NORTHSIDE HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- NORTHSIDE HOSPITAL INC (EIN 58-1954432)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-15
- IRS object ID
- 202242279349300144
- Schema version
- 2020v4.2
- 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 | 2022-08-15T12:59:41-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | 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 | 2020-10-01 | 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 | 2022-08-15 | 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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | $5,901,972,434 | 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 | 11 | VotingMembersIndependentCnt |
| Total Employee | 26990 | TotalEmployeeCnt |
| Total Volunteers | 602 | TotalVolunteersCnt |
| Total Gross UBI | $22,238,318 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,458,520 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $76,788,591 | PYContributionsGrantsAmt |
| CY Contributions Grants | $137,894,469 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,008,789,762 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,663,482,589 | CYProgramServiceRevenueAmt |
| PY Investment Income | $41,770,964 | PYInvestmentIncomeAmt |
| CY Investment Income | $29,460,447 | CYInvestmentIncomeAmt |
| PY Other Revenue | $70,460,025 | PYOtherRevenueAmt |
| CY Other Revenue | $71,134,929 | CYOtherRevenueAmt |
| PY Total Revenue | $5,197,809,342 | PYTotalRevenueAmt |
| CY Total Revenue | $5,901,972,434 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,772,220 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,539,749 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,043,151,730 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,331,155,760 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,976,264,536 | PYOtherExpensesAmt |
| CY Other Expenses | $3,186,048,711 | CYOtherExpensesAmt |
| PY Total Expenses | $5,022,188,486 | PYTotalExpensesAmt |
| CY Total Expenses | $5,520,744,220 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $175,620,856 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $381,228,214 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,253,386,534 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,670,786,128 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,906,243,891 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,696,035,748 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,347,142,643 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,974,750,380 | 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 | $4,522,646,434 | ExpenseAmt |
| Grant | $3,539,749 | GrantAmt |
| Revenue | $5,502,164,901 | 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 | $4,522,646,434 | 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 | 1786 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 26990 | 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 | 11 | 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 |
| 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) | $453,423 | $0 | $24,222 | ||||
| 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) | $486,032 | $0 | $20,263 | ||||
| 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) | $2,903,603 | $0 | $39,704 | Yes (X) | ||
| SHANNON BANNA | |||||||||
| VP/CFO NSH, INC. | 40.00 | 1.00 | $753,800 | $0 | $13,110 | Yes (X) | |||
| JORGE J HERNANDEZ | |||||||||
| VICE PRESIDENT/ASST. SECRE | 40.00 | $835,301 | $0 | $26,918 | Yes (X) | ||||
| JANIS DUBOW | |||||||||
| VICE PRESIDENT | 40.00 | $601,810 | $0 | $15,993 | Yes (X) | ||||
| WILLIAM HAYES | |||||||||
| CEO, NORTHSIDE HOSPITAL-CH | 40.00 | $653,125 | $0 | $35,830 | Yes (X) | ||||
| DEBORAH S MITCHAM | |||||||||
| CEO, NORTHSIDE HOSPITAL GW | 40.00 | $956,093 | $0 | $23,599 | Yes (X) | ||||
| ROBERT PUTNAM | |||||||||
| VICE PRESIDENT | 40.00 | $968,277 | $0 | $25,365 | Yes (X) | ||||
| TINA WAKIM | |||||||||
| VICE PRESIDENT/COO | 40.00 | $970,232 | $0 | $22,671 | Yes (X) | ||||
| ROBERT AYER MD | |||||||||
| NEUROSURGEON | 40.00 | $1,345,113 | $0 | $16,556 | Yes (X) | ||||
| CHARLES DECOOK MD | |||||||||
| ORTHOPEDIC SURGEON | 40.00 | $2,539,324 | $0 | $38,265 | Yes (X) | ||||
| JIMMY JIANG MD | |||||||||
| ORTHOPEDIC SURGEON | 40.00 | $1,519,404 | $0 | $34,595 | Yes (X) | ||||
| KENNETH KRESS MD | |||||||||
| ORTHOPEDIC SURGEON | 40.00 | $1,295,508 | $0 | $6,519 | Yes (X) | ||||
| BETHWEL RAORE MD | |||||||||
| NEUROSURGEON | 40.00 | $1,232,575 | $0 | $3,289 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $17,513,620 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $346,899 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2648 | 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 | $46,698,073 |
| BAKER & HOSTETLER LLP | |||||
| 1170 PEACHTREE STREET NE STE 2400 | ATLANTA | GA | 30309 | LEGAL SERVICES | $28,835,224 |
| ATLANTA CANCER CARE PC | |||||
| 1100 JOHNSON FERRY ROAD STE 150 | SANDY SPRINGS | GA | 30342 | SEE SCHEDULE O | $22,361,627 |
| ATLANTA GASTROENTEROLOGY ASSOCIATES | |||||
| 550 PEACHTREE ST STE 1620 | ATLANTA | GA | 30308 | SEE SCHEDULE O | $16,628,696 |
| MORRISON HEALTHCARE INC | |||||
| 400 NORTHRIDGE RD 600 | ATLANTA | GA | 30350 | FOOD SERVICE | $13,869,090 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 543 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,358,876 | RelatedOrganizationsAmt |
| Government Grants | $133,132,664 | GovernmentGrantsAmt |
| All Other Contributions | $3,402,929 | AllOtherContributionsAmt |
| Total Contributions | $137,894,469 | 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 | $5,621,872,025 | $5,419,449,040 | $9,174,313 | $193,248,672 |
| RENTAL INCOME | 531120 | $22,061,706 | $22,061,706 | ||
| BILLING REVENUE | 561000 | $6,335,373 | $2,583,231 | $3,752,142 | |
| CAFETERIA & VENDING | 722210 | $6,016,452 | $6,016,452 | ||
| PARKING REVENUE | 812930 | $5,846,204 | $5,846,204 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,350,829 | TotalRevenueColumnAmt |
| Exclusion | $1,350,829 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,663,482,589 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,460,447 | TotalRevenueColumnAmt |
| Exclusion | $29,460,447 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MISCELLANEOUS | 900099 | $68,908,897 | $60,266,512 | $8,642,385 |
| PASSTHROUGH INVESTMENT | 621300 | $2,226,032 | $387,643 | $1,838,389 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $71,134,929 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,901,972,434 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,502,164,901 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $22,238,318 | UnrelatedBusinessRevenueAmt |
| Exclusion | $239,674,746 | 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 | $3,535,685 | TotalAmt |
| Program Services | $3,535,685 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,064 | TotalAmt |
| Program Services | $4,064 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,574,163 | TotalAmt |
| Program Services | $13,141,814 | ProgramServicesAmt |
| Management And General | $3,432,349 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,825,209,995 | TotalAmt |
| Program Services | $1,447,226,626 | ProgramServicesAmt |
| Management And General | $377,983,369 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,818,282 | TotalAmt |
| Program Services | $89,454,705 | ProgramServicesAmt |
| Management And General | $23,363,577 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,706,421 | TotalAmt |
| Program Services | $207,509,548 | ProgramServicesAmt |
| Management And General | $54,196,873 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,846,899 | TotalAmt |
| Program Services | $91,063,215 | ProgramServicesAmt |
| Management And General | $23,783,684 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,850,533 | TotalAmt |
| Program Services | $18,850,533 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,868,923 | TotalAmt |
| Management And General | $36,868,923 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,189,381 | TotalAmt |
| Management And General | $1,189,381 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,539,849 | TotalAmt |
| Management And General | $3,539,849 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $635,253,844 | TotalAmt |
| Program Services | $548,321,329 | ProgramServicesAmt |
| Management And General | $86,932,515 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,597,787 | TotalAmt |
| Program Services | $5,081,628 | ProgramServicesAmt |
| Management And General | $6,516,159 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,778,356 | TotalAmt |
| Program Services | $41,965,760 | ProgramServicesAmt |
| Management And General | $53,812,596 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,244,730 | TotalAmt |
| Program Services | $25,520,216 | ProgramServicesAmt |
| Management And General | $32,724,514 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,826,507 | TotalAmt |
| Program Services | $63,894,604 | ProgramServicesAmt |
| Management And General | $81,931,903 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,331,668 | TotalAmt |
| Program Services | $1,021,632 | ProgramServicesAmt |
| Management And General | $1,310,036 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,019,247 | TotalAmt |
| Program Services | $446,588 | ProgramServicesAmt |
| Management And General | $572,659 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,763 | TotalAmt |
| Management And General | $463,763 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,018,915 | TotalAmt |
| Program Services | $130,081,425 | ProgramServicesAmt |
| Management And General | $90,937,490 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,063,215 | TotalAmt |
| Program Services | $44,281,347 | ProgramServicesAmt |
| Management And General | $56,781,868 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,347,395,593 | $1,342,205,036 | $5,190,557 |
| BAD DEBT EXPENSE | $404,927,896 | $404,927,896 | |
| MINOR EQUIPMENT PURCHAS | $29,597,453 | $12,968,270 | $16,629,183 |
| COMMUNITY SPONSORSHIPS | $3,016,459 | $1,321,676 | $1,694,783 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,064,592 | TotalAmt |
| Program Services | $29,822,837 | ProgramServicesAmt |
| Management And General | $38,241,755 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,520,744,220 | TotalAmt |
| Program Services | $4,522,646,434 | ProgramServicesAmt |
| Management And General | $998,097,786 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,427 | BOYAmt |
| EOY | $77,106 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $942,654,146 | BOYAmt |
| EOY | $911,966,179 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $372,231,779 | BOYAmt |
| EOY | $506,694,849 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,731,072 | BOYAmt |
| EOY | $93,678,248 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,205,147 | BOYAmt |
| EOY | $103,740,694 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,720,218,872 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,845,047,602 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,718,625,362 | BOYAmt |
| EOY | $1,875,171,270 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $673,898,098 | BOYAmt |
| EOY | $778,943,178 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,768,609 | BOYAmt |
| EOY | $321,205,534 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,189,894 | BOYAmt |
| EOY | $79,309,070 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,253,386,534 | BOYAmt |
| EOY | $4,670,786,128 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $879,123,009 | BOYAmt |
| EOY | $837,731,667 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,792,004 | BOYAmt |
| EOY | $3,622,791 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,925,000 | BOYAmt |
| EOY | $67,203,542 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $829,403,878 | BOYAmt |
| EOY | $787,477,748 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,906,243,891 | BOYAmt |
| EOY | $1,696,035,748 | 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 | $2,347,142,643 | BOYAmt |
| EOY | $2,974,750,380 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,347,142,643 | BOYAmt |
| EOY | $2,974,750,380 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,253,386,534 | BOYAmt |
| EOY | $4,670,786,128 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $381,228,214 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $77,178,617 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $169,200,906 | 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 | $650,028 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $650,028 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,616,383 | BeginningYearBalanceAmt |
| Contributions | $1,701,861 | ContributionsAmt |
| Investment Earnings Or Losses | $150,580 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,385,689 | OtherExpendituresAmt |
| End Year Balance | $9,083,135 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.33563 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.66437 | 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 | $427,857,551 | OtherCostOrOtherBasisAmt |
| Book Value | $427,857,551 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,869,277,699 | OtherCostOrOtherBasisAmt |
| Depreciation | $859,700,010 | DepreciationAmt |
| Book Value | $1,009,577,689 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,237,960,316 | OtherCostOrOtherBasisAmt |
| Depreciation | $985,347,592 | DepreciationAmt |
| Book Value | $252,612,724 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $185,123,306 | OtherCostOrOtherBasisAmt |
| Book Value | $185,123,306 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,875,171,270 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| FAS 106 ACCRUAL | $1,448,777 |
| RESERVE FOR MALPRACTICE | $396,622,945 |
| RETIREMENT PLAN OBLIGATIONS | $177,072,236 |
| PERIODIC CAPITAL FINANCING LIABILITY | -$1,021,867 |
| REAL ESTATE FINANCING LIABILITY | $108,307,895 |
| RENT/LEASE RELATED LIABILITIES | $57,299,939 |
| OTHER LIABILITIES | $41,747,823 |
| CURRENT PORTION CAPITAL LEASE | -$6,228,526 |
| CURRENT PORTION OF LONG TERM DEBT | $19,432,068 |
| CURRENT PORTION OF NOTES PAYABLE | -$7,203,542 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $787,477,748 | 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, 2021 AND 2020, 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) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $277,514,418 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $277,514,418 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $426,642,233 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $294,463,856 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $132,178,377 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02390 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $704,156,651 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $294,463,856 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $409,692,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07420 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 60 | ActivitiesOrProgramsCnt |
| Persons Served | 277563 | PersonsServedCnt |
| Total Community Benefit Expns | $3,479,965 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $275,353 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,204,612 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 1788 | PersonsServedCnt |
| Total Community Benefit Expns | $18,038,202 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,787,032 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,251,170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 1434 | PersonsServedCnt |
| Total Community Benefit Expns | $33,686,002 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,172,265 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,513,737 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1172 | PersonsServedCnt |
| Total Community Benefit Expns | $725,448 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $725,448 | 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 | 70 | PersonsServedCnt |
| Total Community Benefit Expns | $2,801,436 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,460 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,798,976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 86 | ActivitiesOrProgramsCnt |
| Persons Served | 282027 | PersonsServedCnt |
| Total Community Benefit Expns | $58,731,053 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,237,110 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,493,943 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 86 | ActivitiesOrProgramsCnt |
| Persons Served | 282027 | PersonsServedCnt |
| Total Community Benefit Expns | $762,887,704 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $333,700,966 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $429,186,738 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07770 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $172,955 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $172,955 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $17,660 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $557,791 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $557,791 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,126 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,126 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $110,800 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $110,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $861,332 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $861,332 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $109,159,707 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $613,454,133 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $807,747,691 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$194,293,558 | 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 | 0.51000 | 0.49000 |
| 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) | B | 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) | B | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Other Actions TakenOtherActionsTakenInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FACILITY REPORTING GROUP - A | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 20 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | SEE EXPLANATION FOR LINE 7D | Yes (X) | Yes (X) | Yes (1) | 20 | 0 | Yes (1) | 0 | Yes (1) | Yes (X) | 300.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE RESPONSE TO 16J | Yes (X) | SEE RESPONSE TO 16J | Yes (X) | SEE RESPONSE TO 16J | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| FACILITY REPORTING GROUP - B | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 20 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | SEE EXPLANATION FOR LINE 7D | Yes (X) | Yes (X) | Yes (1) | 20 | 0 | Yes (1) | 0 | Yes (1) | Yes (X) | 300.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE RESPONSE TO 16J | Yes (X) | SEE RESPONSE TO 16J | Yes (X) | SEE RESPONSE TO 16J | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (23 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 |
| GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 5: | NORTHSIDE IDENTIFIED AND REACHED OUT TO A TOTAL OF 44 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 IN-PERSON AND TELEPHONE INTERVIEWS WITH A QUALIFIED REPRESENTATIVE OF EACH IDENTIFIED STAKEHOLDER. IN TOTAL, NORTHSIDE COMPLETED INTERVIEWS WITH THE FOLLOWING 19 OF THE 44 STAKEHOLDERS IDENTIFIED: (1) CHEROKEE COUNTY HEALTH DEPARTMENT, (2) COBB/DOUGLAS HEALTH DEPARTMENT, (3) PICKENS COUNTY HEALTH DEPARTMENT, (4) BETHESDA COMMUNITY CLINIC, (5) GOOD SAMARITAN ATLANTA, (6) GOOD SAMARITAN COBB, (7) GOOD SAMARITAN GWINNETT, (8) CENTER FOR BLACK WOMEN'S WELLNESS,(9) COMMUNITY ADVANCED PRACTICE NURSES,(10) URBAN HEALTH AND WELLNESS, (11) GOOD SHEPHERD OF DAWSON COUNTY, (12) NORTH FULTON COMMUNITY CHARITIES, (13) UNITED WAY - FORSYTH, (14) LIFELINK, (15) CHEROKEE COUNTY SCHOOLS, (16) LA AMISTAD,(17) HEALTHY MOTHERS HEALTHY BABIES COALITION OF GEORGIA,(18) CHEROKEE COUNTY CHAMBER OF COMMERCE, AND (19) CUMMING/FORSYTH CHAMBER OF COMMERCE. |
| GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 6A: | THE NORTHSIDE HOSPITAL, INC. SYSTEM COMPRISES THREE HOSPITAL FACILITIES: (1) NORTHSIDE HOSPITAL-ATLANTA, (2) NORTHSIDE HOSPITAL-CHEROKEE AND (3) NORTHSIDE HOSPITAL-FORSYTH. GIVEN THE SIGNIFICANT OVERLAP IN SERVICE AREAS AMONG ITS THREE FACILITIES, NORTHSIDE CONDUCTED A JOINT CHNA (OR SYSTEM-LEVEL CHNA). |
| GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 7D: | HOSPITAL WEBSITE:WWW.NORTHSIDE.COM/COMMUNITY-WELLNESS/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 11: | BASED ON THE RESULTS OF NORTHSIDE'S 2019 CHNA, NORTHSIDE HOSPITAL, INC. ADOPTED AN IMPLEMENTATION STRATEGY WHICH OUTLINED SEVERAL INITIATIVES TO HELP ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE COMMUNITY. AS SET FORTH IN THE 2019 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) RESPIRATORY DISEASE & SMOKING, (2) TRANSPORTATION, (3) HIV/AIDS, (4) AFFORDABLE/ADEQUATE HOUSING/HOMELESSNESS, AND (5) CULTURALLY COMPETENT SERVICES.A DETAILED ANALYSIS OF WHY EACH OF THESE NEEDS WILL NOT BE ADDRESSED IS INCLUDED IN NORTHSIDE'S CHNA. |
| GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH 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 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 16J: | THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM-POLICY |
| GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH 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-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM-POLICY |
| 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-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM-POLICY |
| PART V, SECTION B | FACILITY REPORTING GROUP B |
| FACILITY REPORTING GROUP B CONSISTS OF: | - FACILITY 2: NORTHSIDE HOSPITAL GWINNETT, - FACILITY 5: NORTHSIDE HOSPITAL DULUTH |
| GROUP B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH PART V, SECTION B, LINE 2: | WHILE THE GWINNETT HEALTH SYSTEM MERGED WITH NORTHSIDE HOSPITAL, INC. IN AUGUST 2019, LEGACY GWINNETT'S CHNA REMAINED THE OPERATIVE CHNA UNTIL SEPTEMBER 30, 2021. FOLLOWING THE MERGER, NORTHSIDE CONDUCTED A NEW JOINT CHNA FOR NORTHSIDE HOSPITAL GWINNETT AND NORTHSIDE HOSPITAL DULUTH FOR FY 2021 - FY 2022. THUS, ALL RESPONSES TO THE NARRATIVES IN PART V, SECTION C ARE BASED ON THIS FY 2021 - FY 2022 CHNA FOR THESE FACILITIES. |
| GROUP B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH PART V, SECTION B, LINE 5: | NORTHSIDE HOSPITAL GWINNETT AND NORTHSIDE HOSPITAL DULUTH COMPLETED A COMBINED CHNA IN SEPTEMBER 2021. DURING THE CHNA PROCESS NORTHSIDE REACHED OUT TO 11 AND INTERVIEWED 6 COMMUNITY STAKEHOLDERS. COMMUNITY STAKEHOLDERS PROVIDE A UNIQUE PERSPECTIVE AND CONNECTION TO THE COMMUNITY'S HEALTH NEEDS. SPECIAL EFFORTS WERE MADE TO IDENTIFY INDIVIDUALS WHO FIT THIS DESCRIPTION AND ALSO POSSESSED A SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. STAKEHOLDERS OFFERED INSIGHT ON A VARIETY OF TOPICS RELATED TO THE HEALTH NEEDS OF THE COMMUNITY, INCLUDING POSITIVE HEALTH ASSETS WITHIN THE COMMUNITY, NEGATIVE HEALTH FACTORS WITHIN THE COMMUNITY, PHYSICAL HEALTH NEEDS, BARRIERS TO ACCESSING PRIMARY/SPECIALTY HEALTHCARE, AND MORE. |
| GROUP B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH PART V, SECTION B, LINE 6A: | NORTHSIDE HOSPITAL GWINNETT AND NORTHSIDE HOSPITAL DULUTH ARE NORTHSIDE HOSPITAL FACILITIES BOTH LOCATED IN GWINNETT COUNTY. AS THE TWO HOSPITAL FACILITIES ARE LOCATED WITHIN 10 MILES OF EACH OTHER, THE CHNA REPRESENTS THE COMBINED RESULTS OF EACH FACILITY. |
| GROUP B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH PART V, SECTION B, LINE 7D: | HOSPITAL WEBSITE:WWW.NORTHSIDE.COM/COMMUNITY-WELLNESS/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| GROUP B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH PART V, SECTION B, LINE 11: | BASED ON THE RESULTS OF THE FY 2021 - FY 2022 CHNA:THIS CHNA FOR NORTHSIDE GWINNETT AND NORTHSIDE DULUTH WAS CONDUCTED ON AN INTERIM CYCLE TO ENSURE WITH SECTION 501(R) GUIDANCE GOVERNING MERGED AND ACQUIRED HOSPITAL FACILITIES. NORTHSIDE PLANS TO REEVALUATE THE COMMUNITY HEALTH NEEDS OF NORTHSIDE GWINNETT AND NORTHSIDE DULUTH IN CONNECTION WITH ITS NEXT SYSTEM-WIDE CHNA, WHICH WILL BE PUBLISHED BY SEPTEMBER 30, 2022. ACCORDINGLY, GIVEN THE LIMITED TIME PERIOD TO IMPLEMENT THE NEEDS IDENTIFIED THROUGH THIS CHNA, NORTHSIDE HAS CHOSEN TO FOCUS ON THE FOLLOWING NEEDS OVER THE UPCOMING YEAR, AND WILL FURTHER CONSIDER, EVALUATE AND PRIORITIZE THE NEEDS OF THE GWINNETT COMMUNITY IN CONNECTION WITH ITS NEXT SYSTEM-WIDE CHNA. (1) CANCER(2) CULTURALLY COMPETENT HEALTHCARE SERVICES(3) DIABETES & OBESITY.AS NOTED ABOVE, ALTHOUGH THE FOLLOWING NEEDS WILL NOT BE ADDRESSED OVER THE NEXT YEAR, NORTHSIDE WILL FURTHER CONSIDER AND DETERMINE IF AND HOW TO ADDRESS THESE NEEDS IN CONNECTION WITH ITS FY 2022 SYSTEM-WIDE CHNA.(1) CARDIOVASCULAR DISEASE(2) MATERNAL & INFANT HEALTH(3) AFFORDABILITY, ACCESS TO CARE, & INSURANCE COVERAGE STATUS(4) MENTAL HEALTH & ADDICTION(5) HEALTHY LIFESTYLE BEHAVIORS(6) HIV/AIDS(7) RESPIRATORY DISEASES/SMOKING(8) AFFORDABLE & ADEQUATE HOUSING/HOMELESSNESS(9) TRANSPORTATION |
| GROUP B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH 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 B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH PART V, SECTION B, LINE 16J: | THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM-POLICY |
| GROUP B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH 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 B-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 B-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-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM-POLICY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 325 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (325 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - NORTHSIDE HOSPITAL CANCER INSTITUTE MACON | |||||
| 308 COLISEUM DRIVE STE 102 | MACON | GA | 31217 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 3 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 1100 JOHNSON FERRY ROAD STE 300 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 4 - NORTHSIDE HOSPITAL CANCER INSTITUTE BLAIRS | |||||
| 308 DEEP SOUTH FARM ROAD STE 200 | BLAIRSVILLE | GA | 30512 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 5 - NORTHSIDE HOSPITAL CANCER INSTITUTE GRIFFI | |||||
| 747 SOUTH 8TH STREET STE C | GRIFFIN | GA | 30224 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 6 - NORTHSIDE HOSPITAL CANCER INSTITUTE MILLED | |||||
| 820 N COBB STREET | MILLEDGEVILLE | GA | 31061 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 7 - NORTHSIDE HOSPITAL CANCER INSTITUTE BLUE R | |||||
| 101 RIVERSTONE VISTA STE 102 | BLUE RIDGE | GA | 30513 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 8 - NORTHSIDE HOSPITAL CANCER INSTITUTE GREENS | |||||
| 1000 COWLES CLINIC WAY STE 102 | GREENSBORO | GA | 30642 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 9 - LAUREATE MEDICAL GROUP | |||||
| 6135 BARFIELD ROAD STE 160 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 10 - MEDICAL ASSOCIATES OF NORTH GEORGIA | |||||
| 320 HOSPITAL ROAD STE A | CANTON | GA | 30114 | PHYSICIAN SERVICES | |
| 11 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1240 JESSE JEWELL PKWY BLDG B STE | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | 500 |
| 12 - NORTHSIDE HEART ATLANTA | |||||
| 5670 PEACHTREE DUNWOODY ROAD STE | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | 880 |
| 13 - NORTHSIDE VASCULAR SURGERY | |||||
| 4800 OLDE TOWNE PARKWAY STE 420 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 14 - ARTHRITIS AND TOTAL JOINT SPECIALIST -MARI | |||||
| 2000 HOWARD FARM DRIVE STE 200 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 15 - NORTHSIDE HOSPITAL CANCER INSTITUTE HAWK | |||||
| 214 PERRY HIGHWAY | HAWKINSVILLE | GA | 31036 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 16 - CARDIOVASCULAR GROUP GRAYSON | |||||
| 1132 ATHENS HIGHWAY STE 207 | GRAYSON | GA | 30017 | PHYSICIAN SERVICES | |
| 17 - NORTHSIDE HEART CANTON | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 150 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 18 - CHEROKEE LUNG AND SLEEP | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 130 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 19 - SOUTHEASTERN PRIMARY CARE SPECIALISTS | |||||
| 1035 SOUTHCREST DRIVE STE 200 | STOCKBRIDGE | GA | 30281 | PHYSICIAN SERVICES | |
| 20 - SPORTS MEDICINE SOUTH OF GWINNETT LLC | |||||
| 1900 RIVERSIDE PARKWAY | LAWRENCEVILLE | GA | 30043 | PHYSICIAN SERVICES | |
| 21 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 2005 PRINCE AVENUE | ATHENS | GA | 30606 | PHYSICIAN SERVICES | |
| 22 - WINDERMERE MEDICAL CLINIC | |||||
| 200 EAGLES NEST DRIVE STE 300 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 24 - UROLOGY SPECIALISTS OF ATLANTA | |||||
| 5673 PEACHTREE DUNWOODY RD STE 905 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 25 - NORTH GEORGIA OBGYN SPECIALISTS | |||||
| 900 TOWNE LAKE PARKWAY STE 404 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 26 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 2000 HOWARD FARM DRIVE STE 300 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 27 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 180 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 28 - ATLANTA CLINICAL CARE | |||||
| 5673 PEACHTREE DUNWOODY RD STE 330 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 29 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 2000 HOWARD FARM DRIVE STE 450 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 30 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 960 JOHNSON FERRY ROAD STE 415 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 31 - SPECTRUM NEUROSURGICAL SPECIALISTS | |||||
| 1505 NORTHSIDE BOULEVARD STE 2500 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 32 - NHCI RADIATION ONCOLOGY - MACON | |||||
| 308 COLISEUM DRIVE STE 100 | MACON | GA | 31217 | RADIATION THERAPY CENTER AND PHYSICIAN SERVICES | |
| 33 - ENDOCRINE SPECIALISTS OF ATLANTA | |||||
| 975 JOHNSON FERRY ROAD STE 400 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 34 - ADVANCED NEUROSURGERY ASSOCIATES INC | |||||
| 1255 FRIENDSHIP ROAD STE 200 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 35 - NORTHSIDE GWINNETT SURGICAL ASSOCIATES | |||||
| 631 PROFESSIONAL DRIVE STE 300 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 36 - THE IMAGING CENTER OF WARNER ROBINS | |||||
| 2706 WATSON BOULEVARD STE D | WARNER ROBINS | GA | 31093 | PHYSICIAN SERVICES | |
| 37 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 480 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 38 - PREMIER CARE FOR WOMEN | |||||
| 960 JOHNSON FERRY ROAD STE 400 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 40 - LAUREATE MEDICAL GROUP | |||||
| 1110 WEST PEACHTREE STREET STE 1100 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 41 - SURGICAL SPECIALISTS OF ATLANTA | |||||
| 1100 JOHNSON FERRY ROAD STE 410 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 42 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS | |||||
| 3300 OLD MILTON PARKWAY STE 225A | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 43 - ATLANTA PLASTIC & RECONSTRUCTIVE SPECIALIS | |||||
| 1505 NORTHSIDE FORSYTH DR STE 3800C | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 44 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1240 JESSE JEWELL PARKWAY STE 380 | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 45 - MOUNT VERNON INTERNAL MEDICINE | |||||
| 755 MT VERNON HIGHWAY STE 400 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 46 - ROBB FAMILY ENT | |||||
| 3400 OLD MILTON PKWY BLDG C STE 575 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 47 - CHATTAHOOCHEE SURGICAL GROUP | |||||
| 3400 OLD MILTON PKWY BLDG A STE | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | 210A |
| 48 - JOHNS CREEK SPECIALIST CENTER | |||||
| 3340 PADDOCKS PARKWAY STE 100 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 49 - UNIVERSITY GYNECOLOGIC ONCOLOGY | |||||
| 1100 NORTHSIDE FORSYTH DRIVE STE | CUMMING | GA | 30041 | PHYSICIAN SERVICES | 420 |
| 50 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 1150 HAMMOND DRIVE STE 520 | SANDY SPRINGS | GA | 30328 | PHYSICIAN SERVICES | |
| 51 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 6135 BARFIELD ROAD STE 100 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 52 - NORTHSIDE HEART | |||||
| 1505 NORTHSIDE BOULEVARD STE 3600 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 53 - NORTH POINT PULMONARY ASSOCIATES | |||||
| 1505 NORTHSIDE BOULEVARD STE 3500 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 54 - SOUTHEASTERN NEURO SPECIALISTS - CHEROKEE | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 375 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 56 - NORTHSIDE GWINNETT OBGYN | |||||
| 1942 ATKINSON ROAD STE 100 | LAWRENCEVILLE | GA | 30043 | PHYSICIAN SERVICES | |
| 57 - INTERNAL MEDICINE ASSOCIATES OF JOHNS CREE | |||||
| 3380 PADDOCKS PARKWAY STE 100 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 58 - NORTHSIDE CARDIAC SURGERY | |||||
| 631 PROFESSIONAL DRIVE STE 200 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 59 - NORTHSIDE PULMONARY AND SLEEP MEDICINE | |||||
| 4700 NELSON BROGDON BLVD NE STE | BUFORD | GA | 30019 | PHYSICIAN SERVICES | 125A |
| 60 - NORTHSIDE CHEROKEE SURGICAL ASSOCIATES - C | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 230 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 61 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 900 TOWNE LAKE PARKWAY STE 320 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 62 - PERIMETER NORTH MEDICAL ASSOCIATES - WOODS | |||||
| 900 TOWNE LAKE PARKWAY STE 210 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 63 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE | |||||
| 610 PEACHTREE PARKWAY STE 130 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 64 - NORTHSIDE FAMILY PRACTICE | |||||
| 960 WOODSTOCK PARKWAY STE 300 | WOODSTOCK | GA | 30188 | PHYSICIAN SERVICES | |
| 65 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1250 JESSE JEWELL PARKWAY STE 400C | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 66 - NEUROSURGERY ANSWER | |||||
| 1100 NORTHSIDE FORSYTH DR STE 310 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 67 - COMPLETE CARDIOLOGY | |||||
| 1100 JOHNSON FERRY ROAD STE 450 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 68 - NORTHSIDE HOSPITAL CARDIOVASCULAR CARE | |||||
| 980 JOHNSON FERRY ROAD STE 520 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 69 - GWINNETT INTERNAL MEDICINE ASSOCIATES | |||||
| 2850 HOG MOUNTAIN ROAD STE 101 | DACULA | GA | 30019 | PHYSICIAN SERVICES | |
| 70 - GWINNETT CONSULTANTS IN CARDIOLOGY | |||||
| 755 WALTHER RD NW | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 72 - ATLANTA COLON & RECTAL SURGERY | |||||
| 5667 PEACHTREE DUNWOODY RD STE 330 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 73 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 1100 NORTHSIDE FORSYTH DR STE 410 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 74 - VASCULAR MEDICINE AND SURGERY SPECIALISTS | |||||
| 1462 MONTREAL ROAD STE 201 | TUCKER | GA | 30084 | PHYSICIAN SERVICES | |
| 75 - LAUREATE MEDICAL GROUP | |||||
| 6135 BARFIELD ROAD STE 130A | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 76 - ARTHRITIS AND TOTAL JOINT SPECIALIST -CANT | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 160 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 77 - NORTH GEORGIA DIABETES AND ENDOCRINOLOGY | |||||
| 1505 NORTHSIDE BOULEVARD STE 2800 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 78 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1270 FRIENDSHIP ROAD STES 100A-I | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 79 - GEORGIA COLON & RECTAL ASSOCIATES-SANDY SP | |||||
| 5445 MERIDIAN MARK ROAD STE 180 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 80 - GENERAL SURGEONS OF GWINNETT | |||||
| 1800 TREE LANE STE 330 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 81 - NORTHSIDE FAMILY MED AND URG CARE OF HOLLY | |||||
| 684 SIXES ROAD STE 125 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 82 - GWINNETT PHYSICIANS GROUP OBGYN | |||||
| 1942 ATKINSON ROAD STE 100-400 | LAWRENCEVILLE | GA | 30043 | PHYSICIAN SERVICES | |
| 83 - NORTHSIDE NEUROLOGY | |||||
| 1400 NORTHSIDE FORSYTH DR STE 220 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 84 - GROFF FAMILY MEDICINE | |||||
| 115 LEE BYRD ROAD | LOGANVILLE | GA | 30052 | PHYSICIAN SERVICES | |
| 85 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 771 OLD NORCROSS ROAD STE 105 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 86 - BARIATRIC INNOVATIONS OF ATLANTA | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 170 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 88 - ATLANTA GYNECOLOGIC ONCOLOGY | |||||
| 3400 OLD MILTON PKWY BLDG A STE | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | 390A |
| 89 - NORTHSIDE CHEROKEE PEDIATRICS | |||||
| 684 SIXES ROAD STE 130 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 90 - PERIMETER NORTH MEDICAL ASSOCIATES - ATLAN | |||||
| 960 JOHNSON FERRY ROAD STE 300 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 91 - PERIMETER NORTH MEDICAL ASSOCIATES - ALPHA | |||||
| 3400 OLD MILTON PKWY BLDG A STE 130 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 92 - NORTHSIDE GWINNETT WOMENS HEALTH | |||||
| 1800 TREE LANE STE 300 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 93 - LAUREATE MEDICAL GROUP | |||||
| 7823 SPIVEY STATION BLVD STE 310 | JONESBORO | GA | 30236 | PHYSICIAN SERVICES | |
| 94 - MEDICAL ASSOC OF NORTH GA - RHEUMATOLOGY | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 300 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 95 - NORTHSIDE FAMILY MED AND URG CARE OF EAST | |||||
| 4800 OLDE TOWNE PARKWAY STE 150 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 96 - MRI & IMAGING OF ATHENS | |||||
| 845 PRINCE AVENUE | ATHENS | GA | 30606 | PHYSICIAN SERVICES | |
| 97 - PEACHTREE DUNWOODY MEDICAL ASSOCIATES | |||||
| 875 JOHNSON FERRY ROAD STE 200 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 98 - GEORGIA PULMONARY GROUP - LAWRENCEVILLE | |||||
| 500 MEDICAL CENTER BLVD STE 160 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 99 - BOSTOCK FAMILY MEDICINE | |||||
| 771 OLD NORCROSS ROAD STE 255 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 100 - ARTHRITIS AND TOTAL JOINT SPECIALIST -ATLA | |||||
| 1110 WEST PEACHTREE STREET STE 940 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 101 - PERIMETER NORTH MEDICAL ASSOCIATES - SUWAN | |||||
| 3890 JOHNS CREEK PARKWAY STE 230 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 102 - ATLANTA COLON & RECTAL SURGERY-EAST COBB | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 385 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 104 - NGDE - JOHNS CREEK | |||||
| 3350 PADDOCKS PARKWAY STE 100 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 105 - MEDICAL ASSOC OF NORTH GA - BALLGROUND | |||||
| 470 VALLEY STREET STE 200 | BALL GROUND | GA | 30107 | PHYSICIAN SERVICES | |
| 106 - ACADEMIC INTERNAL MED - STAFF | |||||
| 500 MEDICAL CENTER BLVD STE 310 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 107 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 1110 WEST PEACHTREE STREET STE 920 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 108 - NS VASCULAR SURGERY LAWRENCEVILLE | |||||
| 601-A PROFESSIONAL DRIVE STE 220 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 109 - NORTHSIDE ORTHOPEDIC SPECIALISTS | |||||
| 2220 WISTERIA DRIVE SW STE 202 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 110 - ATLANTA LIVER AND PANCREAS SURGICAL SPECIA | |||||
| 980 JOHNSON FERRY ROAD STE 170 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 111 - MEDICAL ASSOC OF NORTH GA - CHEROKEE CAMPU | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 380 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 112 - MRI & IMAGING OF HABERSHAM | |||||
| 638 HISTORIC HWY 441 NORTH STE D | DEMOREST | GA | 30535 | PHYSICIAN SERVICES | |
| 113 - PERIMETER NORTH MEDICAL ASSOCIATES | |||||
| 1505 NORTHSIDE BOULEVARD STE 4400 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 114 - GEORGIA GYNECOLOGIC ONCOLOGY | |||||
| 1505 NORTHSIDE BOULEVARD STE 3800 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 115 - LAUREATE MEDICAL GROUP | |||||
| 4800 OLDE TOWNE PARKWAY STE 400 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 116 - NORTH GEORGIA OBGYN - CANTON | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 290 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 117 - GEORGIA PULMONARY GROUP - SNELLVILLE | |||||
| 1800 TREE LANE STE 200 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 118 - TOWN LAKE PRIMARY CARE | |||||
| 684 SIXES ROAD STE 105 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 120 - MIDTOWN MEDICAL ASSOCIATES | |||||
| 1110 WEST PEACHTREE STREET STE 1040 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 121 - CARDIOVASCULAR GROUP SNELLVILLE | |||||
| 1608 TREE LANE STE C | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 122 - ARTHRITIS AND TOTAL JOINT SPECIALIST - ALP | |||||
| 3400 OLD MILTON PKWY BLDG C STE 290 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 123 - LAUREATE MEDICAL GROUP | |||||
| 3400 OLD MILTON PKWY BLDG C STE 500 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | 515 |
| 124 - GEORGIA COLON & RECTAL ASSOCIATES-GWINNETT | |||||
| 721 WELLNESS WAY STE 200 | LAWRENCEVILLE | GA | 30045 | PHYSICIAN SERVICES | |
| 125 - HARPER AND ASSOC FAMILY MEDICINE | |||||
| 6000 HILLANDALE DRIVE STE 100 | LITHONIA | GA | 30058 | PHYSICIAN SERVICES | |
| 126 - MASON PRIMARY CARE | |||||
| 3500 MCCLURE BRIDGE ROAD | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 127 - NORTHSIDE HEART WOODSTOCK | |||||
| 900 TOWNE LAKE PARKWAY STE 400 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 128 - NORTHSIDE HEART ROSWELL | |||||
| 1285 UPPER HEMBREE ROAD STE 100 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 129 - NORTH FULTON RHEUMATOLOGY | |||||
| 1300 UPPER HEMBREE RD BLDG 100 STE | ALPHARETTA | GA | 30076 | PHYSICIAN SERVICES | A |
| 130 - GOYCO INTERNAL MEDICINE | |||||
| 900 SANDERS ROAD STE B | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 131 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE | |||||
| 1110 WEST PEACHTREE STREET STE P200 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 132 - NORTH ATLANTA BREAST CARE | |||||
| 1400 NORTHSIDE FORSYTH DR STE 280 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 133 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 3400 OLD MILTON PKWY BLDG C STE 190 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 134 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 1110 WEST PEACHTREE STREET STE 950 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 136 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT | |||||
| 1505 NORTHSIDE BOULEVARD STE 2900 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 137 - ANKLE AND FOOT CENTERS OF NORTH GEORGIA | |||||
| 2000 HOWARD FARM DRIVE STE 340B | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 138 - COVENANT FAMILY MEDICINE | |||||
| 2069 TERON TRACE STE 100 | DACULA | GA | 30019 | PHYSICIAN SERVICES | |
| 139 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE | |||||
| 11685 ALPHARETTA HWY STE 150 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 140 - NORTHSIDE CENTER FOR UROGYNECOLOGY | |||||
| 595 HURRICANE SHOALS RD NW STE 301 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 141 - RAVRY MEDICAL GROUP | |||||
| 5505 PEACHTREE DUNWOODY RD STE 650 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 142 - ATLANTA OPHTHALMOLOGY ASSOCIATES | |||||
| 5730 GLENRIDGE DRIVE STE 120 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 143 - NORTHSIDE CHEROKEE PEDIATRICS - TOWNE LAKE | |||||
| 900 TOWNE LAKE PARKWAY STE 306 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 144 - LAUREATE MEDICAL GROUP | |||||
| 684 SIXES ROAD STE 250 265 270 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 145 - GWINNETT FAMILY MEDICAL CARE | |||||
| 2835 CENTERVILLE HIGHWAY BUILDNG | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | ONE |
| 146 - MELANOMA AND SARCOMA SPECIALISTS OF GEORGI | |||||
| 980 JOHNSON FERRY ROAD STE 940 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 147 - ATLANTA COLON AND RECTAL SURGERY | |||||
| 1380 UPPER HEMBREE ROAD STE A | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 148 - GEORGIA COLON & RECTAL ASSOCIATES-FAYETTE | |||||
| 1260 HIGHWAY 54 WEST STE 100 | FAYETTEVILLE | GA | 30214 | PHYSICIAN SERVICES | |
| 149 - NORTHSIDE GRAYSON PRIMARY CARE | |||||
| 1132 ATHENS HIGHWAY STE 207 | GRAYSON | GA | 30017 | PHYSICIAN SERVICES | |
| 150 - NORTH ATLANTA MEDICAL ASSOCIATES | |||||
| 10700 MEDLOCK BRIDGE ROAD STE 201 | DULUTH | GA | 30097 | PHYSICIAN SERVICES | |
| 152 - DACULA FAMILY MEDICINE | |||||
| 2850 HOG MOUNTAIN ROAD STE 102 | DACULA | GA | 30019 | PHYSICIAN SERVICES | |
| 153 - JOHN ATTOKAREN MD | |||||
| 11600 ATLANTIS PLACE STE B | ALPHARETTA | GA | 30022 | PHYSICIAN SERVICES | |
| 154 - ALPHARETTA FOOT AND ANKLE SPECIALISTS | |||||
| 2000 HOWARD FARM DRIVE STE 340A | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 155 - SUWANEE PRIMARY CARE | |||||
| 1120 PEACHTREE INDUSTRIAL BLVD STE | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | 208 |
| 156 - NORTH ATLANTA PULMONARY AND SLEEP | |||||
| 993C JOHNSON FERRY ROAD STE 300 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 157 - ROSWELL INTERNAL MEDICINE SPECIALISTS | |||||
| 1357 HEMBREE ROAD STE 130 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 158 - FAMILY MEDICAL CLINIC OF LAWRENCEVILLE | |||||
| 2522 CRUSE ROAD STE C2 | LAWRENCEVILLE | GA | 30044 | PHYSICIAN SERVICES | |
| 159 - GYN SURGICAL SPECIALISTS | |||||
| 1110 WEST PEACHTREE STREET STE | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | 1050B |
| 160 - PRIMARY CARE OF BROOKHAVEN | |||||
| 4062 PEACHTREE ROAD STE C | ATLANTA | GA | 30319 | PHYSICIAN SERVICES | |
| 161 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 4800 OLDE TOWNE PARKWAY STE 430 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 162 - ADULT PRIMARY CARE | |||||
| 575 PROFESSIONAL DR STE 510 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 163 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1255 FRIENDSHIP ROAD STE 220 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 164 - ARTHRITIS AND TOTAL JOINT SPECIALIST -LAWR | |||||
| 771 OLD NORCROSS ROAD STE 135 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 165 - MEDICAL ASSOCIATES RHEUMATOLOGY - TOWNE LA | |||||
| 900 TOWNE LAKE PARKWAY STE 202 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 166 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 1276 JESSE JEWELL PARKWAY | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 168 - PEACHTREE CORNERS INTERNAL MEDICINE | |||||
| 6460 SPALDING DRIVE STE A | NORCROSS | GA | 30092 | PHYSICIAN SERVICES | |
| 169 - CHEROKEE LUNG AND SLEEP - TOWNE LAKE | |||||
| 900 TOWNE LAKE PARKWAY STE 206 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 170 - SURGICAL SPECIALISTS OF ATLANTA - ALPHARET | |||||
| 3400 OLD MILTON PKWY BLDG A STE 560 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 171 - EAST COBB FAMILY MEDICINE | |||||
| 1121 JOHNSON FERRY ROAD STE 320 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 172 - GWINNETT EAR NOSE AND THROAT | |||||
| 3855 PLEASANT HILL ROAD STE 280 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 173 - GWINNETT PHYSICIAN GROUP CONCUSSION | |||||
| 3855 PLEASANT HILL ROAD STE 130 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 174 - ATLANTA HEAD AND NECK ASSOCIATES | |||||
| 960 JOHNSON FERRY ROAD STE 335 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 175 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 11685 ALPHARETTA HWY STE 170 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 176 - NEWTOWN MEDICAL | |||||
| 3400 OLD MILTON PKWY BLDG A STE 200 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 177 - NORTH GEORGIA OBGYN SPECIALISTS - BLUE RID | |||||
| 2855 OLD HIGHWAY 5 STE 110 | BLUE RIDGE | GA | 30513 | PHYSICIAN SERVICES | |
| 178 - NORTH POINT PRIMARY CARE | |||||
| 3180 NORTH POINT PKWY BLDG 200 STE | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | 201 |
| 179 - ARTHRITIS AND TOTAL JOINT SPECIALIST -GAIN | |||||
| 1475 JESSE JEWELL PKWY NE STE 302 | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 180 - NORTHSIDE MEDICAL SPECIALISTS | |||||
| 145 RIVERSTONE TERRACE STE 100 | CANTON | GA | 30114 | PHYSICIAN SERVICES | |
| 181 - CARDIOVASCULAR GROUP SUWANEE | |||||
| 4365 JOHNS CREEK PARKWAY STE 450 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 182 - CHEROKEE BREAST CARE | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE T70 | CANTON | GA | 30015 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 184 - PRIMARY CARE OF MILTON | |||||
| 980 BIRMINGHAM ROAD STE 304 | MILTON | GA | 30004 | PHYSICIAN SERVICES | |
| 185 - PEACHTREE CORNERS INTERNAL MEDICINE | |||||
| 5277 PEACHTREE PARKWAY | NORCROSS | GA | 30092 | PHYSICIAN SERVICES | |
| 186 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 1255 FRIENDSHIP ROAD STE 120 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 187 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 1839 BUFORD HIGHWAY NE STE 100 | BUFORD | GA | 30518 | PHYSICIAN SERVICES | |
| 188 - REPRODUCTIVE SURGICAL SPECIALISTS | |||||
| 1800 NORTHSIDE FORSYTH DRIVE STE | CUMMING | GA | 30041 | PHYSICIAN SERVICES | 380 |
| 189 - NORTH ATLANTA MEDICAL ASSOC - STONE MOUNTA | |||||
| 1505 LILBURN STONE MOUNTAIN RD STE | STONE MOUNTAIN | GA | 30087 | PHYSICIAN SERVICES | 100 |
| 190 - SOUTHEASTERN NEURO SPECIALISTS - MARIETTA | |||||
| 631 CAMPBELL HILL STREET STE 100 | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 191 - ANDERSON FAMILY MEDICINE | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 205 | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 192 - NORTH GEORGIA OBGYN SPECIALISTS - ELLIJAY | |||||
| 433 HIGHLAND CROSSING STE 203 | EAST ELLIJAY | GA | 30540 | PHYSICIAN SERVICES | |
| 193 - GEORGIA COLON & RECTAL ASSOCIATES-ALPHARET | |||||
| 3400 OLD MILTON PKWY BLDG A STE 440 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 194 - LANIER FAMILY PRACTICE | |||||
| 1080 SANDERS ROAD STE 100 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 195 - SLEEP DISORDERS CENTER OF GEORGIA | |||||
| 993C JOHNSON FERRY ROAD STE 301 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 196 - INTERNAL MEDICINE OF EAST COBB | |||||
| 1121 JOHNSON FERRY ROAD STE 100 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 197 - CARDIOVASCULAR GROUP DULUTH | |||||
| 3855 PLEASANT HILL ROAD STE 250 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 198 - GEORGIA COLON & RECTAL ASSOCIATES-DEKALB | |||||
| 2801 N DECATUR ROAD STE 120 | DECATUR | GA | 30033 | PHYSICIAN SERVICES | |
| 200 - GEORGIA COLON & RECTAL ASSOCIATES-MIDTOWN | |||||
| 1110 WEST PEACHTREE STREET STE 1030 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 201 - INTERNAL MEDICINE SPECIALIST OF ROSWELL | |||||
| 11685 ALPHARETTA HWY STE 270 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 202 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1255 FRIENDSHIP ROAD STE 110 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 203 - ARTHRITIS AND TOTAL JOINT SPECIALIST -BRAS | |||||
| 1255 FRIENDSHIP ROAD STE 200 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 204 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 3855 PLEASANT HILL ROAD STE 270B | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 205 - CARDIOVASCULAR GROUP BUFORD | |||||
| 4745 NELSON BROGDON BLVD STE 300 | BUFORD | GA | 30518 | PHYSICIAN SERVICES | |
| 206 - NORTHSIDE GWINNETT FAMILY MEDICINE | |||||
| 771 OLD NORCROSS ROAD STE 350 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 207 - NORTHSIDE URGENT CARE - CUMMING | |||||
| 610 PEACHTREE PARKWAY STE 100 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 208 - NORTHSIDE HEART ALPHARETTA | |||||
| 3400 OLD MILTON PKWY BLDG C STE 360 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 209 - TOWNE LAKE PRIMARY CARE - HOLLY SPRINGS | |||||
| 684 SIXES ROAD STE 105 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 210 - DULUTH FAMILY AND SPORTS MEDICINE | |||||
| 3855 PLEASANT HILL ROAD STE 100 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 211 - SOVEREIGN REHABILITATION LAWRENCEVILLE | |||||
| 575 PROFESSIONAL DRIVE STE 370 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 212 - NORTHSIDE THORACIC SURGERY | |||||
| 1270 FRIENDSHIP ROAD STE 100J | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 213 - SOVEREIGN REHABILITATION MARIETTA | |||||
| 4800 OLDE TOWNE PARKWAY STE 130 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 214 - SOVEREIGN REHABILITATION CONYERS | |||||
| 1301 SIGMAN ROAD NE STE 220 | CONYERS | GA | 30012 | PHYSICIAN SERVICES | |
| 216 - NORTHSIDE HEART BLUE RIDGE | |||||
| 2855 OLD HIGHWAY 5 STE 103 | BLUE RIDGE | GA | 30513 | PHYSICIAN SERVICES | |
| 217 - NS PRIMARY CARE ASSOCIATES - BRIDGEMILL | |||||
| 780 CANTON ROAD STE 405 | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 218 - SOVEREIGN REHABILITATION CUMMING | |||||
| 5610 BETHELVIEW ROAD STE 400 | CUMMING | GA | 30040 | PHYSICIAN SERVICES | |
| 219 - ARTHRITIS AND TOTAL JOINT SPECIALIST -WOOD | |||||
| 960 WOODSTOCK PARKWAY STE 200 | WOODSTOCK | GA | 30188 | PHYSICIAN SERVICES | |
| 220 - ATLANTA GYN ONCOLOGY -MARIETTA | |||||
| 780 CANTON ROAD STE 320 | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 221 - CHEROKEE LUNG AND SLEEP - KENNESAW | |||||
| 6110 PINE MOUNTAIN ROAD STE 102 | KENNESAW | GA | 30152 | PHYSICIAN SERVICES | |
| 222 - SOVEREIGN REHABILITATION ATLANTA | |||||
| 5555 PEACHTREE DUNWOODY RD STE 225 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 223 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 684 SIXES ROAD STE 230 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 224 - SOVEREIGN REHABILITATION HAPEVILLE | |||||
| 747 VIRGINIA AVENUE STE 200 | HAPEVILLE | GA | 30354 | PHYSICIAN SERVICES | |
| 225 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 3280 PEACHTREE ROAD NE STE 160 | ATLANTA | GA | 30305 | PHYSICIAN SERVICES | |
| 226 - SOVEREIGN REHABILITATION STOCKBRIDGE | |||||
| 125 MEDICAL BOULEVARD | STOCKBRIDGE | GA | 30281 | PHYSICIAN SERVICES | |
| 227 - SOVEREIGN REHABILITATION CHAMBLEE | |||||
| 5553 PEACHTREE ROAD STE 105 | CHAMBLEE | GA | 30341 | PHYSICIAN SERVICES | |
| 228 - SOVEREIGN REHABILITATION DECATURE | |||||
| 495 WINN WAY STE 150 | DECATUR | GA | 30030 | PHYSICIAN SERVICES | |
| 229 - SOVEREIGN REHABILITATION CANTON | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 190 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 230 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 3500 MCCLURE BRIDGE ROAD | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 232 - NORTHSIDE DULUTH SURGICAL GROUP | |||||
| 3855 PLEASANT HILL ROAD STE 470 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 233 - INTERNAL MEDICINE PRACTICE OF NORTHSIDE | |||||
| 10745 WESTSIDE WAY STE 125 150 | ALPHARETTA | GA | 30009 | PHYSICIAN SERVICES | |
| 234 - CHEROKEE LUNG AND SLEEP - ELLIJAY | |||||
| 433 HIGHLAND CROSSING STE 203A | EAST ELLIJAY | GA | 30540 | PHYSICIAN SERVICES | |
| 235 - CUMMING FAMILY MEDICINE | |||||
| 765 LENIER 400 PKWY STE 200 | CUMMING | GA | 30040 | PHYSICIAN SERVICES | |
| 236 - NORTHSIDE THORACIC SURGERY - MIDTOWN | |||||
| 1110 WEST PEACHTREE STREET STE 1010 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 237 - HEALTH AND WELLNESS CENTER | |||||
| 100 MEDICAL CENTER BOULEVARD | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 238 - SOVEREIGN REHABILITATION SUWANEE | |||||
| 1220 SATELLITE BOULEVARD | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 239 - LAUREATE MEDICAL GROUP | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 490 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 240 - GEORGIA COLON & RECTAL ASSOCIATES-CHEROKEE | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 385 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 241 - STRICKLAND FAMILY MED CLINIC | |||||
| 665 DULUTH HIGHWAY STE 501 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 242 - GWINNETT EXTENDED CARE CENTER | |||||
| 650 PROFESSIONAL DRIVE | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 243 - NORTHSIDE HEART GRAYSON | |||||
| 1132 ATHENS HIGHWAY STE 207 | GRAYSON | GA | 30017 | PHYSICIAN SERVICES | |
| 244 - GEORGIA ORTHOPEDIC SPECIALISTS | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE | CANTON | GA | 30115 | PHYSICIAN SERVICES | 430C |
| 245 - ROSWELL URGENT CARE CENTER | |||||
| 660 WEST CROSSVILLE ROAD STE 110 | ROSWELL | GA | 30075 | PHYSICIAN SERVICES | |
| 246 - ACADEMIC INTERNAL MED - STAFF | |||||
| 665 DULUTH HIGHWAY STE 401 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 248 - ADVANCED NEUROSURGERY ASSOCIATES INC | |||||
| 3855 PLEASANT HILL ROAD STE 270A | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 249 - ADVANCED NEUROSURGERY ASSOCIATES INC | |||||
| 631 PROFESSIONAL DRIVE STE 360 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 250 - ALPHARETTA FOOT AND ANKLE SPECIALISTS | |||||
| 3400 OLD MILTON PKWY BLDG A STE 500 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 251 - ANKLE AND FOOT CENTERS OF NORTH GEORGIA | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 204 | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 252 - ARTHRITIS AND TOTAL JOINT SPECIALIST -ATLA | |||||
| 4800 OLDE TOWNE PARKWAY STE 430A | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 253 - ARTHRITIS AND TOTAL JOINT SPECIALIST -ATLA | |||||
| 5670 PEACHTREE DUNWOODY RD STE 1230 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 254 - ARTHRITIS AND TOTAL JOINT SPECIALIST -GAIN | |||||
| 1475 JESSE JEWELL PKWY NE STE 310 | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 255 - ARTHRITIS AND TOTAL JOINT SPECIALIST -MARI | |||||
| 2000 HOWARD FARM DRIVE STE T110 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 256 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 780 CANTON ROAD STE 320 | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 257 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 308 DEEP SOUTH FARM ROAD STE 200 | BLAIRSVILLE | GA | 30512 | PHYSICIAN SERVICES | |
| 258 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE | CANTON | GA | 30115 | PHYSICIAN SERVICES | 140B |
| 259 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 1110 W PEACHTREE ST NW STE 1010 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 260 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 980 JOHNSON FERRY ROAD STE 800 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 261 - ATLANTA COLON & RECTAL SURGERY-EAST COBB | |||||
| 780 CANTON ROAD STE 315 | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 262 - ATLANTA COLON AND RECTAL SURGERY | |||||
| 1505 NORTHSIDE BOULEVARD STE 1900 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 264 - ATLANTA GYNECOLOGIC ONCOLOGY | |||||
| 980 JOHNSON FERRY ROAD STE 900 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 265 - ATLANTA GYNECOLOGIC ONCOLOGY | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 475 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 266 - BARIATRIC INNOVATIONS OF ATLANTA | |||||
| 6135 BARFIELD ROAD STE 150 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 267 - CARDIOVASCULAR GROUP BUFORD | |||||
| 535 JESSE JEWELL PARKWAY STE C | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 268 - CARDIOVASCULAR GROUP LAWRENCEVILLE | |||||
| 755 WALTHER ROAD | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 269 - CARDIOVASCULAR GROUP LOGANVILLE | |||||
| 98 TARA COMMONS DRIVE STE 1 | LOGANVILLE | GA | 30052 | PHYSICIAN SERVICES | |
| 270 - CHATTAHOOCHEE SURGICAL GROUP | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 305D | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 271 - CHATTAHOOCHEE SURGICAL GROUP | |||||
| 980 SANDERS ROAD STE 100 | CUMMING | GA | 30042 | PHYSICIAN SERVICES | |
| 272 - CHATTAHOOCHEE SURGICAL GROUP | |||||
| 4700 NELSON BROGDON BLVD NE STE 125 | BUFORD | GA | 30019 | PHYSICIAN SERVICES | |
| 273 - CHATTAHOOCHEE SURGICAL GROUP | |||||
| 70 MOUNTAIN DRIVE | DAHLONEGA | GA | 30533 | PHYSICIAN SERVICES | |
| 274 - GENERAL SURGEONS OF GWINNETT | |||||
| 3890 JOHNS CREEK PARKWAY STE 240D | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 275 - GENERAL SURGEONS OF GWINNETT | |||||
| 631 PROFESSIONAL DRIVE STE 470 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 276 - GEORGIA COLON & RECTAL ASSOCIATES-ALPHARET | |||||
| 3400 OLD MILTON PKWY BLDG A STE 450 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 277 - GEORGIA GYNECOLOGIC ONCOLOGY | |||||
| 771 OLD NORCROSS ROAD STE 165 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 278 - GEORGIA GYNECOLOGIC ONCOLOGY | |||||
| 1505 NORTHSIDE BOULEVARD STE 3800B | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 280 - GWINNETT INTERNAL MEDICINE ASSOCIATES | |||||
| 601 OLD NORCROSS ROAD STE A | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 281 - GYN SURGICAL SPECIALISTS | |||||
| 900 TOWNE LAKE PARKWAY STE 302F | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 282 - GYN SURGICAL SPECIALISTS | |||||
| 980 JOHNSON FERRY ROAD STE 910 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 283 - HEALTH AND WELLNESS CENTER DULUTH | |||||
| 3620 HOWELL FERRY ROAD | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 284 - LAUREATE MEDICAL GROUP | |||||
| 6135 BARFIELD ROAD STE 130B | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 285 - LAUREATE MEDICAL GROUP | |||||
| 6135 BARFIELD ROAD STE 200 | 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 CARE | |||||
| 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 ENDOCRINOLOGY | |||||
| 1505 NORTHSIDE BOULEVARD STE 2850 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 292 - NORTH GEORGIA DIABETES AND ENDOCRINOLOGY - | |||||
| 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 PARKWAY STE 400B | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 296 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1270 FRIENDSHIP ROAD STE 130 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 297 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1276 JESSE JEWELL PARKWAY STE B-C1 | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 298 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC | |||||
| 1255 FRIENDSHIP ROAD STE 230 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 299 - NORTHSIDE CENTER FOR UROGYNECOLOGY | |||||
| 960 JOHNSON FERRY ROAD STE 336A | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 300 - NORTHSIDE CHEROKEE SURGICAL ASSOCIATES | |||||
| 900 TOWNE LAKE PARKWAY STE 412 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 301 - NORTHSIDE CHEROKEE SURGICAL ASSOCIATES - C | |||||
| 780 CANTON ROAD STE 320B | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 302 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 575 PROFESSIONAL DRIVE STE 400 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 303 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 1255 FRIENDSHIP ROAD STE 240 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 304 - NORTHSIDE HOSPITAL CARDIOVASCULAR INSTITUT | |||||
| 684 SIXES ROAD STE 230 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 305 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 11685 ALPHARETTA HWY STE 250 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 306 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTITUTE-SP | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 180 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 307 - NORTHSIDE NEUROLOGY | |||||
| 1400 NORTHSIDE FORSYTH DR STE 220 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | 250 |
| 308 - NORTHSIDE PULMONARY AND SLEEP MEDICINE | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 315B | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 309 - NORTHSIDE RADIATION ONCOLOGY - ALPHARETTA | |||||
| 3330 PRESTON RIDGE RD STE 100 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 310 - NORTHSIDE RADIATION ONCOLOGY - ATLANTA | |||||
| 993F JOHNSON FERRY ROAD NE STE 120 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 312 - NORTHSIDE RADIATION ONCOLOGY - CHEROKEE | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE T10 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 313 - NORTHSIDE RADIATION ONCOLOGY - FORSYTH | |||||
| 1100 NORTHSIDE FORSYTH DR STE 140 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 314 - NORTHSIDE RADIATION ONCOLOGY - MIDTOWN | |||||
| 1110 WEST PEACHTREE STREET STE P100 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 315 - NORTHSIDE THORACIC SURGERY - LAWRENCEVILLE | |||||
| 500 MEDICAL CENTER BLVD STE 390 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 316 - NORTHSIDE VASCULAR SURGERY | |||||
| 980 JOHNSON FERRY ROAD STE 1040 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 317 - NORTHSIDE VASCULAR SURGERY | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 100 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 318 - NORTHSIDE VASCULAR SURGERY | |||||
| 1505 NORTHSIDE BOULEVARD STE 2400 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 319 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 1100 JOHNSON FERRY ROAD STE 300 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 320 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 200 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 321 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 1055 HAW CREEK PARKWAY STE 1 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 322 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 2131 FOUNTAIN DRIVE STE 100 | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | |
| 323 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 1110 WEST PEACHTREE STREET STE 1200 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 324 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 1110 WEST PEACHTREE STREET STE 1200 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 325 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 2000 HOWARD FARM DRIVE STE T100 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 326 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 5505 PEACHTREE DUNWOODY RD STE 150 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | 310 |
| 328 - PERIMETER NORTH MEDICAL ASSOCIATES - WOODS | |||||
| 900 TOWNE LAKE PARKWAY STE 302B | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 329 - SOUTHEASTERN NEURO SPECIALISTS - MARIETTA | |||||
| 900 TOWNE LAKE PARKWAY STE 375 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 330 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS | |||||
| 980 JOHNSON FERRY ROAD STE 490 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 331 - SOUTHEASTERN PRIMARY CARE SPECIALISTS | |||||
| 105 CARNEGIE PLACE STE 103 | FAYETTEVILLE | GA | 30214 | PHYSICIAN SERVICES | |
| 332 - SOUTHEASTERN PRIMARY CARE SPECIALISTS | |||||
| 105 CARNEGIE PLACE STE 111 | FAYETTEVILLE | GA | 30214 | PHYSICIAN SERVICES | |
| 333 - SPECTRUM NEUROSURGICAL SPECIALISTS | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 460 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 334 - SURGICAL SPECIALISTS OF ATLANTA | |||||
| 1110 WEST PEACHTREE ST STE 1010A | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 335 - SURGICAL SPECIALISTS OF ATLANTA | |||||
| 1110 WEST PEACHTREE STREET STE | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | 1050E |
| 336 - SURGICAL SPECIALISTS OF ATLANTA | |||||
| 4800 OLDE TOWNE PARKWAY STE 110C | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 337 - SURGICAL SPECIALISTS OF ATLANTA - JONESBOR | |||||
| 7823 SPIVEY STATION BLVD STE 310 | JONESBORO | GA | 30236 | PHYSICIAN SERVICES | |
| 338 - SURGICAL SPECIALISTS OF ATLANTA - MARIETTA | |||||
| 4800 OLDE TOWNE PARKWAY STE 110 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 339 - SUWANEE PRIMARY CARE | |||||
| 1120 PEACHTREE INDUSTRIAL BLVD STE | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | 208-2 |
| 340 - TOWN LAKE PRIMARY CARE | |||||
| 900 TOWNE LAKE PARKWAY STE 410 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 341 - TOWN LAKE PRIMARY CARE | |||||
| 900 TOWNE LAKE PARKWAY STE 410B | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 342 - UNIVERSITY GYNECOLOGIC ONCOLOGY | |||||
| 1110 WEST PEACHTREE STREET STE 810C | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 344 - UNIVERSITY GYNECOLOGIC ONCOLOGY | |||||
| 960 JOHNSON FERRY ROAD STE 130 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 345 - UROLOGY SPECIALISTS OF ATLANTA | |||||
| 5673 PEACHTREE DUNWOODY RD STE 910 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 346 - WINDERMERE MEDICAL CLINIC | |||||
| 3850 WINDERMERE PARKWAY STE 105 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 347 - WOMENS SPECIALISTS OF NORTHSIDE GWINNETT | |||||
| 601-A PROFESSIONAL DRIVE STE 310 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
Supplemental Information Detail SupplementalInformationDetail (16 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 $423,491,259 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, 2021, NORTHSIDE INCURRED TOTAL RESEARCH COSTS OF $9.7 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 SUPPORTED NEARLY 59 DIFFERENT COMMUNITY BUILDING ACTIVITIES OVER THE PAST YEAR INCLUDING ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, PHYSICAL IMPROVEMENTS/HOUSING, AND WORKFORCE DEVELOPMENT.TO ILLUSTRATE OUR COMMUNITY BUILDING SUPPORT ACTIVITIES, NORTHSIDE CONTRIBUTED TO THE NON-PROFIT, JUNIOR ACHIEVEMENT OF GEORGIA. JUNIOR ACHIEVEMENT (JA) OF GEORGIA'S MISSION IS TO INSPIRE AND PREPARE YOUNG PEOPLE TO SUCCEED IN A GLOBAL ECONOMY. BY BRIDGING THE BUSINESS AND EDUCATION COMMUNITIES WITH HANDS-ON EXPERIENTIAL PROGRAMS FOCUSED ON BUSINESS, CIVIC RESPONSIBILITY, ENTREPRENEURSHIP, CAREER READINESS AND FINANCIAL LITERACY, JA AIMS TO ACHIEVE THE FOLLOWING OVERARCHING GOALS: - TO MOTIVATE, ENGAGE, AND INSPIRE STUDENTS TO RECOGNIZE THE VALUES AND RELEVANCE OF EDUCATION, AND TO MAKE INFORMED DECISIONS ABOUT THEIR EDUCATION AND CAREER PATHWAYS. - TO EQUIP STUDENTS WITH THE KEY CAREER-READINESS SKILLS THAT WILL DRIVE SUCCESS IN ANY ENVIRONMENT, AND TO INSPIRE INNOVATIVE, CREATIVE, AND ENTREPRENEURIAL THINKING AMONG OUR YOUTH. - TO DEVELOP A FINANCIALLY LITERATE GENERATION THAT UNDERSTANDS KEY BUSINESS PRINCIPLES AND MAKES RESPONSIBLE FINANCIAL MANAGEMENT DECISIONS. - TO INCREASE STUDENT UNDERSTANDING AND APPRECIATION OF THEIR CIVIC RIGHTS, ROLES, AND RESPONSIBILITIES. STUDIES HAVE SHOWN THAT EDUCATED INDIVIDUALS ARE MORE LIKELY TO LEARN ABOUT HEALTHY BEHAVIORS AND ADVOCATE FOR THEMSELVES RELATED TO HEALTH NEEDS.NORTHSIDE RECOGNIZES THAT HOUSING IS AN IMPORTANT SOCIAL DETERMINANT OF HEALTH. AFFORDABLE HOMEOWNERSHIP HELPS FAMILIES BREAK THE CYCLE OF POVERTY AND BUILD LONG-TERM FINANCIAL STABILITY, WHICH IMPROVES HEALTH STATUS. THUS, NORTHSIDE SUPPORTED THE GWINNETT HABITAT FOR HUMANITY WHOSE MISSION IS TO PROVIDE SAFE, DECENT, AFFORDABLE HOUSING TO THOSE IN NEED THROUGH TWO MAIN PROGRAMS: NEW HOME CONSTRUCTION AND CRITICAL HOME REPAIRS FOR LOW-INCOME FAMILIES. |
| 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 18 SPECIALTIES IN NHF'S STARK-COMPLIANT GEOGRAPHIC AREA, A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 24 SPECIALTIES IN NHG'S STARK-COMPLIANT GEOGRAPHIC AREA, AND A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 26 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, 2021 AND 2020 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 2021 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, AND NORTHSIDE HOSPITAL-FORSYTH DEVELOPED A SINGLE COMMUNITY DEFINITION IN COMPLIANCE WITH IRS SECTION 501(R) FINAL RULE. THE NORTHSIDE COMMUNITY CONSISTS OF CHEROKEE, COBB, DAWSON, DEKALB, FORSYTH, FULTON, GWINNETT, AND PICKENS COUNTIES.IN 2017, THE ESTIMATED 3.9 MILLION RESIDENTS OF THE NORTHSIDE COMMUNITY ACCOUNTED FOR 38% OF GEORGIA'S TOTAL POPULATION. THE NORTHSIDE COMMUNITY IS SLIGHTLY YOUNGER THAN GEORGIA OVERALL, WITH A MEDIAN AGE OF 35.9 COMPARED TO GEORGIA'S 36.5. OVERALL, THE 2017 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.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.NORTHSIDE HOSPITAL GWINNETT AND NORTHSIDE HOSPITAL DULUTH (COLLECTIVELY "LEGACY GWINNETT") ARE NOT-FOR-PROFIT AND TAX-EXEMPT ORGANIZATIONS WHICH OPERATE EXCLUSIVELY TO SERVE THE COMMUNITY AND ARE LED BY A BOARD MADE UP OF COMMUNITY LEADERS. LEGACY GWINNETT'S MISSION IS TO PROVIDE QUALITY HEALTH SERVICES TO OUR COMMUNITY. OUR VISION IS TO BE THE HEALTH SYSTEM OF CHOICE IN OUR COMMUNITY BY ENHANCING THE HEALTH OF OUR PATIENTS AND OTHER CUSTOMERS AND OUR VALUES INCLUDE SERVICE TO THE COMMUNITY. FOR MORE THAN 65 YEARS, WE HAVE BEEN COMMITTED TO SERVING THE GREATER GWINNETT COUNTY AREA, AND ESPECIALLY THE UNDER-SERVED, UNINSURED AND INDIGENT POPULATIONS.LEGACY GWINNETT'S TWO ACUTE-CARE HOSPITALS ARE 10 MILES APART AND BOTH SERVE RESIDENTS OF GWINNETT COUNTY. EACH FACILITY FOCUSES ON PROVIDING HEALTHCARE SERVICES FOR THEIR LOCAL COMMUNITY AS WELL AS MEETING THE HEALTH NEEDS OF RESIDENTS ACROSS GWINNETT COUNTY. THE COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSES ON THE RESIDENTS OF GWINNETT COUNTY BECAUSE APPROXIMATELY 80 PERCENT OF LEGACY GWINNETT'S PRIMARY SERVICE AREA ORIGINATES FROM GWINNETT COUNTY.IN ADDITION TO OUR FACILITIES, GWINNETT COUNTY HAS ONE FOR-PROFIT HOSPITAL, EASTSIDE MEDICAL CENTER IN SNELLVILLE. THERE ARE MANY HOSPITALS IN SURROUNDING COUNTIES OF THE METROPOLITAN ATLANTA AREA. SUMMITRIDGE HOSPITAL IN LAWRENCEVILLE AND LAKEVIEW BEHAVIORAL HEALTH IN NORCROSS ARE FOR-PROFIT HOSPITALS TO SERVE MENTAL HEALTH AND SUBSTANCE ABUSE. FOUR CENSUS TRACTS ARE DESIGNATED MEDICALLY UNDERSERVED AREAS (CT 0503.19, CT 0503.20, CT 0504.19 AND CT 0504.21) IN GWINNETT COUNTY. THERE ARE THREE FEDERALLY QUALIFIED HEALTH CENTERS IN GWINNETT COUNTY (NORCROSS) SERVING RESIDENTS FROM THESE CENSUS TRACTS, AS WELL AS OTHER GWINNETT COUNTY RESIDENTS.GWINNETT COUNTY IS CONSIDERED 98 PERCENT URBAN AND IS LOCATED IN THE NORTHEAST SUBURBS OF THE METROPOLITAN ATLANTA, GEORGIA AREA. IN 2017, THE ESTIMATED POPULATION WAS 920,260. TREMENDOUS GROWTH OVER THE PAST 50 YEARS HAS BROUGHT A YOUNG, RACIALLY AND ETHNICALLY DIVERSE POPULATION TO THE COUNTY FROM ACROSS THE NATION AND AROUND THE WORLD.ACCORDING TO THE 2013-2017 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, THE MEDIAN AGE OF RESIDENTS IS 34.9. IN 2017, 30 PERCENT OF THE POPULATION WAS UNDER 20 YEARS OF AGE AND 14.3 PERCENT WAS 60 YEARS OF AGE AND OLDER, ACCORDING TO THE GEORGIA DIVISION OF PUBLIC HEALTH (ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM, OASIS, 2018).IN 2013-2017, THE AMERICAN COMMUNITY SURVEY ESTIMATED THE GWINNETT COUNTY POPULATION TO BE 349,434 (39.3 PERCENT) WHITES ALONE, 230,815 (25.9 PERCENT) BLACKS ALONE, 99,659 (11.2 PERCENT) ASIANS ALONE AND 1,688 (0.2 PERCENT) WAS AMERICAN INDIAN OR ALASKA NATIVE, NATIVE HAWAIIAN OR PACIFIC ISLANDER, AND 19,491, TWO OR MORE RACES. IT WAS ALSO NOTED 184,621 (20.7 PERCENT) OF THE POPULATION WAS HISPANIC OR LATINO. IN 2009-2013, THE AMERICAN COMMUNITY SURVEY ESTIMATED 33 PERCENT THE GWINNETT COUNTY POPULATION OVER THE AGE OF FIVE SPEAK A LANGUAGE OTHER THAN ENGLISH (18 PERCENT SPANISH, 5.9 PERCENT OTHER INDO-EUROPEAN, 7.4 PERCENT ASIAN AND PACIFIC ISLAND, 1.6 PERCENT OTHER LANGUAGES).IN 2013-2017 THE AMERICAN COMMUNITY SURVEY ESTIMATED 34.4 PERCENT THE GWINNETT COUNTY POPULATION OVER THE AGE OF FIVE SPEAK A LANGUAGE OTHER THAN ENGLISH (18.5 PERCENT SPANISH, 6.1 PERCENT OTHER INDO-EUROPEAN, 7.4 PERCENT ASIAN AND PACIFIC ISLAND, 2.4 PERCENT OTHER LANGUAGES). OF THE POPULATION 18 YEARS AND OVER, 22.5 PERCENT SPEAK A LANGUAGE OTHER THAN ENGLISH (8.6 PERCENT SPANISH AND 13.9 PERCENT OTHER LANGUAGES) FOR THE SAME TIME PERIOD. THE 2018-19 GWINNETT COUNTY PUBLIC SCHOOL SYSTEM WEBSITE REPORTED HAVING 140 SCHOOLS AND OTHER EDUCATIONAL FACILITIES SERVING 180,320 STUDENTS, A 4,500 STUDENT INCREASE SINCE THE LAST CHNA. IN 2013-2017, THE AMERICAN COMMUNITY SURVEY ESTIMATED EIGHTY-SEVEN PERCENT OF GWINNETT RESIDENTS 25 YEARS OF AGE AND OVER HAD AT LEAST GRADUATED FROM HIGH SCHOOL AND 32.4 PERCENT HAD A BACHELOR'S DEGREE OR HIGHER. THIS IS A DECREASE FROM THE LAST CHNA (33.9 PERCENT, 2009-2013). ACCORDING TO THE AMERICAN COMMUNITY SURVEY FROM 2013-2017, THE GWINNETT COUNTY RESIDENT MEDIAN HOUSEHOLD INCOME WAS $64,496, AN INCREASE OF INCOME PER HOUSEHOLD OF $4,051 SINCE THE LAST CHNA AND 12.1 PERCENT OF RESIDENTS LIVE BELOW THE POVERTY LEVEL, A DECREASE OF 2.8 PERCENT SINCE THE LAST CHNA. ACCORDING TO THE AMERICAN COMMUNITY SURVEY FROM 2013-2017, 17.7 PERCENT OF RELATED CHILDREN UNDER 18 YEARS OF AGE WERE LIVING BELOW THE POVERTY LEVEL (14.9 PERCENT 2009-2013), AND 7.5 PERCENT OF THE PEOPLE 65 YEARS OF AGE OLD AND OVER FOR THE SAME TIME PERIOD (8.4 PERCENT 2009-2013). IN 2017, THE RATE OF ADULTS WITH HEALTH INSURANCE WAS 76.4 PERCENT (U.S. COUNTIES AVERAGE: 87.7 PERCENT). THIS IS AN IMPROVEMENT WHEN COMPARED WITH 75.1 PERCENT REPORTED IN 2014. HOWEVER, THE NUMBER OF RESIDENTS WITH INSURANCE IS WELL BELOW THE HEALTHY PEOPLE 2020 TARGET OF 100 PERCENT (HEALTH COMMUNITIES INSTITUTE). |
| 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 2021, NORTHSIDE HOSPITAL, INC. SUBMITTED THIRTY TWO 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 CATHERTIZATION), AND EXPAND OUTPATIENT LOCATIONS. THESE APPLICATIONS REPRESENT A LONG-TERM FINANCIAL COMMITMENT TOTALING $624 MILLION IN FY 2021 AND OVER THE NEXT SEVERAL YEARS. INCLUDED IN THE APPLICATIONS IS A $400 MILLION 407,000 SQUARE FOOT, 10-STORY PATIENT TOWER AT NORTHSIDE HOSPITAL GWINNETT. ELEMENTS OF THE PROJECT INCLUDE THE FOLLOWING: THE ADDITION OF 162 NEW INPATIENT ROOMS; 27 INPATIENT ROOMS RELOCATED FROM OTHER AREAS OF THE HOSPITAL; 81 NEW ROOMS FOR 23-HOUR OBSERVATION PATIENTS; EXPANSION OF ANCILLARY AND SUPPORT SERVICES TO ACCOMMODATE THE EXPECTED INCREASES IN PATIENT VOLUMES, INCLUDING: IMAGING, CLINICAL LABORATORY/PATHOLOGY, RESPIRATORY THERAPY, FOOD SERVICES, MATERIALS MANAGEMENT, SURGICAL PRE-OP/PHASE 2 RECOVERY, AND INPATIENT DIALYSIS; SPACE FOR MECHANICAL SYSTEMS AND UTILITIES NECESSARY TO SUPPORT THE EXPANDED HOSPITAL; A CENTRAL ENERGY PLANT DEDICATED TO THE NEW PATIENT TOWER; NEW PATIENT ENTRY LOBBY AND OUTPATIENT WAITING AREA; AND RELOCATED AND NEW OFFICES AND NEW EDUCATIONAL AND CLASSROOM SPACE. AS A RESULT OF THIS PROJECT, NORTHSIDE HOSPITAL GWINNETT'S CAPACITY WILL INCREASE FROM 388 TO 550 INPATIENT BEDS. NORTHSIDE HOSPITAL, INC. ALSO IS INVESTING $144 MILLION TO ACQUIRE AND DEVELOP FIVE MEDICAL OFFICE BUILDINGS TOTALING NEARLY 300,000 SQUARE FEET. THESE PROJECTS ARE LOCATED THROUGHOUT NORTHSIDE HOSPITAL, INC.'S SERVICE AREA IN DENSELY POPULATED COBB, DEKALB, FULTON, AND GWINNETT COUNTIES AND WILL HELP IMPROVE THE COMMUNITY'S ACCESS TO SPECIALISTS AND OUTPATIENT HOSPITAL SERVICES. LAST, THE APPLICATIONS INCLUDE OVER $64 MILLION FOR REPLACEMENT EQUIPMENT AND EXPANDED SERVICES IN A RANGE OF PROGRAM SERVICES SUCH AS SURGICAL SERVICES, CARDIAC SERVICES, RADIOLOGY SERVICES, RADIATION ONCOLOGY SERVICES, AND ENDOSCOPY SERVICES. OF NOTE, AS THE LEADING COMMUNITY CANCER PROVIDER IN GEORGIA, NORTHSIDE HOSPITAL, INC. IS INVESTING IN A NEW STATE-OF-THE-ART MRI-BASED LINEAR ACCELERATOR FOR THE NORTHSIDE HOSPITAL ATLANTA CANCER CENTER. WHEN INSTALLED, NORTHSIDE WILL BE THE FIRST HOSPITAL IN GEORGIA TO OFFER ITS CANCER PATIENTS THIS GROUNDBREAKING TECHNOLOGY. |
| 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, THE HOSPITAL 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:WWW.NORTHSIDE.COM/DOCS/DEFAULT-SOURCE/DEFAULT-DOCUMENT-LIBRARY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/COMMUNITY_BENEFITS_REPORT_2020_LEGACY_SPREADS_FINAL.PDF?SFVRSN=AC540E1A_2 |
| PART VI, LINE 5 CONTINUATION: | ACCORDING TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE NORTHSIDE COMMUNITY REPRESENTS A 10 COUNTY AREA COMPRISED OF DEKALB, GWINNETT, FORSYTH, FULTON, CHEROKEE, COBB, PICKENS, DAWSON, WALTON, AND BARROW. THESE COUNTIES VARY IN POPULATION SIZE, POVERTY LEVELS, AND RACE AND ETHNICITY. IN 2020, THE COMMUNITY WAS PREDOMINATELY WHITE (50%), WITH THE BLACK POPULATION (33%) COMPRISING THE 2ND LARGEST RACIAL GROUP. THE REMAINING MINORITY GROUPS INCLUDED, ASIAN (8%), OTHER RACES (5%), TWO OR MORE RACES (3%), PACIFIC ISLANDER (<1%), AND AMERICAN INDIAN (<1%). IN 2020, APPROXIMATELY 49% OF GEORGIA'S HISPANIC POPULATION LIVED WITHIN THE COMMUNITY AND REPRESENTED 12% OF THE COMMUNITY'S POPULATION (ESRI, 2020).HEALTH DISPARITIES EXIST THROUGHOUT EACH COUNTY MAKING COVID VACCINE DISTRIBUTION CHALLENGING. VACCINATION HESITANCY IS DIRECTLY TIED TO SOCIOECONOMIC STATUS BECAUSE GETTING A VACCINATION (MUCH LIKE ALL PREVENTIVE HEALTHCARE) IS SIMPLY NOT A PRIORITY OVER FOOD, JOB, AND HOUSING. ALSO, DUE TO POVERTY AND SOCIOECONOMIC STATUS, MANY POPULATIONS LACKED RESOURCES FOR TRANSPORTATION OR INABILITY TO TAKE TIME OFF WORK. FROM A RACE AND ETHNICITY PERSPECTIVE, THERE ARE MANY LOW-INCOME HISPANIC AND BLACK COMMUNITY MEMBERS IN THE 10 COUNTY AREA. THE BLACK POPULATION COMPRISES 33% OF THE TOTAL POPULATION WHILE MAKING UP NEARLY HALF OF THE COMMUNITY'S POPULATION IN POVERTY. SIMILARLY, THE HISPANIC POPULATION MAKES UP 12% OF THE COMMUNITY'S TOTAL POPULATION WHILE COMPRISING 20% OF THE POPULATION IN POVERTY.DETAILS OF VULNERABLE POPULATIONS GROUPS BY FACILITIES AND COUNTIES:- NHA: THE COUNTIES NEAR NHA BY GEOGRAPHY ARE DEKALB AND FULTON. FROM A COMMUNITY HEALTH PERSPECTIVE, BOTH OF THESE COUNTIES HAVE LARGE VULNERABLE POPULATIONS. AS STATED EARLIER THE BLACK AND HISPANIC POPULATION HAD THE HIGHEST POVERTY RATES IN THE COMMUNITY WHICH IS A BARRIER TO CARE. THE BLACK POPULATION REPRESENTS 53% OF THE TOTAL POPULATION IN DEKALB AND 43% IN FULTON. THE HISPANIC POPULATION REPRESENTS 9% IN DEKALB AND 7% IN FULTON.- NHG/NHD: THE COUNTIES CLOSE TO NHG/NHD BY GEOGRAPHY ARE GWINNETT, WALTON, AND BARROW. FROM A COMMUNITY HEALTH PERSPECTIVE, A LOT OF THESE COUNTIES HAVE LARGE VULNERABLE POPULATIONS DUE TO POVERTY AND ALSO DISTANCE TO HEALTHCARE. AS STATED EARLIER THE BLACK AND HISPANIC POPULATION HAD THE HIGHEST POVERTY RATES IN THE COMMUNITY WHICH IS A BARRIER TO CARE. THE BLACK POPULATION REPRESENTS 30% OF THE TOTAL POPULATION IN GWINNETT. THE HISPANIC POPULATION REPRESENTS 22% IN GWINNETT AND 12% IN BARROW.- NHC: THE COUNTIES NEAR NHC BY GEOGRAPHY ARE CHEROKEE AND PICKENS THESE COUNTIES HAVE VULNERABLE POPULATION GROUPS. IN CHEROKEE COUNTY, 11% OF THE POPULATION IS HISPANIC. PICKENS IS A MORE RURAL COUNTY AND HAS HIGHER RATE OF POVERTY ACROSS ALL RACES AND ETHNICITIES COMPARED TO OTHER COUNTIES.- NHF: THE COUNTIES NEAR NHF BY GEOGRAPHY ARE FORSYTH AND DAWSON. IN FORSYTH, 11% OF THE POPULATION IS HISPANIC.STARTING ON MARCH 8 OF 2021, NH STARTED OFFERING COVID-19 VACCINE OUTREACH CLINICS (A2-COMMUNITY BASED CLINICAL SERVICES) TO THE BROADER POPULATION.STAFF FROM MULTIPLE DISCIPLINES PARTICIPATED IN THESE CLINICS TO SERVE THE NH COMMUNITY. THE FOLLOWING STATISTICS ARE REFLECTED IN PART 1, LINE 7E OF SCHEDULE H: NORTHSIDE PROVIDED VACCINE CLINICS TO 81,470 PERSONS WHICH EQUATED TO OVER $1.6 MILLION IN COMMUNITY BENEFIT EXPENSES AND OVER 31,200 STAFF HOURS. IN ADDITION, NORTHSIDE PROVIDED OVER 5,300 HOURS OF HEALTHCARE/STAFF EXPERTISE TO HELP PLAN AND COORDINATE FOR THESE VACCINATION CLINICS. THE COMMUNITY BENEFIT EXPENSES ASSOCIATED WITH THESE PLANNING HOURS (A3-HEALTHCARE SUPPORT SERVICES) WERE $192,400 AMONG THE FIVE HOSPITALS.DETAIL OF ABOVE BY HOSPITAL LOCATION:- NHA PROVIDED VACCINE CLINICS TO OVER 51,400 PERSONS WHICH EQUATED TO OVER $890,000 IN COMMUNITY BENEFIT AND 18,000 STAFF HOURS.- NHG/NHD PROVIDED VACCINE CLINICS TO OVER 13,800 PERSONS WHICH EQUATED TO OVER $323,000 IN COMMUNITY BENEFIT AND 7,100 STAFF HOURS.- NHC PROVIDED VACCINE CLINICS TO OVER 4,800 PERSONS WHICH EQUATED TO OVER $214,000 IN COMMUNITY BENEFIT AND 2,400 STAFF HOURS.- NHF PROVIDED VACCINE CLINICS TO OVER 11,470 PERSONS WHICH EQUATED TO OVER $202,000 IN COMMUNITY BENEFIT AND OVER 3,700 STAFF HOURS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (53 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| 247 GATEWAY LLC | ||||||||
| 275 PRYOR STREET SW | ATLANTA | GA | 30303 | 261193832 | 501(C)(3) | $81,425 | GENERAL SUPPORT | |
| ALS ASSOCIATION OF GEORGIA INC | ||||||||
| 5881 GLENRIDGE DRIVE SUITE 200 | ATLANTA | GA | 30328 | 581943490 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| AMERICAN CANCER SOCIETY INC | ||||||||
| PO BOX 56566 | ATLANTA | GA | 30343 | 131788491 | 501(C)(3) | $213,750 | GENERAL SUPPORT | |
| AMERICAN HEART ASSOCIATION INC | ||||||||
| 1101 NORTHCHASE PKWY SUITE 1 | MARIETTA | GA | 30067 | 135613797 | 501(C)(3) | $160,000 | GENERAL SUPPORT | |
| AMERICAN RED CROSS | ||||||||
| 1955 MONROE DRIVE NE | ATLANTA | GA | 30324 | 530196605 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| ARTHRITIS FOUNDATIONI INC | ||||||||
| PO BOX 78423 | ATLANTA | GA | 30357 | 581341679 | 501(C)(3) | $74,838 | GENERAL SUPPORT | |
| ATLANTA BELTLINE PARTNERSHIP INC | ||||||||
| 112 KROG STREET SUITE 14 | ATLANTA | GA | 30307 | 562464486 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| ATLANTA CANCER CARE FOUNDATION | ||||||||
| 5670 PEACHTREE DUNWOODY RD | ATLANTA | GA | 30319 | 582607802 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| ATLANTA RONALD MCDONALD HOUSE CHARITIES INC | ||||||||
| 795 GATEWOOD ROAD NE | ATLANTA | GA | 30329 | 581295754 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| ATLANTA TRACK CLUB INC | ||||||||
| 201 ARMOUR DRIVE | ATLANTA | GA | 30324 | 581367422 | 501(C)(3) | $150,000 | GENERAL SUPPORT | |
| AURORA THEATRE INC | ||||||||
| PO BOX 2014 | LAWRENCEVILLE | GA | 30046 | 582450282 | 501(C)(3) | $30,000 | GENERAL SUPPORT | |
| BICYCLE RIDE ACROSS GEORGIA | ||||||||
| PO BOX 871111 | STONE MOUNTAIN | GA | 30087 | 581576748 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| BOYS AND GIRLS CLUBS OF METRO ATLANTA INC | ||||||||
| 1275 PEACHTREE ST NE 500 | ATLANTA | GA | 30309 | 580566123 | 501(C)(3) | $22,500 | GENERAL SUPPORT | |
| CHATTAHOOCHEE NATURE CENTER IN | ||||||||
| PO BOX 769769 | ROSWELL | GA | 30076 | 581275604 | 501(C)(3) | $90,000 | GENERAL SUPPORT | |
| CHEROKEE COUNTY EDUCATIONAL FO | ||||||||
| PO BOX 4754 | CANTON | GA | 30114 | 900902351 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| COBB CHAMBER OF COMMERCE | ||||||||
| PO BOX 671868 | MARIETTA | GA | 30006 | 580198114 | 501(C)(6) | $35,500 | GENERAL SUPPORT | |
| COBB COUNTY FAIR ASSOCIATION | ||||||||
| PO BOX 777 | KENNESAW | GA | 30144 | 586043883 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| COLORECTAL CANCER ALLIANCE | ||||||||
| 1025 VERMONT AVENUE NW 1066 | WASHINGTON | DC | 20005 | 860947831 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| DUNWOODY CHAMBER OF COMMERCE INC | ||||||||
| PO BOX 467009 | ATLANTA | GA | 31146 | 263082325 | 501(C)(6) | $20,000 | GENERAL SUPPORT | |
| DUNWOODY NATURE CENTER INC | ||||||||
| PO BOX 88070 | DUNWOODY | GA | 30356 | 582009823 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| ELACHEE NATURE SCIENCE CENTER | ||||||||
| 2125 ELACHEE DRIVE | GAINESVILLE | GA | 30504 | 581643768 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| GEORGIA AQUARIUM INC | ||||||||
| 225 BAKER STREET NW | ATLANTA | GA | 30313 | 582574918 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| GEORGIA CENTER FOR ONCOLOGY RESEARCH AND EDUCATION INC | ||||||||
| 50 HURT PLAZA SUITE 1415 | ATLANTA | GA | 30303 | 571159979 | 501(C)(3) | $40,000 | GENERAL SUPPORT | |
| GEORGIA CHAMBER OF COMMERCE | ||||||||
| 270 PEACHTREE ST NW STE 2200 | ATLANTA | GA | 30303 | 581537370 | 501(C)(6) | $34,500 | GENERAL SUPPORT | |
| GEORGIA INTERSCHOLASTIC CYCLING LEAGUE | ||||||||
| 931 EAST MAIN STREET SUITE A | BLUE RIDGE | GA | 30513 | 815441679 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| GEORGIA OVARIAN CANCER ALLIANCE | ||||||||
| 6065 ROSWELL ROAD SUITE 512 | ATLANTA | GA | 30328 | 582424106 | 501(C)(3) | $30,000 | GENERAL SUPPORT | |
| GEORGIA PROSTATE CANCER COALITION | ||||||||
| 5825 GLENRIDGE DR BLDG 3 SUITE 223 | COLLEGE PARK | GA | 30349 | 311717086 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| GREATER NORTH FULTON CHAMBER OF COMMERCE | ||||||||
| 11605 HAYNES BRIDGE RD | ALPHARETTA | GA | 30004 | 581157316 | 501(C)(6) | $48,200 | GENERAL SUPPORT | |
| GWINNETT CHAMBER OF COMMERCE | ||||||||
| 6500 SUGARLOAF PKWY | DULUTH | GA | 30097 | 580537282 | 501(C)(6) | $115,000 | GENERAL SUPPORT | |
| GWINNETT TECH FOUNDATION INC | ||||||||
| 5150 SUGARLOAF PKWY BLDG 700 | LAWRENCEVILLE | GA | 30043 | 582106879 | 501(C)(3) | $186,000 | GENERAL SUPPORT | |
| HOPE ATLANTA | ||||||||
| 34 PEACHTREE STREET NW SUITE 700 | ATLANTA | GA | 30303 | 580566247 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| JACK & JILL LATE STAGE CANCER FOUNDATION | ||||||||
| PO BOX 20237 NORTHERN TRUST BANKING | ATLANTA | GA | 30325 | 204415512 | 501(C)(3) | $25,000 | GENERAL SUPPORT | PARTNER |
| JUNIOR ACHIEVEMENT OF GEORGIA | ||||||||
| 275 NORTHSIDE DR NW | ATLANTA | GA | 30314 | 580598050 | 501(C)(3) | $40,000 | GENERAL SUPPORT | |
| LEUKEMIA AND LYMPHOMA SOCIETY | ||||||||
| 3 INTERNATIONAL DRIVE SUITE 200 | RYE BROOK | NY | 10573 | 135644916 | 501(C)(3) | $40,000 | GENERAL SUPPORT | |
| LOVE NOT LOST INC | ||||||||
| 1551 DUNWOODY VILLAGE PARKWAY | DUNWOODY | GA | 30338 | 474760639 | 501(C)(3) | $30,000 | GENERAL SUPPORT | 888722 |
| MARCH OF DIMES FOUNDATION | ||||||||
| 1275 MAMORONECK AVE | WHITE PLAINS | NY | 10605 | 131846366 | 501(C)(3) | $530,421 | GENERAL SUPPORT | |
| MARIETTA COBB MUSEUM OF ART | ||||||||
| 30 ATLANTA ST SE | MARIETTA | GA | 30060 | 581528144 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| MEDSHARE INTERNATIONAL | ||||||||
| 3240 CLIFTON SPRINGS ROAD | DECATUR | GA | 30034 | 582433968 | 501(C)(3) | $60,000 | GENERAL SUPPORT | |
| MOREHOUSE SCHOOL OF MEDICINE | ||||||||
| 720 WESTVIEW DRIVE SW | ATLANTA | GA | 30310 | 581438873 | 501(C)(3) | $100,000 | GENERAL SUPPORT | |
| MUST MINISTRIES INC | ||||||||
| PO BOX 1717 | MARIETTA | GA | 30061 | 582034725 | 501(C)(3) | $125,000 | GENERAL SUPPORT | |
| NATIONAL MULTIPLE SCLEROSIS SOCIETY | ||||||||
| 733 THIRD AVENUE 3RD FLOOR | NEW YORK | NY | 10017 | 135661935 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| NORTH FULTON COMMUNITY CHARITIES INC | ||||||||
| 11270 ELKINS ROAD | ROSWELL | GA | 30076 | 581521088 | 501(C)(3) | $30,000 | GENERAL SUPPORT | |
| OVARIAN CANCER INSTITUTE | ||||||||
| 960 JOHNSON FERRY RD STE 130 | ATLANTA | GA | 30342 | 582445245 | 501(C)(3) | $167,500 | GENERAL SUPPORT | |
| PIEDMONT PARK CONSERVANCY INC | ||||||||
| 400 PARK DRIVE NE | ATLANTA | GA | 30306 | 581551369 | 501(C)(3) | $90,000 | GENERAL SUPPORT | |
| RAINBOW VILLAGE INC | ||||||||
| 3427 DULUTH HIGHWAY 120 | DULUTH | GA | 30096 | 582181183 | 501(C)(3) | $40,000 | GENERAL SUPPORT | |
| REINHARDT UNIVERSITY | ||||||||
| 7300 REINHARDT CIR | WALESKA | GA | 30183 | 580603153 | 501(C)(3) | $29,000 | GENERAL SUPPORT | |
| ROBERT W WOODRUFF ARTS CENTER | ||||||||
| 1280 PEACHTREE ST NE | ATLANTA | GA | 30309 | 580633971 | 501(C)(3) | $100,000 | GENERAL SUPPORT | |
| SANDY SPRINGS ARTS FOUNDATION | ||||||||
| 10 GLENLAKE PKWY STE 130 | ATLANTA | GA | 30328 | 461187688 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| SANDY SPRINGS MISSION | ||||||||
| 850 MOUNT VERNON HWY | ATLANTA | GA | 30327 | 582452710 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| SANDY SPRINGS SOCIETY | ||||||||
| P O BOX 720074 | SANDY SPRINGS | GA | 30358 | 581868282 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| SANDY SPRINGS-PERIMETER CHAMBER OF COMMERCE INC | ||||||||
| 1000 ABERNATHY RD NE BLDG 400 SUITE | SANDY SPRINGS | GA | 30328 | 260677794 | 501(C)(6) | $21,000 | GENERAL SUPPORT | L-10 |
| THE ATLANTA WOMENS FOUNDATION | ||||||||
| 3355 LENOX ROAD SUITE 850 | ATLANTA | GA | 30326 | 582389721 | 501(C)(3) | $30,000 | GENERAL SUPPORT | |
| THE PARTNERSHIP AGAINST DOMESTIC VIOLENCE | ||||||||
| PO BOX 361969 | DECATUR | GA | 30036 | 823295945 | 501(C)(3) | $136,000 | GENERAL SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 47 | Total501c3OrgCnt |
| Total Other Org | 6 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP / EDUCATIONAL ASSISTANCE | GrantTypeTxt |
| Recipient | 3 | RecipientCnt |
| Cash Grant | $4,225 | 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 | $441,623 | $0 | $10,000 | $0 | $1,800 | $0 | $1,962 | $0 | $22,260 | $0 | $477,645 | $0 | $0 | $0 |
| IQBAL GARCHA MD | ||||||||||||||
| BOARD MEMBER | $341,212 | $0 | $141,664 | $0 | $3,156 | $0 | $4,945 | $0 | $15,318 | $0 | $506,295 | $0 | $0 | $0 |
| ROBERT T QUATTROCCHI | ||||||||||||||
| PRESIDENT & CEO NSH, INC. | $1,494,540 | $0 | $1,377,391 | $0 | $31,672 | $0 | $6,747 | $0 | $32,957 | $0 | $2,943,307 | $0 | $0 | $0 |
| SHANNON BANNA | ||||||||||||||
| VP/CFO NSH, INC. | $518,198 | $0 | $204,000 | $0 | $31,602 | $0 | $3,531 | $0 | $9,579 | $0 | $766,910 | $0 | $0 | $0 |
| JORGE J HERNANDEZ | ||||||||||||||
| VICE PRESIDENT/ASST. SECRE | $515,241 | $0 | $284,625 | $0 | $35,435 | $0 | $4,379 | $0 | $22,539 | $0 | $862,219 | $0 | $0 | $0 |
| JANIS DUBOW | ||||||||||||||
| VICE PRESIDENT | $391,035 | $0 | $195,794 | $0 | $14,981 | $0 | $4,930 | $0 | $11,063 | $0 | $617,803 | $0 | $0 | $0 |
| WILLIAM HAYES | ||||||||||||||
| CEO, NORTHSIDE HOSPITAL-CH | $465,291 | $0 | $138,042 | $0 | $49,792 | $0 | $6,564 | $0 | $29,266 | $0 | $688,955 | $0 | $0 | $0 |
| DEBORAH S MITCHAM | ||||||||||||||
| CEO, NORTHSIDE HOSPITAL GW | $704,167 | $0 | $245,000 | $0 | $6,926 | $0 | $6,519 | $0 | $17,080 | $0 | $979,692 | $0 | $0 | $0 |
| ROBERT PUTNAM | ||||||||||||||
| VICE PRESIDENT | $668,105 | $0 | $267,126 | $0 | $33,046 | $0 | $5,651 | $0 | $19,714 | $0 | $993,642 | $0 | $0 | $0 |
| TINA WAKIM | ||||||||||||||
| VICE PRESIDENT/COO | $702,054 | $0 | $246,178 | $0 | $22,000 | $0 | $4,069 | $0 | $18,602 | $0 | $992,903 | $0 | $0 | $0 |
| ROBERT AYER MD | ||||||||||||||
| NEUROSURGEON | $354,763 | $0 | $812,980 | $0 | $177,370 | $0 | $0 | $0 | $16,556 | $0 | $1,361,669 | $0 | $0 | $0 |
| CHARLES DECOOK MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $1,070,832 | $0 | $1,365,552 | $0 | $102,940 | $0 | $5,712 | $0 | $32,553 | $0 | $2,577,589 | $0 | $0 | $0 |
| JIMMY JIANG MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $494,257 | $0 | $1,022,871 | $0 | $2,276 | $0 | $6,539 | $0 | $28,056 | $0 | $1,553,999 | $0 | $0 | $0 |
| KENNETH KRESS MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $1,043,435 | $0 | $242,749 | $0 | $9,324 | $0 | $6,519 | $0 | $0 | $0 | $1,302,027 | $0 | $0 | $0 |
| BETHWEL RAORE MD | ||||||||||||||
| NEUROSURGEON | $357,190 | $0 | $699,140 | $0 | $176,245 | $0 | $3,289 | $0 | $0 | $0 | $1,235,864 | $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 EIGHTEEN YEARS AS CEO AND FOR SEVENTEEN YEARS AS A SENIOR EXECUTIVE PRIOR TO BECOMING CEO. AS A RESULT OF HIS LEADERSHIP AND LONGEVITY, AND TO ASSIST IN HIS RETENTION, NORTHSIDE'S BOARD OF DIRECTORS HAS PROVIDED THE CEO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH IS DESIGNED TO PROVIDE HIM WITH A SOURCE OF FUNDS FOR USE AS SUPPLEMENTAL INCOME OVER HIS LIFE IN RETIREMENT. THE SERP VESTS AND DISBURSES INCREMENTAL FUNDING PAYOUTS EACH TWO OR THREE YEARS. 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 OF THE BOARD OF DIRECTORS AND THE FULL BOARD APPROVE EACH PAYMENT BEFORE PAYMENT IS MADE. NORTHSIDE DOES NOT CONSIDER SERP PAYMENTS TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RACHEL BEARMAN | |||
| DALE M. BEARMAN, M.D., BOARD MEMBER & RACHEL BEARMAN FAMILY MEMBER | $102,125 | 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 2020 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 | $216,316 | 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 2020 TO GARY LEVENGOOD, M.D. FOR SERVICES RENDERED TO THE ORGANIZATION. | 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) | REINVESTING TO ENHANCE CAPACITY AND TO DELIVER HIGH-QUALITY HEALTH CARE TO THE COMMUNITIES WE SERVE. BECAUSE NORTHSIDE HOSPITAL INC. IS NOT-FOR-PROFIT AND IS NOT REQUIRED TO RETURN PROFITS TO SHAREHOLDERS LIKE TAXABLE ORGANIZATIONS, WE ROUTINELY REINVEST OUR CASH RESERVES IN ORDER TO ENHANCE OUR CAPACITY AND ABILITY TO DELIVER HIGH-QUALITY HEALTH CARE TO THE COMMUNITIES WE SERVE. IN FY2021, NORTHSIDE HOSPITAL, INC. WAS STILL NAVIGATING THE FINANCIAL IMPACT OF THE COVID-19 PANDEMIC. HOWEVER, IN SPITE OF PANDEMIC-RELATED FINANCIAL BURDENS PLACED ON THE ORGANIZATION, NORTHSIDE WAS ABLE TO INVEST NEARLY $280 MILLION IN CAPITAL IMPROVEMENTS ACROSS THE SYSTEM. NUMEROUS OF THESE ALLOCATIONS WERE DESIGNATED TO PROGRAM SERVICES SUCH AS CARDIOLOGY, ONCOLOGY AND WOMEN'S SERVICES, MANY OF WHICH OVERLAP WITH NORTHSIDE'S TOP IDENTIFIED HEALTH NEEDS IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. SELECT EARMARKED INVESTMENTS INCLUDE: $7.7 MILLION FOR CARDIOLOGY SERVICES PRIMARILY TO UPGRADE DIAGNOSTIC AND THERAPEUTIC EQUIPMENT AND CONSTRUCT A NEW 32,000 SQUARE FOOT CARDIAC REHAB CENTER IN A CONVENIENT OFF-CAMPUS MEDICAL OFFICE BUILDING; $2.1 MILLION FOR ONCOLOGY SERVICES TO REPLACE AND UPGRADE CT SIMULATION EQUIPMENT AND TO EXPAND AND ENHANCE INFUSION SERVICES; AND $1.9 MILLION FOR WOMEN'S SERVICES TO UPGRADE TECHNOLOGY AND EQUIPMENT IN THE SPECIAL CARE NURSERIES AND FAMILY CENTERED CARE UNITS. IN ADDITION, NORTHSIDE ALSO MADE SUBSTANTIAL INVESTMENTS IN OTHER VITAL PROGRAM SERVICES TO EXPAND CAPACITY, IMPROVE QUALITY AND INCREASE ACCESS TO CARE. THESE INVESTMENTS INCLUDE $92.4 MILLION TO EXPAND INPATIENT CAPACITY AT THREE OF THE SYSTEM'S FIVE GENERAL ACUTE CARE HOSPITALS; $27.5 MILLION IN SURGICAL SERVICES FOR STATE-OF-THE ART EQUIPMENT AND EXPANDING OR CAPACITY;$15.1 MILLION TO EXPAND NORTHSIDE HOSPITAL GWINNETT'S ER WITH A 38,000 SQUARE FOOT ADDITION AND RENOVATION OF 34,000 EXISTING SQUARE FEET AS WELL AS EXPANDING NORTHSIDE HOSPITAL CHEROKEE'S ER BY ADDING FIVE MULTI-PURPOSE EXAM ROOMS, ELEVEN FAST TRACK ROOMS AND SIX DEDICATED BEHAVIORAL HEALTH ROOMS; AND LAST, $7.7 MILLION IN RADIOLOGY EQUIPMENT UPGRADES ACROSS THE NORTHSIDE PORTFOLIO. 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 REACHING OVER 209,000 PERSONS, SPENDING OVER 63,000 STAFF HOURS AND PROVIDING $6.5 MILLION IN COMMUNITY BENEFIT PROGRAM ACTIVITIES. THE HIGHEST DOLLAR IMPACT CATEGORIES (I.E., BENEFIT IN EXCESS OF $1 MILLION) INCLUDE CASH AND IN-KIND DONATIONS, COMMUNITY HEALTH IMPROVEMENT SERVICES AND HEALTH PROFESSIONS EDUCATION. THROUGH CASH AND IN-KIND DONATIONS, NORTHSIDE HOSPITAL SUPPORTED 193 COMMUNITY ORGANIZATIONS WHOSE MISSIONS COMPLEMENT THE HOSPITAL'S MISSION AND WHOSE INITIATIVES ALIGN WITH THE HOSPITAL'S IDENTIFIED HEALTH NEEDS. 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 HOPE ATLANTA. HOPE ATLANTA WORKS WITH INDIVIDUALS AND FAMILIES IN CRISIS WHO ARE EXPERIENCING OR AT RISK OF HOMELESSNESS WITH HOUSING, OUTREACH, PREVENTION, AND EMERGENCY SERVICES. HOPE ATLANTA ELIMINATES BARRIERS TO HOUSING FOR THOUSANDS OF PEOPLE EXPERIENCING OR AT-RISK OF HOMELESSNESS ACROSS THE METRO ATLANTA AREA, INCLUDING SPECIAL POPULATIONS (VETERANS, YOUTH, PEOPLE WITH SPECIAL NEEDS/HIV+, PEOPLE WITH MENTAL ILLNESS AND/OR SUBSTANCE ABUSE ISSUES). OUR CASE MANAGERS AND HOUSING SPECIALISTS WORK CLOSELY WITH EACH INDIVIDUAL AND FAMILY, SEEKING THE APPROPRIATE HOUSING SOLUTION, INCLUDING EMERGENCY HOUSING OR LODGING, RAPID RE-HOUSING, VARIOUS FORMS OF RENTAL ASSISTANCE, AND PERMANENT SUPPORTIVE HOUSING. IN ADDITION, INDIVIDUALIZED SERVICE PLANS ARE DEVELOPED AIMED AT LEVERAGING STRENGTHS, INCREASING STABILITY, SUPPORTING EMPLOYMENT GOALS, AND IMPROVING HEALTH AND ADDICTION OUTCOMES TO HELP INDIVIDUALS AND FAMILIES REMAIN STABLY HOUSED. HOMELESSNESS AND HUNGER ARE LINKED TO NEGATIVE PHYSICAL AND MENTAL HEALTH OUTCOMES AND THOSE WHO REMAIN UNSHELTERED ARE MORE LIKELY TO EXPERIENCE HIGHER RATES OF HEALTH PROBLEMS AND SOMETIMES EARLY DEATH. THE SECOND HIGHEST DOLLAR IMPACT CATEGORY, COMMUNITY HEALTH IMPROVEMENT SERVICES, INCLUDES 41 PROGRAMS WITH OVER 270 OCCURRENCES. MUCH OF THE ACTIVITY 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 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 NOW HAS REFERRAL ARRANGEMENTS WITH APPROXIMATELY 22 CHARITABLE ORGANIZATIONS, INCLUDING SAFETY NET CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS, TO REFER PATIENTS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD OR OBTAIN MEDICALLY NECESSARY OUTPATIENT SURGERY. 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 CARE TO NEARLY 350 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 774 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 548,321,329. MANAGEMENT AND GENERAL EXPENSES 86,932,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 635,253,844. |
| FORM 990, PART XI, LINE 9: | INCOME FROM JOINT VENTURES NOT ON BOOKS 2,101,848. OTHER CHANGES IN NET ASSETS -120,395. CHANGE IN PENSION 154,727,018. EQUITY TRANSFER 6,325,902. INTERCOMPANY REVENUE 6,166,533. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (58 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| ADVANCED JOINT SURGERY SPECIALISTS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 474793694 | PROFESSIONAL SERVICES | GA | $10,444,590 | $0 | NORTHSIDE HOSPITAL INC |
| ADVANCED NEUROSURGERY ASSOCIATES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 852031927 | PROFESSIONAL SERVICES | GA | $1,037,295 | $0 | NORTHSIDE HOSPITAL INC |
| ADVANCED SURGERY CENTER PERIMETER LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 473080613 | SURGERY CENTER | GA | $2,409,731 | $5,470,121 | NORTHSIDE HOSPITAL INC |
| AGA CLINICAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 811319493 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| AGA PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 453694469 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| AOA-AMC LLC | |||||||||
| 320 PARKWAY DRIVE NE | ATLANTA | GA | 30312 | 813018210 | ONCOLOGY CLINIC | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| ATLANTA ADVANCED SURGERY CENTER LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 371663139 | SURGERY CENTER | GA | $0 | $0 | NORTHSIDE ATLANTA SURGERY CENTERS LLC |
| BRASELTON SURGICAL SPECIALIST CENTER LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | SURGERY CENTER | GA | $0 | $0 | NORTHSIDE HOSPITAL INC | |
| BUTTON GWINNETT HOLDINGS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC | |
| CHEROKEE COUNTY INVESTORS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 300837387 | REAL ESTATE SERVICES | GA | $0 | $0 | FORREST PARK PRESERVE HOLDINGS LLC |
| CITY LINE DEVELOPERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 833902062 | REAL ESTATE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| CRABAPPLE INVESTMENTS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC | |
| FORREST PARK PRESERVE HOLDINGS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 474363731 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| GALEN ADVISORS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | MEDICAL BILLING SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC | |
| GALEN BILLING SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | MEDICAL BILLING SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC | |
| GEORGIA CANCER SPECIALISTS I LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 582181189 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE SCG LLC |
| GEORGIA PROFESSIONAL BILLING SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 262016143 | MEDICAL BILLING SERVICES | GA | $6,335,373 | $5,239,440 | NORTHSIDE HOSPITAL INC |
| GEORGIA SURGICAL PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 463858353 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| GWINNETT ADVANCED SURGERY CENTER LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 455067682 | SURGERY CENTER | GA | $2,229,631 | $2,928,698 | NORTHSIDE HOSPITAL INC |
| GWINNETT CARDIOLOGY SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 461977635 | PROFESSIONAL SERVICES | GA | $2,560,213 | $308,273 | NORTHSIDE HOSPITAL INC |
| GWINNETT HOSPITAL SYSTEM GME LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 465634252 | GRADUATE MEDICAL EDUCATION PROGRAMS | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| GWINNETT PHYSICIAN GROUP LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 204553410 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| HICKORY FLAT HIGHWAY HOLDINGS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC | |
| HIGHWAY 92 INVESTORS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC | |
| HORIZON CLINICAL LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC | |
| JF DEVELOPERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC | |
| LAUREATE MEDICAL GROUP AT NORTHSIDE LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581436087 | PROFESSIONAL SERVICES | GA | $37,724,054 | $11,321,072 | NORTHSIDE HOSPITAL INC |
| MEDICAL ASSOCIATES PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 463806922 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| MRI & IMAGING OF GEORGIA LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 473958809 | RADIOLOGY SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| N PROPERTIES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC | |
| NORTH ATLANTA EYE CARE PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 823273795 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTH ATLANTA ONCOLOGY SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 834237605 | ONCOLOGY SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTH ATLANTA PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 205106086 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 825415284 | PROFESSIONAL SERVICES | GA | $40,764,449 | $10,131,563 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE ATLANTA ORTHOPEDICS & SPORTS MEDICINE HOLDINGS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 832801900 | REAL ESTATE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE ATLANTA SURGERY CENTERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 454364531 | HEALTHCARE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE CARDIOVASCULAR INSTITUTE LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 841936693 | PROFESSIONAL SERVICES | GA | $15,401,947 | $1,879,056 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 331105310 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE CV PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 851277546 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE FORSYTH SURGERY CENTERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 454364708 | SURGERY CENTER | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE GWINNETT SURGICAL ASSOCIATES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 834390271 | SURGERY CENTER | GA | $2,521,058 | $757,461 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 825113736 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 451259435 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE SCG LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 872441276 | PROFESSIONAL SERVICES | GA | $0 | $0 | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| NORTHSIDE SEPC PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 825334312 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 451259671 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE URGENT CARE HOLDING LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 471625673 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 460667707 | ONCOLOGY SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 460676654 | ONCOLOGY SERVICES | GA | $0 | $32,958,535 | NORTHSIDE HOSPITAL INC |
| PERIMETER PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 471088986 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| SOVEREIGN REHABILITATION OF GEORGIA LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 205084665 | REHABILITATION SERVICES | GA | $3,956,877 | $4,751,941 | NORTHSIDE HOSPITAL INC |
| SPORTS MEDICINE SOUTH OF GWINNETT LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 850900005 | PROFESSIONAL SERVICES | GA | $3,721,593 | $1,898,697 | NORTHSIDE HOSPITAL INC |
| THE CENTER FOR CANCER CARE AT GWINNETT HOSPITAL SYSTEM LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 822542369 | ONCOLOGY SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| UROLOGICAL PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 465754759 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| UROLOGY CLINICAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 813281163 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| UROLOGY SPECIALISTS OF ATLANTA NORTH LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 472619158 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| WEST VILLAGE HEALTH SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 874224381 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HEALTH SERVICES INC |
| 2246 WISTERIA DRIVE LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 871915309 | REAL ESTATE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
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 (9 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 | $5,114,329 | $2,668,611 | 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 | -$13,519 | $291,283 | 0.68330 | |
| GWINNETT SURGERY CENTER LLC | ||||||||||||||
| 631 PROFESSIONAL DRIVE SUITE 390 | LAWRENCEVILLE | GA | 30046 | 272819709 | OUTPATIENT SURGERY | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | $86,619 | $355,870 | 0.51000 | |
| 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 | $169,682 | $2,188,658 | 0.51000 | |
| HEALTH CHOICE URGENT CARE LLC | ||||||||||||||
| 1000 JOHNSON FERRY DRIVE NE | ATLANTA | GA | 30342 | 473382621 | URGENT CARE CENTER | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | -$434,212 | $315,701 | 0.51000 | |
| NORTHERN CRESCENT ENDOSCOPY SUITE LLC | ||||||||||||||
| 1355 PEACHTREE ST NE STE 1600 | ATLANTA | GA | 30309 | 582453504 | OUTPATIENT SURGERY | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | -$252,602 | $5,151,199 | 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 | -$125,532 | $1,563,621 | 0.70000 | |
| WOODSTOCK ENDOSCOPY CENTER LLC | ||||||||||||||
| 1355 PEACHTREE ST NE STE 1600 | ATLANTA | GA | 30309 | 582656248 | OUTPATIENT SURGERY | GA | 0 | 0 | NORTHSIDE HOSPITAL INC | RELATED | -$114,503 | $1,792,079 | 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 | 0 | NORTHSIDE HOSPITAL INC | $16,182 | $28,908 | 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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