET SCHWALBE 0 8,596 0
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	CERTAIN DESIGNATED EMPLOYEES ARE ALLOWED TO PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE SERP IS SUBJECT TO THE PROVISIONS OF SECTION 457(F) OF THE INTERNAL REVENUE CODE. PARTICIPANTS WHO SEPARATE FROM SERVICE DUE TO A VOLUNTARTY SEPARATION OR INVOLUNTARY SEPARATION WITH REASONABLE CAUSE FORFEIT ALL NONVESTED BENEFITS.

Schedule J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
GWINNETT HOSPITAL SYSTEMINC

Employer identification number
58-2002413

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HOSPITAL AUTHORITY OF GWINNETT CO	58-6011878	403732DE7	11-12-2009	32,700,000	CURRENTLY REFUND PRIOR ISSUE		X		X		X
B	HOSPITAL AUTHORITY OF GWINNETT CO	58-6011878	403732DS6	11-12-2009	36,435,000	CURRENTLY REFUND PRIOR ISSUE		X		X		X
C	HOSPITAL AUTHORITY OF GWINNETT CO	58-6011878	403732DU1	11-12-2009	19,240,000	CURRENTLY REFUND PRIOR ISSUE		X		X		X
D	HOSPITAL AUTHORITY OF GWINNETT CO	58-6011878	403732DZ0	11-12-2009	61,095,000	CURRENTLY REFUND PRIOR ISSUE		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	305,000		2,795,000		200,000		945,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	32,700,000		36,435,000		19,240,000		61,095,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .
11 Other spent proceeds . . . . . . . . . . . . . .	32,700,000		36,435,000		19,240,000		61,095,000
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2007		2007		2007		2007
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	%		%		%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	%		%		%		%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	%		%		%		%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . . . .
e Was a hedge terminated? . . . . . . .

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

GWINNETT HOSPITAL SYSTEMINC

Employer identification number

58-2002413

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance
(1) MARY CLAIRE CARNES	FAMILY OF BOARD MEMB	2,000	SCHOLARSHIP	EDUCATION

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) TRACEY WALDROP	DAUGHTER OF BOA	48,596	COMPENSATION		No
(2) CARDIOVASCULAR GROUP PC	BOARD MEMBER	1,048,759	MEDICAL PRACTICE OF		No
(3) GWINNETT EMERGENCY SPECIALISTS	BOARD MEMBER	157,608	MEDICAL PRACTICE OF		No

Part V

Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
ADDITIONAL INFORMATION	SCHEDULE L PART V	SCHEDULE L PART III GRANTS OR ASSISTANCE TO INTERESTED PERSONS MARY CLAIRE CARNES DAUGHTER OF BOARD MEMBER DR KEITH CARNES WAS AWARDED A 2000 SCHOLARSHIP FOR NURSING STUDIES A NAME OF PERSON TRACEY WALDROP B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION DAUGHTER OF BOARD MEMBER EDWARD RADFORD D DESCRIPTION OF TRANSACTION TRACEY IS EMPLOYED BY GWINNETT HOSPITAL SYSTEM INC A NAME OF PERSON CARDIOVASCULAR GROUP PC B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION MEDICAL PRACTICE OF BOARD MEMBER MANFRED SANDLER D DESCRIPTION OF TRANSACTION MEDICAL SERVICES PROVIDED BY GROUP A NAME OF PERSON GWINNETT EMERGENCY SPECIALISTS B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION MEDICAL PRACTICE OF BOARD MEMBER CARLTON BUCHANAN D DESCRIPTION OF TRANSACTION ADMINISTRATION OF EMERGENCY DEPARTMENT OF GWINNETT HOSPITAL

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

GWINNETT HOSPITAL SYSTEMINC

Employer identification number

58-2002413

Identifier	Return Reference	Explanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	GWINNETT HOSPITAL SYSTEM, INC. (GHSI) IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GWINNETT COMMUNITY AND BEYOND. GHSI HAS CAMPUSES IN DULUTH & LAWRENCEVILLE, GEORGIA. GHSI PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALITY, OPEN HEART SURGERY, AND OPERATES TWO EMERGENCY ROOMS AND SEVERAL CLINICS AS WELL AS A FULL CONTINUUM OF WELLNESS SERVICES.
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEER SERVICES HAS A DATABASE SYSTEM THAT TRACKS THE NUMBER OF VOLUNTEERS AND THEIR HOURS. DURING FISCAL YEAR 2012 VOLUNTEERS CONTRIBUTED 55,000 HOURS OF SERVICE TO GWINNETT HOSPITAL SYSTEM, INC.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PAGE 6, PART VI, LINE 4	THE ORGANIZATION'S BYLAWS WERE AMENDED TO REQUIRE A MAJORITY OF THE BOARD OF DIRECTORS BE COMPRISED OF INDEPENDENT DIRECTORS, AS DEFINED IN THE INSTRUCTIONS TO FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX.
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	THE SOLE MEMBER OF GWINNETT HOSPITAL SYSTEM, INC IS GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. IS APPOINTED BY THE GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	CERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF GWINNETT HOSPITAL SYSTEM, INC. MUST BE APPROVED BY THE BOARD OF DIRECTORS OF GWINNETT HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE INFORMATION FOR THIS RETURN WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT FOR THE PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED AND PRIOR TO FILING, IT WAS REVIEWED IN DETAIL BY SENIOR MANAGEMENT. GWINNETT HOSPITAL SYSTEM MAKES A COPY OF THE 990 AVAILABLE TO ALL BOARD MEMBERS THROUGH A SECURE WEBSITE PRIOR TO FILING. IT IS ALSO PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD EACH YEAR.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	A CONFLICTS OF INTEREST QUESTIONNAIRE IS DISCUSSED AND DISTRIBUTED ANNUALLY TO EACH BOARD MEMBER. THE LEGAL DEPARTMENT IS RESPONSIBLE FOR ENSURING THESE QUESTIONNAIRES ARE SIGNED AND RETURNED. LEGAL MONITORS ALL TRANSACTIONS INVOLVING CONFLICTS OF INTEREST WITH BOARD MEMBERS. BOARD MEMBERS MUST DISCLOSE POTENTIAL CONFLICTS USING A REASONABLE BELIEF STANDARD; PLAY NO DIRECT OR INDIRECT PART IN DELIBERATIONS; AND ABSENT HIMSELF FROM THE MEETING AT WHICH ANY POTENTIAL CONFLICT IS DISCUSSED. ONLY NONCONFLICTED MEMBERS MAY DECIDE TO PURSUE A TRANSACTION OR ARRANGEMENT INVOLVING A POTENTIAL CONFLICT IF A MAJORITY DETERMINES THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. VIOLATION OF THE COI POLICY IS SUBJECT TO CORRECTIVE ACTION, INCLUDING EXONERATION, CENSURE AND REQUESTING THE RESIGNATION OF THE MEMBER. APPROVAL FOR ANY LOANS, PAYMENTS, HONORARIUMS, TRIP OR TRAVEL REIMBURSEMENTS, SERVICES, PRODUCTS, ENTERTAINMENT, PRIZES OR AWARDS PROVIDED TO ANY BOARD MEMBER MUST BE APPROVED BY AN ADMINISTRATIVE OFFICER OR HIS/HER DESIGNEE. THE CEO MUST OBTAIN THE APPROVAL OF THE CHAIRMAN OF THE BOARD (AND PAYMENTS TO THE CEO ARE APPROVED BY ANOTHER ADMINISTRATIVE OFFICER.) IN ADDITION, HUMAN RESOURCES SENDS OUT A CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM TO OFFICERS AND KEY EMPLOYEES EVERY 3-5 YEARS. THESE OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS THAT ARISE DURING THE FISCAL YEAR.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	GWINNETT HEALTH SYSTEM, INC. (HEALTH SYSTEM) BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE MADE UP OF VARIOUS BOARD MEMBERS WHO REVIEW COMPENSATION OF THE CEO, TOP MANAGEMENT, AND OTHER KEY EMPLOYEES. THIS COMPENSATION COMMITTEE IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF THE SALARY OF THE CEO. THE CEO IS RESPONSIBLE FOR DETERMINING THE SALARIES OF TOP MANAGEMENT WITH OVERSIGHT BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. AN INDEPENDENT PROFESSIONAL EXECUTIVE COMPENSATION CONSULTING COMPANY HIRED BY THE BOARD PROVIDES SALARY AND BENEFIT SURVEY INFORMATION AND MAKES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE REGARDING COMPENSATION OF THE CEO, TOP MANAGEMENT, AND KEY EMPLOYEES. THESE PERIODIC SURVEYS ARE CONDUCTED TO ENSURE THE SALARIES AND BENEFITS FOR GHSI EXECUTIVES AND OTHER DISQUALIFIED PARTIES ARE COMPENSATED APPROPRIATELY AT FAIR MARKET VALUE.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	SEE NARRATIVE AT LINE 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE FILED AND AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE OR THROUGH THAT OFFICE. GOVERNING DOCUMENTS CAN ALSO BE OBTAINED BY CONTACTING GHSI. LIMITED FINANCIAL INFORMATION IS AVAILABLE ONLINE THROUGH THE COMMUNITY BENEFIT REPORT AS WELL AS OUR ANNUAL REPORT, BOTH OF WHICH ARE AVAILABLE ON LINE AT WWW.GWINNETTMEDICALCENTER.ORG. GWINNETT HOSPITAL'S CONFLICT OF INTEREST POLICY CAN BE OBTAINED BY CONTACTING GHSI. GHSI IS UNDER OBLIGATION TO DISCLOSE TO BOND HOLDERS PERTINENT FINANCIAL INFORMATION IN THE ANNUAL DISCLOSURE DOCUMENTS. CONTACT INFORMATION FOR GHSI CAN BE OBTAINED AT WWW.GWINNETTMEDICALCENTER.ORG.
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	INTEREST RATE SWAP CHANGE 14,240,028 BOND DEFEASEMENT -429,106 INCREASE IN INTEREST IN FOUNDATION 247,763 BAD DEBT EXPENSES RECLASSIFIED -101,998,959 BAD DEBT EXPENSES RECLASSIFIED 101,998,959 CONTRIBUTION TO RELATED PARTY 25,000,000
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	ACCRUED PENSION ADJUSTMENTS 15,671,306 FUND BALANCE TRANSFER RELATED PARTY 2,120,834 CONTRIBUTION TO RELATED PARTY -25,000,000 ROUNDING -35 NET INCREASE IN NET ASSETS 31,850,790

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

GWINNETT HOSPITAL SYSTEMINC

Employer identification number

58-2002413

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(f) Direct controlling entity
(1) GWINNETT ENDOSCOPY SERVICES LLC 1000 MEDICAL CENTER BLVD LAWRENCEVILLE,GA30046 26-2905890	INACTIVE	GA	GW HOSP SY

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) GWINNETT HEALTH SYSTEM INC 1000 MEDICAL CENTER BLVD LAWRENCEVILLE,GA30046 58-2135755	PARENT	GA	501C3	11A	N/A		No
(2) GWINNETT HOSPITAL SYSTEM FOUNDATION 1755 NORTH BROWN RD 100 LAWRENCEVILLE,GA30046 58-1828486	FUNDRAISIN	GA	501C3	7	N/A		No
(3) GWINNETT MEDICAL GROUP INC 1000 MEDICAL CENTER BLVD LAWRENCEVILLE,GA30046 58-2143107	PHYSICIAN	GA	501C3	3	HEALTH SYS		No
(4) GWINNETT MEDICAL PROPERTIES INC 1000 MEDICAL CENTER BLVD LAWRENCEVILLE,GA30046 58-2132516	REAL ESTAT	GA	501C3	11A	HEALTH SYS		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) GWINNETT MANAGED CARE INC 1000 MEDICAL CENTER BLVD LAWRENCEVILLE,GA30046 58-2135759	PHO	GA	N/A					No

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: GWINNETT HOSPITAL SYSTEM, INC. (GHSI) IS A NOT-FOR-PROFIT HEALTHCARE NETWORK THAT PROVIDES AWARD-WINNING HEALTH CARE SERVICES TO THE GWINNETT COMMUNITY AND BEYOND. GHSI HAS CAMPUSES IN DULUTH & LAWRENCEVILLE, GEORGIA. GHSI PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, NEUROSCIENCE SPECIALITY, OPEN HEART SURGERY, AND OPERATES TWO EMERGENCY ROOMS AND SEVERAL CLINICS AS WELL AS A FULL CONTINUUM OF WELLNESS SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	5
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	3
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	4,978
6	Total number of volunteers (estimate if necessary) .............	6	300
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	801,751
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	435,142

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,070,589	556,714
9	Program service revenue (Part VIII, line 2g) .........	621,420,270	684,064,396
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,859,335	21,595,754
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,445,786	4,711,870
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	645,795,980	710,928,734
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	12,653,550	25,076,222
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	254,119,157	277,373,574
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 361,923
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	338,995,004	381,674,437
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	605,767,711	684,124,233
19	Revenue less expenses. Subtract line 18 from line 12.......	40,028,269	26,804,501
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	840,356,628	853,676,447
21	Total liabilities (Part X, line 26).............	462,597,018	419,944,109
22	Net assets or fund balances. Subtract line 21 from line 20.....	377,759,610	433,732,338

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 590,171,384 including grants of $ 25,000,000 ) (Revenue $ 684,208,440 )
	GWINNETT HOSPITAL SYSTEM, INC'S PRIMARY PROGRAM ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITAL PROVIDES ACUTE CARE, OUTPATIENT SERVICES, ORTHOPEDIC, CARDIOVASCULAR, OPEN HEART SURGERY, NEUROSCIENCE SPECIALITY, AND OPERATES TWO EMERGENCY ROOMS AND WELL WOMAN SERVICES AS WELL AS A FULL CONTINUUM OF WELLNESS SERVICES. IN ADDITION, THE HOSPITAL PROVIDES NURSING CARE IN THE AREAS OF MEDICAL, POST-SURGICAL, OPEN HEART, EMERGENCY CARE, CRITICAL AND INTERMEDIATE CARE TO PATIENTS. THE HOSPITAL SYSTEM PROVIDES SEVERAL SUBSIDIZED SERVICES TO THE PUBLIC BELOW COST. THESE INCLUDE A CARE-A-VAN FOR MAMMOGRAPHY, DIABETES AND NUTRITION SERVICES, REHAB AND RENAL SERVICES AS WELL AS A WOUND CARE CLINIC WHICH ARE INCLUDED IN THE COST OF OPERATING THE HOSPITAL.

4b	(Code: ) (Expenses $ 4,806,475 including grants of $ 33,722 ) (Revenue $ 215,576 )
	THE HOSPITAL SYSTEM PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES. THE LARGEST OF THESE PROGRAMS IS THE CONGREGATIONAL HEALTH MINISTRY LOCATED IN MANY OF OUR FAITH BASED ORGANIZATIONS, AND SPORTS MEDICINE SUPPORT SERVICES OFFERED THROUGH OUR SCHOOLS AND THE GWINNETT COUNTY PARK AND RECREATIONAL DEPARTMENT. THESE PROGRAMS ARE CONDUCTED IN THE COMMUNITY THROUGH 12 FAITH-HEALTH ORGANIZATIONS, 17 SCHOOLS AND YOUTH SPORTS LEAGUES.

4c	(Code: ) (Expenses $ 3,423,089 including grants of $ 42,500 ) (Revenue $ 6,265 )
	THE HOSPITAL SYSTEM PROVIDES HEALTH PROFESSIONAL EDUCATION SERVICES WHICH FOCUS ON NURSING AND OTHER ALLIED HEALTH PROFESSIONALS EDUCATIONAL PROGRAMS. GWINNETT HOSPITAL SYSTEM IS ASSOCIATED WITH 25 LOCAL ACADEMIC INSTITUTIONS AND PROVIDES TRAINING TO 32 OTHER ACADEMIC INSTITUTIONS FOR HEALTH PROFESSIONALS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses598,400,948

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	7,246,020	1,398,030

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		340,387
e	Government grants (contributions)1e		168,750

f	All other contributions, gifts, grants, and similar amounts not included above1f		47,577

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			556,714
			Business Code
2a	PATIENT SERVICE REVENUE		623000	678,248,584	678,248,584
b	DISCOUNTS		623000	3,989,490	3,989,490
c	MANAGEMENT FEES		900099	639,515	639,515
d	REFERENCE LAB		621500	504,885		504,885
e	COMMUNITY HEALTH SERVICES		621990	385,056	385,056
f	All other program service revenue .			296,866		296,866
g	Total. Add lines 2a–2f........			684,064,396
3	Investment income (including dividends, interest, and other similar amounts).......			10,230,654			10,230,654
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	424,306
b	Less: rental expenses
c	Rental income or (loss)	424,306
d	Net rental income or (loss).......			424,306			424,306
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	10,905,794	1,566,348
b	Less: cost or other basis and sales expenses		1,107,042
c	Gain or (loss)	10,905,794	459,306
d	Net gain or (loss)..........			11,365,100			11,365,100
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	CAFETERIA & VENDING		722514	2,159,543			2,159,543
b	PARKING		900099	960,385			960,385
c	RESIDENCY DEVELOPMENT		900099	286,320	286,320
d	All other revenue ....			881,316	881,316
e	Total. Add lines 11a–11d ......			4,287,564
12	Total revenue. See Instructions......			710,928,734	684,430,281	801,751	25,139,988


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			64,787,633	1	49,396,553
2	Savings and temporary cash investments .........			30,765,661	2	31,216,329
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			88,720,468	4	105,869,398
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			1,273,630	7	936,107
8	Inventories for sale or use ..............			5,158,876	8	6,234,850
9	Prepaid expenses and deferred charges ..........			8,209,111	9	8,604,336
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	636,539,084
b	Less: accumulated depreciation .....	10b	339,686,679	301,654,275	10c	296,852,405
11	Investments—publicly traded securities ..........			319,366,863	11	336,304,848
12	Investments—other securities. See Part IV, line 11 .....			8,446,959	12	9,365,303
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			3,430,000	14	3,430,000
15	Other assets. See Part IV, line 11 ...........			8,543,152	15	5,466,318
16	Total assets. Add lines 1 through 15 (must equal line 34)......			840,356,628	16	853,676,447
17	Accounts payable and accrued expenses .........			38,746,167	17	40,568,504
18	Grants payable .................				18
19	Deferred revenue ................			369,519	19	405,220
20	Tax-exempt bond liabilities .............			307,585,000	20	301,935,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			115,896,332	25	77,035,385
26	Total liabilities. Add lines 17 through 25.........			462,597,018	26	419,944,109
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			371,665,231	27	425,516,742
28	Temporarily restricted net assets ...........			5,213,640	28	7,088,513
29	Permanently restricted net assets ...........			880,739	29	1,127,083
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			377,759,610	33	433,732,338
34	Total liabilities and net assets/fund balances ........			840,356,628	34	853,676,447