NORTHSIDE HOSPITAL INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- NORTHSIDE HOSPITAL INC (EIN 58-1954432)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-06-02
- IRS object ID
- 202031549349300603
- Schema version
- 2018v3.1
- 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 | 2020-06-02T07:48:09-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | 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 | 2018-10-01 | 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 | CFO | PersonTitleTxt |
| Phone | 4048518000 | PhoneNum |
| Signature | 2020-06-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBORAH O ERNSBERGER | PreparerPersonNm |
| PTIN | P00364912 | PTIN |
| Phone | 8656730844 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 174.135.176.2 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-02 | IPDt |
| IP Tm | 07:48:00 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AF23F2A68CFF53983216DF8908F842EE3670BFA3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $3,759,629,362 | 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 | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 15311 | TotalEmployeeCnt |
| Total Volunteers | 940 | TotalVolunteersCnt |
| Total Gross UBI | $17,374,287 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,020,392 | PYContributionsGrantsAmt |
| CY Contributions Grants | $794,925 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,252,869,985 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,707,807,833 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,815,756 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,579,713 | CYInvestmentIncomeAmt |
| PY Other Revenue | $42,106,668 | PYOtherRevenueAmt |
| CY Other Revenue | $39,446,891 | CYOtherRevenueAmt |
| PY Total Revenue | $3,317,812,801 | PYTotalRevenueAmt |
| CY Total Revenue | $3,759,629,362 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,075,702 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,763,605 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,283,592,604 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,447,690,596 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,868,926,366 | PYOtherExpensesAmt |
| CY Other Expenses | $2,194,614,728 | CYOtherExpensesAmt |
| PY Total Expenses | $3,155,594,672 | PYTotalExpensesAmt |
| CY Total Expenses | $3,645,068,929 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $162,218,129 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $114,560,433 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,726,110,697 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,566,126,908 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $917,238,461 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,418,189,612 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,808,872,236 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,147,937,296 | 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 | $2,933,534,628 | ExpenseAmt |
| Grant | $2,763,605 | GrantAmt |
| Revenue | $3,739,775,922 | 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 | $2,933,534,628 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| 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 | 1571 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 15311 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | Yes (1) | 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 (24 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY J SALVATORE | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM G HASTY JR | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| WAYNE L AMBROZE MD | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT E WHITLEY ESQ | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| K DOUGLAS SMITH MD | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK J SWEENEY | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DALE M BEARMAN MD | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BARBARA PARE' | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GENEVIEVE FAIRBROTHER MD | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| THURBERT BAKER | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| IQBAL GARCHA MD | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT T QUATTROCCHI | ||||||||||
| PRESIDENT & CEO NSH, INC. | 40.00 | 1.00 | Yes (X) | $4,702,123 | $0 | $38,888 | Yes (X) | |||
| SHANNON BANNA | ||||||||||
| VP/CFO NSH, INC. | 40.00 | 1.00 | $487,667 | $0 | $12,182 | Yes (X) | ||||
| JORGE J HERNANDEZ | ||||||||||
| VICE PRESIDENT/ASST. SECRE | 40.00 | $669,078 | $0 | $16,700 | Yes (X) | |||||
| JANIS DUBOW | ||||||||||
| VICE PRESIDENT | 40.00 | $536,267 | $0 | $15,015 | Yes (X) | |||||
| WILLIAM HAYES | ||||||||||
| CEO, NORTHSIDE HOSPITAL-CH | 40.00 | $559,504 | $0 | $36,916 | Yes (X) | |||||
| ROBERT PUTNAM | ||||||||||
| VICE PRESIDENT | 40.00 | $906,086 | $0 | $24,028 | Yes (X) | |||||
| TINA WAKIM | ||||||||||
| VICE PRESIDENT/COO | 40.00 | $972,323 | $0 | $13,867 | Yes (X) | |||||
| CHARLES DECOOK MD | ||||||||||
| ORTHOPEDIC SURGEON | 40.00 | $1,832,612 | $0 | $36,045 | Yes (X) | |||||
| WILLIAM EARLY MD | ||||||||||
| GASTROENTEROLOGY/INTERNAL | 40.00 | $821,994 | $0 | $21,425 | Yes (X) | |||||
| GERALD FEUER MD | ||||||||||
| GYNECOLOGIST/SURGEON | 40.00 | $922,889 | $0 | $37,471 | Yes (X) | |||||
| JIMMY JIANG MD | ||||||||||
| ORTHOPEDIC SURGEON | 40.00 | $866,076 | $0 | $15,061 | Yes (X) | |||||
| KENNETH KRESS MD | ||||||||||
| ORTHOPEDIC SURGEON | 40.00 | $1,193,455 | $0 | $23,031 | Yes (X) | |||||
| DEBORAH S MITCHAM | ||||||||||
| FORMER VP/CFO NSH, INC. | 40.00 | 1.00 | $497,372 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $14,967,446 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $290,629 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1939 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 | $45,544,161 |
| BAKER & HOSTETLER LLP | |||||
| 1170 PEACHTREE STREET NE STE 2400 | ATLANTA | GA | 30309 | LEGAL SERVICES | $30,133,262 |
| AGA LLC | |||||
| 550 PEACHTREE ST STE 1620 | ATLANTA | GA | 30308 | SEE SCHEDULE O | $26,107,215 |
| ATLANTA CANCER CARE PC | |||||
| 1100 JOHNSON FERRY ROAD STE 150 | SANDY SPRINGS | GA | 30342 | SEE SCHEDULE O | $19,581,575 |
| GE HEALTHCARE INC | |||||
| 1575 NORTHSIDE DR NW 305 | ATLANTA | GA | 30318 | BIOMEDICAL SERVICES | $14,829,429 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 366 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $388,245 | RelatedOrganizationsAmt |
| Government Grants | $134,881 | GovernmentGrantsAmt |
| All Other Contributions | $271,799 | AllOtherContributionsAmt |
| Total Contributions | $794,925 | 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 | $3,669,845,339 | $3,526,184,057 | $6,275,097 | $137,386,185 |
| RENTAL INCOME | 531120 | $17,343,499 | $17,343,499 | ||
| BILLING REVENUE | 561000 | $7,103,293 | $3,620,388 | $3,482,905 | |
| PARKING REVENUE | 812930 | $6,597,016 | $6,597,016 | ||
| CAFETERIA & VENDING | 722210 | $5,795,179 | $5,795,179 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,123,507 | TotalRevenueColumnAmt |
| Exclusion | $1,123,507 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,707,807,833 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,579,713 | TotalRevenueColumnAmt |
| Exclusion | $11,579,713 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MISCELLANEOUS | 900099 | $35,742,405 | $30,833,065 | $4,909,340 |
| PASSTHROUGH INVESTMENT | 621300 | $3,704,486 | $1,135,024 | $2,569,462 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $39,446,891 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,759,629,362 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,575,495,645 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $17,374,287 | UnrelatedBusinessRevenueAmt |
| Exclusion | $165,964,505 | 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 | $2,751,045 | TotalAmt |
| Program Services | $2,751,045 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,560 | TotalAmt |
| Program Services | $12,560 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,772,365 | TotalAmt |
| Program Services | $10,545,627 | ProgramServicesAmt |
| Management And General | $3,226,738 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,152,288,873 | TotalAmt |
| Program Services | $882,318,211 | ProgramServicesAmt |
| Management And General | $269,970,662 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,626,932 | TotalAmt |
| Program Services | $37,234,090 | ProgramServicesAmt |
| Management And General | $11,392,842 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,953,805 | TotalAmt |
| Program Services | $118,649,557 | ProgramServicesAmt |
| Management And General | $36,304,248 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,048,621 | TotalAmt |
| Program Services | $59,762,549 | ProgramServicesAmt |
| Management And General | $18,286,072 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,018,969 | TotalAmt |
| Program Services | $18,018,969 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,343,072 | TotalAmt |
| Management And General | $39,343,072 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,557,449 | TotalAmt |
| Management And General | $1,557,449 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,943,493 | TotalAmt |
| Management And General | $1,943,493 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,369,961 | TotalAmt |
| Program Services | $451,085,876 | ProgramServicesAmt |
| Management And General | $77,284,085 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,637,767 | TotalAmt |
| Program Services | $6,930,225 | ProgramServicesAmt |
| Management And General | $7,707,542 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,930,516 | TotalAmt |
| Program Services | $30,267,790 | ProgramServicesAmt |
| Management And General | $33,662,726 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,272,500 | TotalAmt |
| Program Services | $16,226,255 | ProgramServicesAmt |
| Management And General | $18,046,245 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,525,854 | TotalAmt |
| Program Services | $45,226,547 | ProgramServicesAmt |
| Management And General | $50,299,307 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,483,312 | TotalAmt |
| Program Services | $1,175,720 | ProgramServicesAmt |
| Management And General | $1,307,592 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,778,309 | TotalAmt |
| Program Services | $841,937 | ProgramServicesAmt |
| Management And General | $936,372 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,334,693 | TotalAmt |
| Management And General | $10,334,693 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,546,646 | TotalAmt |
| Program Services | $101,786,806 | ProgramServicesAmt |
| Management And General | $69,759,840 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,234,422 | TotalAmt |
| Program Services | $17,155,123 | ProgramServicesAmt |
| Management And General | $19,079,299 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $912,771,668 | $905,512,874 | $7,258,794 |
| BAD DEBT EXPENSE | $197,611,769 | $197,611,769 | |
| MINOR EQUIPMENT PURCHAS | $16,977,050 | $8,037,754 | $8,939,296 |
| RECRUITMENT | $4,060,440 | $1,922,408 | $2,138,032 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,216,838 | TotalAmt |
| Program Services | $20,460,936 | ProgramServicesAmt |
| Management And General | $22,755,902 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,645,068,929 | TotalAmt |
| Program Services | $2,933,534,628 | ProgramServicesAmt |
| Management And General | $711,534,301 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,314 | BOYAmt |
| EOY | $82,399 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,740,545 | BOYAmt |
| EOY | $358,235,119 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $309,315 | BOYAmt |
| EOY | $1,330,748 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,774,559 | BOYAmt |
| EOY | $353,006,270 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,474 | BOYAmt |
| EOY | $239,265 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,149,179 | BOYAmt |
| EOY | $70,193,814 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,074,069 | BOYAmt |
| EOY | $66,664,152 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,175,760,155 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,434,296,743 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,264,857,785 | BOYAmt |
| EOY | $1,741,463,412 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $324,565,957 | BOYAmt |
| EOY | $610,655,791 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,050,766 | BOYAmt |
| EOY | $295,418,364 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,367,734 | BOYAmt |
| EOY | $68,837,574 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,726,110,697 | BOYAmt |
| EOY | $3,566,126,908 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,148,491 | BOYAmt |
| EOY | $582,082,338 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,986,595 | BOYAmt |
| EOY | $3,043,724 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,491,897 | BOYAmt |
| EOY | $60,011,697 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,611,478 | BOYAmt |
| EOY | $773,051,853 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $917,238,461 | BOYAmt |
| EOY | $1,418,189,612 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,808,872,236 | BOYAmt |
| EOY | $2,147,937,296 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,808,872,236 | BOYAmt |
| EOY | $2,147,937,296 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,726,110,697 | BOYAmt |
| EOY | $3,566,126,908 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $114,560,433 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $13,106,241 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $211,398,386 | 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 | $528,480 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $528,480 | 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 | $10,180,369 | 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,742,074 | BeginningYearBalanceAmt |
| Contributions | $1,758,394 | ContributionsAmt |
| Investment Earnings Or Losses | $128,084 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,012,169 | OtherExpendituresAmt |
| End Year Balance | $8,616,383 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,079,636 | BeginningYearBalanceAmt |
| Contributions | $1,525,651 | ContributionsAmt |
| Investment Earnings Or Losses | $114,920 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $978,133 | OtherExpendituresAmt |
| End Year Balance | $7,742,074 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.28760 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.71240 | 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 | $381,190,549 | OtherCostOrOtherBasisAmt |
| Book Value | $381,190,549 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,695,154,906 | OtherCostOrOtherBasisAmt |
| Depreciation | $675,060,478 | DepreciationAmt |
| Book Value | $1,020,094,428 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,042,116,508 | OtherCostOrOtherBasisAmt |
| Depreciation | $759,236,265 | DepreciationAmt |
| Book Value | $282,880,243 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,298,192 | OtherCostOrOtherBasisAmt |
| Book Value | $57,298,192 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,741,463,412 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| FAS 106 ACCRUAL | $1,490,532 |
| RESERVE FOR MALPRACTICE | $254,272,274 |
| RETIREMENT PLAN OBLIGATIONS | $290,505,079 |
| PERIODIC CAPITAL FINANCING LIABILITY | $2,857,949 |
| REAL ESTATE FINANCING LIABILITY | $115,913,245 |
| RENT/LEASE RELATED LIABILITIES | $60,952,853 |
| OTHER LIABILITIES | $47,059,921 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $773,051,853 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | NORTHSIDE HOSPITAL, INC. AND NORTHSIDE HOSPITAL FOUNDATION, INC. HAVE ENDOWMENT FUNDS THAT CONSIST OF 40 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, 2019 AND 2018, 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 | 125.000000000000 | 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 | $185,684,988 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $185,684,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $259,528,510 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $155,126,419 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $104,402,091 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02860 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $445,213,498 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $155,126,419 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $290,087,079 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07960 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 77 | ActivitiesOrProgramsCnt |
| Persons Served | 290183 | PersonsServedCnt |
| Total Community Benefit Expns | $2,498,305 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $206,361 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,291,944 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 1206 | PersonsServedCnt |
| Total Community Benefit Expns | $2,425,296 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $307,877 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,117,419 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $5,353,864 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,032,485 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,321,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 711 | PersonsServedCnt |
| Total Community Benefit Expns | $715,311 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $715,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 37995 | PersonsServedCnt |
| Total Community Benefit Expns | $3,402,911 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,685 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,383,226 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 107 | ActivitiesOrProgramsCnt |
| Persons Served | 330095 | PersonsServedCnt |
| Total Community Benefit Expns | $14,395,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,566,408 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,829,279 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 107 | ActivitiesOrProgramsCnt |
| Persons Served | 330095 | PersonsServedCnt |
| Total Community Benefit Expns | $459,609,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $159,692,827 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $299,916,358 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08230 | 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 | $134,083 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $100 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $133,983 | 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 | $83,286 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $83,286 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $197,550 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $900 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $196,650 | 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 | $585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $585 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 98 | PersonsServedCnt |
| Total Community Benefit Expns | $236,368 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $236,368 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 98 | PersonsServedCnt |
| Total Community Benefit Expns | $651,872 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $650,872 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $52,166,586 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $384,088,103 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $498,931,046 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$114,842,943 | 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 (19 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 GWINNETT ENDOSCOPY CENTER PC | ||
| OUTPATIENT CENTER | 0.15000 | 0.85000 |
| 2 MIDTOWN ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.15000 | 0.85000 |
| 3 NORTHERN CRESCENT ENDOSCOPY SUITE LLC | ||
| OUTPATIENT CENTER | 0.70000 | 0.30000 |
| 4 NORTHWEST ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.15000 | 0.85000 |
| 5 SOUTHERN CRESCENT ENDOSCOPY CENTER SUITE PC | ||
| OUTPATIENT CENTER | 0.15000 | 0.85000 |
| 6 WOODSTOCK ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.70000 | 0.30000 |
| 7 WEST METRO ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.15000 | 0.85000 |
| 8 ENT SURGERY CENTER OF ATLANTA LLC | ||
| AMBULATORY SURGERY | 0.64330 | 0.35670 |
| 9 PEACHTREE ORTHOPAEDIC SURGERY CENTER AT PERIMETER LLC | ||
| AMBULATORY SURGERY | 0.15000 | 0.71260 |
| 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 | 0.19000 |
| 12 NASA SURGERY CENTER LLC | ||
| AMBULATORY SURGERY | 0.70000 | 0.30000 |
| 13 SOVEREIGN REHABILITATION OF GEORGIA LLC | ||
| REHABILITATION CENTER | 0.88000 | 0.12000 |
| 14 PANOLA ENDOSCOPY CENTER LLC | ||
| OUTPATIENT CENTER | 0.15000 | 0.85000 |
| 15 AOA AMC LLC | ||
| ONCOLOGY CLINIC | 0.49000 | 0.51000 |
| 16 ADVANCED CENTER FOR JOINT SURGERY LLC | ||
| ORTHOPEDIC SURGERY | 0.51000 | 0.49000 |
| 17 THOMAS EYE SURGERY CENTER LLC | ||
| EYE SURGERY | 0.49000 | 0.51000 |
| 18 NORTHSIDE ATLANTA ORTHOPEDICS & SPORTS MEDICINE HOLDINGS LLC | ||
| ORTHOPEDIC & SPORTS MEDICINE | 0.10000 | 0.90000 |
| 19 GWINNETT SURGERY CENTER LLC | ||
| SURGERY CENTER | 0.51000 | 0.49000 |
| 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 | OtherOtherInd | 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 | 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 | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | 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 | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Other Actions TakenOtherActionsTakenInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Strategy Website URLStrategyWebsiteURLTxt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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) | 18 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | HTTP://WWW.NORTHSIDE.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT | Yes (X) | Yes (1) | 18 | 0 | Yes (1) | 0 | Yes (1) | Yes (X) | 125.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.NORTHSIDE.COM | Yes (X) | WWW.NORTHSIDE.COM | Yes (X) | WWW.NORTHSIDE.COM | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |
| FACILITY REPORTING GROUP - B | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.GWINNETTMEDICALCENTER.ORG/ABOUTUS | Yes (X) | Yes (1) | 18 | Yes (1) | 0 | Yes (1) | Yes (X) | 125.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.GWINNETTMEDICALCENTER.ORG | Yes (X) | WWW.GWINNETTMEDICALCENTER.ORG | Yes (X) | WWW.GWINNETTMEDICALCENTER.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | WWW.GWINNETTMEDICALCENTER.ORG/ABOUTUS | |
Supplemental Information SupplementalInformationGrp (18 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 3J: | NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") FOR EACH OF ITS HOSPITAL FACILITIES IDENTIFIED IN REPORTING GROUP A. IN COMPLETING THE CHNAS FOR ITS HOSPITAL FACILITIES, NORTHSIDE DID NOT ENCOUNTER ANY INFORMATION GAPS THAT LIMITED ITS ABILITY TO ASSESS EACH HOSPITAL FACILITY'S COMMUNITY NEED. IN ADDITION TO THE INFORMATION LISTED ABOVE, NORTHSIDE DESCRIBES IN THE CHNAS EACH COMMUNITY'S ACCESS TO HEALTH CARE AND PROVIDES AN OVERVIEW OF EACH HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY. |
| 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 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 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. |
| 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: | IN AUGUST 2019, NORTHSIDE AND GWINNETT HEALTH SYSTEM, INC. ("GWINNETT") EXECUTED AN AFFILIATION AND MERGER AGREEMENT WHEREBY GWINNETT AND CERTAIN SUBSIDIARIES AND AFFILIATES WERE MERGED INTO NORTHSIDE, AND NORTHSIDE WAS THE SURVIVING ENTITY. THE GWINNETT HEALTH SYSTEM COMPRISED OF TWO LICENSED HOSPITAL FACILITIES IN LAWRENCEVILLE AND DULUTH, GEORGIA. GWINNETT COMPLETED A COMBINED CHNA IN AUGUST 2018, FOR ITS TWO HOSPITAL FACILITIES DURING ITS YEAR ENDING JUNE 30, 2019. A CHNA WAS NOT REQUIRED FOR THE PERIOD ENDING SEPTEMBER 30, 2019 FOR THE GWINNETT HOSPITAL FACILITIES POST-MERGER. |
| GROUP B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH PART V, SECTION B, LINE 3J: | GWINNETT HEALTH SYSTEM COMPLETED A COMBINED CHNA FOR ITS TWO HOSPITAL FACILITIES DURING ITS FISCAL YEAR ENDING JUNE 30, 2019. IN ADDITION TO THE INFORMATION LISTED ABOVE, THE CHNA DESCRIBES THE GWINNETT COMMUNITY'S ACCESS TO HEALTH CARE AND PROVIDES AN OVERVIEW OF THE TWO HOSPITALS' COMBINED IMPLEMENTATION STRATEGIES AND HEALTH IMPROVEMENT PLAN GOALS. |
| GROUP B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH PART V, SECTION B, LINE 5: | GWINNETT COMPLETED A COMBINED CHNA IN AUGUST 2018, FOR ITS TWO HOSPITAL FACILITIES DURING ITS YEAR ENDING JUNE 30, 2019. A CHNA WAS NOT REQUIRED FOR THE PERIOD ENDING SEPTEMBER 30, 2019 FOR THE GWINNETT HOSPITAL FACILITIES POST-MERGER. DURING THIS TIME, THE GWINNETT HEALTH SYSTEM COLLABORATED WITH THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES AND THE GWINNETT COUNTY HEALTH DEPARTMENT TO COORDINATE VARIOUS FOCUS GROUP MEETINGS INVOLVING THE DEMOGRAPHICS REPRESENTATIVE OF THE COMMUNITY TO DISCUSS COMMUNITY RELATIONS AND ENGAGEMENT, ECONOMIC AND FINANCIAL STABILITY, EDUCATION, SAFETY, AGE FOCUS, AND HEALTH AND WELLNESS. ADDITIONAL INFORMATION IS PROVIDED WITHIN GWINNETT HEALTH SYSTEM'S 2018 FORM 990 FOR THE YEAR ENDED JUNE 30, 2019. |
| GROUP B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH PART V, SECTION B, LINE 6A: | NORTHSIDE HOSPITAL GWINNETT (FORMERLY GWINNETT MEDICAL CENTER - LAWRENCEVILLE) AND NORTHSIDE HOSPITAL DULUTH (FORMERLY GWINNETT MEDICAL CENTER - 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 6B: | THE CHNA WAS CONDUCTED THROUGH COLLABORATIONS WITH THE GWINNETT COALITION FOR HEALTH AND HUMAN SERVICES AND THE GWINNETT COUNTY HEALTH DEPARTMENT. |
| GROUP B-FACILITY 2 -- HOSPITALS - GWINNETT AND DULUTH PART V, SECTION B, LINE 11: | BASED ON THE RESULTS OF THE 2019 CHNA THE TOP OPPORTUNITIES LIE IN THE FOLLOWING AREAS:-MANAGING HEALTH CONDITIONS AND CHRONIC DISEASE TREATMENTS-IMPROVING ACCESS TO CARE-PREVENTING CHRONIC DISEASES AND INCREASING WELLNESSIMPLEMENTATION STRATEGIES IN 2019 WERE UPDATED TO ADDRESS HEART DISEASE, STROKE, CANCER, EMERGENCY AND TRAUMA SERVICES, CHRONIC LOWER RESPIRATORY DISEASE, DIABETES, MATERNAL/INFANT HEALTH, INJURY PREVENTION AND WELLNESS PROGRAMS. COMMUNITY NEEDS OUTSIDE THE HOSPITAL'S SCOPE AS A HEALTHCARE PROVIDER WERE NOT ADDRESSED SUCH AS TRANSPORTATION, COMMUNITY COMMUNICATION AND ENGAGEMENT, HOMELESSNESS/UNEMPLOYMENT, CRIME, LACK OF DIVERSITY IN COMMUNITY LEADERSHIP AND RESIDENTS WITHOUT ADEQUATE HEALTH INSURANCE.ADDITIONAL INFORMATION IS PROVIDED WITHIN GWINNETT HEALTH SYSTEM'S 2018 FORM 990 FOR THE YEAR ENDED JUNE 30, 2019. |
| 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 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 236 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (236 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 120 | MACON | GA | 31217 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 2 - NORTHSIDE HOSPITAL CANCER INSTITUTE -MILLE | |||||
| 624 MARTIN LUTHER KING JR DRIVE | MILLEDGEVILLE | GA | 31061 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 3 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC -GAINE | |||||
| 1250 JESSE JEWELL PARKWAY STE 400 | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 4 - NORTHSIDE HOSPITAL CANCER INSTITUTE -BLUE | |||||
| 101 RIVERSTONE VISTA STE 102 | BLUE RIDGE | GA | 30513 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 5 - NORTHSIDE HOSPITAL CANCER INSTITUTE -BLAIR | |||||
| 308 DEEP SOUTH FARM ROAD STE 200 | BLAIRSVILLE | GA | 30512 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 6 - NORTHSIDE HOSPITAL CANCER INSTITUTE -GRIFF | |||||
| 747 SOUTH 8TH STREET STE C | GRIFFIN | GA | 30224 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 7 - LAUREATE MEDICAL GROUP -ATLANTA | |||||
| 6135 BARFIELD ROAD STE 110 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 8 - NORTHSIDE HOSPITAL CANCER INSTITUTE -GREEN | |||||
| 1000 COWLES CLINIC WAY STE 102 | GREENSBORO | GA | 30642 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 9 - MEDICAL ASSOCIATES OF NORTH GEORGIA -CANTO | |||||
| 320 HOSPITAL ROAD STE A | CANTON | GA | 30114 | PHYSICIAN SERVICES | |
| 10 - ARTHRITIS AND TOTAL JOINT SPECIALIST -CUMM | |||||
| 3400 OLD MILTON PARKWAY SUITE 290 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 11 - NORTHSIDE HEART -ATLANTA | |||||
| 1110 WEST PEACHTREE STREET STE 920C | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 12 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC -BRASE | |||||
| 1515 RIVER PLACE STE 150 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 13 - NORTHSIDE HOSPITAL CANCER INSTITUTE -HAWKI | |||||
| 214 PERRY HIGHWAY | HAWKINSVILLE | GA | 31036 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 14 - NORTHSIDE VASCULAR SURGERY -ATLANTA | |||||
| 980 JOHNSON FERRY ROAD SUITE 1040 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 15 - ATLANTA CLINICAL CARE | |||||
| 5673 PEACHTREE DUNWOODY RD STE 330 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 16 - NORTHSIDE HEART -BLUE RIDGE | |||||
| 2855 OLD HIGHWAY 5 STE 103 | BLUE RIDGE | GA | 30513 | PHYSICIAN SERVICES | |
| 17 - SOUTHEASTERN PRIMARY CARE SPECIALISTS -STO | |||||
| 1035 SOUTHCREST DRIVE STE 200 | STOCKBRIDGE | GA | 30281 | PHYSICIAN SERVICES | |
| 18 - NHCI RADIATION ONCOLOGY - MACON | |||||
| 308 COLISEUM DRIVE STE 100 | MACON | GA | 31217 | RADIATION THERAPY CENTER AND PHYSICIAN SERVICES | |
| 19 - THE IMAGING CENTER OF WARNER ROBINS | |||||
| 2706 WATSON BOULEVARD STE D | WARNER ROBINS | GA | 31093 | OUTPATIENT CENTER | |
| 20 - NORTH GEORGIA OBGYN SPECIALISTS -WOODSTOC | |||||
| 900 TOWNE LAKE PARKWAY STE 404 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 21 - GWINNETT ADVANCED SURGERY CENTER | |||||
| 2131 FOUNTAIN DRIVE STE 100 | SNELLVILLE | GA | 30078 | AMBULATORY SURGERY | |
| 22 - UROLOGY SPECIALISTS OF ATLANTA -ATLANTA | |||||
| 5673 PEACHTREE DUNWOODY RD STE 905 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 23 - LAUREATE MEDICAL GROUP -ATLANTA | |||||
| 1110 WEST PEACHTREE STREET STE 1100 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 24 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS -CU | |||||
| 980 JOHNSON FERRY ROAD SUITE 490 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 25 - PERIMETER ADVANCED SURGERY CENTER | |||||
| 1100 JOHNSON FERRY ROAD STE 300 | ATLANTA | GA | 30342 | AMBULATORY SURGERY | |
| 26 - PREMIER CARE FOR WOMEN | |||||
| 960 JOHNSON FERRY ROAD STE 400 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 27 - CHEROKEE LUNG AND SLEEP -BLAIRSVILLE | |||||
| 308 DEEP SOUTH FARM ROAD STE 102 | BLAIRSVILLE | GA | 30512 | PHYSICIAN SERVICES | |
| 28 - ENDOCRINE SPECIALISTS OF ATLANTA | |||||
| 975 JOHNSON FERRY ROAD STE 400 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 29 - WINDERMERE MEDICAL CLINIC -CANTON | |||||
| 3850 WINDERMERE PARKWAY SUITE 105 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 30 - MEDICAL ASSOCIATES OF NORTH GEORGIA -CANTO | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 300 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 31 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 160 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 32 - MOUNT VERNON INTERNAL MEDICINE -ATLANTA | |||||
| 755 MT VERNON HIGHWAY STE 400 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 33 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE | |||||
| 5610 BETHELVIEW ROAD STE 500 | CUMMING | GA | 30040 | PHYSICIAN SERVICES | |
| 34 - INTERNAL MEDICINE ASSOCIATES OF JOHNS CREE | |||||
| 3380 PADDOCKS PARKWAY STE 100 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 35 - NORTH POINT PULMONARY ASSOCIATES | |||||
| 1400 NORTHSIDE FORSYTH DR STE 240 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 36 - CHATTAHOOCHEE SURGICAL GROUP -ALPHARETTA | |||||
| 3400 OLD MILTON PARKWAY STE 210A | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 37 - UNIVERSITY GYNECOLOGIC ONCOLOGY -CUMMING | |||||
| 960 JOHNSON FERRY ROAD SUITE 130 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 38 - NORTHSIDE PULMONARY AND SLEEP MEDICINE -CU | |||||
| 1400 NORTHSIDE FORSYTH DR STE 210 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 39 - CUMMING FAMILY MEDICINE -CUMMING | |||||
| 765 LANIER 400 PARKWAY STE A | CUMMING | GA | 30040 | PHYSICIAN SERVICES | |
| 40 - PEACHTREE DUNWOODY MEDICAL ASSOCIATES | |||||
| 875 JOHNSON FERRY ROAD STE 200 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 41 - MRI & IMAGING OF ATHENS | |||||
| 845 PRINCE AVENUE | ATHENS | GA | 30606 | OUTPATIENT CENTER | |
| 42 - JOHNS CREEK SPECIALIST CENTER | |||||
| 3340 PADDOCKS PARKWAY STE 100 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 43 - ATLANTA COLON AND RECTAL SURGERY -ATLANTA | |||||
| 5667 PEACHTREE DUNWOODY RD STE 330 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 44 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 960 JOHNSON FERRY ROAD STE 415 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 45 - NORTHSIDE HEART -CUMMING | |||||
| 1505 NORTHSIDE FORSYTH DR STE 3600 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 46 - PERIMETER NORTH MEDICAL ASSOCIATES | |||||
| 900 TOWNE LAKE PARKWAY STE 210 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 47 - NORTHSIDE NEUROLOGY -CUMMING | |||||
| 1400 NORTHSIDE FORSYTH DR STE 220 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 48 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS -JA | |||||
| 49 GORDON ROAD STE 100 | JASPER | GA | 30143 | PHYSICIAN SERVICES | |
| 49 - NORTHSIDE FAMILY PRACTICE | |||||
| 960 WOODSTOCK PARKWAY STE 300 | WOODSTOCK | GA | 30188 | PHYSICIAN SERVICES | |
| 50 - NORTHSIDE HOSPITAL CARDIOVASCULAR CARE | |||||
| 980 JOHNSON FERRY ROAD STE 520 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 51 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 3400 OLD MILTON PARKWAY SUITE 190 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 52 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE | |||||
| 684 SIXES ROAD STE 125 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 53 - PERIMETER NORTH MEDICAL ASSOCIATES | |||||
| 3400 OLD MILTON PARKWAY STE 130 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 54 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 960 JOHNSON FERRY ROAD SUITE 100 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 55 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE | |||||
| 4800 OLDE TOWNE PARKWAY STE 150 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 56 - CUMMING FAMILY MEDICINE -CUMMING | |||||
| 303 PIRKLE FERRY ROAD STE A | CUMMING | GA | 30040 | PHYSICIAN SERVICES | |
| 57 - PERIMETER NORTH MEDICAL ASSOCIATES | |||||
| 960 JOHNSON FERRY ROAD STE 300 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 58 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 5277 PEACHTREE PARKWAY | NORCROSS | GA | 30092 | PHYSICIAN SERVICES | |
| 59 - NORTHSIDE CHEROKEE PEDIATRICS -CANTON | |||||
| 684 SIXES ROAD STE 130 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 60 - ATLANTA COLON AND RECTAL SURGERY -CANTON | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE | CANTON | GA | 30115 | PHYSICIAN SERVICES | 140A |
| 61 - ATLANTA GYNECOLOGIC ONCOLOGY -ATLANTA | |||||
| 980 JOHNSON FERRY ROAD STE 900 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 62 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT | |||||
| 5445 MERIDIAN MARK ROAD STE 180 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 63 - LAUREATE MEDICAL GROUP -ALPHARETTA | |||||
| 3400 OLD MILTON PARKWAY STE 500 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 64 - NORTH GEORGIA DIABETES AND ENDOCRINOLOGY - | |||||
| 1505 NORTHSIDE FORSYTH DR STE 2800 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 65 - GENERAL SURGEONS OF GWINNETT -SUWANEE | |||||
| 3890 JOHNS CREEK PARKWAY STE 240D | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 66 - LAUREATE MEDICAL GROUP -JONESBORO | |||||
| 7823 SPIVEY STATION BLVD STE 310 | JONESBORO | GA | 30236 | PHYSICIAN SERVICES | |
| 67 - PERIMETER NORTH MEDICAL ASSOCIATES -CUMMIN | |||||
| 1505 NORTHSIDE FORSYTH DR STE 4400 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 68 - MRI & IMAGING OF HABERSHAM | |||||
| 638 HISTORIC HIGHWAY 441 N STE D | DEMOREST | GA | 30535 | OUTPATIENT CENTER | |
| 69 - MIDTOWN MEDICAL ASSOCIATES | |||||
| 1110 WEST PEACHTREE STREET STE 1040 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 70 - NEUROSURGERY ANSWER | |||||
| 1100 NORTHSIDE FORSYTH DR STE 310 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 71 - PERIMETER NORTH MEDICAL ASSOCIATES | |||||
| 3890 JOHNS CREEK PARKWAY STE 230 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 72 - GEORGIA GYNECOLOGIC ONCOLOGY -LAWRENCEVILL | |||||
| 759 OLD NORCROSS ROAD STE 100 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 73 - NORTHSIDE CHEROKEE SURGICAL ASSOCIATES -CA | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 230 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 74 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT | |||||
| 1260 HIGHWAY 54 WEST STE 100 | FAYETTEVILLE | GA | 30214 | PHYSICIAN SERVICES | |
| 75 - NORTH GEORGIA DIABETES AND ENDOCRINOLOGY - | |||||
| 3350 PADDOCKS PARKWAY STE 100 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 76 - GOYCO INTERNAL MEDICINE | |||||
| 900 SANDERS ROAD STE B | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 77 - NORTH ATLANTA PULMONARY AND SLEEP | |||||
| 993C JOHNSON FERRY ROAD STE 300 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 78 - NORTHSIDE CHEROKEE PEDIATRICS -WOODSTOCK | |||||
| 900 TOWNE LAKE PARKWAY STE 306 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 79 - MARTHA M BOONE MD | |||||
| 3400 OLD MILTON PARKWAY STE 560 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 80 - ATLANTA LIVER AND PANCREAS SURGICAL SPECIA | |||||
| 980 JOHNSON FERRY ROAD STE 170 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 81 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT | |||||
| 721 WELLNESS WAY STE 200 | LAWRENCEVILLE | GA | 30045 | PHYSICIAN SERVICES | |
| 82 - ALPHARETTA FOOT AND ANKLE SPECIALISTS -CUM | |||||
| 2000 HOWARD FARM DRIVE STE 340A | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 83 - LAUREATE MEDICAL GROUP -MARIETTA | |||||
| 4800 OLDE TOWNE PARKWAY STE 400 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 84 - BARIATRIC INNOVATIONS OF ATLANTA -ATLANTA | |||||
| 1110 WEST PEACHTREE ST STE 1050A | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 85 - TOWN LAKE PRIMARY CARE -WOODSTOCK | |||||
| 900 TOWNE LAKE PARKWAY STE 408 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 86 - MEDICAL ASSOCIATES OF NORTH GEORGIA -BALL | |||||
| 470 VALLEY STREET STE 200 | BALL GROUND | GA | 30107 | PHYSICIAN SERVICES | |
| 87 - NORTH ATLANTA BREAST CARE -CUMMING | |||||
| 1400 NORTHSIDE FORSYTH DR STE 280 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 88 - ATLANTA COLON AND RECTAL SURGERY -ROSWELL | |||||
| 1380 UPPER HEMBREE ROAD STE A | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 89 - MELANOMA AND SARCOMA SPECIALISTS OF GEORGI | |||||
| 980 JOHNSON FERRY ROAD STE 940 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 90 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT | |||||
| 1505 NORTHSIDE FORSYTH DR STE 2900 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 91 - ANKLE AND FOOT CENTERS OF NORTH GEORGIA -B | |||||
| 1255 FRIENDSHIP ROAD STE 200 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 92 - INTERNAL MEDICINE PRACTICE OF NORTHSIDE -A | |||||
| 10745 WESTSIDE WAY STE 125 | ALPHARETTA | GA | 30009 | PHYSICIAN SERVICES | |
| 93 - LAUREATE MEDICAL GROUP -CANTON | |||||
| 684 SIXES ROAD STE 250 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 94 - RAVRY MEDICAL GROUP | |||||
| 5505 PEACHTREE DUNWOODY RD STE 650 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 95 - EAST COBB FAMILY MEDICINE -MARIETTA | |||||
| 1121 JOHNSON FERRY ROAD STE 305 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 96 - ROSWELL INTERNAL MEDICINE SPECIALISTS | |||||
| 1357 HEMBREE ROAD STE 130 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 97 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE | |||||
| 1110 WEST PEACHTREE STREET STE P200 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 98 - CUMMING FAMILY MEDICINE -DAWSONVILLE | |||||
| 133 PROMINENCE COURT STE 230 | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 99 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 4800 OLDE TOWNE PARKWAY STE 430 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 100 - SURGICAL SPECIALISTS OF ATLANTA -ATLANTA | |||||
| 1110 WEST PEACHTREE STREET STE 1010 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 101 - REPRODUCTIVE SURGICAL SPECIALISTS | |||||
| 1800 NORTHSIDE FORSYTH DR STE 380 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 102 - CUMMING FAMILY MEDICINE -MARBLE HILL | |||||
| 25 FOOTHILLS PARKWAY STE 108 | MARBLE HILL | GA | 30148 | PHYSICIAN SERVICES | |
| 103 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 1110 WEST PEACHTREE STREET STE 950 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 104 - NORTH POINT PRIMARY CARE | |||||
| 3180 NORTH POINT PARKWAY STE 201 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 105 - NEUROSURGERY AND SPINE ASSOCIATES | |||||
| 631 PROFESSIONAL DRIVE STE 360 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 106 - ANDERSON FAMILY MEDICINE | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 205 | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 107 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE | |||||
| 11685 ALPHARETTA HWY STE 150 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 108 - NEWTOWN MEDICAL | |||||
| 3400 OLD MILTON PARKWAY STE 200 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 109 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 1839 BUFORD HIGHWAY NE STE 100 | BUFORD | GA | 30518 | PHYSICIAN SERVICES | |
| 110 - KENNESAW FAMILY MEDICINE | |||||
| 6110 PINE MOUNTAIN ROAD | KENNESAW | GA | 30152 | PHYSICIAN SERVICES | |
| 111 - GEORGIA ORTHOPEDIC SPECIALISTS -CANTON | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE | CANTON | GA | 30115 | PHYSICIAN SERVICES | 430C |
| 112 - NORTHSIDE MEDICAL SPECIALISTS | |||||
| 145 RIVERSTONE TERRACE STE 100 | CANTON | GA | 30114 | PHYSICIAN SERVICES | |
| 113 - GEORGIA GYNECOLOGIC ONCOLOGY -ATLANTA | |||||
| 1110 WEST PEACHTREE ST STE 1050B | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 114 - PRIMARY CARE OF BROOKHAVEN -ATLANTA | |||||
| 4062 PEACHTREE ROAD STE C | ATLANTA | GA | 30319 | PHYSICIAN SERVICES | |
| 115 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 5555 PEACHTREE DUNWOODY RD STE 101 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 116 - LANIER FAMILY PRACTICE | |||||
| 1080 SANDERS ROAD STE 100 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 117 - CHEROKEE LUNG AND SLEEP -WOODSTOCK | |||||
| 900 TOWNE LAKE PARKWAY STE 206 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 118 - SLEEP DISORDERS CENTER OF GEORGIA | |||||
| 993C JOHNSON FERRY ROAD STE 301 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 119 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 11685 ALPHARETTA HWY STE 170 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | |
| 120 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT | |||||
| 1110 WEST PEACHTREE STREET STE 1030 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 121 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT | |||||
| 3400 OLD MILTON PARKWAY STE 440 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 122 - VASCULAR MEDICINE AND SURGERY SPECIALISTS | |||||
| 2675 N DECATUR ROAD STE 701 | DECATUR | GA | 30033 | PHYSICIAN SERVICES | |
| 123 - NORTH GEORGIA OBGYN SPECIALISTS -BLUE RID | |||||
| 2855 OLD HIGHWAY 5 STE 110 | BLUE RIDGE | GA | 30513 | PHYSICIAN SERVICES | |
| 124 - LAUREATE MEDICAL GROUP -CANTON | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 170 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 125 - COMPLETE CARDIOLOGY | |||||
| 1100 JOHNSON FERRY ROAD STE 450 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 126 - NORTH GEORGIA OBGYN SPECIALISTS -EAST ELL | |||||
| 433 HIGHLAND CROSSING STE 203 | EAST ELLIJAY | GA | 30540 | PHYSICIAN SERVICES | |
| 127 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT | |||||
| 2801 N DECATUR ROAD STE 120 | DECATUR | GA | 30033 | PHYSICIAN SERVICES | |
| 128 - CHEROKEE BREAST CARE -CANTON | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 420 | CANTON | GA | 30115 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 129 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC -BRASE | |||||
| 1270 FRIENDSHIP ROAD STE 100C | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 130 - INTERNAL MEDICINE SPECIALIST OF ROSWELL | |||||
| 11685 ALPHARETTA HWY STE 270 | ROSWELL | GA | 30076 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 131 - MASON PEDIATRICS | |||||
| 665 DULUTH HIGHWAY STE 920 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 132 - NORTHSIDE CARDIAC SURGERY | |||||
| 631 PROFESSIONAL DRIVE STE 200 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 133 - JOHN ATTOKAREN MD | |||||
| 11600 ATLANTIS PLACE STE B | ALPHARETTA | GA | 30022 | PHYSICIAN SERVICES | |
| 134 - GWINNETT PHYSICIANS GROUP OBGYN | |||||
| 1942 ATKINSON ROAD STE 100 | LAWRENCEVILLE | GA | 30043 | PHYSICIAN SERVICES | |
| 135 - PRIMARY CARE OF MILTON | |||||
| 980 BIRMINGHAM ROAD STE 304 | MILTON | GA | 30004 | PHYSICIAN SERVICES | |
| 136 - PERIMETER NORTH MEDICAL ASSOCIATES | |||||
| 10515 BELLS FERRY ROAD STE 200 | CANTON | GA | 30114 | PHYSICIAN SERVICES | |
| 137 - NORTHSIDE CHEROKEE SURGICAL ASSOCIATES -CA | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE | CANTON | GA | 30115 | PHYSICIAN SERVICES | 140D |
| 138 - ATLANTA GYNECOLOGIC ONCOLOGY -MARIETTA | |||||
| 780 CANTON ROAD STE 405 | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 139 - WINDERMERE MEDICAL CLINIC -BALDWIN | |||||
| 386 HIGHWAY 441 BYPASS | BALDWIN | GA | 30551 | PHYSICIAN SERVICES | |
| 140 - HARPER AND ASSOC FAMILY MEDICINE | |||||
| 6000 HILLANDALE DRIVE STE 100 | LITHONIA | GA | 30058 | PHYSICIAN SERVICES | |
| 141 - GWINNETT CONSULTANTS IN CARDIOLOGY | |||||
| 755 WALTHER ROAD | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 142 - GEORGIA PULMONARY AND CRITICAL CARE CONSUL | |||||
| 1505 NORTHSIDE BOULEVARD STE 3000 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 143 - GWINNETT INTERNAL MEDICINE ASSOCIATES -BUF | |||||
| 2850 HOG MOUNTAIN ROAD STE 101 | BUFORD | GA | 30019 | PHYSICIAN SERVICES | |
| 144 - GROFF FAMILY MEDICINE | |||||
| 115 LEE BYRD ROAD | LOGANVILLE | GA | 30052 | PHYSICIAN SERVICES | |
| 145 - ADULT PRIMARY CARE | |||||
| 575 PROFESSIONAL DRIVE STE 510 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 146 - MEDICAL ASSOCIATES OF NORTH GEORGIA -CANTO | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 380 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 147 - GWINNETT SURGERY CENTER | |||||
| 631 PROFESSIONAL DRIVE STE 360 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 148 - SURGICAL SPECIALISTS OF ATLANTA -ALPHARETT | |||||
| 3400 OLD MILTON PARKWAY STE 440 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 149 - GWINNETT FAMILY MEDICAL CARE | |||||
| 2835 CENTERVILLE HIGHWAY BUILDNG | SNELLVILLE | GA | 30078 | PHYSICIAN SERVICES | ONE |
| 150 - COVENANT FAMILY MEDICINE | |||||
| 2069 TERON TRACE STE 100 | BUFORD | GA | 30019 | PHYSICIAN SERVICES | |
| 151 - CHEROKEE LUNG AND SLEEP -EAST ELLIJAY | |||||
| 433 HIGHLAND CROSSING STE 203B | EAST ELLIJAY | GA | 30540 | PHYSICIAN SERVICES | |
| 152 - BOSTOCK FAMILY MEDICINE | |||||
| 771 OLD NORCROSS ROAD STE 255 | LAWRENCEVILLE | GA | 30045 | PHYSICIAN SERVICES | |
| 153 - GWINNETT EAR NOSE AND THROAT | |||||
| 3855 PLEASANT HILL ROAD STE 280 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 154 - ACADEMIC INTERNAL MEDICINE | |||||
| 500 MEDICAL CENTER BLVD STE 310 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 155 - DACULA FAMILY MEDICINE | |||||
| 2850 HOG MOUNTAIN ROAD STE 102 | BUFORD | GA | 30019 | PHYSICIAN SERVICES | |
| 156 - SUWANEE PRIMARY CARE -SUWANEE | |||||
| 1120 PEACHTREE INDUSTRIAL BLVD STE | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | 208 |
| 157 - NORTH ATLANTA MEDICAL ASSOCIATES -JOHNS CR | |||||
| 10700 MEDLOCK BRIDGE ROAD STE 201 | JOHNS CREEK | GA | 30097 | PHYSICIAN SERVICES | |
| 158 - GORDON J AZAR SR MD INTERNAL MEDICINE | |||||
| 960 JOHNSON FERRY ROAD STE 235 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 159 - NORTH FULTON RHEUMATOLOGY | |||||
| 1300 UPPER HEMBREE ROAD BUILDING | ROSWELL | GA | 30076 | PHYSICIAN SERVICES | 100 STE |
| 160 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 3280 PEACHTREE ROAD NE STE 160 | ATLANTA | GA | 30305 | PHYSICIAN SERVICES | |
| 161 - GWINNETT PHYSICIAN GROUP CONCUSSION | |||||
| 3855 PLEASANT HILL ROAD STE 130 | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 162 - NORTH ATLANTA MEDICAL ASSOCIATES -STONE MO | |||||
| 809 MAIN STREET | STONE MOUNTAIN | GA | 30083 | PHYSICIAN SERVICES | |
| 163 - PEACHTREE CORNERS INTERNAL MEDICINE | |||||
| 5277 PEACHTREE PARKWAY | NORCROSS | GA | 30092 | PHYSICIAN SERVICES | |
| 164 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 1110 WEST PEACHTREE STREET STE 1010 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 165 - STRICKLAND FAMILY MEDICINE | |||||
| 655 DULUTH HIGHWAY STE 501 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 166 - WOUND TREATMENT CENTER | |||||
| 100 MEDICAL CENTER BLVD STE 165 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 167 - GLANCY REHABILITATION CENTER | |||||
| 3215 MCCLURE BRIDGE ROAD | DULUTH | GA | 30096 | PHYSICIAN SERVICES | |
| 168 - GWINNETT EXTENDED CARE CENTER -LAWRENCEVI | |||||
| 650 PROFESSIONAL DRIVE | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 169 - GWINNETT EXTENDED CARE CENTER -LAWRENCEVIL | |||||
| 650 PROFESSIONAL DRIVE | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 170 - ARTHRITIS AND TOTAL JOINT SPECIALIST -CUMM | |||||
| 2000 HOWARD FARM DRIVE STE T110 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 171 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC -GAINE | |||||
| 1276 JESSE JEWELL PARKWAY STE B-C2 | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 172 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 1366 WELLBROOK COURT NE STE B | CONYERS | GA | 30012 | PHYSICIAN SERVICES | |
| 173 - GWINNETT INTERNAL MEDICINE ASSOCIATES -LAW | |||||
| 601 OLD NORCROSS ROAD STE A | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 174 - UNIVERSITY GYNECOLOGIC ONCOLOGY -ATLANTA | |||||
| 1110 WEST PEACHTREE STREET STE 810C | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 175 - ARTHRITIS AND TOTAL JOINT SPECIALIST -MARI | |||||
| 4800 OLDE TOWNE PARKWAY STE 430A | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 176 - GEORGIA GYNECOLOGIC ONCOLOGY -CUMMING | |||||
| 1505 NORTHSIDE FORSYTH DR STE 3800B | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 177 - NORTHSIDE HEART -ALPHARETTA | |||||
| 3400 OLD MILTON PARKWAY STE 360B | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 178 - ANKLE AND FOOT CENTERS OF NORTH GEORGIA -C | |||||
| 2000 HOWARD FARM DRIVE STE 340B | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 179 - NORTHSIDE PULMONARY AND SLEEP MEDICINE -DA | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 315B | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 180 - CHATTAHOOCHEE SURGICAL GROUP -DAWSONVILLE | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 305D | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 181 - GEORGIA GYNECOLOGIC ONCOLOGY -WOODSTOCK | |||||
| 900 TOWNE LAKE PARKWAY STE 302F | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 182 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS -AL | |||||
| 3400 OLD MILTON PARKWAY STE 210D | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 183 - CHEROKEE LUNG AND SLEEP -EAST ELLIJAY | |||||
| 433 HIGHLAND CROSSING STE 203A | EAST ELLIJAY | GA | 30540 | PHYSICIAN SERVICES | |
| 184 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS -WO | |||||
| 900 TOWNE LAKE PARKWAY STE 202B | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 185 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE | CANTON | GA | 30115 | PHYSICIAN SERVICES | 140B |
| 186 - ARTHRITIS AND TOTAL JOINT SPECIALIST -ATLA | |||||
| 5670 PEACHTREE DUNWOODY RD STE | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | 1230-SUB |
| 187 - SURGICAL SPECIALISTS OF ATLANTA -MARIETTA | |||||
| 4800 OLDE TOWNE PARKWAY STE 110B | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 188 - ARTHRITIS AND TOTAL JOINT SPECIALIST -CUMM | |||||
| 1505 NORTHSIDE FORSYTH DR STE 3500 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 189 - NORTH GEORGIA DIABETES AND ENDOCRINOLOGY - | |||||
| 1505 NORTHSIDE FORSYTH DR STE 2850 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 190 - NORTHSIDE VASCULAR SURGERY -CUMMING | |||||
| 1505 NORTHSIDE FORSYTH DRIVE SUITE | CUMMING | GA | 30041 | PHYSICIAN SERVICES | 2400 |
| 191 - ARTHRITIS AND TOTAL JOINT SPECIALIST -ATLA | |||||
| 1110 WEST PEACHTREE STREET STE 940 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 192 - SURGICAL SPECIALISTS OF ATLANTA -ATLANTA | |||||
| 5670 PEACHTREE DUNWOODY RD STE 920 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 193 - GEORGIA GYNECOLOGIC ONCOLOGY -ATLANTA | |||||
| 980 JOHNSON FERRY ROAD STE 910 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 194 - NORTHSIDE HEART -ATLANTA | |||||
| 5670 PEACHTREE DUNWOODY RD STE 880 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 195 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS -AT | |||||
| 2001 PEACHTREE ROAD STE 670 | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
| 196 - ALPHARETTA FOOT AND ANKLE SPECIALISTS -ALP | |||||
| 3400 OLD MILTON PARKWAY STE 500 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 197 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS -AT | |||||
| 1100 NORTHSIDE FORSYTH DRIVE SUITE | CUMMING | GA | 30041 | PHYSICIAN SERVICES | 360B |
| 198 - GENERAL SURGEONS OF GWINNETT -LAWRENCEVILL | |||||
| 631 PROFESSIONAL DRIVE STE 470 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 199 - NORTHSIDE HEART -MARIETTA | |||||
| 4800 OLDE TOWNE PARKWAY STE 420 | MARIETTA | GA | 30068 | PHYSICIAN SERVICES | |
| 200 - NORTHSIDE CHEROKEE SURGICAL ASSOCIATES -WO | |||||
| 900 TOWNE LAKE PARKWAY STE 412 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 201 - ATLANTA GYNECOLOGIC ONCOLOGY -CANTON | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 400 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 202 - NORTHSIDE HEART -WOODSTOCK | |||||
| 900 TOWNE LAKE PARKWAY STE 400 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 203 - NORTH GEORGIA DIABETES AND ENDOCRINOLOGY - | |||||
| 3890 JOHNS CREEK PARKWAY STE 360 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 204 - NORTHSIDE HEART -ALPHARETTA | |||||
| 3400 OLD MILTON PARKWAY STE 360 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 205 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 900 TOWNE LAKE PARKWAY STE 320 | WOODSTOCK | GA | 30189 | PHYSICIAN SERVICES | |
| 206 - ARTHRITIS AND TOTAL JOINT SPECIALIST -BRAS | |||||
| 1255 FRIENDSHIP ROAD STE 310 | BRASELTON | GA | 30517 | PHYSICIAN SERVICES | |
| 207 - ARTHRITIS AND TOTAL JOINT SPECIALIST -GAIN | |||||
| 1475 JESSE JEWELL PKWY NE STE 310 | GAINESVILLE | GA | 30501 | PHYSICIAN SERVICES | |
| 208 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK | |||||
| 2000 HOWARD FARM DRIVE STE 300 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 209 - ARTHRITIS AND TOTAL JOINT SPECIALIST -ALPH | |||||
| 3400 OLD MILTON PARKWAY STE 290 | ALPHARETTA | GA | 30005 | PHYSICIAN SERVICES | |
| 210 - NORTHSIDE NEUROLOGY -CUMMING | |||||
| 1400 NORTHSIDE FORSYTH DR STE 250 | CUMMING | GA | 30041 | PHYSICIAN SERVICES | |
| 211 - CHEROKEE BREAST CARE -CANTON | |||||
| 684 SIXES ROAD STE 230 | CANTON | GA | 30115 | PHYSICIAN SERVICES/ OUTPATIENT SERVICES | |
| 212 - ANKLE AND FOOT CENTERS OF NORTH GEORGIA -D | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 204 | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 213 - ARTHRITIS AND TOTAL JOINT SPECIALIST -WOOD | |||||
| 960 WOODSTOCK PARKWAY STE 200 | WOODSTOCK | GA | 30188 | PHYSICIAN SERVICES | |
| 214 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 308 DEEP SOUTH FARM ROAD STE 200 | BLAIRSVILLE | GA | 30512 | PHYSICIAN SERVICES | |
| 215 - NORTH ATLANTA MEDICAL ASSOCIATES -DECATUR | |||||
| 2545 LAWRENCEVILLE HIGHWAY STE 200 | DECATUR | GA | 30033 | PHYSICIAN SERVICES | |
| 216 - ARTHRITIS AND TOTAL JOINT SPECIALIST -CANT | |||||
| 470 NORTHSIDE CHEROKEE BLVD STE 160 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 217 - BARIATRIC INNOVATIONS OF ATLANTA -ATLANTA | |||||
| 6135 BARFIELD ROAD STE 150 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 218 - ARTHRITIS AND TOTAL JOINT SPECIALIST -LAWR | |||||
| 771 OLD NORCROSS ROAD STE 135 | LAWRENCEVILLE | GA | 30045 | PHYSICIAN SERVICES | |
| 219 - CHEROKEE LUNG AND SLEEP -CANTON | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 130 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 220 - UNIVERSITY GYNECOLOGIC ONCOLOGY -ATLANTA | |||||
| 960 JOHNSON FERRY ROAD STE 130 | ATLANTA | GA | 30342 | PHYSICIAN SERVICES | |
| 221 - NORTHSIDE PULMONARY AND SLEEP MEDICINE -BU | |||||
| 4700 NELSON BROGDON BLVD STE 125 | BUFORD | GA | 30019 | PHYSICIAN SERVICES | |
| 222 - GEORGIA ORTHOPEDIC SPECIALISTS -CARTERSVIL | |||||
| 970 JOE FRANK HARRIS PKWY STE 120 | CARTERSVILLE | GA | 30120 | PHYSICIAN SERVICES | |
| 223 - SOUTHEASTERN PRIMARY CARE SPECIALISTS -FAY | |||||
| 105 CARNEGIE PLACE STE 111 | FAYETTEVILLE | GA | 30214 | PHYSICIAN SERVICES | |
| 224 - WINDERMERE MEDICAL CLINIC -CUMMING | |||||
| 200 EAGLES NEST DRIVE SUITE 300 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 225 - SOUTHEASTERN PRIMARY CARE SPECIALISTS -FAY | |||||
| 105 CARNEGIE PLACE STE 103 | FAYETTEVILLE | GA | 30214 | PHYSICIAN SERVICES | |
| 226 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO | |||||
| 1100 NORTHSIDE FORSYTH DRIVE SUITE | CUMMING | GA | 30041 | PHYSICIAN SERVICES | 410 |
| 227 - CHATTAHOOCHEE SURGICAL GROUP -CUMMING | |||||
| 980 SANDERS ROAD STE 100 | CUMMING | GA | 30042 | PHYSICIAN SERVICES | |
| 228 - MOUNT VERNON INTERNAL MEDICINE -DAWSONVILL | |||||
| 81 NORTHSIDE DAWSON DRIVE STE 100 | DAWSONVILLE | GA | 30534 | PHYSICIAN SERVICES | |
| 229 - NORTH GEORGIA DIABETES AND ENDOCRINOLOGY - | |||||
| 4310 JOHNS CREEK PARKWAY STE 100 | SUWANEE | GA | 30024 | PHYSICIAN SERVICES | |
| 230 - NORTHSIDE VASCULAR SURGERY -CANTON | |||||
| 460 NORTHSIDE CHEROKEE BLVD STE 100 | CANTON | GA | 30115 | PHYSICIAN SERVICES | |
| 231 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS -MA | |||||
| 631 CAMPBELL HILL STREET STE 100 | MARIETTA | GA | 30060 | PHYSICIAN SERVICES | |
| 232 - NORTHSIDE CARDIOVASCULAR INSTITUTE | |||||
| 684 SIXES ROAD STE 230 | HOLLY SPRINGS | GA | 30115 | PHYSICIAN SERVICES | |
| 233 - NORTHSIDE CARDIOVASCULAR INSTITUTE | |||||
| 6135 BARFIELD ROAD STE 100 | ATLANTA | GA | 30328 | PHYSICIAN SERVICES | |
| 234 - NORTHSIDE CARDIOVASCULAR INSTITUTE | |||||
| 1150 HAMMOND DRIVE STE 520 | SANDY SPRINGS | GA | 30328 | PHYSICIAN SERVICES | |
| 235 - NORTHSIDE GWINNETT SURGICAL ASSOCIATES | |||||
| 631 PROFESSIONAL DRIVE STE 300 | LAWRENCEVILLE | GA | 30046 | PHYSICIAN SERVICES | |
| 236 - NORTHSIDE CARDIOVASCULAR INSTITUTE | |||||
| 1110 WEST PEACHTREE STREET STE 920E | ATLANTA | GA | 30309 | PHYSICIAN SERVICES | |
Supplemental Information Detail SupplementalInformationDetail (13 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 $197,611,769 HAS BEEN REMOVED FROM TOTAL EXPENSE TO COMPUTE THE PERCENTAGE IN COLUMN (F). |
| 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 40 DIFFERENT COMMUNITY BUILDING ACTIVITIES OVER THE PAST YEAR INCLUDING ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT AND PHYSICAL IMPROVEMENTS/HOUSING. TO ILLUSTRATE OUR COMMUNITY SUPPORT, NORTHSIDE CONTRIBUTED TO THE NOT-FOR-PROFIT ATLANTA SPEECH SCHOOL. THE ATLANTA SPEECH SCHOOL IS A UNIQUE EDUCATIONAL ORGANIZATION IN THE ATLANTA COMMUNITY, SERVING STUDENTS WITH SPECIAL NEEDS INCLUDING INFANTS AND CHILDREN WHO ARE DEAF OR HARD OF HEARING, THOSE WHO STRUGGLE WITH LANGUAGE-BASED LEARNING DISABILITIES, AND THOSE WHO HAVE SIGNIFICANT SPEECH AND/OR LANGUAGE DELAYS. THE HIGHLY-TRAINED TEACHERS AND THERAPISTS HELP CHILDREN OVERCOME OBSTACLES TO LEARNING, WITH A STRONG EMPHASIS ON READING PROFICIENCY. COMPRISING FOUR SCHOOLS, FIVE CLINICS, AND AN INNOVATIVE PROFESSIONAL DEVELOPMENT CENTER, THE SPEECH SCHOOL IMPACTS THE LIVES OF MORE THAN 12,000 CHILDREN AND ADULTS ANNUALLY WITH EMPHASIS ON GIVING EACH CHILD AND ADULT THE POWER OF LANGUAGE AND LITERACY FOR A LIFETIME. NORTHSIDE RECOGNIZES THAT HOUSING IS AN IMPORTANT SOCIAL DETERMINANT OF HEALTH, AND THAT THE ATLANTA AREA HAS EXPERIENCED RAPID RESIDENTIAL GROWTH MAKING GENTRIFICATION A GROWING CONCERN. THUS, NORTHSIDE SUPPORTED THE ATLANTA HABITAT FOR HUMANITY/MARIST WOMEN BUILD'S INITIATIVE TO BUILD AFFORDABLE HOUSING FOR SINGLE MOTHERS IN NEED. ESTABLISHED IN 2001, MARIST WOMEN BUILD ("MWB") WAS THE FIRST HIGH SCHOOL ALL-WOMEN BUILD CHAPTER IN THE WORLD. MWB'S VISION OF "WOMEN BUILDING HOMES FOR WOMEN" HAS BEEN REALIZED BY PROVIDING HOMES FOR SINGLE MOTHERS AND THEIR FAMILIES. TO DATE, MWB HAS BUILT 18 HOMES FOR 18 SINGLE MOTHERS AND THEIR 44 CHILDREN. IN 2017, 72% OF ATLANTA HABITAT HOMEOWNERS SAID THEY HAD IMPROVED HEALTH AND 84% OF THEIR CHILDREN GRADUATED FROM HIGH SCHOOL. |
| PART III, LINE 4: | NORTHSIDE PROVIDES FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE BY ESTABLISHING AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. NORTHSIDE ESTIMATES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORICAL AND EXPECTED COLLECTIONS, ACCOUNTS RECEIVABLE AGINGS, TRENDS IN REIMBURSEMENT, GENERAL BUSINESS AND ECONOMIC CONDITIONS, AND OTHER COLLECTION INDICATORS. COLLECTIONS ARE IMPACTED BY THE ABILITY OF PATIENTS TO PAY AND THE EFFECTIVENESS OF NORTHSIDE'S COLLECTION EFFORTS. SIGNIFICANT CHANGES IN PAYOR MIX, BUSINESS OFFICE OPERATIONS, GENERAL ECONOMIC CONDITIONS, OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE COULD AFFECT NORTHSIDE'S COLLECTION OF ACCOUNTS RECEIVABLE AND THE ESTIMATES OF THE COLLECTABILITY OF FUTURE ACCOUNTS RECEIVABLE. NORTHSIDE ALSO PERIODICALLY REVIEWS ITS OVERALL RESERVE ADEQUACY BY MONITORING HISTORICAL CASH COLLECTIONS AS A PERCENTAGE OF GROSS AND NET PATIENT SERVICE REVENUE BY PAYOR, AS WELL AS BY ANALYZING PAYOR CLASSIFICATIONS, AGED ACCOUNTS RECEIVABLE BY PAYOR, AND GENERAL BUSINESS AND ECONOMIC CONDITIONS.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 2019 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 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.FOR MORE INFORMATION ON NORTHSIDE HOSPITAL GWINNETT AND NORTHSIDE HOSPITAL DULUTH, THE COMMUNITY THEY SERVE, HOW THEY ASSESS THE NEEDS OF THAT COMMUNITY AS WELL AS PROMOTE COMMUNITY HEALTH, ADDITIONAL INFORMATION IS AVAILABLE AT HTTPS://WWW.GWINNETTMEDICALCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/. |
| 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.FOR MORE INFORMATION ON NORTHSIDE HOSPITAL GWINNETT AND NORTHSIDE HOSPITAL DULUTH, THE COMMUNITY THEY SERVE, HOW THEY ASSESS THE NEEDS OF THAT COMMUNITY AS WELL AS PROMOTE COMMUNITY HEALTH, ADDITIONAL INFORMATION IS AVAILABLE AT HTTPS://WWW.GWINNETTMEDICALCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/. |
| 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 ON 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. FOR EXAMPLE, NORTHSIDE COMMITTED $8.5 MILLION TO DEVELOP A MEDICAL OFFICE BUILDING IN HALL COUNTY, GEORGIA IN ORDER TO IMPROVE ACCESS TO OUTPATIENT SERVICES AND MEDICAL SPECIALTIES FOR RESIDENTS OF THE NORTHEASTERN REGION OF ITS COMMUNITY. NORTHSIDE ALSO COMMITTED TO INVEST $23.8 MILLION TO DEVELOP A FREESTANDING, MULTI-SPECIALTY AMBULATORY SURGERY CENTER TO BE LOCATED IN THE AFOREMENTIONED MEDICAL OFFICE BUILDING. AS PART OF ITS SURGERY CENTER PROPOSAL, NORTHSIDE COMMITTED TO SERVING THE REGION'S MOST VULNERABLE POPULATION THROUGH A PROPRIETARY PROGRAM CALLED THE BRASELTON CHARITABLE OUTPATIENT SURGERY PROGRAM WHEREBY NORTHSIDE WILL PARTNER WITH COMMUNITY SAFETY NET CLINICS TO PROVIDE MEDICALLY-NECESSARY OUTPATIENT SURGERY AND ALL RELATED ANCILLARY SUPPORT SERVICES AT NO COST TO UNINSURED OR FINANCIALLY-INDIGENT PATIENTS. PRESENTLY, THIS PROJECT IS DELAYED AS IT WINDS ITS WAY THROUGH GEORGIA'S CERTIFICATE-OF-NEED APPEALS PROCESS; HOWEVER, NORTHSIDE REMAINS COMMITTED TO THE PROJECT. NORTHSIDE IS PROCEEDING WITH A $39.8 MILLION EXPANSION OF ITS CHEROKEE COUNTY HOSPITAL. THROUGH THIS PROJECT, NORTHSIDE CHEROKEE WILL INCREASE ITS INPATIENT BED CAPACITY FROM 158 TO 211 BEDS AND WILL INCREASE THE NUMBER OF SHARED OPERATING ROOMS FROM 11 TO 15 IN ORDER TO MEET THE NEEDS OF THE COMMUNITY. FOR MORE INFORMATION ON NORTHSIDE HOSPITAL GWINNETT AND NORTHSIDE HOSPITAL DULUTH, THE COMMUNITY THEY SERVE, HOW THEY ASSESS THE NEEDS OF THAT COMMUNITY AS WELL AS PROMOTE COMMUNITY HEALTH, ADDITIONAL INFORMATION IS AVAILABLE AT HTTPS://WWW.GWINNETTMEDICALCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/. |
| 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:NORTHSIDE HOSPITAL ATLANTA, CHEROKEE AND FORSYTHHTTPS://WWW.NORTHSIDE.COM/COMMUNITY-BENEFITS-REPORTTHE FOLLOWING COMMUNITY BENEFITS REPORT WAS PREPARED FOR THE YEAR ENDED JUNE 30, 2019 FOR THE FACILITIES FORMERLY KNOWN AS GWINNETT MEDICAL CENTER - LAWRENCEVILLE AND GWINNETT MEDICAL CENTER - DULUTH. A COMMUNITY BENEFITS REPORT WAS NOT PREPARED FOR THESE HOSPITAL FACILITIES POST-MERGER UNDER NORTHSIDE FOR THE YEAR ENDED SEPTEMBER 30, 2019.HTTPS://WWW.GWINNETTMEDICALCENTER.ORG/ABOUT-US/COMMUNITY-BENEFITS-REPORT |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| MARCH OF DIMES FOUNDATION | ||||||||
| 1275 MAMORONECK AVE | WHITE PLAINS | NY | 10605 | 131846366 | 501(C)(3) | $375,025 | GENERAL SUPPORT | |
| AMERICAN HEART ASSOCIATION INC | ||||||||
| 1101 NORTHCHASE PKWY SUITE 1 | MARIETTA | GA | 30067 | 135613797 | 501(C)(3) | $252,500 | GENERAL SUPPORT | |
| ATLANTA TRACK CLUB INC | ||||||||
| 3097 E SHADOWLAWN AVE NE | ATLANTA | GA | 30305 | 581367422 | 501(C)(3) | $190,000 | GENERAL SUPPORT | |
| OVARIAN CANCER INSTITUTE | ||||||||
| 960 JOHNSON FERRY RD STE 130 | ATLANTA | GA | 30342 | 582445245 | 501(C)(3) | $175,000 | GENERAL SUPPORT | |
| AMERICAN CANCER SOCIETY | ||||||||
| PO BOX 56566 | ATLANTA | GA | 30343 | 131788491 | 501(C)(3) | $174,500 | GENERAL SUPPORT | |
| MUST MINISTRIES INC | ||||||||
| PO BOX 1717 | MARIETTA | GA | 30061 | 582034725 | 501(C)(3) | $125,000 | GENERAL SUPPORT | |
| ARTHRITIS FOUNDATION INC | ||||||||
| PO BOX 78423 | ATLANTA | GA | 30357 | 581341679 | 501(C)(3) | $103,320 | GENERAL SUPPORT | |
| MOREHOUSE SCHOOL OF MEDICINE | ||||||||
| 720 WESTVIEW DRIVE SW | ATLANTA | GA | 303101495 | 581438873 | 501(C)(3) | $100,000 | GENERAL SUPPORT | |
| CHATTAHOOCHEE NATURE CENTER INC | ||||||||
| PO BOX 769769 | ROSWELL | GA | 30076 | 581275604 | 501(C)(3) | $90,000 | GENERAL SUPPORT | |
| PIEDMONT PARK CONSERVANCY INC | ||||||||
| 400 PARK DRIVE NE | ATLANTA | GA | 30306 | 581551369 | 501(C)(3) | $90,000 | GENERAL SUPPORT | |
| THE PARTNERSHIP AGAINST DOMESTIC VIOLENCE | ||||||||
| PO BOX 361969 | DECATUR | GA | 30036 | 823295945 | 501(C)(3) | $75,000 | GENERAL SUPPORT | |
| BICYCLE RIDE ACROSS GEORGIA | ||||||||
| PO BOX 871111 | STONE MOUNTAIN | GA | 30087 | 581576748 | 501(C)(4) | $75,000 | GENERAL SUPPORT | |
| 247 GATEWAY LLC | ||||||||
| 275 PRYOR STREET SW | ATLANTA | GA | 30303 | 261193832 | 501(C)(3) | $65,000 | GENERAL SUPPORT | |
| AMERICAN RED CROSS | ||||||||
| 1955 MONROE DRIVE NE | ATLANTA | GA | 30324 | 530196605 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| MARIETTA COBB MUSEUM OF ART | ||||||||
| 30 ATLANTA ST SE | MARIETTA | GA | 30060 | 581528144 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| ATLANTA BELTLINE PARTNERSHIP INC | ||||||||
| 112 KROG STREET SUITE 14 | ATLANTA | GA | 30307 | 562464486 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| TRAVELER'S AID OF METRO ATLANTA | ||||||||
| 75 MARIETTA STREET SUITE 400 | ATLANTA | GA | 30303 | 580566247 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| SUSAN G KOMEN BREAST CANCER FOUNDATION | ||||||||
| PO BOX 934048 | ATLANTA | GA | 311934048 | 581959763 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| GREATER NORTH FULTON CHAMBER OF COMMERCE | ||||||||
| 11605 HAYNES BRIDGE RD | ALPHARETTA | GA | 30004 | 581157316 | 501(C)(6) | $48,200 | GENERAL SUPPORT | |
| ARCS FOUNDATION INC | ||||||||
| PO BOX 52124 | ATLANTA | GA | 30355 | 582004368 | 501(C)(3) | $47,500 | GENERAL SUPPORT | |
| SOUTHEASTERN SOCIETY OF PLASTIC AND RECONSTRUCTIVE SURGEONS | ||||||||
| 12100 SUNSET HILLS ROAD SUITE 130 | RESTON | VA | 201903221 | 581431500 | 501(C)(6) | $40,000 | GENERAL SUPPORT | |
| GEORGIA OVARIAN CANCER ALLIANCE | ||||||||
| 6065 ROSWELL ROAD SUITE 512 | ATLANTA | GA | 30328 | 582424106 | 501(C)(3) | $30,000 | GENERAL SUPPORT | |
| LEUKEMIA AND LYMPHOMA SOCIETY | ||||||||
| 3715 NORTHSIDE PARKWAY NW NORTHCREE | ATLANTA | GA | 30327 | 135644916 | 501(C)(3) | $30,000 | GENERAL SUPPORT | 400 SUITE 300 |
| NORTH FULTON COMMUNITY CHARITIES INC | ||||||||
| 11270 ELKINS ROAD | ROSWELL | GA | 30076 | 581521088 | 501(C)(3) | $30,000 | GENERAL SUPPORT | |
| ATLANTA BICYCLE COALITION | ||||||||
| 899 WYLIE STREET SE | ATLANTA | GA | 30316 | 581996013 | 501(C)(3) | $30,000 | GENERAL SUPPORT | |
| ALS ASSOCIATION OF GEORGIA INC | ||||||||
| 5881 GLENRIDGE DRIVE SUITE 200 | ATLANTA | GA | 30328 | 581943490 | 501(C)(3) | $30,000 | GENERAL SUPPORT | |
| COBB CHAMBER OF COMMERCE | ||||||||
| PO BOX 671868 | MARIETTA | GA | 300060032 | 580198114 | 501(C)(6) | $29,000 | GENERAL SUPPORT | |
| MUSEUM OF CONTEMPORARY ART OF GEORGIA | ||||||||
| 75 BENNETT STREET | ATLANTA | GA | 30309 | 582562811 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| INMAN PARK NEIGHBORHOOD ASSOCIATION | ||||||||
| 245 N HIGHLAND AVE NE STE 230 401 | ATLANTA | GA | 30307 | 581869166 | 501(C)(4) | $25,000 | GENERAL SUPPORT | |
| BE THE MATCH FOUNDATION | ||||||||
| 500 NORTH 5TH STREET | MINNEAPOLIS | MN | 55401 | 411704734 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| DUNWOODY NATURE CENTER INC | ||||||||
| PO BOX 88070 | DUNWOODY | GA | 30356 | 582009823 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| MORTEN ANDERSEN FAMILY FOUNDATION | ||||||||
| 6495 OLD SHADBURN FERRY ROAD | BUFORD | GA | 30518 | 271544616 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| JACK & JILL LATE STAGE CANCER FOUNDATION | ||||||||
| 3282 NORTHSIDE PARKWAY NW SUITE 100 | ATLANTA | GA | 30327 | 204415512 | 501(C)(3) | $25,000 | GENERAL SUPPORT | 100 |
| CITY SPRINGS THEATRE COMPANY | ||||||||
| 8601 DUNWOODY PLACE SUITE 136 | SANDY SPRINGS | GA | 30350 | 821085513 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| SANDY SPRINGSPERIMETER CHAMBER | ||||||||
| SIX CONCOURSE SUITE 3 | SANDY SPRINGS | GA | 30328 | 260677794 | 501(C)(6) | $21,000 | GENERAL SUPPORT | |
| SANDY SPRINGS SOCIETY | ||||||||
| PO BOX 720074 | ATLANTA | GA | 30358 | 581868282 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| NATIONAL CENTER FOR CIVIL AND HUMAN RIGHTS INC | ||||||||
| 250 WILLIAMS STREET NW SUITE 2322 | ATLANTA | GA | 30303 | 260813637 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| GEORGIA ENSEMBLE THEATER | ||||||||
| PO BOX 607 | ROSWELL | GA | 30076 | 582002934 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| ITS THE JOURNEY INC | ||||||||
| 270 CARPENTER DRIVE SUITE 515 | ATLANTA | GA | 31328 | 470897591 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| ELACHEE NATURE SCIENCE CENTER | ||||||||
| 2125 ELACHEE DRIVE | GAINESVILLE | GA | 30504 | 581643768 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 34 | 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 | 2 | RecipientCnt |
| Cash Grant | $12,560 | 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 (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT T QUATTROCCHI | ||||||||||||||
| PRESIDENT & CEO NSH, INC. | $1,730,256 | $0 | $1,725,000 | $0 | $1,246,867 | $0 | $7,547 | $0 | $31,341 | $0 | $4,741,011 | $0 | $0 | $0 |
| SHANNON BANNA | ||||||||||||||
| VP/CFO NSH, INC. | $362,382 | $0 | $123,059 | $0 | $2,226 | $0 | $3,084 | $0 | $9,098 | $0 | $499,849 | $0 | $0 | $0 |
| JORGE J HERNANDEZ | ||||||||||||||
| VICE PRESIDENT/ASST. SECRE | $406,187 | $0 | $219,460 | $0 | $43,431 | $0 | $5,207 | $0 | $11,493 | $0 | $685,778 | $0 | $0 | $0 |
| JANIS DUBOW | ||||||||||||||
| VICE PRESIDENT | $366,764 | $0 | $154,834 | $0 | $14,669 | $0 | $4,499 | $0 | $10,516 | $0 | $551,282 | $0 | $0 | $0 |
| WILLIAM HAYES | ||||||||||||||
| CEO, NORTHSIDE HOSPITAL-CH | $426,860 | $0 | $85,911 | $0 | $46,733 | $0 | $5,948 | $0 | $30,968 | $0 | $596,420 | $0 | $0 | $0 |
| ROBERT PUTNAM | ||||||||||||||
| VICE PRESIDENT | $624,237 | $0 | $249,371 | $0 | $32,478 | $0 | $5,275 | $0 | $18,753 | $0 | $930,114 | $0 | $0 | $0 |
| TINA WAKIM | ||||||||||||||
| VICE PRESIDENT/COO | $704,384 | $0 | $246,178 | $0 | $21,761 | $0 | $3,351 | $0 | $10,516 | $0 | $986,190 | $0 | $0 | $0 |
| CHARLES DECOOK MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $1,080,220 | $0 | $749,832 | $0 | $2,560 | $0 | $5,077 | $0 | $30,968 | $0 | $1,868,657 | $0 | $0 | $0 |
| WILLIAM EARLY MD | ||||||||||||||
| GASTROENTEROLOGY/INTERNAL | $800,845 | $0 | $10,000 | $0 | $11,149 | $0 | $0 | $0 | $21,425 | $0 | $843,419 | $0 | $0 | $0 |
| GERALD FEUER MD | ||||||||||||||
| GYNECOLOGIST/SURGEON | $742,575 | $0 | $173,722 | $0 | $6,592 | $0 | $6,130 | $0 | $31,341 | $0 | $960,360 | $0 | $0 | $0 |
| JIMMY JIANG MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $413,195 | $0 | $450,684 | $0 | $2,197 | $0 | $5,963 | $0 | $9,098 | $0 | $881,137 | $0 | $0 | $0 |
| KENNETH KRESS MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $1,066,863 | $0 | $120,000 | $0 | $6,592 | $0 | $5,654 | $0 | $17,377 | $0 | $1,216,486 | $0 | $0 | $0 |
| DEBORAH S MITCHAM | ||||||||||||||
| FORMER VP/CFO NSH, INC. | $9,724 | $0 | $450,000 | $0 | $37,648 | $0 | $0 | $0 | $0 | $0 | $497,372 | $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 SIXTEEN 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. MR. QUATTROCCHI PARTICIPATES IN A LONG-TERM INCENTIVE PLAN THAT PROVIDES AN INCENTIVE COMPENSATION OPPORTUNITY IN THE EVENT OF THE ACHIEVEMENT OF A NUMBER OF PERFORMANCE MEASURES, INCLUDING CLINICAL QUALITY STANDARDS, MEASURED OVER PERFORMANCE PERIODS EXTENDING FROM 3 TO 5 YEARS. MR. QUATTROCCHI'S ACTIVE PARTICIPATION IN THE LONG-TERM INCENTIVE PLAN CONCLUDED WITH THE PERFORMANCE PERIOD ENDING SEPTEMBER 30, 2019. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| NORTHSIDE ANESTHESIOLOGY CONSULTANTS LLC | |||
| K. DOUGLAS SMITH, M.D., BOARD MEMBER & NS ANESTHESIOLOGY CONS OFF./OWNER | $7,407,729 | K. DOUGLAS SMITH, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, IS AN OFFICER/OWNER OF NORTHSIDE ANESTHESIOLOGY CONSULTANTS, LLC, WHICH PROVIDES MEDICAL SERVICES TO NORTHSIDE HOSPITAL, INC. TRANSACTIONS WITH THIS ENTITY ARE CONDUCTED AT ARMS-LENGTH AND ARE REPRESENTATIVE OF PAYMENTS FOR PROVISION OF ON-CALL PHYSICIAN SERVICES TO THE COMMUNITY WHICH NORTHSIDE SERVES. | 0 |
| J BRYAN WHITLEY | |||
| ROBERT E. WHITLEY, BOARD MEMBER & J. BRYAN WHITLEY FAMILY MEMBER | $128,036 | ROBERT E. WHITLEY, MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH J. BRYAN WHITLEY, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2018 TO J. BRYAN WHITLEY FOR SERVICES RENDERED TO THE ORGANIZATION. | 0 |
| MEDLOCK MEDICAL LLC | |||
| DALE M. BEARMAN, M.D., BOARD MEMBER & MEDLOCK MEDICAL, LLC OWNER | $298,571 | DALE M. BEARMAN, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A GREATER THAN 5% OWNERSHIP INTEREST IN MEDLOCK MEDICAL, LLC, WHICH PROVIDES RENTAL SPACE TO NORTHSIDE HOSPITAL, INC. TRANSACTIONS WITH THIS ENTITY ARE CONDUCTED AT ARMS-LENGTH. | 0 |
| RACHEL BEARMAN | |||
| DALE M. BEARMAN, M.D., BOARD MEMBER & RACHEL BEARMAN FAMILY MEMBER | $80,933 | 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 2018 TO RACHEL BEARMAN FOR SERVICES RENDERED TO THE ORGANIZATION. | 0 |
| JENNIFER WHITLEY | |||
| ROBERT E. WHITLEY, BOARD MEMBER & JENNIFER WHITLEY FAMILY MEMBER | $36,606 | ROBERT E. WHITLEY, MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH JENNIFER WHITLEY, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2018 TO JENNIFER WHITLEY FOR SERVICES RENDERED TO THE ORGANIZATION. | 0 |
| ROBERT E WHITLEY JR | |||
| ROBERT E. WHITLEY, BOARD MEMBER & ROBERT E. WHITLEY, JR. FAMILY MEMBER | $88,053 | ROBERT E. WHITLEY, MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH ROBERT E. WHITLEY, JR., AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2018 TO ROBERT E. WHITLEY, JR. FOR SERVICES RENDERED TO THE ORGANIZATION. | 0 |
| OTB | |||
| DEBORAH S. MITCHAM, FORMER OFFICER & OTB OWNER | $451,000 | DEBORAH S. MITCHAM, FORMER VICE PRESIDENT AND CHIEF FINANCIAL OFFICER OF NORTHSIDE HOSPITAL, INC., HAS A GREATER THAN 5% OWNERSHIP INTEREST IN OTB, WHICH, DURING THE TAX YEAR, PROVIDED CONSULTING SERVICES FOR A LIMITED PERIOD AND WAS NOT CONCURRENT WITH MS. MITCHAM'S EMPLOYMENT. TRANSACTIONS WITH THIS ENTITY WERE CONDUCTED AT ARMS-LENGTH. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 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. IN AUGUST 2019, NORTHSIDE AND GWINNETT HEALTH SYSTEM, INC. ("GWINNETT") EXECUTED AN AFFILIATION AND MERGER AGREEMENT WHEREBY GWINNETT AND CERTAIN SUBSIDIARIES AND AFFILIATES WERE MERGED INTO NORTHSIDE, AND NORTHSIDE WAS THE SURVIVING ENTITY. MANAGEMENT OF NORTHSIDE AND GWINNETT BELIEVE THAT SUCH AN AFFILIATION BY WAY OF MERGER WILL CREATE ADDITIONAL INTEGRATION, COORDINATION, AND SYSTEMS OF HEALTH CARE, AND THAT THE JOINT RESOURCES, COLLABORATIVE NETWORKS, AND CAPABILITIES PROVIDED BY THE MERGER WILL PERMIT NORTHSIDE TO EFFECTIVELY DESIGN AND IMPLEMENT POPULATION HEALTH STRATEGIES AND OTHER INITIATIVES TO FURTHER SERVE RESIDENTS OF THE SURROUNDING COMMUNITIES. |
| PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS (CONT'D) | REINVESTING TO ENHANCE CAPACITY AND TO DELIVER HIGH-QUALITY HEALTHCARE 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. ACCORDINGLY, NORTHSIDE HOSPITAL EARMARKED NEARLY $166 MILLION IN CAPITAL INVESTMENTS IN FY2019. NUMEROUS OF THESE ALLOCATIONS WERE DESIGNATED TO KEY SERVICE LINES 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: $1.9 MILLION FOR CARDIOLOGY SERVICES FOR DIAGNOSTIC EQUIPMENT AND TO EXPAND REHABILITATION SERVICES; $9.2 MILLION FOR ONCOLOGY SERVICES TO REPLACE AND UPGRADE RADIATION THERAPY EQUIPMENT AND TO EXPAND AND RELOCATE INFUSION SERVICES; $11.4 MILLION FOR WOMEN'S SERVICES TO ACQUIRE ADDITIONAL MONITORING EQUIPMENT AND INCUBATORS, RENOVATE FACILITIES AND ESTABLISH A NEW LOCATION FOR PERINATAL SERVICES; AND $48.5 MILLION FOR SURGICAL SERVICES TO RENOVATE AND EXPAND EXISTING OPERATING ROOMS TO ACCOMMODATE DEMAND FOR HIGHER ACUITY PROCEDURES AND TO PURCHASE STATE-OF-THE-ART ROBOTIC SURGERY EQUIPMENT AMONG OTHER THINGS. 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 290,000 PERSONS, SPENDING OVER 72,000 STAFF HOURS AND PROVIDING NEARLY $8 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 OVER 250 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, GRASSROOTS ORGANIZATIONS SUCH AS BOAT PEOPLE SOS. BOAT PEOPLE SOS WAS ESTABLISHED IN 2000 WITH THE MISSION TO EMPOWER, ORGANIZE, AND EQUIP VIETNAMESE INDIVIDUALS AND COMMUNITIES IN THEIR PURSUIT OF LIBERTY AND DIGNITY. THROUGH THEIR HEALTH AWARENESS AND PROMOTION PROGRAM, BOAT PEOPLE SOS HAS PROVIDED NECESSARY HEALTH SERVICES TO OVER 2,000 UNINSURED PATIENTS. NORTHSIDE'S FINANCIAL SUPPORT HELPS TO FUND THEIR LOCAL CLINIC AND TO PROVIDE COMMUNITY HEALTH IMPROVEMENT SERVICES FOR PERSONS LIVING IN POVERTY. THE SECOND HIGHEST DOLLAR IMPACT CATEGORY, COMMUNITY HEALTH IMPROVEMENT SERVICES, INCLUDES ALMOST FIFTY PROGRAMS WITH OVER 500 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 20 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 IS DESIGNED TO COVER 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 OVER 500 FINANCIALLY INDIGENT PATIENTS WHOSE CONDITIONS WOULD HAVE GONE UNTREATED UNTIL THE CONDITION WORSENED LEAVING THE PATIENT NO CHOICE BUT TO SEEK CARE IN A LOCAL HOSPITAL'S EMERGENCY DEPARTMENT. ANOTHER UNIQUE COMMUNITY HEALTH IMPROVEMENT PROGRAM IS NORTHSIDE'S IMAGING OUTREACH PROGRAM. THROUGH THIS PROGRAM, NORTHSIDE PROVIDES A COMPREHENSIVE RANGE OF IMAGING SERVICES TO LOW INCOME, UNINSURED OR UNDERINSURED PATIENTS. A DEDICATED IMAGING CHARITY COORDINATOR RECEIVES REFERRALS FROM COMMUNITY SAFETY NET CLINICS AND ASSISTS PATIENTS WITH COMPLETING NORTHSIDE'S FINANCIAL ASSISTANCE POLICY APPLICATION. OVER 500 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 6 | NORTHSIDE HEALTH SERVICES, THE PARENT ENTITY, ELECTS ALL THE MEMBERS OF THE GOVERNING BODY FOR NORTHSIDE HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | NORTHSIDE HEALTH SERVICES, THE PARENT ENTITY, ELECTS ALL THE MEMBERS OF THE GOVERNING BODY FOR NORTHSIDE HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | NORTHSIDE HEALTH SERVICES, THE PARENT ENTITY, 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; HOWEVER, NEITHER OUR AUDITED FINANCIAL STATEMENTS NOR OUR CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC. 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 103 CLINICIANS AND 116 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 134 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 35 CLINICIANS AND 63 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 451,085,876. MANAGEMENT AND GENERAL EXPENSES 77,284,085. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 528,369,961. |
| FORM 990, PART XI, LINE 9: | CHANGE IN PENSION -190,942,817. EQUITY TRANSFER -1,474,883. INCOME FROM JOINT VENTURES NOT ON BOOKS -779,444. OTHER CHANGES IN NET ASSETS 16,355. NET ASSETS TRANSFERED VIA INHERENT CONTRIBUTION 398,354,027. NON-CONTROLLING INTEREST 3,505,444. INTERCOMPANY REVENUE 2,719,704. |
| PART XI, LINE 9 OTHER CHANGES IN NET ASSETS | IN ACCORDANCE WITH THE AFFILIATION AND MERGER AGREEMENT BETWEEN NORTHSIDE AND GWINNETT, GWINNETT VOLUNTARILY TRANSFERRED ITS NET ASSETS TO NORTHSIDE AS THE SURVIVING ENTITY. THIS IS REPRESENTED BY THE NET ASSETS TRANSFERRED VIA INHERENT CONTRIBUTION AMOUNT $398,354,027. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (40 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 |
|---|---|---|---|---|---|---|---|---|---|
| NORTH ATLANTA PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 205106086 | PROFESSIONAL SERVICES | GA | $0 | $0 | 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 SURGICAL PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 451259671 | 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 ATLANTA SURGERY CENTERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 454364531 | HEALTHCARE SERVICES | 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 |
| NORTHSIDE FORSYTH SURGERY CENTERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 454364708 | SURGERY CENTER | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| GWINNETT ADVANCED SURGERY CENTER LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 455067682 | SURGERY CENTER | GA | $2,491,003 | $3,011,385 | NORTHSIDE HOSPITAL INC |
| AGA PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 453694469 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| GEORGIA PROFESSIONAL BILLING SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 262016143 | MEDICAL BILLING SERVICES | GA | $7,103,293 | $5,079,656 | NORTHSIDE HOSPITAL INC |
| LMG AT NORTHSIDE LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581436087 | PROFESSIONAL SERVICES | GA | $39,110,377 | $16,358,777 | 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 | $0 | NORTHSIDE HOSPITAL INC |
| GEORGIA SURGICAL PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 463858353 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| MEDICAL ASSOCIATES PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 463806922 | PROFESSIONAL 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 |
| PERIMETER PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 471088986 | PROFESSIONAL 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 |
| NORTHSIDE URGENT CARE HOLDING LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 471625673 | PROFESSIONAL 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 |
| ADVANCED JOINT SURGERY SPECIALISTS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 474793694 | SURGERY CENTER | 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 |
| MRI & IMAGING OF GEORGIA LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 473958809 | RADIOLOGY SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| ADVANCED SURGERY CENTER PERIMETER LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 473080613 | SURGERY CENTER | GA | $2,504,370 | $6,051,993 | NORTHSIDE HOSPITAL INC |
| AGA CLINICAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 811319493 | 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 |
| NORTHSIDE HEALTH NETWORK LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 821654872 | 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 | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE SEPC PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 825334312 | PROFESSIONAL SERVICES | GA | $0 | $0 | 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 |
| NORTH ATLANTA EYE CARE PROFESSIONAL SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 823273795 | PROFESSIONAL SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE GWINNETT SURGICAL ASSOCIATES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 834390271 | SURGERY CENTER | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| NORTHSIDE CARDIOVASCULAR INSTITUTE LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 841936693 | PROFESSIONAL SERVICES | GA | $0 | $0 | 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 |
| NORTH ATLANTA ONCOLOGY SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 834237605 | ONCOLOGY SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC |
| GWINNETT CARDIOLOGY SERVICES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 461977635 | PROFESSIONAL SERVICES | 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 |
| CITY LINE DEVELOPERS LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 833902062 | REAL ESTATE SERVICES | GA | $0 | $0 | 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 |
| N PROPERTIES LLC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | REAL ESTATE SERVICES | GA | $0 | $0 | NORTHSIDE HOSPITAL INC | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | NORTHSIDE HEALTH SERVICES INC | 0 | |
| NORTHSIDE HEALTH SERVICES INC | |||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581917328 | PARENT HOLDING COMPANY | GA | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| NORTHSIDE SHARES HELP INC | |||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581458873 | PUBLIC CHARITY, ORGANIZED EMPLOYEE RELIEF FUND | GA | 501(C)(3) | LINE 7 | NORTHSIDE HEALTH SERVICES INC | 0 | |
| GWINNETT HOSPITAL SYSTEM AUXILIARY INC | |||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581713644 | ADMINISTRATIVE SERVICES | GA | 501(C)(3) | LINE 3 | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ENT SURGERY CENTER OF ATLANTA LLC | ||||||||||||||
| 5673 PEACHTREE DUNWOODY RD STE 945 | ATLANTA | GA | 30342 | 200075229 | AMBULATORY SURGERY | GA | NORTHSIDE HOSPITAL INC | RELATED | $78,328 | $1,274,218 | 0 | 0 | 0.64330 | |
| HAND & UPPER EXTREMITY SURGERY CENTER OF GA LLC | ||||||||||||||
| 993 JOHNSON FERRY RD | ATLANTA | GA | 30342 | 200147862 | OUTPATIENT SURGERY | GA | NORTHSIDE HOSPITAL INC | RELATED | $267,531 | $2,627,539 | 0 | 0 | 0.51000 | |
| SOVEREIGN REHABILITATION OF GEORGIA LLC | ||||||||||||||
| 5555 PEACHTREE DUNWOODY RD STE 225 | ATLANTA | GA | 30342 | 205084665 | REHABILITATION CENTER | GA | NORTHSIDE HOSPITAL INC | RELATED | -$549,860 | $2,733,996 | 0 | Yes (1) | 0.88000 | |
| NASA SURGERY CENTER LLC | ||||||||||||||
| 1100 JOHNSON FERRY RD STE 180 | SANDY SPRINGS | GA | 30342 | 264824662 | AMBULATORY SURGERY | GA | NORTHSIDE HOSPITAL INC | RELATED | -$197,928 | $643,640 | 0 | 0 | 0.70000 | |
| NORTHERN CRESCENT ENDOSCOPY SUITE LLC | ||||||||||||||
| 1355 PEACHTREE ST NE STE 1600 | ATLANTA | GA | 30309 | 582453504 | OUTPATIENT SURGERY | GA | NORTHSIDE HOSPITAL INC | RELATED | $2,256,747 | $11,035,754 | 0 | 0 | 0.70000 | |
| UROLOGY SURGICAL PARTNERS LLC | ||||||||||||||
| 5673 PEACHTREE DUNWOODY RD SUITE 90 | ATLANTA | GA | 30342 | 582622573 | AMBULATORY SURGERY | GA | NORTHSIDE HOSPITAL INC | RELATED | $6,885 | $2,058,295 | 0 | 0 | 0.70000 | |
| WOODSTOCK ENDOSCOPY CENTER LLC | ||||||||||||||
| 1355 PEACHTREE ST NE STE 1600 | ATLANTA | GA | 30309 | 582656248 | OUTPATIENT SURGERY | GA | NORTHSIDE HOSPITAL INC | RELATED | $704,847 | $3,684,967 | 0 | 0 | 0.70000 | |
| ADVANCED CENTER FOR JOINT SURGERY LLC | ||||||||||||||
| 2000 HOWARD FARM DRIVE SUITE T100 | CUMMING | GA | 30041 | 820606082 | ORTHOPEDIC SURGERY | GA | NORTHSIDE HOSPITAL INC | RELATED | -$1,213,165 | $768,635 | 0 | 0 | 0.51000 | |
| 1110 INVESTOR LLC | ||||||||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 821783922 | CONSTRUCTION | GA | N/A | |||||||
| AOA AMC LLC | ||||||||||||||
| 320 PARKWAY DRIVE NE | ATLANTA | GA | 30312 | 813018210 | ONCOLOGY CLINIC | GA | NORTHSIDE HOSPITAL INC | RELATED | -$132,685 | $8,896,537 | 0 | 0 | 0.49000 | |
| THOMAS EYE SURGERY CENTER LLC | ||||||||||||||
| 5901-A PEACHTREE DUNWOODY RD SUITE | ATLANTA | GA | 30328 | 582464498 | OUTPATIENT SURGERY | GA | NORTHSIDE HOSPITAL INC | RELATED | $345,465 | $3,326,497 | 0 | 0 | 0.49000 | |
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 |
|---|---|---|---|---|---|---|---|---|---|
| NORTHSIDE VENTURES INC | |||||||||
| 1000 JOHNSON FERRY ROAD | ATLANTA | GA | 30342 | 581954456 | LEASING COMPANY | GA | N/A | C | 0 |
| 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 | N/A | C | 0 |
| SEQUENT HEALTH PHYSICIAN PARTNERS | |||||||||
| 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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