Gwinnett Hospital Systeminc

Nonprofit profile at a glance

EIN
582002413
IRS 990 coverage
2009–2019
Forms available
Form 990 2019
Location
Atlanta, GA, USA
Phone
4043002980
Rating
60
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$129,238,199
Expenses
$128,455,056
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2019. Amounts in USD.

Leadership & pay

32 people listed

Executive titles in this filing

  • PHILIP WOLFE (PRESIDENT &)

Highest reported compensation

  • JESSIE T SHEPHERD (EXECUTIVE VP): $1,823,315 total reported compensation
  • THOMAS Y MCBRIDE III (EXECUTIVE VP): $1,580,472 total reported compensation
  • PHILIP WOLFE (PRESIDENT &): $1,254,871 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2019. Names and roles reflect this filing, not necessarily current officeholders.

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.

What it reported doing in 2019

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.

Operating model

Revenue model
Other-operating. 99% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% 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.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 76
  • Transparency & Controls: 61
  • Accountability: 53
  • Sustainability: 17
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.5%; rating input score 85
  • Program expense ratio: 86.1%; rating input score 86
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: No; rating input score 0

Accountability

  • Independent voting board: 60%; rating input score 60; 16th percentile among comparable filings
  • Governance controls: 4 of 9 controls in place; rating input score 44
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: 0.6%; rating input score 35; 35th percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 12.5%; rating input score 2; 2nd percentile among comparable filings

Growth

  • Program expense growth: -6.4% per year; rating input score 0; 3rd percentile among comparable filings
  • Revenue growth: -1.9% per year; rating input score 0; 5th percentile among comparable filings
  • Asset growth: -4.3% per year; rating input score 0; 4th percentile among comparable filings

Details

  • Where the money goes: 85.5% of revenue deployed · 86.1% of spending went to programs
  • Governance: 3 of 5 board members independent · 4 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $110.6M in reported program spending
  • Leadership: top reported pay $1.8M · 32 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $15M reported
  • Consistency: 27 of 28 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes major donors and executive pay
  • Filing history: 11 filing years from 2009 to 2019
  • Contacts: How to reach this organization
  • Money network: 30 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.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Moderate — Accountability: Governance controls: 4 of 8 not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • Moderate — Sustainability: Operating margin scored 35/100.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 2/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • High — Grant Readiness: Automatic revocation: this organization had its federal tax-exempt status automatically revoked.