NORTHSIDE HOSPITAL INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORTHSIDE HOSPITAL INC (EIN 58-1954432)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-15
- IRS object ID
- 202322279349302822
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-15T13:51:06-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621517792 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PYA P C | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 SUTHERLAND AVE | AddressLine1Txt |
| City | KNOXVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37919 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581954432 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHSIDE HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 4048518000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 JOHNSON FERRY ROAD NE | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 303421611 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHANNON A BANNA | PersonNm |
| Person Title | VP FINANCE / CFO | PersonTitleTxt |
| Phone | 4048518000 | PhoneNum |
| Signature | 2023-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SHANNON | PersonFirstNm |
| Person Last | BANNA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBORAH O ERNSBERGER | PreparerPersonNm |
| PTIN | P00364912 | PTIN |
| Phone | 8656730844 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT T QUATTROCCHI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 JOHNSON FERRY ROAD NE | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 303421611 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,160,491,167 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NORTHSIDE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO BE A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 30124 | TotalEmployeeCnt |
| Total Volunteers | 716 | TotalVolunteersCnt |
| Total Gross UBI | $22,654,965 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,273,968 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $137,894,469 | PYContributionsGrantsAmt |
| CY Contributions Grants | $23,595,029 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,663,482,589 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,963,223,334 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,460,447 | PYInvestmentIncomeAmt |
| CY Investment Income | $26,859,042 | CYInvestmentIncomeAmt |
| PY Other Revenue | $71,134,929 | PYOtherRevenueAmt |
| CY Other Revenue | $146,813,762 | CYOtherRevenueAmt |
| PY Total Revenue | $5,901,972,434 | PYTotalRevenueAmt |
| CY Total Revenue | $6,160,491,167 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,539,749 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,415,425 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,331,155,760 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,771,439,748 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,186,048,711 | PYOtherExpensesAmt |
| CY Other Expenses | $3,251,794,277 | CYOtherExpensesAmt |
| PY Total Expenses | $5,520,744,220 | PYTotalExpensesAmt |
| CY Total Expenses | $6,026,649,450 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $381,228,214 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $133,841,717 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,670,786,128 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,492,033,881 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,696,035,748 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,302,554,809 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,974,750,380 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,189,479,072 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") IS COMMITTED TO THE HEALTH AND WELLNESS OF OUR COMMUNITY. AS SUCH, WE DEDICATE OURSELVES TO BEING A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE. WE PLEDGE COMPASSIONATE SUPPORT, PERSONAL GUIDANCE AND UNCOMPROMISING STANDARDS | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,901,152,375 | ExpenseAmt |
| Grant | $3,415,425 | GrantAmt |
| Revenue | $5,844,661,357 | RevenueAmt |
| Desc | AS NOTED IN ITS MISSION, NORTHSIDE IS DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. THESE SELECT SPECIALTIES, OR PROGRAM SERVICES, INCLUDE EMERGENCY SERVICES, ONCOLOGY SERVICES, RADIOLOGY SERVICES, SURGICAL SERVICES, AND WOMEN'S SERVICES. IN FURTHERANCE OF ITS CHARITABLE MISSION, NORTHSIDE INVESTED IN THE CONTINUED GROWTH, EXPANSION, AND INCREASED ACCESS TO THESE VITAL PROGRAM SERVICES.SEE SCHEDULE O FOR CONTINUATION | Desc |
| Total Program Service Expenses | $4,901,152,375 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1759 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 30124 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON A BANNA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4048518000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 JOHNSON FERRY ROAD | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30342 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BARBARA PARE' | |||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DALE M BEARMAN MD | |||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTHONY J SALVATORE | |||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK J SWEENEY | |||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE L AMBROZE JR MD | |||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $457,230 | $0 | $24,872 | ||||
| THURBERT E BAKER | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CARLTON BUCHANAN MD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEITH CARNES MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| NORWOOD DAVIS | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GENEVIEVE FAIRBROTHER MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| IQBAL GARCHA MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $493,537 | $0 | $20,568 | ||||
| WILLIAM G HASTY JR | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| TERRI JONDAHL | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| J MICHAEL LEVENGOOD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE SIKES | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEF VENABLE MD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT T QUATTROCCHI | |||||||||
| PRESIDENT & CEO NSH, INC. | 40.00 | 1.00 | Yes (X) | $4,966,725 | $0 | $40,837 | Yes (X) | ||
| SHANNON BANNA | |||||||||
| VP/CFO NSH, INC./ASST. TREASURER | 40.00 | 1.00 | $860,258 | $0 | $13,976 | Yes (X) | |||
| JORGE J HERNANDEZ | |||||||||
| VICE PRESIDENT/ASST. SECRETARY | 40.00 | 1.00 | $907,438 | $0 | $27,700 | Yes (X) | |||
| JANIS DUBOW | |||||||||
| VICE PRESIDENT | 40.00 | $622,137 | $0 | $16,418 | Yes (X) | ||||
| WILLIAM HAYES | |||||||||
| CEO, NORTHSIDE HOSPITAL-CHEROKEE | 40.00 | $803,168 | $0 | $36,825 | Yes (X) | ||||
| DEBORAH MITCHAM BILBRO | |||||||||
| CEO, NORTHSIDE HOSPITAL GWINNETT | 40.00 | $1,002,357 | $0 | $23,008 | Yes (X) | ||||
| ROBERT PUTNAM | |||||||||
| VICE PRESIDENT | 40.00 | $997,304 | $0 | $25,983 | Yes (X) | ||||
| TINA WAKIM | |||||||||
| VICE PRESIDENT/COO | 40.00 | $1,035,866 | $0 | $26,293 | Yes (X) | ||||
| CHARLES DECOOK MD | |||||||||
| ORTHOPEDIC SURGEON | 40.00 | $1,861,463 | $0 | $40,609 | Yes (X) | ||||
| RICHARD HARVEY MD | |||||||||
| CARDIOTHORACIC SURGEON | 40.00 | $1,239,060 | $0 | $17,053 | Yes (X) | ||||
| KENNETH KRESS MD | |||||||||
| ORTHOPEDIC SURGEON | 40.00 | $1,288,960 | $0 | $27,200 | Yes (X) | ||||
| DAVID A LANGFORD MD | |||||||||
| THORACIC SURGEON | 40.00 | $1,276,056 | $0 | $25,462 | Yes (X) | ||||
| KEITH OSBORN MD | |||||||||
| SPINE SURGEON | 40.00 | $1,371,062 | $0 | $25,308 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $19,182,621 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $392,112 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3245 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GEORGIA CANCER SPECIALISTS I PC | |||||
| 1835 SAVOY DRIVE STE 300 | ATLANTA | GA | 30342 | SEE SCHEDULE O | $37,765,492 |
| BAKER & HOSTETLER LLP | |||||
| 1170 PEACHTREE STREET NE STE 2400 | ATLANTA | GA | 30309 | LEGAL SERVICES | $33,045,946 |
| ATLANTA GASTROENTEROLOGY ASSOCIATES | |||||
| 550 PEACHTREE ST STE 1620 | ATLANTA | GA | 30308 | SEE SCHEDULE O | $28,837,525 |
| ATLANTA CANCER CARE PC | |||||
| 1100 JOHNSON FERRY ROAD STE 150 | SANDY SPRINGS | GA | 30342 | SEE SCHEDULE O | $24,643,181 |
| MORRISON HEALTHCARE INC | |||||
| 400 NORTHRIDGE RD 600 | ATLANTA | GA | 30350 | FOOD SERVICE | $17,737,653 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 570 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,105,228 | RelatedOrganizationsAmt |
| Government Grants | $19,075,886 | GovernmentGrantsAmt |
| All Other Contributions | $2,413,915 | AllOtherContributionsAmt |
| Total Contributions | $23,595,029 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 621990 | $5,911,317,424 | $5,674,338,470 | $12,666,185 | $224,312,769 |
| RENTAL INCOME | 531120 | $30,004,507 | $30,004,507 | ||
| CAFETERIA & VENDING | 722514 | $7,458,997 | $7,458,997 | ||
| PARKING REVENUE | 812930 | $6,675,703 | $6,675,703 | ||
| BILLING REVENUE | 561000 | $6,234,527 | $3,493,398 | $2,741,129 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,532,176 | TotalRevenueColumnAmt |
| Exclusion | $1,532,176 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,963,223,334 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,859,042 | TotalRevenueColumnAmt |
| Exclusion | $26,859,042 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MISCELLANEOUS | 900003 | $134,800,131 | $130,832,380 | $3,967,751 |
| PASSTHROUGH INVESTMENT | 621300 | $12,013,631 | $9,486,000 | $2,527,631 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $146,813,762 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,160,491,167 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,844,661,357 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $22,654,965 | UnrelatedBusinessRevenueAmt |
| Exclusion | $269,579,816 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,406,255 | TotalAmt |
| Program Services | $3,406,255 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,170 | TotalAmt |
| Program Services | $9,170 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,674,733 | TotalAmt |
| Program Services | $10,204,679 | ProgramServicesAmt |
| Management And General | $2,470,054 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,226,568,339 | TotalAmt |
| Program Services | $1,792,654,320 | ProgramServicesAmt |
| Management And General | $433,914,019 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,132,204 | TotalAmt |
| Program Services | $101,551,538 | ProgramServicesAmt |
| Management And General | $24,580,666 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,720,727 | TotalAmt |
| Program Services | $223,598,464 | ProgramServicesAmt |
| Management And General | $54,122,263 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,343,745 | TotalAmt |
| Program Services | $103,332,094 | ProgramServicesAmt |
| Management And General | $25,011,651 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,653,533 | TotalAmt |
| Program Services | $8,653,533 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,959,872 | TotalAmt |
| Management And General | $37,959,872 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,248,603 | TotalAmt |
| Management And General | $1,248,603 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,261,335 | TotalAmt |
| Management And General | $3,261,335 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $663,961,199 | TotalAmt |
| Program Services | $564,851,874 | ProgramServicesAmt |
| Management And General | $99,109,325 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,602,511 | TotalAmt |
| Program Services | $5,434,298 | ProgramServicesAmt |
| Management And General | $7,168,213 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,972,003 | TotalAmt |
| Program Services | $43,108,686 | ProgramServicesAmt |
| Management And General | $56,863,317 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,335,802 | TotalAmt |
| Program Services | $28,173,293 | ProgramServicesAmt |
| Management And General | $37,162,509 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,270,008 | TotalAmt |
| Program Services | $69,540,850 | ProgramServicesAmt |
| Management And General | $91,729,158 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,754,159 | TotalAmt |
| Program Services | $1,187,614 | ProgramServicesAmt |
| Management And General | $1,566,545 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,785,881 | TotalAmt |
| Program Services | $770,085 | ProgramServicesAmt |
| Management And General | $1,015,796 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $872,660 | TotalAmt |
| Management And General | $872,660 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,404,079 | TotalAmt |
| Program Services | $139,724,969 | ProgramServicesAmt |
| Management And General | $97,679,110 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,671,634 | TotalAmt |
| Program Services | $35,217,428 | ProgramServicesAmt |
| Management And General | $46,454,206 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,413,891,146 | $1,409,317,202 | $4,573,944 |
| BAD DEBT EXPENSE | $285,564,858 | $285,564,858 | |
| MINOR EQUIPMENT PURCHAS | $25,526,778 | $11,007,340 | $14,519,438 |
| RECRUITMENT | $8,401,226 | $3,622,672 | $4,778,554 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,656,990 | TotalAmt |
| Program Services | $60,221,153 | ProgramServicesAmt |
| Management And General | $79,435,837 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,026,649,450 | TotalAmt |
| Program Services | $4,901,152,375 | ProgramServicesAmt |
| Management And General | $1,125,497,075 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,106 | BOYAmt |
| EOY | $76,953 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $911,966,179 | BOYAmt |
| EOY | $571,731,697 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $506,694,849 | BOYAmt |
| EOY | $615,088,279 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $626,381 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,678,248 | BOYAmt |
| EOY | $108,384,033 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,740,694 | BOYAmt |
| EOY | $87,972,154 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,078,313,084 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,069,278,589 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,875,171,270 | BOYAmt |
| EOY | $2,009,034,495 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $778,943,178 | BOYAmt |
| EOY | $658,242,215 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,205,534 | BOYAmt |
| EOY | $317,282,941 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,309,070 | BOYAmt |
| EOY | $123,594,733 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,670,786,128 | BOYAmt |
| EOY | $4,492,033,881 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $837,731,667 | BOYAmt |
| EOY | $701,537,139 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,622,791 | BOYAmt |
| EOY | $4,025,817 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,203,542 | BOYAmt |
| EOY | $5,601,322 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $787,477,748 | BOYAmt |
| EOY | $591,390,531 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,696,035,748 | BOYAmt |
| EOY | $1,302,554,809 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,974,750,380 | BOYAmt |
| EOY | $3,182,854,988 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $6,624,084 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,974,750,380 | BOYAmt |
| EOY | $3,189,479,072 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,670,786,128 | BOYAmt |
| EOY | $4,492,033,881 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $133,841,717 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$143,881,228 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $224,768,203 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $534,416 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $534,416 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | NORTHSIDE HOSPITAL, INC. PAYS MEMBERSHIP DUES TO PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION, GEORGIA HOSPITAL ASSOCIATION, AND THE GEORGIA ALLIANCE FOR COMMUNITY HOSPITALS. A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. NORTHSIDE HOSPITAL, INC. DOES NOT DIRECT ANY OF THESE ORGANIZATIONS' LOBBYING ACTIVITIES. IN ADDITION, CONNECT SOUTH, A SERVICE VENDOR, IS RETAINED TO MONITOR LEGISLATION IN THE GEORGIA GENERAL ASSEMBLY. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,297,796 | BeginningYearBalanceAmt |
| Contributions | $4,285,036 | ContributionsAmt |
| Investment Earnings Or Losses | -$279,016 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,417,160 | OtherExpendituresAmt |
| End Year Balance | $19,886,656 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,609,127 | BeginningYearBalanceAmt |
| Contributions | $14,559,204 | ContributionsAmt |
| Investment Earnings Or Losses | $638,990 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,509,525 | OtherExpendituresAmt |
| End Year Balance | $19,297,796 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,973,195 | BeginningYearBalanceAmt |
| Contributions | $786,795 | ContributionsAmt |
| Investment Earnings Or Losses | $171,961 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,322,824 | OtherExpendituresAmt |
| End Year Balance | $10,609,127 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,180,369 | BeginningYearBalanceAmt |
| Contributions | $1,829,101 | ContributionsAmt |
| Investment Earnings Or Losses | $286,184 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,322,459 | OtherExpendituresAmt |
| End Year Balance | $10,973,195 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,083,135 | BeginningYearBalanceAmt |
| Contributions | $2,049,190 | ContributionsAmt |
| Investment Earnings Or Losses | $185,144 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,137,100 | OtherExpendituresAmt |
| End Year Balance | $10,180,369 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.34784 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.65216 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $438,450,540 | OtherCostOrOtherBasisAmt |
| Book Value | $438,450,540 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,067,508,058 | OtherCostOrOtherBasisAmt |
| Depreciation | $963,493,536 | DepreciationAmt |
| Book Value | $1,104,014,522 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,373,360,558 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,105,785,053 | DepreciationAmt |
| Book Value | $267,575,505 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $198,993,928 | OtherCostOrOtherBasisAmt |
| Book Value | $198,993,928 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,009,034,495 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| RESERVE FOR MALPRACTICE | $399,392,731 |
| PERIODIC CAPITAL FINANCING LIABILITY | -$1,021,867 |
| REAL ESTATE FINANCING LIABILITY | $86,573,942 |
| RENT/LEASE RELATED LIABILITIES | $63,209,480 |
| OTHER LIABILITIES | $43,236,245 |
| CURRENT PORTION CAPITAL LEASE | -$6,765,719 |
| CURRENT PORTION OF LONG TERM DEBT | $12,367,041 |
| CURRENT PORTION OF NOTES PAYABLE | -$5,601,322 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $591,390,531 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | NORTHSIDE HOSPITAL, INC., NORTHSIDE HOSPITAL FOUNDATION, INC., AND GWINNETT HOSPITAL SYSTEM FOUNDATION, INC. HAVE ENDOWMENT FUNDS THAT CONSIST OF SEVERAL DONOR-RESTRICTED INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ORGANIZATIONS ADOPTED A POLICY REGARDING THE ENDOWMENTS WHOSE GENERAL PURPOSE IS TO PRESERVE THE CAPITAL AND PURCHASING POWER OF THE ORGANIZATIONS AND TO PRODUCE SUFFICIENT INVESTMENT EARNINGS FOR CURRENT AND FUTURE SPENDING NEEDS. |
| PART X, LINE 2: | NORTHSIDE HOSPITAL, INC., AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021, AND INDEPENDENT AUDITOR'S REPORT: NORTHSIDE QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $325,250,101 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $325,250,101 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05400 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $462,014,165 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $370,538,231 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $91,475,934 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01520 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $787,264,266 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $370,538,231 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $416,726,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06920 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 55 | ActivitiesOrProgramsCnt |
| Persons Served | 232442 | PersonsServedCnt |
| Total Community Benefit Expns | $2,005,561 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $236,205 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,769,356 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 52 | ActivitiesOrProgramsCnt |
| Persons Served | 3107 | PersonsServedCnt |
| Total Community Benefit Expns | $17,614,583 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,599,763 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,014,820 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 1507 | PersonsServedCnt |
| Total Community Benefit Expns | $42,529,932 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,414,681 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,115,251 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1116 | PersonsServedCnt |
| Total Community Benefit Expns | $494,794 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $494,794 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 135 | PersonsServedCnt |
| Total Community Benefit Expns | $3,246,916 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,996 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,240,920 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 116 | ActivitiesOrProgramsCnt |
| Persons Served | 238307 | PersonsServedCnt |
| Total Community Benefit Expns | $65,891,786 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,256,645 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,635,141 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 116 | ActivitiesOrProgramsCnt |
| Persons Served | 238307 | PersonsServedCnt |
| Total Community Benefit Expns | $853,156,052 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $417,794,876 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $435,361,176 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07230 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $51,243 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $51,243 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $10,081 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,081 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $251,702 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $251,702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,479 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $315,505 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $315,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $84,333,656 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $537,722,134 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $795,689,038 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$257,966,904 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (16 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 GWINNETT ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.15000 | 0.55000 |
| 2 MIDTOWN ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.15000 | 0.55000 |
| 3 NORTHERN CRESCENT ENDOSCOPY SUITE LLC | ||
| OUTPATIENT CENTER | 0.51000 | 0.30000 |
| 4 NORTHWEST ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.15000 | 0.55000 |
| 5 SOUTHERN CRESCENT ENDOSCOPY LLC | ||
| OUTPATIENT CENTER | 0.15000 | 0.55000 |
| 6 WOODSTOCK ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.51000 | 0.30000 |
| 7 WEST METRO ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.15000 | 0.55000 |
| 8 ENT SURGERY CENTER OF ATLANTA LLC | ||
| AMBULATORY SURGERY | 0.68330 | 0.31670 |
| 9 PEACHTREE ORTHOPAEDIC SURGERY CENTER AT PERIMETER LLC | ||
| AMBULATORY SURGERY | 0.15000 | 0.85000 |
| 10 UROLOGY SURGICAL PARTNERS LLC | ||
| AMBULATORY SURGERY | 0.70000 | 0.30000 |
| 11 THE HAND & UPPER EXTREMITY SURGERY CENTER OF GA LLC | ||
| AMBULATORY SURGERY | 0.51000 | 0.49000 |
| 12 PANOLA ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.15000 | 0.55000 |
| 13 ADVANCED CENTER FOR JOINT SURGERY LLC | ||
| ORTHOPEDIC SURGERY | 0.51000 | 0.49000 |
| 14 THOMAS EYE SURGERY CENTER LLC | ||
| EYE SURGERY | 0.40000 | 0.60000 |
| 15 GWINNETT SURGERY CENTER LLC | ||
| AMBULATORY SURGERY | 0.70000 | 0.30000 |
| 16 HUDES ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.15000 | 0.55000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Teaching HospitalTeachingHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTHSIDE HOSPITAL | ||||||||||
| 1 | 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 060-604 | Yes (X) | Yes (X) | Yes (X) | A | |
| NORTHSIDE HOSPITAL GWINNETT | ||||||||||
| 2 | 1000 MEDICAL CENTER BOULEVARD | LAWRENCEVILLE | GA | 30046 | 067-460 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
| NORTHSIDE HOSPITAL - FORSYTH | ||||||||||
| 3 | 1200 NORTHSIDE FORSYTH DRIVE | CUMMING | GA | 30041 | 058-604 | Yes (X) | Yes (X) | Yes (X) | A | |
| NORTHSIDE HOSPITAL - CHEROKEE | ||||||||||
| 4 | 450 NORTHSIDE CHEROKEE BLVD | CANTON | GA | 30115 | 028-552 | Yes (X) | Yes (X) | Yes (X) | A | |
| NORTHSIDE HOSPITAL DULUTH | ||||||||||
| 5 | 3620 HOWELL FERRY ROAD | DULUTH | GA | 30096 | 067-628 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY REPORTING GROUP - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE EXPLANATION FOR LINE 7D | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE RESPONSE TO 16J | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE RESPONSE TO 16J | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE RESPONSE TO 16J | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: NORTHSIDE HOSPITAL, - FACILITY 3: NORTHSIDE HOSPITAL - FORSYTH, - FACILITY 4: NORTHSIDE HOSPITAL - CHEROKEE, - FACILITY 2: NORTHSIDE HOSPITAL GWINNETT, - FACILITY 5: NORTHSIDE HOSPITAL DULUTH |
| GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 5: | NORTHSIDE IDENTIFIED AND REACHED OUT TO A TOTAL OF 65 COMMUNITY STAKEHOLDERS WHO BROADLY REPRESENTED THE INTERESTS OF NORTHSIDE'S COMMUNITY, INCLUDING STAKEHOLDERS WHO REPRESENT MEDICALLY UNDERSERVED, UNINSURED, AND DISPARATE POPULATIONS, UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY AND WHO HAVE A SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH. NORTHSIDE THEN DEVELOPED THE STAKEHOLDER ASSESSMENT DISCUSSION GUIDE TO LEARN ABOUT THE NEEDS AND RESOURCES WITHIN THE COMMUNITY (A COPY OF WHICH IS INCLUDED AS APPENDIX A TO NORTHSIDE'S CHNA) AND CONDUCTED TELEPHONE INTERVIEWS WITH A QUALIFIED REPRESENTATIVE OF EACH IDENTIFIED STAKEHOLDER. IN TOTAL, NORTHSIDE COMPLETED INTERVIEWS WITH THE FOLLOWING 24 OF THE 65 STAKEHOLDERS IDENTIFIED: (1) CIMA INTERNATIONAL WOMEN'S SERVICES (2) ATLANTA CANCER CARE FOUNDATION (3) COBB AND DOUGLAS PUBLIC HEALTH (4) GEORGIA HIGHLANDS MEDICAL SERVICES (5) CROSSROADS ATLANTA (6) DEPARTMENT OF PUBLIC HEALTH NORTHEAST GEORGIA (7) GOOD SAMARITAN ATLANTA (8) DAWSON FAMILY CONNECTION (9) GWINNETT, NEWTON, & ROCKDALE HEALTH DEPARTMENTS GWINNETT COUNTY (10) GOOD SAMARITAN COBB (11) HEALTHMPOWERS (12) GOOD SAMARITAN GWINNETT (13) HEALTHY MOTHERS, HEALTHY BABIES COALITION OF GEORGIA (INTERVIEW CONDUCTED IN 2020)(14) HEALTHY MOTHERS, HEALTH BABIES COALITION OF GEORGIA (INTERVIEW CONDUCTED IN 2021)(15) GOOD SAMARITAN HEALTH & WELLNESS CENTER (16) GWINNETT COALITION (17) HOPE CLINIC (18) NAVIGATE RECOVERY (19) MEDLINK GWINNETT (20) NEXT GENERATION YOUTH DEVELOPMENT (21) MEDSHARE (22) NORTH FULTON COMMUNITY CHARITIES (23) VIEW POINT HEALTH (24) UNITED WAY FORSYTH |
| GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 6A: | THE NORTHSIDE HOSPITAL, INC. SYSTEM COMPRISES FIVE HOSPITAL FACILITIES: (1) NORTHSIDE HOSPITAL-ATLANTA, (2) NORTHSIDE HOSPITAL-CHEROKEE (3) NORTHSIDE HOSPITAL-DULUTH, (4) NORTHSIDE HOSPITAL-FORSYTH, AND (5) NORTHSIDE HOSPITAL-GWINNETT. GIVEN THE SIGNIFICANT OVERLAP IN SERVICE AREAS AMONG ITS FIVE FACILITIES, NORTHSIDE CONDUCTED A JOINT CHNA (OR SYSTEM-LEVEL CHNA). |
| GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 7D: | HOSPITAL WEBSITE:WWW.NORTHSIDE.COM/COMMUNITY-WELLNESS/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 11: | BASED ON THE RESULTS OF NORTHSIDE'S FY2022-FY2024 CHNA, NORTHSIDE HOSPITAL, INC. ADOPTED AN IMPLEMENTATION STRATEGY WHICH OUTLINED SEVERAL INITIATIVES TO HELP ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY. AS SET FORTH IN THE FY2022-FY2024 CHNA, NORTHSIDE IS UNABLE TO ADDRESS EACH IDENTIFIED COMMUNITY NEED DUE TO AVAILABILITY OF RESOURCES, MAGNITUDE/SEVERITY OF THE ISSUES IDENTIFIED, AND EXISTING RESOURCES ALREADY AVAILABLE TO MEET SUCH NEEDS. THE NEEDS THAT WILL NOT BE ADDRESSED DIRECTLY FOLLOW: (1) HEALTHY LIFESTYLE BEHAVIORS, (2) RESPIRATORY DISEASE AND SMOKING, AND (3) HIV/AIDSA DETAILED ANALYSIS OF WHY EACH OF THESE NEEDS WILL NOT BE ADDRESSED IS INCLUDED IN NORTHSIDE'S CHNA. |
| GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 13B: | IN ADDITION TO FPG NORTHSIDE ALSO USES MEDICAL INDIGENCY AS WELL AS PROPENSITY TO PAY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 16J: | THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 20E: | NORTHSIDE FOLLOWS A VERY DETAILED AND ROBUST PROCESS PRIOR TO INITIATING ECAS. AS INDICATED IN RESPONSE TO QUESTION 20, NORTHSIDE (1) PROVIDES A WRITTEN NOTICE ABOUT UPCOMING ECAS AND A PLAIN LANGUAGE SUMMARY OF THE FAP AT LEAST 30 DAYS BEFORE INITIATING ANY ECAS, (2) NORTHSIDE MAKES REASONABLE EFFORTS TO ORALLY (AND VIA OTHER MEANS) NOTIFY INDIVIDUALS ABOUT THE FAP AND FAP APPLICATION PROCESS, AND (3) NORTHSIDE MAKES PRESUMPTIVE ELIGIBILITY DETERMINATIONS TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE. NORTHSIDE PROMPTLY PROCESSES ALL COMPLETE FAP APPLICATIONS. NORTHSIDE ALSO EVALUATES ALL INCOMPLETE FAP APPLICATIONS, AND IN CONNECTION WITH SUCH INCOMPLETE APPLICATIONS, TAKES THE FOLLOWING STEPS: IF NORTHSIDE DETERMINES THAT A PATIENT HAS SUBMITTED AN INCOMPLETE FAP APPLICATION, NORTHSIDE WILL (A) IMMEDIATELY SUSPEND ANY ECAS THAT MAY HAVE BEEN INITIATED AGAINST THE PATIENT AFTER THE EXPIRATION OF THE NOTIFICATION PERIOD BUT BEFORE THE EXPIRATION OF THE APPLICATION PERIOD; (B) PROVIDE THE PATIENT WITH WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION AND/OR DOCUMENTATION THE INDIVIDUAL MUST SUBMIT TO COMPLETE THE FAP APPLICATION AND INCLUDE A COPY OF THE FAP WITH THE WRITTEN NOTICE; AND (C) MAKE A NOTE IN THE BILLING SYSTEM INDICATING THAT ECAS SHOULD NOT BE INITIATED (OR RE-INITIATED) ON THE PATIENT'S ACCOUNT UNTIL THE EXPIRATION OF THE APPLICATION PERIOD, AND ONLY IF AT THAT POINT THE PATIENT HAS NOT SUBMITTED THE NECESSARY INFORMATION TO COMPLETE THE FAP APPLICATION.NORTHSIDE DEFINES THE NOTIFICATION PERIOD" TO MEAN THE PERIOD DURING WHICH IT MUST NOTIFY AN INDIVIDUAL ABOUT THE FAP AND BEGINS ON THE DATE THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE WAS PROVIDED TO THE PATIENT AND ENDS ON THE 120TH DAY AFTER THE PATIENT WAS PROVIDED WITH THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE. NORTHSIDE DEFINES THE "APPLICATION PERIOD" TO MEAN THE PERIOD DURING WHICH NORTHSIDE MUST ACCEPT AND PROCESS A FAP APPLICATION SUBMITTED BY A PATIENT. THE "APPLICATION PERIOD" BEGINS ON THE DATE CARE IS PROVIDED TO THE PATIENT AND ENDS ON THE LATER OF THE 240TH DAY AFTER THE DATE THAT THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE IS PROVIDED OR EITHER (I) IN THE CASE OF INDIVIDUAL WHO NORTHSIDE HAS PROVIDED A NOTICE OF AT LEAST 30 DAYS PRIOR TO INITIATING ONE OR MORE ECAS, THE 30TH DAY AFTER THE DATE SUCH NOTICE IS PROVIDED, OR (II) IN THE CASE OF A PATIENT WHO NORTHSIDE HAS PRESUMPTIVELY DETERMINED TO BE ELIGIBLE FOR LESS THAN THE MOST GENEROUS ASSISTANCE AVAILABLE UNDER NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM, A REASONABLE TIME AFTER THE PATIENT HAS HAD A CHANCE TO APPLY FOR MORE GENEROUS FINANCIAL ASSISTANCE. |
| GROUP A-FACILITY 3 -- NORTHSIDE HOSPITAL - FORSYTH PART V, SECTION B, LINE 16J: | THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| GROUP A-FACILITY 4 -- NORTHSIDE HOSPITAL - CHEROKEE PART V, SECTION B, LINE 16J: | THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| GROUP A-FACILITY 2 -- NORTHSIDE HOSPITAL GWINNETT PART V, SECTION B, LINE 16J: | THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| GROUP A-FACILITY 5 -- NORTHSIDE HOSPITAL DULUTH PART V, SECTION B, LINE 7D: | HOSPITAL WEBSITE:WWW.NORTHSIDE.COM/COMMUNITY-WELLNESS/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| GROUP A-FACILITY 5 -- NORTHSIDE HOSPITAL DULUTH PART V, SECTION B, LINE 16J: | THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 350 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (350 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - NORTHSIDE HOSPITAL CANCER INSTITUTE | |||||
| 308 COLISEUM DRIVE STE 102 | MACON | GA | 31217 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 2 - NHCI SUBURBAN HEMATOLOGY-ONCOLOGY ASSOCIAT | |||||
| 3855 PLEASANT HILL ROAD STE 480 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 3 - NHCI SUBURBAN HEMATOLOGY-ONCOLOGY ASSOCIAT | |||||
| 1700 TREE LANE STE 490 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 4 - NORTHSIDE HOSPITAL CANCER INSTITUTE | |||||
| 308 DEEP SOUTH FARM ROAD STE 200 | BLAIRSVILLE | GA | 30512 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 5 - NORTHSIDE HOSPITAL CANCER INSTITUTE | |||||
| 101 RIVERSTONE VISTA STE 102 | BLUE RIDGE | GA | 30513 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 6 - NORTHSIDE HOSPITAL CANCER INSTITUTE | |||||
| 747 SOUTH 8TH STREET STE C | GRIFFIN | GA | 30224 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 7 - CARDIOVASCULAR GROUP GRAYSON | |||||
| 1132 ATHENS HIGHWAY STE 207 | GRAYSON | GA | 30017 | PHYSICIAN SERVICES | |
| 8 - GEORGIA UROLOGY | |||||
| 3790 PLEASANT HILL ROAD STE 150 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 9 - NORTHSIDE HOSPITAL CANCER INSTITUTE | |||||
| 820 N COBB STREET | MILLEDGEVILLE | GA | 31061 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 10 - NORTHSIDE HOSPITAL CANCER INSTITUTE | |||||
| 1000 COWLES CLINIC WAY | GREENSBORO | GA | 30642 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 11 - LAUREATE MEDICAL GROUP | |||||
| 6135 BARFIELD ROAD STE 160 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 12 - MEDICAL ASSOCIATES OF NORTH GEORGIA | |||||
| 320 HOSPITAL ROAD STE A | CANTON | GA | 30114 | PHYSICIAN SERVICES | |
| 13 - LAUREATE MEDICAL GROUP | |||||
| 6135 BARFIELD ROAD STE 200 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 14 - NORTHSIDE HOSPITAL CANCER INSTITUTE | |||||
| 214 PERRY HIGHWAY | HAWKINSVILLE | GA | 31036 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 15 - NORTHSIDE MIDTOWN BREAST CARE IMAGING | |||||
| 1110 WEST PEACHTREE STREET STE 850 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 16 - ARTHRITIS AND TOTAL JOINT SPECIALIST | |||||
| 2000 HOWARD FARM DRIVE STE 200 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 17 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1240 JESSE JEWELL PKWY BLDG B UNIT | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | 500 |
| 18 - NHCI RADIATION ONCOLOGY - MACON | |||||
| 308 COLISEUM DRIVE STE 100 | MACON | GA | 31217 | RADIATION THERAPY CENTER AND PHYSICIAN SERVICES | |
| 19 - NORTHSIDE VASCULAR SURGERY | |||||
| 4800 OLDE TOWNE PARKWAY STE 420 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 20 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 2005 PRINCE AVENUE | ATHENS | GA | 30606 | PHYSICIAN SERVICES | |
| 21 - NORTHSIDEMCGINNIS FERRY IMAGING | |||||
| 6630 MCGINNIS FERRY ROAD STE D | JOHNS CREEK | GA | 30097 | PHYSICIAN SERVICES | |
| 22 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 2000 HOWARD FARM DRIVE STE 450 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 23 - NORTHSIDE HEART ATLANTA | |||||
| 5670 PEACHTREE DUNWOODY ROAD STE 88 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 24 - ADVANCED NEUROSURGERY ASSOCIATES INC | |||||
| 1255 FRIENDSHIP ROAD STE 200C | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 25 - NORTHSIDE HEART CANTON | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 150 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 26 - NORTHSIDE RADIATION ONCOLOGY - ATLAN | |||||
| 993F JOHNSON FERRY ROAD NE STE 120 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 27 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 480 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 28 - WINDERMERE MEDICAL CLINIC | |||||
| 200 EAGLES NEST DRIVE STE 300 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 29 - NORTH GEORGIA OBGYN SPECIALISTS | |||||
| 900 TOWNE LAKE PARKWAY STE 404 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 30 - SPORTS MEDICINE SOUTH OF GWINNETT LL | |||||
| 1900 RIVERSIDE PARKWAY | LAWRENCEVILLE | GA | 30043 | PHYSICIAN SERVICES | |
| 31 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 1100 JOHNSON FERRY ROAD STE 300 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 32 - ATLANTA OPHTHALMOLOGY ASSOCIATES | |||||
| 5730 GLENRIDGE DRIVE STE 120 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 33 - UROLOGY SPECIALISTS OF ATLANTA | |||||
| 5673 PEACHTREE DUNWOODY RD STE 905 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 34 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 180 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 35 - CHEROKEE BREAST CARE | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE T70 | CANTON | GA | 30015 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 36 - CARDIOVASCULAR GROUP LOGANVILLE | |||||
| 98 TARA COMMONS DRIVE STE 1 | LOGANVILLE | GA | 30052 | PHYSICIAN SERVICES | |
| 37 - CHEROKEE LUNG AND SLEEP | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 130 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 38 - NORTHSIDE GWINNETT OBGYN | |||||
| 1942 ATKINSON ROAD STE 100 | LAWRENCEVILLE | GA | 30043 | PHYSICIAN SERVICES | |
| 39 - ENDOCRINE SPECIALISTS OF ATLANTA | |||||
| 975 JOHNSON FERRY ROAD STE 400 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 40 - ATLANTA CLINICAL CARE | |||||
| 5673 PEACHTREE DUNWOODY RD STE 330 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 41 - SPECTRUM NEUROSURGICAL SPECIALISTS | |||||
| 1505 NORTHSIDE BOULEVARD STE 2500 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 42 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 960 JOHNSON FERRY ROAD STE 415 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 43 - SURGICAL SPECIALISTS OF ATLANTA | |||||
| 1100 JOHNSON FERRY ROAD STE 410 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 44 - SOUTHEASTERN NEUROSURGICAL SPECIALIS | |||||
| 3300 OLD MILTON PARKWAY STE 225A | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 45 - NHCI GEORGIA CANCER SPECIALISTS - STOCKBRI | |||||
| 1045 SOUTHCREST DRIVE STE 200 | STOCKBRIDGE | GA | 30281 | PHYSICIAN SERVICES | |
| 46 - THE IMAGING CENTER OF WARNER ROBINS | |||||
| 2706 WATSON BOULEVARD STE D | WARNER ROBINS | GA | 31093 | PHYSICIAN SERVICES | |
| 47 - NORTHSIDE HEART ROSWELL | |||||
| 1285 UPPER HEMBREE ROAD STE 100 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 48 - LAUREATE MEDICAL GROUP | |||||
| 1110 WEST PEACHTREE STREET STE 1100 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 49 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 1276 JESSE JEWELL PARKWAY | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 50 - NS VASCULAR SURGERY LAWRENCEVILLE | |||||
| 601-A PROFESSIONAL DRIVE STE 220 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 51 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 1150 HAMMOND DRIVE STE 520 | SANDY SPRINGS | GA | 30328 | PHYSICIAN SERVICES | |
| 52 - MOUNT VERNON INTERNAL MEDICINE | |||||
| 755 MT VERNON HIGHWAY STE 400 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 53 - SOUTHEASTERN NEURO SPECIALISTS - CHE | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 375 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 54 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1240 JESSE JEWELL PARKWAY STE 380 | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 55 - CHATTAHOOCHEE SURGICAL GROUP | |||||
| 3400 OLD MILTON PKWY BLDG A STE 210 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 56 - NORTH POINT PULMONARY ASSOCIATES | |||||
| 1505 NORTHSIDE BOULEVARD STE 3500 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 57 - ROBB FAMILY ENT | |||||
| 3400 OLD MILTON PKWY BLDG C STE 575 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 58 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 900 TOWNE LAKE PARKWAY STE 320 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 59 - PREMIER CARE FOR WOMEN | |||||
| 960 JOHNSON FERRY ROAD STE 400 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 60 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1270 FRIENDSHIP ROAD STES 100A-I | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 61 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 771 OLD NORCROSS ROAD STE 105 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 62 - UNIVERSITY GYNECOLOGIC ONCOLOGY | |||||
| 1100 NORTHSIDE FORSYTH DRIVE STE | CUMMING | GA | 30041 | PHYSICIAN SERVICES | 420 |
| 63 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 6135 BARFIELD ROAD STE 100 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 64 - STRICKLAND FAMILY MED CLINIC | |||||
| 665 DULUTH HIGHWAY STE 501 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 65 - NORTHSIDE HEART | |||||
| 1505 NORTHSIDE BOULEVARD STE 3600 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 66 - GWINNETT NEUROLOGY ASSOCIATES | |||||
| 3855 PLEASANT HILL ROAD STE 270D | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 67 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1270 FRIENDSHIP ROAD STE 130 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 68 - NORTHSIDE HEART WOODSTOCK | |||||
| 900 TOWNE LAKE PARKWAY STE 400 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 69 - PERIMETER NORTH MEDICAL ASSOCIATES - | |||||
| 900 TOWNE LAKE PARKWAY STE 210 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 70 - INTERNAL MEDICINE ASSOCIATES OF JOHN | |||||
| 3380 PADDOCKS PARKWAY STE 100 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 71 - ARTHRITIS AND TOTAL JOINT SPECIALIST | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 160 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 72 - NORTHSIDE PULMONARY AND SLEEP MEDICI | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 315B | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 73 - ATLANTA HEAD AND NECK ASSOCIATES | |||||
| 960 JOHNSON FERRY ROAD STE 335 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 74 - NORTHSIDE FAMILY PRACTICE | |||||
| 960 WOODSTOCK PARKWAY STE 300 | WOODSTOCK | GA | 30188 | PHYSICIAN SERVICES | |
| 75 - NEUROSURGERY ANSWER | |||||
| 1100 NORTHSIDE FORSYTH DR STE 310 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 76 - NORTHSIDE CHEROKEE SURGICAL ASSOCIAT | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 230 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 77 - NORTH GEORGIA DIABETES AND ENDOCRINO | |||||
| 1505 NORTHSIDE BOULEVARD STE 2800 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 78 - ATLANTA PLASTIC & RECONSTRUCTIVE SPE | |||||
| 1505 NORTHSIDE FORSYTH DR STE 3800C | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 79 - NORTHSIDE CARDIAC SURGERY | |||||
| 631 PROFESSIONAL DRIVE STE 200 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 80 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1250 JESSE JEWELL PARKWAY STE 400 | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 81 - GWINNETT INTERNAL MEDICINE ASSOCIATE | |||||
| 2850 HOG MOUNTAIN ROAD STE 101 | DACULA | GA | 30019 | PHYSICIAN SERVICES | |
| 82 - ATLANTA GYNECOLOGIC ONCOLOGY | |||||
| 3400 OLD MILTON PKWY BLDG A STE 390 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 83 - ATLANTA CARDIAC AND THORACIC SURGICA | |||||
| 1100 NORTHSIDE FORSYTH DR STE 410 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 84 - PERIMETER NORTH MEDICAL ASSOCIATES - | |||||
| 3400 OLD MILTON PKWY BLDG A STE 130 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 85 - COMPLETE CARDIOLOGY | |||||
| 1100 JOHNSON FERRY ROAD STE 450 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 86 - ATLANTA COLON & RECTAL SURGERY | |||||
| 5667 PEACHTREE DUNWOODY RD STE 330 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 87 - BOSTOCK FAMILY MEDICINE | |||||
| 771 OLD NORCROSS ROAD STE 255 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 88 - PEACHTREE DUNWOODY MEDICAL ASSOCIATE | |||||
| 875 JOHNSON FERRY ROAD STE 200 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 89 - NORTHSIDE FAMILY MED AND URG CARE OF | |||||
| 684 SIXES ROAD STE 125 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 90 - GENERAL SURGEONS OF GWINNETT | |||||
| 1800 TREE LANE STE 330 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 91 - NORTHSIDE CHEROKEE PEDIATRICS | |||||
| 684 SIXES ROAD STE 130 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 92 - MRI & IMAGING OF ATHENS | |||||
| 845 PRINCE AVENUE | ATHENS | GA | 30606 | PHYSICIAN SERVICES | |
| 93 - NORTHSIDE FAMILY MED AND URG CARE OF | |||||
| 4800 OLDE TOWNE PARKWAY STE 150 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 94 - MEDICAL ASSOC OF NORTH GA RHEUMATO | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 300 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 95 - LAUREATE MEDICAL GROUP | |||||
| 6135 BARFIELD ROAD STE 130A | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 96 - ATLANTA LIVER AND PANCREAS SURGICAL | |||||
| 980 JOHNSON FERRY ROAD STE 170 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 97 - NORTHSIDE HOSPITAL CARDIOVASCULAR CA | |||||
| 980 JOHNSON FERRY ROAD STE 520 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 98 - GEORGIA COLON & RECTAL ASSOCIATES-SA | |||||
| 5445 MERIDIAN MARK ROAD STE 180 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 99 - CARDIOVASCULAR GROUP SUWANEE | |||||
| 4365 JOHNS CREEK PARKWAY STE 450 | EAST ELLIJAY | GA | 30540 | PHYSICIAN SERVICES | |
| 100 - NORTHSIDE GWINNETT WOMENS HEALTH | |||||
| 1800 TREE LANE STE 300 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 101 - VASCULAR MEDICINE AND SURGERY SPECIA | |||||
| 1462 MONTREAL ROAD STE 201 | TUCKER | GA | 30084 | PHYSICIAN SERVICES | |
| 102 - NORTHSIDE NEUROLOGY | |||||
| 1400 NORTHSIDE FORSYTH DR STE 220 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 103 - PERIMETER NORTH MEDICAL ASSOCIATES - | |||||
| 960 JOHNSON FERRY ROAD STE 300 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 104 - ARTHRITIS AND TOTAL JOINT SPECIALIST | |||||
| 1110 WEST PEACHTREE STREET STE 940 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 105 - LAUREATE MEDICAL GROUP | |||||
| 7823 SPIVEY STATION BLVD STE 310 | JONESBORO | GA | 30236 | PHYSICIAN SERVICES | |
| 106 - BARIATRIC INNOVATIONS OF ATLANTA | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 170 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 107 - GEORGIA PULMONARY GROUP LAWRENCEVI | |||||
| 500 MEDICAL CENTER BLVD STE 160 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 108 - MEDICAL ASSOC OF NORTH GA BALLGROU | |||||
| 470 VALLEY STREET STE 200 | BALL GROUND | GA | 30107 | PHYSICIAN SERVICES | |
| 109 - GROFF FAMILY MEDICINE | |||||
| 115 LEE BYRD ROAD | LOGANVILLE | GA | 30052 | PHYSICIAN SERVICES | |
| 110 - WOMENS SPECIALISTS OF NORTHSIDE GWIN | |||||
| 601-A PROFESSIONAL DRIVE STE 310 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 111 - PERIMETER NORTH MEDICAL ASSOCIATES - | |||||
| 3890 JOHNS CREEK PARKWAY STE 230 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 112 - NORTHSIDE CENTER FOR UROGYNECOLOGY | |||||
| 595 HURRICANE SHOALS RD NW STE 301 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 113 - NGDE - JOHNS CREEK | |||||
| 3350 PADDOCKS PARKWAY STE 100 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 114 - ATLANTA COLON & RECTAL SURGERY-EAST | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 385 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 115 - MEDICAL ASSOC OF NORTH GA - CHEROKEE | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 380 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 116 - MRI & IMAGING OF HABERSHAM | |||||
| 638 HISTORIC HWY 441 NORTH STE D | DEMOREST | GA | 30535 | PHYSICIAN SERVICES | |
| 117 - GEORGIA PULMONARY GROUP - SNELLVILLE | |||||
| 1800 TREE LANE STE 200 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 118 - FAMILY MEDICAL CLINIC OF LAWRENCEVIL | |||||
| 2522 CRUSE ROAD STE C2 | LAWRENCEVILLE | GA | 30044 | PHYSICIAN SERVICES | |
| 119 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 3500 MCCLURE BRIDGE ROAD | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 120 - NORTHSIDE URGENT CARE - CUMMING | |||||
| 610 PEACHTREE PARKWAY STE 100 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 121 - TOWN LAKE PRIMARY CARE | |||||
| 684 SIXES ROAD STE 105 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 122 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 3400 OLD MILTON PKWY BLDG C STE 190 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 123 - LAUREATE MEDICAL GROUP | |||||
| 4800 OLDE TOWNE PARKWAY STE 400 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 124 - NORTH GEORGIA OBGYN CANTON | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 290 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 125 - GEORGIA GYNECOLOGIC ONCOLOGY | |||||
| 1505 NORTHSIDE BOULEVARD STE 3800B | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 126 - JOHNS CREEK SPECIALIST CENTER | |||||
| 3340 PADDOCKS PARKWAY STE 100 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 127 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 1110 WEST PEACHTREE STREET STE 920 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 128 - CARDIOVASCULAR GROUP DULUTH | |||||
| 3855 PLEASANT HILL ROAD STE 250 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 129 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 1255 FRIENDSHIP ROAD STE 120 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 130 - NORTHSIDE FAMILY MEDICINE AND URGENT | |||||
| 1110 WEST PEACHTREE STREET STE P200 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 131 - PERIMETER NORTH MEDICAL ASSOCIATES | |||||
| 1505 NORTHSIDE BOULEVARD STE 4400 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 132 - LAUREATE MEDICAL GROUP | |||||
| 3400 OLD MILTON PKWY BLDG C STES | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | 500 5 |
| 133 - NORTH FULTON RHEUMATOLOGY | |||||
| 1300 UPPER HEMBREE RD BLDG 100 STE | ALPHARETTA | GA | 30076 | PHYSICIAN SERVICES | A |
| 134 - NORTHSIDE CHEROKEE PEDIATRICS - TOWN | |||||
| 900 TOWNE LAKE PARKWAY STE 306 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 135 - COVENANT FAMILY MEDICINE | |||||
| 2069 TERON TRACE STE 100 | DACULA | GA | 30019 | PHYSICIAN SERVICES | |
| 136 - ARTHRITIS AND TOTAL JOINT SPECIALIST | |||||
| 3400 OLD MILTON PKWY BLDG C STE 290 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 137 - NORTH ATLANTA BREAST CARE | |||||
| 1400 NORTHSIDE FORSYTH DR STE 280 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 138 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 1110 WEST PEACHTREE STREET STE 950 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 139 - GEORGIA COLON & RECTAL ASSOCIATES-GW | |||||
| 721 WELLNESS WAY STE 200 | LAWRENCEVILLE | GA | 30045 | PHYSICIAN SERVICES | |
| 140 - GOYCO INTERNAL MEDICINE | |||||
| 900 SANDERS ROAD STE B | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 141 - ATLANTA COLON AND RECTAL SURGERY | |||||
| 1380 UPPER HEMBREE ROAD STE A | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 142 - MELANOMA & SARCOMA SPECIALIST OF GEORGIA | |||||
| 1505 NORTHSIDE FORSYTH DR STE 3400G | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 143 - NORTHSIDE FAMILY MEDICINE AND URGENT | |||||
| 11685 ALPHARETTA HWY STE 150 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 144 - RAVRY MEDICAL GROUP | |||||
| 5505 PEACHTREE DUNWOODY RD STE 650 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 145 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1255 FRIENDSHIP ROAD STE 110 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 146 - NORTHSIDE DULUTH SURGICAL GROUP | |||||
| 3855 PLEASANT HILL ROAD STE 470 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 147 - WINDERMERE MEDICAL CLINIC | |||||
| 386 US-441 | BALDWIN | GA | 30511 | PHYSICIAN SERVICES | |
| 148 - LAUREATE MEDICAL GROUP | |||||
| 684 SIXES ROAD STE 250 265 270 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 149 - HARPER AND ASSOC FAMILY MEDICINE | |||||
| 6000 HILLANDALE DRIVE STE 100 | LITHONIA | GA | 30058 | PHYSICIAN SERVICES | |
| 150 - MIDTOWN MEDICAL ASSOCIATES | |||||
| 1110 WEST PEACHTREE STREET STE 1040 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 151 - ANKLE AND FOOT CENTERS OF NORTH GEOR | |||||
| 2000 HOWARD FARM DRIVE STE 340B | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 152 - NORTHSIDE ORTHOPEDIC SPECIALISTS | |||||
| 2108 TERON TRACE STE 100A | DACULA | GA | 30019 | PHYSICIAN SERVICES | |
| 153 - GEORGIA COLON AND RECTAL SURGICAL AS | |||||
| 1505 NORTHSIDE BOULEVARD STE 2900 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 154 - DACULA FAMILY MEDICINE | |||||
| 2850 HOG MOUNTAIN ROAD STE 102 | DACULA | GA | 30019 | PHYSICIAN SERVICES | |
| 155 - GWINNETT FAMILY MEDICAL CARE | |||||
| 2835 CENTERVILLE HIGHWAY BUILDNG | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | ONE |
| 156 - NORTHSIDE SUWANEE PRIMARY CARE | |||||
| 1120 PEACHTREE INDUSTRIAL BLVD STE | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | 208 2 |
| 157 - SOVEREIGN REHABILITATION CANTON | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 190 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 158 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 4800 OLDE TOWNE PARKWAY STE 430 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 159 - NORTH ATLANTA MEDICAL ASSOCIATES | |||||
| 10700 MEDLOCK BRIDGE ROAD STE 201 | DULUTH | GA | 30097 | PHYSICIAN SERVICES | |
| 160 - NORTHSIDE GWINNETT FAMILY MEDICINE | |||||
| 771 OLD NORCROSS ROAD STE 350 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 161 - ARTHRITIS AND TOTAL JOINT SPECIALIST | |||||
| 771 OLD NORCROSS ROAD STE 135 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 162 - CHEROKEE LUNG AND SLEEP - TOWNE LAKE | |||||
| 900 TOWNE LAKE PARKWAY STE 206 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 163 - MEDICAL ASSOCIATES RHEUMATOLOGY - TO | |||||
| 900 TOWNE LAKE PARKWAY STE 202 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 164 - NORTHSIDE GWINNETT SURGICAL ASSOCIAT | |||||
| 631 PROFESSIONAL DRIVE STE 300 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 165 - ROSWELL INTERNAL MEDICINE SPECIALIST | |||||
| 1357 HEMBREE ROAD STE 130 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 166 - EAST COBB FAMILY MEDICINE | |||||
| 1121 JOHNSON FERRY ROAD STE 320 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 167 - SURGICAL SPECIALISTS OF ATLANTA - AL | |||||
| 3400 OLD MILTON PKWY BLDG A STE 560 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 168 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1255 FRIENDSHIP ROAD STE 220 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 169 - NORTHSIDE GRAYSON PRIMARY CARE | |||||
| 1132 ATHENS HIGHWAY STE 207 | GRAYSON | GA | 30017 | PHYSICIAN SERVICES | |
| 170 - NORTHSIDE HEART ALPHARETTA | |||||
| 3400 OLD MILTON PKWY BLDG C STE 360 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 171 - ACADEMIC INTERNAL MED - STAFF | |||||
| 500 MEDICAL CENTER BLVD STE 310 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 172 - GEORGIA COLON & RECTAL ASSOCIATES-FA | |||||
| 1260 HIGHWAY 54 WEST STE 100 | FAYETTEVILLE | GA | 30214 | PHYSICIAN SERVICES | |
| 173 - JOHN ATTOKAREN MD | |||||
| 11600 ATLANTIS PLACE STE B | ALPHARETTA | GA | 30022 | PHYSICIAN SERVICES | |
| 174 - GYN SURGICAL SPECIALISTS | |||||
| 1110 WEST PEACHTREE STREET STE 1050 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 175 - NORTHSIDE MEDICAL SPECIALISTS | |||||
| 145 RIVERSTONE TERRACE STE 100 | CANTON | GA | 30114 | PHYSICIAN SERVICES | |
| 176 - PEACHTREE CORNERS INTERNAL MEDICINE | |||||
| 5277 PEACHTREE PARKWAY | NORCROSS | GA | 30092 | PHYSICIAN SERVICES | |
| 177 - NORTHSIDE FAMILY MEDICINE AND URGENT | |||||
| 610 PEACHTREE PARKWAY STE 130 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 178 - ALPHARETTA FOOT AND ANKLE SPECIALIST | |||||
| 2000 HOWARD FARM DRIVE STE 340A | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 179 - CARDIOVASCULAR GROUP BUFORD | |||||
| 4745 NELSON BROGDON BLVD STE 300 | BUFORD | GA | 30518 | PHYSICIAN SERVICES | |
| 180 - SLEEP DISORDERS CENTER OF GEORGIA | |||||
| 993C JOHNSON FERRY ROAD STE 301 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 181 - PRIMARY CARE OF BROOKHAVEN | |||||
| 4062 PEACHTREE ROAD STE C | ATLANTA | GA | 30319 | PHYSICIAN SERVICES | |
| 182 - PRIMARY CARE OF MILTON | |||||
| 980 BIRMINGHAM ROAD STE 304 | MILTON | GA | 30004 | PHYSICIAN SERVICES | |
| 183 - NORTH POINT PRIMARY CARE | |||||
| 3180 NORTH POINT PKWY BLDG 200 STE | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | 201 |
| 184 - NEWTOWN MEDICAL | |||||
| 3400 OLD MILTON PKWY BLDG A STE 20 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 185 - ANDERSON FAMILY MEDICINE | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 205 | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 186 - ARTHRITIS AND TOTAL JOINT SPECIALIST | |||||
| 1475 JESSE JEWELL PKWY NE STE 302 | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 187 - PEACHTREE CORNERS INTERNAL MEDICINE | |||||
| 6460 SPALDING DRIVE STE A | NORCROSS | GA | 30092 | PHYSICIAN SERVICES | |
| 188 - INTERNAL MEDICINE ASSOCIATES OF LAWRENCEVI | |||||
| 725 WALTHER ROAD STE 200 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 189 - GEORGIA COLON & RECTAL ASSOCIATES-CH | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 385 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 190 - NORTH GEORGIA OBGYN SPECIALISTS - BL | |||||
| 2855 OLD HIGHWAY 5 STE 110 | BLUE RIDGE | GA | 30513 | PHYSICIAN SERVICES | |
| 191 - COMPREHENSIVE NEUROLOGY SPECIALISTS | |||||
| 3890 JOHNS CREEK PARKWAY STE 210 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 192 - INTERNAL MEDICINE SPECIALIST OF ROSW | |||||
| 11685 ALPHARETTA HWY STE 270 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 193 - REPRODUCTIVE SURGICAL SPECIALISTS | |||||
| 1800 NORTHSIDE FORSYTH DRIVE STE | CUMMING | GA | 30041 | PHYSICIAN SERVICES | 380 |
| 194 - GWINNETT CONSULTANTS IN CARDIOLOGY | |||||
| 755 WALTHER RD NW | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 195 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 1839 BUFORD HIGHWAY NE STE 100 | BUFORD | GA | 30518 | PHYSICIAN SERVICES | |
| 196 - NORTH GEORGIA OBGYN SPECIALISTS | |||||
| 433 HIGHLAND PKWY STE 203 | EAST ELIJAY | GA | 30540 | PHYSICIAN SERVICES | |
| 197 - GEORGIA COLON & RECTAL ASSOCIATES-AL | |||||
| 3400 OLD MILTON PKWY BLDG A STE 450 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 198 - SOUTHEASTERN NEURO SPECIALISTS | |||||
| 631 CAMPBELL HILL STREET STE 100 | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 199 - NORTH ATLANTA MEDICAL ASSOC - STONE | |||||
| 1505 LILBURN STONE MOUNTAIN RD STE | STONE MOUNTAIN | GA | 30087 | PHYSICIAN SERVICES | 100 |
| 200 - LANIER FAMILY PRACTICE | |||||
| 1080 SANDERS ROAD STE 100 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 201 - NORTH ATLANTA PULMONARY AND SLEEP | |||||
| 993C JOHNSON FERRY ROAD STE 300 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 202 - GEORGIA COLON & RECTAL ASSOCIATES-DE | |||||
| 2801 N DECATUR ROAD STE 120 | DECATUR | GA | 30033 | PHYSICIAN SERVICES | |
| 203 - NORTHSIDE CHEROKEE SURGICAL ASSOCIAT | |||||
| 900 TOWNE LAKE PARKWAY STE 412 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 204 - NS PRIMARY CARE ASSOCIATES - BRIDGEM | |||||
| 780 CANTON ROAD STE 405 | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 205 - ARTHRITIS AND TOTAL JOINT SPECIALIST | |||||
| 1255 FRIENDSHIP ROAD STE 200 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 206 - GEORGIA COLON & RECTAL ASSOCIATES-MI | |||||
| 1110 WEST PEACHTREE STREET STE 1030 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 207 - ARTHRITIS AND TOTAL JOINT SPECIALIST | |||||
| 960 WOODSTOCK PARKWAY STE 200 | WOODSTOCK | GA | 30188 | PHYSICIAN SERVICES | |
| 208 - SUGARLOAF PRIMARY CARE | |||||
| 1805 HERRINGTON ROAD BUILDING 2 | LAWRENCEVILLE | GA | 30043 | PHYSICIAN SERVICES | |
| 209 - ATLANTA CARDIAC AND THORACIC SURGICA | |||||
| 1110 W PEACHTREE ST NW STE 1010 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 210 - CHEROKEE LUNG AND SLEEP - KENNESAW | |||||
| 6110 PINE MOUNTAIN ROAD STE 102 | KENNESAW | GA | 30152 | PHYSICIAN SERVICES | |
| 211 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 684 SIXES ROAD STE 230 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 212 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 3855 PLEASANT HILL ROAD STE 270B | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 213 - ATLANTA GYN ONCOLOGY -MARIETTA | |||||
| 780 CANTON ROAD STE 320A | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 214 - DULUTH FAMILY AND SPORTS MEDICINE | |||||
| 3855 PLEASANT HILL ROAD STE 100 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 215 - EAST COBB FAMILY MEDICINE | |||||
| 1121 JOHNSON FERRY ROAD STE 100 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 216 - NORTHSIDE PRIMARY CARE ASSOCIATES | |||||
| 4450 CALIBRE CROSSING STE 1224 | ACWORTH | GA | 30101 | PHYSICIAN SERVICES | |
| 217 - NORTHSIDE JOHNS CREEK PRIMARY CARE | |||||
| 4385 JOHNS CREEK PKWY | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 218 - NORTHSIDE CARDIOVASCULAR GROUP | |||||
| 2108 TERON TRACE STE 100E | DACULA | GA | 30019 | PHYSICIAN SERVICES | |
| 219 - SOVEREIGN REHABILITATION LAWRENCEVILLE | |||||
| 575 PROFESSIONAL DR STE 370 | LAWRENCEVILLE | GA | 30045 | PHYSICIAN SERVICES | |
| 220 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 11685 ALPHARETTA HWY STE 170 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 221 - NORTHSIDE THORACIC SURGERY - MIDTOWN | |||||
| 1110 WEST PEACHTREE STREET STE 1010 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 222 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 3280 PEACHTREE ROAD NE STE 160 | ATLANTA | GA | 30305 | PHYSICIAN SERVICES | |
| 223 - SOVEREIGN REHABILITATION ATLANTA | |||||
| 5555 PEACHTREE DUNWOODY RD STE 225 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 224 - SOVEREIGN REHABILITATION HAPEVILLE | |||||
| 800 VIRGINIA AVENUE STE 200 | HAPEVILLE | GA | 30354 | PHYSICIAN SERVICES | |
| 225 - LAUREATE MEDICAL GROUP | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 490 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 226 - SOVEREIGN REHABILITATION DECATURE | |||||
| 495 WINN WAY STE 150 | DECATUR | GA | 30030 | PHYSICIAN SERVICES | |
| 227 - SOVEREIGN REHABILITATION STOCKBRIDGE | |||||
| 125 MEDICAL BOULEVARD | STOCKBRIDGE | GA | 30281 | PHYSICIAN SERVICES | |
| 228 - SURGICAL SPECIALISTS OF ATLANTA | |||||
| 1110 WEST PEACHTREE STREET STE 1050 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 229 - MEDICAL ASSOCIATES OF NORTH GEORGIA ELIJ | |||||
| 433 HIGHLAND PARKWAY STE 101 | EAST ELIJAY | GA | 30540 | PHYSICIAN SERVICES | |
| 230 - SOVEREIGN REHABILITATION CHAMBLEE | |||||
| 5553 PEACHTREE ROAD STE 105 | CHAMBLEE | GA | 30341 | PHYSICIAN SERVICES | |
| 231 - NORTHSIDE DACULA PRIMARY CARE | |||||
| 720 DACULA ROAD STE 2B | DACULA | GA | 30019 | PHYSICIAN SERVICES | |
| 232 - GWINNETT PHYSICIAN GROUP CONCUSSION | |||||
| 3855 PLEASANT HILL ROAD STE 130 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 233 - NORTHSIDE CHEROKEE SURGICAL ASSOCIATES - | |||||
| 4450 CALIBRE CROSSING STES 1106 | ACWORTH | GA | 30101 | PHYSICIAN SERVICES | 1110 |
| 234 - SOVEREIGN REHABILITATION SUWANEE | |||||
| 1220 SATELLITE BOULEVARD | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 235 - HEALTH AND WELLNESS CENTER | |||||
| 100 MEDICAL CENTER BOULEVARD | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 236 - NORTHSIDE URGENT CARE | |||||
| 7386 FRIENDSHIP SPRINGS BOULEVARD | FLOWERY BRANCH | GA | 30542 | PHYSICIAN SERVICES | STE 125 |
| 237 - INTERNAL MEDICINE PRACTICE OF NORTHS | |||||
| 10745 WESTSIDE WAY STE 125 150 | ALPHARETTA | GA | 30009 | PHYSICIAN SERVICES | |
| 238 - ROSWELL URGENT CARE CENTER | |||||
| 660 WEST CROSSVILLE ROAD STE 110 | ROSWELL | GA | 30075 | PHYSICIAN SERVICES | |
| 239 - MASON PRIMARY CARE | |||||
| 3500 MCCLURE BRIDGE ROAD | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 240 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 2000 HOWARD FARM DRIVE STE 300 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 241 - NORTHSIDE PULMONARY AND SLEEP MEDICI | |||||
| 4700 NELSON BROGDON BLVD NE STE | BUFORD | GA | 30019 | PHYSICIAN SERVICES | 125A |
| 242 - GWINNETT PHYSICIANS GROUP OBGYN | |||||
| 1942 ATKINSON ROAD STE 100-400 | LAWRENCEVILLE | GA | 30043 | PHYSICIAN SERVICES | |
| 243 - NORTHSIDE ORTHOPEDIC SPECIALISTS | |||||
| 2220 WISTERIA DRIVE SW STE 202 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 244 - CARDIOVASCULAR GROUP SNELLVILLE | |||||
| 1608 TREE LANE STE C | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 245 - MELANOMA AND SARCOMA SPECIALISTS OF GEORGI | |||||
| 980 JOHNSON FERRY ROAD STE 940 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 246 - ADULT PRIMARY CARE | |||||
| 575 PROFESSIONAL DR STE 510 520 550 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 247 - GWINNETT EAR NOSE AND THROAT | |||||
| 3855 PLEASANT HILL ROAD STE 280 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 248 - GEORGIA COLON & RECTAL ASSOCIATES-AL | |||||
| 3400 OLD MILTON PKWY BLDG A STE 440 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 249 - NORTHSIDE THORACIC SURGERY | |||||
| 1270 FRIENDSHIP ROAD STE 100J | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 250 - CUMMING FAMILY MEDICINE | |||||
| 765 LENIER 400 PKWY STE 200 | CUMMING | GA | 30040 | PHYSICIAN SERVICES | |
| 251 - GWINNETT EXTENDED CARE CENTER | |||||
| 650 PROFESSIONAL DRIVE | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 252 - NORTHSIDE HEART GRAYSON | |||||
| 1132 ATHENS HIGHWAY STE 207 | GRAYSON | GA | 30017 | PHYSICIAN SERVICES | |
| 253 - GEORGIA ORTHOPEDIC SPECIALISTS | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 430 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 254 - ACADEMIC INTERNAL MED - STAFF | |||||
| 665 DULUTH HIGHWAY STE 401 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 255 - ADVANCED NEUROSURGERY ASSOCIATES INC | |||||
| 3855 PLEASANT HILL ROAD STE 270A | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 256 - ADVANCED NEUROSURGERY ASSOCIATES INC | |||||
| 631 PROFESSIONAL DRIVE STE 360 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 257 - ALPHARETTA FOOT AND ANKLE SPECIALIST | |||||
| 3400 OLD MILTON PKWY BLDG A STE 50 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 258 - ANKLE AND FOOT CENTERS OF NORTH GEOR | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 204 | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 259 - ARTHRITIS AND TOTAL JOINT SPECIALIST | |||||
| 4800 OLDE TOWNE PARKWAY STE 430A | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 260 - ARTHRITIS AND TOTAL JOINT SPECIALIST | |||||
| 5670 PEACHTREE DUNWOODY RD STE 1230 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 261 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1485 JESSE JEWELL PKWY NE STE 330 | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 262 - ARTHRITIS AND TOTAL JOINT SPECIALIST | |||||
| 2000 HOWARD FARM DRIVE STE T110 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 263 - ATLANTA CARDIAC AND THORACIC SURGICA | |||||
| 780 CANTON ROAD STE 320C | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 264 - ATLANTA CARDIAC AND THORACIC SURGICA | |||||
| 308 DEEP SOUTH FARM ROAD STE 200 | BLAIRSVILLE | GA | 30512 | PHYSICIAN SERVICES | |
| 265 - ATLANTA CARDIAC AND THORACIC SURGICA | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 140 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 266 - ATLANTA CARDIAC AND THORACIC SURGICA | |||||
| 980 JOHNSON FERRY ROAD STE 800 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 267 - ATLANTA COLON & RECTAL SURGERY-EAST | |||||
| 780 CANTON ROAD STE 315 | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 268 - ATLANTA COLON AND RECTAL SURGERY | |||||
| 1505 NORTHSIDE BOULEVARD STE 1900 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 269 - ATLANTA GYNECOLOGIC ONCOLOGY | |||||
| 980 JOHNSON FERRY ROAD STE 900 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 270 - ATLANTA GYNECOLOGIC ONCOLOGY | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 475 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 271 - BARIATRIC INNOVATIONS OF ATLANTA | |||||
| 6135 BARFIELD ROAD STE 150 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 272 - CARDIOVASCULAR GROUP BUFORD | |||||
| 535 JESSE JEWELL PARKWAY STE C | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 273 - CARDIOVASCULAR GROUP LAWRENCEVILLE | |||||
| 755 WALTHER ROAD | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 274 - CHATTAHOOCHEE SURGICAL GROUP | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 305D | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 275 - CHATTAHOOCHEE SURGICAL GROUP | |||||
| 980 SANDERS ROAD STE 100 | CUMMING | GA | 30042 | PHYSICIAN SERVICES | |
| 276 - CHATTAHOOCHEE SURGICAL GROUP | |||||
| 4700 NELSON BROGDON BLVD NE STE | BUFORD | GA | 30019 | PHYSICIAN SERVICES | 125B |
| 277 - CHATTAHOOCHEE SURGICAL GROUP | |||||
| 70 MOUNTAIN DRIVE | DAHLONEGA | GA | 30533 | PHYSICIAN SERVICES | |
| 278 - GENERAL SURGEONS OF GWINNETT | |||||
| 3890 JOHNS CREEK PARKWAY STE 240D | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 279 - GENERAL SURGEONS OF GWINNETT | |||||
| 631 PROFESSIONAL DRIVE STE 470 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 280 - GEORGIA GYNECOLOGIC ONCOLOGY | |||||
| 771 OLD NORCROSS ROAD STE 165 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 281 - GWINNETT INTERNAL MEDICINE ASSOCIATE | |||||
| 601 OLD NORCROSS ROAD STE A | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 282 - GYN SURGICAL SPECIALISTS | |||||
| 900 TOWNE LAKE PARKWAY STE 302 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 283 - GYN SURGICAL SPECIALISTS | |||||
| 980 JOHNSON FERRY ROAD STE 910 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 284 - HEALTH AND WELLNESS CENTER DULUTH | |||||
| 3620 HOWELL FERRY ROAD | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 285 - LAUREATE MEDICAL GROUP | |||||
| 6135 BARFIELD ROAD STE 130B | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 286 - LAUREATE MEDICAL GROUP | |||||
| 6600 PEACHTREE DUNWOODY RD STE 310 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 287 - LAUREATE MEDICAL GROUP | |||||
| 6600 PEACHTREE DUNWOODY RD STE 325 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 288 - NORTHSIDE FAMILY MEDICINE AND URGENT | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 100 | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 289 - NORTH ATLANTA BREAST CARE | |||||
| 1400 NORTHSIDE FORSYTH DR STE 290 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 290 - NORTH ATLANTA MEDICAL ASSOCIATES | |||||
| 2545 LAWRENCEVILLE HIGHWAY STE 200 | DECATUR | GA | 30033 | PHYSICIAN SERVICES | |
| 291 - NORTH GEORGIA DIABETES AND ENDOCRINO | |||||
| 1505 NORTHSIDE BOULEVARD STE 2850 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 292 - NORTH GEORGIA DIABETES AND ENDOCRINO | |||||
| 3350 PADDOCKS PARKWAY STE 100 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 293 - NORTH POINT PULMONARY ASSOCIATES | |||||
| 3400 OLD MILTON PKWY BLDG C STE 425 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 294 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1250 JESSE JEWELL PKWY BLDG A STE | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | 500 |
| 295 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1255 FRIENDSHIP ROAD STE 230 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 296 - NORTHSIDE CENTER FOR UROGYNECOLOGY | |||||
| 960 JOHNSON FERRY ROAD STE 336A | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 297 - NORTHSIDE CHEROKEE SURGICAL ASSOCIAT | |||||
| 780 CANTON ROAD STE 320B | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 298 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 575 PROFESSIONAL DRIVE STE 400 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 299 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 1255 FRIENDSHIP ROAD STE 240 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 300 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN | |||||
| 684 SIXES ROAD STE 230 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 301 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT | |||||
| 11685 ALPHARETTA HWY STE 250 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 302 - NORTHSIDE NEUROLOGY | |||||
| 1400 NORTHSIDE FORSYTH DR STE 220 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 303 - NORTHSIDE RADIATION ONCOLOGY ALPHA | |||||
| 3330 PRESTON RIDGE RD STE 100 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 304 - NORTHSIDE RADIATION ONCOLOGY CHERO | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE T10 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 305 - NORTHSIDE RADIATION ONCOLOGY - FORSY | |||||
| 1100 NORTHSIDE FORSYTH DR STE 140 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 306 - NORTHSIDE RADIATION ONCOLOGY - MIDTO | |||||
| 1110 WEST PEACHTREE STREET STE P100 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 307 - NORTHSIDE VASCULAR SURGERY | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 100 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 308 - NORTHSIDE VASCULAR SURGERY | |||||
| 1505 NORTHSIDE BOULEVARD STE 2400 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 309 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 1100 JOHNSON FERRY ROAD STE 300 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 310 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 200 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 311 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 1055 HAW CREEK PARKWAY STE 1 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 312 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 2131 FOUNTAIN DRIVE STE 100 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 313 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 1110 WEST PEACHTREE STREET STE 1200 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 314 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 1110 WEST PEACHTREE STREET STE 1200 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 315 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 2000 HOWARD FARM DRIVE STE T100 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 316 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 5505 PEACHTREE DUNWOODY RD STE 150 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 317 - PERIMETER NORTH MEDICAL ASSOCIATES - | |||||
| 900 TOWNE LAKE PARKWAY STE 302B | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 318 - SOUTHEASTERN NEURO SPECIALISTS - MAR | |||||
| 900 TOWNE LAKE PARKWAY STE 375 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 319 - SOUTHEASTERN NEUROSURGICAL SPECIALIS | |||||
| 980 JOHNSON FERRY ROAD STE 490 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 320 - SOUTHEASTERN PRIMARY CARE SPECIALIST | |||||
| 105 CARNEGIE PLACE STE 103 | FAYETTEVILLE | GA | 30214 | PHYSICIAN SERVICES | |
| 321 - SOUTHEASTERN PRIMARY CARE SPECIALIST | |||||
| 105 CARNEGIE PLACE STE 111 | FAYETTEVILLE | GA | 30214 | PHYSICIAN SERVICES | |
| 322 - SPECTRUM NEUROSURGICAL SPECIALISTS | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 460 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 323 - SURGICAL SPECIALISTS OF ATLANTA | |||||
| 1110 WEST PEACHTREE ST STE 1010A | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 324 - SURGICAL SPECIALISTS OF ATLANTA | |||||
| 4800 OLDE TOWNE PARKWAY STE 110C | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 325 - SURGICAL SPECIALISTS OF ATLANTA - JO | |||||
| 7823 SPIVEY STATION BLVD STE 310 | JONESBORO | GA | 30236 | PHYSICIAN SERVICES | |
| 326 - SURGICAL SPECIALISTS OF ATLANTA - MA | |||||
| 4800 OLDE TOWNE PARKWAY STE 110 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 327 - TOWN LAKE PRIMARY CARE | |||||
| 900 TOWNE LAKE PARKWAY STE 410 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 328 - TOWN LAKE PRIMARY CARE | |||||
| 900 TOWNE LAKE PARKWAY STE 410B | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 329 - UNIVERSITY GYNECOLOGIC ONCOLOGY | |||||
| 1110 WEST PEACHTREE STREET STE 810C | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 330 - UNIVERSITY GYNECOLOGIC ONCOLOGY | |||||
| 960 JOHNSON FERRY ROAD STE 130 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 331 - UROLOGY SPECIALISTS OF ATLANTA | |||||
| 5673 PEACHTREE DUNWOODY RD STE 910 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 332 - WINDERMERE MEDICAL CLINIC | |||||
| 3850 WINDERMERE PARKWAY STE 105 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 333 - GEORGIA COLON & RECTAL SURGICAL ASSOCIATES | |||||
| 684 SIXES ROAD STE 220 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 334 - ELLIJAY SPORTS MEDICINE | |||||
| 433 HIGHLAND PARKWAY STE 102 | EAST ELIJAY | GA | 30540 | PHYSICIAN SERVICES | |
| 335 - ADVANCED JOINT SURGERY SPECIALISTS | |||||
| 433 HIGHLAND PARKWAY STE 102A | EAST ELIJAY | GA | 30540 | PHYSICIAN SERVICES | |
| 336 - NSC CARDIOLOGY INC | |||||
| 1100 NORTHSIDE FORSYTH DRIVE STE | CUMMING | GA | 30041 | PHYSICIAN SERVICES | 345 |
| 337 - COMPREHENSIVE NEUROLOGY SPECIALISTS PC | |||||
| 6300 HOSPITAL PARKWAY STE 260 | JOHNS CREEK | GA | 30097 | PHYSICIAN SERVICES | |
| 338 - GWINNETT NEUROLOGY ASSOCIATES LAWRENCEVIL | |||||
| 771 OLD NORCROSS ROAD STE 355 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 339 - NORTHSIDE TRAUMA SURGICAL SPECIALISTS | |||||
| 500 MEDICAL CENTER BOULEVARD STE | LAWRENCEVILLE | GA | 30043 | PHYSICIAN SERVICES | 190 |
| 340 - GMC SPECIALTY CENTER-HAMILTON MILL | |||||
| 2108 TERON TRACE STE 100 | DACULA | GA | 30019 | PHYSICIAN SERVICES | |
| 341 - NORTHSIDE VASCULAR SURGERY | |||||
| 2220 WISTERIA DRIVE SW STE 209 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 342 - HEALTH CHOICE URGENT CARE - SUGAR HILL | |||||
| 5910 SUWANEE DAM ROAD STE 100 | SUGAR HILL | GA | 30518 | PHYSICIAN SERVICES | |
| 343 - HEALTHCHOICE URGENT CARE | |||||
| 2050 SCENIC HIGHWAY STE F | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 344 - NORTHSIDE FAMILY MEDICINE PARTNERS | |||||
| 7376 SPOUT SPRINGS ROAD STE 125 | FLOWERY BRANCH | GA | 30542 | PHYSICIAN SERVICES | |
| 345 - NORTHSIDE ACUTE CARE SURGERY | |||||
| 980 JOHNSON FERRY ROAD STE 880 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 346 - NORTHSIDENORTHPOINT OB-GYN LLC | |||||
| 5780 PEACHTREE DUNWOODY ROAD STE | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | 295 |
| 347 - ASTRA PLASTIC SURGERY LLC | |||||
| 1110 WEST PEACHTREE STREET STE | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | 1050A |
| 348 - KIDNEY CARE CENTER GWINNETT LLC | |||||
| 1110 WEST PEACHTREE STREET STE | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | 1050C |
| 349 - NORTHSIDE HOSPITAL PHARMACY | |||||
| 1110 WEST PEACHTREE STREET STE 340 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 350 - NORTHSIDE DECATUR PRIMARY CARE | |||||
| 1462 MONTREAL ROAD STE 316 | TUCKER | GA | 30084 | PHYSICIAN SERVICES | |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO THE FPG THRESHOLDS, NORTHSIDE'S POLICY ALLOWS FOR MEDICAL INDIGENCY, AS WELL AS AN ASSET TEST, FOR AN ADDITIONAL OPPORTUNITY TO QUALIFY FOR CHARITY. AN APPLICATION IS COMPLETED BY THE PATIENT AND/OR A SCORING METHODOLOGY IS GATHERED FROM A THIRD PARTY USING ITS PROPRIETARY SOURCE TO DETERMINE PROPENSITY TO PAY. THESE TOOLS ARE USED TO DETERMINE SOMEONE'S QUALIFICATIONS FOR A CHARITY DISCOUNT OR FREE CARE IN ADDITION TO THE FPG THRESHOLDS STATED ABOVE. |
| PART I, LINE 7: | THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 7 IS THE COST TO CHARGE RATIO CALCULATED PURSUANT TO THE IRS SCHEDULE H WORKSHEET 2 INSTRUCTIONS. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE IN THE AMOUNT OF $285,564,858 HAS BEEN REMOVED FROM TOTAL EXPENSE TO COMPUTE THE PERCENTAGE IN COLUMN (F). |
| PART I, LINE 7H | THE COST OF RESEARCH PER SCHEDULE H IS LIMITED TO INTERNALLY-FUNDED RESEARCH OR RESEARCH FUNDED BY GOVERNMENT AND NON-PROFIT ENTITIES THAT IS PUBLISHED OR INTENDED TO BE MADE AVAILABLE TO THE PUBLIC. NORTHSIDE INCURS COSTS FOR RESEARCH THAT, ALTHOUGH NOT MADE AVAILABLE TO THE PUBLIC AND THUS NOT INCLUDED IN SCHEDULE H, IS USED INTERNALLY FOR THE BENEFIT OF THE COMMUNITY AS A WHOLE. DURING THE YEAR ENDING SEPTEMBER 30, 2022, NORTHSIDE INCURRED TOTAL RESEARCH COSTS OF $9.4 MILLION. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | AS A COMMUNITY HOSPITAL, NORTHSIDE IS ACTIVELY INVOLVED IN IMPROVING THE HEALTH STATUS OF ITS COMMUNITY EITHER THROUGH ITS COMMUNITY BENEFIT ACTIVITIES OR THROUGH ITS COMMUNITY BUILDING ACTIVITIES. THE LATTER INCLUDES ACTIVITIES LIKE PHYSICAL IMPROVEMENTS AND HOUSING; ECONOMIC DEVELOPMENT; COMMUNITY SUPPORT; ENVIRONMENTAL IMPROVEMENTS; LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS; COALITION BUILDING; COMMUNITY HEALTH IMPROVEMENT ADVOCACY; WORKFORCE DEVELOPMENT; AND OTHERS. NORTHSIDE ALSO WORKS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH ("SDOH") WHICH, AS DEFINED BY HEALTHY PEOPLE 2030, ARE THE CONDITIONS IN THE ENVIRONMENTS WHERE PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE-RANGE OF HEALTH, FUNCTIONING AND QUALITY-OF-LIFE OUTCOMES AND RISKS. SDOH CAN BE GROUPED INTO FIVE (5) DOMAINS: 1) ECONOMIC STABILITY, 2) EDUCATION ACCESS AND QUALITY, 3) HEALTH CARE ACCESS AND QUALITY, 4) NEIGHBORHOOD AND BUILT ENVIRONMENT, AND 5) SOCIAL AND COMMUNITY CONTEXT. EXAMPLES OF SDOH INCLUDE THINGS SUCH AS SAFE HOUSING, TRANSPORTATION AND NEIGHBORHOODS; RACISM, DISCRIMINATION AND VIOLENCE; EDUCATION, JOB OPPORTUNITIES AND INCOME; ACCESS TO NUTRITIOUS FOODS AND PHYSICAL ACTIVITY OPPORTUNITIES; POLLUTED AIR AND WATER AND; LANGUAGE AND LITERACY SKILLS. EFFORTS TO ADDRESS SDOH OFTEN ARE FOUND WITHIN COMMUNITY BUILDING ACTIVITIES; HOWEVER, RECENT GUIDELINES FROM THE CATHOLIC HEALTH ASSOCIATION ("CHA") ADVISE HOSPITALS TO COUNT THESE ACTIVITIES IN PART I IF APPROPRIATE. ADDRESSING SDOH COMPLEMENTS A HOSPITAL'S COMMUNITY BENEFIT PROGRAM ACTIVITIES AS THE TWO WORK TOGETHER TO HELP IMPROVE A COMMUNITY'S OVERALL HEALTH STATUS. GIVEN THE RECENT CHANGE IN REPORTING GUIDANCE FROM CHA, MANY ACTIVITIES THAT ONCE WERE REPORTED IN PART II AS COMMUNITY BUILDING ARE NOW REPORTED IN PART I AS COMMUNITY HEALTH IMPROVEMENT SERVICES.IN FY 2022, NORTHSIDE SUPPORTED THREE (3) DIFFERENT COMMUNITY BUILDING ACTIVITIES INCLUDING ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT AND PHYSICAL IMPROVEMENTS/HOUSING, PROVIDING $313,000 IN COMMUNITY BUILDING FUNDING TO 20 NON-PROFIT ORGANIZATIONS. FOR EXAMPLE, NORTHSIDE CONTRIBUTED TO THE NON-PROFIT, ELACHEE NATURE SCIENCE CENTER. ELACHEE NATURE SCIENCE CENTER PROMOTES ENVIRONMENTAL UNDERSTANDING THROUGH EDUCATION AND CONSERVATION. FOUNDED IN 1978, ELACHEE SITS IN ONE OF GEORGIA'S LARGEST PROTECTED GREENSPACES, THE 1,440-ACRE CHICOPEE WOODS NATURE PRESERVE. ELACHEE IS AN URBAN WOODLAND REFUGE, OUTDOOR CLASSROOM AND EXHIBIT CENTER DESIGNED TO INVOLVE, ENGAGE AND EDUCATE. AS THE ONLY SACS/COGNIA-ACCREDITED NATURE CENTER IN THE SOUTHEASTERN UNITED STATES, ELACHEE LEADS THE WAY IN TEACHING SCHOOLCHILDREN AND NATURE LOVERS HOW NATURE WORKS. ELACHEE IS BUSY YEAR-ROUND, HISTORICALLY WELCOMING SOME 70,000 ANNUAL VISITORS TO HIKE THE TRAILS IN THE CHICOPEE WOODS, VISIT ON SCHOOL FIELD TRIPS AND TO EXPERIENCE CAMP ELACHEE SUMMER DAY CAMPS. ELACHEE ALSO OFFERS FAMILY-FRIENDLY SEASONAL PUBLIC NATURE ENCOUNTERS AND ADULT LEARNING PROGRAMS, AS WELL AS SELF-GUIDED INTERPRETIVE ECOLOGY AND LIVE ANIMAL EXHIBITS. A ROBUST VOLUNTEER CORPS AND OTHER COMMUNITY PARTNERS ASSIST ELACHEE'S PRESERVE MANAGEMENT TEAM IN CONSERVATION AND PRESERVATION INITIATIVES WITHIN THE CHICOPEE WOODS CONSERVATION AREA. AMONG THESE ARE ACTIVITIES THAT SUPPORT AND MAINTAIN THE CHICOPEE WOODS 8-MILE HIKING TRAIL SYSTEM. OF NOTE, THIS TRAIL SYSTEM PROMOTES HEALTHY LIVING CHOICES FOR THE NORTH GEORGIA REGION; OPEN DAILY TO THE VISITING PUBLIC AT NO CHARGE TO ACCESS THESE TRAILS. THE NATURE CENTER CAMPUS IS ALSO HOME TO ELACHEE NATURE ACADEMY, AN ACCREDITED AND LICENSED SCHOOL WITH NATURE-BASED PRESCHOOL TO 3RD GRADE CLASSES. ELACHEE RELIES ON SPONSORSHIPS TO OFFER INNOVATIVE PROGRAMMING, ACCESS TO EXHIBITS AND THE CHICOPEE WOODS HIKING TRAILS. FURTHERMORE, ELACHEE NATURE ACADEMY IS CATEGORIZED AS COMMUNITY BUILDING PHYSICAL IMPROVEMENTS SINCE IT ADDRESSES MULTIPLE DOMAINS WITHIN SDOH, INCLUDING NEIGHBORHOOD AND BUILT ENVIRONMENT AND EDUCATION ACCESS AND QUALITY. |
| PART II, LINE 8 | BIANNUALLY, NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") CONDUCTS A COMMUNITY-BASED PHYSICIAN NEED ANALYSIS FOR NORTHSIDE HOSPITAL-CHEROKEE ("NHC"), NORTHSIDE HOSPITAL-FORSYTH ("NHF"), NORTHSIDE HOSPITAL GWINNETT ("NHG"), AND NORTHSIDE HOSPITAL DULUTH ("NHD"). NHC AND NHF ARE SOLE COUNTY PROVIDERS AND AS SUCH MUST ENSURE THAT APPROPRIATE MEDICAL SERVICES ARE ACCESSIBLE TO THE RESIDENTS OF THE COMMUNITIES SERVED. EACH HOSPITAL'S PHYSICIAN NEED ANALYSIS DEFINES A GEOGRAPHIC AREA COMPLIANT WITH THE FEDERAL PHYSICIAN SELF-REFERRAL LAW, IDENTIFIES NHC, NHF, NHG, AND NHD MEDICAL STAFF MEMBERS WITH AN OFFICE IN THE DEFINED GEOGRAPHIC AREA, IDENTIFIES NON-NORTHSIDE PHYSICIANS WITH AN OFFICE IN THE DEFINED GEOGRAPHIC AREA, AND INCLUDES A QUANTITATIVE ANALYSIS OF EACH COMMUNITY'S PHYSICIAN NEED ("COMMUNITY PHYSICIAN NEED"). BASED ON THE FINDINGS OF THE ANALYSES, NORTHSIDE ENGAGES IN RECRUITMENT EFFORTS DESIGNED TO ENSURE THAT SUFFICIENT QUALIFIED HEALTH PROFESSIONALS ARE AVAILABLE TO MEET THE IDENTIFIED COMMUNITY PHYSICIAN NEED. THROUGH THESE ANALYSES, NORTHSIDE HAS IDENTIFIED A DEFINED NUMERIC NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 19 SPECIALTIES IN NHC'S STARK-COMPLIANT GEOGRAPHIC AREA, A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 20 SPECIALTIES IN NHF'S STARK-COMPLIANT GEOGRAPHIC AREA, A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 22 SPECIALTIES IN NHG'S STARK-COMPLIANT GEOGRAPHIC AREA, AND A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 19 SPECIALTIES IN NHD'S STARK-COMPLIANT GEOGRAPHIC AREA. NHC, NHF, NHG, AND NHD ARE CONCENTRATING RECRUITMENT EFFORTS ON PRIMARY CARE AND MEDICAL AND SURGICAL SPECIALTIES WITH AN EMPHASIS ON RECRUITING NEEDED PHYSICIANS INTO FORSYTH, DAWSON, PICKENS, CHEROKEE, AND GWINNETT COUNTIES TO MEET THE IDENTIFIED COMMUNITY PHYSICIAN NEED.IN ADDITION TO THE WORKFORCE DEVELOPMENT ACTIVITIES NOTED ABOVE, NORTHSIDE ALSO PARTICIPATED IN OTHER COMMUNITY BUILDING ACTIVITIES SUCH AS THE GEORGIA MATERNAL MORTALITY REVIEW COMMITTEE. |
| PART III, LINE 4: | NORTHSIDE DETERMINES ITS ESTIMATES OF EXPLICIT AND IMPLICIT PRICE CONCESSIONS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT IN ACCORDANCE WITH FASB ASU 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). SUBSEQUENT CHANGES IN THE TRANSACTION PRICE THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS OPERATING EXPENSES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. THE PROVISION FOR BAD DEBTS FOR THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021 WAS NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINES 2 AND 3 WAS A COST TO CHARGE RATIO APPLIED TO BAD DEBT CHARGES WRITTEN OFF, NET OF RECOVERIES. NORTHSIDE HOSPITAL PROVIDES CARE TO THE COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE FORGONE CHARGES ARE AT THE EXPENSE OF NORTHSIDE HOSPITAL. |
| PART III, LINE 8: | THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 WAS A COST TO CHARGE RATIO FROM THE FISCAL YEAR 2022 MEDICARE COST REPORT APPLIED TO MEDICARE CHARGES. THE MEDICARE PROGRAM PAYS AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING SERVICES. ANY COST NOT REIMBURSED BY MEDICARE IS BORNE BY NORTHSIDE HOSPITAL WHICH EASES THE BURDEN TO THE GOVERNMENT FOR THE PROVISION OF HEALTH CARE UNDER THE MEDICARE PROGRAM. AS SUCH, THIS SHORTFALL IS REPORTED AS A COMMUNITY BENEFIT. |
| PART III, LINE 9B: | THE COLLECTION POLICY IS SPECIFIC TO THE TIMING AND PROTOCOLS FOLLOWED IN THE DEBT COLLECTION PROCESS. HOWEVER, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY SUPERSEDES THE DEBT COLLECTION POLICY IN ANY SITUATION WHERE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. |
| PART VI, LINE 2: | NORTHSIDE DEVELOPED A STANDARDIZED PROCESS FOR CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). IN SHORT, NORTHSIDE'S CHNA PROCESS INCLUDED: - DEFINING THE NORTHSIDE COMMUNITY. - REVIEWING NORTHSIDE INTERNAL DATA. - REVIEWING PUBLICLY AVAILABLE HEALTH DATA. - REVIEWING PROPRIETARY QUANTITATIVE CONSUMER RESEARCH DATA. - PERFORMING STAKEHOLDER INTERVIEWS. - SUMMARIZING AND PRIORITIZING THE HEALTH NEEDS IDENTIFIED WITHIN NORTHSIDE'S COMMUNITY. - DEVELOPING AN IMPLEMENTATION STRATEGY TO ADDRESS THE IDENTIFIED NEEDS. - PRESENTING THE FINALIZED CHNA REPORT AND IMPLEMENTATION STRATEGY TO THE BOARD OF DIRECTORS OF NORTHSIDE HOSPITAL, INC. FOR ADOPTION. - PROVIDING CONTINUED PUBLIC ACCESS TO NORTHSIDE'S CHNA REPORT VIA WWW.NORTHSIDE.COM/COMMUNITY-WELLNESS/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT AND PROVIDING AN OPPORTUNITY FOR PUBLIC FEEDBACK VIA NORTHSIDE.CHNA@NORTHSIDE.COM.NORTHSIDE UTILIZED AN EVIDENCE-BASED MODEL OF POPULATION HEALTH ADAPTED FROM THE WISCONSIN POPULATION HEALTH INSTITUTE AND ALSO UTILIZED BY COUNTY HEALTH RANKINGS AND ROADMAPS. THIS MODEL ILLUSTRATES THE COMPLEXITY OF ASSESSING A COMMUNITY'S HEALTH STATUS BY OUTLINING THE FACTORS THAT ACT IN COMBINATION TO DETERMINE THE CURRENT STATUS OF A COMMUNITY'S HEALTH. THE EVIDENCE-BASED MODEL OUTLINES THE HEALTH DETERMINANTS (DEMOGRAPHICS AND SOCIAL ENVIRONMENT, HEALTHCARE ACCESS AND QUALITY, HEALTH BEHAVIORS, AND THE PHYSICAL ENVIRONMENT) THAT LEAD TO THE HEALTH OUTCOMES IN A COMMUNITY (MORBIDITY AND MORTALITY).THE CENTERS FOR DISEASE CONTROL AND PREVENTION ("CDC") PERFORMED A SYSTEMATIC LITERATURE REVIEW TO DETERMINE A COMMON SET OF HEALTH METRICS THAT SHOULD BE USED TO MEASURE BOTH THE HEALTH DETERMINANTS AND HEALTH OUTCOMES. NORTHSIDE USED THE CDC'S LIST OF "MOST FREQUENTLY RECOMMENDED HEALTH METRICS" TO DETERMINE WHAT VARIABLES TO CONSIDER FOR NORTHSIDE'S CURRENT CHNA. NORTHSIDE UTILIZED THE CDC'S RECOMMENDED VARIABLES AND METRIC WHEN THEY WERE READILY AVAILABLE AT THE COUNTY LEVEL. |
| PART VI, LINE 3: | NORTHSIDE INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM IN NUMEROUS WAYS.NORTHSIDE CONSPICUOUSLY POSTS NOTICE OF ITS FINANCIAL ASSISTANCE PROGRAM AND HOW TO ACCESS ITS FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION AT ALL MAJOR POINTS OF ACCESS TO ITS INPATIENT AND OUTPATIENT FACILITIES, THESE POINTS OF ACCESS INCLUDE THE HOSPITALS' PATIENT WAITING ROOMS AND EMERGENCY DEPARTMENTS. FOR PATIENTS THAT PRE-REGISTER OVER THE PHONE FOR HOSPITAL SERVICES, NORTHSIDE VERBALLY INFORMS PATIENTS OF ITS FINANCIAL ASSISTANCE PROGRAM AND PROVIDES PATIENTS WITH INFORMATION ON HOW TO OBTAIN A COPY OF NORTHSIDE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION VIA NORTHSIDE'S WEBSITE OR VIA MAIL. ADDITIONALLY, UPON ADMISSION TO ONE OF ITS HOSPITALS FOR SERVICES, NORTHSIDE PROVIDES EACH PATIENT A REGISTRATION PACKET THAT INCLUDES INFORMATION ON ITS FINANCIAL ASSISTANCE PROGRAM. FURTHER, A FINANCIAL COUNSELOR WILL SPEAK WITH ALL PATIENTS DURING EITHER THE PRE-REGISTRATION PROCESS OR UPON ADMISSION AND EXPLAIN NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM. IF A PATIENT INDICATES A NEED OR REQUESTS MORE INFORMATION REGARDING FINANCIAL ASSISTANCE, NORTHSIDE WILL REFER THE PATIENT TO A FINANCIAL ASSISTANCE COUNSELOR WHO WILL WORK DIRECTLY WITH THE PATIENT TO ASSIST THE PATIENT IN APPLYING FOR FINANCIAL ASSISTANCE.IN ORDER TO EXPEDITE THE FINANCIAL ASSISTANCE PROCESS, NORTHSIDE USES THIRD PARTY SOFTWARE TO HELP IDENTIFY PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON PUBLICLY AVAILABLE INFORMATION (E.G., PARTICIPATION IN STATE FUNDED PRESCRIPTION PROGRAMS, PARTICIPATION IN THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM, PARTICIPATION IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP, FORMERLY FOOD STAMPS), SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY, OR ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS). PATIENTS THAT ARE IDENTIFIED BY SUCH THIRD-PARTY SOFTWARE AS ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE WILL NOT BE REQUIRED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND INSTEAD WILL AUTOMATICALLY BE DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE. FURTHER, NORTHSIDE'S FINANCIAL COUNSELORS WILL ASSIST PATIENTS WITH APPLYING TO PROGRAMS THAT THEY ARE ELIGIBLE FOR, BUT NOT CURRENTLY ENROLLED IN, SUCH AS STATE OR FEDERAL HEALTHCARE PROGRAMS OR DRUG DISCOUNT PROGRAMS.NORTHSIDE ALSO INCLUDES A SUMMARY OF ITS FINANCIAL ASSISTANCE PROGRAM, INCLUDING HOW TO OBTAIN MORE INFORMATION AND APPLY FOR FINANCIAL ASSISTANCE, ON ALL PATIENT BILLS.LASTLY, NORTHSIDE WORKS WITH MANY COMMUNITY OUTREACH PROGRAMS TO PROVIDE FINANCIAL ASSISTANCE TO PATIENTS WHO QUALIFY FOR FREE OR DISCOUNTED SERVICES THROUGH THESE PROGRAMS. TO EXPEDITE THE FINANCIAL ASSISTANCE PROCESS FOR SUCH PATIENTS, NORTHSIDE PROVIDES A PRE-APPROVAL PROCESS FOR ALL PATIENTS WHO ARE REFERRED FOR MEDICALLY NECESSARY SERVICES VIA A COMMUNITY OUTREACH PROGRAM. THIS PROCESS ALLOWS PATIENTS TO QUALITY FOR FINANCIAL ASSISTANCE PRIOR TO RECEIVING HOSPITAL SERVICES, THEREBY RELIEVING THE PATIENTS OF THE STRESS AND BURDEN OF THE FINANCIAL ASPECT OF THEIR CARE, AND ALLOWING THEM TO FOCUS ON THEIR HEALTH, WELL-BEING AND RECOVERY. |
| PART VI, LINE 4: | NORTHSIDE BEGAN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS BY DEFINING EACH HOSPITAL'S COMMUNITY, WHICH INCLUDED (I) DEFINING EACH FACILITY'S PRIMARY PATIENT CATCHMENT AREA; (II) MAPPING THE MEDICALLY UNDERSERVED AREAS AROUND EACH FACILITY TO ENSURE THAT NO MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS WERE EXCLUDED WITHIN OR NEAR THE PRIMARY CATCHMENT AREAS; AND (III) MAPPING EACH FACILITY'S DISTRIBUTION OF OUTPATIENT SERVICES ACROSS THE REGION. THE RESULTS OF THIS PROCESS REVEALED SIGNIFICANT OVERLAP BETWEEN THE COMMUNITIES SERVED BY EACH NORTHSIDE HOSPITAL FACILITY. THUS, NORTHSIDE HOSPITAL-ATLANTA, NORTHSIDE HOSPITAL-CHEROKEE, NORTHSIDE HOSPITAL-DULUTH, NORTHSIDE HOSPITAL-FORSYTH, AND NORTHSIDE HOSPITAL-GWINNETT DEVELOPED A SINGLE COMMUNITY DEFINITION IN COMPLIANCE WITH IRS SECTION 501(R) FINAL RULE. THE NORTHSIDE COMMUNITY CONSISTS OF BARROW, CHEROKEE, COBB, DAWSON, DEKALB, FORSYTH, FULTON, GWINNETT, PICKENS, AND WALTON COUNTIES.IN 2020, THE ESTIMATED 4.3 MILLION RESIDENTS OF THE NORTHSIDE COMMUNITY ACCOUNTED FOR 40% OF GEORGIA'S TOTAL POPULATION. THE NORTHSIDE COMMUNITY IS SLIGHTLY YOUNGER THAN GEORGIA OVERALL, WITH A MEDIAN AGE OF 36.3 COMPARED TO GEORGIA'S 36.9. OVERALL, THE 2020 NORTHSIDE COMMUNITY WAS COMPRISED OF A DIVERSE POPULATION. INDIVIDUAL COUNTIES, HOWEVER, HAVE VARYING RACIAL COMPOSITIONS, INCLUDING TWO COUNTIES THAT HAVE 90 PERCENT OF THEIR POPULATIONS BELONGING TO JUST ONE RACIAL GROUP. ALMOST HALF OF GEORGIA'S HISPANIC POPULATION LIVES IN THE COMMUNITY AND 25% LIVES IN GWINNETT COUNTY.OVERALL, THE NORTHSIDE COMMUNITY HAS A HIGH LEVEL OF EDUCATIONAL ATTAINMENT AND AFFLUENCE WHEN COMPARED TO GEORGIA AS A WHOLE. THE MEDIAN DISPOSABLE INCOME, HOUSEHOLD INCOME, HOUSEHOLD NET WORTH, AND HOUSING UNIT VALUE IN THE NORTHSIDE COMMUNITY ARE ALL HIGHER THAN GEORGIA'S AVERAGES. DESPITE THIS GENERAL PICTURE OF AFFLUENCE, HOWEVER, DISPARITIES DO EXIST, ESPECIALLY ALONG RACIAL AND ETHNIC LINES AND BETWEEN COUNTIES THAT NORTHSIDE'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY AIM TO ADDRESS. |
| PART VI, LINE 5: | NORTHSIDE HOSPITAL, INC. IS A CHARITABLE ORGANIZATION AND AS SUCH IS ENGAGED IN NUMEROUS ACTIVITIES TO PROVIDE RELIEF TO THE POOR, THE DISTRESSED, OR THE UNDERPRIVILEGED. NORTHSIDE ROUTINELY PROVIDES FINANCIAL ASSISTANCE, HEALTH PROFESSIONS EDUCATION, CASH AND IN-KIND DONATIONS, COMMUNITY HEALTH IMPROVEMENT SERVICES, RESEARCH, AND COMMUNITY-BUILDING ACTIVITIES. MANY OF THESE EFFORTS HAVE BEEN REPORTED THROUGHOUT THIS RETURN.IN ADDITION TO THE NUMEROUS COMMUNITY BENEFIT ACTIVITIES NORTHSIDE ENGAGES IN THROUGHOUT THE YEAR, NORTHSIDE ALSO INVESTS SURPLUS FUNDS BACK INTO EXPANDING ACCESS TO SERVICES FOR ALL PEOPLE THROUGHOUT ITS COMMUNITY. OVER THE COURSE OF FY 2022, NORTHSIDE HOSPITAL, INC. SUBMITTED THIRTY-SEVEN APPLICATIONS TO THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH TO EXPAND OR RENOVATE FACILITIES, EXPAND SERVICES, ACQUIRE STATE-OF-THE-ART EQUIPMENT, CONTINUE CRITICAL CARDIAC-RELATED SERVICES (I.E., THERAPEUTIC CARDIAC CATHETERIZATION), AND EXPAND OUTPATIENT LOCATIONS. THESE APPLICATIONS REPRESENT A LONG-TERM FINANCIAL COMMITMENT TOTALING OVER $632 MILLION OVER THE NEXT SEVERAL YEARS. PROJECTS INCLUDE: 1) $450 MILLION TO EXPAND INPATIENT BED CAPACITY AT NORTHSIDE HOSPITAL GWINNETT; 2) $122 MILLION IN SEVERAL FACILITY EXPANSION PROJECTS SUCH AS TO MODERNIZE AN INPATIENT REHABILITATION FACILITY, TO CONSTRUCT THREE (3) NEW OUTPATIENT IMAGING CENTERS AND TWO (2) NEW AMBULATORY SURGERY CENTERS, AND TO ESTABLISH A NEW RADIATION THERAPY CENTER; 3) $31 MILLION TO ACQUIRE THREE (3) STATE-OF-THE-ART SURGICAL ROBOTS, NUMEROUS IMAGING EQUIPMENT UPGRADES ACROSS THE SYSTEM'S PORTFOLIO AND TO ACQUIRE STATE-OF-THE-ART CARDIAC PET/CT IMAGING EQUIPMENT; AND 4) $29 MILLION TO DEVELOPED A NEW, OFF-CAMPUS MEDICAL OFFICE BUILDING LOCATED IN COBB COUNTY, GEORGIA. THESE PROJECTS ARE LOCATED THROUGHOUT NORTHSIDE HOSPITAL, INC.'S SERVICE AREA IN CHEROKEE, COBB, FORSYTH, FULTON, AND GWINNETT COUNTIES AND WILL HELP IMPROVE THE COMMUNITY'S ACCESS TO INPATIENT CARE, SPECIALISTS AND OUTPATIENT HOSPITAL SERVICES. |
| PART VI, LINE 6: | THE NORTHSIDE HOSPITAL SYSTEM PROVIDES A NUMBER OF COMMUNITY-BASED SERVICES, DESIGNED TO IMPROVE THE HEALTH OF AREA RESIDENTS. WORKING WITH VARIOUS ORGANIZATIONS, HOSPITAL EMPLOYEES AND MEDICAL STAFF, THE NORTHSIDE HOSPITAL SYSTEM PARTICIPATES IN HEALTH EDUCATION AND SCREENINGS, AS WELL AS PROVIDES SUPPORT ACTIVITIES FOR INDIVIDUALS IN THE COMMUNITY LIVING WITH A SERIOUS OR CHRONIC HEALTH CONDITION.IN ADDITION TO THE EXCELLENT MEDICAL CARE AND EDUCATIONAL PROGRAMS WE PROVIDE TO THE COMMUNITY, NORTHSIDE ALSO PROVIDES FINANCIAL SUPPORT TO A NUMBER OF OTHER NON-PROFIT, COMMUNITY AND CIVIC CAUSES WHOSE MISSIONS AND OBJECTIVES COMPLEMENT NORTHSIDE HOSPITAL'S MISSION AND VALUES.NORTHSIDE HOSPITAL GIVES BACK A SIGNIFICANT AMOUNT TO THE COMMUNITY. WE MEASURE THE SUCCESS OF OUR EFFORTS BY THE NUMBER OF RESIDENTS WE REACH WITH OUR MESSAGES RELATED TO HEALTH AND WELLNESS. OUR MISSION IS TO WORK TO POSITIVELY IMPACT THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. CLEARLY, EDUCATION, OUTREACH AND COMMUNITY SERVICE ALLOW US TO BROADEN OUR IMPACT BEYOND THE WALLS OF OUR FACILITIES. |
| PART VI, LINE 7 | NORTHSIDE HOSPITAL, INC. IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT UNDER GEORGIA LAW; HOWEVER, IT DOES PREPARE AN ANNUAL COMMUNITY BENEFIT REPORT, AVAILABLE ON OUR WEBSITE:HTTPS://CM.NORTHSIDE.COM/DOCS/DEFAULT-SOURCE/DEFAULT-DOCUMENT-LIBRARY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/FY-21-CB.PDF |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (59 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| 247 GATEWAY LLC | |||||||||
| 275 PRYOR STREET SW | ATLANTA | GA | 30303 | 261193832 | 501(C)(3) | $97,850 | $0 | GENERAL SUPPORT | |
| ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATION | |||||||||
| 225 N MICHIGAN AVE 17TH FLOOR | CHICAGO | IL | 60601 | 133039601 | 501(C)(3) | $20,000 | $0 | GENERAL SUPPORT | |
| AMERICAN CANCER SOCIETY INC | |||||||||
| PO BOX 56566 | ATLANTA | GA | 30343 | 131788491 | 501(C)(3) | $203,000 | $0 | GENERAL SUPPORT | |
| AMERICAN HEART ASSOCIATION INC | |||||||||
| 1101 NORTHCHASE PKWY SUITE 1 | MARIETTA | GA | 30067 | 135613797 | 501(C)(3) | $160,000 | $0 | GENERAL SUPPORT | |
| AMERICAN LUNG ASSOCIATION | |||||||||
| 55 W WACKER DR SUITE 1150 | CHICAGO | IL | 60601 | 131632524 | 501(C)(3) | $20,000 | $0 | GENERAL SUPPORT | |
| AMERICAN RED CROSS1955 MONROE | |||||||||
| 1955 MONROE DRIVE NE | ATLANTA | GA | 30324 | 530196605 | 501(C)(3) | $50,000 | $0 | GENERAL SUPPORT | |
| ARCS FOUNDATION INC | |||||||||
| PO BOX 52124 | ATLANTA | GA | 30355 | 582004368 | 501(C)(3) | $22,500 | $0 | GENERAL SUPPORT | |
| ARTHRITIS FOUNDATION INC | |||||||||
| PO BOX 78423 | ATLANTA | GA | 30357 | 581341679 | 501(C)(3) | $85,000 | $0 | GENERAL SUPPORT | |
| ATLANTA BELTLINE PARTNERSHIP INC | |||||||||
| 112 KROG STREET SUITE 14 | ATLANTA | GA | 30307 | 562464486 | 501(C)(3) | $50,000 | $0 | GENERAL SUPPORT | |
| ATLANTA RONALD MCDONALD HOUSE | |||||||||
| 795 GATEWOOD ROAD NE | ATLANTA | GA | 30329 | 581295754 | 501(C)(3) | $20,000 | $0 | GENERAL SUPPORT | |
| ATLANTA TRACK CLUB INC | |||||||||
| 201 ARMOUR DRIVE | ATLANTA | GA | 30324 | 581367422 | 501(C)(3) | $150,000 | $0 | GENERAL SUPPORT | |
| AURORA THEATRE INC | |||||||||
| PO BOX 2014 | LAWRENCEVILLE | GA | 30046 | 582450282 | 501(C)(3) | $30,000 | $0 | GENERAL SUPPORT | |
| BE THE MATCH FOUNDATION | |||||||||
| 500 NORTH 5TH STREET | MINNEAPOLIS | MN | 55401 | 411704734 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | |
| BOYS AND GIRLS CLUBS OF METRO ATLANTA | |||||||||
| 1275 PEACHTREE ST NE 500 | ATLANTA | GA | 30309 | 580566123 | 501(C)(3) | $22,500 | $0 | GENERAL SUPPORT | |
| CENTER FOR BLACK WOMENS WELLNESS | |||||||||
| 477 WINDOR STREET SUITE 309 | ATLANTA | GA | 30312 | 582212203 | 501(C)(3) | $22,500 | $0 | GENERAL SUPPORT | |
| CHATTAHOOCHEE NATURE CENTER IN ROSWELL | |||||||||
| PO BOX 769769 | ROSWELL | GA | 30076 | 581275604 | 501(C)(3) | $90,000 | $0 | GENERAL SUPPORT | |
| CHEROKEE COUNTY CHAMBER OF COMMERCE | |||||||||
| PO BOX 4998 | CANTON | GA | 30114 | 581090796 | 501(C)(6) | $30,830 | $0 | GENERAL SUPPORT | |
| CHEROKEE COUNTY EDUCATIONAL FOUNDATION | |||||||||
| PO BOX 4754 | CANTON | GA | 30114 | 900902351 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | |
| COBB CHAMBER OF COMMERCE | |||||||||
| PO BOX 671868 | MARIETTA | GA | 30006 | 580198114 | 501(C)(6) | $37,500 | $0 | GENERAL SUPPORT | |
| COBB COUNTY FAIR ASSOCIATION | |||||||||
| PO BOX 777 | KENNESAW | GA | 30144 | 586043883 | 501(C)(3) | $20,000 | $0 | GENERAL SUPPORT | |
| COMMUNITY FOUNDATION FOR NORTHERN GEORGIA | |||||||||
| 6500 SUGARLOAF PKWY NO 220 | DULUTH | GA | 30097 | 581557995 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | |
| DAHLONEGA-LUMPKIN CO CHAMBER OF COMMERCE | |||||||||
| 13 SOUTH PARK STREET | DAHLONEGA | GA | 30533 | 580701974 | 501(C)(6) | $45,000 | $0 | GENERAL SUPPORT | |
| DAWSON COUNTY CHAMBER OF COMMERCE | |||||||||
| PO BOX 299 | DAWSONVILLE | GA | 30534 | 581950100 | 501(C)(6) | $40,000 | $0 | GENERAL SUPPORT | |
| DUNWOODY CHAMBER OF COMMERCE INC | |||||||||
| PO BOX 467009 | ATLANTA | GA | 31146 | 263082325 | 501(C)(6) | $20,000 | $0 | GENERAL SUPPORT | |
| DUNWOODY NATURE CENTER INC | |||||||||
| PO BOX 88070 | DUNWOODY | GA | 30356 | 582009823 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | |
| ELACHEE NATURE SCIENCE CENTER | |||||||||
| 2125 ELACHEE DRIVE | GAINESVILLE | GA | 30504 | 581643768 | 501(C)(3) | $50,000 | $0 | GENERAL SUPPORT | |
| GEORGIA AQUARIUM INC | |||||||||
| 225 BAKER STREET NW | ATLANTA | GA | 30313 | 582574918 | 501(C)(3) | $75,000 | $0 | GENERAL SUPPORT | |
| GEORGIA CHAMBER OF COMMERCE | |||||||||
| 270 PEACHTREE ST NW STE 2200 | ATLANTA | GA | 30303 | 581537370 | 501(C)(6) | $35,500 | $0 | GENERAL SUPPORT | |
| GEORGIA CHAPTER OF THE AMERICAN COLLEGE OF CARDIOLOGY | |||||||||
| 4850 GOLDEN PKWY B-418 | BUFORD | GA | 30518 | 581989233 | 501(C)(3) | $30,000 | $0 | GENERAL SUPPORT | |
| GEORGIA INTERSCHOLASTIC CYCLING LEAGUE | |||||||||
| 931 EAST MAIN STREET SUITE A | BLUE RIDGE | GA | 30513 | 815441679 | 501(C)(3) | $30,000 | $0 | GENERAL SUPPORT | |
| GEORGIA OVARIAN CANCER ALLIANCE | |||||||||
| 6065 ROSWELL ROAD SUITE 512 | ATLANTA | GA | 30328 | 582424106 | 501(C)(3) | $30,000 | $0 | GENERAL SUPPORT | |
| GEORGIA PROSTATE CANCER COALITION | |||||||||
| 5825 GLENRIDGE DR BLDG 3 SUITE 223 | COLLEGE PARK | GA | 30349 | 311717086 | 501(C)(3) | $20,000 | $0 | GENERAL SUPPORT | |
| GOSHEN VALLEY FOUNDATION | |||||||||
| 387 GOSHEN CHURCH WAY | WALESKA | GA | 30183 | 582361483 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | |
| GREATER NORTH FULTON CHAMBER OF COMMERCE | |||||||||
| 11605 HAYNES BRIDGE RD | ALPHARETTA | GA | 30004 | 581157316 | 501(C)(6) | $48,200 | $0 | GENERAL SUPPORT | |
| GWINNETT CHAMBER OF COMMERCE | |||||||||
| 6500 SUGARLOAF PKWY | DULUTH | GA | 30097 | 580537282 | 501(C)(6) | $115,000 | $0 | GENERAL SUPPORT | |
| INMAN PARK NEIGHBORHOOD ASSOCIATION | |||||||||
| 245 N HIGHLAND AVE NE STE 230 401 | ATLANTA | GA | 30307 | 581869166 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | |
| JOHNS CREEK CHAMBER OF COMMERCE | |||||||||
| 10475 MEDLOCK BRIDGE RD | JOHNS CREEK | GA | 30097 | 204772140 | 501(C)(6) | $29,500 | $0 | GENERAL SUPPORT | |
| JUNIOR ACHIEVEMENT OF GEORGIA | |||||||||
| 275 NORTHSIDE DR NW | ATLANTA | GA | 30314 | 580598050 | 501(C)(3) | $40,000 | $0 | GENERAL SUPPORT | |
| LEUKEMIA AND LYMPHOMA SOCIETY | |||||||||
| 3 INTERNATIONAL DRIVE SUITE 200 | RYE BROOK | NY | 10573 | 135644916 | 501(C)(3) | $65,000 | $0 | GENERAL SUPPORT | |
| LOVE NOT LOST INC | |||||||||
| 1551 DUNWOODY VILLAGE PARKWAY | DUNWOODY | GA | 30338 | 474760639 | 501(C)(3) | $30,000 | $0 | GENERAL SUPPORT | 888722 |
| MARCH OF DIMES FOUNDATION | |||||||||
| 1275 MAMORONECK AVE | WHITE PLAINS | NY | 10605 | 131846366 | 501(C)(3) | $401,375 | $0 | GENERAL SUPPORT | |
| MARIETTA COBB MUSEUM OF ART | |||||||||
| 30 ATLANTA ST SE | MARIETTA | GA | 30060 | 581528144 | 501(C)(3) | $50,000 | $0 | GENERAL SUPPORT | |
| MOREHOUSE SCHOOL OF MEDICINE | |||||||||
| 720 WESTVIEW DRIVE SW | ATLANTA | GA | 30310 | 581438873 | 501(C)(3) | $100,000 | $0 | GENERAL SUPPORT | |
| MORTEN ANDERSEN FAMILY FOUNDATION | |||||||||
| 6495 OLD SHADBURN FERRY ROAD | BUFORD | GA | 30518 | 271544616 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | |
| MUSEUM OF CONTEMPORARY ART OF GEORGIA | |||||||||
| 75 BENNETT STREET | ATLANTA | GA | 30309 | 582562811 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | |
| NATIONAL BLACK ARTS FESTIVAL | |||||||||
| 1429 FAIRMONT AVENUE NW SUITE J | ATLANTA | GA | 30318 | 581736780 | 501(C)(3) | $40,000 | $0 | GENERAL SUPPORT | |
| NATIONAL MULTIPLE SCLEROSIS SOCIETY | |||||||||
| 733 THIRD AVENUE 3RD FLOOR | NEW YORK | NY | 10017 | 135661935 | 501(C)(3) | $24,500 | $0 | GENERAL SUPPORT | |
| NORTH FULTON COMMUNITY CHARITIES | |||||||||
| 11270 ELKINS ROAD | ROSWELL | GA | 30076 | 581521088 | 501(C)(3) | $30,000 | $0 | GENERAL SUPPORT | |
| OVARIAN CANCER INSTITUTE | |||||||||
| 960 JOHNSON FERRY RD STE 130 | ATLANTA | GA | 30342 | 582445245 | 501(C)(3) | $167,500 | $0 | GENERAL SUPPORT | |
| PIEDMONT PARK CONSERVANCY INC | |||||||||
| 400 PARK DRIVE NE | ATLANTA | GA | 30306 | 581551369 | 501(C)(3) | $100,000 | $0 | GENERAL SUPPORT | |
| RAINBOW VILLAGE INC | |||||||||
| 3427 DULUTH HIGHWAY 120 | DULUTH | GA | 30096 | 582181183 | 501(C)(3) | $30,000 | $0 | GENERAL SUPPORT | |
| REINHARDT UNIVERSITY | |||||||||
| 7300 REINHARDT CIR | WALESKA | GA | 30183 | 580603153 | 501(C)(3) | $27,500 | $0 | GENERAL SUPPORT | |
| SANDY SPRINGS CONSERVANCY INC | |||||||||
| 227 SANDY SPRINGS PLACE D470 | ATLANTA | GA | 30328 | 043839633 | 501(C)(3) | $20,000 | $0 | GENERAL SUPPORT | |
| SANDY SPRINGS PERIMETER CHAMBER OF COMMERCE | |||||||||
| 1000 ABERNATHY RD NE BLDG 400 SUITE | SANDY SPRINGS | GA | 30328 | 260677794 | 501(C)(6) | $28,000 | $0 | GENERAL SUPPORT | L-10 |
| SOUTHEASTERN SOCIETY OF PLASTIC SURGEONS | |||||||||
| 12100 SUNSET HILLS ROAD SUITE 130 | RESTON | VA | 20190 | 581431500 | 501(C)(3) | $40,000 | $0 | GENERAL SUPPORT | |
| SUSAN G KOMEN BREAST CANCER FOUNDATION | |||||||||
| PO BOX 934048 | ATLANTA | GA | 31193 | 581959763 | 501(C)(3) | $100,000 | $0 | GENERAL SUPPORT | |
| THE ATLANTA WOMENS FOUNDATION | |||||||||
| 3355 LENOX ROAD SUITE 850 | ATLANTA | GA | 30326 | 582389721 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | |
| THE PARTNERSHIP AGAINST DOMESTIC VIOLENCE | |||||||||
| PO BOX 361969 | DECATUR | GA | 30036 | 823295945 | 501(C)(3) | $137,500 | $0 | GENERAL SUPPORT | |
| WOMENS CLUB OF SUGARLOAF COUNTY | |||||||||
| 6555 SUGARLOAF PKWY STE 307 | DULUTH | GA | 30097 | 261140144 | 501(C)(3) | $50,000 | $0 | GENERAL SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 49 | Total501c3OrgCnt |
| Total Other Org | 10 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP / EDUCATIONAL ASSISTANCE | GrantTypeTxt |
| Recipient | 4 | RecipientCnt |
| Cash Grant | $9,170 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WAYNE L AMBROZE JR MD | ||||||||||||||
| BOARD MEMBER | $441,754 | $0 | $10,000 | $0 | $5,476 | $0 | $1,962 | $0 | $22,910 | $0 | $482,102 | $0 | $0 | $0 |
| IQBAL GARCHA MD | ||||||||||||||
| BOARD MEMBER | $339,152 | $0 | $144,633 | $0 | $9,752 | $0 | $4,412 | $0 | $16,156 | $0 | $514,105 | $0 | $0 | $0 |
| ROBERT T QUATTROCCHI | ||||||||||||||
| PRESIDENT & CEO NSH, INC. | $1,494,540 | $0 | $3,450,000 | $0 | $22,185 | $0 | $6,747 | $0 | $34,090 | $0 | $5,007,562 | $0 | $0 | $0 |
| SHANNON BANNA | ||||||||||||||
| VP/CFO NSH, INC./ASST. TREASURER | $593,734 | $0 | $234,600 | $0 | $31,924 | $0 | $4,054 | $0 | $9,922 | $0 | $874,234 | $0 | $0 | $0 |
| JORGE J HERNANDEZ | ||||||||||||||
| VICE PRESIDENT/ASST. SECRETARY | $565,637 | $0 | $313,088 | $0 | $28,713 | $0 | $4,379 | $0 | $23,321 | $0 | $935,138 | $0 | $0 | $0 |
| JANIS DUBOW | ||||||||||||||
| VICE PRESIDENT | $403,439 | $0 | $201,668 | $0 | $17,030 | $0 | $4,964 | $0 | $11,454 | $0 | $638,555 | $0 | $0 | $0 |
| WILLIAM HAYES | ||||||||||||||
| CEO, NORTHSIDE HOSPITAL-CHEROKEE | $548,764 | $0 | $220,867 | $0 | $33,537 | $0 | $6,564 | $0 | $30,261 | $0 | $839,993 | $0 | $0 | $0 |
| DEBORAH MITCHAM BILBRO | ||||||||||||||
| CEO, NORTHSIDE HOSPITAL GWINNETT | $686,490 | $0 | $257,250 | $0 | $58,617 | $0 | $6,640 | $0 | $16,368 | $0 | $1,025,365 | $0 | $0 | $0 |
| ROBERT PUTNAM | ||||||||||||||
| VICE PRESIDENT | $688,118 | $0 | $275,140 | $0 | $34,046 | $0 | $5,583 | $0 | $20,400 | $0 | $1,023,287 | $0 | $0 | $0 |
| TINA WAKIM | ||||||||||||||
| VICE PRESIDENT/COO | $734,489 | $0 | $258,487 | $0 | $42,890 | $0 | $3,977 | $0 | $22,316 | $0 | $1,062,159 | $0 | $0 | $0 |
| CHARLES DECOOK MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $1,495,120 | $0 | $358,987 | $0 | $7,356 | $0 | $6,923 | $0 | $33,686 | $0 | $1,902,072 | $0 | $0 | $0 |
| RICHARD HARVEY MD | ||||||||||||||
| CARDIOTHORACIC SURGEON | $993,092 | $0 | $244,268 | $0 | $1,700 | $0 | $6,539 | $0 | $10,514 | $0 | $1,256,113 | $0 | $0 | $0 |
| KENNETH KRESS MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $1,044,363 | $0 | $235,493 | $0 | $9,104 | $0 | $7,327 | $0 | $19,873 | $0 | $1,316,160 | $0 | $0 | $0 |
| DAVID A LANGFORD MD | ||||||||||||||
| THORACIC SURGEON | $993,836 | $0 | $100,000 | $0 | $182,220 | $0 | $6,673 | $0 | $18,789 | $0 | $1,301,518 | $0 | $0 | $0 |
| KEITH OSBORN MD | ||||||||||||||
| SPINE SURGEON | $693,782 | $0 | $565,059 | $0 | $112,221 | $0 | $6,519 | $0 | $18,789 | $0 | $1,396,370 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ON OCCASION, CERTAIN BENEFITS, SUCH AS LONG TERM DISABILITY PREMIUMS, ARE GROSSED UP FOR SELECTED EMPLOYEES. |
| PART I, LINE 4B | MR. QUATTROCCHI HAS LED THE ORGANIZATION FOR MORE THAN NINETEEN YEARS AS CEO AND FOR SEVENTEEN YEARS AS A SENIOR EXECUTIVE PRIOR TO BECOMING CEO. IN RECOGNITION OF HIS SUCCESSFUL LEADERSHIP AND EXTENDED TENURE, AND TO ENCOURAGE CONTINUATION OF THIS RELATIONSHIP, THE BOARD OF DIRECTORS HAS PROVIDED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED TO PROVIDE THE CEO WITH A SOURCE OF RETIREMENT INCOME. NORTHSIDE DOES NOT CONSIDER SERP PAYMENTS TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. THE SERP PAYMENTS ARE BASED ON A MATHEMATICAL FORMULA, PURSUANT TO A SIGNED CONTRACT, AND ARE REVIEWED AND ASSESSED PERIODICALLY FOR REASONABLENESS BY AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE AND FULL BOARD OF DIRECTORS APPROVE EACH PAYMENT BEFORE PAYMENT IS MADE. HOWEVER, NO FURTHER FUNDING OF THE SERP IS EXPECTED BASED ON ACTUARIAL PROJECTIONS. AS A RESULT, IN ORDER TO ASSIST FURTHER IN THE CEO'S RETENTION, THE COMPANY HAS ESTABLISHED AN ANNUAL RETENTION PROGRAM FOR THE CEO, PROVIDING FOR AN ANNUAL RETENTION INCENTIVE, BUT ONLY IF HE CONTINUES TO BE EMPLOYED ON THE LAST DAY OF EACH FISCAL YEAR, BEGINNING WITH THE FISCAL YEAR ENDING SEPTEMBER 30, 2021. NORTHSIDE DOES NOT CONSIDER THE RETENTION PAYMENTS TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. AS AN ADDITIONAL RETENTION INCENTIVE, THE BOARD OF DIRECTORS MAY DEFER A PORTION OF ANY ANNUAL BONUS PAYABLE TO THE CEO CONDITIONING PAYMENT OF THE DEFERRED PORTION ON THE CEO'S CONTINUED EMPLOYMENT. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RACHEL BEARMAN | |||
| DALE M. BEARMAN, M.D., BOARD MEMBER & RACHEL BEARMAN FAMILY MEMBER | $109,096 | DALE M. BEARMAN, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH RACHEL BEARMAN, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2021 TO RACHEL BEARMAN FOR SERVICES RENDERED TO THE ORGANIZATION. | 0 |
| GARY LEVENGOOD MD | |||
| MICHAEL LEVENGOOD, M.D., BOARD MEMBER & GARY LEVENGOOD, M.D. FAMILY MEMBER | $796,921 | MICHAEL LEVENGOOD, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH GARY LEVENGOOD, M.D., AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2021 TO GARY LEVENGOOD, M.D. FOR SERVICES RENDERED TO THE ORGANIZATION. | 0 |
| ALLIE BUCHANAN | |||
| CARL BUCHANAN, M.D., BOARD MEMBER & ALLIE BUCHANAN FAMILY MEMBER | $70,943 | CARL BUCHANAN, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH ALLIE BUCHANAN, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2021 TO ALLIE BUCHANAN FOR SERVICES RENDERED TO THE ORGANIZATION. | 0 |
| DALE BEARMAN MD | |||
| BOARD MEMBER | $1,451,151 | THE BOARD MEMBER WAS INVOLVED IN SEPARATE JOINT VENTURES WITH THE ORGANIZATION INVOLVING BUSINESS TRANSACTIONS SPECIFIC TO REAL ESTATE SALES CONTRACTS FOR AMOUNTS AS DETERMINED BY AN INDEPENDENT THIRD PARTY TO BE FAIR MARKET VALUE. | 0 |
| GENEVIEVE FAIRBROTHER MD | |||
| BOARD MEMBER | $1,261,922 | THE BOARD MEMBER WAS INVOLVED IN SEPARATE JOINT VENTURES WITH THE ORGANIZATION INVOLVING BUSINESS TRANSACTIONS SPECIFIC TO REAL ESTATE SALES CONTRACTS FOR AMOUNTS AS DETERMINED BY AN INDEPENDENT THIRD PARTY TO BE FAIR MARKET VALUE. | 0 |
| STEPHANIE GROGAN MD | |||
| IQBAL GARCHA, M.D., BOARD MEMBER & STEPHANIE GROGAN, M.D. FAMILY MEMBER | $2,594,763 | IQBAL GARCHA, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH STEPHANIE GROGAN, M.D., AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. STEPHANIE GROGAN, M.D. WAS INVOLVED IN SEPARATE JOINT VENTURES WITH THE ORGANIZATION INVOLVING BUSINESS TRANSACTIONS SPECIFIC TO REAL ESTATE SALES CONTRACTS FOR AMOUNTS AS DETERMINED BY AN INDEPENDENT THIRD PARTY TO BE FAIR MARKET VALUE. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 | TO OUR PATIENTS IN THEIR JOURNEYS TOWARD HEALTH OF BODY AND MIND. TO ENSURE INNOVATIVE AND UNSURPASSED CARE FOR OUR PATIENTS, WE ARE DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. TO ENHANCE THE WELLNESS OF OUR COMMUNITY, WE COMMIT OURSELVES TO PROVIDING A DIVERSE ARRAY OF EDUCATIONAL AND OUTREACH PROGRAMS. |
| PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS (CONT'D) | PROVIDING A BROAD ARRAY OF COMMUNITY BENEFIT PROGRAM ACTIVITIES. IN FURTHERANCE OF ITS CHARITABLE MISSION AND TO MEET THE COMMUNITY'S TOP IDENTIFIED HEALTH NEEDS, NORTHSIDE HOSPITAL ENGAGES IN NUMEROUS OUTREACH AND COMMUNITY BENEFIT ACTIVITIES THROUGHOUT THE YEAR. THE CULMINATION OF THESE EFFORTS RESULTED IN NORTHSIDE HOSPITAL SERVING OVER 238,000 PERSONS, SPENDING OVER 138,000 STAFF HOURS, AND PROVIDING $18.95 MILLION IN NET COMMUNITY BENEFIT PROGRAM ACTIVITIES. THE HIGHEST DOLLAR IMPACT CATEGORIES (I.E., BENEFIT IN EXCESS OF $1 MILLION) INCLUDE 1) SUBSIDIZED HEALTH SERVICES, 2) HEALTH PROFESSIONS EDUCATION, 3) CASH AND IN-KIND DONATIONS, AND 4) COMMUNITY HEALTH IMPROVEMENT SERVICES. 1) THROUGH SUBSIDIZED HEALTH SERVICES, NORTHSIDE PROVIDED OVER $6.1 MILLION IN COMMUNITY BENEFIT. SUBSIDIZED HEALTH SERVICES ARE CLINICAL SERVICES PROVIDED DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF FINANCIAL ASSISTANCE, MEDICIAD SHORTFALLS AND BAD DEBT. A MAJORITY OF NORTHSIDE HOSPITAL'S SUBSIDIZED HEALTH SERVICES COMMUNITY BENEFIT WAS FROM THE LEVEL II TRAUMA CENTER LOCATED AT NORTHSIDE HOSPITAL GWINNETT. AS ONE OF ONLY SEVEN LEVEL II TRAUMA CENTERS IN GEORGIA, NORTHSIDE RECOGNIZED THE NEED TO EXPAND ED CAPACITY AND IN AUGUST 2020, NORTHSIDE INITIATED A 37,000 SQUARE FOOT EXPANSION OF NORTHSIDE HOSPITAL GWINNETT'S EMERGENCY ROOM THAT ADDED 27 MULTI-PURPOSE EXAM ROOMS, A 30-BED ED OBSERVATION UNIT AND ENLARGED THE 66 EXISTING ED ROOMS. AS A RESULT, ED VOLUME AT NORTHSIDE HOSPITAL GWINNETT INCREASED 9% FROM FY2021 TO FY2022 WITH OVER 89,000 TOTAL ED VISITS IN FY2022 INCLUDING OVER 2,100 TOTAL TRAUMA VISITS. THE GROWTH IN ED VOLUME RESULTED IN A NET COMMUNITY BENEFIT IMPACT OF JUST OVER 1,500 LEVEL II TRAUMA VISITS. 2) HEALTH PROFESSIONS EDUCATION INCLUDES EDUCATIONAL PROGRAMS FOR PHYSICIANS, INTERNS, RESIDENTS, MEDICAL STUDENTS, NURSES AND NURSING STUDENTS, PASTORAL CARE FELLOWS AND INTERNS, AND OTHER HEALTH PROFESSIONALS WHEN THAT EDUCATION IS NECESSARY TO RETAIN STATE LICENSURE OR CERTIFICATION BY A BOARD IN THE INDIVIDUAL'S HEALTH PROFESSIONAL SPECIALTY. NORTHSIDE PROVIDED CONTINUING MEDICAL EDUCATION ("CME"), GRADUATE MEDICAL EDUCATION AND VARIOUS HEALTH PROFESSIONS EDUCATION FOR NURSING STUDENTS, PASTORAL STUDENTS, AND OTHER ALLIED HEALTH STUDENTS, TOTALING $7.01 MILLION IN NET COMMUNITY BENEFIT AND SERVING 3,107 STUDENTS. NORTHSIDE'S CME ACTIVITIES PROVIDE PHYSICIANS AND HEALTH CARE PROFESSIONALS WITH COORDINATED, BALANCED EDUCATIONAL OPPORTUNITIES THAT WILL HELP TO ADVANCE THEIR PROFESSIONAL LEARNING, INCREASE THEIR COMPETENCE IN PRACTICE AND IMPROVE THEIR PRACTICE PERFORMANCE. IN FY2022, 442 PHYSICIANS/MEDICAL STUDENTS RECEIVED CME ON TOPICS SUCH AS MEDICAL ETHICS, NEUROSCIENCES AND GERIATRIC MEDICINE. A SEPTEMBER 2022 ANALYSIS BY THE KAISER FAMILY FOUNDATION INDICATED THAT GEORGIA NEEDS NEARLY 700 PRIMARY CARE PHYSICIANS TO FILL CURRENT PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS. TO HELP DEVELOP A FUTURE SUPPLY OF PRIMARY CARE PROFESSIONALS, NORTHSIDE HOSPITAL GWINNETT OFFERS THE FOLLOWING ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION ("ACGME") APPROVED POSTGRADUATE RESIDENCY AND FELLOWSHIP PROGRAMS: FAMILY MEDICINE RESIDENCY, INTERNAL MEDICINE RESIDENCY, TRANSITIONAL YEAR RESIDENCY, AND SPORTS MEDICINE FELLOWSHIP. IN FY2022 NORTHSIDE'S GME PROGRAM HAD 72 RESIDENTS ENROLLED IN ITS ACGME APPROVED PROGRAMS. LAST, NORTHSIDE'S CPE PROGRAM IS A GRADUATE-LEVEL PROFESSIONAL EDUCATION PROGRAM WHEREIN CLERGY INTEGRATE THEIR MASTER'S OR DOCTORAL LEVEL THEOLOGICAL EDUCATION AND MINISTRY EXPERIENCE WITH THE REAL CHALLENGES OF OFFERING PROFESSIONAL INTERFAITH SPIRITUAL AND PASTORAL CARE TO PERSONS IN CRISIS. IN FY2022, NORTHSIDE'S CPE PROGRAM EDUCATED 48 FUTURE SPIRITUAL COUNSELORS. 3) THROUGH CASH AND IN-KIND DONATIONS, NORTHSIDE HOSPITAL SUPPORTS COMMUNITY ORGANIZATIONS WHOSE MISSIONS COMPLEMENT THE HOSPITAL'S MISSION AND WHOSE INITIATIVES EITHER ALIGN WITH THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN NORTHSIDE'S CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") OR ADDRESS SOCIAL DETERMINANTS OF HEALTH ("SDOH") SUCH AS HOUSING/HOMELESSNESS, FOOD INSECURITY, EDUCATION, ETC. IN FY2022, NORTHSIDE PROVIDED $3.2 MILLION IN CASH AND IN-KIND DONATIONS TO 210 COMMUNITY ORGANIZATIONS. WHILE SOME OF THE RECIPIENT ORGANIZATIONS ARE WELL-KNOWN COMMUNITY GROUPS, SUCH AS THE AMERICAN CANCER SOCIETY AND THE AMERICAN HEART ASSOCIATION, NORTHSIDE ALSO SUPPORTED SMALLER, ORGANIZATIONS SUCH AS COVENANT HOUSE GEORGIA ("CHGA") AND CENTER FOR BLACK WOMEN'S WELLNESS ("CBWW"). NORTHSIDE SELECTED CHGA AS A FUNDING RECIPIENT BECAUSE IT ADDRESSES AN IMPORTANT SDOH: HOUSING/HOMELESSNESS. CHGA SERVES YOUTH AGES 16 TO 24 WHO ARE EXPERIENCING HOMELESSNESS AND ESCAPING TRAFFICKING IN THE METRO ATLANTA AREA. THEY PROVIDE WRAP-AROUND SERVICES DESIGNED TO HELP YOUTH REALIZE LASTING STABILITY. CHGA'S TWO OVERARCHING GOALS ARE 1) TO PROVIDE SAFE, ACCESSIBLE HOUSING TO YOUTH FORMERLY LIVING ON THE STREETS AND 2) TO OFFER THEM SERVICES THAT EMPOWER THEM TO ACHIEVE SELF-SUFFICIENCY. LAST YEAR CHGA SERVED OVER 1,300 YOUNG PEOPLE. ANOTHER EXAMPLE OF A SELECTED FUNDS RECIPIENT IS THE CENTER FOR BLACK WOMEN'S WELLNESS. NORTHSIDE PROVIDED FINANCIAL SUPPORT TO CBWW BECAUSE IT ADDRESSES ONE OF NORTHSIDE'S PRIORITIZED HEALTH NEEDS: MATERNAL AND INFANT HEALTH. CBWW OFFERS LOW COST/NO COST HEALTHCARE SERVICES (WOMEN'S HEALTH, PRIMARY HEALTHCARE, AND BEHAVIORAL HEALTH); PROGRAMS TO IMPROVE HEALTHY BEHAVIORS; CASE MANAGEMENT FOR PREGNANT WOMEN AND THEIR INFANTS; AND FINANCIAL LITERACY AND MICRO-BUSINESS TRAINING TO IMPROVE ECONOMIC SELF-SUFFICIENCY. 4) COMMUNITY HEALTH IMPROVEMENT SERVICES ARE ACTIVITIES OR PROGRAMS SUBSIDIZED BY NORTHSIDE HOSPITAL AND CARRIED OUT OR SUPPORTED FOR THE EXPRESS PURPOSE OF IMPROVING HEALTH. NORTHSIDE EMPLOYS A VARIETY OF COMMUNITY HEALTH IMPROVEMENT ACITIVITIES INCLUDING COMMUNITY HEALTH EDUCATION; COMMUNITY BASED CLINICAL SERVICES; HEALTH CARE SUPPORT SERVICES; AND SOCIAL AND ENVIRONMENTAL IMPROVEMENT ACTIVITIES. IN FY2022, NORTHSIDE PROVIDED OVER $1.8 MILLION IN COMMUNITY HEALTH IMPROVEMENT SERVICES ACROSS 54 DIFFERENT PROGRAMS THAT REACHED NEARLY 284,000 PEOPLE AND SERVED OVER 232,000 PEOPLE. MUCH OF NORTHSIDE'S COMMUNITY HEALTH IMPROVEMENT ACTIVITIES INCLUDES COMMUNITY AND CORPORATE HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION EVENTS AND COMMUNITY-BASED CANCER SCREENINGS. HOWEVER, THERE ALSO ARE A COUPLE OF UNIQUE PROGRAMS THAT MAY APPEAR SMALLER IN TERMS OF OCCURRENCES BUT HAVE A MEANINGFUL IMPACT ON THE COMMUNITY'S DISPARATE POPULATION. ONE SUCH PROGRAM IS THE FINANCIAL ACCESS SURGERY PROGRAM OR "FASP". NORTHSIDE'S FASP WAS DESIGNED SPECIFICALLY TO ADDRESS AN UNMET COMMUNITY-BASED NEED FOR HIGH QUALITY, FINANCIALLY ACCESSIBLE, OUTPATIENT SURGICAL AND ENDOSCOPY SERVICES FOR THE UNINSURED OR UNDERINSURED POPULATION. MORE SPECIFICALLY, VARIOUS CHARITY ORGANIZATIONS AND FREE CLINICS SERVING THE METROPOLITAN ATLANTA AREA HAVE CONFIRMED DIFFICULTY SECURING ACCESS TO NEEDED OUTPATIENT SURGICAL SERVICES FOR THE POPULATIONS THEY SERVE. NORTHSIDE RECEIVED REFERRALS FROM 17 CHARITABLE ORGANIZATIONS, INCLUDING SAFETY NET CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS, FOR PATIENTS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD OR OBTAIN MEDICALLY NECESSARY OUTPATIENT SURGERY AND ENDOSCOPY SERVICES. PATIENTS ARE PRE-SCREENED BASED ON FINANCIAL STATUS AND MEDICAL NECESSITY, AMONG OTHER FACTORS. THE FASP COVERS THE ENTIRE SURGICAL EPISODE OF CARE INCLUDING PRE- AND POST-OPERATIVE SERVICES AND, AS NEEDED, RELATED SERVICES SUCH AS ANESTHESIA, RADIOLOGY, PHARMACY, AND LABORATORY. THE FASP BEGAN IN 2012 WITH ONE (1) LOCATION AND HAS GROWN TO FOUR (4) LOCATIONS BASED ON COMMUNITY DEMAND. THE FASP PROVIDED FREE OUTPATIENT SURGICAL AND ENDOSCOPY SERVICES TO OVER 500 FINANCIALLY INDIGENT PATIENTS WHOSE CONDITIONS WOULD HAVE GONE UNTREATED UNTIL THE CONDITION WORSENED LEAVING THE PATIENT NO CHOICE BUT TO SEEK CARE IN A LOCAL HOSPITAL'S EMERGENCY DEPARTMENT. ANOTHER UNIQUE COMMUNITY HEALTH IMPROVEMENT PROGRAM IS NORTHSIDE'S IMAGING OUTREACH PROGRAM. THROUGH THIS PROGRAM, NORTHSIDE PROVIDES A COMPREHENSIVE RANGE OF IMAGING SERVICES TO LOW INCOME, UNINSURED OR UNDERINSURED PATIENTS. A DEDICATED IMAGING CHARITY COORDINATOR RECEIVES REFERRALS FROM COMMUNITY SAFETY NET CLINICS AND ASSISTS PATIENTS WITH COMPLETING NORTHSIDE'S FINANCIAL ASSISTANCE POLICY APPLICATION. APPROXIMATELY 967 INDIGENT AND CHARITY PATIENTS RECEIVED MUCH-NEEDED MEDICAL IMAGING THROUGH THIS IMPORTANT SAFETY-NET PROGRAM. IN ESSENCE, NORTHSIDE HAS ESTABLISHED A SUCCESSFUL MEDICAL HOME NETWORK MODEL OF CARE THAT IS DEDICATED TO SERVING THE COMMUNITY'S MOST VULNERABLE POPULATION. THESE ARE JUST A FEW EXAMPLES OF HOW NORTHSIDE HOSPITAL IS FULFILLING ITS CHARITABLE MISSION AND PROVIDING MEANINGFUL BENEFITS TO ITS COMMUNITY. |
| FORM 990, PART VI, SECTION A, LINE 7A | NORTHSIDE HEALTH SERVICES ELECTS ALL THE MEMBERS OF THE GOVERNING BODY FOR NORTHSIDE HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | NORTHSIDE HEALTH SERVICES MUST APPROVE BYLAW REVISIONS AND REVISIONS OF THE ARTICLES OF INCORPORATION FOR NORTHSIDE HOSPITAL, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS PREPARED BY AN UNRELATED AND INDEPENDENT ACCOUNTANT USING DETAILED FINANCIAL STATEMENTS SUPPORTED BY A CONSOLIDATED AUDIT (ALSO PREPARED BY OUTSIDE, INDEPENDENT AUDITORS). NORTHSIDE FINANCIAL LEADERSHIP, INCLUDING THE SYSTEM CONTROLLER AND CFO, PERFORM A DETAILED REVIEW OF THE 990 AND APPROVAL OF THE RETURNS BEFORE THEY ARE FILED. ADDITIONALLY, OUTSIDE COUNSEL REVIEWS SEVERAL SECTIONS OF THE FORM AT NORTHSIDE'S REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AND SIGN A DISCLOSURE QUESTIONNAIRE ANNUALLY, IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. NORTHSIDE'S LEGAL SERVICES DEPARTMENT REVIEWS CONTRACTS WITH OTHER CARE PROVIDERS, EDUCATIONAL INSTITUTIONS, MANUFACTURERS AND PAYORS TO DETERMINE WHETHER CONFLICTS OF INTEREST EXIST AND WHETHER THEY ARE IN COMPLIANCE WITH SPECIFIC LAWS AND REGULATIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO AND KEY EMPLOYEES, A COMPENSATION STUDY, INCLUDING PEER ORGANIZATIONS, IS COMPLETED BY AN INDEPENDENT COMPENSATION CONSULTANT. THIS INFORMATION IS SHARED WITH THE COMPENSATION COMMITTEE. INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE DELIBERATE AND DETERMINE THE COMPENSATION OF THE CEO AND APPROVE THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. RECORDS ARE RETAINED OF THESE DECISIONS. THE CEO'S FINAL WRITTEN EMPLOYMENT CONTRACT MUST BE APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CORPORATE GOVERNANCE DOCUMENTS (SPECIFICALLY ALL ARTICLES OF INCORPORATION DOCUMENTS) ARE MADE AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE. OUR CONFLICT OF INTEREST POLICY IS MADE AVAILABLE ON OUR INTRANET TO NORTHSIDE EMPLOYEES. OUR AUDITED FINANCIAL STATEMENTS AND OUR CONFLICT OF INTEREST POLICY ARE AVAILABLE IN ACCORDANCE WITH STATE REQUIREMENTS. WHEN AND IF APPROPRIATE REQUESTS ARE MADE BY THE PUBLIC, WE EVALUATE DISCLOSURE ON A CASE BY CASE BASIS. |
| FORM 990, PART VI, LINE 16B | IN LIEU OF ADOPTING A WRITTEN POLICY CONCERNING JOINT VENTURE ARRANGEMENTS, THE ORGANIZATION REQUIRES AND UNDERTAKES A RIGOROUS CASE-BY-CASE EVALUATION OF ITS PARTICIPATION IN ANY PROPOSED JOINT VENTURE ARRANGEMENT UNDER APPLICABLE TAX AND OTHER LAWS AND REGULATIONS. EACH PROPOSED JOINT VENTURE WITH A TAXABLE ENTITY IS REVIEWED UNDER APPLICABLE TAX LAWS, REGULATIONS, AND GUIDELINES BY OUTSIDE LEGAL COUNSEL AND ORGANIZATION PERSONNEL TO CONFIRM THAT THE JOINT VENTURE WOULD BE FORMED, OPERATED AND MANAGED IN A MANNER THAT FURTHERS THE COMMUNITY BENEFIT AND CHARITABLE PURPOSES OF THE ORGANIZATION. JOINT VENTURES WITH TAXABLE ENTITIES ARE REQUIRED TO BE STRUCTURED, INCLUDING THROUGH FINANCIAL AND GOVERNANCE PROVISIONS AND RESERVED POWERS, IN A MANNER TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS AND ENSURE THAT THE ORGANIZATION CONTROLS ALL ASPECTS OF THE JOINT VENTURE RELATED TO ITS EXEMPT PURPOSE. |
| FORM 990, PART VII, SECTION B: | TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH GEORGIA CANCER SPECIALISTS I, P.C. ("GCS") TO ENSURE ONCOLOGY AND HEMATOLOGY SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. NORTHSIDE HAS PROVIDED A BROAD RANGE OF CANCER CARE SERVICES THROUGH ITS CANCER CARE PROGRAM AT THE NORTHSIDE HOSPITAL CANCER INSTITUTE ("NHCI"). THE NHCI, WHICH IS RECOGNIZED NATIONALLY AS A LEADER IN ONCOLOGY DIAGNOSIS, TREATMENT AND RESEARCH, OFFERS CLINICAL EXCELLENCE ON PAR WITH ACADEMIC-BASED PROGRAMS ALONG WITH THE PERSONALIZED AND ATTENTIVE CARE TYPICALLY ASSOCIATED WITH A COMMUNITY HOSPITAL. NORTHSIDE HAS COMMITTED TO BECOMING A REGIONAL AND NATIONAL LEADER THAT REDEFINES CANCER CARE, WHICH IN PART REQUIRES THE EXPANSION OF ITS GEOGRAPHIC FOOTPRINT THROUGH DEVELOPMENT OF AN AFFILIATION WITH ADDITIONAL LOCATIONS, AS WELL AS HAVING AN INTEGRATED CANCER CARE PROGRAM THAT FACILITATES COLLABORATION BETWEEN NORTHSIDE AND CLINICIANS SPECIALIZING IN ONCOLOGY SERVICES. GCS HAS A LARGE COMPLEMENT OF CLINICIANS TO ASSIST NORTHSIDE IN DEVELOPING AN OUTPATIENT ONCOLOGY SERVICES PROGRAM, SPECIALIZING IN MEDICAL ONCOLOGY AND HEMATOLOGY AND THE PROVISION OF INFUSION THERAPY SERVICES AND MEDICAL AND CLINICAL RESEARCH SERVICES. IN ACCORDANCE WITH THE PSA, GCS REMAINS A PRIVATELY HELD ORGANIZATION WITHOUT OWNERSHIP OR MANAGEMENT BY NORTHSIDE. GCS MAINTAINS RESPONSIBILITY FOR PROVIDING ALL ADMINISTRATIVE OPERATIONS OF THE PRACTICE (E.G., STAFF BENEFITS, MALPRACTICE INSURANCE, ETC.). NORTHSIDE MAKES PAYMENTS TO GCS AT FAIR MARKET VALUE RATES FOR 1) PERSONALLY PERFORMED AND MODIFIER ADJUSTED PROFESSIONAL SERVICES 2) MANAGEMENT OVERSIGHT RESPONSIBILITIES AND 3) BILLING ARRANGEMENTS. GCS EMPLOYS APPROXIMATELY 100 CLINICIANS AND 480 STAFF TO MAINTAIN ONCOLOGY, HEMATOLOGY, MANAGEMENT AND BILLING SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE. TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH AGA, LLC TO ENSURE GASTROENTEROLOGY ("GI") SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. AS SUCH, THIS ARRANGEMENT ALLOWS NORTHSIDE TO ESTABLISH CENTERS OF EXCELLENCE IN GI SERVICES, ESPECIALLY RELATED TO ENDOSCOPIC ULTRASOUND AND ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY. GI SERVICES ALSO HAVE A SIGNIFICANT TIE-IN TO ONCOLOGY SERVICES FOR WHICH NORTHSIDE IS A LEADER IN THE ATLANTA SERVICE AREA IN TERMS OF DIAGNOSIS AND TREATMENT. AGA, LLC HAS A LARGE COMPLEMENT OF CLINICIANS THAT PROVIDE GI SERVICES INCLUDING GI ONCOLOGY. IN ACCORDANCE WITH THE PSA, AGA, LLC REMAINS A PRIVATELY HELD ORGANIZATION WITHOUT OWNERSHIP OR MANAGEMENT BY NORTHSIDE. AGA, LLC MAINTAINS RESPONSIBILITY FOR ALL EXPENSES TYPICALLY FOUND IN A GI CLINICIANS' PRACTICE (E.G., STAFF, BILLING, MEDICAL SUPPLIES, MEDICAL RECORDS, OCCUPANCY, MALPRACTICE INSURANCE, ETC.). UNDER THE PSA, NORTHSIDE PAYS AGA A FAIR MARKET VALUE RATE BASED ON PERSONALLY PERFORMED AND MODIFIER ADJUSTED WRVUS. AGA, LLC PROVIDES APPROXIMATELY 165 CLINICIANS TO ENSURE GI SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE. THE COMPENSATION REFLECTED ON FORM 990, PART VII, SECTION B, COLUMN (C), REPRESENTS PROFESSIONAL SERVICES UNDER THE PSA TO INCLUDE RELATED COMPENSATION AND BENEFITS. TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH ATLANTA CANCER CARE ("ACC") TO ENSURE ONCOLOGY AND HEMATOLOGY SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. NORTHSIDE HAS PROVIDED A BROAD RANGE OF CANCER CARE SERVICES THROUGH ITS CANCER CARE PROGRAM AT THE NORTHSIDE HOSPITAL CANCER INSTITUTE ("NHCI"). THE NHCI, WHICH IS RECOGNIZED NATIONALLY AS A LEADER IN ONCOLOGY DIAGNOSIS, TREATMENT AND RESEARCH, OFFERS CLINICAL EXCELLENCE ON PAR WITH ACADEMIC-BASED PROGRAMS ALONG WITH THE PERSONALIZED AND ATTENTIVE CARE TYPICALLY ASSOCIATED WITH A COMMUNITY HOSPITAL. NORTHSIDE HAS COMMITTED TO BECOMING A REGIONAL AND NATIONAL LEADER THAT REDEFINES CANCER CARE, WHICH IN PART REQUIRES THE EXPANSION OF ITS GEOGRAPHIC FOOTPRINT THROUGH DEVELOPMENT OF AN AFFILIATION WITH ADDITIONAL LOCATIONS, AS WELL AS HAVING AN INTEGRATED CANCER CARE PROGRAM THAT FACILITATES COLLABORATION BETWEEN NORTHSIDE AND CLINICIANS SPECIALIZING IN ONCOLOGY SERVICES. ACC HAS A LARGE COMPLEMENT OF CLINICIANS TO ASSIST NORTHSIDE IN DEVELOPING AN OUTPATIENT ONCOLOGY SERVICES PROGRAM, SPECIALIZING IN MEDICAL ONCOLOGY AND HEMATOLOGY AND THE PROVISION OF INFUSION THERAPY SERVICES AND MEDICAL AND CLINICAL RESEARCH SERVICES. IN ACCORDANCE WITH THE PSA, ACC REMAINS A PRIVATELY HELD ORGANIZATION WITHOUT OWNERSHIP BY NORTHSIDE. ACC MAINTAINS RESPONSIBILITY FOR PROVIDING ALL ADMINISTRATIVE OPERATIONS OF THE PRACTICE (E.G., STAFF BENEFITS, MALPRACTICE INSURANCE, ETC.). NORTHSIDE MAKES PAYMENTS TO ACC AT FAIR MARKET VALUE RATES FOR 1) PERSONALLY PERFORMED AND MODIFIER ADJUSTED PROFESSIONAL SERVICES 2) MANAGEMENT OVERSIGHT RESPONSIBILITIES AND 3) BILLING ARRANGEMENTS. ACC EMPLOYS APPROXIMATELY 36 CLINICIANS AND 170 STAFF TO MAINTAIN ONCOLOGY, HEMATOLOGY, MANAGEMENT AND BILLING SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 564,851,874. MANAGEMENT AND GENERAL EXPENSES 99,109,325. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 663,961,199. |
| FORM 990, PART XI, LINE 9: | INCOME FROM JOINT VENTURES NOT ON BOOKS -9,116,506. OTHER CHANGES IN NET ASSETS 1,794. CHANGE IN PENSION 236,172,923. EQUITY TRANSFER -1,543,699. INTERCOMPANY REVENUE 109,195. INACTIVE ENTITY RETAINED EARNINGS NOT REPORTED ON PRIOR YEAR RETURN -855,504. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (68 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|
| 2246 WISTERIA DRIVE LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 871915309 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| ADVANCED JOINT SURGERY SPECIALISTS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 474793694 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| ADVANCED NEUROSURGERY ASSOCIATES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 852031927 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | $2,752,942 | $220,295 |
| ADVANCED SURGERY CENTER PERIMETER LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 473080613 | SURGERY CENTER | GA | NORTHSIDE HOSPITAL INC | $4,067,891 | $6,889,538 |
| AGA CLINICAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 811319493 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| AGA PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 453694469 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| AMOA HOLDING LLC | |||||||||
| 3330 PRESTON RIDGE ROAD SUITE 300 | ALPHARETTA | GA | 30005 | 874145160 | ONCOLOGY SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| AOA-AMC LLC | |||||||||
| 320 PARKWAY DRIVE NE | ATLANTA | GA | 30312 | 813018210 | ONCOLOGY CLINIC | GA | NORTHSIDE HOSPITAL INC | ||
| ATLANTA ADVANCED SURGERY CENTER LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 371663139 | SURGERY CENTER | GA | NORTHSIDE ATLANTA SURGERY CENTERS LLC | ||
| BRASELTON HEALTH SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HEALTH SERVICES INC | |||
| BRASELTON INVESTOR LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | BRASELTON HEALTH SERVICES LLC | |||
| BRASELTON SURGICAL SPECIALIST CENTER LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | SURGERY CENTER | GA | NORTHSIDE HOSPITAL INC | |||
| BUTTON GWINNETT HOLDINGS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| CHEROKEE COUNTY INVESTORS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 300837387 | REAL ESTATE SERVICES | GA | FORREST PARK PRESERVE HOLDINGS LLC | ||
| CITY LINE DEVELOPERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 833902062 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| CP LAND HOLDING LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | HORIZON CLINICAL LLC | |||
| CRABAPPLE INVESTMENTS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| DAHLONEGA DEVELOPERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| FORREST PARK PRESERVE HOLDINGS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 474363731 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| GALEN ADVISORS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | MEDICAL BILLING SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| GALEN BILLING SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | MEDICAL BILLING SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| GEORGIA CANCER SPECIALISTS I LLC | |||||||||
| 1835 SAVOY DR SUITE 300 | ATLANTA | GA | 30341 | 582181189 | PROFESSIONAL SERVICES | GA | NORTHSIDE SCG LLC | ||
| GEORGIA PROFESSIONAL BILLING SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 262016143 | MEDICAL BILLING SERVICES | GA | NORTHSIDE HOSPITAL INC | $6,234,527 | $5,823,723 |
| GEORGIA SURGICAL PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 463858353 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| GWINNETT ADVANCED SURGERY CENTER LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 455067682 | SURGERY CENTER | GA | NORTHSIDE HOSPITAL INC | $2,175,004 | $3,692,321 |
| GWINNETT CARDIOLOGY SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 461977635 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | -$608,036 | $266,795 |
| GWINNETT HOSPITAL SYSTEM GME LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 465634252 | GRADUATE MEDICAL EDUCATION PROGRAMS | GA | NORTHSIDE HOSPITAL INC | ||
| GWINNETT PHYSICIAN GROUP LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 204553410 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 834390271 | SURGERY CENTER | GA | NORTHSIDE HOSPITAL INC | ||
| HICKORY FLAT HIGHWAY HOLDINGS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| HIGHWAY 92 INVESTORS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| HORIZON CLINICAL LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| JF DEVELOPERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| KEITH BRIDGE DEVELOPMENT LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| LAUREATE MEDICAL GROUP AT NORTHSIDE LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581436087 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | $42,226,193 | $9,447,054 |
| MEDICAL ASSOCIATES PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 463806922 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| MRI & IMAGING OF GEORGIA LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 473958809 | RADIOLOGY SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| N PROPERTIES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| NORTH ATLANTA ANESTHESIA PROFESSIONALS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 882051065 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTH ATLANTA EYE CARE PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 823273795 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTH ATLANTA ONCOLOGY SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 834237605 | ONCOLOGY SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTH ATLANTA PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 205106086 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 825415284 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | $47,763,988 | $7,346,497 |
| NORTHSIDE ATLANTA ORTHOPEDICS & SPORTS MEDICINE HOLDINGS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 832801900 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTHSIDE ATLANTA SURGERY CENTERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 454364531 | HEALTHCARE SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTHSIDE CARDIOVASCULAR INSTITUTE LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 841936693 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | $22,614,327 | $960,479 |
| NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 331105310 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTHSIDE CV PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 851277546 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTHSIDE FORSYTH SURGERY CENTERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 454364708 | SURGERY CENTER | GA | NORTHSIDE HOSPITAL INC | ||
| NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 825113736 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 451259435 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTHSIDE SCG LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 872441276 | PROFESSIONAL SERVICES | GA | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC | ||
| NORTHSIDE SEPC PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 825334312 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 451259671 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NORTHSIDE URGENT CARE HOLDING LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 471625673 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 460667707 | ONCOLOGY SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 460676654 | ONCOLOGY SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| PERIMETER PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 471088986 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| SIGNET CLINICAL LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| SOVEREIGN REHABILITATION OF GEORGIA LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 205084665 | REHABILITATION SERVICES | GA | NORTHSIDE HOSPITAL INC | $1,580,078 | $12,075 |
| SPORTS MEDICINE SOUTH OF GWINNETT LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 850900005 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | $4,144,628 | $915,770 |
| THE CENTER FOR CANCER CARE AT GWINNETT HOSPITAL SYSTEM LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 822542369 | ONCOLOGY SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| UROLOGICAL PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 465754759 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| UROLOGY CLINICAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 813281163 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| UROLOGY SPECIALISTS OF ATLANTA NORTH LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 472619158 | PROFESSIONAL SERVICES | GA | NORTHSIDE HOSPITAL INC | ||
| VISTA CLINICAL LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | NORTHSIDE HOSPITAL INC | |||
| WEST VILLAGE HEALTH SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 874224381 | PROFESSIONAL SERVICES | GA | NORTHSIDE HEALTH SERVICES INC | ||
| WEST VILLAGE MEDICAL LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 863919357 | REAL ESTATE SERVICES | GA | WEST VILLAGE INVESTOR LLC | ||
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GWINNETT HOSPITAL SYSTEM AUXILIARY INC | |||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581713644 | ADMINISTRATIVE SERVICES | GA | 501(C)(3) | LINE 3 | N/A | 0 | |
| GWINNETT HOSPITAL SYSTEM FOUNDATION INC | |||||||||||
| 1755 NORTH BROWN ROAD STE 100 | LAWRENCEVILLE | GA | 30043 | 581828486 | RAISE & COLLECT FUNDS IN FURTHERANCE OF NORTHSIDE HOSPITAL'S EXEMPT PURPOSE | GA | 501(C)(3) | LINE 7 | N/A | 0 | |
| NORTHSIDE HEALTH SERVICES INC | |||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581917328 | PARENT HOLDING COMPANY | GA | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| NORTHSIDE HOSPITAL FOUNDATION INC | |||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581653541 | RAISE & COLLECT FUNDS IN FURTHERANCE OF NORTHSIDE HOSPITAL'S EXEMPT PURPOSE | GA | 501(C)(3) | LINE 7 | 0 | NORTHSIDE HEALTH SERVICES INC | |
| NORTHSIDE SHARES HELP INC | |||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581458873 | PUBLIC CHARITY, ORGANIZED EMPLOYEE RELIEF FUND | GA | 501(C)(3) | LINE 7 | 0 | NORTHSIDE HEALTH SERVICES INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1110 INVESTOR LLC | ||||||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 821783922 | CONSTRUCTION | GA | N/A | 0 | 0 | |||||
| ADVANCED CENTER FOR JOINT SURGERY LLC | ||||||||||||||
| 2000 HOWARD FARM DRIVE SUITE T100 | CUMMING | GA | 30041 | 820606082 | ORTHOPEDIC SURGERY | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | $6,969,149 | $4,463,970 | 0.51000 | |
| ENT SURGERY CENTER OF ATLANTA LLC | ||||||||||||||
| 5673 PEACHTREE DUNWOODY RD STE 945 | ATLANTA | GA | 30342 | 200075229 | AMBULATORY SURGERY | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | $170,597 | $336,332 | 0.68330 | |
| GWINNETT SURGERY CENTER LLC | ||||||||||||||
| 631 PROFESSIONAL DRIVE SUITE 390 | LAWRENCEVILLE | GA | 30046 | 272819709 | OUTPATIENT SURGERY | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | $260,004 | $401,397 | 0.70000 | |
| HAND & UPPER EXTREMITY SURGERY CENTER OF GEORGIA LLC | ||||||||||||||
| 993 JOHNSON FERRY RD | ATLANTA | GA | 30342 | 200147862 | OUTPATIENT SURGERY | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | $270,375 | $2,046,203 | 0.51000 | |
| HEALTH CHOICE URGENT CARE LLC | ||||||||||||||
| 216 CENTERVIEW DR SUITE 100 | BRENTWOOD | TN | 37027 | 473382621 | URGENT CARE CENTER | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | -$642,752 | $125,517 | 0.51000 | |
| NORTHERN CRESCENT ENDOSCOPY SUITE LLC | ||||||||||||||
| 5671 PEACHTREE DUNWOODY RD SUITE 68 | ATLANTA | GA | 30342 | 582453504 | OUTPATIENT SURGERY | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | $2,345,577 | $3,814,414 | 0.51000 | |
| UROLOGY SURGICAL PARTNERS LLC | ||||||||||||||
| 5673 PEACHTREE DUNWOODY RD SUITE 90 | ATLANTA | GA | 30342 | 582622573 | AMBULATORY SURGERY | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | $241,319 | $1,678,940 | 0.70000 | |
| WEST VILLAGE INVESTOR LLC | ||||||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 863879571 | REAL ESTATE ENTITY | GA | 0 | 0 | WEST VILLAGE HEALTH SERVICES INC | RELATED | -$310 | $8,005,353 | 0.50100 | |
| WOODSTOCK ENDOSCOPY CENTER LLC | ||||||||||||||
| 900 TOWNE LAKE PKWY SUITE 310 | WOODSTOCK | GA | 30189 | 582656248 | OUTPATIENT SURGERY | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | $584,219 | $1,545,044 | 0.51000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GWINNETT MANAGED CARE INC | |||||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 582135759 | PROFESSIONAL SERVICES | GA | N/A | C | 0 | ||||
| NORTHSIDE HEALTH NETWORK INC | |||||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 843655289 | PROFESSIONAL SERVICES | GA | C | Yes (1) | NORTHSIDE HOSPITAL INC | $31,226 | $60,134 | 1.00000 | |
| NORTHSIDE VENTURES INC | |||||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581954456 | LEASING COMPANY | GA | N/A | C | 0 | ||||
| SEQUENT HEALTH PHYSICIAN PARTNERS LLC | |||||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 471511997 | CLINICALLY INTEGRATED ORGANIZATION | GA | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN D: | FormAndLineReferenceDesc |
| Explanation | IN MOST INSTANCES WHERE (D) TOTAL INCOME IS ZERO, ENTITIES WERE ESTABLISHED FOR BILLING IDENTIFICATION ONLY AND NO ASSETS, INCOME OR EMPLOYEES ARE APPLICABLE TO THE EMPLOYER IDENTIFICATION NUMBER. | ExplanationTxt |
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