Civic Intelligence

Gwinnett Medical Services Inc

EIN 58-2143107 • 501(c)3 • Atlanta, GA

Profile

Gwinnett medical group, inc., (gmgi),was formed for the purpose of establishing and operating certain hospital based and clinical outreach physician services with our service community. Gmgi employs specialty physicians that serve patients within gwinnett hospital system, inc. And primary care and other physicians that serve patients in clinical settings within the community. These physician services are an integral part of the healthcare mission of gwinnett hospital system, inc. And gwinnett health system, inc.

1000 Johnson Ferry Road NEAtlanta, GA 30342

www.gwinnettmedicalcenter.org/FACILITI

Siviq Scores

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

Liabilities / Assets

92nd percentile

0.96x

Higher debt load relative to assets than 92% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2019

Liabilities / Revenue

26th percentile

0.14x

Higher debt load relative to revenue than 26% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2019

Net Margin

36th percentile

0.6%

Higher net margin than 36% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2019

Top Officer Pay

93rd percentile

$1,577,265

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 2.3% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2019

Asset Growth

72nd percentile

12%

Faster asset growth than 72% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Revenue Growth

68th percentile

18%

Faster revenue growth than 68% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Assets

Up

$9,593,691

Up $1,055,312 (+12%) from 2018

Liabilities

Up

$9,222,001

Up $679,507 (+8.0%) from 2018

Net Assets

Up

$371,690

Up $375,805 (+9133%) from 2018

Revenue

Up

$67,839,794

Up $10,104,638 (+18%) from 2018

Expenses

Up

$67,463,989

Up $7,246,159 (+12%) from 2018

Net Income

Up

$375,805

Up $2,858,479 (+115%) from 2018

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0-$10MAssets 2010: $3,037,541Liabilities 2010: $492Net Assets 2010: $3,037,0492010Assets 2011: $3,800,390Liabilities 2011: $3,283,189Net Assets 2011: $517,2012011Assets 2012: $3,785,448Liabilities 2012: $3,705,294Net Assets 2012: $80,1542012Assets 2013: $14,625,715Liabilities 2013: $8,931,009Net Assets 2013: $5,694,7062013Assets 2014: $12,804,350Liabilities 2014: $11,736,275Net Assets 2014: $1,068,0752014Assets 2015: $12,789,416Liabilities 2015: $14,439,665Net Assets 2015: -$1,650,2492015Assets 2016: $14,325,796Liabilities 2016: $21,456,544Net Assets 2016: -$7,130,7482016Assets 2017: $10,159,154Liabilities 2017: $7,680,595Net Assets 2017: $2,478,5592017Assets 2018: $8,538,379Liabilities 2018: $8,542,494Net Assets 2018: -$4,1152018Assets 2019: $9,593,691Liabilities 2019: $9,222,001Net Assets 2019: $371,6902019

Highlighted filing

2019

Assets$9,593,691
Liabilities$9,222,001
Net Assets$371,690

Operations Trend

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

$100M$50M$0-$50MExpenses 2010: $5,8482010Revenue 2011: $15,584,733Expenses 2011: $18,104,581Net Income 2011: -$2,519,8482011Revenue 2012: $21,911,153Expenses 2012: $22,348,200Net Income 2012: -$437,0472012Revenue 2013: $45,039,898Expenses 2013: $39,425,346Net Income 2013: $5,614,5522013Revenue 2014: $63,377,147Expenses 2014: $68,003,778Net Income 2014: -$4,626,6312014Revenue 2015: $78,040,999Expenses 2015: $80,759,323Net Income 2015: -$2,718,3242015Revenue 2016: $89,890,204Expenses 2016: $95,370,703Net Income 2016: -$5,480,4992016Revenue 2017: $94,020,485Expenses 2017: $79,188,064Net Income 2017: $14,832,4212017Revenue 2018: $57,735,156Expenses 2018: $60,217,830Net Income 2018: -$2,482,6742018Revenue 2019: $67,839,794Expenses 2019: $67,463,989Net Income 2019: $375,8052019

Highlighted filing

2019

Revenue$67,839,794
Expenses$67,463,989
Net Income$375,805

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
$67,839,794
Mission and Program Overview

Mission

Gwinnett medical group, inc., (gmgi),was formed for the purpose of establishing and operating certain hospital based and clinical outreach physician services with our service community. Gmgi employs specialty physicians that serve patients within gwinnett hospital system, inc. And primary care and other physicians that serve patients in clinical settings within the community. These physician services are an integral part of the healthcare mission of gwinnett hospital system, inc. And gwinnett health system, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$2,982,240$3,641,770▲ $659,530
Cash and Non-Interest-Bearing Accounts$1,277,977$2,219,885▲ $941,908
Land, Buildings, and Equipment, Net$1,708,574$1,357,337▼ $351,237
Other Notes and Loans Receivable, Net$432,904$237,014▼ $195,890
Prepaid Expenses and Deferred Charges$148,242$192,355▲ $44,113
Inventories for Sale or Use$26,862--
Total Assets$8,538,379$9,593,691▲ $1,055,312
Other Assets Total$1,961,580$1,945,330▼ $16,250
Liabilities
Accounts Payable and Accrued Expenses$3,326,622$4,624,148▲ $1,297,526
Other Liabilities$4,591,389$4,509,022▼ $82,367
Deferred Revenue$624,483$88,831▼ $535,652
Total Liabilities$8,542,494$9,222,001▲ $679,507
Net Assets / Fund Balance
Unrestricted Net Assets$-4,115$371,690▲ $375,805
Total Net Assets Fund Balance$-4,115$371,690▲ $375,805
Total Liabilities and Net Assets / Fund Balance$8,538,379$9,593,691▲ $1,055,312

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,255,706$3,249,287$4,504,993
Leasehold Improvements$101,631$519,751$621,382
Other Assets Org$6,480--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joe F Clements MdPhysicianFT$821,670$569,140$1,577,265
Kathryn Parris MdPhysicianFT$860,844$448,674$1,431,658
Philip R WolfePresident &PT-$1,358,943$1,358,943
Martin L Austin MdPhysicianFT$850,378$132,517$1,307,988
Darrell Mark Cheek MdPhysicianFT$776,581$260,017$1,039,298
Robert Ayer MdPhysicianFT$776,897$430,731$1,031,438
Philip R WolfePresident & CEO-$361,284$326,927$688,211
Thomas Y Mcbride IiiExecutive VPPT-$656,416$656,416
Bedri M Yusuf MdVP & CPOFT$421,910$94,186$516,096
Peter WheelerGeneral CounPT-$485,354$485,354
Steven a RubinExecutive DiFT$382,726$75,407$458,133
Thomas Y Mcbride IiiExecutive VP & CFO-$262,440$195,693$458,133
Peter WheelerGeneral Counsel-$334,479$110,986$445,465
Steven a RubinExecutive Director-$286,041$158,927$444,968
Bethwel Raore MdPhysicianFT$38,605$32,007$300,202
Bonny RichardsonAssociate Gen. Legal-$233,147$732,411$275,770
Bonny RichardsonAssociate GePT-$240,031$240,031
A Keith Carnes MdBoard Member--$3,805$3,805
Jeff WagesChairman--$2,945$2,945
L C JohnsonBoard Member--$2,945$2,945
Miles H Mason Iii MdBoard Member--$2,945$2,945
Greg ShumateBoard Member--$2,750$2,750

Board Members and Trustees

NameTitle
Albert E SerrianController
Dave J Seecharan MdPhysician
David Langford MdPhysician
Richard L Harvey MdPhysician
See Schedule OSee Schedule

Highest Paid Contractors

ContractorServicesLocationCompensation
Gwinnett Pulmonary GroupMedical631 PROFESSION DRIVE, SUITE 350, Lawrenceville, GA 30046$2,006,249
Georgia Pulmonary GroupMedical1800 TREE LANE ROAD, SUITE 200, Snellville, GA 30078$1,059,343
Prima Center For Plastic SurgeryMedical3096 PEACHTREE INDUSTRIAL BLVD, Duluth, GA 30097$184,448
Revenue and Support

Revenue Composition

Contributions and Grants
$32,665,587
Program Service Revenue
$34,900,180
Investment Income
$0
Other Revenue
$274,027
Change in Net Assets
$375,805
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$52,131,024
Other Expenses$15,332,965
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$41,386,873$2,303,437-$43,690,310
Fees for Services Other$4,001,917$326,185-$4,328,102
Insurance$2,848,007$774,121-$3,622,128
Current Officers, Directors, Trustees, and Key Employees$1,506,254$1,031,120-$2,537,374
Payroll Taxes$2,103,316$141,458-$2,244,774
Occupancy$1,980,204$109,910-$2,090,114
Other Employee Benefits$1,778,194$119,592-$1,897,786
Pension Plan Contributions$1,551,922$208,858-$1,760,780
Fees for Services Management$1,596,305$107,359-$1,703,664
Depreciation Depletion$493,666$134,184-$627,850
Office Expenses$346,571$224,045-$570,616
Information Technology$319,311$244,988-$564,299
Conferences and Meetings$116,358$12,608-$128,966
Travel$82,458$10,109-$92,567
Other Expenses$67,413$1,260-$68,673
Advertising$64,641--$64,641
All Other Expenses-$212-$212
Total Functional Expenses$61,690,568$5,773,421$0$67,463,989
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
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Self Insurance Liability Reserve$3,960,297
Due to Affiliates$548,725
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
No
Business relationship with organization members
No
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 medical group, inc. Is gwinnett health system, inc., a related section 501(c)(3) organization.

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

The board of directors of gwinnett medical group, inc. Is appointed by the chairman of the board of directors of gwinnett health system, inc.

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

Under the organization's governing documents, certain decisions made by the governing body must be approved by the board of directors of gwinnett health system, inc. (a related section 501(c)(3) parent organization and the sole member of the organization).

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

Effective 12:01 a.m. On august 28, 2019, gwinnett medical group, 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 prior to 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 medical group, 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 hospital's 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 any meeting at which a conflict is discussed. Only nonconflicted 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 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 approval of the chairman of the board (and payments to the ceo are approved by another administrative officer). In addition, human resources sends out a conflict of interest policy and disclosure form to officers and key employees every 3 - 5 years. These officers and key employees are required to disclose any potential conflict 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. 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.

Filing and Contact Details

Filer

Filer Name
Gwinnett Medical Group Inc
EIN
58-2143107
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
1994
Legal Domicile
Ga
Voting Board Members
5
Independent Board Members
4
Employees
447

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 medical group, inc., (gmgi),was formed for the purpose of establishing and operating certain hospital based and clinical outreach physician services with our service community. Gmgi employs specialty physicians that serve patients within gwinnett hospital system, inc. And primary care and other physicians that serve patients in clinical settings within the community. These physician services are an integral part of the healthcare mission of gwinnett hospital system, inc. And gwinnett health system, inc.

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 medical group 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 medical group, inc. Shannon a. Banna is the cfo of northside hospital, inc. Ms. Banna serves as the cfo of gwinnett medical group for fiscal year ended june 30, 2019 solely in her capacity as cfo, northside hospital, inc., successor-in- interest by merger to gwinnett medical group, inc.

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

Gmgi operates an inpatient medical group at both gwinnett medical center lawrenceville (gmcl) and gwinnett medical center duluth (gmcd), both of which are parts of gwinnett hospital system, inc. The inpatient medical group (the group) provides care to patients at both gmcl and gmcd. The service is available 24 hours a day, 7 days a week. The group accepts referrals from primary care practices; provides medical consults as requested; and covers patients in need of admission from the emergency department who do not have a primary care physician. Our inpatient physicians, or hospitalists, have completed training in internal medicine and many have additional subspecialty training. The hospitalists allow primary care physicians at gmcl and gmcd to focus on outpatient or office- based care by referring hospitalized patients' care to the team of hospitalists working at gmcl and gmcd. During fiscal year 2019, the hospitalists had 88,830 patient encounters.

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

Gmgi operates three unique surgical practices: neurosurgery & spine associates, gwinnett trauma services, and cardiovascular & thoracic surgeons. Gmcl is a level ii trauma center and the only designated trauma center in gwinnett county. This designation means gmcl has met the criteria set forth by the georgia office of emergency medical service and trauma to care for critically injured patients. The gmgi trauma program is staffed by board-certified trauma surgeons and emergency medicine physicians. Gmcl has orthopedic, neurosurgery and complex facial trauma specialists available. This group, which operates in the state-of-the-art strickland heart center at gmcl, launched in january 2012, with two of the most experienced and recognizable surgeons in the area. Gmgi's two cardiothoracic surgeons possess more than 45 years of cardiac surgical experience. The goal of these physicians is to provide world class cardiac care and clinical excellence. Both specialize in various open heart surgeries including: aortic aneurysm surgery; aortic valve surgery; coronary bypass; minimally invasive heart surgery; mitral valve repair and replacement; open heart surgery; and valve repair and replacement surgery. At neurosurgery & spine, patients receive comprehensive neurosurgical care from some of the regions most respected neurosurgeons. Gmgi offers distinct advantages for the expert diagnosis and treatment of a comprehensive range of cerebral and spinal issues and conditions. With specialized fellowship training in cerebrovascular and skull base neurosurgery, complex and minimally invasive spine surgery and research in spinal cord therapeutics delivery, gmgi's surgical specialists have the experience and expertise for a range of services and treatments.

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

Other patient care programs include: expenses critical care 5,130,101 ob clinic 4,413,869 miles mason kids clinic 2,295,065 neurology 881,361 ent 878,183 palliative care 388,510 wound care 238,756 concussion 189,709 bariatrics 71,813 other 195,875 total expenses 14,683,242 total revenues 11,002,220

Form 990, Part V

The section 4960 excise tax does not apply to this organization. All employees receiving remuneration in excess of section 4960(a) threshold are physicians paid for providing medical services. In addition, no employee received an excess parachute payment.

Financial Statement Notes

Schedule D, Page 3, Part X

The system, the hospital, gmpi, and gmgi have been recognized by the internal revenue service as exempt from federal income tax under internal revenue code section 501(a) as organizations described in section 501(c) (3). The system, the hospital, gmpi and gmgi are subject to federal income tax on unrelated business income. Gmci is a taxable nonprofit corporation with limited activity and no material income tax expense. The system applies fasb asc topic 740, income taxes, 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 system does not have any material unrecognized tax positions that should be recognized in the consolidated financial statements for 2019.

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IRS990/Desc0GMGI OPERATES AN INPATIENT MEDICAL GROUP AT BOTH GWINNETT MEDICAL CENTER LAWRENCEVILLE (GMCL) AND GWINNETT MEDICAL CENTER DULUTH (GMCD), BOTH OF WHICH ARE PARTS OF GWINNETT HOSPITAL SYSTEM, INC. THE INPATIENT MEDICAL GROUP (THE GROUP) PROVIDES CARE TO PATIENTS AT BOTH GMCL AND GMCD. THE SERVICE IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. THE GROUP ACCEPTS REFERRALS FROM PRIMARY CARE PRACTICES; PROVIDES MEDICAL CONSULTS AS REQUESTED; AND COVERS PATIENTS IN NEED OF ADMISSION FROM THE EMERGENCY DEPARTMENT WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN. OUR INPATIENT PHYSICIANS, OR HOSPITALISTS, HAVE COMPLETED TRAINING IN INTERNAL MEDICINE AND MANY HAVE ADDITIONAL SUBSPECIALTY TRAINING. THE HOSPITALISTS ALLOW PRIMARY CARE PHYSICIANS AT GMCL AND GMCD TO FOCUS ON OUTPATIENT OR OFFICE- BASED CARE BY REFERRING HOSPITALIZED PATIENTS' CARE TO THE TEAM OF HOSPITALISTS WORKING AT GMCL AND GMCD. DURING FISCAL YEAR 2019, THE HOSPITALISTS HAD 88,830 PATIENT ENCOUNTERS.
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