2017-08-15T08:25:23-05:00 2016-09-30 621517792 Pershing Yoakley & Associates P C 2220 Sutherland Ave Knoxville TN 37919 990 2015-10-01 581694098 NORTHEAST GEORGIA MEDICAL CENTER Inc NORT 7702196646 743 SPRING STREET GAINESVILLE GA 305013899 Brian D Steines CFO 7702196646 2017-08-09 1 Deborah O Ernsberger P00364912 8656730844 2015 2021-01-29 14:40:06Z Carol Burrell 743 SPRING STREET GAINESVILLE GA 305013899 1031083006 0 X WWW.NGHS.COM X 1986 GA TO PROVIDE ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY. 15 12 0 722 4506163 -126746 1205298 1802655 858640130 1003075925 38121303 10398662 809095 912919 898775826 1016190161 2387072 2670088 0 0 343582152 381155872 0 0 0 455422270 530128803 801391494 913954763 97384332 102235398 1405003756 1531834284 971479442 988479613 433524314 543354671 X The mission of Northeast Georgia Medical Center (NGMC) is TO PROVIDE COMPREHENSIVE, ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY. 0 0 799740125 2670088 1003386841 Northeast Georgia Medical Center (NGMC) provides a comprehensive range of acute care and specialty services through two campuses: a 100-bed hospital in Braselton and a 557-bed regional referral hospital in Gainesville. NGMC serves the area's low-income, uninsured, underinsured and other vulnerable populations. NGMC Gainesville serves as the regional safety net hospital, with approximately half of its patients coming from outside of Hall County. As a not-for-profit hospital, NGMC reinvests all funds in excess of operating expenses into healthcare services for the community. The Medical Center receives no tax revenue from Hall or other counties served, and services are funded by revenue generated from operations. **See Schedule O for Program Service Accomplishments Continuation** 799740125 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 568 0 0 1 1 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 GA X LINDA D NICHOLSON VP FinanceCONTROLLER 7702196646 743 SPRING STREET gainesville GA 30501 Alex Wayne MEMBER 1.00 X 0 0 0 Deborah Mack MemBER 1.00 X 0 0 0 Jack Keener MemBER 1.00 X 0 0 0 JACKIE WALLACE Vice Chairperson 1.00 X 0 0 0 Jane Smoot meMBER 1.00 1.00 X 0 0 0 Jeff Terry MD Member, Medical Svc Chairman 5.00 X 24000 0 0 John Nix Chairperson 1.00 1.00 X 0 0 0 Kaye Ann Herth meMBER 1.00 X 0 0 0 Larry E Dent Member 1.00 X 0 0 0 LUA BLANKENSHIP MEMBER 1.00 X 0 0 0 Phillippa Lewis-Moss Member 1.00 X 0 0 0 Preston Bowen Member 1.00 1.00 X 0 0 0 Rodney Smith MD Member 1.00 X 0 0 0 Steve Blair Member 1.00 X 0 0 0 Tim Scully MD member, THC Physician 1.00 40.00 X 0 450318 30627 ANTHONY M HERDENER VP & CFO - NGHS 1.00 40.00 X 0 2352277 149745 Brenda Simpson Chief Nursing Officer - NGMC 40.00 1.00 X 0 0 0 Carol H Burrell president & CEO 1.00 40.00 X 0 1119294 933280 Christopher Paravate Chief Information Officer - NGHS 1.00 40.00 X 0 296006 51251 Deborah Weber CHRO & VP Human Resources - NGHS 1.00 40.00 X 0 298876 56978 Elyse Gates VP Revenue Cycle - NGHS 1.00 40.00 X 0 183437 8354 Howard T Walpole VP Clinical Transformation - NGMC 40.00 1.00 X 0 417846 55586 John A Williamson President - NGMC Braselton 40.00 1.00 X 0 413421 93479 John Turner VP Post Acute Care - NGMC 40.00 1.00 X 0 0 0 Linda Nicholson VP Finance/Controller - NGHS 1.00 40.00 X 0 279913 111329 Louis Smith Jr President - NGMC Gainesville 40.00 1.00 X 0 501907 63541 Mary M Strand VP Revenue Cycle - NGHS 1.00 40.00 X 0 301280 54059 Penny Vigneau VP Heart & Vascular Services - NGMC 40.00 1.00 X 0 0 0 Randy Smith Assoc. Chief Nursing Officer - NGMC 40.00 1.00 X 0 167935 6035 Roy Griffin Jr VP Fin. Plan/Decision Supp. - NGHS 1.00 40.00 X 0 0 0 Samuel O Johnson MD VP Medical Affairs & CMO - NGHS 1.00 40.00 X 0 517932 80695 Sonja F Mclendon VP Chief of Oper. Excellence - NGHS 1.00 40.00 X 0 317243 68481 Stephen Kelly Chief Compliance Officer - NGHS 1.00 40.00 X 0 0 0 TRACY M VARDEMAN VP Chief Strategy Executive - NGHS 1.00 40.00 X 0 349031 105925 Alan Wills Exec Dir - HealtheConnections 40.00 X 0 224141 23054 Amanda Cain Officer - Chief Utilization 40.00 X 0 231172 17121 Harold V Law Jr Officer - Chief Technology 40.00 X 0 228116 22816 Randal Miller Manager - Radiation Physics 40.00 X 0 267903 54549 Richard D Mattheus Chief Information Officer - NGPG 40.00 X 0 229218 30266 James Bailey Former VP-CMIO/CQO, Current NGPG Phys. 0.00 40.00 X 0 639017 35825 Sherry Dorsey Former VP Senior Phys Svcs. - NGHS 0.00 X 0 198504 5206 Debra Duke Former Director of Diagnostic Imaging 40.00 X 0 203896 65837 24000 10188683 2124039 310 1 1 0 Philips Medical Systems NA PO Box 100355 Atlanta GA 30384 Software/Equip Maintenance & Support 8385939 Anesthesia Assoc of Gainesville PO Box 1076 Gainesville GA 30503 Anesthesia Services 5332155 Varian Medical Systems 3100 Hansen Way Palo Alto CA 94304 Software/Equip Maintenance & Support 4300551 McKesson Technologies 22423 Network Place Chicago IL 60673 Software/Equip Maintenance & Support 3245365 GE Medical Systems Po Box 402076 Atlanta GA 30384 Equipment Maintenance 3024016 388 1802655 1802655 NET PATIENT SVC REVenue 621400 984449225 980034430 4414795 Pharmacy 446110 13407797 13407797 Cafeteria Revenue 722210 5127535 5127535 management revenue 900099 91368 91368 1003075925 24404799 24404799 786042 184039 602003 602003 602003 702669 14531667 177139 -14531667 525530 -14006137 -14006137 Partnership Income 621990 310916 310916 310916 1016190161 980345346 4506163 29535997 2645438 2645438 24650 24650 1501108 1291058 210050 304299909 261719223 42580686 13779545 11851373 1928172 40423572 34767102 5656470 21151738 18191975 2959763 40851786 35135396 5716390 4095244 3522197 573047 1856992 1597143 259849 47626418 40962053 6664365 612067 526420 85647 9232337 7940456 1291881 571218 491287 79931 38097001 32766088 5330913 64234540 55246201 8988339 9307918 8005461 1302457 supplies 171499184 147501303 23997881 UBI Tax 519500 519500 BAD DEBT EXPENSE 94538219 94538219 0 Rental & Maintenance 33140984 28503566 4637418 13945395 11994016 1951379 913954763 799740125 114214638 0 25607236 10830552 65751 111919 104638925 100452558 519563 460316 6689169 7983603 5075894 1594196 1204186690 587139052 567049183 617047638 694034066 780850910 61462 70972 600484 1262507 11831136 1405003756 1531834284 70520791 86137806 869555363 859300144 2215583 29187705 43041663 971479442 988479613 X 433524314 543354671 433524314 543354671 1405003756 1531834284 X 102235398 57292003 -49697044 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 35272 35272 0 Part II-B, Line 1: Northeast Georgia Medical Center, Inc. pays membership dues to the following organizations: - American Academy of Sleep - American Academy of Sleep Medicine - American Association of Neuroscience Nurses - American Association of Nurse Practitioners - American College of Healthcare - American Health Information Management Association - American Medical Association - American Medical Rehabilitation Providers Association. - American Organization of Nursing Executives - American Society for Healthcare Human Resources Administration - American Society for Healthcare Risk Management - american society of electroneurodiagnostic technologists - American Society of Radiologic Technologists - Association for professionals in infection control and epidemiology - College of American Pathologists - College of Healthcare Information Management Executives - Georgia Health care Association - Georgia Hospital Association - Georgia Society for Health Risk Management - Healthcare Information and Management Systems Society - Medical Association of Georgia - Region 2 EMS Directors Association - Safety Net Hospital - Society for Human Resource Management - Society for Human Resources Management - Society for Vascular Ultrasound - Society of Diagnostic Medical Sonography - Society of Thoracic Surgeons - Society of Trauma Nurses A portion of these dues is designated for lobbying activities by these organizations. 18118047 3540926 196428 3336244 -63886 18583043 16101021 3145604 -73802 1137475 -82699 18118047 16849889 3570704 138946 4410931 47587 16101021 15041133 4067156 139010 2329610 67800 16849889 11866689 2888063 279190 41382 -48573 15041133 0.19440 0.80560 0 1 1 9170006 9170006 566424607 165920286 400504321 11804196 8804874 2999322 558741854 396227752 162514102 58046027 16186140 41859887 617047638 Estimated Third Party Payer Settlements 10137721 Capitalized Leases 13686715 Deferred Compensation 13949722 Estimated Fair Value of Interest Rate Swaps 5267505 43041663 X 925883120 -87969918 -87969918 1013853038 1856992 480131 2337123 1016190161 821145317 184039 184039 820961278 1856992 91136493 92993485 913954763 Part X, Line 2: Northeast Georgia Medical Center, Inc. (NGMC) is classified as an organization exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. As such, no provision for income taxes has been made in the accompanying financial statements. At September 30, 2016, management does not believe NGMC holds any uncertain tax positions that would require financial statement recognition or disclosure under generally accepted accounting principles. It is NGMC's policy to recognize interest and/or penalties related to income tax matters as an operating expense where applicable. Part XI, Line 2d - Other Adjustments: CHANGE IN FAIR VALUE OF DERIVATIVE 998,476. NON-OPERATING EXPENSES -1,133,843. Estimated Provision for Bad Debts -94,538,219. Administrative overhead 6,703,668. Part XI, Line 4b - Other Adjustments: PARTNERSHIP Income NOT ON BOOKS 310,359. RENTAL EXPENSES -184,039. Net Assets Released from Restrictions 353,811. Part XII, Line 2d - Other Adjustments: RENTAL EXPENSES 184,039. Part XII, Line 4b - Other Adjustments: Non-Operating Expenses 1,133,843. Estimated Provision for Bad Debts 94,538,219. Partnership Expenses not on books 439. Administrative Overhead -6,703,668. Contributions in Net Assets 2,167,660. 1 1 1 X 1 X 1 1 1 0 1 1 30849148 30849148 0.03380 106962914 85124403 21838511 0.02390 3661224 2116573 1544651 0.00170 141473286 87240976 54232310 0.05940 27 261631 2873954 28259 2845695 0.00310 8 4549 1629764 1629764 0.00180 159706697 148447749 11258948 0.01230 1 150 497207 497207 0.00050 23 1200 726230 3670 722560 0.00080 59 267530 165433852 148479678 16954174 0.01850 59 267530 306907138 235720654 71186484 0.07790 10 20000 291920 1250 290670 0.00030 1 2000 200 1800 0.00000 1 250 250 0.00000 5 211 510047 250 509797 0.00060 17 20211 804217 1700 802517 0.00090 1 94538219 195974981 242453461 -46478480 X 1 1 1 1 Northeast Georgia Medical Center Inc 743 Spring Street Gainesville GA 30501 www.nghs.com 069-074 X X X Northeast Georgia Medical Center Inc 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X www.nghs.com X www.nghs.com/community-benefit-library X 1 16 1 See statement for Line 11 0 0 1 X 150.000000000000 300.000000000000 X 1 1 X X X 1 X www.nghs.com X www.nghs.com X www.nghs.com X X X X X 1 X 0 X X X X 1 X 0 0 Northeast Georgia Medical Center, Inc. Part V, Section B, Line 5: The hospital considered input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health via focus groups and key stakeholder interviews. Four focus groups (one for each NGMC service area), collectively comprised of forty-six (46) participants and twenty-eight (28) key informant interviews, were conducted March and April 2016. Additional input from over 200 low income, Latino, and uninsured residents was also gathered by a bilingual interview team who fielded a short questionnaire in Hall County at one of three locations: the Hall County Health Department prenatal clinic, a service for low-income expectant women; the Good News Clinics, which provides medical and dental care to low-income, uninsured county residents; and at public housing operated by Gainesville Housing Authority. NGHS Senior Leaders were also significantly involved in feedback. A complete listing of interview and focus group participants and the communities and populations served is located in Appendix F of the CHNA. Northeast Georgia Medical Center, Inc. Part V, Section B, Line 11: NGMC addresses the significant needs identified in the CHNA within its 3-year implementation plan. This document also provides information about the needs that NGMC is unable to address and discusses the other organizations that are able to fulfill those needs in the community. NGMC is unable to address every health need identified within the CHNA due to staffing, funding and other resources needed to make an impact on identified health needs. NGMC focuses its efforts on 3 - 5 specific health needs in order to make a greater impact over the next three years. There are also other health and human service organizations within the community addressing issues such as child abuse and neglect.The full text of the implementation strategy is posted at the following url : https://www.nghs.com/fullpanel/uploads/files/chna-outcome-measures-with-links-on-title-page.pdf. 23 1 - Imaging Center - Gainesville 1315 Jesse Jewell Pkwy Gainesville GA 30501 imaging / Radiology Center 2 - Imaging Center - Braselton 1515 River Place Braselton GA 30517 imaging / Radiology Center 3 - Laurelwood 200 Wisteria Drive gainesville GA 30501 Mental Health Services 4 - Braselton Radiation TherapyPhysics 1515 River Place Braselton GA 30517 Radiation Therapy 5 - Toccoa Cancer Center 1656 Falls Road Toccoa GA 30577 Cancer Services 6 - Rehabilitation Institute 597 South Enota Drive NE gainesville GA 30501 rehabilitation Services 7 - Cumming OP Diagnostic Cardiology 900 Sanders Road Cumming GA 30041 Diagnostic Cardiology 8 - New Horizons Limestone North 600 Beverly Road NE gainesville GA 30501 Long Term Care 9 - Wound Ostomy ContinenceHyperbaric Ther 675 White Sulphur Road gainesville GA 30501 Wound Healing Center 10 - Imaging Center - Dawsonville 108 Prominence Court DawSONVILLE GA 30534 Imaging / Radiology Center 11 - New Horizons Lanier Park West 675 White Sulphur Road gainesville GA 30501 Long Term Care 12 - Sleep Lab 1466 Jesse Jewell Pkwy gainesville GA 30501 sleep disorder center 13 - Healthlink Lab at Riverplace 1515 River Place Braselton GA 30517 Clinical Laboratory 14 - Rehab - Braselton 1515 River Place Braselton GA 30517 rehabilitation Services 15 - GYN Oncology Infusion SErvices 1498 Jesse jewell Parkway Suite C Hall GA 30501 gynecologic oncology 16 - Rehab - Cleveland 640-A Helen Hwy Cleveland GA 30528 rehabilitation Services 17 - Rehab - Dawsonville 5959 Highway 53E Suite 200 DAWSONVILLE GA 30534 rehabilitation Services 18 - Rehab - Friendship (Buford) 4889 Golden Pkwy Suite 150 Buford GA 30518 rehabilitation Services 19 - Rehab - Dahlonega 95 Morrison Moore Pkwy Dahlonega GA 30533 rehabilitation Services 20 - Healthlink Lab at Dawsonville 108 Prominence Court DawSONVILLE GA 30534 Clinical Laboratory 21 - Diabetes ED 675 White Sulphur Road gainesville GA 30501 Diabetes Services 22 - Bariatric Services 675 White Sulphur Road gainesville GA 30501 Bariatric Weight Loss Services 23 - essentially for women - lactation center 825 Jesse Jewell Pkwy Gainesville GA 30501 Lactation Center Part I, Line 3c: The organization has used the following factors:- Propensity to pay scoring provided by Expenan's Pay Nav. - Participation in low income government assistance programs such as: - state funded prescription programs - Women, Infants and Children program (WIC) - Supplemental Nutrition Assistance program - Free school lunch program - other state or local assistance programs. Part I, Line 6a: The Community Benefit report is published by Northeast Georgia Health System and includes programs for Northeast Georgia Medical Center and its affiliates. The report is available on the organization's website (www.nghs.com) as well as in its Annual Communicare Magazine. Part I, Line 7: Charity Care cost was calculated applying separate cost-to-charge ratios (CCR) to the skilled nursing facility (SNF) and to the remaining patient charges from all other hospital activities. The CCR for the SNF was computed using the Total SNF Operating Expenses divided by the Total SNF Gross Charges. The CCR for the remaining patient charges was computed pursuant to worksheet 2 in the Schedule H instructions.The CCR for the unreimbursed Medicaid services was computed using a CCR computed pursuant to worksheet 2 in the Schedule H instructions. the Other Means Tested Government program cost was derived from internal Trendstar system data which computed cost at the patient detail level. Part I, Line 7g: Subsidized health services were for inpatient medicine and Laurelwood (mental health). No costs were attributable to physician clinics. Part I, Ln 7 Col(f): The bad debt expense included on Form 990, Part IX, Line 24, Column A, But subtracted for purposes of calculating the percentage in this column is $94,538,219. Part II, Community Building Activities: It is well documented that many factors combine to affect the health of individuals and communities. Whether people are healthy or not is determined by their circumstances and their environment, according to the World Health Organization. To a large extent, factors such as where we live, the state of our environment, genetics, our income and education level, and our relationships with friends and family all have considerable impacts on health. The determinants of health include the social and economic environment, the physical environment, and a person's individual characteristics and behaviors. Additional factors that relate include education, culture, income and social status, employment and working conditions, social support networks, genetics, health services, and gender. If community members have adequate education, employment, income, a safe environment and supportive social networks, they will have the capacity to make healthier behavior choices and be more likely to have access to health services. Therefore, NGMC as an organization must consider the social determinants of health status as part of preventative care. some community building activities included in Part II include:Sponsorship of Gateway Domestic Violence Center:NGMC provides financial support to Gateway Domestic Violence Center. Through crisis intervention, comprehensive support, and community collaboration, Gateway Domestic Violence Center helps create an environment for clients that offers safe, healthy, self-sufficient growth and violence prevention.Sponsorship of Junior Achievement:NGMC provides financial support to Junior Achievement, an organization that educates youth about free enterprise while encouraging youth to stay in school.Sponsorship of Eagle Ranch:NGMC provides financial support to Eagle Ranch. Eagle Ranch provides a Christ-centered home for 54 boys and girls aged 6-18 who are in need of a stronger family support system. Their goal is the spiritual, intellectual, emotional, social and physical development of children and the eventual reunification with their natural families whenever possible. Part III, Line 4: Bad debt expense reported on Line 2 represents gross charges written off during the fiscal year net of any recoveries. The organization's Financial Statements contain a footnote regarding Bad Debts on page 13-14. Part III, Line 8: The Medicare costs shown on line 6 were computed using the cost to charge ratio reflected in the organization's Medicare Cost Report. Part III, Line 9b: Patients who are determined to be indigent, determined by criteria-based methods, such as propensity to pay scoring, participation in low income government assistance programs, etc. may be presumptively eligible for assistance, providing they cooperate with other financial assistance resources (e.g. Medicaid or disability), as applicable. Part VI, Line 2: On a continuous basis, NGMC seeks a variety of data sources and reliable indicators to help identify and work to improve on health inequities in the communities it serves. A listing of the resources is listed below: - As part of the Hall County Family Connection, we review information from Kids Count, which provides key indicators of child well-being.- NGMC is actively involved in Vision 2030 (www.Vision2030.org). This community-wide program is sponsored by the Greater Hall Chamber of Commerce and participation is open to everyone in the community. A NGMC employee currently chairs the board of Vision 2030 which focuses on the creation of a culture of community wellness, the support and maintenance of lifelong learning, the building of an economy around emerging life sciences, the encouragement of innovative growth/infrastructure development, and the promotion of cultural integration.- NGMC has partnered with other healthcare providers in the community to form the Healthcare Initiative Consortium. This group has worked with a local university to develop an ongoing database of five data elements that will give the community up-to-date information on the health issues affecting its residents. The five data elements collected are: BMI (height/weight), A1c, blood pressure, cholesterol, LDL, and micro albumen. This gives us information related to the following health issues: obesity, diabetes, cardiovascular disease and hypertension. The group has collected data on both adults, as well as pediatric patients.- The Hall County Health Department also shares its Health Risk Snapshots for counties in the service area, which focuses on population trends, youth risk, infant risk, general risk, student substance abuse, top causes of death and WIC nutrition program information.- We also monitor the County Health Rankings published by the Robert Wood Johnson Foundation (http://www.countyhealthrankings.org/about-project). Part VI, Line 3: NGMC informs and educates patients about their eligibility for financial assistance in the following ways:- Financial assistance information is listed on all patient statements- Plain language summary (PLS) is provided at time of registration- PLS is posted throughout the hospital and on the website Part VI, Line 4: Population: From 2010 to 2016, the Health System's Total Service Area (TSA) population grew 1.6% per year on average compared to the State of Georgia at 0.9% and the U.S. at 0.8%. Population for the TSA in 2016 is estimated to be 881,876 representing a total growth rate of 9.7% since 2010, compared to the State of Georgia's growth (5.7%) and the U.S. (4.8%) over the same time period. The TSA's population growth rate is projected to outpace Georgia and the U.S. through at least 2021, thus continuing to drive above average demand for health care services. Source: U.S. Census Bureau; ESRI, Inc.Household Income and Home Values: Median Household Income for the TSA is currently $55,943 compared to the State of Georgia at $50,384. The Median Home Value for the TSA is currently $197,128 compared to the State of Georgia at $161,440. The NGHS Service Area has been consistently higher than the State of Georgia on these metrics. Source: U.S. Census Bureau; ESRI, Inc.Employment: The unemployment rate for the NGHS Total Service Area was 5.2% in 2016 compared with the State of Georgia at 6.3% and the U.S. at 5.9%. For at least the last 10 years, the TSA has consistently experienced an annual unemployment rate below those of Georgia and the U.S. Source: U.S. Bureau of Labor Statistics; ESRI, Inc. Part VI, Line 5: Northeast Georgia Medical Center's Board of Directors is comprised of 15 members and includes representatives from the Medical Staff and the communities served by Northeast Georgia Medical Center. Board members provide leadership that supports the organization's mission to improve the health of the community. Physicians at NGMC undergo an extensive credentialing process prior to being granted medical staff privileges. The Medical Center conducts physician manpower studies to determine the number of physicians needed by specialty to meet community need. Information from these studies is used to help guide decisions for physician recruitment. All revenues in excess of expenses are reinvested into healthcare services for the community and no profits accrue to individual investors. The Medical Center's Charity Care Policy helps ensure access to hospital services to low income patients, i.e. patients with a family income of up to and including/equal to 150% of the Federal Poverty Guidelines qualify for a 100% charity adjustment, which means that their qualifying services are free. Additionally, patients with a family income of 151-300% qualify for discounted care on a sliding scale. the most that a patient would pay is the Medicare rate. Part VI, Line 6: Northeast Georgia Medical Center (NGMC) is an affiliate of Northeast Georgia Health System. Other affiliates include Northeast Georgia Physicians Group, The Medical Center Foundation, Northeast Georgia Health Partners, River Place Medical Office Plaza I, Health Information Exchange (HIE), and The Heart Center, LLC.The mission of Northeast Georgia Medical Center and all related affiliates is to "improve the health of the community in all we do." As a not-for-profit hospital, NGMC treats patients regardless of their ability to pay and is accountable to the Hospital Authority of Hall County and the City of Gainesville for the provision of charitable services to the community. Northeast Georgia Medical Center provides acute and specialty inpatient and outpatient services for a regional community of over 13 counties and receives no local tax support from any of those counties for operations or indigent care.The Medical Center Foundation helps support the mission of Northeast Georgia Health System through fundraising initiatives that improve services offered at NGMC, as well health-focused services in the community.Northeast Georgia Health Partners works to build collaborative relationships between hospitals, physicians and other healthcare providers, employers and the employees they represent through insurance products that help support patient access to healthcare services throughout the region.River Place Medical Office Plaza 1 is a medical office building that is home to an urgent care center, imaging center, outpatient rehabilitation center, full service lab and many private physician practices representing more than 20 medical specialties, improving access to care in the southern region served by Northeast Georgia Health System. Northeast Georgia Physicians Group is a multi-specialty group with more than 250 physicians, physician assistants, nurse practitioners and other clinical staff providing healthcare services at 40 locations throughout northeast Georgia, which further improves the community's access to care for the region of over 13 counties.Northeast Georgia Health System volunteers and Auxilians are people of all ages who give of themselves to make a difference in the lives of others. The Medical Center Auxiliary is committed to involving dedicated volunteers to improve the services of the Health system. Volunteers contribute time and compassionate service assisting with non-medical duties as they provide comfort and support to patients, family members and visitors.The affiliation between Northeast Georgia Medical Center's Heart and Vascular Services and The Heart Center of Northeast Georgia Medical Center ensures patients have access to the latest cardiovascular technology and receive top quality care from top physicians. This group has several offices throughout the northeastern part of Georgia and provides all cardiovascular subspecialty care, including general, invasive and interventional cardiology, congestive heart failure, electrophysiology, peripheral vascular interventions and women's cardiovascular health programs.HealtheConnection is a regional Health Information Exchange (HIE) sponsored by Northeast Georgia Health System that is available for community providers and patients to utilize. As of FY16, the HIE covers over 238 sites, 19 counties in northeast Georgia, three counties in southern North Carolina, and one county in western South Carolina. The HIE allows a secure exchange of patient medical records among providers of participating organizations and allows patients to access their own medical records (for example, to review lab results, schedule an appointment, refill a prescription, or send their physician's office a message, and more), allowing them to be more hands-on with their own care. Part VI, Line 7, Reports Filed With States GA 1 American Heart Association PO Box 4002900 Des Moines IA 50340 135613797 501(c)(3) 10000 Sponsorship & Luncheon Interactive Neighborhood 999 Chestnut Street Gainesville GA 30501 753077646 501(c)(3) 5600 Sponsorship The Medical Center Foundation 743 Spring Street Gainesville GA 30501 581694820 501(c)(3) 2167660 Operating Support Good News Community Health Center PO Box 1577 Gainesville GA 30503 582058853 501(c)(3) 461739 Donation for Operating Costs 4 Scholarships 5 24650 Scholarships Part I, Line 2: The majority of grants are to 501(c)(3) organizations. Board approval is obtained prior to disbursement. 1 1 0 0 0 0 0 0 0 Tim Scully MD member, THC Physician 0 416564 0 15000 0 18754 0 8917 0 21710 0 480945 0 0 ANTHONY M HERDENER VP & CFO - NGHS 0 421336 0 1878616 0 52325 0 130178 0 19567 0 2502022 0 1878616 Carol H Burrell president & CEO 0 835604 0 246628 0 37062 0 914904 0 18376 0 2052574 0 0 Christopher Paravate Chief Information Officer - NGHS 0 265225 0 29639 0 1142 0 24718 0 26533 0 347257 0 0 Deborah Weber CHRO & VP Human Resources - NGHS 0 236838 0 40434 0 21604 0 39086 0 17892 0 355854 0 0 Elyse Gates VP Revenue Cycle - NGHS 0 160034 0 23103 0 300 0 6410 0 1944 0 191791 0 0 Howard T Walpole VP Clinical Transformation - NGMC 0 310806 0 81881 0 25159 0 44476 0 11110 0 473432 0 0 John A Williamson President - NGMC Braselton 0 301420 0 91577 0 20424 0 70174 0 23305 0 506900 0 28402 Linda Nicholson VP Finance/Controller - NGHS 0 199914 0 57977 0 22022 0 87735 0 23594 0 391242 0 19282 Louis Smith Jr President - NGMC Gainesville 0 382087 0 101948 0 17872 0 42524 0 21017 0 565448 0 0 Mary M Strand VP Revenue Cycle - NGHS 0 247051 0 50033 0 4196 0 36706 0 17353 0 355339 0 0 Randy Smith Assoc. Chief Nursing Officer - NGMC 0 155207 0 11034 0 1694 0 3116 0 2919 0 173970 0 0 Samuel O Johnson MD VP Medical Affairs & CMO - NGHS 0 391963 0 103067 0 22902 0 57445 0 23250 0 598627 0 40098 Sonja F Mclendon VP Chief of Oper. Excellence - NGHS 0 264449 0 51483 0 1311 0 42277 0 26204 0 385724 0 0 TRACY M VARDEMAN VP Chief Strategy Executive - NGHS 0 269861 0 58938 0 20232 0 82254 0 23671 0 454956 0 23230 Alan Wills Exec Dir - HealtheConnections 0 205185 0 18506 0 450 0 7000 0 16054 0 247195 0 0 Amanda Cain Officer - Chief Utilization 0 229180 0 0 0 1992 0 8118 0 9003 0 248293 0 0 Harold V Law Jr Officer - Chief Technology 0 202762 0 19113 0 6241 0 7896 0 14920 0 250932 0 0 Randal Miller Manager - Radiation Physics 0 261824 0 0 0 6079 0 47891 0 6658 0 322452 0 0 Richard D Mattheus Chief Information Officer - NGPG 0 207354 0 21414 0 450 0 5660 0 24606 0 259484 0 0 James Bailey Former VP-CMIO/CQO, Current NGPG Phy 0 561699 0 100 0 77218 0 9275 0 26550 0 674842 0 0 Sherry Dorsey Former VP Senior Phys Svcs. - NGHS 0 22456 0 0 0 176048 0 820 0 4386 0 203710 0 0 Debra Duke Former Director of Diagnostic Imagin 0 170688 0 28600 0 4608 0 42461 0 23376 0 269733 0 0 Part I, Lines 4a-b Sherry Dorsey was employed by Northeast Georgia Health System, Inc. from October 2013 until August 2015. Ms. Dorsey was hired to serve as Vice President of Senior Physician Services. During 2015, Ms. Dorsey was paid severance of $160,623 based on the terms of her employment contract. Anthony Herdener is the Chief Financial Officer of Northeast Georgia Health System and has served the system since August 1995. During 2015, Mr. Herdener received a distribution from the 457(f) executive retirement plan consistent with the vesting terms of the plan. The distribution of $1,878,616 is reflected on Schedule J, Part II, Column (B)(ii) and Column (F). The 2015 distribution includes all contributions to the plan as well as associated earnings on contributions that occurred over the last twenty years. Annual contributions to the 457(f) executive retirement plan were computed based on Mr. Herdener's age, length of employment, and current position with Northeast Georgia Health System. The distribution was pursuant to Mr. Herdener's elections and in compliance with the plan document and provisions under Section 409A. The 457(f) plan for executives is consistent with market requirements, fair market evaluations and, due to the at risk nature of the plan, promotes retention of key executives which is the case with Mr. Herdener's twenty-two year tenure with Northeast Georgia Health System. Part I, Line 4b - Employer Contribution to 457(f) executive retirement benefit plan Anthony M. Herdener $ 52,097 Tracy M. Vardeman $ 32,161 Linda Nicholson $ 24,002 Carol H. Burrell $ 851,311 Samuel O. Johnson $ 48,170 John A. Williamson $ 37,802 Mary M. Strand $ 29,281 Sonja McLendon $ 33,002 Christopher Paravate $ 19,251 Deborah Weber $ 30,147 Howard T. Walpole $ 35,201 Louis Smith, Jr. $ 33,249 Carol H. Burrell, President and CEO of Northeast Georgia Health System, Inc., began her career at Northeast Georgia Health System in 1999. She was promoted to President and CEO in July 2011. Her first full year as CEO was completed in 2012 which is reflected in her pay and deferred compensation. The contribution to the 457(f) executive retirement plan on her behalf for 2015 ($851,311) was computed based on her age, length of employment, and current position with Northeast Georgia Health System, Inc.. Employer Payment from 457(f) Plan (Including vested earnings on previously reported compensation): Tracy M. Vardeman $ 24,234 John A. Williamson $ 29,629 Linda Nicholson $ 20,115 Samuel O. Johnson $ 41,831 A the Hospital Authority of Hall County and the City of Gainesville (2010A) 586002388 362762KB1 2010-02-18 311522031 Refund principal and interest of series 2007G and series 2008B-H bonds 0 0 0 B the Hospital Authority of Hall County and the City of Gainesville (2010B) 586002388 362762KS4 2010-02-18 246724247 Refund principal and interest of series 2007G and series 2008B-H bonds 0 0 0 C The Hospital Authority of Hall County and the City of Gainesville (2011A) 586002388 noneavail 2011-08-26 46625000 Refund principal and interest of series 2008A 0 0 0 D the Hospital Authority of Hall County and the City of Gainesville (2014A) 586002388 362762LE4 2014-12-11 227171226 Pay the cost of issuing 2014A, refund portion of 2010B and all of 2012 bonds 0 0 0 A 62685000 312013738 27557661 7297582 57074032 2013 1 0 1 1 B 27175000 247196832 22168690 703 2013 1 0 1 1 C 46625000 46625000 200000 2011 1 0 1 1 D 227195033 783066 80887129 7817347 1 0 0 1 A 0 1 1 1 1 1 0.00200 0.00020 0.00220 0 0 1 B 0 1 1 1 1 1 0.00200 0.00020 0.00220 0 0 1 C 0 1 1 1 1 1 0.00200 0.00020 0.00220 0 0 1 D 0 1 1 1 1 1 0.00200 0.00020 0.00220 0 0 1 A 1 0 1 JP Morgan 18.000000000000 0 0 0 0 1 B 1 0 1 JP Morgan 18.000000000000 0 0 0 0 1 C 0 1 0 0 1 1 Citibank NA 13.000000000000 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A the Hospital Authority of Hall County and the City of Gainesville (2014B) 586002388 362762LB0 2014-12-11 135500000 Pay the cost of issuing 2014B, refund portion of 2010A and all of 2012 bonds 0 0 0 A 135500228 462303 71006069 138 1 0 0 1 A 0 1 1 1 1 1 0.00200 0.00020 0.00220 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 Aundrea Stevens Aundrea Stevens is sister to Jack Keener, Board Member. 84068 Aundrea Stevens is employed by Northeast Georgia Medical Center, Inc. 0 Bradee Aderholt Carol Burrell, President & CEO, is a family member of Bradee Aderholt. 52049 Bradee Aderholt is employed by Northeast Georgia Medical Center, Inc. 0 Form 990, Part III, Line 4a, Program Service Accomplishments: Northeast Georgia Medical Center (NGMC) provides a comprehensive range of acute care and specialty services through two campuses: a 100-bed hospital in Braselton and a 557-bed regional referral hospital in Gainesville. NGMC serves the area's low-income, uninsured, underinsured and other vulnerable populations. NGMC Gainesville serves as the regional safety net hospital, with approximately half of its patients coming from outside of Hall County. As a not-for-profit hospital, NGMC reinvests all funds in excess of operating expenses into healthcare services for the community. The Medical Center receives no tax revenue from Hall or other counties served, and services are funded by revenue generated from operations. Located in Georgia's fastest growing region, the 66-year-old hospital has expanded considerably in recent years to meet demand, investing a quarter of a billion dollars to update its aging plant in Gainesville and another $200 million-plus to build the new NGMC Braselton campus and expanding its services to include obstetrics and radiation therapy. NGMC Gainesville is rated as the #1 hospital in Georgia and #2 in the Nation for Overall Hospital Care (according to the 2015 study by CareChex) and among only twenty large community hospitals named to Truven Healthcare's list of the nation's 100 Top Hospitals. NGMC provided charity care to Hall County residents at a cost of $17.2 million in 2016 with another $13.8 million provided to regional residents outside Hall County. NGMC receives no local tax revenue from Hall County (or any counties served in Region 2) to support operations or care provided to indigent residents, unlike a number of not-for-profit hospitals. The Medical Center's charity care policy provides financial assistance up to 300% of the poverty level, double the amount generally provided by other hospitals across the State. The hospital is a key participant and fiscal sponsor in programs aimed at treating low-income and uninsured patients, including the Good News Clinics, the largest free health care clinic in Georgia, and Health Access Initiative (HAI), a local service that matches financially eligible patients to specialty physicians and provides access to care, among other services. Additionally: - Since 2000, NGMC has provided nearly three times the amount of indigent and charity care set forth in requirements by the Georgia Department of Community Health for successful passage of a certificate of need for new services, and, unlike many Georgia not-for-for profit hospitals held to the same requirements, NGMC does not receive tax funding from its local county to help fund indigent care to area residents. - NGMC is the primary hospital for low-income patients in Gainesville-Hall County and throughout the region in counties such as Banks, Dawson, and White, where many key medical specialties are not available. Form 990, Part III, Line 4a NGMC is number 11 in top hospitals for net uncompensated care ($42.3 M) provided in Georgia based on State Fiscal Year (SFY) 2016 Indigent Care Trust Fund (ICTF) Total Hospital Specific Disproportionate Share Hospital (DSH) Limits; many of the hospitals on the list received local tax dollars, while NGMC did not. NGMC serves as a financial engine for the local economy. In 2015 (latest numbers available), the hospital surpassed the $1 billion mark in local and state economic impact for the sixth consecutive year, according to a report by the Georgia Hospital Association, which applied an economic multiplier to the hospital's direct expenditures to account for the "ripple" effect the hospital's spending has on other sectors of the local and state economies. The report found that through its economic impact, the hospital sustained nearly 12,000 full-time jobs throughout the region and the state in 2015. Under the Internal Revenue Code, a tax-exempt organization, classified as a 501(c)(3) charity, is required to: have a mission that will benefit its community; reinvest all surplus funds in the organization in a way that benefits the community; compensate executives, contractors and other employees in accordance to fair market value; remain accountable to the community; refrain from participating in political campaigns for or against candidates and/or lobby as a substantial part of its activities; and, remain financially accountable to the community by not allowing any portion of its net earnings to benefit any private shareholder or individual. As a not-for-profit hospital, NGMC carries additional responsibilities, as established by the IRS in 1965: - Operate a full-time emergency room that is available to all people, regardless of their ability to pay; - NGMC operates the 2nd busiest ER in Georgia (according to the 2015 Annual Hospital Questionnaire Survey). In FY16, more than 20% of all NGMC's emergency room visits were made by self-pay patients. - Provide non-emergency services to anyone able to pay; - Northeast Georgia Health System, Inc. (NGHS) provides high quality, advanced specialty and primary healthcare services to the Northeast Georgia community, serving almost 900,000 people in more than 15 counties. In FY16, NGMC's payor mix was 58% Medicare/Medicaid, 33% commercial insurance and 9% self-pay. - Participate in Medicaid and Medicare programs; - 58% of patients served by NGMC in FY16 were Medicaid and Medicare patients. - Create a governing board that is representative of the community it serves; - More than 80 community members are actively involved in governance through NGHS, NGMC and other subsidiary boards and committees. - Allow medical staff privileges to any professional who is qualified and applies; - NGMC has a medical staff of more than 700 physicians representing numerous advanced specialties such as gynecologic oncology, electrophysiology, cardiac surgery, critical care medicine, surgical trauma, neonatology and perinatology. - Reinvest surplus funds in operations. - As not-for-profit organizations, the revenue generated by NGMC and its parent organization, NGHS, above operating expenses is reinvested into the community. Examples include construction of new medical facilities, such as the new hospital in Braselton offering 24/7 emergency room services not previously available to local residents; investments in advanced medical technology such as robotic surgical systems and state of the art radiation therapy equipment; and development of the only Level 2 Trauma Center in northeast Georgia. - NGMC participates in the Indigent Care Trust Fund (ICTF), a 20-year-old program that expands Medicaid eligibility and services, supports rural health care facilities that serve the medically indigent and funds primary health care programs for medically indigent Georgians. Georgia's Disproportionate Share Hospital (DSH) program is funded through the ICTF, and assists hospitals and other health providers that care for high proportions of Medicaid, uninsured and/or low-income patients. In 2016, NGMC received $4.8 million in net funds allocated through the Medicaid DSH ICTF program to partially offset a financial loss of $42.3 million in costs the Medical Center incurred treating uninsured and Medicaid patients. In addition, NGMC received $3.9 million in net funds allocated through the Medicaid Upper Payment Limit (UPL) program to adjust Medicaid payments upward to match Medicare payment levels. NGMC values cooperative efforts with community organizations and other healthcare providers to improve the health status of area residents. NGMC demonstrates this through many partnerships ranging from serving as lead agency of the Safe Kids Coalition of Gainesville-Hall County, to partnering with other organizations such as Good News Clinics and the Public Health Department to reach at-risk populations in need of healthcare. In FY16, over $6 million was provided in community benefit programs/outreach. Community education was provided through free community lectures, various support groups and the semi-annual health magazine, Communicare. NGMC also offered several community education seminars in 2016 on topics ranging from health and nutrition to women's health education and more. What Drives NGMC's Community Health Improvement Activities? NGMC, with input from the community, completed a Community Health Needs Assessment (CHNA) in 2016. The assessment focused mainly on the needs of the community's most vulnerable populations, particularly those with low-incomes who are uninsured. Input from the community was gathered through focus groups and interviews. Focus group participants and interviewees included community leaders, public health experts, and those representing the needs of minority, underserved, and indigent populations. Input was also received from an internal NGMC board level workgroup and senior leadership who validated, refined, and expanded the list of health needs NGMC will address. The study culminated in the identification of the following 5 priority health needs across the region: Septicemia, Access to Care, Diabetes, Cancer, and Injury. Go to www.nghs.com/community-benefit-library#chna for more information and full reports. Form 990, Part III, Line 4a The following contains highlights of community benefit activities provided by NGMC in FY16, often partnering with other organizations and individuals in the community: Partnering to Reach the Uninsured: NGMC works cooperatively with other area healthcare providers to care for all area residents, particularly the indigent population. Partners include, but are not limited to, NGMC, the Northeast Georgia Physicians Group (NGPG) Primary Care Clinic at Hall County Health Department, the Northeast Georgia Diagnostic Clinic, The Longstreet Clinic, Good News Clinics (indigent clinic), Medlink (federally qualified health center), as well as physicians. Good News Clinics (GNC): NGMC provides funding to GNC that helps provide medications, medical supplies and other support for GNC - the largest free clinic in Georgia. Founded in 1992, GNC is a Christian ministry that provides medical and dental care to the indigent and uninsured population at no charge. Forty-six physicians, 12 mid-level providers and 44 dentists volunteer to treat patients at GNC. In addition, 340 specialist physicians volunteer to treat patients in their offices through referrals from GNC, NGPG Primary Care Clinic at the Hall County Health Department and physicians in Hall County. In FY16, over $500,000 was donated to help GNC provide care to indigent patients who were at or below 150% of the federal poverty guidelines and did not qualify for other programs. Clinical professionals from NGMC staff a Congestive Heart Failure (CHF) Clinic at GNC, as well as a cardiology clinic. This project has been extremely successful, holding a 30-day hospital readmissions rate of zero in 2016. Additional health screenings are provided to vulnerable populations at GNC such as prostate screenings. Other services provided include a seizure clinic and diabetes education and management, and there is a registered dietician on staff who helps patients with lifestyle modifications required for management of Heart Failure, Diabetes and weight loss. NGPG Primary Care Clinic at the Hall County Health Department: NGMC funds and staffs a primary care clinic at the Hall County Health Department to improve access to primary healthcare services for low-income people in our community. In FY16, NGMC contributed over $1,000,000 to fund this clinic. Prenatal Care Program at the Health Department: NGMC partners with The Longstreet Clinic to improve birth outcomes by increasing early prenatal care for low-income, uninsured and under-insured pregnant women via the Health Department's primary care clinic. Yearly cost to NGMC is approximately $200,000. Indigent Patient Fund: At NGMC, financial assistance is provided for indigent patients to obtain urgently needed discharge medications and transportation. Individuals eligible for these funds are patients whose needs cannot be met through primary insurance, their own personal funds, government programs or other charitable services. This helps to ensure medication compliance and maximize conditions for recovery and recuperation. The Medical Center Foundation provides funding for this. Charity Care: NGMC's charity care policy removes barriers for low-income populations within our service area beginning with free, medically necessary care for patients whose gross family income is 0 to 150% of the Federal Poverty Level (FPL) adjusted for family size. Further, patients from our service area, whose FPL is from 151 to 300%, may qualify for an adjustment equivalent to the hospital's Medicare reimbursement rate plus an additional 40% discount to the Medicare reimbursement rate. Total Charity Care Cost for FY16: $31 million - $17.2 million for Hall County; $13.8 million for regional residents NGMC Volunteers: In FY16, 722 NGMC volunteers contributed 70,690 volunteer hours, equivalent to 42 full time employees and a value of $1.6 million to the organization. While these figures are not included in the quantitative portion of the community benefit report, they show the depth of support the community gives NGMC. 138 teens participated in the Teen Volunteer Program in 2016. The teens represented 28 different schools within the area. Encouraging Medical Volunteering: NGMC provides information at physician orientation to encourage physicians to step up to volunteer opportunities through local free clinics (GNC in Gainesville and Helping Hand Clinic in Cleveland) as well as Health Access. NGPG also encourages physicians to give their time volunteering at these locations. Through various physician leadership councils, NGMC's Cancer Services Program encourages its physicians to actively participate in community outreach, including educational seminars, screenings, cancer prevention opportunities and other outreach with the purpose of improving patient care, quality, access and programmatic excellence of cancer services within the community. Financial Navigators: NGMC has financial assistance counselors who help patients become insured, be it through Medicaid, PeachCare or other programs. This team focuses on being advocates for uninsured and under-insured patients, aiding them in finding viable means to access care. They find the best solutions for helping patients apply for Medicaid or disability, accessing healthcare exchanges or processing charity applications when appropriate. Patient Navigators: NGMC also has a cancer patient navigation program. This program provides cancer patients with guidance throughout their cancer journey, and they are seen as a "living resource directory" for patients. Partnering in the Community NGMC is actively involved in Vision 2030 (www.Vision2030.org). This community-wide program is sponsored by the Greater Hall Chamber of Commerce and participation is open to everyone in the community. An NGMC employee currently chairs on the board of Vision 2030 which focuses on the creation of a culture of community wellness, the support and maintenance of lifelong learning, the building of an economy around emerging life sciences, the encouragement of innovative growth/infrastructure development, and the promotion of cultural integration. NGMC is also an active partner on other chamber committees such as the Healthcare Committee and the Health Initiative Consortium. NGMC is also a partner in HALLmark, which is a community investment plan that addresses economic development, education, government and community development through partnership. Members of NGMC's bariatric service line also serve on Hall County School System's Wellness Council. A NGMC representative serves on Hall County Family Connection (HCFC). HCFC adopted Teen Pregnancy Prevention and community-wide resource mapping in partnership with United Way as its two focus areas for the next two years. HCFC is a collaborative which serves as the local decision-making body, bringing community partners together to develop, implement and evaluate plans that address the serious challenges facing the children and families in our county. Its vision is that every child has the opportunity to reach his or her full potential for good health, be secure from abuse and neglect and become a literate, productive, economically self-sufficient member of our community. The mission of HCFC is to identify and monitor areas of community concern and to mobilize the community and its resources in a common effort to develop solutions. Form 990, Part III, Line 4a The Medical Center Foundation (MCF) Raises Funds to Benefit the Community. The MCF is the fundraising arm of NGMC and raises funds to improve the health of the community. The Foundation's operating expenses are supported by NGMC so that donated funds can be used to support NGMC projects and community health improvement initiatives. Following are items of interest to note: - Since 1997, approximately $3.5 million has been raised for community health improvement projects through The Medical Center Open. - The 2015 Medical Center Open Golf Tournament raised $281,881 for the Medical Association of Georgia Foundation's 'Think About It' Campaign, and 100% of proceeds will benefit the campaign's Project DAN (Deaths Avoided by Naloxone), which is designed to reduce widespread drug abuse and specifically reduce deaths from opioid overdose. - Through the employee giving club known as W.A.T.C.H. (We Are Targeting Community Healthcare), members have donated more than $7.8 million to support the Healthy Journey Campaign since the program's inception in 1999. Investing in Our Youth Safe Kids Coalition Works to Keep Kids Safe: The Gainesville-Hall County Safe Kids Coalition, led by NGMC, is part of Safe Kids Worldwide, the first and only national organization dedicated solely to the prevention of unintentional childhood injury, which is the nation's number one killer of children ages 14 and under. This program provides affordable safety equipment such as car seats, bike helmets, and life jackets to area children in need. Working with a coalition made up of law enforcement, area schools, community volunteers and others, Safe Kids provides educational materials and programs that teach children and their parents how to avoid accidents and injuries. Safe Kids continued the work of injury prevention for families in the Hall County community in 2016 thanks to the support of MCF and the Healthy Journey Campaign. In FY16, members of the Gainesville-Hall County Safe Kids Coalition provided over 300 programs and events that reached an estimated 50,000 children and their family members, teachers and caregivers. Through these programs, over 5,000 safety devices were distributed to families who were in need of them. Education and Support for Seniors Getting Older and Better Workshop: Over 300 people participated in the Getting Older and Better Workshop held in September at both Gainesville and Braselton locations. This event was sponsored by The Medical Center Auxiliary, provided by NGMC and featured the topic, "Joint Health and Falls Prevention." Featured speakers were Gregory Woods, M.D., from NGPG, Jeffery Garrett, M.D. from The Longstreet Clinic, and Donna Lee, Outreach Coordinator from NGMC Trauma Services. NGMC has provided a significant donation for a non-profit, volunteer run transportation program serving Hall County senior adults, called iTNLanier, which is being spearheaded by the Wisdom Project. The service provides personal, cost effective transport services to the elderly. iTNLanier is a pre-affiliate of iTNAmerica, a national organization with 27 chapters providing thousands of rides daily to senior citizens. Support of Community Efforts to Improve Health NGMC employees are very active in the community, volunteering at GNC, in their churches on mission trips and for community agencies such as the Humane Society and Habitat for Humanity. When it comes to supporting MCF's employee giving club, W.A.T.C.H., over 3,400 employees donated about $550,000 in 2016. Relay for Life, American Heart Walk, and March for Babies: NGMC employees turned out in full force for community events such as the American Heart Walk, March of Dimes' WalkAmerica and American Cancer Society's Relay for Life, averaging participation of 200 employees per event. Blood Drives: In FY16, NGMC hosted 25 drives, resulting in 437 donors and over 359 pints of blood. Employees Lead the Way, United Way Pacesetter & More: NGHS employees contributed over $100,000 to United Way as a Pacesetter Company. Two NGMC employees serve on the United Way Board. Training and Education for Healthcare Professionals: NGMC continues to serve as a "pipeline" to help get more qualified people interested in healthcare positions and help provide training and education to students. This training and education is done through a variety of avenues from job shadowing to the nurse extern program and pharmacy residency program as well as significant support to Foothills Area Health Education Centers. Form 990, Part III, Line 4a NGMC Provides Health Information & Support: The Fraser Resource Center and Health Sciences Library at NGMC serves the health information needs of the community. The library is located on the Medical Center campus in Gainesville. Consumers, patients and their family members have access to credible resources relating to medical symptoms, conditions and treatments both at the library and also via links on NGMC's website (www.nghs.com/library). The Resource Center encourages visitors to make healthy choices and become active, informed partners in their healthcare. In keeping with guidelines for community benefit reporting, NGMC did not include quantitative data on the following programs/projects, but it does meet health needs in the community identified via the 2016 (the most recent) CHNA and warrant inclusion in this summary. Patient-Centered Medical Neighborhood: NGHS has been selected as one of 15 communities in the nation to establish a patient-centered medical neighborhood (PCMN) as part of a Centers for Medicare & Medicaid (CMS) Innovation Challenge Grant. The PCMN builds on the concept of a patient-centered medical home (PCMH) by connecting acute-care hospitals, specialty and sub-specialty practices and other community health resources with primary care providers in order to drive higher quality, provide more affordable care and ensure a positive patient experience. The first step in this three-year project was to build strong medical home practices. Partnering with NGPG and other community practices, this project is designed to provide more individualized care to patients. A medical home is a concept of care - not a building, a house or a hospital. The goal of the medical home model is to better coordinate care through primary care practices with hospitals, medical specialties and other community health services to support a more fully-integrated approach to care. Being cared for in a Patient Centered Medical Home means NGPG's healthcare providers will work with patients to help understand their total healthcare needs and connect them with community and other resources to help meet their individualized needs. A partnership is developed between the patient, the personal primary care physician and other members of the healthcare team, and there is a key focus on encouraging patients to participate in their care. SANE program: NGMC provides a SANE (Sexual Assault Nurse Examiner) program which provides nurses special training in rape crisis, trial time with a District Attorney and training with law enforcement and a pediatrician's office. NGMC employs nurses who have specialized training to complete the Sexual Assault Nurse Exam and provide specialized care for patients who are victims of sexual assault. This program is not a requirement of hospitals and is also not provided at all hospitals throughout the state. Form 990, Part III, Line 4a Organization Overview NGHS is a not-for-profit community health system dedicated to improving the health and quality of life of the people of Northeast Georgia. Through the services of a medical staff of more than 600 physicians, the residents of northeast Georgia enjoy access to the state's finest and most comprehensive medical services. The Health System offers a full range of healthcare services through NGMC with two hospital campuses, one in Braselton and one in Gainesville. NGMC is rated among the top 10% in the nation, by CareChex. CareChex also recognizes NGMC as Georgia's #1 hospital for heart care, women's care and pulmonary care. NGMC also provides long term care through two centers in Gainesville and mental health and substance abuse treatment through a freestanding inpatient center. The Health System's services extend throughout the Northeast Georgia region through urgent care centers, outpatient rehabilitation centers offering physical, speech and occupational therapy, a satellite cancer treatment center and several multi-specialty medical office buildings. Through NGPG, residents in Northeast Georgia have close access to primary care as well as a host of medical specialties through more than 250 providers at more than 50 locations. Led by volunteer boards made up of community leaders, the Health System serves almost 800,000 people in more than 13 counties across Northeast Georgia. As a not-for-profit health system, all revenue generated above operating expenses is returned to the community through improved services and innovative programs. NGMC's Charity Care Policy supports the provision of care for indigent patients, regardless of their ability to pay. Special Notes NGMC uses the precepts outlined in "A Guide for Planning and Reporting Community Benefit," provided by the Catholic Health Association of The United States and VHA, Inc. The guide's purpose is to help not-for-profit mission-driven healthcare organizations develop, enhance and report on their community benefit programs. Community Benefit Definition: Program or activity must address a demonstrated community need, and seek to address at least one of the following community benefit objectives: - improve access - enhance population health - advance generalizable knowledge - relieve government burden to improve health The program or activity must: - primarily benefit the community rather than the organization - result in measurable expense to the organization If the program or activity is provided primarily for marketing purposes, standard practice expected of all hospitals (such as activities required for accreditation, licensure, or to participate in Medicare) or is primarily for employees (not including interns, residents and fellows) and/or affiliated physicians, it is not community benefit. For more information, contact Christy Moore, Manager, Community Health Improvement, at (770) 219-8097 or go to www.nghs.com. Form 990, Part VI, Section A, line 6 Northeast Georgia Health System, Inc. is the sole member of Northeast Georgia Medical Center, Inc. Form 990, Part VI, Section A, line 7a The Board of Directors of Northeast Georgia Medical Center is appointed by the Board of Northeast Georgia Health System, Inc. - a related 501(c)(3) organization. Form 990, Part VI, Section A, line 7b The Board of Directors of Northeast Georgia Medical Center is appointed by the Board of Northeast Georgia Health System, Inc. - a related 501(c)(3) organization. Form 990, Part VI, Section B, line 11 Information for the Form 990 was provided to an independent certified public accountant for preparation of the return. After the return was prepared, it was reviewed by senior financial management. The 990 is made available to members of the board prior to filing. Form 990, Part VI, Section B, line 12c Board members are required to complete a conflict of interest questionnaire annually. Employees attest to their understanding and reporting/disclosure requirements at hire and annually. Compliance is monitored continuously throughout the year by the board. Form 990, Part VI, Section B, line 15 The compensation committee of the Northeast Georgia Health System Board (NGHS Board) has developed and installed compensation policies and procedures that seek to further the purpose of NGHS and affiliates and the importance of these policies to attract and retain key employees. The compensation committee is composed of voting directors who are not employees of NGHS. All decisions of the compensation committee are reviewed and ratified by the NGHS Board. The committee's methodology and approach incorporates both qualitative and quantitative considerations, which are reflected in the committee's determinations concerning key employee compensation and the specific components thereof. The compensation decisions of the committee are described below as to each of the three categories. Base Salary Annual base salaries are set at market competitive levels with healthcare systems of a similar size and complexity from throughout the country. Specifically, the committee considers peer group comparisons from survey data for other health systems, recommendations from an independent compensation consultant, recommendations on ranges and placement from the CEO, and individual performance assessments for each position. In each instance the committee members reach a consensus based on the combination of available information, and the committee sets a base salary level for each key employee. Performance Based Variable Compensation Numerous performance goals are quantitative in nature, resulting in a performance based variable compensation component that is weighted toward attaining NGHS Board-approved goals and objectives. Annual goals and objectives are established through a formal planning process involving board and community members. The board approves these goals and objectives at the beginning of each year. Officers and key employees receive cash awards as a formula driven percentage of base salary levels based on achievement and predetermined individual objectives. Benefits and Retention Programs Benefit categories and amounts are determined by a comparison process similar to determining base salaries with positions and organizations similar to NGHS. Included in benefits are retirement programs to enhance retention and progress toward long-term goals within NGHS' mission. Form 990, Part VI, Section C, line 19 Financial statements and statistics are filed quarterly with Digital Assurance Certification, LLC (DAC Bond). DAC Bond serves as a disclosure dissemination agent for issuers of municipal bonds electronically posting and transmitting information to repositories and investors. All other items are available upon request. Form 990, Part XI, line 9: INTERCOMPANY DEBT FORGIVENESS -50,837,872. PARTNERSHIP Income NOT ON BOOKS -309,920. Other Changes 1,905. Net Assets Released from Restriction 1,448,843. HealtheConnections 743 Spring Street Gainesville GA 30501 581694098 Healthcare Clinics GA 0 0 N/A NORTHEAST GEORGIA HEALTH SYSTEM INC 743 SPRING STREET GAINESVILLE GA 30501 581694090 HEALTHCARE - Parent Org. GA 501(c)(3) Line 11c, III-FI N/A 1 THE MEDICAL CENTER FOUNDATION INC 743 SPRING STREET GAINESVILLE GA 30501 581694820 FUNDRAISING GA 501(c)(3) Line 7 Northeast Georgia Health System Inc 1 NORTHEAST GEORGIA PHYSICIANS GROUP INC 743 SPRING STREET GAINESVILLE GA 30501 582078064 HEALTHCARE GA 501(c)(3) Line 11b, II Northeast Georgia Health System Inc 1 The Medical Center Auxiliary Inc 743 SPRING STREET GAINESVILLE GA 30501 581550576 Fundraising and Support GA 501(c)(3) Line 9 Northeast Georgia Health System Inc 1 NORTHEAST GEORGIA HEALTH PARTNERS LLC 743 SPRING STREET GAINESVILLE GA 30501 582131807 PPO DEVELOPMENT GA N/A C 0 0 1 1 1 1 0 0 0 0 1 0 0 1 1 1 0 0 1 0