NORTHSIDE HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NORTHSIDE HOSPITAL INC (EIN 58-1954432)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-02-15
IRS object ID
201840469349301844
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)
Return2018-02-15T15:36:53-06:00ReturnTs
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)
EIN581954432EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHSIDE HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone4048518000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 JOHNSON FERRY ROAD NEAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303421611ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonShannon A BannaPersonNm
Person TitleCFOPersonTitleTxt
Phone4048518000PhoneNum
Signature2018-02-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeborah O ErnsbergerPreparerPersonNm
PTINP00364912PTIN
Phone8656730844PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.29.248.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-02-15IPDt
IP Tm15:36:48IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id3F53249C5077106C4F63AD39F3763F8640CF5E02AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT T QUATTROCCHIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 JOHNSON FERRY ROAD NEAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303421611ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,104,659,285GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHSIDE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO BE A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee16498TotalEmployeeCnt
Total Volunteers1055TotalVolunteersCnt
Total Gross UBI$17,139,617TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$908,560NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,560,786PYContributionsGrantsAmt
CY Contributions Grants$1,997,899CYContributionsGrantsAmt
PY Program Service Revenue$2,834,239,060PYProgramServiceRevenueAmt
CY Program Service Revenue$3,068,195,685CYProgramServiceRevenueAmt
PY Investment Income$14,586,698PYInvestmentIncomeAmt
CY Investment Income$13,764,887CYInvestmentIncomeAmt
PY Other Revenue$22,846,502PYOtherRevenueAmt
CY Other Revenue$20,700,814CYOtherRevenueAmt
PY Total Revenue$2,874,233,046PYTotalRevenueAmt
CY Total Revenue$3,104,659,285CYTotalRevenueAmt
PY Grants And Similar Paid$2,578,526PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,592,059CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,042,399,044PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,162,937,054CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,562,509,909PYOtherExpensesAmt
CY Other Expenses$1,733,097,975CYOtherExpensesAmt
PY Total Expenses$2,607,487,479PYTotalExpensesAmt
CY Total Expenses$2,898,627,088CYTotalExpensesAmt
PY Revenues Less Expenses$266,745,567PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$206,032,197CYRevenuesLessExpensesAmt
Total Assets BOY$2,162,316,109TotalAssetsBOYAmt
Total Assets EOY$2,402,828,834TotalAssetsEOYAmt
Total Liabilities BOY$920,432,451TotalLiabilitiesBOYAmt
Total Liabilities EOY$860,577,883TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,241,883,658NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,542,250,951NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNorthside Hospital, Inc. ("Northside") is committed to the health and wellness of our community. As such, we dedicate ourselves to being a center of excellence in providing high-quality health care. We pledge compassionate support, personal guidance and uncompromising standards to our patients in their journeys toward health of body and mind. To ensure innovative and unsurpassed care for our patients, we are dedicated to maintaining our position as regional leaders in select medical specialties. To enhance the wellness of our community, we commit ourselves to providing a diverse array of educational and outreach programs.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,244,583,623ExpenseAmt
Grant$2,592,059GrantAmt
Revenue$3,084,579,754RevenueAmt
DescAs noted in its mission, Northside is dedicated to maintaining our position as regional leaders in select medical specialties. These select specialties, or program services, include emergency services, oncology services, radiology services, surgical services, and women's services. In furtherance of its charitable mission, Northside invested in the continued growth, expansion, and increased access to these vital program services.See Schedule O for continuationDesc
Total Program Service Expenses$2,244,583,623TotalProgramServiceExpensesAmt
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 Stmt0IndependentAuditFinclStmtInd
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 IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
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 Document1579IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee16498EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
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 Line1Shannon A BannaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4048518000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 JOHNSON FERRY ROADAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30342ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Anthony J Salvatore
Treasurer1.001.00Yes (X)$0$0$0
Barbara Pare'
Vice Chair1.001.00Yes (X)$0$0$0
Dale M Bearman MD
Board Member1.001.00Yes (X)$0$0$0
Genevieve Fairbrother MD
Board Member1.00Yes (X)$0$0$0
Iqbal Garcha MD
Chief of Staff40.00Yes (X)$81,063$0$0
K Douglas Smith MD
Chair1.001.00Yes (X)$0$0$0
Mark J Sweeney
Secretary1.001.00Yes (X)$0$0$0
Robert E Whitley Esq
Board Member1.001.00Yes (X)$0$0$0
Robert T Quattrocchi
President & CEO NSH, Inc.40.001.00Yes (X)$3,177,347$0$10,484Yes (X)
Wayne L Ambroze MD
Board Member40.00Yes (X)$631,240$0$6,328
William G Hasty Jr
Board Member1.00Yes (X)$0$0$0
Deborah S Mitcham
VP/CFO NSH, Inc.40.001.00$847,184$0$11,625Yes (X)
Jorge J Hernandez
Vice President/Asst. Secre40.00$571,110$0$2,657Yes (X)
Janis Dubow
Vice President40.00$469,112$0$4,571Yes (X)
Robert Putnam
Vice President40.00$844,619$0$5,952Yes (X)
WILLIAM HAYES
CEO, Northside Hospital-Cherokee40.00$517,048$0$10,111Yes (X)
Tina Wakim
Vice President40.00$970,537$0$3,087Yes (X)
Stephen Salmieri MD
gynecologic oncologist40.00$789,790$0$10,484Yes (X)
Gerald Feuer MD
Gynecologist/Surgeon40.00$919,450$0$9,200Yes (X)
Guilherme h Cantuaria MD
gynecologic oncologist40.00$885,311$0$7,318Yes (X)
WILLIAM EARLY MD
gastroenterology/internal40.00$934,288$0$10,484Yes (X)
Marion Schertzer MD
Colon & Rectal Surgeon40.00$724,835$0$8,018Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,362,934TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$100,319TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1240IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
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
Georgia Cancer Specialists I PC
1835 Savoy Drive STE 300AtlantaGA30342See Schedule O$45,959,495
AGA LLC
550 Peachtree St Ste 1620AtlantaGA30308SEE Schedule O$27,339,993
Baker & Hostetler LLP
1170 Peachtree Street NE Ste 2400AtlantaGA30309Legal Services$24,146,728
Atlanta Cancer Care PC
1100 Johnson Ferry Road STE 150Sandy SpringsGA30342SEE Schedule O$20,158,857
GE Healthcare Inc
1575 Northside Dr NW 305AtlantaGA30318Biomedical Services$11,336,921
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K403CntrctRcvdGreaterThan100KCnt
Related Organizations$246,584RelatedOrganizationsAmt
Government Grants$1,353,614GovernmentGrantsAmt
All Other Contributions$397,701AllOtherContributionsAmt
Total Contributions$1,997,899TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Net Patient Revenue621990$2,941,482,069$2,938,673,224$2,808,845
Pharmacy Revenue446110$96,278,536$7,046,063$89,232,473
Rental Income531120$16,692,580$16,692,580
Parking Revenue812930$3,980,122$3,980,122
Cafeteria & Vending722210$2,615,512$2,615,512

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,146,866TotalRevenueColumnAmt
Unrelated Business Revenue$2,967,964UnrelatedBusinessRevenueAmt
Exclusion$4,178,902ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,068,195,685TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,155,075TotalRevenueColumnAmt
Exclusion$8,155,075ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,487,638SecuritiesAmt
Other$122,174OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,487,638SecuritiesAmt
Other$122,174OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,609,812TotalRevenueColumnAmt
Exclusion$5,609,812ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Miscellaneous900099$16,187,163$13,653,377$2,533,786
PAssthrough investment621300$4,513,651$2,730,692$1,782,959
FieldValueIRS element (for citing)
Other Revenue Total$20,700,814OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,104,659,285TotalRevenueColumnAmt
Related Or Exempt Func Income$2,971,749,873RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$17,139,617UnrelatedBusinessRevenueAmt
Exclusion$113,771,896ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,551,270TotalAmt
Program Services$2,551,270ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$40,789TotalAmt
Program Services$40,789ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$12,167,303TotalAmt
Program Services$9,399,739ProgramServicesAmt
Management And General$2,767,564ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$910,092,476TotalAmt
Program Services$703,083,626ProgramServicesAmt
Management And General$207,008,850ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$59,206,746TotalAmt
Program Services$45,739,631ProgramServicesAmt
Management And General$13,467,115ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$118,983,362TotalAmt
Program Services$91,919,509ProgramServicesAmt
Management And General$27,063,853ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$62,487,167TotalAmt
Program Services$48,273,890ProgramServicesAmt
Management And General$14,213,277ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$22,484,418TotalAmt
Program Services$22,484,418ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,118,187TotalAmt
Management And General$27,118,187ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,115,474TotalAmt
Management And General$1,115,474ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,570,821TotalAmt
Management And General$2,570,821ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$424,703,869TotalAmt
Program Services$294,019,764ProgramServicesAmt
Management And General$130,684,105ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,962,156TotalAmt
Program Services$198,678ProgramServicesAmt
Management And General$12,763,478ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$53,992,380TotalAmt
Program Services$37,711,989ProgramServicesAmt
Management And General$16,280,391ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,723,162TotalAmt
Program Services$4,377,908ProgramServicesAmt
Management And General$17,345,254ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$80,210,414TotalAmt
Program Services$49,690,832ProgramServicesAmt
Management And General$30,519,582ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,646,116TotalAmt
Program Services$1,034,994ProgramServicesAmt
Management And General$1,611,122ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,341,287TotalAmt
Program Services$928,398ProgramServicesAmt
Management And General$412,889ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,158,207TotalAmt
Program Services$275ProgramServicesAmt
Management And General$5,157,932ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$131,672,213TotalAmt
Program Services$89,552,424ProgramServicesAmt
Management And General$42,119,789ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$31,534,605TotalAmt
Program Services$866,686ProgramServicesAmt
Management And General$30,667,919ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$680,204,577$675,648,046$4,556,531
Bad debt expense$148,661,071$148,643,220$17,851
Minor Equipment purchas$29,641,327$13,796,820$15,844,507
Recruitment$4,854,054$54,595$4,799,459

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$50,503,637TotalAmt
Program Services$4,566,122ProgramServicesAmt
Management And General$45,937,515ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,898,627,088TotalAmt
Program Services$2,244,583,623ProgramServicesAmt
Management And General$654,043,465ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$53,247BOYAmt
EOY$55,560EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$458,398,890BOYAmt
EOY$448,992,646EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$512,953BOYAmt
EOY$252,402EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$194,097,835BOYAmt
EOY$212,969,478EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,053,560BOYAmt
EOY$126,630EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$41,893,841BOYAmt
EOY$48,666,545EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$32,287,241BOYAmt
EOY$47,586,833EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,201,983,365LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,206,273,472LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$872,807,328BOYAmt
EOY$995,709,893EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$205,737,272BOYAmt
EOY$294,301,580EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$296,876,190BOYAmt
EOY$291,865,649EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$58,597,752BOYAmt
EOY$62,301,618EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,162,316,109BOYAmt
EOY$2,402,828,834EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$420,466,112BOYAmt
EOY$424,592,663EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,239,535BOYAmt
EOY$1,713,490EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,670,000BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$60,614,035BOYAmt
EOY$60,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$420,442,769BOYAmt
EOY$374,271,730EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$920,432,451BOYAmt
EOY$860,577,883EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,241,883,658BOYAmt
EOY$1,542,250,951EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,241,883,658BOYAmt
EOY$1,542,250,951EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,162,316,109BOYAmt
EOY$2,402,828,834EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$206,032,197ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$22,495,538NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$71,839,558OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$342,002OtherActivitiesAmt
Total Lobbying Expenditures$342,002TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationNorthside Hospital, Inc. pays membership dues to professional and trade associations such as the American Hospital Association, Georgia Hospital Association, and the Georgia Alliance for Community Hospitals. A portion of these dues is designated for lobbying activities by these organizations. Northside Hospital, Inc. does not direct any of these organizations' lobbying activities. In addition, Connect South, a service vendor, is retained to monitor legislation in the Georgia General Assembly.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,616,383BeginningYearBalanceAmt
Contributions$1,701,861ContributionsAmt
Investment Earnings Or Losses$150,580InvestmentEarningsOrLossesAmt
Other Expenditures$1,385,689OtherExpendituresAmt
End Year Balance$9,083,135EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,742,074BeginningYearBalanceAmt
Contributions$1,758,394ContributionsAmt
Investment Earnings Or Losses$128,084InvestmentEarningsOrLossesAmt
Other Expenditures$1,012,169OtherExpendituresAmt
End Year Balance$8,616,383EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,079,636BeginningYearBalanceAmt
Contributions$1,525,651ContributionsAmt
Investment Earnings Or Losses$114,920InvestmentEarningsOrLossesAmt
Other Expenditures$978,133OtherExpendituresAmt
End Year Balance$7,742,074EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,044,190BeginningYearBalanceAmt
Contributions$1,352,241ContributionsAmt
Investment Earnings Or Losses$117,482InvestmentEarningsOrLossesAmt
Other Expenditures$1,434,277OtherExpendituresAmt
End Year Balance$7,079,636EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,092,371BeginningYearBalanceAmt
Contributions$1,566,045ContributionsAmt
Investment Earnings Or Losses$112,842InvestmentEarningsOrLossesAmt
Other Expenditures$727,068OtherExpendituresAmt
End Year Balance$7,044,190EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.33480PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.66520TermEndowmentBalanceEOYPct
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$236,849,027OtherCostOrOtherBasisAmt
Book Value$236,849,027BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,174,691,132OtherCostOrOtherBasisAmt
Depreciation$636,052,009DepreciationAmt
Book Value$538,639,123BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$680,497,285OtherCostOrOtherBasisAmt
Depreciation$570,221,463DepreciationAmt
Book Value$110,275,822BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$109,945,921OtherCostOrOtherBasisAmt
Book Value$109,945,921BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$995,709,893TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
FAS 106 Accrual$1,390,432
Reserve for malpractice$114,000,872
Retirement plan obligations$168,647,474
Periodic Capital Financing Liability$2,858,592
Real Estate Financing Liability$64,443,633
Rent/Lease related liabilities$22,930,727
FieldValueIRS element (for citing)
Total Liability$374,271,730TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Northside Hospital, Inc. and Northside Hospital Foundation, Inc. have endowment funds that consist of 40 donor-restricted individual funds established for a variety of purposes. The organizations adopted a policy regarding the endowments whose general purpose is to preserve the capital and purchasing power of the organizations and to produce sufficient investment earnings for current and future spending needs.
Part X, Line 2:Northside Hospital, Inc., and Subsidiaries consolidated financial statements as of and for the years ended September 30, 2017 and 2016, and independent auditor's report: Northside qualifies as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes has been recorded.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other125.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
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$124,840,227TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$124,840,227NetCommunityBenefitExpnsAmt
Total Expense0.04310TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$202,597,292TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$111,521,225DirectOffsettingRevenueAmt
Net Community Benefit Expns$91,076,067NetCommunityBenefitExpnsAmt
Total Expense0.03140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$327,437,519TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$111,521,225DirectOffsettingRevenueAmt
Net Community Benefit Expns$215,916,294NetCommunityBenefitExpnsAmt
Total Expense0.07450TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,289,611TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$249,822DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,039,789NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,152TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,925DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,227NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$192,164TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$192,164NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,489,916TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$155,508DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,334,408NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,272,803TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$101,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,171,803NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,310,646TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$549,255DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,761,391NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$335,748,165TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$112,070,480DirectOffsettingRevenueAmt
Net Community Benefit Expns$223,677,685NetCommunityBenefitExpnsAmt
Total Expense0.07720TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,186TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,186NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,855TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,855NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$405,778TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$405,778NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$413,819TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$413,819NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$31,090,992BadDebtExpenseAmt
Reimbursed By Medicare$320,569,817ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$404,219,404CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$83,649,587MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (16 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Gwinnett Endoscopy Center PC
Outpatient Center0.150000.85000
2 Midtown Endoscopy Center LLC
Outpatient Center0.150000.85000
3 Northern Crescent Endoscopy Suite LLC
Outpatient Center0.700000.30000
4 Northwest Endoscopy Center LLC
Outpatient Center0.150000.85000
5 Southern Crescent Endoscopy Center Suite PC
Outpatient Center0.150000.85000
6 Woodstock Endoscopy Center LLC
Outpatient Center0.700000.30000
7 West Metro Endoscopy Center LLC
Outpatient Center0.150000.85000
8 ENT Surgery Center of Atlanta LLC
Ambulatory Surgery0.633300.36670
9 Peachtree Orthopaedic Surgery Center at Perimeter LLC
Ambulatory Surgery0.150000.71260
10 Urology Surgical Partners LLC
ambulatory Surgery0.700000.30000
11 The Hand & Upper Extremity Surgery Center of GA LLC
Ambulatory Surgery0.510000.19000
12 Nasa Surgery Center LLC
Ambulatory Surgery0.700000.30000
13 Sovereign Rehabilitation of Georgia LLC
Rehabilitation Center0.880000.12000
14 Panola Endoscopy Center LLC
Outpatient Center0.150000.85000
15 AOA AMC LLC
Oncology Clinic0.490000.51000
16 Advanced Center for Joint Surgery LLC
Orthopedic Surgery0.510000.49000
FieldValueIRS element (for citing)
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
Northside Hospital
11000 Johnson Ferry RoadAtlantaGA30342060-604Yes (X)Yes (X)Yes (X)A
Northside Hospital - Forsyth
21200 Northside Forsyth DriveCummingGA30041058-604Yes (X)Yes (X)Yes (X)A
Northside Hospital - Cherokee
3450 Northside Cherokee BlvdCantonGA30115028-552Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Facility Reporting Group - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
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
OtherYes (X)OtherInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.northside.com/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
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.northside.comFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.northside.comFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.northside.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
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section BFacility Reporting Group A
Facility Reporting Group A consists of:- Facility 1: Northside Hospital, - Facility 2: Northside Hospital - Forsyth, - Facility 3: Northside Hospital - Cherokee
Group A-Facility 1 -- Hospitals - Atlanta, Cherokee, Forsyth Part V, Section B, line 3j:Northside Hospital, Inc. ("Northside") completed a CHNA for each of its hospital facilities identified in Part V, Section A. In completing the CHNAs for its hospital facilities, Northside did not encounter any information gaps that limited its ability to assess each hospital facility's Community need. In addition to the information listed above, Northside describes in the CHNAs each Community's access to health care and provides an overview of each hospital facility's implementation strategy.
Group A-Facility 1 -- Hospitals - Atlanta, Cherokee, Forsyth Part V, Section B, line 5:Northside identified community stakeholders who broadly represented the interests of each hospital facility's Community and specifically sought to identify stakeholders with special knowledge of, or expertise in, public health. Northside then developed the Stakeholder Assessment Discussion Guide (a copy of which is included as Appendix A in each hospital facility's CHNA) and conducted, either in person or by telephone, interviews with a qualified representative of each identified stakeholder. The following is a comprehensive list of organizations Northside contacted to help identify the needs of the hospital facilities' Community needs: (1) March of Dimes, (2) Good Samaritan Health Center of Atlanta, (3) Good Samaritan Health Center of Cobb, (4) Visiting Nurse Health System, (5) Forsyth Health Department, (6) Georgia Highlands Medical Services, (7) Good Shepherd Clinic of Dawson County, (8) Bethesda Community Clinic, (9) Good Samaritan Health Center of Pickens, (10) United Way of Cherokee County, (11) HomeStretch, (12) M.U.S.T. Ministries, (13) United Way of Forsyth County, (14) North Fulton Community Charities, (15) North Fulton Senior Services, (16) United Way of Greater Atlanta, (17) City of Sandy Springs, (18) Cherokee County Manager, (19) Cherokee County Schools, (20) City of Cumming, (21) City of Canton, (22) Cherokee County Chamber of Commerce, (23) Pickens Chamber of Commerce, and (24) Cumming/Forsyth Chamber of Commerce.
Group A-Facility 1 -- Hospitals - Atlanta, Cherokee, Forsyth Part V, Section B, line 6a:The Northside Hospital, Inc. system comprises three hospital facilities: (1) Northside Hospital-Atlanta, (2) Northside Hospital-Cherokee and (3) Northside Hospital-Forsyth. Northside utilized similar resources, processes and procedures in conducting its hospital facilities' CHNAs; additionally, the CHNAs were conducted simultaneously.
Group A-Facility 1 -- Hospitals - Atlanta, Cherokee, Forsyth Part V, Section B, line 11:Based on the results of Northside's 2016 CHNA, Northside Hospital, Inc. adopted an implementation strategy which outlined several initiatives to help address the significant needs identified in the Community. As set forth in the 2016 CHNA, Northside is unable to address each identified community need due to availability of resources, magnitude/severity of the issues identified, and existing resources already available to meet such needs. The needs that will not be addressed directly follow: (1) Respiratory Disease & Smoking, (2) Affordability, Access to Care & Uninsured, (3) Primary Care, (4) Mental Health/Addiction, and (5) HIV/AIDS.A detailed analysis of why each of these needs will not be addressed is included in Northside's CHNA.
Group A-Facility 1 -- Hospitals - Atlanta, Cherokee, Forsyth Part V, Section B, line 20e:Northside follows a very detailed and robust process prior to initiating ECAs. As indicated in response to Question 20, Northside (1) provides a written notice about upcoming ECAs and a plain language summary of the FAP at least 30 days before initiating any ECAs, (2) Northside makes reasonable efforts to orally (and via other means) notify individuals about the FAP and FAP application process, and (3) Northside makes presumptive eligibility determinations to qualify patients for financial assistance. Northside promptly processes all complete FAP applications. Northside also evaluates all incomplete FAP applications, and in connection with such incomplete applications, takes the following steps: If Northside determines that a patient has submitted an incomplete FAP application, Northside will (a) immediately suspend any ECAs that may have been initiated against the patient after the expiration of the Notification Period but before the expiration of the Application Period; (b) provide the patient with written notice that describes the additional information and/or documentation the individual must submit to complete the FAP application and include a copy of the FAP with the written notice; and (c) make a note in the billing system indicating that ECAs should not be initiated (or re-initiated) on the patient's account until the expiration of the Application Period, and only if at that point the patient has not submitted the necessary information to complete the FAP application. Northside defines the Notification Period" to mean the period during which it must notify an individual about the FAP and begins on the date the first post-discharge billing statement for care was provided to the Patient and ends on the 120th day after the Patient was provided with the first post-discharge billing statement for care. Northside defines the "Application Period" to mean the period during which Northside must accept and process a FAP application submitted by a patient. The "Application Period" begins on the date care is provided to the patient and ends on the later of the 240th day after the date that the first post-discharge billing statement for care is provided or either (i) in the case of individual who Northside has provided a notice of at least 30 days prior to initiating one or more ECAs, the 30th day after the date such notice is provided, or (ii) in the case of a patient who Northside has presumptively determined to be eligible for less than the most generous assistance available under Northside's Financial Assistance Program, a reasonable time after the patient has had a chance to apply for more generous financial assistance.
FieldValueIRS element (for citing)
Facility173FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (173 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - Northside Hospital Cancer Institute - Maco
308 Coliseum Drive Suite 120MaconGA31217PHYSICIAN SERVICES/ OUTPATIENT SERVICES
2 - Northside Hospital Cancer Institute - Athe
125 King Avenue Suite 200AthensGA30606PHYSICIAN SERVICES/ OUTPATIENT SERVICES
3 - Northside Hospital Cancer Institute - Mill
624 Martin Luther King Jr DriveMilledgevilleGA31061PHYSICIAN SERVICES/ OUTPATIENT SERVICES
4 - Northside Hospital Cancer Institute - Blue
101 Riverstone Vista Suite 102Blue RidgeGA30513PHYSICIAN SERVICES/ OUTPATIENT SERVICES
5 - Northside Hospital Cancer Institute - Blai
308 Deep South Farm Road Suite 200BlairsvilleGA30512PHYSICIAN SERVICES/ OUTPATIENT SERVICES
6 - Northside Hospital Cancer Institute - Grif
747 South 8th Street Suite CGriffinGA30224PHYSICIAN SERVICES/ OUTPATIENT SERVICES
7 - Northside Hospital Cancer Institute - Gree
1000 Cowles Clinic Way - MagnoliaGreensboroGA30642PHYSICIAN SERVICES/ OUTPATIENT SERVICESBuilding
8 - Northside Hospital Cancer Institute - Hawk
214 Perry HighwayHawkinsvilleGA31036PHYSICIAN SERVICES/ OUTPATIENT SERVICES
9 - Laureate Medical Group - Atlanta
6135 Barfield RoadAtlantaGA30328PHYSICIAN SERVICES
10 - Laureate Medical Group - Atlanta
550 Peachtree Street NE Suite 1550AtlantaGA30308PHYSICIAN SERVICES
11 - Laureate Medical Group - Jonesboro
7823 Spivey Station Boulevard SuiteJonesboroGA30236PHYSICIAN SERVICES310
12 - Laureate Medical Group - Alpharetta
3400-C Old Milton Parkway Suite 500AlpharettaGA30005PHYSICIAN SERVICES
13 - Laureate Medical Group - Holly Springs
684 Sixes RoadHolly SpringsGA30115PHYSICIAN SERVICES
14 - Laureate Medical Group - Marietta
4800 Olde Towne Parkway Suite 400MariettaGA30068PHYSICIAN SERVICES
15 - Medical Associates of North Georgia - Cant
320 Hospital RoadCantonGA30114PHYSICIAN SERVICES
16 - Medical Associates of North Georgia - Ball
470 Valley Street Suite 200Ball GroundGA30107PHYSICIAN SERVICES
17 - Medical Associates of North Georgia - Cant
460 Northside Cherokee BoulevardCantonGA30115PHYSICIAN SERVICESSuite 32
18 - Northside Heart - Roswell
1285 Upper Hembree RoadRoswellGA30076PHYSICIAN SERVICES
19 - Northside Heart - Woodstock
900 Towne Lake Parkway Suite 400WoodstockGA30189PHYSICIAN SERVICES
20 - Northside Heart - Cumming
1505 Northside Boulevard Suite 3600CummingGA30040PHYSICIAN SERVICES
21 - Northside Heart - Alpharetta
3400-C Old Milton Parkway Suite 360AlpharettaGA30005PHYSICIAN SERVICES
22 - Northside Heart - Atlanta
5670 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES880
23 - Northside Heart - Canton
460 Northside Cherokee Suite 190CantonGA30115PHYSICIAN SERVICES
24 - Northside Heart - Sandy Springs
6135 Barfield Road Suite 100Sandy SpringsGA30328PHYSICIAN SERVICES
25 - Northside Heart - Marietta
4800 Olde Towne ParkwayMariettaGA30068PHYSICIAN SERVICES
26 - ENT of Georgia - Alpharetta
3400-C Old Milton Parkway Suite 365AlpharettaGA30005PHYSICIAN SERVICES
27 - ENT of Georgia - Marietta
2550 Windy Hill Road Suite 307MariettaGA30067PHYSICIAN SERVICES
28 - ENT of Georgia - Suwanee
4245 Johns Creek Parkway Suite DSuwaneeGA30024PHYSICIAN SERVICES
29 - ENT of Georgia - Decatur
484 Irvin Court Suite 140DecaturGA30030PHYSICIAN SERVICES
30 - ENT of Georgia - Suwanee
4320 Suwanee Dam Road Suite 200SuwaneeGA30024PHYSICIAN SERVICES
31 - ENT of Georgia - Lawrenceville
748 Old Norcross Road Suite 100LawrencevilleGA30045PHYSICIAN SERVICES
32 - ENT of Georgia - Sandy Springs
755 Mount Vernon Highway NE SuiteSandy SpringsGA30328PHYSICIAN SERVICES370
33 - ENT of Georgia - Atlanta
550 Peachtree Street Suite 1640AtlantaGA30308PHYSICIAN SERVICES
34 - ENT of Georgia - Snellville
1790 Presidential Circle Suite ASnellvilleGA30078PHYSICIAN SERVICES
35 - ENT of Georgia - Atlanta
5673 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES150
36 - ENT of Georgia - Marietta
4800 Olde Towne Parkway Suite 360MariettaGA30068PHYSICIAN SERVICES
37 - Atlanta Clinical Care - Atlanta
5673 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES330
38 - Perimeter North Medical Associates - Woods
900 Towne Lake Parkway Suite 210WoodstockGA30189PHYSICIAN SERVICES
39 - Perimeter North Medical Associates - Alpha
3400-A Old Milton Parkway Suite 130AlpharettaGA30005PHYSICIAN SERVICES
40 - Perimeter North Medical Associates - Atlan
960 Johnson Ferry Road NE Suite 300AtlantaGA30342PHYSICIAN SERVICES
41 - Perimeter North Medical Associates - Cummi
1505 Northside Boulevard Suite 4400CummingGA30041PHYSICIAN SERVICES
42 - Perimeter North Medical Associates - Suwan
3890 Johns Creek Parkway Suite 230SuwaneeGA30024PHYSICIAN SERVICES
43 - Perimeter North Medical Associates - Canto
10105 Bells Ferry Road Suite 200CantonGA30114PHYSICIAN SERVICES
44 - Perimeter North Medical Associates - Atlan
960 Johnson Ferry Road NE Suite 340AtlantaGA30342PHYSICIAN SERVICES
45 - Arthritis and Total Joint Specialist - Alp
3400 C-Old Milton Parkway Suite 290AlpharettaGA30005PHYSICIAN SERVICES
46 - Arthritis and Total Joint Specialist - Cum
1100 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES250
47 - Arthritis and Total Joint Specialist - Cum
1505 Northside Boulevard Suite 3500CummingGA30041PHYSICIAN SERVICES
48 - Primary Care Physicians of Atlanta - Atlan
5670 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES1200
49 - Northside Family Medicine and Urgent Care
5610 Bethelview RoadCummingGA30040PHYSICIAN SERVICES
50 - Northside Family Medicine and Urgent Care
684 Sixes Road Suite 125Holly SpringsGA30115PHYSICIAN SERVICES
51 - Northside Family Medicine and Urgent Care
4800 Old Towne Parkway Suite 150MariettaGA30068PHYSICIAN SERVICES
52 - Northside Family Medicine and Urgent Care
81 Northside Dawson DriveDawsonvilleGA30534PHYSICIAN SERVICES
53 - Northside Family Medicine and Urgent Care
11685 Alpharetta Highway Suite 150AtlantaGA30076PHYSICIAN SERVICES
54 - Cumming Family Medicine - Cumming
765 Lanier 400 ParkwayCummingGA30040PHYSICIAN SERVICES
55 - Cumming Family Medicine - Cumming
303 Pirkle Ferry RoadCummingGA30040PHYSICIAN SERVICES
56 - Cumming Family Medicine - Dawsonville
133 Prominence Court Suite 230DawsonvilleGA30535PHYSICIAN SERVICES
57 - Cumming Family Medicine - Marble Hill
25 Foothills ParkwayMarble HillGA30149PHYSICIAN SERVICES
58 - Cumming Family Medicine - Cumming
765 Lanier 400 Parkway Suite 200CummingGA30040PHYSICIAN SERVICES
59 - The Imaging Center of Warner Robins - Warn
2706 Watson Boulevard Suite DWarner RobinsGA31093OUTPATIENT CENTER
60 - Northside Vascular Surgery - Atlanta
980 Johnson Ferry Road Suite 1040AtlantaGA30342PHYSICIAN SERVICES
61 - Northside Vascular Surgery - Cumming
1505 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES2400
62 - Northside Vascular Surgery - Canton
460 Northside Cherokee BoulevardCantonGA30115PHYSICIAN SERVICESSuite 10
63 - Georgia Colon and Rectal Surgeons - Atlant
5445 Meridian Mark Suite 180AtlantaGA30342PHYSICIAN SERVICES
64 - Georgia Colon and Rectal Surgeons - Fayett
1260 Hwy 54 W Suite 100FayettevilleGA30214PHYSICIAN SERVICES
65 - Georgia Colon and Rectal Surgeons - Lawren
721 Wellness Way Suite 200LawrencevilleGA30045PHYSICIAN SERVICES
66 - Georgia Colon and Rectal Surgeons - Cummin
1505 Northside Boulevard Suite 2900CummingGA30041PHYSICIAN SERVICES
67 - Georgia Colon and Rectal Surgeons - Atlant
1 Baltimore Place Suite 290AtlantaGA30308PHYSICIAN SERVICES
68 - Georgia Colon and Rectal Surgeons - Decatu
2801 North Decatur Road Suite 120DecaturGA30033PHYSICIAN SERVICES
69 - Georgia Colon and Rectal Surgeons - Alphar
3400 C Old Milton Parkway Suite 185AlpharettaGA30005PHYSICIAN SERVICES
70 - Atlanta Colon and Rectal Surgery - Atlanta
5667 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES330
71 - Atlanta Colon and Rectal Surgery - Mariett
780 Canton Road NE Suite 315MariettaGA30060PHYSICIAN SERVICES
72 - Atlanta Colon and Rectal Surgery - Roswell
1380 Upper Hembree RoadRoswellGA30076PHYSICIAN SERVICES
73 - Atlanta Colon and Rectal Surgery - Cumming
1505 Northside Boulevard Suite 1900CummingGA30041PHYSICIAN SERVICES
74 - Atlanta Colon and Rectal Surgery - Canton
460 Northside Cherokee BoulevardCantonGA30115PHYSICIAN SERVICESSuite 14
75 - Gwinnett Advanced Surgery Center LLC - Sn
2131 Fountain DriveSnellvilleGA30078AMBULATORY SURGERY
76 - North Atlanta ENT - Cumming
1400 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES240
77 - North Atlanta ENT - Alpharetta
3180 North Point Parkway BuildingAlpharettaGA30005PHYSICIAN SERVICES300 Su
78 - Pulmonary and Critical Care of Atlanta - A
960 Johnson Ferry Road Suite 500AtlantaGA30342PHYSICIAN SERVICES
79 - Urology Specialists of Atlanta - Atlanta
5673 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES910
80 - Atlanta Institute for ENT - Sandy Springs
5730 Glenridge Drive Suite T-200Sandy SpringsGA30328PHYSICIAN SERVICES
81 - Atlanta Institute for ENT - Atlanta
5670 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES1280
82 - Premier Care for Women - Atlanta
960 Johnson Ferry Road Suite 400AtlantaGA30342PHYSICIAN SERVICES
83 - Northside Cherokee Orthopedics Sports Med
900 Towne Lake Parkway Suite 320WoodstockGA30189PHYSICIAN SERVICES
84 - Northside Cherokee Orthopedics Sports Med
684 Sixes Road Suite 130Holly SpringsGA30142PHYSICIAN SERVICES
85 - Endocrine Specialist of Atlanta - Atlanta
975 Johnson Ferry Road Suite 400AtlantaGA30342PHYSICIAN SERVICES
86 - MRI and Imaging of Athens - Athens
845 Prince AvenueAthensGA30606OUTPATIENT CENTER
87 - Chattahoochee Surgical Group - Cumming
980 Sanders Road Suite 100CummingGA30042PHYSICIAN SERVICES
88 - Chattahoochee Surgical Group - Alpharetta
3400-A Old Milton Parkway Suite 210AlpharettaGA30005PHYSICIAN SERVICES
89 - Chattahoochee Surgical Group - Dawsonville
81 Northside Dawson Drive Suite 305DawsonvilleGA30534PHYSICIAN SERVICES
90 - North Georgia OBGYN Specialist - Woodstock
900 Towne Lake Parkway Suite 404WoodstockGA30188PHYSICIAN SERVICES
91 - North Georgia OBGYN Specialist - East Elli
433 Highland Parkway Suite 203East EllijayGA30540PHYSICIAN SERVICES
92 - Northside Cherokee Pediatrics - Holly Spri
684 Sixes Road Suite 220Holly SpringsGA30115PHYSICIAN SERVICES
93 - Northside Cherokee Pediatrics - Woodstock
900 Towne Lake Parkway Suite 306WoodstockGA30189PHYSICIAN SERVICES
94 - Windermere Medical Clinic - Cumming
3850 Windermere Parkway Suite 105CummingGA30041PHYSICIAN SERVICES
95 - Windermere Medical Clinic - Canton
200 Eagles Nest Drive Suite 300DCantonGA30115PHYSICIAN SERVICES
96 - North Georgia Diabetes and Endocrinology -
1505 Northside Boulevard Suite 2800CummingGA30041PHYSICIAN SERVICES
97 - North Georgia Diabetes and Endocrinology -
4310 Johns Creek Parkway Suite 100SuwaneeGA30024PHYSICIAN SERVICES
98 - Internal Medicine Associates of John's Cre
3380 Paddocks ParkwaySuwaneeGA30024PHYSICIAN SERVICES
99 - Northside Family Practice - Woodstock
960 Woodstock Parkway Suite 300WoodstockGA30188PHYSICIAN SERVICES
100 - Northside Neurology - Cumming
1400 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES250
101 - Peachtree Dunwoody Medical Associates - At
875 Johnson Ferry Road NE Suite 200AtlantaGA30342PHYSICIAN SERVICES
102 - University Gynecologic Oncology - Atlanta
960 Johnson Ferry Road Suite 130AtlantaGA30342PHYSICIAN SERVICES
103 - University Gynecologic Oncology - Alpharet
3400-A Old Milton Parkway Suite 210AlpharettaGA30005PHYSICIAN SERVICES
104 - Northside Pulmonary and Sleep Medicine - B
4700 Nelson Brogden Boulevard NEBufordGA30518PHYSICIAN SERVICESSuite 12
105 - Northside Pulmonary and Sleep Medicine - C
1400 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES210
106 - Northside Pulmonary and Sleep Medicine - D
81 Northside Dawson Drive Suite 305DawsonvilleGA30534PHYSICIAN SERVICES
107 - Atlanta Cardiac and Thoracic Surgical Asso
960 Johnson Ferry Road Suite 100AtlantaGA30342PHYSICIAN SERVICES
108 - Atlanta Cardiac and Thoracic Surgical Asso
1100 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES410
109 - Atlanta Cardiac and Thoracic Surgical Asso
460 Northside Cherokee BoulevardCantonGA30115PHYSICIAN SERVICES
110 - Atlanta Cardiac and Thoracic Surgical Asso
308 Deep South Farm Road Suite 200BlairsvilleGA30512PHYSICIAN SERVICES
111 - Georgia Gynecologic Oncology - Lawrencevil
759 Old Norcross RoadLawrencevilleGA30046PHYSICIAN SERVICES
112 - Georgia Gynecologic Oncology - Atlanta
980 Johnson Ferry Road Suite 910AtlantaGA30342PHYSICIAN SERVICES
113 - Georgia Gynecologic Oncology - Cumming
1505 Northside Boulevard Suite 3800CummingGA30041PHYSICIAN SERVICES
114 - John's Creek Specialist Center - Suwanee
3340 Paddocks ParkwaySuwaneeGA30024PHYSICIAN SERVICES
115 - Georgia Pulmonary and Critical Care Consul
1505 Northside Boulevard Suite 3000CummingGA30041PHYSICIAN SERVICES
116 - Urogynecology PC - Alpharetta
11975 Morris Road Suite 140AlpharettaGA30005PHYSICIAN SERVICES
117 - Northside Hospital Cardiovascular Care - A
980 Johnson Ferry Road Suite 520AtlantaGA30342PHYSICIAN SERVICES
118 - North Point Pulmonary Associates - Alphare
3400-C Old Milton Parkway Suite 425AlpharettaGA30005PHYSICIAN SERVICES
119 - North Point Pulmonary Associates - Cumming
1505 Northside Forsyth BoulevardCummingGA30041PHYSICIAN SERVICESSuite 34
120 - Atlanta Gynecologic Oncology - Atlanta
980 Johnson Ferry Road NE Suite 900AtlantaGA30342PHYSICIAN SERVICES
121 - Atlanta Gynecologic Oncology - Canton
460 Northside Cherokee BoulevardCantonGA30115PHYSICIAN SERVICESSuite 40
122 - Atlanta Gynecologic Oncology - Marietta
780 Canton Road Suite 405MariettaGA30060PHYSICIAN SERVICES
123 - Atlanta Gynecologic Oncology - Woodstock
900 Towne Lake Parkway Suite 302WoodstockGA30189PHYSICIAN SERVICES
124 - Cherokee Lung and Sleep - Canton
460 Northside Cherokee BoulevardCantonGA30114PHYSICIAN SERVICESSuite 13
125 - Cherokee Lung and Sleep - Woodstock
900 Townelake Parkway Suite 206WoodstockGA30189PHYSICIAN SERVICES
126 - Cherokee Lung and Sleep - Blairsville
308 Deep South Farm RoadBlairsvilleGA30512PHYSICIAN SERVICES
127 - Mount Vernon Internal Medicine - Sandy Spr
755 Mount Vernon Highway NE SuiteSandy SpringsGA30328PHYSICIAN SERVICES400
128 - MRI and Imaging of Habersham - Demorest
638 Historic Highway 441 NorthDemorestGA30535OUTPATIENT CENTERSuite D
129 - Town Lake Primary Care - Woodstock
900 Towne Lake Parkway Suite 410WoodstockGA30189PHYSICIAN SERVICES
130 - Ravry Medical Group - Atlanta
5505 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES650
131 - Goyco Internal Medicine - Cumming
900 Sanders Road Suite BCummingGA30041PHYSICIAN SERVICES
132 - Alpharetta Foot and Ankle Specialists - Cu
1100 Northside Forsyth DriveCummingGA30041PHYSICIAN SERVICES
133 - Alpharetta Foot and Ankle Specialists - Al
3400 C-Old Milton Parkway Suite 500AlpharettaGA30005PHYSICIAN SERVICES
134 - Midtown Medical Associates - Atlanta
550 Peachtree Street NE Suite 1230AtlantaGA30308PHYSICIAN SERVICES
135 - AOA
308 Coliseum DriveMaconGA31217Radiation Therapy Center and PHYSICIAN SERVICES
136 - North Atlanta Pulmonary and Sleep - Atlant
993 Johnson Ferry Road Suite 300AtlantaGA30342PHYSICIAN SERVICESBuildin
137 - Melanoma and Sarcoma Specialists of Georgi
980 Johnson Ferry Road Suite 940AtlantaGA30342PHYSICIAN SERVICES
138 - Premier Neurological Care - Canton
145 Riverstone Terrace Suite 102CantonGA30114PHYSICIAN SERVICES
139 - Premier Neurological Care - Cartersville
100 Market Place Boulevard SuiteCartersvilleGA30121PHYSICIAN SERVICES307
140 - Internal Medicine Practice of Northside -
10745 Westside Way Suite 125AlpharettaGA30009PHYSICIAN SERVICES
141 - Northside Atlanta Orthopedics and Sports M
5555 Peachtree Dunwoody Road NEAtlantaGA30342PHYSICIAN SERVICESSuite 101
142 - Ankle and Foot Centers of North Georgia -
81 Northside Dawson Drive Suite 204DawsonvilleGA30534PHYSICIAN SERVICES
143 - Northside Cherokee Surgical Associates - W
900 Towne Lake Parkway Suite 412WoodstockGA30189PHYSICIAN SERVICES
144 - Roswell Internal Medicine Specialists - Al
11785 Northfall Lane Suite 505AlpharettaGA30004PHYSICIAN SERVICES
145 - Bariatric Innovations of Atlanta - Sandy S
6135 Barfield Road Suite 150Sandy SpringsGA30328PHYSICIAN SERVICES
146 - Brain Expert - Atlanta
2001 Peachtree Road Suite 670AtlantaGA30309PHYSICIAN SERVICES
147 - Brain Expert - Cumming
1100 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES310
148 - Brain Expert - Atlanta
980 Johnson Ferry Road Suite 490AtlantaGA30342PHYSICIAN SERVICES
149 - The Orthopedic Sports Medicine Center of A
3400 C-Old Milton Parkway Suite 190AlpharettaGA30005PHYSICIAN SERVICES
150 - The Orthopedic Sports Medicine Center of A
3890 Johns Creek Parkway Suite 240SuwaneeGA30024PHYSICIAN SERVICES
151 - The Orthopedic Sports Medicine Center of A
11685 Alpharetta Highway Suite 150BRoswellGA30076PHYSICIAN SERVICES
152 - Lanier Family Practice - Cumming
1080 Sanders Road Suite 100CummingGA30041PHYSICIAN SERVICES
153 - East Cobb Family Medicine - Marietta
1121 Johnson Ferry Road BuildingMariettaGA30068PHYSICIAN SERVICESOne Sui
154 - Newtown Medical - Alpharetta
3400-A Old Milton Parkway Suite 200AlpharettaGA30005PHYSICIAN SERVICES
155 - Reproductive Surgical Specialists - Cummin
1800 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES380
156 - North Atlanta Breast Care - Cumming
1100 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES450
157 - Anderson Family Medicine - Dawsonville
81 Northside Dawson Drive Suite 205DawsonvilleGA30534PHYSICIAN SERVICES
158 - Northside East Cobb Orthopedics and Sports
4800 Old Towne Parkway Suite 430MariettaGA30068PHYSICIAN SERVICES
159 - Atlanta Liver and Pancreas Surgical Specia
980 Johnson Ferry Road Suite 170AtlantaGA30342PHYSICIAN SERVICES
160 - Sleep Disorders Center of Georgia - Atlant
993-C Johnson Ferry Road Suite 301AtlantaGA30342PHYSICIAN SERVICES
161 - Gordon J Azar Sr MD Internal Medicine -
960 Johnson Ferry Road Suite 235AtlantaGA30342PHYSICIAN SERVICES
162 - Kennesaw Family Medicine - Kennesaw
6110 Pine Mountain Road Suite 102KennesawGA30152PHYSICIAN SERVICES
163 - Internal Medicine Specialist of Roswell -
11685 Alpharetta Highway Suite 270AtlantaGA30076PHYSICIAN SERVICES
164 - Advanced Surgery Center Perimeter LLC
4553 North Shallowford RoadAtlantaGA30338AMBULATORY SURGERY
165 - Martha M Boone MD - Alpharetta
3400 Old Milton Parkway Building AAlpharettaGA30005PHYSICIAN SERVICESSuite
166 - Randy Rudderman MD - Plastic Surgeon - Al
3400-C Old Milton Parkway Suite 450AlpharettaGA30005PHYSICIAN SERVICES
167 - General Surgeons of Gwinnett - Snellville
1800 Tree Lane Suite 330SnellvilleGA30078PHYSICIAN SERVICES
168 - General Surgeons of Gwinnett - Lawrencevil
631 Professional Drive Suite 470LawrencevilleGA30046PHYSICIAN SERVICES
169 - Cherokee Breast Care - Holly Springs
684 Sixes Road Suite 230Holly SpringsGA30115PHYSICIAN SERVICES
170 - Cherokee Breast Care - Canton
460 Northside Cherokee BoulevardCantonGA30115PHYSICIAN SERVICESSuite 42
171 - Atlanta Aesthetics - Cumming
4150 Deputy Bill Cantrell MemorialCummingGA30040PHYSICIAN SERVICESRoad S
172 - Atlanta Aesthetics - Sandy Springs
5673 Peachtree Dunwoody Road SuiteSandy SpringsGA30342PHYSICIAN SERVICES420
173 - Primary Care of Milton - Milton
980 Birmingham Village Suite 304MiltonGA30004PHYSICIAN SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:In addition to the FPG thresholds, Northside's policy allows for medical indigency as well as an asset test for additional opportunity to qualify for charity. An application is completed by the patient and/or a scoring methodology is gathered from a third party using it's proprietary source to determine propensity to pay. These tools are used to determine someone's qualifications for a charity discount or free care in addition to the FPG thresholds stated above.
Part I, Line 6a:Northside Hospital, Inc. prepares an annual community benefit report. The report is made available to the public.
Part I, Line 7:The costing methodology used in determining the amount reported on line 7 is the cost to charge ratio calculated pursuant to the IRS schedule H worksheet 2 instructions.
Part I, Ln 7 Col(f):Bad debt expense in the amount of $148,661,072 has been removed from total expense to compute the percentage in column (f).
Part II, Community Building Activities:Biennially, Northside Hospital, Inc. ("Northside") conducts a community-based Physician Need Analysis for Northside Hospital-Cherokee ("NHC") and Northside Hospital-Forsyth ("NHF"). NHC and NHF each are sole county providers and as such must ensure that appropriate medical services are accessible to the residents of the communities served. Each hospital's Physician Need Analysis defines a geographic area compliant with the Federal Physician Self-Referral Law, identifies NHC and NHF medical staff members with an office in the defined geographic area, identifies non-Northside physicians with an office in the defined geographic area, and includes a quantitative analysis of each community's physician need ("Community Physician Need"). Based on the findings of the analyses, Northside engages in recruitment efforts designed to ensure that sufficient qualified health professionals are available to meet the identified Community Physician Need. Through these analyses, Northside has identified a defined numeric need for one-half physician full-time equivalent ("FTE") or more in twenty-seven specialties in NHC's Stark-compliant geographic area and a need for one-half physician FTE or more in thirty specialties in NHF's Stark-compliant geographic area. Both NHC and NHF are concentrating recruitment efforts on primary care and surgical specialties with an emphasis on recruiting needed physicians into Forsyth, Dawson, Pickens, and Cherokee counties to meet the identified Community Physician Need.
Part III, Line 4:Northside provides for accounts receivable that could become uncollectible in the future by establishing an allowance for uncollectible accounts to reduce the carrying value of such receivables to their estimated net realizable value. Northside estimates the allowance for uncollectible accounts based on historical and expected collections, accounts receivable agings, trends in reimbursement, general business and economic conditions, and other collection indicators. The costing methodology used in determining the amount reported on lines 2 and 3 was a cost to charge ratio applied to bad debt charges written off, net of recoveries. Northside Hospital provides care to the community, regardless of a patient's ability to pay. The forgone charges are at the expense of Northside Hospital.
Part III, Line 8:The costing methodology used in determining the amount reported on line 6 was a cost to charge ratio from the fiscal year 2017 Medicare Cost Report applied to Medicare charges. The Medicare program pays at amounts which are less than the cost of providing services. Any cost not reimbursed by Medicare is borne by Northside Hospital which eases the burden to the government for the provision of health care under the Medicare program.
Part III, Line 9b:The Collection policy is specific to the timing and protocols followed in the debt collection process. However the hospital's Financial Assistance policy supercedes the debt collection policy in any situation where a patient qualifies for financial assistance.
Part VI, Line 2:Northside developed a standardized process for conducting its Community Health Needs Assessment ("CHNA"). In short, Northside's CHNA process included: - Defining the Northside Community. - Reviewing Northside internal data. - Reviewing publicly available health data. - Reviewing proprietary quantitative consumer research data. - Performing stakeholder interviews. - Summarizing and prioritizing the health needs identified within Northside's Community. - Developing an Implementation Strategy to address the identified needs. - Presenting the finalized CHNA report and Implementation Strategy to the Board of Directors of Northside Hospital, Inc. for adoption. - Providing continued public access to Northside's CHNA report via www.Northside.com/Community and providing an opportunity for public feedback via Northside.chna@northside.com.Northside utilized an evidence-based model of population health adapted from the Wisconsin Population Health Institute and also utilized by County Health Rankings and Roadmaps. This model illustrates the complexity of assessing a community's health status by outlining the factors that act in combination to determine the current status of a community's health. The evidence-based model outlines the health determinants (demographics and social environment, healthcare access and quality, health behaviors, and the physical environment) that lead to the health outcomes in a community (morbidity and mortality).The Centers for Disease Control and Prevention ("CDC") performed a systematic literature review to determine a common set of health metrics that should be used to measure both the health determinants and health outcomes. Northside used the CDC's list of "Most Frequently Recommended Health Metrics" to determine what variables to consider for Northside's current CHNA. Northside utilized the CDC's recommended variables and metric when they were readily available at the county level.
Part VI, Line 3:Northside informs and educates patients and persons who are billed for patient care about their eligibility for financial assistance and Northside's Financial Assistance Program in numerous ways. Northside conspicuously posts notice of its Financial Assistance Program and how to access its Financial Assistance Policy and Financial Assistance Application at all major points of access to its inpatient and outpatient facilities, these points of access include the hospitals' patient waiting rooms and emergency departments. For patients that pre-register over the phone for hospital services, Northside verbally informs patients of its Financial Assistance Program and provides patients with information on how to obtain a copy of Northside's Financial Assistance Policy and Financial Assistance Application via Northside's website or via mail. Additionally, upon admission to one of its hospitals for services, Northside provides each patient a registration packet that includes information on its Financial Assistance Program. Further, a Financial Counselor will speak with all patients during either the pre-registration process or upon admission and explain Northside's Financial Assistance Program. If a patient indicates a need or requests more information regarding Financial Assistance, Northside will refer the patient to a Financial Assistance Counselor who will work directly with the patient to assist the patient in applying for Financial Assistance. In order to expedite the Financial Assistance process, Northside uses third party software to help identify patients that qualify for Financial Assistance based on publicly available information (e.g., participation in statefunded prescription programs, participation in the Women, Infants and Children (WIC) program, participation in the Supplemental Nutrition Assistance Program (SNAP, formerly food stamps), subsidized school lunch program eligibility, or eligibility for other state or local assistance programs). Patients that are identified by such third-party software as eligible to receive Financial Assistance will not be required to complete the Financial Assistance Application and instead will automatically be deemed to qualify for Financial Assistance. Further, Northside's Financial Counselors will assist patients with applying to programs that they are eligible for, but not currently enrolled in, such as state or federal healthcare programs or drug discount programs. Northside also includes a summary of its Financial Assistance Program, including how to obtain more information and apply for Financial Assistance, on all patient bills. Lastly, Northside works with many community outreach programs to provide Financial Assistance to patients who qualify for free or discounted services through these programs. To expedite the Financial Assistance process for such patients, Northside provides a pre-approval process for all patients who are referred for medically necessary services via a community outreach program. This process allows patients to quality for Financial Assistance prior to receiving hospital services, thereby relieving the patients of the stress and burden of the financial aspect of their care, and allowing them to focus on their health, well-being and recovery.
Part VI, Line 4:Northside began the Community Health Needs Assessment process by defining each hospital's community, which included (i) defining each facility's primary patient catchment area; (ii) mapping the medically underserved areas around each facility to ensure that no medically underserved, low income, or minority populations were excluded within or near the primary catchment areas; and (iii) mapping each facility's distribution of outpatient services across the region. The results of this process revealed significant overlap between the communities served by each Northside Hospital facility. Thus, Northside Hospital-Atlanta, Northside Hospital-Cherokee, and Northside Hospital-Forsyth developed a single community definition in compliance with IRS Section 501(r) Final Rule. The Northside Community consists of Fulton, Forsyth, Cherokee, DeKalb, Cobb, Gwinnett, Dawson, and Pickens Counties.In 2015, the estimated 3.7 million residents of the Northside Community accounted for 37% of Georgia's total population. The Northside Community is slightly younger than Georgia overall, with a median age of 35.6 compared to Georgia's 36.2. Overall, the 2015 Northside Community was comprised of a diverse population. Individual counties, however, have varying racial compositions, including two counties that have 90 percent of their populations belonging to just one racial group.Overall, the Northside Community has a high level of educational attainment and affluence when compared to Georgia as a whole. The median disposable income, household income, household net worth, and housing unit value in the Northside Community are all higher than Georgia's averages. Despite this general picture of affluence, however, disparities do exist, especially along racial and ethnic lines and between counties that Northside's Community Health Needs Assessment and Implantation Strategy aim to address.
Part VI, Line 5:Northside Hospital, Inc. is a charitable organization and as such is engaged in numerous activities to provide relief to the poor, the distressed, or the underprivileged. Northside routinely provides financial assistance, health professions education, cash and in-kind donations, community health improvement services, research, and community-building activities. Many of these efforts have been reported on throughout this return.In addition to the numerous community benefit activities Northside engages in throughout the year, Northside also invests surplus funds back into expanding access to services for all people throughout its Community. For example, Northside invested approximately $280 million in building a new, state-of-the-art replacement hospital, medical office building and parking deck in Cherokee County. The replacement hospital increased Northside Cherokee's inpatient capacity from 84 inpatient beds to 105 and provides the Community with a more visible, easy-to-access hospital conveniently located off a major interstate highway. In Forsyth County, in order to meet the community's healthcare needs, Northside expanded Northside Hospital Forsyth's inpatient bed capacity from 247 inpatient beds to 284. In Fulton County, the System's largest and oldest hospital campus also is undergoing significant expansion and renovation. Northside is investing approximately $200 million in Northside Atlanta through the construction of a new eight-story medical/surgical tower, addition of four operating rooms and other campus-wide renovations as well as a new parking deck. Upon completion of the new eight-story tower, Northside Atlanta's inpatient bed capacity will increase from 537 beds to 621 beds.
Part VI, Line 6:Northside Hospital, Inc. includes three hospitals - Northside Hospital - Atlanta in Sandy Springs, Northside Hospital - Cherokee in Canton and Northside Hospital - Forsyth in Cumming. These hospitals and nearly 80 other offsite locations make up the Northside Hospital System which serves a primary area that includes 21 counties with a total population of more than 5 million. In addition to providing hospital-based medical services, the Northside Hospital System provides a number of community-based services, designed to improve the health of area residents. Working with various organizations, hospital employees and medical staff, the Northside Hospital System participates in health education and screenings as well as provides support activities for individuals in the community living with a serious or chronic health condition.In addition to the excellent medical care and educational programs we provide to the community, the hospital also provides financial support to a number of other non-profit, community and civic causes whose missions and objectives complement Northside Hospital's Mission and Values.Northside Hospital gives back a significant amount to the community. We measure the success of our efforts by the number of residents we reach with our messages related to health and wellness. Our mission is to work to positively impact the overall health of the communities we serve. Clearly, education, outreach and community service allow us to broaden our impact beyond the walls of our facilities.
Part VI, Line 7Northside Hospital, Inc. is not required to file a community benefit report under Georgia law. However, we produce an annual report which is made available to the public on our website, www.northside.com.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (32 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
AMERICAN CANCER SOCIETY
PO BOX 56566ATLANTAGA30343131788491501(c)(3)$106,500general support
AMERICAN HEART ASSOCIATION
1101 NORTHCHASE PKWY SUITE 1MARIETTAGA30067135613797501(c)(3)$170,000general support
AMERICAN RED CROSS
1955 MONROE DRIVE NEATLANTAGA30324530196605501(c)(3)$50,000general support
ARTHRITIS FOUNDATION GEORGIA
PO BOX 78423ATLANTAGA30357581341679501(c)(3)$125,000general support
ATLANTA TRACK CLUB INC
3097 E Shadowlawn Ave NeAtlantaGA30305581367422501(c)(3)$95,000general support
BICYCLE RIDE ACROSS GEORGIA
PO BOX 871111STONE MOUNTAINGA30087581576748501(c)(4)$75,000general support
CANCER SUPPORT COMMUNITY OF ATLANTA
5775 PEACHTREE DUNWOODY RD SUITEATLANTAGA30342582142151501(c)(3)$631,220general supportC-225
COBB CHAMBER OF COMMERCE
PO BOX 671868MARIETTAGA300060032580198114501(c)(6)$28,500general support
GEORGIA CENTER FOR ONCOLOGY RESEARCH AND EDUCATION
50 HURT PLAZA SUITE 704ATLANTAGA30303571159979501(c)(3)$20,000general support
GEORGIA CHAMBER OF COMMERCE
233 PEACHTREE STREET SUITE 2000ATLANTAGA30303581537370501(c)(6)$50,000general support
GEORGIA OVARIAN CANCER ALLIANCE
6065 Roswell Road Suite 512ATLANTAGA30328582424106501(c)(3)$30,000general support
GREATER NORTH FULTON CHAMBER OF COMMERCE
11605 HAYNES BRIDGE RDALPHARETTAGA30004581157316501(c)(6)$96,400general support
LEUKEMIA AND LYMPHOMA SOCIETY
3715 NORTHSIDE PARKWAY NW NORTHCREEATLANTAGA30327135644916501(c)(3)$30,000general support400 SUITE 300
MARCH OF DIMES
1275 MAMORONECK AVEWHITE PLAINSNY10605131846366501(c)(3)$178,150general support
MOREHOUSE SCHOOL OF MEDICINE
720 Westview Drive SWATLANTAGA303101495581438873501(c)(3)$100,000general support
MUSCULAR DYSTROPHY ASSOCIATION
2310 PARKLANE DRIVE SUITE 375ATLANTAGA30345131665552501(c)(3)$35,000general support
OVARIAN CANCER INSTITUTE
960 JOHNSON FERRY RD STE 130ATLANTAGA30342582445245501(c)(3)$160,000general support
SANDY SPRINGS SOCIETY
PO BOX 720074ATLANTAGA30358581868282501(c)(3)$20,000general support
SOUTHEASTERN SOCIETY OF PLASTIC AND RECONSTRUCTIVE SURGEONS
12100 SUNSET HILLS ROAD SUITE 130RESTONVA201903221581431500501(c)(6)$40,000general support
TRAVELER'S AID OF METRO ATLANTA
75 MARIETTA STREET SUITE 400ATLANTAGA30303580566247501(c)(3)$30,000general support
VISITING NURSE HEALTH SYSTEM
5775 GLENRIDGE DRIVE NE SUITE E200ATLANTAGA30328580566250501(c)(3)$50,000general support
ALS ASSOCIATION OF GEORGIA INC
5881 GLENRIDGE DR SUITE 200ATLANTAGA30328581943490501(c)(3)$24,000general support
ANDREW J YOUNG FOUNDATION INC
260 14TH STREET NWATLANTAGA30318582591049501(c)(3)$25,000general support
ARCS FOUNDATION INC
PO BOX 52124ATLANTAGA30355582004368501(c)(3)$62,500general support
COMMUNITY ASSISTANCE CENTER
PO BOX 501298ATLANTAGA311501298581825565501(c)(3)$20,000general support
CRISTO REY ATLANTA JESUIT HIGH SCHOOL
222 PIEDMONT AVE NEATLANTAGA30308455550340501(c)(3)$64,000general support
GEORGIA AQUARIUM INC
225 BAKER STREET NWATLANTAGA30313582574918501(c)(3)$30,000general support
HANK AARON CHASING THE DREAM FOUNDATION
3280 PEACHTREE ROAD SUITE 1900ATLANTAGA30305582161264501(c)(3)$25,000general support
JACK & JILL LATE STAGE CANCER
3282 NORTHSIDE PARKWAY NW Ste 100ATLANTAGA30327204415512501(c)(3)$25,000general support
PONY UP FOR A CAUSE INC
2100 WHITESTONE CTSMYRNAGA30080813198368501(c)(3)$25,000general support
REINHARDT UNIVERSITY
7300 REINHARDT COLLEGE CIRCLEWALESKAGA301832981580603153501(c)(3)$100,000general support
SUSAN G KOMEN BREAST CANCER FOUNDATION
PO BOX 934048ATLANTAGA311934048581959763501(c)(3)$30,000general support
FieldValueIRS element (for citing)
Total501c3 Org27Total501c3OrgCnt
Total Other Org5TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarship / Educational AssistanceGrantTypeTxt
Recipient5RecipientCnt
Cash Grant$40,789CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe organization has guidelines in place that are to be used in reviewing the eligibility of grantees. All grants require written documentation and appropriate levels of approval.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (13 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
Robert T Quattrocchi
President & CEO NSH, Inc.$1,689,083$0$1,477,795$0$10,469$0$0$0$10,484$0$3,187,831$0$0$0
Wayne L Ambroze MD
Board Member$446,857$0$182,319$0$2,064$0$0$0$6,328$0$637,568$0$0$0
Deborah S Mitcham
VP/CFO NSH, Inc.$578,934$0$260,467$0$7,783$0$0$0$11,625$0$858,809$0$0$0
Jorge J Hernandez
Vice President/Asst. Secre$397,826$0$159,396$0$13,888$0$0$0$2,657$0$573,767$0$0$0
Janis Dubow
Vice President$353,512$0$100,214$0$15,386$0$0$0$4,571$0$473,683$0$0$0
Robert Putnam
Vice President$587,546$0$228,362$0$28,711$0$0$0$5,952$0$850,571$0$0$0
WILLIAM HAYES
CEO, Northside Hospital-Cherokee$423,963$0$78,673$0$14,412$0$0$0$10,111$0$527,159$0$0$0
Tina Wakim
Vice President$664,646$0$289,849$0$16,042$0$0$0$3,087$0$973,624$0$0$0
Stephen Salmieri MD
gynecologic oncologist$674,086$0$114,048$0$1,656$0$0$0$10,484$0$800,274$0$0$0
Gerald Feuer MD
Gynecologist/Surgeon$748,369$0$166,329$0$4,752$0$0$0$9,200$0$928,650$0$0$0
Guilherme h Cantuaria MD
gynecologic oncologist$755,362$0$128,869$0$1,080$0$0$0$7,318$0$892,629$0$0$0
WILLIAM EARLY MD
gastroenterology/internal$794,234$0$135,302$0$4,752$0$0$0$10,484$0$944,772$0$0$0
Marion Schertzer MD
Colon & Rectal Surgeon$449,667$0$272,000$0$3,168$0$0$0$8,018$0$732,853$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aOn occasion, certain benefits, such as long term disability premiums, are grossed up for selected employees.
Part I, Line 4bMR. QUATTROCCHI HAS LED THE ORGANIZATION FOR MORE THAN FOURTEEN YEARS AS CEO AND FOR SEVENTEEN YEARS AS A SENIOR EXECUTIVE PRIOR TO BECOMING CEO. AS A RESULT OF HIS LEADERSHIP AND LONGEVITY, AND TO ASSIST IN HIS RETENTION, NORTHSIDE'S BOARD OF DIRECTORS HAS PROVIDED THE CEO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AGREEMENT WHICH IS DESIGNED TO PROVIDE HIM SUPPLEMENTAL INCOME OVER HIS LIFE IN RETIREMENT. THE SERP PAYMENTS ARE BASED ON A MATHEMATICAL FORMULA, PURSUANT TO A SIGNED CONTRACT, AND ARE REVIEWED AND ASSESSED FOR REASONABLENESS BY AN OUTSIDE CONSULTANT AND THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND ULTIMATELY BY THE FULL BOARD BEFORE PAYMENT IS MADE. THE SERP VESTS AND DISBURSES INCREMENTAL FUNDING PAYOUTS EACH TWO OR THREE YEARS. NORTHSIDE DOES NOT CONSIDER SERP PAYMENTS TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. THE CEO IS ELIGIBLE FOR AN ANNUAL INCENTIVE WHICH INCLUDES VARIOUS MEASUREMENTS FOR ACHIEVEMENTS OF QUALITY, OPERATIONAL, STRATEGIC, AND FINANCIAL TARGETS AS ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE DETERMINES THE INCENTIVE PLAN AND APPROVES THE PAYMENTS/CALCULATIONS IN ACCORDANCE WITH THE PLAN ANNUALLY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Northside Anesthesiology Consultants LLC
K. Douglas Smith, M.D., board member & NS Anesthesiology Cons off./owner$4,991,454K. Douglas Smith, M.D., member of the Northside Hospital, Inc. Board of Directors, is an officer/owner of Northside Anesthesiology Consultants, LLC, which provides medical services to Northside Hospital, Inc. Transactions with this entity are conducted at arms-length and are representative of payments for provision of on-call physician services to the community which Northside serves.0
J Bryan Whitley
Robert E. Whitley, board member & J. Bryan Whitley family member$107,624Robert E. Whitley, member of the Northside Hospital, Inc. Board of Directors, has a family relationship with J. Bryan Whitley, an employee of Northside Hospital, Inc. Amount represents fair market value compensation paid during calendar year 2016 to J. Bryan Whitley for services rendered to the organization.0
Medlock Medical LLC
Dale M. Bearman, M.D., board member & Medlock Medical, LLC owner$382,058Dale M. Bearman, M.D., member of the Northside Hospital, Inc. Board of Directors, has a greater than 5% ownership interest in Medlock Medical, LLC, which provides rental space to Northside Hospital, Inc. Transactions with this entity are conducted at arms-length.0
RACHEL BEARMAN
Dale M. Bearman, M.D., board member & Rachel Bearman family member$71,988Dale M. Bearman, M.D., member of the Northside Hospital, Inc. Board of Directors, has a family relationship with Rachel Bearman, an employee of Northside Hospital, Inc. Amount represents fair market value compensation paid during calendar year 2016 to Rachel Bearman for services rendered to the organization.0
Jennifer Whitley
Robert E. Whitley, board member & Jennifer Whitley family member$35,039Robert E. Whitley, member of the Northside Hospital, Inc. Board of Directors, has a family relationship with Jennifer Whitley, an employee of Northside Hospital, Inc. Amount represents fair market value compensation paid during calendar year 2016 to Jennifer Whitley for services rendered to the organization.0
Robert E Whitley Jr
Robert E. Whitley, board member & Robert E. Whitley, Jr. family member$25,293Robert E. Whitley, member of the Northside Hospital, Inc. Board of Directors, has a family relationship with Robert E. Whitley, Jr., an employee of Northside Hospital, Inc. Amount represents fair market value compensation paid during calendar year 2016 to Robert E. Whitley, Jr. for services rendered to the organization.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Program Service Accomplishments (cont'd)Emergency Services In FY2017, total emergency room visits increased 5.4% across the Northside system, surpassing 178,000. In May 2017, Northside opened its Northside Cherokee replacement hospital and the hospital experienced its highest monthly ER volume with more than 4,500 ER visits in June which grew to nearly 5,000 ER visits in December 2017. Northside always maintains a focus on quality. Accordingly, Northside participates in the American Heart Association's Get With the Guidelines Heart Failure program. This program improves care by promoting consistent adherence to the latest scientific treatment guidelines. Northside has earned the AHA's Gold Plus designation for all three of its emergency rooms. In addition, Northside also participates in the AHA's Get With the Guidelines - Stroke program. Two of Northside's emergency rooms have earned the AHA's Gold Plus designation and one emergency room has earned the Silver Plus designation. Oncology Services In 2017, the Northside Hospital Cancer Institute ("NHCI") continued to strengthen its services and infrastructure to better support the growing cancer care needs of the communities served. Below is a summary of the major successes in 2017: - Served 44 Georgia counties, diagnosed and treated nearly 13,000 cancer patients, provided 65 new cancer clinical trials, and screened 1,382 participants in our cancer screenings. - Maintained 12 cancer related accreditation and quality designations. - Expanded our cancer registry to an integrated Oncology Analytics program. - Established the NHCI Liver and Pancreatic Cancer Program. - Increased cases presented at cancer conference by 25% and increased engagement through web conferencing by 32%. - Exceeded national benchmark quality standards in breast, lung, and gastrointestinal cancers. - Expanded survivorship care program resulting in 89% of breast cancer patients reporting a better understanding of surveillance care. - Expanded oncology clinical and support services including pharmacy, nursing, hereditary cancer program, social work, and nutrition. - Continued to expand advanced technologies in cancer care specifically in the areas of surgical care and radiation oncology. - Continued success with NHCI Oncology Research Program, meeting 94% of credit goal. Radiology Services In FY2017 Northside's radiology network experienced volume of over 516,000 total patient encounters. In furtherance of its charitable mission, Northside developed an Imaging Charity Referral Program which aims to connect uninsured/underinsured patients in need of imaging services with one of Northside's twenty-three charitable imaging locations ("Charitable Imaging Location"). (While all Northside locations accept patients regardless of their ability to pay, and provide financial assistance to those who qualify for such assistance under Northside's Financial Assistance Program, Northside's Charitable Imaging Locations have specific and separate indigent/charity care commitments resulting from Georgia's Certificate of Need program.) In 2017, Northside's Imaging Charity Referral Program received over 800 referrals from its safety net clinic and federal qualified health center referral partners. Northside has a sizeable radiology network consisting of inpatient and outpatient centers located throughout its service area. In order to provide consistent, high-quality, efficient services across the network, Northside focusses on three priority area: 1) patient safety, 2) clinical excellence and 3) operations. Over FY17, the Organization achieved numerous accomplishments in each focus area with a few notable accomplishments highlighted below. - Collaborated with Phoenix Technology Corporation and Northside Hospital Quality Improvement to develop quarterly report cards for all hospital-based areas and physician practices with radiation emitting equipment. The report cards are reviewed by the Radiation Safety Officer and outliers are discussed in Radiation Safety Committee. - Northside Atlanta successfully completed: - FDA inspection at each mammography location - ACR accreditation and on-site surveys at all radiology locations for CT, MRI, Nuclear Medicine, PET/CT, Ultrasound and Mammography (as applicable) - Northside Cherokee successfully completed: - ACR re-accreditation and on-site surveys at all radiology locations for CT, MRI, Nuclear Medicine, Mammography and Ultrasound (as applicable) - FDA inspections at each mammography location - State Licensing Survey for the Cherokee replacement hospital - Georgia DNR site visit for Nuclear Medicine at the hospital - Northside Forsyth successfully completed: - The re-accreditation survey process for The Joint Commission(TJC) Primary Stroke Disease Site - Inspection at each mammography location - ACR accreditation and on-site surveys at all radiology locations for CT, MRI, Nuclear Medicine, PET/CT, Ultrasound and Mammography (as applicable) Surgical Services In FY2017, total surgeries increased 5.4% across the Northside system, surpassing 56,000. Northside has one of the highest volume surgical programs in Metro Atlanta and is continually striving to enhance its service offering and improve quality. Northside Hospital Forsyth is Georgia's leader in same-day joint replacements, performing more surgeries than any other hospital in the state, and has earned Disease Specific Certification for hip and knee joint replacement from The Joint Commission. As part of the Northside Hospital health care system, the hospital also offers patients expertise that ranks in the top one percent of all robotic surgery programs in the U.S. In furtherance of its mission to provide state-of-the-art quality healthcare, Northside Hospital Forsyth became the first hospital in Georgia to perform robotic total knee replacement surgeries. In addition to the financial assistance services provided to patients who qualify for such services under Northside's Financial Assistance Program, in furtherance of its charitable mission and in response to an identified community need, Northside created the Financial Access Surgery Program ("FASP"). The FASP was established and designed to provide medically-necessary, non-emergent surgical services and all related ancillary services at no cost, to uninsured/underinsured patients. Northside entered into formal referral agreements with several community organizations including Federally Qualified Health Centers and safety net clinics located across Georgia. Demand for the program was so great that Northside subsequently created the FASP Overflow Program and expanded the number of locations to four (4). In 2017, the FASP received over 950 referrals from its community partners. Women's Services In FY2017, delivery volume remains strong across the Northside system with deliveries surpassing 20,000. NHA is consistently ranked as the nation's leader in maternity services, delivering more babies than any other hospital. In CY2015, the most recent data available, Northside Hospital-Atlanta again was the national leader in maternity services with just over 16,100 births while the next closest provider had just over 14,800 births. In Georgia, NHA is the leader in maternity services including high-risk perinatal services. In 2016, the most recent data available, NHA cared for nearly 781 high-risk perinatal patients with the next closest provider caring for approximately 509 patients. NHA's expertise in caring for the most fragile neonates also is unsurpassed. In 2016, the most recent data available, NHA cared for more than 5,838 neonates (excluding normal newborns) with the next closest provider caring for more than 2,645 neonates (excluding normal newborns). Georgia ranks "at or near the bottom" in maternal deaths in the US, which is a serious public health concern within the state. Currently, the number of deaths and causes of maternal deaths are not properly documented. As such, the Centers for Disease Control determined that a review committee should be convened to investigate maternal mortality in the state. The Georgia Maternal Mortality Review Committee aims to develop prevention recommendations for maternal death and disseminate their findings throughout Georgia to policy makers, healthcare providers, healthcare facilities, and the general public. In furtherance of its charitable mission and to enhance public health, Northside's Clinical Outcomes Manager joined this committee and actively participates in the committee's activities with the full monetary support of Northside.
Form 990, Part VI, Section A, line 6Northside Health Services, the parent entity, elects all the members of the governing body for Northside Hospital, Inc.
Form 990, Part VI, Section A, line 7aNorthside Health Services, the parent entity, elects all the members of the governing body for Northside Hospital, Inc.
Form 990, Part VI, Section A, line 7bNorthside Health Services, the parent entity, must approve bylaw revisions and revisions of the Articles of Incorporation for Northside Hospital, Inc.
Form 990, Part VI, Section B, line 11bThe Form 990 was prepared by an unrelated and independent accountant using detailed financial statements supported by a consolidated audit (also prepared by outside, independent auditors). Northside financial leadership, including the System Controller and CFO, perform a detailed review of the 990 and sign-off on the returns before they are filed. additionally, Outside Counsel reviews several sections of the form at Northside's request.
Form 990, Part VI, Section B, line 12cOfficers, directors and key employees are required to complete and sign a disclosure questionnaire annually, in accordance with the Conflict of Interest Policy. Northside's Legal Services department reviews contracts with other care providers, educational institutions, manufacturers and payors to determine whether conflicts of interest exist and whether they are in compliance with specific laws and regulations.
Form 990, Part VI, Section B, line 15To establish the compensation of the organization's CEO and key employees, a compensation study, including peer organizations, is completed by an independent compensation consultant. This information is shared with the Compensation Committee. Independent members of the Compensation Committee deliberate and determine the compensation of the CEO and approve the compensation of other officers and key employees. Records are retained of these decisions. The CEO's final written employment contract must be approved by the Compensation Committee of the Board.
Form 990, Part VI, Section C, line 19The Corporate governance documents (specifically all Articles of Incorporation documents) are made available on the Georgia Secretary of State website. Our Conflict of Interest Policy is made available on our Intranet to Northside employees; however, neither our audited financial statements nor our Conflict of Interest Policy are made available to the public. When and if appropriate requests are made by the public, we evaluate disclosure on a case by case basis.
Form 990, Part VI, Line 16BIn lieu of adopting a written policy concerning joint venture arrangements, the organization requires and undertakes a rigorous case-by-case evaluation of its participation in any proposed joint venture arrangement under applicable tax and other laws and regulations. Each proposed joint venture with a taxable entity is reviewed under applicable tax laws, regulations, and guidelines by outside legal counsel and organization personnel to confirm that the joint venture would be formed, operated and managed in a manner that furthers the community benefit and charitable purposes of the organization. Joint ventures with taxable entities are required to be structured, including through financial and governance provisions and reserved powers, in a manner to safeguard the organization's exempt status and ensure that the organization controls all aspects of the joint venture related to its exempt purpose.
Form 990, Part VII, Section B:To serve the patients within Northside's geographic region, Northside entered into a professional services agreement ("PSA") based upon personally performed and modifier adjusted productivity with Georgia Cancer Specialists I, P.C. ("GCS") to ensure oncology and hematology services are provided to all patients within the community regardless of the patients' ability to pay. Northside has provided a broad range of cancer care services through its cancer care program at The Northside Hospital Cancer Institute ("NHCI"). The NHCI, which is recognized nationally as a leader in oncology diagnosis, treatment and research, offers clinical excellence on par with academic-based programs along with the personalized and attentive care typically associated with a community hospital. Northside has committed to becoming a regional and national leader that redefines cancer care, which in part requires the expansion of its geographic footprint through development of an affiliation with additional locations, as well as having an integrated cancer care program that facilitates collaboration between Northside and clinicians specializing in oncology services. GCS has a large complement of clinicians to assist Northside in developing an outpatient oncology services program, specializing in medical oncology and hematology and the provision of infusion therapy services and medical and clinical research services. In accordance with the PSA, GCS remains a privately-held organization without ownership or management by Northside. GCS maintains responsibility for providing all administrative operations of the practice (e.g., staff benefits, malpractice insurance, etc.). Northside makes payments to GCS at fair market value rates for 1) personally performed and modifier adjusted professional services 2) management oversight responsibilities and 3) billing arrangements. GCS employs approximately 88 clinicians and 205 staff to maintain oncology, hematology, management and billing services at Northside's facilities and throughout the communities served by Northside. To serve the patients within Northside's geographic region, Northside entered into a professional services agreement ("PSA") based upon personally performed and modifier adjusted productivity with AGA, LLC to ensure gastroenterology ("GI") services are provided to all patients within the community, regardless of the patients' ability to pay. As such, this arrangement allows Northside to establish Centers of Excellence in GI services, especially related to endoscopic ultrasound and endoscopic retrograde cloangiopancreatography. GI services also have a significant tie-in to oncology services for which Northside is a leader in the Atlanta service area in terms of diagnosis and treatment. AGA, LLC has a large complement of clinicians that provide GI services including GI oncology. In accordance with the PSA, AGA, LLC remains a privately-held organization without ownership or management by Northside. AGA, LLC maintains responsibility for all expenses typically found in a GI clinicians practice (e.g., staff, billing, medical supplies, medical records, occupancy, malpractice insurance, etc.). Under the PSA, Northside pays AGA a fair market value rate based on personally performed and modifier adjusted wRVUs. AGA, LLC provides approximately 123 clinicians to ensure GI services at Northside's facilities and throughout the communities served by Northside. The compensation reflected on Form 990, Part VII, Section B, Column (c), represents professional services under the PSA to include related compensation and benefits. To serve the patients within Northside's geographic region, Northside entered into a professional services agreement ("PSA") based upon personally performed and modifier adjusted productivity with Atlanta Cancer Care ("ACC") to ensure oncology and hematology services are provided to all patients within the community regardless of the patients' ability to pay. Northside has provided a broad range of cancer care services through its cancer care program at The Northside Hospital Cancer Institute ("NHCI"). The NHCI, which is recognized nationally as a leader in oncology diagnosis, treatment and research, offers clinical excellence on par with academic-based programs along with the personalized and attentive care typically associated with a community hospital. Northside has committed to becoming a regional and national leader that redefines cancer care, which in part requires the expansion of its geographic footprint through development of an affiliation with additional locations, as well as having an integrated cancer care program that facilitates collaboration between Northside and clinicians specializing in oncology services. ACC has a large complement of clinicians to assist Northside in developing an outpatient oncology services program, specializing in medical oncology and hematology and the provision of infusion therapy services and medical and clinical research services. In accordance with the PSA, ACC remains a privately-held organization without ownership by Northside. ACC maintains responsibility for providing all administrative operations of the practice (e.g., staff benefits, malpractice insurance, etc.). Northside makes payments to ACC at fair market value rates for 1) personally performed and modifier adjusted professional services 2) management oversight responsibilities and 3) billing arrangements. ACC employs approximately 30 clinicians and 90 staff to maintain oncology, hematology, management and billing services at northside's facilities and throughout the communities served by Northside.
Form 990, Part IX, line 11gother fees: Program service expenses 294,019,764. Management and general expenses 130,684,105. Fundraising expenses 0. Total expenses 424,703,869.
Form 990, Part XI, line 9:change in pension 74,416,326. equity transfer -51,092. income from joint ventures not on books -1,483,749. Other Changes in Net Assets -1,041,927.
Community Benefits Report - Fiscal Year 2017Northside Hospital Health Care System is one of Georgia's leading health care providers with more than 150 locations across the state, including three acute care, state-of-the-art hospitals in Atlanta, Cherokee County and Forsyth County. Northside Hospital leads the U.S. in newborn deliveries, diagnoses and treats the most cancer cases of any community hospital in Georgia and is among the state's top providers of surgical services. Northside has more than 2,800 physicians and 15,000 employees who serve 3 million patient visits annually across a full range of medical services. Our Mission Through all of the growth, Northside has remained steadfast and committed to its mission. Northside Hospital is committed to the health and wellness of our community. As such, we dedicate ourselves to being a center of excellence in providing high-quality health care. We pledge compassionate support, personal guidance, and uncompromising standards to our patients in their journeys toward health of body and mind. To ensure innovative and unsurpassed care for our patients, we are dedicated to maintaining our position as regional leaders in select medical specialties. And to enhance the wellness of our community, we commit ourselves to providing a diverse array of educational and outreach programs. Our Values Northside's outstanding reputation is fueled by an instinctive devotion to a unique set of values. This statement of values defines and communicates those guiding, motivating philosophies that have led us to distinction: Excellence - A primary value in all matters of health care, our excellence is born of individual commitment to the highest personal potential. For if we reach our individual potentials, we can achieve excellence as an institution. Compassion - We believe that each person is unique - patient, family or caregiver - in health, in sickness, in life, in death. Each is to receive our respect, our care, our appreciation and our concern our empathy. Community - We value its well-being and are committed to its progress. In addition to our services, we provide an important corporate contribution, expressed through involvement with the people, organizations and jurisdictions that vitalize, energize and support our region. Service - We recognize a personalized expression of caring which transcends physical aspects of health. We realize that this depth of service to others can be the source of our own growth and well-being, while maintaining a financially successful organization. Teamwork - Our success stems from teamwork. We recognize the equal value and individual contribution of each member of our team. We believe in mutual regard for each other and for our patients. We encourage teamwork by working together respectfully, communicating openly and supporting the expression of differing opinions and perspectives. Progress & Innovation - We understand the need for these attributes in patient care and organizational management. While preserving the tradition and wisdom of those who have gone before us, we seek new information and state-of-the-art technology. We welcome new insights, new techniques, new ideasand will remain leaders in the health care of our community. Our Community Benefit Philosophy Northside's commitment to support healthier patients and create a stronger, healthier community fabric extends beyond our physical walls. In addition to providing high quality hospital-based medical services, we offer a number of community-based services, designed to improve the health of individuals who live, work and play in the areas we serve. We've developed strong relationships with organizations that champion a culture of wellness and stewardship in the community. Health care, education, awareness and advocacy intersect through these partnerships. Because Northside Hospital Inc. is not-for-profit and is not required to return profits to shareholders like taxable organizations, we reinvest our revenues, in excess of expenses, in order to enhance our capacity to deliver high-quality health care to the communities we serve. These resources provide for a long-term focus on the recruitment and retention of outstanding medical professionals, enhanced research and technologies, and new facilities and services. In addition, such resources enable us to provide numerous programs and activities that provide treatment or promote health and healing as a response to identified community needs. "Community Benefit" Defined Community Benefit applies to activities or programs that respond to identified community health needs and that seek to achieve one or more of the following objectives: -improving access to health services -enhancing public health -advancing increased general knowledge -relieving or reducing government's burden to improve health The information presented in this report demonstrates the level of community service and benefits that we have provided to the community during fiscal year 2017 October 1, 2016 through September 30, 2017. AT A GLANCE Charity Care $482,921,000 Bad Debt & Government Sponsored Health Care $148,661,072 Community Benefit Programs: - Research $1,326,882 - Health Professions Education $23,227 - Community Health Services & Community Benefit Operations $1,571,655 - Subsidized Health Services $192,164 - Community Building $11,483 - Financial and In-kind Contributions $3,171,803 COMMUNITY BENEFIT OPERATIONS Northside Hospital's Planning Department performs the health system's Community Health Needs Assessment once every three years, last completed in FY2016. As part of the FY2016-FY2018 CHNA cycle, Northside has created a Community Benefit Steering Committee. The committees 8 members, who spent 48 hours in FY 2017, consist of Northside management and staff from various departments across the system who are engaged in community benefit activities. FINANCIAL ASSISTANCE / CHARITY CARE Northside Hospital treats all patients, regardless of age, sex, creed, race, national origin or source of payment. All patients are treated equally in respect to charges, bed assignments and medical care, regardless of ability to pay. We provide care without charge, or at discounted rates, to patients who meet certain criteria. Such cases are not reported as revenue or listed as accounts receivable. We maintain records to identify and monitor the indigent and charity care we provide. These records include the amount of charges forgone for services and supplies provided under the charity care policy. In FY2017, Northside Hospital provided $482,921,000 in indigent and charity care. Uncompensated care including indigent and charity care and uncollected accounts represented $631,582,000. COMMUNITY HEALTH IMPROVEMENT SERVICES Corporate & Community Health Education In response to requests from the community, Northside Hospital physicians and employees regularly provide free lectures through the hospital's Speakers Bureau. Health-related topics include exercise, nutrition & weight control, women & heart disease, breast health, sleep disorders, and more. In FY2017, 389 people were served at 12 events, involving 41 staff hours. Northside's Smoking Cessation Program offers participants tips on how to quit, manage stress, avoid weight gain, cope with withdrawal symptoms and much more. The six-week sessions use a combination of group discussion and interaction, with nicotine replacement therapy, to provide the support needed to quit smoking. All classes are facilitated by trained Northside Hospital staff. Additional resources including online support services and referrals to telephone counseling also are available. In FY2017, the program enrolled 82 participants. The Northside Hospital Cancer Institute's community outreach staff provide community education and outreach programs throughout the year about breast cancer, prostate cancer, lung cancer, skin cancer, cancer prevention, the importance of screening and other cancer-related topics. In FY2017, 692 Northside staff hours served 47,014 people. Approximately 56,037 people attended events where Northside was present. Check It Out! is a collaborative effort between Northside and the Greater Atlanta Hadassah, which provides breast health education to high school junior and senior girls, teaching them proper breast self-exam technique and the importance of early detection and understanding risk factors. Schools in Cobb, Fulton and DeKalb counties have accepted the program as part of their health curriculum. In FY2017, the program was presented to 12 high schools, reaching 2,065 girls.
Northside Hospital Website/Online EducationNorthside Hospital's official website, northside.com, features a health encyclopedia and video library of general health content about surgeries and procedures including dedicated online educational centers for cancer, weight loss surgery and pregnancy. More than 2.4 million people visited this content in FY2017, including: -16,827 unique page views of weight loss surgery content -13,196 page views of online cancer center -135,188 page views of maternity and women's center content Northside's Lifetime of Care magazine, available online and in print, is a free health magazine geared toward men and women ages 30-65. The magazine was published three times in 2017 and each publication was delivered to 490,000 households with an additional 1,377 views on northside.com. The editorial staff dedicates approximately 220 hours of work per year. Maternal and Infant Health Education The Northside Hospital MothersFirst Program offers pertinent education, classes, support groups, and other services for women throughout the many stages of their childbearing years, from early pregnancy through the early childhood of their baby. Four classes qualify as community benefit Labor & Birth, CPR, Baby Essentials and Breastfeeding. In FY2017, 7,164 people attended these classes (657 class sessions). Northside supports the decision to breastfeed. Northside's "Warm Line" lactation telephone hotline is available to anyone in the community and offers breastfeeding advice from certified lactation consultants. The Warm Line is available 7 days a week, from 8:30 a.m. to 4:30 p.m., and served 13,621 people (with 3,128 staff hours) in FY2017. Northside also offers a free Breastfeeding eLearning Program on northside.com, which allows 24/7 access to information, videos, PDFs and animations about breastfeeding. Approximately 1851 people accessed the eLearning Program in FY2017. Support Groups Support Groups offer patients and the community a way to cope with the issues they face with the comfort of knowing that others are willing to help. Northside offers various support groups, conducted at the hospitals and led by Northside staff who organize, lecture and facilitate. These support groups are open to the community, regardless of where medical care was received. - Mom-Me Connection offers breastfeeding support for new moms. Three groups meet each week in Dunwoody, Alpharetta, Cumming, and Canton. Each group is facilitated by a certified lactation consultant. Approximately 1,802 people attended in FY2017. - Stroke Support Groups for stroke survivors and their families meet monthly at Northside's Alpharetta campus. The groups host speakers and provide networking and social support for stroke survivors and their families. Approximately 15-20 people attended the groups each month in FY2017. - Eight Diabetes Support Groups were available to anyone currently affected by diabetes and needing moral support, clinical information, guidance or advice about living with diabetes. - Northside's Outpatient Behavioral Health Department offers a Women's Empowerment Therapeutic Group for women, age 40+, who are undergoing cancer treatment or are in remission from cancer. Two licensed social workers lead and moderate the group. Topics include: self-case/health and wellness, intimacy/sexuality, grief and loss, relationships, and new factors in your life since diagnosis. In FY2017, 17 people attended this group. - Caring and Coping is a support group for parents and grandparents who have lost a baby due to miscarriage, ectopic pregnancy, stillbirth or newborn death. Meetings are held once a month and are facilitated by two staff members. Approximately 20 people attended each meeting in FY2017, with approximately 30% of attendees coming from other hospitals. - Rainbow PALS (Pregnancy after Loss Support) is a social support group for parents considering or experiencing a subsequent pregnancy following the loss of a baby. The group primarily interacts through a private Facebook group. There are more than 70 members from around the community. Gatherings occur occasionally during the year. - ANEW is a social support group for parents, who are raising surviving multiple(s) following the loss of one or more multiple(s). The group primarily communicates through a private Facebook group. There are 30 members. Gatherings such as Mom's Night Out and play dates occur periodically during the year. A remembrance event was held in 2017 with more than 20 attendees; this event is held every other year. - H.E.A.R.T.strings Companions is a new program that offers peer-to-peer support for bereaved parents by trained volunteer mentors. Thirteen mentors have been trained to be matched. - Atlanta Walk to Remember is an annual event during National Pregnancy and Infant Loss Awareness Month each October which draws families to celebrate and remember their babies. More than 700 attended the 2017 event. - Northside Hospital Forsyth hosts a monthly support group for patients and caregivers who have been diagnosed with a brain tumor. The support groups provide support, information, and the opportunity to meet with others who are faced with a brain tumor. 45 people participated in these support groups in FY 2017. - Perinatal Loss Memorial Services are hosted by the Chaplains of the Spiritual Health and Education department to honor the memory of babies gone too soon at Northside. They are offered the 1st Sunday in May and November of each year. Approximately 150 people attend each Memorial Service.
Partnering with SchoolsNorthside Hospital's Partners In Education program sponsors more than 100 schools in seven north metro Atlanta counties: Cherokee, Cobb, Dawson, DeKalb, Forsyth, Fulton and Gwinnett. Through these partnerships, Northside provides clinic supplies; participates in fundraisers; supports Career Days and invests in other student programs that promote health and wellness, science, safety and anti-bullying; sponsors teacher appreciation/ recognition events; and much more. In FY2017, 300 staff hours were spent serving approximately 150,000 students. Through Northside Hospital-Cherokee's Junior Health Advocates, medical professionals speak to an array of healthy living topics, tailored to children grades PK-8. Topics include Nutrition Nation, Buddy Not Bully, Happy Hands, House Rules, Drug Free Me, Fitness Fun, Squeaky Clean Hygiene, Tooth Truth, Summer Safety, and Net Safe Navigator. Each class offers a 45-minute interactive presentation. Students receive an activity book and gift to reinforce each subject. In FY2017, the program arranged 39 classes (616 classroom hours), reaching 19,770 students. Northside also partners with the Learning for Life Health care Exploring Program, which offers local high school students (grades 9-12) who are considering a career in health care a unique, insider's view of the hospital and its many careers. Throughout the seven-month program, which is affiliated with the Boy Scouts of America, the students visit many areas of the hospital, performing exercises and participating during lectures by health care professionals. Each class focuses on a different area of health care cardiology, robotic surgery, radiology, oncology, pharmacy, women's services and other specialties. During the 2016-17 session, 30 students participated in the program, facilitated by 121 staff hours. For outstanding high school students interested in pursuing a career in health care, Northside Hospital-Cherokee participates in the Cherokee County Schools' Work Based Learning Program Youth Apprenticeship. The unpaid internship offers an observation-only experience for students, who rotate through eleven different departments of the hospital including surgery, radiology and the emergency department for an hour each weekday during the school year. Students also receive American Heart Association HeartSaver/AED training. In FY2017, 37 students participated in the program at the hospital. Two employees managed the program, spending approximately 20 hours. The Northside Hospital-Forsyth Laboratory participates in Lambert High School's Health Sciences Program to help prepare students for advanced health care education and industry placement. The high school provides the content, skills and safety procedures as it relates to clinical laboratory and health care diagnostics. Students job shadow at Northside for a total of 30 weeks, rotating through six departments within the Laboratory including Chemistry, Hematology, Blood and Tissue Bank, Phlebotomy, Microbiology and Histology/Pathology. Students get hands-on experience, reviewing and analyzing data and working with real equipment. Diagnostic Phlebotomy and Internship Students were able to interact first hand with patients, nurses and physicians in a clinical setting. In FY2017, 183 students participated for a total of 1,450 hours. More than ten Northside staff members spent 962 hours organizing and supervising the program. The Northside Hospital-Atlanta Auxiliary's Puppet Program (CHEP- Community Health Education Program) travels to schools in DeKalb, Cobb and North Fulton counties, educating children in grades PK-2 about the importance of healthy behaviors and why children should not be afraid of medical check-ups. In FY2016, the program conducted 23 puppet shows, reaching 3,293 students. Volunteers provided more than 368 hours and drove more than 1,619 miles. Northside's call center handles the scheduling of the puppet shows. In FY2017, the department spent approximately 8 -16 hours fielding calls from schools and scheduling. SUBSIDIZED HEALTH SERVICES Corporate & Community Health Fairs Northside provides free on-site health screenings at corporate and community locations throughout the year to raise health care awareness and to promote prevention and early detection of diseases. Health screenings include cholesterol/glucose testing, blood pressure screening, body composition analysis, osteoporosis screening, pulmonary function testing, sleep quality screening, cancer risk assessment, diabetes assessment, coronary risk profile and audiology screening. In FY2017, Northside offered health screenings at 24 community and 18 corporate events, reaching 4,521 people. More than 3,082 staff hours were spent on the planning and implementation of the events. Community Screenings Throughout the year, Northside also offers disease-specific health screenings at the hospital's campuses in Atlanta, Alpharetta, Cherokee and Forsyth. Screenings are offered at low cost or completely free to those who qualify. -822 screening mammograms were provided; 17 cancers were diagnosed. -Four Prostate Cancer Screenings took place, reaching 836 men; 97 men were recommended for follow-up treatment because of abnormal findings. -Five free Skin Cancer Screenings were held, with 546 participants; 137 people were recommended for follow-up treatment because of abnormal findings. -The Audiology Department provided free Hearing Screenings through the Cherokee County School District's "Give a Kid a Chance" Program. Screenings were provided to 258 school children. Twenty children were referred for further testing. Northside's Financial Access Surgery Program (FASP) is designed to eliminate financial obstacles faced by the uninsured or underinsured in obtaining non-emergent, yet medically-necessary, outpatient surgical and endoscopy services including Screening and Diagnostic Colonoscopies. The services are provided at no cost to qualified participants. This program serves 12 counties - Bartow, Cherokee, Cobb, Dawson, DeKalb, Forsyth, Fulton, Gilmer, Gwinnett, Hall, Lumpkin, and Pickens Counties. In FY2017, 430 people were served and 2,530 hours were spent facilitating this program by the FASP Coordinator and department secretary. RESEARCH The Northside Hospital Research Program works to provide patients with the latest treatments and prevention methods being tested through clinical trials. Staff organize and manage all aspects of the clinical trials offered, with the goal of providing access to cutting-edge clinical trials in a community setting and ensuring that the safety of trial participants is the top priority. In FY2017, 14,641 staff hours were spent on research, 725 people were served, and 79 research projects were performed. Specialties include blood and marrow transplant, cardiology, critical care, endocrinology, oncology, orthopedics, pulmonology, rheumatology, and vascular surgery. HEALTH PROFESSIONS EDUCATION Northside Hospital is accredited by the Medical Association of Georgia to provide continuing education for physicians. Northside Hospital designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit. These seminars are open to both Northside and Non-Northside health care professionals. - The Medical Education/Primary Care Update: 70 staff hours coordinated this event which had 51 attendees. - 5th Annual Women and Stroke Symposium Approximately 69 staff hours coordinated the event; 119 attended. - 5th Annual Cherokee Cardio Vascular Summit: 100 staff hours coordinated this event which had 130 attendees. - The Heart of the Matter: Managing Cardiovascular Risks In Pregnancy. The event involved 85 attendees and 200 staff hours. - Lung Cancer Is A Curable Disease: 10 staff hours coordinated the event; 18 attended. - Identification of Patients With Hereditary Syndrome: 12 staff hours coordinated the event; 13 attended. - HPV and Cervical Cancer Film Screening, Someone You Love: 27 staff hours coordinated the event; 40 attended.
Cash and In-Kind DonationsCancer Institute Through the Northside Hospital Cancer Institute (NHCI), approximately 478 hours were allocated to community benefit planning, operational support and fundraising, and preparing/writing grants. $390,412 in grants were awarded to NHCI to provide the following services free of charge to vulnerable populations: -822 screening mammograms -360 diagnostic mammograms -316 ultrasounds -101 breast biopsies -23 cyst aspirations -8 MRIs -422 $25 gasoline cards to over 90 patients unable to drive to colon cancer screenings or cancer treatment appointments Sponsorships In addition to the excellent medical care and educational programs, Northside provides financial assistance, approximately $2,679,000, to more than 300 charitable organizations each year. The hospital's sponsorship activities are coordinated by a Community Development Specialist in the Marketing Department, who worked more than 1,000 hours in FY2017 compiling, assessing and coordinating sponsorships that meet community benefit guidelines. The hospital's four-member Sponsorship Committee reviews all requests received and determines whether or not each organization complements the hospital's Mission and Values and meets geographic and demographic parameters that the hospital has established throughout its primary and secondary service areas. Employee Volunteerism (The Community Connection) Northside Hospital promotes and encourages community volunteerism among its physicians, employees, Auxilians and their families and friends. Each year, staff and physicians volunteer their time, talents and resources to make a positive impact and build strong and healthy communities. In FY2017, more than 3,630 Community Connection volunteers donated more than 28,000 hours of their time to more than 100 community service projects in the hospital's service areas. Northside's Community Connection Employee Volunteer Program is coordinated by one staff member, who spent 2,080 staff hours coordinating volunteers participating in community benefit activities / programs throughout the community in FY2017. CPR Kiosk Northside collaborated with the American Heart Association to increase public awareness about the lifesaving power of bystander CPR in an effort to empower more members of our community to intervene in an emergency by sponsoring a Hands Free CPR Kiosk at the Home Depot headquarters. In FY2017, Northside contributed $125,000 per year for the next 3 years for the sponsorship of this program which will officially launch in FY2018. MedShare Donations MedShare is a 501c(3) humanitarian aid organization dedicated to improving the quality of life of people, communities and our planet by sourcing and directly delivering surplus medical supplies and equipment to communities in need around the world. In addition to a $10,000 sponsorship, Northside donated surplus medical supplies amounting to $515,881 worth of supplies and serving 562,500 people in underserved communities. Second Helping Atlanta Second Helpings Atlanta, Inc. (SHA) is a 501(c)(3) non-profit organization whose vision is to fight hunger in the 5 county Metropolitan Atlanta area by rescuing surplus food and delivering it to those in need. In addition to a $2,500 sponsorship donation Northside donated 2,688 pounds of surplus food. Coordinating these efforts utilized 140 staff hours and served 2,225 people. Tennis Against Breast Cancer Northside Hospital organized the 13th annual "Tennis Against Breast Cancer" event, luncheon and fashion show at multiple locations in North Fulton, Forsyth, and Cherokee counties to raise community awareness of breast cancer prevention and education, and 1,286 women participated in the event, which raised $250,972 for the hospital's Breast Care Program Fund. Approximately 500 hours were spent coordinating the event. Miracle Babies In November 2016, Northside hosted the third annual Miracle Babies, a Northside Hospital fundraising event to raise financial assistance and support for families facing a financial hardship due to having a newborn in the hospital's neonatal intensive care unit (NICU). $119,232 was raised for the Miracle Babies fund, and 131 people attended the event. 150 staff hours coordinated this event. Charity Golf Classic Northside hosted 2 Charity Golf Classic's, a corporate fundraiser for the Northside Hospital Blood & Marrow Transplant Program (BMT), General Research Program, and Prostate Cancer Program. The FY2017 events raised a total of $575,825. The event was attended by 1,378 people and coordinated by 654 staff hours. Wine Women and Shoes Approximately 345 people attended Northside's Wine Women and Shoes event, benefitting the Leukemia Program and GYN Oncology Program. More than $257,000 was raised. Approximately 1,200 staff hours were spent coordinating the event. Baby Alumni Birthday Party The 2017 Northside Hospital Baby Alumni Birthday Party at Zoo Atlanta was Atlanta's largest birthday party. More than 5,000 children and their families celebrated and enjoyed face painters, crafts, birthday cookies as well as an evening visit of the animal exhibits. Blood Drives Northside Hospital is a partner with the Metro Atlanta Red Cross and hosts blood drives for hospital staff and the community. In FY2017, 73.5 staff hours were spent coordinating 31 blood drives, at which 1,258 pints of blood were donated. COMMUNITY-BUILDING ACTIVITIES The Georgia Maternal Mortality Review Committee aims to identify pregnancy-associated deaths and their causes, and review contributing factors and interventions that may reduce these deaths. Northside's Clinical Outcomes Manager joined the committee. The hospital offers full monetary support of her time/costs associated with going to the committee's meetings - three meetings, 22 hours in FY2017. OUR COMMITMENT We measure the success of our efforts by the number of residents we reach with our messages related to health and wellness. Our mission is to work to positively impact the overall health of the communities we serve. Clearly, education, outreach and community service allow us to broaden our impact beyond the walls of our facilities.

Schedule R IRS990ScheduleR

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Northside Surgery Centers LLC
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Surgery Center of Georgia LLC
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Surgicoe Real Estate LLC
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Northside Atlanta Surgery Centers LLC
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Atlanta Advanced Surgery Center LLC
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Northside Forsyth Surgery Centers LLC
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Gwinnett Advanced Surgery Center LLC
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AGA Professional Services LLC
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Galen Advisors LLC
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NSH Cancer Institute Professional Services A LLC
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NSH Cancer Institute Professional Services G LLC
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Georgia Surgical Professional Services LLC
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Medical Associates Professional Services LLC
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Urological Professional Services LLC
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Perimeter Professional Services LLC
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Cherokee County Investors LLC
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Northside Urgent Care Holding LLC
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Forrest Park Preserve Holdings LLC
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Advanced Joint Surgery Specialists LLC
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Urology Specialists of Atlanta North LLC
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Northside Imaging LLC
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Advanced Surgery Center Perimeter LLC
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Urology Clinical Services LLC
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Northside Hospital Foundation Inc
1000 Johnson Ferry RoadAtlantaGA30342581653541Raise & collect funds in furtherance of Northside Hospital's exempt purposeGA501(c)(3)Line 7Northside Health Services Inc0
Northside Health Services Inc
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Northside Shares Help Inc
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Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

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ENT Surgery Center of Atlanta LLC
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Hand & Upper Extremity Surgery Center of GA LLC
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Sovereign Rehabilitation of Georgia LLC
5555 Peachtree Dunwoody Rd Ste 225AtlantaGA30342205084665Rehabilitation CenterGANorthside Hospital increlated$130,856$5,342,2280Yes (1)0.88000
NASA Surgery Center LLC
1100 Johnson Ferry Rd Ste 180Sandy SpringsGA30342264824662Ambulatory SurgeryGANorthside Hospital increlated$115,294$923,703000.70000
Northern Crescent Endoscopy Suite LLC
550 Peachtree Street Suite 1620AtlantaGA30308582453504Outpatient SurgeryGAnorthside Hospital increlated$2,316,368$13,107,062000.70000
Urology Surgical Partners LLC
5673 Peachtree Dunwoody Rd Suite 90atlantaGA30342582622573ambulatory surgeryGAnorthside Hospital increlated$9,073$2,514,549000.70000
Woodstock Endoscopy Center LLC
550 Peachtree Street Suite 1620AtlantaGA30308582656248Outpatient SurgeryGANorthside Hospital incRelated$83,666$414,039000.70000
Advanced Center for Joint Surgery LLC
1000 Johnson Ferry RoadAtlantaGA30342820606082Orthopedic SurgeryGANorthside Hospital incRelated000.51000
1110 Investor LLC
1000 Johnson Ferry RoadAtlantaGA30342821783922ConstructionGAN/A
AOA AMC LLC
320 Parkway Drive NEAtlantaGA30312813018210Oncology ClinicGANorthside Hospital incRelated-$15,001$4,762,514000.49000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Northside Ventures IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Johnson Ferry RoadAddressLine1Txt
CityAtlantaCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30342ZIPCd
FieldValueIRS element (for citing)
EIN581954456EIN
Primary ActivitiesLeasing CompanyPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
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 Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column D:FormAndLineReferenceDesc
ExplanationIn most instances where (D) total income is zero, entities were established for billing identification only and no assets, income or employees are applicable to employer identification number.ExplanationTxt

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