NORTHEAST GEORGIA MEDICAL CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NORTHEAST GEORGIA MEDICAL CENTER INC (EIN 58-1694098)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-15
IRS object ID
201842279349300009
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-15T07:05:08-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621517792PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PYA P CBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12220 Sutherland AveAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37919ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581694098EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST GEORGIA MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone7702196646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1743 SPRING STREETAddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP305013899ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBrian D SteinesPersonNm
Person TitleCFOPersonTitleTxt
Phone7702196646PhoneNum
Signature2018-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeborah O ErnsbergerPreparerPersonNm
PTINP00364912PTIN
Phone8656730844PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCarol BurrellPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1743 SPRING STREETAddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationGAStateAbbreviationCd
ZIP305013899ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,109,804,165GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NGHS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO PROVIDE ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers772TotalVolunteersCnt
Total Gross UBI$5,470,341TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$123,212NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,802,655PYContributionsGrantsAmt
CY Contributions Grants$1,302,274CYContributionsGrantsAmt
PY Program Service Revenue$1,003,075,925PYProgramServiceRevenueAmt
CY Program Service Revenue$1,079,616,815CYProgramServiceRevenueAmt
PY Investment Income$10,398,662PYInvestmentIncomeAmt
CY Investment Income$27,607,923CYInvestmentIncomeAmt
PY Other Revenue$912,919PYOtherRevenueAmt
CY Other Revenue$887,680CYOtherRevenueAmt
PY Total Revenue$1,016,190,161PYTotalRevenueAmt
CY Total Revenue$1,109,414,692CYTotalRevenueAmt
PY Grants And Similar Paid$2,670,088PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,437,510CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$381,155,872PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$452,900,870CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$530,128,803PYOtherExpensesAmt
CY Other Expenses$585,835,941CYOtherExpensesAmt
PY Total Expenses$913,954,763PYTotalExpensesAmt
CY Total Expenses$1,041,174,321CYTotalExpensesAmt
PY Revenues Less Expenses$102,235,398PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$68,240,371CYRevenuesLessExpensesAmt
Total Assets BOY$1,531,834,284TotalAssetsBOYAmt
Total Assets EOY$1,682,101,201TotalAssetsEOYAmt
Total Liabilities BOY$988,479,613TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,153,575,540TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$543,354,671NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$528,525,661NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Northeast Georgia Medical Center (NGMC) is TO PROVIDE COMPREHENSIVE, ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,002,478,454ExpenseAmt
Grant$2,437,510GrantAmt
Revenue$1,079,826,465RevenueAmt
DescNortheast Georgia Medical Center (NGMC) provides a comprehensive range of acute care and specialty services through two campuses: a 100-bed hospital in Braselton and a 557-bed regional referral hospital in Gainesville. NGMC serves the area's low-income, uninsured, underinsured and other vulnerable populations. NGMC Gainesville serves as the regional safety net hospital, with approximately half of its patients coming from outside of Hall County. As a not-for-profit hospital, NGMC reinvests all funds in excess of operating expenses into healthcare services for the community. The Medical Center receives no tax revenue from Hall or other counties served, and services are funded by revenue generated from operations. **See Schedule O for Program Service Accomplishments Continuation**Desc
Total Program Service Expenses$1,002,478,454TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document553IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LINDA D NICHOLSON VP FinanceCONTROLLERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7702196646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1743 SPRING STREETAddressLine1Txt
CitygainesvilleCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30501ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Alex Wayne
Member1.00Yes (X)$0$0$0
Craig Brown MD
Member, Vice Chief of Medical Staff - NGMC40.00Yes (X)$68,010$0$0
Deborah Mack
Member1.00Yes (X)$0$0$0
Jack Keener
Member1.00Yes (X)$0$0$0
Jackie Wallace
Vice Chair1.00Yes (X)$0$0$0
Jeff Terry MD
Member, Chair of Practice Review5.00Yes (X)$22,000$0$0
John Nix
Chair1.00Yes (X)$0$0$01.00
Kaye Ann Herth
Member1.00Yes (X)$0$0$0
Larry Dent
Member1.00Yes (X)$0$0$0
Lua Blankenship
Member1.00Yes (X)$0$0$0
Phillippa Lewis-Moss
Member1.00Yes (X)$0$0$0
Preston Bowen
Member1.00Yes (X)$0$0$01.00
Rodney Smith MD
Member1.00Yes (X)$0$0$0
Steve Blair
Member1.00Yes (X)$0$0$0
Tim Scully MD
Member, THC Physician1.00Yes (X)$0$375,407$34,50640.00
Anthony Herdener
VP, CFO, Executive Consultant - NGHS1.00$0$664,003$111,31640.00Yes (X)
Brenda Simpson
Chief Nursing Officer - NGMC40.00$0$257,319$20,8961.00Yes (X)
Brian D Steines
CFO - NGHS1.00$0$0$040.00Yes (X)
Carol Burrell
President & CEO1.00$0$1,219,656$908,86540.00Yes (X)
Chad Hatfield
President - NGMC Barrow1.00$0$0$040.00Yes (X)
Christopher Paravate
Chief Information Officer - NGHS1.00$0$371,893$77,88140.00Yes (X)
Daniel Tuffy
President of Physician Services1.00$0$0$040.00Yes (X)
Deborah Weber
CHRO & VP Human Resources - NGHS1.00$0$333,710$65,83640.00Yes (X)
Elyse Gates
VP Revenue Cycle - NGHS1.00$0$248,042$7,72640.00Yes (X)
Howard Walpole
VP Clinical Effectiveness - NGMC40.00$0$405,704$60,7781.00Yes (X)
John Delzell Jr
VP Medical Education - NGMC40.00$0$0$01.00Yes (X)
John Turner
VP Post Acute Care - NGMC40.00$0$122,411$6,8361.00Yes (X)
John Williamson
President - NGMC Braselton40.00$0$418,557$95,7851.00Yes (X)
Linda Nicholson
VP Finance/Controller - NGHS1.00$0$279,977$96,06940.00Yes (X)
Louis Smith Jr
President - NGMC Gainesville40.00$0$640,171$105,9791.00Yes (X)
Melissa Tymchuk
Chief of Staff1.00$0$148,692$30,63540.00Yes (X)
Penny Vigneau
VP Heart & Vascular Services - NGMC40.00$0$110,143$3,3081.00Yes (X)
Roy Griffin Jr
VP Financial Planning & Decision Support - NGHS1.00$0$177,312$21,31040.00Yes (X)
Samuel Johnson MD
VP Medical Affairs & CMO - NGHS1.00$0$534,596$87,50740.00Yes (X)
Sonja McLendon
VP Chief of Oper. Excellence - NGHS1.00$0$400,655$75,18340.00Yes (X)
Stephen Kelly
Chief Compliance Officer - NGHS1.00$0$193,180$23,63540.00Yes (X)
Tad Gomez
VP Professional Support Services - NGMC40.00$0$0$01.00Yes (X)
Tracy Vardeman
VP Chief Strategy Executive - NGHS1.00$0$382,228$103,44940.00Yes (X)
Alan Wills
Exec Director - HealtheConnections40.00$0$235,885$27,449Yes (X)
Harold Law Jr
Chief Technology Officer40.00$0$248,946$26,629Yes (X)
Jeffery Stephens
Exec Director - Supply Chain Mgmt.40.00$0$237,636$13,682Yes (X)
Randall Miller
Manager - Radiation Physics40.00$0$257,373$45,449Yes (X)
Richard Mattheus
Chief Information Officer - NGPG40.00$0$228,744$37,609Yes (X)
James Bailey
Former VP-CMIO/CQO, Current NGPG Physician0.00$0$518,323$27,14140.00Yes (X)
Randy Smith
Former Interim CNO1.00$0$190,152$7,89240.00Yes (X)
Debra Duke
Former Director of Diagnostic Imaging40.00$0$193,260$61,107Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$90,010TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,393,975TotReportableCompRltdOrgAmt
Total Other Compensation$2,184,458TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K357IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Epic Systems Corporation
PO Box 88314MilwaukeeWI53288Software Support & Training$8,149,186
Medifis Inc
PO Box 5068New YorkNY10087Staffing Services$6,809,045
Anesthesia Associates of Gainesville
PO Box 1076GainesvilleGA30503Anesthesia Services$4,012,423
McKesson Technologies
22423 Network PlaceChicagoIL60673Software/Equip Maintenance & Support$3,752,364
CSI Companies Inc
PO Box 890841CharlotteNC28289IT Contract O/S$3,198,964
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K414CntrctRcvdGreaterThan100KCnt
Related Organizations$1,302,274RelatedOrganizationsAmt
Total Contributions$1,302,274TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
net patient svc rev621400$1,060,527,651$1,055,231,547$5,296,104
Pharmacy446110$13,406,441$13,406,441
Cafeteria Revenue722210$5,508,486$5,508,486
management revenue900099$174,237$174,237
FieldValueIRS element (for citing)
Total Program Service Revenue$1,079,616,815TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,019,952TotalRevenueColumnAmt
Exclusion$27,019,952ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$804,378RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$126,348RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$678,030RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$678,030TotalRevenueColumnAmt
Exclusion$678,030ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$803,072SecuritiesAmt
Other$48,024OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$263,125OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$803,072SecuritiesAmt
Other-$215,101OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$587,971TotalRevenueColumnAmt
Exclusion$587,971ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPartnership IncomeDesc
Business621990BusinessCd
Total Revenue Column$209,650TotalRevenueColumnAmt
Related Or Exempt Func Income$209,650RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$209,650OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,109,414,692TotalRevenueColumnAmt
Related Or Exempt Func Income$1,055,441,197RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,470,341UnrelatedBusinessRevenueAmt
Exclusion$47,200,880ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,437,510TotalAmt
Program Services$2,437,510ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,954,305TotalAmt
Program Services$1,867,592ProgramServicesAmt
Management And General$86,713ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$366,828,656TotalAmt
Program Services$350,552,469ProgramServicesAmt
Management And General$16,276,187ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,856,863TotalAmt
Program Services$15,153,294ProgramServicesAmt
Management And General$703,569ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$52,535,905TotalAmt
Program Services$50,204,887ProgramServicesAmt
Management And General$2,331,018ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,725,141TotalAmt
Program Services$15,027,416ProgramServicesAmt
Management And General$697,725ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$43,989,970TotalAmt
Program Services$42,038,135ProgramServicesAmt
Management And General$1,951,835ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,311,313TotalAmt
Program Services$1,253,130ProgramServicesAmt
Management And General$58,183ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,084,130TotalAmt
Program Services$1,991,657ProgramServicesAmt
Management And General$92,473ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$49,565,184TotalAmt
Program Services$47,365,977ProgramServicesAmt
Management And General$2,199,207ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$644,252TotalAmt
Program Services$615,667ProgramServicesAmt
Management And General$28,585ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,048,297TotalAmt
Program Services$9,602,454ProgramServicesAmt
Management And General$445,843ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$552,693TotalAmt
Program Services$528,170ProgramServicesAmt
Management And General$24,523ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$37,832,373TotalAmt
Program Services$36,153,751ProgramServicesAmt
Management And General$1,678,622ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$68,336,891TotalAmt
Program Services$65,304,783ProgramServicesAmt
Management And General$3,032,108ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
supplies$133,220,476$127,309,483$5,910,993
BAD DEBT EXPENSE$83,592,320$83,592,320
Medical Supplies$52,301,129$52,301,129
NOE - Loss-early ext db$45,413,740$43,398,732$2,015,008

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$56,943,173TotalAmt
Program Services$55,779,898ProgramServicesAmt
Management And General$1,163,275ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,041,174,321TotalAmt
Program Services$1,002,478,454ProgramServicesAmt
Management And General$38,695,867ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,830,552BOYAmt
EOY$21,701,733EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$111,919BOYAmt
EOY$77,902EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$100,452,558BOYAmt
EOY$106,229,994EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$38,626EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$460,316BOYAmt
EOY$417,579EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,983,603BOYAmt
EOY$9,133,007EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,594,196BOYAmt
EOY$3,559,243EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,310,620,732LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$646,710,339LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$617,047,638BOYAmt
EOY$663,910,393EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$780,850,910BOYAmt
EOY$850,832,231EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$70,972BOYAmt
EOY$70,972EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$600,484BOYAmt
EOY$1,177,739EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,831,136BOYAmt
EOY$24,951,782EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,531,834,284BOYAmt
EOY$1,682,101,201EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$86,137,806BOYAmt
EOY$95,908,790EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$859,300,144BOYAmt
EOY$1,017,605,287EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,041,663BOYAmt
EOY$40,061,463EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$988,479,613BOYAmt
EOY$1,153,575,540EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$543,354,671BOYAmt
EOY$528,525,661EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$543,354,671BOYAmt
EOY$528,525,661EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,531,834,284BOYAmt
EOY$1,682,101,201EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$68,240,371ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$28,418,460NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$111,487,841OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$38,977OtherActivitiesAmt
Total Lobbying Expenditures$38,977TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationNORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS: -AMERICAN COLLEGE OF HEALTHCARE -AMERICAN HEALTH INFORMATION MANAGEMENT Association -AMERICAN ACADEMY OF SLEEP -SOCIETY FOR HUMAN RESOURCE MANAGEMENT -AMERICAN COLLEGE OF SURGEONS -AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS -AMERICAN ASSOCIATION OF NURSE PRACTITIONERS -AMERICAN SOCIETY OF ECHOCARDIOGRAPHY -SOCIETY FOR VASCULAR ULTRASOUND -NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION -SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY -AMERICAN ASSOCIATION OF NEUROSCIENCE NURSES -GREATER HALL CHAMBER OF COMMERCE -340B HEALTH -COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES -AMERICAN ORGANIZATION OF NURSING EXECUTIVES -ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL AND EPIDEMIOLOGY -SOCIETY OF TRAUMA NURSES -SOCIETY OF THORACIC SURGEONS -COLLEGE OF AMERICAN PATHOLOGISTS -AMERICAN SOCIETY FOR HEALTHCARE HUMAN RESOURCES ADMINISTRATION -GEORGIA HOSPITAL ASSOCIATION -AMERICAN MEDICAL ASSOCIATION -AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION -AMERICAN SOCIETY OF ELECTRONEURODIAGNOSTIC TECHNOLOGISTS -GEORGIA HEALTH CARE ASSOCIATION -AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES -GEORGIA ASSOCIATION OF PHYSICIAN ASSISTANTS A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,583,043BeginningYearBalanceAmt
Contributions$3,314,674ContributionsAmt
Investment Earnings Or Losses$150,450InvestmentEarningsOrLossesAmt
Other Expenditures$2,291,945OtherExpendituresAmt
Administrative Expenses-$9,178AdministrativeExpensesAmt
End Year Balance$19,765,400EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,118,047BeginningYearBalanceAmt
Contributions$3,540,926ContributionsAmt
Investment Earnings Or Losses$196,428InvestmentEarningsOrLossesAmt
Other Expenditures$3,336,244OtherExpendituresAmt
Administrative Expenses-$63,886AdministrativeExpensesAmt
End Year Balance$18,583,043EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,101,021BeginningYearBalanceAmt
Contributions$3,145,604ContributionsAmt
Investment Earnings Or Losses-$73,802InvestmentEarningsOrLossesAmt
Other Expenditures$1,137,475OtherExpendituresAmt
Administrative Expenses-$82,699AdministrativeExpensesAmt
End Year Balance$18,118,047EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,849,889BeginningYearBalanceAmt
Contributions$3,570,704ContributionsAmt
Investment Earnings Or Losses$138,946InvestmentEarningsOrLossesAmt
Other Expenditures$4,410,931OtherExpendituresAmt
Administrative Expenses$47,587AdministrativeExpensesAmt
End Year Balance$16,101,021EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,041,133BeginningYearBalanceAmt
Contributions$4,067,156ContributionsAmt
Investment Earnings Or Losses$139,010InvestmentEarningsOrLossesAmt
Other Expenditures$2,329,610OtherExpendituresAmt
Administrative Expenses$67,800AdministrativeExpensesAmt
End Year Balance$16,849,889EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.26710PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.73290TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,170,006OtherCostOrOtherBasisAmt
Book Value$9,170,006BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$588,189,776OtherCostOrOtherBasisAmt
Depreciation$185,982,548DepreciationAmt
Book Value$402,207,228BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,948,635OtherCostOrOtherBasisAmt
Depreciation$9,298,604DepreciationAmt
Book Value$2,650,031BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$597,618,118OtherCostOrOtherBasisAmt
Depreciation$437,763,604DepreciationAmt
Book Value$159,854,514BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,694,197OtherCostOrOtherBasisAmt
Depreciation$13,665,583DepreciationAmt
Book Value$90,028,614BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$663,910,393TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Estimated Third Party Payer Settlements$10,174,503
Capitalized Leases$10,694,209
Deferred Compensation$15,868,907
Estimated Fair Value of Interest Rate Swaps$3,323,844
FieldValueIRS element (for citing)
Total Liability$40,061,463TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$987,225,593TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$10,460,952NetUnrealizedGainsInvstAmt
Other Revenue$126,348OtherRevenueAmt
Revenue Not Reported$10,587,300RevenueNotReportedAmt
Revenue Subtotal$976,638,293RevenueSubtotalAmt
Investment Expenses Not Incld$2,084,130InvestmentExpensesNotIncldAmt
Other Revenues Not Included$130,692,269OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$132,776,399RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,109,414,692TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$907,110,766TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$126,348OtherExpensesIncludedAmt
Expenses Not Reported$126,348ExpensesNotReportedAmt
Expenses Subtotal$906,984,418ExpensesSubtotalAmt
Investment Expenses Not Incld2$2,084,130InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$132,105,773OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$134,189,903ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,041,174,321TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:Northeast Georgia Medical Center, Inc. (NGMC) is classified as an organization exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. As such, no provision for income taxes has been made in the accompanying financial statements. At September 30, 2017, management does not believe NGMC holds any uncertain tax positions that would require financial statement recognition or disclosure under generally accepted accounting principles. It is NGMC's policy to recognize interest and/or penalties related to income tax matters as an operating expense where applicable.
Part XI, Line 2d - Other Adjustments:RENTAL EXPENSES 126,348.
Part XI, Line 4b - Other Adjustments:PARTNERSHIP Income NOT ON BOOKS 209,698. Net Assets Released from Restrictions 229,942. NON-OPERATING EXPENSES 1,246,569. Estimated Provision for Bad Debts 83,592,320. Loss on Bond Refunding 45,413,740.
Part XII, Line 2d - Other Adjustments:RENTAL EXPENSES 126,348.
Part XII, Line 4b - Other Adjustments:Non-Operating Expenses 1,246,569. Estimated Provision for Bad Debts 83,592,320. Partnership Expenses not on books 428. Contributions in Net Assets 1,852,716. Loss on Bond Refunding 45,413,740.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,571,601TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,571,601NetCommunityBenefitExpnsAmt
Total Expense0.04030TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$110,417,767TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$90,576,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,841,003NetCommunityBenefitExpnsAmt
Total Expense0.02070TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,663,386TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,139,020DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,524,366NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153,652,754TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$92,715,784DirectOffsettingRevenueAmt
Net Community Benefit Expns$60,936,970NetCommunityBenefitExpnsAmt
Total Expense0.06360TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served164305PersonsServedCnt
Total Community Benefit Expns$2,955,826TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,855DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,953,971NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,298,527TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,731,272DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,567,255NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$207,485,713TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$179,925,370DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,560,343NetCommunityBenefitExpnsAmt
Total Expense0.02880TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$806,033TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$136,782DirectOffsettingRevenueAmt
Net Community Benefit Expns$669,251NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$712,759TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$712,759NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served164305PersonsServedCnt
Total Community Benefit Expns$215,258,858TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$181,795,279DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,463,579NetCommunityBenefitExpnsAmt
Total Expense0.03490TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served164305PersonsServedCnt
Total Community Benefit Expns$368,911,612TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$274,511,063DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,400,549NetCommunityBenefitExpnsAmt
Total Expense0.09850TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served5PersonsServedCnt
Total Community Benefit Expns$12,221TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,221NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served25000PersonsServedCnt
Total Community Benefit Expns$352,865TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$146,823DirectOffsettingRevenueAmt
Net Community Benefit Expns$206,042NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$250DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,250NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served101PersonsServedCnt
Total Community Benefit Expns$613,285TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$250DirectOffsettingRevenueAmt
Net Community Benefit Expns$613,035NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served25106PersonsServedCnt
Total Community Benefit Expns$980,871TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$147,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$833,548NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$83,592,319BadDebtExpenseAmt
Reimbursed By Medicare$211,340,852ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$254,604,117CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$43,263,265MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northeast Georgia Medical Center IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1743 Spring StreetAddressLine1Txt
CityGainesvilleCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30501ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.nghs.comWebsiteAddressTxt
State License069-074StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Northeast Georgia Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.nghs.comOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.nghs.com/community-benefit-libraryOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee statement for Line 11StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.nghs.comFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.nghs.comFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.nghs.comFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Northeast Georgia Medical Center, Inc.Part V, Section B, Line 5: The hospital considered input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health via focus groups and key stakeholder interviews. Four focus groups (one for each NGMC service area), collectively comprised of forty-six (46) participants and twenty-eight (28) key informant interviews, were conducted in March and April 2016. Additional input from over 200 low income, Latino, and uninsured residents was also gathered by a bilingual interview team who fielded a short questionnaire in Hall County at one of three locations: the Hall County Health Department, mostly at the prenatal clinic - a service for low-income expectant women; the Good News Clinics, which provides medical and dental care to low-income, uninsured county residents; and at public housing operated by Gainesville Housing Authority. NGHS Senior Leaders were also significantly involved in feedback. A complete listing of interview and focus group participants and the communities and populations served is located in Appendix F of the CHNA.
Northeast Georgia Medical Center, Inc.Part V, Section B, Line 11: How NGMC is addressing significant needs identified in the 2016 CHNA is outlined in the CHNA implementation plan. The reason why all of the health needs identified are not being addressed is because NGMC had to take into consideration the staffing, funding and other resources needed to make an impact on identified health needs, and NGMC knew if it did not focus in on 3 - 5 specific health needs, it would not be able to truly make an impact over the next three years. There are also other health and human service organizations working on issues such as child abuse and neglect.The full text of the implementation strategy is posted at the following url : https://www.nghs.com/fullpanel/uploads/files/chna-outcome-measures-with-links-on-title-page.pdf.
FieldValueIRS element (for citing)
Facility25FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Imaging Center - Gainesville
1315 Jesse Jewell PkwyGainesvilleGA30501imaging / Radiology Center
2 - Braselton NICD
1404 River Place Suite 200BraseltonGA30517Cardiology Services
3 - Imaging Center - Braselton
1515 River PlaceBraseltonGA30517imaging / Radiology Center
4 - Laurelwood
200 Wisteria DrivegainesvilleGA30501Mental Health Services
5 - Braselton Radiation TherapyPhysics
1515 River PlaceBraseltonGA30517Radiation Therapy
6 - Toccoa Cancer Center
1656 Falls RoadToccoaGA30577Cancer Services
7 - Rehabilitation Institute
597 South Enota Drive NEgainesvilleGA30501rehabilitation Services
8 - Imaging Center - Dawsonville
108 Prominence CourtDawSONVILLEGA30534Imaging / Radiology Center
9 - New Horizons Limestone North
600 Beverly Road NEgainesvilleGA30501Long Term Care
10 - Cumming OP Diagnostic Cardiology
900 Sanders RoadCummingGA30041Diagnostic Cardiology
11 - New Horizons Lanier Park West
675 White Sulphur RoadgainesvilleGA30501Long Term Care
12 - Wound Ostomy ContinenceHyperbaric Ther
675 White Sulphur RoadgainesvilleGA30501Wound Healing Center
13 - Healthlink Lab at Riverplace
1515 River PlaceBraseltonGA30517Clinical Laboratory
14 - Sleep Lab
1466 Jesse Jewell PkwygainesvilleGA30501sleep disorder center
15 - Buford Outpatient Imaging
3425 Buford Drive Suite 100BufordGA30519imaging / Radiology Center
16 - Rehab - Braselton
1515 River PlaceBraseltonGA30517rehabilitation Services
17 - GYN Oncology Infusion SErvices
1498 Jesse jewell Parkway Suite CHallGA30501gynecologic oncology
18 - Rehab - Cleveland
640-A Helen HwyClevelandGA30528rehabilitation Services
19 - Rehab - Dawsonville
5959 Highway 53E Suite 200DAWSONVILLEGA30534rehabilitation Services
20 - Rehab - Friendship (Buford)
4889 Golden Pkwy Suite 150BufordGA30518rehabilitation Services
21 - Rehab - Dahlonega
95 Morrison Moore PkwyDahlonegaGA30533rehabilitation Services
22 - Neurophysiology
1404 River Place Suite 403BraseltonGA30517Neurophysiology
23 - Healthlink Lab at Dawsonville
108 Prominence CourtDawSONVILLEGA30534Clinical Laboratory
24 - Diabetes ED
675 White Sulphur RoadgainesvilleGA30501Diabetes Services
25 - Bariatric Services
675 White Sulphur RoadgainesvilleGA30501Bariatric Weight Loss Services

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:Patients who are determined to be indigent, determined by criteria-based methods, such as propensity to pay or health scores, participation in low income government assistance programs, etc. may be presumptively eligible for assistance, providing they cooperate with screening for other financial assistance resources (e.g. Medicaid or disability), as applicable.
Part I, Line 6a:The Community Benefit report is published by Northeast Georgia Health System and includes programs for Northeast Georgia Medical Center and its affiliates. The report is available on the organization's website (www.nghs.com) as well as in its Annual Communicare Magazine.
Part I, Line 7:Charity Care cost was calculated applying separate cost-to-charge ratios (CCR) to the skilled nursing facility (SNF) and to the remaining patient charges from all other hospital activities. The CCR for the SNF was computed using the Total SNF Operating Expenses divided by the Total SNF Gross Charges. The CCR for the remaining patient charges was computed pursuant to worksheet 2 in the Schedule H instructions.The CCR for the unreimbursed Medicaid services was computed using a CCR computed pursuant to worksheet 2 in the Schedule H instructions. the Other Means Tested Government program cost was derived from internal Trendstar system data which computed cost at the patient detail level.
Part I, Line 7g:Subsidized health services were for inpatient rehabilitation, inpatient medicine, Laurelwood (mental health), and Neonatal Intensive Care Unit (NICU). No costs were attributable to physician clinics.
Part I, Ln 7 Col(f):The bad debt expense included on Form 990, Part IX, Line 24, Column A, But subtracted for purposes of calculating the percentage in this column is $83,592,320.
Part II, Community Building Activities:It is well documented that many factors combine to affect the health of individuals and communities. Whether people are healthy or not is determined by their circumstances and their environment, according to the World Health Organization. To a large extent, factors such as where we live, the state of our environment, genetics, our income and education level, and our relationships with friends and family all have considerable impacts on health. The determinants of health include the social and economic environment, the physical environment, and a person's individual characteristics and behaviors. Additional factors that relate include education, culture, income and social status, employment and working conditions, social support networks, genetics, health services, and gender. If community members have adequate education, employment, income, a safe environment and supportive social networks, they will have the capacity to make healthier behavior choices and be more likely to have access to health services. Therefore, NGMC as an organization must consider the social determinants of health status as part of preventative care. some community building activities included in Part II include:Project SEARCH:Project SEARCH provides employment and education opportunities for individuals with mild to moderate disabilities. The program is dedicated to workforce development that benefits the individual, community and workplace. In FY17, 13 students, two job coaches and an instructor participated. The students work 20 hours per week in each assigned department. Mentors are assigned in each department. Mentors also attend a monthly meeting to discuss progress and needs of students.Sponsorship of Junior Achievement:NGMC provides financial support to Junior Achievement, an organization that educates youth about free enterprise while encouraging youth to stay in school.Sponsorship of Eagle Ranch:NGMC provides financial support to Eagle Ranch. Eagle Ranch provides a Christ-centered home for 54 boys and girls aged 6-18 who are in need of a stronger family support system. Their goal is the spiritual, intellectual, emotional, social and physical development of children and the eventual reunification with their natural families whenever possible.
Part III, Line 2:PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, NGMC ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.NGMC'S ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY 22% OF GROSS PATIENT ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2017 AND 2016. NGMC'S BAD DEBT WRITE-OFFS WERE APPROXIMATELY $106,999,000 AND $113,602,000 FOR THE YEARS ENDED SEPTEMBER 30, 2017 AND 2016, RESPECTIVELY.
Part III, Line 4:Bad debt expense reported on Line 2 represents gross charges written off during the fiscal year net of any recoveries. The organization's Financial Statements contain a footnote regarding Bad Debts on page 13-14.
Part III, Line 8:The Medicare costs shown on line 6 were computed using the cost to charge ratio reflected in the organization's Medicare Cost Report.
Part III, Line 9b:Patients who are determined to be indigent, determined by criteria-based methods, such as propensity to pay or health scores, participation in low income government assistance programs, etc. may be presumptively eligible for assistance, providing they cooperate with screening for other financial assistance resources (e.g. Medicaid or disability), as applicable.
Part VI, Line 2:On a continuous basis, NGMC seeks a variety of data sources and reliable indicators to help identify and work to improve on health inequities in the communities it serves. A listing of the resources is listed below: - As part of the Hall County Family Connection, we review information from Kids Count, which provides key indicators of child well-being.- NGMC is actively involved in Vision 2030 (www.Vision2030.org). This community-wide program is sponsored by the Greater Hall Chamber of Commerce and participation is open to everyone in the community. A NGMC employee currently chairs the board of Vision 2030 which focuses on the creation of a culture of community wellness, the support and maintenance of lifelong learning, the building of an economy around emerging life sciences, the encouragement of innovative growth/infrastructure development, and the promotion of cultural integration.- NGMC has partnered with other healthcare providers in the community to form the Healthcare Initiative Consortium. This group has worked with a local university to develop an ongoing database of five data elements that will give the community up-to-date information on the health issues affecting its residents. The five data elements collected are: BMI (height/weight), A1c, blood pressure, cholesterol, LDL, and micro albumen. This gives us information related to the following health issues: obesity, diabetes, cardiovascular disease and hypertension. The group has collected data on both adults, as well as pediatric patients.- The Hall County Health Department also shares its Health Risk Snapshots for counties in the service area, which focuses on population trends, youth risk, infant risk, general risk, student substance abuse, top causes of death and WIC nutrition program information.- We also monitor the County Health Rankings published by the Robert Wood Johnson Foundation (http://www.countyhealthrankings.org/about-project).
Part VI, Line 3:Each billing cycle, statement contains contact information for financial assistance information. A plain language summary is provided at day 90. During the 240 days prior to placement with a collection agency, regular phone calls are made that include oral notification of financial assistance policy and how to obtain assistance with the application process. Applications will be accepted up to day 240. With aggregated multiple episode patient accounts, for purposes of measuring 120 and 240 days, the first post-charge billing statement will be used.
Part VI, Line 4:Population: From 2010 to 2016, the Health System's Total Service Area (TSA) population grew 1.6% per year on average compared to the State of Georgia at 0.9% and the U.S. at 0.8%. Population for the TSA in 2016 is estimated to be 881,876 representing a total growth rate of 9.7% since 2010, compared to the State of Georgia's growth (5.7%) and the U.S. (4.8%) over the same time period. The TSA's population growth rate is projected to outpace Georgia and the U.S. through at least 2021, thus continuing to drive above average demand for health care services. Source: U.S. Census Bureau; ESRI, Inc.Household Income and Home Values: Median Household Income for the TSA is currently $55,943 compared to the State of Georgia at $50,384. The Median Home Value for the TSA is currently $197,128 compared to the State of Georgia at $161,440. The NGHS Service Area has been consistently higher than the State of Georgia on these metrics. Source: U.S. Census Bureau; ESRI, Inc.Employment: The unemployment rate for the NGHS Total Service Area was 5.2% in 2016 compared with the State of Georgia at 6.3% and the U.S. at 5.9%. For at least the last 10 years, the TSA has consistently experienced an annual unemployment rate below those of Georgia and the U.S. Source: U.S. Bureau of Labor Statistics; ESRI, Inc.
Part VI, Line 5:Northeast Georgia Medical Center's Board of Directors is comprised of 15 members and represents the communities served by the organization. Board members provide leadership that supports the organization's mission to improve the health of the community. Physicians at NGMC undergo an extensive credentialing process prior to being granted medical staff privileges. The Medical Center conducts physician manpower studies to determine the number of physicians needed by specialty to meet community need. Information from these studies is used to help guide decisions for physician recruitment. All revenues in excess of expenses are reinvested into healthcare services for the community and no profits accrue to individual investors. The Medical Center's policy on financial assistance (formerly known as the Charity Care Policy) helps ensure access to hospital services to low income patients, i.e. patients with a family income of up to and including/equal to 150% of the Federal Poverty Guidelines qualify for a 100% charity adjustment, which means that their qualifying services are free. Additionally, patients with a family income of 151-300% qualify for discounted care on a sliding scale. the most that a patient would pay is the Medicare rate.
Part VI, Line 6:Northeast Georgia Medical Center (NGMC) is an affiliate of Northeast Georgia Health System. Other affiliates include Northeast Georgia Physicians Group, The Medical Center Foundation, Northeast Georgia Health Partners, River Place Medical Office Plaza I, The Heart Center, LLC, and NGMC Barrow.The mission of Northeast Georgia Medical Center and all related affiliates is to "improve the health of the community in all we do." As a not-for-profit hospital, NGMC treats patients regardless of their ability to pay and is accountable to the Hospital Authority of Hall County and the City of Gainesville for the provision of charitable services to the community. Northeast Georgia Medical Center provides acute and specialty inpatient and outpatient services for a regional community of over 18 counties and receives no local tax support from any of those counties for operations or indigent care.The Medical Center Foundation helps support the mission of Northeast Georgia Health System through fundraising initiatives that improve services offered at NGMC, as well health-focused services in the community.Northeast Georgia Health Partners works to build collaborative relationships between hospitals, physicians and other healthcare providers, employers and the employees they represent through insurance products that help support patient access to healthcare services throughout the region.River Place Medical Office Plaza 1 is a medical office building that is home to an urgent care center, imaging center, outpatient rehabilitation center, full service lab and many private physician practices representing more than 20 medical specialties, improving access to care in the southern region served by Northeast Georgia Health System. Northeast Georgia Physicians Group is a multi-specialty group with more than 350 physicians, physician assistants, nurse practitioners and other clinical staff providing healthcare services at 65 locations throughout northeast Georgia, which further improves the community's access to care for the region of over 18 counties.Northeast Georgia Health System volunteers and Auxilians are people of all ages who give of themselves to make a difference in the lives of others. The Medical Center Auxiliary is committed to involving dedicated volunteers to improve the services of the Health system. Volunteers contribute time and compassionate service assisting with non-medical duties as they provide comfort and support to patients, family members and visitors.The affiliation between Northeast Georgia Medical Center's Heart and Vascular Services and The Heart Center of Northeast Georgia Medical Center ensures patients have access to the latest cardiovascular technology and receive top quality care from top physicians. This group has several offices throughout the northeastern part of Georgia and provides all cardiovascular subspecialty care, including general, invasive and interventional cardiology, congestive heart failure, electrophysiology, peripheral vascular interventions and women's cardiovascular health programs.Northeast Georgia Medical Center Barrow (NGMC Barrow), founded in 1951 and originally known as Barrow Regional Medical Center, joined Northeast Georgia Health System in 2017. Since 2009, NGMC Barrow has been recognized by the Georgia Hospital Association as one of only twelve hospitals throughout the state to earn the Chairman's Honor Roll. With 56 beds and a medical staff of more than 200 physicians, NGMC Barrow brings services modeled around the programs of excellence at NGMC Gainesville to Barrow County. These include emergency services, surgery and procedures, intensive care, outpatient surgery, respiratory therapy, wound care and imaging services.
Part VI, Line 7, Reports Filed With StatesGA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Good News Community Health Center
PO Box 1577GainesvilleGA30503582058853501(c)(3)$584,367Donation for Operating Cost
The Medical Center Foundation
743 Spring StreetGainesvilleGA30501581694820501(c)(3)$1,852,716Operating Support
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe majority of grants are to 501(c)(3) organizations. Board approval is obtained prior to disbursement.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Tim Scully MD
Member, THC Physician$0$357,407$0$0$0$18,000$0$9,275$0$25,231$0$409,913$0$0
Anthony Herdener
VP, CFO, Executive Consultant - NGHS$0$454,779$0$150,026$0$59,198$0$89,779$0$21,537$0$775,319$0$0
Brenda Simpson
Chief Nursing Officer - NGMC$0$201,698$0$48,428$0$7,193$0$6,591$0$14,305$0$278,215$0$0
Carol Burrell
President & CEO$0$885,401$0$275,956$0$58,299$0$897,040$0$11,825$0$2,128,521$0$0
Christopher Paravate
Chief Information Officer - NGHS$0$311,390$0$58,873$0$1,630$0$44,456$0$33,425$0$449,774$0$0
Deborah Weber
CHRO & VP Human Resources - NGHS$0$277,138$0$34,433$0$22,139$0$41,461$0$24,375$0$399,546$0$0
Elyse Gates
VP Revenue Cycle - NGHS$0$188,792$0$58,737$0$513$0$6,199$0$1,527$0$255,768$0$0
Howard Walpole
VP Clinical Effectiveness - NGMC$0$327,122$0$19,839$0$58,743$0$48,552$0$12,226$0$466,482$0$0
John Williamson
President - NGMC Braselton$0$323,821$0$74,146$0$20,590$0$66,415$0$29,370$0$514,342$0$30,107
Linda Nicholson
VP Finance/Controller - NGHS$0$204,246$0$62,522$0$13,209$0$65,364$0$30,705$0$376,046$0$19,861
Louis Smith Jr
President - NGMC Gainesville$0$541,273$0$90,750$0$8,148$0$72,851$0$33,128$0$746,150$0$0
Melissa Tymchuk
Chief of Staff$0$113,005$0$17,415$0$18,272$0$8,647$0$21,988$0$179,327$0$0
Roy Griffin Jr
VP Financial Planning & Decision Sup$0$133,744$0$40,619$0$2,949$0$2,823$0$18,487$0$198,622$0$0
Samuel Johnson MD
VP Medical Affairs & CMO - NGHS$0$407,664$0$101,408$0$25,524$0$58,502$0$29,005$0$622,103$0$41,301
Sonja McLendon
VP Chief of Oper. Excellence - NGHS$0$271,839$0$127,393$0$1,423$0$42,715$0$32,468$0$475,838$0$17,600
Stephen Kelly
Chief Compliance Officer - NGHS$0$134,234$0$55,695$0$3,251$0$4,965$0$18,670$0$216,815$0$0
Tracy Vardeman
VP Chief Strategy Executive - NGHS$0$292,700$0$69,192$0$20,336$0$73,015$0$30,434$0$485,677$0$24,161
Alan Wills
Exec Director - HealtheConnections$0$210,269$0$25,166$0$450$0$7,000$0$20,449$0$263,334$0$0
Harold Law Jr
Chief Technology Officer$0$217,899$0$30,075$0$972$0$7,766$0$18,863$0$275,575$0$0
Jeffery Stephens
Exec Director - Supply Chain Mgmt.$0$193,860$0$42,386$0$1,390$0$4,200$0$9,482$0$251,318$0$0
Randall Miller
Manager - Radiation Physics$0$256,033$0$0$0$1,340$0$36,634$0$8,815$0$302,822$0$0
Richard Mattheus
Chief Information Officer - NGPG$0$204,632$0$23,422$0$690$0$7,000$0$30,609$0$266,353$0$0
James Bailey
Former VP-CMIO/CQO, Current NGPG Phy$0$491,525$0$0$0$26,798$0$9,275$0$17,866$0$545,464$0$0
Randy Smith
Former Interim CNO$0$149,471$0$38,844$0$1,837$0$4,723$0$3,169$0$198,044$0$0
Debra Duke
Former Director of Diagnostic Imagin$0$169,735$0$18,842$0$4,683$0$31,185$0$29,922$0$254,367$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4bFormAndLineReferenceDesc
ExplanationPart I, Line 4b - Employer Contribution to 457(f) executive retirement benefit plan Anthony M. Herdener $ 54,803 Tracy M. Vardeman $ 34,966 Linda Nicholson $ 25,052 Carol H. Burrell $ 851,311 Samuel O. Johnson $ 49,226 John A. Williamson $ 39,115 Sonja McLendon $ 33,440 Christopher Paravate $ 36,947 Deborah Weber $ 33,109 Howard T. Walpole $ 39,276 Louis Smith, Jr. $ 63,576 Carol H. Burrell, President and CEO of Northeast Georgia Health System, Inc., began her career at Northeast Georgia Health System in 1999. She was promoted to President and CEO in July 2011. Her first full year as CEO was completed in 2012 which is reflected in her pay and deferred compensation. The contribution to the 457(f) executive retirement plan on her behalf for 2016 ($851,311) was computed based on her age, length of employment, and current position with Northeast Georgia Health System, Inc. In addition, beginning in December 2016, Northeast Georgia Health System, Inc. invested in a jointly-owned split dollar life insurance plan for Ms. Burrell. The asset value as of September 30, 2017 is $3,231,604 and is reported on Form 990, Part X, Line 15, Other Assets. Employer Payment from 457(f) Plan (Including vested earnings on previously reported compensation): Anthony Herdener $ 54,803 Tracy M. Vardeman $ 25,227 John A. Williamson $ 31,436 Linda Nicholson $ 20,738 Samuel O. Johnson $ 43,124 Sonja MClendon $ 18,377ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
the Hospital Authority of Hall County and the City of Gainesville (2010A)
A586002388362762KB12010-02-18$311,522,031Refund principal and interest of series 2007G and series 2008B-H bonds000
the Hospital Authority of Hall County and the City of Gainesville (2010B)
B586002388362762KS42010-02-18$246,724,247Refund principal and interest of series 2007G and series 2008B-H bonds000
The Hospital Authority of Hall County and the City of Gainesville (2011A)
C586002388noneavail2011-08-26$46,625,000Refund principal and interest of series 2008A000
the Hospital Authority of Hall County and the City of Gainesville (2014A)
D586002388362762LE42014-12-11$227,171,226Pay the cost of issuing 2014A, refund portion of 2010B and all of 2012 bonds000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$62,685,000$306,081,501$7,744,640$7,297,582$57,074,0322013Yes (1)0Yes (1)Yes (1)
B$27,175,000$249,569,381$5,060,433$7032013Yes (1)0Yes (1)Yes (1)
C$46,625,000$200,0002011Yes (1)0Yes (1)Yes (1)$46,625,000
D$227,214,996$783,066$88,715,1982017Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.000200.0022000Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.000200.0022000Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.000200.0022000Yes (1)
D0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.000200.0022000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
JP Morgan
AYes (1)0Yes (1)18.0000000000000000Yes (1)
JP Morgan
BYes (1)0Yes (1)18.0000000000000000Yes (1)
Citibank NA
C0Yes (1)Yes (1)13.0000000000000000Yes (1)Yes (1)00
(no name)
D00000Yes (1)Yes (1)00

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
the Hospital Authority of Hall County and the City of Gainesville (2014B)
A586002388362762LB02014-12-11$135,500,000Pay the cost of issuing 2014B, refund portion of 2010A and all of 2012 bonds000
the Hospital Authority of Hall County and the City of Gainesville (2017A)
B586002388362762LT12017-02-09$185,966,677Pay the cost of issuing 2017A, advance refund portion of 2010A000
the Hospital Authority of Hall County and the City of Gainesville (2017B)
C586002388362762MM52017-02-09$160,203,063Pay the cost of issuing 2017B, advance refund portion of 2010B000
the Hospital Authority of Hall County and the City of Gainesville (2017C)
D586002388362762NV42017-02-09$75,000,000Pay the cost of issuing 2017C, pay or reimburse for capital projects000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmt
A$135,503,243$462,303$71,006,0692017Yes (1)0Yes (1)Yes (1)
B$185,966,974$573,36320170Yes (1)Yes (1)Yes (1)
C$160,203,280$475,28220170Yes (1)0Yes (1)$7
D$75,000,115$327,8532017000Yes (1)$3

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.000200.0022000Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.000200.0022000Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.000200.0022000Yes (1)
D0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.000200.0022000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)
C0Yes (1)000000Yes (1)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1the Hospital Authority of Hall County and the City of Gainesville (2017D)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN586002388BondIssuerEIN
Bond Issued2017-02-09BondIssuedDt
Issue Price$75,000,000IssuePriceAmt
PurposePay the cost of issuing 2017D, pay or reimburse for capital projectsPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$75,171,934TotalProceedsAmt
Issuance Costs From Proceeds$217,428IssuanceCostsFromProceedsAmt
Capital Expenditures$42,953,556CapitalExpendituresAmt
Unspent$32,000,950UnspentAmt
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research AgreementsYes (1)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (1)EngageBondCounselResearchInd
Private Bus Use By Others0.00200PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00020PrivateBusConcerningUBIPct
Total Private Business Use0.00220TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
John Delzell Jr
VP Medical Education - NGMCSign-on Advance pursuant to written promissory note and applicable interestYes (X)$20,000$19,1670Yes (1)Yes (1)
Tad Gomez
VP Professional Support Services - NGMCSign-on/relocation pursuant to written promissory note and appl. interestYes (X)$29,187$19,4590Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$38,626TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Aundrea Stevens
Aundrea Stevens is sister to Jack Keener, Board Member.$85,446Aundrea Stevens is employed by Northeast Georgia Medical Center, Inc.0
Bradee Aderholt
Carol Burrell, President & CEO, is a family member of Bradee Aderholt.$40,675Bradee Aderholt is employed by Northeast Georgia Medical Center, Inc.0
James Nicholson
Son of Linda Nicholson, Officer of NGMC$39,849James Nicholson is employed by Northeast Georgia Medical Cener, Inc.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a, Program Service Accomplishments:Northeast Georgia Health System, Inc. (NGHS) is a Georgia, not-for-profit corporation that provides healthcare services to the residents of Northeast Georgia primarily through the operation of its affiliates including Northeast Georgia Medical Center, Inc. (NGMC), which is also a Georgia, not-for-profit corporation. NGMC operates a 557-licensed bed inpatient facility in Gainesville and a 100-licensed bed inpatient facility in Braselton. In January 2017, NGHS acquired NGMC Barrow, LLC ("Barrow"), a 56-bed hospital located in Winder, Georgia. Together, NGMC Gainesville, NGMC Braselton and Barrow provide a comprehensive range of acute care and specialty services and serve the area's low-income, uninsured, underinsured and other vulnerable populations. NGMC Gainesville serves as the regional safety net hospital, with approximately half of its patients coming from outside of Hall County. NGMC Gainesville, Braselton and Barrow reinvest all funds in excess of operating expenses into healthcare services for the community. NGHS receives no tax revenue from Hall or other counties served, and services are funded by revenue generated from operations. Located in Georgia's fastest growing region, the 67-year-old hospital, NGMC Gainesville, has expanded considerably in recent years to meet demand, investing a quarter of a billion dollars to update its aging plant and another $200 million-plus to build the NGMC Braselton campus and expand its services to include obstetrics and radiation therapy. NGMC Gainesville & Braselton According to the 2017 Hospital Quality Ratings study by CareChex, NGMC is rated as Georgia's #1 Heart Hospital (for the twelfth year in a row) and Georgia's #1 hospital for Pulmonary Care and Women's Health. NGMC Gainesville is also in the top 9% in the Nation for Cancer Care and in the top 10% in the Nation for Pneumonia Care, Stroke Care, and Surgical Care. NGMC Gainesville and Braselton campuses have been recognized as "Georgia Safe to Sleep Hospitals" by the Georgia Department of Public Health. In 2017, NGMC Gainesville and Braselton provided charity care to Hall County residents at a cost of $19.9 million with another $18.8 million to regional residents outside of Hall County. Unlike a number of not-for-profit hospitals, NGMC receives no local tax revenue from Hall County, or any other counties, to support operations or care provided to indigent residents. NGMC's charity care policy provides financial assistance up to 300 percent of the poverty level - double the amount generally provided by other hospitals across the state. The hospital is a key participant and fiscal sponsor in programs aimed at treating low-income and uninsured patients, including the Good News Clinics, the largest free health care clinic in Georgia, and Health Access Initiative (HAI), a local service that matches financially eligible patients to specialty physicians and provides access to care, among other services. Additionally: - Since 2000, NGMC Gainesville has provided nearly three times the amount of indigent and charity care set forth in requirements by the Georgia Department of Community Health for successful passage of a certificate of need for new services, and, unlike many Georgia not-for-for profit hospitals held to the same requirements, NGMC does not receive tax funding from its local county to help fund indigent care to area residents. - NGMC is the primary hospital for low-income patients in Gainesville-Hall County and throughout the region in counties such as Banks, Rabun, Union and White, where many key medical specialties are not available. - NGMC Gainesville is number 5 in top hospitals for net uncompensated care ($50.8 M) provided in Georgia based on state fiscal year (July 1 - June 30) 2017 Indigent Care Trust Fund (ICTF) Total Hospital Specific diproportionate share hospital (DSH) Limits; many of the hospitals on the list received local tax dollars while NGMC did not. NGMC serves as a financial engine for the local economy. In 2016 (latest numbers available), NGMC Gainesville and Braselton campuses surpassed the $1.75 billion mark in local and state economic impact, according to a report by the Georgia Hospital Association which applied an economic multiplier to the hospital's direct expenditures to account for the "ripple" effect the hospital's spending has on other sectors of the local and state economies. The report found that through its economic impact, NGMC sustained more than 18,000 full-time jobs throughout the region and the state. Under IRS law, a tax-exempt organization, classified as a 501(c)(3) charity, is required to: have a mission that will benefit its community; reinvest all surplus funds in the organization in a way that benefits the community; compensate executives, contractors and other employees in accordance with fair market value; remain accountable to the community; refrain from participating in political campaigns for or against candidates and/or lobby as a substantial part of its activities; and remain financially accountable to the community by not allowing any portion of its net earnings to benefit any private shareholder or individual. As a not-for-profit hospital, NGMC carries additional responsibilities, as established by the IRS in 1965: Operate a full-time emergency room (ER) that is available to all people, regardless of their ability to pay; - NGMC Gainesville operates the 2nd busiest ER in Georgia (according to the 2016 Annual Hospital Questionnaire Survey). In FY17, 20% of all NGMC Gainesville and Braselton ER visits were made by self-pay patients. Provide non-emergency services to anyone able to pay and medically necessary services to anyone in the NGHS service area not able to pay; - Northeast Georgia Health System provides high quality, advanced specialty and primary healthcare services to the Northeast Georgia community, serving 1 million people in more than 18 counties. In FY17, NGMC's payor mix at Gainesville and Braselton was 60% Medicare/Medicaid, 32% commercial insurance and 8% self-pay. Participate in Medicaid and Medicare; - 60% of patients served by NGMC Gainesville and Braselton in FY17 were Medicaid and Medicare patients. Create a governing board that is representative of the community it serves; - More than 80 community members are actively involved in governance through Northeast Georgia Health System, NGMC and other subsidiary boards and committees. Allow medical staff privileges to any professional who is qualified and applies; - NGMC has a medical staff of more than 760 physicians representing numerous advanced specialties such as gynecologic oncology, electrophysiology, cardiac surgery, critical care medicine, surgical trauma, neonatology, perinatology and telemedicine. Reinvest surplus funds in operations. - As not-for-profit organizations, the revenue generated by NGMC and its parent organization, Northeast Georgia Health System, above operating expenses is reinvested into the community. Examples include construction of new medical facilities, such as the hospital in Braselton offering 24/7 emergency room services not previously available to local residents; investments in advanced medical technology such as robotic surgical systems and state of the art radiation therapy equipment; and development of the only Level 2 Trauma Center in Northeast Georgia. NGMC participates in the Indigent Care Trust Fund (ICTF), a program established in 1990, which expands Medicaid eligibility and services, supports rural health care facilities that serve the medically indigent and funds primary health care programs for medically indigent Georgians. Georgia's Disproportionate Share Hospital (DSH) program is funded through the ICTF and assists hospitals and other health providers that care for high proportions of Medicaid, uninsured and/or low-income patients. In 2017, NGMC received $6.3 million in net funds allocated through the Medicaid DSH (ICTF) program to partially offset a financial loss of $50.8 million in cost the Medical Center incurred treating uninsured and Medicaid patients. In addition, NGMC received $3.5 million in net funds allocated through the Medicaid upper payment limit (UPL) program to adjust Medicaid payments upward to match Medicare payment levels. NGMC Gainesville and Braselton value cooperative efforts with community organizations and other healthcare providers to improve the health status of area residents. The organizations demonstrate this through many partnerships ranging from serving as lead agency of Safe Kids Gainesville/Hall County, to partnering with other organizations such as Good News Clinics and the Public Health Department to reach at-risk populations in need of health care.
Form 990, Part III, Line 4aIn FY17, NGMC Gainesville and Braselton provided over $6.7 million in community benefit programs/outreach. Health education was provided through free community lectures, screenings, various support groups and the semi-annual health magazine, Communicare. NGMC also offered many community education seminars on topics ranging from health and nutrition to women's health education and more, as well as seminars for health professionals in the community, region and state. In addition, NGMC provided support to other local non-profit organizations that serve the community. What Drives NGMC's Community Health Improvement Activities? NGMC, with input from the community, completed a Community Health Needs Assessment (CHNA) in 2016. The assessment focused mainly on the needs of the community's most vulnerable populations, particularly those with low-incomes who are uninsured. Input from the community was gathered through focus groups and interviews. Focus group participants and interviewees included community leaders, public health experts and those representing the needs of minority, underserved and indigent populations. Input was also received from an internal NGMC board level workgroup and senior leadership who validated, refined and expanded the list of health needs NGMC would address. The study culminated in the identification of the following 5 priority health needs across the region: Septicemia, Access to Care, Diabetes, Cancer and Injury. The 5 health priorities fit hand-in-glove with our strategic direction as an organization. Working together, from senior management to board level, to the bedside and community partners, NGMC has implemented a plan to improve the outcomes of these health needs over a 3 year period. The actions and outcomes of this plan are being tracked to monitor improvements and identify opportunities with each priority health need. Go to https://www.nghs.com/community-benefit-resources for updates and full reports. The following contains highlights of community benefit activities provided by NGMC in FY17, often partnering with other organizations and individuals in the community: Partnering to Reach the Uninsured: NGMC works cooperatively with other area healthcare providers to care for area residents, particularly the indigent population. Partners include, but are not limited to, NGMC, the Northeast Georgia Physicians Group (NGPG) Primary Care Clinic at Hall County Health Department, the Northeast Georgia Diagnostic Clinic, The Longstreet Clinic, Medlink (federally qualified health center), area physicians and indigent clinics such as Good News Clinics in Gainesville and Good Shepherd Clinic of Dawson County. Good News Clinics (GNC): NGMC provides funding to GNC (the largest free clinic in Georgia) that helps provide medications, medical supplies and other support. Founded in 1992, GNC is a Christian ministry that provides medical and dental care to the indigent and uninsured population at no charge. Forty-six physicians, 9 mid-level providers and 43 dentists volunteer to treat patients at GNC. In addition, 332 specialist physicians volunteer to treat patients in their offices through referrals from GNC, NGPG Primary Care Clinic at the Hall County Health Department and physicians in Hall County. In FY17, nearly $500,000 was donated to help GNC provide care to indigent patients who were at or below 150% of the federal poverty guidelines and did not qualify for other programs. To provide integration between GNC, NGHS, and other providers in the community, NGMC through its foundation is working to help support the implementation of a high-level electronic medical record system to improve coordination of care and outcomes for this vulnerable patient population. Eva Johnson, NGMC Nurse Practitioner and Heart Failure Disease Manager, helped establish and now runs the Heart Failure Clinic at GNC. Eva was awarded the Sam Poole Community Volunteer of the Year Award for her tireless work with the clinic. This project has been extremely successful, holding the 30-day hospital readmissions to one patient in 2017. NGPG Primary Care Clinic at the Hall County Health Department: NGMC funds and staffs a primary care clinic at the Hall County Health Department to improve access to primary healthcare services for low-income people in our community. In FY17, NGMC contributed $1,070,096 to this clinic. Prenatal Care Program at the Health Department: NGMC, The Longstreet Clinic, and Hall County Health Department partner to improve birth outcomes by increasing early prenatal care for low-income, uninsured and under-insured pregnant women via the Health Department's primary care clinic. Yearly cost to NGMC is approximately $200,000. Indigent Patient Fund: At NGMC, financial assistance is provided for indigent patients to obtain urgently needed discharge medications and transportation. Individuals eligible for these funds are patients whose needs cannot be met through primary insurance, their own personal funds, government programs or other charitable services. This helps to ensure medication compliance and maximize conditions for recovery and recuperation. The Medical Center Foundation provides funding for this. Charity Care: NGMC's charity care policy removes barriers for low-income populations within our service area beginning with free, medically necessary care for patients whose gross family income is 0 to 150% of the Federal Poverty Level (FPL) adjusted for family size. Further, patients from our service area, whose FPL is from 151 to 300%, may qualify for an adjustment equivalent to the hospital's Medicare reimbursement rate plus an additional 40% discount to the Medicare reimbursement rate. Total Charity Care Cost for FY17: $19.9 million for Hall County with another $18.8 million for regional residents outside of Hall County. NGMC Volunteers: In FY17, 748 NGMC volunteers contributed 68,961 volunteer hours, equivalent to 41 full time employees and a value of over $1.6 million to the organization. While these figures are not included in the quantitative portion of the community benefit report, they show the depth of support the community gives NGMC. 130 teens participated in the Teen Volunteer Program in 2017. The teens represented 28 different schools within the area. Encouraging Medical Volunteering: NGMC provides information at physician orientation to encourage physicians to step up to volunteer opportunities through local free clinics (GNC in Gainesville and Helping Hand Clinic in Cleveland) as well as Health Access. NGPG also encourages physicians to give of their time volunteering at these locations. Through various physician leadership councils, NGMC's Cancer Services Program encourages its physicians to actively participate in community outreach, including educational seminars, screenings, cancer prevention opportunities and other outreach with the purpose of improving patient care, quality, access and programmatic excellence of cancer services within the community. Financial Navigators: NGMC has financial assistance counselors who help patients become insured, be it through Medicaid, PeachCare or other programs. This team focuses on being advocates for uninsured and under-insured patients, aiding them in finding viable means to access care. They find the best solutions for helping patients apply for Medicaid or disability, accessing healthcare exchanges or processing charity applications when appropriate. Patient Navigators: NGMC also has a cancer patient navigation program. This program provides cancer patients with guidance throughout their cancer journey, and they are seen as a "living resource directory" for patients. Clinical Research: In FY17, all ongoing clinical trial research programs at NGHS were reorganized under the oversight of the new NGMC Office of Research. NGMC's Oncology Research program, through the Georgia NCORP (National Cancer Institute Community Oncology Research Program), received recognition as a high performing research site member. Georgia NCORP provides Georgians with access to state-of-the-art cancer prevention, screening, control, treatment and post treatment trials in 41 locations throughout the state. NGMC was recognized for results in meeting or exceeding our goals for providing patients access to cancer research trials. NGMC's Cardiology Research program was recognized by major sponsors as a top enrolling site through participation in pharmaceutical and device clinical trials in cardiology with outcomes that have the potential to improve the standard of care for patients throughout the U.S. and around the world.
Form 990, Part III, Line 4aPartnering in the Community Partnership for a Drug Free Hall (DFH): As part of the behavioral health issues being addressed in Hall County, much progress has been achieved in FY17 with regard to the opioid epidemic affecting so many counties across the region and our nation. Hall County's response to this epidemic is the collaborative Partnership for a Drug Free Hall. Modeled after a partnership formed in Gwinnett County led by Senator Renee Unterman, she, along with Deb Bailey, Executive Director of Governmental Affairs at NGHS, Dallas Gay, former NGHS Board Member, and Judy Brownell, Director of Prevention at Center Point, pulled together a diverse group of agencies in Hall County to form this partnership. Other NGHS representatives from Community Health Improvement and Laurelwood also actively serve on this committee. DFH is dedicated to providing the people of Hall County with information, resources and actions to address drug abuse. Information and resources can be found at http://drugfreehall.org. The following activities have come from this collaboration and are available to the community: - Not My Family, a series of forums directed at families and individuals was launched to provide awareness, education and local resources. In September 2017, the first forum was held in Gainesville at the Brenau Downtown Center where over 450 people attended. Attendees ranged from professionals to students to families and friends, and this series continues in 2018. - Parent Support Group for parents/guardians who have lost a child due to overdose or drug-related injuries, as well as parents with a child who is struggling with addiction is available to the community. - 3 Steps to Save A Life, a training program designed to equip the general public with lifesaving information to prevent overdose deaths, was launched. In 2018, this tool will be available in a free App, (currently available at www.oorescue.com). - Engagement in local schools and university systems such as with the University of North Georgia was expanded. In addition to this, DFH in collaboration with the Hall County Family Connection Network (HCFCN), planned a 2018 Youth Empowerment Summit to educate up to 100 sixth graders about the dangers of alcohol and drugs, as well as, leadership skills and refusal strategies. Through this summit, a Youth Advisory Council will be developed. - S.T.A.R.T. (Students Together Achieving Responsibility & Tolerance), a Youth Advisory Council, will be an advisory group of youth leaders who work in partnership with their peers, local leaders and community organizations in Hall County. As part of this council, members will learn about current issues facing youth, develop and strengthen leadership skills, provide input about current issues facing youth, interact with local community leaders, serve as youth advocates and ambassadors for Hall County, participating in team building activities, volunteer projects and community service. - NGMC's emergency departments have been chosen by the Georgia Council on Substance Abuse to participate in a two-year, grant-funded pilot project to help patients who experience an opioid-related overdose. The ED-CARES program connects people who have been admitted to emergency rooms for an opioid-related overdose with trained peer recovery coaches. This peer support plays an important role in helping people avoid another overdose and encouraging them to seek treatment. The program was created in response to the increasing number of overdose fatalities and seeks to curtail that trend by better connecting people at high-risk with community support and services. NGMC is the only hospital system in Georgia to provide this support, which is provided in all three Emergency Departments (at Gainesville, Braselton and Barrow). - Georgia continues to benefit from Project DAN (Deaths Avoided by Naloxone), an effort to equip first responders with the drug naloxone/Narcan which can quickly reverse overdoses from opioids or heroin. The Medical Center Foundation's 2015 Medical Center Open benefited the Medical Association of Georgia Foundation's 'Think About It' Campaign that funded Project DAN. Until recently, naloxone was only available by prescription, but thanks to a standing order signed by Governor Deal on December 14, 2016, the Jeffrey Dallas Gay Act, naloxone can now be dispensed over-the-counter by pharmacists across Georgia, making it accessible to parents and other lay citizens who may be the firsthand witnesses to overdoses. Through Project DAN, Northeast Georgia Health System has trained more than 5,000 people in 98 agencies across 53 counties on the use of naloxone. Although, there is no official reporting process to capture all lives saved, we do know that 27 lives have been saved in Hall County and over 80 in our service area with naloxone kits provided to first responders through Project DAN. - In FY17, the Georgia Composite Medical Board proposed required physician education addressing controlled substance prescribing guidelines. NGMC has for many years participated in seeking solutions to the tremendous opioid epidemic in our community and our state. In an effort to better educate physicians on this alarming health crisis, the Georgia Composite Medical Board met and proposed amendments to the Georgia Composite Medical Board Rules which add continuing education requirements for physicians to address controlled substance prescribing guidelines and recognizing signs of abuse or misuse. The updated ruling was set to take effect January 1, 2018. Details can be found at the Medical Association of Georgia's website at www.mag.org. NGMC is actively involved in Vision 2030 (www.Vision2030.org). This community-wide program is sponsored by the Greater Hall Chamber of Commerce and participation is open to everyone in the community. An NGMC employee currently serves on the board of Vision 2030 which focuses on the creation of a culture of community wellness, the support and maintenance of lifelong learning, the building of an economy around emerging life sciences, the encouragement of innovative growth/infrastructure development and the promotion of cultural integration. NGMC is also an active partner on other chamber committees such as the Healthcare Committee and the Health Initiative Consortium. NGMC is also a partner in HALLmark, which is a community investment plan that addresses economic development, education, government and community development through partnership. Two NGMC representatives serve on the Hall County Family Connection Network (HCFCN). HCFCN adopted Teen Pregnancy Prevention and community-wide resource mapping in partnership with United Way as its two focus areas in FY17. HCFCN is a collaborative which serves as the local decision-making body, bringing community partners together to develop, implement and evaluate plans that address the serious challenges facing the children and families in our county, in addition to increasing awareness and knowledge of existing programs and services available to families and children in Hall County. Its vision is that every child has the opportunity to reach his or her full potential for good health, be secure from abuse and neglect and become a literate, productive, economically self-sufficient member of our community. A Member of NGMC's bariatric service line serves on Hall County School System's Wellness Council. The Medical Center Foundation (MCF) Raises Funds to Benefit the Community. The MCF is the fundraising arm of NGMC and raises funds to improve the health of the community. The Foundation's operating expenses are supported by NGMC so that donated funds can be used to support NGMC projects and community health improvement initiatives. The following are items of interest to note: - Since 1997, approximately $3.8 million has been raised for community health improvement projects through The Medical Center Open, a community golf tournament. - The 2016 Medical Center Open Golf Tournament, which was held in FY17, raised $282,454 to fund three homes and a neighborhood playground for Habitat for Humanity of Hall County, located in its signature subdivision, Copper Glen. Over 100 community volunteers, 225 sponsors and 216 players made the tournament a success! NGMC senior leadership and employees helped construct the homes through three NGMC Build Days that benefitted three deserving families. - Through the employee giving club known as W.A.T.C.H. (We Are Targeting Community Healthcare), members have donated more than $8.8 million to support the Healthy Journey Campaign since the program's inception in 1999.
Form 990, Part III, Line 4aInvesting in Our Youth Safe Kids Coalition Works to Keep Kids Safe: The Gainesville-Hall County Safe Kids Coalition, led by NGMC, is part of Safe Kids Worldwide, the first and only national organization dedicated solely to the prevention of unintentional childhood injury, which is the nation's number one killer of children ages 14 and under. This program provides affordable safety equipment such as car seats, bike helmets, and life jackets to area children in need. Working with a coalition made up of law enforcement, area schools, community volunteers and others, Safe Kids provides educational materials and programs that teach children and their parents how to avoid accidents and injuries. Safe Kids continued the work of injury prevention for families in the Hall County community in 2017 thanks to the support of MCF and The Medical Center Auxiliary proceeds from Marketplace (an annual fundraising event of The Medical Center Auxiliary, which benefits healthcare services of NGMC). In FY17, members of the Gainesville-Hall County Safe Kids Coalition provided over 76 programs and events that reached an estimated 9,643 children and their family members, teachers and caregivers. Through these programs, over 4,201 safety devices were distributed to families in need of them. Education and Support for Seniors Getting Older and Better Workshops: Over 220 people participated in the Getting Older and Better Workshops held in September in Gainesville and Braselton. This event was sponsored by The Medical Center Auxiliary, provided by NGMC and featured the topic "Let's Talk About Stroke: Signs, Treatment, and Lowering your Risk." Featured speakers were Antoine Leflore, MD., Emergency Medicine Physician from Northeast Georgia Health System, Shaena Blevins, MD., Stroke Medical Director from Northeast Georgia Medical Center and NGPG Neurology, Jennifer Sweigart, Inpatient Neurology Physician Assistant from Northeast Georgia Physicians Group Neurology and Heather Wilsey, Physical Therapist and Outpatient Supervisor from The Rehabilitation Institute of Northeast Georgia Medical Center. Support of Community Efforts to Improve Health NGMC employees are very active in the community, volunteering at GNC, in their churches on mission trips and for community agencies such as the Humane Society and Habitat for Humanity. When it comes to supporting MCF's employee giving club, W.A.T.C.H., over 3,500 employees donated about $745,000 in 2017. American Cancer Society, American Heart Association, and March of Dimes: NGMC employees turned out in full force for community events such as the American Heart Walk, March for Babies and Relay for Life, averaging participation of 300 employees per event. Blood Drives: In FY17, NGMC hosted 22 drives, resulting in 484 donors and over 404 pints of blood. United Way Pacesetter & More: NGMC has partnered with United Way to engage employees and leaders in the community. NGHS employees contributed $76,415 to United Way as a Pacesetter Company. Three NGMC employees serve on the United Way Board; Dr. Sam Johnson, Chief Medical Officer at NGHS, serves as Chairman on One Hall United Against Poverty. In an effort to improve school readiness and literacy for our community's children, NGMC has partnered with the United Way of Hall County's Read Learn Succeed initiative to produce a children's book. Printed in English and Spanish, "Welcome to the World," provides education about the importance of reading to children every day, for at least 15 minutes, starting at birth. The book also includes keepsake pages for baby's first footprints and handprints. Funded by The Medical Center Auxiliary, this book is given to all babies born at NGMC Gainesville and NGMC Braselton. Training and Education for Healthcare Professionals: NGMC continues to serve as a "pipeline" to help get more qualified people interested in healthcare positions and help provide training and education to students. This training and education is done through a variety of avenues from job shadowing to the nurse extern program and pharmacy residency program, as well as significant support to Foothills Area Health Education Centers. Graduate Medical Education (GME): Northeast Georgia Medical Center's GME program is designed to train residents to be leaders in the medical field as well as in the community. Medical students will receive hands-on training in one of six medical specialties: internal medicine, family medicine, general surgery, OB/GYN, psychiatry and emergency medicine. NGMC expects this program to grow to 170 residents by 2024, which would make this program one of the largest in the state, and expects its first students in 2019. Dr. Antonio Rios, Chief Physician Executive for NGPG, was elected Chairman of The Georgia Board for Physician Workforce. On this board, Dr. Rios will be committed to furthering the board's mission to identify the physician workforce needs of Georgia communities and to meet those needs through the support and development of medical education programs. Dr. Rios also serves on the Good News Clinics and District 2 Public Health boards. Northeast Georgia STEMI (S-T Segment Elevation Myocardial Infarction) Summit: Hosted each year by NGMC, the Northeast Georgia STEMI Summit brings together paramedics, EMS staff, and doctors from across the state. They meet to discuss the state of the Northeast Georgia Regional STEMI System, a collaborative effort providing critical care and rapid response in 18 counties across the region to people suffering a severe heart attack known as STEMI. As this year's summit was in progress, the Georgia House of Representatives voted in favor of adopting Senate Bill 102, which provides for the establishment of emergency cardiac centers and the establishment of the Office of Cardiac Care within the Georgia Department of Public health. The bill was spearheaded by Jeffrey Marshall, MD (The Heart Center of NGMC) and Deb Bailey, Executive Director of Governmental Affairs at Northeast Georgia Health System. In addition to championing Senate Bill 102, Deb has made tremendous contributions to our state as a whole, serving on the Georgia Committee on Public Health, Georgia Board of Nursing and the Georgia Hospital Medicaid Financial Program Advisory Committee. NGMC Provides Health Information & Support: The Fraser Resource Center and Health Sciences Library & Braselton Resource Center at NGHS serve the health information needs of the community. Consumers, patients and their family members have access to credible resources relating to medical symptoms, conditions and treatments both at the library and also via links on NGMC's website (www.nghs.com/library). The Resource Center encourages visitors to make healthy choices and become active, informed partners in their health care. In keeping with guidelines for community benefit reporting, NGMC did not include quantitative data on the following programs/projects, but they do meet health needs in the community identified via the 2016 (the most recent) Community Health Needs Assessment and warrant inclusion in this summary: NGMC Employees Lead the Way: Carol Burrell, NGHS President and CEO, was named Georgia's Most Respected Business Leader for 2017 by Georgia Trend magazine. At the annual Masters in the Art of Nursing: Healers Among Us event, Deb Bailey, Executive Director of Governmental Affairs at NGHS, and Mary Martin, Chief Nursing Informatics Officer at NGHS, were recognized along with two other nurses in the community for their dedication and excellence. SANE program: NGMC provides a SANE (Sexual Assault Nurse Examiner) program which provides nurses special training in rape crisis, trial time with a District Attorney and training with law enforcement and a pediatrician's office. NGMC employs nurses who have specialized training to complete the Sexual Assault Nurse Exam and provide specialized care for patients who are victims of sexual assault. This program is not a requirement of hospitals and is also not provided at all hospitals throughout the state. NGMC Barrow NGMC Barrow provided charity care to Barrow County residents at a cost of $1.2 million in 2017 with another $308 thousand provided to regional residents outside Barrow County. NGMC Barrow receives no local tax revenue from any of the counties it serves to support operations or care provided to indigent residents, unlike a number of not-for-profit hospitals. The organization's charity care policy provides financial assistance up to 300% of the poverty level, double the amount generally provided by other hospitals across the state.
Form 990, Part III, Line 4aIn 2017, NGMC expanded its access in cardiac and cancer care to NGMC Barrow. NGHS spent nearly $2.5 million on new equipment for NGMC Barrow, such as a new CT scanner and two new hyperbaric oxygen treatment chambers in the Wound Care Center. NGMC serves as a financial engine for the local economy. In 2016 (latest numbers available), NGMC Barrow had $73.3 million in local and state economic impact, according to a report by the Georgia Hospital Association, which applied an economic multiplier to the hospital's direct expenditures to account for the "ripple" effect the hospital's spending has on other sectors of the local and state economies. The report found that through its economic impact, NGMC Barrow sustained more than 500 full-time jobs throughout the region and the state. Under IRS law, a tax-exempt organization, classified as a 501(c)(3) charity, is required to: have a mission that will benefit its community; reinvest all surplus funds in the organization in a way that benefits the community; compensate executives, contractors and other employees in accordance with fair market value; remain accountable to the community; refrain from participating in political campaigns for or against candidates and/or lobby as a substantial part of its activities; and, remain financially accountable to the community by not allowing any portion of its net earnings to benefit any private shareholder or individual. As a not-for-profit hospital, NGMC Barrow carries additional responsibilities, as established by the IRS in 1965: Operate a full-time emergency room that is available to all people, regardless of their ability to pay; - NGMC Barrow operates the 77th busiest ER in Georgia (according to the 2016 Annual Hospital Questionnaire Survey). In FY17, 30% of all NGMC Barrow emergency room visits were made by self-pay patients. Provide non-emergency services to anyone able to pay and medically necessary services to anyone in the NGHS service area not able to pay; - Northeast Georgia Health System provides high quality, advanced specialty and primary healthcare services to the Northeast Georgia community, serving 1 million people in more than 18 counties. In FY17, NGMC Barrow's payor mix was 55% for Medicare/ Medicaid, 24% for commercial insurance and 21% for self-pay. Participate in Medicaid and Medicare; - 55% of patients served by NGMC Barrow were Medicaid and Medicare patients. Create a governing board that is representative of the community it serves; - More than 80 community members are actively involved in governance through Northeast Georgia Health System, NGMC and other subsidiary boards and committees. Allow medical staff privileges to any professional who is qualified and applies; - NGMC Barrow has a medical staff of 280 physicians representing numerous advanced specialties such as emergency services, surgery and procedures, intensive care, outpatient surgery, respiratory therapy, wound care, imaging services and telemedicine. Reinvest surplus funds in operations; - As not-for-profit organizations, the revenue generated by NGMC and its parent organization, Northeast Georgia Health System, above operating expenses is reinvested into the community. In 2017, NGMC expanded its access in cardiac and cancer care to NGMC Barrow. NGHS spent nearly $2.5 million on new equipment for NGMC Barrow, such as a new CT scanner and two new hyperbaric oxygen treatment chambers in the Wound Care Center. NGMC Barrow values cooperative efforts with community organizations and other healthcare providers to improve the health status of area residents. The organization demonstrates this through community partnerships ranging from free health screenings at local health fairs to providing a meeting space for other non-profit organizations, such as United Way and Rotary Club of Winder. In FY17, NGMC Barrow provided over $89,000 in community benefit programs/outreach. NGMC Barrow offered many community education seminars on topics ranging from healthy cooking demos to heart health and more. In addition, NGMC Barrow provided support to other local non-profit organizations that serve the community. What Drives NGMC Barrow's Community Health Improvement Activities? NGMC, with input from the community, completed a region-wide Community Health Needs Assessment (CHNA) in 2016 that included Barrow County and surrounding counties (before NGMC Barrow was acquired by Northeast Georgia Health System). Through the CHNA, cancer was identified as a health priority for Barrow County. According to the National Cancer Institute 2008-2012, Barrow County has a lung cancer indicator value of 87.9, well above its neighbor Gwinnett County's value of 54.1 and the state benchmark of 68.8. Additionally, according to the Georgia Department of Public Health's Georgia Tobacco Use Surveillance Report, in 2015, approximately 4% of middle school students and 53,000 or 13% of high school students in Georgia smoke cigarettes. NGMC is partnering with Barrow County Schools to implement "Tar Wars", a tobacco-free education program for fourth and fifth grade students developed by the American Academy of Family Physicians to teach kids about the dangers of tobacco use, the cost associated with using tobacco products, and the advertising techniques used by the tobacco industry to market their products to youth. Go to https://www.nghs.com/community-benefit-resources for updates and full reports. The following contains highlights of community benefit activities provided by NGMC Barrow in FY17: Charity Care: Like NGMC Gainesville and Braselton, NGMC Barrow's charity care policy removes barriers for low-income populations within our service area beginning with free, medically necessary care for patients whose gross family income is 0 to 150% of the Federal Poverty Level (FPL) adjusted for family size. Further, patients from our service area, whose FPL is from 151 to 300%, may qualify for an adjustment equivalent to the hospital's Medicare reimbursement rate plus an additional 40% discount to the Medicare reimbursement rate. Total Charity Care Cost for NGMC Barrow in FY17: $1.2 million with another $308 thousand provided to regional residents outside Barrow County. Encouraging Medical Volunteering: Through various physician leadership councils, NGMC Barrow's Cancer Services Program encourages its physicians to actively participate in community outreach, including educational seminars, screenings, cancer prevention opportunities and other outreach with the purpose of improving patient care, quality, access and programmatic excellence of cancer services within the community. Financial Navigators: NGMC Barrow has financial assistance counselors who help patients become insured, be it through Medicaid, PeachCare or other programs. This team focuses on being advocates for uninsured and under-insured patients, aiding them in finding viable means to access care. They find the best solutions for helping patients apply for Medicaid or disability, accessing healthcare exchanges or processing charity applications when appropriate. Partnering in the Community: NGMC Barrow Volunteers: In FY17, 24 NGMC volunteers contributed 4,828 volunteer hours, equivalent to almost 3 full time employees and a value of over $116,548 to the organization. While these figures are not included in the quantitative portion of the community benefit report, they show the depth of support the community gives NGMC Barrow. Like NGMC Gainesville and Braselton, NGMC Barrow's emergency department participates in the ED-CARES program, which connects people who have been admitted to emergency rooms for an opioid-related overdose with trained peer recovery coaches. Rotary Club of Winder Support: Sunita Singh, public relations manager for Barrow, serves as President of the Rotary Club of Winder, which benefits various community programs such as Peace Place, The Tree House Inc., United Way and Boy Scouts of America, just to name a few. Support of Community Efforts to Improve Health American Cancer Society (ACS): NGMC Barrow was the Platinum Sponsor for the ACS Relay for Life in Barrow County. The walk benefits cancer research and community education. NGMC employees turned out in full force for Relay for Life, with over 360 walkers throughout the region. Northeast Georgia Food Bank Support: NGMC Barrow provided a donation to the Northeast Georgia Food Bank's Food 2 Kids program in Barrow County. This program was developed to alleviate hunger on nights and weekends when other food is not available for children in need.
Form 990, Part III, Line 4aBoys & Girls Club: NGMC Barrow gave a donation to the Boys & Girls Club which provides programs that empower youth to excel in school, become good citizens and lead healthy, productive lives. Health Screenings: NGMC Barrow provided health education and screenings at local health fairs, such as free blood pressure checks and diabetes education. Community Health Education: NGMC Barrow offers a variety of free health education classes from Arthritis to healthy cooking demonstrations. The Diabetes Education team at NGMC developed partnerships with community professionals, including a dietitian at NGMC Barrow, in order to expand the access to the Prevent T2 Diabetes program, a proven program to prevent or delay type 2 diabetes. This team is currently working to provide classes in NGMC Barrow. Organization Overview Northeast Georgia Health System is a not-for-profit community health system dedicated to improving the health and quality of life of the people of Northeast Georgia. Northeast Georgia Medical Center has three hospital campuses (NGMC Gainesville, NGMC Braselton and NGMC Barrow) with a total of 713 beds and more than 700 medical staff members representing more than 50 specialties. The Health System offers a full range of healthcare services through NGMC such as gynecologic oncology, electrophysiology, cardiac surgery, critical care medicine, surgical trauma, neonatology and perinatology. CareChex recognizes NGMC as Georgia's #1 hospital for heart care, women's care and pulmonary care. NGMC also provides long term care through two centers in Gainesville and mental health and substance abuse treatment through a freestanding inpatient center. Northeast Georgia Physicians Group brings together more than 350 talented physicians, physician assistants, nurse practitioners, midwives and other clinical staff at more than 65 locations across North Georgia. As the state's sixth-largest physician group, it always has a practice nearby to offer expert care in more than 25 specialties. Led by volunteer boards made up of community leaders, the Health System serves 1 million people in more than 18 counties across Northeast Georgia. As a not-for-profit health system, all revenue generated above operating expenses is returned to the community through improved services and innovative programs. Northeast Georgia Medical Center's Charity Care Policy supports the provision of care for indigent patients, regardless of their ability to pay. Special Notes NGMC uses the precepts outlined in "A Guide for Planning and Reporting Community Benefit," provided by the Catholic Health Association of The United States and Veteran's Health Administration, Inc. The guide's purpose is to help not-for-profit, mission-driven healthcare organizations develop, enhance and report on their community benefit programs. Community Benefit Definition: Program or activity must address a demonstrated community need and seek to address at least one of the following community benefit objectives: - improve access - enhance population health - advance generalizable knowledge - relieve government burden to improve health The program or activity must: - primarily benefit the community rather than the organization - result in measurable expense to the organization If the program or activity is provided primarily for marketing purposes, standard practice, expected of all hospitals (such as activities required for accreditation, licensure, or to participate in Medicare) or is primarily for employees (not including interns, residents and fellows) and/or affiliated physicians, it is not community benefit. For more information, contact Christy Moore, Manager, Community Health Improvement, at (770) 219-8097 or go to www.nghs.com.
Form 990, Part VI, Section A, line 6Northeast Georgia Health System, Inc. is the sole member of Northeast Georgia Medical Center, Inc.
Form 990, Part VI, Section A, line 7aThe Board of Directors of Northeast Georgia Medical Center is appointed by the Board of Northeast Georgia Health System, Inc. - a related 501(c)(3) organization.
Form 990, Part VI, Section A, line 7bThe Board of Directors of Northeast Georgia Medical Center is appointed by the Board of Northeast Georgia Health System, Inc. - a related 501(c)(3) organization.
Form 990, Part VI, Section B, line 11bInformation for the Form 990 was provided to an independent certified public accountant for preparation of the return. After the return was prepared, it was reviewed by senior financial management. The 990 is made available to members of the board prior to filing.
Form 990, Part VI, Section B, line 12cBoard members are required to complete a conflict of interest questionnaire annually. Employees attest to their understanding and reporting/disclosure requirements at hire and annually. Compliance is monitored continuously throughout the year by the board.
Form 990, Part VI, Section B, line 15The compensation committee of the Northeast Georgia Health System Board (NGHS Board) has developed and installed compensation policies and procedures that seek to further the purpose of NGHS and affiliates and the importance of these policies to attract and retain key employees. The compensation committee is composed of voting directors who are not employees of NGHS. All decisions of the compensation committee are reviewed and ratified by the NGHS Board. The committee's methodology and approach incorporates both qualitative and quantitative considerations, which are reflected in the committee's determinations concerning key employee compensation and the specific components thereof. The compensation decisions of the committee are described below as to each of the three categories. Base Salary Annual base salaries are set at market competitive levels with healthcare systems of a similar size and complexity from throughout the country. Specifically, the committee considers peer group comparisons from survey data for other health systems, recommendations from an independent compensation consultant, recommendations on ranges and placement from the CEO, and individual performance assessments for each position. In each instance the committee members reach a consensus based on the combination of available information, and the committee sets a base salary level for each key employee. Performance Based Variable Compensation Numerous performance goals are quantitative in nature, resulting in a performance based variable compensation component that is weighted toward attaining NGHS Board-approved goals and objectives. Annual goals and objectives are established through a formal planning process involving board and community members. The board approves these goals and objectives at the beginning of each year. Officers and key employees receive cash awards as a formula driven percentage of base salary levels based on achievement and predetermined individual objectives. Benefits and Retention Programs Benefit categories and amounts are determined by a comparison process similar to determining base salaries with positions and organizations similar to NGHS. Included in benefits are retirement programs to enhance retention and progress toward long-term goals within NGHS' mission.
Form 990, Part VI, Section C, line 19Financial statements and statistics are filed quarterly with Digital Assurance Certification, LLC (DAC Bond). DAC Bond serves as a disclosure dissemination agent for issuers of municipal bonds electronically posting and transmitting information to repositories and investors. All other items are available upon request.
Form 990, Part XI, line 9:INTERCOMPANY DEBT FORGIVENESS -112,350,903. PARTNERSHIP Income NOT ON BOOKS -209,270. Net Assets Released from Restriction 1,072,332.

Schedule R IRS990ScheduleR

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EIN581694098EIN
Primary ActivitiesHealthcarePrimaryActivitiesTxt
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End Of Year Assets$0EndOfYearAssetsAmt
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The Medical Center Auxiliary Inc
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Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

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US Address USAddress

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EIN582131807EIN
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Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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