NORTHEAST GEORGIA MEDICAL CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: NORTHEAST GEORGIA MEDICAL CENTER INC (EIN 58-1694098)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-12
IRS object ID: 202212249349301951
Schema version: 2020v4.2
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 B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-12T11:03:14-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	621517792	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PYA P C	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2220 SUTHERLAND AVE	AddressLine1Txt
City	KNOXVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37919	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	581694098	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHEAST GEORGIA MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	7702196659	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	743 SPRING STREET	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	305013899	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRIAN D STEINES	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7702196659	PhoneNum
Signature	2022-08-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	BRIAN	PersonFirstNm
Person Last	STEINES	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DEBORAH O ERNSBERGER	PreparerPersonNm
PTIN	P00364912	PTIN
Phone	8656730844	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CAROL BURRELL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	743 SPRING STREET	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	305013899	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,751,002,374	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NGHS.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	GA	LegalDomicileStateCd
Activity Or Mission	IMPROVING THE HEALTH OF THE COMMUNITY IN ALL WE DO.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	10849	TotalEmployeeCnt
Total Volunteers	406	TotalVolunteersCnt
Total Gross UBI	$1,793,600	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$40,295,200	PYContributionsGrantsAmt
CY Contributions Grants	$22,180,863	CYContributionsGrantsAmt
PY Program Service Revenue	$1,272,778,234	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,698,310,571	CYProgramServiceRevenueAmt
PY Investment Income	$8,526,239	PYInvestmentIncomeAmt
CY Investment Income	$10,298,358	CYInvestmentIncomeAmt
PY Other Revenue	$707,310	PYOtherRevenueAmt
CY Other Revenue	$810,695	CYOtherRevenueAmt
PY Total Revenue	$1,322,306,983	PYTotalRevenueAmt
CY Total Revenue	$1,731,600,487	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,683,643	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,801,803	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$487,701,375	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$577,808,691	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$754,845,416	PYOtherExpensesAmt
CY Other Expenses	$900,294,966	CYOtherExpensesAmt
PY Total Expenses	$1,244,230,434	PYTotalExpensesAmt
CY Total Expenses	$1,479,905,460	CYTotalExpensesAmt
PY Revenues Less Expenses	$78,076,549	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$251,695,027	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,937,388,441	TotalAssetsBOYAmt
Total Assets EOY	$2,488,165,616	TotalAssetsEOYAmt
Total Liabilities BOY	$1,251,987,182	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,499,400,347	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$685,401,259	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$988,765,269	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	NORTHEAST GEORGIA MEDICAL CENTER IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) AND 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	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,316,457,071	ExpenseAmt
Grant	$1,801,803	GrantAmt
Revenue	$1,610,417,163	RevenueAmt
Desc	NORTHEAST GEORGIA MEDICAL CENTER, INC. (NGMC) INCLUDES CAMPUSES IN GAINESVILLE AND BRASELTON, GEORGIA AND IS AFFILIATED WITH NGMC BARROW AND NGMC LUMPKIN. AS A PART OF NORTHEAST GEORGIA HEALTH SYSTEM, NGMC 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	Desc
Total Program Service Expenses	$1,316,457,071	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	624	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	10849	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ELENA BARBERIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7702196659	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	743 SPRING STREET	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30501	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALEX WAYNE
MEMBER	1.00	Yes (X)	$0	$0	$0
CAMILLE VIERA-HEWELL
MEMBER	1.00	Yes (X)	$0	$0	$0
DJ CAMPBELL MD
MEMBER	1.00	Yes (X)	$227,481	$0	$0
EUGENE CINDEA MD
MEMBER	1.00	Yes (X)	$0	$0	$0
DAVID HOLT HARRISON MD
MEMBER, PHYSICIAN - NGMC	1.00	Yes (X)	$761,406	$0	$40,187	40.00
JOHN NIX
CHAIR	1.00	Yes (X)	$0	$0	$0	1.00
KAYE ANN HERTH
MEMBER	1.00	Yes (X)	$0	$0	$0
PHILLIPPA LEWIS-MOSS
VICE CHAIR	1.00	Yes (X)	$0	$0	$0
PRESTON BOWEN
MEMBER	1.00	Yes (X)	$0	$0	$0	1.00
SEMUEL MAYSONET
MEMBER	1.00	Yes (X)	$0	$0	$0
STEPHEN SAMUEL
MEMBER	1.00	Yes (X)	$0	$0	$0
STEVE BLAIR
MEMBER	1.00	Yes (X)	$0	$0	$0
TIM SCULLY MD
MEMBER, PHYSICIAN - NGHS/THC PHYSICIAN	1.00	Yes (X)	$292,008	$0	$33,087	40.00
CAROL BURRELL
PRESIDENT & CEO	1.00		$1,387,598	$0	$124,036	40.00	Yes (X)
BRIAN D STEINES
CHIEF FINANCIAL OFFICER	1.00		$836,593	$0	$113,162	40.00	Yes (X)
STEPHEN KELLY
CHIEF COMPLIANCE OFFICER	1.00		$297,483	$0	$53,353	40.00	Yes (X)
MICHAEL COVERT
CHIEF OPERATING OFFICER	40.00	Yes (X)	$785,050	$0	$69,102	1.00	Yes (X)
JOHN DELZELL JR
VP MEDICAL EDUCATION - NGMC	40.00		$493,655	$0	$74,694			Yes (X)
JOHN A WILLIAMSON
PRESIDENT NGMC BRASELTON	40.00		$505,422	$0	$144,758			Yes (X)
TRACY VARDEMAN
CHIEF STRATEGY EXECUTIVE - NGHS	1.00		$444,369	$0	$168,264	40.00		Yes (X)
NIRAJ PARIKH
NGMC PHYSICIAN	40.00		$1,265,453	$0	$43,069				Yes (X)
JAMES G REEVES
NGMC PHYSICIAN	40.00		$1,259,087	$0	$39,111				Yes (X)
BRANDON BRUCE
NGMC PHYSICIAN	40.00		$881,107	$0	$34,592				Yes (X)
FRANCIS LAKE JR
NGMC PHYSICIAN	40.00		$778,416	$0	$41,937				Yes (X)
FERNANDO SERNA
NGMC PHYSICIAN	40.00		$775,945	$0	$35,247				Yes (X)
BRENDA SIMPSON
FORMER CHIEF NURSING EXECUTIVE - NGMC	0.00		$544,847	$0	$71,066	0.00				Yes (X)
DEBORAH WEBER
FORMER CHIEF HR OFFICER - NGHS	0.00		$164,774	$0	$17,093	0.00				Yes (X)
LOUIS SMITH JR
FORMER PRESIDENT - NGMC - SYSTEM ACUTE	0.00		$757,577	$0	$29,396	0.00				Yes (X)
SAMUEL JOHNSON MD
FORMER CHIEF MEDICAL OFFICER - NGHS	0.00		$226,950	$0	$33,285	0.00				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,685,221	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,165,439	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	793	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDIFIS INC
PO BOX 5068	NEW YORK	NY	10087	STAFFING SERVICES	$15,308,777
GE PRECISION HEALTHCARE LLC
PO BOX 96483	CHICAGO	IL	60693	BIOMEDICAL EQUIPMENT MAINTENANCE	$9,564,005
ANESTHESIA ASSOCIATES OF GAINESVILLE
PO BOX 1076	GAINESVILLE	GA	30503	ANESTHESIA SERVICES	$8,068,473
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	53288	SOFTWARE LICENSE AND MAINTENANCE	$4,760,976
NOVO HEALTH SERVICES
PO BOX 98254	WASHINGTON	DC	20090	LAUNDRY SERVICES	$3,734,531

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	228	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,386,748	RelatedOrganizationsAmt
Government Grants	$19,794,115	GovernmentGrantsAmt
Total Contributions	$22,180,863	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SVC REV	621400	$1,610,321,360	$1,610,321,360
OTHER REVENUE	900099	$64,593,597		$64,593,597
PHARMACY	446110	$17,351,359		$17,351,359
CAFETERIA REVENUE	722210	$4,250,655		$4,250,655
LAB REVENUE	621500	$1,793,600			$1,793,600

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,698,310,571	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,674,007	TotalRevenueColumnAmt
Exclusion	$29,674,007	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$741,130	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$26,238	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$714,892	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$714,892	TotalRevenueColumnAmt
Exclusion	$714,892	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$19,372,369	SecuritiesAmt
Other	$3,280	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$19,372,369	SecuritiesAmt
Other	-$3,280	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$19,375,649	TotalRevenueColumnAmt
Exclusion	-$19,375,649	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PARTNERSHIP INCOME	Desc
Business	621990	BusinessCd
Total Revenue Column	$95,803	TotalRevenueColumnAmt
Related Or Exempt Func Income	$95,803	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$95,803	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,731,600,487	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,610,417,163	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,793,600	UnrelatedBusinessRevenueAmt
Exclusion	$97,208,861	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,801,803	TotalAmt
Program Services	$1,801,803	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,086,551	TotalAmt
Program Services	$1,108,886	ProgramServicesAmt
Management And General	$1,977,665	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$469,969,923	TotalAmt
Program Services	$439,468,875	ProgramServicesAmt
Management And General	$30,501,048	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,093,646	TotalAmt
Program Services	$15,049,168	ProgramServicesAmt
Management And General	$1,044,478	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$57,878,713	TotalAmt
Program Services	$54,122,385	ProgramServicesAmt
Management And General	$3,756,328	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$30,779,858	TotalAmt
Program Services	$28,782,245	ProgramServicesAmt
Management And General	$1,997,613	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$117,285,482	TotalAmt
Program Services	$30,235,768	ProgramServicesAmt
Management And General	$87,049,714	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$904,911	TotalAmt
Program Services	$846,182	ProgramServicesAmt
Management And General	$58,729	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,024,638	TotalAmt
Program Services	$2,828,339	ProgramServicesAmt
Management And General	$196,299	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$159,839,506	TotalAmt
Program Services	$149,465,922	ProgramServicesAmt
Management And General	$10,373,584	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$36,494	TotalAmt
Program Services	$34,126	ProgramServicesAmt
Management And General	$2,368	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,694,098	TotalAmt
Program Services	$10,935,151	ProgramServicesAmt
Management And General	$758,947	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$654,577	TotalAmt
Program Services	$612,095	ProgramServicesAmt
Management And General	$42,482	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$36,655,841	TotalAmt
Program Services	$34,276,877	ProgramServicesAmt
Management And General	$2,378,964	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$79,034,948	TotalAmt
Program Services	$73,905,580	ProgramServicesAmt
Management And General	$5,129,368	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,199	TotalAmt
Program Services	$1,121	ProgramServicesAmt
Management And General	$78	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$191,996,254	$179,535,697	$12,460,557
BAD DEBT EXPENSE	$119,634,187	$119,634,187	$0
MEDICAL SUPPLIES	$91,394,661	$91,394,661	$0
EQUIPMENT RENTAL & MAIN	$64,885,856	$60,674,764	$4,211,092

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,252,314	TotalAmt
Program Services	$21,743,239	ProgramServicesAmt
Management And General	$1,509,075	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,479,905,460	TotalAmt
Program Services	$1,316,457,071	ProgramServicesAmt
Management And General	$163,448,389	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$67,439,139	BOYAmt
EOY	$43,257,551	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$154,136	BOYAmt
EOY	$226,290	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$98,741,342	BOYAmt
EOY	$154,445,191	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$384,909	BOYAmt
EOY	$381,908	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,735,235	BOYAmt
EOY	$17,314,524	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,343,563	BOYAmt
EOY	$6,511,332	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,462,677,705	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$855,240,104	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$620,139,246	BOYAmt
EOY	$607,437,601	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,126,137,248	BOYAmt
EOY	$1,615,077,587	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,668,780	BOYAmt
EOY	$1,436,720	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,644,843	BOYAmt
EOY	$42,076,912	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,937,388,441	BOYAmt
EOY	$2,488,165,616	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$122,959,345	BOYAmt
EOY	$153,257,002	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$133,862,004	BOYAmt
EOY	$85,721,696	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$961,802,437	BOYAmt
EOY	$1,230,203,468	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,363,396	BOYAmt
EOY	$30,218,181	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,251,987,182	BOYAmt
EOY	$1,499,400,347	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$685,401,259	BOYAmt
EOY	$988,765,269	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$685,401,259	BOYAmt
EOY	$988,765,269	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,937,388,441	BOYAmt
EOY	$2,488,165,616	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$251,695,027	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$110,120,520	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$58,451,537	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$86,402	OtherActivitiesAmt
Total Lobbying Expenditures	$86,402	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS: -AMERICAN ACADEMY OF FAMILY PHYSICIANS -AMERICAN ACADEMY OF SLEEP MEDICINE -AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION -AMERICAN ASSOCIATION OF DIABETES EDUCATORS -AMERICAN COLLEGE OF EMERGENCY PHYSICIANS -AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES -AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS -AMERICAN COLLEGE OF PHYSICIANS -AMERICAN COLLEGE OF SURGEONS -AMERICAN HEALTHCARE ASSOCIATION -AMERICAN MEDICAL ASSOCIATION -AMERICAN ORGANIZATION OF NURSING LEADERSHIP -ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL AND EPIDEMIOLOGY -ASSOCIATION OF PROGRAM DIRECTORS IN SURGERY -ASSOCIATION OF REHABILITATION NURSES -ASSOCIATION OF SCIENCE ENGINEERING TECHNOLOGY -ASSOCIATION OF WOMEN'S HEALTH OBSTETRIC AND NEONATAL NURSES -AMERICAN SOCIETY FOR HEALTHCARE ENGINEERING -AMERICAN SOCIETY FOR RADIATION ONCOLOGY -AMERICAN SOCIETY OF ECHOCARDIOLOGY -AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS -COLLEGE OF AMERICAN PATHOLOGISTS -EMERGENCY NURSES ASSOCIATION -GEORGIA ALLIANCE OF COMMUNITY HOSPITALS -GEORGIA HEALTHCARE ASSOCIATION -GEORGIA HOSPITAL ASSOCIATION -GEORGIA OBGYN SOCIETY -NATIONAL ASSOCIATION OF NEONATAL NURSES -SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY -SOCIETY OF TEACHERS OF FAMILY MEDICINE A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,676,482	BeginningYearBalanceAmt
Contributions	$4,433,267	ContributionsAmt
Investment Earnings Or Losses	$507,097	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,276,227	OtherExpendituresAmt
Administrative Expenses	$117,612	AdministrativeExpensesAmt
End Year Balance	$25,223,007	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,656,841	BeginningYearBalanceAmt
Contributions	$3,457,050	ContributionsAmt
Investment Earnings Or Losses	-$100,742	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,265,325	OtherExpendituresAmt
Administrative Expenses	$71,342	AdministrativeExpensesAmt
End Year Balance	$23,676,482	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,784,579	BeginningYearBalanceAmt
Contributions	$3,238,108	ContributionsAmt
Investment Earnings Or Losses	$98,280	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,665,485	OtherExpendituresAmt
Administrative Expenses	-$201,359	AdministrativeExpensesAmt
End Year Balance	$21,656,841	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,765,400	BeginningYearBalanceAmt
Contributions	$4,000,666	ContributionsAmt
Investment Earnings Or Losses	$113,308	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,737,972	OtherExpendituresAmt
Administrative Expenses	-$643,177	AdministrativeExpensesAmt
End Year Balance	$20,784,579	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,583,043	BeginningYearBalanceAmt
Contributions	$3,314,674	ContributionsAmt
Investment Earnings Or Losses	$150,450	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,291,945	OtherExpendituresAmt
Administrative Expenses	-$9,178	AdministrativeExpensesAmt
End Year Balance	$19,765,400	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.24740	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.75260	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,170,006	OtherCostOrOtherBasisAmt
Book Value	$9,170,006	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$673,198,472	OtherCostOrOtherBasisAmt
Depreciation	$282,757,302	DepreciationAmt
Book Value	$390,441,170	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,227,319	OtherCostOrOtherBasisAmt
Depreciation	$11,002,399	DepreciationAmt
Book Value	$2,224,920	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$730,406,613	OtherCostOrOtherBasisAmt
Depreciation	$560,030,490	DepreciationAmt
Book Value	$170,376,123	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,675,295	OtherCostOrOtherBasisAmt
Depreciation	$1,449,913	DepreciationAmt
Book Value	$35,225,382	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$607,437,601	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATED THIRD PARTY PAYER SETTLEMENTS	$9,909,791
CAPITALIZED LEASES	$805,333
DEFERRED COMPENSATION	$19,450,256
DUE FROM AFFILIATES	$52,801

Field	Value	IRS element (for citing)
Total Liability	$30,218,181	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,716,605,000	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$110,120,520	NetUnrealizedGainsInvstAmt
Other Revenue	-$70,318	OtherRevenueAmt
Revenue Not Reported	$110,050,202	RevenueNotReportedAmt
Revenue Subtotal	$1,606,554,798	RevenueSubtotalAmt
Investment Expenses Not Incld	$3,024,638	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$122,021,051	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$125,045,689	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,731,600,487	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,353,084,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$1,775,151	OtherExpensesIncludedAmt
Expenses Not Reported	-$1,775,151	ExpensesNotReportedAmt
Expenses Subtotal	$1,354,859,151	ExpensesSubtotalAmt
Other Expenses Not Included	$125,046,309	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$125,046,309	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,479,905,460	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	NORTHEAST GEORGIA MEDICAL CENTER, INC. (NGMC) IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2021 AND 2020, RESPECTIVELY, MANAGEMENT DOES NOT BELIEVE NGMC HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. IT IS NGMC'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS AS AN OPERATING EXPENSE WHERE APPLICABLE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 26,238. PARTNERSHIP INCOME NOT ON BOOKS -96,556.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	NON-OPERATING EXPENSES 2,386,748. ESTIMATED PROVISION FOR BAD DEBTS 119,634,187. OTHER ADJUSTMENTS 116.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 26,238. GRANTS FOR CAPITAL EXPENDITURES -1,801,389.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	NON-OPERATING EXPENSES 2,386,748. ESTIMATED PROVISION FOR BAD DEBTS 119,634,187. PARTNERSHIP EXPENSES NOT ON BOOKS 414. INVESTMENT MANAGEMENT FEES 3,024,638. OTHER ADJUSTMENT 322.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,169,644	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$73,169,644	NetCommunityBenefitExpnsAmt
Total Expense	0.04940	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$152,726,204	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$134,074,990	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,651,214	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,594,526	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,378,422	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,216,104	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$229,490,374	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,453,412	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$94,036,962	NetCommunityBenefitExpnsAmt
Total Expense	0.06350	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	259242	PersonsServedCnt
Total Community Benefit Expns	$6,227,816	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$641	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,227,175	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	3652	PersonsServedCnt
Total Community Benefit Expns	$8,159,768	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$529,458	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,630,310	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,495,904	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,818,020	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,677,884	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	300	PersonsServedCnt
Total Community Benefit Expns	$1,219,031	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$586,452	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$632,579	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	39	ActivitiesOrProgramsCnt
Persons Served	4218	PersonsServedCnt
Total Community Benefit Expns	$866,907	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,053	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$842,854	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	67	ActivitiesOrProgramsCnt
Persons Served	267412	PersonsServedCnt
Total Community Benefit Expns	$37,969,426	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,958,624	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,010,802	NetCommunityBenefitExpnsAmt
Total Expense	0.01420	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	67	ActivitiesOrProgramsCnt
Persons Served	267412	PersonsServedCnt
Total Community Benefit Expns	$267,459,800	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$152,412,036	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$115,047,764	NetCommunityBenefitExpnsAmt
Total Expense	0.07770	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	18553	PersonsServedCnt
Total Community Benefit Expns	$581,943	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$164,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$417,613	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$80,200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$80,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$99,370	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$98,870	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	18553	PersonsServedCnt
Total Community Benefit Expns	$771,513	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$165,830	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$605,683	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$119,634,187	BadDebtExpenseAmt
Reimbursed By Medicare	$276,652,473	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$318,479,232	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$41,826,759	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHEAST GEORGIA MEDICAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	743 SPRING STREET	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30501	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.NGHS.COM	WebsiteAddressTxt
State License	069-074	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHEAST GEORGIA MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.NGHS.COM	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HABERSHAMMEDICAL.COM;STEPHENSCOUNTYHOSPITAL.COM	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.NGHS.COM	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.NGHS.COM/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.NGHS.COM/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.NGHS.COM/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NORTHEAST GEORGIA MEDICAL CENTER, INC.	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.
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6A: THE FOLLOWING ORGANIZATIONS HAVE PARTNERED AND COLLABORATED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR COMMUNITIES THEY (CHNA PARTNERS) SERVE IN NORTHEASTERN GEORGIA:-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 HOSPITAL
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6B: THE FOLLOWING NON-HOSPITAL ORGANIZATION HAS PARTNERED AND COLLABORATED WITH NGMC TO CONDUCT A CHNA FOR THE COMMUNITY IT SERVES IN NORTHEASTERN GEORGIA:-DISTRICT 2 PUBLIC HEALTH
NORTHEAST GEORGIA MEDICAL CENTER, INC.	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). BASED ON RESULTS OF THE 2019 CHNA, THE FOLLOWING FIVE PRIORITIES WERE 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 NGMC 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 NGMC CHOSE NOT TO ADDRESS THROUGH THE PRIORITIZATION PROCESS INCLUDE THE FOLLOWING:- 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.
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 16J: PATIENTS MAY SUBMIT A FINANCIAL ASSISTANCE APPLICATION VIA OUR ONLINE PATIENT PORTAL APP VERSION OF MYCHART.

Field	Value	IRS element (for citing)
Facility	28	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY	GAINESVILLE	GA	30501	IMAGING / RADIOLOGY CENTER
2 - NGMC NICD
1404 RIVER PLACE SUITE 100	BUFORD	GA	30517	TESTING AND DIAGNOSTIC CENTER
3 - IMAGING CENTER - BRASELTON
1515 RIVER PLACE	BRASELTON	GA	30517	IMAGING / RADIOLOGY CENTER
4 - BRASELTON RADIATION THERAPYPHYSICS
1515 RIVER PLACE STE 120	BRASELTON	GA	30517	RADIATION THERAPY
5 - TOCCOA CANCER CENTER
1640 FALLS ROAD	TOCCOA	GA	30577	CANCER SERVICES
6 - LAURELWOOD
200 WISTERIA DRIVE	GAINESVILLE	GA	30501	MENTAL HEALTH SERVICES
7 - IMAGING CENTER - DAWSONVILLE
108 PROMINENCE COURT	DAWSONVILLE	GA	30534	IMAGING / RADIOLOGY CENTER
8 - REHABILITATION INSTITUTE
597 SOUTH ENOTA DRIVE NE	GAINESVILLE	GA	30501	REHABILITATION SERVICES
9 - NEW HORIZONS LIMESTONE NORTH
2020 BEVERLY ROAD NE	GAINESVILLE	GA	30501	LONG TERM CARE
10 - CUMMING OP DIAGNOSTIC CARDIOLOGY
900 SANDERS ROAD	CUMMING	GA	30041	DIAGNOSTIC CARDIOLOGY
11 - NEW HORIZONS LANIER PARK WEST
675 WHITE SULPHUR ROAD	GAINESVILLE	GA	30501	LONG TERM CARE
12 - HEALTHLINK LAB AT RIVERPLACE
1515 RIVER PLACE STE 170	BRASELTON	GA	30517	CLINICAL LABORATORY
13 - WOUND OSTOMY CONTINENCEHYPERBARIC THER
675 WHITE SULPHUR ROAD	GAINESVILLE	GA	30501	WOUND HEALING CENTER
14 - SLEEP LAB
1466 JESSE JEWELL PKWY	GAINESVILLE	GA	30501	SLEEP DISORDER CENTER
15 - REHAB - BRASELTON
1515 RIVER PLACE STE 290	BRASELTON	GA	30517	REHABILITATION SERVICES
16 - GYN ONCOLOGY INFUSION SERVICES
1498 JESSE JEWELL PARKWAY SUITE C	HALL	GA	30501	GYNECOLOGIC ONCOLOGY
17 - BUFORD OUTPATIENT IMAGING
3425 BUFORD DRIVE SUITE 100	BUFORD	GA	30519	IMAGING / RADIOLOGY CENTER
18 - REHAB - FRIENDSHIP (BUFORD)
4889 GOLDEN PKWY SUITE 150	BUFORD	GA	30518	REHABILITATION SERVICES
19 - REHAB - DAWSONVILLE
5959 HIGHWAY 53E SUITE 200	DAWSONVILLE	GA	30534	REHABILITATION SERVICES
20 - ESSENTIALLY FOR WOMEN - LACTATION CENTER
825 JESSE JEWELL PKWY	GAINESVILLE	GA	30501	LACTATION CENTER
21 - REHAB - CLEVELAND
640-A HELEN HWY	CLEVELAND	GA	30528	REHABILITATION SERVICES
22 - REHAB - DAHLONEGA
95 MORRISON MOORE PKWY SUITE 200	DAHLONEGA	GA	30533	REHABILITATION SERVICES
23 - NGMC NEUROPHYSIOLOGY
1404 RIVER PLACE SUITE 403	BUFORD	GA	30517	NEUROPHYSIOLOGY
24 - HEALTHLINK LAB AT DAWSONVILLE
108 PROMINENCE COURT	DAWSONVILLE	GA	30534	CLINICAL LABORATORY
25 - DIABETES EDUCATION
675 WHITE SULPHUR ROAD	GAINESVILLE	GA	30501	DIABETES SERVICES
26 - BARIATRIC SERVICES
675 WHITE SULPHUR ROAD	GAINESVILLE	GA	30501	BARIATRIC WEIGHT LOSS SERVICES
27 - NGMC VASCULAR
1404 RIVER PLACE SUITE 200	BUFORD	GA	30517	VASCULAR SERVICES
28 - BARIATRICWEIGHT MGM & NUTRITIONAL COUNSEL
1515 RIVER PLACE SUITE 190	BRASELTON	GA	30517	BARIATRIC WEIGHT LOSS SERVICES

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	PATIENTS WHO ARE DETERMINED TO BE INDIGENT, DETERMINED BY CRITERIA-BASED METHODS, SUCH AS PROPENSITY TO PAY OR HEALTH SCORES, PARTICIPATION IN LOW INCOME GOVERNMENT ASSISTANCE PROGRAMS, ETC. MAY BE PRESUMPTIVELY ELIGIBLE FOR ASSISTANCE, PROVIDING THEY COOPERATE WITH SCREENING FOR OTHER FINANCIAL ASSISTANCE RESOURCES (E.G. MEDICAID OR 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 SEPARATE COST-TO-CHARGE RATIOS (CCR) TO THE SKILLED NURSING FACILITY (SNF) AND TO THE REMAINING PATIENT CHARGES FROM ALL OTHER HOSPITAL ACTIVITIES. THE CCR FOR THE SNF WAS COMPUTED USING THE TOTAL SNF OPERATING EXPENSES DIVIDED BY THE TOTAL SNF GROSS CHARGES. THE CCR FOR THE REMAINING PATIENT CHARGES WAS COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.THE CCR FOR THE UNREIMBURSED MEDICAID SERVICES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE OTHER MEANS TESTED GOVERNMENT PROGRAM COST WAS DERIVED FROM INTERNAL TRENDSTAR SYSTEM DATA WHICH COMPUTED COST AT THE PATIENT DETAIL LEVEL.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES WERE FOR NEONATAL INTENSIVE CARE UNIT, LAURELWOOD (MENTAL HEALTH), AND INPATIENT MEDICINE. NO COSTS WERE ATTRIBUTABLE TO PHYSICIANS.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN A, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $119,634,187. THE ESTIMATED PROVISION FOR BAD DEBTS IS REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE.
PART II, COMMUNITY BUILDING ACTIVITIES:	IT IS WELL DOCUMENTED THAT MANY FACTORS COMBINE TO AFFECT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WHETHER PEOPLE ARE HEALTHY OR NOT IS DETERMINED BY THEIR CIRCUMSTANCES AND THEIR ENVIRONMENT, ACCORDING TO THE WORLD HEALTH ORGANIZATION. TO A LARGE EXTENT, FACTORS SUCH AS WHERE WE LIVE, THE STATE OF OUR ENVIRONMENT, GENETICS, OUR INCOME AND EDUCATION LEVEL, AND OUR RELATIONSHIPS WITH FRIENDS AND FAMILY ALL HAVE CONSIDERABLE IMPACTS ON HEALTH.THE DETERMINANTS OF HEALTH INCLUDE THE SOCIAL AND ECONOMIC ENVIRONMENT, THE PHYSICAL ENVIRONMENT, AND A PERSON'S INDIVIDUAL CHARACTERISTICS AND BEHAVIORS. ADDITIONAL FACTORS THAT RELATE INCLUDE EDUCATION, CULTURE, INCOME AND SOCIAL STATUS, EMPLOYMENT AND WORKING CONDITIONS, SOCIAL SUPPORT NETWORKS, GENETICS, HEALTH SERVICES, AND GENDER. IF COMMUNITY MEMBERS HAVE ADEQUATE EDUCATION, EMPLOYMENT, INCOME, A SAFE ENVIRONMENT, AND SUPPORTIVE SOCIAL NETWORKS, THEY WILL HAVE THE CAPACITY TO MAKE HEALTHIER BEHAVIOR CHOICES AND BE MORE LIKELY TO HAVE ACCESS TO HEALTH SERVICES. THEREFORE, NGMC AS AN ORGANIZATION MUST CONSIDER THE SOCIAL DETERMINANTS OF HEALTH STATUS AS PART OF PREVENTATIVE CARE. A FEW OF THE COMMUNITY BUILDING ACTIVITIES INCLUDED IN PART II INCLUDE:COMMUNITY SUPPORTTHROUGHOUT THE PANDEMIC, NGHS REMAINS AT THE FRONTIER OF COVID-19 INFORMATION DISTRIBUTION. DAILY STATISTICS ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE HOSPITAL'S OWN WEBSITE, KEEPING THE COMMUNITY INFORMED ON CONFIRMED POSITIVE PATIENTS IN OUR CARE, PERCENTAGE OF POSITIVE PATIENTS NOT FULLY VACCINATED, AND AVERAGE AGE OF POSITIVE PATIENTS. THIS INFORMATION IS AVAILABLE AT NGHS.COM/COVID-DATA. ADDITIONALLY, NGHS REGULARLY PUBLISHES TIPS ON WAYS TO AVOID COVID-19 AND INFORMATION ON VACCINE DISTRIBUTION. COUNTY-SPECIFIC INFORMATION. RESOURCES AND TRENDS FOR COVID-19 ARE AVAILABLE TO THE PUBLIC AT WWW.NGHS.COM/COVID-19.COALITION BUILDINGSAFE KIDS NORTHEAST GEORGIA, LED BY NGMC, IS PART OF SAFE KIDS WORLDWIDE, THE FIRST AND ONLY NATIONAL ORGANIZATION DEDICATED SOLELY TO PREVENTING UNINTENTIONAL CHILDHOOD INJURY, THE NATION'S NUMBER ONE KILLER OF CHILDREN AGES 19 AND UNDER. THIS PROGRAM PROVIDES AFFORDABLE SAFETY EQUIPMENT SUCH AS CAR SEATS, BIKE HELMETS, AND LIFE JACKETS TO AREA CHILDREN IN NEED. WORKING WITH A COALITION 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 CONTINUE ITS WORK OF INJURY PREVENTION FOR FAMILIES IN THE HALL COUNTY COMMUNITY IN 2021. THE MEDICAL CENTER AUXILIARY PROCEEDS FROM MARKETPLACE, AN ANNUAL FUNDRAISING EVENT OF THE MEDICAL CENTER AUXILIARY, WHICH BENEFITS HEALTHCARE SERVICES OF NGMC. NGMC PROVIDED MORE THAN 25 PROGRAMS AND EVENTS THAT REACHED AN ESTIMATED 16,000 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THROUGH THESE PROGRAMS, OVER 1,500 SAFETY ITEMS WERE DISTRIBUTED TO FAMILIES NEEDING THEM. THE ESTIMATED COST OF THIS SUPPORT IS $26,750 IN FY21.WORKFORCE DEVELOPMENTNGMC CONTINUES TO SERVE AS A "PIPELINE" TO HELP GET MORE QUALIFIED PEOPLE INTERESTED IN HEALTHCARE POSITIONS AND HELP PROVIDE TRAINING AND EDUCATION TO STUDENTS. THIS TRAINING AND EDUCATION ARE DONE THROUGH VARIOUS AVENUES, FROM JOB SHADOWING TO THE NURSE EXTERN PROGRAM AND PHARMACY RESIDENCY PROGRAM, AS WELL AS SIGNIFICANT SUPPORT TO FOOTHILLS AREA HEALTH EDUCATION CENTERS (AHEC). IN THE YOUTH APPRENTICESHIP PROGRAM, HIGH SCHOOL STUDENTS WORK IN THE HOSPITAL FOR ONE CLASS PERIOD IN THEIR DAY AND ROTATE THROUGH MULTIPLE DEPARTMENTS. IN FY21, 42 STUDENTS PARTICIPATED REPRESENTING 15 AREA HIGH SCHOOLS.
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 MEDICAL CENTER 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 RATIO 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:	ON A CONTINUOUS BASIS, NGMC SEEKS A VARIETY OF DATA SOURCES AND RELIABLE INDICATORS TO HELP IDENTIFY AND WORK TO IMPROVE ON HEALTH INEQUITIES IN THE COMMUNITIES IT SERVES. A LISTING OF THE RESOURCES IS LISTED BELOW:- AS PART OF THE HALL COUNTY FAMILY CONNECTION, WE REVIEW INFORMATION FROM KIDS COUNT, WHICH PROVIDES KEY INDICATORS OF CHILD WELL-BEING.- NGMC IS ACTIVELY INVOLVED WITH THE GREATER HALL CHAMBER OF COMMERCE WHICH THROUGH VISION 3030, FOCUSES ON THE CREATION OF A CULTURE OF COMMUNITY WELLNESS, THE SUPPORT AND MAINTENANCE OF LIFELONG LEARNING, THE BUILDING OF AN ECONOMY AROUND EMERGING LIFE SCIENCES, THE ENCOURAGEMENT OF INNOVATIVE GROWTH/INFRASTRUCTURE DEVELOPMENT, AND THE PROMOTION OF CULTURAL INTEGRATION. THREE NGHS STAFF ARE ON THE 2020-2021 BOARD OF DIRECTORS.- NGMC HAS PARTNERED WITH OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY TO FORM THE HEALTHCARE INITIATIVE CONSORTIUM. THIS GROUP HAS WORKED WITH A LOCAL UNIVERSITY TO DEVELOP AN ONGOING DATABASE OF FIVE DATA ELEMENTS THAT WILL GIVE THE COMMUNITY UP-TO-DATE INFORMATION ON THE HEALTH ISSUES AFFECTING ITS RESIDENTS. THE FIVE DATA ELEMENTS COLLECTED ARE: BMI (HEIGHT/WEIGHT), A1C, BLOOD PRESSURE, CHOLESTEROL, LDL, AND MICROALBUMIN. THIS GIVES US INFORMATION RELATED TO THE FOLLOWING HEALTH ISSUES: OBESITY, DIABETES, CARDIOVASCULAR DISEASE, AND HYPERTENSION. THE GROUP HAS COLLECTED DATA ON BOTH ADULTS, AS WELL AS PEDIATRIC PATIENTS.- 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.- NGMC ANNUALLY REPORTS ON THE PROGRESS OF CHNA OUTCOMES AND ACTIVITIES, WHICH INCLUDES QUANTITATIVE INFORMATION ON IDENTIFIED HEALTH NEEDS.
PART VI, LINE 3:	WE HAVE SIGNAGE POSTED THROUGHOUT THE EMERGENCY DEPARTMENT (ED) AND AT REGISTRATION AREAS. OUR 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 BED-SIDE SCREENING FOR SELF-PAY BEDDED PATIENTS AND EMERGENCY DEPARTMENT 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:	POPULATION: 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:	NORTHEAST GEORGIA MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF 15 MEMBERS AND 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:	NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM. OTHER AFFILIATES ALONG WITH NGMC GAINESVILLE AND BRASELTON INCLUDE NGMC BARROW, 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 MEDICAL CENTER 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NGHS FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	743 SPRING STREET	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30501	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	581694820	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$1,801,389	CashGrantAmt
Purpose Of Grant	OPERATING SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE MAJORITY OF GRANTS ARE TO 501(C)(3) ORGANIZATIONS. APPROVAL IS OBTAINED PRIOR TO DISBURSEMENT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DJ CAMPBELL MD
MEMBER	$227,481	$0	$0	$0	$0	$0	$0	$0	$0	$0	$227,481	$0	$0	$0
DAVID HOLT HARRISON MD
MEMBER, PHYSICIAN - NGMC	$736,004	$0	$0	$0	$25,402	$0	$9,975	$0	$30,212	$0	$801,593	$0	$0	$0
TIM SCULLY MD
MEMBER, PHYSICIAN - NGHS/THC PHYSICI	$263,508	$0	$0	$0	$28,500	$0	$8,836	$0	$24,251	$0	$325,095	$0	$0	$0
CAROL BURRELL
PRESIDENT & CEO	$1,077,256	$0	$0	$0	$310,342	$0	$98,665	$0	$25,371	$0	$1,511,634	$0	$0	$0
BRIAN D STEINES
CHIEF FINANCIAL OFFICER	$608,995	$0	$76,387	$0	$151,211	$0	$85,676	$0	$27,486	$0	$949,755	$0	$72,002	$0
STEPHEN KELLY
CHIEF COMPLIANCE OFFICER	$219,456	$0	$28,102	$0	$49,925	$0	$36,175	$0	$17,178	$0	$350,836	$0	$26,489	$0
MICHAEL COVERT
CHIEF OPERATING OFFICER	$534,667	$0	$94,599	$0	$155,784	$0	$51,488	$0	$17,614	$0	$854,152	$0	$43,270	$0
JOHN DELZELL JR
VP MEDICAL EDUCATION - NGMC	$375,246	$0	$48,379	$0	$70,030	$0	$57,454	$0	$17,240	$0	$568,349	$0	$45,602	$0
JOHN A WILLIAMSON
PRESIDENT NGMC BRASELTON	$385,592	$0	$46,761	$0	$73,069	$0	$117,556	$0	$27,202	$0	$650,180	$0	$44,077	$0
TRACY VARDEMAN
CHIEF STRATEGY EXECUTIVE - NGHS	$322,858	$0	$41,634	$0	$79,877	$0	$141,138	$0	$27,126	$0	$612,633	$0	$39,045	$0
NIRAJ PARIKH
NGMC PHYSICIAN	$1,241,313	$0	$2,500	$0	$21,640	$0	$9,975	$0	$33,094	$0	$1,308,522	$0	$0	$0
JAMES G REEVES
NGMC PHYSICIAN	$1,236,877	$0	$0	$0	$22,210	$0	$9,975	$0	$29,136	$0	$1,298,198	$0	$0	$0
BRANDON BRUCE
NGMC PHYSICIAN	$859,467	$0	$0	$0	$21,640	$0	$9,975	$0	$24,617	$0	$915,699	$0	$0	$0
FRANCIS LAKE JR
NGMC PHYSICIAN	$755,294	$0	$0	$0	$23,122	$0	$9,975	$0	$31,962	$0	$820,353	$0	$0	$0
FERNANDO SERNA
NGMC PHYSICIAN	$773,805	$0	$0	$0	$2,140	$0	$8,880	$0	$26,367	$0	$811,192	$0	$0	$0
BRENDA SIMPSON
FORMER CHIEF NURSING EXECUTIVE - NGM	$331,408	$0	$143,132	$0	$70,307	$0	$49,193	$0	$21,873	$0	$615,913	$0	$124,424	$0
DEBORAH WEBER
FORMER CHIEF HR OFFICER - NGHS	$0	$0	$0	$0	$164,774	$0	$0	$0	$17,093	$0	$181,867	$0	$0	$0
LOUIS SMITH JR
FORMER PRESIDENT - NGMC - SYSTEM ACU	$0	$0	$129,460	$0	$628,117	$0	$0	$0	$29,396	$0	$786,973	$0	$0	$0
SAMUEL JOHNSON MD
FORMER CHIEF MEDICAL OFFICER - NGHS	$183,444	$0	$20,823	$0	$22,683	$0	$26,014	$0	$7,271	$0	$260,235	$0	$20,823	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B	FormAndLineReferenceDesc
Explanation	EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN BRENDA SIMPSON $ 42,895 BRIAN D. STEINES $ 75,701 JOHN DELZELL, JR. $ 47,479 JOHN A. WILLIAMSON $ 48,231 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, NORTHEAST GEORGIA HEALTH SYSTEM (A RELATED ORGANIZATION) 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. EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION): BRENDA SIMPSON $ 127,832 BRIAN D. STEINES $ 76,387 JOHN DELZELL, JR. $ 48,379 JOHN A. WILLIAMSON $ 46,761 MICHAEL COVERT $ 43,270 TRACY M. VARDEMAN $ 41,634 SAMUEL O. JOHNSON $ 20,823 STEPHEN KELLY $ 28,102	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2017AB)
A	586002388	362762LT1	2017-02-09	$346,169,739	PAY THE COST OF ISSUING 2017AB, ADVANCE REFUND PORTION OF 2010AB	0	0	0
THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2021A)
B	586002388	362762QP4	2021-09-09	$251,448,743	PAY THE COST OF ISSUING THE 2021A BONDS AND FINANCE THE ACQUISITION,	0	0	0
THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2020A)
C	586002388	362762PT7	2020-03-17	$403,036,752	PAY COST OF ISSUING 2020A AND REFUND ISSUES DATED 2/09/17, 12/11/14, 8/26/11	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$6,271,000	$346,169,739	$2,663,083	$343,506,656	2017	0	Yes (1)	Yes (1)	Yes (1)
B		$251,448,743	$1,448,743			0	0	0	Yes (1)	$250,000,000
C	$6,525,000	$403,036,752	$3,155,338		2020	Yes (1)	0	Yes (1)	Yes (1)		$399,881,414

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00210	0.00000	0.00210	Yes (1)
B	0	0		0					Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00210	0.00000	0.00210	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (C), BOND A CONTINUATION:	2017B CUSIP # 362762MM5
SCHEDULE K, PART I, COLUMN (F), BOND B CONTINUATION:	CONSTRUCTION, INSTALLATION AND EQUIPPING OF ADDITIONS AND IMPROVEMENTS TO, AND EQUIPMENT FOR, THE HEATHCARE FACILITIES OF NGHS.
SCHEDULE K, PART I, COLUMN (F), BOND C CONTINUATION:	AND 2/18/10.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 ORGANIZATION'S STRATEGIC DIRECTION: 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. 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 MEDICAL CENTER NGMC PROVIDES A COMPREHENSIVE RANGE OF ACUTE CARE AND SPECIALTY SERVICES AND SERVES THE AREA'S LOW-INCOME, UNINSURED, UNDERINSURED, AND OTHER VULNERABLE POPULATIONS. NGMC GAINESVILLE SERVES AS THE REGIONAL SAFETY NET HOSPITAL, WITH MANY PATIENTS COMING FROM OUTSIDE HALL COUNTY. NGMC GAINESVILLE, BRASELTON, BARROW, AND LUMPKIN EXPEND SURPLUS FUNDS IN THE ORGANIZATION TO BENEFIT THE COMMUNITY. NGHS RECEIVES NO TAX REVENUE FROM HALL, OR OTHER COUNTIES SERVED, AND SERVICES ARE FUNDED BY REVENUE GENERATED FROM OPERATIONS. NGMC'S CHARITY CARE POLICY SUPPORTS PROVIDING CARE FOR INDIGENT PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. THE FOLLOWING CONTAINS ADDITIONAL HIGHLIGHTS OF COMMUNITY BENEFIT ACTIVITIES PROVIDED BY NGMC IN FY21, OFTEN PARTNERING WITH OTHER ORGANIZATIONS AND INDIVIDUALS IN THE COMMUNITY: UNITED WAY'S ONE HALL MENTAL AND BEHAVIORAL HEALTH SUBCOMMITTEE: UNDER UNITED WAY'S ONE HALL FRAMEWORK, NGHS WORKED WITH OTHER COMMUNITY PARTNERS TO IMPROVE MENTAL AND BEHAVIORAL HEALTH IN THE COMMUNITY. THIS EFFORT REDUCED THE STIGMA OF SEEKING HELP BY RAISING AWARENESS ABOUT THE ISSUE, AVAILABLE RESOURCES, AND EDUCATION. NGHS HELPED SUPPORT ACTIVITIES, MATERIALS, AND THE ENGAGEMENT OF FORUM COMMUNICATIONS TO ADVANCE THIS COLLABORATIVE WORK. THE NGHS FOUNDATION CREATED A FIVE-VIDEO SERIES THAT ENGAGED COMMUNITY LEADERS, DONORS, AND ORGANIZATIONS TO CREATE AWARENESS OF MENTAL HEALTH NEEDS AND THE IMPORTANCE OF SUPPORTING MENTAL AND BEHAVIORAL HEALTH PROGRAMS. AVIA DIGITAL SOLUTIONS: AVIA, A DIGITAL SOLUTION TECHNOLOGY COMPANY, WORKED WITH NGHS TO LEARN FROM OTHER COMMUNITIES ACROSS THE COUNTRY WHO HAVE BEEN SUCCESSFUL IN UTILIZING SHARED DATA TO ADDRESS SOCIOECONOMIC DETERMINANTS OF HEALTH THAT MAY PREVENT PATIENTS AND COMMUNITY MEMBERS FROM GETTING AND STAYING HEALTHY. ACCORDING TO AVIA, MORE THAN TWO-THIRDS OF PATIENTS HAVE AT LEAST ONE SOCIAL, HOUSING, GOODS, OR TRANSPORTATION CHALLENGE. AVOIDABLE EMERGENCY ROOM UTILIZATION IS USUALLY A SYMPTOM OF AN UNMET SOCIAL NEED, WHICH UNDERSCORES WHY HEALTH SYSTEMS ACROSS THE COUNTRY ACTIVELY PURSUE SIMILAR PROJECTS TO IMPACT SOCIAL DETERMINANTS OF HEALTH. IN FY21, NGMC AND COMMUNITY STAKEHOLDERS FURTHER REFINED THE FUNCTIONAL REQUIREMENTS OF THE SHARED DATA PLATFORM AND HEARD PRESENTATIONS FROM THREE POTENTIAL VENDORS. IN ADDITION, MENTAL HEALTH FIRST AID TRAINING WAS PROVIDED TO TARGETED AUDIENCES. MENTAL HEALTH FIRST AID IS AN EIGHT-HOUR TRAINING COURSE DESIGNED TO GIVE MEMBERS OF THE PUBLIC SKILLS TO HELP SOMEONE WHO IS DEVELOPING A MENTAL HEALTH PROBLEM OR EXPERIENCING A MENTAL HEALTH CRISIS. UNITED WAY OF HALL COUNTY AND WISDOM PROJECT 2030, IN PARTNERSHIP WITH A GRANT FROM CRESSWIND COMMUNITY FUND, ARE OFFERING THIS FREE TRAINING TO QUALIFIED MEMBERS OF THE HALL COUNTY COMMUNITY. MORE INFORMATION ABOUT THIS PROGRAMMING CAN BE FOUND AT: HTTPS://WWW.UNITEDWAYHALLCOUNTY.ORG/REACHOUT. REACH OUT CAMPAIGN: NGHS IS A LEADING PARTNER IN THE REACH OUT CAMPAIGN TO DESTIGMATIZE THE NEED FOR MENTAL HEALTH SERVICES. AS PART OF THIS GROUP'S WORK, A CAMPAIGN TO DESTIGMATIZE THE NEED FOR MENTAL HEALTH SERVICES IS ONGOING. IT FEATURES TESTIMONIALS FROM COMMUNITY MEMBERS ON UNITED WAY'S FACEBOOK PAGE. AMONG FEATURED COMMUNITY MEMBERS ARE NGMC BOARD CHAIR PHILLIPPA LEWIS MOSS AND CHIEF STRATEGY EXECUTIVE TRACY VARDEMAN. MEDICAL CLINICS AND FLU VACCINES: NGMC WORKED WITH OPEN ARMS CLINIC (OAC) AND PROVIDED 100 FLU VACCINES IN 2021. OAC IS A NOT-FOR-PROFIT AND NON-GOVERNMENTAL MEDICAL CLINIC DEDICATED TO SERVING STEPHENS COUNTY RESIDENTS AND PROVIDING PRIMARY HEALTH CARE WITH COMPASSION AND RESPECT. LOCATED DIRECTLY ACROSS FROM TOCCOA CLINIC, FUNDING FOR OAC IS PROVIDED BY PRIVATE, INDIVIDUAL, AND PUBLIC DONATIONS. SUPPORT FOR OAC CAME AT AN ESTIMATED $1,650 FOR NGMC IN FY21. PARTNERING TO REACH THE UNINSURED: NGMC WORKED WITH OTHER HEALTHCARE PROVIDERS TO CARE FOR AREA RESIDENTS, PARTICULARLY THE INDIGENT POPULATION. PARTNERS INCLUDED, BUT ARE NOT LIMITED TO, NGMC, THE NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG) PRIMARY CARE CLINIC AT HALL COUNTY HEALTH DEPARTMENT, THE LONGSTREET CLINIC, MEDLINK (FEDERALLY QUALIFIED HEALTH CENTER), AREA PHYSICIANS, AND INDIGENT CLINICS SUCH AS GOOD NEWS CLINICS IN GAINESVILLE AND GOOD SHEPHERD CLINIC OF DAWSON COUNTY. GOOD NEWS CLINICS (GNC): NGMC PROVIDED FINANCIAL SUPPORT TO GOOD NEWS CLINICS (GNC), PROVIDING APPROXIMATELY 33 PERCENT OF THEIR OPERATING BUDGET. GNC IS GEORGIA'S LARGEST FREE CLINIC, FOUNDED IN 1992, IS A CHRISTIAN MINISTRY THAT PROVIDES MEDICAL AND DENTAL CARE TO THE INDIGENT AND UNINSURED POPULATION AT NO CHARGE. FORTY-SIX PHYSICIANS, NINE MID-LEVEL PROVIDERS, 43 DENTISTS, AND ONE DENTAL HYGIENIST VOLUNTEER TO TREAT PATIENTS AT GNC. IN ADDITION, 340 SPECIALIST PHYSICIANS VOLUNTEER TO TREAT PATIENTS THROUGH THEIR HEALTH ACCESS INITIATIVE. NGMC AND GNC ARE ALSO FOCUSED ON IMPROVING PATIENT OUTCOMES AND ARE ACTIVELY ALIGNING MUTUAL GOALS. NGMC HAS ALSO BEEN INSTRUMENTAL IN HELPING TO PROVIDE A CONGESTIVE HEART FAILURE (CHF) CLINIC AT GNC, SUCCEEDING IN PREVENTING READMISSIONS OF GNC PATIENTS WITH CHF. ADDITIONAL HEALTH SCREENINGS, SUCH AS PROSTATE SCREENINGS, ARE PROVIDED TO VULNERABLE POPULATIONS AT GNC. OTHER SERVICES PROVIDED INCLUDE A SEIZURE CLINIC, DIABETES EDUCATION AND MANAGEMENT, AND A REGISTERED DIETITIAN ON STAFF WHO HELPS PATIENTS WITH LIFESTYLE MODIFICATIONS REQUIRED FOR MANAGING HEART FAILURE, DIABETES, AND WEIGHT LOSS. THIS SUPPORT CAME AT A COST OF $583,065 FOR 2,718 PEOPLE FOR NGMC GAINESVILLE AND BRASELTON IN FY21. TO PROVIDE INTEGRATION BETWEEN GNC, NGHS, AND OTHER PROVIDERS IN THE COMMUNITY, NGMC CONTINUED ITS PARTNERSHIP BY IMPLEMENT EPIC ELECTRONIC MEDICAL RECORD SYSTEM TO IMPROVE CARE COORDINATION AND OUTCOMES FOR THIS VULNERABLE PATIENT POPULATION. NGMC RECENTLY AUTHORED A CASE STUDY EXAMINING THIS PARTNERSHIP. THIS CASE STUDY CAN BE FOUND AT: HTTPS://WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. P.I.T.C.H. PROGRAM: AS A PROGRAM OF NGHS, P.I.T.C.H. IS COMMITTED TO ENSURING THE COMMUNITY HAS ACCESS TO THE CARE IT NEEDS. COMMUNITY PARAMEDICS HELP PATIENTS BY MEETING THEM AT THEIR HOME TO: PROVIDE AND CONNECT THEM TO PRIMARY CARE SERVICES; SEEK OUT AVAILABLE COMMUNITY RESOURCES; COMPLETE POST-HOSPITAL FOLLOW-UP CARE; DISCOVER EDUCATION AND HEALTH PROGRAMS; AND DISCUSS OVERALL HEALTH AND MENTAL HAPPINESS. IN FY21, THERE WERE 150+ REFERRALS TO SERVICES, 50+ PATIENTS HAVE BEEN NEWLY ESTABLISHED WITH A PRIMARY CARE PHYSICIAN, 65 EMERGENCY ROOM VISITS WERE AVOIDED BY P.I.T.C.H. INTERVENTIONS, AND FOUR INFUSION THERAPY PATIENTS RECEIVED DAILY TRANSPORTATION THAT RESULTED IN 90 DAYS OF REDUCTION IN INPATIENT STAYS. NGPG PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT: NGMC FUNDED AND STAFFED A PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT TO IMPROVE ACCESS TO PRIMARY HEALTHCARE SERVICES FOR LOW-INCOME PEOPLE IN THE COMMUNITY. IN FY21, NGMC CONTRIBUTED $1,032,552 TO PROVIDE THIS CLINIC. PRENATAL CARE PROGRAM AT THE HEALTH DEPARTMENT: NGMC, THE LONGSTREET CLINIC, AND HALL COUNTY HEALTH DEPARTMENT PARTNERED TO IMPROVE BIRTH OUTCOMES BY INCREASING EARLY PRENATAL CARE FOR LOW-INCOME, UNINSURED, AND UNDER-INSURED PREGNANT WOMEN VIA THE HEALTH DEPARTMENT'S PRIMARY CARE CLINIC. IN FY21, NGMC PROVIDED SUPPORT OF AN ESTIMATED $319,817. INDIGENT PATIENT FUND: AT NGMC, FINANCIAL ASSISTANCE IS PROVIDED FOR INDIGENT PATIENTS TO OBTAIN URGENTLY NEEDED DISCHARGE MEDICATIONS AND TRANSPORTATION. INDIVIDUALS ELIGIBLE FOR THESE FUNDS ARE PATIENTS WHOSE NEEDS CANNOT BE MET THROUGH PRIMARY INSURANCE, THEIR FUNDS, GOVERNMENT PROGRAMS, OR OTHER CHARITABLE SERVICES. THIS HELPED TO ENSURE MEDICATION COMPLIANCE AND MAXIMIZE CONDITIONS FOR RECOVERY AND RECUPERATION. THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION PROVIDES FUNDING FOR THIS PROGRAM THAT SERVED 305 PEOPLE AT AN ESTIMATED COST OF $21,706 IN FY21. CHARITABLE AND INDIGENT PATIENT SUPPORT: NGMC PROVIDED SUPPORT FOR THE GOOD SAMARITAN HEALTH CENTER OF GWINNETT, A NON-PROFIT ORGANIZATION COMMITTED TO CARING FOR THE UNINSURED AND UNDERINSURED WORKING POOR IN THE COMMUNITY. THIS CLINIC PROVIDES HEALTH AND DENTAL SERVICES WHILE PROVIDING A CULTURALLY DIVERSE AND SPIRITUAL ENVIRONMENT FOR THOSE THEY SERVE. THIS SUPPORT CAME AT THE COST OF $4,500 FOR NGMC IN FY21. ADDITIONALLY, NGMC PROVIDES OFFICE SPACE TO GOOD SHEPHERD CLINIC IN DAWSONVILLE AND AN ANNUAL CORPORATE SPONSORSHIP TO COMMUNITY HELPING PLACE IN DAHLONEGA AT A COST OF $15,000.
FORM 990, PART III, LINE 4A	FIFTH ANNUAL NORTHEAST GEORGIA REGION 2 TRAUMA SYMPOSIUM: THE FIFTH-ANNUAL NORTHEAST GEORGIA REGION 2 TRAUMA ADVISORY COMMITTEE'S TRAUMA SYMPOSIUM WAS HELD IN OCTOBER, PRODUCED LIVE FROM THE RAMSEY CONFERENCE CENTER AT LANIER TECHNICAL COLLEGE. LOCAL AND NATIONAL SPEAKERS PRESENTED FROM THE PODIUM, WHILE ALL ATTENDEES VIEWED THE SYMPOSIUM SAFELY FROM THEIR HOMES OR WORKPLACES. ALMOST 600 ATTENDEES FROM MORE THAN 30 STATES AND SEVERAL COUNTRIES REGISTERED FOR THE EVENT, AND MANY GROUPS HOSTED WATCH PARTIES IN SOCIALLY-DISTANCED FORMATS. NGMC'S BLOOD BANK SUPERVISOR, LISSA SHIRLEY, WAS AWARDED THE NATHAN DEAL GOVERNOR'S AWARD FOR TRAUMA EXCELLENCE. THE AWARD HONORS AN INDIVIDUAL WHO HAS MADE A LASTING CLINICAL AND/OR SYSTEM IMPACT ON TRAUMA CARE IN NORTHEAST GEORGIA THROUGH EDUCATION, LEGISLATION, LEADERSHIP, OR PHILANTHROPY. CHARITY CARE: NGMC'S CHARITY CARE POLICY REMOVED BARRIERS FOR LOW-INCOME POPULATIONS WITHIN THE SERVICE AREA, BEGINNING WITH THE FREE, MEDICALLY NECESSARY CARE FOR PATIENTS WHOSE GROSS FAMILY INCOME IS ZERO TO 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ADJUSTED FOR FAMILY SIZE. FURTHER, PATIENTS FROM THE 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. FINANCIAL NAVIGATORS: NGMC FINANCIAL ASSISTANCE COUNSELORS HELPED 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 FOR HELPING PATIENTS APPLY FOR MEDICAID OR DISABILITY, ACCESSING HEALTHCARE EXCHANGES, OR PROCESSING CHARITY APPLICATIONS WHEN APPROPRIATE. IN FY21, THE FINANCIAL NAVIGATOR TEAM SERVED NEARLY 62,377 PEOPLE SEEKING ASSISTANCE AT AN ESTIMATED COST OF $968,796. PARTNERSHIP FOR A DRUG-FREE HALL (DFH): HALL COUNTY'S RESPONSE TO THE OPIOID EPIDEMIC WAS THE COLLABORATIVE PARTNERSHIP FOR A DRUG-FREE HALL (DFH). MODELED AFTER A PARTNERSHIP FORMED IN GWINNETT COUNTY LED BY SENATOR RENEE UNTERMAN, WHO, ALONG WITH DEB BAILEY, EXECUTIVE DIRECTOR OF GOVERNMENTAL AFFAIRS AT NGHS, DALLAS GAY, FORMER NGHS BOARD MEMBER, AND JUDY BROWNELL, DIRECTOR OF PREVENTION AT CENTER POINT, PULLED TOGETHER A DIVERSE GROUP OF AGENCIES IN HALL COUNTY TO FORM DFH, A COLLABORATIVE DEDICATED TO PROVIDING THE PEOPLE OF HALL COUNTY WITH INFORMATION, RESOURCES AND ACTIONS TO ADDRESS DRUG ABUSE. TODAY, NGHS REMAINS A STRONG PARTNER AND PROVIDES CORPORATE SPONSORSHIP TO HELP SUPPORT THE EDUCATIONAL EFFORTS OF THE GROUP. ED-CARES: NGMC'S EMERGENCY DEPARTMENTS CONTINUE TO PARTNER 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. NGMC REMAINS THE ONLY HOSPITAL SYSTEM IN THE NATION TO OFFER THE CARES PROGRAM IN ITS NEONATAL INTENSIVE CARE UNITS (NICUS) TO HELP FAMILIES OF BABIES BORN WITH NEONATAL ABSTINENCE SYNDROME (NAS) FIND A PATH TO RECOVERY. NGMC ALSO HAS DEDICATED NICU STAFF EDUCATING THE FAMILIES ON HOW TO CARE FOR THEIR INFANT WITH NAS. NICU MANAGERS AND PEER RECOVERY COACHES WERE INSTRUMENTAL IN POLICY CHANGE IN GEORGIA AND THE ENTIRE U.S. THAT WILL KEEP MOTHER AND BABY TOGETHER WHILE MOTHER IS RECEIVING TREATMENT FOR RECOVERY. THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION RAISES FUNDS TO BENEFIT THE COMMUNITY: THE NGHS FOUNDATION IS THE FUNDRAISING ARM OF NGMC AND RAISED FUNDS TO IMPROVE THE COMMUNITY'S HEALTH. 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. THROUGH THE EMPLOYEE GIVING CLUB WATCH (WE ARE TARGETING COMMUNITY HEALTH), MEMBERS HAVE DONATED MORE THAN $11 MILLION IN SUPPORT OF CAPITAL IMPROVEMENTS, COMMUNITY INITIATIVES, EQUIPMENT, AND ENHANCED PATIENT CARE SINCE THE PROGRAM'S INCEPTION IN 1999. WATCH HAS GROWN TO INCLUDE MORE THAN 3,600 EMPLOYEE DONORS. IN FY21, AN ESTIMATED VALUE OF $5,515 WAS GIVEN BY EMPLOYEES IN TIME SERVING ON THE WATCH COMMITTEE. NGHS FOUNDATION FUNDS THE PROJECT RESPECTING CHOICES - ADVANCED CARE PLANNING EDUCATION. RESPECTING CHOICES IS AN EVIDENCE-BASED MODEL OF ADVANCED CARE PLANNING THAT HONORS AN INDIVIDUAL'S GOALS AND VALUES FOR CURRENT AND FUTURE HEALTH CARE. THIS PROGRAM IS DESIGNED TO CREATE AN OPEN DISCUSSION ABOUT END-OF-LIFE CARE IN NORTHEAST GEORGIA SO THAT FAMILIES ARE RELIEVED OF UNNECESSARY STRESS WHILE AVOIDING USING EXPENSIVE RESOURCES THAT PATIENTS DON'T VALUE OR BENEFIT FROM. THIS PROJECT BENEFITED 1,005 PEOPLE AT A COST OF $59,631 FOR NGMC IN FY21. NGMC VOLUNTEERS: IN FY21, 401 NGMC VOLUNTEERS CONTRIBUTED 28,000 VOLUNTEER HOURS, EQUIVALENT TO 17 FULL-TIME EMPLOYEES AND A VALUE OF OVER $799 MILLION TO THE ORGANIZATION (INCLUSIVE OF GAINESVILLE, BRASELTON, AND BARROW). BY AREA, NGMC BRASELTON CONTRIBUTED 7,000 HOURS BY 134 VOLUNTEERS, EQUIVALENT TO FOUR FULL-TIME EMPLOYEES AND A VALUE OF $201,250 TO THE ORGANIZATION. NGMC GAINESVILLE CONTRIBUTED 20,300 HOURS BY 272 VOLUNTEERS, EQUIVALENT TO 12 FULL-TIME EMPLOYEES AND A VALUE OF $583,625 IN 2021. 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. FORTY-TWO TEENS PARTICIPATED IN THE TEEN VOLUNTEER PROGRAM IN 2021. SIXTEEN TEENS SERVED IN BRASELTON AND 26 IN GAINESVILLE, REPRESENTING 15 HIGH SCHOOLS IN THE AREA. COMMUNITY AND PROVIDER EDUCATION SAFE KIDS COALITION WORKS TO KEEP KIDS SAFE: SAFE KIDS NORTHEAST GEORGIA, LED BY NGMC, IS PART OF SAFE KIDS WORLDWIDE, THE FIRST AND ONLY NATIONAL ORGANIZATION DEDICATED SOLELY TO PREVENTING UNINTENTIONAL CHILDHOOD INJURY, THE NATION'S NUMBER ONE KILLER OF CHILDREN AGES 19 AND UNDER. THIS PROGRAM PROVIDES AFFORDABLE SAFETY EQUIPMENT SUCH AS CAR SEATS, BIKE HELMETS, AND LIFE JACKETS TO AREA CHILDREN IN NEED. WORKING WITH A COALITION 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 CONTINUE ITS WORK OF INJURY PREVENTION FOR FAMILIES IN THE HALL COUNTY COMMUNITY IN 2021. THE NORTHEAST GEORGIA HEALTH SYSTEM AUXILIARY DONATES PROCEEDS FROM MARKETPLACE, ITS AN ANNUAL HOLIDAY FUNDRAISING EVENT, TO SAFE KIDS NORTHEAST GEORGIA. NGMC PROVIDED MORE THAN 25 PROGRAMS AND EVENTS THAT REACHED AN ESTIMATED 16,000 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THROUGH THESE PROGRAMS, OVER 1,500 SAFETY ITEMS WERE DISTRIBUTED TO FAMILIES NEEDING THEM. THE ESTIMATED COST OF THIS SUPPORT IS $26,750 IN FY21. HOSPICE BEREAVEMENT CAMPS, SUPPORT GROUPS, AND OUTREACH: HOSPICE OF NGMC PROVIDED MULTIPLE BEREAVEMENT SUPPORT GROUPS AND EDUCATION FOR THOSE GRIEVING A LOSS OR CARING FOR A LOVED ONE WITH AN ILLNESS (SUCH AS DEMENTIA) AND TWO CAMPS FOR CHILDREN DEALING WITH THE LOSS OF SOMEONE CLOSE TO THEM. CAMPS WERE CANCELED DUE TO COVID-19, BUT IN FY21, 2,408 INDIVIDUALS WERE SERVED THROUGH SUPPORT, OUTREACH, AND EDUCATION. THIS CAME AT A COST OF $24,960 TO NGMC GAINESVILLE AND BRASELTON IN 2021. REGIONAL TRAUMA ADVISORY COMMITTEE (RTAC) SYMPOSIUM: AS PART OF THE STATE OF GEORGIA'S TRAUMA SYSTEM, THE REGIONAL TRAUMA ADVISORY COMMITTEE (RTAC) DEVELOPS AND MAINTAINS THE REGION'S TRAUMA SYSTEM PLAN AND MONITORS SYSTEM COMPLIANCE AND IMPROVEMENT ACTIVITIES. NGMC PARTNERS WITH OTHER EMS AGENCIES, PARTICIPATING HOSPITALS, LOCAL GOVERNMENTS, AND THE PUBLIC AS A PART OF THIS COMMITTEE AND THE ANNUAL RTAC SYMPOSIUM, WHICH PROVIDED EDUCATION TO OVER 537 HEALTH PROFESSIONALS IN THE REGION AT A COST OF $16,8844 IN FY21. IN ADDITION, COMMUNITY EDUCATION ON INJURY PREVENTION AND TRAUMA, SUCH AS WITH FALLS AND THE STOP THE BLEED CAMPAIGN, WAS PROVIDED TO NEARLY 1,459 PROFESSIONALS AND INDIVIDUALS AT A COST OF $4,797 IN 2021.
FORM 990, PART III, LINE 4A	HEALTH SCIENCES LIBRARY AND RESOURCE CENTER: THE HEALTH SCIENCES LIBRARY AND RESOURCE CENTER AT NGMC SERVES THE HEALTH INFORMATION NEEDS OF THE NORTHEAST GEORGIA COMMUNITY, EXPANDING TO OVER 18 COUNTIES. THIS INSTITUTION GIVES CONSUMERS, PATIENTS, AND THEIR FAMILY MEMBERS ACCESS TO CREDIBLE RESOURCES RELATED TO MEDICAL SYMPTOMS, CONDITIONS, AND TREATMENTS. THE RESOURCE CENTER ENCOURAGES VISITORS TO MAKE HEALTHY CHOICES AND BECOME ACTIVE, INFORMED PARTNERS IN THEIR HEALTH CARE DECISIONS. IT HAS BENEFITED 8,509 PEOPLE AT A COST OF $124,233 IN FY21. DURING FY21, THE LIBRARY HOSTED VIRTUAL BOOK CLUBS TO EDUCATE THE COMMUNITY ON HEALTH LITERACY, PLUS A VIRTUAL DEI BOOK CLUB. COMMUNITY EDUCATION ON NUTRITION: IN FY21, NGMC PARTICIPATED IN VARIOUS REGIONAL HEALTH FAIRS, EDUCATING THE COMMUNITY ABOUT HEALTHY NUTRITION. THIS EDUCATION REACHED 1,139 PEOPLE AT A COST OF $7,099. COMMUNICARE: EACH YEAR, THE PUBLIC RELATIONS AND MARKETING DEPARTMENT AT NGMC PRODUCES AN ANNUAL HEALTH EDUCATION MAGAZINE CALLED COMMUNICARE, REACHING OVER 150,000 READERS. DUE TO PARTIAL MARKETING VALUE, ONLY 50 PERCENT OF THE COST RELATED TO COMMUNICARE IS COUNTED AS A COMMUNITY BENEFIT, AMOUNTING TO $56,659 IN FY21. NGHS HOSPITAL-COMMUNITY PARTNERSHIPS FEATURED AT NATIONAL AMERICAN HOSPITAL ASSOCIATION CONFERENCE: CHRISTY MOORE, DIRECTOR OF COMMUNITY HEALTH IMPROVEMENT, AND SEMUEL MAYSONET, NGMC BOARD MEMBER, QUALITY COMMITTEE CHAIRMAN, AND HISPANIC OUTREACH COMMITTEE MEMBER, REPRESENTED NGHS AT THE AMERICAN HOSPITAL ASSOCIATION'S (AHA) JOINT VIRTUAL CONFERENCE OF THE ASSOCIATION OF COMMUNITY HEALTH IMPROVEMENT AND INSTITUTE FOR DIVERSITY AND HEALTH EQUITY, TITLED "ACCELERATING HEALTH EQUITY." THEY SPOKE ON A PANEL ABOUT THE VALUE OF COMMUNITY/HOSPITAL PARTNERSHIPS DURING COVID. UNG NURSING AND PHYSICAL THERAPY PARTNERSHIP: TWENTY-FIVE 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. SEPSIS EALERT TEAM: THE NGHS SEPSIS EALERT TEAM WAS DEVELOPED TO IMPACT A PATIENT'S CARE PLAN IN REAL-TIME BY USING ARTIFICIAL INTELLIGENCE TO IDENTIFY A PATIENT'S RISK OF DEVELOPING SEPSIS. IN THE BEGINNING, SEPSIS IS HARD TO RECOGNIZE BUT EASY TO TREAT. HOWEVER, TOWARD THE END, SEPSIS IS EASY TO RECOGNIZE BUT HARD TO TREAT. SEPSIS NAVIGATORS CROSSCHECK AND COLLABORATE WITH PRIMARY CARE TEAMS TO ENSURE SEPSIS IS IDENTIFIED EARLY AND TREATED APPROPRIATELY. THIS PAST FISCAL YEAR, 266 LIVES HAVE BEEN TOUCHED THROUGH THIS PROGRAM. DIABETES SUPPORT GROUPS, EDUCATION, AND SCREENINGS: NGMC PROVIDED DIABETES OUTREACH FOR PREVENTION, EDUCATION, SCREENINGS, AND SUPPORT GROUPS. EVEN THOUGH COVID-19 HALTED MANY SESSIONS, THE DIABETES EDUCATION TEAM SERVED 245 PEOPLE IN THE COMMUNITY. WORKFORCE DEVELOPMENT: NGMC CONTINUES TO SERVE AS A "PIPELINE" TO HELP GET MORE QUALIFIED PEOPLE INTERESTED IN HEALTHCARE POSITIONS AND HELP PROVIDE TRAINING AND EDUCATION TO STUDENTS. THIS TRAINING AND EDUCATION ARE DONE THROUGH VARIOUS AVENUES, FROM JOB SHADOWING TO THE NURSE EXTERN PROGRAM AND PHARMACY RESIDENCY PROGRAM, AS WELL AS SIGNIFICANT SUPPORT TO FOOTHILLS AREA HEALTH EDUCATION CENTERS (AHEC). FOOTHILLS AHEC: FOOTHILLS AHEC IS A COMMUNITY-DRIVEN, NON-PROFIT CORPORATION SUPPORTED BY FEDERAL AND LOCAL SOURCES. THE MISSION IS TO INCREASE THE SUPPLY AND DISTRIBUTION OF HEALTHCARE PROVIDERS, ESPECIALLY IN MEDICALLY UNDERSERVED AREAS. THROUGH JOINT EFFORTS, COMMUNITIES EXPERIENCE IMPROVED SUPPLY, DISTRIBUTION, AND RETENTION OF QUALITY HEALTHCARE PROFESSIONALS. FOOTHILLS AHEC SERVES 31 COUNTIES IN THE NORTHEAST GEORGIA AREA. NGMC PROVIDED $188,740 IN SUPPORT OF THIS PROGRAM IN FY21. ALLIED HEALTH STUDENT EDUCATION: NGMC PROVIDES CLINICAL ROTATIONS FOR ALLIED HEALTH STUDENTS. EDUCATIONAL AFFILIATION AGREEMENTS ARE MAINTAINED WITH EACH SCHOOL/PROGRAM, AND NGMC ENSURES COMPLETION OF ALL ORIENTATION AND STUDENT HEALTH REQUIREMENTS BEFORE ROTATIONS. MOST OF THESE STUDENTS WORK DIRECTLY WITH NGMC STAFF. IN 2021, 359 STUDENTS WERE PROVIDED EDUCATION AT A COST OF $351,603. GRADUATE MEDICAL EDUCATION (GME): NORTHEAST GEORGIA MEDICAL CENTER'S GRADUATE MEDICAL EDUCATION (GME) PROGRAM IS DESIGNED TO TRAIN RESIDENTS AND FELLOWS TO BE LEADERS IN THE MEDICAL FIELD AND THE COMMUNITY. ALL NGMC RESIDENTS RECEIVE HANDS-ON TRAINING IN ONE OF FIVE SPECIALTIES: EMERGENCY MEDICINE, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE AND PSYCHIATRY. NGMC EXPECTS ITS GME PROGRAM TO GROW TO 200+ RESIDENTS BY 2024, WHICH WOULD MAKE THE PROGRAM ONE OF THE LARGEST IN THE STATE. THE GME PROGRAM IS ON TARGET WITH 102 POSITIONS FILLED BY 2021. THIS CAME AT A COST OF $1,007,090 FOR NGMC IN FY21. EMERGENCY MEDICINE RESIDENCY PROGRAM APPROVAL: THE EMERGENCY MEDICINE RESIDENCY PROGRAM HAS ACHIEVED INITIAL ACCREDITATION FROM THE ACGMETHE FOURTH RESIDENCY PROGRAM FOR NORTHEAST GEORGIA MEDICAL CENTER. INTERVIEWS WILL TAKE PLACE FROM OCTOBER 2021 THROUGH JANUARY 2022, AND CANDIDATES PARTICIPATED IN MATCH DAY IN MARCH 2022. RESIDENTS STARTED WORKING IN JULY 2022. PATHWAY TO MEDICAL SCHOOL GRADUATION: EIGHT UNDERGRADUATE PRE-MEDICAL STUDENTS WHO ATTENDED GEORGIA EDUCATIONAL INSTITUTIONS COMPLETED NGMC'S PATHWAY TO MED SCHOOL PROGRAM. THE FOUR-WEEK RESIDENTIAL PROGRAM PROVIDED CLINICAL SHADOWING FOR PARTICIPANTS WHO WANTED TO STAY IN-STATE FOR MEDICAL SCHOOL AND EVENTUALLY PRACTICE PRIMARY CARE IN GEORGIA. MORE THAN 50 STUDENTS HAVE COMPLETED THE PROGRAM SINCE IT STARTED IN 2015, WITH A 97% MEDICAL SCHOOL ACCEPTANCE RATE. NEW GRADUATE MEDICAL EDUCATION FELLOWSHIPS: THE OFFICE OF GRADUATE MEDICAL EDUCATION (GME) CREATED TWO NEW ACCREDITED FELLOWSHIPS IN 2021: THE CARDIOVASCULAR DISEASE FELLOWSHIP PROGRAM AND THE HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP PROGRAM. THE CARDIOVASCULAR DISEASE FELLOWSHIP PROGRAM IS A THREE-YEAR PROGRAM THAT INTERVIEWED APPROXIMATELY 60-70 FELLOWSHIP CANDIDATES FROM SEPTEMBER TO NOVEMBER 2021 TO FILL SIX FELLOWSHIP SLOTS THAT MADE UP THE INAUGURAL CLASS. AFTER PARTICIPATING IN THE MATCH IN DECEMBER 2021, NGMC WILL BEGIN THE FIRST TRAINING CLASS ON JULY 1, 2022. THE EXTENSIVE ACCREDITATION PROCESS WAS LED BY DR. UGOCHUKWU EGOLUM, PROGRAM DIRECTOR; DR. SANTHI ADIGOPULA, ASSOCIATE PROGRAM DIRECTOR; DR. JAMES KRUER, PROGRAM DIRECTOR, INTERNAL MEDICINE RESIDENCY PROGRAM; ANGELA LEWIS, PROGRAM COORDINATOR; DR. JOHN DELZELL, VP OF MEDICAL EDUCATION FOR NGHS AND DIO FOR NGMC; AND DONNA BROWN, DIRECTOR OF GRADUATE MEDICAL EDUCATION AT NGMC. THE HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP PROGRAM IS A ONE-YEAR PROGRAM THAT ANTICIPATES THE INAUGURAL CLASS OF TWO FELLOWS TO BEGIN TRAINING IN 2023. THE INTENSIVE ACCREDITATION PROCESS WAS LED BY DR. MEREDITH PICKETT, PROGRAM DIRECTOR; DR. ZAMEER GILL, ASSOCIATE PROGRAM DIRECTOR; NADIA TINOCO, PROGRAM COORDINATOR; DR. JOHN DELZELL, VICE PRESIDENT OF MEDICAL EDUCATION FOR NGHS AND DIO FOR NGMC; AND DONNA BROWN, DIRECTOR OF GRADUATE MEDICAL EDUCATION (GME) AT NGMC. YOUTH APPRENTICESHIP AND MENTORSHIP PROGRAM: IN THE YOUTH APPRENTICESHIP PROGRAM, HIGH SCHOOL STUDENTS WORK IN THE HOSPITAL FOR ONE CLASS PERIOD IN THEIR DAY AND ROTATE THROUGH MULTIPLE DEPARTMENTS. IN FY21, 42 STUDENTS PARTICIPATED REPRESENTING 15 AREA HIGH SCHOOLS. SUPPORT OF EFFORTS TO IMPROVE COMMUNITY HEALTH MARCH OF DIMES' MARCH FOR BABIES: NGMC SPONSORS THE MARCH OF DIMES WALK IN HALL COUNTY AND BASSIN' FOR BABIES, A LOCAL FISHING TOURNAMENT TO BENEFIT THE MARCH OF DIMES. PROCEEDS BENEFIT THE FIGHT TO PREVENT BIRTH DEFECTS AND RELATED LOW BIRTH WEIGHT AND INFANT MORTALITY PROBLEMS. NGMC EMPLOYEE DONATIONS TOTALED $6,500. THIS ENTRY DOES NOT INCLUDE EMPLOYEE GIVING AND ONLY REFLECTS EXPENSES ASSOCIATED WITH NGMC SPONSORSHIPS AT A COST OF $4,500 FOR NGMC IN FY21. AMERICAN HEART ASSOCIATION SPONSORSHIPS- HALL COUNTY: NGMC SUPPORTED THE AMERICAN HEART ASSOCIATION'S HEART WALK AND GO RED FOR WOMEN LUNCHEON IN GAINESVILLE, BENEFITING RESEARCH AND LOCAL COMMUNITY EDUCATION. NGMC EMPLOYEE DONATIONS TOTALED $12,500 FOR THE VIRTUAL WALK. THIS ENTRY DOES NOT INCLUDE EMPLOYEE GIVING AND ONLY REFLECTS EXPENSES ASSOCIATED WITH THE NGMC SPONSORSHIP AT A COST OF $27,000 IN FY21.
FORM 990, PART III, LINE 4A	AMERICAN CANCER SOCIETY RELAY FOR LIFE: NGMC WAS THE PRESENTING SPONSOR FOR THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE HALL COUNTY EVENT. THE WALK BENEFITS CANCER RESEARCH AND COMMUNITY EDUCATION. NGMC EMPLOYEE DONATIONS TOTALED $13,000. THIS ENTRY REFLECTS THE REGIONAL SPONSORSHIP COST OF $41,400 IN FY21 AND DOES NOT INCLUDE EMPLOYEE DONATIONS. NGMC ALSO SPONSORED RELAY FOR LIFE IN THE FOLLOWING COUNTIES: HALL, DAWSON, HABERSHAM, JACKSON, LUMPKIN, GWINNETT, UNION, AND WALTON COUNTIES. ENCOURAGING MEDICAL VOLUNTEERING: NGMC PROVIDED INFORMATION AT PHYSICIAN ORIENTATIONS TO ENCOURAGE PHYSICIANS TO STEP UP TO VOLUNTEER AT LOCAL FREE CLINICS, AS WELL AS HEALTH ACCESS. NGPG ALSO ENCOURAGES PHYSICIANS TO GIVE OF THEIR TIME VOLUNTEERING AT THESE LOCATIONS. NGMC PHYSICIANS ACTIVELY PARTICIPATE IN COMMUNITY OUTREACH THROUGH VARIOUS PHYSICIAN LEADERSHIP COUNCILS, EDUCATIONAL SEMINARS, SCREENINGS, CANCER PREVENTION INITATIVES, AND VOLUNTEER WORK IN REGIONAL INDIGENT CLINICS. PATIENT SUPPORT AND COMMUNITY HEALTH SPIRITUAL CARE: THE PUCKETT CENTER FOR SPIRITUAL CARE REOPENED AFTER BEING REFURBISHED TO MEET THE PROGRAM'S NEEDS. THE RENOVATED SPACE OFFERS A MORE CALMING AND HOSPITABLE ENVIRONMENT FOR THE VOLUNTEER CHAPLAINS AND OTHER GUESTS. GLORY, HOPE, AND LIFE SPONSORSHIP: NGMC PROVIDED SUPPORT TO GLORY, HOPE AND LIFE TO TO HELP IMPROVE THE LIVES OF INDIVIDUALS IN THE COMMUNITY WHO HAVE BEEN TOUCHED BY CANCER. THIS ORGANIZATION WORKS LOCALLY TO SUPPORT AND ASSIST CANCER PATIENTS, THEIR FAMILIES, AND CAREGIVERS. THE EXECUTIVE DIRECTOR OF ONCOLOGY AT NGMC WAS PRESIDENT-ELECT IN 2021. THIS SUPPORT CAME AT AN ESTIMATED COST OF $13,500 FOR NGMC IN FY21. KEATON FRANKLIN COKER FOUNDATION THUMBS UP MISSION: NGMC HELPED SUPPORT THIS ORGANIZATION WHOSE MISSION IS TO FORTIFY FAMILIES WHERE A PARENT OR CHILD IS FIGHTING CANCER. NGMC'S SUPPORT FOR THE FOUNDATION CAME AT A COST OF $2,250 IN FY21. BARIATRIC SURGERY SUPPORT GROUP: NGMC OFFERED A BARIATRIC SURGERY SUPPORT GROUP FOR THE COMMUNITY, PROVIDING SUPPORT FOR PATIENTS WITH BARIATRIC SURGERY WHO ARE PRE-OP AND POST-OP. THE GROUP PROVIDES EMOTIONAL SUPPORT AND RESOURCES TO PROMOTE HEALTHY EXERCISE AND EATING HABITS. DURING FY21, SUPPORT GROUPS WERE VIRTUAL, REACHING 1,100 FOLLOWERS ON SOCIAL MEDIA, PLUS NGMC HOSTED VIRTUAL COOKING CLASSES, SERVING MORE THAN 1,139 PEOPLE. THIS COMMUNITY SUPPORT CAME AT A COST OF $2,400 FOR NGMC IN FY21. CANCER PATIENT NAVIGATOR: NGMC'S PATIENT NAVIGATION PROGRAM PROVIDES CANCER PATIENTS WITH GUIDANCE THROUGHOUT THEIR CANCER JOURNEY AND ACTS AS A "LIVING RESOURCE DIRECTORY" FOR PATIENTS. SERVICES INCLUDE: 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. THE DISCUSSION WAS FOCUSED ON THE FUTURE OF CANCER CARE AND HOW WE CAN WORK TOGETHER TO SECURE NEW INVESTMENTS IN RESEARCH, PROTECT PATIENT ACCESS TO CARE, AND ENSURE AFFORDABILITY. THESE EFFORTS SUPPORTED 13,109 PEOPLE AT A TOTAL ESTIMATED COST OF $523,281 IN FY21. YOUTH DEVELOPMENT JUNIOR ACHIEVEMENT: JUNIOR ACHIEVEMENT IS AN ORGANIZATION THAT EDUCATES YOUTH ABOUT FREE ENTERPRISE WHILE ENCOURAGING THEM TO STAY IN SCHOOL. NGMC PROVIDED SPONSORSHIP TO JUNIOR ACHIEVEMENT, INCLUDING SUPPORT TO THE MIKE AND LYNN COTTRELL DISCOVERY CENTER, WHERE STUDENTS CAN LEARN KEY BUSINESS CONCEPTS TAUGHT IN THE CLASSROOM AND APPLY THEM IN A HIGHLY IMMERSIVE, AUTHENTIC, AND INTERACTIVE SETTING. J.A. PROGRAMMING, EMBEDDED INTO THE CORE CLASSROOM CURRICULUM AND AN AUTHENTIC SIMULATION EXPERIENCE AT THE J.A. DISCOVERY CENTER, SUPPORTS SCHOOL DISTRICTS IN UPDATING THE LEARNING EXPERIENCE. THIS CREATES AN EXPERIENCE THAT IS MORE RELEVANT TO STUDENTS, INCREASING THEIR OVERALL ENGAGEMENT IN SCHOOL, AND LEADS TO INCREASED ACADEMIC PERFORMANCE IN MIDDLE SCHOOL AND BEYOND. NGMC SPONSORSHIP OF J.A. CAME AT THE COST OF $4,500 IN FY21. BOY SCOUTS OF AMERICA: NGMC SUPPORTS BOY SCOUTS OF AMERICA, HELPING FUND PROGRAMS THAT TEACH CHILDREN THE VALUES OF CITIZENSHIP, CHARACTER DEVELOPMENT, AND PERSONAL FITNESS. SUPPORT FOR BOY SCOUTS OF AMERICA CAME AT THE COST OF $4,500 TO NGMC IN FY21. BOYS AND GIRLS CLUBS OF LANIER: NGMC DONATED TO BOYS AND GIRLS CLUB OF LANIER, SUPPORTING YOUTH DEVELOPMENT PROGRAMS FOR CHILDREN AND TEENS IN EDUCATION, ARTS, RECREATION, SPORTS, AND LEADERSHIP. FURTHERING THIS SUPPORT, AN NGMC STAFF MEMBER SERVES ON THE BOARD OF DIRECTORS. NGMC DONATIONS CAME AT THE COST OF $63,000 IN FY21. GIRL SCOUTS OF HISTORIC GEORGIA SUPPORT: NGMC SUPPORTED THE GIRL SCOUTS OF HISTORIC GEORGIA, AN ORGANIZATION SERVING OVER 5,000 GIRLS AGES 5-17 IN 25 COUNTIES ANNUALLY IN NORTHEAST GEORGIA. GIRL SCOUTS IS A VOLUNTEER-BASED ORGANIZATION OFFERING PROGRAMS FOR GIRLS WHERE THEY LEARN SKILLS IN LEADERSHIP. THIS SUPPORT CAME AT THE COST OF $1,080 TO NGMC IN FY21. EDMONDSON-TELFORD CENTER FOR CHILDREN: NGMC PROVIDED DONATIONS TO THE ANNUAL PHIL NIEKRO GOLF CLASSIC, BENEFITING THE EDMONDSON-TELFORD CENTER FOR CHILDREN, A CHILD ADVOCACY CENTER PROVIDING A SAFE, CHILD-FRIENDLY PLACE FOR FORENSIC INTERVIEWS OF CHILD ABUSE VICTIMS. FURTHERING THIS SUPPORT, AN NGMC STAFF MEMBER SITS ON THE BOARD OF DIRECTORS. THIS DONATION AND STAFF TIME PROVIDED TO THE ORGANIZATION CAME AT A COST OF $6,503 TO NGMC IN FY21. INTERACTIVE NEIGHBORHOOD FOR KIDS, INC. (INK): NGHS DONATED CHILDREN'S HOSPITAL GOWNS, MEDICAL BOOKS, AND FACE MASKS TO THE HOSPITAL ROOM IN THE INTERACTIVE CHILDREN'S MUSEUM. INK IS A MUSEUM DESIGNED TO ENCOURAGE CHILDREN OF ALL AGES TO DEVELOP THEIR FULL POTENTIAL THROUGH EXCITING HANDS-ON LEARNING EXPERIENCES. INK STRIVES, THROUGH EXHIBITS, TO CREATE A UNIQUE ENVIRONMENT IN WHICH CHILDREN OF ALL AGES, ABILITIES, AND EXPERIENCES CAN FEEL FREE TO IMAGINE, CREATE, AND EXPLORE BEYOND THEIR DREAMS. NGMC DEVELOPED A HOSPITAL EXHIBIT AT INK TO PROVIDE A HANDS-ON "HOSPITAL" EXPERIENCE FOR CHILDREN AND TO PROMOTE THE IDEA OF CAREERS IN HEALTH SERVICES. THIS SUPPORT FOR INK CAME AT A COST OF APPROXIMATELY $6,000IN FY21. HOSPITAL RESEARCH AND STAFF EDUCATION CLINICAL RESEARCH: IN FY21, NGMC HAD APPROXIMATELY 40 CLINICAL TRIAL RESEARCH STUDIES AVAILABLE TO PATIENTS IN THE COMMUNITY AND ENROLLED APPROXIMATELY 300 PATIENTS IN THESE TRIALS. CANCER STUDIES COVER THE SPECTRUM OF BREAST, LUNG, COLON, PROSTATE, BLADDER, AND THYROID CANCERS, AND STUDIES IN CARDIOLOGY INCLUDE INNOVATIVE THERAPIES AND DEVICES FOR TREATING CARDIOVASCULAR DISEASE. THIS RESEARCH DIRECTLY IMPACTS AND IMPROVES THE STANDARD OF CARE PATIENTS RECEIVE, BENEFITING OVER 300 PEOPLE AT THE COST OF $632,579 FOR NGMC IN FY21.
FORM 990, PART III, LINE 4A	DIVERSITY IN MEDICINE SERIES: THE CME DIVERSITY IN MEDICINE SERIES WAS DEVELOPED TO ADVANCE THE DIVERSITY AND INCLUSION EFFORTS OF NGHS. THE CME DEPARTMENT COORDINATED WITH THE GRADUATE MEDICAL EDUCATION DEPARTMENT, OFFERING A SEVEN-PART INTERACTIVE "DIVERSITY IN MEDICINE" SERIES. THESE VIRTUAL CONVERSATIONS CENTERED ON PROVIDING STRATEGIC APPROACHES TO PROMOTE AND CHAMPION DIVERSITY, EQUITY, AND INCLUSION. THE WEBINAR SERIES INCORPORATED EVIDENCE-BASED STRATEGIES FOCUSING ON WAYS FOR THE ORGANIZATION TO IMPROVE DIVERSITY AND INCLUSION PRACTICES. THE SERIES AIMED TO TRAIN ALL LEARNERS TO TREAT DIVERSE PATIENT POPULATIONS EFFECTIVELY AND DELIVER MORE EQUITABLE CARE TO COMMUNITIES BY ADDRESSING STRUCTURAL RACISM AND INTERPERSONAL BIASES THAT CONTRIBUTE TO INEQUITIES IN HEALTH CARE FOR PATIENTS. THE TOPICS FOR THE SERIES INCLUDED HEALTHCARE DISPARITIES, RACE, AND MEDICINE, CONSCIOUS AND UNCONSCIOUS RACIAL BIASES, STRUCTURAL RACISM IN HEALTHCARE, GENDER HARASSMENT, ANTI-RACISM, AND NEXT STEPS FORWARD. THIS SERIES INCLUDED THE PARTICIPATION OF 1,668 PEOPLE AT A COST OF $9,165 TO NGMC IN FY21. NURSING STUDENT EDUCATION: NGMC COORDINATES ROTATIONS FOR NURSING STUDENTS, INCLUDING FACULTY AND STUDENT ORIENTATION, EDUCATIONAL AFFILIATION AGREEMENT MAINTENANCE, AND COMPLETION OF ALL HEALTH AND LEGAL REQUIREMENTS BEFORE THE FIRST ROTATION. DURING FY21, THERE WERE MORE THAN 1,200 NURSING STUDENTS ON ROTATION AT NGMC. PASTORAL OUTREACH PROGRAMS: CLINICAL PASTORAL EDUCATION (CPE) IS AN EXPERIENCE-BASED EDUCATIONAL LEARNING MODEL FOR THOSE WHO WANT TO EXPLORE THEIR GIFTS OF PASTORAL CARE IN AN INSTITUTIONAL SETTING. THE PROGRAM INVOLVED READINGS, CLASSROOM INSTRUCTION, WRITTEN ASSIGNMENTS, GROUP INTERACTION, INDIVIDUAL AND GROUP SUPERVISION, AND SERVING AS A CHAPLAIN AT THE HOSPITAL. NGMC'S CLINICAL PASTORAL EDUCATION PROGRAM IS ACCREDITED THROUGH THE ASSOCIATION FOR CLINICAL PASTORAL EDUCATION, INC. THE PROGRAM CAME AT A COST OF $79,343 IN FY21, BENEFITING NEARLY 90 PEOPLE. INJURY AND DISEASE PREVENTION GATEWAY DOMESTIC VIOLENCE CENTER: NGMC JOINED THE FIGHT AGAINST DOMESTIC VIOLENCE BY DONATING TO THE GATEWAY DOMESTIC VIOLENCE CENTER. THROUGH CRISIS INTERVENTION, COMPREHENSIVE SUPPORT, AND COMMUNITY COLLABORATION, GATEWAY DOMESTIC VIOLENCE CENTER HELPS CREATE AN ENVIRONMENT FOR CLIENTS THAT OFFERS SAFE, HEALTHY, SELF-SUFFICIENT GROWTH AND VIOLENCE PREVENTION. THIS ASSISTANCE TO GDVC CAME AT A COST OF $6,097 TO NGMC IN FY21. FOOD SYSTEMS GEORGIA MOUNTAIN FOOD BANK SPONSORSHIP: NGMC WAS A PROUD SPONSOR OF THE EMPTY BOWL EVENT AIDING IN SUPPORT OF THE GEORGIA MOUNTAIN FOOD BANK. THIS ORGANIZATION PROVIDES A VITAL LINK BETWEEN SOURCES OF FOOD SUPPLIES AND HARDWORKING COMMUNITY-BASED PARTNER AGENCIES THAT HELP GET THE FOOD INTO THE HANDS OF FAMILIES AND INDIVIDUALS WHO NEED IT. THIS SPONSORSHIP CAME AT A COST OF $1,350 IN FY21. DONATIONS/COMMUNITY SUPPORT JOHN JARRARD FOUNDATION SUPPORT: NGMC DONATED TO THE JOHN JARRARD FOUNDATION, AN ORGANIZATION SUPPORTING THE BOYS AND GIRLS CLUB OF HALL COUNTY, GOOD NEWS CLINICS, GOOD NEWS AT NOON SHELTER, AND THE GEORGIA MOUNTAIN FOOD BANK. THIS DONATION CAME AT A COST OF $18,000 TO NGMC IN 2021. OFFICE SPACE PROVIDED TO AMERICAN RED CROSS: NGMC PROVIDED OFFICE SPACE TO THE AMERICAN RED CROSS IN 2021 AT A VALUE OF $12,959. RIVERSIDE MILITARY ACADEMY: NGMC HELPED FUND THE RMA FOUNDATION ENDOWED SCHOLARSHIP, PROVIDING CADETS WITH DEMONSTRATED FINANCIAL NEED TUITION ASSISTANCE. THIS FUNDING CAME AT A COST OF $2,250 TO NGMC IN FY21. SPORTS MEDICINE ATHLETIC CARE: THE SPORTS MEDICINE ATHLETIC TRAINING DEPARTMENT PROVIDED MEDICAL CARE TO 12 LOCAL HIGH SCHOOLS, THREE LOCAL UNIVERSITIES, AND MANY OTHER LOCAL SPORTS VENUES, PROGRAMS, AND DEPARTMENTS. THE TRAINERS PROVIDE THIS CARE DURING PRACTICES AND GAMES THROUGHOUT THE YEAR. THEY PROVIDE INJURY ASSESSMENT, REHABILITATION, TAPING/BRACING, EXERCISE PRESCRIPTION, ENVIRONMENTAL AWARENESS (HEAT AND LIGHTNING), CONCUSSION MANAGEMENT, CPR TRAINING, NUTRITIONAL SPEECHES, AND EMERGENCY COVERAGE AT COMMUNITY EVENTS. SINCE THERE IS A PARTIAL MARKETING VALUE, STAFF TIME IS ONLY COUNTED AT 30 PERCENT. HISPANIC ALLIANCE GEORGIA: NGMC PROVIDED A SPONSORSHIP TO THE HISPANIC ALLIANCE OF $2,700 IN FY21. WOMEN'S SUPPORT JUNIOR LEAGUE OF GAINESVILLE AND HALL COUNTY: NGMC SUPPORTED THE JUNIOR LEAGUE OF GAINESVILLE AND HALL COUNTY. SERVING AN EXCLUSIVELY EDUCATIONAL AND CHARITABLE PURPOSE, THE ORGANIZATION OF WOMEN COMMITS TO PROMOTING VOLUNTARISM, DEVELOPING THE POTENTIAL OF WOMEN, AND IMPROVING COMMUNITIES THROUGH THE EFFECTIVE ACTION AND LEADERSHIP OF TRAINED VOLUNTEERS. THIS SUPPORT CAME AT A COST OF $2,700 TO NGMC IN FY21. WOMENSOURCE SPONSORSHIP: NGMC SPONSORED WOMENSOURCE, A NON-PROFIT ORGANIZATION DESIGNED TO HELP WOMEN SUCCEED PROFESSIONALLY AND PERSONALLY WITH EDUCATION ON HEALTH AND FINANCES. AN NGMC STAFF MEMBER SITS ON THE BOARD OF DIRECTORS. THIS SPONSORSHIP TO THE ORGANIZATION CAME AT A COST OF $13,633 TO NGMC IN FY21.
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 A, LINE 6	NORTHEAST GEORGIA HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST GEORGIA MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER IS APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER IS APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.
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	CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 148,333,940. MANAGEMENT AND GENERAL EXPENSES 10,295,020. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,628,960. OTHER MGMT FEES: PROGRAM SERVICE EXPENSES 1,131,982. MANAGEMENT AND GENERAL EXPENSES 78,564. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,210,546.
FORM 990, PART XI, LINE 9:	INTERCOMPANY DEBT FORGIVENESS -60,873,864. PARTNERSHIP INCOME NOT ON BOOKS -96,142. OTHER ADJUSTMENT -383,824. NET ASSETS TRANSFERRED FOR CAPITAL EXPENDITURES 2,902,293.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTHECONNECTIONS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	743 SPRING STREET	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30501	ZIPCd

Field	Value	IRS element (for citing)
EIN	581694098	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	GA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt
Direct Controlling NA	N/A	DirectControllingNACd

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NORTHEAST GEORGIA HEALTH SYSTEM INC
743 SPRING STREET	GAINESVILLE	GA	30501	581694090	HEALTHCARE - PARENT ORG.	GA	501(C)(3)	LINE 12C, III-FI	N/A	Yes (1)
THE MEDICAL CENTER FOUNDATION DBA NGHS FOUNDATION
743 SPRING STREET	GAINESVILLE	GA	30501	581694820	FUNDRAISING AND SUPPORT	GA	501(C)(3)	LINE 7		Yes (1)	NORTHEAST GEORGIA HEALTH SYSTEM INC
NORTHEAST GEORGIA PHYSICIANS GROUP INC
743 SPRING STREET	GAINESVILLE	GA	30501	582078064	HEALTHCARE	GA	501(C)(3)	LINE 12B, II		Yes (1)	NORTHEAST GEORGIA HEALTH SYSTEM INC
THE MEDICAL CENTER AUXILIARY INC
743 SPRING STREET	GAINESVILLE	GA	30501	581550576	FUNDRAISING AND SUPPORT	GA	501(C)(3)	LINE 10		Yes (1)	NORTHEAST GEORGIA HEALTH SYSTEM INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
NORTHEAST GEORGIA HEALTH PARTNERS LLC
743 SPRING STREET	GAINESVILLE	GA	30501	582131807	PPO DEVELOPMENT	GA	N/A	C	0
NORTHEAST GEORGIA HEALTH PARTNERS NETWORK LLC
743 SPRING STREET	GAINESVILLE	GA	30501	611972705	PPO DEVELOPMENT	GA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd