2015-08-17T07:33:31-05:00 2014-09-30 621517792 PERSHING YOAKLEY & ASSOCIATES P C ONE CHEROKEE MILLS 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2013-10-01 581694098 NORTHEAST GEORGIA MEDICAL CENTER INC NORT 7702196646 743 SPRING STREET GAINESVILLE GA 305013899 ANTHONY HERDENER VICE PRESIDENT/CFO 7702196646 2015-08-17 1 DEBORAH O ERNSBERGER P00364912 8656730844 2013 2016-03-07 17:11:31Z CAROL BURRELL 743 SPRING STREET GAINESVILLE GA 305013899 823762098 0 X WWW.NGHS.COM X 1986 GA TO PROVIDE ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY. 15 9 0 618 3039563 -69395 2504670 4638517 680350741 751051109 43159018 66747622 959770 1025661 726974199 823462909 1814498 2118989 0 0 262129014 283134703 0 0 0 353730602 393215116 617674114 678468808 109300085 144994101 1128236649 1268569827 724824863 802868208 403411786 465701619 THE MISSION OF NORTHEAST GEORGIA MEDICAL CENTER (NGMC) TO PROVIDE COMPREHENSIVE, ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY. 0 0 591759462 2118989 736349252 NORTHEAST GEORGIA MEDICAL CENTER, INC. IS A 557 BED REGIONAL REFERRAL FACILITY PROVIDNG A COMPREHENSIVE RANGE OF ACUTE CARE AND SPECIALTY MEDICAL CARE. NGMC SERVES THE CITY OF GAINESVILLE, GEORGIA; HALL COUNTY AND SURROUNDING COUNTIES. **SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION** 591759462 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 511 0 1 0 1 1 0 0 0 0 0 0 0 0 0 X 15 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 GA X LINDA D NICHOLSONCONTROLLER 7702196646 743 SPRING STREET GAINESVILLE GA 30501 JACKIE WALLACE VICE CHAIR 2014 1.00 X 0 0 0 ALEX WAYNE MEMBER 1.00 X 0 0 0 JOHN HEMMER MD MEMBER 1.00 X 21280 0 0 JAY HORTENSTINE MD MEMBER, NGPG PHYSICIAN 1.00 40.00 X 0 478494 30500 LUA BLANKENSHIP MEMBER 1.00 X 0 0 0 RODNEY SMITH MD MEMBER 1.00 X 0 0 0 KAYE ANN HERTH MEMBER 1.00 X 0 0 0 JOHN NIX CHAIR 1.00 X 0 0 0 JANE SMOOT MEMBER 1.00 X 0 0 0 JOHN PRIEN MEMBER 1.00 X 0 0 0 LARRY E DENT MEMBER 1.00 X 0 0 0 JACK KEENER MEMBER 1.00 X 0 0 0 SPENCE PRICE VICE CHAIR 2013 1.00 X 0 0 0 DEBORAH MACK MEMBER 1.00 X 0 0 0 STEVE BLAIR MEMBER 1.00 X 0 0 0 PRESTON BOWEN MEMBER 1.00 X 0 0 0 JEFF TERRY MD MEMBER 1.00 X 24000 0 0 TIM SCULLY MD MEMBER 1.00 X 0 0 0 JOHN A WILLIAMSON VP - BRASELTON PRESIDENT - NGMC 40.00 1.00 X 0 345462 71233 CAROL H BURRELL PRESIDENT & CEO 1.00 40.00 X 0 907390 921004 ANTHONY M HERDENER VP & CFO - NGHS 1.00 40.00 X 0 521613 118580 SONJA F MCLENDON VP PROF SRVCS-NGMC 40.00 1.00 X 0 256839 20991 TRACY M VARDEMAN VP STRATEGIC PLAN/MKTING 1.00 40.00 X 0 279768 73777 JAMES BAILEY MD VP & CMIO/CQO - NGHS 1.00 32.00 X 0 554240 30442 KAREN S WATTS VP - PATIENT SERVICES - NGMC 40.00 1.00 X 0 279908 13487 MARY M STRAND VP REV. CYCLE-NGHS 1.00 40.00 X 0 242842 44944 SAMUEL O JOHNSON MD VP MEDICAL AFFAIRS & CMO 1.00 40.00 X 0 450489 71764 ALLANA L CUMMINGS VP & CIO - NGHS 1.00 40.00 X 0 457773 59095 BRADLEY K NURKIN VP - GAINESVILLE PRESIDENT - NGMC 40.00 1.00 X 0 410027 63661 LINDA NICHOLSON VP OF FINANCE/CONTROLLER 1.00 40.00 X 0 246579 74113 SHERRY DORSEY VP & CAO; NGPG PRESIDENT 1.00 40.00 X 0 92230 6766 STEPHEN A CARLSON DIRECTOR - PHARMACY 40.00 X 0 175374 33762 DEBRA DUKE DIRECTOR - DIAGNOSTIC IMAG 40.00 X 0 160772 41167 RANDALL P MILLER MANAGER - RADIATION PHYSICS 40.00 X 0 250447 37105 DAVID E PATTERSON RADIATION III PHYSICIST 40.00 X 0 200155 24558 CHRISTOPHER PARAVATE CHIEF APPLICATION OFFICER 40.00 X 0 196083 35944 AMANDA CAIN CHIEF UTILIZATION OFFICER 40.00 X 0 203261 16820 RICHARD D MATTHEUS CIO - NGPG 40.00 X 0 203727 26115 JAMES WALKER FORMER VP HR-NGHS 0.00 X 0 341082 49340 PAUL G VERVALIN FORMER VP & CAO; NGPG PRESIDENT 0.00 X 0 234827 21205 JAMES E GARDNER JR FORMER PRESIDENT & CEO 0.00 X 0 148733 0 45280 7638115 1886373 0 1 1 0 HAMMEL GREEN & ABRAHAMSON LLC PO BOX 86 MINNEAPOLIS MN 55486 ARCHITECT/ DESIGN SERVICES 5925772 MCKESSON TECHNOLOGIES PO BOX 98347 CHICAGO IL 60693 SOFTWARE/ EQUIP MAINTENANCE 3499470 GE MEDICAL SYSTEMS PO BOX 402076 ATLANTA GA 30384 EQUIP MAINTENANCE/ REPAIR 3319171 ANESTHESIA ASSOC OF GAINESVILLE PO BOX 1076 GAINESVILLE GA 30503 MEDICAL SERVICES 1904926 PHILIPS MEDICAL SYSTEMS NA PO BOX 100355 ATLANTA GA 30384 EQUIP MAINTENANCE/ REPAIR 1863901 279 4638517 4638517 NET PATIENT SVC REVENUE 621400 736062262 733070099 2992163 PHARMACY 446110 12386780 12386780 CAFETERIA REVENUE 722210 2476116 2476116 DAY CARE CENTER 624410 78551 78551 MANAGEMENT REVENUE 900099 47400 47400 751051109 23236789 23236789 800271 14200 786071 786071 786071 42990319 805503 0 284989 42990319 520514 43510833 43510833 PARTNERSHIP INCOME 621990 239590 239590 239590 823462909 733309689 3039563 82475140 2104339 2104339 14650 14650 1292235 1109177 183058 226476117 194393510 32082607 6804173 5840294 963879 31964595 27436490 4528105 16597583 14246369 2351214 28704310 24638057 4066253 1922397 1650070 272327 1649243 1415611 233632 38625323 33153660 5471663 762888 654817 108071 9033112 7753481 1279631 440720 378288 62432 378659 325018 53641 30862348 26490388 4371960 44378944 38092223 6286721 3770249 3236156 534093 SUPPLIES 131385144 112773125 18612019 BAD DEBT EXPENSE 64255045 64255045 RENTAL & MAINTENANCE 24273019 20834503 3438516 LICENSES & TAXES 7729954 6634929 1095025 5043761 4329262 714499 678468808 591759462 86709346 0 5565232 19318765 79499 80102 87894418 100155581 532786 524468 4924999 5747777 4422452 2915795 981352348 478475143 425498135 502877205 598367637 634152917 56852 61462 894639 2735755 1128236649 1268569827 64961130 79572997 626004501 692081931 104226 839099 33755006 30374181 724824863 802868208 X 403411786 465701619 403411786 465701619 1128236649 1268569827 X 144994101 -17965765 -64738503 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 28994 28994 0 PART II-B, LINE 1: NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS MEMBERSHIP DUES TO AMERICAN ASSOCIATION FOR RESPIRATORY CARE, AMERICAN ACADEMY OF SLEEP MEDICINE, AMERICAN COLLEGE OF HEALTHCARE, AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION, AMERICAN MEDICAL ASSOCIATION, AMERICAN SOCIETY FOR HEALTHCARE HUMAN RESOURCES ADMINISTRATION, AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS, COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES, CLINICAL LABORATORY MANAGEMENT ASSOCIATION, GEORGIA HEALTHCARE ASSOCIATION, GREATER HALL CHAMBER OF COMMERCE, NATIONAL HOSPICE AND PALLATIVE CARE ORGANIZATION, GEORGIA SOCIETY FOR HEALTH RISK MANAGEMENT, SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY, SOCIETY FOR HUMAN RESOURCES MANAGEMENT, SOCIETY OF THORACIC SURGEONS, REGION 2 EMS DIRECTORS ASSOCIATION, AMERICAN PHYSICAL THERAPY ASSOCIATION, ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL AND EPIDEMIOLOGY, COLLEGE OF AMERICAN PATHOLOGISTS, GEORGIA HOSPITAL ASSOCIATION, SOCIETY OF NUCLEAR MEDICINE, AMERICAN ACADAMY OF NURSE PRACTITIONERS, FOOTHILLS OF GEORGIA SHRM CHAPTER AND AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION. A PORTION OF THESE DUES ARE DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. 16849889 3570704 138946 4410931 47587 16101021 15041133 4067156 139010 2329610 67800 16849889 11866689 2888063 279190 41382 -48573 15041133 10371919 2757537 50661 1305082 8346 11866689 9240287 1974645 106903 938110 11806 10371919 0.19000 0.81000 0 1 1 8855006 8855006 383163062 131404478 251758584 10274462 7836769 2437693 446572837 330750855 115821982 132486981 8483041 124003940 502877205 ESTIMATED THIRD PARTY PAYER SETTLEMENTS 12614890 CAPITALIZED LEASES 545506 DEFERRED COMPENSATION 13710797 ESTIMATED FAIR VALUE OF INTEREST RATE SWAPS 3502988 30374181 X 754936335 -63638922 -63638922 818575257 1649243 3238409 4887652 823462909 609697006 14199 14199 609682807 1649243 67136758 68786001 678468808 PART X, LINE 2: NORTHEAST GEORGIA HEALTH SYSTEM, INC., NORTHEAST GEORGIA MEDICAL CENTER,INC., THE MEDICAL CENTER FOUNDATION, INC. AND NORTHEAST GEORGIA PHYSICIANS GROUP, INC. ARE CLASSIFIED AS ORGANIZATIONS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE. THE INCOME FOR THE HEART CENTER PASSES THROUGH TO NGHS, WHICH IS TAX EXEMPT. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. NORTHEAST GEORGIA HEALTH PARTNERS, LLC IS TAXABLE ENTITY AND ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES. AT SEPTEMBER 30, 2014, MANAGEMENT DOES NOT BELIEVE THE SYSTEM HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FMANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER ASC 740. IT IS THE SYSTEM'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS AS AN OPERATING EXPENSE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE 2,081,733. NON-OPERATING EXPENSES -1,465,610. ESTIMATED PROVISION FOR BAD DEBTS -64,255,045. PART XI, LINE 4B - OTHER ADJUSTMENTS: PARTNERSHIP INCOME NOT ON BOOKS 215,400. RENTAL EXPENSES -14,200. NET ASSETS RELEASED FROM RESTRICTIONS 3,037,209. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 14,199. PART XII, LINE 4B - OTHER ADJUSTMENTS: NON-OPERATING EXPENSES 1,465,610. ESTIMATE PROVISION FOR BAD DEBTS 64,255,045. PARTNERSHIP EXPENSES NOT ON BOOKS 390. TRANSFERS TO/FROM AFFILIATES 1,415,713. 1 1 1 X 1 X 1 1 1 0 1 1 28862274 0 28862274 0.04700 84604027 79057126 5546901 0.00900 2274311 1714152 560159 0.00090 115740612 80771278 34969334 0.05690 32 216521 1982470 6993 1975477 0.00320 10 6134 1627768 500 1627268 0.00260 0 0 112662144 104853762 7808382 0.01270 1 100 564639 199153 365486 0.00060 22 0 617045 2920 614125 0.00100 65 222755 117454066 105063328 12390738 0.02010 65 222755 233194678 185834606 47360072 0.07700 10 300000 156375 1550 154825 0.00030 1 2000 200 1800 0.00000 1 500 100 400 0.00000 5 246 379539 379539 0.00060 17 300246 538414 1850 536564 0.00090 1 64255045 0 177225978 189920951 -12694973 X 1 1 1 1 NORTHEAST GEORGIA MEDICAL CENTER 743 SPRING STREET GAINESVILLE GA 30501 X X X NORTHEAST GEORGIA MEDICAL CENTER 1 1 X X X X X X X X X 13 1 0 1 X WWW.NGHS.COM X X X X X X X X X 0 0 1 1 150.000000000000 1 300.000000000000 1 X 1 1 X X 1 0 1 X 0 0 NORTHEAST GEORGIA MEDICAL CENTER PART V, SECTION B, LINE 3: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH VIA 6 FOCUS GROUPS AND 20 KEY STAKEHOLDER INTERVIEWS. BELOW IS A LIST OF PEOPLE INVOLVED IN FOCUS GROUPS AND ONE-ON-ONE STAKEHOLDER INTERVIEWS.STEERING COMMITTEE MEMBERSLINDA NICHOLSON CONTROLLER, NGMCCHERYL CHRISTIAN EXECUTIVE DIRECTOR, GOOD NEWS CLINICSCHRISTY MOORE MANAGER, COMMUNITY HEALTH IMPROVEMENT, NGMCVAN HAYGOOD DIRECTOR, EMERGENCY DEPARTMENT, NGMCVERAN SMITH DIRECTOR, CASE MANAGEMENT, NGMCMARLENE MCINTYRE DIRECTOR, QUALITY AND PATIENT SAFETY, NORTHEAST GEORGIA PHYSICIAN'S GROUPADVISORS TO THE CHSC:TRACY VARDEMAN VICE PRESIDENT, STRATEGIC PLANNING & MARKETING, NGMCNANCY COLSTON EXECUTIVE DIRECTOR, THE MEDICAL CENTER FOUNDATIONCOMMUNITY REPRESENTATIVES KEY STAKEHOLDER INTERVIEWSCHEEK, ANDRE FORMER HEALTHY HALL MEMBER, HALL COUNTY NATIVECHRISTIAN, CHERYL EXECUTIVE DIRECTOR, GOOD NEWS CLINICSCOKER, MAMIE SCHOOL NURSE COORDINATOR, HALL COUNTYCRONIA, PAULA SCHOOL NURSE COORDINATOR, GAINESVILLE CITYCUNNINGHAM, MATT SALVATION ARMYESPINOZA, YOLANDA PHARMACY TECH, GOOD NEWS CLINICSFIGUERAS, MYRTLE COUNCIL MEMBER, RETIRED EDUCATORFREEMAN, PAT DIRECTOR, LEGACY LINKGLASBRENNER, WENDY GA LEGAL SERVICES AND CHAIR, FAMILY CONNECTIONHAYGOOD, VAN DIRECTOR, EMERGENCY DEPARTMENT, NGMCHICKS, BARBARA TEEN PREGNANCY PREVENTIONLITTLE, MATTHEW BLACK MINISTERIAL ASSOCIATIONLUCKZA, JANELLE AVITA COMMUNITY PARTNERSMICKENS, STEVE CEO, BOYS & GIRLS CLUBSMONTIEL, ENRIQUE DIVERSITY COMMITTEE CHAIR, VISION 2030RICE, JILL DIRECTOR, DEPARTMENT OF FAMILY AND CHILDREN SERVICES (DFACS)SMITH, DAVID CENTERPOINTSMITH, VERAN DIRECTOR, CASE MANAGEMENT, NGMC2013 NORTHEAST GEORGIA MEDICAL CENTER COMMUCOMMUNITY TUNKLE, STACY CENTERPOINTVENTRY, CAROLINE SENIOR LIVING ADVISOR, A PLACE FOR MOMPARTICIPANTS - COMMUNITY FOCUS GROUP MEETINGSABERNATHY, KEITH PERSONAL CAREGIVERALLEN, CONNIE SOCIAL WORKER, HALL COUNTY SCHOOL SYSTEM (HCSS)ALLEN, LYNNE VOLUNTEER SERVICES, NGMCAMOS, KATHY BRENAU UNIVERSITYANDERSON, DONNA EMPLOYEE WELLNESS & EAP, NGHSANDERSON, JAROD OUTREACH PROGRAMS, GAINESVILLE CITY SCHOOLSARMOUR, TERRI R. ACTION MINISTRIES-GAINESVILLEARNOLD, MARK HALL COUNTY FIRE SERVICESARNOLD, MARK HALL COUNTY FIRE SERVICESBANKS, JP COORDINATOR, DRUG FREE COALITION OF HALL COUNTYBATTLE, DEB TRAUMA CARE SERVICES, NGMCBENTON, STACY PRINCIPAL, HALL COUNTY SCHOOLSBLACK, CHAD HALL COUNTY FIRE SERVICESBLACKSTOCK, KAY GEORGIA MOUNTAINS FOOD BANKBUFFINGTON, JEANNE RAPE RESPONSEBUTLER, JULIE GAINESVILLE PARKS & RECREATIONCANTRELL, BETSY FORMER HEALTHY HALL MEMBER, UNIVERSITY OF NORTH GEORGIACARLSON, STEVE DIRECTOR OF PHARMACY, NGHSCHAPMAN, DANA THE GUEST HOUSE, INC.CHAPMAN, RICK RETIREDCOLLINS, MIMI CEO, THE LONGSTREET CLINICCOTTON, SHANNA NINTH DISTRICT OPPORTUNITYCRUMLEY, KATIE HALL COUNTY GOVERNMENTDELESLIE, SARAH "SALLY" WISDOM PROJECTDYER, MERIANNE SUPERINTENDENT, GAINESVILLE CITY SCHOOLSDYER, SARA DIRECTOR, WOMEN'S & CHILDREN'S SERVICESEDWARDS, TOM CARDIOLOGY SERVICES, NGHSFESSLER, TIFFANY MORTON VARDEMAN CARLSONFIELDEN, ELIZABETH COORDINATOR, HALL COUNTY FAMILY CONNECTIONFLACK, CALLIE NORTH GEORGIA COMMUNITY FOUNDATION (NGCF)FREEMAN, MIKE RETIRED, SOUTH HALL ROTARYGADDY, LISBETH PEDIATRICS RN, NGHSGOHMAN, KEVIN INPATIENT REHAB DIRECTOR, NGHSGORDY, KELLI GATEWAY (DOMESTIC VIOLENCE)GRAHAM, LAURA DIABETES EDUCATION, NGMCGREEN, JOY THE MEDICAL CENTER FOUNDATION (TMCF)GUILFOILE, BETTY CHILDREN'S CENTER FOR HOPE & HEALING (CCHH)PARTICIPANMUNITY HEALTH NEEDS ASSESSMENTHUGGINS, KAAL DIRECTOR, VICTIM WITNESS SOLUTION OFFICEIRICK, SUSAN RN, FLU/PREVENTION, NGHSJOHNSON, EVA CONGESTIVE HEART FAILURE RN, NGHSJONES, LANG HIGHLAND MOUNTAIN BEVERAGEKNIGHTON, RANDY GAINESVILLE ADMINISTRATION, HALL COUNTYLABBE, JANICE TRAUMA SERVICES, NGMCLAWRENCE, GARY WISDOM PROJECTLITTLE, JENNIFER DIRECTOR, STAFF DEVELOPMENT, NGPGLLOYD, KEVIN LAURELWOOD (MENTAL HEALTH, ALCOHOL, DRUG ABUSE FACILITY)LOPEZ, ELIDA CANCER NAVIGATOR, NGMC / AMERICAN CANCER SOCIETYMACK, DEBORAH K. COMMUNITY VOLUNTEER & BOARD MEMBERMANRIQUE, CAROLINE GA LEGAL SERVICES (GLSP)MARTINEZ, ALEJANDRA RIGHT FROM THE START MEDICAID-DFACSMASTERS, SCOTT DIRECTOR, EMERGENCY MEDICAL SERVICES, NGMCMATHIS, JIM PRESIDENT, NORTH GEORGIA COMMUNITY FOUNDATIONMILLER, AMY LULA PHARMACY, JR. LEAGUE, WOMEN SOURCENELSON, DEBORAH UNITED COMMUNITY BANKNIVENS, MEG CHAMBER, VISION 2030OWENS, MARTY RANDY & FRIENDSPARKER, PHILLIP RETIRED, NGMC ADVISORY BOARDPATTERSON, PAM LONGSTREET CLINICPEEPLES, NANCY DISABILITY RESOURCE CENTERPIUCCI, MICHELE CHATTAHOOCHEE BANK OF GEORGIA, PRESIDENT OF BOYS & GIRLS CLUBS, WOMENSOURCEPRESSLEY, JUSTIN ACCESS TO A BETTER TOMORROW (NON-PROFIT)RASMURSON, MARYANE REDBUD PROJECT (ENVIRONMENTAL ISSUES)RIOS, ANTONIO, MD CHIEF PHYSICIAN EXECUTIVENGPG, NGHSROGERS, MARY VOLUNTEER, NGMCRYLEE, BETH SAFE KIDS/ED, NGMCSALYERS, SANDY WELLS FARGO BOARD MEMBER CHALLENGED CHILD & FRIENDSSATTERFIELD, RENEIGH EDWARD JONES, COMMUNITY VOLUNTEERSHELTON, MARTA GA LEGAL SERVICESSHINAFELT, DOROTHY ALLIANCE FOR LITERACYSHINGLETON, LORITA BARIATRIC SERVICES, NGHSSHOPE, PAULA NUTRITION SERVICES, NGHSSKEY, OLIVIA VICE PRESIDENT OF MEDICAL ASSISTING PROGRAM, LANIER TECHNICAL COLLEGESMITH, KAY EMERGENCY ROOM RN, NGMCSMITH, MELINDA RN, NGMCSMOOT, JANE B. BOARD MEMBER, NGHSSTEPHENS, CONNIE COURT APPOINTED SPECIAL ADVOCATE (CASA)STEWART, TODD RIGHT FROM THE START (RSM) MEDICAID OUTREACH PROJECTSTOECKING, JENNIFER NEW HORIZONS-LANIER PARK NURSING HOMESTRINGER, SANDRA UGAHALL COUNTY EXTENSION OFFICESUCHKE, DOROTHY LEGACY LINKTANKSLEY, DIANE NINTH DISTRICT OPPORTUNITYTIMPONE, ANDREA ELACHEE NATURE SCIENCE CENTERTYMCHUK, MELISSA PUBLIC RELATIONS & MARKETING, NGHSWALKER, BEVERLEY HALL COUNTY FIRE SERVICESWALKER, ERIKA SAGE WAVE CONSULTINGWALLACE, JACKIE PRESIDENT, UNITED WAY OF HALL COUNTYWALSH, DON OUTPATIENT REHABILITATION DIRECTOR, NGHSWANGEMANN, GEORGE CITY COUNCILWARREN, TERESA DIRECTOR, HOSPICEPARTICIPANTS - NGHS ADVISORY BOARD FOCUS GROUPLARRY BALDWIN JUDGE, STATE COURT OF HALL COMPANYCATHY BOWERS RETIRED DIRECTOR OF PUBLIC RELATIONS, NGHSBRIAN CANTEL PRESIDENT/OWNER, CANTEL WEALTH MANAGEMENT, LLCKATIE CRUMLEY PUBLIC INFORMATION OFFICER, HALL COUNTY GOVERNMENTJUDY ESCAMILLA EXECUTIVE DIRECTOR, HOUSING AUTHORITY OF THE CITY OF GAINESVILLESAM EVANS FACILITIES MANAGER, HALL COUNTY LIBRARY SYSTEMERICA GLENN GRANT PROGRAM CONSULTANT, HOMELESS EDUCATION, GEORGIA DEPARTMENT OF EDUCATIONJANE HEMMER PRESIDENT, WHITE SULPHUR PROPERTIES, INC.LT COL. KEVIN JARRARD COMMANDANT OF CADETS, RIVERSIDE MILITARY ACADEMYMARY JONES OWNER, JONES CUTTING HORSESTOM KITCHIN CO-OWNER, TDK INVESTMENTS, INC.WILLIAM S. "BILL" LIGHTFOOT DEAN OF BUSINESS & MASS COMMUNICATIONS, BRENAU UNIVERSITYJANICE LUDWIG INSTRUCTOR/PERSONAL TRAINER, FIRST BAPTIST CHURCH/FAMILY LIFE CENTERDEBORAH MACK COMMUNITY VOLUNTEERMARTHA MARTIN PRESIDENT, PHIL-MART TRANSPORTATIONPHILLIPPA LEWIS MOSS DIRECTOR, GAINESVILLE-HALL COUNTY COMMUNITY SERVICE CENTERAMY MILLER PHARMACIST, LULA PHARMACY AND FOOTHILLS GIFT SHOPGEORGE ORDWAY PA, NORTHEAST GEORGIA HEART CENTERPHILIP PARKER RETIRED, AMERICAN GREETINGS CORPORATIONCAROL PERKINS, CHAIR RETIRED CEO, AVITA COMMUNITY PARTNERSBILL SANDERS DISTRICT MANAGER, JACKSON EMCJANE BERRONG SMOOT RETIRED GENERAL PARTNER, EDWARD JONESRUTH WADE BANK OF AMERICADR. JAMES WHITLOCK RETIRED PROFESSOR, BRENAU UNIVERSITYSTEPHANIE B. WILLIAMS COMMUNITY RESIDENT, FUNARI REALTYCARRIE WOODCOCK DIRECTOR, ESOL SERVICES, ROLLINS CENTER FOR LANGUAGE & LEARNING, ATLANTA SPEECH SCHOOLSUSAN WRIGHT HALL COUNTY BOARD OF EDUCATION, LANIER CHARTER CAREER ACADEMYHEALTH NEEDS ASSESSMENTPARTICIPANTS - NGHS SENIOR ADMNISTRATIVE LEADERSHIP FOCUS GROUPCAROL BURRELL CEOBRAD NURKIN PRESIDENTTONY HERDENER CHIEF FINANCIAL OFFICERJOLINDA MARTIN CHIEF NURSING OFFICERALLANA CUMMINGS CHIEF INFORMATION OFFICERSAM JOHNSON, MD CHIEF MEDICAL OFFICERJAMES WALKER VICE PRESIDENT, HUMAN RESOURCESPAUL VERVALIN EXECUTIVE DIRECTOR, NORTHEAST GEORGIA PHYSICIANS GROUPTRACY VARDEMAN VICE PRESIDENT, STRATEGIC PLANNING & MARKETINGANTHONY WILLIAMSON VICE PRESIDENT, SERVICE LINES & NGMC BRASELTONLINDA NICHOLSON CONTROLLERNANCY COLSTON EXECUTIVE DIRECTOR, THE MEDICAL CENTER FOUNDATIONKRISTIN BECK DIRECTOR, DEPARTMENT OF EXCELLENCESTEPHEN ROSS, DEPARTMENT OF EXCELLENCE NORTHEAST GEORGIA MEDICAL CENTER PART V, SECTION B, LINE 7: IN SOME FORM OR FASHION NGMC IS INVOLVED AT SOME LEVEL WITH MEETING THE HEALTHCARE NEEDS IDENTIFIED, HOWEVER THROUGH THE CHNA PROCESS AND THE LENS OF THE ACA, THE PROCESS ALSO HELPED US IDENTIFY OTHER COMMUNITY PARTNERS WHO CAN HELP US, AND IN SOME CASES WITH SOME OF THE ISSUES IDENTIFIED, OTHER COMMUNITY PARTNERS ARE BETTER SUITED TO LEAD IMPLEMENTATION OF PROGRAMS. SO WHILE NGMC HAS DEEPER INVOLVEMENT IN SOME NEED AREAS THAN OTHERS, WE PARTNER IN SOME WAY WITH MOST OF THE NEEDS. HERE ARE EXAMPLES OF SOME OF THE NEEDS THE HOSPITAL HAS NOT LED IN ADDRESSING WITH REASONS WHY:1. PROGRAMS DIRECTED TOWARD THE PHYSICALLY DISABLED:WHILE NGMC IS MORE INVOLVED WITH REHABILITATION PROGRAMS, THIS IS COMPLEMENTED BY A NUMBER OF HALL COUNTY COMMUNITY AGENCIES THAT ADVOCATE FOR AND HELP SUPPORT THE CAUSES OF THE PHYSICALLY DISABLED. SOME OF THEM INCLUDE THE DISABILITY RESOURCE CENTER, OUR NEIGHBOR, AND RANDY'S HOUSE DESCRIBED BELOW:DISABILITY RESOURCE CENTER, INC. IS A NON-PROFIT ORGANIZATION OFFERED TO INDIVIDUALS IN THE NORTH GEORGIA AREA WITH DISABILITIES. THE RESOURCE CENTER OFFERS SUPPORT TO INDIVIDUALS WITH DISABILITIES AND ASSISTS IN THESE INDIVIDUALS LIVING A MORE INDEPENDENT LIFE. SERVICES OFFERED INCLUDE ADVOCACY, INDEPENDENT LIVING SKILLS TRAINING, INFORMATION AND REFERRAL, PEER SUPPORT, ASSISTIVE DEVICE ASSISTANCE, COMPUTER AND TECHNOLOGY TRAINING, HOME MODIFICATIONS, AND SUPPORT GROUPS. OUR NEIGHBOR, INC.: OUR NEIGHBOR, INC. SUPPORTS 10 RESIDENTS IN THREE HOMES AND ONE APARTMENT. THROUGH BOTH PRIVATE & PUBLIC FUNDING, VOLUNTEER EFFORTS, A DEDICATED STAFF, A BOARD OF DIRECTORS, AND THE EFFORTS OF RESIDENTS, ONI OFFERS A BROAD RANGE OF SUPPORT FOR DISABLED YOUNG ADULTS. AT PRESENT, SERVICES INCLUDE: HOUSING, EMPLOYMENT & RESUME BUILDING, NETWORKING & REFERRALS TO ADDITIONAL RESOURCES, VOLUNTEER OPPORTUNITIES, SOCIAL & LEGISLATIVE ADVOCATES, SUPPORT FOR FAMILIES, AS WELL AS NUMEROUS CLASSES AND ACTIVITIES FOR PEOPLE WITH VARYING LEVELS OF ABILITY.RANDY'S HOUSE: AS PART OF OUR NEIGHBOR, RANDY'S HOUSE IS A HOME FOR YOUNG HANDICAPPED ADULTS. NOT ONLY DOES THE HOME GIVE RESIDENTS INDEPENDENCE, IT GIVES THEIR FAMILIES PEACE KNOWING THAT THEIR ADULT CHILDREN CAN HAVE MORE MEANINGFUL LIVES. THE GOAL IS TO HAVE A COMMUNITY WHERE PEOPLE DO NOT NOTICE A PERSON'S DISABILITY, BUT EMBRACE A PERSON FOR WHO THEY ARE. THE LONG-TERM GOAL IS TO DUPLICATE WHAT RANDY'S HOUSE IS DOING IN GAINESVILLE IN OTHER COMMUNITIES IN THE STATE, SO THAT DISABLED PERSONS CAN LIVE WHEREVER THEY WOULD LIKE NEAR FAMILY AND FRIENDS OR IN AN ENTIRELY NEW COMMUNITY.2. PROMOTION OF PHYSICAL ACTIVITY FOR ADULTS AND CHILDREN:WHILE NGMC DOES PARTICIPATE IN EFFORTS TO PROMOTE PHYSICAL ACTIVITY FOR ADULTS AND CHILDREN, THERE ARE OTHER AGENCIES IN THE COUNTY THAT ARE MEETING THIS NEED. A FEW ARE OUTLINED BELOW.GAINESVILLE PARKS AND RECREATION HAS SEVERAL FACILITIES AND PROGRAMS POISED TO HELP IN THE BATTLE AGAINST OBESITY, SUCH AS 20 PARKS, 14 PLAYGROUNDS, AND 8 MILES OF WALKING TRAILS IN NEIGHBORHOODS THROUGHOUT THE CITY, PUBLIC TENNIS COURTS, THE FRANCES MEADOWS AQUATIC AND COMMUNITY CENTER WHICH OFFERS YEAR ROUND PUBLIC SWIMMING, YOUTH ATHLETICS, SUMMER SPORTS CAMPS, AND MORE. ADDITIONALLY, A PRIORITY OF THIS AGENCY IS THAT ALL CHILDREN HAVE ACCESS TO PROGRAMS; THEREFORE, THEY HAVE A SCHOLARSHIP PROGRAM CALLED CHILDREN AT PLAY FUND TO HELP CHILDREN WHO OTHERWISE MIGHT NOT BE ABLE TO PARTICIPATE.HALL COUNTY PARKS & LEISURE'S MISSION IS TO DEVELOP, MAINTAIN AND PROVIDE A VARIETY OF QUALITY AND AFFORDABLE RECREATION OPPORTUNITIES AND SERVICES FOR ALL RESIDENTS. SOME OF THESE INCLUDE 1,459 ACRES OF PARK SPACE, 24 PARKS, COMMUNITY CENTERS, WALKING TRAILS, SOCCER COMPLEX, AND MORE.3. NEED FOR FREE OR LOW COST OPTIONS FOR THE WORKING POOR, UNINSURED, OR THE UNDERINSURED RELATED TO MENTAL HEALTH SERVICES; NEED FOR MORE FUNDING RESOURCES TO COVER THE HIGH COST OF MENTAL HEALTH RELATED MEDICATIONS:WHILE LAURELWOOD IS A RESOURCE FOR OUR COMMUNITY, THE NEEDS FOR THESE TYPES OF SERVICES ARE GREATER THAN THE RESOURCES WE COLLECTIVELY HAVE. WE ARE FORTUNATE TO HAVE AVITA COMMUNITY PARTNERS (AVITA COMMUNITY PARTNERS WAS FORMED BY THE 1993 GEORGIA STATE LEGISLATURE TO SERVE PERSONS EXPERIENCING THE DISABLING EFFECTS OF MENTAL ILLNESS, DEVELOPMENTAL DISABILITIES, AND ADDICTIVE DISEASES) AND THE VETERAN'S ADMINISTRATION, HOWEVER THE NEED IS GREATER THAN RESOURCES AT HAND. THE LACK OF MENTAL HEALTH RESOURCES IS A STATE-WIDE AND A NATIONAL ISSUE. 4. NEED FOR EDUCATION AND AWARENESS IN RELATION TO SENIORS' HEALTH ISSUES ACROSS THE HEALTHCARE CONTINUUM; NEED FOR FAMILY SUPPORT SERVICES.WHILE NGMC DOES PROVIDE CERTAIN SERVICES TO ASSIST THE SENIOR POPULATION IN GETTING THE HEALTHCARE EDUCATION AND SUPPORT THEY NEED, THE OVERALL NEEDS ARE GREATER THAN JUST ONE ORGANIZATION CAN MEET. GAINESVILLE-HALL COUNTY IS FORTUNATE TO HAVE THE FOLLOWING HEALTH AND HUMAN SERVICE AGENCIES THAT HELP THE AREA'S SENIOR POPULATION. LEGACY LINK AREA AGENCY ON AGING (AAA): DESIGNATED BY THE DEPARTMENT OF HUMAN SERVICES IN THE NORTH EAST GEORGIA MOUNTAINS, AAA IS RESPONSIBLE FOR ADVOCACY FOR SENIORS, PLANNING, AND ADMINISTRATION OF PROGRAMS, COORDINATION AND MONITORING SERVICES IN THE AREA. FEDERAL FUNDS AUTHORIZED BY A WIDE VARIETY OF FEDERAL AND STATE LAWS AND PROGRAMS ARE UTILIZED BY THIS NON-PROFIT AGENCY. THE 13 COUNTY SERVICE AREA INCLUDES: BANKS, DAWSON, FORSYTH, FRANKLIN, HABERSHAM, HALL, HART, LUMPKIN, RABUN, STEPHENS, TOWNS, UNION, AND WHITE. AAA HAS THE LEGACY SHOPPE LOCATED IN LAKESHORE MALL WHERE SENIORS CAN COME BY FOR INFORMATION ON SEMINARS, CLASSES OR JUST TO ASK QUESTIONS.A PLACE FOR MOM: THIS COMPANY HAS A LOCAL OFFICE AND PROVIDES INFORMATION ABOUT SENIOR HOUSING AND ELDER CARE PROVIDERS TO SENIORS AND THEIR FAMILIES.5. TRANSPORTATIONWHILE NGMC WILL NOT SPEARHEAD DIRECT PROJECTS RELATED TO THE TRANSPORTATION ISSUE, NGMC DOES HAVE SEVERAL SERVICES THAT MAKE HEALTHCARE MORE ACCESSIBLE TO THE COMMUNITY AS DESCRIBED BELOW. THE CITY OF GAINESVILLE IS FORTUNATE TO HAVE THE GAINESVILLE CONNECTION, WHICH PROVIDES SCHEDULED BUS SERVICES THROUGHOUT THE CITY OF GAINESVILLE AND PARTS OF THE CITY OF OAKWOOD. BUSES OPERATE FIVE DAYS A WEEK FROM 7:00 AM TO 5:30 PM. THE GAINESVILLE CONNECTION SERVES THE LOW INCOME POPULATION AND ALL COMERS; IT MAKES STOPS AT THE HEALTH DEPARTMENT, GNCS, NGMC AND INCOME BASED HOUSING IN GAINESVILLE CITY. THE DIRECTOR OF THE COMMUNITY SERVICE CENTER IN GAINESVILLE, THE AGENCY THAT OVERSEES THE RED RABBIT, SERVES ON NGMC'S ADVISORY BOARD AS WELL AS ON THE HEALTH PARTNERS BOARD. 6. NEED TO BETTER UNDERSTAND ENVIRONMENTAL ISSUES THAT IMPACT THE HEALTH STATUS OF THE COMMUNITYSEVERAL REVIEWS AND STUDIES HAVE BEEN MADE ON ENVIRONMENTAL ISSUES IN THE COMMUNITY. NGMC ACKNOWLEDGES THIS IS BEYOND THE SCOPE OF OUR AVAILABLE SERVICES. DISTRICT 2 PUBLIC HEALTH PROVIDES AN ARRAY OF SERVICES AND PROGRAMS TO PROTECT THE HEALTH OF RESIDENTS AND PROMOTE HEALTHY LIFESTYLES IN OUR AREA. SERVICES INCLUDE CLINICAL PROGRAMS LIKE IMMUNIZATIONS, CHILD HEALTH CHECKS AND WOMEN'S HEALTH. ENVIRONMENTAL HEALTH PROGRAMS INCLUDE FOOD SERVICE INSPECTIONS, TOURIST ACCOMMODATIONS INSPECTIONS, AND INDIVIDUAL SEWAGE SYSTEM PERMITS. 20 IMAGING CENTER - GAINESVILLE 1315 JESSE JEWELL PKWY GAINESVILLE GA 30501 IMAGING / RADIOLOGY CENTER LAURELWOOD 200 WISTERIA DRIVE GAINESVILLE GA 30501 MENTAL HEALTH SERVICES TOCCOA CANCER CENTER 1656 FALLS ROAD TOCCOA GA 30577 CANCER SERVICES REHABILITATION INSTITUTE 597 SOUTH ENOTA DRIVE NE GAINESVILLE GA 30501 REHABILITATION SERVICES SLEEP LAB-BRASELTON SATELLITE 5737 THOMPSON MILL ROAD HOSCHTON GA 30548 SLEEP DISORDER CENTER SLEEP LAB 535 JESSE JEWELL PKWY GAINESVILLE GA 30501 SLEEP DISORDER CENTER SLEEP LAB-BUFORD SATELLITE 4445 SOUTH LEE STREET BUFORD GA 30518 SLEEP DISORDER CENTER NEW HORIZONS NORTH 600 BEVERLY ROAD NE GAINESVILLE GA 30501 LONG TERM CARE IMAGING CENTER - BRASELTON 5875 THOMPSON MILL ROAD HOSCHTON GA 30548 IMAGING / RADIOLOGY CENTER NEW HORIZONS LANIER PARK 675 WHITE SULPHUR ROAD GAINESVILLE GA 30501 LONG TERM CARE WOUND OSTOMY CONTINENCE 675 WHITE SULPHUR ROAD GAINESVILLE GA 30501 WOUND HEALING CENTER REHAB - BRASELTON 5875 THOMPSON MILL ROAD HOSCHTON GA 30548 REHABILITATION SERVICES REHAB - CLEVELAND 640-A HELEN HWY CLEVELAND GA 30528 REHABILITATION SERVICES REHAB - OAKWOOD 3931 MUNDY MILL ROAD SUITE B OAKWOOD GA 30566 REHABILITATION SERVICES REHAB - BUFORD 4889 GOLDEN PKWY SUITE 150 BUFORD GA 30518 REHABILITATION SERVICES REHAB - DAHLONEGA 95 MORRISON MOORE PKWY DAHLONEGA GA 30533 REHABILITATION SERVICES REHAB - DAWSONVILLE 5959 HIGHWAY 53EHIGHTOWER PLACE ST 200 DAWSONVILLE GA 30534 REHABILITATION SERVICES DIABETES ED 675 WHITE SULPHUR ROAD GAINESVILLE GA 30501 DIABETES SERVICES BARIATRIC SERVICES 675 WHITE SULPHUR ROAD GAINESVILLE GA 30501 BARIATRIC WEIGHT LOSS SERVICES ESSENTIALLY FOR WOMEN - LACTATION 825 JESSE JEWELL PKWY GAINESVILLE GA 30501 LACTATION PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS PUBLISHED BY NORTHEAST GEORGIA HEALTH SYSTEM AND INCLUDES PROGRAMS FOR NORTHEAST GEORGIA MEDICAL CENTER AND ITS AFFILIATES. THE REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE (WWW.NGHS.COM) AS WELL AS IN ITS ANNUAL COMMUNICARE MAGAZINE. PART I, LINE 7: CHARITY CARE COST WAS CALCULATED APPLYING SEPARATE COST-TO-CHARGE RATIOS (CCR) TO THE SKILLED NURSING FACILITY (SNF) AND TO THE REMAINING PATIENT CHARGES FROM ALL OTHER HOSPITAL ACTIVITIES. THE CCR FOR THE SNF WAS COMPUTED USING THE TOTAL SNF OPERATING EXPENSES DIVIDED BY THE TOTAL SNF GROSS CHARGES. THE CCR FOR THE REMAINING PATIENT CHARGES WAS COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.THE CCR FOR THE UNREIMBURSED MEDICAID SERVICES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. OTHER MEANS TESTED GOVERNMENT PROGRAM COST WAS DERIVED FROM INTERNAL TRENDSTAR SYSTEM DATA WHICH COMPUTED COST AT THE PATIENT DETAIL LEVEL. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES WERE FOR INPATIENT REHAB, INPATIENT MEDICINE, AND LAURELWOOD (MENTAL HEALTH). NO COSTS WERE ATTRIBUTABLE TO PHYSICIAN CLINICS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $64,255,045. PART II, COMMUNITY BUILDING ACTIVITIES: IT IS WELL DOCUMENTED THAT MANY FACTORS COMBINE TO AFFECT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WHETHER PEOPLE ARE HEALTHY OR NOT IS DETERMINED BY THEIR CIRCUMSTANCES AND THEIR ENVIRONMENT, ACCORDING TO THE WORLD HEALTH ORGANIZATION. TO A LARGE EXTENT, FACTORS SUCH AS WHERE WE LIVE, THE STATE OF OUR ENVIRONMENT, GENETICS, OUR INCOME AND EDUCATION LEVEL, OUR RELATIONSHIPS WITH FRIENDS AND FAMILY ALL HAVE CONSIDERABLE IMPACTS ON HEALTH. THE DETERMINANTS OF HEALTH INCLUDE THE SOCIAL AND ECONOMIC ENVIRONMENT, THE PHYSICAL ENVIRONMENT, AND A PERSON'S INDIVIDUAL CHARACTERISTICS AND BEHAVIORS. ADDITIONAL FACTORS THAT RELATE INCLUDE EDUCATION, CULTURE, INCOME AND SOCIAL STATUS, EMPLOYMENT AND WORKING CONDITIONS, SOCIAL SUPPORT NETWORKS, GENETICS, HEALTH SERVICES, AND GENDER. IF COMMUNITY MEMBERS HAVE ADEQUATE EDUCATION, EMPLOYMENT, INCOME, A SAFE ENVIRONMENT AND SUPPORTIVE SOCIAL NETWORKS, THEY WILL HAVE THE CAPACITY TO MAKE HEALTHIER BEHAVIOR CHOICES AND BE MORE LIKELY TO HAVE ACCESS TO HEALTH SERVICES. THEREFORE, NGMC AS AN ORGANIZATION MUST CONSIDER THE SOCIAL DETERMINANTS OF HEALTH STATUS AS PART OF PREVENTATIVE CARE.A FEW OF SOME COMMUNITY BUILDING ACTIVITIES INCLUDED IN PART II INCLUDE:SPONSORSHIP OF CHILDREN'S CENTER FOR HOPE AND HEALINGNGMC SUPPORTS THE CHILDREN'S CENTER FOR HOPE AND HEALING WITH A DONATION TO HELP CHILDREN AND THEIR FAMILIES WHO HAVE BEEN VICTIMS OF SEXUAL ABUSE.SPONSORSHIP OF WOMENSOURCENGMC SUPPORTS WOMENSOURCE, A NON-PROFIT ORGANIZATION DESIGNED TO HELP WOMEN SUCCEED BOTH PROFESSIONALLY AND PERSONALLY. WOMENSOURCE PROVIDES, AMONG OTHER PROGRAMS, A FINANCIAL LEARNING SEMINAR FOR WOMEN WHO MAY BE STRUGGLING IN THIS AREA. NGMC ALSO PROVIDED SPEAKERS FOR A HEALTH SERIES.SPONSORSHIP OF THE WISDOM PROJECTTHE WISDOM PROJECT IS A LEADERSHIP PROGRAM FOR SENIOR RESIDENTS SPONSORED BY BRENAU UNIVERSITY'S CENTER FOR LIFETIME STUDY. IT SEEKS TO RECRUIT THOSE 50 AND OLDER "TO SHARE THEIR WISDOM, EXPERIENCES AND TALENTS IN CREATIVE WAYS THROUGH ACTION AND ADVOCACY ON BEHALF OF HALL COUNTY." NGMC SPONSORED PARTICIPANTS IN THE PROGRAM. PART III, LINE 2: THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $64,255,045. PART III, LINE 3: PROVIDER CANNOT IDENTIFY THE AMOUNT OF BAD DEBT EXPENSE RELATED TO PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY CARE ASSISTANCE THAT DID NOT GET QUALIFIED. PART III, LINE 4: BAD DEBT EXPENSE REPORTED ON LINE 2 REPRESENTS GROSS CHARGES WRITTEN OFF DURING THE FISCAL YEAR NET OF ANY RECOVERIES. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE REGARDING BAD DEBTS. PART III, LINE 8: THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE COST TO CHARGE RATIO REFLECTED IN THE ORGANIZATION'S MEDICARE COST REPORT. PART III, LINE 9B: THE CHARITY CARE AND PAYMENT FOR SERVICES POLICIES DESCRIBES HOW UNINSURED PATIENTS CAN RECEIVE FINANCIAL ASSISTANCE. THE POLICY DESCRIBES THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM AND INDICATED THAT AN APPLICATION FOR FINANCIAL ASSISTANCE IS PART OF THE PROCESS. IN ORDER TO ASSURE THE FUNDS FOR UNCOMPENSATED CARE ARE NOT ABUSED AND WILL BE AVAILABLE FOR THOSE IN NEED WITHIN THE HOSPITAL'S SERVICE AREA, NORTHEAST GEORGIA MEDICAL CENTER WILL MAKE REASONABLE ATTEMPTS TO ASSIST ELIGIBLE CANDIDATES TO BECOME COVERED UNDER ANY AVAILABLE ASSISTANCE PROGRAMS IN THE COMMUNITY. FINANCIAL ASSITANCE INFORMATION IS ON EACH PATIENT STATEMENT AND PROVIDED AT EACH REGISTRATION AREA. ONCE A COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE IS RECEIVED, DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS MADE. CHARITY AND/OR INDIGENT CARE APPLICATIONS ARE ACCEPTED AT ANY TIME IN THE COLLECTIONS CYCLE UNTIL THE ACCOUNT IS IN A LEGAL DEFAULT STATUS. PART VI, LINE 2: ON A CONTINUOUS BASIS, NGMC SEEKS A VARIETY DATA SOURCES AND RELIABLE INDICATORS TO HELP IDENTIFY AND WORK TO IMPROVE ON HEALTH INEQUITIES IN THE COMMUNITIES IT SERVES. A LISTING OF THE RESOURCES IS LISTED BELOW:-NGMC HAS PARTNERED WITH THE HALL COUNTY FAMILY CONNECTION TO PRODUCE THE HALL LIFE REPORT. THE PURPOSE OF THIS "PUBLIC STATUS REPORT ON CHILDREN AND FAMILIES IN HALL COUNTY," IS TO PROVIDE POLICY STAKEHOLDERS, PUBLIC AGENCY PROGRAM PERSONNEL, PRIVATE PROVIDERS AND COMMUNITY MEMBERS WITH UPDATED INDICATOR DATA TO INFORM CURRENT POLICY DISCUSSIONS AND DECISION-MAKING.THE HALL LIFE REPORT IDENTIFIES THE STATUS OF LEADING INDICATORS FOR EXCELLENCE. THE FIVE TOPIC AREAS USED IN THIS REPORT ARE CURRENTLY THE SAME AS THOSE USED BY THE FAMILY CONNECTION PARTNERSHIP AT THE STATE LEVEL AS THEY PRODUCE AND DISSEMINATE THE ANNUAL KIDS COUNT DATA FOR THE STATE OF GEORGIA. THEY ARE: HEALTHY CHILDREN, CHILDREN READY FOR SCHOOL, CHILDREN SUCCEEDING IN SCHOOL, STABLE AND SELF SUFFICIENT FAMILIES, AND STRONG COMMUNITIES. THIS REPORT CAN BE FOUND AT WWW.HCFCN.ORG.-AS PART OF THE HALL COUNTY FAMILY CONNECTION, WE REVIEW INFORMATION FROM KIDS COUNT, WHICH PROVIDES KEY INDICATORS OF CHILD WELL-BEING.-ADDITIONALLY, NGMC HAS PARTNERED WITH OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY TO FORM THE HEALTHCARE INITIATIVE CONSORTIUM. THIS GROUP IS WORKING WITH A LOCAL UNIVERSITY TO DEVELOP AN ONGOING DATABASE OF FIVE DATA ELEMENTS THAT WILL GIVE THE COMMUNITY UP-TO-DATE INFORMATION ON THE HEALTH ISSUES AFFECTING ITS RESIDENTS. THE FIVE DATA ELEMENTS COLLECTED ARE: BMI (HEIGHT/WEIGHT), A1C, BLOOD PRESSURE, CHOLESTEROL, LDL, AND MICRO ALBUMEN. THIS GIVES US INFORMATION RELATED TO THE FOLLOWING HEALTH ISSUES: OBESITY, DIABETES, CARDIOVASCULAR DISEASE AND HYPERTENSION. THE FIRST SET OF DATA WAS COLLECTED THIS YEAR, AND THE GROUP IS NOW WORKING ON PEDIATRIC HEALTH DATA.-THE HALL COUNTY HEALTH DEPARTMENT ALSO SHARES ITS HEALTH RISK SNAPSHOTS FOR COUNTIES IN THE SERVICE AREA, WHICH FOCUSES ON POPULATION TRENDS, YOUTH RISK, INFANT RISK, GENERAL RISK, STUDENT SUBSTANCE ABUSE, TOP CAUSES OF DEATH AND WIC NUTRITION PROGRAM INFORMATION.-WE ALSO MONITOR THE COUNTY HEALTH RANKINGS PUBLISHED BY THE ROBERT WOOD JOHNSON FOUNDATION (HTTP://WWW.COUNTYHEALTHRANKINGS.ORG/ABOUT-PROJECT). PART VI, LINE 3: EACH STATEMENT PROVIDED TO PATIENTS THROUGH POSTAL MAIL OR EMAIL INCLUDES A PHONE NUMBER TO CONTACT FOR FINANCIAL ASSISTANCE. THE ORGANIZATION'S WEBSITE CONTAINS A PRINT OPTION OF THE FINANCIAL ASSISTANCE POLICY INCLUDING DIRECTIONS FOR COMPLETION OF THE APPLICATION. ALSO DIRECTS APPLICANTS TO THE APPROPRIATE AREAS TO OBTAIN A PAPER COPY OF THE FINANCIAL ASSISTANCE APPLICATION. PART VI, LINE 4: POPULATION[1]. THE HEALTH SYSTEM'S TOTAL SERVICE AREA ("TSA" OR "THE AREA") POPULATION GREW ON AVERAGE 3.8% PER YEAR FROM 2000 TO 2010, COMPARED TO AVERAGE ANNUAL GROWTH RATES OF 1.7% AND 0.9% FOR GEORGIA AND THE U.S., RESPECTIVELY. POPULATION FOR THE TSA IN 2015 IS ESTIMATED AT JUST OVER 866,000 REPRESENTING TOTAL GROWTH OF 7.5% SINCE 2010, MORE THAN DOUBLING BOTH THE STATE AND NATIONAL RATES OF 3.7% AND 3.2%, RESPECTIVELY. THE TSA'S POPULATION GROWTH RATE IS PROJECTED TO OUTPACE GEORGIA AND THE U.S. THROUGH AT LEAST 2020, THUS CONTINUING TO DRIVE ABOVE AVERAGE DEMAND FOR HEALTH CARE SERVICES.HOUSEHOLD INCOME, HOME OWNERSHIP, AND HOME VALUES1. CURRENT MEDIAN HOUSEHOLD INCOME IS $57,801 ACROSS THE SYSTEM'S SERVICE AREA, COMPARED TO $49,210 FOR GEORGIA AND $53,217 FOR ALL U.S. HOUSEHOLDS. AREA MEDIAN HOUSEHOLD INCOME IS PROJECTED TO BE $67,764 IN FIVE YEARS, COMPARED TO $60,683 FOR ALL U.S. HOUSEHOLDS. CURRENTLY, 63.4% OF HOUSING UNITS IN THE AREA ARE OWNER-OCCUPIED COMPARED TO 55.7% ACROSS THE U.S. AND 54.6% ACROSS GEORGIA. MEDIAN HOME VALUE IN THE AREA IS $188,757, COMPARED TO $168,265 ACROSS GEORGIA AS A WHOLE.EMPLOYMENT[2]. IN 2007, PRIOR TO THE BEGINNING OF A NATIONAL RECESSION, THE HEALTH SYSTEM'S HOME COUNTY OF HALL ENDED THE YEAR WITH AN EMPLOYMENT RATE OF 3.6% COMPARED TO STATE AND NATIONAL RATES OF 4.5% AND 4.6%, RESPECTIVELY. THROUGHOUT THE RECESSION PERIOD, HALL HAS CONSISTENTLY EXPERIENCED ANNUAL UNEMPLOYMENT RATES AT OR BELOW THOSE OF GEORGIA AND THE U.S. FOR THE YEAR ENDING 12/31/2014, HALL COUNTY UNEMPLOYMENT WAS AT A 6-YEAR LOW OF 5.9% COMPARED TO GEORGIA'S RATE OF 7.2% AND THE U.S. RATE OF 6.2%. AS OF THE MOST RECENTLY AVAILABLE DATA, HALL ENDED APRIL 2015 WITH UNEMPLOYMENT AT 4.7%--THE LOWEST MONTHLY FIGURE IN SEVEN (7) YEARS[3].NOTE: UNEMPLOYMENT DATA PRESENTED HERE ARE INTENDED TO ILLUSTRATE THE LOCAL ECONOMY'S STRENGTH AND RESILIENCY IN COMPARISON TO BOTH THE STATE AND THE NATION ESPECIALLY DURING ECONOMIC DOWNTURNS.[1] SOURCE: U.S. CENSUS BUREAU, CENSUS 2010 SUMMARY FILE 1. ESRI FORECASTS FOR 2015 AND 2020.[2] SOURCE: U.S. BUREAU OF LABOR STATISTICS ("BLS"), NON-SEASONALLY ADJUSTED CIVILIAN UNEMPLOYMENT.[3] DERIVED BY COMPARING THE BLS' 85 MONTHLY DATA POINTS SPANNING APRIL 2008 TO APRIL 2015. PART VI, LINE 5: NORTHEAST GEORGIA MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF 15 MEMBERS AND INCLUDES REPRESENTATIVES FROM THE MEDICAL STAFF AND THE COMMUNITIES SERVED BY NORTHEAST GEORGIA MEDICAL CENTER. BOARD MEMBERS PROVIDE LEADERSHIP THAT SUPPORTS THE ORGANIZATION'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY. NORTHEAST GEORGIA MEDICAL CENTER EXTENDS OPEN MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS FOR MOST SERVICES, WITH THE EXCEPTION OF SOME EXCLUSIVE CONTRACT SERVICES SUCH AS PATHOLOGY, RADIOLOGY AND ANESTHESIOLOGY. ALL PHYSICIANS UNDERGO AN EXTENSIVE CREDENTIALING PROCESS PRIOR TO BEING GRANTED MEDICAL STAFF PRIVILEGES. THE MEDICAL CENTER CONDUCTS PHYSICIAN MANPOWER STUDIES TO DETERMINE THE NUMBER OF PHYSICIANS NEEDED BY SPECIALTY TO MEET COMMUNITY NEED. INFORMATION FROM THESE STUDIES IS USED TO HELP GUIDE DECISIONS FOR PHYSICIAN RECRUITMENT. ALL REVENUES IN EXCESS OF EXPENSES ARE REINVESTED INTO HEALTHCARE SERVICES FOR THE COMMUNITY AND NO PROFITS ACCRUE TO INDIVIDUAL INVESTORS. THE MEDICAL CENTER'S CHARITY CARE POLICY HELPS ENSURE ACCESS TO HOSPITAL SERVICES TO LOW INCOME PATIENTS. I.E. PATIENTS WITH A FAMILY INCOME OF LESS THAN OR 150% OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR A 100% CHARITY ADJUSTMENT, WHICH MEANS THAT THEY SERVICES ARE FREE. PART VI, LINE 6: NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM. OTHER AFFILIATES INCLUDE NORTHEAST GEORGIA PHYSICIANS GROUP, THE MEDICAL CENTER FOUNDATION, AND NORTHEAST GEORGIA HEALTH PARTNERS.THE MISSION OF NORTHEAST GEORGIA MEDICAL CENTER AND ALL RELATED AFFILIATES IS "TO IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." AS A NOT-FOR-PROFIT HOSPITAL, NGMC TREATS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND IS ACCOUNTABLE TO THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE FOR THE PROVISION OF CHARITABLE SERVICES TO THE COMMUNITY. NORTHEAST GEORGIA MEDICAL CENTER PROVIDES ACUTE AND SPECIALTY INPATIENT AND OUTPATIENT SERVICES FOR A 13-COUNTY REGIONAL COMMUNITY AND RECEIVES NO LOCAL TAX SUPPORT FROM ANY OF THOSE COUNTIES FOR OPERATIONS OR INDIGENT CARE. THE MEDICAL CENTER FOUNDATION HELPS SUPPORT THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM THROUGH FUNDRAISING INITIATIVES THAT IMPROVE SERVICES OFFERED AT NGMC, AS WELL HEALTH-FOCUSED SERVICES IN THE COMMUNITY. NORTHEAST GEORGIA HEALTH PARTNERS WORKS TO BUILD COLLABORATIVE RELATIONSHIPS BETWEEN HOSPITALS, PHYSICIANS AND OTHER HEALTHCARE PROVIDERS, EMPLOYERS AND THE EMPLOYEES THEY REPRESENT THROUGH INSURANCE PRODUCTS THAT HELP SUPPORT PATIENT ACCESS TO HEALTHCARE SERVICES THROUGHOUT THE REGION.RIVER PLACE MEDICAL OFFICE PLAZA 1 IS A MEDICAL OFFICE BUILDING THAT IS HOME TO AN URGENT CARE CENTER, IMAGING CENTER, OUTPATIENT REHABILITATION CENTER, FULL SERVICE LAB AND MANY PRIVATE PHYSICIAN PRACTICES REPRESENTING MORE THAN 20 MEDICAL SPECIALTIES, IMPROVING ACCESS TO CARE TO IN THE SOUTHERN REGION SERVED BY NORTHEAST GEORGIA HEALTH SYSTEMNORTHEAST GEORGIA PHYSICIANS GROUP IS A MULTI-SPECIALTY GROUP WITH MORE THAN 250 PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND OTHER CLINICAL STAFF PROVIDING HEALTHCARE SERVICES AT 40 LOCATIONS THROUGHOUT NORTHEAST GEORGIA, WHICH FURTHER IMPROVES THE 13-COUNTY REGIONAL COMMUNITY'S ACCESS TO CARE. PART VI, LINE 7, REPORTS FILED WITH STATES GA 1 AMERICAN CANCER SOCIETY PO BOX 102454 ATLANTA GA 30368 131788491 501(C)(3) 10009 RELAY FOR LIFE SPONSORSHIP UNITED WAY OF HALL COUNTY PO BOX 2656 GAINESVILLE GA 30503 586011393 501(C)(3) 6200 SPONSORSHIP GOOD NEWS CLINIC 810 PINE STREET GAINESVILLE GA 30501 582058853 501(C)(3) 630917 DONATION FOR OPERATING COSTS AMERICAN HEART ASSOCIATION PO BOX 4002900 DES MOINES IA 50340 135613797 501(C)(3) 17500 HEART WALK SPONSORSHIP NORTH GEORGIA COMMUNITY FOUNDATION 615 OAK STREET SUITE 1300 GAINESVILLE GA 30501 581610318 501(C)(3) 6000 SPONSORSHIP UNITED WAY OF FORSYTH COUNTY 240 ELM STREET CUMMING GA 30040 581925396 501(C)(3) 8000 SPONSORSHIP 6 0 SCHOLARSHIPS 4 14650 PART I, LINE 2: THE MAJORITY OF GRANTS ARE TO 501(C)(3) ORGANIZATIONS. BOARD APPROVAL IS OBTAINED PRIOR TO DISBURSEMENT. 1 1 0 0 0 0 0 0 0 JAY HORTENSTINE MD MEMBER, NGPG PHYSICIAN 0 456092 0 0 0 22402 0 8925 0 21575 0 508994 0 0 JOHN A WILLIAMSON VP - BRASELTON PRESIDENT - NGMC 0 246417 0 79634 0 19411 0 51134 0 20099 0 416695 0 23512 CAROL H BURRELL PRESIDENT & CEO 0 581262 0 289566 0 36562 0 887292 0 33712 0 1828394 0 0 ANTHONY M HERDENER VP & CFO - NGHS 0 360877 0 115914 0 44822 0 86969 0 31611 0 640193 0 0 SONJA F MCLENDON VP PROF SRVCS-NGMC 0 182372 0 73945 0 522 0 3954 0 17037 0 277830 0 0 TRACY M VARDEMAN VP STRATEGIC PLAN/MKTING 0 195170 0 65569 0 19029 0 52321 0 21456 0 353545 0 23705 JAMES BAILEY MD VP & CMIO/CQO - NGHS 0 525553 0 2660 0 26027 0 8925 0 21517 0 584682 0 0 KAREN S WATTS VP - PATIENT SERVICES - NGMC 0 204090 0 73448 0 2370 0 6476 0 7011 0 293395 0 0 MARY M STRAND VP REV. CYCLE-NGHS 0 181571 0 59875 0 1396 0 27020 0 17924 0 287786 0 0 SAMUEL O JOHNSON MD VP MEDICAL AFFAIRS & CMO 0 339524 0 88563 0 22402 0 50226 0 21538 0 522253 0 13390 ALLANA L CUMMINGS VP & CIO - NGHS 0 328130 0 112108 0 17535 0 48479 0 10616 0 516868 0 17544 BRADLEY K NURKIN VP - GAINESVILLE PRESIDENT - NGMC 0 322237 0 69180 0 18610 0 47404 0 16257 0 473688 0 0 LINDA NICHOLSON VP OF FINANCE/CONTROLLER 0 159962 0 68400 0 18217 0 55397 0 18716 0 320692 0 19596 STEPHEN A CARLSON DIRECTOR - PHARMACY 0 156489 0 16650 0 2235 0 22847 0 10915 0 209136 0 0 DEBRA DUKE DIRECTOR - DIAGNOSTIC IMAG 0 139958 0 16840 0 3974 0 22015 0 19152 0 201939 0 0 RANDALL P MILLER MANAGER - RADIATION PHYSICS 0 244745 0 0 0 5702 0 30280 0 6825 0 287552 0 0 DAVID E PATTERSON RADIATION III PHYSICIST 0 197672 0 0 0 2483 0 7140 0 17418 0 224713 0 0 CHRISTOPHER PARAVATE CHIEF APPLICATION OFFICER 0 176503 0 18095 0 1485 0 2714 0 33230 0 232027 0 0 AMANDA CAIN CHIEF UTILIZATION OFFICER 0 202208 0 0 0 1053 0 7145 0 9675 0 220081 0 0 RICHARD D MATTHEUS CIO - NGPG 0 178769 0 24508 0 450 0 6129 0 19986 0 229842 0 0 JAMES WALKER FORMER VP HR-NGHS 0 161299 0 96503 0 83280 0 31027 0 18313 0 390422 0 0 PAUL G VERVALIN FORMER VP & CAO; NGPG PRESIDENT 0 168260 0 55095 0 11472 0 6042 0 15163 0 256032 0 0 JAMES E GARDNER JR FORMER PRESIDENT & CEO 0 0 0 42495 0 106238 0 0 0 0 0 148733 0 0 PART I, LINES 4A-B PART I, LINE 4A JAMES GARDNER, JR. WAS EMPLOYED BY NORTHEAST GEORGIA HEALTH SYSTEM, INC. FROM MARCH 2004 UNTIL MARCH 2011. MR. GARDNER WAS HIRED TO SERVE AS PRESIDENT AND CEO OF THE SYSTEM. DURING 2013, MR. GARDNER WAS PAID SEVERENCE OF $106,238 BASED ON THE TERMS OF HIS EMPLOYMENT CONTRACT. JAMES WALKER WAS EMPLOYED BY NORTHEAST GEORGIA HEALTH SYSTEM, INC. FROM MAY 2010 UNTIL SEPTEMBER 2013. MR. WALKER WAS HIRED TO SERVE AS VICE-PRESIDENT OF HUMAN RESOURCES. DURING 2013, MR. WALKER WAS PAID SEVERANCE OF $55,692 BASED ON THE TERMS OF HIS EMPLOYMENT CONTRACT. PART I, LINE 4B - EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN ANTHONY M. HERDENER $ 44,471 TRACY M. VARDEMAN $ 24,161 LINDA NICHOLSON $ 19,861 JAMES WALKER $ 25,210 CAROL H. BURRELL $851,310 ALLANA L. CUMMINGS $ 39,554 SAMUEL O. JOHNSON $ 41,301 JOHN A. WILLIAMSON $ 30,107 MARY M. STRAND $ 22,202 BRADLEY NURKIN $ 39,000 SONJA MCLENDON $ 17,600 KAREN WATTS $ 18,200 CAROL H. BURRELL, PRESIDENT AND CEO OF NORTHEAST GEORGIA HEALTH SYSTEM, BEGAN HER CAREER AT NORTHEAST GEORGIA HEALTH SYSTEM IN 1999. SHE WAS PROMOTED TO PRESIDENT AND CEO IN JULY 2011. HER FIRST FULL YEAR AS CEO WAS COMPLETED IN 2012 WHICH IS REFLECTED IN HER PAY AND DEFERRED COMPENSATION. THE CONTRIBUTION TO THE 457(F) EXECUTIVE RETIREMENT PLAN ON HER BEHALF FOR 2013 ($851,310) WAS COMPUTED BASED ON HER AGE, LENGTH OF EMPLOYMENT, AND CURRENT POSITION WITH NORTHEAST GEORGIA HEALTH SYSTEM. EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION): TRACY M. VARDEMAN $25,082 JOHN A. WILLIAMSON $24,878 LINDA NICHOLSON $20,734 ALLANA CUMMINGS $18,563 SAMUEL O. JOHNSON $14,168 JAMES R. WALKER $75,095 A THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2010A) 586002388 362762KB1 2010-02-18 311522031 REFUND PRINCIPAL AND INTEREST OF SERIES 2007G AND SERIES 2008B-H BONDS 0 0 0 B THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2010B) 586002388 362762KS4 2010-02-18 246724247 REFUND PRINCIPAL AND INTEREST OF SERIES 2007G AND SERIES 2008B-H BONDS 0 0 0 C THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2008A) 586002388 NONEAVAIL 2011-08-26 46625000 REFUND PRINCIPAL AND INTEREST OF SERIES 2008A 0 0 0 D THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2008A) 586002388 NONEAVAIL 2012-12-17 200000000 FINANCE CONSTRUCTION OF NEW FACILITY 0 0 0 A 312294866 26214539 7297582 57074032 2013 1 0 1 1 B 247554908 20359320 703 2013 1 0 1 1 C 46625000 46625000 200000 2011 1 0 1 1 D 200000000 631164 94700000 105300000 0 0 0 1 A 0 1 1 1 1 1 0.00260 0.00020 0.00280 0 0 1 B 0 1 1 1 1 1 0.00260 0.00020 0.00280 0 0 1 C 0 1 1 1 1 1 0.00260 0.00020 0.00280 0 0 1 A 0 1 0 0 0 1 JP MORGAN 19.000000000000 0 0 0 0 1 B 0 1 0 0 0 1 JP MORGAN 19.000000000000 0 0 0 0 1 C 0 1 0 0 1 1 CITIBANK NA 14.000000000000 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 AUNDREA STEVENS AUNDREA STEVENS IS SISTER TO JACK KEENER, BOARD MEMBER. 81855 AUNDREA STEVENS IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER, INC. 0 RACHEL BAILEY RACHEL BAILEY IS WIFE TO JAMES BAILEY M.D., BOARD MEMBER. 56658 RACHEL BAILEY IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER, INC. 0 BRADEE BURRELL CAROL BURRELL, PRESIDENT & CEO, IS A FAMILY MEMBER OF BRADEE BURRELL. 48578 BRADEE BURRELL IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER, INC. 0 FORM 990, PART VI, SECTION A, LINE 6 NORTHEAST GEORGIA HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST GEORGIA MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER ARE APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER ARE APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 INFORMATION FOR THE FORM 990 WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT FOR PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED, IT WAS REVIEWED BY SENIOR FINANCIAL MANAGEMENT. THE 990 IS MADE AVAILABLE TO MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. EMPLOYEES ATTEST TO THEIR UNDERSTANDING AND REPORTING/DISCLOSURE REQUIREMENTS AT HIRE AND ANNUALLY. COMPLIANCE IS MONITORED CONTINUOUSLY THROUGHOUT THE YEAR BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE NORTHEAST GEORGIA HEALTH SYSTEM BOARD (NGHS BOARD) HAS DEVELOPED AND INSTALLED COMPENSATION POLICIES AND PROCEDURES THAT SEEK TO FURTHER THE PURPOSE OF NGHS AND AFFILIATES AND TO ATTRACT AND RETAIN KEY EMPLOYEES. THE COMPENSATION COMMITTEE IS COMPOSED OF VOTING DIRECTORS WHO ARE NOT EMPLOYEES OF NGHS. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE REVIEWED AND RATIFIED BY THE NGHS BOARD. THE COMMITTEE'S METHODOLOGY AND APPROACH INCORPORATES BOTH QUALITATIVE AND QUANTITATIVE CONSIDERATIONS, WHICH ARE REFLECTED IN THE COMMITTEE'S DETERMINATIONS CONCERNING KEY EMPLOYEE COMPENSATION AND THE SPECIFIC COMPONENTS THEREOF. THE COMPENSATION DECISIONS OF THE COMMITTEE ARE DESCRIBED BELOW AS TO EACH OF THE THREE CATEGORIES. BASE SALARY ANNUAL BASE SALARIES ARE SET AT MARKET COMPETITIVE LEVELS WITH HEALTHCARE SYSTEMS OF A SIMILAR SIZE AND COMPLEXITY FROM THROUGHOUT THE COUNTRY. SPECIFICALLY THE COMMITTEE CONSIDERS PEER GROUP COMPARISONS FROM SURVEY DATA FOR OTHER HEALTH SYSTEMS, RECOMMENDATIONS FROM AN INDEPENDENT COMPENSATION CONSULTANT, RECOMMENDATIONS ON RANGES AND PLACEMENT FROM THE CEO, AND INDIVIDUAL PERFORMANCE ASSESSMENTS FOR EACH POSITION. IN EACH INSTANCE THE COMMITTEE MEMBERS REACH A CONSENSUS BASED ON THE COMBINATION OF AVAILABLE INFORMATION, AND THE COMMITTEE SETS A BASE SALARY LEVEL FOR EACH KEY EMPLOYEE. PERFORMANCE BASED VARIABLE COMPENSATION NUMEROUS PERFORMANCE GOALS ARE QUANTITATIVE IN NATURE, RESULTING IN A PERFORMANCE BASED VARIABLE COMPENSATION COMPONENT THAT IS WEIGHTED TOWARD ATTAINING NGHS BOARD-APPROVED GOALS AND OBJECTIVES. ANNUAL GOALS AND OBJECTIVES ARE ESTABLISHED THROUGH A FORMAL PLANNING PROCESS INVOLVING BOARD AND COMMUNITY MEMBERS. THE BOARD APPROVES THESE GOALS AND OBJECTIVES AT THE BEGINNING OF EACH YEAR. OFFICERS AND KEY EMPLOYEES RECEIVE CASH AWARDS AS A FORMULA DRIVEN PERCENTAGE OF BASE SALARY LEVELS BASED ON ACHIEVEMENT AND PREDETERMINED INDIVIDUAL OBJECTIVES. BENEFITS AND RETENTION PROGRAMS BENEFIT CATEGORIES AND AMOUNTS ARE DETERMINED BY A COMPARISON PROCESS SIMILAR TO DETERMINING BASE SALARIES WITH POSITIONS AND ORGANIZATIONS SIMILAR TO NGHS. INCLUDED IN BENEFITS ARE RETIREMENT PROGRAMS TO ENHANCE RETENTION AND PROGRESS TOWARD LONG-TERM GOALS WITHIN NGHS' MISSION. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS AND STATISTICS ARE FILED QUARTERLY WITH DIGITAL ASSURANCE CERTIFICATION, LLC (DAC BOND). DAC BOND SERVES AS A DISCLOSURE DISSEMINATION AGENT FOR ISSUERS OF MUNICIPAL BONDS ELECTRONICALLY POSTING AND TRANSMITTING INFORMATION TO REPOSITORIES AND INVESTORS. ALL OTHER ITEMS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: INTERCOMPANY DEBT FORGIVENESS -64,523,493. PARTNERSHIP INCOME NOT ON BOOKS -215,010. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: LOCATED IN THE NORTHEASTERN SECTION OF THE STATE IN HALL COUNTY, NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS A 557-BED NOT-FOR-PROFIT REGIONAL REFERRAL FACILITY THAT PROVIDES A COMPREHENSIVE RANGE OF ACUTE CARE AND SPECIALTY SERVICES. THROUGH ITS ROLE AS A REGIONAL SAFETY NET HOSPITAL, NGMC SERVES THE AREA'S LOW-INCOME, UNINSURED, UNDERINSURED AND OTHER VULNERABLE POPULATIONS. APPROXIMATELY HALF OF NGMC'S PATIENTS COME FROM OUTSIDE OF HALL COUNTY. AS A NOT-FOR-PROFIT HOSPITAL, NGMC REINVESTS ALL FUNDS IN EXCESS OF OPERATING EXPENSES INTO HEALTHCARE SERVICES FOR THE COMMUNITY. THE MEDICAL CENTER RECEIVES NO OPERATING FUNDS FROM HALL OR OTHER COUNTIES SERVED, AND SERVICES ARE FUNDED BY REVENUE GENERATED FROM OPERATIONS. NGMC PROVIDED CHARITY CARE TO HALL COUNTY RESIDENTS AT A COST OF $17.8 MILLION IN 2014 WITH ANOTHER $11.1 MILLION PROVIDED TO REGIONAL RESIDENTS OUTSIDE HALL COUNTY. THE MEDICAL CENTER'S CHARITY CARE POLICY PROVIDES FINANCIAL ASSISTANCE UP TO 300 PERCENT OF THE POVERTY LEVEL DOUBLE THE AMOUNT GENERALLY PROVIDED BY OTHER HOSPITALS ACROSS THE STATE. THE HOSPITAL IS A KEY PARTICIPANT AND FISCAL SPONSOR IN PROGRAMS AIMED AT TREATING LOW-INCOME AND UNINSURED PATIENTS, INCLUDING THE GOOD NEWS CLINICS, THE LARGEST FREE HEALTH CARE CLINIC IN GEORGIA, AND HEALTH ACCESS INITIATIVE (HAI), A LOCAL SERVICE THAT MATCHES FINANCIALLY ELIGIBLE PATIENTS TO SPECIALTY PHYSICIANS AND PROVIDES ACCESS TO CARE, AMONG OTHER SERVICES. ADDITIONALLY: - LOCATED IN GEORGIA'S FASTEST GROWING REGION, THE 63-YEAR-OLD HOSPITAL HAS EXPANDED CONSIDERABLY IN RECENT YEARS TO MEET DEMAND AND UPDATE ITS AGING PLANT, INVESTING A QUARTER OF A BILLION DOLLARS IN ITS FACILITIES AND $200 MILLLION-PLUS AT THE NGMC BRASELTON CAMPUS, EXPANDING SERVICES SUCH AS OBSTETRICS AND RADIATION THERAPY. - NGMC'S QUALITY OF CARE IS OFTEN AWARDED, AND THE HOSPITAL RANKS AMONG THE TOP IN THE STATE FOR CARDIAC SERVICES; - SINCE 2000, NGMC HAS PROVIDED NEARLY THREE TIMES THE AMOUNT OF INDIGENT AND CHARITY CARE SET FORTH IN REQUIREMENTS BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH FOR SUCCESSFUL PASSAGE OF A CERTIFICATE OF NEED FOR NEW SERVICES, AND, UNLIKE MANY GEORGIA NOT-FOR-FOR PROFIT HOSPITALS HELD TO THE SAME REQUIREMENTS, NGMC DOES NOT RECEIVE TAX FUNDING FROM ITS LOCAL COUNTY TO HELP FUND INDIGENT CARE TO AREA RESIDENTS; - NGMC IS THE PRIMARY HOSPITAL FOR LOW-INCOME PATIENTS IN GAINESVILLE-HALL COUNTY AND THROUGHOUT THE REGION IN COUNTIES SUCH AS BANKS, DAWSON, AND WHITE, WHERE MANY KEY MEDICAL SPECIALTIES ARE NOT AVAILABLE. NORTHEAST GEORGIA MEDICAL CENTER - NGMC IS NUMBER 10 IN TOP HOSPITALS FOR NET UNCOMPENSATED CARE ($37.2 M) PROVIDED IN GA BASED ON SFY 2014 ICTF TOTAL HOSPITAL SPECIFIC DSH LIMITS; MANY OF THE HOSPITALS ON THE LIST RECEIVED LOCAL TAX DOLLARS. NGMC PROVIDED CHARITY CARE TO HALL COUNTY RESIDENTS AT A COST OF $17.8 MILLION IN 2014, WITH ANOTHER $11.6 MILLION PROVIDED TO REGIONAL RESIDENTS OUTSIDE HALL COUNTY. NGMC RECEIVES NO LOCAL TAX REVENUE FROM HALL COUNTY (OR ANY COUNTIES SERVED IN REGION 2) TO SUPPORT OPERATIONS OR CARE PROVIDED TO INDIGENT RESIDENTS, UNLIKE A NUMBER OF NOT-FOR-PROFIT HOSPITALS. NGMC SERVES AS A FINANCIAL ENGINE FOR ITS LOCAL ECONOMY. IN 2012 (LATEST NUMBERS AVAILABLE), THE HOSPITAL GENERATED MORE THAN $1 BILLION DOLLARS IN REVENUE FOR THE LOCAL AND STATE ECONOMIES, ACCORDING TO A REPORT BY THE GEORGIA HOSPITAL ASSOCIATION, WHICH APPLIED AN ECONOMIC MULTIPLIER TO THE HOSPITAL'S DIRECT EXPENDITURES TO ACCOUNT FOR THE "RIPPLE" EFFECT THE HOSPITAL'S SPENDING HAS ON OTHER SECTORS OF THE LOCAL ECONOMY. APPLYING AN EMPLOYMENT MULTIPLIER, THE REPORT FOUND THAT THE HOSPITAL SUSTAINED MORE THAN 8,000 FULL-TIME JOBS THROUGHOUT THE REGION AND THE STATE IN 2012 IN ADDITION TO THE MORE THAN 5,000 EMPLOYED DIRECTLY BY NORTHEAST GEORGIA HEALTH SYSTEM. UNDER IRS LAW, A TAX-EXEMPT ORGANIZATION, CLASSIFIED AS A 501(C)(3) CHARITY, IS REQUIRED TO: HAVE A MISSION THAT WILL BENEFIT ITS COMMUNITY; REINVEST ALL SURPLUS FUNDS IN THE ORGANIZATION IN A WAY THAT BENEFITS THE COMMUNITY; COMPENSATE EXECUTIVES, CONTRACTORS AND OTHER EMPLOYEES IN ACCORDANCE TO FAIR MARKET VALUE; REMAIN ACCOUNTABLE TO THE COMMUNITY; REFRAIN FROM PARTICIPATING IN POLITICAL CAMPAIGNS FOR OR AGAINST CANDIDATES AND/OR LOBBY AS A SUBSTANTIAL PART OF ITS ACTIVITIES; AND, REMAIN FINANCIALLY ACCOUNTABLE TO THE COMMUNITY BY NOT ALLOWING ANY PORTION OF ITS NET EARNINGS TO BENEFIT ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. AS A NOT-FOR-PROFIT HOSPITAL, NGMC CARRIES ADDITIONAL RESPONSIBILITIES, AS ESTABLISHED BY THE IRS IN 1965: - OPERATE A FULL-TIME EMERGENCY ROOM THAT IS AVAILABLE TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY; - NGMC OPERATES THE 4TH BUSIEST ER IN GEORGIA. IN 2014, MORE THAN 20% OF ALL NGMC'S EMERGENCY ROOM VISITS WERE MADE BY SELF-PAY PATIENTS. - PROVIDE NON-EMERGENCY SERVICES TO ANYONE ABLE TO PAY; - NORTHEAST GEORGIA HEALTH SYSTEM PROVIDES HIGH QUALITY, ADVANCED SPECIALTY AND PRIMARY HEALTHCARE SERVICES TO THE NORTHEAST GEORGIA COMMUNITY, SERVING ALMOST 700,000 PEOPLE IN MORE THAN 13 COUNTIES. IN FY14, NGMC'S PAYOR MIX WAS 61% MEDICARE/MEDICAID, 31% COMMERCIAL INSURANCE AND 8% SELF PAY - PARTICIPATE IN MEDICAID AND MEDICARE; - 61% OF PATIENTS SERVED BY NGMC IN FY14 WERE MEDICAID AND MEDICARE PATIENTS. - CREATE A GOVERNING BOARD THAT IS REPRESENTATIVE OF THE COMMUNITY IT SERVES; - MORE THAN 80 COMMUNITY MEMBERS ARE ACTIVELY INVOLVED IN GOVERNANCE THROUGH NORTHEAST GEORGIA HEALTH SYSTEM, NGMC AND OTHER SUBSIDIARY BOARDS AND COMMITTEES. - ALLOW MEDICAL STAFF PRIVILEGES TO ANY PROFESSIONAL WHO IS QUALIFIED AND APPLIES; AND, - NGMC HAS A MEDICAL STAFF OF ROUGHLY 500 PHYSICIANS REPRESENTING NUMEROUS ADVANCED SPECIALTIES SUCH AS GYNECOLOGIC ONCOLOGY, ELECTROPHYSIOLOGY, CARDIAC SURGERY, CRITICAL CARE MEDICINE, SURGICAL TRAUMA, NEONATOLOGY AND PERINATOLOGY. - REINVEST SURPLUS FUNDS IN OPERATIONS. - AS NOT-FOR-PROFIT ORGANIZATIONS, NGMC AND ITS PARENT ORGANIZATION, NORTHEAST GEORGIA HEALTH SYSTEM, REVENUE GENERATED ABOVE OPERATING EXPENSES IS REINVESTED INTO THE COMMUNITY. EXAMPLES INCLUDE CONSTRUCTION OF NEW MEDICAL FACILITIES, SUCH AS THE NEW HOSPITAL IN BRASELTON OFFERING 24/7 EMERGENCY ROOM SERVICES NOT PREVIOUSLY AVAILABLE TO LOCAL RESIDENTS; INVESTMENTS IN ADVANCED MEDICAL TECHNOLOGY SUCH AS ROBOTIC SURGICAL SYSTEMS AND STATE OF THE ART RADIATION THERAPY EQUIPMENT; AND DEVELOPMENT OF THE ONLY LEVEL 2 TRAUMA CENTER IN NORTHEAST GEORGIA. - NGMC PARTICIPATES IN THE INDIGENT CARE TRUST FUND (ICTF), A 20-YEAR- OLD PROGRAM THAT EXPANDS MEDICAID ELIGIBILITY AND SERVICES,SUPPORTS RURAL HEALTH CARE FACILITIES THAT SERVE THE MEDICALLY INDIGENT AND FUNDS PRIMARY HEALTH CARE PROGRAMS FOR MEDICALLY INDIGENT GEORGIANS. GEORGIA'S DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM IS FUNDED THROUGH THE ICTF, AND ASSISTS HOSPITALS AND OTHER HEALTH PROVIDERS THAT CARE FOR HIGH PROPORTIONS OF MEDICAID, UNINSURED AND/OR LOW-INCOME PATIENTS. IN 2014, NGMC RECEIVED $8.3 MILLION IN NET FUNDS ALLOCATED THROUGH THE ICTF AND UPL PROGRAM TO PARTIALLY OFFSET A FINANCIAL LOSS OF $38.6 MILLION IN COST THE MEDICAL CENTER INCURRED TREATING UNINSURED AND MEDICAID PATIENTS. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION: NORTHEAST GEORGIA MEDICAL CENTER (NGMC) VALUES COOPERATIVE EFFORTS WITH COMMUNITY SERVICES AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA CITIZENS. NGMC DEMONSTRATES THIS THROUGH MANY PARTNERSHIPS RANGING FROM SERVING AS LEAD AGENCY OF THE SAFE KIDS COALITION OF GAINESVILLE-HALL COUNTY, TO PARTNERING WITH OTHER ORGANIZATIONS SUCH AS GOOD NEWS CLINICS AND THE PUBLIC HEALTH DEPARTMENT TO REACH AT-RISK POPULATIONS IN NEED OF HEALTH CARE. IN FY14, OVER $5 MILLION WAS PROVIDED IN COMMUNITY BENEFIT PROGRAMS/OUTREACH. COMMUNITY EDUCATION WAS PROVIDED THROUGH FREE COMMUNITY LECTURES, VARIOUS SUPPORT GROUPS AND THE SEMI-ANNUAL HEALTH MAGAZINE, COMMUNICARE. PRESENTATIONS WERE MADE THROUGH THE SPEAKER'S BUREAU, AND NGMC ALSO OFFERED SEVERAL COMMUNITY EDUCATION SEMINARS IN 2014 ON TOPICS INCLUDING BREAST CANCER, PARKINSON'S DISEASE, HEALTH AND NUTRITION, WOMEN'S HEALTH EDUCATION AND MORE. THESE SEMINARS GENERATED MORE THAN 200 PARTICIPANTS, AND MANY DIFFERENT PHYSICIANS FROM PRACTICES THROUGHOUT THE COMMUNITY PARTICIPATED IN THE SEMINARS. WHAT DRIVES NGMC'S COMMUNITY HEALTH IMPROVEMENT ACTIVITIES? NGMC, WITH INPUT FROM THE COMMUNITY, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2013. THE STUDY CULMINATED IN THE IDENTIFICATION OF 10 PRIORITY HEALTH NEEDS AND INCLUDED A SECONDARY DATA SCAN AND A COMMUNITY HEALTH PROFILE FOR HALL COUNTY. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW-INCOMES WHO ARE UNINSURED. SIX FOCUS GROUPS WERE HELD AND NEARLY 25 ONE-ON-ONE INTERVIEWS WERE CONDUCTED WITH STAKEHOLDERS. GO TO WWW.NGHS.COM TO SEE A SPREADSHEET OF INTIATIVES AND ACTIVITIES NORTHEAST GEORGIA MEDICAL CENTER IS INVOLVED WITH WHICH ADDRESS THOSE NEEDS. MANY ACTIVITIES OVERLAP DIFFERENT PRIORITIES, AND NGMC'S INVOLVEMENT RANGES FROM PROVIDING THE ACTIVITY ITSELF TO CONTRIBUTING IN SOME WAY. THE SPREADSHEET IS NOT AN EXHAUSTIVE LIST, BUT HIGHLIGHTS MANY OF THE ORGANIZATION'S EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. THE FULL CHNA IS ALSO AVAILABLE ON THE WEBSITE. PARTNERING TO REACH THE UNINSURED: NGMC WORKS COOPERATIVELY WITH OTHER AREA HEALTHCARE PROVIDERS TO CARE FOR ALL AREA CITIZENS, PARTICULARLY THE INDIGENT POPULATION. PROVIDERS ARE UNITED TO ENSURE CONSISTENT AND QUALITY PATIENT CARE THROUGH ENHANCED COORDINATION. PARTNERS INCLUDE, BUT AREN'T LIMITED TO, NGMC, THE NGPG - PRIMARY CARE CLINIC AT HALL COUNTY HEALTH DEPARTMENT, THE NORTHEAST GEORGIA DIAGNOSTIC CLINIC, THE LONGSTREET CLINIC, GOOD NEWS CLINICS (INDIGENT CLINIC), MEDLINK (FEDERALLY QUALIFIED HEALTH CENTER), AS WELL AS PHYSICIANS. GOOD NEWS CLINICS: NGMC PROVIDES FUNDING TO GNC THAT HELPS PROVIDE MEDICATIONS, MEDICAL SUPPLIES AND OTHER SUPPORT FOR GOOD NEWS CLINICS THE LARGEST FREE CLINIC IN GEORGIA. FOUNDED IN 1992, GOOD NEWS CLINICS IS A CHRISTIAN MINISTRY THAT PROVIDES MEDICAL CARE TO THE INDIGENT AND UNINSURED POPULATION AT NO CHARGE. FORTY-THREE PHYSICIANS, MID-LEVEL PROVIDERS AND 39 DENTISTS VOLUNTEER TO TREAT PATIENTS AT GOOD NEWS CLINICS. IN ADDITION, OVER 300 SPECIALIST PHYSICIANS VOLUNTEER TO TREAT PATIENTS IN THEIR OFFICES THROUGH REFERRALS FROM GOOD NEWS CLINICS, NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG) PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT AND PHYSICIANS IN HALL COUNTY. IN FY14, OVER $400,000 WAS DONATED TO HELP GOOD NEWS CLINICS PROVIDE CARE TO INDIGENT PATIENTS WHO WERE AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES AND DID NOT QUALIFY FOR OTHER PROGRAMS. CLINICAL PROFESSIONALS FROM NGMC STAFF A CONGESTIVE HEART FAILURE CLINIC AT GOOD NEWS CLINICS (GNC), AS WELL AS A CARDIOLOGY CLINIC. THIS PROJECT HAS BEEN EXTREMELY SUCCESSFUL WITH ONLY 10 READMISSIONS OF GNC CHF PATIENTS IN EIGHT YEARS. ADDITIONAL HEALTH SCREENINGS ARE PROVIDED TO VULNERABLE POPULATIONS AT GNC SUCH AS PROSTATE SCREENINGS. NGPG PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT: NGMC PLAYS A MAJOR ROLE IN FUNDING A PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT TO IMPROVE ACCESS TO PRIMARY HEALTHCARE SERVICES FOR LOW-INCOME PEOPLE IN OUR COMMUNITY. IN FY14, NGMC CONTRIBUTED OVER $500,000. PRENATAL CARE PROGRAM AT THE HEALTH DEPARTMENT: NGMC PARTNERS WITH THE LONGSTREET CLINIC TO IMPROVE BIRTH OUTCOMES BY INCREASING EARLY PRENATAL CARE FOR LOW-INCOME, UNINSURED AND UNDER-INSURED PREGNANT WOMEN VIA THE HEALTH DEPARTMENT'S PRIMARY CARE CENTER. YEARLY COST TO NGMC IS APPROXIMATELY $200,000. INDIGENT PATIENT FUND: AT NGMC, FINANCIAL ASSISTANCE IS PROVIDED FOR INDIGENT PATIENTS TO OBTAIN URGENTLY NEEDED DISCHARGE MEDICATIONS AND TRANSPORTATION. INDIVIDUALS ELIGIBLE FOR THESE FUNDS ARE PATIENTS WHOSE NEEDS CANNOT BE MET THROUGH PRIMARY INSURANCE, THEIR OWN PERSONAL FUNDS, GOVERNMENT PROGRAMS OR OTHER CHARITABLE SERVICES. THIS HELPS TO ENSURE MEDICATION COMPLIANCE AND MAXIMIZE CONDITIONS FOR RECOVERY AND RECUPERATION. THE MEDICAL CENTER FOUNDATION PROVIDES FUNDING FOR THIS. CHARITY CARE: NGMC'S CHARITY CARE POLICY REMOVES BARRIERS FOR LOW-INCOME POPULATIONS BEGINNING WITH FREE CARE FOR PATIENTS UP TO 150% OF THE POVERTY LEVEL. FURTHER, SELF-PAY PATIENTS UP TO 300% OF THE POVERTY LEVEL QUALIFY FOR AN ADJUSTMENT EQUIVALENT TO THE HOSPITAL'S MEDICARE REIMBURSEMENT RATE PLUS AN ADDITIONAL 40% DISCOUNT. TOTAL CHARITY CARE COST FOR FY14: $28.9 MILLION $17.8 MILLION FOR HALL COUNTY; $11.1 MILLION FOR REGIONAL RESIDENTS NGMC VOLUNTEERS: IN FY14, 616 NGMC VOLUNTEERS CONTRIBUTED 58,344 VOLUNTEER HOURS, EQUIVALENT TO 34 FULL TIME EMPLOYEES AND A VALUE OF OVER $1.3 MILLION. WHILE THESE FIGURES ARE NOT INCLUDED IN THE QUANTITATIVE PORTION OF THE COMMUNITY BENEFIT REPORT, THEY SHOW THE DEPTH OF SUPPORT THE COMMUNITY GIVES NGMC. THE TEEN VOLUNTEER PROGRAM HAD 98 TEENS TO PARTICIPATE IN 2014. THE TEENS CAME FROM EIGHT COUNTIES AND REPRESENTED 20 DIFFERENT SCHOOLS WITHIN THE AREA. ENCOURAGING MEDICAL VOLUNTEERING: NGMC PROVIDES INFORMATION AT PHYSICIAN ORIENTATION TO ENCOURAGE PHYSICIANS TO STEP UP TO VOLUNTEER OPPORTUNITIES THROUGH LOCAL FREE CLINICS (GOOD NEWS CLINICS IN GAINESVILLE AND HELPING HAND CLINIC IN CLEVELAND) AS WELL AS HEALTH ACCESS. NGPG ALSO ENCOURAGES PHYSICIANS TO GIVE OF THEIR TIME VOLUNTEERING AT THESE LOCATIONS. THE CANCER CENTER AT NGMC HAS DEVELOPED A MEMBERSHIP MODEL FOR PHYSICIANS THAT CONTAINS CONDITIONS OF PARTICIPATION WHICH INCLUDES ACTIVE PARTICIPATION IN A SPEAKER PROGRAM, SCREENING ACTIVITY, CANCER PREVENTION ACTIVITY OR OUTREACH. THE PURPOSE OF THIS MEMBERSHIP MODEL IS TO IMPROVE PATIENT CARE QUALITY, ACCESS AND PROGRAMMATIC EXCELLENCE. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION: FINANCIAL NAVIGATORS: NGMC HAS FINANCIAL ASSISTANCE COUNSELORS WHO HELP PATIENTS BECOME INSURED, BE IT THROUGH MEDICAID, PEACHCARE OR OTHER PROGRAMS. NGMC HAS TURNED FINANCIAL COUNSELORS INTO "FINANCIAL NAVIGATORS." THIS TEAM FOCUSES ON BEING ADVOCATES FOR UNINSURED AND UNDER-INSURED PATIENTS, AIDING THEM IN FINDING VIABLE MEANS TO ACCESS CARE. THEY FIND THE BEST SOLUTIONS FOR HELPING PATIENTS APPLY FOR MEDICAID OR DISABILITY, ACCESSING THE NEW HEALTHCARE EXCHANGES OR PROCESSING CHARITY APPLICATIONS WHEN APPROPRIATE. THE TEAM IS UNDERGOING TRAINING TO BECOME CERTIFIED IN THIS AREA AS "CERTIFIED HEALTHCARE REFORM SPECIALISTS." PATIENT NAVIGATORS: NGMC ALSO HAS A CANCER PATIENT NAVIGATION PROGRAM. THIS PROGRAM PROVIDES CANCER PATIENTS WITH GUIDANCE THROUGHOUT THEIR CANCER JOURNEY, AND THEY ARE SEEN AS A "LIVING RESOURCE DIRECTORY" FOR PATIENTS. THE CANCER CENTER OFFERS THE COMMUNITY TWO PATIENT NAVIGATORS AS PART OF A COMPREHENSIVE PATIENT NAVIGATION PROGRAM: ONE IS AN RN WHO IS A CERTIFIED BREAST HEALTH NAVIGATOR WHO WORKS EXCLUSIVELY WITH BREAST CANCER PATIENTS; AND THE SECOND IS AN AMERICAN CANCER SOCIETY PATIENT RESOURCE NAVIGATOR WHO ASSISTS ALL CANCER PATIENTS AND IS BILINGUAL. PARTNERING IN THE COMMUNITY: VISION 2030: NGMC IS ACTIVELY INVOLVED IN VISION 2030 (WWW.VISION2030.ORG). THIS COMMUNITY-WIDE PROGRAM IS SPONSORED BY THE GREATER HALL CHAMBER OF COMMERCE AND PARTICIPATION IS OPEN TO EVERYONE IN THE COMMUNITY. AN NGMC EMPLOYEE CURRENTLY SERVES ON THE BOARD OF VISION 2030. VISION 2030 FOCUSES ON THE CREATION OF A CULTURE OF COMMUNITY WELLNESS, THE SUPPORT AND MAINTENANCE OF LIFELONG LEARNING, THE BUILDING OF AN ECONOMY AROUND EMERGING LIFE SCIENCES, THE ENCOURAGEMENT OF INNOVATIVE GROWTH/INFRASTRUCTURE DEVELOPMENT, AND THE PROMOTION OF CULTURAL INTEGRATION. NGMC IS ALSO AN ACTIVE PARTNER ON OTHER CHAMBER COMMITTEES SUCH AS THE HEALTHCARE COMMITTEE AND THE HEALTH INITIATIVE CONSORTIUM. NGMC IS ALSO A PARTNER IN HALLMARK, WHICH IS A COMMUNITY INVESTMENT PLAN THAT ADDRESSES ECONOMIC DEVELOPMENT, EDUCATION, GOVERNMENT AND COMMUNITY DEVELOPMENT THROUGH PARTNERSHIP. MEMBERS OF NGMC'S BARIATRIC SERVICE LINE ALSO SERVE ON HALL COUNTY SCHOOL SYSTEM'S WELLNESS COUNCIL. AN NGMC REPRESENTATIVE SERVES ON HALL COUNTY FAMILY CONNECTION (HCFC). HCFC ADOPTED TEEN PREGNANCY PREVENTION AND OBESITY PREVENTION AS ITS TWO FOCUS AREAS FOR THE NEXT THREE YEARS. HALL COUNTY FAMILY CONNECTION IS A COLLABORATIVE WHICH SERVES AS THE LOCAL DECISION-MAKING BODY, BRINGING COMMUNITY PARTNERS TOGETHER TO DEVELOP, IMPLEMENT AND EVALUATE PLANS THAT ADDRESS THE SERIOUS CHALLENGES FACING THE CHILDREN AND FAMILIES IN OUR COUNTY. ITS VISION IS THAT EVERY CHILD HAS THE OPPORTUNITY TO REACH HIS OR HER FULL POTENTIAL FOR GOOD HEALTH, BE SECURE FROM ABUSE AND NEGLECT AND BECOME A LITERATE, PRODUCTIVE, ECONOMICALLY SELF-SUFFICIENT MEMBER OF OUR COMMUNITY. THE MISSION OF HCFC IS TO IDENTIFY AND MONITOR AREAS OF COMMUNITY CONCERN AND TO MOBILIZE THE COMMUNITY AND ITS RESOURCES IN A COMMON EFFORT TO DEVELOP SOLUTIONS. THE MEDICAL CENTER FOUNDATION (MCF) RAISES FUNDS TO BENEFIT THE COMMUNITY: THE MCF IS THE FUNDRAISING ARM OF NGMC AND RAISES FUNDS TO IMPROVE THE HEALTH OF THE COMMUNITY. THE FOUNDATION'S OPERATING EXPENSES ARE SUPPORTED BY NGMC SO THAT DONATED FUNDS CAN BE USED TO SUPPORT NGMC PROJECTS AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. FOLLOWING ARE ITEMS OF INTEREST TO NOTE: - SINCE 1997, OVER $2.7 MILLION HAS BEEN RAISED FOR COMMUNITY HEALTH IMPROVEMENT PROJECTS THROUGH THE MEDICAL CENTER OPEN - THE 2014 MEDICAL CENTER OPEN GOLF TOURNAMENT RAISED OVER $250,000 FOR CENTER POINT, WHICH FUNDED THE ESTABLISHMENT OF AN ADDITIONAL FACILITY, CENTER POINT SOUTH, TO INCREASE ACCESS TO COUNSELING, MENTORING AND SUBSTANCE ABUSE PREVENTION SERVICES FOR STUDENTS AND FAMILIES IN NEED OF THEM. - W.A.T.C.H. MEMBERS HAVE DONATED MORE THAN $4 MILLION TO SUPPORT THE HEALTHY JOURNEY CAMPAIGN SINCE THE PROGRAM'S INCEPTION IN 2000. INVESTING IN OUR YOUTH: SAFE KIDS COALITION WORKS TO KEEP KIDS SAFE: THE GAINESVILLE-HALL COUNTY SAFE KIDS COALITION, LED BY NGMC, IS PART OF THE NATIONAL SAFE KIDS CAMPAIGN, THE FIRST AND ONLY NATIONAL ORGANIZATION DEDICATED SOLELY TO THE PREVENTION OF UNINTENTIONAL CHILDHOOD INJURY, WHICH IS THE NATION'S NUMBER ONE KILLER OF CHILDREN AGES 14 AND UNDER. THIS PROGRAM PROVIDES AFFORDABLE SAFETY EQUIPMENT SUCH AS CAR SEATS, BIKE HELMETS, AND LIFE JACKETS TO AREA CHILDREN IN NEED. WORKING WITH A COALITION MADE UP OF LAW ENFORCEMENT, AREA SCHOOLS, COMMUNITY VOLUNTEERS AND OTHERS, SAFE KIDS PROVIDES EDUCATIONAL MATERIALS AND PROGRAMS THAT TEACH CHILDREN AND THEIR PARENTS HOW TO AVOID ACCIDENTS AND INJURIES. SAFE KIDS CONTINUED THE WORK OF INJURY PREVENTION FOR FAMILIES IN THE HALL COUNTY COMMUNITY IN 2014 THANKS TO THE SUPPORT OF MCF AND THE HEALTHY JOURNEY CAMPAIGN. IN FY14, MEMBERS OF THE GAINESVILLE-HALL COUNTY SAFE KIDS COALITION PROVIDED OVER 352 PROGRAMS AND EVENTS THAT REACHED AN ESTIMATED 59,000 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS AND CAREGIVERS. THROUGH THESE PROGRAMS, OVER 4,695 SAFETY DEVICES WERE DISTRIBUTED TO FAMILIES WHO WERE IN NEED OF THEM. PRESCRIPTION DRUG ABUSE PROGRAM: AS PART OF A COMMUNITY FOCUSED EFFORT TO REDUCE PRESCRIPTION DRUG ABUSE, NGMC HAS INSTITUTED SPECIALIZED PRESCRIPTION MEDICATION GUIDELINES WITH PARTICULAR FOCUS IN THE EMERGENCY ROOM. THERE IS A NATIONAL EPIDEMIC OF PRESCRIPTION NARCOTIC ABUSE. WITH THIS IN MIND, NGMC PUT INTO PLACE NEW POLICIES AND PROTOCOLS TO ASSIST IN THE MANAGEMENT AND TRACKING OF ED NARCOTIC USE AND PRESCRIPTIONS. THIS IS IN COMPLIANCE WITH STATE AND NATIONWIDE EFFORTS TO SAVE LIVES. GOOD NEWS CLINICS IS A PARTNER IN THIS EFFORT AS WELL, AND IT WILL SOON BE EXPANDED INTO NGPG'S URGENT CARE CENTERS. NGMC ALSO PARTNERS WITH THE DRUG FREE COALITION OF HALL COUNTY LOCALLY AS WELL AS THE MEDICAL ASSOCIATION OF GEORGIA'S "THINK ABOUT IT CAMPAIGN." THE "THINK ABOUT IT" CAMPAIGN FOR THE EDUCATION ABOUT AND PREVENTION OF PRESCRIPTION DRUG ABUSE IS A PROJECT SPONSORED BY THE MEDICAL ASSOCIATION OF GEORGIA FOUNDATION. "THINK ABOUT IT" IS COMPOSED OF THREE COMPREHENSIVE INITIATIVES: DEVELOPMENT OF A STATEWIDE COMPREHENSIVE DRUG POLICY; SAFE STORAGE AND DISPOSAL OF PRESCRIPTION DRUGS; AND EDUCATION FOR BOTH THE PUBLIC AND PROFESSIONALS ABOUT THE DANGERS OF AND PREVENTION OF PRESCRIPTION DRUG ABUSE. THE "THINK ABOUT IT" CAMPAIGN IS WORKING WITH A BROAD RANGE OF ORGANIZATIONS INCLUDING MEDICAL SPECIALTY SOCIETIES, THE STATE BOARD OF MEDICAL EXAMINERS, THE GEORGIA BOARD OF PHARMACY, THE GEORGIA PHARMACY ASSOCIATION, THE GBI, OTHER LAW ENFORCEMENT AGENCIES, SCHOOLS, AND RELIGIOUS, CIVIC, AND SOCIAL ORGANIZATIONS TO FURTHER EDUCATE AND CREATE PROGRAMS TO HELP ERADICATE PRESCRIPTION DRUG ABUSE ACROSS OUR STATE. NGMC'S ER MEDICAL DIRECTOR, A BOARD MEMBER, PHYSICIANS AND OTHER ER STAFF ARE HEAVILY INVOLVED IN THESE EFFORTS. NGMC HAS HOSTED SPEAKERS ON THE TOPIC AND CURRENTLY HAS POSTERS AND BROCHURES THROUGHOUT THE HOSPITAL AND NGPG OFFICES. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION: SAFE KIDS OF GAINESVILLE HALL COUNTY, LED BY NGMC, PARTNERS WITH OTHER COMMUNITY AGENCIES ON "DRUG TAKE BACK DAYS" (OPERATION PILL DROP), WITH VARIOUS COLLECTION POINTS IN THE COUNTY. THIS GIVES COMMUNITY MEMBERS A SAFE WAY TO DISPOSE OF UNWANTED, UNUSED DRUGS. EDUCATION AT INTERACTIVE NEIGHBORHOOD FOR KIDS (INK): NGMC PROVIDES AN EXHIBIT AT INK THAT ENCOURAGES MULTI-SENSORY LEARNING THROUGH TOOLS THAT ALLOW KIDS THE OPPORTUNITY TO EXPERIENCE WORKING (AND PLAYING) IN THE HEALTHCARE INDUSTRY. THROUGH HANDS-ON INTERACTIVE PLAY, KIDS HAVE FUN DOING EVERYTHING FROM DRESSING UP IN DOCTOR'S SCRUBS AND PUSHING A "PATIENT" AROUND IN A WHEELCHAIR TO TAKING THEIR PARENT OR FRIEND'S MAKE-BELIEVE BLOOD PRESSURE OR LISTENING TO THEIR HEART WITH A REAL STETHOSCOPE. IT IS HOPED THAT BEING IN THIS ENVIRONMENT WILL HELP KIDS FEEL MORE COMFORTABLE THE NEXT TIME THEY ARE IN A DOCTOR'S OFFICE OR IN THE HOSPITAL. A SECOND EXHIBIT CALLED THE BUILDING A HEALTHY BODY EXHIBIT, FUNDED BY THE MEDICAL CENTER FOUNDATION, SERVES AS INK'S CORE GALLERY ON HEALTH-RELATED EDUCATION AND PROGRAMMING. THE EXHIBIT EXPLORES TWO PRIMARY THEMES: MAINTAINING A HEALTHY BODY AS IT RELATES TO NUTRITION, EXERCISE AND LIFESTYLE CHOICES; AND THE ANATOMY OF A HEALTHY BODY AS IT RELATES TO BODY SYSTEMS, ORGANS AND FUNCTIONS. THE MAIN CENTERPIECE IS A LARGER-THAN-LIFE BOY NAMED "BUDDY" WHICH STANDS FOR BODY UNDER DEVELOPMENT. BUDDY IS A FUN, INTERACTIVE EXHIBIT THAT KIDS AND PARENTS CAN EXPLORE AND GAIN A BASIC UNDERSTANDING OF THE FOLLOWING TOPICS: OBESITY/EXERCISE/NUTRITION, SMOKING, HYGIENE/GERMS AND DIABETES. DIABETES EDUCATION: THE DIABETES EDUCATION PROGRAM AT NORTHEAST GEORGIA MEDICAL CENTER IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION FOR QUALITY SELF-MANAGEMENT EDUCATION. A COMPREHENSIVE RANGE OF EDUCATIONAL PROGRAMS IS OFFERED TO PEOPLE WITH DIABETES AND THEIR FAMILIES BY CERTIFIED DIABETES EDUCATORS, REGISTERED NURSES AND REGISTERED DIETITIANS. EDUCATION FOR SENIORS: GETTING OLDER AND BETTER WORKSHOP: OVER 300 PEOPLE PARTICIPATED IN THE GETTING OLDER AND BETTER WORKSHOP IN MAY IN GAINESVILLE AND THE SPOUT SPRINGS LIBRARY IN FLOWERY BRANCH. THIS EVENT WAS SPONSORED BY THE MEDICAL CENTER AUXILIARY, PROVIDED BY NGMC AND FEATURED DR. AMBER FRENCH WHO PRESENTED ON WELLNESS 100, AN AWARD-WINNING BOOK THAT TEACHES WEIGHT LOSS AND LIFE-LONG WELLNESS BASED ON EATING REAL FOOD. BIOIDENTIAL HORMONE THERAPY WAS ALSO A TOPIC AT THIS YEAR'S EVENT. FLU AND PNEUMONIA PROGRAM AT THE GUEST HOUSE: NGMC PROVIDES FLU AND PNEUMONIA VACCINATIONS AT NO CHARGE TO CLIENTS AT THE GUEST HOUSE, AN ADULT DAY HEALTH SERVICE PROVIDED IN THE COMMUNITY. THESE ARE OFTEN THE FRAIL AND ELDERLY WHO HAVE A DIFFICULT TIME GETTING TO THEIR PHYSICIAN. WISDOM PROJECT: NGMC SUPPORTS THIS LEADERSHIP PROGRAM FOR SENIORS TO SHARE THEIR WISDOM, EXPERIENCE AND TALENTS IN CREATIVE WAYS THROUGH ACTION AND ADVOCACY ON BEHALF OF HALL COUNTY. THE INITIATIVE IS SPONSORED BY BRENAU UNIVERSITY'S CENTER FOR LIFETIME STUDY. AN NGMC STAFF MEMBER PLAYED A MAJOR ROLE IN THE CONCEPT AND DEVELOPMENT OF THIS PROGRAM. NGMC HAS SPONSORED ONE TO TWO PARTICIPANTS DURING EACH CLASS, GENERALLY RETIRED EMPLOYEES, AND THE MEDICAL CENTER AUXILIARY HAS ALSO SPONSORED ONE TO TWO ACTIVE VOLUNTEERS TO PARTICIPATE IN EACH SESSION. NGMC ALSO HOSTS A PROGRAM FOR EACH CLASS, EDUCATING THEM ABOUT HOW NATIONAL HEALTH CARE ISSUES AFFECT NGMC; DURING THESE PROGRAMS, NGMC SPONSORS LUNCH FOR THE CLASS. NGMC HAS ALSO PROVIDED A DONATION FOR A NON-PROFIT, VOLUNTEER RUN TRANSPORTATION PROGRAM SERVING HALL COUNTY SENIOR ADULTS, CALLED ITNLANIER, WHICH IS BEING SPEARHEADED BY THE WISDOM PROJECT. THE SERVICE PROVIDES PERSONAL, COST EFFECTIVE TRANSPORT SERVICES TO THE ELDERLY. ITNLANIER IS A PRE-AFFILIATE OF ITNAMERICA, A NATIONAL ORGANIZATION WITH 27 CHAPTERS PROVIDING THOUSANDS OF RIDES DAILY TO SENIOR CITIZENS. ITNLANIER HAS 24 LOCAL COMMUNITY LEADERS AS BOARD AND ADVISORY COUNCIL MEMBERS AND DOES NOT RECEIVE STATE OR FEDERAL FUNDING. LACK OF TRANSPORTATION RESOURCES WAS ONE OF THE BARRIERS TO HEALTH CARE ACCESS IDENTIFIED IN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. SUPPORT OF COMMUNITY EFFORTS TO IMPROVE HEALTH: NGMC EMPLOYEES ARE VERY ACTIVE IN THE COMMUNITY, VOLUNTEERING AT GOOD NEWS CLINICS, IN THEIR CHURCHES ON MISSION TRIPS AND FOR COMMUNITY AGENCIES SUCH AS THE HUMANE SOCIETY AND HABITAT FOR HUMANITY. WHEN IT COMES TO SUPPORTING MCF'S EMPLOYEE GIVING CLUB, W.A.T.C.H. (WE ARE TARGETING COMMUNITY HEALTHCARE), OVER 2,700 EMPLOYEES DONATED MORE THAN $418,000 IN FY14. RELAY FOR LIFE, AMERICAN HEART WALK, MARCH FOR BABIES: NGMC EMPLOYEES ALSO TURNED OUT IN FULL FORCE FOR COMMUNITY EVENTS SUCH AS THE AMERICAN HEART WALK, MARCH OF DIMES' WALKAMERICA AND AMERICAN CANCER SOCIETY'S RELAY FOR LIFE, AVERAGING PARTICIPATION OF 200 EMPLOYEES PER EVENT. BLOOD DRIVES: NGMC EMPLOYEES DONATED OVER 550 UNITS OF BLOOD IN FY14. EMPLOYEES LEAD THE WAY: UNITED WAY PACESETTER & MORE NGHS EMPLOYEES CONTRIBUTED OVER $135,000 TO UNITED WAY AS A PACESETTER COMPANY. TWO NGMC EMPLOYEES SERVE ON THE UNITED WAY BOARD. SPONSORSHIPS AND DONATIONS: IN FY14, NGMC SPONSORED OR MADE A DONATION TO 29 COMMUNITY AGENCIES SERVING HEALTH AND HUMAN SERVICE NEEDS, RANGING FROM SUPPORTING THE AMERICAN CANCER SOCIETY TO TEEN PREGNANCY PREVENTION. SPONSORSHIPS/DONATIONS TOTALED OVER $55,000 IN FY14. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION: TRAINING AND EDUCATION FOR HEALTHCARE PROFESSIONALS: NGMC CONTINUES THE ACTIVITIES BELOW TO SERVE AS A "PIPELINE" TO HELP GET MORE QUALIFIED PEOPLE INTERESTED IN HEALTHCARE POSITIONS OR GET THEM THE TRAINING AND EDUCATION THEY NEED: -ALLIED STUDENT HEALTH EDUCATION CLINICAL ROTATIONS ARE PROVIDED FOR ALLIED HEALTH STUDENTS FROM AREA SCHOOLS AT NGMC - COMMUNITY BASED VOCATIONAL INSTRUCTION - NGMC IS A TRAINING SITE FOR HIGH SCHOOL STUDENTS WITH DISABILITIES. STUDENTS WORK APPROXIMATELY THREE TIMES PER WEEK FOR A FEW HOURS WITH AN INSTRUCTOR FROM THE SCHOOL AND WORK IN MATERIALS MANAGEMENT, NUTRITIONAL SERVICES, PHARMACY AND LINEN DISTRIBUTION. THEY GAIN KNOWLEDGE OUTSIDE THE CLASSROOM BY LEARNING DIFFERENT SKILLS AND ARE ABLE TO GET JOBS WHEN THEY GRADUATE. IN FY14, 21 STUDENTS AND FOUR INSTRUCTORS PARTICIPATED. - CONTINUING MEDICAL EDUCATION (CME) CONTINUING MEDICAL EDUCATION ACTIVITIES ARE PROVIDED FOR PHYSICIANS AND ALLIED HEALTH PERSONNEL WITHIN NGMC AND ALSO OFFERED OUTSIDE THE ORGANIZATION. IN FY14, THERE WERE 142 LIVE CMES PROVIDED TO 2,110 PHYSICIANS AND 5,300 ALLIED HEALTHCARE PROVIDERS. - JOB SHADOWING - THIS PROGRAM IS COORDINATED VIA THE EDUCATIONAL SERVICES DEPARTMENT AND ALLOWS HIGH SCHOOL AND POST SECONDARY STUDENTS FROM AREA SCHOOLS TO SHADOW PROFESSIONAL HEALTHCARE STAFF FOR THE PURPOSE OF BETTER UNDERSTANDING THE VARIOUS HEALTHCARE ROLES. THE PRIMARY PURPOSE IS TO FOSTER STUDENT INTEREST IN HEALTHCARE FIELDS AND ENCOURAGE ENROLLMENT IN PROGRAMS OF STUDY THAT WOULD TRAIN AND EDUCATE FUTURE HEALTHCARE WORKERS. THIS IS AN OBSERVATIONAL PROGRAM REQUIRING A STAFF MENTOR. IN FY14, 103 JOB SHADOWS WERE PLACED. - SUPPORT OF ASSOCIATE DEGREE IN NURSING PROGRAM AT UNIVERSITY OF NORTH GEORGIA: NGMC PARTNERS WITH THE UNIVERSITY OF NORTH GEORGIA TO PROVIDE IN-KIND SUPPORT FOR THE ASN (ASSOCIATES DEGREE IN NURSING) PROGRAM BY PROVIDING FUNDING FOR ONE FULL TIME FACULTY POSITION. - NURSE EXTERN PROGRAM: NGMC PROVIDES A 10-WEEK SUMMER PROGRAM FOR RISING SENIOR NURSING STUDENTS TO WORK ON NURSING UNITS AS EMPLOYEES TO GAIN ADDITIONAL CLINICAL SKILLS AND CRITICAL THINKING SKILLS. THE EXTERNS ARE ORIENTED AS A GROUP TO THE ORGANIZATION, THEN PLACED ON NURSING UNITS FOR THE REMAINDER OF THE PROGRAM WITH THE EXCEPTION OF A FEW EDUCATIONAL ACTIVITIES. ALL APPLICANTS ARE INTERVIEWED BY RECRUITERS AND NURSING MANAGERS PRIOR TO ACCEPTANCE INTO THE PROGRAM. IN FY14, THERE WERE OVER 40 EXTERNS. - NURSING SCHOLARSHIPS - NURSING STUDENT EDUCATION- CLINICAL ROTATIONS AT NGMC IN FY14 TOTALED OVER 1,600. - PARTNERS IN EDUCATION: THE GAINESVILLE/HALL COUNTY CHAMBER OF COMMERCE PROVIDES THE OPPORTUNITY FOR BUSINESSES AND EDUCATIONAL INSTITUTIONS TO PARTNER. THROUGH THIS PARTNERSHIP, THEY WORK TOGETHER TO BUILD EDUCATIONAL OPPORTUNITIES AND RESOURCES FOR THE COMMUNITY. NGMC IS THE PARTNER IN EDUCATION FOR WEST HALL HIGH SCHOOL AND NORTH HALL MIDDLE SCHOOL. - PHARMACY RESIDENCY PROGRAM: THE PHARMACY RESIDENCY PROGRAM AT NGMC IS A ONE-YEAR POSTGRADUATE TRAINING PROGRAM FOR LICENSED PHARMACISTS. THE PROGRAM PROVIDES DIRECT CLINICAL PHARMACY EXPERIENCE IN THE AREAS OF CRITICAL CARE, CARDIOLOGY, INTERNAL MEDICINE, EMERGENCY MEDICINE, ONCOLOGY AND WOMEN AND CHILDREN'S HEALTH WITH A GOAL OF GRADUATING A PRACTITIONER WHO IS PREPARED TO ACCEPT A CLINICAL PHARMACY POSITION IN ANY NUMBER OF SETTINGS. RADIOLOGY TECH PROGRAM: NGMC PARTNERS WITH LANIER TECHNICAL COLLEGE TO HOUSE THE RADIOLOGY TECH PROGRAM AT THE LANIER PARK CAMPUS. FOUR FULL-TIME CLASSROOMS ARE PROVIDED. - SUPPORT TO FOOTHILLS AHEC: FOOTHILLS AREA HEALTH EDUCATION CENTER IS A COMMUNITY-DRIVEN, NON-PROFIT CORPORATION, SUPPORTED BY FEDERAL AND LOCAL SOURCES. THE MISSION IS TO INCREASE THE SUPPLY AND DISTRIBUTION OF HEALTHCARE PROVIDERS, ESPECIALLY IN MEDICALLY UNDERSERVED AREAS. THROUGH JOINT EFFORTS, COMMUNITIES EXPERIENCE IMPROVED SUPPLY, DISTRIBUTION AND RETENTION OF QUALITY HEALTHCARE PROFESSIONALS. FOOTHILLS AHEC SERVES 31 COUNTIES IN THE NORTHEAST GEORGIA AREA. NGMC PROVIDES SUPPORT TO THIS PROGRAM THROUGH EMPLOYEE BENEFITS PACKAGES, PHONE, UTILITIES AND CLEANING SERVICE EXPENSES. - YOUTH APPRENTICESHIP PROGRAM, JUNIOR ACHIEVEMENT AND YOUTH LEADERSHIP HALL COUNTY STUDENTS FROM SEVEN AREA HIGH SCHOOLS APPLY FOR UNPAID YOUTH APPRENTICESHIPS IN VARIOUS DEPARTMENTS. IN FY14, 30 STUDENTS PARTICIPATED. NGMC PROVIDES HEALTH INFORMATION & SUPPORT: CANCER INFORMATION LINE: NGMC OPERATES A CANCER INFORMATION LINE 1(800) 466-5416. THIS IS A FREE TELEPHONE SERVICE FOR NORTHEAST GEORGIA COMMUNITIES THAT PROVIDES INFORMATION, EDUCATION AND RESOURCES TO CANCER PATIENTS, FAMILY MEMBERS AND THE GENERAL PUBLIC. NURSELINE: NGMC PROVIDES THE NURSELINE, A FREE SERVICE TO THE PUBLIC THAT PROVIDES TELEPHONE TRIAGE BY A REGISTERED NURSE AND HEALTH INFORMATION SERVICES. THIS SERVICE INCREASES THE HALL COUNTY COMMUNITY'S ACCESS TO MEDICAL INFORMATION; PROVIDES STANDARDIZED MEDICAL INFORMATION INSTEAD OF JUST "NURSING JUDGMENTS"; AND HELPS OFF-LOAD PHYSICIAN OFFICE MEDICAL INFORMATION CALLS, ALLOWING THEM MORE TIME TO CARE FOR PATIENTS. THE FRASER RESOURCE CENTER AND HEALTH SCIENCES LIBRARY AT NGMC: SERVES THE HEALTH INFORMATION NEEDS OF THE COMMUNITY. THE LIBRARY IS LOCATED ON THE MEDICAL CENTER CAMPUS IN GAINESVILLE. CONSUMERS, PATIENTS AND THEIR FAMILY MEMBERS HAVE ACCESS TO CREDIBLE RESOURCES RELATING TO MEDICAL SYMPTOMS, CONDITIONS AND TREATMENTS BOTH AT THE LIBRARY AND ALSO VIA LINKS ON NGMC'S WEBSITE (WWW.NGHS.COM/LIBRARY). THE RESOURCE CENTER ENCOURAGES VISITORS TO MAKE HEALTHY CHOICES AND BECOME ACTIVE, INFORMED PARTNERS IN THEIR HEALTH CARE. CLERGY SEMINARS & ACCREDITATION BY ASSOCIATION FOR CLINICAL PASTORAL EDUCATION: NGMC HELD TWO CLERGY SEMINARS IN FY14, TWO UNITS OF CLINICAL PASTORAL EDUCATION AND SIX LUNCH AND LEARN MEETINGS FOR VOLUNTEER CHAPLAINS. THE SEMINARS WERE ON THE TOPICS OF END-OF-LIFE ISSUES AND CRITICAL INCIDENT STRESS MANAGEMENT. NEARLY 90 CLERGY MEMBERS FROM ACROSS NORTH GEORGIA PARTICIPATED IN THESE EVENTS. NORTHEAST GEORGIA MEDICAL CENTER IS HOME TO A CLINICAL PASTORAL EDUCATION CENTER, WHICH IS FOCUSED ON OFFERING OUR AREA CLERGY PRACTICAL THEOLOGICAL EDUCATION IN A CLINICAL SETTING THROUGH THE CPE MODEL. OUR CENTER IS ACCREDITED BY THE ASSOCIATION FOR CLINICAL PASTORAL EDUCATION, INC. (ACPE). HOSPICE BEREAVEMENT CAMP AND SUPPORT GROUPS: CAMP BRAVEHEART: NGMC PROVIDES A DAY CAMP FOR CHILDREN AND TEENS WHO HAVE EXPERIENCED THE DEATH OF A CLOSE FRIEND OR FAMILY MEMBER. THIS CAMP IS FREE AND AVAILABLE TO ANY YOUTH IN THE COMMUNITY WHO HAS EXPERIENCED A SIGNIFICANT DEATH. FACILITATED BY A TEAM OF LICENSED SOCIAL WORKERS, THERAPISTS AND TRAINED VOLUNTEERS, CAMP BRAVEHEART IS A STRUCTURED, SUPPORTIVE ENVIRONMENT WHICH PROVIDES CAMPERS WITH VOCABULARY TO TALK ABOUT DEATH, LOSS AND INTENSE EMOTIONS; HEALTHY WAYS TO COPE WITH THOSE INTENSE EMOTIONS; OPPORTUNITIES TO TALK ABOUT AND REMEMBER THEIR LOVED ONES; A SAFE PLACE TO TALK ABOUT CHANGES, FEARS AND FRUSTRATIONS; AND THE CHANCE TO INTERACT WITH OTHER CHILDREN/TEENS WITH SIMILAR LOSSES. SCHOOL BASED BEREAVEMENT SUPPORT GROUPS: BRAVEHEART COUNSELORS GUIDE GRIEF SUPPORT GROUPS AT AREA SCHOOLS. COUNSELORS UNDERSTAND CHILDREN'S NATURAL RESILIENCY AND CAN HELP THEM NAVIGATE THEIR FEELINGS BASED ON INDIVIDUAL EMOTIONAL AND DEVELOPMENTAL NEEDS. STEMI CONFERENCE: HOSTED EACH YEAR BY NGMC, THE NORTHEAST GEORGIA REGIONAL STEMI CONFERENCE BRINGS TOGETHER PARAMEDICS, EMS STAFF AND DOCTORS FROM ACROSS THE STATE. THEY MEET TO DISCUSS THE STATE OF THE NORTHEAST GEORGIA REGIONAL STEMI SYSTEM A COLLABORATIVE EFFORT BETWEEN NORTHEAST GEORGIA MEDICAL CENTER AND EMS IN 15 COUNTIES ACROSS THE REGION TO PROVIDE FAST AND EFFICIENT TREATMENT TO PATIENTS SUFFERING SEVERE HEART ATTACKS KNOWN AS STEMI (S-T SEGMENT ELEVATION MYOCARDIAL INFARCTION). KEYNOTE SPEAKERS AT THE CONFERENCE INCLUDE THE NATION'S LEADING CARDIOLOGISTS AND EXPERTS IN THE STUDY OF REGIONAL APPROACHES TO HEART ATTACK CARE. THE STEMI PROGRAM BENEFITS ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. MENDED HEARTS: MENDED HEARTS, INC., IS A NATIONWIDE SUPPORT ORGANIZATION FOR INDIVIDUALS WITH HEART DISEASE, INCLUDING PERSONS RECOVERING FROM HEART ATTACKS, ANGIOPLASTY OR OPEN HEART SURGERY. MENDED HEARTS VOLUNTEERS VISIT CARDIAC PATIENTS AND THEIR FAMILIES BEFORE AND AFTER SURGERIES AND HELP ANSWER QUESTIONS AND CONCERNS, OFFER HOPE AND ENCOURAGEMENT AND SHARE EDUCATIONAL MATERIALS. IN FY14, MENDED HEARTS VOLUNTEERS PROVIDED 5,455 PATIENT VISITS. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION: IN KEEPING WITH GUIDELINES FOR COMMUNITY BENEFIT REPORTING, NGMC DID NOT INCLUDE QUANTITATIVE DATA ON THE FOLLOWING PROGRAMS/PROJECTS, BUT THEY DO MEET HEALTH NEEDS IN THE COMMUNITY IDENTIFIED VIA THE 2013 (THE MOST RECENT) COMMUNITY HEALTH NEEDS ASSESSMENT AND WARRANT INCLUSION IN THIS SUMMARY: PATIENT-CENTERED MEDICAL NEIGHBORHOOD: NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) HAS BEEN SELECTED AS ONE OF 15 COMMUNITIES IN THE NATION TO ESTABLISH A PATIENT-CENTERED MEDICAL NEIGHBORHOOD (PCMN) AS PART OF A CENTERS FOR MEDICARE & MEDICAID (CMS) INNOVATION CHALLENGE GRANT. THE PATIENT-CENTERED MEDICAL NEIGHBORHOOD (PCMN) BUILDS ON THE CONCEPT OF A PATIENT-CENTERED MEDICAL HOME (PCMH) BY CONNECTING ACUTE-CARE HOSPITALS, SPECIALTY AND SUB-SPECIALTY PRACTICES AND OTHER COMMUNITY HEALTH RESOURCES WITH PRIMARY CARE PROVIDERS IN ORDER TO DRIVE HIGHER-QUALITY, PROVIDE MORE AFFORDABLE CARE AND ENSURE A POSITIVE PATIENT EXPERIENCE. THE FIRST STEP IN THIS THREE-YEAR PROJECT IS TO BUILD STRONG MEDICAL HOME PRACTICES. PARTNERING WITH NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG) AND OTHER COMMUNITY PRACTICES, THIS PROJECT IS DESIGNED TO PROVIDE MORE INDIVIDUALIZED CARE TO PATIENTS. A MEDICAL HOME IS A CONCEPT OF CARE NOT A BUILDING, A HOUSE OR A HOSPITAL. THE GOAL OF THE MEDICAL HOME MODEL IS TO BETTER COORDINATE CARE THROUGH PRIMARY CARE PRACTICES WITH HOSPITALS, MEDICAL SPECIALTIES AND OTHER COMMUNITY HEALTH SERVICES TO SUPPORT A MORE FULLY-INTEGRATED APPROACH TO CARE. BEING CARED FOR IN A PATIENT CENTERED MEDICAL HOME MEANS NGMC'S HEALTHCARE PROVIDERS WILL WORK WITH PATIENTS TO HELP UNDERSTAND THEIR TOTAL HEALTHCARE NEEDS AND CONNECT THEM WITH COMMUNITY AND OTHER RESOURCES TO HELP MEET THEIR INDIVIDUALIZED NEEDS. A PARTNERSHIP IS DEVELOPED BETWEEN THE PATIENT, THE PERSONAL PRIMARY CARE PHYSICIAN AND OTHER MEMBERS OF THE HEALTHCARE TEAM, AND THERE IS A KEY FOCUS ON ENCOURAGING PATIENTS TO PARTICIPATE IN THEIR CARE. DISEASE CARE MANAGERS: NGMC EMPLOYS FOUR DISEASE CARE MANAGERS TO FOCUS ON THE CORE MEASURES IDENTIFIED BY CMS, WHICH ARE PNEUMONIA AND SEPSIS, HEART FAILURE, STROKE AND ACUTE MYOCARDIAL INFARCTION. CMS BEGAN FOCUSING ON THESE DISORDERS TO IMPROVE CARE AND REDUCE COSTS, THEREFORE THESE PROFESSIONALS MANAGE CARE TO IMPROVE OUTCOMES. DISEASE MANAGERS PROVIDE COMMUNITY EDUCATION AND SOME DISEASE MANAGERS PROVIDE HEALTH EDUCATION AT GOOD NEWS CLINICS (THE INDIGENT CLINIC). OTHER COMMUNITY EDUCATION PROVIDED BY DISEASE MANAGERS INCLUDES CHURCH/CIVIC/SENIOR GROUPS, HEALTH FAIRS AND SPECIAL PROGRAMS. SANE PROGRAM: NGMC PROVIDES A SANE PROGRAM (SEXUAL ASSAULT NURSE EXAMINER) PROGRAM WHICH PROVIDES NURSES SPECIAL TRAINING IN RAPE CRISIS, TRIAL TIME WITH A DISTRICT ATTORNEY AND TRAINING WITH LAW ENFORCEMENT AND A PEDIATRICIAN'S OFFICE. NGMC EMPLOYS NURSES WHO HAVE SPECIALIZED TRAINING TO COMPLETE THE SEXUAL ASSAULT NURSE EXAM AND PROVIDE SPECIALIZED CARE FOR PATIENTS WHO ARE VICTIMS OF SEXUAL ASSAULT. THIS PROGRAM IS NOT A REQUIREMENT OF HOSPITALS AND IS ALSO NOT PROVIDED AT ALL HOSPITALS THROUGHOUT THE STATE. LIFELINE: NGMC HAS A LIFELINE EMERGENCY RESPONSE SERVICE WHICH ALLOWS PEOPLE TO CONTINUE LIVING INDEPENDENTLY IN THEIR HOMES WITH THE SECURITY OF KNOWING THEY CAN QUICKLY ACCESS HELP IF THEY NEED IT. BY PRESSING A LIGHTWEIGHT, WATERPROOF ALERT BUTTON WORN AROUND THE NECK OR WRIST, SUBSCRIBERS CAN SIGNAL LIFELINE MONITORS WHO DETERMINE WHAT KIND OF HELP IS NEEDED AND CALL FOR IT IMMEDIATELY. IN FY14, NGMC HAD 264 SUBSCRIBERS. NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG) WAS RECOGNIZED WITH A STAGE 7 AMBULATORY AWARD, THE HIGHEST LEVEL OF EMR (ELECTRONIC MEDICAL RECORD) ADOPTION AND WAS ALSO RECOGNIZED FOR ITS ADVANCED ELECTRONIC PATIENT RECORD ENVIRONMENT. NGMC IS THE SIXTH SYSTEM IN THE COUNTRY TO RECEIVE THE HONOR, WHICH PUTS US IN THE TOP 1.2 PERCENT. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION: ORGANIZATION OVERVIEW: NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) IS A NOT-FOR-PROFIT COMMUNITY HEALTH SYSTEM DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE PEOPLE OF NORTHEAST GEORGIA. THROUGH THE SERVICES OF A MEDICAL STAFF OF MORE THAN 500 PHYSICIANS, THE RESIDENTS OF NORTHEAST GEORGIA HAVE ACCESS TO COMPREHENSIVE MEDICAL SERVICES. THE HEALTH SYSTEM OFFERS A FULL RANGE OF HEALTHCARE SERVICES THROUGH ITS HOSPITAL IN GAINESVILLE, NORTHEAST GEORGIA MEDICAL CENTER (NGMC), WHICH, FOR 2014, IS RATED AS GEORGIA'S #1 HOSPITAL (ACCORDING TO CARECHEX) AND AMONG ONLY TWENTY LARGE COMMUNITY HOSPITALS NAMED TO TRUVEN HEALTHCARE'S LIST OF THE NATION'S 100 TOP HOSPITALS. CARECHEX ALSO RECOGNIZES NGMC AS: - GEORGIA'S #1 SURGERY HOSPITAL - GEORGIA'S #1 HEART HOSPITAL - GEORGIA'S #1 WOMEN'S HOSPITAL - GEORGIA'S #1 PULMONARY HOSPITAL - GEORGIA'S #1 NEUROLOGY HOSPITAL FOR PATIENT SAFETY - #6 IN THE NATION FOR MEDICAL CARE - OTHER FACILITIES THROUGHOUT NORTHEAST GEORGIA SERVE TO EXTEND NGHS' REACH INTO THE REGION INCLUDING: - MEDICAL PLAZA 400, A MULTISPECIALTY MEDICAL OFFICE BUILDING IN DAWSONVILLE - A MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT CENTER - A SATELLITE CANCER TREATMENT CENTER - IN-HOME SERVICES SUCH AS HOSPICE AND LIFELINE, A PERSONAL EMERGENCY RESPONSE SYSTEM - LONG-TERM CARE CENTERS - OUTPATIENT IMAGING CENTERS - OUTPATIENT REHABILITATION CENTERS OFFERING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY - URGENT CARE CENTERS LED BY VOLUNTEER BOARDS MADE UP OF COMMUNITY LEADERS, THE 557-INPATIENT, 261-SKILLED NURSING BED HEALTH SYSTEM SERVES ALMOST 800,000 PEOPLE IN MORE THAN 13 COUNTIES ACROSS NORTHEAST GEORGIA. AS A NOT-FOR-PROFIT HEALTH SYSTEM, ALL REVENUE GENERATED ABOVE OPERATING EXPENSES IS RETURNED TO THE COMMUNITY THROUGH IMPROVED SERVICES AND INNOVATIVE PROGRAMS. NORTHEAST GEORGIA MEDICAL CENTER'S CHARITY CARE POLICY SUPPORTS THE PROVISION OF CARE FOR INDIGENT PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. NGHS IS BUILDING A NEW CAMPUS IN THE GREATER BRASELTON AREA. THIS 119-ACRE HEALTHCARE VILLAGE ALREADY INCLUDES A MEDICAL OFFICE BUILDING (MEDICAL PLAZA 1) THAT HOUSES NUMEROUS PHYSICIAN SPECIALTIES, AN URGENT CARE CENTER AND OUTPATIENT SERVICES INCLUDING IMAGING, LAB AND PHYSICAL AND OCCUPATIONAL THERAPY. A 100-BED HOSPITAL, NORTHEAST GEORGIA MEDICAL CENTER BRASELTON, IS SCHEDULED TO OPEN IN EARLY 2015. ECONOMIC IMPACT SURPASSES $1 BILLION IN 2012, THE LATEST INFORMATION AVAILABLE, NGMC GENERATED $1,104,610,897 IN REVENUE FOR THE LOCAL AND STATE ECONOMY ACCORDING TO THE GEORGIA HOSPITAL ASSOCIATION, THE STATE'S LARGEST HOSPITAL TRADE ASSOCIATION. SPECIAL NOTES: NGMC USES THE PRECEPTS OUTLINED IN "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT," PROVIDED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND VHA, INC. THE GUIDE'S PURPOSE IS TO HELP NOT-FOR-PROFIT MISSION-DRIVEN HEALTHCARE ORGANIZATIONS DEVELOP, ENHANCE AND REPORT ON THEIR COMMUNITY BENEFIT PROGRAMS. COMMUNITY BENEFIT DEFINITION: PROGRAM OR ACTIVITY MUST ADDRESS A DEMONSTRATED COMMUNITY NEED, AND SEEK TO ADDRESS AT LEAST ONE OF THE FOLLOWING COMMUNITY BENEFIT OBJECTIVES: - IMPROVE ACCESS - ENHANCE POPULATION HEALTH - ADVANCE GENERALIZABLE KNOWLEDGE - RELIEVE GOVERNMENT BURDEN TO IMPROVE HEALTH THE PROGRAM OR ACTIVITY MUST: - PRIMARILY BENEFIT THE COMMUNITY RATHER THAN THE ORGANIZATION - RESULT IN MEASURABLE EXPENSE TO THE ORGANIZATION IF THE PROGRAM OR ACTIVITY IS PROVIDED PRIMARILY FOR MARKETING PURPOSES, STANDARD PRACTICE, EXPECTED OF ALL HOSPITALS (SUCH AS ACTIVITIES REQUIRED FOR ACCREDITATION, LICENSURE, OR TO PARTICIPATE IN MEDICARE) OR IS PRIMARILY FOR EMPLOYEES (NOT INCLUDING INTERNS, RESIDENTS AND FELLOWS) AND/OR AFFILIATED PHYSICIANS, IT IS NOT COMMUNITY BENEFIT. FOR MORE INFORMATION, CONTACT CHRISTY MOORE, MANAGER, COMMUNITY HEALTH IMPROVEMENT, AT (770) 219-8097 OR GO TO WWW.NGHS.COM. 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