Civic Intelligence

Gwinnett Hospital Systeminc

EIN 58-2002413 • 501(c)3 • Atlanta, GA

Profile

Gwinnett hospital system, inc. Is a not-for-profit healthcare network that provides award-winning health care services to the greater gwinnett community. Gwinnett hospital system has two facilities located in duluth and lawrenceville, georgia that together provide acute care, outpatient services, orthopedic, cardiovascular, neuroscience specialty, open heart surgery, several clinics, and a full continuum of wellness services. The facilities each operate a year round emergency room open 24 hours a day, 7 days a week.

Refreshing map…

1000 Johnson Ferry Road NEAtlanta, GA 30342

www.gwinnettmedicalcenter.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

67th percentile

0.49x

Higher debt load relative to assets than 67% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2019

Liabilities / Revenue

56th percentile

0.56x

Higher debt load relative to revenue than 56% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2019

Net Margin

18th percentile

-5.9%

Higher net margin than 18% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2019

Top Officer Pay

69th percentile

$1,358,943

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2019

Asset Growth

11th percentile

-4.6%

Faster asset growth than 11% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Revenue Growth

22nd percentile

-0.3%

Faster revenue growth than 22% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Assets

Down

$848,485,246

Down $40,504,736 (-4.6%) from 2018

Liabilities

Up

$419,510,587

Up $22,880,045 (+5.8%) from 2018

Net Assets

Down

$428,974,659

Down $63,384,781 (-13%) from 2018

Revenue

Down

$751,912,005

Down $2,439,358 (-0.3%) from 2018

Expenses

Up

$796,564,654

Up $34,774,820 (+4.6%) from 2018

Net Income

Down

-$44,652,649

Down $37,214,178 (-500%) from 2018

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.0B$500M$0Assets 2010: $814,489,437Liabilities 2010: $481,162,720Net Assets 2010: $333,326,7172010Assets 2011: $828,442,212Liabilities 2011: $437,216,897Net Assets 2011: $391,225,3152011Assets 2012: $840,356,628Liabilities 2012: $462,597,018Net Assets 2012: $377,759,6102012Assets 2013: $853,676,447Liabilities 2013: $419,944,109Net Assets 2013: $433,732,3382013Assets 2014: $900,724,006Liabilities 2014: $430,480,370Net Assets 2014: $470,243,6362014Assets 2015: $925,263,221Liabilities 2015: $440,864,932Net Assets 2015: $484,398,2892015Assets 2016: $912,681,206Liabilities 2016: $466,334,478Net Assets 2016: $446,346,7282016Assets 2017: $900,319,358Liabilities 2017: $421,701,221Net Assets 2017: $478,618,1372017Assets 2018: $888,989,982Liabilities 2018: $396,630,542Net Assets 2018: $492,359,4402018Assets 2019: $848,485,246Liabilities 2019: $419,510,587Net Assets 2019: $428,974,6592019

Highlighted filing

2019

Assets$848,485,246
Liabilities$419,510,587
Net Assets$428,974,659

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0B$500M$0-$500MExpenses 2010: $570,228,2392010Expenses 2011: $587,565,9912011Expenses 2012: $605,767,7112012Expenses 2013: $684,124,2332013Revenue 2014: $660,670,375Expenses 2014: $632,916,450Net Income 2014: $27,753,9252014Revenue 2015: $701,037,262Expenses 2015: $662,764,161Net Income 2015: $38,273,1012015Revenue 2016: $724,486,359Expenses 2016: $725,692,190Net Income 2016: -$1,205,8312016Revenue 2017: $741,408,735Expenses 2017: $747,633,222Net Income 2017: -$6,224,4872017Revenue 2018: $754,351,363Expenses 2018: $761,789,834Net Income 2018: -$7,438,4712018Revenue 2019: $751,912,005Expenses 2019: $796,564,654Net Income 2019: -$44,652,6492019

Highlighted filing

2019

Revenue$751,912,005
Expenses$796,564,654
Net Income-$44,652,649

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Jun 1, 2020
Return Version
2018v3.2
Gross Receipts
$936,735,120
Mission and Program Overview

Mission

Gwinnett hospital system, inc. Is a not-for-profit healthcare network that provides award-winning health care services to the greater gwinnett community. Gwinnett hospital system has two facilities located in duluth and lawrenceville, georgia that together provide acute care, outpatient services, orthopedic, cardiovascular, neuroscience specialty, open heart surgery, several clinics, and a full continuum of wellness services. The facilities each operate a year round emergency room open 24 hours a day, 7 days a week.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$390,423,778$411,054,265▲ $20,630,487
Land, Buildings, and Equipment, Net$237,105,000$217,209,153▼ $19,895,847
Accounts Receivable$98,427,097$59,686,709▼ $38,740,388
Cash and Non-Interest-Bearing Accounts$54,120,896$43,826,998▼ $10,293,898
Savings and Temporary Cash Investments$34,233,875$34,931,468▲ $697,593
Investments Other Securities$21,869,083$22,957,230▲ $1,088,147
Prepaid Expenses and Deferred Charges$14,476,196$13,695,288▼ $780,908
Other Notes and Loans Receivable, Net$7,761,737$10,494,002▲ $2,732,265
Intangible Assets$9,711,149$9,711,149→ $0
Inventories for Sale or Use$7,007,484$7,414,592▲ $407,108
Total Assets$888,989,982$848,485,246▼ $40,504,736
Other Assets Total$13,853,687$17,504,392▲ $3,650,705
Liabilities
Tax Exempt Bond Liabilities$270,740,000$263,460,000▼ $7,280,000
Other Liabilities$67,416,019$77,557,824▲ $10,141,805
Accounts Payable and Accrued Expenses$58,325,583$63,642,876▲ $5,317,293
Deferred Revenue$148,940$14,849,887▲ $14,700,947
Total Liabilities$396,630,542$419,510,587▲ $22,880,045
Net Assets / Fund Balance
Unrestricted Net Assets$474,682,092$409,935,056▼ $64,747,036
Temporarily Rstr Net Assets$13,416,745$14,243,121▲ $826,376
Permanently Rstr Net Assets$4,260,603$4,796,482▲ $535,879
Total Net Assets Fund Balance$492,359,440$428,974,659▼ $63,384,781
Total Liabilities and Net Assets / Fund Balance$888,989,982$848,485,246▼ $40,504,736

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$65,778,511$314,487,353$380,265,864
Buildings$124,515,657$178,895,635$303,411,292
Leasehold Improvements$3,048,315$19,068,502$22,116,817
Land$18,734,214-$18,734,214
Other Land Buildings$5,132,456$2,370,565$7,503,021

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$17,677,348-▲ $1,362,255-$19,039,603
2018$16,418,968$-4,005▲ $1,262,385-$17,677,348
2017$13,725,769$674,126▲ $2,019,073-$16,418,968
2016$11,718,864$1,178,882▲ $828,023-$13,725,769
2015$10,214,402$1,970,731▼ $466,269-$11,718,864
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Philip WolfePresident &FT$1,319,212$39,731$1,358,943
Philip WolfePresident & CEO-$752,882$606,061$1,358,943
Jessie T ShepherdExecutive VPFT$693,269$103,936$797,205
Jessie T ShepherdExecutive VP and COO-$495,280$301,925$797,205
Alan BierExecutive VPFT$696,949$33,254$730,203
Alan BierExecutive VP & CMO-$431,701$298,502$730,203
Thomas Y Mcbride IiiExecutive VPFT$622,417$33,999$656,416
Thomas Y Mcbride IiiExecutive VP & CFO-$447,185$209,231$656,416
Patricia a LavelySr. VP & CIOFT$318,950$170,873$489,823
Stephen NadeauSr. VP of HuFT$441,659$43,920$485,579
Stephen NadeauSr. VP of Human Res.-$301,521$184,058$485,579
Peter WheelerGeneral CounFT$410,979$74,375$485,354
Peter WheelerGeneral Counsel-$299,295$186,059$485,354
James Dennard JrVP & COO (gmFT$368,088$73,523$441,611
James Dennard JrVP & COO (gmc, Inc.)-$260,354$181,257$441,611
Mark D DarrowDirector GmeFT$341,778$87,695$429,473
Nishith PatelVP & COO (gmFT$375,842$33,253$409,095
Nishith PatelVP & COO (gmc, Inc.)-$235,842$173,253$409,095
Scott OremVP FinanceFT$224,513$141,373$365,886
Peter Jkaplan MdTeaching FacFT$323,845$38,632$362,477
John S Harvey MdPrg. DirectoFT$320,233$41,393$361,626
Michael C BoblitzVP PlanningFT$301,641$59,285$360,926
Michael C BoblitzVP Planning & Devel.-$234,780$126,146$360,926
Peter Jkaplan MdTeaching Faculty Gme-$285,367$63,163$358,739
John S Harvey MdPrg. Director Gme-$311,227$46,438$357,640
Thomas LynchVP Managed CFT$292,333$64,136$356,469
Thomas LynchVP Managed Care-$220,241$136,228$356,469
Janet SchwalbeVP PhysicianFT$298,718$49,168$347,886
Janet SchwalbeVP Physician Svc.-$230,794$117,092$347,886
Cathie L BrazellDirector WomFT$289,019$38,787$327,806
Cathie L BrazellDIRECTOR WOMEN'S SVC-$225,626$102,180$327,806
Cathy DoughertyAsst. VP RevFT$277,678$39,653$317,331
Cathy DoughertyAsst. VP Revenue-$213,162$104,169$317,331
Todd E Vermeer MdCmioFT$238,286$110,920$303,409
Kevin E Johnson MdProgram DireFT$252,878$44,588$297,466
Kevin E Johnson MdProgram Director Gme-$232,498$67,193$297,466
Kimberly C Bates MdProgram Dire-$252,180$43,689$295,869
Kimberly C Bates MdProgram Director Gme-$231,155$58,689$295,869
Diana PottsChief NursinFT$258,322$28,175$286,497
Diana PottsChief Nursing Off.-$191,946$73,730$286,497
Tanna Lim MdTeaching Fac-$249,491$36,506$285,997
Tanna Lim MdTeaching Faculty Gme-$244,218$36,779$285,997
Pamela GarlandVP & CNOFT$179,177$90,553$269,730
Bonny RichardsonAssociate GeFT$207,744$32,287$240,031
Bonny RichardsonAssociate Gen. Legal-$180,924$48,032$240,031
Mike HemphillDirector ofFT$151,552$23,750$175,302
Mike HemphillDirector of Material-$135,131$45,254$175,302
K Carlton Buchanan MdBoard Member-$50,139-$50,139
A Keith Carnes MdBoard Member-$3,805-$3,805
J Michael Levengood JdChairman-$3,395-$3,395
L C JohnsonBoard Member-$2,945-$2,945
Terri JondahlBoard Member-$2,750-$2,750

Board Members and Trustees

NameTitle
See Schedule OSee Schedule

Highest Paid Contractors

ContractorServicesLocationCompensation
Alliance Laundry & Textile ServicesLaundry60 GRINDER STREET, Buffalo, NY 14215$3,190,606
Adcap Network Systems INCIt ServicesPO BOX 5365, New York, NY 10087$2,312,195
Cumberland Group LLCNetwork ServicePO BOX 932555, Atlanta, GA 31193$1,565,271
Strategic Products & Services LLCItPO BOX 780987, Philadelphia, PA 19178$1,436,412
Bottom Line Systems LLCBilling541 BUTTERMILK PIKE, Buttermilk Springs, KY 41017$1,213,579
Revenue and Support

Revenue Composition

Contributions and Grants
$3,215,796
Program Service Revenue
$721,001,843
Investment Income
$17,405,169
Other Revenue
$10,289,197
All Other Contributions
$192,760
Change in Net Assets
$-44,652,649

Audited Revenue Reconciliation

Revenue per Audited Statements
$751,659,923
Revenue Not Reported on Financial Statements
$252,082
Revenue Not Reported on Form 990
$-2,192,731
Other Revenue Adjustments
$-101,403
Total Revenue per Audited Statements
$749,467,192
Total Revenue per Form 990
$751,912,005
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$390,240,621
Salaries, Compensation, and Employee Benefits$367,537,416
Grants and Similar Amounts Paid$38,786,617
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$259,916,124$32,694,112-$292,610,236
Fees for Services Other$48,152,876$28,127,336-$76,280,212
Grants to Domestic Orgs$38,721,851--$38,721,851
Other Employee Benefits$29,505,129$3,746,845-$33,251,974
Depreciation Depletion$29,636,970--$29,636,970
Payroll Taxes$17,390,221$2,609,319-$19,999,540
Insurance$16,618,676$309,149-$16,927,825
Office Expenses$10,123,369$4,975,907-$15,099,276
Occupancy$13,386,395$859,058-$14,245,453
Pension Plan Contributions$11,333,445$1,700,529-$13,033,974
Information Technology$4,635,762$7,401,852-$12,037,614
Interest$11,032,041--$11,032,041
Current Officers, Directors, Trustees, and Key Employees$1,385,463$7,256,229-$8,641,692
Fees for Services Legal$5,449,659$1,598,052-$7,047,711
All Other Expenses$6,437,684$491,932-$6,929,616
Fees for Services Management$4,233,418$635,204-$4,868,622
Other Expenses$3,244,188$679,009-$3,923,197
Advertising$176,647$2,616,909-$2,793,556
Travel$276,828$162,226-$439,054
Fees for Services Accounting$380,666$57,117-$437,783
Conferences and Meetings$274,519$100,650-$375,169
Fees for Service Investment Mgmnt Fees-$353,485-$353,485
Grants to Domestic Individuals$64,766--$64,766
Total Functional Expenses$697,314,547$99,250,107$0$796,564,654

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$796,564,654
Expenses per Audited Statements$757,921,568
Total Expenses per Audited Statements$757,921,568
Expenses Not Reported on Financial Statements$38,643,086
Other Expense Adjustments$38,289,601
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Gwinnett Medical GroupAtlanta, GA501c3Support Related Org.$32,665,587
Gwinnett Health SystemAtlanta, GA501c3Support Related Org.$5,624,014
Georgia Gwinnett College FoundationLawrenceville, GA501c3Support Nursing Prog$180,000
Gwinnett Tech Foundation IncLawrenceville, GA501c3Support Nursing Prog$180,000
Gwinnett Hospital System FoundationLawrenceville, GA501c3Support Related Org.$30,000
Cink CharitiesDuluth, GA501c3Community Support$19,750
Leadership Gwinnett FoundationDuluth, GA501c3Community Support$10,000
Ne Georgia Council Boy Scouts of AmJefferson, GA501c3Community Support$7,500
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Gwinnett Emergency SpecialistsBoard MemberMedical ServicesNo$351,512
Sports Medicine SouthBoard MemberMedical ServicesNo$69,988
Gary Levengood MdBoard MemberCompensationNo$14,575
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Interest Rate Swaps$35,026,866
Self-insurance Reserves$13,992,687
Due to Affiliates$13,962,741
Third Party Settlements$9,213,620
Accrued Interest Payable$3,481,493
Executive Benefits Liability$1,851,728
Accrued Audit Liability$1,500,000
Cancer Collections Payable$654,956
Asset Retirement Obligation$300,865
Sales & Realty Tax$72,144
Bond Expense Payable$-2,499,276

Bond Issues

BondIssuerIssuedIssue PricePurpose
DHospital Authority of Gwinnett Co2009-11-12$61,095,000CAPITAL IMPROVEMENTS
BHospital Authority of Gwinnett Co2009-11-12$36,435,000Currently refund prior issue
AHospital Authority of Gwinnett Co2009-11-12$32,700,000Advance refund prior issue
CHospital Authority of Gwinnett Co2009-11-12$19,240,000CAPITAL IMPROVEMENTS

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
D$61,095,000-$4,415,000-
B$36,435,000$36,435,000$12,055,000-
A$32,700,000$32,700,000$2,830,000-
C$19,240,000-$910,000-

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
Yes
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

The sole member of gwinnett hospital system, inc. Is gwinnett health system, inc., a related 501(c)(3) organization.

Form 990, Page 6, Part VI, Line 7A

The board of directors of gwinnett hospital system, inc. Is appointed by the chariman of the board of directors of gwinnett health system, inc.

Form 990, Page 6, Part VI, Line 7B

Certain actions of the board of directors of gwinnett hospital system, inc. Must be approved by the board of directors of gwinnett health system, inc., a related 501(c)(3) organization.

Form 990, Page 6, Part VI, Line 11B

Effective 12:01 a.m. On august 28, 2019, gwinnett hospital system, inc. Merged with and into northside hospital,inc., an unrelated georgia nonprofit corporation that has been recognized as exempt under section 501 (c)(3) of the internal revenue code of 1986 (the successor organization), with the successor organization surviving the merger. The merger occurred priorto the filing of this return. After the return was prepared and prior to filing, it was reviewed in detail by senior financial management of the successor organization. A short period final return for gwinnett hospital system, inc. Will be filed subsequent to the filing of this return.

Form 990, Page 6, Part VI, Line 12C

Annually, a conflicts of interest questionnaire is distributed to and discussed with each member of the board of directors. The legal department is responsible for ensuring these questionnaires are signed and returned. Legal monitors all transactions involving conflicts of interest with board members. Board members must disclose potential conflicts using a reasonable belief standard; play no direct or indirect part in deliberations; and absent themselves from the meeting at which any potential conflict is discussed. Only non-conflicted members may decide to pursue a transaction or arrangement involving a conflict if a majority determines the transaction or arrangement is in the organization's best interest. Violation of the coi policy is subject to corrective action, including exoneration, censure, and/or requesting the resignation of the member. Approval for any loans, payments, honorariums, trip or travel reimbursements, services, products, entertainment, prizes or awards provided to any board member must be approved by an administrative officer or his or her designee. The ceo must obtain the approval of the chairman of the board (and payments to the ceo are approved by another administrative officer). In addition, the human resource department sends out a coi policy and disclosure form to officers and key employees every 3 - 5 years. These officers and key employees are required to disclose any potential conflicts that arise during the fiscal year.

Form 990, Page 6, Part VI, Line 19

Governing documents are filed with and available on the georgia secretary of state website or through that office. These documents can also be obtained by contacting gwinnett hospital system. The conflict of interest policy can be obtained by contacting the hospital. The hospital is under obligation to disclose to bond holders pertinent financial information in the annual disclosure documents. Certain documents are available upon request at the hospital. For more information visit - https://www.gwinnettmedicalcenter.org/facilities/northside-hospital- gwinnett.

Form 990, Part VII

Board members of gwinnett entities are provided a small stipend for their services. K. Carlton buchanan, md receives medical and health care payments as compensation for physician services.

Filing and Contact Details

Filer

Filer Name
Gwinnett Hospital Systeminc
EIN
58-2002413
Phone
4043002980
Address
1000 JOHNSON FERRY ROAD NE, ATLANTA, GA 30342

Signing Officer

Name
See Schedule O
Title
See Schedule O
Phone
6783124321
Signed
2020-06-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
See Schedule O
Formed
1992
Legal Domicile
Ga
Voting Board Members
5
Independent Board Members
3
Employees
6,005
Volunteers
390

Preparer

Firm
Draffin & Tucker Llp
Address
PO BOX 71309, ALBANY, GA 31708-1309
Preparer
William Edward Phillips
Phone
2298837878
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

Gwinnett hospital system, inc. Is a not-for-profit healthcare network that provides award-winning health care services to the greater gwinnett community. Gwinnett hospital system has two facilities located in duluth and lawrenceville, georgia that together provide acute care, outpatient services, orthopedic, cardiovascular, neuroscience specialty, open heart surgery, several clinics, and a full continuum of wellness services. The facilities each operate a year round emergency room open 24 hours a day, 7 days a week.

Form 990

Page 1 principal officer and signing officer - robert t. Quattrocchi is president and ceo of northside hospital, inc. Mr. Quattrocchi serves as the principal officer of gwinnett hospital system for fiscal year ended june 30, 2019 solely in his capacity as president and ceo of northside hospital, inc., successor-in-interest by merger to gwinnett hospital system, inc. Shannon a. Banna is the cfo of northside hospital, inc. Ms. Banna serves as the cfo of gwinnett hospital system for fiscal year ended june 30, 2019 solely in her capacity as cfo, northside hospital, inc., successor-in- interest by merger to gwinnett hospital system, inc.

Form 990, Page 1, Part I, Line 6

Volunteer services has a database system that tracks the number of volunteers and their hours of service.

Form 990, Page 2, Part III, Line 4A

Gwinnett hospital system, inc.'s primary program service activity is the provision of patient care. The hospital provides acute care, outpatient services, orthopedic, cardiovascular, open heart surgery, neuroscience specialty; and it operates two emergency rooms. It offers well woman services, and a full continuum of wellness services. In addition, the hospital provides nursing care in the areas of medical, post-surgical, open heart, emergency care, critical and intermediate care to patients. The hospital now has an ever-expanding graduate medical education program which services patients in clinical settings, training future physicians. The hospital provides several subsidized services to the public below costs, including: a care-a-van for sports medicine, diabetes and nutrition services, rehab and renal services, and a wound care clinic. The hospital provides orthopaedic trauma services through an agreement with hughston clinic, p.c. During fiscal year 2019, the hospital opened a radiology department at peachtree corners and an imaging and specialty center in grayson, georgia to better serve the population of those areas.

Form 990, Part XI

The 2019 statement of changes in net assets was revised to correct net assets without donor restrictions and total net assets as of june 30, 2018. Net assets as of june 30, 2018 have been reduced as a result of net patient service revenue adjustments identified by management subsequent to june 30, 2019 that relate to priods prior to july 1, 2018. The correction was considered immaterial as noted in the hospital's audited financial statements.

Form 990, Part XI, Line 9

Beneficial interest in assets of foundation 1,340,176 accrued pension costs adjustment -4,240,973 change in interest rate swap -7,381,005 ubi from k-1 not on books 101,403 minority interest -480,000 rounding -7 total -10,660,406

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

To support gwinnett hospital system, inc.

Schedule D, Page 3, Part X

The hospital has been recognized by the internal revenue service as exempt from federal income tax under internal revenue code section 501(a) as an organization described in section 501(c)(3). The hospital is subject to federal income tax on unrelated business income. The hospital applies fasb asc topic 740, income taxes (asc 740), which addresses the accounting for uncertainty in tax positions. It also provides guidance on the timing of recognition of tax positions in an entity's financial statements and the determination of the values of these positions. The hospital does not have any material unrecognized tax positions that should be recognized in the financial statements for 2019.

Schedule D, Page 4, Part XI, Line 2D

Interest rate swap change -7,381,005

Schedule D, Page 4, Part XI, Line 4B

Ubi from partnership k-1 -101,403

Schedule D, Page 4, Part XII, Line 4B

Transfers to affiliates 38,289,601

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IRS990/Form990PartVIISectionAGrp/TitleTxt12VP & CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt13SEE SCHEDULE
IRS990/Form990PartVIISectionAGrp/TitleTxt14SEE SCHEDULE
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR GME
IRS990/Form990PartVIISectionAGrp/TitleTxt16VP & COO (GM
IRS990/Form990PartVIISectionAGrp/TitleTxt17VP & COO (GM
IRS990/Form990PartVIISectionAGrp/TitleTxt18VP PLANNING
IRS990/Form990PartVIISectionAGrp/TitleTxt19VP FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt20VP PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt21VP MANAGED C
IRS990/Form990PartVIISectionAGrp/TitleTxt22DIRECTOR WOM
IRS990/Form990PartVIISectionAGrp/TitleTxt23ASST. VP REV
IRS990/Form990PartVIISectionAGrp/TitleTxt24CMIO
IRS990/Form990PartVIISectionAGrp/TitleTxt25CHIEF NURSIN
IRS990/Form990PartVIISectionAGrp/TitleTxt26ASSOCIATE GE
IRS990/Form990PartVIISectionAGrp/TitleTxt27DIRECTOR OF
IRS990/Form990PartVIISectionAGrp/TitleTxt28TEACHING FAC
IRS990/Form990PartVIISectionAGrp/TitleTxt29PRG. DIRECTO
IRS990/Form990PartVIISectionAGrp/TitleTxt30PROGRAM DIRE
IRS990/Form990PartVIISectionAGrp/TitleTxt31PROGRAM DIRE
IRS990/Form990PartVIISectionAGrp/TitleTxt32TEACHING FAC
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