Grady Health System

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.

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.

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.

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.