Grady Health System
Legal name: Grady Memorial Hospital Corporation
Nonprofit profile at a glance
- EIN
- 262037695
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Atlanta, GA, United States
- Phone
- (404) 616-1000
- Rating
- 84
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $2,689,147,008
- Expenses
- $2,433,877,422
- Assets
- $2,377,136,159
- Liabilities
- $599,801,971
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
32 people listed
Executive titles in this filing
- JOHN M HAUPERT FACHE (PRESIDENT/CEO)
Highest reported compensation
- JOHN M HAUPERT FACHE (PRESIDENT/CEO): $2,698,520 total reported compensation
- ANTHONY SAUL (SR EVP/COO/CFO): $1,131,570 total reported compensation
- SAMUAL TODD (SVP/CHIEF ACUTE CARE SURGERY): $1,026,408 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Grady’s mission is to improve the health of our community by providing compassionate, culturally competent, ethical healthcare to everyone who needs it. Grady has been Atlanta’s hospital since 1892. Today, we provide essential, high-quality care with humanity, compassion, and kindness to everyone in Atlanta and the surrounding region. Our Mission GRADY’S MISSION. GRADY’S MISSION is clear We’re here to improve the health of our community by providing compassionate, culturally competent, ethical healthcare to everyone who needs it. We lead the way in clinical excellence, innovative research, and progressive medical education and training.
What it reported doing in 2024
4c program service - emergency and trauma services: grady operates one of the busiest emergency departments in the eastern united states and the country's largest hospital-based ambulance service. Gmhc operates the only level 1 trauma center in the atlanta metropolitan area which handled 15,037 acute trauma cases in 2024. Additionally, as part of its trauma service, gmhc operates one of only two burn centers in Georgia. The nationally acclaimed emergency care center (ecg) handled 148,907 emergency cases in 2024. The emergency room was the intake point for approximately 32,045 of the safety net hospital's total admissions. Grady's ems division statewide ems operation is the exclusive 911 ambulance provider for the city of atlanta including south fulton county. The grady ems team of approximately 700 ems professionals maintains a fleet of about 250 ambulance and support vehicles and handled approximately 180,000 calls throughout Georgia in 2024. Beyond emergency response, grady ems operates a mobile integrated health (mih) care program which provides pre and post hospital care for patients in an effort to reduce the strain on ems and ecc. This program expands access to preventative care services, lowers readmissision rates, shortens hospital stays, and includes mobile mammography screenings for community outreach. Grady ems operates atlanta's largest specialized event ems division serving stadiums, concerts, marathons, and festivals throughout the city of atlanta. Grady ems operational standards function in compliance with standards defined by the joint commission, the american college of surgeons, and the Georgia department of community health. This is an important distinction and holds our ems division to the highest standards ensuring a compliant, ethical and confidential operation.
Operating model
- Revenue model
- Other-operating. 91% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 99% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
STRONG - The filed numbers largely add up and a large share of available resources goes toward mission work. Total assets are small relative to annual expenses; liquid coverage is unknown and some filed totals do not add up.
Rating breakdown
- Financial Efficiency: 69
- Transparency & Controls: 93
- Accountability: 100
- Sustainability: 62
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 75%; rating input score 75
- Program expense ratio: 82.7%; rating input score 83
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 9.5%; rating input score 71; 71st percentile among comparable filings
- Total-asset coverage ratio: 0.98; rating input score 38; 38th percentile among comparable filings
- Liabilities to assets ratio: 0.25; rating input score 62; 62nd percentile among comparable filings
- Officer compensation ratio: 0.5%; rating input score 84; 84th percentile among comparable filings
Growth
- Program expense growth: 7% per year; rating input score 100; 57th percentile among comparable filings
- Revenue growth: 8.1% per year; rating input score 100; 68th percentile among comparable filings
- Asset growth: 10.6% per year; rating input score 100; 73rd percentile among comparable filings
Details
- What they do: 3 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 75% of revenue deployed · 82.7% of spending went to programs
- Governance: 17 of 17 board members independent · 9 of 9 filing controls reported
- Programs: 4 filed program accomplishments · $2B in reported program spending
- Leadership: top reported pay $2.7M · 32 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $285.2M reported
- Consistency: 35 of 36 current checks pass · 1 finding to review
- Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 14 filed money-flow records
- Related organizations: 8 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- Moderate — Sustainability: Total-asset coverage ratio scored 38/100.
- Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.