2012-08-15T06:42:02-05:00 2011-09-30 PERSHING YOAKLEY & ASSOCIATES P C ONE CHEROKEE MILLS 2220 SUTHERLAND KNOXVILLE TN 379192363 990 2010-10-01 581694098 NORTHEAST GEORGIA MEDICAL CENTER INC NORT 7702196646 743 SPRING STREET GAINESVILLE GA 305013899 ANTHONY HERDENER 7702196646 2012-08-15 1 SUSAN CLARK 8656730844 2010 2016-02-24 21:20:13Z CAROL BURRELL 743 SPRING STREET GAINESVILLE GA 305013899 636216444 0 X WWW.NGHS.COM X 1986 GA THE MISSION OF NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS TO PROVIDE COMPREHENSIVE, (SEE SCHEDULE O) ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY. 14 9 0 606 2079238 -208682 1707632 1391506 588122976 599822094 4083820 34129338 -4031803 403901 589882625 635746839 436350 305820 0 0 226496393 237914457 0 0 0 305857512 319879748 532790255 558100025 57092370 77646814 930469881 934950982 677836415 671455471 252633466 263495511 TO PROVIDE COMPREHENSIVE, ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY. 0 0 497170198 305820 599628883 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** 497170198 1 1 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 1 286 0 1 0 1 1 0 0 0 0 0 0 0 0 0 X 14 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 1.00 X 0 0 0 JANIE SHELTON 1.00 X 0 0 0 KIT DUNLAP 1.00 X 0 0 0 JOHN HEMMER MD 1.00 X 12620 0 16500 JAY HORTENSTINE 1.00 X 0 437094 28640 ROGER OWENS MD 1.00 X 0 0 0 LUA BLANKENSHIP 1.00 X 0 0 0 RODNEY SMITH MD 1.00 X 0 0 0 DOUG CARTER 1.00 X 0 0 0 JOHN PRIEN 1.00 X 0 0 0 LARRY DENT 1.00 X 0 0 0 DALLAS GAY 1.00 X 0 0 0 JERRY JACKSON 1.00 X 0 0 0 JACK KEENER 1.00 X 0 0 0 SPENCE PRICE 1.00 X 0 0 0 JOHN A WILLIAMSON 40.00 X 0 282862 57447 JAMES GARDNER 1.00 X 0 940277 491707 CAROL BURRELL 1.00 X 0 488837 220957 ANTHONY HERDENER 1.00 X 0 451479 138464 NANCY J MARTIN 40.00 X 0 333505 71786 DANE HENRY 40.00 X 0 250411 32577 MARY MARTIN 40.00 X 0 144368 40196 TRACY VARDEMAN 1.00 X 0 253008 65108 JAMES BAILEY MD 1.00 X 0 716040 28911 SAMUEL JOHNSON 40.00 X 0 281844 32184 SANDRA JOHNSON 1.00 X 0 263603 25983 ALLANA CUMMINGS 1.00 X 0 316956 27909 JAMES WALKER 1.00 X 0 202203 12802 STEPHEN A CARLSON 40.00 X 0 166396 36335 DEBRA DUKE 40.00 X 0 156648 35089 RANDALL P MILLER 40.00 X 0 234195 28397 DAVID E PATTERSON 40.00 X 0 190316 21370 WILLIAM LONERGAN 40.00 X 0 158645 37701 SCOTT YASKULKA 40.00 X 0 139078 26169 WILLIAM FOLEY JR 40.00 X 0 147501 22366 12620 6555266 1498598 0 0 1 0 MCKESSON INFORMATION SOLUTIONS PO BOX 98347 CHICAGO IL 60693 IT SERVICES/CONSULTING 4312066 MILNER VOICE AND DATA 5125 PEACHTREE IND BLVD NORCROSS GA 30092 TRANSCRIPTION SERVICES 2651764 ANESTHESIA ASSOCIATES OF GAINESVILLE PO BOX 1076 GAINESVILLE GA 30503 ANESTHESIA SERVICES 2613996 GE MEDICAL SYSTEMS PO BOX 402076 ATLANTA GA 30384 DIAGNOSTIC EQUIPMENT MAINTENANCE 2372682 LONGSTREET CLINIC PC PO DRAWER 658 GAINESVILLE GA 30503 HOSPITALISTS/PHYSICIAN SERVICES 1035413 104 1391506 1391506 NET PATIENT SVC REVENU 621400 589158849 589158849 PHARMACY 446110 6091381 6091381 CAFETERIA REVENUE 722210 2200970 2200970 LAB REVENUE 621500 2029330 2029330 DAY CARE CENTER 624410 259985 259985 81579 49908 31671 599822094 10723934 10723934 829676 31814 797862 797862 -5191 803053 23265970 577225 437791 23265970 139434 23405404 23405404 PARTNERSHIP INCOME 621990 -188020 -188020 LOSS ON DEBT EXTINGUIS 900099 -205941 -205941 -393961 635746839 588965638 2079238 43310457 305820 305820 1292988 1129296 163692 187067557 163384804 23682753 10651383 9302918 1348465 24879374 21729645 3149729 14023155 12247824 1775331 17456909 15246864 2210045 695509 607458 88051 965719 843459 122260 32833783 28677026 4156757 806921 704765 102156 8418330 7352569 1065761 453692 396255 57437 251274 219463 31811 30408797 26559043 3849754 41527070 36269743 5257327 3119296 2724393 394903 UBI TAX -127282 -111168 -16114 SUPPLIES 78742913 68774060 9968853 BAD DEBT EXPENSE 56527810 56527810 MEDICAL SUPPLIES 19988150 19988150 RENTAL & MAINTENANCE 17416467 15211542 2204925 10394390 9078459 1315931 558100025 497170198 60929827 0 -2401190 4050348 19922754 73907 66494291 70408840 281247 462523 2154612 3094904 3577601 3451573 784528666 369356334 429979137 415172332 405064920 437207812 34817 34817 4173016 1188676 993926 930469881 934950982 52670173 42188940 600465891 599999641 190450 227024 24509901 29039866 677836415 671455471 X 252633466 263495511 252633466 263495511 930469881 934950982 X 77646814 -66784769 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5354 5354 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS MEMBERSHIP DUES TO AMERICAN ACADEMY OF SLEEP, AMERICAN COLLEGE OF HEALTHCARE, AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION, AMERICAN MEDICAL ASSOCIATION, ASSOCIATION FOR PROFESSIONALS INFECTION CONTROL, AMERICAN SOCIETY FOR HEALTHCARE HUMAN RESOURCES ADMINISTRATION, AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS, COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES, CLINICAL LABORATORY MANAGEMENT ASSOCIATION, GEORGIA ALLIANCE, GEORGIA HEALTHCARE ASSOCIATION, GREATER HALL CHAMBER OF COMMERCE, GEORGIA SOCIETY FOR HEALTH RISK MANAGEMENT, MEDICAL GROUP MANAGEMENT ASSOCIATION, NATIONAL HOSPICE AND PALLATIVE CARE ORGANIZATION, SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY, FOOTHILLS OF GA SOCIETY FOR HUMAN RESOURCES MANAGEMEMT CHAPTER, SOCIETY FOR HUMAN RESOURCES MANAGEMENT, SOCIETY FOR HUMAN RESOURCE, SOCIETY FOR HUMAN RESOURCES MANAGEMENT-ATLANTA AND SOCIETY OF THORACIC SURGEONS. A PORTION OF THESE DUES ARE DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. 8503587 8503587 375877231 95533805 280343426 9952635 6397496 3555139 369626854 258987413 110639441 20568359 8437620 12130739 415172332 DUE TO THIRD PARTY PAYORS 9086619 CAPITALIZED LEASES 2858036 DEFERRED COMPENSATION 8696177 INTEREST RATE SWAP 8307528 DUE TO AFFILIATES 91506 29039866 635746839 558100025 77646814 -35059496 -31725273 -66784769 10862045 631951501 -3030316 -3030316 634981817 765022 765022 635746839 555920441 31813 31813 555888628 2211397 2211397 558100025 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: NORTHEAST GEORGIA MEDICAL CENTER, INC. IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2011, MANAGEMENT DOES NOT BELIEVE NGMC HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL RECOGNITION OR DISCLOSURE UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. IT IS THE SYSTEM'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS AS AN OPERATING EXPENSE WHERE APPLICABLE. PART XI, LINE 8 - OTHER ADJUSTMENTS: EQUITY TRANSFER TO THE MEDICAL CENTER FOUNDATION -1,065,045. INTERCOMPANY DEBT FORGIVENESS -26,675,133. PARTNERSHIP INCOME NOT ON BOOKS 187,920. CUMMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -4,173,015. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FV OF DERIVATIVE -1,784,638. RECLASS OF NON-OPERATING EXPENSES -1,245,678. PART XII, LINE 4B - OTHER ADJUSTMENTS: PARTNERSHIP INCOME NOT ON BOOKS -187,920. RENTAL EXPENSES -31,813. RECLASS INVESTMENT FEES 965,719. RECLASS CONTRIBUTION REVENUE 19,036. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 31,813. PART XIII, LINE 4B - OTHER ADJUSTMENTS: RECLASS INVESTMENT MGMT FEES 965,719. RECLASS NON-OPERATING EXPENSES 1,245,678. 1 1 1 X 1 X 1 1 1 0 1 1 26538672 26538672 0.05290 72308020 69837697 2470323 0.00490 1056519 1160385 -103866 0.00000 99903211 70998082 28905129 0.05780 21 196316 794364 67524 726840 0.00140 8 4151 1270064 1270064 0.00250 13073653 10072646 3001007 0.00600 1 65 478514 189505 289009 0.00060 24 12737 1757230 3950 1753280 0.00350 54 213269 17373825 10333625 7040200 0.01400 54 213269 117277036 81331707 35945329 0.07180 8 17924 2200 15724 0.00000 1 900 200 700 0.00000 8 210 429376 700 428676 0.00090 17 210 448200 3100 445100 0.00090 1 15094980 149128643 148154706 973937 X 1 1 1 1 NORTHEAST GEORGIA MEDICAL CENTER

743 SPRING STREET GAINESVILLE GA 30501

X X X NORTHEAST GEORGIA MEDICAL CENTER 1 19 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 IMAGING CENTER - BRASELTON

5875 THOMPSON MILL ROAD HOSCHTON GA 30548

IMAGING / RADIOLOGY CENTER NEW HORIZONS NORTH

600 BEVERLY ROAD NE GAINESVILLE GA 30501

LONG TERM CARE REHABILITATION INSTITUTE

597 SOUTH ENOTA DRIVE NE GAINESVILLE GA 30501

REHABILITATION SERVICES NEW HORIZONS WEST

1010 DAWSONVILLE HWY NW GAINESVILLE GA 30501

LONG TERM CARE SLEEP LAB

535 JESSE JEWELL PKWY GAINESVILLE GA 30501

SLEEP DISORDER CENTER 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 - OAKWOOD

3931 MUNDY MILL ROAD SUITE B OAKWOOD GA 30566

REHABILITATION SERVICES REHAB - DAWSONVILLE

5959 HIGHWAY 53EHIGHTOWER PLACE ST 200 DAWSONVILLE GA 30534

REHABILITATION SERVICES REHAB - CLEVELAND

640-A HELEN HWY CLEVELAND GA 30528

REHABILITATION SERVICES REHAB - BUFORD

4889 GOLDEN PKWY SUITE 150 BUFORD GA 30518

REHABILITATION SERVICES SLEEP LAB-BRASELTON SATELLITE

5737 THOMPSON MILL ROAD HOSCHTON GA 30548

SLEEP DISORDER CENTER REHAB - DAHLONEGA

95 MORRISON MOORE PKWY DAHLONEGA GA 30533

REHABILITATION SERVICES DIABETES ED

675 WHITE SULPHUR ROAD GAINESVILLE GA 30501

DIABETES SERVICES ESSENTIALLY FOR WOMEN - LACTATION

825 JESSE JEWELL PKWY GAINESVILLE GA 30501

LACTATION BARIATRIC SERVICES

675 WHITE SULPHUR ROAD GAINESVILLE GA 30501

BARIATRIC WEIGHT LOSS SERVICES 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 AS WELL AS IN ITS ANNUAL COMMUNICARE MAGAZINE. PART I, LINE 7: CHARITY CARE COSTS WERE 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 OPERATING EXPENSES FOR THE SNF LESS BAD DEBT DIVIDED BY THE TOTAL GROSS CHARGES FOR THE SNF. THE CCR FOR THE REMAINING PATIENT CHARGES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE CCR FOR THE UNREIMBURSED MEDICAID AND OTHER MEANS TESTED GOVERNMENT PROGRAMS WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES WERE FOR INPATIENT REHAB AND LAURELWOOD (MENTAL HEALTH). NO COSTS WERE ATTRIBUTABLE TO PHYSICIAN CLINICS. PART I, L7 COL(F): $56,527,810 IN BAD DEBT EXPENSES WERE SUBTRACTED FROM FORM 990, PART IX, LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART II: 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 HEALTHY BEHAVIOR CHOICES AND BE MORE LIKELY TO HAVE ACCESS TO HEALTH SERVICES. THEREFORE, NGMC AS ORGANIZATION MUST CONSIDER THE SOCIAL DETERMINANTS OF HEALTH STATUS AS PART OF PREVENTATIVE CARE.A SNAPSHOT/HIGHLIGHTS OF SOME COMMUNITY BUILDING ACTIVITIES INCLUDE:NGMC'S SUPPORT OF FOOTHILLS AREA HEALTH EDUCATION NETWORK.NGMC HAS A UNIQUE PARTNERSHIP WITH FOOTHILLS AREA HEALTH EDUCATION CENTER (AHEC). THE MISSION FOR AHEC IS TO INCREASE THE SUPPLY AND DISTRIBUTION OF HEALTHCARE PROVIDERS, ESPECIALLY IN MEDICALLY UNDERSERVED AREAS. THROUGH JOINT EFFORTS, COMMUNITIES EXPERIENCE IMPROVED SUPPLY, DISTRIBUTION, AND QUALITY OF HEALTHCARE PROFESSIONALS. FOOTHILLS AHEC SERVES 31 COUNTIES IN THE NORTHEAST GEORGIA AREA. IN ADDITION, NGMC PROVIDES JOB SHADOWING OPPORTUNITIES, SUPPORT OF YOUTH APPRENTICESHIP PROGRAMS, AND COMMUNITY BASED VOCATIONAL INSTRUCTION TO HELP BUILD A WELL PREPARED HEALTHCARE WORK FORCE THAT WILL BENEFIT ALL RESIDENTS.NGMC'S SUPPORT OF THE SUMMER SCHOLARS PROGRAM AT GAINESVILLE COLLEGE.NGMC IS A SPONSOR OF THE SUMMER SCHOLARS PROGRAM AT GAINESVILLE COLLEGE. THIS IS SUMMER PROGRAM IS HELD ANNUALLY FOR AT-RISK MIDDLE AND HIGH SCHOOL STUDENTS TO PROVIDE EDUCATION , PROMOTE STAYING IN SCHOOL, TO PROMOTE INTEREST IN LANGUAGE ARTS AND MATH, TO PROVIDE EXPOSURE TO COLLEGE, AND TO IMPROVE SELF-ESTEEM AND SELF DISCIPLINE.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. PART III, LINE 4: THE COST OF BAD DEBTS REPORTED ON LINE 2 WERE ARRIVED AT BY 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 OPERATING EXPENSES FOR THE SNF LESS BAD DEBT DIVIDED BY THE TOTAL GROSS CHARGES FOR THE SNF. THE CCR FOR THE REMAINING PATIENT CHARGES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. 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. ONCE DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS MADE (BY RECEIPT AND APPROVAL OF COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE), THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS OUTSTANDING. PART V, SECTION A: NORTHEAST GEORGIA MEDICAL CENTER ALSO OFFERS IN HOME HOSPICE CARE. PART VI, LINE 2: ON A CONTINUOUS BASIS, NGMC SEEKS A VARIETY DATA SOURCES AND RELIABLE INDICATORS TO HELP IDENTIFY AND ELIMINATE HEALTH INEQUITIES IN THE COMMUNITIES IT SERVES. A LISTING OF THE PRIMARY SOURCES AND RESOURCES ARE LISTED BELOW:- SINCE 1997, NGMC HAS CONDUCTED A COMMUNITY ASSESSMENT EVERY 3 - 5 YEARS THROUGH A COMMUNITY PARTNERSHIP CALLED HEALTHLY HALL. THE MOST RECENT ASSESSMENT WAS CONDUCTED IN 2007, AND RESULTS WERE SHARED WIDELY VIA OUR WEBSITE, WWW.HEALTHYHALL.COM. THE ASSESSMENT INCLUDED FOCUS GROUPS, A TELEPHONE SURVEY AND A REVIEW OF SECONDARY RESEARCH.- A PRESENTATION WAS GIVEN AT THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT'S (ACHI) NATIONAL CONFERENCE IN LOS ANGELES, CA, IN MARCH 2009 BY NGMC'S MANAGER OF COMMUNITY HEALTH IMPROVEMENT AND BILL STILES OF STILES HEALTHCARE STRATEGY. THE TITLE OF PRESENTATION: "HEALTHY HALL: ONE COMMUNITY'S GUIDE TO CONDUCTING SUCCESSFUL COMMUNITY ASSESSMENTS THAT LEAD TO POWERFUL OUTCOMES." (THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (ACHI) IS A PUBLIC HEALTH ORGANIZATION FOUNDED IN 2002. IT IS A PROGRAM OF THE HEALTH RESEARCH AND EDUCATIONAL TRUST AND AN AFFILIATE OF THE AMERICAN HOSPITAL ASSOCIATION.) - NGMC ALSO PARTNERED WITH THE HALL COUNTY FAMILY CONNECTION TO PRODUCE THE HALL LIFE REPORT IN 2007, AND THE WEB VERSION IN 2010. 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.- 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 BEING PLANNED TO COLLECT ARE: BMI (HEIGHT/WEIGHT), A1C, BLOOD PRESSURE, CHOLESTEROL, LDL, AND MICRO ALBUMEN. THIS WILL GIVE US INFORMATION RELATED TO THE FOLLOWING HEALTH ISSUES: OBESITY, DIABETES, CARDIOVASCULAR DISEASE AND HYPERTENSION.- LASTLY, COUNTY BY COUNTY DATA HAS BEEN MADE AVAILABLE THROUGH THE "PARTNER UP! FOR PUBLIC HEALTH CAMPAIGN." THIS IS A STATE WIDE ADVOCACY CAMPAIGN FUNDED BY THE HEALTHCARE GEORGIA FOUNDATION DESIGNED TO ADVANCE PUBLIC HEALTH IN GEORGIA. MORE INFORMATION AND THE DATA BY COUNTY CAN BE FOUND AT WWW.TOGETHERWECANDOBETTER.COM. 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. PART VI, LINE 3: NORTHEAST GEORGIA MEDICAL CENTER POSTS NOTICES AT ALL REGISTRATION AREAS TO INFORM PATIENTS AND FAMILIES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. ALL UNINSURED PATIENTS ADMITTED TO THE HOSPITAL ARE CONTACTED BY THE FINANCIAL ASSISTANCE DEPARTMENT AND SCREENED FOR ELIGIBILITY FOR MEDICAID, INDIGENT CARE, AND OTHER ASSISTANCE AS APPROPRIATE. THE CHARITY/INDIGENT POLICY AND INFORMATION FOR APPLICATION FOR THESE FUNDS IS PRINTED IN THE FINANCIAL SECTION OF THE PATIENT HANDBOOK. THE SAME MESSAGE IS PRINTED ON ALL PATIENT STATEMENTS AND IS POSTED ON THE ORGANIZATION'S WEBSITE AS WELL. PART VI, LINE 4: 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. THE HEALTH SYSTEM'S SERVICE AREA EXPERIENCED AN AVERAGE ANNUAL POPULATION GROWTH OF 4.3% BETWEEN 1990 AND 2000, WHILE THE STATE OF GEORGIA POPULATION'S ANNUAL GROWTH RATE AVERAGED APPROXIMATELY ONE-HALF THE HEALTH SYSTEM'S SERVICE AREA RATE, AVERAGING 2.4%. SURVEYS BY GEORGIA DEPARTMENT OF COMMUNITY HEALTH AND CLARITAS, INC SHOW THAT THE SERVICE AREA'S TOTAL POPULATION IS PROJECTED TO CONTINUE TO INCREASE AT A SIGNIFICANTLY HIGHER RATE (I.E. ALMOST DOUBLE) THAN THAT OF THE STATE OF GEORGIA AS A WHOLE. THIS SIGNIFICANT POPULATION GROWTH IN THE SERVICE AREA WILL CONTINUE TO DRIVE INCREASES IN DEMAND FOR HEALTH CARE SERVICES.UNEMPLOYMENT DATA PROVIDED BY U.S. DEPT. OF LABOR, BUREAU OF LABOR STATISTICS & DEPARTMENT OF LABOR AND STATE OF GEORGIA ILLUSTRATES THAT THE REGION'S ECONOMY IS MORE RESILIENT THAN THAT OF THE STATE OF GEORGIA OR THE UNITED STATES AS A WHOLE DURING DOWNTURNS.IN 2013, NORTHEAST GEORGIA MEDICAL CENTER PLANS TO BREAK GROUND ON A NEW 100-BED INPATIENT HOSPITAL AT NGMC'S RIVER PLACE CAMPUS IN THE SOUTHEASTERN CORNER OF HALL COUNTY. THE PROPERTY COMPRISES 119 ACRES AND CURRENTLY CONTAINS ONE MEDICAL OFFICE BUILDING HOUSING MEDICAL-PRACTICE AND OTHER MEDICAL-RELATED OFFICES. AT LEAST TWO MORE MEDICAL OFFICE BUILDINGS ARE PLANNED FOR THE RIVER PLACE CAMPUS. NGMC'S NEW HOSPITAL IS THE FIRST INCREMENTAL HOSPITAL (I.E., NOT A REPLACEMENT OR CONSOLIDATION OF EXISTING HOSPITAL(S)) APPROVED IN GEORGIA IN MORE THAN 20 YEARS. THE LAST DECADE OR MORE OF POPULATION GROWTH IN THIS AREA OF THE STATE HAS RESULTED IN HIGH, UNMET DEMAND FOR INPATIENT HOSPITAL BEDS ACCORDING TO THE STATE'S OWN CON "NEED" CALCULATIONS.)IN LATE 2011, NGMC AND THE GREATER HALL CHAMBER OF COMMERCE ENGAGED GEORGIA TECH'S ENTERPRISE INNOVATION INSTITUTE TO EXAMINE THE POTENTIAL FISCAL AND ECONOMIC IMPACTS OF THE NEW HOSPITAL. OVERALL, THE FISCAL AND ECONOMIC IMPACTS OF THE HOSPITAL AND MEDICAL OFFICE COMPLEX ARE VERY ADVANTAGEOUS TO THE COUNTY GOVERNMENT AND TO THE COUNTY SCHOOL DISTRICT. SOME OF THE STUDY'S RESULTS ARE AS FOLLOWS:. IMPACT: THE FISCAL IMPACT OF THE HOSPITAL ON HALL COUNTY'S GOVERNMENT IS MEASURED BY THE 20-YEAR NPV (NET PRESENT VALUE), WHICH COMES TO $3,770,955.. IMPACT: THE FISCAL IMPACT OF THE HOSPITAL ON HALL COUNTY'S SCHOOL SYSTEM COMES TO A 20-YEAR NPV OF $4,973,998.. IMPACT: THE FISCAL IMPACT OF THE MEDICAL OFFICE COMPLEX OF PROVIDERS AND NON-PROVIDERS ON HALL COUNTY'S GOVERNMENT COMES TO A 20-YEAR NPV OF $4,664,663.. IMPACT: THE FISCAL IMPACT OF THE MEDICAL OFFICE COMPLEX OF PROVIDERS AND NON-PROVIDERS ON HALL COUNTY'S SCHOOL SYSTEM COMES TO A 20-YEAR NPV OF $7,674,804.THE HEALTH SYSTEM ANTICIPATES INVESTING CLOSE TO $200 MILLION ON THE NEW HOSPITAL CAMPUS OVER THE NEXT 5 YEARS TO MEET THE WELL-ESTABLISHED DEMAND IN THAT COMMUNITY FOR HEALTHCARE AND INPATIENT HOSPITAL SERVICES. PART VI, LINE 6: 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. BOARD MEMBERS MAY NOT CONTRACT WITH THE HOSPITAL OR BE EMPLOYED BY THE HOSPITAL; THEY SERVE ON A VOLUNTARY BASIS AND RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS. ALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO ENSURE THAT THEY DO NOT PARTICIPATE IN ANY BUSINESS DECISIONS FOR THE MEDICAL CENTER FROM WHICH THEY WOULD PERSONALLY BENEFIT. ALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO PROTECT THE INTERESTS OF NORTHEAST GEORGIA HEALTH SYSTEM AND ITS SUBSIDIARIES. NGHS' CONFLICT OF INTEREST (COI) POLICY AND PRACTICE ARE CONSISTENT WITH STANDARDS SUPPORTING ITS TAX EXEMPT STATUS AND RELATED IRS GUIDELINES.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.NORTHEAST GEORGIA MEDICAL CENTER ALSO OPERATES AN EMERGENCY ROOM 24/7 WHICH PROVIDES SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. PART VI, LINE 7: NORTHEAST GEORGIA MEDICAL CENTER (NGMC)IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM. OTHER AFFILIATES INCLUDE NORTHEAST GEORGIA PHYSICIANS GROUP, THE MEDICAL CENTER FOUNDATION, NORTHEAST GEORGIA HEALTH PARTNERS, AND RIVER PLACE MEDICAL OFFICE PLAZA I.THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM AND NORTHEAST GEORGIA MEDICAL CENTER 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 SYSTEM;AND NORTHEAST GEORGIA PHYSICIANS GROUP IS A MULTI-SPECIALTY GROUP WITH MORE THAN 125 PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND OTHER CLINICAL STAFF PROVIDING HEALTHCARE SERVICES AT 30 LOCATIONS THROUGHOUT NORTHEAST GEORGIA, WHICH FURTHER IMPROVES THE 13-COUNTY REGIONAL COMMUNITY'S ACCESS TO CARE. REPORTS FILED WITH STATES PART VI, LINE 7 GA 1 AMERICAN CANCER SOCIETY PO BOX 102454 ATLANTA GA 30368 131788491 501(C)(3) 9257 RELAY FOR LIFE SPONSOR AMERICAN HEART ASSOCIATION PO BOX 4002900 DES MOINES IA 50340 135613797 501(C)(3) 18000 HEARTBALL AND HEART WALK SPONSOR UNITED WAY OF HALL COUNTY PO BOX 2656 GAINESVILLE GA 30503 586011393 501(C)(3) 5500 COMMUNITY BENEFIT INTERACTIVE NEIGHBORHOOD 999 CHESTNUT STREET 11 GAINESVILLE GA 30501 753077646 501(C)(3) 5600 NGMC ROOM SPONSOR NORTHEAST GA COUNCIL-BSA PO BOX 399 JEFFERSON GA 30549 580566207 501(C)(3) 5000 BOYSCOUTS 2011 CAMPAIGN- TABLE SPONSOR GOOD NEWS CLINIC 810 PINE STREET GAINESVILLE GA 30501 582058853 501(C)(3) 262463 DONATIONS 6 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE MAJORITY OF GRANTS ARE TO 501(C)(3) ORGANIZATIONS. BOARD APPROVAL IS OBTAINED THROUGH THE BUDGETING PROCESS. 1 1 0 0 0 0 0 0 0 JAY HORTENSTINE 0 417462 0 0 0 19632 0 8575 0 20065 0 465734 0 0 JOHN A WILLIAMSON 0 190616 0 74767 0 17479 0 39633 0 17814 0 340309 0 21215 JAMES GARDNER 0 440268 0 350452 0 149557 0 458428 0 33279 0 1431984 0 0 CAROL BURRELL 0 323391 0 135933 0 29513 0 197133 0 23824 0 709794 0 0 ANTHONY HERDENER 0 296905 0 122055 0 32519 0 109530 0 28934 0 589943 0 0 NANCY J MARTIN 0 191039 0 126199 0 16267 0 59073 0 12713 0 405291 0 65521 DANE HENRY 0 170087 0 79742 0 582 0 24642 0 7935 0 282988 0 17414 MARY MARTIN 0 124653 0 18130 0 1585 0 25197 0 14999 0 184564 0 0 TRACY VARDEMAN 0 166664 0 69011 0 17333 0 42959 0 22149 0 318116 0 18957 JAMES BAILEY MD 0 695112 0 0 0 20928 0 9366 0 19545 0 744951 0 0 SAMUEL JOHNSON 0 186579 0 77235 0 18030 0 17929 0 14255 0 314028 0 0 SANDRA JOHNSON 0 150745 0 105000 0 7858 0 18272 0 7711 0 289586 0 0 ALLANA CUMMINGS 0 192692 0 105000 0 19264 0 22318 0 5591 0 344865 0 0 JAMES WALKER 0 108301 0 48500 0 45402 0 3150 0 9652 0 215005 0 0 STEPHEN A CARLSON 0 143690 0 20715 0 1991 0 23420 0 12915 0 202731 0 0 DEBRA DUKE 0 128405 0 18104 0 10139 0 17692 0 17397 0 191737 0 0 RANDALL P MILLER 0 233325 0 0 0 870 0 22374 0 6023 0 262592 0 0 DAVID E PATTERSON 0 188783 0 0 0 1533 0 6783 0 14587 0 211686 0 0 WILLIAM LONERGAN 0 128351 0 17878 0 12416 0 20597 0 17104 0 196346 0 0 SCOTT YASKULKA 0 138740 0 0 0 338 0 8440 0 17729 0 165247 0 0 WILLIAM FOLEY JR 0 127684 0 19204 0 613 0 5310 0 17056 0 169867 0 0 PART I, LINES 4A-B PART I, LINES 4A-B: LINE 4A SEVERANCE PAYMENTS: JAMES GARDNER, JR. WAS EMPLOYED BY NORTHEAST GEORGIA HEALTH SYSTEM FROM MARCH 2004 UNTIL MARCH 2011. MR. GARDNER WAS HIRED TO SERVE AS PRESIDENT AND CEO OF THE SYSTEM. HE WAS PAID SEVERANCE OF $115,684 BASED ON THE TERMS OF HIS EMPLOYMENT CONTRACT. LINE 4B EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN JAMES GARDNER $435,808 ANTHONY HERDENER $75,649 TRACY VARDEMAN $23,705 CAROL BURRELL $167,565 NANCY J. MARTIN $24,159 JOHN A. WILLIAMSON $23,512 DANE HENRY $21,168 ALLANA CUMMINGS $17,544 SANDRA JOHNSON $15,241 SAMUEL JOHNSON $13,390 EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION) JOHN A. WILLIAMSON $23,905 NANCY MARTIN $69,585 DANE HENRY $19,622 TRACY VARDEMAN $21,361 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 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 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 313153216 25080929 7297582 41879678 15326359 1 0 0 1 247266117 19529827 703 1 0 1 1 46625000 46425000 200000 1 0 1 1 0 1 1 1 1 0.00280 0.00020 0.00300 1 0 1 1 1 1 0.00280 0.00020 0.00300 1 0 1 1 1 1 0.00280 0.00020 0.00300 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 CITIBANK NA 15.000000000000 0 0 0 0 0 THE LONGSTREET CLINIC PC RODNEY SMITH, BOARD MEMBER IS A PARTNER OF THE LONGSTREET CLINIC, P.C. 189365 NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS THE LONGSTREET CLINIC, P.C. FOR HOSPITALIST AND PHYSICIAN SERVICES. RODNEY SMITH, BOARD MEMBER IS A PARTNER OF THE LONGSTREET CLINIC, P.C. ALL TRANSACTIONS ARE CONDUCTED AT ARM'S LENGTH. 0 ADAMS DATA MANAGEMENT SPENCER PRICE, BOARD MEMBER IS CFO OF ADAMS DATA MANAGEMENT 280736 NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS ADAMS DATA MANAGEMENT FOR RECORDS MANAGEMENT AND OFFICE SERVICES. SPENCER PRICE, BOARD MEMBER IS CFO OF ADAMS DATA MANAGEMENT. ALL TRANSACTIONS ARE CONDUCTED AT ARM'S LENGTH. 0 STACEY CUMMINGS STACEY CUMMINGS IS SISTER TO ALLANA CUMMINGS, OFFICER. 57758 STACEY CUMMINGS IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER, INC. 0 AUNDREA STEVENS AUNDREA STEVENS IS SISTER TO JACK KEENER, BOARD MEMBER. 61573 AUNDREA STEVENS IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER, INC. 0 RACHEL BAILEY RACHEL BAILEY IS WIFE TO JAMES BAILEY M.D., BOARD MEMBER. 42853 RACHEL BAILEY 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 RETURN. AFTER THE RETURN WAS PREPARED, IT WAS REVIEWED BY SENIOR FINANCIAL MANAGEMENT. THE 990 IS MADE AVAILABLE TO MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. EMPLOYEES ATTEST TO THEIR UNDERSTANDING AND REPORTING/DISCLOSURE REQUIREMENTS AT HIRE AND ANNUALLY. COMPLIANCE IS MONITORED CONTINUOUSLY THROUGHOUT THE YEAR BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE NORTHEAST GEORGIA HEALTH SYSTEM BOARD (NGHS BOARD) HAS DEVELOPED AND INSTALLED COMPENSATION POLICIES AND PROCEDURES THAT SEEK TO FURTHER THE PURPOSE OF NGHS AND AFFILIATES AND THE IMPORTANCE OF THESE POLICIES TO ATTRACT AND RETAIN KEY EMPLOYEES. THE COMPENSATION COMMITTEE IS COMPOSED ENTIRELY OF 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 COMPETITIVE LEVELS WITH HEALTHCARE INSTITUTIONS 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, 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -35,059,496. EQUITY TRANSFER TO THE MEDICAL CENTER FOUNDATION -1,065,045. INTERCOMPANY DEBT FORGIVENESS -26,675,133. PARTNERSHIP INCOME NOT ON BOOKS 187,920. CUMMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -4,173,015. TOTAL TO FORM 990, PART XI, LINE 5: -66,784,769. 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 INDIGENT CARE TO HALL COUNTY RESIDENTS AT A COST OF $15,647,060 MILLION IN 2011, WITH ANOTHER $10,937,273 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 61-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; - 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, LUMPKIN, AND WHITE, WHERE MANY KEY MEDICAL SPECIALTIES ARE NOT AVAILABLE. NORTHEAST GEORGIA MEDICAL CENTER IN CALENDAR YEAR 2010, THE LATEST DATA AVAILABLE, NGMC WAS FIFTH IN THE STATE FOR NET UNCOMPENSATED CARE. NGMC PROVIDED INDIGENT CARE TO HALL COUNTY RESIDENTS AT A COST OF $15,647,060 MILLION IN 2011, WITH ANOTHER $10,937,273 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 2009 (LATEST NUMBERS AVAILABLE), THE HOSPITAL GENERATED NEARLY A BILLION DOLLARS IN REVENUE FOR THE LOCAL ECONOMY, 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 JOBS IN 2009 IN ADDITION TO THE MORE THAN 4,000 EMPLOYED DIRECTLY BY NORTHEAST GEORGIA HEALTH SYSTEM. UNDER THE IRS LAW, A TAX-EXEMPT ORGANIZATION, CLASSIFIED AS A 501(C)(3) CHARITY, IS REQUIRED TO: HAVE A MISSION THAT WILL BENEFIT ITS COMMUNITY; REINVEST ALL SURPLUS FUNDS IN THE ORGANIZATION IN A WAY THAT BENEFITS THE COMMUNITY; COMPENSATE EXECUTIVES, CONTRACTORS AND OTHER EMPLOYEES IN ACCORDANCE WITH FAIR MARKET VALUE; REMAIN ACCOUNTABLE TO THE COMMUNITY; REFRAIN FROM PARTICIPATING IN POLITICAL CAMPAIGNS FOR OR AGAINST CANDIDATES; REFRAIN FROM LOBBYING 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 1969: . OPERATE A FULL-TIME EMERGENCY ROOM THAT IS AVAILABLE TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY; - NGMC OPERATES THE 2ND BUSIEST ER IN GEORGIA. IN 2011, APPROXIMATELY 25% 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 FY2011, NGMC'S PAYOR MIX WAS 50% MEDICARE/MEDICAID, 36% COMMERCIAL INSURANCE AND 12% SELF-PAY. . PARTICIPATE IN MEDICAID AND MEDICARE; - 50% OF PATIENTS SERVED BY NGMC IN FY10 WERE MEDICAID AND MEDICARE PATIENTS. . CREATE A GOVERNING BOARD THAT IS REPRESENTATIVE OF THE COMMUNITY IT SERVES; - MORE THAN 75 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 MORE THAN 500 PHYSICIANS REPRESENTING NUMEROUS ADVANCED SPECIALTIES SUCH AS GYNECOLOGIC ONCOLOGY, ELECTROPHYSIOLOGY, CARDIAC SURGERY, CRITICAL CARE MEDICINE, NEONATOLOGY AND PERINATOLOGY. . REINVEST SURPLUS FUNDS IN OPERATIONS. - AS NOT-FOR-PROFIT ORGANIZATIONS, NGMC AND ITS PARENT ORGANIZATION, NORTHEAST GEORGIA HEALTH SYSTEM, REINVEST ALL REVENUE GENERATED ABOVE OPERATING EXPENSES INTO THE COMMUNITY THROUGH NEW FACILITIES, SUCH AS THE NORTH PATIENT TOWER AND WOMEN AND CHILDREN'S PAVILION, AND IN NEW ADVANCED TECHNOLOGY, SUCH AS THE REGION'S FIRST 3T MRI, THE STATE'S FIRST STEREOTAXIS ODYSSEY MAGNETIC CATHETERIZATION SYSTEM AND REGION 2'S ONLY HYPERBARIC OXYGEN THERAPY CHAMBER. 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 2011, NGMC RECEIVED $10,412,862 IN NET FUNDS ALLOCATED THROUGH THE ICTF, UPL, AND DSH PROGRAM TO PARTIALLY OFFSET A FINANCIAL LOSS OF $41.5 MILLION IN COST THE MEDICAL CENTER INCURRED TREATING UNINSURED AND MEDICAID PATIENTS. COMMUNITY BENEFITS SITUATED IN A REGION WITH AN UNINSURED RATE THAT IS HIGHER THAN THE STATE AVERAGE, AREA HEALTH CONSUMERS CAN FACE SIGNIFICANT BARRIERS IN AFFORDING CARE. NGMC HAS SIGNIFICANTLY CONTRIBUTED TO LOCAL PROGRAMS THAT AIM TO ADDRESS THESE ISSUES, PRIMARILY THROUGH ITS SUPPORT OF THE GOOD NEWS CLINICS AND HEALTH ACCESS INITIATIVE (HAI). GOOD NEWS CLINICS WITHIN HALL COUNTY, THERE ARE SEVERAL LOW-COST ALTERNATIVES TO HELP PEOPLE AVOID CHOOSING THE HOSPITAL'S EMERGENCY DEPARTMENT FOR PRIMARY CARE SERVICES. SERVING AS THE LARGEST FREE CLINIC IN GEORGIA, THE GOOD NEWS CLINICS OFFERS PRIMARY MEDICAL, OPHTHALMOLOGY SERVICES AND DENTAL CARE, AS WELL AS MEDICATIONS TO INDIGENT, HOMELESS AND LOW-INCOME INDIVIDUALS AT OR BELOW 150 PERCENT OF THE FEDERAL POVERTY LEVEL IN HALL COUNTY WHO HAVE NO HEALTHCARE INSURANCE AND CANNOT AFFORD HIS OR HER MEDICAL CARE. ALL SERVICES ARE PROVIDED FREE OF CHARGE, EVEN THOUGH THE CLINIC RECEIVES NO FEDERAL, STATE OR LOCAL GOVERNMENT FUNDING. PATIENTS WHO NEED SPECIALTY CARE ARE REFERRED TO HEALTH ACCESS INITIATIVE. SINCE 1999, NGMC HAS PROVIDED $3,247,030 IN SUPPORT OF GOOD NEWS CLINICS AND AN AVERAGE ANNUAL SUPPORT OF $299,095 FROM FY2007-2011. IN 2011, NGMC CONTRIBUTED OVER $265,000 IN FINANCIAL SUPPORT. HALL COUNTY MEDICAL SOCIETY'S HEALTH ACCESS INITIATIVE LAUNCHED IN 2003, HALL COUNTY'S HEALTH ACCESS INITIATIVE (HAI) IS A REFERRAL SERVICE FOUNDED BY THE HALL COUNTY MEDICAL SOCIETY THAT MATCHES FINANCIALLY ELIGIBLE PATIENTS TO PHYSICIANS WHO HAVE VOLUNTEERED TO PROVIDE FREE TREATMENT TO PATIENTS WHO QUALIFY FOR SERVICES, PROVIDES HELP WITH OBTAINING MEDICATIONS AND OFFERS ANCILLARY SERVICES SUCH AS X-RAYS AND TRANSLATION SERVICES. HAI ALSO PROVIDES ANCILLARY SERVICES AND OUTREACH EDUCATION FOR ITS COMMUNITY, AND COLLABORATES WITH OTHER MEDICAL CENTERS, SUCH AS NGMC. IN 2011, APPROXIMATELY 1,800 PEOPLE WERE ASSISTED WITH NEEDED MEDICAL CARE THROUGH HAI. TO QUALIFY FOR ITS SERVICES, A PATIENT'S INCOME MUST BE AT OR BELOW 150 PERCENT FEDERAL POVERTY LEVEL AND HAVE NO MEDICAL INSURANCE. THE PATIENT MUST LIVE IN HALL COUNTY AND MUST BE REFERRED BY A PHYSICIAN THAT IS IN THE HAI NETWORK. FIRST CONCEIVED IN 1998, THE NEED FOR THE PROGRAM WAS LARGELY DETERMINED BY A COMMUNITY NEEDS ASSESSMENT CONDUCTED BY HEALTHY HALL, A COALITION OF COMMUNITY MEMBERS, INCLUDING NGMC. SINCE ITS LAUNCH, THE HOSPITAL HAS FISCALLY CONTRIBUTED TO HAI. SPECIFICALLY, IN 2011, OVER $14 MILLION IN DONATED HOSPITAL SERVICES WAS PROVIDED TO LOW INCOME, UNINSURED PATIENTS THROUGH HEALTH ACCESS. IN ADDITION, SINCE 2005, HAI HAS RECEIVED MORE THAN $1,213,000 FROM THE MEDICAL CENTER FOUNDATION. OTHER HAI PARTNERS INCLUDE THE HALL COUNTY HEALTH DEPARTMENT AND MEDLINK OF GAINESVILLE, A FEDERALLY QUALIFIED HEALTH CENTER. IN 2006, HEALTHCARE GEORGIA FOUNDATION NAMED THE HAI PROGRAM "COMMUNITY SERVICE COLLABORATIVE OF THE YEAR." NGMC ALSO 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 FY11, NGMC CONTRIBUTED OVER $1.2 MILLION. IN FY11, NORTHEAST GEORGIA MEDICAL CENTER RECEIVED A NATIONAL CHARITABLE HEALTHCARE AWARD FROM JACKSON HEALTHCARE FOR COLLABORATIVE SUPPORT OF GOOD NEWS CLINICS AND HEALTH ACCESS INITIATIVE. ADDITIONAL HIGHLIGHTS OF COMMUNITY BENEFIT PROGRAMS NGMC VALUES COOPERATIVE EFFORTS WITH COMMUNITY SERVICES AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA CITIZENS. NGMC DEMONSTRATES ITS VALUE FOR COLLABORATIVE EFFORTS WITHIN THE COMMUNITY THROUGH MANY PARTNERSHIPS RANGING FROM SERVING AS LEAD AGENCY OF THE SAFE KIDS COALITION OF GAINESVILLE-HALL COUNTY, TO PARTNERING WITH COMMUNITY HEALTH ORGANIZATIONS, TO HELPING REACH AT-RISK POPULATIONS IN NEED OF HEALTHCARE. IN FY11, OVER $4.4 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 SMOKING CESSATION CLASSES, AS WELL AS LIVING LIGHTER, A WEIGHT LOSS PROGRAM. IN FY11, MORE THAN 600 NGMC VOLUNTEERS CONTRIBUTED MORE THAN 61,000 VOLUNTEER HOURS, EQUIVALENT TO 36 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 MEDICAL CENTER FOUNDATION RAISES FUNDS TO BENEFIT THE COMMUNITY THE MEDICAL CENTER FOUNDATION IS THE FUNDRAISING ARM OF NORTHEAST GEORGIA MEDICAL CENTER AND HEALTH SYSTEM 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 $2.2 MILLION HAS BEEN RAISED FOR COMMUNITY HEALTH IMPROVEMENT PROJECTS THROUGH THE MEDICAL CENTER OPEN GOLF TOURNAMENT. - THE 2010 MEDICAL CENTER OPEN GOLF TOURNAMENT, HELD IN FY11, RAISED OVER $186,000 TO BENEFIT THE HALL COUNTY FIRE SERVICES AED PROGRAM AND THE NORTHEAST GEORGIA REGIONAL STEMI PROGRAM TO PROVIDE LIFE-SAVING CARDIAC EQUIPMENT FOR GAINESVILLE CITY AND HALL COUNTY SCHOOLS AND GEORGIA'S REGION II EMS. - THE MEDICAL CENTER FOUNDATION AND THE W.A.T.C.H. (WE ARE TARGETING COMMUNITY HEALTHCARE) EMPLOYEE-GIVING CLUB RECEIVED THE 2011 SPIRIT OF PHILANTHROPY AWARD FOR BEST EMPLOYEE GIVING PROGRAM FROM THE GEORGIA HOSPITAL ASSOCIATION'S GEORGIA ASSOCIATION FOR DEVELOPMENT PROFESSIONALS. 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. 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 AND BIKE HELMETS 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 2011 THANKS TO THE SUPPORT OF THE MEDICAL CENTER FOUNDATION AND THE HEALTHY JOURNEY CAMPAIGN. IN FY11, MEMBERS OF THE GAINESVILLE-HALL COUNTY SAFE KIDS COALITION PROVIDED OVER 300 PROGRAMS AND EVENTS THAT REACHED AN ESTIMATED 51,000 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS AND CAREGIVERS. THROUGH THESE PROGRAMS, OVER 3,000 SAFETY DEVICES WERE DISTRIBUTED TO FAMILIES WHO WERE IN NEED OF THEM. GETTING OLDER AND BETTER WORKSHOP OVER 200 PEOPLE PARTICIPATED IN THE GETTING OLDER AND BETTER WORKSHOP IN MAY AT FIRST UNITED METHODIST CHURCH IN GAINESVILLE AND THE SPOUT SPRINGS LIBRARY IN FLOWERY BRANCH. THIS EVENT WAS SPONSORED BY THE MEDICAL CENTER AUXILIARY, PROVIDED BY NGMC, AND FEATURED SPEAKERS ON SURGICAL AND NON-SURGICAL OPTIONS FOR JOINT PAIN. SPONSORSHIPS AND DONATIONS IN FY11, NGMC SPONSORED OR MADE A DONATION TO OVER 15 COMMUNITY AGENCIES SERVING HEALTH AND HUMAN SERVICE NEEDS, RANGING FROM SUPPORTING THE AMERICAN CANCER SOCIETY TO TEEN PREGNANCY PREVENTION. SPONSORSHIPS/DONATIONS TOTALED OVER $30,000 IN FY11. EMPLOYEES LEAD THE WAY: UNITED WAY PACESETTER & MORE NGMC COMPLETED ITS 2011 UNITED WAY CORNERSTONE CAMPAIGN 9/11. NGHS EMPLOYEES CONTRIBUTED OVER $136,000 TO UNITED WAY AS A CORNERSTONE COMPANY. THIS IS 13% MORE THAN LAST YEAR AND $18,000 MORE THAN NGHS HAS EVER CONTRIBUTED AS AN ORGANIZATION. NGMC EMPLOYEES ARE VERY ACTIVE IN THE COMMUNITY, VOLUNTEERING AT THE 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 THE MEDICAL CENTER FOUNDATION'S EMPLOYEE GIVING CLUB, W.A.T.C.H. (WE ARE TARGETING COMMUNITY HEALTHCARE), OVER 2,300 EMPLOYEES DONATED OVER $413,000 IN FY11. FLOYD HIGDON OF NGMC PLANT OPERATIONS RECEIVED THE BOYS AND GIRLS CLUBS' HELPING HANDS AWARD AT THEIR ANNUAL GALA. FLOYD HAS SERVED ON THE BOYS AND GIRLS CLUBS BOARD OF DIRECTORS FOR OVER FIVE YEARS. IN 2009, HE RECEIVED THEIR PRESIDENT'S AWARD FOR 1,400 HOURS OF VOLUNTEER SERVICES AND FOR ADDITIONAL VOLUNTEER EFFORTS WITH HIS CHURCH AND OVERSEAS MISSIONS. GOVERNOR NATHAN DEAL APPOINTED DEB BAILEY, BSN, MSN, NGMC DIRECTOR OF GOVERNMENTAL RELATIONS, TO THE GEORGIA BOARD OF NURSING. SHE SERVES ON THE HEALTH COMMITTEE OF THE GEORGIA CHAMBER OF COMMERCE AS WELL AS GEORGIA PUBLIC HEALTH COMMISSION AND NURSING EDUCATION STUDY GROUP. DOUG CARTER, NGMC'S BOARD CHAIRMAN, SERVED AS THE CHAIRMAN OF THE GEORGIA CHAMBER OF COMMERCE IN 2011 CAROL BURRELL, NGMC'S CEO, WAS NAMED TO THE ATLANTA BUSINESS CHRONICLE'S TOP 100 NAMES AND FACES TO KNOW IN THE HEALTHCARE INDUSTRY. BLOOD DRIVES NGMC EMPLOYEES DONATED OVER 311 UNITS OF BLOOD IN FY11, BENEFITTING OVER 900 INDIVIDUALS. SUPPORT OF COMMUNITY EVENTS 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 200-300 PER EVENT. TRAINING AND EDUCATION FOR HEALTHCARE PROFESSIONALS AND OTHER STUDENTS NORTHEAST GEORGIA MEDICAL CENTER SUPPORTS THE TRAINING AND EDUCATION OF NURSES AND OTHER HEALTHCARE PROFESSIONALS. - NGMC IS A TRAINING SITE FOR HANDICAPPED HIGH SCHOOL STUDENTS WHO WORK IN THE AREAS OF MATERIALS MANAGEMENT, NUTRITIONAL SERVICES, PHARMACY AND LINENS. 21 STUDENTS AND 3 INSTRUCTORS PARTICIPATED IN FY11. - 64 STUDENTS FROM AREA HIGH SCHOOLS PARTICIPATED IN THE YOUTH APPRENTICESHIP PROGRAM IN FY11. - NGMC PARTNERS WITH LANIER TECH TO HOUSE A RADIOLOGY TECH PROGRAM AND HELPS FUND FACULTY; ALSO PROVIDES 2 PC LABS AND CLASSROOM SPACE FOR LANIER TECH'S LPN PROGRAM. - 94 JOB SHADOWS WERE PLACED AT NGMC DURING FY11, ALLOWING HIGH SCHOOL AND POSTSECONDARY STUDENTS FROM AREA SCHOOLS TO SHADOW PROFESSIONAL HEALTHCARE STAFF. NORTHEAST GA SPECIALTY GROUP LLC 743 SPRING STREET GAINESVILLE GA 30501 260556328 HEALTHCARE CLINICS GA 0 0 N/A NGHS QUICKCARE LLC 743 SPRING STREET GAINESVILLE GA 30501 205064238 HEALTHCARE CLINICS GA 0 0 N/A THE BRASELTON CLINIC LLC 743 SPRING STREET GAINESVILLE GA 30501 260556190 HEALTHCARE CLINICS GA 0 0 N/A NORTHEAST GEORGIA OCCUPATIONAL HEALTH LLC 743 SPRING STREET GAINESVILLE GA 30501 582608332 OCCUPATIONAL MEDICINE GA 0 0 N/A RIVER PLACE MEDICAL OFFICE PLAZA I LLC 743 SPRING STREET GAINESVILLE GA 30501 581694090 RENTAL GA 0 0 N/A NORTHEAST GEORGIA HEALTH SYSTEM INC 743 SPRING STREET GAINESVILLE GA 30501 581694090 HEALTHCARE - PARENT ORG. GA 501(C)(3) LINE 11C, III-FI N/A 0 THE MEDICAL CENTER FOUNDATION INC 743 SPRING STREET GAINESVILLE GA 30501 581694820 FUNDRAISING GA 501(C)(3) LINE 7 NORTHEAST GEORGIA HEALTH SYSTEM INC 0 NORTHEAST GEORGIA PHYSICIANS GROUP INC 743 SPRING STREET GAINESVILLE GA 30501 582078064 HEALTHCARE GA 501(C)(3) LINE 11B, II NORTHEAST GEORGIA HEALTH SYSTEM INC 0 NORTHEAST GEORGIA HEALTH PARTNERS LLC 743 SPRING STREET GAINESVILLE GA 30501 582131807 PPO DEVELOPMENT GA N/A C STRATEGIC PHYSICIAN SERVICES INC 743 SPRING STREET GAINESVILLE GA 30501 260342081 HEALTHCARE PSS GA N/A C 0 1 1 1 1 0 0 0 1 0 0 1 1 1 0 0 1 0