2022-08-12T10:49:25-05:00 2021-09-30 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2020-10-01 581694090 NORTHEAST GEORGIA HEALTH SYSTEM INC NORT 7702196659 743 SPRING STREET GAINESVILLE GA 305013899 BRIAN D STEINES CFO 7702196659 2022-08-12 1 BRIAN STEINES 999009999 DEBORAH O ERNSBERGER P00364912 8656730844 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z CAROL BURRELL 743 SPRING STREET GAINESVILLE GA 305013899 256923512 0 X WWW.NGHS.COM X 1986 GA IMPROVING THE HEALTH OF THE COMMUNITY IN ALL WE DO. 15 12 0 8 0 0 3652791 5734791 209263471 246148529 2289882 3991266 1035663 692745 216241807 256567331 1433322 1967677 0 0 119182337 152399353 0 0 0 114145112 115479105 234760771 269846135 -18518964 -13278804 318580244 336092097 230729028 110746425 87851216 225345672 X NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) IS ON A MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY IN ALL WE DO. NGHS IS A NOT-FOR-PROFIT ORGANIZATION AND IS THE PARENT COMPANY FOR THE FOLLOWING AFFILIATES:- NORTHEAST GEORGIA MEDICAL CENTER, INC. (GAINESVILLE AND BRASELTON CAMPUSES)- NORTHEAST GEORGIA MEDICAL CENTER BARROW- NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN- THE MEDICAL CENTER FOUNDATION, INC. (NGHS FOUNDATION)- NORTHEAST GEORGIA PHYSICIANS GROUP- GEORGIA HEART INSTITUTE OF NORTHEAST GEORGIA MEDICAL CENTER- THE MEDICAL CENTER AUXILIARY 0 0 234347920 1967677 246148529 NORTHEAST GEORGIA HEALTH SYSTEM IS BASED IN GAINESVILLE, GEORGIA, AND SERVES MORE THAN A MILLION PEOPLE ACROSS 19 COUNTIES IN OUR REGION. SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION. **SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION** 234347920 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 GA X ELENA BARBERIS 7702196659 743 SPRING STREET GAINESVILLE GA 30501 BEN HAWKINS MEMBER 1.00 X 0 0 0 BRAD PURYEAR MEMBER 1.00 X 0 0 0 GREG OURS MEMBER 1.00 X 0 0 0 JACK KEENER MEMBER 1.00 X 0 0 0 JACKIE WALLACE MEMBER 1.00 X 0 0 0 JANE SMOOT MEMBER 1.00 1.00 X 0 0 0 JOHN CLIFTON HASTINGS MD MEMBER, PHYSICIAN - NGPG 1.00 40.00 X 0 887919 44442 JOHN NIX MEMBER 1.00 1.00 X 0 0 0 LETRELL SIMPSON MEMBER 1.00 X 0 0 0 MOHAK DAVE MD MEMBER 1.00 X 0 0 0 PIERPONT BROWN MD MEMBER, PHYSICIAN - NGPG 1.00 40.00 X 0 414343 44208 PRISCILLA STROM MD MEMBER 1.00 X 0 0 0 RK WHITEHEAD CHAIR 1.00 X 0 0 0 SPENCE PRICE VICE CHAIR 1.00 X 0 0 0 CAROL BURRELL PRESIDENT & CEO 40.00 1.00 X X 0 1387598 124036 BRIAN D STEINES CHIEF FINANCIAL OFFICER 40.00 1.00 X 0 836593 113162 STEPHEN KELLY CHIEF COMPLIANCE OFFICER 40.00 1.00 X 0 297483 53353 MICHAEL COVERT CHIEF OPERATING OFFICER 1.00 40.00 X 0 785050 69102 ANDREI BOYARSHINOV VP LEGAL AFFAIRS & CHIEF L 40.00 X 0 456393 83769 CHAD HATFIELD VP-REGIONAL HOSPITALS 40.00 X 0 277091 59669 CHRISTOPHER PARAVATE CHIEF INFORMATION OFFICER - NGHS 40.00 X 0 526048 89286 DANIEL TUFFY PRESIDENT AND CAO - NGPG 40.00 1.00 X 0 521459 87722 TRACY VARDEMAN CHIEF STRATEGY EXECUTIVE - NGHS 40.00 1.00 X 0 444369 168264 IOANNIS PARASTATIDIS THC PHYSICIAN 40.00 X 0 706195 38815 LAURA DIVOKY THC PHYSICIAN 40.00 X 0 732020 28751 MITCHELL DAVIS THC PHYSICIAN 40.00 X 0 720112 41887 RYAN WHITNEY THC PHYSICIAN 40.00 X 0 712800 38424 UGOCHUKWU EGOLUM THC PHYSICIAN 40.00 X 0 752741 49727 BRENDA SIMPSON FORMER CHIEF NURSING EXECUTIVE - NGMC 0.00 0.00 X 0 544847 71066 DEBORAH WEBER FORMER CHIEF HR OFFICER - NGHS 0.00 0.00 X 0 164774 17093 LOUIS SMITH JR FORMER PRESIDENT - NGMC - SYSTEM ACUT 0.00 0.00 X 0 757577 29396 SAMUEL JOHNSON MD FORMER CHIEF MEDICAL OFFICER - NGHS 0.00 0.00 X 0 226950 33285 0 12152362 1285457 242 1 1 0 GA EMERGENCY DEPARTMENT SERVICES 1000 COBB PLACE BLVD KENNESAW GA 30144 PHYSICIAN SERVICES 1533818 ACCELERATED CLAIMS INC PO BOX 742319 ATLANTA GA 30374 REIMBURSEMENT SERVICES 1507078 PARKER HUSDON RAINER & DOBBS 303 PEACHTREE ST NE STE 3600 ATLANTA GA 30308 LEGAL SERVICES 1428271 RESOURCE ANESTHESIA PC 12752 KINGSTON PIKE KNOXVILLE TN 37934 ANESTHESIA SERVICES 1210142 MEDEFIS INC PO BOX 5068 NEW YORK NY 10087 STAFFING SERVICES 1195328 100 5734791 5734791 MANAGEMENT FEES 541610 117285482 117285482 OPERATING REVENUE 621400 115789921 115789921 PS RENT FROM AFFILIATE 531120 9587272 9587272 OTHER OPERATING REVENUE 900099 3485854 3485854 246148529 3094337 3094337 1035010 342265 692745 692745 692745 910845 13916 0 -13916 910845 896929 896929 256567331 246148529 0 4684011 X 1967677 1967677 111923686 97675801 14247885 33515992 29249406 4266586 6959675 6073708 885967 2571121 2243817 327304 279195 243653 35542 258037 225189 32848 29593055 25825859 3767196 3608571 3149200 459371 6041476 5272396 769080 199026 173690 25336 12477545 10889154 1588391 8353267 7289896 1063371 BAD DEBT 19619404 19619404 MEDICAL SUPPLIES 10253729 10253729 ADMINISTRATIVE OVERHEAD 8030042 1807681 6222361 BANK FEES 2300978 2008064 292914 11893659 10379596 1514063 269846135 234347920 35498215 0 0 28289 3829020 8735874 5341784 5737849 833693 1136587 10185 0 287696756 115055231 158383425 172641525 2398708 2642939 3263093 3263093 144520336 141905941 318580244 336092097 37480607 57479810 13956744 8102697 179291677 45163918 230729028 110746425 X 87851216 225345672 87851216 225345672 318580244 336092097 X -13278804 14532400 136240860 X 0 1 X 1 0 X X 1 NORTHEAST GEORGIA MEDICAL CENTER 581694098 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3 NORTHEAST GEORGIA HEALTH SYSTEM, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES, TO INCLUDE THE INVESTMENTS OF NORTHEAST GEORGIA MEDICAL CENTER, INC. BY APPOINTING THE MEMBERS OF ITS BOARD OF TRUSTEES. PART IV, SECTION E, LINE 3A NORTHEAST GEORGIA HEALTH SYSTEM, INC. HAS THE POWER TO REGULARLY APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF NORTHEAST GEORGIA MEDICAL CENTER, INC. PART IV, SECTION E, LINE 3B NORTHEAST GEORGIA HEALTH SYSTEM, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF NORTHEAST GEORGIA MEDICAL CENTER, INC. BY APPOINTING THE MEMBERS OF ITS BOARD OF TRUSTEES. 0 1 0 0 0 0 1 76876 1 148083 1 101655 326614 0 PART II-B, LINE 1: NORTHEAST GEORGIA HEALTH SYSTEM, INC. PAYS MEMBERSHIP DUES TO SEVERAL PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS: -AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS -AMERICAN ASSOCIATION OF NURSE PRACTITIONERS -AMERICAN COLLEGE OF CARDIOLOGY -AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES -AMERICAN COLLEGE OF PHYSICIANS -AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION -AMERICAN MEDICAL ASSOCIATION -AMERICAN ORGANIZATION FOR NURSING LEADERSHIP -AMERICAN SOCIETY FOR HEALTHCARE HUMAN RESOURCES ADMINISTRATION -AMERICAN SOCIETY OF ECHOCARDIOGRAPHY -AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS -COLLEGE OF AMERICAN PATHOLOGISTS -EMERGENCY NURSES ASSOCIATION -GEORGIA CHAMBER OF COMMERCE -GEORGIA HOSPITAL ASSOCIATION -GREATER HALL CHAMBER OF COMMERCE -HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY -MEDICAL ASSOCIATION OF GEORGIA -SOCIETY FOR HUMAN RESOURCE MANAGEMENT -SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. 58032020 58032020 155167029 76285182 78881847 3382240 3255306 126934 53041139 35364439 17676700 18074328 150304 17924024 172641525 DEFERRED COMPENSATION 29736462 BOARD DESIGNATED ASSETS 95182131 OTHER ASSETS 8780768 ROU ASSET OPERATING LEASE 7641857 ELIMINATED AMOUNTS DUE FROM THIRD PARTY PAYERS 564723 141905941 DEFERRED COMPENSATION 35321916 ESTIMATED THIRD PARTY SETTLEMENTS 2090842 LEASES 7751160 45163918 X PART X, LINE 2: NORTHEAST GEORGIA HEALTH SYSTEM, INC. (NGHS), NORTHEAST GEORGIA MEDICAL CENTER, INC. (NGMC), THE MEDICAL CENTER FOUNDATION, INC., NORTHEAST GEORGIA PHYSICIANS GROUP, INC. (NGPG), AND LANIER COMMUNITY ASSURANCE, LTD. (LCA) ARE CLASSIFIED AS ORGANIZATIONS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OR PROVISIONS OF THE COMPANIES LAW OF THE CAYMAN ISLANDS. THE INCOME FOR NGMC-BARROW, NGMC-LUMPKIN AND THE HEART CENTER PASSES THROUGH TO NGHS, WHICH IS TAX EXEMPT. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. NORTHEAST GEORGIA HEALTH PARTNERS, LLC IS A TAXABLE ENTITY AND ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS CODIFICATION 740, INCOME TAXES (ASC 740). AT SEPTEMBER 30, 2020 AND 2019, RESPECTIVELY, 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 4499023 0 4499023 0.01670 9182021 6663324 2518697 0.00930 5083 7912 0 0.00000 13686127 6671236 7017720 0.02600 7 5386 306452 0 306452 0.00110 1 500 0 500 0.00000 18 186024 7105 178919 0.00070 26 5386 492976 7105 485871 0.00180 26 5386 14179103 6678341 7503591 0.02780 1 1000 300 700 0.00000 1 1000 300 700 0.00000 1 17522011 9782639 13930312 -4147673 X 1 1 2 1 NGMC BARROW LLC 316 NORTH BROAD STREET WINDER GA 30680 WWW.NGHS.COM/LOCATIONS/BARROW 007-718 X X X 2 NGMC LUMPKIN LLC 227 MOUNTAIN DRIVE DAHLONEGA GA 30533 WWW.NGHS.COM/LOCATIONS/LUMPKIN 093-628 X X X NGMC BARROW LLC 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.NGHS.COM X HABERSHAMMEDICAL.COM; STEPHENSCOUNTYHOSPITAL.COM X 1 18 1 WWW.NGHS.COM 0 1 X 150.000000000000 300.000000000000 X 1 1 X X X 1 X WWW.NGHS.COM/FINANCIAL-ASSISTANCE X WWW.NGHS.COM/FINANCIAL-ASSISTANCE X WWW.NGHS.COM/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X 1 X 0 0 NGMC LUMPKIN LLC 2 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.NGHS.COM X HABERSHAMMEDICAL.COM; STEPHENSCOUNTYHOSPITAL.COM X 1 18 1 WWW.NGHS.COM 0 1 X 150.000000000000 300.000000000000 X 1 1 X X X 1 X WWW.NGHS.COM/FINANCIAL-ASSISTANCE X WWW.NGHS.COM/FINANCIAL-ASSISTANCE X WWW.NGHS.COM/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X 1 X 0 0 NGMC BARROW LLC PART V, SECTION B, LINE 5: THE FOLLOWING ORGANIZATIONS HAVE PARTNERED AND COLLABORATED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR COMMUNITIES THEY (CHNA PARTNERS) SERVE IN NORTHEASTERN GEORGIA: - DISTRICT 2 PUBLIC HEALTH - HABERSHAM MEDICAL CENTER - NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE - NORTHEAST GEORGIA MEDICAL CENTER BRASELTON - NORTHEAST GEORGIA MEDICAL CENTER BARROW - NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN - STEPHENS COUNTY HOSPITALTHESE CHNA PARTNERS UNDERSTAND THE IMPORTANCE OF SERVING THE HEALTH NEEDS OF THEIR COMMUNITIES. BEGINNING IN NOVEMBER 2018, THE CHNA PARTNERS BEGAN THE PROCESS OF ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY THE HOSPITAL FACILITIES AND THE HEALTH DEPARTMENT WITH A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. IBM WATSON HEALTH (WATSON HEALTH) WAS ENGAGED TO HELP COLLECT AND ANALYZE THE DATA FOR THIS PROCESS, AND TO COMPILE A FINAL REPORT TO BE MADE PUBLICLY AVAILABLE BY SEPTEMBER 30, 2019; WATSON HEALTH DELIVERS ANALYTIC TOOLS, BENCHMARKS, AND STRATEGIC CONSULTING SERVICES TO THE HEALTHCARE INDUSTRY, COMBINING RICH DATA ANALYTICS IN DEMOGRAPHICS, INCLUDING THE COMMUNITY NEEDS INDEX, PLANNING, AND DISEASE PREVALENCE ESTIMATES, WITH EXPERIENCED STRATEGIC CONSULTANTS TO DELIVER COMPREHENSIVE AND ACTIONABLE COMMUNITY HEALTH NEEDS ASSESSMENTS.THE COMMUNITIES SERVED BY EACH OF THE CHNA PARTNERS OVERLAPPED AND COMBINED TO INCLUDE ALL OR PART OF 16 COUNTIES IN NORTHEAST GEORGIA. WHILE A COLLABORATIVE APPROACH WAS UTILIZED, A NEEDS ANALYSIS WAS CONDUCTED FOR EACH CHNA PARTNER'S DEFINED COMMUNITY; COMMUNITY-SPECIFIC SUBSECTIONS ARE INCLUDED IN THE REPORT. NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) DEFINED FOUR COMMUNITIES SERVED BY THEIR FOUR HOSPITAL FACILITIES: NGHS GREATER BRASELTON SERVICE AREA (GBSA), NGHS PRIMARY SERVICE AREA (PSA), NGHS SECONDARY SERVICE AREA 400 (SSA 400), AND NGHS SECONDARY SERVICE AREA NORTH (SSA NORTH).WATSON HEALTH CONDUCTED EIGHT FOCUS GROUPS WITH A TOTAL OF 75 PARTICIPANTS AS WELL AS 25 KEY INFORMANT INTERVIEWS TO GATHER THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITIES SERVED THROUGHOUT THE REGION. THE FOCUS GROUPS AND INTERVIEWS SOLICITED FEEDBACK FROM LEADERS AND REPRESENTATIVES WHO SERVE THE COMMUNITY AND HAVE INSIGHT INTO COMMUNITY NEEDS.PARTICIPATION IN THE WATSON HEALTH INTERVIEW AND FOCUS GROUPS INCLUDED INPUT FROM AT LEAST ONE STATE, LOCAL, OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY, AS WELL AS INDIVIDUALS OR ORGANIZATIONS WHO SERVED AND/OR REPRESENTED THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY.PARTICIPATION FROM COMMUNITY LEADERS/GROUPS, PUBLIC HEALTH ORGANIZATIONS, OTHER HEALTHCARE ORGANIZATIONS, AND OTHER HEALTHCARE PROVIDERS ENSURED THAT THE INPUT RECEIVED REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED.ADDITIONAL QUALITATIVE DATA SOURCES SUPPLEMENTED THE FOCUS GROUPS AND INTERVIEWS. THESE INCLUDED A HALL COUNTY HEALTH SURVEY OF UNINSURED INDIVIDUALS (199 SURVEYS COMPLETED); HALL COUNTY MENTAL AND BEHAVIORAL HEALTH LISTENING SESSIONS (60+ PARTICIPANTS FROM KEY STAKEHOLDER ORGANIZATIONS); AND QUALITATIVE FINDINGS FROM UNION GENERAL & CHATUGE REGIONAL HOSPITALS 2018 CHNA REPORTS (148 COMMUNITY-BASED SURVEYS, FOUR KEY INFORMANT INTERVIEWS).IN JUNE 2019, A SESSION WAS HELD WITH THE CHNA PARTNERS AND THEIR COMMUNITY ADVISORS TO IDENTIFY AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS FOR EACH CHNA PARTNER'S COMMUNITY. THE MEETING WAS MODERATED BY WATSON HEALTH. NGMC LUMPKIN LLC PART V, SECTION B, LINE 5: THE FOLLOWING ORGANIZATIONS HAVE PARTNERED AND COLLABORATED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR COMMUNITIES THEY (CHNA PARTNERS) SERVE IN NORTHEASTERN GEORGIA: - DISTRICT 2 PUBLIC HEALTH - HABERSHAM MEDICAL CENTER - NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE - NORTHEAST GEORGIA MEDICAL CENTER BRASELTON - NORTHEAST GEORGIA MEDICAL CENTER BARROW - NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN - STEPHENS COUNTY HOSPITALTHESE CHNA PARTNERS UNDERSTAND THE IMPORTANCE OF SERVING THE HEALTH NEEDS OF THEIR COMMUNITIES. BEGINNING IN NOVEMBER 2018, THE CHNA PARTNERS BEGAN THE PROCESS OF ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY THE HOSPITAL FACILITIES AND THE HEALTH DEPARTMENT WITH A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. IBM WATSON HEALTH (WATSON HEALTH) WAS ENGAGED TO HELP COLLECT AND ANALYZE THE DATA FOR THIS PROCESS, AND TO COMPILE A FINAL REPORT TO BE MADE PUBLICLY AVAILABLE BY SEPTEMBER 30, 2019; WATSON HEALTH DELIVERS ANALYTIC TOOLS, BENCHMARKS, AND STRATEGIC CONSULTING SERVICES TO THE HEALTHCARE INDUSTRY, COMBINING RICH DATA ANALYTICS IN DEMOGRAPHICS, INCLUDING THE COMMUNITY NEEDS INDEX, PLANNING, AND DISEASE PREVALENCE ESTIMATES, WITH EXPERIENCED STRATEGIC CONSULTANTS TO DELIVER COMPREHENSIVE AND ACTIONABLE COMMUNITY HEALTH NEEDS ASSESSMENTS.THE COMMUNITIES SERVED BY EACH OF THE CHNA PARTNERS OVERLAPPED AND COMBINED TO INCLUDE ALL OR PART OF 16 COUNTIES IN NORTHEAST GEORGIA. WHILE A COLLABORATIVE APPROACH WAS UTILIZED, A NEEDS ANALYSIS WAS CONDUCTED FOR EACH CHNA PARTNER'S DEFINED COMMUNITY; COMMUNITY-SPECIFIC SUBSECTIONS ARE INCLUDED IN THE REPORT. NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) DEFINED FOUR COMMUNITIES SERVED BY THEIR FOUR HOSPITAL FACILITIES: NGHS GREATER BRASELTON SERVICE AREA (GBSA), NGHS PRIMARY SERVICE AREA (PSA), NGHS SECONDARY SERVICE AREA 400 (SSA 400), AND NGHS SECONDARY SERVICE AREA NORTH (SSA NORTH).WATSON HEALTH CONDUCTED EIGHT (8) FOCUS GROUPS WITH A TOTAL OF 75 PARTICIPANTS AS WELL AS 25 KEY INFORMANT INTERVIEWS TO GATHER THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITIES SERVED THROUGHOUT THE REGION. THE FOCUS GROUPS AND INTERVIEWS SOLICITED FEEDBACK FROM LEADERS AND REPRESENTATIVES WHO SERVE THE COMMUNITY AND HAVE INSIGHT INTO COMMUNITY NEEDS.PARTICIPATION IN THE WATSON HEALTH INTERVIEW AND FOCUS GROUPS INCLUDED INPUT FROM AT LEAST ONE STATE, LOCAL, OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY, AS WELL AS INDIVIDUALS OR ORGANIZATIONS WHO SERVED AND/OR REPRESENTED THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY.PARTICIPATION FROM COMMUNITY LEADERS/GROUPS, PUBLIC HEALTH ORGANIZATIONS, OTHER HEALTHCARE ORGANIZATIONS, AND OTHER HEALTHCARE PROVIDERS ENSURED THAT THE INPUT RECEIVED REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED.ADDITIONAL QUALITATIVE DATA SOURCES SUPPLEMENTED THE FOCUS GROUPS AND INTERVIEWS. THESE INCLUDED A HALL COUNTY HEALTH SURVEY OF UNINSURED INDIVIDUALS (199 SURVEYS COMPLETED); HALL COUNTY MENTAL AND BEHAVIORAL HEALTH LISTENING SESSIONS (60+ PARTICIPANTS FROM KEY STAKEHOLDER ORGANIZATIONS); AND QUALITATIVE FINDINGS FROM UNION GENERAL & CHATUGE REGIONAL HOSPITALS 2018 CHNA REPORTS (148 COMMUNITY-BASED SURVEYS, FOUR KEY INFORMANT INTERVIEWS).IN JUNE 2019, A SESSION WAS HELD WITH THE CHNA PARTNERS AND THEIR COMMUNITY ADVISORS TO IDENTIFY AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS FOR EACH CHNA PARTNER'S COMMUNITY. THE MEETING WAS MODERATED BY WATSON HEALTH. NGMC BARROW LLC PART V, SECTION B, LINE 6A: A REGION-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN 2019. THE FOLLOWING HOSPITAL FACILITIES WERE INCLUDED IN THE CHNA: - NORTHEAST GEORGIA MEDICAL CENTER BARROW - NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE - NORTHEAST GEORGIA MEDICAL CENTER BRASELTON - NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN - HABERSHAM MEDICAL CENTER - STEPHENS COUNTY HOSPITAL NGMC LUMPKIN LLC PART V, SECTION B, LINE 6A: A REGION-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN 2019. THE FOLLOWING HOSPITAL FACILITIES WERE INCLUDED AND PARTNERED IN THE CHNA: - NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE - NORTHEAST GEORGIA MEDICAL CENTER BRASELTON - NORTHEAST GEORGIA MEDICAL CENTER BARROW - NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN - HABERSHAM MEDICAL CENTER - STEPHENS COUNTY HOSPITAL NGMC BARROW LLC PART V, SECTION B, LINE 6B: NGMC SERVED AS THE COORDINATING PARTNER FOR THIS COLLABORATIVE. THE FOLLOWING ORGANIZATION PARTNERED AND COLLABORATED ON THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT:- DISTRICT 2 PUBLIC HEALTH NGMC LUMPKIN LLC PART V, SECTION B, LINE 6B: NGMC SERVED AS THE COORDINATING PARTNER FOR THIS COLLABORATIVE. THE FOLLOWING ORGANIZATION PARTNERED AND COLLABORATED ON THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT:- DISTRICT 2 PUBLIC HEALTH NGMC BARROW LLC PART V, SECTION B, LINE 11: NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) DEFINED FOUR COMMUNITIES SERVED BY THEIR FOUR HOSPITAL FACILITIES: NGHS GREATER BRASELTON SERVICE AREA (GBSA), NGHS PRIMARY SERVICE AREA (PSA), NGHS SECONDARY SERVICE AREA 400 (SSA 400), AND NGHS SECONDARY SERVICE AREA NORTH (SSA NORTH). THE 2019 CHNA REVEALED THE FOLLOWING FIVE PRIORITIES ADOPTED BY THE ORGANIZATION AND REPRESENT THOSE ON WHICH WE CAN HAVE THE MOST IMPACT BASED ON PRIORITIZATION CRITERIA:- BEHAVIORAL AND MENTAL HEALTH (ALL NGHS SERVICE AREAS)- ACCESS TO CARE (ALL NGHS SERVICE AREAS)- DIABETES (GBSA, SSA 400, SSA NORTH)- CARDIOVASCULAR DISEASE (SSA 400)- SEPTICEMIA (ALL NGHS SERVICE AREAS)FOR DETAILS ON HOW NGHS IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, GO TO: HTTPS://WWW.NGHS.COM/WP-CONTENT/UPLOADS/2022/05/IMPLEMENTATION-PLAN-REPORT-2021.PDF.SPECIFIC TO NGHS, THE HEALTH NEEDS THE SYSTEM CHOSE NOT TO ADDRESS THROUGH THE PRIORITIZATION PROCESS INCLUDE THE FOLLOWING, BROKEN DOWN BY SERVICE AREA:- PSA: FOOD ACCESS AND NUTRITION, MATERNAL AND CHILD HEALTH, SOCIAL ISOLATION.- GBSA: MATERNAL AND CHILD HEALTH, PHYSICAL ACTIVITY, INJURY AND DEATH, VIOLENCE, CHILD ABUSE, INCOME, EDUCATION, ACCESS TO DENTAL CARE, CANCER, TRANSPORTATION.- SSA NORTH: MATERNAL AND CHILD HEALTH, CARDIOVASCULAR DISEASE, INCOME, PHYSICAL ACTIVITY, VIOLENCE, CHILD ABUSE, EDUCATION, ACCESS TO DENTAL CARE, EMPLOYMENT, CEREBROVASCULAR DISEASE, SOCIAL ISOLATION, CANCER, COPD AND RESPIRATORY DISEASE, INJURY, AND DEATH.- SSA 400: MATERNAL AND CHILD HEALTH, SMOKING, VIOLENCE/CHILD ABUSE, INCOME, ACCESS TO DENTAL CARE, SOCIAL ISOLATION, CANCER, TRANSPORTATION.EVEN SO, NGHS DOES ACTIVELY WORK ON THESE ISSUES. FOR INSTANCE, ACCESS TO CARE IS A PRIORITY ACROSS THE REGION AND WHILE TRANSPORTATION WAS NOT SINGLED OUT AS A PRIORITY, WE CONSIDER TRANSPORTATION TO BE A KEY COMPONENT TO ACCESSING CARE. WHILE TRANSPORTATION ON ITS OWN DID NOT MAKE THE HEALTH PRIORITY LIST, IT WOULD BE AN ISSUE CONSIDERED IN ACCESS TO CARE ISSUES. WHILE CANCER WAS NOT CHOSEN AS A COMMUNITY HEALTH IMPROVEMENT PRIORITY, NGHS ALREADY HAS AN INTERNAL EMPHASIS ON THIS HEALTH ISSUE AND WILL REPORT ITS ACTIVITY VIA THE ANNUAL COMMUNITY BENEFIT REPORT. NGMC LUMPKIN LLC PART V, SECTION B, LINE 11: NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) DEFINED FOUR COMMUNITIES SERVED BY THEIR FOUR HOSPITAL FACILITIES: NGHS GREATER BRASELTON SERVICE AREA (GBSA), NGHS PRIMARY SERVICE AREA (PSA), NGHS SECONDARY SERVICE AREA 400 (SSA 400), AND NGHS SECONDARY SERVICE AREA NORTH (SSA NORTH). THE 2019 CHNA REVEALED THE FOLLOWING FIVE PRIORITIES ADOPTED BY THE ORGANIZATION AND REPRESENT THOSE ON WHICH WE CAN HAVE THE MOST IMPACT BASED ON PRIORITIZATION CRITERIA:- BEHAVIORAL AND MENTAL HEALTH (ALL NGHS SERVICE AREAS)- ACCESS TO CARE (ALL NGHS SERVICE AREAS)- DIABETES (GBSA, SSA 400, SSA NORTH)- CARDIOVASCULAR DISEASE (SSA 400)- SEPTICEMIA (ALL NGHS SERVICE AREAS)FOR DETAILS ON HOW NGHS IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, GO TO: HTTPS://WWW.NGHS.COM/WP-CONTENT/UPLOADS/2022/05/IMPLEMENTATION-PLAN-REPORT-2021.PDF.SPECIFIC TO NGHS, THE HEALTH NEEDS THE SYSTEM CHOSE NOT TO ADDRESS THROUGH THE PRIORITIZATION PROCESS INCLUDE THE FOLLOWING, BROKEN DOWN BY SERVICE AREA:- PSA: FOOD ACCESS AND NUTRITION, MATERNAL AND CHILD HEALTH, SOCIAL ISOLATION.- GBSA: MATERNAL AND CHILD HEALTH, PHYSICAL ACTIVITY, INJURY AND DEATH, VIOLENCE, CHILD ABUSE, INCOME, EDUCATION, ACCESS TO DENTAL CARE, CANCER, TRANSPORTATION.- SSA NORTH: MATERNAL AND CHILD HEALTH, CARDIOVASCULAR DISEASE, INCOME, PHYSICAL ACTIVITY, VIOLENCE, CHILD ABUSE, EDUCATION, ACCESS TO DENTAL CARE, EMPLOYMENT, CEREBROVASCULAR DISEASE, SOCIAL ISOLATION, CANCER, COPD AND RESPIRATORY DISEASE, INJURY AND DEATH.- SSA 400: MATERNAL AND CHILD HEALTH, SMOKING, VIOLENCE/CHILD ABUSE, INCOME, ACCESS TO DENTAL CARE, SOCIAL ISOLATION, CANCER, TRANSPORTATION.EVEN SO, NGHS DOES ACTIVELY WORK ON THESE ISSUES. FOR INSTANCE, ACCESS TO CARE IS A PRIORITY ACROSS THE REGION AND WHILE TRANSPORTATION WAS NOT SINGLED OUT AS A PRIORITY, WE CONSIDER TRANSPORTATION TO BE A KEY COMPONENT TO ACCESSING CARE. WHILE TRANSPORTATION ON ITS OWN DID NOT MAKE THE HEALTH PRIORITY LIST, IT WOULD BE AN ISSUE CONSIDERED IN ACCESS TO CARE ISSUES. WHILE CANCER WAS NOT CHOSEN AS A COMMUNITY HEALTH IMPROVEMENT PRIORITY, NGHS ALREADY HAS AN INTERNAL EMPHASIS ON THIS HEALTH ISSUE AND WILL REPORT ITS ACTIVITY VIA THE ANNUAL COMMUNITY BENEFIT REPORT. NGMC BARROW LLC PART V, SECTION B, LINE 16J: PATIENTS MAY SUBMIT A FINANCIAL ASSISTANCE APPLICATION VIA OUR ONLINE PATIENT PORTAL APP VERSION OF MYCHART. NGMC LUMPKIN LLC PART V, SECTION B, LINE 16J: PATIENTS MAY SUBMIT A FINANCIAL ASSISTANCE APPLICATION VIA OUR ONLINE PATIENT PORTAL APP VERSION OF MYCHART. 14 1 - GEORGIA HEART INSTITUTE GAINESVILLE 200 SOUTH ENOTA DRIVE SUITE 100/SUITE 200 GAINESVILLE GA 30501 CARDIOLOGY 2 - GEORGIA HEART INSTITUTE BLAIRSVILLE 346 DEEP SOUTH FARM ROAD SUITE B BLAIRSVILLE GA 30512 CARDIOLOGY 3 - GEORGIA HEART INSTITUTE CUMMING 900 SANDERS ROAD SUITE A CUMMING GA 30041 CARDIOLOGY 4 - GEORGIA HEART INSTITUTE CLAYTON 536 HIGHWAY 441 S CLAYTON GA 30525 CARDIOLOGY 5 - GEORGIA HEART INSTITUTE OF NGMC AT NGDC 1240 JESSE JEWELL PARKWAY SOUTHEAST SUITE GAINESVILLE GA 30501 CARDIOLOGY 6 - GEORGIA HEART INSTITUTE DAHLONEGA 70 MOUNTAIN DRIVE SUITE C DAHLONEGA GA 30533 CARDIOLOGY 7 - GEORGIA HEART INSTITUTE TOCCOA 288 BIG A RD TOCCOA GA 30577 CARDIOLOGY 8 - GEORGIA HEART INSTITUTE BUFORD 4445 SOUTH LEE STREET SUITE 300 BUFORD GA 30518 CARDIOLOGY 9 - GEORGIA HEART INSTITUTE DEMOREST (HABERSHA 590 OLD HISTORIC US 441 DEMOREST GA 30535 CARDIOLOGY 10 - GEORGIA HEART INSTITUTE DAWSONVILLE 108 PROMINENCE COURT SUITE 210 DAWSONVILLE GA 30534 CARDIOLOGY 11 - GEORGIA HEART INSTITUTE COMMERCE 170 CARDIOLOGY PLACE COMMERCE GA 30529 CARDIOLOGY 12 - GEORGIA HEART INSTITUTE HAMILTON MILL 3575 BRASELTON HWY DACULA GA 30019 CARDIOLOGY 13 - GEORGIA HEART INSTITUTE BETHLEHEM 426 EXCHANGE BLVD SUITE 600 BETHELHEM GA 30620 CARDIOLOGY 14 - GEORGIA HEART INSTITUTE BRASELTON 1404 RIVER PLACE SUITE 501 BRASELTON GA 30517 CARDIOLOGY PART I, LINE 3C: PATIENTS WHO ARE DETERMINED TO BE INDIGENT BASED UPON CRITERIA-BASED METHODS (E.G. PROPENSITY TO PAY/HEALTH SCORE, PARTICIPATION IN LOW INCOME GOVERNMENT PROGRAM) MAY BE PRESUMPTIVELY ELIGIBLE FOR ASSISTANCE PROVIDING THEY COOPERATE WITH SCREENING FOR OTHER FINANCIAL ASSISTANCE RESOURCES (E.G. MEDICAID, DISABILITY), AS APPLICABLE. 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, INCLUDING NGMC BARROW AND NGMC LUMPKIN. THE REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE (WWW.NGHS.COM) AND IS ALSO PUBLISHED ANNUALLY IN ITS MAGAZINE, COMMUNICARE. PART I, LINE 7: CHARITY CARE COST WAS CALCULATED APPLYING A COST-TO-CHARGE RATIO THAT WAS COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.THE CCR FOR THE UNREIMBURSED MEDICAID SERVICES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. OTHER MEANS TESTED GOVERNMENT PROGRAM COST, IF NOTED, WAS DERIVED FROM INTERNAL TRENDSTAR SYSTEM DATA WHICH COMPUTED COST AT THE PATIENT DETAIL LEVEL.IN ADDITION, NGHS HAS MULTIPLE ACTIVITIES WITHIN THE ORGANIZATION THAT DO NOT FALL UNDER THE OPERATIONS OF THE HOSPITALS, NGMC BARROW OR NGMC LUMPKIN. THE INSTRUCTIONS FOR SCHEDULE H, PART I, LINE 7, COLUMN (F) STATE THAT THE PERCENTAGE IS TO BE CALCULATED USING THE TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) LESS BAD DEBT EXPENSE. THEREFORE, THE REPORTED PERCENTAGES ARE RELATIVE TO ALL NGHS EXPENSES, NOT JUST THE EXPENSES ATTRIBUTABLE TO THE HOSPITAL OPERATIONS OF NGMC BARROW AND NGMC LUMPKIN.A CALCULATION OF THE PERCENT OF TOTAL EXPENSE THAT RELATES TO COMMUNITY BENEFIT ACTIVITIES USING THE $82,880,730 OF HOSPITAL EXPENSES SOLELY ASSOCIATED WITH NGMC BARROW AND NGMC LUMPKIN RESULTS IN A PERCENTAGE OF 9.05%. THIS IS A MORE ACCURATE REFLECTION OF THE PERCENT OF EXPENSES WITHIN NGMC BARROW AND NGMC LUMPKIN THAT ARE APPLIED TO COMMUNITY BENEFIT. PART I, LN 7 COL(F): NGMC BARROW:THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN D, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $10,383,176 FOR NGMC BARROW. THE ESTIMATED PROVISION FOR BAD DEBTS IS REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE.NGMC LUMPKIN:THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN D, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $7,138,835 FOR NGMC LUMPKIN. THE ESTIMATED PROVISION FOR BAD DEBTS IS REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: NGMC BARROWNO RELEVANT ACTIVITIES WERE CONDUCTED IN FY21.NGMC LUMPKINNGMC WORKED COOPERATIVELY WITH OTHER HEALTHCARE PROVIDERS TO CARE FOR AREA RESIDENTS, PARTICULARLY THE INDIGENT POPULATION. FOR EXAMPLE, THROUGH VARIOUS PHYSICIAN LEADERSHIP COUNCILS, NGMC PHYSICIANS ACTIVELY PARTICIPATED IN COMMUNITY OUTREACH, INCLUDING EDUCATIONAL SEMINARS, SCREENINGS, AND VOLUNTEERING THEIR TIME AND EXPERTISE WITH INDIGENT CLINICS THROUGHOUT THE REGION. ADDITIONALLY, IN FY21, NGMC LUMPKIN VOLUNTEERS CONTRIBUTED 500 VOLUNTEER HOURS, EQUIVALENT TO A VALUE OF APPROXIMATELY $14,375. PART III, LINE 2: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, NORTHEAST GEORGIA HEALTH SYSTEM (THE SYSTEM) ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PART III, LINE 4: BAD DEBT EXPENSE REPORTED ON LINE 2 REPRESENTS GROSS CHARGES WRITTEN OFF DURING THE FISCAL YEAR NET OF ANY RECOVERIES. BAD DEBTS ARE DISCUSSED IN THE FOOTNOTES AS A COMPONENT OF NET PATIENT SERVICE REVENUE, BUT DO NOT HAVE THEIR OWN FOOTNOTE. PART III, LINE 8: THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE COST TO CHARGE METHODOLOGY REFLECTED IN THE ORGANIZATION'S MEDICARE COST REPORT. PART III, LINE 9B: EACH BILLING CYCLE FOR THE FIRST 120 DAYS OF STATEMENTS CONTAINS CONTACT INFORMATION FOR FINANCIAL ASSISTANCE INFORMATION. A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY IS PROVIDED AT DAY 90. FOR DAYS 121-180, TWO BAD DEBT COLLECTION LETTERS ARE MAILED WITH CONTACT INFORMATION FOR FINANCIAL ASSISTANCE INFORMATION. DURING THE 180 DAYS PRIOR TO PLACEMENT WITH AN EXTERNAL COLLECTION AGENCY, REGULAR PHONE CALLS ARE MADE THAT INCLUDE NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS. DURING THE FIRST 60 DAYS OF PLACEMENT WITH EXTERNAL COLLECTIONS VENDOR, NO REPORTING TO CREDIT BUREAUS MAY TAKE PLACE, AND THE VENDOR PROVIDES ALL PATIENTS WITH AN OPPORTUNITY TO REQUEST FINANCIAL ASSISTANCE CONSIDERATION, INCLUDING RETURNING THE ACCOUNT TO US. WITH AGGREGATED MULTIPLE EPISODES OF PATIENT ACCOUNTS, FOR PURPOSES OF MEASURING 120 AND 240 DAYS, THE FIRST POST-DISCHARGE BILLING STATEMENT WILL BE USED. PART VI, LINE 2: NGMC BARROWNGMC ANNUALLY REPORTS ON THE PROGRESS OF CHNA OUTCOMES AND ACTIVITIES. WE REGULARLY MONITOR THE COUNTY HEALTH RANKINGS PUBLISHED BY THE ROBERT WOOD JOHNSON FOUNDATION (HTTP://WWW.COUNTYHEALTHRANKINGS.ORG/ABOUT-PROJECT), AS WELL AS CDC WONDER AND OTHER PUBLICLY AVAILABLE INFORMATION. IN ADDITION, WE HAVE MULTIPLE MECHANISMS IN PLACE FOR OUR LEADERSHIP TO HEAR DIRECTLY FROM THE COMMUNITY ON ANY HEALTH NEEDS.EMPLOYEES OF NORTHEAST GEORGIA MEDICAL CENTER ACTIVELY LEAD OR SUPPORT COMMUNITY, CIVIC, AND PROFESSIONAL ORGANIZATIONS ON THEIR BOARD OF DIRECTORS OR AS A PARTICIPATING MEMBER. NGMC BARROW CAN ASSESS HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH SERVICE ON THESE COMMITTEES. FOR EXAMPLE, SUNITA SINGH, PUBLIC RELATIONS MANAGER OF NGMC BARROW SERVES ON THE BOARD OF DIRECTORS FOR THE ROTARY CLUB OF WINDER. SUNITA ALSO SERVES AS VICE CHAIR FOR BARROW CHAMBER OF COMMERCE'S WOMEN IN BUSINESS PROGRAM AND FOR THE BARROW ARTS & SCIENCE ACADEMY'S GOVERNANCE TEAM. FOR THE PAST THREE YEARS, SHE HAS SERVED AS THE CHAIR OF FRIENDS OF BOY SCOUTS BENEFITING BARROW COUNTY BOY SCOUTS PROGRAM AND ADDITIONALLY SERVES ON THE EXECUTIVE BOARD OF DIRECTORS FOR NEGA COUNCIL-BOY SCOUTS OF AMERICA. SUNITA ALSO REPRESENTS BARROW COUNTY BY SERVING ON THE WORKFORCE DEVELOPMENT GRANT REVIEW PANELIST FOR UNITED WAY OF NORTHEAST GEORGIA AND GO RED FOR WOMEN EXECUTIVE LEADERSHIP TEAM FOR AMERICAN HEART ASSOCIATION.NGMC LUMPKINWE REGULARLY MONITOR THE COUNTY HEALTH RANKINGS PUBLISHED BY THE ROBERT WOOD JOHNSON FOUNDATION (HTTP://WWW.COUNTYHEALTHRANKINGS.ORG/ABOUT-PROJECT), AS WELL AS CDC WONDER AND OTHER PUBLICLY AVAILABLE INFORMATION. IN ADDITION, WE HAVE MULTIPLE MECHANISMS IN PLACE FOR OUR LEADERSHIP TO HEAR DIRECTLY FROM THE COMMUNITY ON ANY HEALTH NEEDS.NGMC ANNUALLY REPORTS ON THE PROGRESS OF CHNA OUTCOMES AND ACTIVITIES. FOR EXAMPLE, THE HEART DISEASE DEATH RATE IN THE NGMC LUMPKIN SERVICE AREA WAS IDENTIFIED AS A PRIORITY FOR THE ORGANIZATION AND HAS DECREASED FROM 192.6 IN 2010 TO 183.7 IN 2020 (SOURCE: CDC WONDER, 2020, AGE-ADJUSTED RATE).NGHS CONTINUES TO LEAD THE WAY IN LIFE-SAVING HEART AND VASCULAR CARE BY BECOMING THE FIRST HEALTH SYSTEM IN THE STATE WITH HOSPITALS DESIGNATED AS EMERGENCY CARDIAC CARE CENTERS BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTH (DPH), WHICH THE SYSTEM MAINTAINED IN FY21. THIS ACHIEVEMENT EXTENDS FAR BEYOND THE WALLS OF OUR SYSTEM CONNECTING FIRST RESPONDERS, EMERGENCY DEPARTMENTS AND CARDIOLOGISTS THROUGHOUT THE REGION TO ENSURE EACH PATIENT RECEIVES THE LEVEL OF CARE THEY NEED.THE GEORGIA DPH USES A THREE-LEVEL DESIGNATION SYSTEM TO RANK THE CAPABILITIES OF EACH FACILITY:- NGMC GAINESVILLE RECEIVED LEVEL 1 DESIGNATION (HOSPITALS PERFORM OPEN HEART SURGERY AND INTERVENTIONAL CARDIAC CATHETERIZATIONS).- NGMC BRASELTON RECEIVED LEVEL 2 DESIGNATION (HOSPITALS PERFORM INTERVENTIONAL CARDIAC CATHETERIZATIONS).- NGMC BARROW AND NGMC LUMPKIN BOTH RECEIVED LEVEL 3 DESIGNATION (HOSPITALS STABILIZE PATIENTS UNTIL THEY ARE TRANSPORTED TO A LEVEL 1 OR LEVEL 2 CENTER). PART VI, LINE 3: NGMC BARROW AND NGMC LUMPKINWE HAVE SIGNAGE POSTED THROUGHOUT THE EMERGENCY DEPARTMENT (ED) AND AT REGISTRATION AREAS. NGHS, THE HEART CENTER AT NGMC, AND NGPG WEBSITES PROVIDE A PLAIN LANGUAGE SUMMARY ALONG WITH A COPY OF OUR APPLICATION AND POLICY IN ENGLISH AND SPANISH. OUR PATIENT PORTAL, MYCHART, PROVIDES AN ONLINE APPLICATION. WE HAVE PLAIN LANGUAGE SUMMARIES OF OUR FINANCIAL ASSISTANCE POLICY FOR PATIENTS AT REGISTRATION. REGISTRARS OFFER FINANCIAL ASSISTANCE APPLICATIONS TO PATIENTS WHO EXPRESS A NEED OR ARE NOT ABLE TO PAY AT TIME OF SERVICE. FINANCIAL NAVIGATORS COMPLETE BEDSIDE SCREENING FOR SELF-PAY BEDDED PATIENTS AND ED PATIENTS DURING OUR SERVICE HOURS. MISSED PATIENTS ARE CALLED AND MAILED FINANCIAL ASSISTANCE APPLICATIONS. FINANCIAL NAVIGATORS COMPLETE FINANCIAL SCREENING FOR PATIENTS WHO ARE TO BE SCHEDULED FOR MEDICALLY URGENT SERVICES. WE HAVE WORK QUEUES THAT IDENTIFY POTENTIALLY ELIGIBLE PATIENTS. THESE PATIENTS ARE CALLED AND MAILED FINANCIAL ASSISTANCE APPLICATIONS. OUR CUSTOMER SERVICE TEAM PROVIDES INFORMATION AND COMPLETES REFERRALS. EACH STATEMENT AND COLLECTION LETTER INCLUDES AN ANNOUNCEMENT ABOUT FINANCIAL ASSISTANCE BEING AVAILABLE ALONG WITH OUR PHONE NUMBER AND URL. OUR LONG-TERM PAYMENT PLAN BROCHURE INCLUDES AN ANNOUNCEMENT ABOUT FINANCIAL ASSISTANCE BEING AVAILABLE ALONG WITH OUR PHONE NUMBER AND URL. OUR EXTERNAL COLLECTION AGENCIES ARE TRAINED TO PROVIDE EDUCATION AND RETURN ACCOUNTS TO US IF A PATIENT IS IDENTIFIED AS POTENTIALLY ELIGIBLE. ALSO, AVAILABLE ONLINE AT HTTPS://WWW.NGHS.COM/FINANCIAL-ASSISTANCE PART VI, LINE 4: NGMC BARROW AND NGMC LUMPKINPOPULATION: FROM 2010 TO 2019, THE HEALTH SYSTEM'S TOTAL SERVICE AREA ("TSA") POPULATION GREW AN ESTIMATED 2.0% PER YEAR ON AVERAGE COMPARED TO THE STATE OF GEORGIA AT 1.0% AND THE US AT 0.7%. POPULATION FOR THE TSA IN 2019 IS ESTIMATED TO BE 989,845 REPRESENTING A TOTAL GROWTH RATE OF 19.9% SINCE 2010, COMPARED TO THE STATE OF GEORGIA'S GROWTH (9.3%) AND THE US (5.3%) OVER THE SAME TIME PERIOD. THE TSA'S POPULATION GROWTH RATE IS PROJECTED TO OUTPACE GEORGIA AND THE US THROUGH AT LEAST 2021, THUS CONTINUING TO DRIVE ABOVE AVERAGE DEMAND FOR HEALTH CARE SERVICES. SOURCES: US CENSUS BUREAU; ESRI, INC.HOUSEHOLD INCOME AND HOME VALUES: MEDIAN HOUSEHOLD INCOME FOR THE TSA IS CURRENTLY $51,790 COMPARED TO THE STATE OF GEORGIA AT $58,700. THE MEDIAN HOME VALUE FOR THE TSA IS CURRENTLY $185,800 COMPARED TO THE STATE OF GEORGIA AT $176,000. SOURCES: US CENSUS BUREAU; ESRI, INC.EMPLOYMENT: THE UNEMPLOYMENT RATE FOR THE NGHS TOTAL SERVICE AREA WAS 3.0% IN 2019 COMPARED WITH THE STATE OF GEORGIA AT 3.5% AND THE U.S. AT 3.7%. FOR AT LEAST THE LAST 10 YEARS, THE TSA HAS CONSISTENTLY EXPERIENCED AN ANNUAL UNEMPLOYMENT RATE BELOW THOSE OF GEORGIA AND THE U.S. SOURCE: US BUREAU OF LABOR STATISTICS; ESRI, INC. PART VI, LINE 5: NGMC BARROW AND NGMC LUMPKIN:NORTHEAST GEORGIA HEALTH SYSTEM REPRESENTS THE COMMUNITIES DIRECTLY SERVED BY THE ORGANIZATION. BOARD MEMBERS PROVIDE LEADERSHIP THAT SUPPORTS THE ORGANIZATION'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY.PRACTITIONERS AT NGHS ENTITIES UNDERGO EXTENSIVE ONBOARDING PRIOR TO BEING AFFILIATED WITH THE HEALTH SYSTEM, SECURING STANDARD OF CARE AND SAFETY TO OUR COMMUNITY. 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 MORE THAN EXPENSES ARE REINVESTED INTO HEALTHCARE SERVICES FOR THE COMMUNITY AND NO PROFITS ACCRUE TO INDIVIDUAL INVESTORS. THE MEDICAL CENTER'S POLICY ON FINANCIAL ASSISTANCE (FORMERLY KNOWN AS THE CHARITY CARE POLICY) HELPS ENSURE ACCESS TO HOSPITAL SERVICES TO LOW-INCOME PATIENTS, I.E., PATIENTS WITH A FAMILY INCOME OF UP TO AND INCLUDING/EQUAL TO 150 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR A 100 PERCENT CHARITY ADJUSTMENT, WHICH MEANS THAT THEIR QUALIFYING SERVICES ARE FREE. ADDITIONALLY, PATIENTS WITH A FAMILY INCOME OF 151 TO 300 PERCENT QUALIFY FOR DISCOUNTED CARE ON A SLIDING SCALE, WITH THE MOST THAT A PATIENT WOULD PAY IS THE MEDICARE RATE. PART VI, LINE 6: NGMC BARROW AND NGMC LUMPKIN:NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM. ALONG WITH NGMC BARROW, AFFILIATES INCLUDE NGMC GAINESVILLE AND BRASELTON, NGMC LUMPKIN, NORTHEAST GEORGIA PHYSICIANS GROUP, THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION, NORTHEAST GEORGIA HEALTH PARTNERS, RIVER PLACE MEDICAL OFFICE PLAZA I, AND GEORGIA HEART INSTITUTE, LLC FORMERLY THE HEART CENTER, LLC.THE MISSION OF NORTHEAST GEORGIA MEDICAL CENTER AND ALL RELATED AFFILIATES IS TO "IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." AS A NOT-FOR-PROFIT HOSPITAL, NGMC TREATS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND IS ACCOUNTABLE TO THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE FOR THE PROVISION OF CHARITABLE SERVICES TO THE COMMUNITY.NORTHEAST GEORGIA MEDICAL CENTER PROVIDES ACUTE AND SPECIALTY INPATIENT AND OUTPATIENT SERVICES FOR A REGIONAL COMMUNITY OF OVER 18 COUNTIES AND RECEIVES NO LOCAL TAX SUPPORT FROM ANY OF THOSE COUNTIES FOR OPERATIONS OR INDIGENT CARE.THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION HELPS SUPPORT THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM THROUGH FUNDRAISING INITIATIVES THAT IMPROVE SERVICES OFFERED AT NGMC, AS WELL HEALTH-FOCUSED SERVICES IN THE COMMUNITY.NORTHEAST GEORGIA HEALTH PARTNERS WORKS TO BUILD COLLABORATIVE RELATIONSHIPS BETWEEN HOSPITALS, PHYSICIANS AND OTHER HEALTHCARE PROVIDERS, EMPLOYERS, AND THE EMPLOYEES THEY REPRESENT THROUGH INSURANCE PRODUCTS THAT HELP SUPPORT PATIENT ACCESS TO HEALTHCARE SERVICES THROUGHOUT THE REGION.RIVER PLACE MEDICAL OFFICE PLAZA 1 IS A MEDICAL OFFICE BUILDING THAT IS HOME TO AN URGENT CARE CENTER, IMAGING CENTER, OUTPATIENT REHABILITATION CENTER, FULL-SERVICE LAB AND MANY PRIVATE PHYSICIAN PRACTICES REPRESENTING MORE THAN 20 MEDICAL SPECIALTIES, IMPROVING ACCESS TO CARE IN THE SOUTHERN REGION SERVED BY NORTHEAST GEORGIA HEALTH SYSTEM.NORTHEAST GEORGIA PHYSICIANS GROUP IS A MULTI-SPECIALTY GROUP WITH MORE THAN 400 PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, AND OTHER CLINICAL STAFF PROVIDING HEALTHCARE SERVICES AT 65 LOCATIONS THROUGHOUT NORTHEAST GEORGIA, WHICH FURTHER IMPROVES THE COMMUNITY'S ACCESS TO CARE FOR THE REGION OF 19 COUNTIES.NORTHEAST GEORGIA HEALTH SYSTEM VOLUNTEERS AND AUXILIANS ARE PEOPLE OF ALL AGES WHO GIVE OF THEMSELVES TO MAKE A DIFFERENCE IN THE LIVES OF OTHERS. THE NORTHEAST GEORGIA HEALTH SYSTEM AUXILIARY IS COMMITTED TO INVOLVING DEDICATED VOLUNTEERS TO IMPROVE THE SERVICES OF THE HEALTH SYSTEM. VOLUNTEERS CONTRIBUTE TIME AND COMPASSIONATE SERVICE ASSISTING WITH NON-MEDICAL DUTIES AS THEY PROVIDE COMFORT AND SUPPORT TO PATIENTS, FAMILY MEMBERS AND VISITORS.THE AFFILIATION BETWEEN NORTHEAST GEORGIA MEDICAL CENTER'S HEART AND VASCULAR SERVICES AND GEORGIA HEART INSTITUTE FORMERLY KNOWN AS THE HEART CENTER OF NORTHEAST GEORGIA MEDICAL CENTER ENSURES PATIENTS HAVE ACCESS TO THE LATEST CARDIOVASCULAR TECHNOLOGY AND RECEIVE TOP QUALITY CARE FROM TOP PHYSICIANS. THIS GROUP HAS SEVERAL OFFICES THROUGHOUT THE NORTHEASTERN PART OF GEORGIA AND PROVIDES ALL CARDIOVASCULAR SUBSPECIALTY CARE, INCLUDING GENERAL, INVASIVE, AND INTERVENTIONAL CARDIOLOGY, CONGESTIVE HEART FAILURE, ELECTROPHYSIOLOGY, PERIPHERAL VASCULAR INTERVENTIONS, AND WOMEN'S CARDIOVASCULAR HEALTH PROGRAMS. PART VI, LINE 7, REPORTS FILED WITH STATES GA 1 AMERICAN CANCER SOCIETY PO BOX 102454 ATLANTA GA 303682454 131788491 501(C)(3) 30000 RELAY FOR LIFE SPONSORSHIP AMERICAN HEART ASSOCIATION PO BOX 841750 DALLAS TX 75284 135613797 501(C)(3) 20000 HEARTWALK SPONSORSHIP BOYS & GIRLS CLUB OF HALL COUNTY PO BOX 691 GAINESVILLE GA 30503 580656890 501(C)(3) 230000 VARIOUS SPONSORSHIPS BANKS COUNTY CHAMBER OF COMMERCE PO BOX 57 HOMER GA 30547 581355391 501(C)(3) 5200 FUNDRAISING EVENTS CHATEAU ELAN MILITARY SUPPORT 6004 CHICKSAW LAN BRASELTON GA 30517 841848145 501(C)(3) 7500 CE MILITARY FUNDRAISING EVENTS COMMUNITY HELPING PLACE INC PO BOX 712 DAHLONEGA GA 30533 371554432 501(C)(3) 17500 SPONSORSHIP DAHLONEGA-LUMPKIN COUNTY PO BOX 712 DAHLONEGA GA 30533 800855643 115 24000 JAYCEES MAIN SPONSORSHIP DAHLONEGA LUMPKIN COUNTY 13 SOUTH PARK ST DAHLONEGA GA 30533 800855643 115 13000 VARIOUS SPONSORSHIPS FORSYTH COUNTY CHAMBER OF COMMERCE 212 WEBB STREET CUMMING GA 30040 581048245 501(C)(3) 7500 DONATION/SPONSORSHIP DAWSON COUNTY CHAMBER OF COMMERCE PO BOX 299 DAWSONVILLE GA 30534 581950100 501(C)(3) 22625 VARIOUS SPONSORSHIPS GAINESVILLE JAYCEES PO BOX 126 GAINESVILLE GA 30503 311763149 501(C)(3) 15000 SPONSORSHIP GEORGIA TECH ALUMNI ASSACIATION 190 NORTH AVE ATLANTA GA 30313 580634853 501(C)(3) 6000 2021 GALA GEORGIA EMS ASSOCIATION 386 RIVER POINT DRIVE MCDONOUGH GA 30252 581867952 501(C)(6) 6000 SPONSORSHIP GLORY HOPE AND LIFE INC 725 JESSE JEWELL PKWY STE 270 GAINESVILLE GA 30501 264134012 501(C)(3) 15000 PRESENTING SPONSOR GOOD NEWS CLINICS 810 PINE STREET GAINESVILLE GA 30501 581895047 501(C)(3) 1189416 CLINIC FUNDING-OPERATING COST GREATER HALL CHAMBER OF COMMERCE PO BOX 374 GAINESVILLE GA 30503 580251406 501(C)(3) 5500 VARIOUS SPONSORSHIPS GWINNETT CHAMBER OF COMMERCE 6500 SUGARLOAF PKWY STE 100 DULUTH GA 30097 580537282 501(C)(3) 30000 INVESTMENT SPONSOR WITH GWINNETT CHAMBER INTERACTIVE NEIGHBORHOOD 999 CHESTNUT ST 11 GAINESVILLE GA 30501 753077646 501(C)(3) 5600 VARIOUS SPONSORSHIPS JACKSON CO AREA CHAMBER OF COMMERCE 270 ATHENS ST PO BOX 629 JEFFERSON GA 30549 581238040 501(C)(3) 18384 VARIOUS SPONSORSHIPS JOHN JARRARD FOUNDATION 500 JESSE JEWELL PKWY STE 300 GAINESVILLE GA 30501 208879399 501(C)(3) 10000 CONCERT SPONSORSHIP JUNIOR ACHIEVEMENT OF GEORGIA PO BOX 378 GAINESVILLE GA 30503 580598050 501(C)(3) 7500 HALL OF FAME AND DISCOVERY CENTER SPONSORSHIPS NORTHEAST GEORGIA COUNCIL PO BOX 399 JEFFERSON GA 30549 580566207 501(C)(3) 8000 VARIOUS SPONSORSHIPS ROTARY CLUB OF DAWSON CO PO BOX 1495 DAWSONVILLE GA 30534 821123575 501(C)(3) 15000 SPONSORSHIP STERLING ON THE LAKE LAKE STERLING BLVD FLOWERY BRANCH GA 30542 510493899 5500 VARIOUS SPONSORSHIPS WALTON COUNTY CHAMBER OF COMMERCE PO BOX 89 MONROE GA 30655 581185309 501(C)(3) 1000 SPONSORSHIP WOMENSOURCE INC PO BOX 684 GAINESVILLE GA 30503 262882799 501(C)(3) 7000 VARIOUS SPONSORSHIPS NORTHEAST GEORGIA HISTORY CENTER PO BOX 1451 GAINESVILLE GA 30503 581443900 501(C)(3) 10000 SPONSORSHIP PARTNERSHIP GWINNETT 6500 SUGARLOAF PKWY DULUTH GA 30097 580537282 501(C)(3) 100000 PARTNERSHIP WITH GWINNETT CHAMBER OF COMMERCE 26 2 PART I, LINE 2: THE MAJORITY OF GRANTS ARE TO 501(C)(3) ORGANIZATIONS. APPROVAL IS OBTAINED PRIOR TO DISBURSEMENT. 1 X X X X X X 1 1 0 0 0 0 0 0 0 JOHN CLIFTON HASTINGS MD MEMBER, PHYSICIAN - NGPG 0 861222 0 0 0 26697 0 9975 0 34467 0 932361 0 0 PIERPONT BROWN MD MEMBER, PHYSICIAN - NGPG 0 383550 0 2500 0 28293 0 9975 0 34233 0 458551 0 0 CAROL BURRELL PRESIDENT & CEO 0 1077256 0 0 0 310342 0 98665 0 25371 0 1511634 0 0 BRIAN D STEINES CHIEF FINANCIAL OFFICER 0 608995 0 76387 0 151211 0 85676 0 27486 0 949755 0 72002 STEPHEN KELLY CHIEF COMPLIANCE OFFICER 0 219456 0 28102 0 49925 0 36175 0 17178 0 350836 0 26489 MICHAEL COVERT CHIEF OPERATING OFFICER 0 534667 0 94599 0 155784 0 51488 0 17614 0 854152 0 43270 ANDREI BOYARSHINOV VP LEGAL AFFAIRS & CHIEF L 0 378611 0 10000 0 67782 0 53943 0 29826 0 540162 0 0 CHAD HATFIELD VP-REGIONAL HOSPITALS 0 218224 0 27373 0 31494 0 32622 0 27047 0 336760 0 25801 CHRISTOPHER PARAVATE CHIEF INFORMATION OFFICER - NGHS 0 403596 0 48416 0 74036 0 60456 0 28830 0 615334 0 45637 DANIEL TUFFY PRESIDENT AND CAO - NGPG 0 397422 0 50289 0 73748 0 58266 0 29456 0 609181 0 47402 TRACY VARDEMAN CHIEF STRATEGY EXECUTIVE - NGHS 0 322858 0 41634 0 79877 0 141138 0 27126 0 612633 0 39045 IOANNIS PARASTATIDIS THC PHYSICIAN 0 670555 0 0 0 35640 0 9975 0 28840 0 745010 0 0 LAURA DIVOKY THC PHYSICIAN 0 715999 0 0 0 16021 0 9975 0 18776 0 760771 0 0 MITCHELL DAVIS THC PHYSICIAN 0 678088 0 0 0 42024 0 9975 0 31912 0 761999 0 0 RYAN WHITNEY THC PHYSICIAN 0 675690 0 0 0 37110 0 9975 0 28449 0 751224 0 0 UGOCHUKWU EGOLUM THC PHYSICIAN 0 717215 0 0 0 35526 0 19500 0 30227 0 802468 0 0 BRENDA SIMPSON FORMER CHIEF NURSING EXECUTIVE - NGM 0 331408 0 143132 0 70307 0 49193 0 21873 0 615913 0 124424 DEBORAH WEBER FORMER CHIEF HR OFFICER - NGHS 0 0 0 0 0 164774 0 0 0 17093 0 181867 0 0 LOUIS SMITH JR FORMER PRESIDENT - NGMC - SYSTEM ACU 0 0 0 129460 0 628117 0 0 0 29396 0 786973 0 0 SAMUEL JOHNSON MD FORMER CHIEF MEDICAL OFFICER - NGHS 0 183444 0 20823 0 22683 0 26014 0 7271 0 260235 0 20823 PART I, LINES 4A-B EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN ANDREI BOYARSHINOV $ 46,555 BRENDA SIMPSON $ 42,895 BRIAN D. STEINES $ 75,701 CHAD HATFIELD $ 26,864 CHRISTOPHER PARAVATE $ 51,449 DANIEL TUFFY $ 50,806 MICHAEL COVERT $ 43,270 SAMUEL O. JOHNSON $ 20,823 STEPHEN KELLY $ 28,939 TRACY M. VARDEMAN $ 41,634 CAROL H. BURRELL, PRESIDENT AND CEO: BEGINNING IN DECEMBER 2017, NGHS INVESTED IN A JOINTLY-OWNED SPLIT DOLLAR LIFE INSURANCE PLAN FOR MS. BURRELL. THE ASSET VALUE AS OF SEPTEMBER 30, 2021 WAS $5,737,849 AND IS REPORTED ON FORM 990, PART X, LINE 5. SEE ALSO SCHEDULE L, PART V FOR ADDITIONAL INFORMATION REGARDING THE SPLIT DOLLAR LIFE INSURANCE. EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION): BRENDA SIMPSON $ 127,832 BRIAN D. STEINES $ 76,387 CHAD HATFIELD $ 27,373 CHRISTOPHER PARAVATE $ 48,416 DANIEL TUFFY $ 50,289 MICHAEL COVERT $ 43,270 TRACY M. VARDEMAN $ 41,634 SAMUEL O. JOHNSON $ 20,823 STEPHEN KELLY $ 28,102 CAROL BURRELL PRESIDENT & CEO SEE PART V X 5600000 5737849 0 1 1 ANDREI BOYARSHINOV VP LEGAL AFFAIRS & CHIEF LEGAL OFFICER - NGHS SIGN-ON/RELOCATION UNDER WRITTEN PROMISSORY NOTE AND APPLICABLE INTEREST X 35000 0 0 1 1 5737849 PART II EXPLANATION FOR NON-RECOURSE SPLIT DOLLAR TRANSACTION WITH CAROL BURRELL, PRESIDENT & CEO:NGHS PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE INTERNAL REVENUE SERVICE (IRS) REFERS TO AS COLLATERAL ASSIGNMENT SPLIT DOLLAR (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT AN ACTUAL LOAN AND NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE, AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, NGHS WILL RECOVER ALL OF ITS OUTLAYS PLUS INTEREST. THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR THE ORGANIZATION. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD NGHS WILL RECOVER NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY.CASD WORKS AS FOLLOWS. NGHS DEPOSITS FUNDS INTO A CASH VALUE LIFE INSURANCE POLICY ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT NGHS'S RECOVERY RIGHTS.AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY NGHS ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM, INC., (NGHS) AND ALL RELATED AFFILIATES IS TO "IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." LED BY VOLUNTEER BOARDS MADE UP OF COMMUNITY LEADERS, THE HEALTH SYSTEM SERVES MORE THAN ONE MILLION PEOPLE IN 19 COUNTIES ACROSS NORTHEAST GEORGIA. NGHS IS A GEORGIA, NOT-FOR-PROFIT CORPORATION THAT, ALONG WITH ITS AFFILIATES, PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS OF NORTHEAST GEORGIA. NGHS OPERATES A 56-BED LICENSED HOSPITAL LOCATED IN WINDER (NGMC BARROW, LLC) AND IN JULY 2018, NGHS ACQUIRED NGMC LUMPKIN, LLC (FORMERLY CHESTATEE REGIONAL HOSPITAL), TO INCLUDE EMERGENCY SERVICES, 10 INPATIENT BEDS AND OTHER SUPPORT SERVICES IN DAHLONEGA AND SURROUNDING COMMUNITIES. NGHS AFFILIATE, NORTHEAST GEORGIA MEDICAL CENTER (NGMC), OPERATES A 557-LICENSED BED INPATIENT FACILITY IN GAINESVILLE, AND A 134-LICENSED BED INPATIENT FACILITY IN BRASELTON. OTHER AFFILIATES INCLUDE NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG), THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION, RIVER PLACE MEDICAL OFFICE PLAZA I, AND GEORGIA HEART INSTITUTE, LLC FORMERLY THE HEART CENTER, LLC. NGMC SERVES AS A FINANCIAL ENGINE FOR THE LOCAL ECONOMY. IN 2020 (LATEST NUMBERS AVAILABLE), THE FOUR HOSPITALS COLLECTIVELY HAD A $3.55 BILLION LOCAL AND STATE ECONOMIC IMPACT, ACCORDING TO A REPORT BY THE GEORGIA HOSPITAL ASSOCIATION (GHA), WHICH APPLIED AN ECONOMIC MULTIPLIER TO THE HOSPITAL'S DIRECT EXPENDITURES TO ACCOUNT FOR THE "RIPPLE" EFFECT THE HOSPITAL'S SPENDING HAS ON OTHER SECTORS OF THE LOCAL AND STATE ECONOMIES. THE REPORT FOUND THAT THROUGH ITS ECONOMIC IMPACT, THE HEALTH SYSTEM CREATED 22,590 FULL-TIME JOBS THROUGHOUT THE REGION AND THE STATE, IN ADDITION TO NEARLY 15,826 EMPLOYEES DIRECTLY EMPLOYED. COMMUNITY HEALTH IMPROVEMENT ACTIVITIES WITH SIGNIFICANT INPUT FROM THE COMMUNITY, NORTHEAST GEORGIA HEALTH SYSTEM COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS. THE STUDY IDENTIFIED THE FIVE HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE ORGANIZATION'S STRATEGIC DIRECTION: BEHAVIORAL AND MENTAL HEALTH, ACCESS TO CARE, DIABETES, CARDIOVASCULAR DISEASE, AND SEPTICEMIA. FOR DETAILS ON HOW NGHS AND AFFILIATES ARE ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, GO TO: WWW.NGHS.COM/2020-PLAN. VISIT HTTPS://YOUTU.BE/UPDTTYIGAO8 TO WATCH A VIDEO ABOUT HOW NGHS PARTNERED IN THE COMMUNITY TO CONDUCT THE 2019 CHNA. NGHS, INC., AND AFFILIATES' RESPONSE TO COVID-19 THE UNFORESEEN COVID-19 PANDEMIC QUICKLY BECAME A PRIMARY FOCUS FOR NGHS, NGMC, NGPG, AND AFFILIATES. COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY, THE HEALTH SYSTEM PIVOTED IN 2020 TO MEET THE DEMANDS OF THE PANDEMIC, REMAINING FLEXIBLE TO ADDRESS THE RISING NEEDS IN THE COMMUNITY THROUGH THE FOLLOWING ACTIVITIES: COMMUNITY COVID-19 LEADERSHIP COALITION: A COMMUNITY-WIDE COLLABORATIVE WAS FORMED IN SEPTEMBER 2020 THAT INCLUDED NGHS, LONGSTREET CLINIC, GOOD NEWS CLINIC, DISTRICT 2 PUBLIC HEALTH, GREATER HALL CHAMBER OF COMMERCE, AND OTHER LOCAL ORGANIZATIONS TO IMPLEMENT A UNIFIED PLAN FOR THE HALL COUNTY-GAINESVILLE AREA TO PREVENT THE SPREAD OF COVID-19. FROM THIS, LOCAL BUSINESSES AND GOVERNMENT ENTITIES JOINED TO CREATE THE "WE ARE HALL IN" CAMPAIGN TO SET THE STANDARD FOR COVID-19 PREVENTION. THOSE WHO ARE "HALL IN" PLEDGE TO WEAR A MASK WHEN APPROPRIATE, PRACTICE SOCIAL DISTANCING, AND ABIDE BY OTHER HEALTH AND SAFETY GUIDELINES. COVID-19 PANDEMIC: AS WITH ALL HEALTH SYSTEMS, COVID-19 CONTINUED TO IMPACT OPERATIONS, AND THE SYSTEM CONTINUED TO ADDRESS THE SHIFTING NEEDS OF THE COMMUNITY THROUGHOUT FY21. THE FOREFRONT OF COVID-19 INFORMATION: NGHS REMAINED AT THE FOREFRONT OF COVID-19 INFORMATION DISTRIBUTION THROUGHOUT THE PANDEMIC. DAILY STATISTICS WERE MADE AVAILABLE TO THE PUBLIC THROUGH THE HOSPITAL'S WEBSITE, INFORMING THE COMMUNITY OF CONFIRMED POSITIVE PATIENTS IN OUR CARE, THE PERCENTAGE OF POSITIVE PATIENTS NOT FULLY VACCINATED, AND THE AVERAGE AGE OF POSITIVE PATIENTS. THIS INFORMATION IS AVAILABLE AT NGHS.COM/COVID-DATA. ADDITIONALLY, NGHS REGULARLY PUBLISHES TIPS ON AVOIDING COVID-19 AND INFORMATION ON VACCINE DISTRIBUTION. GEORGIA TECH COVID-19 TESTING PARTNERSHIP: NGHS PARTNERED WITH GEORGIA TECH TO SUPPORT REGULAR COVID-19 TESTING FOR STATE LEGISLATORS AND CAPITOL STAFF DURING THE LEGISLATIVE SESSION. NGHS IS INTERPRETING RESULTS AND CONFIRMING THE DIAGNOSIS OF A SALIVA-BASED COVID SURVEILLANCE TEST CONDUCTED BY GEORGIA TECH'S RESEARCHERS. METRO ATLANTA HOSPITAL COVID CAMPAIGN: NGHS PARTICIPATED IN TWO JOINT SOCIAL MEDIA CAMPAIGNS WITH OTHER METRO ATLANTA HOSPITALS TO DRIVE A UNIFIED MESSAGE AROUND COVID VACCINE ACCEPTANCE IN THE COMMUNITY. THE FOLLOWING HOSPITALS AND HEALTHCARE PROVIDERS WERE INVOLVED: NGHS, EMORY, CHOA, GRADY, PIEDMONT, ST. FRANCIS EMORY, HCA, WELLSTAR, ONE MEDICAL, AND KAISER PERMANENTE. LAKE LANIER CONVENTION & VISITORS BUREAU RECOGNIZED NGHS FOR COVID-19 EFFORTS: NGHS RECEIVED THE LAKE LANIER CONVENTION & VISITORS BUREAU CHAIRMAN'S AWARD FOR COMMITMENT AND EFFORTS DURING THE COVID-19 PANDEMIC. COMMUNITY CONVERSATIONS AND EDUCATION ON COVID-19: IN JUNE 2021, MEMBERS FROM NGMC, NGHS, DISTRICT 2 PUBLIC HEALTH, ST. JOHN THE BAPTIST CHURCH, AND NEWTOWN FLORIST CLUB MET TO DISCUSS COVID-19 IN THE AFRICAN AMERICAN COMMUNITY. THIS PANEL SHARED CASE DATA ON COVID-19 BY RACE/ETHNICITY, ANSWERED QUESTIONS ABOUT COVID-19, AND DISCUSSED MYTHS ABOUT THE VIRUS AND VACCINATION. IN SEPTEMBER 2021, THE PARTNERS HOSTED A VIRTUAL PANEL IN WHICH PANELISTS DISCUSSED THEIR PERSONAL EXPERIENCES WITH THE VACCINE AND OTHER TOPICS RELATED TO COVID-19. COVID-19 OUTREACH IN PARTNERSHIP WITH COMMUNITY LEADERS: KNOWING THE DISPROPORTIONATE IMPACT COVID-19 HAS ON HISPANIC AND LATINO POPULATIONS, NGHS PARTNERED WITH THE NORTHEAST GEORGIA LATINO CHAMBER OF COMMERCE AND MIDTOWN VILLAGES IN AUGUST 2021 AT THE EVENT "FIESTA DE VERANO" TO DISTRIBUTE COVID-19 VACCINES. FORM 990, PART III, LINE 4A IN 2021, NGMC HOSPITALS PROVIDED CHARITY CARE IN THE COMMUNITY AT THE COST OF AN ESTIMATED $77.7 MILLION AND RECEIVED NO LOCAL TAX REVENUE FROM HALL COUNTY, OR ANY OTHER COUNTIES, TO SUPPORT OPERATIONS OR CARE PROVIDED TO INDIGENT RESIDENTS. THE CHARITY CARE POLICY PROVIDES FINANCIAL ASSISTANCE UP TO 300 PERCENT OF THE POVERTY LEVEL MANY HOSPITALS PROVIDE CHARITY ADJUSTMENTS ONLY TO THE LEVEL THAT MATCHES THE STATE DEFINITION OF MEDICALLY INDIGENT BUT NOT AT THE LEVEL THAT NGMC OFFERS. THE HEALTH SYSTEM SERVED MORE THAN ONE MILLION PEOPLE IN 18 COUNTIES ACROSS NORTHEAST GEORGIA, LED BY VOLUNTEER BOARDS OF COMMUNITY LEADERS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, ALL REVENUE GENERATED ABOVE OPERATING EXPENSES WAS RETURNED TO THE COMMUNITY THROUGH IMPROVED SERVICES AND INNOVATIVE PROGRAMS. NORTHEAST GEORGIA MEDICAL CENTER'S CHARITY CARE POLICY SUPPORTS PROVIDING CARE FOR INDIGENT PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. TOTAL ESTIMATED CHARITY CARE COST FOR EACH HOSPITAL ENTITY IN FY21: NGMC GAINESVILLE AND BRASELTON: $33.4 MILLION FOR HALL COUNTY, WITH ANOTHER $32.1 MILLION FOR REGIONAL RESIDENTS OUTSIDE OF HALL COUNTY. NGMC BARROW: $2.6 MILLION FOR BARROW COUNTY, WITH ANOTHER $865,000 PROVIDED TO REGIONAL RESIDENTS OUTSIDE BARROW COUNTY. NGMC LUMPKIN: $637,000 FOR LUMPKIN COUNTY, WITH ANOTHER $479,000 FOR REGIONAL RESIDENTS OUTSIDE LUMPKIN COUNTY. LOW-INCOME AND UNINSURED PATIENT PROGRAMS: THE HOSPITAL WAS A KEY PARTICIPANT AND FISCAL SPONSOR IN PROGRAMS AIMED AT TREATING LOW-INCOME AND UNINSURED PATIENTS, INCLUDING THE GOOD NEWS CLINICS, THE LARGEST FREE HEALTHCARE CLINIC IN GEORGIA, AND HEALTH ACCESS, A LOCAL SERVICE THAT MATCHES FINANCIALLY ELIGIBLE PATIENTS TO SPECIALTY PHYSICIANS AND PROVIDES ACCESS TO CARE, AMONG OTHER SERVICES. NGMC WAS THE PRIMARY HOSPITAL FOR LOW-INCOME PATIENTS IN GAINESVILLE-HALL COUNTY AND THROUGHOUT THE REGION IN COUNTIES SUCH AS BANKS, LUMPKIN, RABUN, UNION, AND WHITE, WHERE MANY KEY MEDICAL SPECIALTIES ARE UNAVAILABLE. NGMC TAX FUNDING: SINCE 2000, NGMC GAINESVILLE HAS PROVIDED NEARLY THREE TIMES THE AMOUNT OF INDIGENT AND CHARITY CARE OUTLINED IN REQUIREMENTS BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH TO PASS A CERTIFICATE OF NEED FOR NEW SERVICES SUCCESSFULLY. UNLIKE MANY GEORGIA NOT-FOR-PROFIT HOSPITALS HELD TO THE SAME REQUIREMENTS, NGMC DOES NOT RECEIVE TAX FUNDING FROM ITS LOCAL COUNTY TO HELP FUND INDIGENT CARE FOR AREA RESIDENTS. NGMC GAINESVILLE WAS SIXTH IN THE TOP HOSPITALS FOR NET UNCOMPENSATED CARE ($73.4 M) PROVIDED IN GEORGIA BASED ON STATE FISCAL YEAR (SFY) 2020 INDIGENT CARE TRUST FUND (ICTF) TOTAL HOSPITAL SPECIFIC DISPROPORTIONATE SHARE HOSPITAL (DSH) LIMITS; MANY OF THE HOSPITALS ON THE LIST RECEIVED LOCAL TAX DOLLARS, WHILE NGMC DID NOT, (SFY RUNS FROM JULY 1- JUNE 30). AS A NOT-FOR-PROFIT HOSPITAL, NGMC CARRIES ADDITIONAL RESPONSIBILITIES, AS ESTABLISHED BY THE IRS IN 1965. THESE OBLIGATIONS ARE: OPERATE A FULL-TIME EMERGENCY ROOM THAT IS AVAILABLE TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY; - NGMC GAINESVILLE AND BRASELTON HAD 134,032 ER VISITS, OPERATING THE BUSIEST EMERGENCY DEPARTMENT IN GEORGIA, AND NGMC BARROW AND LUMPKIN ALSO OPERATE A 24-HOUR EMERGENCY ROOM. - IN FY21, 23 PERCENT OF ALL NGMC GAINESVILLE AND BRASELTON EMERGENCY ROOM VISITS WERE MADE BY SELF-PAY PATIENTS; 27 PERCENT FOR BARROW, AND 22 PERCENT FOR LUMPKIN. PROVIDE NON-EMERGENCY SERVICES TO ANYONE UNABLE TO PAY, AND MEDICALLY NECESSARY SERVICES TO ANYONE IN THE NGHS SERVICE AREA NOT ABLE TO PAY; - NORTHEAST GEORGIA HEALTH SYSTEM PROVIDES HIGH QUALITY, ADVANCED SPECIALTY AND PRIMARY HEALTHCARE SERVICES TO THE NORTHEAST GEORGIA COMMUNITY, SERVING 1 MILLION PEOPLE IN MORE THAN 18 COUNTIES. IN FY21, NGMC'S PAYOR MIX AT GAINESVILLE AND BRASELTON WAS 60 PERCENT MEDICARE/MEDICAID, 31 PERCENT COMMERCIAL/OTHER INSURANCE AND 9 PERCENT SELF-PAY. - IN FY21, NGMC'S PAYOR MIX AT BARROW WAS 55 PERCENT FOR MEDICARE/ MEDICAID, 30 PERCENT FOR COMMERCIAL/OTHER INSURANCE AND 15 PERCENT FOR SELF-PAY. - IN FY21, NGMC'S PAYOR MIX AT LUMPKIN WAS 50 PERCENT FOR MEDICARE/ MEDICAID, 34 PERCENT FOR COMMERCIAL/OTHER INSURANCE AND 16 PERCENT FOR SELF-PAY. PARTICIPATE IN MEDICAID AND MEDICARE; - 60 PERCENT OF PATIENTS SERVED BY NGMC GAINESVILLE AND BRASELTON IN FY21 WERE MEDICAID AND MEDICARE PATIENTS; 55 PERCENT FOR BARROW AND 50 PERCENT FOR LUMPKIN. CREATE A GOVERNING BOARD THAT IS REPRESENTATIVE OF THE COMMUNITY IT SERVES; - MORE THAN 90 COMMUNITY MEMBERS ARE ACTIVELY INVOLVED IN GOVERNANCE THROUGH NORTHEAST GEORGIA HEALTH SYSTEM, NGMC AND OTHER SUBSIDIARY BOARDS AND COMMITTEES. REINVESTMENT OF SURPLUS FUNDS IN OPERATIONS: AS A NOT-FOR-PROFIT ORGANIZATION, THE REVENUE GENERATED BY NGMC AND ITS PARENT ORGANIZATION NORTHEAST GEORGIA HEALTH SYSTEM, ABOVE OPERATING EXPENSES, IS REINVESTED INTO THE COMMUNITY. EXAMPLES INCLUDE INVESTMENTS IN ADVANCED MEDICAL TECHNOLOGY SUCH AS ROBOTIC SURGICAL SYSTEMS AND STATE-OF-THE-ART RADIATION THERAPY EQUIPMENT, A LEVEL 2 TRAUMA CENTER'S DEVELOPMENT, AND BARROW, THE ONLY FACILITY TO OFFER 3D MAMMOGRAPHY IN THAT COUNTY. INDIGENT CARE TRUST FUND (ICTF): IN 2021, NGMC RECEIVED $7.6 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID DSH (ICTF) PROGRAM TO PARTIALLY OFFSET A FINANCIAL LOSS OF $65.5 MILLION IN COST THE MEDICAL CENTER INCURRED TREATING UNINSURED AND MEDICAID PATIENTS. IN ADDITION, NGMC RECEIVED $3.7 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID UPL PROGRAM TO ADJUST MEDICAID PAYMENTS UPWARD TO MATCH MEDICARE PAYMENT LEVELS. THE INDIGENT CARE TRUST FUND IS A PROGRAM THAT WAS ESTABLISHED IN 1990, WHICH EXPANDS MEDICAID ELIGIBILITY AND SERVICES. IT SUPPORTS RURAL HEALTHCARE 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. IT ASSISTS HOSPITALS AND OTHER HEALTH PROVIDERS THAT CARE FOR HIGH PROPORTIONS OF MEDICAID, UNINSURED, AND/OR LOW-INCOME PATIENTS. FORM 990, PART III, LINE 4A NORTHEAST GEORGIA HEALTH SYSTEM, INC. NGMC BARROW NGMC BARROW PROVIDES EMERGENCY CARE, SURGERY, ORTHOPEDICS, HEART CARE, IMAGING /RADIOLOGY, LABORATORY SERVICES, PULMONARY REHABILITATION, WOUND HEALING, STROKE CARE, AND MORE. NGMC BARROW, LLC (BARROW) VALUES COOPERATIVE EFFORTS WITH COMMUNITY ORGANIZATIONS AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA RESIDENTS. THE ORGANIZATION DEMONSTRATES THIS THROUGH COMMUNITY PARTNERSHIPS AND SUPPORT. IN FY21, NGMC BARROW PROVIDED $301,163 IN COMMUNITY BENEFIT PROGRAMS/OUTREACH. BARROW SUPPORTED THE COMMUNITY IN VARIOUS WAYS, FROM SPONSORING STUDY ROOMS AND MOBILE HOTSPOTS FOR THE WINDER PUBLIC LIBRARY TO ACTIVELY PARTICIPATING AS A PARTNER IN EDUCATION WITH BARROW COUNTY SCHOOL SYSTEM. IN ADDITION, BARROW SUPPORTED OTHER LOCAL NON-PROFIT ORGANIZATIONS THAT SERVE THE COMMUNITY. WHAT DRIVES NGMC'S COMMUNITY HEALTH IMPROVEMENT ACTIVITIES? NORTHEAST GEORGIA HEALTH SYSTEM, WITH INPUT FROM THE COMMUNITY, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS. THE STUDY CULMINATED IN THE IDENTIFICATION OF THE 5 FOLLOWING HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE STRATEGIC DIRECTION OF THE ORGANIZATION: BEHAVIORAL AND MENTAL HEALTH; ACCESS TO CARE; DIABETES; CARDIOVASCULAR DISEASE; AND SEPTICEMIA. FOR MORE INFORMATION ABOUT PROGRESS ON THESE AND OTHER HEALTH PRIORITIES OF 2020-2022, GO TO: HTTPS://WWW.NGHS.COM/WP-CONTENT/UPLOADS/2022/05/IMPLEMENTATION-PLAN-REPO RT-2021.PDF. FY21 NGMC BARROW COMMUNITY BENEFIT ACTIVITIES NGMC BARROW SUPPORTED THE COMMUNITY IN VARIOUS WAYS, FROM SPONSORING STUDY ROOMS AND MOBILE HOTSPOTS FOR THE WINDER PUBLIC LIBRARY TO ACTIVELY PARTICIPATING AS A PARTNER IN EDUCATION WITH BARROW COUNTY SCHOOL SYSTEM. IN ADDITION, THE HOSPITAL SUPPORTED OTHER LOCAL NON-PROFIT ORGANIZATIONS THAT SERVE THE COMMUNITY. NGMC COMMUNITY HEALTH IMPROVEMENT ACTIVITIES: WITH INPUT FROM THE COMMUNITY, NORTHEAST GEORGIA HEALTH SYSTEM COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS. THE STUDY IDENTIFIED FIVE HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE ORGANIZATION'S STRATEGIC DIRECTION: BEHAVIORAL AND MENTAL HEALTH, ACCESS TO CARE, DIABETES, CARDIOVASCULAR DISEASE, AND SEPTICEMIA. CHARITY CARE: LIKE NGMC GAINESVILLE, BRASELTON, AND LUMPKIN, NGMC BARROW'S CHARITY CARE POLICY REMOVED BARRIERS FOR LOW-INCOME POPULATIONS WITHIN OUR SERVICE AREA, BEGINNING WITH THE FREE, MEDICALLY NECESSARY CARE FOR PATIENTS WHOSE GROSS FAMILY INCOME IS 0 TO 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ADJUSTED FOR FAMILY SIZE. PATIENTS FROM OUR SERVICE AREA WHOSE FPL IS FROM 151 TO 300 PERCENT MAY QUALIFY FOR AN ADJUSTMENT EQUIVALENT TO THE HOSPITAL'S MEDICARE REIMBURSEMENT RATE PLUS AN ADDITIONAL 40 PERCENT DISCOUNT TO THE MEDICARE REIMBURSEMENT RATE. ENCOURAGING MEDICAL VOLUNTEERING: THROUGH VARIOUS PHYSICIAN LEADERSHIP COUNCILS, NGMC PHYSICIANS ACTIVELY PARTICIPATE IN COMMUNITY OUTREACH, INCLUDING EDUCATIONAL SEMINARS, SCREENINGS, AND CANCER PREVENTION OPPORTUNITIES. FINANCIAL NAVIGATORS: NGMC BARROW HAS FINANCIAL ASSISTANCE COUNSELORS WHO HELP PATIENTS BECOME INSURED THROUGH MEDICAID, PEACHCARE, OR OTHER PROGRAMS. THIS TEAM FOCUSES ON ADVOCATING FOR UNINSURED AND UNDER-INSURED PATIENTS, AIDING THEM IN FINDING VIABLE MEANS TO ACCESS CARE. THEY FIND THE BEST SOLUTIONS BY HELPING PATIENTS APPLY FOR MEDICAID OR DISABILITY, ACCESSING HEALTHCARE EXCHANGES, OR PROCESSING CHARITY APPLICATIONS WHEN APPROPRIATE. THIS SUPPORT CAME AT A TOTAL ESTIMATED COST OF $51,224 FOR NGMC BARROW IN FY21. PARTNERING IN THE COMMUNITY PARTNER IN EDUCATION WITH BARROW COUNTY SCHOOL SYSTEM: NGMC BARROW SUPPORTED STUDENT MOTIVATION, ACHIEVEMENT, COMMUNITY SERVICE, AND INVOLVEMENT. IN ADDITION TO PROVIDING THESE OPPORTUNITIES FOR STUDENTS, NGMC BARROW DONATED MEDICAL SUPPLIES TO STOCK 18 NURSE CLINICS PROVIDING CARE FOR OVER 14,000 STUDENTS AND 2,000 STAFF. ALLIED HEALTH STUDENT EDUCATION: NGMC PROVIDED CLINICAL ROTATIONS FOR ALLIED HEALTH STUDENTS. EDUCATIONAL AFFILIATION AGREEMENTS ARE MAINTAINED WITH EACH SCHOOL/PROGRAM. NGMC'S EDUCATION SERVICES DEPARTMENT ENSURES COMPLETION OF ALL ORIENTATION AND STUDENT HEALTH REQUIREMENTS BEFORE ROTATIONS. MOST OF THESE STUDENTS WORK DIRECTLY WITH NGMC STAFF AS THERE ARE NO INSTRUCTORS ON CAMPUS, EXCEPT FOR SELECT GROUPS WHOM INSTRUCTORS ACCOMPANY. THIS CAME AT A COST OF $450 FOR NGMC BARROW FOR FY21. BARROW COUNTY SCHOOLS: NGMC PARTNERED WITH BARROW COUNTY SCHOOLS TO IMPLEMENT "TAR WARS" FOR FOURTH AND FIFTH-GRADE STUDENTS. "TAR WARS" IS A TOBACCO-FREE EDUCATION PROGRAM DEVELOPED BY THE AMERICAN ACADEMY OF FAMILY PHYSICIANS TO TEACH KIDS ABOUT THE DANGERS OF TOBACCO USE, THE COST ASSOCIATED WITH USING TOBACCO PRODUCTS, AND THE ADVERTISING TECHNIQUES USED BY THE TOBACCO INDUSTRY TO MARKET THEIR PRODUCTS TO YOUTH. IN FY21, NGMC ADAPTED THE PROGRAM INTO A VIRTUAL PACKAGE SO STUDENTS COULD PARTICIPATE ONLINE AT HOME OR IN CLASS DURING THE COVID-19. A VIRTUAL LESSON PLAN WAS DEVELOPED AND IMPLEMENTED IN FY21 FOR 2,100 FIFTH-GRADE STUDENTS. THIS PROGRAM SUPPORT CAME AT A COST OF $450 IN NGMC BARROW IN FY21. NGMC BARROW VOLUNTEERS: IN FY21, EIGHT NGMC BARROW VOLUNTEERS CONTRIBUTED 500 VOLUNTEER HOURS, A VALUE OF $14,375 TO THE ORGANIZATION. WHILE THESE FIGURES ARE NOT INCLUDED IN THE QUANTITATIVE PORTION OF THE COMMUNITY BENEFIT REPORT, THEY SHOW THE DEPTH OF SUPPORT THE COMMUNITY GIVES BARROW. NGHS TEEN VOLUNTEER PROGRAM: IN FY21, 16 TEENAGERS PARTICIPATED IN THE NGHS TEEN VOLUNTEER PROGRAM. THE PROGRAM PROVIDES HANDS-ON EXPOSURE TO MANY DIFFERENT HEALTHCARE CAREERS. ED-CARES PROGRAM: NGMC'S EMERGENCY DEPARTMENTS PARTNERED WITH THE GEORGIA COUNCIL ON SUBSTANCE ABUSE TO IMPLEMENT THE ED-CARES (CERTIFIED ADDICTION RECOVERY SPECIALISTS) PROGRAM, WHICH CONNECTS PEOPLE WHO HAVE BEEN ADMITTED TO EMERGENCY ROOMS FOR AN OPIOID-RELATED OVERDOSE WITH TRAINED PEER RECOVERY COACHES WHO PLAY AN IMPORTANT ROLE IN HELPING PEOPLE AVOID ANOTHER OVERDOSE AND ENCOURAGING THEM TO SEEK TREATMENT. THE PROGRAM WAS CREATED IN RESPONSE TO THE INCREASING NUMBER OF OVERDOSE FATALITIES AND SOUGHT TO CURTAIL THAT TREND BY BETTER CONNECTING PEOPLE AT HIGH-RISK WITH COMMUNITY SUPPORTS AND SERVICES. PARTNER WITH YMCA OF GEORGIA'S PIEDMONT: NGHS SUPPORTED THE BRAD AKINS BRANCH IN WINDER AND AFFILIATED SITES WITH MEDICALLY-BASED PROGRAMMING FOR THE COMMUNITY, SUCH AS SUPPORT GROUPS AND EDUCATION ON HEALTH-RELATED TOPICS. BARROW COUNTY EMS AMBULANCE SERVICE: NGMC BARROW AND THE BARROW COUNTY BOARD OF COMMISSIONERS COLLABORATED TO STAFF TWO EMS AMBULANCES OPERATED BY NGMC. SINCE IMPLEMENTATION, THE RESPONSE TIME HAS BEEN REDUCED BY HALF. COMMUNITY EDUCATION AND OUTREACH: SEPSIS EDUCATION WAS SHARED WITH THE COMMUNITY AT THE BARROW COUNTY HEALTH FAIR TO INCREASE AWARENESS TO HELP REDUCE SEPSIS MORTALITY AND HELP DEVELOP AN UNDERSTANDING OF SIGNS/SYMPTOMS AND WHEN TO SEEK CARE. SUPPORT OF COMMUNITY EFFORTS TO IMPROVE HEALTH: NGMC BARROW PROVIDED A DONATION TO PIEDMONT REGIONAL LIBRARY SYSTEM TO SUPPORT THE MOBILE HOTSPOT LENDING PROGRAM TO ENABLE RESIDENTS OF BARROW COUNTY WITH INTERNET ACCESS, BRIDGING THE DIGITAL DIVIDE FOR ACCESS TO HEALTH INFORMATION, SCHOOLWORK, EMPLOYMENT, AND CONNECTIVITY TO OTHER SOCIAL NEEDS. FORM 990, PART III, LINE 4A CHILD ADVOCACY, PROTECTION, AND WELLNESS: NGMC BARROW PROVIDED FINANCIAL SUPPORT FOR PIEDMONT CASA (COURT APPOINTED SPECIAL ADVOCATES). CASAS ARE APPOINTED BY THE JUVENILE COURT JUDGE TO ADVOCATE FOR THE BEST INTEREST OF THE CHILD AND ARE SOLELY RESPONSIBLE FOR ENSURING THE CHILD'S NEEDS ARE MET AND THE CHILD'S BEST INTEREST IS HEARD. THIS SUPPORT CAME AT A COST OF $1,600 FOR NGMC BARROW IN FY21. SAFE KIDS NORTHEAST GEORGIA: NGMC SERVED AS THE LEAD AGENCY FOR SAFE KIDS NORTHEAST GEORGIA, REDUCING UNINTENTIONAL INJURIES AND DEATH IN CHILDREN 19 AND UNDER. IN FY21, SAFE KIDS PROVIDED THREE PROGRAMS AND EVENTS WITH OUTREACH TO 1,000 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THESE PROGRAMS DISTRIBUTED OVER 350 SAFETY ITEMS TO FAMILIES WHO NEEDED THEM. SAFE KIDS WAS FUNDED BY THE NGHS FOUNDATION'S HEALTHY JOURNEY CAMPAIGN. THIS SUPPORT CAME AT A COST OF $13,169 FOR NGMC BARROW IN FY21. THE TREE HOUSE, INC. SUPPORT: NGMC DONATED TO THE TREE HOUSE, INC., WHOSE MISSION IS TO STRENGTHEN COMMUNITIES BY REDUCING THE OCCURRENCE AND IMPACT OF CHILD ABUSE THROUGH COUNSELING, EDUCATING, SUPPORTING, AND NURTURING CHILDREN AND FAMILIES IN BARROW, BANKS, AND JACKSON COUNTIES. NGMC BARROW'S EMERGENCY DEPARTMENT MANAGER SERVED ON THE FOUNDATION'S BOARD OF DIRECTORS. THIS SUPPORT CAME AT A COST OF $1,706 FOR THE NGMC BARROW IN FY21. BOYS & GIRLS CLUB OF WINDER SUPPORT: NGMC BARROW DONATED TO THE BOYS & GIRLS CLUB OF WINDER, WHICH PROVIDES PROGRAMS THAT EMPOWER YOUTH TO EXCEL IN SCHOOL, BECOME GOOD CITIZENS AND LEAD HEALTHY, PRODUCTIVE LIVES. THIS SUPPORT CAME AT A COST OF $2,700 FOR THE NGMC BARROW IN FY21. NGMC BARROW'S PRESIDENT ALSO SERVED ON THE BOARD. CANCER PATIENT NAVIGATOR: NGMC'S PATIENT NAVIGATION PROGRAM PROVIDED CANCER PATIENTS WITH GUIDANCE THROUGHOUT THEIR CANCER JOURNEY AND ACTED AS A "LIVING RESOURCE DIRECTORY" FOR PATIENTS. SERVICES INCLUDED: CONNECTING WITH COMMUNITY RESOURCES, PROVIDING EMOTIONAL SUPPORT, HELPING PATIENTS UNDERSTAND THEIR DIAGNOSIS, COMMUNICATING WITH HEALTHCARE STAFF AND PROVIDERS, ADDRESSING LOGISTICAL ISSUES SUCH AS TRANSPORTATION NEEDS, AND HELPING PATIENTS UNDERSTAND MEDICAL TERMS AND TREATMENT OPTIONS. THESE EFFORTS CAME AT A TOTAL ESTIMATED COST OF $218,242 FOR 1,816 PEOPLE IN NGMC BARROW IN FY21. FORM 990, PART III, LINE 4A NGMC LUMPKIN NGMC LUMPKIN, LLC (LUMPKIN) VALUES COOPERATIVE EFFORTS WITH COMMUNITY ORGANIZATIONS AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA RESIDENTS. THE ORGANIZATION DEMONSTRATES THIS BY PROVIDING FINANCIAL AND STAFF SUPPORT TO LOCAL NONPROFIT AGENCIES AND DEVELOPING PARTNERSHIPS WITH ESTABLISHED INDIGENT CLINICS THAT SERVE THE UNDER-SERVED POPULATION. IN FY21, NGMC LUMPKIN PROVIDED $187,883 IN COMMUNITY BENEFIT PROGRAMS/OUTREACH. HEALTH EDUCATION, COVID-19 VACCINES, AND FLU VACCINES WERE PROVIDED THROUGH PARTNERSHIPS AND OUTREACH. IN ADDITION, NGMC PROVIDED FINANCIAL SUPPORT TO OTHER LOCAL NONPROFIT ORGANIZATIONS THAT SERVE THE COMMUNITY, INCLUDING THE GOOD SHEPHERD CLINIC OF DAWSON COUNTY, COMMUNITY HELPING PLACE IN DAHLONEGA, YOUNG LIFE OF DAWSON COUNTY, AND CONNECTABILITY. WHAT DRIVES NGMC'S COMMUNITY HEALTH IMPROVEMENT ACTIVITIES? NORTHEAST GEORGIA HEALTH SYSTEM, WITH INPUT FROM THE COMMUNITY, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS. THE STUDY CULMINATED IN THE IDENTIFICATION OF THE FIVE FOLLOWING HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE STRATEGIC DIRECTION OF THE ORGANIZATION: BEHAVIORAL AND MENTAL HEALTH; ACCESS TO CARE; DIABETES; CARDIOVASCULAR DISEASE; AND SEPTICEMIA. FOR MORE INFORMATION ABOUT PROGRESS ON THESE AND OTHER HEALTH PRIORITIES OF 2020-2022, GO TO: HTTPS://WWW.NGHS.COM/WP-CONTENT/UPLOADS/2022/05/IMPLEMENTATION-PLAN-REPO RT-2021.PDF. ENCOURAGING VOLUNTEERING: THROUGH VARIOUS PHYSICIAN LEADERSHIP COUNCILS, NGMC PHYSICIANS ACTIVELY PARTICIPATED IN COMMUNITY OUTREACH, INCLUDING EDUCATIONAL SEMINARS, SCREENINGS, AND VOLUNTEERING THEIR TIME AND EXPERTISE WITH INDIGENT CLINICS THROUGHOUT THE REGION. ADDITIONALLY, IN FY21, NGMC LUMPKIN VOLUNTEERS CONTRIBUTED 500 VOLUNTEER HOURS, EQUIVALENT TO A VALUE OF APPROXIMATELY $14,375 IN STAFF TIME. KAY HALL, DIRECTOR FOR NGMC LUMPKIN CLINICAL AREAS IS ON THE BOARD OF DIRECTORS FOR COMMUNITY HELPING PLACE (CHP) AND IS ALSO A SERVING MEMBER OF THE DAHLONEGA ROTARY CLUB. SHE FREQUENTLY VOLUNTEERS AT COMMUNITY EVENTS SUCH AS INSPIRE FOR WOMEN, LUMPKIN MATTERS, AND CHP EVENTS. WHILE SERVING AS CHIEF OF MEDICAL STAFF AT NGMC LUMPKIN IN 2021, DR. DONNA WHITFIELD ALSO VOLUNTEERS WITH CHP. TAMMY SOLES, DIRECTOR OF CLINICAL CARE AT NGHS, SERVES ON THE BOARD OF LUMPKIN COUNTY HIGH SCHOOL'S COLLEGE AND CAREER ACADEMY. HOSPICE BEREAVEMENT SUPPORT AND OUTREACH: HOSPICE OF NGMC PROVIDED BEREAVEMENT SUPPORT AND EDUCATION FOR THOSE GRIEVING A LOSS OR CARING FOR A LOVED ONE. WHILE THE BEREAVEMENT CAMPS AND OTHER LIVE ACTIVITIES WERE CANCELED DUE TO COVID-19, VIRTUAL SUPPORT GROUPS WERE OFFERED. YOUTH EDUCATION: NGMC SUPPLIED LUMPKIN COUNTY SCHOOLS WITH EDUCATION MATERIALS FOR YOUTH TO SUPPORT SAFE AND RESPONSIBLE CHOICES. THIS WAS A PARTNERSHIP WITH LAW ENFORCEMENT AND FIRST RESPONDER AGENCIES TO PROVIDE QUALITY OUTREACH AND EDUCATION MATERIALS TO COMMUNITIES AND SCHOOLS. NGMC COMMUNITY HEALTH IMPROVEMENT ACTIVITIES: WITH INPUT FROM THE COMMUNITY, NORTHEAST GEORGIA HEALTH SYSTEM COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS. THE STUDY CULMINATED IN THE IDENTIFICATION OF THE FIVE FOLLOWING HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE STRATEGIC DIRECTION: BEHAVIORAL AND MENTAL HEALTH, ACCESS TO CARE, DIABETES, CARDIOVASCULAR DISEASE, AND SEPTICEMIA. CHARITY CARE: LIKE NGMC GAINESVILLE, BRASELTON, AND BARROW, LUMPKIN'S CHARITY CARE POLICY REMOVED BARRIERS FOR LOW-INCOME POPULATIONS WITHIN OUR SERVICE AREA, BEGINNING WITH FREE MEDICALLY NECESSARY CARE FOR PATIENTS WHOSE GROSS FAMILY INCOME WAS ZERO TO 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ADJUSTED FOR FAMILY SIZE. PATIENTS FROM OUR SERVICE AREA WHOSE FPL IS FROM 151 TO 300 PERCENT QUALIFIED FOR AN ADJUSTMENT EQUIVALENT TO THE HOSPITAL'S MEDICARE REIMBURSEMENT RATE PLUS AN ADDITIONAL 40 PERCENT DISCOUNT TO THE MEDICARE REIMBURSEMENT RATE. PARTNERING TO REACH THE UNINSURED: NGMC WORKED COOPERATIVELY WITH OTHER HEALTHCARE PROVIDERS TO CARE FOR AREA RESIDENTS, PARTICULARLY THE INDIGENT POPULATION. NGMC PROVIDED FINANCIAL AND STAFF SUPPORT ALONG WITH COVID-19 VACCINES TO COMMUNITY HELPING PLACE, AN INDIGENT HEALTH CLINIC IN LUMPKIN COUNTY THAT PROVIDES MEDICAL AND DENTAL SERVICES FOR THE AREA'S MOST VULNERABLE POPULATIONS. THESE EFFORTS TOTALED AN ESTIMATED COST OF $15,650 FOR NGMC LUMPKIN IN FY21. SUPPORT OF CHARITABLE CARE: NGMC SUPPORTED GOOD SHEPHERD CLINIC THROUGH PROVISION OF OFFICE SPACE, PROGRAM SUPPORT AND VACCINES. IN FY21, NGMC PROVIDED OFFICE SPACE FREE OF CHARGE TO THE CLINIC AT A VALUE OF $131,911. NGMC ALSO PROVIDED FLU VACCINES TO CLINIC STAFF AND PATIENTS, INCURRING A COST OF $3,300. FINALLY, NGMC PROVIDED A DONATION OF $15,000 TO THE CLINIC. NORTHEAST GEORGIA INTERFAITH MINISTRIES SUPPORT: NGMC LUMPKIN PROVIDED FINANCIAL SUPPORT TO THIS ORGANIZATION WHICH WORKS IN COOPERATION WITH CHURCHES AND COUNTY PARTNERSHIPS TO SERVE THE HOMELESS IN NORTH GEORGIA, PROVIDING TRANSITIONAL HOUSING, COUNSELING SERVICES AND BASIC LIFE-SKILLS TRAINING. THESE EFFORTS COME AT A TOTAL ESTIMATED COST OF $2,250 FOR NGMC LUMPKIN IN FY21. NO ONE ALONE: IN FY21, NGMC PROVIDED A DONATION OF $1,000 FOR NO ONE ALONE, BENEFITING LOCAL VICTIMS OF DOMESTIC VIOLENCE. FAMILY AND CHILD OUTREACH: NGMC SUPPORTED LUMPKIN COUNTY FAMILY CONNECTION, A PARTNERSHIP OF ORGANIZATIONS WORKING WITH FAMILIES TO RESEARCH THE NEEDS OF CHILDREN AND FAMILIES OF THE COMMUNITY WHILE PULLING TOGETHER TO ADDRESS THEM. FACILITATING AT THE COMMUNITY LEVEL, FAMILY CONNECTION IS PRESENT IN EVERY COUNTY IN GEORGIA. IT IS THE LARGEST STATEWIDE NETWORK OF COMMUNITIES IN THE NATION, COMMITTED TO IMPROVING RESULTS FOR CHILDREN AND FAMILIES. COMMUNITIES IN SCHOOLS, PRESENT IN 50 GEORGIA COMMUNITIES AND OVER 2,000 COMMUNITIES IN THE U.S., IS THE NATION'S LARGEST DROPOUT PREVENTION INITIATIVE. THESE EFFORTS COME AT A TOTAL ESTIMATED COST OF $4,500 FOR NGMC LUMPKIN IN FY21. LUMPKIN LITERACY SUPPORT: NGMC SUPPORTED THE LUMPKIN COUNTY LITERACY COALITION IN FUNDING AND VOLUNTEER SUPPORT TO LITERACY EFFORTS IN THE COMMUNITY, OFFERING PROGRAMS AT ALL STAGES OF LIFE. ITS MISSION IS TO INCREASE ADULT AND CHILDHOOD LITERACY IN LUMPKIN COUNTY. UNG NURSING AND PHYSICAL THERAPY PARTNERSHIP: 25 NURSING AND PHYSICAL THERAPY STUDENTS GAINED HANDS-ON CLINICAL EXPERIENCE THROUGH A DESIGNATED EDUCATION UNIT (DEU) PARTNERSHIP WITH NGHS. THESE STUDENTS WERE PART OF A PILOT PROGRAM THAT PAIRED THEM WITH NGHS CLINICAL EDUCATORS AND PROVIDED ROTATIONS AT NGMC GAINESVILLE AND NGMC LUMPKIN, AS WELL AS NGPG'S URGENT CARE AND PRIMARY CARE FACILITIES. CANCER PATIENT NAVIGATORS: NGMC'S PATIENT NAVIGATION PROGRAM PROVIDED CANCER PATIENTS WITH GUIDANCE THROUGHOUT THEIR CANCER JOURNEY AND ACTED AS A "LIVING RESOURCE DIRECTORY" FOR PATIENTS. SERVICES INCLUDED: CONNECTING WITH COMMUNITY RESOURCES, PROVIDING EMOTIONAL SUPPORT, HELPING PATIENTS UNDERSTAND THEIR DIAGNOSIS, COMMUNICATING WITH HEALTHCARE STAFF AND PROVIDERS, ADDRESSING LOGISTICAL ISSUES SUCH AS TRANSPORTATION NEEDS, AND HELPING PATIENTS UNDERSTAND MEDICAL TERMS AND TREATMENT OPTIONS. THESE EFFORTS TOTALED AN ESTIMATED COST OF $18,027 FOR NGMC LUMPKIN IN FY21, WITH 320 PARTICIPANTS. NGMC LUMPKIN FUTURE HOSPITAL: BOUNCING BACK FROM COVID-19 DELAYS, NGMC LUMPKIN BROKE GROUND IN FY21 FOR A FUTURE HOSPITAL IN DAHLONEGA. PLANS FOR THE 66,000 SQUARE-FOOT BUILDING INCLUDE FOR A CAFE AND DINING AREA, 16 PRIVATE INPATIENT ROOMS, THREE OPERATING ROOMS, ONE PROCEDURAL SUITE, TEN STATE-OF-THE-ART EMERGENCY TREATMENT ROOMS, FOUR DEDICATED OBSERVATION ROOMS, A FAST-TRACK AREA, AND A SEPARATE ENTRANCE EXIT. NGMC LUMPKIN QUALIFIED FOR GEORGIA'S RURAL HOSPITAL TAX CREDIT PROGRAM, GEORGIA HEART. THROUGH THE PROGRAM, INDIVIDUALS AND BUSINESSES THAT PAID GEORGIA INCOME TAXES COULD RECEIVE A 100 PERCENT STATE INCOME TAX CREDIT DESIGNATING THOSE DOLLARS TO NGMC LUMPKIN. FORM 990, PART III, LINE 4A SPECIAL NOTES: NGMC USES THE PRECEPTS OUTLINED IN "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT," PROVIDED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND VHA, INC. FOR THE COMMUNITY BENEFIT REPORT. THE GUIDE'S PURPOSE IS TO HELP NOT-FOR-PROFIT MISSION-DRIVEN HEALTHCARE ORGANIZATIONS DEVELOP, ENHANCE AND REPORT ON THEIR COMMUNITY BENEFIT PROGRAMS. COMMUNITY BENEFIT DEFINITION: PROGRAM OR ACTIVITY MUST ADDRESS A DEMONSTRATED COMMUNITY NEED, AND SEEK TO ADDRESS AT LEAST ONE OF THE FOLLOWING COMMUNITY BENEFIT OBJECTIVES: - IMPROVE ACCESS - ENHANCE POPULATION HEALTH - ADVANCE GENERALIZABLE KNOWLEDGE - RELIEVE GOVERNMENT BURDEN TO IMPROVE HEALTH THE PROGRAM OR ACTIVITY MUST: - PRIMARILY BENEFIT THE COMMUNITY RATHER THAN THE ORGANIZATION - RESULT IN MEASURABLE EXPENSE TO THE ORGANIZATION IF THE PROGRAM OR ACTIVITY IS PROVIDED PRIMARILY FOR MARKETING PURPOSES, STANDARD PRACTICE, EXPECTED OF ALL HOSPITALS (SUCH AS ACTIVITIES REQUIRED FOR ACCREDITATION, LICENSURE, OR TO PARTICIPATE IN MEDICARE) OR IS PRIMARILY FOR EMPLOYEES (NOT INCLUDING INTERNS, RESIDENTS AND FELLOWS) AND/OR AFFILIATED PHYSICIANS, IT IS NOT COMMUNITY BENEFIT. CHARITY CARE COST IS AN ESTIMATED COST AND DOES NOT INCLUDE BAD DEBT. FOR MORE INFORMATION, CONTACT CHRISTY MOORE, DIRECTOR, COMMUNITY HEALTH IMPROVEMENT, AT (770) 219-8097, EMAIL AT CHRISTY.MOORE@NGHS.COM OR GO TO WWW.NGHS.COM. FORM 990, PART VI, SECTION B, LINE 11B INFORMATION FOR THE FORM 990 WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT FOR PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED, IT WAS REVIEWED BY SENIOR FINANCIAL MANAGEMENT. THE FORM 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 EXECUTIVE COMPENSATION COMMITTEE OF THE NORTHEAST GEORGIA HEALTH SYSTEM BOARD (NGHS BOARD) HAS DEVELOPED A TOTAL COMPENSATION PHILOSOPHY 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 EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF VOTING DIRECTORS WHO ARE NOT EMPLOYEES OF NGHS AND IS FREE FROM CONFLICT OF INTEREST. ALL DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEE ARE REVIEWED AND RATIFIED BY THE NGHS BOARD. THE COMMITTEE'S METHODOLOGY AND APPROACH INCORPORATE 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 NGHS ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT TO COLLECT APPROPRIATE DATA FROM A GROUP OF PEERS SIMILAR IN SIZE AND COMPLEXITY TO NGHS. THIS COMPARABILITY DATA IS REVIEWED WITH THE COMMITTEE ALONG WITH COMPARISONS OF NGHS EXECUTIVE SALARIES COMPARED TO THE MARKET DATA. THE CEO MAKES RECOMMENDATIONS TO THE COMMITTEE FOR SALARIES WITHIN THE PEER GROUP SALARY RANGES BASED ON 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 NGHS LEADERSHIP PARTICIPATE IN A PERFORMANCE BASED VARIABLE COMPENSATION PLAN WITH OPPORTUNITY LEVELS DETERMINED BASED ON THE PEER GROUP MARKET DATA AND TO ALIGN WITH THE NGHS EXECUTIVE COMPENSATION PHILOSOPHY PARAMETERS. ANNUAL GOALS AND OBJECTIVES ARE DETERMINED THROUGH A FORMAL PLANNING PROCESS INVOLVING BOARD MEMBERS AND SENIOR MANAGEMENT. FOLLOWING THE END OF THE FISCAL YEAR, CASH AWARDS ARE DETERMINED BASED ON ORGANIZATION PERFORMANCE. BENEFITS AND RETENTION PROGRAMS BENEFIT PLANS AND AMOUNTS ARE DETERMINED BY A COMPARISON PROCESS SIMILAR TO DETERMINING BASE SALARIES WITH POSITIONS AND ORGANIZATIONS SIMILAR TO NGHS. INCLUDED IN BENEFITS ARE RETIREMENT PROGRAMS TO ENHANCE RETENTION AND PROGRESS TOWARD LONG-TERM GOALS WITHIN NGHS' MISSION. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS AND STATISTICS ARE FILED QUARTERLY WITH DIGITAL ASSURANCE CERTIFICATION, LLC (DAC BOND). DAC BOND SERVES AS A DISCLOSURE DISSEMINATION AGENT FOR ISSUERS OF MUNICIPAL BONDS ELECTRONICALLY POSTING AND TRANSMITTING INFORMATION TO REPOSITORIES AND INVESTORS. ALL OTHER ITEMS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,801,479. MANAGEMENT AND GENERAL EXPENSES 262,780. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,064,259. CONTRACT SERVICE FEES: PROGRAM SERVICE EXPENSES 16,178,356. MANAGEMENT AND GENERAL EXPENSES 2,359,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,538,279. OUTSIDE SERVICE FEES: PROGRAM SERVICE EXPENSES 2,653,490. MANAGEMENT AND GENERAL EXPENSES 387,062. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,040,552. FEES FOR SERVICES - OTHER: PROGRAM SERVICE EXPENSES 5,192,534. MANAGEMENT AND GENERAL EXPENSES 757,431. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,949,965. FORM 990, PART XI, LINE 9: INTERCOMPANY FORGIVENESS 40,304,756. PARTNERSHIP INCOME NOT ON BOOKS -409. PENSION ADJUSTMENT 95,915,937. TRANSFERRED FOR CAPITAL EXPENDITURES 85,852. PRIOR YEAR ADJUSTMENT -65,276. 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