NORTHEAST GEORGIA PHYSICIANS GROUP INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- NORTHEAST GEORGIA PHYSICIANS GROUP INC (EIN 58-2078064)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201242289349300409
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T06:42:02-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PERSHING YOAKLEY & ASSOCIATES P C | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CHEROKEE MILLS 2220 SUTHERLAND | AddressLine1 |
| City | KNOXVILLE | City |
| State | TN | State |
| ZIP Code | 379192363 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582078064 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST GEORGIA PHYSICIANS GROUP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 7702196646 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 743 SPRING STREET | AddressLine1 |
| City | GAINESVILLE | City |
| State | GA | State |
| ZIP Code | 305013899 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANTHONY HERDENER | Name |
| Title | VICE PRESIDENT/CFO | Title |
| Phone | 7702196646 | Phone |
| Date Signed | 2012-08-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN CLARK | Name |
| Phone | 8656730844 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CAROL BURRELL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 743 SPRING STREET | AddressLine1 |
| City | GAINESVILLE | City |
| State | GA | State |
| ZIP Code | 305013899 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 48257588 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NGHS.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1993 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG) IS COMMITTED TO IMPROVING THE HEALTH (SEE SCHEDULE O) OF OUR COMMUNITY IN ALL WE DO THROUGH THE PROVISION OF PHYSICIAN PRIMARY CARE, SPECIALTY AND URGENT CARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 15211 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -5427 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1445 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 38355979 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 47284437 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -207 | InvestmentIncomePriorYear |
| Investment Income Current Year | -18000 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 784999 | OtherRevenuePriorYear |
| Other Revenue Current Year | 865612 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 39142216 | TotalRevenuePriorYear |
| Total Revenue Current Year | 48132049 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 11647 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 40090055 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 48832580 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 19089169 | OtherExpensePriorYear |
| Other Expenses Current Year | 19548250 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 59179224 | TotalExpensesPriorYear |
| Total Expenses Current Year | 68392477 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -20037008 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -20260428 | RevenuesLessExpensesCY |
| Total Assets BOY | 20153789 | TotalAssetsBOY |
| Total Assets EOY | 25538094 | TotalAssetsEOY |
| Total Liabilities BOY | 3953297 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4345606 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 16200492 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 21192488 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY IN ALL WE DO THROUGH THE PROVISION OF PHYSICIAN PRIMARY CARE, SPECIALTY AND URGENT CARE SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 63855809 | Expense |
| Revenue | 47284437 | Revenue |
| Description | NORTHEAST GEORGIA PHYSICIANS GROUP, INC. (NGPG) IS A TAX-EXEMPT AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM. NGPG IS A MULTI-SPECIALTY GROUP OF PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND OTHER CLINICAL STAFF MEMBERS SERVING THE NORTHEAST GEORGIA GEOGRAPHIC SERVICE AREA AT MORE THAN 20 LOCATIONS. SERVICES INCLUDE PRIMARY CARE AND A WIDE RANGE OF SPECIALTY SERVICES. **SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION** | Description |
| Total Program Service Expense | 63855809 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINDA D NICHOLSONCONTROLLER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7702196646 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 743 SPRING STREET | AddressLine1 |
| City | GAINESVILLE | City |
| State | GA | State |
| ZIP Code | 305013899 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JAMES JACKSON MD | |||||||
| MEMBER, NGPG PHYSICIAN | 40.00 | X | 0 | 305847 | 27998 | ||
| JEFFERY BLACK MD | |||||||
| MEMBER, NGPG PHYSICIAN | 40.00 | X | 0 | 291075 | 35665 | ||
| PAUL VERVALIN | |||||||
| MEMBER & VP-NGHS & CAO, PRES - NGPG | 1.00 | X | 0 | 333921 | 62524 | X | |
| JAMES BAILEY MD | |||||||
| MEMBER, VP - NGHS, CMIO | 1.00 | X | 0 | 716040 | 28911 | X | |
| ANTONIO RIOS MD | |||||||
| PHYS EXEC, CHAIRPERSON, NGPG PHYS. | 40.00 | X | 0 | 297081 | 39890 | X | |
| ROBERT TAYLOR MD | |||||||
| MEMBER, NGPG PHYSICIAN | 40.00 | X | 0 | 180316 | 36707 | ||
| ERIC BOHN MD | |||||||
| MEMBER, NGPG PHYSICIAN | 40.00 | X | 0 | 304269 | 41018 | ||
| JOHN ALSOBROOK MD | |||||||
| MEMBER, NGPG PHYSICIAN | 40.00 | X | 0 | 232845 | 31372 | ||
| STEVEN ACCARINO MD | |||||||
| MEMBER, NGPG PHYSICIAN | 40.00 | X | 0 | 406670 | 32133 | ||
| LORRY SCHRAGE | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BRENT HOFFMAN | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DENISE DEAL | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| OLIVIA ERBELE SKEY | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ERNST NIEUWOUDT MD | |||||||
| MEMBER, NGPG PHYSICIAN | 40.00 | X | 0 | 308107 | 31130 | ||
| JACK KEENER | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CASEY GRAYBEAL MD | |||||||
| MEMBER, NGPG PHYSICIAN | 1.00 | X | 0 | 490962 | 32801 | ||
| JOHN CLIFTON HASTINGS MD | |||||||
| MEMBER, NGPG PHYSICIAN | 1.00 | X | 0 | 553839 | 32932 | ||
| JAY HORTENSTINE MD | |||||||
| MEMBER, NGPG PHYSICIAN | 1.00 | X | 0 | 437094 | 28640 | ||
| JAMES GARDNER | |||||||
| PRESIDENT & CEO UNTIL 11/2010 | 1.00 | 0 | 940277 | 491707 | X | ||
| CAROL BURRELL | |||||||
| PRESIDENT & CEO EFFECTIVE 11/2010 | 1.00 | 0 | 488837 | 220957 | X | ||
| ANTHONY HERDENER | |||||||
| VP - NGHS & CFO | 1.00 | 0 | 451479 | 138464 | X | ||
| MARK KLEIN | |||||||
| DIRECTOR - ADMINISTRATIVE | 40.00 | 0 | 118594 | 20266 | X | ||
| DANE HENRY | |||||||
| VP - NGMC | 1.00 | 0 | 250411 | 32577 | X | ||
| TRACY VARDEMAN | |||||||
| VP - NGHS | 1.00 | 0 | 253008 | 65108 | X | ||
| TINA WALDEN | |||||||
| EXECUTIVE DIRECTOR | 40.00 | 0 | 160211 | 29791 | X | ||
| SANDRA JOHNSON | |||||||
| VP - NGHS | 1.00 | 0 | 263603 | 25983 | X | ||
| ALLANA CUMMINGS | |||||||
| VP - NGHS & CIO | 1.00 | 0 | 316956 | 27909 | X | ||
| JAMES WALKER | |||||||
| VP - NGHS | 1.00 | 0 | 202203 | 12802 | X | ||
| DAVID BUFFALOE | |||||||
| NGPG CFO | 40.00 | 0 | 0 | 0 | X | ||
| JOHN GORECKI MD | |||||||
| NGPG PHYSICIAN | 40.00 | 0 | 1011826 | 29491 | X | ||
| DARLENE LOBEL MD | |||||||
| NGPG PHYSICIAN | 40.00 | 0 | 736041 | 22226 | X | ||
| PIERPONT F BROWN III MD | |||||||
| NGPG PHYSICIAN | 40.00 | 0 | 572726 | 30940 | X | ||
| JULIUS FULENWIDER MD | |||||||
| NGPG PHYSICIAN | 40.00 | 0 | 628724 | 30689 | X | ||
| MICHAEL LEBOW MD | |||||||
| NGPG PHYSICIAN | 40.00 | 0 | 681381 | 28701 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 11934343 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1669332 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GAINESVILLE EMERGENCY DEPT SVC | |||||
| PO BOX 2938 | GAINESVILLE | GA | 30503 | MEDICAL SERVICES | 1244952 |
| MD SOLUTIONS INC | |||||
| ONE WESTINGHOUSE PLAZA | BOSTON | MA | 02136 | CONSULTING | 1097232 |
| LONGSTREET CLINIC PC | |||||
| PO DRAWER 658 | GAINESVILLE | GA | 30503 | MEDICAL SERVICES | 305422 |
| ALLSCRIPTS LLC | |||||
| 2297 PAYSHERE CIRCLE | CHICAGO | IL | 60674 | SOFTWARE SUPPORT | 296358 |
| NORTHEAST GEORGIA HEART CENTER | |||||
| 200 SOUTH ENOTA DRIVE | GAINESVILLE | GA | 30501 | MEDICAL SERVICES | 281443 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621400 | 47211058 | 47211058 | |
| OTHER OPERATING REVENU | 900099 | 58168 | 58168 | |
| BILLING SERVICES | 541900 | 15211 | 15211 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 47284437 | TotalProgramServiceRevenue |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 973151 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 107539 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 865612 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 865612 | TotalRevenueColumn |
| Exclusion | $865,612 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 18000 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -18000 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -18000 | TotalRevenueColumn |
| Exclusion | -$18,000 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48132049 | TotalRevenueColumn |
| Related Or Exempt Function Income | 47269226 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 15211 | UnrelatedBusinessRevenue |
| Exclusion | $847,612 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11647 | Total |
| Program Services | 11647 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 575887 | Total |
| Program Services | 536151 | ProgramServices |
| Management And General | 39736 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41359792 | Total |
| Program Services | 38505966 | ProgramServices |
| Management And General | 2853826 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 919071 | Total |
| Program Services | 855655 | ProgramServices |
| Management And General | 63416 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3699289 | Total |
| Program Services | 3444038 | ProgramServices |
| Management And General | 255251 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2278541 | Total |
| Program Services | 2121322 | ProgramServices |
| Management And General | 157219 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12426 | Total |
| Program Services | 11569 | ProgramServices |
| Management And General | 857 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6228290 | Total |
| Program Services | 5798538 | ProgramServices |
| Management And General | 429752 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63665 | Total |
| Program Services | 59272 | ProgramServices |
| Management And General | 4393 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4661480 | Total |
| Program Services | 4339838 | ProgramServices |
| Management And General | 321642 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159919 | Total |
| Program Services | 148885 | ProgramServices |
| Management And General | 11034 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 248409 | Total |
| Program Services | 231269 | ProgramServices |
| Management And General | 17140 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1708203 | Total |
| Program Services | 1590337 | ProgramServices |
| Management And General | 117866 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45642 | Total |
| Program Services | 42493 | ProgramServices |
| Management And General | 3149 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 1557185 | 1557185 | |
| SUPPLIES | 1546545 | 1439833 | 106712 |
| MEDICAL SUPPLIES | 1074836 | 1074836 | |
| SOFTWARE MAINTENANCE | 797674 | 742634 | 55040 |
| RENTAL & MAINTENANCE | 272924 | 254092 | 18832 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1171052 | Total |
| Program Services | 1090249 | ProgramServices |
| Management And General | 80803 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68392477 | Total |
| Program Services | 63855809 | ProgramServices |
| Management And General | 4536668 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133985 | BOY |
| EOY | 78833 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3679047 | BOY |
| EOY | 6134419 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64054 | BOY |
| EOY | 49567 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 35375726 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 16105213 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16276703 | BOY |
| EOY | 19270513 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 4762 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20153789 | BOY |
| EOY | 25538094 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3953297 | BOY |
| EOY | 4345606 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3953297 | BOY |
| EOY | 4345606 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16200492 | BOY |
| EOY | 21192488 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16200492 | BOY |
| EOY | 21192488 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20153789 | BOY |
| EOY | 25538094 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -20260428 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 25252424 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST GEORGIA MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581694098 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $12,611 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 12611 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | NORTHEAST GEORGIA PHYSICIANS GROUP, INC. PAYS MEMBERSHIP DUES TO SEVERAL PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS AMERICAN ACADEMY OF FAMILY PHYSICIANS, AMERICAN ASSOCIATION OF NEURO SURGEONS, AMERICAN ACADEMY OF PHYSICIANS ASSISTANTS, AMERICAN COLLEGE OF PHYSICIANS, AMERICAN INSTITUTE OF CPA'S, AMERICAN MEDICAL ASSOCIATION, AMERICAN SOCIETY OF ADDICTION, AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS, GEORGIA ASSOCIATION OF PHYSICIAN ASSISTANTS, GA OSTEOPATHIC MEDICAL ASSOCIATION, GREATER HALL CHAMBER OF COMMERCE, HALL COUNTY MEDICAL SOCIETY, HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY, MEDICAL ASSOCIATION OF GEORGIA, MEDICAL GROUP MANAGEMENT ASSOCIATION, SOCIETY OF THORACIC SURGEONS AND SOCIETY OF VASCULAR SURGERY. A PORTION OF THESE DUES ARE DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2950153 | OtherCostOrOtherBasis |
| Book Value | 2950153 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16451200 | OtherCostOrOtherBasis |
| Depreciation | 6937253 | Depreciation |
| Book Value | 9513947 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1107413 | OtherCostOrOtherBasis |
| Depreciation | 704112 | Depreciation |
| Book Value | 403301 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12809215 | OtherCostOrOtherBasis |
| Depreciation | 7478881 | Depreciation |
| Book Value | 5330334 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2057745 | OtherCostOrOtherBasis |
| Depreciation | 984967 | Depreciation |
| Book Value | 1072778 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19270513 | TotalOfBookValueLandBuildings |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. NORTHEAST GEORGIA HEALTH PARTNERS, LLC AND STRATEGIC PHYSICIAN SERVICES, INC. ARE TAXABLE ENTITIES AND ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES. AT SEPTEMBER 30, 2011, MANAGEMENT DOES NOT BELIEVE THE SYSTEM HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL 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. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST GEORGIA MEDICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 743 SPRING STREET | AddressLine1 |
| City | GAINESVILLE | City |
| State | GA | State |
| ZIP Code | 30501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 581694098 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 11647 | AmountOfCashGrant |
| Purpose Of Grant | TO SUPPORT NORTHEAST GEORGIA MEDICAL CENTER PROGRAMS | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE GRANT WAS TO A RELATED 501(C)(3) ORGANIZATIONS. BOARD APPROVAL IS OBTAINED THROUGH THE BUDGETING PROCESS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES JACKSON MD | |||||||||||||
| 0 | 287060 | 0 | 0 | 0 | 18787 | 0 | 21574 | 0 | 6424 | 0 | 333845 | 0 | 0 |
| JEFFERY BLACK MD | |||||||||||||
| 0 | 289990 | 0 | 0 | 0 | 1085 | 0 | 16806 | 0 | 18859 | 0 | 326740 | 0 | 0 |
| PAUL VERVALIN | |||||||||||||
| 0 | 243234 | 0 | 79672 | 0 | 11015 | 0 | 41253 | 0 | 21271 | 0 | 396445 | 0 | 0 |
| JAMES BAILEY MD | |||||||||||||
| 0 | 695112 | 0 | 0 | 0 | 20928 | 0 | 9366 | 0 | 19545 | 0 | 744951 | 0 | 0 |
| ANTONIO RIOS MD | |||||||||||||
| 0 | 296634 | 0 | 0 | 0 | 447 | 0 | 18429 | 0 | 21461 | 0 | 336971 | 0 | 0 |
| ROBERT TAYLOR MD | |||||||||||||
| 0 | 179590 | 0 | 0 | 0 | 726 | 0 | 19714 | 0 | 16993 | 0 | 217023 | 0 | 0 |
| ERIC BOHN MD | |||||||||||||
| 0 | 303228 | 0 | 0 | 0 | 1041 | 0 | 22537 | 0 | 18481 | 0 | 345287 | 0 | 0 |
| JOHN ALSOBROOK MD | |||||||||||||
| 0 | 215560 | 0 | 0 | 0 | 17285 | 0 | 7463 | 0 | 23909 | 0 | 264217 | 0 | 0 |
| STEVEN ACCARINO MD | |||||||||||||
| 0 | 391933 | 0 | 0 | 0 | 14737 | 0 | 7830 | 0 | 24303 | 0 | 438803 | 0 | 0 |
| ERNST NIEUWOUDT MD | |||||||||||||
| 0 | 307651 | 0 | 0 | 0 | 456 | 0 | 16010 | 0 | 15120 | 0 | 339237 | 0 | 0 |
| CASEY GRAYBEAL MD | |||||||||||||
| 0 | 472117 | 0 | 0 | 0 | 18845 | 0 | 8575 | 0 | 24226 | 0 | 523763 | 0 | 0 |
| JOHN CLIFTON HASTINGS MD | |||||||||||||
| 0 | 534994 | 0 | 0 | 0 | 18845 | 0 | 8575 | 0 | 24357 | 0 | 586771 | 0 | 0 |
| JAY HORTENSTINE MD | |||||||||||||
| 0 | 417462 | 0 | 0 | 0 | 19632 | 0 | 8575 | 0 | 20065 | 0 | 465734 | 0 | 0 |
| 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 |
| DANE HENRY | |||||||||||||
| 0 | 170087 | 0 | 79742 | 0 | 582 | 0 | 24642 | 0 | 7935 | 0 | 282988 | 0 | 17414 |
| TRACY VARDEMAN | |||||||||||||
| 0 | 166664 | 0 | 69011 | 0 | 17333 | 0 | 42959 | 0 | 22149 | 0 | 318116 | 0 | 18957 |
| TINA WALDEN | |||||||||||||
| 0 | 138232 | 0 | 21844 | 0 | 135 | 0 | 8454 | 0 | 21337 | 0 | 190002 | 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 |
| JOHN GORECKI MD | |||||||||||||
| 0 | 879149 | 0 | 130125 | 0 | 2552 | 0 | 9188 | 0 | 20303 | 0 | 1041317 | 0 | 0 |
| DARLENE LOBEL MD | |||||||||||||
| 0 | 718527 | 0 | 0 | 0 | 17514 | 0 | 9447 | 0 | 12779 | 0 | 758267 | 0 | 0 |
| PIERPONT F BROWN III MD | |||||||||||||
| 0 | 553881 | 0 | 0 | 0 | 18845 | 0 | 8575 | 0 | 22365 | 0 | 603666 | 0 | 0 |
| JULIUS FULENWIDER MD | |||||||||||||
| 0 | 605543 | 0 | 0 | 0 | 23181 | 0 | 8575 | 0 | 22114 | 0 | 659413 | 0 | 0 |
| MICHAEL LEBOW MD | |||||||||||||
| 0 | 563847 | 0 | 100000 | 0 | 17534 | 0 | 8575 | 0 | 20126 | 0 | 710082 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINES 4A-B | ReturnReference |
| Explanation | PART I, LINE 4A: SEVERANCE PAYMENTS INCLUDED JAMES GARDNER $115,684 MARK KLEIN $24,361 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. PART I, LINE 4B: EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN JAMES GARDNER $435,808 ANTHONY HERDENER $75,649 CAROL BURRELL $167,565 DANE HENRY $ 21,168 TRACY VARDEMAN $ 23,705 PAUL VERVALIN $ 32,502 ALLANA CUMMINGS $17,544 SANDRA JOHNSON $15,241 EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION) TRACY VARDEMAN $21,361 DANE HENRY $19,622 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| CHESTNUT MOUNTAIN FAMILY MEDICINE LLC | |||
| ERIC BOHN M.D., BOARD MEMBER | 260246 | NORTHEAST GEORGIA PHYSICIANS GROUP, INC. PAYS FAIR MARKET RENT TO CHESTNUT MOUNTAIN FAMILY MEDICINE, LLC. ERIC BOHN, BOARD MEMBER OF THE ORGANIZATION OWNS 33% OF CHESTNUT MOUNTAIN FAMILY, LLC. | 0 |
| B&V INVESTMENTS LLC | |||
| ROBERT TAYLOR, M.D., BOARD MEMBER | 55333 | NORTHEAST GEORGIA PHYSICIANS GROUP, INC. PAYS FAIR MARKET RENT TO B&V INVESTMENTS, LLC. ROBERT TAYLOR M.D., BOARD MEMBER OF THE ORGANIZATION OWNS B&V INVESTMENTS, LLC. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | NORTHEAST GEORGIA PHYSICIANS GROUP, INC. AMENDED ITS BYLAWS TO INCREASE THE NUMBER OF BOARD MEMBERS. | |
| FORM 990, PART VI, SECTION A, LINE 6 | NORTHEAST GEORGIA HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST GEORGIA PHYSICIANS GROUP, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | SIX MEMBERS OF THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA PHYSICIANS GROUP, INC. ARE APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. FOUR OTHER MEMBERS SERVE ON THE BOARD BY VIRTUE OF THEIR OFFICE AT NORTHEAST GEORGIA HEALTH SYSTEM, INC. THE REMAINING BOARD MEMBERS ARE ELECTED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7B | SIX MEMBERS OF THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA PHYSICIANS GROUP, INC. ARE APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION. FOUR OTHER MEMBERS SERVE ON THE BOARD BY VIRTUE OF THEIR OFFICE AT NORTHEAST GEORGIA HEALTH SYSTEM, INC. THE REMAINING BOARD MEMBERS ARE ELECTED BY PHYSICIANS EMPLOYED BY THE 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. | |
| 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 12C | |
| 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 B, LINE 15 | |
| 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 VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | INTERCOMPANY FORGIVENESS 25,252,424. TOTAL TO FORM 990, PART XI, LINE 5: 25,252,424. | FORM 990, PART XI, LINE 5: |
| 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. | FORM 990, PART III. LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: | |
| 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| NORTHEAST GA SPECIALTY GROUP LLC | |||||||||
| 743 SPRING STREET | GAINESVILLE | GA | 30501 | 260556238 | HEALTHCARE CLINICS | GA | 10272683 | 653620 | N/A |
| NGHS QUICKCARE LLC | |||||||||
| 743 SPRING STREET | GAINESVILLE | GA | 30501 | 205064238 | HEALTHCARE CLINICS | GA | 11084705 | 1129210 | N/A |
| THE BRASELTON CLINIC LLC | |||||||||
| 743 SPRING STREET | GAINESVILLE | GA | 30501 | 260556190 | HEALTHCARE CLINICS | GA | 4401919 | 1721236 | N/A |
| NORTHEAST GEORGIA OCCUPATIONAL HEALTH LLC | |||||||||
| 743 SPRING STREET | GAINESVILLE | GA | 30501 | 582608332 | OCCUPATIONAL MEDICINE | GA | 451898 | 5104 | N/A |
| RIVER PLACE MEDICAL OFFICE PLAZA I LLC | |||||||||
| 743 SPRING STREET | GAINESVILLE | GA | 30501 | 581694090 | RENTAL | GA | 0 | 0 | N/A |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | NORTHEAST GEORGIA HEALTH SYSTEM INC | |
| NORTHEAST GEORGIA MEDICAL CENTER | |||||||||||
| 743 SPRING STREET | GAINESVILLE | GA | 30501 | 581694098 | HEALTHCARE | GA | 501(C)(3) | LINE 3 | 0 | NORTHEAST GEORGIA HEALTH SYSTEM INC | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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