NORTHSIDE HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
NORTHSIDE HOSPITAL INC (EIN 58-1954432)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-15
IRS object ID
201732279349303403
Schema version
2015v3.0
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)
Return2017-08-15T15:28:00-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621517792PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Pershing Yoakley & Associates 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 Begin2015-10-01TaxPeriodBeginDt

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)
PersonDEBORAH S MITCHAMPersonNm
Person TitleCFOPersonTitleTxt
Phone4048518000PhoneNum
Signature2017-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeborah O ErnsbergerPreparerPersonNm
PTINP00364912PTIN
Phone8656730844PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
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$2,874,233,046GrossReceiptsAmt
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 Employee15416TotalEmployeeCnt
Total Volunteers1037TotalVolunteersCnt
Total Gross UBI$12,860,116TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,587,350NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,189,243PYContributionsGrantsAmt
CY Contributions Grants$2,560,786CYContributionsGrantsAmt
PY Program Service Revenue$2,518,339,576PYProgramServiceRevenueAmt
CY Program Service Revenue$2,834,239,060CYProgramServiceRevenueAmt
PY Investment Income$20,533,759PYInvestmentIncomeAmt
CY Investment Income$14,586,698CYInvestmentIncomeAmt
PY Other Revenue$28,795,123PYOtherRevenueAmt
CY Other Revenue$22,846,502CYOtherRevenueAmt
PY Total Revenue$2,571,857,701PYTotalRevenueAmt
CY Total Revenue$2,874,233,046CYTotalRevenueAmt
PY Grants And Similar Paid$2,426,359PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,578,526CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$890,492,569PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,042,399,044CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,398,264,647PYOtherExpensesAmt
CY Other Expenses$1,562,509,909CYOtherExpensesAmt
PY Total Expenses$2,291,183,575PYTotalExpensesAmt
CY Total Expenses$2,607,487,479CYTotalExpensesAmt
PY Revenues Less Expenses$280,674,126PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$266,745,567CYRevenuesLessExpensesAmt
Total Assets BOY$1,880,045,994TotalAssetsBOYAmt
Total Assets EOY$2,162,316,109TotalAssetsEOYAmt
Total Liabilities BOY$795,787,729TotalLiabilitiesBOYAmt
Total Liabilities EOY$920,432,451TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,084,258,265NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,241,883,658NetAssetsOrFundBalancesEOYAmt
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$2,036,615,326ExpenseAmt
Grant$2,578,526GrantAmt
Revenue$2,852,753,803RevenueAmt
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$2,036,615,326TotalProgramServiceExpensesAmt
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 BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 Document1604IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee15416EmployeeCnt
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 Line1DEBORAH S MITCHAMBusinessNameLine1Txt
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
Board Member40.00Yes (X)$68,219$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)$4,242,713$0$10,115Yes (X)
Wayne L Ambroze MD
Board Member1.00Yes (X)$607,654$0$6,122
William G Hasty Jr
Board Member1.00Yes (X)$0$0$0
Deborah S Mitcham
VP/CFO NSH, Inc.40.001.00$831,173$0$7,373Yes (X)
Jorge J Hernandez
Vice President/Asst. Secre40.00$536,285$0$2,542Yes (X)
Janis Dubow
Vice President40.00$455,796$0$4,484Yes (X)
Robert Putnam
Vice President40.00$821,731$0$5,828Yes (X)
WILLIAM HAYES
CEO of northside hospital-Cherokee40.00$493,535$0$9,743Yes (X)
Tina Wakim
Vice President40.00$942,538$0$8,556Yes (X)
Stephen Salmieri MD
gynecologic oncologist40.00$830,866$0$0Yes (X)
Gerald Feuer MD
Gynecologist/Surgeon40.00$932,723$0$13,610Yes (X)
Guilherme h Cantuaria MD
gynecologic oncologist40.00$906,779$0$7,153Yes (X)
WILLIAM EARLY MD
gastroenterology/internal40.00$832,978$0$10,115Yes (X)
Joseph Ricotta MD
Vascular Surgeon40.00$1,162,661$0$4,917Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,665,651TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$90,558TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1120IndivRcvdGreaterThan100KCnt
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$45,148,927
AGA LLC
550 Peachtree St Ste 1620AtlantaGA30308SEE Schedule O$22,655,949
Atlanta Cancer Care
1100 Johnson Ferry Road STE 150Sandy SpringsGA30342SEE Schedule O$19,872,987
Baker Hostetler LLP
1170 Peachtree Street NE Ste 2400AtlantaGA30309Legal Services$11,947,606
McKenna Long & Aldridge LLP
PO Box 116573AtlantaGA30368Legal Services$10,028,601
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K357CntrctRcvdGreaterThan100KCnt
Related Organizations$173,731RelatedOrganizationsAmt
Government Grants$2,173,599GovernmentGrantsAmt
All Other Contributions$213,456AllOtherContributionsAmt
Total Contributions$2,560,786TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Net Patient Revenue621990$2,716,172,515$2,714,622,755$1,549,760
Pharmacy Revenue446110$87,707,293$6,519,066$81,188,227
Rental Income531120$17,827,032$17,827,032
Parking Revenue812930$2,974,963$2,974,963
Cafeteria & Vending722210$2,419,378$2,419,378

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,137,879TotalRevenueColumnAmt
Unrelated Business Revenue$2,453,018UnrelatedBusinessRevenueAmt
Exclusion$4,684,861ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,834,239,060TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,183,893TotalRevenueColumnAmt
Exclusion$7,183,893ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,568,676SecuritiesAmt
Other$1,834,129OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,568,676SecuritiesAmt
Other$1,834,129OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,402,805TotalRevenueColumnAmt
Exclusion$7,402,805ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Miscellaneous900099$19,697,841$18,514,743$1,183,098
PAssthrough investment621300$3,148,661$1,993,487$1,155,174
FieldValueIRS element (for citing)
Other Revenue Total$22,846,502OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,874,233,046TotalRevenueColumnAmt
Related Or Exempt Func Income$2,752,958,017RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$12,860,116UnrelatedBusinessRevenueAmt
Exclusion$105,854,127ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,565,989TotalAmt
Program Services$2,565,989ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$12,537TotalAmt
Program Services$12,537ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$13,476,267TotalAmt
Program Services$10,503,983ProgramServicesAmt
Management And General$2,972,284ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$829,400,143TotalAmt
Program Services$646,470,207ProgramServicesAmt
Management And General$182,929,936ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$39,529,620TotalAmt
Program Services$30,811,089ProgramServicesAmt
Management And General$8,718,531ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$103,134,516TotalAmt
Program Services$80,387,485ProgramServicesAmt
Management And General$22,747,031ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$56,858,498TotalAmt
Program Services$44,317,963ProgramServicesAmt
Management And General$12,540,535ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$22,601,538TotalAmt
Program Services$22,601,538ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,466,092TotalAmt
Program Services$453ProgramServicesAmt
Management And General$27,465,639ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,292,601TotalAmt
Management And General$1,292,601ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,155,635TotalAmt
Management And General$2,155,635ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$412,534,340TotalAmt
Program Services$281,488,278ProgramServicesAmt
Management And General$131,046,062ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,709,899TotalAmt
Program Services$210,319ProgramServicesAmt
Management And General$10,499,580ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$53,276,918TotalAmt
Program Services$37,524,763ProgramServicesAmt
Management And General$15,752,155ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,371,970TotalAmt
Program Services$3,555,424ProgramServicesAmt
Management And General$12,816,546ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$73,983,669TotalAmt
Program Services$45,707,357ProgramServicesAmt
Management And General$28,276,312ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,975,964TotalAmt
Program Services$915,264ProgramServicesAmt
Management And General$1,060,700ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,116,262TotalAmt
Program Services$770,063ProgramServicesAmt
Management And General$346,199ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,531,158TotalAmt
Program Services$22,233ProgramServicesAmt
Management And General$5,508,925ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$131,313,089TotalAmt
Program Services$93,410,162ProgramServicesAmt
Management And General$37,902,927ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,516,274TotalAmt
Program Services$814,074ProgramServicesAmt
Management And General$6,702,200ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$612,200,031$607,554,076$4,645,955
Bad debt expense$110,302,320$110,302,320
Minor Equipment purchas$20,908,688$7,947,307$12,961,381
Recruitment$5,508,852$214,507$5,294,345

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$45,744,609TotalAmt
Program Services$8,507,935ProgramServicesAmt
Management And General$37,236,674ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,607,487,479TotalAmt
Program Services$2,036,615,326ProgramServicesAmt
Management And General$570,872,153ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$49,828BOYAmt
EOY$53,247EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$425,854,234BOYAmt
EOY$458,398,890EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$750,285BOYAmt
EOY$512,953EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$153,568,508BOYAmt
EOY$194,097,835EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,521,169BOYAmt
EOY$1,053,560EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$28,769,418BOYAmt
EOY$41,893,841EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,785,048BOYAmt
EOY$32,287,241EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,965,730,284LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,092,922,956LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$703,031,643BOYAmt
EOY$872,807,328EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$179,697,003BOYAmt
EOY$205,737,272EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$306,757,551BOYAmt
EOY$296,876,190EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$56,261,307BOYAmt
EOY$58,597,752EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,880,045,994BOYAmt
EOY$2,162,316,109EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$396,046,850BOYAmt
EOY$420,466,112EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$422,317BOYAmt
EOY$1,239,535EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,135,000BOYAmt
EOY$17,670,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$63,070,175BOYAmt
EOY$60,614,035EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$305,113,387BOYAmt
EOY$420,442,769EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$795,787,729BOYAmt
EOY$920,432,451EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,084,258,265BOYAmt
EOY$1,241,883,658EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,084,258,265BOYAmt
EOY$1,241,883,658EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,880,045,994BOYAmt
EOY$2,162,316,109EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$266,745,567ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,524,630NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$127,644,804OtherChangesInNetAssetsAmt
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$435,033OtherActivitiesAmt
Total Lobbying Expenditures$435,033TotalLobbyingExpendituresAmt
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$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,750,449BeginningYearBalanceAmt
Contributions$1,117,389ContributionsAmt
Investment Earnings Or Losses$112,483InvestmentEarningsOrLossesAmt
Other Expenditures$887,950OtherExpendituresAmt
End Year Balance$6,092,371EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.34610PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.65390TermEndowmentBalanceEOYPct
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$216,238,479OtherCostOrOtherBasisAmt
Book Value$216,238,479BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$874,388,263OtherCostOrOtherBasisAmt
Depreciation$581,137,730DepreciationAmt
Book Value$293,250,533BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$610,469,775OtherCostOrOtherBasisAmt
Depreciation$511,785,226DepreciationAmt
Book Value$98,684,549BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$264,633,767OtherCostOrOtherBasisAmt
Book Value$264,633,767BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$872,807,328TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
FAS 106 Accrual$1,260,782
Interchange finance liability$66,077,245
FMV of swap agreement$204,922
Rent obligation, long-term portion$15,076,781
other liability-$64,788
Obligations under capital lease$10,025
Reserve for malpractice$116,514,065
Retirement plan obligations$221,363,800
Net Intercompany-$63
FieldValueIRS element (for citing)
Total Liability$420,442,769TotalLiabilityAmt
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 39 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, 2016 and 2015, 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$104,782,252TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$104,782,252NetCommunityBenefitExpnsAmt
Total Expense0.04020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$184,891,991TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$92,440,683DirectOffsettingRevenueAmt
Net Community Benefit Expns$92,451,308NetCommunityBenefitExpnsAmt
Total Expense0.03550TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$289,674,243TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$92,440,683DirectOffsettingRevenueAmt
Net Community Benefit Expns$197,233,560NetCommunityBenefitExpnsAmt
Total Expense0.07570TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,951,906TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$434,357DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,517,549NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$229,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$158,409DirectOffsettingRevenueAmt
Net Community Benefit Expns$70,591NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$585,630TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$198,376DirectOffsettingRevenueAmt
Net Community Benefit Expns$387,254NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,205,063TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,205,063NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,971,599TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$791,142DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,180,457NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$295,645,842TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$93,231,825DirectOffsettingRevenueAmt
Net Community Benefit Expns$202,414,017NetCommunityBenefitExpnsAmt
Total Expense0.07760TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,057,638TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,057,638NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,057,638TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,057,638NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$24,472,399BadDebtExpenseAmt
Reimbursed By Medicare$281,292,386ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$344,973,502CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$63,681,116MedicareSurplusOrShortfallAmt

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 (13 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Gwinnett Endoscopy Center Inc
Outpatient Center0.150000.85000
2 Midtown Endoscopy Center LLC
Outpatient Center0.150000.85000
3 North Crescent Endoscopy Suite LLC
Outpatient Center0.700000.30000
4 Woodstock Endoscopy Center LLC
Outpatient Center0.150000.85000
5 West Metro Endoscopy Center LLC
Outpatient Center0.150000.85000
6 Northwest 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 Southern Crescent Endoscopy Center Suite PC
Outpatient Center0.150000.85000
12 The Hand & Upper Extremity Surgery Center of GA LLC
Ambulatory Surgery0.510000.19000
13 Nasa Surgery Center LLC
Ambulatory Surgery0.700000.30000
14 Soverign Rehabilitation Center LLC
Rehabilitation Center0.880000.12000
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.comOwnWebsiteURLTxt
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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
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:In addition, Northside publishes the financial assistance policy on their website.
FieldValueIRS element (for citing)
Facility147FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (147 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 - Medical Associates of North Georgia - Cant
320 Hospital RoadCantonGA30114PHYSICIAN SERVICES
3 - Northside Hospital Cancer Institute - Mill
624 Martin Luther King Jr DriveMilledgevilleGA31061PHYSICIAN SERVICES/ OUTPATIENT SERVICES
4 - ENT of Georgia - Alpharetta
Alpharetta 3400-C Old Milton PkwyAlpharettaGA30005PHYSICIAN SERVICESSuite
5 - Laureate Medical Group - Atlanta
6135 Barfield RoadAtlantaGA30328PHYSICIAN SERVICES
6 - Northside Hospital Cancer Institute - Athe
125 King Avenue Suite 200AthensGA30606PHYSICIAN SERVICES/ OUTPATIENT SERVICES
7 - Northside Hospital Cancer Institute - Blue
101 Riverstone Vista Suite 102Blue RidgeGA30513PHYSICIAN SERVICES/ OUTPATIENT SERVICES
8 - Northside Hospital Cancer Institute - Blai
308 Deep South Farm Road Suite 200BlairsvilleGA30512PHYSICIAN SERVICES/ OUTPATIENT SERVICES
9 - Northside Hospital Cancer Institute - Grif
747 S 8th Street Suite CGriffinGA30224PHYSICIAN SERVICES/ OUTPATIENT SERVICES
10 - Primary Care Physicians of Atlanta
5670 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES1200
11 - Atlanta Clinical Care
5673 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES330
12 - Northside Heart - Roswell
1285 Upper Hembree RdRoswellGA30076PHYSICIAN SERVICES
13 - Atlanta Institute for ENT - Atlanta
5670 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES1280
14 - Northside Total Joint Specialists - Alpha
3400 C-Old Milton Parkway Suite 290AlpharettaGA30005PHYSICIAN SERVICES
15 - Gwinnett Advanced Surgery Center LLC
2131 Fountain DriveSnellvilleGA30078AMBULATORY SURGERY
16 - The Imaging Center of Warner Robins
2706 Watson Boulevard Suite DWarner RobinsGA31093OUTPATIENT CENTER
17 - Laureate Medical Group - Atlanta
550 Peachtree Street NE Suite 1550AtlantaGA30308PHYSICIAN SERVICES
18 - Northside Hospital Cancer Institute - Gree
1000 Cowles Clinic Way - MagnoliaGreensboroGA30642PHYSICIAN SERVICES/ OUTPATIENT SERVICESBuilding
19 - Urology Specialists of Atlanta
5673 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES910
20 - Pulmonary & Critical Care of Atlanta
960 Johnson Ferry Rd Suite 500AtlantaGA30342PHYSICIAN SERVICES
21 - Internal Medicine Associates of John's Cre
3340 Paddocks ParkwaySuwaneeGA30024PHYSICIAN SERVICES
22 - Premier Care for Women
960 Johnson Ferry Rd Suite 400AtlantaGA30342PHYSICIAN SERVICES
23 - North Atlanta ENT
1400 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES240
24 - Northside Hospital Cancer Institute - Hawk
214 Perry HighwayHawkinsvilleGA31036PHYSICIAN SERVICES/ OUTPATIENT SERVICES
25 - Northside Heart - Atlanta
5670 Peachtree Dunwoody Rd SuiteAtlantaGA30342PHYSICIAN SERVICES880
26 - MRI & Imaging of Athens
845 Prince AvenueAthensGA30606OUTPATIENT CENTER
27 - Endocrine Specialist of Atlanta
975 Johnson Ferry Road Suite 400AtlantaGA30342PHYSICIAN SERVICES
28 - Northside Heart - Woodstock
900 Towne Lake Pkwy Suite 400WoodstockGA30189PHYSICIAN SERVICES
29 - Atlanta Colon and Rectal Surgery - Atlanta
5667 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES330
30 - Northside Cherokee Orthopedics Sports Med
684 Sixes Road Suite 130Holly SpringsGA30142PHYSICIAN SERVICES
31 - Cumming Family Medicine - Cumming
765 Lanier 400 ParkwayCummingGA30040PHYSICIAN SERVICES
32 - Northside Family Medicine and Urgent Care
5610 Bethelview RdCummingGA30040PHYSICIAN SERVICES
33 - Perimeter North Family Medicine - Alpharet
3400-A Old Milton Pkwy Suite 130AlpharettaGA30005PHYSICIAN SERVICES
34 - Northside Family Practice
960 Woodstock Pkwy Suite 300WoodstockGA30188PHYSICIAN SERVICES
35 - Northside Vascular Surgery - Atlanta
980 Johnson Ferry Rd Suite 1040AtlantaGA30342PHYSICIAN SERVICES
36 - Chattahoochee Surgical Group - Cumming
980 Sanders Road Suite 100CummingGA30042PHYSICIAN SERVICES
37 - Mt Vernon Internal Medicine
755 Mt Vernon Hwy NE Suite 400Sandy SpringsGA30328PHYSICIAN SERVICES
38 - Northside Pulmonary and Sleep Medicine - C
1400 Northside Forsyth Dr Suite 280CummingGA30041PHYSICIAN SERVICES
39 - Laureate Medical Group - Alpharetta
3400-C Old Milton Parkway Suite 500AlpharettaGA30005PHYSICIAN SERVICES
40 - Northside Neurology
1400 Northside Forsyth Dr Suite 250CummingGA30041PHYSICIAN SERVICES
41 - Georgia Pulmonary and Critical Care Consul
1505 Northside Blvd Suite 3000CummingGA30041PHYSICIAN SERVICES
42 - Perimeter North Family Medicine - Woodstoc
900 Towne Lake Pkwy Suite 210WoodstockGA30189PHYSICIAN SERVICES
43 - Northside Heart - Cumming
1505 Northside Blvd Suite 3600CummingGA30040PHYSICIAN SERVICES
44 - Cumming Family Medicine - Cumming
303 Pirkle Ferry RoadCummingGA30040PHYSICIAN SERVICES
45 - Windermere Medical Clinic - Cumming
3850 Windermere Parkway Suite 105CummingGA30041PHYSICIAN SERVICES
46 - Atlanta Colon and Rectal Surgery - Canton
15 Reinhardt College Parkway SuiteCantonGA30114PHYSICIAN SERVICES105
47 - Northside Vascular Surgery - Cumming
1505 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES2400
48 - Dunwoody Dermatology LLC
4360 Chamblee Dunwoody Road SuiteAtlantaGA30341PHYSICIAN SERVICES260
49 - Perimeter North Family Medicine - Atlanta
960 Johnson Ferry Rd NE Suite 300AtlantaGA30342PHYSICIAN SERVICES
50 - Laureate Medical Group - Jonesboro
7823 Spivey Station Boulevard SuiteJonesboroGA30236PHYSICIAN SERVICES310
51 - University Gynecologic Oncology
960 Johnson Ferry RoadSuite 130AtlantaGA30342PHYSICIAN SERVICES
52 - Northside Family Medicine and Urgent Care
4800 Old Towne Pkwy Suite 150MariettaGA30068PHYSICIAN SERVICES
53 - North Georgia OBGYN Specialist
900 Towne Lake Pkwy Suite 404WoodstockGA30188PHYSICIAN SERVICES
54 - Northside Family Medicine and Urgent Care
684 Sixes Rd Suite 125Holly SpringsGA30115PHYSICIAN SERVICES
55 - Georgia Colon and Rectal Surgeons - Atlant
5445 Meridian Mark Suite 180AtlantaGA30342PHYSICIAN SERVICES
56 - Northside Hospital Cardiovascular Care
980 Johnson Ferry Road Suite 520AtlantaGA30342PHYSICIAN SERVICES
57 - Atlanta Cardiac & Thoracic Surgical Associ
960 Johnson Ferry Road Suite 100AtlantaGA30342PHYSICIAN SERVICES
58 - Northside Cherokee Pediatrics - Holly Spri
684 Sixes Rd Suite 220Holly SpringsGA30115PHYSICIAN SERVICES
59 - Peachtree Dunwoody Internal Medicine and R
875 Johnson Ferry Rd NE Suite 200AtlantaGA30342PHYSICIAN SERVICES
60 - Ravry Medical Group
5505 Peachtree Dunwoody Rd SuiteAtlantaGA30342PHYSICIAN SERVICES650
61 - MRI & Imaging of Habersham
638 Historic Highway 441 NorthDemorestGA30535OUTPATIENT CENTERSuite D
62 - Midtown Medical Associates
550 Peachtree St Ne Suite 1230AtlantaGA30308PHYSICIAN SERVICES
63 - North Point Pulmonary Associates - Cumming
1505 Northside Forsyth Blvd SuiteCummingGA30041PHYSICIAN SERVICES3400
64 - North Georgia Diabetes and Endocrinology -
1505 Northside Blvd Suite 2800CummingGA30041PHYSICIAN SERVICES
65 - Georgia Gynecologic Oncology - Lawrencevil
759 Old Norcross RoadLawrencevilleGA30046PHYSICIAN SERVICES
66 - Cherokee Lung and Sleep - Canton
460 Northside Cherokee Blvd SuiteCantonGA30114PHYSICIAN SERVICES130
67 - Northside Family Medicine and Urgent Care
81 Northside Dawson DrDawsonvilleGA30534PHYSICIAN SERVICES
68 - North Atlanta Pulmonary and Sleep
993 Johnson Ferry Rd 300 Building CAtlantaGA30342PHYSICIAN SERVICES
69 - Town Lake Primary Care
900 Towne Lake Pkwy Suite 410WoodstockGA30189PHYSICIAN SERVICES
70 - Goyco Internal Medicine
900 Sanders Rd Suite BCummingGA30041PHYSICIAN SERVICES
71 - Perimeter North Family Medicine - Cumming
1505 Northside Blvd Suite 4400CummingGA30041PHYSICIAN SERVICES
72 - Perimeter North Family Medicine - Suwanee
3890 Johns Creek Pky Suite 230SuwaneeGA30024PHYSICIAN SERVICES
73 - Georgia Colon and Rectal Surgeons - Fayett
1260 Hwy 54 W Suite 100FayettevilleGA30214PHYSICIAN SERVICES
74 - Atlanta Gynecologic Oncology - Atlanta
980 Johnson Ferry Rd NE Suite 900AtlantaGA30342PHYSICIAN SERVICES
75 - Melanoma Specialists of Georgia
980 Johnson Ferry Road Suite 940AtlantaGA30342PHYSICIAN SERVICES
76 - Laureate Medical Group - Holly Springs
684 Sixes Road Suite 265Holly SpringsGA30115PHYSICIAN SERVICES
77 - Northside Vascular Surgery - Canton
145 Riverstone Terrace Suite 101CantonGA30114PHYSICIAN SERVICES
78 - Laureate Medical Group - Marietta
1121 Johnson Ferry Road BuildingMariettaGA30068PHYSICIAN SERVICESOne Suit
79 - Alpharetta Foot and Ankle Specialists
3400-A Old Milton Parkway Suite 500AlpharettaGA30005PHYSICIAN SERVICES
80 - Atlanta Colon and Rectal Surgery - Cumming
1505 Northside Boulevard Suite 1900CummingGA30041PHYSICIAN SERVICES
81 - Georgia Colon and Rectal Surgeons - Lawren
721 Wellness Way Suite 200LawrencevilleGA30045PHYSICIAN SERVICES
82 - Internal Medicine Practice of Northside
10745 Westside Way Suite 125AlpharettaGA30009PHYSICIAN SERVICES
83 - Northside Atlanta Orthopedics and Sports M
5555 Peachtree Dunwoody Road NEAtlantaGA30342PHYSICIAN SERVICESSuite 101
84 - Cumming Family Medicine - Dawsonville
133 Prominence Court Suite 230DawsonvilleGA30535PHYSICIAN SERVICES
85 - Northside Cherokee Pediatrics - Woodstock
900 Towne Lake Parkway Suite 306WoodstockGA30189PHYSICIAN SERVICES
86 - Georgia Colon and Rectal Surgeons - Cummin
1505 Northside Blvd Suite 2900CummingGA30041PHYSICIAN SERVICES
87 - Cumming Family Medicine - Marble Hill
25 Foothills ParkwayMarble HillGA30149PHYSICIAN SERVICES
88 - North Georgia Diabetes and Endocrinology -
4310 Johns Creek Pkwy Suite 100SuwaneeGA30024PHYSICIAN SERVICES
89 - Premier Neurological Care - Canton
145 Riverstone Terrace Suite 102CantonGA30114PHYSICIAN SERVICES
90 - Roswell Internal Medicine Specialists
11785 Northfall Lane Suite 505AlpharettaGA30004PHYSICIAN SERVICES
91 - Bariatric Innovations of Atlanta
6135 Barfield Road Suite 150Sandy SpringsGA30328PHYSICIAN SERVICES
92 - Northside Heart - Sandy Springs
6135 Barfield Road Suite 100Sandy SpringsGA30328PHYSICIAN SERVICES
93 - Georgia Gynecologic Oncology - Atlanta
Timeshare 2001 Peachtree Road SuiteAtlantaGA30309PHYSICIAN SERVICES650
94 - Ellijay Women's Specialists
433 Highland Pkwy Suite 203East EllijayGA30540PHYSICIAN SERVICES
95 - Northside Cherokee Surgical Associates
900 Towne Lake Pkwy Suite 412WoodstockGA30189PHYSICIAN SERVICES
96 - Newtown Medical
3400-A Old Milton Pkwy Suite 200AlpharettaGA30005PHYSICIAN SERVICES
97 - Medical Associates of North Georgia - Ball
470 Valley Street Suite 200Ball GroundGA30107PHYSICIAN SERVICES
98 - Georgia Colon and Rectal Surgeons - Decatu
2801 North Decatur Road Suite 120DecaturGA30033PHYSICIAN SERVICES
99 - Lanier Family Practice
1080 Sanders Road Suite 100CummingGA30041PHYSICIAN SERVICES
100 - Georgia Colon and Rectal Surgeons - Atlant
1 Baltimore Place Suite 290AtlantaGA30308PHYSICIAN SERVICES
101 - Reproductive Surgical Specialists
1800 Northside Forysth Drive SuiteCummingGA30041PHYSICIAN SERVICES380
102 - Georgia Colon and Rectal Surgeons - Alphar
3400 C Old Milton Pkwy Suite 185AlpharettaGA30005PHYSICIAN SERVICES
103 - Northside Heart - Alpharetta
3400-C Old Milton Pkwy Suite 360AlpharettaGA30005PHYSICIAN SERVICES
104 - Windermere Medical Clinic - Canton
200 Eagles Nest Dr Suite 300DCantonGA30115PHYSICIAN SERVICES
105 - Anderson Family Medicine
81 Northside Dawson Drive Suite 205DawsonvilleGA30534PHYSICIAN SERVICES
106 - Sleep Disorders Center of Georgia
993-C Johnson Ferry Rd Suite 301AtlantaGA30342PHYSICIAN SERVICES
107 - Gordon J Azar Sr MD Internal Medicine
960 Johnson Ferry Road Suite 235AtlantaGA30342PHYSICIAN SERVICES
108 - Ankle & Foot Centers of North Georgia - Da
133 Prominence Court Suite 210DawsonvilleGA30534PHYSICIAN SERVICES
109 - Atlanta Cardiac & Thoracic Surgical Associ
1100 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES410
110 - Atlanta Gynecologic Oncology - Marietta
780 Canton Rd Suite 405MariettaGA30060PHYSICIAN SERVICES
111 - Randy Rudderman MD- Plastic Surgeon
3400-C Old Milton Pkwy Suite 450AlpharettaGA30005PHYSICIAN SERVICES
112 - Perimeter Advanced Surgery Center
4553 North Shallowford RoadAtlantaGA30338AMBULATORY SURGERY
113 - Glenridge Northside Gynecology
5445 Meridian Mark Suite 120AtlantaGA30342PHYSICIAN SERVICES
114 - North Atlanta Breast Care
1100 Norside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES450
115 - Northside East Cobb Orthopedics and Sports
1163 Johnson Ferry Rd Suite 250MariettaGA30068PHYSICIAN SERVICES
116 - Ankle & Foot Centers of North Georgia - Al
3180 North Point Parkway BuildingAlpharettaGA30005PHYSICIAN SERVICES300 Su
117 - Ankle & Foot Centers of North Georgia - Cu
3275 Market Place Blvd LakePointCummingGA30041PHYSICIAN SERVICESProf Bl
118 - Atlanta Cardiac & Thoracic Surgical Associ
308 Deep South Farm RoadBlairsvilleGA30512PHYSICIAN SERVICES
119 - Atlanta Colon and Rectal Surgery - Mariett
780 Canton Road NE Suite 315MariettaGA30060PHYSICIAN SERVICES
120 - Atlanta Colon and Rectal Surgery - Roswell
1380 Upper Hembree RoadRoswellGA30076PHYSICIAN SERVICES
121 - Atlanta Institute for ENT - Sandy Springs
5730 Glenridge Dr Suite T-200Sandy SpringsGA30328PHYSICIAN SERVICES
122 - Chattahoochee Surgical Group - Alpharetta
3400-A Old Milton Pkwy Suite 210AlpharettaGA30005PHYSICIAN SERVICES
123 - Chattahoochee Surgical Group - Dawsonville
200 Dawson Commons Circle Suite 210DawsonvilleGA30534PHYSICIAN SERVICES
124 - Cherokee Lung and Sleep - Blairsville
308 Deep South Farm RdBlairsvilleGA30512PHYSICIAN SERVICES
125 - North Point Pulmonary Associates - Alphare
3400-C Old Milton Pkwy Suite 425AlpharettaGA30005PHYSICIAN SERVICES
126 - Northside Cherokee Orthopedics Sports Med
900 Towne Lake Pkwy Suite 320WoodstockGA30189PHYSICIAN SERVICES
127 - Northside Pulmonary and Sleep Medicine - B
4700 Nelson Brogden Blvd NE SuiteBufordGA30518PHYSICIAN SERVICES125
128 - Northside Pulmonary and Sleep Medicine - D
200 Dawson Commons Circle Suite 210DawsonvilleGA30534PHYSICIAN SERVICES
129 - Northside Total Joint Specialists - Alpha
3400 C-Old Milton Parkway Suite 190AlpharettaGA30005PHYSICIAN SERVICES
130 - Northside Total Joint Specialists - Cummi
1505 Northside Blvd Suite 3500CummingGA30041PHYSICIAN SERVICES
131 - Northside Total Joint Specialists - Cummi
1100 Northside Forsyth Drive SuiteCummingGA30041PHYSICIAN SERVICES250
132 - Perimeter North Family Medicine - Atlanta
960 Johnson Ferry Rd NE Suite 340AtlantaGA30342PHYSICIAN SERVICES
133 - Perimeter North Family Medicine - Canton
460 Northside Cherokee Blvd SuiteCantonGA30115PHYSICIAN SERVICES170
134 - Premier Neurological Care - Alpharetta
11820 Northfall Lane Suite 1103AlpharettaGA30009PHYSICIAN SERVICES
135 - Premier Neurological Care - Cartersville
100 Market Place Blvd Suite 307CartersvilleGA30121PHYSICIAN SERVICES
136 - ENT of Georgia - Peachtree
550 Peachtree Street Suite 1640AtlantaGA30308PHYSICIAN SERVICES
137 - ENT of Georgia - Peachtree Dunwoody
5673 Peachtree Dunwoody Road SuiteAtlantaGA30342PHYSICIAN SERVICES150
138 - ENT of Georgia - Decatur
484 Irvin Ct Suite 140DecaturGA30030PHYSICIAN SERVICES
139 - ENT of Georgia - Lawrenceville
748 Old Norcross Rd Suite 100LawrencevilleGA30045PHYSICIAN SERVICES
140 - ENT of Georgia - Marietta
3901 Roswell Road Suite 225MariettaGA30062PHYSICIAN SERVICES
141 - ENT of Georgia - Marietta
2550 Windy Hill Road Suite 307MariettaGA30067PHYSICIAN SERVICES
142 - ENT of Georgia - Sandy Springs
755 Mt Vernon Hwy NE Suite 370Sandy SpringsGA30328PHYSICIAN SERVICES
143 - ENT of Georgia - Snellville
1700 Tree Lane Suite 470SnellvilleGA30078PHYSICIAN SERVICES
144 - ENT of Georgia - Suwanee
4320 Suwanee Dam Road Suite 200SuwaneeGA30024PHYSICIAN SERVICES
145 - ENT of Georgia - Suwanee
4245 Johns Crk Pkwy Suite DSuwaneeGA30024PHYSICIAN SERVICES
146 - Georgia Gynecologic Oncology - Atlanta
980 Johnson Ferry Road Suite 910AtlantaGA30342PHYSICIAN SERVICES
147 - Georgia Gynecologic Oncology - Cumming
Timeshare 1505 Northside Blvd SuiteCummingGA30041PHYSICIAN SERVICES380

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 $110,302,320 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 2016 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 metrics 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 IRC 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 Implementation 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 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 is investing $280 million in building a new, state-of-the-art replacement hospital, medical office building and parking deck in Cherokee County. The replacement hospital will increase Northside Cherokee's inpatient capacity from 84 inpatient beds to 105 and will provide the Community with a more visible, easy-to-access hospital conveniently located off a major interstate highway. In Forsyth County, Northside has invested $44.6 million in a three-story medical/surgical tower expansion at Northside Hospital-Forsyth. This expansion will increase Northside Forsyth's inpatient bed capacity from 231 inpatient beds to 247. In Fulton County, the System's largest and oldest hospital campus also is undergoing significant expansion and renovation. Northside is investing $128.5 million in Northside Atlanta through the construction of a new five-story medical/surgical tower, campus-wide renovations and a new parking deck. Upon completion, Northside Atlanta's inpatient bed capacity will increase from 537 beds to 590 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 (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
AMERICAN CANCER SOCIETY
PO BOX 56566ATLANTAGA30343131788491501(c)(3)$98,500general support
AMERICAN HEART ASSOCIATION
1101 NORTHCHASE PKWY SUITE 1MARIETTAGA30067135613797501(c)(3)$160,000general support
AMERICAN RED CROSS
1955 MONROE DRIVE NEATLANTAGA30324530196605501(c)(3)$35,000general support
ARTHRITIS FOUNDATION GEORGIA
PO BOX 78423ATLANTAGA30357581341679501(c)(3)$90,675general support
ATLANTA TRACK CLUB INC
3097 E Shadowlawn Ave NeAtlantaGA30305581367422501(c)(3)$75,000general support
BICYCLE RIDE ACROSS GEORGIA
PO BOX 871111STONE MOUNTAINGA30087581576748501(c)(4)$75,000general support
CANCER SUPPORT COMMUNITY OF ATLANTA (PREVIOUSLY WELLNESS COMMUNITY)
5775 PEACHTREE DUNWOODY RD SUITEATLANTAGA30342582142151501(c)(3)$557,264general supportC-225
COBB CHAMBER OF COMMERCE
PO BOX 671868MARIETTAGA300060032580198114501(c)(6)$28,500general support
DAWSON COUNTY CHAMBER OF COMMERCE
PO BOX 299DAWSONVILLEGA30534581950100501(c)(6)$24,350general 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)$40,000general support
GEORGIA OVARIAN CANCER ALLIANCE
6065 Roswell Road Suite 512ATLANTAGA30328582424106501(c)(3)$40,000general support
GREATER NORTH FULTON CHAMBER OF COMMERCE
11605 HAYNES BRIDGE RDALPHARETTAGA30004581157316501(c)(6)$93,200general support
LEUKEMIA AND LYMPHOMA SOCIETY
3715 NORTHSIDE PARKWAY NW NORTHCREEATLANTAGA30327135644916501(c)(3)$25,000general support400 SUITE 300
MARCH OF DIMES
1275 MAMORONECK AVEWHITE PLAINSNY10605131846366501(c)(3)$510,000general support
MERCY CARE FOUNDATION
1100 JOHNSON FERRY RD NE BUILDING 2ATLANTAGA30342581448522501(c)(3)$50,000general supportSUITE LL80
MOREHOUSE SCHOOL OF MEDICINE
720 Westview Drive SWATLANTAGA303101495581438873501(c)(3)$100,000general support
MUSCULAR DYSTROPHY ASSOCIATION
2310 PARKLANE DRIVE SUITE 375ATLANTAGA30345131665552501(c)(3)$21,000general support
NORTH FULTON COMMUNITY CHARITIES
11270 ELKINS ROADROSWELLGA30076581521088501(c)(3)$25,000general support
OVARIAN CANCER INSTITUTE
960 JOHNSON FERRY RD STE 130ATLANTAGA30342582445245501(c)(3)$160,000general support
PARTNERSHIP AGAINST DOMESTIC VIOLENCE
315 W PONCE DE LEON STE 735ATLANTAGA30030581314556501(c)(3)$22,500general support
PORTAL DE SALUD INC
PO BOX 921605PEACHTREE CORNERSGA30092472672341501(c)(3)$30,000general 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)$25,000general support
VISITING NURSE HEALTH SYSTEM
5775 GLENRIDGE DRIVE NE SUITE E200ATLANTAGA30328580566250501(c)(3)$200,000general support
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt
Total Other Org6TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarship / Educational AssistanceGrantTypeTxt
Recipient2RecipientCnt
Cash Grant$12,537CashGrantAmt

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.$1,523,793$0$1,448,819$0$1,270,101$0$0$0$10,115$0$4,252,828$0$0$0
Wayne L Ambroze MD
Board Member$468,418$0$137,092$0$2,144$0$0$0$6,122$0$613,776$0$0$0
Deborah S Mitcham
VP/CFO NSH, Inc.$576,629$0$248,064$0$6,480$0$0$0$7,373$0$838,546$0$0$0
Jorge J Hernandez
Vice President/Asst. Secre$372,585$0$154,186$0$9,514$0$0$0$2,542$0$538,827$0$0$0
Janis Dubow
Vice President$343,756$0$97,823$0$14,217$0$0$0$4,484$0$460,280$0$0$0
Robert Putnam
Vice President$580,109$0$217,487$0$24,135$0$0$0$5,828$0$827,559$0$0$0
WILLIAM HAYES
CEO of northside hospital-Cherokee$408,760$0$74,927$0$9,848$0$0$0$9,743$0$503,278$0$0$0
Tina Wakim
Vice President$651,717$0$276,046$0$14,775$0$0$0$8,556$0$951,094$0$0$0
Stephen Salmieri MD
gynecologic oncologist$718,677$0$110,469$0$1,720$0$0$0$0$0$830,866$0$0$0
Gerald Feuer MD
Gynecologist/Surgeon$772,875$0$154,913$0$4,935$0$0$0$13,610$0$946,333$0$0$0
Guilherme h Cantuaria MD
gynecologic oncologist$784,619$0$121,038$0$1,122$0$0$0$7,153$0$913,932$0$0$0
WILLIAM EARLY MD
gastroenterology/internal$816,376$0$11,667$0$4,935$0$0$0$10,115$0$843,093$0$0$0
Joseph Ricotta MD
Vascular Surgeon$393,371$0$0$0$769,290$0$0$0$4,917$0$1,167,578$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 thirteen 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. Calendar year 2015 was such a year. Northside does not consider the SERP payment 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. In addition, Joseph Ricotta, M.D. (included in the top five highest paid employees) received a contractual payment of $768,865 during 2015, which is reported in Part II, column B(iii).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Hospital Authority of Fulton County
A581033907360053GW62011-12-12$51,910,000Provide funds to refund a prior issue - 2/16/2003; 2/2/1994000
Hospital Authority of Fulton County
B581033907360053GX42011-12-12$16,260,000Provide funds to refund a prior issue - 2/16/2003000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$51,910,000$325,322$51,584,6782011Yes (1)0Yes (1)Yes (1)
B$16,260,000$101,902$16,158,0982011Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
AYes (1)00000
Wells Fargo Bank
BYes (1)Yes (1)Yes (1)0004.75000000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part III, Line 9FormAndLineReferenceDesc
ExplanationSection 7.2 of the Tax Certificate specifies Northside's continuing compliance procedures with respect to IRC Sec. 148. Inasmuch as this was a current refunding with no pledged funds and no unspent project fund proceeds to which a temporary period would apply relating to rate of expenditure or the interest rate on interim investments, those procedures are directed at compliance with IRC Sec. 148(f), in particular, relating to calculation and payment of any arbitrage rebate.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Northside Anesthesiology Consultants LLC
K. Douglas Smith, M.D., board member & NS Anesthesiology Cons off./owner$3,969,098K. 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$126,468Robert 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 2015 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$372,301Dale 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$70,853Dale 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 2015 to Rachel Bearman for services rendered to the organization.0
Jennifer Whitley
Robert E. Whitley, board member & Jennifer Whitley family member$35,795Robert 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 2015 to Jennifer Whitley for services rendered to the organization.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Program Service Accomplishments (cont'd)Emergency Services In FY2016, total emergency room visits increased 4.8% across the Northside system, surpassing 169,000. Due to continued volume growth and in order to serve patients in a timely manner, Northside initiated several projects in FY2016 with the goals of reducing patient wait times and improving operational efficiencies. These projects included: - "Team Triage" at the Forsyth ER which expanded triage capacity and enables patients to be seen by a provider in the triage area that can examine, treat and discharge the patient without having to place the patient in an Emergency Department bed. This concept allows patients to be seen faster and cuts door-to-triage and door-to-provider times. Given its success, this concept is being implemented at the Atlanta campus in FY 2017. - The Atlanta campus ER initiated a process improvement project dubbed "Decision-to-Discharge - Actual Discharge". This initiative's goal was to improve operational efficiency and improve ER throughput. At the project's conclusion, Atlanta's ER experienced a 6-7 minute reduction in the timeframe to deliver care. Oncology Services In 2016, 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 2016: - Successfully completed Year 2 of the National Cancer Institute (NCI) Oncology Research Program grant and ranked No. 2 NCI Community Oncology Research Program (NCORP) community site in the U.S. for accruals to NRG Oncology research protocols. - Continued to be ranked nationally by NCI as a top accrual site to high-priority Precision Medicine trials. - Received three-year Commission on Cancer (CoC) reaccreditation with commendation. - Awarded Outstanding Achievement Award for the 5th consecutive survey cycle by CoC. - Received three-year National Accreditation Program for Breast Centers reaccreditation. - First hospital in Georgia to be awarded the Lung Cancer Disease Specific Care Certification by Joint Commission, making NHCI one of only six hospitals in the U.S. with this certification. - NHCI's affiliated partners, Georgia Cancer Specialists (GCS) and Atlanta Cancer Care (ACC), continue active participation in the Quality Oncology Practice Initiative (QOPI) program. - Enrolled in the National Quality Measures for Breast Centers (NQMBC) data submission and benchmarking initiative. - Successfully completed Foundation for the Accreditation of Cellular Therapy (FACT) reaccreditation for Blood and Marrow Transplant clinical program. - Chosen to partner with Cancer Support Community Atlanta (CSCA) for the Cancer Moonshot 2020 Initiative. Radiology Services - In late FY2015 Northside increased its imaging network from 36 locations to nearly 60 locations. The expanded geographic coverage enables Northside to provide complimentary services to Oncology and Primary Care providers, as well as to provide expanded access to imaging services to its patients. - In FY2016 Northside's radiology network experienced a volume of over 535,000 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 fifteen 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.) Initiated in July 2015, the Imaging Charity Referral Program received nearly 300 patient referrals in the first three (3) months. - In FY2016, Northside's Imaging Charity Referral Program received over 800 referrals from its safety net clinic and federal qualified health center referral partners. - Below is a testimonial from one of Northside's Imaging Charity Referral Program partners, demonstrating the effectiveness of this valuable outreach program. "Good Samaritan Health Center (Atlanta) is a non-profit medical clinic serving uninsured and underserved families throughout the Atlanta metro region. Without Northside's program, our patients would not have access to ultrasounds, CT scans, or MRIs. The team at Northside demonstrates compassion and caring for our patients. They process referrals in a timely manner. They contact every patient, often multiple times. The team also contacts our providers with updates and insures all reports are delivered immediately. We had an uninsured 32 year-old mother present. She was concerned about pelvic pain. Her provider scheduled a pelvic ultrasound which was scheduled within two weeks. The radiology report was promptly sent to us and the radiologist reported a possible mass on her ovary and recommended a follow up CT scan. Northside's team scheduled the CT scan immediately. The results indicated a highly suspicious ovarian mass. We then reached out to one of Northside's patient navigators who scheduled her with gynecology oncology. The patient has since underwent surgery which revealed ovarian cancer. Fortunately, her tumor has now been removed and the cancer was detected before metastasizing. She went from presenting as a new patient to having life-saving surgery within two months due entirely to Northside's exceptional program." [Medical Services Director - Good Samaritan Health Center] Surgical Services - In FY2016, total surgeries increased 8.4% across the Northside system, surpassing 53,000. - Northside hosted the Southeastern Society for Plastic and Reconstructive Surgeons' Annual Breast Symposium. The symposium attracted over 400 attendees with international participation from over 20 countries. - In June 2016, Northside Atlanta implemented a colorectal surgical site infection bundle. The bundle is a series of strategies/interventions aimed at decreasing surgical site infections in colorectal surgery patients. The effort included surgeon, anesthesia and nurse-led initiatives that are aimed at infection prevention. In June 2016, Northside Atlanta, Forsyth and Cherokee had zero colon surgical site infections. - 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 FY2016, the FASP received over 700 referrals from its community partners. - Below is a testimonial from one of Northside's FASP referral partners, demonstrating the effectiveness of this valuable outreach program. "We are the busiest safety-net clinic in Gwinnett County; we provided more than 17,000 patient encounters during 2015. We have been a FASP partner since Spring 2012. FASP has been the most important hospital-based charitable program we work with. When we see patients back in our office after a FASP referral, they are always highly complementary of the excellent care they received. Many patients have had years of medical uncertainty and discomfort before FASP and are so relieved and grateful after FASP they are reduced to tears when thanking us for the services they received.
Too often we find that low cost diagnostic and surgical services are inlimited supply and available only at limited times. Too often we find that, even after discounting, many organizations and providers' fees remain unaffordable for our patients. In contrast, FASP accepts our referrals year round and is always striving to help us be responsive to patients' various medical needs. If not for FASP, we could not have been as impactful in the lives of so many patients in recent years." [Executive Director - Good Samaritan Health Center - Lawrenceville] Women's Services - In FY2016, delivery volume remains strong across the Northside system with deliveries surpassing 20,000. - Northside Hospital Atlanta ("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 2015, the most recent data available, NHA cared for nearly 780 high-risk perinatal patients with the next closest provider caring for approximately 530 patients. - NHA's expertise in caring for the most fragile neonates also is unsurpassed. In 2015, the most recent data available, NHA cared for more than 5,100 neonates (excluding normal newborns) with the next closest provider caring for more than 2,000 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 11The 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 87 clinicians and 105 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 125 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 28 clinicians and 64 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 281,488,278. Management and general expenses 131,046,062. Fundraising expenses 0. Total expenses 412,534,340.
Form 990, Part XI, line 9:change in pension: -122,987,267. equity transfer: -792,389. income from joint venture: -3,150,590. Other Changes in Net Assets: -714,558.
Community Benefits Report - Fiscal Year 2016Northside Hospital is committed to the health and wellness of our community. As such, we dedicate ourselves to being a center of excellence in providing health care of the highest quality. We pledge compassionate support, personal guidance and uncompromising standards to our patients in their individual journeys toward health of body and mind. To ensure innovative and unsurpassed care for our patients, we are dedicated to maintaining our position as a regional leader 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 Community Benefit Philosophy In addition to providing high quality hospital-based medical services, Northside Hospital provides a number of community-based services, designed to improve the health of individuals who live, work and play in the areas we serve. Working with various organizations, hospital employees and medical staff, Northside participates in health education and screenings and provides support activities for individuals in the community, including vulnerable populations. 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 2016 - October 1, 2015 through September 30, 2016. 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 FY2016, Northside Hospital provided $390,784,537 in indigent and charity care. Uncompensated care including indigent and charity care and uncollected accounts represented $501,088,105. 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 FY2016, 807 people were served at 16 events, involving 64 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 seven-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 FY2016, the program enrolled 36 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, cancer prevention, the importance of screening and other cancer-related topics. In FY2016, 2,241 Northside staff hours served 32,466 people. Approximately 79,000 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 FY2016, the program was presented to 12 high schools, reaching 1,266 girls. Northside Hospital Website / Online Education Northside 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 735,515 people visited this content in FY2016, including: - 11,455 unique page views of weight loss surgery content - 11,475 page views of online cancer center - 35,464 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 women ages 30-65. The magazine is published three times a year and mailed to 490,000 individuals. The editorial staff dedicates approximately 220 hours of work per year. Maternal and Infant Health Education The Northside Hospital MothersFirst Program is a valuable resource to women who are already pregnant or considering becoming pregnant. MothersFirst offers pertinent education, classes, support groups, hospital tours and other services for women throughout the many stages of their childbearing years, from early pregnancy through the early childhood of their baby. MothersFirst offers four classes that qualify as community benefit - Labor & Birth, CPR, Baby Essentials and Breastfeeding. In FY2016, 7,164 people attended these classes (657 class sessions). At Northside Hospital, we want to support the decision to breastfeed. The American Academy of Pediatrics recommends exclusive breastfeeding for baby's first six months of life. 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 15,312 people (with 3,186 staff hours) in FY2016. 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 809 people accessed the eLearning Program in FY2016.
Support GroupsSupport 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 2,038 people attended in FY2016. - Two monthly Bariatric Support Groups are held (in Atlanta and Cumming) for any bariatric patient, pre or post-surgery. A third group is held in Atlanta for patients who are more than one year past surgery. Approximately 518 people attend the support groups in FY2016. - Two Stroke Support Groups for stroke survivors and their families meet monthly at Northside's Atlanta and Alpharetta campuses. 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 FY2016. - 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 FY2016, 15-20 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 FY2016, with approximately 25% 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. Meetings are usually once a month and are facilitated by a staff member of Northside's H.E.A.R.T.strings Perinatal Bereavement & Palliative Care Office, with a memorial event being held in October. Approximately 14 people attended each meeting in FY2016, with approximately 4 attendees coming from other hospitals. - 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 meets twice a month and is facilitated by a H.E.A.R.T.strings staff member. A memorial event is held once per year. Approximately 10 people attended each meeting in FY2016, with approximately 2-4 of attendees coming from other hospitals. Partnering with Schools Northside Hospital's Partners In Education program sponsors 111 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 FY2016, 320 staff hours were spent serving approximately 150,000 people. 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 FY2016, the program arranged 622 classes (624 classroom hours), reaching 18,040 students. Northside also partners with the Learning for Life Healthcare 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 healthcare 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 2015-16 session, 18 students participated in the program, facilitated by 120 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 FY2016, 35 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 healthcare 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 FY2016, 109 students participated for a total of 1,200 hours. More than ten Northside staff members spent 400 hours organizing and supervising the program. The Northside Hospital-Atlanta Auxiliary's Puppet Program travels to schools in DeKalb, Cobb and North Fulton counties, educating children in grades PK-4 about medical check-ups, peer pressure, and drug and alcohol abuse. In FY2016, the program conducted 25 puppet shows, reaching 2,746 students. Volunteers provided more than 100 hours and drove more than 780 miles. Northside's call center handles the scheduling of the puppet shows. In FY2016, 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 FY2016, Northside offered health screenings at 27 community and 16 corporate events, reaching 3,759 people. More than 3,025 staff hours were spent on the planning and implementation of the events.
Community ScreeningsThroughout 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. - Four Prostate Cancer Screenings took place, reaching 349 men. - Five free Skin Cancer Screenings were held, with 521 participants; 117 people were recommended for follow-up treatment because of abnormal findings. - 2 free Stroke Screenings were held, with 130 participants - 15 people were recommended for follow-up treatment because of abnormal findings. - In recognition of Better Hearing and Speech Month in May, the Audiology Department offered free Hearing Screenings to 64 individuals, and 23 were referred for further evaluation. The Audiology Department also provided free Hearing Screenings through the Cherokee County School District's "Give a Kid a Chance" Program. Screenings were provided to 123 school children. 6 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 FY2016, 50 screening colonoscopies were performed as well as 270 colonoscopies for diagnostic workups. 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 FY2016, 34,057 staff hours were spent on research, 487 people were served, and 274 research projects were performed. Specialties include blood and marrow transplant, cardiology, critical care, endocrinology, oncology, orthopedics, pulmonology, rheumatology, and vascular surgery. HEALTH PROFESSIONS EDUCATION The FY2016 Atlanta Cancer Symposium: Engaging the Experts focused on malignant hematology, breast cancer, and gynecologic cancer. Approximately 50 staff hours (4 people) coordinated the event; 186 attended. In May 2016, the hospital hosted the 4th Annual Women and Stroke Symposium. This activity is designed to provide educational content for neurologists and physicians in related fields regarding the unique challenges for women and stroke risk. Risks include hormone treatment, pregnancy, and cardiovascular health. Information about the advances in practice, treatment, prevention, and care of the stroke patient, including women experiencing stroke, will be presented. This education for the stroke professional is a vital component to providing quality patient care and achieving excellent patient outcomes long-term. Approximately 25 staff hours coordinated the event; 100 attended. CASH AND IN-KIND DONATIONS Cancer Institute Through the Northside Hospital Cancer Institute, approximately 500 hours were allocated to community benefit planning, operational support and fundraising. Another 225 staff hours were spent preparing and writing grants to allow Northside to increase access to cancer care. Northside was awarded four grants related to breast cancer in FY2016, totaling $239,641. Approximately 200 staff hours were spent preparing and writing these grants to provide the following services free of charge to vulnerable populations through the hospital's Breast Care Program Fund: - 602 screening mammograms - 296 diagnostic mammograms - 214 ultrasounds - 70 breast biopsies - 34 cyst aspirations - Genetic counseling and testing for uninsured/underserved women: 710 women screened using B-RST tool, of which 120 had a moderate or positive screen result; 12 patients counseled; eight women tested; one woman tested positive for the BRCA2 genetic mutation. Two colon cancer grants were received ($30,045), one from Colon Cancer Alliance that provided $25 gasoline cards or taxi vouchers to patients unable to drive to screening or cancer treatment appointments, and the other from the Colon Cancer Coalition that provided colon prep kits for patients preparing for a colonoscopy. Sponsorships In addition to the excellent medical care and educational programs, Northside provides financial assistance to more than 241 charitable organizations each year. 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. More than 1,000 hours were spent compiling, reviewing and approving sponsorship requests in FY2016. Picture and A Promise Northside collaborates with the American Heart Association to provide awareness and education of cardiovascular disease. The Picture and A Promise Booth is offered at the hospital's community screenings and other community events. It allows participants the opportunity to make a "promise" to their hearts to make lifestyle changes to be more heart healthy. In FY2016, Northside contributed $30,000 for the sponsorship of this program. Tennis Against Breast Cancer In October 2015, Northside Hospital organized the 12th annual "Tennis Against Breast Cancer" event, luncheon and fashion show at multiple locations in North Fulton and Forsyth counties to raise community awareness of breast cancer prevention and education, and 1,118 women participated in the event, which raised $201,700 for the hospital's Breast Care Program Fund. Approximately 320 hours were spent coordinating the event. Miracle Babies In November 2015, 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). More than $101,140 was raised for the Miracle Babies fund, and 145 people attended the event. Charity Golf Classic The Northside Hospital Charity Golf Classic is a corporate fundraiser for the Northside Hospital Blood & Marrow Transplant Program (BMT) and General Research Program. The FY2016 event raised $499,575 - 50 percent for the BMT Program and 50 percent for the Cancer Research Fund. The event was attended by 272 people and coordinated by 110 staff hours. Wine, Women and Shoes Approximately 415 people attended Northside's Wine, Women and Shoes event, benefitting the Ovarian and Gynecology Cancer Research Fund. More than $231,580 was raised. Approximately 120 staff hours were spent coordinating the event. Blood Drives Northside Hospital is a partner with the Metro Atlanta Red Cross and hosts blood drives for hospital staff and the community. In FY2016, 90.5 staff hours were spent coordinating 25 blood drives, at which 1,258 pints of blood were donated. Baby Alumni Birthday Party The 2016 Northside Hospital Baby Alumni Birthday Party at Zoo Atlanta was Atlanta's largest birthday party. More than 6,000 children and their families celebrated and enjoyed face painters, crafts, birthday cookies as well as an evening visit of the animal exhibits. Approximately 3,600 pounds of non-perishable foods, diapers and baby wipes were brought by guests and donated to the Atlanta Community Food Bank.
COMMUNITY BENEFIT OPERATIONSNorthside Hospital's Planning Department performs the health system's Community Health Needs Assessment once every three years. Approximately 77 staff hours were spent on this activity in FY2016. 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 FY2016. The hospital's sponsorship activities are coordinated by a Community Development Specialist in the Marketing Department, who worked more than 1,000 hours in FY2016 assessing and coordinating sponsorships that meet community benefit guidelines. 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, 32 hours in FY2016. BROAD-BASED COMMUNITY OUTREACH (Non Community Benefit) 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 FY2016, more than 4,250 Community Connection volunteers donated more than 29,660 hours of their time to more than 100 community service projects in the hospital's service areas. Employees help strengthen their communities by supporting the following Atlanta Region community organizations and charities and many more in the community. - A Touch of Warmth - American Cancer Society - American Diabetes Association - American Red Cross - Atlanta Community Food Bank - Atlanta Day Shelter for Women - American Heart Association - Atlanta Mission - Back on My Feet - Boys and Girls Club of Metro Atlanta - Brookhaven Acute Nursing Home - Children's Restoration Network - City of Alpharetta - Colon Cancer Alliance - Drake House - Georgia Ovarian Cancer Alliance - Gwinnett Children's Shelter - Jesse's House - MedShare International - MUST Ministries - No One Alone Shelter - OneSight - Open Hand - Partnership Against Domestic Violence - Project Turn Around - Second Wind Dreams - The Place of Forsyth County - Toys for Tots - TurnAround Ministries - United Way of Forsyth County - United Way of Metropolitan Atlanta Program Highlights: - Cell phones are collected throughout the year for the Partnership Against Domestic Violence to support women and their children in their effort to live violence free. - In celebration of the 14th Annual Absolutely Incredible Kid Day, Northside employees wrote hand-written letters of encouragement to every student at High Point Elementary, a Title I school. These letters showed support of the student's dreams and goals for success. - Employees provided healthy snacks for children at No One Alone Shelter who have been affected by domestic violence. These snacks are essential to the children's weekly support group, where through snacks and activities children increase their self-esteem, learn safety skills and improve their behavior. - Northside's annual "Operation Book Bag," a book bag and school supply drive benefiting Children's Restoration Network, was by far Northside's biggest year ever. More than 1,000 new book bags filled with school supplies were collected and distributed to homeless children in the metro Atlanta area. - Every month, more than fifteen employees from Northside's Business Office visit amazing seniors at a local retirement center. During these visits, seniors and employees play BINGO, celebrate birthdays and spend quality time together. The seniors love children, so several employees bring their children and families with them to visit. The bonds between volunteers and the seniors has steadily grown. Employees also adopt the more than 150 residents to provide them with a personal care package during the holiday season. - Northside's March of Dimes - March for Babies campaign was a big success. Northside and its family partners were the No. 1 health care fundraising team and the No. 2 team overall in the state of Georgia for 2016. - Northside employees, families, and friends filled the wish lists of homeless children in the Metro Atlanta Area. Northside partnered with Children's Restoration Network to ensure that more than 4,000 homeless children in Metro Atlanta had a memorable and meaningful Christmas. - Departments, individuals and their families helped employees who have received assistance from the Northside Shares Help Fund create memorable holidays for their children. The Northside Hospital Shares Help fund provides aid to employees in dire financial need resulting from an emergency. - Northside Hospital-Cherokee's Holiday Toy Drive provided toys to the Boys & Girls Club of Cherokee County. - Northside participated in the Second Wind Dreams project to provide gifts for seniors at nursing homes, and staff members had the opportunity to shop for the seniors, and some invited family and friends to deliver gifts to seniors on Christmas Eve or Christmas Day. - Throughout the year, employees donated basic needs items from a wish list to the Partnership Against Domestic Violence. The items benefit victims of domestic violence who reside in safe houses and their Supportive Housing Programs. - Through Open Hand, staff members pack meals for delivery to persons with HIV/AIDS, the sick and shut-ins and the elderly. Open Hand prepares and delivers two freshly cooked meals, every day, seven days a week, to people with AIDS or HIV-related illnesses who need them. This project depends on the participation of more than 100 volunteers each day to cook, pack and deliver the meals. - Employees at the Northside Hospital-Forsyth campus volunteer annually at Hands on Forsyth, Taste of Forsyth, the Cumming Country Fair and Festival, United Way of Forsyth, The Place, and the Drake House. - Employees at Northside Hospital-Cherokee participated in various community projects including the Taste of Canton, Cherokee Family Violence Center and MUST Ministries. Northside Hospital's Health Resource Center/medical library is open to the community and is home to a vast collection of medical information, including books, journals and online resources. The Library offers electronic access to more than 400 medical journals, as well as print subscriptions to more than 150 journals. Internet access to health information databases is also available. Staff is available to provide literature searches. We also provide proctoring services to distance learners. The Health Resource Center's highly trained staff is available to assist patrons with finding what they want and/or need. 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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