TY 2023 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JOHN M HAUPERT FACHE...................................................................... PRESIDENT/CEO	40 .................	X	X			2,381,513	45,341
(2) SAMUAL TODD...................................................................... SVP/CHIEF ACUTE CARE SURGERY	40 .................			X		963,166	37,416
(3) ROBERT JANSEN...................................................................... EVP/CMO	40 .................			X		894,657	55,194
(4) ANTHONY SAUL...................................................................... EVP/CFO	40 .................		X			908,033	36,903
(5) TIMOTHY JEFFERSON...................................................................... EVP/GENERAL COUNSEL	40 .................				X	772,519	62,634
(6) BENJAMIN MCKEEBY...................................................................... SVP/CIO	40 .................				X	663,735	39,070
(7) MARY SALE...................................................................... EVP/CHIEF STRATEGY OFFICER	40 .................			X		677,181	17,471
(8) RICHARD ROCHE...................................................................... SVP/CHIEF PEOPLE OFFICER	40 .................				X	664,623	26,239
(9) KELLEY CARROLL...................................................................... EVP/CHIEF AMBULATORY OFFICER	40 .................			X		640,962	38,982
(10) MICHELLE WALLACE...................................................................... EVP/CHIEF NURSING OFFICER	40 .................			X		638,974	9,738
(11) YUK MING LIU...................................................................... PHYSICIAN POOL	40 .................				X	604,401	0
(12) WILLIAM HILBURN...................................................................... VP/CHIEF INFORMATICS OFFICER	40 .................				X	528,465	27,560
(13) GEORGE WILLIAMS III...................................................................... VP PERIOPERATIVE SERVICES	40 .................			X		402,877	13,460
(14) LARRY GELLERSTEDT...................................................................... CHAIRMAN	5 .................	X	X			0	0
(15) BRIAN BLAKE...................................................................... DIRECTOR	2 .................	X				0	0
(16) PEDRO CHERRY...................................................................... DIRECTOR	2 .................	X				0	0
(17) ALICIA IVEY...................................................................... DIRECTOR	2 .................	X				0	0

(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)
(18) JAMES H DALLAS........................................................................ DIRECTOR	2 .......................	X
(19) SHAN COOPER........................................................................ DIRECTOR	2 .......................	X
(20) JOHN GREGG........................................................................ DIRECTOR	2 .......................	X
(21) EDWARD J HARDIN........................................................................ DIRECTOR	2 .......................	X
(22) JOHN HOLLINS........................................................................ DIRECTOR	2 .......................	X
(23) SAM JOHNSON........................................................................ DIRECTOR	2 .......................	X
(24) ROBERT SHEFT........................................................................ DIRECTOR	2 .......................	X
(25) DAVID P STOCKERT........................................................................ DIRECTOR	2 .......................	X
(26) RAVI THADHANI........................................................................ DIRECTOR	2 .......................	X
(27) BERNIE TOKARZ........................................................................ DIRECTOR	2 .......................	X
(28) CAROL B TOME........................................................................ DIRECTOR	2 .......................	X
(29) ADRIAN TYNDALL........................................................................ DIRECTOR	2 .......................	X
(30) DAVID C MOODY........................................................................ DIRECTOR	2 .......................	X
(31) ERIC THOMAS........................................................................ DIRECTOR	2 .......................	X
(32) KATHRYN FLOWERS-GLASCO........................................................................ DIRECTOR	2 .......................	X

(A) Name and business address	(B) Description of services	(C) Compensation
EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR ATLANTA,GA30322	MEDICAL SERVICES	144,083,637
TURNER CONSTRUCTION CO 3495 PIEDMONT RD NE BLDG 11 STE 700 ATLANTA,GA30305	CONSTRUCTION SERVICES	76,045,339
MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DR SW ATLANTA,GA30310	MEDICAL SERVICES	38,427,647
HCBECK LTD DBA THE BECK GROUP 1807 ROSS AVENUE SUITE 500 DALLAS,TX75201	CONSTRUCTION SERVICES	33,670,752
RANDSTAD MAIL STOP 5602 ATLANTA,GA30348	OUTSIDE STAFFING AGENCY	31,925,998
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 178

- TIN:

SCHEDULE A
(Form 990)

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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

GRADY MEMORIAL HOSPITAL CORPORATION

Employer identification number

26-2037695

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 12, 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 (Form 990).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2023

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	113,400,427	119,277,245	118,473,787	142,548,471	163,421,787	657,121,717
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....	55,434,957	55,434,953	55,434,953	55,434,957	55,500,005	277,239,825
3	The value of services or facilities furnished by a governmental unit to the organization without charge..	0	0	0	0	0	0
4	Total. Add lines 1 through 3	168,835,384	174,712,198	173,908,740	197,983,428	218,921,792	934,361,542
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) ..						0
6	Public support. Subtract line 5 from line 4.						934,361,542

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..	168,835,384	174,712,198	173,908,740	197,983,428	218,921,792	934,361,542
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	3,873,054	1,177,412	1,493,649	351,244	9,449,938	16,345,297
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	0	0	0	0	0	0
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	12,804,197	13,054,160	11,764,946	11,979,628	10,926,979	60,529,910
11	Total support. Add lines 7 through 10						1,011,236,749

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

9,035,274,558

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

92.398 %

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

92.510 %

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. 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 VI 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) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Schedule A, Part II, Line 10	2018-2023 INCLUDES WATER EXPENSE OFFSET FROM THE CITY OF ATLANTA, EMS CONTRACTED SERVICES, AND MISC RENTAL REVENUE.

Schedule A (Form 990) 2023

Additional Data

Software ID:	23018249
Software Version:	v1.00

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

GRADY MEMORIAL HOSPITAL CORPORATION

Employer identification number

26-2037695

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization GRADY MEMORIAL HOSPITAL CORPORATION

Part I Contributors	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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization GRADY MEMORIAL HOSPITAL CORPORATION		Employer identification number 26-2037695

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) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization GRADY MEMORIAL HOSPITAL CORPORATION			Employer identification number 26-2037695
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2023)

Additional Data

Software ID:	23018249
Software Version:	v1.00

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

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

Name of the organization

GRADY MEMORIAL HOSPITAL CORPORATION

Employer identification number

26-2037695

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. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990) 2022

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 right arrow

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 right arrow

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(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)? ........

Yes

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? .......................

Yes

1,190,701

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

Yes

14,417

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

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

1,205,118

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

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1	PERSONNEL ATTEND SEMINARS AND CONVENTIONS TO STAY CURRENT WITH INDUSTRY TRENDS AND TO NETWORK WITH LEGISLATORS, GOVERNMENT OFFICIALS AND OTHER LOBBYISTS. THE LOBBYING ACTIVITIES OF GMHC FOCUS ON COMMUNICATION GMHC'S STATUS AND ITS BUSINESS CHALLENGES TO ELECTED OFFICIALS ON THE COUNTY, STATE AND FEDERAL LEVELS. GIVEN GMHC'S LARGE SHARE OF INDIGENT CARE IN GEORGIA, EFFORTS ARE PRIMARILY DIRECTED TO FINDING ADDITIONAL GOVERNMENT SUPPORT FOR DELIVERING CARE TO THAT UNDERSERVED POPULATION. GMHC IS ALSO A MEMBER OF GEORGIA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND AMERICA'S ESSENTIAL HOSPITAL ORGANIZATIONS WHICH MAY LOBBY ON ITS BEHALF.

Return Reference

Explanation

Schedule C, Part II-B, Line 1

PERSONNEL ATTEND SEMINARS AND CONVENTIONS TO STAY CURRENT WITH INDUSTRY TRENDS AND TO NETWORK WITH LEGISLATORS, GOVERNMENT OFFICIALS AND OTHER LOBBYISTS. THE LOBBYING ACTIVITIES OF GMHC FOCUS ON COMMUNICATION GMHC'S STATUS AND ITS BUSINESS CHALLENGES TO ELECTED OFFICIALS ON THE COUNTY, STATE AND FEDERAL LEVELS. GIVEN GMHC'S LARGE SHARE OF INDIGENT CARE IN GEORGIA, EFFORTS ARE PRIMARILY DIRECTED TO FINDING ADDITIONAL GOVERNMENT SUPPORT FOR DELIVERING CARE TO THAT UNDERSERVED POPULATION. GMHC IS ALSO A MEMBER OF GEORGIA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND AMERICA'S ESSENTIAL HOSPITAL ORGANIZATIONS WHICH MAY LOBBY ON ITS BEHALF.

Schedule C (Form 990) 2022

Additional Data

Software ID:	23018249
Software Version:	v1.00

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

GRADY MEMORIAL HOSPITAL CORPORATION

Employer identification number

26-2037695

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on 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)

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

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	0	13,568,728		13,568,728
b	Buildings ....	0	626,853,667	319,724,140	307,129,527
c	Leasehold improvements	0	60,536,769	0	60,536,769
d	Equipment ....	0	599,219,644	467,461,498	131,758,146
e	Other .....	0	107,485,517	3,046,797	104,438,720
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					617,431,890

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)INVESTMENT IN AFFILIATES				318,192,878
(2)NMTC NOTES RECEIVABLE				69,466,750
(3)ROU OPERATING LEASE				34,400,637
(4)PERMANENT ENDOWMENT				28,206,075
(5)OTHER RECEIVABLES				34,895,530
(6)INVESTMENTS & ASSETS LIMITED AS TO USE				13,443,377
(7)OTHER ASSETS				932,718
(8)GOODWILL				147,065
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				499,685,030

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
SELF INSURED LIABILITIES	41,469,574
OPERATING LEASE PAYABLE	31,063,292
OTHER RESERVES	20,782,484
WORKERS COMP RESERVE	1,530,541





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	94,845,891
2. Liability for uncertain tax positions. 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) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
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
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
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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.

Return Reference	Explanation
Schedule D, Part X, Line 2	GRADY APPLIES FASB AC 740, INCOME TAXES (ASC 740) WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS, ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THE THESE POSITIONS ARE DETERMINED. THERE IS NO IMPACT ON GRADY'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF APPLYING ASC 740.

Schedule D (Form 990) 2022

Additional Data

Software ID:	23018249
Software Version:	v1.00

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

GRADY MEMORIAL HOSPITAL CORPORATION

Employer identification number

26-2037695

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 %

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 criteria used 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) . . .			142,921,386	142,921,386	0	0 %
b	Medicaid (from Worksheet 3, column a) . . . . .			330,664,231	281,179,567	49,484,664	2.65 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	473,585,617	424,100,953	49,484,664	2.65 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			25,321,116	6,907,472	18,413,644	0.99 %
f	Health professions education (from Worksheet 5) . . .			116,891,240	32,655,941	84,235,299	4.52 %
g	Subsidized health services (from Worksheet 6) . . . .			227,533,567	112,812,261	114,721,307	6.15 %
h	Research (from Worksheet 7) .			1,970,024	1,022,564	947,460	0.05 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			0	0	0	0 %
j	Total. Other Benefits . .	0	0	371,715,947	153,398,238	218,317,710	11.71 %
k	Total. Add lines 7d and 7j .	0	0	845,301,564	577,499,191	267,802,374	14.36 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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	(d) Direct offsetting revenue	(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
6	Coalition building			40,000
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	0	0	40,000	0	0	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

54,594,292

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. ......

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).....

120,912,833

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

101,917,623

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

18,995,210

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) 2023

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?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	GRADY MEMORIAL HOSPITAL 80 JESSE HILL JR DRIVE SE ATLANTA,GA30303 https://www.gradyhealth.org	X	X		X	X	X
2	HUGHES SPALDING CHILDRENS HOSPITAL 45 JESSE HILL JR DRIVE SE ATLANTA,GA30303 https://www.gradyhealth.org			X	X		X

Schedule H (Form 990) 2023

Page 4

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)

	HUGHES SPALDING CHILDRENS HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

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

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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 (list url): https://www.gradyhealth.org/about-us/community-benefit/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://www.gradyhealth.org/about-us/community-benefit/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	HUGHES SPALDING CHILDRENS HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 400%
and FPG family income limit for eligibility for discounted care of 400%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SUPPLEMENTAL INFO

The FAP application form was widely available on a website (list url):

SEE SUPPLEMENTAL INFO

A plain language summary of the FAP was widely available on a website (list url):
SEE SUPPLEMENTAL INFO

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	HUGHES SPALDING CHILDRENS HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

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

	HUGHES SPALDING CHILDRENS HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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 Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 4

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)

	GRADY MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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 (list url): https://www.gradyhealth.org/about-us/community-benefit/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://www.gradyhealth.org/about-us/community-benefit/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	GRADY MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 400%
and FPG family income limit for eligibility for discounted care of 400%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SUPPLEMENTAL INFO

The FAP application form was widely available on a website (list url):

SEE SUPPLEMENTAL INFO

A plain language summary of the FAP was widely available on a website (list url):
SEE SUPPLEMENTAL INFO

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	GRADY MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

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

	GRADY MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 5-GRADY MEMORIAL HOSPITAL	GEORGIA STATE UNIVERSITY'S GEORGIA HEALTH POLICY CENTER, WHICH LED THE COLLABORATIVE CHNA PROCESS, INTERVIEWED NEARLY 50 INDIVIDUAL STAKEHOLDERS AND CONDUCTED FOCUS GROUPS AND/OR LISTENING SESSIONS WITH THREE GROUPS OF RESIDENTS REPRESENTING THREE DIFFERENT POPULATIONS. INTERVIEWEES INCLUDED REPRESENTIVES FROM DEKALB COUNTY BOARD OF HEALTH, ATLANTA COMMUNITY FOOD BANK, ATLANTA HARM REDUCTION COALITION, BLACK CHILD DEVELOPMENT INITIATIVE, ATLANTA REGIONAL COMMISSION, FATHERS INCORPORATED, GATEWAY CENTER, GA CHAPTER OF AMERICAN PEDIATRICS, QUALITY LIVING SERVICES, THE URBAN CLINIC OF ATLANTA, ZION HILL COMMUNITY DEVELOPMENT CORPORATION AND A VARIETY OF GOVERNMENT OFFICIALS REPRESENTING DEKALB COUNTY AND FULTON COUNTY, AMONG OTHERS. FOCUS GROUPS WERE CONDUCTED WITH FULTON AND DEKALB RESIDENTS TO IDENTIFY PUBLIC HEALTH CONCERNS, COMMUNITY STRENGTHS, AND DETERMINE HEALTH PRIORITIES AND POTENTIAL SOLUTIONS TO ADDRESS THOSE PRIORITIES IN WAYS THAT HAVE LOCAL MEANING AND UTILITY.
Schedule H, Part V, Section B, Line 5-HUGHES SPALDING CHILDRENS HOSPITAL	HUGHES SPALDING CHILDRENS HOSPITAL IS MANAGED BY CHILDRENS HEALTHCARE OF ATLANTA.
Schedule H, Part V, Section B, Line 6a-GRADY MEMORIAL HOSPITAL	GRADY'S CHNA WAS CONDUCTED COLLABORATIVELY THROUGH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). WELLSTAR HOSPITALS PARTICIPATED IN THIS 2022 CHNA PROCESS.
Schedule H, Part V, Section B, Line 6a-HUGHES SPALDING CHILDRENS HOSPITAL	GRADY'S CHNA WAS CONDUCTED COLLABORATIVELY THROUGH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). WELLSTAR HOSPITALS PARTICIPATED IN THIS 2022 CHNA PROCESS.
Schedule H, Part V, Section B, Line 6b-GRADY MEMORIAL HOSPITAL	MERCY CARE HEALTH CARE CENTER FOR THE HOMELESS AND KAISER PERMANENTE OF GEORGIA ALSO PARTICIPATED IN ARCHI'S COLLABORATIVE CHNA TO INFORM THEIR ORGANIZATION'S COMMUNITY HEALTH PRIORITIES. ADDITIONALLY, MANY OTHER HEALTHCARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2022 CHNA. SOME OF THESE ORGANIZATIONS INCLUDE ATLANTA REGIONAL COMMISSION, UNITED WAY OF GREATER ATLANTA, CARTER CENTER, CENTERS FOR DISEASE CONTROL AND PREVENTION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, AND GEORGIA HEALTH POLICY CENTER, AMONG OTHERS.
Schedule H, Part V, Section B, Line 6b-HUGHES SPALDING CHILDRENS HOSPITAL	MERCY CARE HEALTH CARE CENTER FOR THE HOMELESS AND KAISER PERMANENTE OF GEORGIA ALSO PARTICIPATED IN ARCHI'S COLLABORATIVE CHNA TO INFORM THEIR ORGANIZATION'S COMMUNITY HEALTH PRIORITIES. ADDITIONALLY, MANY OTHER HEALTHCARE, PUBLIC HEALTH, ACADEMIC, NON-PROFIT AND PHILANTHROPIC ORGANIZATIONS ARE MEMBERS OF ARCHI AND HELPED TO FORM THE 2022 CHNA. SOME OF THESE ORGANIZATIONS INCLUDE ATLANTA REGIONAL COMMISSION, UNITED WAY OF GREATER ATLANTA, CARTER CENTER, CENTERS FOR DISEASE CONTROL AND PREVENTION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, AND GEORGIA HEALTH POLICY CENTER, AMONG OTHERS.
Schedule H, Part V, Section B, Line 11-GRADY MEMORIAL HOSPITAL	GRADY'S MOST RECENT CHNA WAS CONDUCTED IN 2022 AND OUR IMPLEMENTATION STRATEGY (IS) WAS ADOPTED AT THE END OF 2022. LISTED BELOW IS AN OVERVIEW OF OUR WORK IN 2023, WHICH ADDRESSED THE CHNA PRIORITIES: 1. IMPROVE COORDINATION OF CARE FOR GRADY PATIENTS WITH DIABETES, HYPERTENSION, PROSTATE CANCER, HIV/AIDS AND BEHAVIORAL HEALTH CONDITIONS. SDOH SCREENING - SOCIAL DETERMINANTS OF HEALTH (SDOH) HAS BEEN GRADY'S MAIN PRIORITY FOR THE PAST SIX YEARS. BY THE END OF 2023, 31 OUTPATIENT CLINICS WERE TRAINED AND ACTIVELY SCREENED 99,486 PATIENTS. ADDITIONALLY, 200 EMPLOYEES RECEIVED TRAINING ON A PERSON-CENTERED APPROACH TO SDOH SCREENING. ONE OF OUR GREATEST ACCOMPLISHMENTS WAS ONBOARDING OUR INPATIENT HOSPITAL UNITS. ALL UNITS WERE SUCCESSFULLY LAUNCHED FOR SDOH SCREENING FROM OCTOBER TO DECEMBER 2023, WITH 160 INPATIENT CARE COORDINATION EMPLOYEES TRAINED. IN 2023, GRADY HAD A SYSTEM-WIDE OUTPATIENT SCREENING RATE OF 70%, A 40% INCREASE FROM 2022. INPATIENT UNITS AT THE HOSPITAL HAD A 45% 3-MONTH SCREENING RATE. COMMUNITY REFERRALS TO ADDRESS HEALTH-RELATED SOCIAL NEEDS - IN 2022, GRADY DEVELOPED A MULTI-PRONGED APPROACH TO LINKING PATIENTS WITH IDENTIFIED HEALTH RELATED SOCIAL NEEDS IN THE SDOH SCREENING TO RESOURCES IN THE COMMUNITY. WE HAVE MAINTAINED THE UTILIZATION OF REFERRALS THROUGH THE ONLINE PLATFORM UNITE US AND DIRECT PATIENT REFERRALS TO LINK PATIENTS WITH IDENTIFIED HEALTH-RELATED SOCIAL NEEDS TO RESOURCES IN THE COMMUNITY. IN 2023, 982 REFERRALS WERE MADE ON THE UNITE US PLATFORM. PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY WERE GIVEN FOOD VOUCHERS TO THE EAST POINT FARMERS MARKET, OR A LOCAL GROCERY STORE CALLED EDEN FRESH. APPROXIMATELY 160 VOUCHERS WERE DISTRIBUTED FROM JANUARY TO JULY, AND 262 GROCERY STORE GIFT CARDS WERE GIVEN FROM SEPTEMBER TO DECEMBER. TRANSPORTATION VOUCHERS WERE ALSO GIVEN IF THEY SCREENED POSITIVE FOR TRANSPORTATION INSECURITY. IN 2023, 137 PATIENTS WERE ASSISTED WITH EITHER A 10-TRIP OR ROUNDTRIP MARTA CARD FOR TRANSPORTATION TO THEIR MEDICAL APPOINTMENTS. IN 2023, GRADY CONTINUED ITS WORK WITH THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI) ON A COMMUNITY RESOURCE HUB PILOT PROJECT. THIS PILOT PROJECT HAS PROVIDED SUPPORT TO 71 PATIENTS WITH THE HELP OF COMMUNITY HEALTH WORKERS (CHWS) AND HAS ENHANCED CONNECTIONS TO LOCAL COMMUNITY ORGANIZATIONS THAT SUPPORT GRADY PATIENTS. ADDRESSING MENTAL HEALTH SUPPORT - GRADY'S BEHAVIORAL HEALTH DEPARTMENT HAS IMPLEMENTED VARIOUS INITIATIVES TO ADDRESS MENTAL HEALTH CHALLENGES, ESPECIALLY WITHIN THE CRIMINAL JUSTICE SYSTEM. ONE OF THE KEY INITIATIVES IS IMPLEMENTING THE SCREENING AND RE-ENTRY UNIT IN THE FULTON COUNTY JAIL, WHICH AIMS TO IDENTIFY INDIVIDUALS WITH MENTAL HEALTH CHALLENGES AT INTAKE/BOOKING AND PROVIDE REFERRALS TO THE APPROPRIATE RE-ENTRY TEAMS. THIS INITIATIVE, IN PARTNERSHIP WITH THE PROGRAM WOMAN ON THE RISE, SPECIFICALLY FOCUSES ON SUPPORTING WOMEN OVER THE AGE OF 24 TO FACILITATE THEIR RELEASE AND SUCCESSFUL REINTEGRATION INTO SOCIETY AFTER INCARCERATION. IN ADDITION TO JAIL-BASED INTERVENTIONS, GRADY BEHAVIORAL HEALTH DEPARTMENT HAS SIGNIFICANTLY EXPANDED ITS OUTPATIENT SERVICES, WITH THE NORTH CLINIC SERVING 372 UNIQUE CLIENTS IN 2023, AND THE SOUTH CLINIC CATERING TO 806 UNIQUE CLIENTS FOR A TOTAL OF 3,095 APPOINTMENTS. THESE CLINICS OFFER A RANGE OF SERVICES, INCLUDING ASSESSMENT, PSYCH TREATMENT, MEDICATION MANAGEMENT, AND INDIVIDUAL THERAPY. IN 2023, WE HAD A TOTAL OF 12 CLINICS. OUR PARK PLACE CLINIC HAD A CLINIC VOLUME OF 56,873. MOREOVER, GRADY HAS ENHANCED ITS CRISIS RESPONSE CAPABILITIES WITH THE INTRODUCTION OF THE COMMUNITY CO-RESPONSE TEAM, WHICH SERVED 921 INDIVIDUALS WITHIN ITS FIRST YEAR, RESULTING IN 377 DIVERSIONS FROM EMERGENCY DEPARTMENTS AND 78 DIVERSIONS FROM JAILS. 2. INCREASE OPPORTUNITIES FOR ALL GEORGIANS, WITH A FOCUS ON PERSONS SERVED BY GRADY HEALTH SYSTEM, TO ACCESS HEALTHCARE. FINANCIAL ASSISTANCE AND UNCOMPENSATED CARE - SINCE OUR FOUNDING, GRADY'S MISSION HAS BEEN TO PROVIDE EXCELLENT CARE TO ANYONE WHO ENTERS OUR DOORS. IN 2022, GRADY PROVIDED MORE THAN $655 MILLION IN CARE TO OUR UNINSURED AND LOW-INCOME NEIGHBORS. MEDICAID REIMBURSEMENT AND THE INDIGENT CARE TRUST FUND COVERED 69% OF THESE COSTS, WHILE THE REMAINING $205 MILLION WAS A SHORTFALL GRADY ABSORBED. PUBLIC BENEFITS ENROLLMENT - IN 2023, GRADY COMPLETED MEDICAID ENROLLMENT FOR AN ESTIMATED 6,080 PATIENTS (4,764 FOR MEDICAL/SURGICAL AND 1,316 FOR OB/NEWBORN SERVICES) - A 25% INCREASE COMPARED TO THE ESTIMATED 4,846 PATIENTS WHO COMPLETED ENROLLMENT IN 2022. GRADY CONTINUED TO REFER PATIENTS TO THE ATLANTA COMMUNITY FOOD BANK AND WHOLESOME WAVE GEORGIA FOR ASSISTANCE WITH SNAP ENROLLMENT. GRADY ALSO INITIATED A TEXT MESSAGE CAMPAIGN TO REMIND PATIENTS WHEN A SNAP SCREENER WOULD BE AVAILABLE AT THE NEIGHBORHOOD HEALTH CENTERS, AND IN 2023, WE SAW A 26% INCREASE IN SNAP ENROLLMENTS ACROSS ALL CENTERS. VIRTUAL ON DEMAND VISITS - PATIENTS CAN REMOTELY RECEIVE CARE FOR ROUTINE, NON-EMERGENCY HEALTH ISSUES THROUGH THEIR VIDEO-ENABLED COMPUTER, TABLET, OR SMARTPHONE. BESIDES SAVING PATIENTS TIME AND PROVIDING CONVENIENCE, THE VISITS ARE COST-EFFECTIVE, WITH COSTS AS LOW AS $0 AND AS HIGH AS $20. WITH 2023 BEING THE FIRST FULL YEAR OF VIRTUAL ON DEMAND, GRADY SERVED MANY PATIENTS AND INCREASED ACCESS TO CARE FOR OVER 4,000 PATIENTS IN DEKALB AND FULTON. VIRTUAL ON DEMAND CLINIC VOLUME FOR 2023 WAS 5,989, AND ON AVERAGE, THE CLINIC SAW 499 CLINIC VISITS A MONTH. EXPANSION OF OUTPATIENT CLINICS - IN 2023, GRADY ANNOUNCED THE EXPANSION OF NEW PRIMARY CARE CLINICS INTO FOUR NEW GEOGRAPHICAL LOCATIONS IN DEKALB AND FULTON COUNTIES. THE HEALTH SYSTEM REVEALED PLANS FOR NEW CLINIC SITES ON CASCADE RD, LEE AND WHITE RD, FLAT SHOALS, AND CANDLER RD. THE CASCADE CLINIC OPENED PART OF THE CLINIC IN JULY OF 2023, FOCUSING ON FAMILY MEDICINE. PROGRESS IS WELL UNDERWAY, WITH CONSTRUCTION ON THE CASCADE CLINIC EXPANSION WITH A PLANNED GO-LIVE DATE IN AUGUST 2024, OFFERING INCREASED ACCESS TO PRIMARY CARE AND DERMATOLOGY SERVICES. SIMILARLY, THE LEE AND WHITE CLINIC IS SCHEDULED TO WELCOME ITS FIRST PATIENTS IN EARLY SEPTEMBER 2024, FOLLOWING CONSTRUCTION PROGRESS. WHILE CANDLER AND FLAT SHOALS ARE SLATED FOR AN OPENING IN 2025, PROVIDER RECRUITMENT ACROSS THE OUTPATIENT CENTERS IS PROGRESSING SMOOTHLY, WITH SEVERAL PROVIDERS EXPECTED TO START IN THE SPRING AND SUMMER OF 2024. MOBILE SCREENING SERVICES - THE LAUNCH OF THE MOBILE SCREENING UNIT IN OCTOBER 2023 MARKED A MILESTONE, WITH 1,678 MAMMOGRAMS COMPLETED SO FAR AT GRADY NEIGHBORHOOD HEALTH CENTERS AND COMMUNITY EVENTS IN TARGETED ZIP CODES ACROSS FULTON AND DEKALB COUNTIES. ADDITIONALLY, THE HEALTH SYSTEM IS PLANNING FOR A SECOND MOBILE UNIT FOCUSED ON INCREASING ACCESS TO PRIMARY CARE SERVICES, DEMONSTRATING GRADY'S COMMITMENT TO COMPREHENSIVE CARE. IN 2023 ALONE, 28,582 BREAST CANCER SCREENINGS EXEMPLIFY THE PROGRAM'S DEDICATION TO EARLY DETECTION AND PREVENTIVE CARE. 3. INCREASE PATIENT AND COMMUNITY ENGAGEMENT IN HEALTHY BEHAVIORS TO PREVENT DIABETES, HYPERTENSION, HIV, UNINTENTIONAL INJURIES, AND HOMICIDE. IVVY PROGRAM - VIOLENCE PREVENTION - THE INTERRUPTING VIOLENCE IN YOUTH AND YOUNG ADULTS (IVVY) WAS CREATED IN LATE 2022. IVVY IS A HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM THAT USES EVIDENCE-BASED, TRAUMA INFORMED CARE TO REDUCE RE-INJURY AMONG YOUNG ADULTS AGED 14-24 IN ATLANTA. IN 2023, THE IVVY PROGRAM TEAM HAD 543 CONSULTS WITH PATIENTS AND ENROLLED 276 OF THOSE PATIENTS INTO THE PROGRAM. PROGRAM PARTICIPANTS WERE 83% MALE, THE MAJORITY BLACK/AFRICAN AMERICAN, AND THE AVERAGE AGE WAS 23 YEARS OLD. IVVY RECEIVED A 2-MILLION-DOLLAR DOJ GRANT, THE KAISER PERMANENTE CENTER FOR GUN VIOLENCE RESEARCH AND EDUCATION AWARD AND WAS RECOGNIZED BY EVERYTOWN FOR GUN SAFETY. IN 2023 ALONE, ATLANTA NEWS FIRST AND THE AJC FEATURED STORIES ON THE IVVY PROGRAM AND ITS SUCCESS IN THE COMMUNITY. PRE-EXPOSURE PROPHYLAXIS (PREP) CLINIC AND NPEP PROGRAM - GRADY'S PREP PROGRAM, LAUNCHED IN 2018, PROVIDES HUMAN IMMUNODEFICIENCY VIRUS (HIV) PRE-EXPOSURE PROPHYLAXIS (PREP). PATIENTS RESIDING IN FULTON OR DEKALB COUNTY CAN RECEIVE PREP AT NO COST, IRRESPECTIVE OF THEIR INSURANCE STATUS. THE PROGRAM HAS ENROLLED 639 PARTICIPANTS, WITH 416 NEW PATIENTS JOINING IN THE FIRST QUARTER OF 2024. ADDITIONALLY, 222 PATIENTS HAVE ACCESSED NON-OCCUPATIONAL POST-EXPOSURE PROPHYLAXIS (NPEP). HIV TREATMENT - IN 2023, PONCE CENTER PROVIDED CARE TO 7,997 PATIENTS LIVING WITH HIV IN GEORGIA. THE RETENTION RATE IN CARE INCREASED FROM 72% IN JANUARY TO 80% IN DECEMBER, WITH 91% OF RETAINED PATIENTS ACHIEVING VIRAL LOAD SUPPRESSION. IN 2023 GRADY TRAINED 1,364 PEOPLE IN THE COMMUNITY ON STOP THE BLEED. WITHIN THE GRADY SYSTEM, 610 CLINICAL AND NONCLINICAL EMPLOYEES RECEIVED TRAINING AND APPROXIMATELY 13 COURSES WERE COMPLETED.
Schedule H, Part V, Section B, Line 11-HUGHES SPALDING CHILDRENS HOSPITAL	HUGHES SPALDING CHILDRENS HOSPITAL INDIRECTLY BENEFITS FROM GMHC'S PLAN.
Schedule H, Part V, Section B, Line 13h-GRADY MEMORIAL HOSPITAL	REFER TO THE FINANCIAL ASSISTANCE POLICY (FAP) ATTACHED. FOR PROCESS, DEFINITIONS, AND TIER LEVELS, DISCOUNTED CARE WITH COPAYMENTS FOR PATIENTS WITH VERIFIED INCOME LEVELS OF ANNUAL GROSS FAMILY INCOMES FROM 251% TO 400% OF CURRENT FEDERAL POVERTY INCOME LEVEL (FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FEE CARE UP TO 400% FPL WITH SOME COPAY.
Schedule H, Part V, Section B, Line 13h-HUGHES SPALDING CHILDRENS HOSPITAL	REFER TO THE FINANCIAL ASSISTANCE POLICY (FAP) ATTACHED. FOR PROCESS, DEFINITIONS, AND TIER LEVELS, DISCOUNTED CARE WITH COPAYMENTS FOR PATIENTS WITH VERIFIED INCOME LEVELS OF ANNUAL GROSS FAMILY INCOMES FROM 251% TO 400% OF CURRENT FEDERAL POVERTY INCOME LEVEL (FPI) AND HOMELESS WITH 0% FPI QUALIFY FOR FEE CARE UP TO 400% FPL WITH SOME COPAY.
Schedule H, Part V, Section B, Line 15e-GRADY MEMORIAL HOSPITAL	THE FINANCIAL COUNSELORS WILL ADVISE ELGIBILE PATIENTS VERBALLY AS TO WHERE AND HOW TO APPLY FOR FOOD STAMPS AND DETERMINE IF THEY MEET CRITERIA FOR MEDICAID. SOCIAL WORKERS WILL TYPICALLY PROVIDE INFORMATION REGARDING HOUSING, FOOD STAMPS, AND OTHER SERVICES TO PATIENTS. A FINANCIAL COUNSELOR MAY DETERMINE IF A PATIENT MEETS CRITERIA FOR PRESUMPTIVE MEDICAID, WOMEN'S HEALTH MEDICAID, WOMEN'S MEDICAID WAIVER, CANCER STATE AID, CRIME VICTIMS COMPENSATION PROGRAM, RIGHT FROM THE START MEDICAID FOR NEWBORNS, EMERGENCY MEDICAL ASSISTANCE, MEDICAID FOR UNDOCUMENTED WOMEN WHO DELIVER THEIR NEWBORNS, PRESUMPTIVE MEDICAID, LOW INCOME MEDICAID, ETC. AND COMPLETE THE APPLICATION AS APPROPRIATE. THE FINANCIAL COUNSELOR MAY ALSO PREFER A PATIENT TO APPLY FOR MEDICAID WITH THE DEPARTMENT OF FAMILY AND CHILDRENS' SERVICES-GRADY OUTREACH UNIT. GMHC HAS VENDOR PARTNERSHIPS ON CAMPUS WHERE BY REPRESENTATIVES ARE COMPLETING APPLICATIONS FOR ELIGIBLE PATIENTS FOR VARIOUS MEDICAID PROGRAMS SUCH AS THOSE ABOVE, SSI, SSD, ETC.
Schedule H, Part V, Section B, Line 15e-HUGHES SPALDING CHILDRENS HOSPITAL	THE FINANCIAL ASSISTANCE PROGRAM POLICY, APPLICATION AND INSTRUCTIONS ARE PUBLICIZED TO INCLUDE CHILDREN'S HEALTHCARE OF ATLANTA WEBSITE. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE ELECTRONICALLY VIA EMAIL, MAY APPLY IN PERSON, BY MAIL, OR MAY QUALIFY AT THE POINT OF REGISTRATION THROUGH A PRESUMPTIVE AUTOMATED THIRD PARTY SOFTWARE.
Schedule H, Part V, Section B, Line 16a-GRADY MEMORIAL HOSPITAL	FAP POLICY IN ON THE INTERNET AT https://www.gradyhealth.org/wp-content/uploads/2018/04/Financial-Assistance-Program-Policy.pdf
Schedule H, Part V, Section B, Line 16b-GRADY MEMORIAL HOSPITAL	FAP APPLICATION IS ON THE INTERNET AT https://www.gradyhealth.org/wp-content/uploads/2018/04/Grady-Financial-Assistance-Application-2.pdf
Schedule H, Part V, Section B, Line 16c-GRADY MEMORIAL HOSPITAL	FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND ONLINE AT https://www.gradyhealth.org/financial-assistance-program/
Schedule H, Part V, Section B, Line 20a-GRADY MEMORIAL HOSPITAL	THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.
Schedule H, Part V, Section B, Line 20a-HUGHES SPALDING CHILDRENS HOSPITAL	THIS PROCESS WAS NOT PERFORMED.
Schedule H, Part V, Section B, Line 20b-GRADY MEMORIAL HOSPITAL	THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.
Schedule H, Part V, Section B, Line 20b-HUGHES SPALDING CHILDRENS HOSPITAL	THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.
Schedule H, Part V, Section B, Line 20c-GRADY MEMORIAL HOSPITAL	THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.
Schedule H, Part V, Section B, Line 20c-HUGHES SPALDING CHILDRENS HOSPITAL	THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.
Schedule H, Part V, Section B, Line 20d-GRADY MEMORIAL HOSPITAL	THIS PROCEDURE WAS NOT PART OF ELIGIBILITY PROCESS PER #19 ABOVE.
Schedule H, Part V, Section B, Line 20d-HUGHES SPALDING CHILDRENS HOSPITAL	THIS PROCESS WAS NOT PERFORMED.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. 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?13
Name and address		Type of Facility (describe)
1	CRESTVIEW HEALTH & REHABILITATION 2800 SPRINGDALE RD ATLANTA,GA30315	NURSING HOME
2	EMERGENCY MEDICAL SERVICE 745 MEMORIAL DRIVE ATLANTA,GA30316	AMBULANCE SERVICE
3	KIRKWOOD PHARMACY 1863 MEMORIAL DRIVE ATLANTA,GA30317	PHARMACY
4	BROOKHAVEN PHARMACY 2695 BUFORD HIGHWAY ATLANTA,GA30324	PHARMACY
5	EAST POINT PHARMACY 1595 WEST CLEVELAND AVENUE EAST POINT,GA30344	PHARMACY
6	PONCE INFECTIOUS DISEASE PHARMACY 341 PONCE DE LEON AVENUE ATLANTA,GA30308	PHARMACY
7	GRADY BEHAVIORAL HEALTH PHARMACY 10 PARK PLACE 3RD FLOOR ATLANTA,GA30303	PHARMACY
8	MAIN OUTPATIENT PHARMACY 48 COCA COLA PLACE ATLANTA,GA30303	PHARMACY
9	ASA YANCEY PHARMACY 1247 DONALD LEE HOLLOWELL PARKWAY ATLANTA,GA30318	PHARMACY
10	CENTRAL REFILL PHARMACY 1575 NORTHSIDE DRIVE BUILDING 400 SUITE 450 ATLANTA,GA30318	PHARMACY
11	CORRELL RETAIL PHARMACY 80 GILMER ST SE ATLANTA,GA30303	PHARMACY
12	CORRELL CANCER CENTER PHARMACY 80 GILMER ST SE ATLANTA,GA30303	PHARMACY
13	SENIOR CARE PHARMACY 80 JESSE HILL JR DR SE ATLANTA,GA30303	PHARMACY

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
Schedule H, Part I, Line 3c	THE FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE WITH 400% OF FPG BEING THE UPPER LIMIT OF QUALIFICATION TO THE PROGRAMS.
Schedule H, Part I, Line 6a	2023 COMMUNITY BENEFIT REPORT WAS PREPARED IN 2024.
Schedule H, Part I, Line 7	CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS WERE DETERMINED USING DATA FROM THE AUDITED FINANCIAL STATEMENTS AND THE 2023 FILED MEDICARE AND MEDICAID COST REPORTS. BEGINNING IN JULY 2022 AND CONTINUING INTO 2023 AND BEYOND, GEORGIA ADVANCING INNOVATION TO DELIVER EQUITY (GA-AIDE) USED DIRECTED PAYMENTS THROUGH THE MANAGED CARE MEDICAID PROGRAM TO SUPPORT THE TRANSFORMATION OF HEALTHCARE DELIVERY AT GRADY HEALTH SYSTEM. FOR EACH YEAR OF APPROVAL FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), AT LEAST $100M EACH YEAR IN NEW FUNDING FOR GA-AIDE WILL BE USED TO ACHIEVE IMPROVED HEALTH OUTCOMES, INCREASED HEALTH EQUITY, AND INCREASED ACCESS TO CARE. THE GA-AIDE MARRIES DELIVERY SYSTEM REFORM - PROVIDING CARE COORDINATION AND CASE MANAGEMENT THAT HAS BEEN PROVEN TO CONTRIBUTE TO BETTER OUTCOMES - WITH PAYMENT SYSTEM REFORM - REWARDING GOOD OUTCOMES AND VALUE RATHER THAN VOLUME. A PORTION OF THE NEW FUNDS WILL BE "AT-RISK", MEANING HEALTH SYSTEM PARTICIPANTS MUST ACHIEVE CERTAIN GOALS TO RECEIVE ALL THE FUNDS. THE AT-RISK QUALITY MEASURES ARE FOCUSED ON THE MANAGEMENT AND PREVENTION OF CHRONIC DISEASES, INCLUDING DIABETES, CANCER, CARDIOVASCULAR DISEASE, AND BEHAVIORAL HEALTH. GA-AIDE INCLUDES REPORTING DATA STRATIFIED BY RACE AND ETHNICITY TO LAY A FOUNDATION FOR ASSESSING THE PROGRAM'S IMPACT ON HEALTH EQUITY AND INFORM WHERE GAPS EXIST TO HELP TARGET RESOURCES AND SHAPE STRATEGIC EFFORTS. IN PERFORMANCE Y2 (JULY 1, 2023 - JUNE 30, 2024), GRADY FOCUSED RESOURCES ON THE FOLLOWING CATEGORIES: ACCESS & NEW SERVICES, SUPPORT & WRAP AROUND SERVICES AND REPORTING & CLINICAL APPLICATIONS. EXAMPLES OF NEW SERVICES INCLUDE THE NEW CASCADE NEIGHBORHOOD HEALTH CENTER, MOBILE MAMMOGRAPHY UNIT, INCREASED OUTREACH FOR CARE GAP CLOSURE WITH HEALTH EQUITY ACCESS COORDINATORS, SPECIALIZED COMMUNITY HEALTH WORKER PROGRAM FOR POST-PARTUM MOMS WITH HYPERTENSION TO NAME A FEW. IN ADDITION TO COMMUNITY BENEFIT EXPENSES, GA-AIDE FUNDING ENABLED GRADY TO IMPLEMENT STRATEGIES IN THE COMMUNITY HEALTH IMPROVEMENT PLAN AT A GREATER SCALE AND MORE RAPIDLY THAN GRADY WOULD HAVE BEEN ABLE TO DO OTHERWISE. GRADY PROVIDED HIGH QUALITY CARE AND IMPROVED OUTCOMES FOR OUR MANAGED MEDICAID POPULATION. GRADY SUCCESSFULLY MET 9 OF THE 10 PERFORMANCE TARGETS AND REPORTED ALL FOUR HEALTH EQUITY MEASURES FOR YEAR 2 OF THE GA-AIDE PROGRAM QUALIFYING GRADY TO RECEIVE THE PERFORMANCE PAYMENT. GRADY HAS FURTHERED EFFORTS BEGUN IN PERFORMANCE YEAR 1 AND IS SEEING SIGNIFICANT INCREASES IN CANCER SCREENING RATES, IMPROVED MANAGEMENT OF CHRONIC CONDITIONS AND SCREENING AND SUPPORTS FOR PATIENTS WITH HEALTH-RELATED SOCIAL NEEDS. WITH A FOCUS ON IMPROVING ACCESS AND SCREENING RATES WITHIN TARGETED COMMUNITIES WITH LOW LIFE EXPECTANCY, GRADY IS ACTIVELY REDUCING HEALTH INEQUITIES IN OUR COMMUNITY.
Schedule H, Part II	GRADY IS A MEMBER ORGANIZATION OF THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI). ARCHI IS AN INTERDISCIPLINARY COALITION WORKING TO IMPROVE THE REGION'S (DEKALB AND FULTON COUNTIES) HEALTH THROUGH A COLLABORATIVE APPROACH TO CHNAS AND SUBSEQUENT HEALTH IMPROVEMENT INITIATIVES. GRADY HOLDS A SEAT ON THE ARCHI STEERING COMMITTEE FOR ONGOING LEADERSHIP AND CONNECTIVITY TO HEALTH IMPROVEMENT INITIATIVES, AND HAS SIGNED THE ARCHI MEMBERSHIP AGREEMENT IN SUPPORT OF SUSTAINABILITY AND AN ORGANIZATION STRUCTURE. GRADY ALSO PROVIDES FUNDING TO ARCHI TO SUPPORT THE STAFFING, DATA ANALYTICS, AND PARTNERSHIP BUILDING ACTIVITIES. GRADY CONTINUES TO WORK WITH AND THROUGH ARCHI TO CONDUCT ITS CHNAS IN ORDER TO MAXIMIZE THE IMPACT OF COMMUNITY INVESTMENT IN HEALTH IMPROVEMENT.
Schedule H, Part III, Section A, Line 4	GMHC ALSO INCURS SIGNIFICANT COSTS ASSOCIATED WITH CARE FOR THE UNDER AND UNISURED THAT DO NOT APPLY AND/OR QUALIFY FOR CHARITY CARE ASSISTANCE. GMHC INCURRED BAD DEBT EXPENSE OF APPROXIMATELY $314M VALUED IN GROSS CHARGES. ON LINE 2, THE COST FOR BAD DEBT EXPENSE IS BASED UPON THE PATIENT CARE COST TO CHARGE PERCENTAGE OF 17% OF ACTUAL PROVISION OF $55M IN 2023.
Schedule H, Part III, Section B, Line 8	EXPENSES ARE REPORTED FROM THE MEDICARE COST REPORT CMS-2552-10 FOR THE YEAR ENDED 12/31/23.
Schedule H, Part III, Section C, Line 9b	THE ORGANIZATION HAS UNIQUE ELIGIBILITY CODES TO EACH PATIENT QUALIFYING FOR CHARITY CARE TO ALLOW IT TO WRITE-OFF THE CHARITY CARE PRIOR TO THE COLLECTION PROCESS.
Schedule H, Part VI, Line 2	IN ADDITION TO GRADY'S CHNA, MANY OF THE COALITIONS THAT GRADY PARTICIPATES IN, OR PARTNERS WITH OUTSIDE ORGANIZATIONS, ALSO ASSESS THE NEEDS OF THEIR COMMUNITIES OR TARGET POPULATIONS. MANY OF WHICH ALIGN OR OVERLAP WITH GRADY'S COMMUNITY, COALITIONS OR PARTNER ORGANIZATIONS WITH ASSESSMENTS THAT ALSO INFORM GRADY'S WORK INCLUDE ARTHUR BLANK FOUNDATION'S WESTSIDE ON THE RISE INITIATIVE, ATLANTA BELTLINE PARTNERSHIP, GEORGIA STATE DEPARTMENT OF PUBLIC HEALTH, ATLANTA REGIONAL COMMISSION, UNITED WAY, MERCY CARE, AND THE ATLANTA REGIONAL COMMUNITY FOOD BANK.
Schedule H, Part VI, Line 3	PER STATE REGULATIONS, GMHC PLACES ANNUAL ICTF NOTICES IN THE LOCAL NEWSPAPER AND SIGNAGE IS POSTED, ADVISING PATIENTS OF ALL CHARITY CARE PROGRAMS WITHIN THE ORGANIZATION, BASED ON THE PATIENT'S FINANCIAL CIRCUMSTANCES, AND MEDICAL CONDITION. A FINANCIAL COUNSEOR WILL CONSULT WITH THE PATIENT TO DETERMINE BEST FIT FOR THE CRITERIA OF THE VARIOUS ASSISTANCE PROGRAMS. THE APPROPRIATE APPLICATION IS COMPLETED AND THE FINANCIAL ASSISTANCE PROGRAM IS EXPLAINED TO THE PATIENT SIMULTANEOUSLY.
Schedule H, Part VI, Line 4	GRADY IS THE SAFETY-NET PROVIDER FOR FULTON AND DEKALB COUNTIES, OUR PRIMARY SERVICE AREA. ABOUT 2 MILLION PEOPLE LIVE IN THESE TWO COUNTIES AND THEY ARE YOUNGER AND MORE DIVERSE, WITH A HIGHER PERCENTAGE OF LIMITED ENGLISH-SPEAKING SKILLS, AND ACCORDING TO GRADY'S 2022 CHNA, AFRICAN AMERICANS MAKE UP 53% AND 43% OF THE POPULATION OF DEKALB AND FULTON COUNTIES RESPECTIVELY, AND 13%-14% OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL. GRADY ALSO PROVIDES SPECIALIZED SERVICES TO THE GREATER METRO AREA, WHICH THE ATLANTA REGIONAL COMMISSION DEFINES AS A 10 COUNTY REGION WITH A TOTAL POPULATION OF 4.7 MILLION. THE REGION CONTINUES TO GROW AND BECOME INCREASINGLY DIVERSE.
Schedule H, Part VI, Line 5	ADDRESSING MATERNAL HEALTH AND POSTPARTUM CARE - IN 2023, OUR WOMEN'S SERVICES HAVE MADE SIGNIFICANT STRIDES IN ADDRESSING MATERNAL MORTALITY AND IMPROVING CARE FOR HIGH-RISK PREGNANCIES. WITH 3,211 DELIVERIES, OUR CENTER HAS SEEN A HIGHER PREVALENCE OF HYPERTENSIVE DIAGNOSES (40%) COMPARED TO OTHER REGIONAL PERINATAL CENTERS IN GEORGIA (28%). ADDITIONALLY, 40% OF OUR PATIENTS HAVE RECEIVED INADEQUATE PRENATAL CARE, AND 19.8% SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH. WE HAVE IMPLEMENTED PROGRAMS SUCH AS THE POSTPARTUM HYPERTENSION PROGRAM, REMOTE MONITORING PROGRAM, AND HYPERTENSIVE NURSE NAVIGATOR SERVICES TO ADDRESS THESE CHALLENGES. THESE INITIATIVES HAVE RESULTED IN 1,318 HYPERTENSIVE NURSE NAVIGATOR ENCOUNTERS AND 1,513 OB HYPERTENSIVE MOBILE INTEGRATED HEALTH (MIH) REFERRALS IN 2023, REFLECTING OUR COMMITMENT TO PROVIDING COMPREHENSIVE AND EQUITABLE CARE FOR ALL PATIENTS. FOOD AS MEDICINE PARTNERSHIP - AT GRADY, PATIENTS WHO HAVE IDENTIFIED AS HAVING UNCONTROLLABLE DIABETES OR ARE HYPERTENSIVE CAN TAKE PART IN OUR FOOD AS MEDICINE PROGRAM. IN THIS PROGRAM, PATIENTS CAN RECEIVE FRESH PRODUCE, NUTRITIONAL GUIDANCE, AND COOKING CLASSES. IN 2023, THE FOOD AS MEDICINE PROGRAM DEMONSTRATED SIGNIFICANT GROWTH AND IMPACT. THE PROGRAM SAW A 70% INCREASE IN REFERRALS, WITH 3,223 INDIVIDUALS BEING REFERRED FOR PARTICIPATION. ENROLLMENT NUMBERS ALSO ROSE, WITH 795 INDIVIDUALS ENROLLING IN THE PROGRAM, MARKING A 21% INCREASE. NOTABLY, THERE WAS A 31% INCREASE IN FOOD PHARMACY PICK-UPS, REACHING 5,917, REFLECTING THE PROGRAM'S GROWING REACH AND INFLUENCE. COOKING CLASSES ALSO SAW INCREASED ENGAGEMENT, WITH 177 CLASSES HELD, AND A 25% INCREASE IN ATTENDEES, TOTALING 1,197. ADDITIONALLY, THE PROGRAM DISTRIBUTED A SUBSTANTIAL AMOUNT OF FOOD, WITH A 23% INCREASE IN POUNDS DISTRIBUTED, INDICATING A HEIGHTENED COMMITMENT TO ADDRESSING FOOD INSECURITY. FURTHERMORE, THE PROGRAM'S VOLUNTEER ENGAGEMENT REMAINED STRONG, WITH 3,981 VOLUNTEER HOURS CONTRIBUTED AND 751 VOLUNTEERS UTILIZED, WHICH CORRESPONDS TO A LABOR COST OF $60,080. IMPORTANTLY, THE PROGRAM PARTICIPANTS ACHIEVED A 2.1% DECREASE IN HGBA1C, SHOWCASING POSITIVE HEALTH OUTCOMES AMONG PARTICIPANTS. LOOKING AHEAD, FOOD AS MEDICINE AIMS TO EXPAND ITS IMPACT BY PARTNERING WITH ATLANTA COMMUNITY FOOD BANK AND LAUNCHING THE NEIGHBOR PROGRAM, WHICH WILL ENABLE ANY PATIENT EXPERIENCING FOOD INSECURITY TO ACCESS FRESH PRODUCE AND WHOLE GRAINS AT JESSE HILL MARKET, EFFECTIVELY ADDRESSING FOOD INSECURITY FOR GRADY PATIENTS IN A HEALTH-CONSCIOUS MANNER. SUPPLIER DIVERSITY - GRADY'S COMMITMENT TO PROVIDING CARE IN A CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER EXTENDS TO OUR PROCUREMENT PROCESS, AND A CORNERSTONE OF THOSE EFFORTS IS OUR SUPPLIER DIVERSITY PROGRAM. GRADY IS COMMITTED TO INCLUSION IN OUR PROCUREMENT ACTIVITIES. IN 2023, WE HAD THE OPPORTUNITY TO COLLABORATE WITH 142 DIVERSE SUPPLIERS, INCLUDING ORGANIZATIONS SUCH AS 100 BLACK MEN OF ATLANTA - METRO ATLANTA CHAPTER, NATIONAL COALITION OF 100 BLACK WOMEN - METRO ATLANTA CHAPTER, ATLANTA BUSINESS LEAGUE, BRONZE LENS FILM FESTIVAL, GEORGIA HISPANIC CHAMBER OF COMMERCE, LATIN AMERICAN CHAMBER OF COMMERCE, MOGUL CON, ONE MILLION DREAMS FOUNDATION FOR BLACK WOMEN AND GIRLS, UNITED STATES PAN-ASIAN AMERICAN CHAMBER OF COMMERCE, GEORGIA MINORITY SUPPLIER DEVELOPMENT COUNCIL, NATIONAL MINORITY SUPPLIER DEVELOPMENT COUNCIL, GREATER WOMEN'S BUSINESS COUNCIL, WOMEN'S BUSINESS ENTERPRISE COUNCIL, OUT GEORGIA BUSINESS ALLIANCE, NATIONAL VETERAN-OWNED BUSINESS ASSOCIATION (NAVOBA), AND THE HEALTHCARE SUPPLIER DIVERSITY ALLIANCE - HSDA. HEALTH EQUITY - GRADY ESTABLISHED ITS OFFICE OF HEALTH EQUITY (OHE) IN OCTOBER OF 2021, DEDICATED SPECIFICALLY TO INVESTIGATING HEALTH DISPARITIES AT GRADY AND IN THE COMMUNITIES GRADY SERVES. HEALTH DISPARITIES DISPROPORTIONALLY AFFECT AFRICAN AMERICANS. GIVEN THAT 75% OF PATIENTS SERVED AT GRADY IDENTIFY AS BLACK/AFRICAN AMERICAN, IT IS CRUCIAL THAT GRADY TAKES THE LEAD IN IDENTIFYING ISSUES AROUND HEALTH DISPARITY, ANALYZING THE ACCOMPANYING DATA, AND DEVELOPING EFFECTIVE ACTION PLANS TO CLOSE THE HEALTH DISPARITY GAPS THAT EXIST. THE ACTION STEPS TO ADDRESS HEALTH DISPARITIES CAN BE VAST. IN 2023, THE OHE FOCUSED ON USING LIFE EXPECTANCY AS A FOCAL POINT TO ADDRESS HEALTH DISPARITIES. BY ANALYZING LIFE EXPECTANCY IN ZIP CODES ACROSS FULTON AND DEKALB COUNTIES, THE OHE IDENTIFIED NEIGHBORHOODS WITH THE LOWEST LIFE EXPECTANCY RATES. THIS ANALYSIS REVEALED HIGHER RATES OF CHRONIC ILLNESS, CHALLENGES WITH SOCIAL DETERMINANTS OF HEALTH, AND LOWER RATES OF PREVENTIVE CARE AND SCREENING IN THESE AREAS. AS A RESULT, THE OHE IS NOW PRIORITIZING ACCESS TO PREVENTIVE SERVICES AND PRIMARY CARE IN ZIP CODES WITH LOW LIFE EXPECTANCY. INCREASING ACCESS TO PREVENTIVE SERVICES, PRIMARY CARE, AND HEALTH AWARENESS CAN SIGNIFICANTLY IMPROVE HEALTH EQUITY. ARMED WITH THIS INFORMATION, WE HAVE INTENTIONALLY INSTITUTED COMMUNITY OUTREACH PROGRAMS. THESE EFFORTS INCLUDE MOBILE MAMMOGRAM VAN SERVICES, FAIRS FOR HEALTH CARE EDUCATION AND HEALTH SCREENING, BACK-TO-SCHOOL "BASHES," COMMUNITY PRESENTATIONS, AND TOWN HALLS. THE OFFICE OF HEALTH EQUITY HAS PARTNERED WITH 12 DEPARTMENTS AT GRADY TO ASSIST IN ACHIEVING THE GOAL OF INCREASING ACCESS TO SERVICES FOR OUR PATIENTS SIGNIFICANTLY. OTHER OFFICE OF HEALTH EQUITY ACCOMPLISHMENTS - IN 2023 OHE PARTICIPATED IN 127 COMMUNITY ENGAGEMENT ACTIVITIES IN OVER 20 ZIP CODES, PARTNERING WITH 32 ORGANIZATIONS TO FULFILL ITS MISSION AND INCREASE VISIBILITY IN THE COMMUNITY. * LED SEVEN ACCESS-IMPROVEMENT PROJECTS WHERE HEALTH EQUITY ACCESS COORDINATORS (HEAC) PROVIDED SERVICES DIRECTLY TO PATIENTS. * FROM SEPTEMBER 2022 TO APRIL 2024, THE HEACS MADE OVER 23,000 CALLS AND SCHEDULED APPROXIMATELY 7,500 PATIENT VISITS. TEENAGE EXPERIENCE AND LEADERSHIP PROGRAM (TELP) - ONE CHARACTERISTIC SUCCESS OF THE OFFICE OF HEALTH EQUITY'S WORK IS THE TEEN EXPERIENCE AND LEADERSHIP PROGRAM (TELP) BEGUN IN 2022. TELP ENGAGES HIGH SCHOOL TEENS WHO ARE INTERESTED IN LEARNING ABOUT AND GAINING EXPERIENCE IN THE HEALTH CARE FIELD. TELP IS A SEVEN-WEEK PROGRAM IN WHICH TEENS CAN SHADOW ON CLINICAL AND NON-CLINICAL UNITS AT GRADY. IN THIS, THE PARTICIPANTS GAIN EXPOSURE TO AND EXPERIENCE WITH THE ACTIVITIES AND SKILLS INVOLVED IN A HEALTH CARE WORKER'S DAILY SCHEDULE. GRADY ALSO HOSTS WORK-BASED LEARNING EXPERIENCES IN PARTNERSHIP WITH WESTLAKE HIGH SCHOOL AND THE ATLANTA PUBLIC SCHOOL'S ATLANTA COLLEGE AND CAREER ACADEMY FOR ITS PATIENT CARE TECH PROGRAM.
Schedule H, Part VI, Line 6	GRADY TRAINS MORE THAN 1,000 EMORY AND MOREHOUSE INTERNS AND RESIDENTS EACH YEAR.
Schedule H, Part VI, Line 7	GMHC FILES A COMMUNITY BENEFIT REPORT IN GEORGIA.

Schedule H (Form 990) 2023

Additional Data

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Software Version:	v1.00

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
GRADY MEMORIAL HOSPITAL CORPORATION

Employer identification number
26-2037695

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE ATLANTA,GA30310	58-1438873	501(C)(3)	16,444,652	0			RESIDENCY PROGRAM 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) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2	GRADY USES ACCOUNTABILITY METRICS SUCH AS TRACKING SCHEDULES, CALENDARS, GRANT REVIEW AND AUDITS TO MONITOR GRANT FUNDS AND TO ENSURE COMPLIANCE.

Schedule I (Form 990) 2023

Additional Data

Software ID:	23018249
Software Version:	v1.00

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

GRADY MEMORIAL HOSPITAL CORPORATION

Employer identification number

26-2037695

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 on 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 on 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

Were any amounts reported on 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" on 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) 2023

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 on 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, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on 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)
1JOHN M HAUPERT FACHE PRESIDENT/CEO	(i) (ii)	1,551,513 ------------- 0	800,000 ------------- 0	30,000 ------------- 0	13,200 ------------- 0	32,141 ------------- 0	2,426,854 ------------- 0	0 ------------- 0
2SAMUAL TODD SVP/CHIEF ACUTE CARE SURGERY	(i) (ii)	785,359 ------------- 0	149,855 ------------- 0	27,951 ------------- 0	13,200 ------------- 0	24,216 ------------- 0	1,000,581 ------------- 0	0 ------------- 0
3ANTHONY SAUL EVP/CFO	(i) (ii)	712,158 ------------- 0	173,375 ------------- 0	22,500 ------------- 0	13,200 ------------- 0	23,703 ------------- 0	944,936 ------------- 0	0 ------------- 0
4ROBERT JANSEN EVP/CMO	(i) (ii)	701,932 ------------- 0	166,725 ------------- 0	26,000 ------------- 0	13,200 ------------- 0	41,994 ------------- 0	949,851 ------------- 0	0 ------------- 0
5TIMOTHY JEFFERSON EVP/GENERAL COUNSEL	(i) (ii)	593,141 ------------- 0	155,952 ------------- 0	23,426 ------------- 0	13,200 ------------- 0	33,319 ------------- 0	819,038 ------------- 0	0 ------------- 0
6MARY SALE EVP/CHIEF STRATEGY OFFICER	(i) (ii)	519,026 ------------- 0	128,155 ------------- 0	30,000 ------------- 0	13,200 ------------- 0	4,271 ------------- 0	694,652 ------------- 0	0 ------------- 0
7RICHARD ROCHE SVP/CHIEF PEOPLE OFFICER	(i) (ii)	518,343 ------------- 0	116,280 ------------- 0	30,000 ------------- 0	13,200 ------------- 0	13,039 ------------- 0	690,862 ------------- 0	0 ------------- 0
8BENJAMIN MCKEEBY SVP/CIO	(i) (ii)	517,235 ------------- 0	126,350 ------------- 0	20,150 ------------- 0	13,200 ------------- 0	25,870 ------------- 0	702,805 ------------- 0	0 ------------- 0
9KELLEY CARROLL EVP/CHIEF AMBULATORY OFFICER	(i) (ii)	513,095 ------------- 0	106,020 ------------- 0	21,846 ------------- 0	13,200 ------------- 0	25,782 ------------- 0	679,943 ------------- 0	0 ------------- 0
10MICHELLE WALLACE EVP/CHIEF NURSING OFFICER	(i) (ii)	505,324 ------------- 0	111,150 ------------- 0	22,500 ------------- 0	6,400 ------------- 0	3,338 ------------- 0	648,712 ------------- 0	0 ------------- 0
11YUK MING LIU PHYSICIAN POOL	(i) (ii)	604,401 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	604,401 ------------- 0	0 ------------- 0
12WILLIAM HILBURN VP/CHIEF INFORMATICS OFFICER	(i) (ii)	380,057 ------------- 0	118,408 ------------- 0	30,000 ------------- 0	12,108 ------------- 0	15,452 ------------- 0	556,025 ------------- 0	0 ------------- 0
13GEORGE WILLIAMS III VP PERIOPERATIVE SERVICES	(i) (ii)	301,960 ------------- 0	79,002 ------------- 0	21,915 ------------- 0	12,938 ------------- 0	522 ------------- 0	416,337 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
Schedule J, Part I, Line 1a	CLUB DUES ARE PAID FOR EXECUTIVE VICE PRESIDENTS AND HIGHER FOR BUSINESS PURPOSES. IN 2023 GMHC PAID DUES FOR A FEW EXECUTIVES WITH NO PERSONAL USE REPORTED AS TAXABLE INCOME.
Schedule J, Part I, Line 4	EXECUTIVE STAFF PARTICIPATES IN 457F PLAN AND PAYMENTS ARE MADE TO PARTICIPANTS OF THE HEALTH SYSTEM UNDER THE PROGRAM RULES. NO SUCH PAYMENTS WERE MADE IN 2023.
Schedule J, Part I, Line 7	THERE WAS A FORMAL PLAN FOR SENIOR LEADERSHIP WITH SPECIFIC OBJECTIVES AND PERCENTAGE PAYOUTS BASED ON ACCOMPLISHMENT OF THOSE OBJECTIVES. THE PLAN WAS APPROVED BY THE COMPENSATION COMMITEE OF THE GMHC BOARD.

Schedule J (Form 990) 2023

Additional Data

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Software Version:	v1.00

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

GRADY MEMORIAL HOSPITAL CORPORATION

Employer identification number

26-2037695

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	12	56,262,252	Cost
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2023)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Schedule M, Part I, Line 32b	NONCASH CONTRIBUTIONS ARE PROCESSED AND SOLICITED BY THE GRADY HEALTH FOUNDATION, INC.

Schedule M (Form 990) (2023)

Additional Data

Software ID:	23018249
Software Version:	v1.00

- TIN:

SCHEDULE O
(Form 990)

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 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

GRADY MEMORIAL HOSPITAL CORPORATION

Employer identification number

26-2037695

Return Reference	Explanation
Form 990, Part VI, Section A, Line 3	GMHC HAS CONTRACTED WITH CHILDREN'S HEALTHCARE OF ATLANTA (CHOA) TO MANAGE OPERATIONS OF HUGHES SPALDING CHILDREN'S HOSPITAL. CHOA OVERSEES DAILY OPERATIONS.
Form 990, Part VI, Section B, Line 11b	IN NOVEMBER 2024 THE AUDIT COMMITEE OF GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) REVIEWED A DRAFT OF THE 2023 FORM 990, WHICH HAD PREVIOUSLY BEEN REVIEWED BY MANAGEMENT, WHICH WAS THEN DISTRIBUTED TO EACH COMMITEE MEMBER. DISCUSSION ENSUED AND COMMENTS AND SUGGESTIONS WERE TAKEN INTO CONSIDERATION IN FINALIZING THE FORM SUBSEQUENT TO THE BOARD MEETING FOR FINAL APPROVAL. A FINAL DRAFT WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING.
Form 990, Part VI, Section B, Line 12c	GMHC HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. GMHC IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT GMHC'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT WOULD IMPACT ITS BUSINESS. THUS, GMHC'S EMPLOYEES MUST NOT PARTICIPATE IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. GMHC'S CONFLICT OF INTEREST SURVEY IS ADMINISTERED ANNUALLY TO OFFICERS, DIRECTORS, KEY EMPLOYEES, AND OTHER INDENTIFIED PERSONNEL AND AT THE TIME OF APPOINTMENT AND RE-APPOINTMENT OF MEDICAL STAFF. AFFIRMATIVE REPLIES ARE REVIEWED FOR DETERMINING APPROPRIATE MANAGEMENT, WHERE APPLICABLE.
Form 990, Part VI, Section B, Line 15	EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE COMPENSATION COMMITEE OF THE BOARD OF DIRECTORS AND IS REVIEWED ANNUALLY. GMHC'S BOARD OF DIRECTORS DESIGNATED THE COMPENSATION COMMITTEE TO BE RESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION.
Form 990, Part VI, Section C, Line 19	GMHC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE PUBLIC BY POSTING ON THE WEBPAGE THAT CAN BE FOUND ON FORM 990, PAGE 1 ITEM J.
Form 990, Part VII, Section A, Line 1a	EX OFFICIO NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS: JOHN M HAUPERT FACHE, ADRIAN TYNDALL, AND RAVI THADHANI.
Form 990, Part IX, Line 11g	PROFESSIONAL FEES $210,364,704; ELIGIBILITY, CLEANING, DIETARY $40,135,619; MEDICAL, LANGUAGE INTERPRET SERVICES, CLINICAL ENGAGEMENT $39,925,300; PURCHASED SERVICES $12,936,678; AGENCY $65,108,024; REPAIRS & MAINTENANCE $17,083,090; COLLECTION AGENCIES $14,452,511
Form 990, Part XI, Line 9	INCREASE IN NET ASSETS CONSISTS OF CHANGES IN ASSET VALUATIONS AND INCREASE IN DONATION PUT INTO SERVICE.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:	23018249
Software Version:	v1.00

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

GRADY MEMORIAL HOSPITAL CORPORATION

Employer identification number

26-2037695

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on 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)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) GRADY EMS LLC 80 JESSE HILL JUNIOR DRIVE SE ATLANTA,GA30303 81-4571957	EMERGENCY TRANSPORTATION SERVICES	GA	0	0	GRADY MEMORIAL HOSPITAL CORP
(2) ONE GRADY LLC 80 JESSE HILL JUNIOR DRIVE SE ATLANTA,GA30303 87-2692696	ADMINISTRATIVE SERVICES	GA	8,942,016	7,346,587	GRADY MEMORIAL HOSPITAL CORP

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on 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)GRADY HEALTH FOUNDATION INC 191 PEACHTREE STREET Suite 820 ATLANTA,GA30303 58-2130437	HEALTH CARE	GA	501(C) (3)	7	N/A		No
(2)GRADY WIC INC 80 JESSE HILL JR DR SE ATLANTA,GA30303 82-1799159	NMTC	GA	501 (C) (2)	NA	GMHC	Yes
(3)GRADY CASS INC 80 JESSE HILL JR DRIVE SE ATLANTA,GA30303 85-2828602	NMTC	GA	501 (C) (2)	NA	GMHC	Yes
(4)GRADY PONCE INC 80 JESSE HILL JR DRIVE SE ATLANTA,GA30303 87-3600624	NMTC	GA	501 (C) (2)	NA	GMHC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on 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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No
(1) RELIANT EMERGENCY SPECIALTIES 745 MEMORIAL DR SE ATLANTA,GA30316 47-1397856	AUTO REPAIR & MAINTENAINCE	GA	GMHC	C	700,698	498,855	100 %	Yes

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on 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) ............................

Yes

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) .......................

Yes

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

Yes

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) .................

Yes

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

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

Yes

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

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) GRADY HEALTH FOUNDATION INC	c	7,245,878	FMV
(2) GRADY HEALTH FOUNDATION INC	m	2,647,016	FMV
(3) RELIANT EMERGENCY SPECIALTIES	d	1,445,548	FMV
(4) RELIANT EMERGENCY SPECIALTIES	o	84,995	FMV
(5) GRADY WIC INC	j	799,674	FACILITY LEASE CONTRACT
(6) GRADY PONCE INC	j	2,350,000	FACILITY LEASE CONTRACT
(7) GRADY CASS INC	j	6,200,001	FACILITY LEASE CONTRACT
(8) GRADY WIC INC	k	464,000	SUBLEASE CONTRACT
(9) GRADY CASS INC	k	4,615,680	SUBLEASE CONTRACT
(10) GRADY PONCE INC	k	261,552	SUBLEASE CONTRACT

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:	23018249
Software Version:	v1.00

1	Briefly describe the organization’s mission or most significant activities: GRADY HEALTH SYSTEM IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE HEALTHCARE IN A COMPASSIONATE, CULTURALLY COMPETENT, ETHICAL, AND FISCALLY RESPONSIBLE MANNER. GRADY MAINTAINS ITS COMMITMENT TO THE UNDERSERVED OF FULTON AND DEKALB COUNTIES WHILE ALSO PROVIDING CARE TO RESIDENTS OF METRO ATLANTA AND GEORGIA. GRADY LEADS THROUGH CLINICAL EXCELLENCE, INNOVATIVE RESEARCH AND PROGRESSIVE MEDICAL EDUCATION AND TRAINING.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	9,869
6	Total number of volunteers (estimate if necessary) .............	6	17
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	197,983,428	218,921,792
9	Program service revenue (Part VIII, line 2g) .........	1,782,121,909	2,084,616,024
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	460,590	9,593,971
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	51,801,023	43,144,795
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,032,366,950	2,356,276,582
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	16,578,068	16,444,652
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	746,400,400	852,803,469
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,250,568,865	1,316,369,826
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,013,547,333	2,185,617,947
19	Revenue less expenses. Subtract line 18 from line 12.......	18,819,617	170,658,635
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,558,983,877	2,013,499,028
21	Total liabilities (Part X, line 26).............	433,883,465	579,067,709
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,125,100,412	1,434,431,319

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 629,283,301 including grants of $ ) (Revenue $ 557,116,063 )
	4A PROGRAM SERVICE -CHARITY, UNINSURED, UNDERINSURED AND INDIGENT CARE: IN THE 1800'S ATLANTA'S INDIGENT SICK HAD NO PLACE TO GO TO RECEIVE MEDICAL TREATMENT FOR ILLNESS OR INJURY. THEREFORE, A DRIVE WAS BEGUN TO BUILD GRADY MEMORIAL HOSPITAL (GRADY). ON JUNE 1, 1892, GRADY ADMITTED ITS FIRST PATIENT. AS OF TODAY, GRADY CONTINUES TO BE THE SAFETY NET HOSPITAL FOR THE UNINSURED AND UNDERINSURED CITIZENS OF FULTON AND DEKALB COUNTIES AND THE STATE OF GEORGIA. AS THE LARGEST SAFETY NET HOSPITAL IN THE STATE AND ONE OF THE LARGEST IN THE COUNTRY, ITS MISSION IS (1) TO PROVIDE MEDICAL SERVICES TO UNINSURED, UNDERINSURED, OR INDIGENT PATIENTS; (2) TO PROVIDE AN OPEN ACCESS POLICY FOR RESIDENTS OF FULTON AND DEKALB COUNTIES REGARDLESS OF THEIR ABILITY TO PAY; (3) AND TO PROVIDE A PROVISION FOR SIGNIFICANT UNCOMPENSATED INDIGENT AND CHARITY CARE. DURING 2023, GRADY PROVIDED CARE TO 90,684 UNDER AND UNINSURED PATIENTS WHICH REPRESENT APPROXIMATELY 54% OF ITS TOTAL PATIENTS WITH ABOUT 396,750 PATIENT ENCOUNTERS, COSTING APPROXIMATELY $630M. GRADY RECEIVES SOME REIMBURSEMENT FROM FULTON AND DEKALB COUNTIES, MEDICAID, AND SOME FUNDING FROM THE STATE OF GEORGIA'S INDIGENT CARE TRUST FUND (INCLUDING FEDERAL MATCHING FUNDS) TO HELP SUPPORT THE COSTS OF CARING FOR SO MANY IN THE REGION. GRADY HAS BEEN AND CONTINUES TO BE SIGNIFICANTLY CHALLENGED BY THE FINANCIAL BURDEN OF PROVIDING SO MUCH FREE CARE TO THE REGION.

4b	(Code: ) (Expenses $ 106,883,988 including grants of $ 16,444,652 ) (Revenue $ 70,444,447 )
	4B PROGRAM SERVICE -GRADUATE MEDICAL EDUCATION: GRADY MEMORIAL HOSPITAL CORPORATION (GMHC) HAS AFFILIATION AGREEMENTS WITH EMORY UNIVERSITY AND MOREHOUSE SCHOOLS OF MEDICINE TO SUPPORT THE TEACHING AND SUPERVISION OF RESIDENTS IN THE ORGANIZATION, AS WELL AS TO PROVIDE PROFESSIONAL CLINICAL AND ADMINISTRATIVE SERVICES. IN 2023 MORE THAN 1,000 RESIDENTS AND FELLOWS FROM EMORY AND MOREHOUSE PROGRAMS ROTATED THROUGH A BROAD SPECTRUM OF SERVICES IN THE ORGANIZATION. ADDITIONALLY, HUNDREDS OF MEDICAL STUDENTS BENEFITED FROM TRAINING IN THE ORGANIZATION. GMHC OFFERS UNIQUE LEARNING EXPERIENCES FOR RESIDENTS BY PROVIDING EXPOSURE TO TRAUMA, BURN, INFECTIOUS DISEASE, SICKLE CELL, NEUROLOGY AND OTHER COMPLEX CASES AND HOSTS A SIGNIFICANT NUMBER OF CLINICAL RESEARCH TRIALS TO ENHANCE THE RESIDENTS' EDUCATIONAL EXPERIENCE. GMHC PROVIDED ABOUT $107M IN SUPPORT RELATIVE TO TEACHING SERVICES. IN 2023, REIMBURSEMENT FOR TEACHING SERVICES FROM MEDICARE, MEDICAID AND OTHER GOVERNMENTAL FUNDS TOTALED ABOUT $71M.

4c	(Code: ) (Expenses $ 143,927,219 including grants of $ ) (Revenue $ 223,248,208 )
	4C PROGRAM SERVICE - EMERGENCY AND TRAUMA SERVICES: GRADY OPERATES ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN THE EASTERN UNITED STATES AND THE COUNTRY'S LARGEST HOSPITAL-BASED AMBULANCE SERVICE. GMHC OPERATES THE ONLY LEVEL 1 TRAUMA CENTER IN THE ATLANTA METROPOLITAN AREA WHICH HANDLED 13,647 ACUTE TRAUMA CASES IN 2023. ADDITIONALLY, AS PART OF ITS TRAUMA SERVICE, GMHC OPERATES ONE OF ONLY TWO BURN CENTERS IN GEORGIA. THE NATIONALLY ACCLAIMED EMERGENCY CARE CENTER (ECG) HANDLED 137,767 EMERGENCY CASES IN 2023. THE EMERGENCY ROOM WAS THE INTAKE POINT FOR APPROXIMATELY 28,132 OF THE SAFETY NET HOSPITAL'S TOTAL ADMISSIONS. GRADY'S EMS DIVISION STATEWIDE EMS OPERATION IS THE EXCLUSIVE 911 AMBULANCE PROVIDER FOR THE CITY OF ATLANTA INCLUDING SOUTH FULTON COUNTY. THE GRADY EMS TEAM OF OVER 700 EMS PROFESSIONALS MAINTAINS A FLEET OF ABOUT 235 AMBULANCE AND SUPPORT VEHICLES AND HANDLED MORE THAN 180,000 CALLS THROUGHOUT GEORGIA IN 2023. ADDITIONALLY, GRADY EMS ALSO MANAGES A MOBILE INTEGRATED HEALTH (MIH) CARE PROGRAM WHICH PROVIDES PRE AND POST HOSPITAL CARE FOR PATIENTS IN AN EFFORT TO REDUCE THE STRAIN ON EMS AND ECC. MIH ALSO INCREASES ACCESS TO PREVENTATIVE CARE, WORKING TO REDUCE HOSPITAL RE-ADMITS AND LOWER LENGTH OF HOSPITAL STAYS. ALSO NOTABLE, GRADY EMS OPERATES ATLANTA'S LARGEST SPECIALIZED EVENT EMS DIVISION SERVING STADIUMS, CONCERTS, MARATHONS, AND FESTIVALS THROUGHOUT THE CITY OF ATLANTA. GRADY EMS OPERATIONAL STANDARDS FUNCTION IN COMPLIANCE WITH STANDARDS DEFINED BY THE JOINT COMMISSION, THE AMERICAN COLLEGE OF SURGEONS, AND THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH. THIS IS AN IMPORTANT DISTINCTION AND HOLDS OUR EMS DIVISION TO THE HIGHEST STANDARDS ENSURING A COMPLIANT, ETHICAL AND CONFIDENTIAL OPERATION.

	(Code: ) (Expenses $ 909,105,397 including grants of $ ) (Revenue $ 1,277,096,134 )
	GRADY'S OTHER PROGRAMS INCLUDE NATIONALLY RECOGNIZED PROGRAMS IN THE AREAS OF INFECTIOUS DISEASE, DIABETES, AND SICKLE CELL AS WELL AS REGIONAL SERVICE FOR NEONATAL TRANSPORT, MATERNAL AND INFANT PROJECT, CARDIOVASCULAR HEALTH, PSYCHOLOGY, BURN, CANCER AND MARCUS STROKE AND NEUROSCIENCE CENTER. PRIMARY CARE SERVICES ARE ALSO PROVIDED THROUGH HOSPITAL MAIN-CAMPUS DEPARTMENTS AND NEIGHBORHOOD CLINICS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 909,105,397 including grants of $ 0 ) (Revenue $ 1,277,096,134 )
4e	Total program service expenses1,789,199,905

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	10,741,106	0	410,008

1a	Federated campaigns..		1a	0
b	Membership dues..		1b	0
c	Fundraising events..		1c	0
d	Related organizations		1d	0
e	Government grants (contributions)		1e	55,500,005

f	All other contributions, gifts, grants, and similar amounts not included above		1f	163,421,787

g	Noncash contributions included in lines 1a - 1f:$		1g	56,262,252

h Total. Add lines 1a-1f.......		218,921,792

		Business Code
2a	PATIENT CARE	622000	2,084,616,024	2,084,616,024	0	0
b
c
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		2,084,616,024

3 Investment income (including dividends, interest, and othersimilar amounts) ......			9,449,938	0	0	9,449,938
4 Income from investment of tax-exempt bond proceeds			0	0	0	0
5 Royalties...........			0	0	0	0
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	0	0
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	0	144,033
b	Less: cost or other basis and sales expenses	7b	0	0
c	Gain or (loss)	7c	0	144,033
d	Net gain or (loss).........			144,033	144,033	0	0
8a	Gross income from fundraising events (not including $ 0of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	PROFESSIONAL BILLING REVENUE		622000	8,092,836	8,092,836	0	0
b	INSURANCE PROCEEDS		622000	2,500,000	2,500,000	0	0
c	CITY OF ATLANTA WATER		622000	5,632,836	5,632,836	0	0
d	All other revenue ....			26,919,123	26,919,123	0	0
e	Total. Add lines 11a–11d ......			43,144,795
12	Total revenue. See instructions.....			2,356,276,582	2,127,904,852	0	9,449,938

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	16,444,652	16,444,652
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	10,741,106	1,813,099	8,928,007	0
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........	699,877,290	519,798,863	180,078,427
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	21,203,529	15,747,861	5,455,668
9	Other employee benefits .......	72,735,728	54,020,825	18,714,903
10	Payroll taxes ...........	48,245,816	35,832,168	12,413,648
11	Fees for services (non-employees):
a	Management ......	33,820,356	19,054,389	14,765,967
b	Legal .........	983,229	553,951	429,278
c	Accounting ...........	583,058	328,495	254,563
d	Lobbying ...........	1,205,118		1,205,118
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	400,005,926	334,639,955	65,365,971
12	Advertising and promotion ....	4,193,459	2,362,595	1,830,864
13	Office expenses .......	14,669,482	8,264,786	6,404,696
14	Information technology ......	33,334,925	18,780,897	14,554,028
15	Royalties ..
16	Occupancy ...........	18,788,928	10,585,682	8,203,246
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	5,053,122	2,846,929	2,206,193
20	Interest ...........	1,252,936	705,904	547,032
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	79,751,445	54,518,088	25,233,357
23	Insurance ...	21,820,288	12,293,550	9,526,738
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	DRUGS	202,143,731	202,143,731	0	0
b	BAD DEBT	313,431,926	313,431,926	0	0
c	MEDICAL SUPPLIES	138,835,475	138,835,475	0	0
d	R&M, MED EQUIP, LEASES, ETC	46,496,422	26,196,084	20,300,338	0
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	2,185,617,947	1,789,199,905	396,418,042	0
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).

1	Cash–non-interest-bearing ........			56,823,075	1	74,036,825
2	Savings and temporary cash investments .........			145,211,016	2	285,960,637
3	Pledges and grants receivable, net ......			68,721,605	3	148,138,047
4	Accounts receivable, net .............			204,880,141	4	257,129,176
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			32,176,279	8	30,536,151
9	Prepaid expenses and deferred charges ......			12,129,720	9	20,841,010
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,407,664,325
b	Less: accumulated depreciation	10b	790,232,435	507,349,150	10c	617,431,890
11	Investments—publicly traded securities .			79,062,477	11	79,740,262
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			452,630,414	15	499,685,030
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,558,983,877	16	2,013,499,028

17	Accounts payable and accrued expenses .....	311,583,684	17	372,677,249
18	Grants payable ...		18
19	Deferred revenue .........	16,660,020	19	81,695,699
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	30,025,368	23	29,848,870
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	75,614,393	25	94,845,891
26	Total liabilities. Add lines 17 through 25..	433,883,465	26	579,067,709

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,057,987,636	27	1,354,371,178
28	Net assets with donor restrictions ...........	67,112,776	28	80,060,141
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,125,100,412	32	1,434,431,319
33	Total liabilities and net assets/fund balances ........	1,558,983,877	33	2,013,499,028