2022-08-12T11:03:14-05:00 2021-09-30 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2020-10-01 582078064 NORTHEAST GEORGIA PHYSICIANS GROUP INC NORT 7702196659 743 SPRING STREET GAINESVILLE GA 305013899 BRIAN D STEINES CFO 7702196659 2022-08-10 1 BRIAN STEINES 999009999 DEBORAH O ERNSBERGER P00364912 8656730844 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z CAROL BURRELL 743 SPRING STREET GAINESVILLE GA 305013899 278545097 0 X WWW.NGHS.COM X 1993 GA IMPROVING THE HEALTH OF THE COMMUNITY IN ALL WE DO. 13 5 0 0 0 0 0 0 214897661 277334038 -1884 -2376 1058391 1119562 215954168 278451224 0 0 0 0 200136867 227481231 0 0 0 59312533 77660651 259449400 305141882 -43495232 -26690658 36837609 80393777 24731423 77145241 12106186 3248536 X NORTHEAST GEORGIA PHYSICIANS GROUP IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) AND IS ON A MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY IN ALL WE DO. NGHS IS A NOT-FOR-PROFIT ORGANIZATION AND IS THE PARENT COMPANY FOR THE FOLLOWING AFFILIATES:- NORTHEAST GEORGIA MEDICAL CENTER, INC. (GAINESVILLE AND BRASELTON CAMPUSES)- NORTHEAST GEORGIA MEDICAL CENTER BARROW- NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN- THE MEDICAL CENTER FOUNDATION, INC. (NGHS FOUNDATION)- NORTHEAST GEORGIA PHYSICIANS GROUP- GEORGIA HEART INSTITUTE OF NORTHEAST GEORGIA MEDICAL CENTER- THE MEDICAL CENTER AUXILIARY 0 0 300883223 277334038 AS A PART OF NORTHEAST GEORGIA HEALTH SYSTEM, NORTHEAST GEORGIA PHYSICIANS GROUP SERVES MORE THAN A MILLION PEOPLE ACROSS 19 COUNTIES IN OUR REGION. SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION. **SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION** 300883223 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X ELENA BARBERIS 7702196659 743 SPRING STREET GAINESVILLE GA 305013899 BEDRI YUSUF MEMBER, EXECUTIVE CHIEF PHYSICIAN 40.00 X 0 471091 67932 BRENT HOFFMAN MEMBER 1.00 X 0 0 0 CLAYTON COX MEMBER, PHYSICIAN - NGPG 40.00 X 0 79324 17063 DANIEL TUFFY MEMBER, PRESIDENT AND CAO - NGHS 1.00 40.00 X 0 521459 87722 DAWN SOSEBEE MEMBER, NURSE PRACTITIONER - NGPG 40.00 X 0 94836 32696 FERNANDO SERNA MEMBER, PHYSICIAN - NGMC 1.00 40.00 X 0 775945 35247 JANE SMOOT MEMBER 1.00 1.00 X 0 0 0 JOHNATHAN KERRICK MEMBER, PHYSICIAN - NGPG 40.00 X 0 413566 39877 LAWRENCE DUDAS MEMBER, PHYSICIAN - NGMC 1.00 40.00 X 0 355246 17829 OLIVIA ERBELE SKEY MEMBER 1.00 X 0 0 0 PRESTON BOWEN MEMBER 1.00 1.00 X 0 0 0 THOMAS HAWN MEMBER, PHYSICIAN ASSISTANT - NGPG 40.00 X 0 220734 72755 WANDA AZPEITIA MEMBER 1.00 X 0 0 0 CAROL BURRELL PRESIDENT & CEO 1.00 40.00 X 0 1387598 124036 BRIAN D STEINES CHIEF FINANCIAL OFFICER 1.00 40.00 X 0 836593 113162 STEPHEN KELLY CHIEF COMPLIANCE OFFICER 1.00 40.00 X 0 297483 53353 MICHAEL COVERT CHIEF OPERATING OFFICER 1.00 40.00 X 0 785050 69102 ANTONIO RIOS EXECUTIVE CHIEF PHYSICIAN - NGPG 40.00 X 0 400912 138177 TRACY VARDEMAN CHIEF STRATEGY EXECUTIVE - NGHS 1.00 40.00 X 0 444369 168264 ALAN D WINSTON NGPG PHYSICIAN 40.00 X 0 1429893 41811 ANDREW GREEN NGPG PHYSICIAN 40.00 X 0 981250 34829 ARUN THANKACHAN JACOB NGPG PHYSICIAN 40.00 X 0 1313035 36265 JAMES WOLFE NGPG PHYSICIAN 40.00 X 0 1322091 38370 JOHN CLIFTON HASTINGS NGPG PHYSICIAN 40.00 X 0 887919 44442 0 13018394 1232932 403 0 1 0 GASTROENTEROLOGY ASSOCIATES 2324 LIMESTONE OVERLOOK GAINESVILLE GA 30501 GASTROENTEROLOGY SERVICES 1433116 SALVEO INTEGRATIVE HEALTH INC 311 GWINNETT DRIVE LAWRENCEVILLE GA 30046 PROVIDER SERVICES 789330 PULMONARY & SLEEP SPECIALIST 2075 HAMILTON CREEK PKWY 200 DACULA GA 30019 PROVIDER SERVICES 767650 LOCUMTENENSCOM LLC PO BOX 405547 ATLANTA GA 30384 STAFFING SERVICES 763054 GE PRECISION HEALTHCARE LLC PO BOX 96483 CHICAGO IL 60693 BIOMEDICAL EQUIPMENT MAINTENANCE 442022 19 NET PATIENT REVENUE 621400 234826602 234826602 OTHER OPERATING REVENUE 900099 39779063 39779063 EHR/INCENTIVE REVENUE 900099 2728373 2728373 277334038 1173310 91497 1081813 1081813 1081813 2376 -2376 -2376 -2376 OTHER REVENUE 532000 37749 37749 37749 278451224 277334038 0 1117186 199463659 196391919 3071740 17417181 17148956 268225 10600391 10437145 163246 27140135 26722177 417958 35960 35406 554 11906193 11722838 183355 727958 716747 11211 3333128 3281798 51330 -12939 -12740 -199 MEDICAL SUPPLIES 15405932 15405932 BAD DEBT EXPENSE 13199683 13199683 SUPPLIES 1339919 1319284 20635 RENTAL & MAINTENANCE 1058065 1041771 16294 3526617 3472307 54310 305141882 300883223 4258659 0 781625 820574 13589335 16686408 284828 0 41581543 27201275 22176108 14380268 5713 48506527 36837609 80393777 23265978 28133038 1105445 0 360000 0 0 49012203 24731423 77145241 X 12106186 3248536 12106186 3248536 36837609 80393777 X -26690658 17833008 X 0 1 X 1 0 X X 1 NORTHEAST GEORGIA MEDICAL CENTER INC 581694098 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION C, LINE 1 THE BOARD OF DIRECTORS OF THE PARENT, NORTHEAST GEORGIA HEALTH SYSTEM, INC., HOLDS THE POWER TO APPOINT THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA PHYSICIANS GROUP, INC. AND NORTHEAST GEORGIA MEDICAL CENTER, INC. THIS ENSURES CONTROL OF THE SUPPORTED ORGANIZATION. 0 0 0 0 0 0 0 0 1 85837 85837 0 PART II-B, LINE 1: NORTHEAST GEORGIA PHYSICIANS GROUP, INC. PAYS MEMBERSHIP DUES TO SEVERAL PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS: -AMERICAN ACADEMY OF FAMILY PHYSICIANS -AMERICAN ASSOCIATION OF HIP AND KNEE SURGEONS -AMERICAN ACADEMY OF NEUROLOGY -AMERICAN ASSOCIATION OF NURSE PRACTITIONERS -AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS -AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS -AMERICAN COLLEGE OF ALLERGY, ASTHMA AND IMMUNOLOGY -AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES -AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS -AMERICAN COLLEGE OF PHYSICIANS -AMERICAN COLLEGE OF SURGEONS -AMERICAN MEDICAL ASSOCIATION -AMERICAN MEDICAL GROUP ASSOCIATION -AMERICAN SOCIETY OF ANESTHESIOLOGISTS -AMERICAN SOCIETY OF ECHOCARDIOGRAPHY -AMERICAN SOCIETY FOR RADIATION ONCOLOGY -GEORGIA ASSOCIATION OF PHYSICIAN ASSISTANTS -GEORGIA OBSTERICAL AND GYNECOLOGICAL SOCIETY -HOSPICE AND PALLIATIVE CARE NURSES ASSOCIATION -MEDICAL ASSOCIATION OF GEORGIA -SOCIETY OF THORACIC SURGEONS -HENRY FORD HEALTH SYSTEM GROUP PRACTICE NETWORK A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. 1702144 1192844 509300 55325 55325 0 37972029 24130123 13841906 1852045 1822983 29062 14380268 DUE FROM THRID PARTY 19558 DUE FROM NGPG BUILDING MANAGMENT 3119 ROU ASSET -OPERATING LEASE 48483850 48506527 ST OPERATING LEASE 8701006 LT OPERATING LEASE 40311197 49012203 X PART X, LINE 2: NORTHEAST GEORGIA HEALTH SYSTEM, INC. (NGHS), NORTHEAST GEORGIA MEDICAL CENTER, INC. (NGMC), THE MEDICAL CENTER FOUNDATION, INC., NORTHEAST GEORGIA PHYSICIANS GROUP, INC. (NGPG), AND LANIER COMMUNITY ASSURANCE, LTD. (LCA) ARE CLASSIFIED AS ORGANIZATIONS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OR PROVISIONS OF THE COMPANIES LAW OF THE CAYMAN ISLANDS. THE INCOME FOR NGMC-BARROW, NGMC-LUMPKIN AND THE HEART CENTER PASSES THROUGH TO NGHS, WHICH IS TAX EXEMPT. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. NORTHEAST GEORGIA HEALTH PARTNERS, LLC, IS A TAXABLE ENTITY AND ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS CODIFICATION 740, INCOME TAXES (ASC 740). AT SEPTEMBER 30, 2020 AND 2019, RESPECTIVELY, MANAGEMENT DOES NOT BELIEVE THE SYSTEM HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER ASC 740. IT IS THE SYSTEM'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS AS AN OPERATING EXPENSE. X X 0 0 0 1 0 0 0 0 0 0 0 BEDRI YUSUF MEMBER, EXECUTIVE CHIEF PHYSICIAN 0 384938 0 35000 0 51153 0 35475 0 32457 0 539023 0 0 DANIEL TUFFY MEMBER, PRESIDENT AND CAO - NGHS 0 397422 0 50289 0 73748 0 58266 0 29456 0 609181 0 47402 FERNANDO SERNA MEMBER, PHYSICIAN - NGMC 0 773805 0 0 0 2140 0 8880 0 26367 0 811192 0 0 JOHNATHAN KERRICK MEMBER, PHYSICIAN - NGPG 0 391517 0 0 0 22049 0 8585 0 31292 0 453443 0 0 LAWRENCE DUDAS MEMBER, PHYSICIAN - NGMC 0 335670 0 0 0 19576 0 6501 0 11328 0 373075 0 0 THOMAS HAWN MEMBER, PHYSICIAN ASSISTANT - NGPG 0 159690 0 34643 0 26401 0 43962 0 28793 0 293489 0 0 CAROL BURRELL PRESIDENT & CEO 0 1077256 0 0 0 310342 0 98665 0 25371 0 1511634 0 0 BRIAN D STEINES CHIEF FINANCIAL OFFICER 0 608995 0 76387 0 151211 0 85676 0 27486 0 949755 0 72002 STEPHEN KELLY CHIEF COMPLIANCE OFFICER 0 219456 0 28102 0 49925 0 36175 0 17178 0 350836 0 26489 MICHAEL COVERT CHIEF OPERATING OFFICER 0 534667 0 94599 0 155784 0 51488 0 17614 0 854152 0 43270 ANTONIO RIOS EXECUTIVE CHIEF PHYSICIAN - NGPG 0 370091 0 0 0 30821 0 116522 0 21655 0 539089 0 0 TRACY VARDEMAN CHIEF STRATEGY EXECUTIVE - NGHS 0 322858 0 41634 0 79877 0 141138 0 27126 0 612633 0 39045 ALAN D WINSTON NGPG PHYSICIAN 0 1281771 0 125000 0 23122 0 9975 0 31836 0 1471704 0 0 ANDREW GREEN NGPG PHYSICIAN 0 958940 0 100 0 22210 0 9975 0 24854 0 1016079 0 0 ARUN THANKACHAN JACOB NGPG PHYSICIAN 0 1263818 0 0 0 49217 0 9975 0 26290 0 1349300 0 0 JAMES WOLFE NGPG PHYSICIAN 0 1294067 0 0 0 28024 0 9975 0 28395 0 1360461 0 0 JOHN CLIFTON HASTINGS NGPG PHYSICIAN 0 861222 0 0 0 26697 0 9975 0 34467 0 932361 0 0 PART I, LINE 1A NORTHEAST GEORGIA PHYSICIANS GROUP PROVIDED LONG-TERM HOUSING TO DR. JAMES WOLFE, WHO IS ONE OF THE FIVE HIGHEST COMPENSATED EMPLOYEES OF NGPG. DR. WOLFE IS A CARDIOTHORACIC SURGEON AND THE HOUSING IS PROVIDED FOR THE EMPLOYER'S BENEFIT OF HIS PROXIMITY TO PROVIDE MEDICAL SERVICES WHEN HE IS PROVIDING CALL COVERAGE. THIS WAS GROSSED UP FOR TAX PURPOSES AND WAS INCLUDED IN HIS TAXABLE WAGES AND REPORTED IN PART II COLUMN B(III). PART I, LINE 4B EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN ANTONIO RIOS $ 23,936 BEDRI YUSUF $ 25,500 BRIAN D. STEINES $ 75,701 DANIEL TUFFY $ 50,806 MICHAEL COVERT $ 43,270 STEPHEN KELLY $ 28,939 TRACY M. VARDEMAN $ 41,634 CAROL H. BURRELL, PRESIDENT AND CEO: BEGINNING IN DECEMBER 2017, NORTHEAST GEORGIA HEALTH SYSTEM (A RELATED ORGANIZATION) INVESTED IN A JOINTLY-OWNED SPLIT DOLLAR LIFE INSURANCE PLAN FOR MS. BURRELL. THE ASSET VALUE AS OF SEPTEMBER 30, 2021 WAS $5,737,849. EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION): BRIAN D. STEINES $ 76,387 DANIEL TUFFY $ 50,289 MICHAEL COVERT $ 43,270 STEPHEN KELLY $ 28,102 TRACY M. VARDEMAN $ 41,634 KATHRYN DUDAS WIFE OF LARRY DUDAS, BOARD MEMBER OF NGPG 362322 KATHRYN DUDAS IS EMPLOYED BY NORTHEAST GEORGIA PHYSICIANS GROUP, INC. 0 MARGARET SCHUTTE WIFE OF ANTONIO RIOS A KEY EMPLOYEE OF NGPG 388524 MARGARET SCHUTTE, THE WIFE OF ANTONIO RIOS, IS EMPLOYED BY NORTHEAST GEORGIA PHYSICIAN GROUP. 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM, INC., (NGHS) AND ALL RELATED AFFILIATES IS TO "IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." LED BY VOLUNTEER BOARDS MADE UP OF COMMUNITY LEADERS, THE HEALTH SYSTEM SERVES MORE THAN 1 MILLION PEOPLE IN 19 COUNTIES ACROSS NORTHEAST GEORGIA. NGHS IS A GEORGIA, NOT-FOR-PROFIT CORPORATION THAT, ALONG WITH ITS AFFILIATES, PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS OF NORTHEAST GEORGIA. NGHS OPERATES A 56-BED LICENSED HOSPITAL LOCATED IN WINDER (NGMC BARROW, LLC) AND IN JULY 2018, NGHS ACQUIRED NGMC LUMPKIN, LLC (FORMERLY CHESTATEE REGIONAL HOSPITAL), TO INCLUDE EMERGENCY SERVICES, 10 INPATIENT BEDS AND OTHER SUPPORT SERVICES IN DAHLONEGA AND SURROUNDING COMMUNITIES. NGHS AFFILIATE, NORTHEAST GEORGIA MEDICAL CENTER (NGMC), OPERATES A 557-LICENSED BED INPATIENT FACILITY IN GAINESVILLE, AND A 134-LICENSED BED INPATIENT FACILITY IN BRASELTON. OTHER AFFILIATES INCLUDE NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG), THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION, RIVER PLACE MEDICAL OFFICE PLAZA I, AND GEORGIA HEART INSTITUTE, LLC FORMERLY THE HEART CENTER, LLC. NGMC SERVES AS A FINANCIAL ENGINE FOR THE LOCAL ECONOMY. IN 2020 (LATEST NUMBERS AVAILABLE), THE FOUR HOSPITALS COLLECTIVELY HAD A $3.55 BILLION LOCAL AND STATE ECONOMIC IMPACT, ACCORDING TO A REPORT BY THE GEORGIA HOSPITAL ASSOCIATION (GHA), WHICH APPLIED AN ECONOMIC MULTIPLIER TO THE HOSPITAL'S DIRECT EXPENDITURES TO ACCOUNT FOR THE "RIPPLE" EFFECT THE HOSPITAL'S SPENDING HAS ON OTHER SECTORS OF THE LOCAL AND STATE ECONOMIES. THE REPORT FOUND THAT THROUGH ITS ECONOMIC IMPACT, THE HEALTH SYSTEM CREATED 22,590 FULL-TIME JOBS THROUGHOUT THE REGION AND THE STATE, IN ADDITION TO NEARLY 15,826 EMPLOYEES DIRECTLY EMPLOYED. COMMUNITY HEALTH IMPROVEMENT ACTIVITIES WITH SIGNIFICANT INPUT FROM THE COMMUNITY, NORTHEAST GEORGIA HEALTH SYSTEM COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS. THE STUDY IDENTIFIED THE FIVE HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE ORGANIZATION'S STRATEGIC DIRECTION: BEHAVIORAL AND MENTAL HEALTH, ACCESS TO CARE, DIABETES, CARDIOVASCULAR DISEASE, AND SEPTICEMIA. FOR DETAILS ON HOW NGHS AND AFFILIATES ARE ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, GO TO: WWW.NGHS.COM/2020-PLAN. VISIT HTTPS://YOUTU.BE/UPDTTYIGAO8 TO WATCH A VIDEO ABOUT HOW NGHS PARTNERED IN THE COMMUNITY TO CONDUCT THE 2019 CHNA. NGHS, INC., AND AFFILIATES' RESPONSE TO COVID-19 THE UNFORESEEN COVID-19 PANDEMIC QUICKLY BECAME A PRIMARY FOCUS FOR NGHS, NGMC, NGPG, AND AFFILIATES. COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY, THE HEALTH SYSTEM PIVOTED IN 2020 TO MEET THE DEMANDS OF THE PANDEMIC, REMAINING FLEXIBLE TO ADDRESS THE RISING NEEDS IN THE COMMUNITY THROUGH THE FOLLOWING ACTIVITIES: COMMUNITY COVID-19 LEADERSHIP COALITION: A COMMUNITY-WIDE COLLABORATIVE WAS FORMED IN SEPTEMBER 2020 THAT INCLUDED NGHS, LONGSTREET CLINIC, GOOD NEWS CLINIC, DISTRICT 2 PUBLIC HEALTH, GREATER HALL CHAMBER OF COMMERCE, AND OTHER LOCAL ORGANIZATIONS TO IMPLEMENT A UNIFIED PLAN FOR THE HALL COUNTY-GAINESVILLE AREA TO PREVENT THE SPREAD OF COVID-19. FROM THIS, LOCAL BUSINESSES AND GOVERNMENT ENTITIES JOINED TO CREATE THE "WE ARE HALL IN" CAMPAIGN TO SET THE STANDARD FOR COVID-19 PREVENTION. THOSE WHO ARE "HALL IN" PLEDGE TO WEAR A MASK WHEN APPROPRIATE, PRACTICE SOCIAL DISTANCING, AND ABIDE BY OTHER HEALTH AND SAFETY GUIDELINES. COVID-19 PANDEMIC: AS WITH ALL HEALTH SYSTEMS, COVID-19 CONTINUED TO IMPACT OPERATIONS, AND THE SYSTEM CONTINUED TO ADDRESS THE SHIFTING NEEDS OF THE COMMUNITY THROUGHOUT FY21. THE FOREFRONT OF COVID-19 INFORMATION: NGHS REMAINED AT THE FOREFRONT OF COVID-19 INFORMATION DISTRIBUTION THROUGHOUT THE PANDEMIC. DAILY STATISTICS WERE MADE AVAILABLE TO THE PUBLIC THROUGH THE HOSPITAL'S WEBSITE, INFORMING THE COMMUNITY OF CONFIRMED POSITIVE PATIENTS IN OUR CARE, THE PERCENTAGE OF POSITIVE PATIENTS NOT FULLY VACCINATED, AND THE AVERAGE AGE OF POSITIVE PATIENTS. THIS INFORMATION IS AVAILABLE AT NGHS.COM/COVID-DATA. ADDITIONALLY, NGHS REGULARLY PUBLISHES TIPS ON AVOIDING COVID-19 AND INFORMATION ON VACCINE DISTRIBUTION. GEORGIA TECH COVID-19 TESTING PARTNERSHIP: NGHS PARTNERED WITH GEORGIA TECH TO SUPPORT REGULAR COVID-19 TESTING FOR STATE LEGISLATORS AND CAPITOL STAFF DURING THE LEGISLATIVE SESSION. NGHS IS INTERPRETING RESULTS AND CONFIRMING THE DIAGNOSIS OF A SALIVA-BASED COVID SURVEILLANCE TEST CONDUCTED BY GEORGIA TECH'S RESEARCHERS. METRO ATLANTA HOSPITAL COVID CAMPAIGN: NGHS PARTICIPATED IN TWO JOINT SOCIAL MEDIA CAMPAIGNS WITH OTHER METRO ATLANTA HOSPITALS TO DRIVE A UNIFIED MESSAGE AROUND COVID VACCINE ACCEPTANCE IN THE COMMUNITY. THE FOLLOWING HOSPITALS AND HEALTHCARE PROVIDERS WERE INVOLVED: NGHS, EMORY, CHOA, GRADY, PIEDMONT, ST. FRANCIS EMORY, HCA, WELLSTAR, ONE MEDICAL, AND KAISER PERMANENTE. LAKE LANIER CONVENTION & VISITORS BUREAU RECOGNIZED NGHS FOR COVID-19 EFFORTS: NGHS RECEIVED THE LAKE LANIER CONVENTION & VISITORS BUREAU CHAIRMAN'S AWARD FOR COMMITMENT AND EFFORTS DURING THE COVID-19 PANDEMIC. COMMUNITY CONVERSATIONS AND EDUCATION ON COVID-19: IN JUNE 2021, MEMBERS FROM NGMC, NGHS, DISTRICT 2 PUBLIC HEALTH, ST. JOHN THE BAPTIST CHURCH, AND NEWTOWN FLORIST CLUB MET TO DISCUSS COVID-19 IN THE AFRICAN AMERICAN COMMUNITY. THIS PANEL SHARED CASE DATA ON COVID-19 BY RACE/ETHNICITY, ANSWERED QUESTIONS ABOUT COVID-19, AND DISCUSSED MYTHS ABOUT THE VIRUS AND VACCINATION. IN SEPTEMBER 2021, THE PARTNERS HOSTED A VIRTUAL PANEL IN WHICH PANELISTS DISCUSSED THEIR PERSONAL EXPERIENCES WITH THE VACCINE AND OTHER TOPICS RELATED TO COVID-19. COVID-19 OUTREACH IN PARTNERSHIP WITH COMMUNITY LEADERS: KNOWING THE DISPROPORTIONATE IMPACT COVID-19 HAS ON HISPANIC AND LATINO POPULATIONS, NGHS PARTNERED WITH THE NORTHEAST GEORGIA LATINO CHAMBER OF COMMERCE AND MIDTOWN VILLAGES IN AUGUST 2021 AT THE EVENT "FIESTA DE VERANO" TO DISTRIBUTE COVID-19 VACCINES. FORM 990, PART III, LINE 4A IN 2021, NGMC HOSPITALS PROVIDED CHARITY CARE IN THE COMMUNITY AT THE COST OF AN ESTIMATED $77.7 MILLION AND RECEIVED NO LOCAL TAX REVENUE FROM HALL COUNTY, OR ANY OTHER COUNTIES, TO SUPPORT OPERATIONS OR CARE PROVIDED TO INDIGENT RESIDENTS. THE CHARITY CARE POLICY PROVIDES FINANCIAL ASSISTANCE UP TO 300 PERCENT OF THE POVERTY LEVEL MANY HOSPITALS PROVIDE CHARITY ADJUSTMENTS ONLY TO THE LEVEL THAT MATCHES THE STATE DEFINITION OF MEDICALLY INDIGENT BUT NOT AT THE LEVEL THAT NGMC OFFERS. THE HEALTH SYSTEM SERVED MORE THAN ONE MILLION PEOPLE IN 18 COUNTIES ACROSS NORTHEAST GEORGIA, LED BY VOLUNTEER BOARDS OF COMMUNITY LEADERS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, ALL REVENUE GENERATED ABOVE OPERATING EXPENSES WAS RETURNED TO THE COMMUNITY THROUGH IMPROVED SERVICES AND INNOVATIVE PROGRAMS. NORTHEAST GEORGIA MEDICAL CENTER'S CHARITY CARE POLICY SUPPORTS PROVIDING CARE FOR INDIGENT PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. TOTAL ESTIMATED CHARITY CARE COST FOR EACH HOSPITAL ENTITY IN FY21: NGMC GAINESVILLE AND BRASELTON: $33.4 MILLION FOR HALL COUNTY, WITH ANOTHER $32.1 MILLION FOR REGIONAL RESIDENTS OUTSIDE OF HALL COUNTY. NGMC BARROW: $2.6 MILLION FOR BARROW COUNTY, WITH ANOTHER $865,000 PROVIDED TO REGIONAL RESIDENTS OUTSIDE BARROW COUNTY. NGMC LUMPKIN: $637,000 FOR LUMPKIN COUNTY, WITH ANOTHER $479,000 FOR REGIONAL RESIDENTS OUTSIDE LUMPKIN COUNTY. LOW-INCOME AND UNINSURED PATIENT PROGRAMS: THE HOSPITAL WAS A KEY PARTICIPANT AND FISCAL SPONSOR IN PROGRAMS AIMED AT TREATING LOW-INCOME AND UNINSURED PATIENTS, INCLUDING THE GOOD NEWS CLINICS, THE LARGEST FREE HEALTHCARE CLINIC IN GEORGIA, AND HEALTH ACCESS, A LOCAL SERVICE THAT MATCHES FINANCIALLY ELIGIBLE PATIENTS TO SPECIALTY PHYSICIANS AND PROVIDES ACCESS TO CARE, AMONG OTHER SERVICES. NGMC WAS THE PRIMARY HOSPITAL FOR LOW-INCOME PATIENTS IN GAINESVILLE-HALL COUNTY AND THROUGHOUT THE REGION IN COUNTIES SUCH AS BANKS, LUMPKIN, RABUN, UNION, AND WHITE, WHERE MANY KEY MEDICAL SPECIALTIES ARE UNAVAILABLE. NGMC TAX FUNDING: SINCE 2000, NGMC GAINESVILLE HAS PROVIDED NEARLY THREE TIMES THE AMOUNT OF INDIGENT AND CHARITY CARE OUTLINED IN REQUIREMENTS BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH TO PASS A CERTIFICATE OF NEED FOR NEW SERVICES SUCCESSFULLY. UNLIKE MANY GEORGIA NOT-FOR-PROFIT HOSPITALS HELD TO THE SAME REQUIREMENTS, NGMC DOES NOT RECEIVE TAX FUNDING FROM ITS LOCAL COUNTY TO HELP FUND INDIGENT CARE FOR AREA RESIDENTS. NGMC GAINESVILLE WAS SIXTH IN THE TOP HOSPITALS FOR NET UNCOMPENSATED CARE ($73.4 M) PROVIDED IN GEORGIA BASED ON STATE FISCAL YEAR (SFY) 2020 INDIGENT CARE TRUST FUND (ICTF) TOTAL HOSPITAL SPECIFIC DISPROPORTIONATE SHARE HOSPITAL (DSH) LIMITS; MANY OF THE HOSPITALS ON THE LIST RECEIVED LOCAL TAX DOLLARS, WHILE NGMC DID NOT, (SFY RUNS FROM JULY 1- JUNE 30). AS A NOT-FOR-PROFIT HOSPITAL, NGMC CARRIES ADDITIONAL RESPONSIBILITIES, AS ESTABLISHED BY THE IRS IN 1965. THESE OBLIGATIONS ARE: OPERATE A FULL-TIME EMERGENCY ROOM THAT IS AVAILABLE TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY; - NGMC GAINESVILLE AND BRASELTON HAD 134,032 ER VISITS, OPERATING THE BUSIEST EMERGENCY DEPARTMENT IN GEORGIA, AND NGMC BARROW AND LUMPKIN ALSO OPERATE A 24-HOUR EMERGENCY ROOM. - IN FY21, 23 PERCENT OF ALL NGMC GAINESVILLE AND BRASELTON EMERGENCY ROOM VISITS WERE MADE BY SELF-PAY PATIENTS; 27 PERCENT FOR BARROW, AND 22 PERCENT FOR LUMPKIN. PROVIDE NON-EMERGENCY SERVICES TO ANYONE UNABLE TO PAY, AND MEDICALLY NECESSARY SERVICES TO ANYONE IN THE NGHS SERVICE AREA NOT ABLE TO PAY; - NORTHEAST GEORGIA HEALTH SYSTEM PROVIDES HIGH QUALITY, ADVANCED SPECIALTY AND PRIMARY HEALTHCARE SERVICES TO THE NORTHEAST GEORGIA COMMUNITY, SERVING 1 MILLION PEOPLE IN MORE THAN 18 COUNTIES. IN FY21, NGMC'S PAYOR MIX AT GAINESVILLE AND BRASELTON WAS 60 PERCENT MEDICARE/MEDICAID, 31 PERCENT COMMERCIAL/OTHER INSURANCE AND 9 PERCENT SELF-PAY. - IN FY21, NGMC'S PAYOR MIX AT BARROW WAS 55 PERCENT FOR MEDICARE/ MEDICAID, 30 PERCENT FOR COMMERCIAL/OTHER INSURANCE AND 15 PERCENT FOR SELF-PAY. - IN FY21, NGMC'S PAYOR MIX AT LUMPKIN WAS 50 PERCENT FOR MEDICARE/ MEDICAID, 34 PERCENT FOR COMMERCIAL/OTHER INSURANCE AND 16 PERCENT FOR SELF-PAY. PARTICIPATE IN MEDICAID AND MEDICARE; - 60 PERCENT OF PATIENTS SERVED BY NGMC GAINESVILLE AND BRASELTON IN FY21 WERE MEDICAID AND MEDICARE PATIENTS; 55 PERCENT FOR BARROW AND 50 PERCENT FOR LUMPKIN. CREATE A GOVERNING BOARD THAT IS REPRESENTATIVE OF THE COMMUNITY IT SERVES; - MORE THAN 90 COMMUNITY MEMBERS ARE ACTIVELY INVOLVED IN GOVERNANCE THROUGH NORTHEAST GEORGIA HEALTH SYSTEM, NGMC AND OTHER SUBSIDIARY BOARDS AND COMMITTEES. REINVESTMENT OF SURPLUS FUNDS IN OPERATIONS: AS A NOT-FOR-PROFIT ORGANIZATION, THE REVENUE GENERATED BY NGMC AND ITS PARENT ORGANIZATION NORTHEAST GEORGIA HEALTH SYSTEM, ABOVE OPERATING EXPENSES, IS REINVESTED INTO THE COMMUNITY. EXAMPLES INCLUDE INVESTMENTS IN ADVANCED MEDICAL TECHNOLOGY SUCH AS ROBOTIC SURGICAL SYSTEMS AND STATE-OF-THE-ART RADIATION THERAPY EQUIPMENT, A LEVEL 2 TRAUMA CENTER'S DEVELOPMENT, AND BARROW, THE ONLY FACILITY TO OFFER 3D MAMMOGRAPHY IN THAT COUNTY. INDIGENT CARE TRUST FUND (ICTF): IN 2021, NGMC RECEIVED $7.6 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID DSH (ICTF) PROGRAM TO PARTIALLY OFFSET A FINANCIAL LOSS OF $65.5 MILLION IN COST THE MEDICAL CENTER INCURRED TREATING UNINSURED AND MEDICAID PATIENTS. IN ADDITION, NGMC RECEIVED $3.7 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID UPL PROGRAM TO ADJUST MEDICAID PAYMENTS UPWARD TO MATCH MEDICARE PAYMENT LEVELS. THE INDIGENT CARE TRUST FUND IS A PROGRAM THAT WAS ESTABLISHED IN 1990, WHICH EXPANDS MEDICAID ELIGIBILITY AND SERVICES. IT SUPPORTS RURAL HEALTHCARE FACILITIES THAT SERVE THE MEDICALLY INDIGENT AND FUNDS PRIMARY HEALTH CARE PROGRAMS FOR MEDICALLY INDIGENT GEORGIANS. GEORGIA'S DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM IS FUNDED THROUGH THE ICTF. IT ASSISTS HOSPITALS AND OTHER HEALTH PROVIDERS THAT CARE FOR HIGH PROPORTIONS OF MEDICAID, UNINSURED, AND/OR LOW-INCOME PATIENTS. FORM 990, PART VI, SECTION A, LINE 6 NORTHEAST GEORGIA HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST GEORGIA PHYSICIANS GROUP, INC. FORM 990, PART VI, SECTION A, LINE 7A SIX MEMBERS OF THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA PHYSICIANS GROUP, INC. ARE APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. FOUR OTHER MEMBERS SERVE ON THE BOARD BY VIRTUE OF THEIR OFFICE AT NORTHEAST GEORGIA HEALTH SYSTEM, INC. THE REMAINING BOARD MEMBERS ARE ELECTED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B SIX MEMBERS OF THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA PHYSICIANS GROUP, INC. ARE APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. FOUR OTHER MEMBERS SERVE ON THE BOARD BY VIRTUE OF THEIR OFFICE AT NORTHEAST GEORGIA HEALTH SYSTEM, INC. THE REMAINING BOARD MEMBERS ARE ELECTED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B INFORMATION FOR THE FORM 990 WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT FOR PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED, IT WAS REVIEWED BY SENIOR FINANCIAL MANAGEMENT. THE FORM 990 IS MADE AVAILABLE TO MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. EMPLOYEES ATTEST TO THEIR UNDERSTANDING AND REPORTING/DISCLOSURE REQUIREMENTS AT HIRE AND ANNUALLY. COMPLIANCE IS MONITORED CONTINUOUSLY THROUGHOUT THE YEAR BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE NORTHEAST GEORGIA HEALTH SYSTEM BOARD (NGHS BOARD) HAS DEVELOPED A TOTAL COMPENSATION PHILOSOPHY AND INSTALLED COMPENSATION POLICIES AND PROCEDURES THAT SEEK TO FURTHER THE PURPOSE OF NGHS AND AFFILIATES AND THE IMPORTANCE OF THESE POLICIES TO ATTRACT AND RETAIN KEY EMPLOYEES. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF VOTING DIRECTORS WHO ARE NOT EMPLOYEES OF NGHS AND IS FREE FROM CONFLICT OF INTEREST. ALL DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEE ARE REVIEWED AND RATIFIED BY THE NGHS BOARD. THE COMMITTEE'S METHODOLOGY AND APPROACH INCORPORATE BOTH QUALITATIVE AND QUANTITATIVE CONSIDERATIONS, WHICH ARE REFLECTED IN THE COMMITTEE'S DETERMINATIONS CONCERNING KEY EMPLOYEE COMPENSATION AND THE SPECIFIC COMPONENTS THEREOF. THE COMPENSATION DECISIONS OF THE COMMITTEE ARE DESCRIBED BELOW AS TO EACH OF THE THREE CATEGORIES. BASE SALARY NGHS ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT TO COLLECT APPROPRIATE DATA FROM A GROUP OF PEERS SIMILAR IN SIZE AND COMPLEXITY TO NGHS. THIS COMPARABILITY DATA IS REVIEWED WITH THE COMMITTEE ALONG WITH COMPARISONS OF NGHS EXECUTIVE SALARIES COMPARED TO THE MARKET DATA. THE CEO MAKES RECOMMENDATIONS TO THE COMMITTEE FOR SALARIES WITHIN THE PEER GROUP SALARY RANGES BASED ON INDIVIDUAL PERFORMANCE ASSESSMENTS FOR EACH POSITION. IN EACH INSTANCE THE COMMITTEE MEMBERS REACH A CONSENSUS BASED ON THE COMBINATION OF AVAILABLE INFORMATION, AND THE COMMITTEE SETS A BASE SALARY LEVEL FOR EACH KEY EMPLOYEE. PERFORMANCE BASED VARIABLE COMPENSATION NGHS LEADERSHIP PARTICIPATE IN A PERFORMANCE BASED VARIABLE COMPENSATION PLAN WITH OPPORTUNITY LEVELS DETERMINED BASED ON THE PEER GROUP MARKET DATA AND TO ALIGN WITH THE NGHS EXECUTIVE COMPENSATION PHILOSOPHY PARAMETERS. ANNUAL GOALS AND OBJECTIVES ARE DETERMINED THROUGH A FORMAL PLANNING PROCESS INVOLVING BOARD MEMBERS AND SENIOR MANAGEMENT. FOLLOWING THE END OF THE FISCAL YEAR, CASH AWARDS ARE DETERMINED BASED ON ORGANIZATION PERFORMANCE. BENEFITS AND RETENTION PROGRAMS BENEFIT PLANS AND AMOUNTS ARE DETERMINED BY A COMPARISON PROCESS SIMILAR TO DETERMINING BASE SALARIES WITH POSITIONS AND ORGANIZATIONS SIMILAR TO NGHS. INCLUDED IN BENEFITS ARE RETIREMENT PROGRAMS TO ENHANCE RETENTION AND PROGRESS TOWARD LONG-TERM GOALS WITHIN NGHS' MISSION. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS AND STATISTICS ARE FILED QUARTERLY WITH DIGITAL ASSURANCE CERTIFICATION, LLC (DAC BOND). DAC BOND SERVES AS A DISCLOSURE DISSEMINATION AGENT FOR ISSUERS OF MUNICIPAL BONDS ELECTRONICALLY POSTING AND TRANSMITTING INFORMATION TO REPOSITORIES AND INVESTORS. ALL OTHER ITEMS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: INTERCOMPANY FORGIVENESS 18,156,696. PRIOR PERIOD ADJUSTMENT FOR LEASE LAWS -323,688. NORTHEAST GEORGIA PHYSICIANS GROUP URGENT CARE LLC 743 SPRING STREET GAINESVILLE GA 30501 205064238 MEDICAL GA 28234070 496330 NORTHEAST GEORGIA PHYSICIANS GROUP INC NORTHEAST GEORGIA HEALTH SYSTEM INC 743 SPRING STREET GAINESVILLE GA 30501 581694090 HEALTHCARE - PARENT ORG. GA 501(C)(3) LINE 12C, III-FI N/A 0 THE MEDICAL CENTER FOUNDATION DBA NGHS FOUNDATION 743 SPRING STREET GAINESVILLE GA 30501 581694820 FUNDRAISING GA 501(C)(3) LINE 7 NORTHEAST GEORGIA HEALTH SYSTEM INC 0 NORTHEAST GEORGIA MEDICAL CENTER INC 743 SPRING STREET GAINESVILLE GA 30501 581694098 HEALTHCARE GA 501(C)(3) LINE 3 NORTHEAST GEORGIA HEALTH SYSTEM INC 0 THE MEDICAL CENTER AUXILIARY INC 743 SPRING STREET GAINESVILLE GA 30501 581550576 FUNDRAISING AND SUPPORT GA 501(C)(3) LINE 10 NORTHEAST GEORGIA HEALTH SYSTEM INC 0 NORTHEAST GEORGIA HEALTH PARTNERS LLC 743 SPRING STREET GAINESVILLE GA 30501 582131807 PPO DEVELOPMENT GA N/A C 0 NORTHEAST GEORGIA HEALTH PARTNERS NETWORK LLC 743 SPRING STREET GAINESVILLE GA 30501 611972705 PPO DEVELOPMENT GA N/A C 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1