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NORTHSIDE HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NORTHSIDE HOSPITAL INC (EIN 58-1954432)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-14
IRS object ID
201902269349302595
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-14T19:18:50-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621517792PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PYA P CBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12220 SUTHERLAND AVEAddressLine1Txt
CityKNOXVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37919ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581954432EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHSIDE HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone4048518000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 JOHNSON FERRY ROAD NEAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303421611ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHANNON A BANNAPersonNm
Person TitleCFOPersonTitleTxt
Phone4048518000PhoneNum
Signature2019-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEBORAH O ERNSBERGERPreparerPersonNm
PTINP00364912PTIN
Phone8656730844PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address35.136.33.75IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-14IPDt
IP Tm19:18:44IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdAF23F2A68CFF53983216DF8908F842EE3670BFA3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT T QUATTROCCHIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 JOHNSON FERRY ROAD NEAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303421611ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,317,812,801GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHSIDE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO BE A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee17601TotalEmployeeCnt
Total Volunteers980TotalVolunteersCnt
Total Gross UBI$17,604,049TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,997,899PYContributionsGrantsAmt
CY Contributions Grants$1,020,392CYContributionsGrantsAmt
PY Program Service Revenue$3,068,195,685PYProgramServiceRevenueAmt
CY Program Service Revenue$3,252,869,985CYProgramServiceRevenueAmt
PY Investment Income$13,764,887PYInvestmentIncomeAmt
CY Investment Income$21,815,756CYInvestmentIncomeAmt
PY Other Revenue$20,700,814PYOtherRevenueAmt
CY Other Revenue$42,106,668CYOtherRevenueAmt
PY Total Revenue$3,104,659,285PYTotalRevenueAmt
CY Total Revenue$3,317,812,801CYTotalRevenueAmt
PY Grants And Similar Paid$2,592,059PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,075,702CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,162,937,054PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,283,592,604CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,733,097,975PYOtherExpensesAmt
CY Other Expenses$1,868,926,366CYOtherExpensesAmt
PY Total Expenses$2,898,627,088PYTotalExpensesAmt
CY Total Expenses$3,155,594,672CYTotalExpensesAmt
PY Revenues Less Expenses$206,032,197PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$162,218,129CYRevenuesLessExpensesAmt
Total Assets BOY$2,402,828,834TotalAssetsBOYAmt
Total Assets EOY$2,726,110,697TotalAssetsEOYAmt
Total Liabilities BOY$860,577,883TotalLiabilitiesBOYAmt
Total Liabilities EOY$917,238,461TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,542,250,951NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,808,872,236NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNORTHSIDE HOSPITAL, INC. ("NORTHSIDE") IS COMMITTED TO THE HEALTH AND WELLNESS OF OUR COMMUNITY. AS SUCH, WE DEDICATE OURSELVES TO BEING A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE. WE PLEDGE COMPASSIONATE SUPPORT, PERSONAL GUIDANCE AND UNCOMPROMISING STANDARDS TO OUR PATIENTS IN THEIR JOURNEYS TOWARD HEALTH OF BODY AND MIND. TO ENSURE INNOVATIVE AND UNSURPASSED CARE FOR OUR PATIENTS, WE ARE DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. TO ENHANCE THE WELLNESS OF OUR COMMUNITY, WE COMMIT OURSELVES TO PROVIDING A DIVERSE ARRAY OF EDUCATIONAL AND OUTREACH PROGRAMS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,471,239,365ExpenseAmt
Grant$3,075,702GrantAmt
Revenue$3,289,872,356RevenueAmt
DescAS NOTED IN ITS MISSION, NORTHSIDE IS DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. THESE SELECT SPECIALTIES, OR PROGRAM SERVICES, INCLUDE EMERGENCY SERVICES, ONCOLOGY SERVICES, RADIOLOGY SERVICES, SURGICAL SERVICES, AND WOMEN'S SERVICES. IN FURTHERANCE OF ITS CHARITABLE MISSION, NORTHSIDE INVESTED IN THE CONTINUED GROWTH, EXPANSION, AND INCREASED ACCESS TO THESE VITAL PROGRAM SERVICES.SEE SCHEDULE O FOR CONTINUATIONDesc
Total Program Service Expenses$2,471,239,365TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1646IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee17601EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHANNON A BANNABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4048518000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 JOHNSON FERRY ROADAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30342ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANTHONY J SALVATORE
BOARD MEMBER1.001.00Yes (X)$0$0$0
WILLIAM G HASTY JR
BOARD MEMBER1.00Yes (X)$0$0$0
WAYNE L AMBROZE MD
BOARD MEMBER40.00Yes (X)$513,794$0$21,500
ROBERT E WHITLEY ESQ
BOARD MEMBER1.001.00Yes (X)$0$0$0
K DOUGLAS SMITH MD
BOARD MEMBER1.001.00Yes (X)$0$0$0
MARK J SWEENEY
BOARD MEMBER1.001.00Yes (X)$0$0$0
DALE M BEARMAN MD
BOARD MEMBER1.001.00Yes (X)$0$0$0
BARBARA PARE'
BOARD MEMBER1.001.00Yes (X)$0$0$0
GENEVIEVE FAIRBROTHER MD
BOARD MEMBER1.00Yes (X)$0$0$0
IQBAL GARCHA MD
BOARD MEMBER1.00Yes (X)$0$0$0
ROBERT T QUATTROCCHI
PRESIDENT & CEO NSH, INC.40.001.00Yes (X)$4,867,995$0$35,387Yes (X)
JORGE J HERNANDEZ
VICE PRESIDENT/ASST. SECRE40.00$574,173$0$15,826Yes (X)
DEBORAH S MITCHAM
VP/CFO NSH, INC. (FORMER)40.001.00$888,644$0$20,562Yes (X)
SHANNON BANNA
VP/CFO NSH, INC. (CURRENT)40.001.00$316,056$0$11,726Yes (X)
WILLIAM HAYES
CEO, NORTHSIDE HOSPITAL-CH40.00$544,994$0$35,069Yes (X)
JANIS DUBOW
VICE PRESIDENT40.00$501,521$0$14,534Yes (X)
ROBERT PUTNAM
VICE PRESIDENT40.00$869,614$0$22,756Yes (X)
TINA WAKIM
VICE PRESIDENT/COO40.00$1,028,523$0$13,236Yes (X)
WILLIAM EARLY MD
GASTROENTEROLOGY/INTERNAL40.00$929,505$0$26,902Yes (X)
GERALD FEUER MD
GYNECOLOGIST/SURGEON40.00$868,452$0$35,369Yes (X)
KENNETH KRESS MD
ORTHOPEDIC SURGEON40.00$1,196,326$0$21,913Yes (X)
CHARLES DECOOK MD
ORTHOPEDIC SURGEON40.00$1,536,210$0$34,195Yes (X)
NANCY WIGGERS MD
RADIATION ONCOLOGIST40.00$854,382$0$35,405Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,490,189TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$344,380TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1536IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GEORGIA CANCER SPECIALISTS I PC
1835 SAVOY DRIVE STE 300ATLANTAGA30342SEE SCHEDULE O$46,230,884
AGA LLC
550 PEACHTREE ST STE 1620ATLANTAGA30308SEE SCHEDULE O$26,607,208
BAKER & HOSTETLER LLP
1170 PEACHTREE STREET NE STE 2400ATLANTAGA30309LEGAL SERVICES$20,652,499
ATLANTA CANCER CARE PC
1100 JOHNSON FERRY ROAD STE 150SANDY SPRINGSGA30342SEE SCHEDULE O$19,828,944
GE HEALTHCARE INC
1575 NORTHSIDE DR NW 305ATLANTAGA30318BIOMEDICAL SERVICES$11,582,248
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K379CntrctRcvdGreaterThan100KCnt
Related Organizations$430,541RelatedOrganizationsAmt
Government Grants$282,641GovernmentGrantsAmt
All Other Contributions$307,210AllOtherContributionsAmt
Total Contributions$1,020,392TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT REVENUE621990$3,216,877,020$3,094,515,350$9,220,431$113,141,239
RENTAL INCOME531120$17,472,805$17,472,805
BILLING REVENUE561000$6,434,111$3,279,321$3,154,790
PARKING REVENUE812930$5,924,394$5,924,394
CAFETERIA & VENDING722210$5,241,431$5,241,431

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$920,224TotalRevenueColumnAmt
Exclusion$920,224ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,252,869,985TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,815,756TotalRevenueColumnAmt
Exclusion$21,815,756ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MISCELLANEOUS900099$37,890,014$34,940,806$2,949,208
PASSTHROUGH INVESTMENT621300$4,216,654$2,061,565$2,155,089
FieldValueIRS element (for citing)
Other Revenue Total$42,106,668OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,317,812,801TotalRevenueColumnAmt
Related Or Exempt Func Income$3,148,990,526RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$17,604,049UnrelatedBusinessRevenueAmt
Exclusion$150,197,834ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,056,130TotalAmt
Program Services$3,056,130ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$19,572TotalAmt
Program Services$19,572ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$13,038,487TotalAmt
Program Services$9,969,519ProgramServicesAmt
Management And General$3,068,968ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,012,022,028TotalAmt
Program Services$773,814,665ProgramServicesAmt
Management And General$238,207,363ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$54,706,064TotalAmt
Program Services$41,829,479ProgramServicesAmt
Management And General$12,876,585ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$133,296,567TotalAmt
Program Services$101,921,535ProgramServicesAmt
Management And General$31,375,032ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$70,529,458TotalAmt
Program Services$53,928,400ProgramServicesAmt
Management And General$16,601,058ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$20,422,646TotalAmt
Program Services$20,422,646ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,889,401TotalAmt
Management And General$33,889,401ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$997,131TotalAmt
Program Services$1,454ProgramServicesAmt
Management And General$995,677ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,843,661TotalAmt
Management And General$2,843,661ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$471,545,594TotalAmt
Program Services$320,835,541ProgramServicesAmt
Management And General$150,710,053ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,753,609TotalAmt
Program Services$403,590ProgramServicesAmt
Management And General$12,350,019ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$56,087,522TotalAmt
Program Services$38,895,823ProgramServicesAmt
Management And General$17,191,699ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$23,539,159TotalAmt
Program Services$3,866,108ProgramServicesAmt
Management And General$19,673,051ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$88,090,028TotalAmt
Program Services$62,459,061ProgramServicesAmt
Management And General$25,630,967ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,588,829TotalAmt
Program Services$1,057,918ProgramServicesAmt
Management And General$1,530,911ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,433,096TotalAmt
Program Services$999,424ProgramServicesAmt
Management And General$433,672ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,125,927TotalAmt
Management And General$6,125,927ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$133,680,108TotalAmt
Program Services$86,207,346ProgramServicesAmt
Management And General$47,472,762ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$45,501,294TotalAmt
Program Services$725,697ProgramServicesAmt
Management And General$44,775,597ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$760,474,360$756,607,968$3,866,392
BAD DEBT EXPENSE$154,013,312$153,960,784$52,528
MINOR EQUIPMENT PURCHAS$13,151,898$8,451,447$4,700,451
RECRUITMENT$5,061,837$65,049$4,996,788

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$36,726,954TotalAmt
Program Services$31,740,209ProgramServicesAmt
Management And General$4,986,745ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,155,594,672TotalAmt
Program Services$2,471,239,365ProgramServicesAmt
Management And General$684,355,307ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$55,560BOYAmt
EOY$61,314EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$448,992,646BOYAmt
EOY$473,740,545EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$252,402BOYAmt
EOY$309,315EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$212,969,478BOYAmt
EOY$218,774,559EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$126,630BOYAmt
EOY$159,474EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$48,666,545BOYAmt
EOY$53,149,179EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$47,586,833BOYAmt
EOY$36,074,069EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,546,431,502LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,281,573,717LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$995,709,893BOYAmt
EOY$1,264,857,785EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$294,301,580BOYAmt
EOY$324,565,957EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$291,865,649BOYAmt
EOY$282,050,766EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$62,301,618BOYAmt
EOY$72,367,734EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,402,828,834BOYAmt
EOY$2,726,110,697EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$424,592,663BOYAmt
EOY$488,148,491EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,713,490BOYAmt
EOY$1,986,595EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$60,000,000BOYAmt
EOY$89,491,897EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$374,271,730BOYAmt
EOY$337,611,478EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$860,577,883BOYAmt
EOY$917,238,461EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,542,250,951BOYAmt
EOY$1,808,872,236EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,542,250,951BOYAmt
EOY$1,808,872,236EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,402,828,834BOYAmt
EOY$2,726,110,697EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$162,218,129ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$16,950,708NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$87,452,448OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$636,986OtherActivitiesAmt
Total Lobbying Expenditures$636,986TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationNORTHSIDE HOSPITAL, INC. PAYS MEMBERSHIP DUES TO PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION, GEORGIA HOSPITAL ASSOCIATION, AND THE GEORGIA ALLIANCE FOR COMMUNITY HOSPITALS. A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. NORTHSIDE HOSPITAL, INC. DOES NOT DIRECT ANY OF THESE ORGANIZATIONS' LOBBYING ACTIVITIES. IN ADDITION, CONNECT SOUTH, A SERVICE VENDOR, IS RETAINED TO MONITOR LEGISLATION IN THE GEORGIA GENERAL ASSEMBLY. FOR FY18, THERE WAS AN INCREASE IN THE DOLLAR AMOUNT FOR LOBBYING REPORTED ON PART II-B, LINE 1I OVER THE PRIOR YEAR. THE INCREASE IS DUE TO TWO YEARS OF INVOICES THAT WERE PAID DURING FY18 AND IS NOT DUE TO AN INCREASE IN LOBBYING ACTIVITY BY NORTHSIDE HOSPITAL, INC.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,083,135BeginningYearBalanceAmt
Contributions$2,049,190ContributionsAmt
Investment Earnings Or Losses$185,144InvestmentEarningsOrLossesAmt
Other Expenditures$1,137,100OtherExpendituresAmt
End Year Balance$10,180,369EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,616,383BeginningYearBalanceAmt
Contributions$1,701,861ContributionsAmt
Investment Earnings Or Losses$150,580InvestmentEarningsOrLossesAmt
Other Expenditures$1,385,689OtherExpendituresAmt
End Year Balance$9,083,135EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,742,074BeginningYearBalanceAmt
Contributions$1,758,394ContributionsAmt
Investment Earnings Or Losses$128,084InvestmentEarningsOrLossesAmt
Other Expenditures$1,012,169OtherExpendituresAmt
End Year Balance$8,616,383EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,079,636BeginningYearBalanceAmt
Contributions$1,525,651ContributionsAmt
Investment Earnings Or Losses$114,920InvestmentEarningsOrLossesAmt
Other Expenditures$978,133OtherExpendituresAmt
End Year Balance$7,742,074EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,044,190BeginningYearBalanceAmt
Contributions$1,352,241ContributionsAmt
Investment Earnings Or Losses$117,482InvestmentEarningsOrLossesAmt
Other Expenditures$1,434,277OtherExpendituresAmt
End Year Balance$7,079,636EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.30460PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.69540TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$278,637,757OtherCostOrOtherBasisAmt
Book Value$278,637,757BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,421,482,101OtherCostOrOtherBasisAmt
Depreciation$697,624,795DepreciationAmt
Book Value$723,857,306BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$716,645,981OtherCostOrOtherBasisAmt
Depreciation$583,948,922DepreciationAmt
Book Value$132,697,059BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$129,665,663OtherCostOrOtherBasisAmt
Book Value$129,665,663BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,264,857,785TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
FAS 106 ACCRUAL$1,490,851
RESERVE FOR MALPRACTICE$137,735,302
RETIREMENT PLAN OBLIGATIONS$94,204,381
PERIODIC CAPITAL FINANCING LIABILITY$3,554,099
REAL ESTATE FINANCING LIABILITY$62,608,696
RENT/LEASE RELATED LIABILITIES$38,018,149
FieldValueIRS element (for citing)
Total Liability$337,611,478TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:NORTHSIDE HOSPITAL, INC. AND NORTHSIDE HOSPITAL FOUNDATION, INC. HAVE ENDOWMENT FUNDS THAT CONSIST OF 40 DONOR-RESTRICTED INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ORGANIZATIONS ADOPTED A POLICY REGARDING THE ENDOWMENTS WHOSE GENERAL PURPOSE IS TO PRESERVE THE CAPITAL AND PURCHASING POWER OF THE ORGANIZATIONS AND TO PRODUCE SUFFICIENT INVESTMENT EARNINGS FOR CURRENT AND FUTURE SPENDING NEEDS.
PART X, LINE 2:NORTHSIDE HOSPITAL, INC., AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, AND INDEPENDENT AUDITOR'S REPORT: NORTHSIDE QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other125.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$139,656,024TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$139,656,024NetCommunityBenefitExpnsAmt
Total Expense0.04650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$219,215,980TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$156,668,248DirectOffsettingRevenueAmt
Net Community Benefit Expns$62,547,732NetCommunityBenefitExpnsAmt
Total Expense0.02080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$358,872,004TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$156,668,248DirectOffsettingRevenueAmt
Net Community Benefit Expns$202,203,756NetCommunityBenefitExpnsAmt
Total Expense0.06730TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs48ActivitiesOrProgramsCnt
Persons Served226302PersonsServedCnt
Total Community Benefit Expns$1,666,856TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$257,286DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,409,570NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served429PersonsServedCnt
Total Community Benefit Expns$990,996TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$92,096DirectOffsettingRevenueAmt
Net Community Benefit Expns$898,900NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$161,974TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$161,974NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served666PersonsServedCnt
Total Community Benefit Expns$1,225,281TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$370,244DirectOffsettingRevenueAmt
Net Community Benefit Expns$855,037NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served37000PersonsServedCnt
Total Community Benefit Expns$4,692,034TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,692,034NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs63ActivitiesOrProgramsCnt
Persons Served264397PersonsServedCnt
Total Community Benefit Expns$8,737,141TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$719,626DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,017,515NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs63ActivitiesOrProgramsCnt
Persons Served264397PersonsServedCnt
Total Community Benefit Expns$367,609,145TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$157,387,874DirectOffsettingRevenueAmt
Net Community Benefit Expns$210,221,271NetCommunityBenefitExpnsAmt
Total Expense0.07010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served5987PersonsServedCnt
Total Community Benefit Expns$43,507TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$43,507NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,498TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,498NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served62PersonsServedCnt
Total Community Benefit Expns$12,920TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,300DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,620NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,163TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$75,163NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served6049PersonsServedCnt
Total Community Benefit Expns$133,088TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,300DirectOffsettingRevenueAmt
Net Community Benefit Expns$123,788NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$34,126,212BadDebtExpenseAmt
Reimbursed By Medicare$341,338,793ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$443,953,115CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$102,614,322MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (16 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 GWINNETT ENDOSCOPY CENTER PC
OUTPATIENT CENTER0.150000.85000
2 MIDTOWN ENDOSCOPY CENTER LLC
OUTPATIENT CENTER0.150000.85000
3 NORTHERN CRESCENT ENDOSCOPY SUITE LLC
OUTPATIENT CENTER0.700000.30000
4 NORTHWEST ENDOSCOPY CENTER LLC
OUTPATIENT CENTER0.150000.85000
5 SOUTHERN CRESCENT ENDOSCOPY CENTER SUITE PC
OUTPATIENT CENTER0.150000.85000
6 WOODSTOCK ENDOSCOPY CENTER LLC
OUTPATIENT CENTER0.700000.30000
7 WEST METRO ENDOSCOPY CENTER LLC
OUTPATIENT CENTER0.150000.85000
8 ENT SURGERY CENTER OF ATLANTA LLC
AMBULATORY SURGERY0.643300.35670
9 PEACHTREE ORTHOPAEDIC SURGERY CENTER AT PERIMETER LLC
AMBULATORY SURGERY0.150000.71260
10 UROLOGY SURGICAL PARTNERS LLC
AMBULATORY SURGERY0.700000.30000
11 THE HAND & UPPER EXTREMITY SURGERY CENTER OF GA LLC
AMBULATORY SURGERY0.510000.19000
12 NASA SURGERY CENTER LLC
AMBULATORY SURGERY0.700000.30000
13 SOVEREIGN REHABILITATION OF GEORGIA LLC
REHABILITATION CENTER0.880000.12000
14 PANOLA ENDOSCOPY CENTER LLC
OUTPATIENT CENTER0.150000.85000
15 AOA AMC LLC
ONCOLOGY CLINIC0.490000.51000
16 ADVANCED CENTER FOR JOINT SURGERY LLC
ORTHOPEDIC SURGERY0.510000.49000
FieldValueIRS element (for citing)
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
NORTHSIDE HOSPITAL
11000 JOHNSON FERRY ROADATLANTAGA30342060-604Yes (X)Yes (X)Yes (X)A
NORTHSIDE HOSPITAL - FORSYTH
21200 NORTHSIDE FORSYTH DRIVECUMMINGGA30041058-604Yes (X)Yes (X)Yes (X)A
NORTHSIDE HOSPITAL - CHEROKEE
3450 NORTHSIDE CHEROKEE BLVDCANTONGA30115028-552Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
OtherYes (X)OtherInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.NORTHSIDE.COM/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.NORTHSIDE.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.NORTHSIDE.COMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.NORTHSIDE.COMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: NORTHSIDE HOSPITAL, - FACILITY 2: NORTHSIDE HOSPITAL - FORSYTH, - FACILITY 3: NORTHSIDE HOSPITAL - CHEROKEE
GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 3J:NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") COMPLETED A CHNA FOR EACH OF ITS HOSPITAL FACILITIES IDENTIFIED IN PART V, SECTION A. IN COMPLETING THE CHNAS FOR ITS HOSPITAL FACILITIES, NORTHSIDE DID NOT ENCOUNTER ANY INFORMATION GAPS THAT LIMITED ITS ABILITY TO ASSESS EACH HOSPITAL FACILITY'S COMMUNITY NEED. IN ADDITION TO THE INFORMATION LISTED ABOVE, NORTHSIDE DESCRIBES IN THE CHNAS EACH COMMUNITY'S ACCESS TO HEALTH CARE AND PROVIDES AN OVERVIEW OF EACH HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY.
GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 5:NORTHSIDE IDENTIFIED COMMUNITY STAKEHOLDERS WHO BROADLY REPRESENTED THE INTERESTS OF EACH HOSPITAL FACILITY'S COMMUNITY AND SPECIFICALLY SOUGHT TO IDENTIFY STAKEHOLDERS WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH. NORTHSIDE THEN DEVELOPED THE STAKEHOLDER ASSESSMENT DISCUSSION GUIDE (A COPY OF WHICH IS INCLUDED AS APPENDIX A IN EACH HOSPITAL FACILITY'S CHNA) AND CONDUCTED, EITHER IN PERSON OR BY TELEPHONE, INTERVIEWS WITH A QUALIFIED REPRESENTATIVE OF EACH IDENTIFIED STAKEHOLDER. THE FOLLOWING IS A COMPREHENSIVE LIST OF ORGANIZATIONS NORTHSIDE CONTACTED TO HELP IDENTIFY THE NEEDS OF THE HOSPITAL FACILITIES' COMMUNITY NEEDS: (1) MARCH OF DIMES, (2) GOOD SAMARITAN HEALTH CENTER OF ATLANTA, (3) GOOD SAMARITAN HEALTH CENTER OF COBB, (4) VISITING NURSE HEALTH SYSTEM, (5) FORSYTH HEALTH DEPARTMENT, (6) GEORGIA HIGHLANDS MEDICAL SERVICES, (7) GOOD SHEPHERD CLINIC OF DAWSON COUNTY, (8) BETHESDA COMMUNITY CLINIC, (9) GOOD SAMARITAN HEALTH CENTER OF PICKENS, (10) UNITED WAY OF CHEROKEE COUNTY, (11) HOMESTRETCH, (12) M.U.S.T. MINISTRIES, (13) UNITED WAY OF FORSYTH COUNTY, (14) NORTH FULTON COMMUNITY CHARITIES, (15) NORTH FULTON SENIOR SERVICES, (16) UNITED WAY OF GREATER ATLANTA, (17) CITY OF SANDY SPRINGS, (18) CHEROKEE COUNTY MANAGER, (19) CHEROKEE COUNTY SCHOOLS, (20) CITY OF CUMMING, (21) CITY OF CANTON, (22) CHEROKEE COUNTY CHAMBER OF COMMERCE, (23) PICKENS CHAMBER OF COMMERCE, AND (24) CUMMING/FORSYTH CHAMBER OF COMMERCE.
GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 6A:THE NORTHSIDE HOSPITAL, INC. SYSTEM COMPRISES THREE HOSPITAL FACILITIES: (1) NORTHSIDE HOSPITAL-ATLANTA, (2) NORTHSIDE HOSPITAL-CHEROKEE AND (3) NORTHSIDE HOSPITAL-FORSYTH. NORTHSIDE UTILIZED SIMILAR RESOURCES, PROCESSES AND PROCEDURES IN CONDUCTING ITS HOSPITAL FACILITIES' CHNAS; ADDITIONALLY, THE CHNAS WERE CONDUCTED SIMULTANEOUSLY.
GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 11:BASED ON THE RESULTS OF NORTHSIDE'S 2016 CHNA, NORTHSIDE HOSPITAL, INC. ADOPTED AN IMPLEMENTATION STRATEGY WHICH OUTLINED SEVERAL INITIATIVES TO HELP ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE COMMUNITY. AS SET FORTH IN THE 2016 CHNA, NORTHSIDE IS UNABLE TO ADDRESS EACH IDENTIFIED COMMUNITY NEED DUE TO AVAILABILITY OF RESOURCES, MAGNITUDE/SEVERITY OF THE ISSUES IDENTIFIED, AND EXISTING RESOURCES ALREADY AVAILABLE TO MEET SUCH NEEDS. THE NEEDS THAT WILL NOT BE ADDRESSED DIRECTLY FOLLOW: (1) RESPIRATORY DISEASE & SMOKING, (2) AFFORDABILITY, ACCESS TO CARE & UNINSURED, (3) PRIMARY CARE, (4) MENTAL HEALTH/ADDICTION, AND (5) HIV/AIDS.A DETAILED ANALYSIS OF WHY EACH OF THESE NEEDS WILL NOT BE ADDRESSED IS INCLUDED IN NORTHSIDE'S CHNA.
GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 20E:NORTHSIDE FOLLOWS A VERY DETAILED AND ROBUST PROCESS PRIOR TO INITIATING ECAS. AS INDICATED IN RESPONSE TO QUESTION 20, NORTHSIDE (1) PROVIDES A WRITTEN NOTICE ABOUT UPCOMING ECAS AND A PLAIN LANGUAGE SUMMARY OF THE FAP AT LEAST 30 DAYS BEFORE INITIATING ANY ECAS, (2) NORTHSIDE MAKES REASONABLE EFFORTS TO ORALLY (AND VIA OTHER MEANS) NOTIFY INDIVIDUALS ABOUT THE FAP AND FAP APPLICATION PROCESS, AND (3) NORTHSIDE MAKES PRESUMPTIVE ELIGIBILITY DETERMINATIONS TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE. NORTHSIDE PROMPTLY PROCESSES ALL COMPLETE FAP APPLICATIONS. NORTHSIDE ALSO EVALUATES ALL INCOMPLETE FAP APPLICATIONS, AND IN CONNECTION WITH SUCH INCOMPLETE APPLICATIONS, TAKES THE FOLLOWING STEPS: IF NORTHSIDE DETERMINES THAT A PATIENT HAS SUBMITTED AN INCOMPLETE FAP APPLICATION, NORTHSIDE WILL (A) IMMEDIATELY SUSPEND ANY ECAS THAT MAY HAVE BEEN INITIATED AGAINST THE PATIENT AFTER THE EXPIRATION OF THE NOTIFICATION PERIOD BUT BEFORE THE EXPIRATION OF THE APPLICATION PERIOD; (B) PROVIDE THE PATIENT WITH WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION AND/OR DOCUMENTATION THE INDIVIDUAL MUST SUBMIT TO COMPLETE THE FAP APPLICATION AND INCLUDE A COPY OF THE FAP WITH THE WRITTEN NOTICE; AND (C) MAKE A NOTE IN THE BILLING SYSTEM INDICATING THAT ECAS SHOULD NOT BE INITIATED (OR RE-INITIATED) ON THE PATIENT'S ACCOUNT UNTIL THE EXPIRATION OF THE APPLICATION PERIOD, AND ONLY IF AT THAT POINT THE PATIENT HAS NOT SUBMITTED THE NECESSARY INFORMATION TO COMPLETE THE FAP APPLICATION. NORTHSIDE DEFINES THE NOTIFICATION PERIOD" TO MEAN THE PERIOD DURING WHICH IT MUST NOTIFY AN INDIVIDUAL ABOUT THE FAP AND BEGINS ON THE DATE THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE WAS PROVIDED TO THE PATIENT AND ENDS ON THE 120TH DAY AFTER THE PATIENT WAS PROVIDED WITH THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE. NORTHSIDE DEFINES THE "APPLICATION PERIOD" TO MEAN THE PERIOD DURING WHICH NORTHSIDE MUST ACCEPT AND PROCESS A FAP APPLICATION SUBMITTED BY A PATIENT. THE "APPLICATION PERIOD" BEGINS ON THE DATE CARE IS PROVIDED TO THE PATIENT AND ENDS ON THE LATER OF THE 240TH DAY AFTER THE DATE THAT THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE IS PROVIDED OR EITHER (I) IN THE CASE OF INDIVIDUAL WHO NORTHSIDE HAS PROVIDED A NOTICE OF AT LEAST 30 DAYS PRIOR TO INITIATING ONE OR MORE ECAS, THE 30TH DAY AFTER THE DATE SUCH NOTICE IS PROVIDED, OR (II) IN THE CASE OF A PATIENT WHO NORTHSIDE HAS PRESUMPTIVELY DETERMINED TO BE ELIGIBLE FOR LESS THAN THE MOST GENEROUS ASSISTANCE AVAILABLE UNDER NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM, A REASONABLE TIME AFTER THE PATIENT HAS HAD A CHANCE TO APPLY FOR MORE GENEROUS FINANCIAL ASSISTANCE.
FieldValueIRS element (for citing)
Facility156FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (156 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - NORTHSIDE HOSPITAL CANCER INSTITUTE
308 COLISEUM DRIVE SUITE 120MACONGA31217PHYSICIAN SERVICES/ OUTPATIENT SERVICES
2 - NORTHSIDE HOSPITAL CANCER INSTITUTE
125 KING AVENUE SUITE 200ATHENSGA30606PHYSICIAN SERVICES/ OUTPATIENT SERVICES
3 - NORTHSIDE HOSPITAL CANCER INSTITUTE
624 MARTIN LUTHER KING JR DRIVEMILLEDGEVILLEGA31061PHYSICIAN SERVICES/ OUTPATIENT SERVICES
4 - NORTHSIDE HOSPITAL CANCER INSTITUTE
308 DEEP SOUTH FARM ROAD SUITE 200BLAIRSVILLEGA30512PHYSICIAN SERVICES/ OUTPATIENT SERVICES
5 - NORTHSIDE HOSPITAL CANCER INSTITUTE
747 SOUTH 8TH STREET SUITE CGRIFFINGA30224PHYSICIAN SERVICES/ OUTPATIENT SERVICES
6 - NORTHSIDE HOSPITAL CANCER INSTITUTE
101 RIVERSTONE VISTA SUITE 102BLUE RIDGEGA30513PHYSICIAN SERVICES/ OUTPATIENT SERVICES
7 - LAUREATE MEDICAL GROUP
6135 BARFIELD ROADATLANTAGA30328PHYSICIAN SERVICES
8 - MEDICAL ASSOCIATES OF NORTH GEORGIA
320 HOSPITAL ROADCANTONGA30114PHYSICIAN SERVICES
9 - NORTHSIDE HOSPITAL CANCER INSTITUTE
1000 COWLES CLINIC WAY - MAGNOLIAGREENSBOROGA30642PHYSICIAN SERVICES/ OUTPATIENT SERVICESBUILDING
10 - NORTHSIDE HEART
1285 UPPER HEMBREE ROADROSWELLGA30076PHYSICIAN SERVICES
11 - ARTHRITIS AND TOTAL JOINT SPECIALIST
3400 C-OLD MILTON PARKWAY SUITE 290CUMMINGGA30041PHYSICIAN SERVICES
12 - NORTHSIDE HOSPITAL CANCER INSTITUTE
214 PERRY HIGHWAYHAWKINSVILLEGA31036PHYSICIAN SERVICES/ OUTPATIENT SERVICES
13 - ATLANTA CLINICAL CARE
5673 PEACHTREE DUNWOODY ROAD SUITEATLANTAGA30342PHYSICIAN SERVICES330
14 - THE IMAGING CENTER OF WARNER ROBINS
2706 WATSON BOULEVARD SUITE DWARNER ROBINSGA31093OUTPATIENT CENTER
15 - AOA-AMC LLC
308 COLISEUM DRIVE SUITE 100MACONGA31217PHYSICIAN SERVICES
16 - NORTHSIDE HEART
460 NORTHSIDE CHEROKEE BOULEVARDCANTONGA30115PHYSICIAN SERVICESSUITE 19
17 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK
900 TOWNE LAKE PARKWAY SUITE 320WOODSTOCKGA30189PHYSICIAN SERVICES
18 - PULMONARY AND CRITICAL CARE OF ATLANTA
960 JOHNSON FERRY ROAD SUITE 500ATLANTAGA30342PHYSICIAN SERVICES
19 - LAUREATE MEDICAL GROUP
550 PEACHTREE STREET NORTHEASTATLANTAGA30308PHYSICIAN SERVICESSUITE 15
20 - UROLOGY SPECIALISTS OF ATLANTA
5673 PEACHTREE DUNWOODY ROAD SUITEATLANTAGA30342PHYSICIAN SERVICES910
21 - NORTH GEORGIA OBGYN SPECIALISTS
900 TOWNE LAKE PARKWAY SUITE 404WOODSTOCKGA30188PHYSICIAN SERVICES
22 - GWINNETT ADVANCED SURGERY CENTER LLC
2131 FOUNTAIN DRIVESNELLVILLEGA30078AMBULATORY SURGERY
23 - PREMIER CARE FOR WOMEN
960 JOHNSON FERRY ROAD SUITE 400ATLANTAGA30342PHYSICIAN SERVICES
24 - MRI AND IMAGING OF ATHENS
845 PRINCE AVENUEATHENSGA30606OUTPATIENT CENTER
25 - ENDOCRINE SPECIALISTS OF ATLANTA
975 JOHNSON FERRY ROAD SUITE 400ATLANTAGA30342PHYSICIAN SERVICES
26 - CHATTAHOOCHEE SURGICAL GROUP
980 SANDERS ROAD SUITE 100CUMMINGGA30042PHYSICIAN SERVICES
27 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE
5610 BETHELVIEW ROAD SUITE 500CUMMINGGA30040PHYSICIAN SERVICES
28 - NORTHSIDE VASCULAR SURGERY
1505 NORTHSIDE FORSYTH DRIVE SUITECUMMINGGA30041PHYSICIAN SERVICES2400
29 - NORTHSIDE VASCULAR SURGERY
980 JOHNSON FERRY ROAD SUITE 1040ATLANTAGA30342PHYSICIAN SERVICES
30 - INTERNAL MEDICINE ASSOCIATES OF JOHNS CREE
3380 PADDOCKS PARKWAYSUWANEEGA30024PHYSICIAN SERVICES
31 - UNIVERSITY GYNECOLOGIC ONCOLOGY
960 JOHNSON FERRY ROAD SUITE 130ATLANTAGA30342PHYSICIAN SERVICES
32 - WINDERMERE MEDICAL CLINIC
3850 WINDERMERE PARKWAY SUITE 105CUMMINGGA30041PHYSICIAN SERVICES
33 - PEACHTREE DUNWOODY MEDICAL ASSOCIATES
875 JOHNSON FERRY ROAD NORTHEASTATLANTAGA30342PHYSICIAN SERVICESSUITE 20
34 - JOHNS CREEK SPECIALIST CENTER
3340 PADDOCKS PARKWAYSUWANEEGA30024PHYSICIAN SERVICES
35 - CUMMING FAMILY MEDICINE
765 LANIER 400 PARKWAYCUMMINGGA30040PHYSICIAN SERVICES
36 - ATLANTA COLON AND RECTAL SURGERY
5667 PEACHTREE DUNWOODY ROAD SUITEATLANTAGA30342PHYSICIAN SERVICES330
37 - NORTHSIDE PULMONARY AND SLEEP MEDICINE
1400 NORTHSIDE FORSYTH DRIVE SUITECUMMINGGA30041PHYSICIAN SERVICES210
38 - NORTHSIDE NEUROLOGY
1400 NORTHSIDE FORSYTH DRIVE SUITECUMMINGGA30041PHYSICIAN SERVICES250
39 - NORTHSIDE FAMILY PRACTICE
960 WOODSTOCK PARKWAY SUITE 300WOODSTOCKGA30188PHYSICIAN SERVICES
40 - LAUREATE MEDICAL GROUP
3400-C OLD MILTON PARKWAY SUITE 500ALPHARETTAGA30005PHYSICIAN SERVICES
41 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS
980 JOHNSON FERRY ROAD NORTHEASTATLANTAGA30309PHYSICIAN SERVICESSUITE 49
42 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE
684 SIXES ROAD SUITE 125HOLLY SPRINGSGA30115PHYSICIAN SERVICES
43 - PERIMETER NORTH MEDICAL ASSOCIATES
900 TOWNE LAKE PARKWAY SUITE 210WOODSTOCKGA30189PHYSICIAN SERVICES
44 - CHEROKEE LUNG AND SLEEP
460 NORTHSIDE CHEROKEE BOULEVARDCANTONGA30114PHYSICIAN SERVICESSUITE 10
45 - NORTHSIDE HEART
1505 NORTHSIDE BOULEVARD SUITE 3600CUMMINGGA30041PHYSICIAN SERVICES
46 - NORTHSIDE HOSPITAL CARDIOVASCULAR CARE
980 JOHNSON FERRY ROAD SUITE 520ATLANTAGA30342PHYSICIAN SERVICES
47 - CUMMING FAMILY MEDICINE
303 PIRKLE FERRY ROADCUMMINGGA30040PHYSICIAN SERVICES
48 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO
960 JOHNSON FERRY ROAD SUITE 100ATLANTAGA30342PHYSICIAN SERVICES
49 - PERIMETER NORTH MEDICAL ASSOCIATES
3400-A OLD MILTON PARKWAY SUITE 130ALPHARETTAGA30005PHYSICIAN SERVICES
50 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK
3400-C OLD MILTON PARKWAY SUITE 190ALPHARETTAGA30005PHYSICIAN SERVICES
51 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE
4800 OLDE TOWNE PARKWAY SUITE 150MARIETTAGA30068PHYSICIAN SERVICES
52 - NORTH POINT PULMONARY ASSOCIATES
3400-C OLD MILTON PARKWAY SUITE 425ALPHARETTAGA30005PHYSICIAN SERVICES
53 - ATLANTA COLON AND RECTAL SURGERY
780 CANTON ROAD NORTHEAST SUITE 315MARIETTAGA30060PHYSICIAN SERVICES
54 - LAUREATE MEDICAL GROUP
7823 SPIVEY STATION BOULEVARD SUITEJONESBOROGA30236PHYSICIAN SERVICES310
55 - PERIMETER NORTH MEDICAL ASSOCIATES
960 JOHNSON FERRY ROAD NORTHEASTATLANTAGA30342PHYSICIAN SERVICESSUITE
56 - NORTHSIDE CHEROKEE PEDIATRICS
684 SIXES ROAD SUITE 220HOLLY SPRINGSGA30115PHYSICIAN SERVICES
57 - GENERAL SURGEONS OF GWINNETT
1800 TREE LANE SUITE 330SNELLVILLEGA30078PHYSICIAN SERVICES
58 - MEDICAL ASSOCIATES OF NORTH GEORGIA
460 NORTHSIDE CHEROKEE BOULEVARDCANTONGA30115PHYSICIAN SERVICESSUITE 30
59 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT
5445 MERIDIAN MARK SUITE 180ATLANTAGA30342PHYSICIAN SERVICES
60 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE
81 NORTHSIDE DAWSON DRIVE SUITE 100DAWSONVILLEGA30535PHYSICIAN SERVICES
61 - MRI AND IMAGING OF HABERSHAM
638 HISTORIC HIGHWAY 441 NORTHDEMORESTGA30535OUTPATIENT CENTERSUITE D
62 - NORTH GEORGIA DIABETES AND ENDOCRINOLOGY
1505 NORTHSIDE BOULEVARD SUITE 2800CUMMINGGA30041PHYSICIAN SERVICES
63 - GEORGIA GYNECOLOGIC ONCOLOGY
759 OLD NORCROSS ROADLAWRENCEVILLEGA30046PHYSICIAN SERVICES
64 - MIDTOWN MEDICAL ASSOCIATES
1110 WEST PEACHTREE STREETATLANTAGA30309PHYSICIAN SERVICESNORTHWEST SUIT
65 - PERIMETER NORTH MEDICAL ASSOCIATES
1505 NORTHSIDE BOULEVARD SUITE 4400CUMMINGGA30041PHYSICIAN SERVICES
66 - NORTHSIDE VASCULAR SURGERY
460 NORTHSIDE CHEROKEE BOULEVARDCANTONGA30115PHYSICIAN SERVICESSUITE 10
67 - MOUNT VERNON INTERNAL MEDICINE
755 MOUNT VERNON HIGHWAY NORTHEASTSANDY SPRINGSGA30328PHYSICIAN SERVICESSUITE
68 - PERIMETER NORTH MEDICAL ASSOCIATES
3890 JOHNS CREEK PARKWAY SUITE 230SUWANEEGA30024PHYSICIAN SERVICES
69 - RAVRY MEDICAL GROUP
5505 PEACHTREE DUNWOODY ROAD SUITEATLANTAGA30342PHYSICIAN SERVICES650
70 - NORTHSIDE CHEROKEE PEDIATRICS
900 TOWNE LAKE PARKWAY SUITE 306WOODSTOCKGA30189PHYSICIAN SERVICES
71 - GOYCO INTERNAL MEDICINE
900 SANDERS ROAD SUITE BCUMMINGGA30041PHYSICIAN SERVICES
72 - MARTHA M BOONE MD
3400 OLD MILTON PARKWAY BUILDING AALPHARETTAGA30005PHYSICIAN SERVICESSUITE
73 - GEORGIA PULMONARY AND CRITICAL CARE CONSUL
1505 NORTHSIDE BOULEVARD SUITE 3000CUMMINGGA30041PHYSICIAN SERVICES
74 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT
1260 HWY 54 WEST SUITE 100FAYETTEVILLEGA30214PHYSICIAN SERVICES
75 - ATLANTA GYNECOLOGIC ONCOLOGY
980 JOHNSON FERRY ROAD NE SUITE 900ATLANTAGA30342PHYSICIAN SERVICES
76 - LAUREATE MEDICAL GROUP
4800 OLDE TOWNE PARKWAY SUITE 400MARIETTAGA30068PHYSICIAN SERVICES
77 - MELANOMA AND SARCOMA SPECIALISTS OF GEOR
980 JOHNSON FERRY ROAD SUITE 940ATLANTAGA30342PHYSICIAN SERVICES
78 - NORTH ATLANTA PULMONARY AND SLEEP
993 JOHNSON FERRY ROAD SUITE 300ATLANTAGA30342PHYSICIAN SERVICESBUILDIN
79 - TOWN LAKE PRIMARY CARE
900 TOWNE LAKE PARKWAY SUITE 410WOODSTOCKGA30189PHYSICIAN SERVICES
80 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT
721 WELLNESS WAY SUITE 200LAWRENCEVILLEGA30045PHYSICIAN SERVICES
81 - INTERNAL MEDICINE PRACTICE OF NORTHSIDE
10745 WESTSIDE WAY SUITE 125ALPHARETTAGA30009PHYSICIAN SERVICES
82 - ALPHARETTA FOOT AND ANKLE SPECIALISTS
2000 HOWARD FARM DRIVE SUITE 340CUMMINGGA30041PHYSICIAN SERVICES
83 - LAUREATE MEDICAL GROUP
684 SIXES ROAD SUITE 265HOLLY SPRINGSGA30115PHYSICIAN SERVICES
84 - NORTH GEORGIA DIABETES AND ENDOCRINOLOGY
3350 PADDOCKS PARKWAYSUWANEEGA30024PHYSICIAN SERVICES
85 - ATLANTA LIVER AND PANCREAS SURGICAL SPEC
980 JOHNSON FERRY ROAD SUITE 170ATLANTAGA30342PHYSICIAN SERVICES
86 - ATLANTA COLON AND RECTAL SURGERY
1505 NORTHSIDE BOULEVARD SUITE 1900CUMMINGGA30041PHYSICIAN SERVICES
87 - BARIATRIC INNOVATIONS OF ATLANTA
6135 BARFIELD ROAD SUITE 150SANDY SPRINGSGA30328PHYSICIAN SERVICES
88 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT
1505 NORTHSIDE BOULEVARD SUITE 2900CUMMINGGA30041PHYSICIAN SERVICES
89 - NORTHSIDE CHEROKEE SURGICAL ASSOCIATES
900 TOWNE LAKE PARKWAY SUITE 412WOODSTOCKGA30189PHYSICIAN SERVICES
90 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK
5555 PEACHTREE DUNWOODY ROADATLANTAGA30342PHYSICIAN SERVICESNORTHEAST SU
91 - ANKLE AND FOOT CENTERS OF NORTH GEORGIA
81 NORTHSIDE DAWSON DRIVE SUITE 204DAWSONVILLEGA30534PHYSICIAN SERVICES
92 - CUMMING FAMILY MEDICINE
133 PROMINENCE COURT SUITE 230DAWSONVILLEGA30535PHYSICIAN SERVICES
93 - CUMMING FAMILY MEDICINE
25 FOOTHILLS PARKWAYMARBLE HILLGA30149PHYSICIAN SERVICES
94 - EAST COBB FAMILY MEDICINE
1121 JOHNSON FERRY ROAD BUILDINGMARIETTAGA30068PHYSICIAN SERVICESONE S
95 - ROSWELL INTERNAL MEDICINE SPECIALISTS
11785 NORTHFALL LANE SUITE 505ALPHARETTAGA30004PHYSICIAN SERVICES
96 - WINDERMERE MEDICAL CLINIC
200 EAGLES NEST DRIVE SUITE 300DCANTONGA30115PHYSICIAN SERVICES
97 - MEDICAL ASSOCIATES OF NORTH GEORGIA
470 VALLEY STREET SUITE 200BALL GROUNDGA30107PHYSICIAN SERVICES
98 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK
4800 OLDE TOWNE PARKWAY SUITE 430MARIETTAGA30068PHYSICIAN SERVICES
99 - NORTH ATLANTA BREAST CARE
1400 NORTHSIDE FORSYTH DRIVE SUITECUMMINGGA30041PHYSICIAN SERVICES290
100 - REPRODUCTIVE SURGICAL SPECIALISTS
1800 NORTHSIDE FORSYTH DRIVE SUITECUMMINGGA30041PHYSICIAN SERVICES380
101 - ARTHRITIS AND TOTAL JOINT SPECIALIST
1255 FRIENDSHIP ROAD SUITE 200BRASELTONGA30517PHYSICIAN SERVICES
102 - NEWTOWN MEDICAL
3400-A OLD MILTON PARKWAY SUITE 200ALPHARETTAGA30005PHYSICIAN SERVICES
103 - ANDERSON FAMILY MEDICINE
81 NORTHSIDE DAWSON DRIVE SUITE 205DAWSONVILLEGA30534PHYSICIAN SERVICES
104 - KENNESAW FAMILY MEDICINE
6110 PINE MOUNTAIN ROAD SUITE 102KENNESAWGA30152PHYSICIAN SERVICES
105 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT
1110 WEST PEACHTREE STREETATLANTAGA30309PHYSICIAN SERVICESNORTHWEST SUIT
106 - LANIER FAMILY PRACTICE
1080 SANDERS ROAD SUITE 100CUMMINGGA30041PHYSICIAN SERVICES
107 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK
960 JOHNSON FERRY ROAD SUITE 415ATLANTAGA30342PHYSICIAN SERVICES
108 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE
11685 ALPHARETTA HIGHWAY SUITE 150ROSWELLGA30076PHYSICIAN SERVICES
109 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT
2801 NORTH DECATUR ROAD SUITE 120DECATURGA30033PHYSICIAN SERVICES
110 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK
684 SIXES ROAD SUITE 130HOLLY SPRINGSGA30115PHYSICIAN SERVICES
111 - SLEEP DISORDERS CENTER OF GEORGIA
993-C JOHNSON FERRY ROAD SUITE 301ATLANTAGA30342PHYSICIAN SERVICES
112 - SOUTHEASTERN PRIMARY CARE SPECIALISTS
105 CARNEGIE PLACE SUITE 103FAYETTEVILLEGA30214PHYSICIAN SERVICES
113 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT
3400-A OLD MILTON PARKWAY SUITE 440ALPHARETTAGA30005PHYSICIAN SERVICES
114 - ATLANTA GYNECOLOGIC ONCOLOGY
460 NORTHSIDE CHEROKEE BOULEVARDCANTONGA30115PHYSICIAN SERVICESSUITE 40
115 - CHEROKEE BREAST CARE
684 SIXES ROAD SUITE 230HOLLY SPRINGSGA30115PHYSICIAN SERVICES
116 - PERIMETER NORTH MEDICAL ASSOCIATES
10515 BELLS FERRY ROAD SUITE 200CANTONGA30114PHYSICIAN SERVICES
117 - LAUREATE MEDICAL GROUP
460 NORTHSIDE CHEROKEE BOULEVARDCANTONGA30115PHYSICIAN SERVICESSUITE 17
118 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO
1100 NORTHSIDE FORSYTH DRIVE SUITECUMMINGGA30041PHYSICIAN SERVICES410
119 - CHEROKEE LUNG AND SLEEP
900 TOWNE LAKE PARKWAY SUITE 206WOODSTOCKGA30189PHYSICIAN SERVICES
120 - GORDON J AZAR SR MD INTERNAL MEDICINE
960 JOHNSON FERRY ROAD SUITE 235ATLANTAGA30342PHYSICIAN SERVICES
121 - INTERNAL MEDICINE SPECIALIST OF ROSWELL
11685 ALPHARETTA HIGHWAY SUITE 270ATLANTAGA30076PHYSICIAN SERVICES
122 - ATLANTA GYNECOLOGIC ONCOLOGY
780 CANTON ROAD SUITE 405MARIETTAGA30060PHYSICIAN SERVICES
123 - NORTH POINT PULMONARY ASSOCIATES
1400 NORTHSIDE FORSYTH DRIVE SUITECUMMINGGA30041PHYSICIAN SERVICES240
124 - NORTH POINT PRIMARY CARE
3180 NORTH POINT PARKWAY BUILDINGALPHARETTAGA30005PHYSICIAN SERVICES200 SU
125 - PRIMARY CARE OF MILTON
980 BIRMINGHAM VILLAGE SUITE 304MILTONGA30004PHYSICIAN SERVICES
126 - GEORGIA GYNECOLOGIC ONCOLOGY
980 JOHNSON FERRY ROAD SUITE 910ATLANTAGA30342PHYSICIAN SERVICES
127 - NORTH GEORGIA OBGYN SPECIALISTS
433 HIGHLAND PARKWAY SUITE 203EAST ELIJAYGA30540PHYSICIAN SERVICES
128 - UNIVERSITY GYNECOLOGIC ONCOLOGY
1100 NORTHSIDE FORSYTH DRIVE SUITECUMMINGGA30041PHYSICIAN SERVICES420
129 - PERIMETER ADVANCED SURGERY CENTER
1100 JOHNSON FERRY ROAD CENTERATLANTAGA30342AMBULATORY SURGERYPOINTE ONE
130 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK
1839 BUFORD HIGHWAY NORTHEAST SUITEBUFORDGA30518PHYSICIAN SERVICES100
131 - NORTH GEORGIA OBGYN SPECIALISTS
2855 OLD HIGHWAY 5 NORTH SUITE 110BLUE RIDGEGA30513PHYSICIAN SERVICES
132 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK
11685 ALPHARETTA HIGHWAY SUITE 170ROSWELLGA30076PHYSICIAN SERVICES
133 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK
1110 WEST PEACHTREE STREET SUITEATLANTAGA30309PHYSICIAN SERVICES950
134 - WINDERMERE MEDICAL CLINIC
386 HIGHWAY 441 BYPASSBALDWINGA30511PHYSICIAN SERVICES
135 - CUMMING FAMILY MEDICINE
765 LANIER 400 PARKWAY SUITE 200CUMMINGGA30040PHYSICIAN SERVICES
136 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE
1110 WEST PEACHTREE STREETATLANTAGA30309PHYSICIAN SERVICESNORTHWEST SUIT
137 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK
2000 HOWARD FARM DRIVE SUITE 305CUMMINGGA30041PHYSICIAN SERVICES
138 - LAUREATE MEDICAL GROUP
2000 HOWARD FARM DRIVE SUITE 400CUMMINGGA30041PHYSICIAN SERVICES
139 - NORTHSIDE HEART
900 TOWNE LAKE PARKWAY SUITE 400WOODSTOCKGA30189PHYSICIAN SERVICES
140 - NORTHSIDE HEART
4800 OLDE TOWNE PARKWAY SUITE 420MARIETTAGA30068PHYSICIAN SERVICES
141 - NORTHSIDE HEART
3400-C OLD MILTON PARKWAY SUITE 360ALPHARETTAGA30005PHYSICIAN SERVICES
142 - NORTHSIDE HEART
5670 PEACHTREE DUNWOODY ROAD SUITEATLANTAGA30342PHYSICIAN SERVICES880
143 - NORTHSIDE HEART
6135 BARFIELD ROAD NORTHEAST SUITESANDY SPRINGSGA30328PHYSICIAN SERVICES100
144 - ARTHRITIS AND TOTAL JOINT SPECIALIST
1100 NORTHSIDE FORSYTH DRIVE SUITECUMMINGGA30041PHYSICIAN SERVICES250
145 - ARTHRITIS AND TOTAL JOINT SPECIALIST
1110 WEST PEACHTREE STREETATLANTAGA30309PHYSICIAN SERVICESNORTHWEST SUIT
146 - ARTHRITIS AND TOTAL JOINT SPECIALIST
1505 NORTHSIDE BOULEVARD SUITE 3500CUMMINGGA30041PHYSICIAN SERVICES
147 - ARTHRITIS AND TOTAL JOINT SPECIALIST
5670 PEACHTREE DUNWOODY ROAD SUITEATLANTAGA30342PHYSICIAN SERVICES1250
148 - ARTHRITIS AND TOTAL JOINT SPECIALIST
960 WOODSTOCK PARKWAY SUITE 200WOODSTOCKGA30188PHYSICIAN SERVICES
149 - ARTHRITIS AND TOTAL JOINT SPECIALIST
771 OLD NORCROSS ROAD SUITE 135LAWRENCEVILLEGA30046PHYSICIAN SERVICES
150 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK
3280 PEACHTREE ROAD NORTHEAST SUITEATLANTAGA30309PHYSICIAN SERVICES160
151 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO
1110 WEST PEACHTREE STREETATLANTAGA30309PHYSICIAN SERVICESNORTHEAST SUIT
152 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS
631 CAMPBELL HILL STREET SUITE 100MARIETTAGA30060PHYSICIAN SERVICES
153 - ALPHARETTA FOOT AND ANKLE SPECIALISTS
3400-A OLD MILTON PARKWAY SUITE 500ALPHARETTAGA30005PHYSICIAN SERVICES
154 - NORTHSIDE MEDICAL SPECIALISTS
145 RIVERSTONE TERRACE SUITE 100CANTONGA30114PHYSICIAN SERVICES
155 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC
1240 JESSE JEWEL PARKWAY SUITE 500GAINESVILLEGA30501PHYSICIAN SERVICES
156 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC
1270 FRIENDSHIP ROAD SUITE 100BRASELTONGA30517PHYSICIAN SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO THE FPG THRESHOLDS, NORTHSIDE'S POLICY ALLOWS FOR MEDICAL INDIGENCY AS WELL AS AN ASSET TEST FOR ADDITIONAL OPPORTUNITY TO QUALIFY FOR CHARITY. AN APPLICATION IS COMPLETED BY THE PATIENT AND/OR A SCORING METHODOLOGY IS GATHERED FROM A THIRD PARTY USING ITS PROPRIETARY SOURCE TO DETERMINE PROPENSITY TO PAY. THESE TOOLS ARE USED TO DETERMINE SOMEONE'S QUALIFICATIONS FOR A CHARITY DISCOUNT OR FREE CARE IN ADDITION TO THE FPG THRESHOLDS STATED ABOVE.
PART I, LINE 6A:NORTHSIDE HOSPITAL, INC. PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS MADE AVAILABLE TO THE PUBLIC.
PART I, LINE 7:THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 7 IS THE COST TO CHARGE RATIO CALCULATED PURSUANT TO THE IRS SCHEDULE H WORKSHEET 2 INSTRUCTIONS.
PART I, LN 7 COL(F):BAD DEBT EXPENSE IN THE AMOUNT OF $154,013,312 HAS BEEN REMOVED FROM TOTAL EXPENSE TO COMPUTE THE PERCENTAGE IN COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:BIENNIALLY, NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") CONDUCTS A COMMUNITY-BASED PHYSICIAN NEED ANALYSIS FOR NORTHSIDE HOSPITAL-CHEROKEE ("NHC") AND NORTHSIDE HOSPITAL-FORSYTH ("NHF"). NHC AND NHF EACH ARE SOLE COUNTY PROVIDERS AND AS SUCH MUST ENSURE THAT APPROPRIATE MEDICAL SERVICES ARE ACCESSIBLE TO THE RESIDENTS OF THE COMMUNITIES SERVED. EACH HOSPITAL'S PHYSICIAN NEED ANALYSIS DEFINES A GEOGRAPHIC AREA COMPLIANT WITH THE FEDERAL PHYSICIAN SELF-REFERRAL LAW, IDENTIFIES NHC AND NHF MEDICAL STAFF MEMBERS WITH AN OFFICE IN THE DEFINED GEOGRAPHIC AREA, IDENTIFIES NON-NORTHSIDE PHYSICIANS WITH AN OFFICE IN THE DEFINED GEOGRAPHIC AREA, AND INCLUDES A QUANTITATIVE ANALYSIS OF EACH COMMUNITY'S PHYSICIAN NEED ("COMMUNITY PHYSICIAN NEED"). BASED ON THE FINDINGS OF THE ANALYSES, NORTHSIDE ENGAGES IN RECRUITMENT EFFORTS DESIGNED TO ENSURE THAT SUFFICIENT QUALIFIED HEALTH PROFESSIONALS ARE AVAILABLE TO MEET THE IDENTIFIED COMMUNITY PHYSICIAN NEED. THROUGH THESE ANALYSES, NORTHSIDE HAS IDENTIFIED A DEFINED NUMERIC NEED FOR ONE-HALF PHYSICIAN FULL-TIME EQUIVALENT ("FTE") OR MORE IN TWENTY-SEVEN SPECIALTIES IN NHC'S STARK-COMPLIANT GEOGRAPHIC AREA AND A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN THIRTY SPECIALTIES IN NHF'S STARK-COMPLIANT GEOGRAPHIC AREA. BOTH NHC AND NHF ARE CONCENTRATING RECRUITMENT EFFORTS ON PRIMARY CARE AND SURGICAL SPECIALTIES WITH AN EMPHASIS ON RECRUITING NEEDED PHYSICIANS INTO FORSYTH, DAWSON, PICKENS, AND CHEROKEE COUNTIES TO MEET THE IDENTIFIED COMMUNITY PHYSICIAN NEED.
PART III, LINE 4:NORTHSIDE PROVIDES FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE BY ESTABLISHING AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. NORTHSIDE ESTIMATES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORICAL AND EXPECTED COLLECTIONS, ACCOUNTS RECEIVABLE AGINGS, TRENDS IN REIMBURSEMENT, GENERAL BUSINESS AND ECONOMIC CONDITIONS, AND OTHER COLLECTION INDICATORS. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINES 2 AND 3 WAS A COST TO CHARGE RATIO APPLIED TO BAD DEBT CHARGES WRITTEN OFF, NET OF RECOVERIES. NORTHSIDE HOSPITAL PROVIDES CARE TO THE COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE FORGONE CHARGES ARE AT THE EXPENSE OF NORTHSIDE HOSPITAL.
PART III, LINE 8:THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 WAS A COST TO CHARGE RATIO FROM THE FISCAL YEAR 2018 MEDICARE COST REPORT APPLIED TO MEDICARE CHARGES. THE MEDICARE PROGRAM PAYS AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING SERVICES. ANY COST NOT REIMBURSED BY MEDICARE IS BORNE BY NORTHSIDE HOSPITAL WHICH EASES THE BURDEN TO THE GOVERNMENT FOR THE PROVISION OF HEALTH CARE UNDER THE MEDICARE PROGRAM.
PART III, LINE 9B:THE COLLECTION POLICY IS SPECIFIC TO THE TIMING AND PROTOCOLS FOLLOWED IN THE DEBT COLLECTION PROCESS. HOWEVER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY SUPERSEDES THE DEBT COLLECTION POLICY IN ANY SITUATION WHERE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:NORTHSIDE DEVELOPED A STANDARDIZED PROCESS FOR CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). IN SHORT, NORTHSIDE'S CHNA PROCESS INCLUDED: - DEFINING THE NORTHSIDE COMMUNITY. - REVIEWING NORTHSIDE INTERNAL DATA. - REVIEWING PUBLICLY AVAILABLE HEALTH DATA. - REVIEWING PROPRIETARY QUANTITATIVE CONSUMER RESEARCH DATA. - PERFORMING STAKEHOLDER INTERVIEWS. - SUMMARIZING AND PRIORITIZING THE HEALTH NEEDS IDENTIFIED WITHIN NORTHSIDE'S COMMUNITY. - DEVELOPING AN IMPLEMENTATION STRATEGY TO ADDRESS THE IDENTIFIED NEEDS. - PRESENTING THE FINALIZED CHNA REPORT AND IMPLEMENTATION STRATEGY TO THE BOARD OF DIRECTORS OF NORTHSIDE HOSPITAL, INC. FOR ADOPTION. - PROVIDING CONTINUED PUBLIC ACCESS TO NORTHSIDE'S CHNA REPORT VIA WWW.NORTHSIDE.COM/COMMUNITY AND PROVIDING AN OPPORTUNITY FOR PUBLIC FEEDBACK VIA NORTHSIDE.CHNA@NORTHSIDE.COM.NORTHSIDE UTILIZED AN EVIDENCE-BASED MODEL OF POPULATION HEALTH ADAPTED FROM THE WISCONSIN POPULATION HEALTH INSTITUTE AND ALSO UTILIZED BY COUNTY HEALTH RANKINGS AND ROADMAPS. THIS MODEL ILLUSTRATES THE COMPLEXITY OF ASSESSING A COMMUNITY'S HEALTH STATUS BY OUTLINING THE FACTORS THAT ACT IN COMBINATION TO DETERMINE THE CURRENT STATUS OF A COMMUNITY'S HEALTH. THE EVIDENCE-BASED MODEL OUTLINES THE HEALTH DETERMINANTS (DEMOGRAPHICS AND SOCIAL ENVIRONMENT, HEALTHCARE ACCESS AND QUALITY, HEALTH BEHAVIORS, AND THE PHYSICAL ENVIRONMENT) THAT LEAD TO THE HEALTH OUTCOMES IN A COMMUNITY (MORBIDITY AND MORTALITY).THE CENTERS FOR DISEASE CONTROL AND PREVENTION ("CDC") PERFORMED A SYSTEMATIC LITERATURE REVIEW TO DETERMINE A COMMON SET OF HEALTH METRICS THAT SHOULD BE USED TO MEASURE BOTH THE HEALTH DETERMINANTS AND HEALTH OUTCOMES. NORTHSIDE USED THE CDC'S LIST OF "MOST FREQUENTLY RECOMMENDED HEALTH METRICS" TO DETERMINE WHAT VARIABLES TO CONSIDER FOR NORTHSIDE'S CURRENT CHNA. NORTHSIDE UTILIZED THE CDC'S RECOMMENDED VARIABLES AND METRIC WHEN THEY WERE READILY AVAILABLE AT THE COUNTY LEVEL.
PART VI, LINE 3:NORTHSIDE INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM IN NUMEROUS WAYS. NORTHSIDE CONSPICUOUSLY POSTS NOTICE OF ITS FINANCIAL ASSISTANCE PROGRAM AND HOW TO ACCESS ITS FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION AT ALL MAJOR POINTS OF ACCESS TO ITS INPATIENT AND OUTPATIENT FACILITIES - THESE POINTS OF ACCESS INCLUDE THE HOSPITALS' PATIENT WAITING ROOMS AND EMERGENCY DEPARTMENTS. FOR PATIENTS THAT PRE-REGISTER OVER THE PHONE FOR HOSPITAL SERVICES, NORTHSIDE VERBALLY INFORMS PATIENTS OF ITS FINANCIAL ASSISTANCE PROGRAM AND PROVIDES PATIENTS WITH INFORMATION ON HOW TO OBTAIN A COPY OF NORTHSIDE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION VIA NORTHSIDE'S WEBSITE OR VIA MAIL. ADDITIONALLY, UPON ADMISSION TO ONE OF ITS HOSPITALS FOR SERVICES, NORTHSIDE PROVIDES EACH PATIENT A REGISTRATION PACKET THAT INCLUDES INFORMATION ON ITS FINANCIAL ASSISTANCE PROGRAM. FURTHER, A FINANCIAL COUNSELOR WILL SPEAK WITH ALL PATIENTS DURING EITHER THE PRE-REGISTRATION PROCESS OR UPON ADMISSION AND EXPLAIN NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM. IF A PATIENT INDICATES A NEED OR REQUESTS MORE INFORMATION REGARDING FINANCIAL ASSISTANCE, NORTHSIDE WILL REFER THE PATIENT TO A FINANCIAL ASSISTANCE COUNSELOR WHO WILL WORK DIRECTLY WITH THE PATIENT TO ASSIST THE PATIENT IN APPLYING FOR FINANCIAL ASSISTANCE. IN ORDER TO EXPEDITE THE FINANCIAL ASSISTANCE PROCESS, NORTHSIDE USES THIRD PARTY SOFTWARE TO HELP IDENTIFY PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON PUBLICLY AVAILABLE INFORMATION (E.G., PARTICIPATION IN STATE-FUNDED PRESCRIPTION PROGRAMS, PARTICIPATION IN THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM, PARTICIPATION IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP, FORMERLY FOOD STAMPS), SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY, OR ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS). PATIENTS THAT ARE IDENTIFIED BY SUCH THIRD-PARTY SOFTWARE AS ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE WILL NOT BE REQUIRED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND INSTEAD WILL AUTOMATICALLY BE DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE. FURTHER, NORTHSIDE'S FINANCIAL COUNSELORS WILL ASSIST PATIENTS WITH APPLYING TO PROGRAMS THAT THEY ARE ELIGIBLE FOR, BUT NOT CURRENTLY ENROLLED IN, SUCH AS STATE OR FEDERAL HEALTHCARE PROGRAMS OR DRUG DISCOUNT PROGRAMS. NORTHSIDE ALSO INCLUDES A SUMMARY OF ITS FINANCIAL ASSISTANCE PROGRAM, INCLUDING HOW TO OBTAIN MORE INFORMATION AND APPLY FOR FINANCIAL ASSISTANCE, ON ALL PATIENT BILLS. LASTLY, NORTHSIDE WORKS WITH MANY COMMUNITY OUTREACH PROGRAMS TO PROVIDE FINANCIAL ASSISTANCE TO PATIENTS WHO QUALIFY FOR FREE OR DISCOUNTED SERVICES THROUGH THESE PROGRAMS. TO EXPEDITE THE FINANCIAL ASSISTANCE PROCESS FOR SUCH PATIENTS, NORTHSIDE PROVIDES A PRE-APPROVAL PROCESS FOR ALL PATIENTS WHO ARE REFERRED FOR MEDICALLY NECESSARY SERVICES VIA A COMMUNITY OUTREACH PROGRAM. THIS PROCESS ALLOWS PATIENTS TO QUALITY FOR FINANCIAL ASSISTANCE PRIOR TO RECEIVING HOSPITAL SERVICES, THEREBY RELIEVING THE PATIENTS OF THE STRESS AND BURDEN OF THE FINANCIAL ASPECT OF THEIR CARE AND ALLOWING THEM TO FOCUS ON THEIR HEALTH, WELL-BEING AND RECOVERY.
PART VI, LINE 4:NORTHSIDE BEGAN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS BY DEFINING EACH HOSPITAL'S COMMUNITY, WHICH INCLUDED (I) DEFINING EACH FACILITY'S PRIMARY PATIENT CATCHMENT AREA; (II) MAPPING THE MEDICALLY UNDERSERVED AREAS AROUND EACH FACILITY TO ENSURE THAT NO MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS WERE EXCLUDED WITHIN OR NEAR THE PRIMARY CATCHMENT AREAS; AND (III) MAPPING EACH FACILITY'S DISTRIBUTION OF OUTPATIENT SERVICES ACROSS THE REGION. THE RESULTS OF THIS PROCESS REVEALED SIGNIFICANT OVERLAP BETWEEN THE COMMUNITIES SERVED BY EACH NORTHSIDE HOSPITAL FACILITY. THUS, NORTHSIDE HOSPITAL-ATLANTA, NORTHSIDE HOSPITAL-CHEROKEE, AND NORTHSIDE HOSPITAL-FORSYTH DEVELOPED A SINGLE COMMUNITY DEFINITION IN COMPLIANCE WITH THE IRC SECTION 501(R) FINAL RULE. THE NORTHSIDE COMMUNITY CONSISTS OF FULTON, FORSYTH, CHEROKEE, DEKALB, COBB, GWINNETT, DAWSON, AND PICKENS COUNTIES.IN 2015, THE ESTIMATED 3.7 MILLION RESIDENTS OF THE NORTHSIDE COMMUNITY ACCOUNTED FOR 37% OF GEORGIA'S TOTAL POPULATION. THE NORTHSIDE COMMUNITY IS SLIGHTLY YOUNGER THAN GEORGIA OVERALL, WITH A MEDIAN AGE OF 35.6 COMPARED TO GEORGIA'S 36.2. OVERALL, THE 2015 NORTHSIDE COMMUNITY WAS COMPRISED OF A DIVERSE POPULATION. INDIVIDUAL COUNTIES, HOWEVER, HAVE VARYING RACIAL COMPOSITIONS, INCLUDING TWO COUNTIES THAT HAVE 90 PERCENT OF THEIR POPULATIONS BELONGING TO JUST ONE RACIAL GROUP.OVERALL, THE NORTHSIDE COMMUNITY HAS A HIGH LEVEL OF EDUCATIONAL ATTAINMENT AND AFFLUENCE WHEN COMPARED TO GEORGIA AS A WHOLE. THE MEDIAN DISPOSABLE INCOME, HOUSEHOLD INCOME, HOUSEHOLD NET WORTH, AND HOUSING UNIT VALUE IN THE NORTHSIDE COMMUNITY ARE ALL HIGHER THAN GEORGIA'S AVERAGES. DESPITE THIS GENERAL PICTURE OF AFFLUENCE, HOWEVER, DISPARITIES DO EXIST, ESPECIALLY ALONG RACIAL AND ETHNIC LINES AND BETWEEN COUNTIES THAT NORTHSIDE'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY AIM TO ADDRESS.
PART VI, LINE 5:NORTHSIDE HOSPITAL, INC. IS A CHARITABLE ORGANIZATION AND, AS SUCH, IS ENGAGED IN NUMEROUS ACTIVITIES TO PROVIDE RELIEF TO THE POOR, THE DISTRESSED, OR THE UNDERPRIVILEGED. NORTHSIDE ROUTINELY PROVIDES FINANCIAL ASSISTANCE, HEALTH PROFESSIONS EDUCATION, CASH AND IN-KIND DONATIONS, COMMUNITY HEALTH IMPROVEMENT SERVICES, RESEARCH, AND COMMUNITY-BUILDING ACTIVITIES. MANY OF THESE EFFORTS HAVE BEEN REPORTED THROUGHOUT THIS RETURN.IN ADDITION TO THE NUMEROUS COMMUNITY BENEFIT ACTIVITIES NORTHSIDE ENGAGES IN THROUGHOUT THE YEAR, NORTHSIDE ALSO INVESTS SURPLUS FUNDS BACK INTO EXPANDING ACCESS TO SERVICES FOR ALL PEOPLE THROUGHOUT ITS COMMUNITY. FOR EXAMPLE, NORTHSIDE INVESTED APPROXIMATELY $280 MILLION IN BUILDING A NEW, STATE-OF-THE-ART REPLACEMENT HOSPITAL, MEDICAL OFFICE BUILDING AND PARKING DECK IN CHEROKEE COUNTY. THE REPLACEMENT HOSPITAL INCREASED NORTHSIDE CHEROKEE'S INPATIENT CAPACITY FROM 84 INPATIENT BEDS TO 105 AND PROVIDES THE COMMUNITY WITH A MORE VISIBLE, EASY-TO-ACCESS HOSPITAL CONVENIENTLY LOCATED OFF A MAJOR INTERSTATE HIGHWAY. IN FORSYTH COUNTY, IN ORDER TO MEET THE COMMUNITY'S HEALTHCARE NEEDS, NORTHSIDE EXPANDED NORTHSIDE HOSPITAL FORSYTH'S INPATIENT BED CAPACITY FROM 247 INPATIENT BEDS TO 284. IN FULTON COUNTY, THE SYSTEM'S LARGEST AND OLDEST HOSPITAL CAMPUS ALSO IS UNDERGOING SIGNIFICANT EXPANSION AND RENOVATION. NORTHSIDE IS INVESTING APPROXIMATELY $200 MILLION IN NORTHSIDE ATLANTA THROUGH THE CONSTRUCTION OF A NEW EIGHT-STORY MEDICAL/SURGICAL TOWER, THE ADDITION OF FOUR OPERATING ROOMS, AND OTHER CAMPUS-WIDE RENOVATIONS AS WELL AS A NEW PARKING DECK. UPON COMPLETION OF THE NEW EIGHT-STORY TOWER, NORTHSIDE ATLANTA'S INPATIENT BED CAPACITY WILL INCREASE FROM 537 BEDS TO 621 BEDS.
PART VI, LINE 6:NORTHSIDE HOSPITAL, INC. INCLUDES THREE HOSPITALS - NORTHSIDE HOSPITAL - ATLANTA IN SANDY SPRINGS, NORTHSIDE HOSPITAL - CHEROKEE IN CANTON AND NORTHSIDE HOSPITAL - FORSYTH IN CUMMING. THESE HOSPITALS AND NEARLY 80 OTHER OFFSITE LOCATIONS MAKE UP THE NORTHSIDE HOSPITAL SYSTEM WHICH SERVES A PRIMARY AREA THAT INCLUDES 21 COUNTIES WITH A TOTAL POPULATION OF MORE THAN 5 MILLION. IN ADDITION TO PROVIDING HOSPITAL-BASED MEDICAL SERVICES, THE NORTHSIDE HOSPITAL SYSTEM PROVIDES A NUMBER OF COMMUNITY-BASED SERVICES DESIGNED TO IMPROVE THE HEALTH OF AREA RESIDENTS. WORKING WITH VARIOUS ORGANIZATIONS, HOSPITAL EMPLOYEES AND MEDICAL STAFF, THE NORTHSIDE HOSPITAL SYSTEM PARTICIPATES IN HEALTH EDUCATION AND SCREENINGS, AS WELL AS PROVIDES SUPPORT ACTIVITIES FOR INDIVIDUALS IN THE COMMUNITY LIVING WITH A SERIOUS OR CHRONIC HEALTH CONDITION.IN ADDITION TO THE EXCELLENT MEDICAL CARE AND EDUCATIONAL PROGRAMS WE PROVIDE TO THE COMMUNITY, THE HOSPITAL ALSO PROVIDES FINANCIAL SUPPORT TO A NUMBER OF OTHER NON-PROFIT, COMMUNITY AND CIVIC CAUSES WHOSE MISSIONS AND OBJECTIVES COMPLEMENT NORTHSIDE HOSPITAL'S MISSION AND VALUES.NORTHSIDE HOSPITAL GIVES BACK A SIGNIFICANT AMOUNT TO THE COMMUNITY. WE MEASURE THE SUCCESS OF OUR EFFORTS BY THE NUMBER OF RESIDENTS WE REACH WITH OUR MESSAGES RELATED TO HEALTH AND WELLNESS. OUR MISSION IS TO WORK TO POSITIVELY IMPACT THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. CLEARLY EDUCATION, OUTREACH AND COMMUNITY SERVICE ALLOW US TO BROADEN OUR IMPACT BEYOND THE WALLS OF OUR FACILITIES.
PART VI, LINE 7NORTHSIDE HOSPITAL, INC. IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT UNDER GEORGIA LAW. HOWEVER, WE PRODUCE AN ANNUAL REPORT WHICH IS MADE AVAILABLE TO THE PUBLIC ON OUR WEBSITE, WWW.NORTHSIDE.COM.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (37 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
AMERICAN CANCER SOCIETY
PO BOX 56566ATLANTAGA30343131788491501(C)(3)$144,250GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
1101 NORTHCHASE PKWY SUITE 1MARIETTAGA30067135613797501(C)(3)$250,000GENERAL SUPPORT
AMERICAN RED CROSS
1955 MONROE DRIVE NEATLANTAGA30324530196605501(C)(3)$50,000GENERAL SUPPORT
ARCS FOUNDATION INC
PO BOX 52124ATLANTAGA30355582004368501(C)(3)$47,500GENERAL SUPPORT
ARTHRITIS FOUNDATION OF GEORGIA
PO BOX 78423ATLANTAGA30357581341679501(C)(3)$130,000GENERAL SUPPORT
ATLANTA BALLET INC
1695 MARIETTA BOULEVARD NWATLANTAGA30318581047778501(C)(3)$50,000GENERAL SUPPORT
ATLANTA BELTLINE PARTNERSHIP INC
112 KROG STREET SUITE 14ATLANTAGA30307562464486501(C)(3)$45,000GENERAL SUPPORT
ATLANTA TRACK CLUB INC
3097 E SHADOWLAWN AVE NEATLANTAGA30305581367422501(C)(3)$165,000GENERAL SUPPORT
BE THE MATCH FOUNDATION
500 NORTH 5TH STREETMINNEAPOLISMN55401411704734501(C)(3)$20,000GENERAL SUPPORT
BICYCLE RIDE ACROSS GEORGIA
PO BOX 871111STONE MOUNTAINGA30087581576748501(C)(4)$75,000GENERAL SUPPORT
CANCER SUPPORT COMMUNITY OF ATLANTA
5775 PEACHTREE DUNWOODY RD SUITEATLANTAGA30342582142151501(C)(3)$211,964GENERAL SUPPORTC-225
CHATTAHOOCHEE NATURE CENTER INC
PO BOX 769769ROSWELLGA30076581275604501(C)(3)$70,000GENERAL SUPPORT
COBB CHAMBER OF COMMERCE
PO BOX 671868MARIETTAGA300060032580198114501(C)(6)$28,500GENERAL SUPPORT
DUNWOODY NATURE CENTER INC
PO BOX 88070DUNWOODYGA30356582009823501(C)(3)$20,000GENERAL SUPPORT
GEORGIA AQUARIUM INC
225 BAKER STREET NWATLANTAGA30313582574918501(C)(3)$112,500GENERAL SUPPORT
GEORGIA OVARIAN CANCER ALLIANCE
6065 ROSWELL ROAD SUITE 512ATLANTAGA30328582424106501(C)(3)$30,000GENERAL SUPPORT
GREATER NORTH FULTON CHAMBER OF COMMERCE
11605 HAYNES BRIDGE RDALPHARETTAGA30004581157316501(C)(6)$25,000GENERAL SUPPORT
HADASSAH THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA
1606 COOPER FOSTER PARK RD WLORAINOH44053346607994501(C)(3)$25,000GENERAL SUPPORT
INMAN PARK NEIGHBORHOOD ASSOCIATION
245 N HIGHLAND AVE NE STE 230 401ATLANTAGA30307581869166501(C)(4)$25,000GENERAL SUPPORT
LEUKEMIA AND LYMPHOMA SOCIETY
3715 NORTHSIDE PARKWAY NW NORTHCREEATLANTAGA30327135644916501(C)(3)$30,000GENERAL SUPPORT400 SUITE 300
LOVE NOT LOST INC
1551 DUNWOODY VILLAGE PARKWAY 88872DUNWOODYGA30338474760639501(C)(3)$20,000GENERAL SUPPORT
MARCH OF DIMES
1275 MAMORONECK AVEWHITE PLAINSNY10605131846366501(C)(3)$478,365GENERAL SUPPORT
MARIETTA COBB MUSEUM OF ART
30 ATLANTA ST SEMARIETTAGA30060581528144501(C)(3)$50,000GENERAL SUPPORT
MEDSHARE INTERNATIONAL
3240 CLIFTON SPRINGS ROADDECATURGA30034582433968501(C)(3)$60,000GENERAL SUPPORT
MOREHOUSE SCHOOL OF MEDICINE
720 WESTVIEW DRIVE SWATLANTAGA303101495581438873501(C)(3)$105,000GENERAL SUPPORT
MUSEUM OF CONTEMPORARY ART OF GEORGIA
75 BENNETT STREETATLANTAGA30309582562811501(C)(3)$40,000GENERAL SUPPORT
OVARIAN CANCER INSTITUTE
960 JOHNSON FERRY RD STE 130ATLANTAGA30342582445245501(C)(3)$320,000GENERAL SUPPORT
PGA TOUR INC
100 PGA TOUR BLVDPONTE VEDRAFL32082520999206501(C)(6)$38,000GENERAL SUPPORT
PIEDMONT PARK CONSERVANCY INC
400 PARK DRIVE NEATLANTAGA30306581551369501(C)(3)$50,000GENERAL SUPPORT
SANDY SPRINGS SOCIETY
PO BOX 720074ATLANTAGA30358581868282501(C)(3)$20,000GENERAL SUPPORT
SANDY SPRINGSPERIMETER CHAMBER OF COMMERCE
SIX CONCOURSE SUITE 3SANDY SPRINGSGA30328260677794501(C)(6)$21,000GENERAL SUPPORT
SOUTHEASTERN SOCIETY OF PLASTIC AND RECONSTRUCTIVE SURGEONS
12100 SUNSET HILLS ROAD SUITE 130RESTONVA201903221581431500501(C)(6)$40,000GENERAL SUPPORT
SUSAN G KOMEN BREAST CANCER FOUNDATION
PO BOX 934048ATLANTAGA311934048581959763501(C)(3)$30,000GENERAL SUPPORT
THE DRAKE HOUSE INC
10500 CLARA DRIVEROSWELLGA30075200943038501(C)(3)$25,000GENERAL SUPPORT
THE PARTNERSHIP AGAINST DOMESTIC VIOLENCE
PO BOX 361969DECATURGA30036823295945501(C)(3)$118,000GENERAL SUPPORT
TRAVELER'S AID OF METRO ATLANTA
75 MARIETTA STREET SUITE 400ATLANTAGA30303580566247501(C)(3)$30,000GENERAL SUPPORT
VISITING NURSE HEALTH SYSTEM
5775 GLENRIDGE DRIVE NE SUITE E200ATLANTAGA30328580566250501(C)(3)$50,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org30Total501c3OrgCnt
Total Other Org7TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIP / EDUCATIONAL ASSISTANCEGrantTypeTxt
Recipient3RecipientCnt
Cash Grant$19,572CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WAYNE L AMBROZE MD
BOARD MEMBER$445,669$0$63,117$0$5,008$0$1,385$0$20,115$0$535,294$0$0$0
ROBERT T QUATTROCCHI
PRESIDENT & CEO NSH, INC.$1,496,122$0$1,242,519$0$2,129,354$0$5,982$0$29,405$0$4,903,382$0$0$0
JORGE J HERNANDEZ
VICE PRESIDENT/ASST. SECRE$386,576$0$164,865$0$22,732$0$5,119$0$10,707$0$589,999$0$0$0
DEBORAH S MITCHAM
VP/CFO NSH, INC. (FORMER)$604,664$0$273,491$0$10,489$0$6,136$0$14,426$0$909,206$0$0$0
SHANNON BANNA
VP/CFO NSH, INC. (CURRENT)$265,441$0$50,319$0$296$0$3,194$0$8,532$0$327,782$0$0$0
WILLIAM HAYES
CEO, NORTHSIDE HOSPITAL-CH$410,447$0$82,607$0$51,940$0$6,037$0$29,032$0$580,063$0$0$0
JANIS DUBOW
VICE PRESIDENT$352,617$0$127,725$0$21,179$0$4,596$0$9,938$0$516,055$0$0$0
ROBERT PUTNAM
VICE PRESIDENT$600,698$0$239,780$0$29,136$0$5,196$0$17,560$0$892,370$0$0$0
TINA WAKIM
VICE PRESIDENT/COO$680,772$0$304,341$0$43,410$0$3,433$0$9,803$0$1,041,759$0$0$0
WILLIAM EARLY MD
GASTROENTEROLOGY/INTERNAL$634,357$0$125,936$0$169,212$0$0$0$26,902$0$956,407$0$0$0
GERALD FEUER MD
GYNECOLOGIST/SURGEON$742,621$0$119,239$0$6,592$0$6,115$0$29,254$0$903,821$0$0$0
KENNETH KRESS MD
ORTHOPEDIC SURGEON$1,042,790$0$120,000$0$33,536$0$5,654$0$16,259$0$1,218,239$0$0$0
CHARLES DECOOK MD
ORTHOPEDIC SURGEON$962,259$0$566,775$0$7,176$0$5,163$0$29,032$0$1,570,405$0$0$0
NANCY WIGGERS MD
RADIATION ONCOLOGIST$592,404$0$258,620$0$3,358$0$6,000$0$29,405$0$889,787$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AON OCCASION, CERTAIN BENEFITS, SUCH AS LONG TERM DISABILITY PREMIUMS, ARE GROSSED UP FOR SELECTED EMPLOYEES.
PART I, LINE 4BMR. QUATTROCCHI HAS LED THE ORGANIZATION FOR MORE THAN FIFTEEN YEARS AS CEO AND FOR SEVENTEEN YEARS AS A SENIOR EXECUTIVE PRIOR TO BECOMING CEO. AS A RESULT OF HIS LEADERSHIP AND LONGEVITY, AND TO ASSIST IN HIS RETENTION, NORTHSIDE'S BOARD OF DIRECTORS HAS PROVIDED THE CEO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AGREEMENT WHICH IS DESIGNED TO PROVIDE HIM WITH A SOURCE OF FUNDS FOR USE AS SUPPLEMENTAL INCOME OVER HIS LIFE IN RETIREMENT. THE SERP VESTS AND DISBURSES INCREMENTAL FUNDING PAYOUTS EACH TWO OR THREE YEARS. THE SERP PAYMENTS ARE BASED ON A MATHEMATICAL FORMULA, PURSUANT TO A SIGNED CONTRACT, AND ARE REVIEWED AND ASSESSED PERIODICALLY FOR REASONABLENESS BY AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE FULL BOARD APPROVE EACH PAYMENT BEFORE PAYMENT IS MADE. NORTHSIDE DOES NOT CONSIDER SERP PAYMENTS TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. MR. QUATTROCCHI PARTICIPATES IN A LONG-TERM INCENTIVE PLAN THAT PROVIDES AN INCENTIVE COMPENSATION OPPORTUNITY IN THE EVENT OF THE ACHIEVEMENT OF A NUMBER OF PERFORMANCE MEASURES, INCLUDING CLINICAL QUALITY STANDARDS, MEASURED OVER PERFORMANCE PERIODS EXTENDING FROM 3 TO 5 YEARS. THIS FIRST PERFORMANCE PERIOD UNDER THIS PROGRAM ENDED SEPTEMBER 30, 2017 WITH A PAYMENT HAVING BEEN EARNED BY MR. QUATTROCCHI.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
NORTHSIDE ANESTHESIOLOGY CONSULTANTS LLC
K. DOUGLAS SMITH, M.D., BOARD MEMBER & NS ANESTHESIOLOGY CONS OFF./OWNER$5,381,513K. DOUGLAS SMITH, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, IS AN OFFICER/OWNER OF NORTHSIDE ANESTHESIOLOGY CONSULTANTS, LLC, WHICH PROVIDES MEDICAL SERVICES TO NORTHSIDE HOSPITAL, INC. TRANSACTIONS WITH THIS ENTITY ARE CONDUCTED AT ARMS-LENGTH AND ARE REPRESENTATIVE OF PAYMENTS FOR PROVISION OF ON-CALL PHYSICIAN SERVICES TO THE COMMUNITY WHICH NORTHSIDE SERVES.0
J BRYAN WHITLEY
ROBERT E. WHITLEY, BOARD MEMBER & J. BRYAN WHITLEY FAMILY MEMBER$126,683ROBERT E. WHITLEY, MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH J. BRYAN WHITLEY, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2017 TO J. BRYAN WHITLEY FOR SERVICES RENDERED TO THE ORGANIZATION.0
MEDLOCK MEDICAL LLC
DALE M. BEARMAN, M.D., BOARD MEMBER & MEDLOCK MEDICAL, LLC OWNER$407,384DALE M. BEARMAN, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A GREATER THAN 5% OWNERSHIP INTEREST IN MEDLOCK MEDICAL, LLC, WHICH PROVIDES RENTAL SPACE TO NORTHSIDE HOSPITAL, INC. TRANSACTIONS WITH THIS ENTITY ARE CONDUCTED AT ARMS-LENGTH.0
RACHEL BEARMAN
DALE M. BEARMAN, M.D., BOARD MEMBER & RACHEL BEARMAN FAMILY MEMBER$83,039DALE M. BEARMAN, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH RACHEL BEARMAN, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2017 TO RACHEL BEARMAN FOR SERVICES RENDERED TO THE ORGANIZATION.0
JENNIFER WHITLEY
ROBERT E. WHITLEY, BOARD MEMBER & JENNIFER WHITLEY FAMILY MEMBER$35,917ROBERT E. WHITLEY, MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH JENNIFER WHITLEY, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2017 TO JENNIFER WHITLEY FOR SERVICES RENDERED TO THE ORGANIZATION.0
ROBERT E WHITLEY JR
ROBERT E. WHITLEY, BOARD MEMBER & ROBERT E. WHITLEY, JR. FAMILY MEMBER$85,749ROBERT E. WHITLEY, MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH ROBERT E. WHITLEY, JR., AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2017 TO ROBERT E. WHITLEY, JR. FOR SERVICES RENDERED TO THE ORGANIZATION.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PROGRAM SERVICE ACCOMPLISHMENTS (CONT'D)REINVESTING TO ENHANCE CAPACITY AND TO DELIVER HIGH-QUALITY HEALTHCARE TO THE COMMUNITIES WE SERVE: BECAUSE NORTHSIDE HOSPITAL INC. IS NOT-FOR-PROFIT AND IS NOT REQUIRED TO RETURN PROFITS TO SHAREHOLDERS LIKE TAXABLE ORGANIZATIONS, WE ROUTINELY REINVEST OUR CASH RESERVES IN ORDER TO ENHANCE OUR CAPACITY AND ABILITY TO DELIVER HIGH-QUALITY HEALTH CARE TO THE COMMUNITIES WE SERVE. ACCORDINGLY, NORTHSIDE HOSPITAL EARMARKED NEARLY $212 MILLION IN CAPITAL INVESTMENTS IN FY2018. NUMEROUS OF THESE ALLOCATIONS WERE DESIGNATED TO KEY SERVICE LINES SUCH AS ONCOLOGY, CARDIOLOGY AND WOMEN'S SERVICES, MANY OF WHICH OVERLAP WITH NORTHSIDE'S TOP IDENTIFIED HEALTH NEEDS IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. SELECT EARMARKED INVESTMENTS INCLUDE: $62 MILLION FOR INPATIENT CAPACITY AND NEONATAL SERVICES EXPANSION, CONSTRUCTION OF AN ADDITIONAL MEDICAL OFFICE BUILDING AND EXPANDED PARKING FOR THE NEW NORTHSIDE HOSPITAL-CHEROKEE CAMPUS; $25.9 MILLION FOR SURGICAL SERVICES; $10.8 MILLION FOR RADIOLOGY SERVICES; $6.8 MILLION FOR ONCOLOGY SERVICES; $3.3 MILLION FOR GENERAL MEDICINE/SURGERY INPATIENT UNITS; $2.9 MILLION FOR CARDIOLOGY SERVICES; AND $2.0 MILLION FOR WOMEN'S SERVICES. PROVIDING A BROAD ARRAY OF COMMUNITY BENEFIT PROGRAM ACTIVITIES: IN FURTHERANCE OF ITS CHARITABLE MISSION AND TO MEET THE COMMUNITY'S TOP IDENTIFIED HEALTH NEEDS, NORTHSIDE HOSPITAL ENGAGES IN NUMEROUS OUTREACH AND COMMUNITY BENEFIT ACTIVITIES THROUGHOUT THE YEAR. THE CULMINATION OF THESE EFFORTS RESULTED IN NORTHSIDE HOSPITAL REACHING OVER 270,000 PERSONS, SPENDING OVER 62,000 HOURS AND PROVIDING MORE THAN $8 MILLION IN COMMUNITY BENEFIT PROGRAM ACTIVITIES. THE HIGHEST DOLLAR IMPACT CATEGORIES (I.E., BENEFIT IN EXCESS OF $1 MILLION) INCLUDE CASH AND IN-KIND DONATIONS AND COMMUNITY HEALTH IMPROVEMENT SERVICES. THROUGH CASH AND IN-KIND DONATIONS, NORTHSIDE HOSPITAL SUPPORTED OVER 200 COMMUNITY ORGANIZATIONS WHOSE MISSIONS COMPLEMENT THE HOSPITAL'S MISSION AND WHOSE INITIATIVES ALIGN WITH THE HOSPITAL'S IDENTIFIED HEALTH NEEDS. WHILE SOME OF THE RECIPIENT ORGANIZATIONS ARE WELL-KNOWN COMMUNITY GROUPS SUCH AS THE AMERICAN CANCER SOCIETY AND THE AMERICAN HEART ASSOCIATION, NORTHSIDE ALSO SUPPORTED SMALLER, GRASSROOTS ORGANIZATIONS SUCH AS BOAT PEOPLE SOS. BOAT PEOPLE SOS WAS ESTABLISHED IN 2000 WITH THE MISSION TO EMPOWER, ORGANIZE, AND EQUIP VIETNAMESE INDIVIDUALS AND COMMUNITIES IN THEIR PURSUIT OF LIBERTY AND DIGNITY. THROUGH THEIR HEALTH AWARENESS AND PROMOTION PROGRAM, BOAT PEOPLE SOS HAS PROVIDED NECESSARY HEALTH SERVICES TO OVER 2,000 UNINSURED PATIENTS. NORTHSIDE'S FINANCIAL SUPPORT HELPS TO FUND THEIR LOCAL CLINIC AND TO PROVIDE COMMUNITY HEALTH IMPROVEMENT SERVICES FOR PERSONS LIVING IN POVERTY. THE SECOND HIGHEST DOLLAR IMPACT CATEGORY, COMMUNITY HEALTH IMPROVEMENT SERVICES, INCLUDES ALMOST FIFTY PROGRAMS WITH NEARLY 470 OCCURRENCES. MUCH OF THE ACTIVITY INCLUDES COMMUNITY AND CORPORATE HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION EVENTS AND COMMUNITY-BASED CANCER SCREENINGS. HOWEVER, A COUPLE OF UNIQUE PROGRAMS MAY APPEAR SMALLER IN TERMS OF OCCURRENCES BUT HAVE A MEANINGFUL IMPACT ON THE COMMUNITY'S DISPARATE POPULATION. ONE SUCH PROGRAM IS THE FINANCIAL ACCESS SURGERY PROGRAM OR FASP. NORTHSIDE'S FASP WAS DESIGNED SPECIFICALLY TO ADDRESS AN UNMET COMMUNITY-BASED NEED FOR HIGH QUALITY, FINANCIALLY ACCESSIBLE, SPECIALTY SERVICES FOR THE UNINSURED OR UNDERINSURED POPULATION. MORE SPECIFICALLY, VARIOUS CHARITY ORGANIZATIONS AND FREE CLINICS SERVING THE METROPOLITAN ATLANTA AREA HAVE CONFIRMED DIFFICULTY SECURING ACCESS TO NEEDED OUTPATIENT SURGICAL SERVICES FOR THE POPULATIONS THEY SERVE. NORTHSIDE NOW HAS REFERRAL ARRANGEMENTS WITH APPROXIMATELY 60 CHARITABLE ORGANIZATIONS, INCLUDING SAFETY NET CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS, TO REFER PATIENTS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD OR OBTAIN MEDICALLY NECESSARY OUTPATIENT SURGERY. PATIENTS ARE PRE-SCREENED BASED ON FINANCIAL STATUS AND MEDICAL NECESSITY, AMONG OTHER FACTORS. THE FASP IS DESIGNED TO COVER THE ENTIRE SURGICAL EPISODE OF CARE INCLUDING PRE- AND POST-OPERATIVE SERVICES AND, AS NEEDED, RELATED SERVICES SUCH AS ANESTHESIA, RADIOLOGY, PHARMACY AND LABORATORY. THE FASP BEGAN IN 2012 WITH ONE (1) LOCATION AND HAS GROWN TO FOUR (4) LOCATIONS BASED ON COMMUNITY DEMAND. ANOTHER UNIQUE COMMUNITY HEALTH IMPROVEMENT PROGRAM IS NORTHSIDE'S IMAGING OUTREACH PROGRAM. THROUGH THIS PROGRAM, NORTHSIDE PROVIDES A COMPREHENSIVE RANGE OF IMAGING SERVICES TO LOW INCOME, UNINSURED OR UNDERINSURED PATIENTS. A DEDICATED IMAGING CHARITY COORDINATOR RECEIVES REFERRALS FROM COMMUNITY SAFETY NET CLINICS, ASSISTS PATIENTS WITH COMPLETING NORTHSIDE'S FINANCIAL ASSISTANCE APPLICATION PROCESS, SCHEDULES THE PATIENT'S EXAM, AND SENDS THE RESULTS BACK TO THE REFERRING CLINIC. IN ESSENCE, NORTHSIDE HAS ESTABLISHED A SUCCESSFUL MEDICAL HOME NETWORK MODEL OF CARE THAT IS DEDICATED TO SERVING THE COMMUNITY'S MOST VULNERABLE POPULATION. THESE ARE JUST A FEW EXAMPLES OF HOW NORTHSIDE HOSPITAL IS FULFILLING ITS CHARITABLE MISSION AND PROVIDING MEANINGFUL BENEFITS TO ITS COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 6NORTHSIDE HEALTH SERVICES, THE PARENT ENTITY, ELECTS ALL THE MEMBERS OF THE GOVERNING BODY FOR NORTHSIDE HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7ANORTHSIDE HEALTH SERVICES, THE PARENT ENTITY, ELECTS ALL THE MEMBERS OF THE GOVERNING BODY FOR NORTHSIDE HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7BNORTHSIDE HEALTH SERVICES, THE PARENT ENTITY, MUST APPROVE BYLAW REVISIONS AND REVISIONS OF THE ARTICLES OF INCORPORATION FOR NORTHSIDE HOSPITAL, INC.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED BY AN UNRELATED AND INDEPENDENT ACCOUNTANT USING DETAILED FINANCIAL STATEMENTS SUPPORTED BY A CONSOLIDATED AUDIT (ALSO PREPARED BY OUTSIDE, INDEPENDENT AUDITORS). NORTHSIDE FINANCIAL LEADERSHIP, INCLUDING THE SYSTEM CONTROLLER AND CFO, PERFORM A DETAILED REVIEW OF THE 990 AND APPROVAL OF THE RETURNS BEFORE THEY ARE FILED. ADDITIONALLY, OUTSIDE COUNSEL REVIEWS SEVERAL SECTIONS OF THE FORM AT NORTHSIDE'S REQUEST.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AND SIGN A DISCLOSURE QUESTIONNAIRE ANNUALLY, IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. NORTHSIDE'S LEGAL SERVICES DEPARTMENT REVIEWS CONTRACTS WITH OTHER CARE PROVIDERS, EDUCATIONAL INSTITUTIONS, MANUFACTURERS AND PAYORS TO DETERMINE WHETHER CONFLICTS OF INTEREST EXIST AND WHETHER THEY ARE IN COMPLIANCE WITH SPECIFIC LAWS AND REGULATIONS.
FORM 990, PART VI, SECTION B, LINE 15TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO AND KEY EMPLOYEES, A COMPENSATION STUDY, INCLUDING PEER ORGANIZATIONS, IS COMPLETED BY AN INDEPENDENT COMPENSATION CONSULTANT. THIS INFORMATION IS SHARED WITH THE COMPENSATION COMMITTEE. INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE DELIBERATE AND DETERMINE THE COMPENSATION OF THE CEO AND APPROVE THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. RECORDS ARE RETAINED OF THESE DECISIONS. THE CEO'S FINAL WRITTEN EMPLOYMENT CONTRACT MUST BE APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE CORPORATE GOVERNANCE DOCUMENTS (SPECIFICALLY ALL ARTICLES OF INCORPORATION DOCUMENTS) ARE MADE AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE. OUR CONFLICT OF INTEREST POLICY IS MADE AVAILABLE ON OUR INTRANET TO NORTHSIDE EMPLOYEES; HOWEVER, NEITHER OUR AUDITED FINANCIAL STATEMENTS NOR OUR CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC. WHEN AND IF APPROPRIATE REQUESTS ARE MADE BY THE PUBLIC, WE EVALUATE DISCLOSURE ON A CASE BY CASE BASIS.
FORM 990, PART VI, LINE 16BIN LIEU OF ADOPTING A WRITTEN POLICY CONCERNING JOINT VENTURE ARRANGEMENTS, THE ORGANIZATION REQUIRES AND UNDERTAKES A RIGOROUS CASE-BY-CASE EVALUATION OF ITS PARTICIPATION IN ANY PROPOSED JOINT VENTURE ARRANGEMENT UNDER APPLICABLE TAX AND OTHER LAWS AND REGULATIONS. EACH PROPOSED JOINT VENTURE WITH A TAXABLE ENTITY IS REVIEWED UNDER APPLICABLE TAX LAWS, REGULATIONS, AND GUIDELINES BY OUTSIDE LEGAL COUNSEL AND ORGANIZATION PERSONNEL TO CONFIRM THAT THE JOINT VENTURE WOULD BE FORMED, OPERATED AND MANAGED IN A MANNER THAT FURTHERS THE COMMUNITY BENEFIT AND CHARITABLE PURPOSES OF THE ORGANIZATION. JOINT VENTURES WITH TAXABLE ENTITIES ARE REQUIRED TO BE STRUCTURED, INCLUDING THROUGH FINANCIAL AND GOVERNANCE PROVISIONS AND RESERVED POWERS, IN A MANNER TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS AND ENSURE THAT THE ORGANIZATION CONTROLS ALL ASPECTS OF THE JOINT VENTURE RELATED TO ITS EXEMPT PURPOSE.
FORM 990, PART VII, SECTION B:TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH GEORGIA CANCER SPECIALISTS I, P.C. ("GCS") TO ENSURE ONCOLOGY AND HEMATOLOGY SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. NORTHSIDE HAS PROVIDED A BROAD RANGE OF CANCER CARE SERVICES THROUGH ITS CANCER CARE PROGRAM AT THE NORTHSIDE HOSPITAL CANCER INSTITUTE ("NHCI"). THE NHCI, WHICH IS RECOGNIZED NATIONALLY AS A LEADER IN ONCOLOGY DIAGNOSIS, TREATMENT AND RESEARCH, OFFERS CLINICAL EXCELLENCE ON PAR WITH ACADEMIC-BASED PROGRAMS ALONG WITH THE PERSONALIZED AND ATTENTIVE CARE TYPICALLY ASSOCIATED WITH A COMMUNITY HOSPITAL. NORTHSIDE HAS COMMITTED TO BECOMING A REGIONAL AND NATIONAL LEADER THAT REDEFINES CANCER CARE, WHICH IN PART REQUIRES THE EXPANSION OF ITS GEOGRAPHIC FOOTPRINT THROUGH DEVELOPMENT OF AN AFFILIATION WITH ADDITIONAL LOCATIONS, AS WELL AS HAVING AN INTEGRATED CANCER CARE PROGRAM THAT FACILITATES COLLABORATION BETWEEN NORTHSIDE AND CLINICIANS SPECIALIZING IN ONCOLOGY SERVICES. GCS HAS A LARGE COMPLEMENT OF CLINICIANS TO ASSIST NORTHSIDE IN DEVELOPING AN OUTPATIENT ONCOLOGY SERVICES PROGRAM, SPECIALIZING IN MEDICAL ONCOLOGY AND HEMATOLOGY AND THE PROVISION OF INFUSION THERAPY SERVICES AND MEDICAL AND CLINICAL RESEARCH SERVICES. IN ACCORDANCE WITH THE PSA, GCS REMAINS A PRIVATELY-HELD ORGANIZATION WITHOUT OWNERSHIP OR MANAGEMENT BY NORTHSIDE. GCS MAINTAINS RESPONSIBILITY FOR PROVIDING ALL ADMINISTRATIVE OPERATIONS OF THE PRACTICE (E.G., STAFF BENEFITS, MALPRACTICE INSURANCE, ETC.). NORTHSIDE MAKES PAYMENTS TO GCS AT FAIR MARKET VALUE RATES FOR 1) PERSONALLY PERFORMED AND MODIFIER ADJUSTED PROFESSIONAL SERVICES 2) MANAGEMENT OVERSIGHT RESPONSIBILITIES AND 3) BILLING ARRANGEMENTS. GCS EMPLOYS APPROXIMATELY 89 CLINICIANS AND 110 STAFF TO MAINTAIN ONCOLOGY, HEMATOLOGY, MANAGEMENT AND BILLING SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE. TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH AGA, LLC TO ENSURE GASTROENTEROLOGY ("GI") SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. AS SUCH, THIS ARRANGEMENT ALLOWS NORTHSIDE TO ESTABLISH CENTERS OF EXCELLENCE IN GI SERVICES, ESPECIALLY RELATED TO ENDOSCOPIC ULTRASOUND AND ENDOSCOPIC RETROGRADE CLOANGIOPANCREATOGRAPHY. GI SERVICES ALSO HAVE A SIGNIFICANT TIE-IN TO ONCOLOGY SERVICES FOR WHICH NORTHSIDE IS A LEADER IN THE ATLANTA SERVICE AREA IN TERMS OF DIAGNOSIS AND TREATMENT. AGA, LLC HAS A LARGE COMPLEMENT OF CLINICIANS THAT PROVIDE GI SERVICES INCLUDING GI ONCOLOGY. IN ACCORDANCE WITH THE PSA, AGA, LLC REMAINS A PRIVATELY-HELD ORGANIZATION WITHOUT OWNERSHIP OR MANAGEMENT BY NORTHSIDE. AGA, LLC MAINTAINS RESPONSIBILITY FOR ALL EXPENSES TYPICALLY FOUND IN A GI CLINICIANS PRACTICE (E.G., STAFF, BILLING, MEDICAL SUPPLIES, MEDICAL RECORDS, OCCUPANCY, MALPRACTICE INSURANCE, ETC.). UNDER THE PSA, NORTHSIDE PAYS AGA A FAIR MARKET VALUE RATE BASED ON PERSONALLY PERFORMED AND MODIFIER ADJUSTED WRVUS. AGA, LLC PROVIDES APPROXIMATELY 126 CLINICIANS TO ENSURE GI SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE. THE COMPENSATION REFLECTED ON FORM 990, PART VII, SECTION B, COLUMN (C), REPRESENTS PROFESSIONAL SERVICES UNDER THE PSA TO INCLUDE RELATED COMPENSATION AND BENEFITS. TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH ATLANTA CANCER CARE ("ACC") TO ENSURE ONCOLOGY AND HEMATOLOGY SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. NORTHSIDE HAS PROVIDED A BROAD RANGE OF CANCER CARE SERVICES THROUGH ITS CANCER CARE PROGRAM AT THE NORTHSIDE HOSPITAL CANCER INSTITUTE ("NHCI"). THE NHCI, WHICH IS RECOGNIZED NATIONALLY AS A LEADER IN ONCOLOGY DIAGNOSIS, TREATMENT AND RESEARCH, OFFERS CLINICAL EXCELLENCE ON PAR WITH ACADEMIC-BASED PROGRAMS ALONG WITH THE PERSONALIZED AND ATTENTIVE CARE TYPICALLY ASSOCIATED WITH A COMMUNITY HOSPITAL. NORTHSIDE HAS COMMITTED TO BECOMING A REGIONAL AND NATIONAL LEADER THAT REDEFINES CANCER CARE, WHICH IN PART REQUIRES THE EXPANSION OF ITS GEOGRAPHIC FOOTPRINT THROUGH DEVELOPMENT OF AN AFFILIATION WITH ADDITIONAL LOCATIONS, AS WELL AS HAVING AN INTEGRATED CANCER CARE PROGRAM THAT FACILITATES COLLABORATION BETWEEN NORTHSIDE AND CLINICIANS SPECIALIZING IN ONCOLOGY SERVICES. ACC HAS A LARGE COMPLEMENT OF CLINICIANS TO ASSIST NORTHSIDE IN DEVELOPING AN OUTPATIENT ONCOLOGY SERVICES PROGRAM, SPECIALIZING IN MEDICAL ONCOLOGY AND HEMATOLOGY AND THE PROVISION OF INFUSION THERAPY SERVICES AND MEDICAL AND CLINICAL RESEARCH SERVICES. IN ACCORDANCE WITH THE PSA, ACC REMAINS A PRIVATELY-HELD ORGANIZATION WITHOUT OWNERSHIP BY NORTHSIDE. ACC MAINTAINS RESPONSIBILITY FOR PROVIDING ALL ADMINISTRATIVE OPERATIONS OF THE PRACTICE (E.G., STAFF BENEFITS, MALPRACTICE INSURANCE, ETC.). NORTHSIDE MAKES PAYMENTS TO ACC AT FAIR MARKET VALUE RATES FOR 1) PERSONALLY PERFORMED AND MODIFIER ADJUSTED PROFESSIONAL SERVICES 2) MANAGEMENT OVERSIGHT RESPONSIBILITIES AND 3) BILLING ARRANGEMENTS. ACC EMPLOYS APPROXIMATELY 28 CLINICIANS AND 61 STAFF TO MAINTAIN ONCOLOGY, HEMATOLOGY, MANAGEMENT AND BILLING SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 320,835,541. MANAGEMENT AND GENERAL EXPENSES 150,710,053. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 471,545,594.
FORM 990, PART XI, LINE 9:CHANGE IN PENSION 90,534,751. EQUITY TRANSFER -2,182,940. INCOME FROM JOINT VENTURES NOT ON BOOKS -1,817,157. OTHER CHANGES IN NET ASSETS -124,566. INTERCOMPANY FORGIVENESS 1,042,360.
COMMUNITY BENEFITS REPORT - FISCAL YEAR 2018ABOUT US NORTHSIDE'S COMMITMENT TO HEALTH AND WELLNESS IN THE ATLANTA COMMUNITY BEGAN IN 1970 WITH THE OPENING OF NORTHSIDE HOSPITAL ATLANTA. SINCE THEN, THE NORTHSIDE HOSPITAL SYSTEM HAS GROWN TO INCLUDE THREE GENERAL ACUTE CARE HOSPITALS, 1,051 INPATIENT BEDS, A NETWORK OF MORE THAN 2,900 PHYSICIANS, AND 15,000 EMPLOYEES. ADDITIONALLY, NORTHSIDE OPERATES MORE THAN 150 OUTPATIENT LOCATIONS IN COUNTIES ACROSS THE GREATER METROPOLITAN ATLANTA AREA. OUR MISSION THROUGH ALL OF THE GROWTH, NORTHSIDE HAS REMAINED STEADFAST AND COMMITTED TO ITS MISSION. NORTHSIDE HOSPITAL IS COMMITTED TO THE HEALTH AND WELLNESS OF OUR COMMUNITY. AS SUCH, WE DEDICATE OURSELVES TO BEING A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE. WE PLEDGE COMPASSIONATE SUPPORT, PERSONAL GUIDANCE AND UNCOMPROMISING STANDARDS TO OUR PATIENTS IN THEIR JOURNEYS TOWARD HEALTH OF BODY AND MIND. TO ENSURE INNOVATIVE AND UNSURPASSED CARE FOR OUR PATIENTS, WE ARE DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. AND TO ENHANCE THE WELLNESS OF OUR COMMUNITY, WE COMMIT OURSELVES TO PROVIDING A DIVERSE ARRAY OF EDUCATIONAL AND OUTREACH PROGRAMS. OUR VALUES NORTHSIDE'S OUTSTANDING REPUTATION IS FUELED BY AN INSTINCTIVE DEVOTION TO A UNIQUE SET OF VALUES. THIS STATEMENT OF VALUES DEFINES AND COMMUNICATES THOSE GUIDING, MOTIVATING PHILOSOPHIES THAT HAVE LED US TO DISTINCTION: EXCELLENCE - A PRIMARY VALUE IN ALL MATTERS OF HEALTH CARE, OUR EXCELLENCE IS BORN OF INDIVIDUAL COMMITMENT TO THE HIGHEST PERSONAL POTENTIAL. FOR IF WE REACH OUR INDIVIDUAL POTENTIALS, WE CAN ACHIEVE EXCELLENCE AS AN INSTITUTION. COMPASSION - WE BELIEVE THAT EACH PERSON IS UNIQUE - PATIENT, FAMILY OR CAREGIVER - IN HEALTH, IN SICKNESS, IN LIFE, IN DEATH. EACH IS TO RECEIVE OUR RESPECT, OUR CARE, OUR APPRECIATION AND OUR CONCERN.....OUR EMPATHY. COMMUNITY - WE VALUE ITS WELL-BEING AND ARE COMMITTED TO ITS PROGRESS. IN ADDITION TO OUR SERVICES, WE PROVIDE AN IMPORTANT CORPORATE CONTRIBUTION, EXPRESSED THROUGH INVOLVEMENT WITH THE PEOPLE, ORGANIZATIONS AND JURISDICTIONS THAT VITALIZE, ENERGIZE AND SUPPORT OUR REGION. SERVICE - WE RECOGNIZE A PERSONALIZED EXPRESSION OF CARING WHICH TRANSCENDS PHYSICAL ASPECTS OF HEALTH. WE REALIZE THAT THIS DEPTH OF SERVICE TO OTHERS CAN BE THE SOURCE OF OUR OWN GROWTH AND WELL-BEING, WHILE MAINTAINING A FINANCIALLY SUCCESSFUL ORGANIZATION. TEAMWORK - OUR SUCCESS STEMS FROM TEAMWORK. WE RECOGNIZE THE EQUAL VALUE AND INDIVIDUAL CONTRIBUTION OF EACH MEMBER OF OUR TEAM. WE BELIEVE IN MUTUAL REGARD FOR EACH OTHER AND FOR OUR PATIENTS. WE ENCOURAGE TEAMWORK BY WORKING TOGETHER RESPECTFULLY, COMMUNICATING OPENLY AND SUPPORTING THE EXPRESSION OF DIFFERING OPINIONS AND PERSPECTIVES. PROGRESS & INNOVATION - WE UNDERSTAND THE NEED FOR THESE ATTRIBUTES IN PATIENT CARE AND ORGANIZATIONAL MANAGEMENT. WHILE PRESERVING THE TRADITION AND WISDOM OF THOSE WHO HAVE GONE BEFORE US, WE SEEK NEW INFORMATION AND STATE-OF-THE-ART TECHNOLOGY. WE WELCOME NEW INSIGHTS, NEW TECHNIQUES, NEW IDEAS AND WILL REMAIN LEADERS IN THE HEALTH CARE OF OUR COMMUNITY. OUR COMMUNITY NORTHSIDE'S CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") COVERS FY 2016 - FY 2018, AND MARKS THE SECOND CYCLE OF ASSESSING, PRIORITIZING AND ADDRESSING OUR COMMUNITY'S HEALTH NEEDS. GIVEN THE GEOGRAPHIC PROXIMITY OF NORTHSIDE'S THREE HOSPITALS, NORTHSIDE HOSPITAL ATLANTA ("NHA"), NORTHSIDE HOSPITAL CHEROKEE ("NHC") AND NORTHSIDE HOSPITAL FORSYTH ("NHF"), NORTHSIDE DEVELOPED A SINGLE COMMUNITY DEFINITION FOR THE FY 2016 - FY 2018 CHNA. NORTHSIDE'S COMMUNITY IS DEFINED AS: CHEROKEE, COBB, DAWSON, DEKALB, FORSYTH, FULTON, GWINNETT, AND PICKENS COUNTIES. TOGETHER THESE COUNTIES REPRESENTED EIGHTY-FOUR PERCENT (84%) OF THE SYSTEM'S TOTAL CASES INCLUDING EIGHTY-ONE PERCENT (81%) OF NHA'S, NINETY-TWO PERCENT (92%) OF NHC'S AND EIGHTY-NINE PERCENT (89%) OF NHF'S TOTAL CASES. IDEALLY, NORTHSIDE WOULD HAVE UNLIMITED RESOURCES TO ADDRESS ALL OF THE COMMUNITY'S IDENTIFIED NEEDS. HOWEVER, IT IS NOT REALISTIC FOR ANY SINGLE ORGANIZATION TO ADDRESS ALL OF A COMMUNITY'S NEEDS, HENCE THE IMPORTANCE OF PRIORITIZING THE IDENTIFIED NEEDS. NORTHSIDE SELECTED THOSE NEEDS THAT IMPACT THE GREATEST NUMBER OF INDIVIDUALS IN THE COMMUNITY; THOSE NEEDS THAT DISPROPORTIONATELY IMPACT THE MOST VULNERABLE POPULATIONS; THOSE NEEDS THAT ARE MOST SEVERE AND/OR PREVALENT; AND THOSE NEEDS THAT NORTHSIDE HAS THE WHEREWITHAL TO ADDRESS. THUS, NORTHSIDE'S FY 2016 - FY 2018 PRIORITIZED HEALTH NEEDS INCLUDE: 1. CANCER 2. CARDIOVASCULAR DISEASE 3. HEALTHY LIFESTYLE BEHAVIORS 4. MATERNAL AND INFANT HEALTH 5. PREVENTIVE HEALTH BEHAVIORS 6. OBESITY AND DIABETES IT IS IMPORTANT TO NOTE THAT OVER THE COURSE OF ITS CHNA DEVELOPMENT, NORTHSIDE IDENTIFIED OVER FOUR HUNDRED (400) RESOURCES LOCATED THROUGHOUT THE COMMUNITY. THESE RESOURCES ARE AVAILABLE TO THE COMMUNITY TO HELP ADDRESS ALL OF THE NEEDS NORTHSIDE IDENTIFIED, INCLUDING THOSE NEEDS THAT NORTHSIDE IS NOT FORMALLY ADDRESSING. SEEKING COMMUNITY INPUT NORTHSIDE IDENTIFIED INDIVIDUALS IN THE COMMUNITY WHO COULD PROVIDE A UNIQUE PERSPECTIVE AND CONNECTION TO THE COMMUNITY AND ITS MEMBERS' HEALTH NEEDS. NORTHSIDE MADE SPECIFIC EFFORTS TO IDENTIFY STAKEHOLDERS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. AFTER IDENTIFYING STAKEHOLDERS TO INTERVIEW, NORTHSIDE DEVELOPED THE STAKEHOLDER ASSESSMENT DISCUSSION GUIDE. THIS GUIDE WAS USED TO LEAD A DISCUSSION WITH EACH STAKEHOLDER TO LEARN ABOUT THE NEEDS AND RESOURCES WITHIN THE NORTHSIDE COMMUNITY. FOR THIS PROCESS, NORTHSIDE REACHED OUT TO 41 STAKEHOLDERS, INCLUDING REPRESENTATIVES AT ALL COUNTY-LEVEL PUBLIC HEALTH DEPARTMENTS IN THE COMMUNITY. THIS OUTREACH EFFORT RESULTED IN THE COMPLETION OF 23 STAKEHOLDER INTERVIEWS COMPRISING: PUBLIC HEALTH DEPARTMENTS (7), SAFETY-NET CLINICS (7), COMMUNITY ORGANIZATIONS (5), OTHER LOCAL GOVERNMENT (2), AND BUSINESS COMMUNITY (2).
OUR COMMUNITY BENEFIT PROGRAM ACTIVITIESAS A NOT-FOR-PROFIT ENTITY, NORTHSIDE ALWAYS HAS BEEN MISSION DRIVEN TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY MEMBERS AND TO SERVE ALL, REGARDLESS OF ABILITY TO PAY. NORTHSIDE HAS A LONG HISTORY OF COMMUNITY OUTREACH WHETHER THROUGH EDUCATION, SUPPORT GROUPS, OR SCREENINGS AND HEALTH FAIRS. THROUGH THE CHNA PROCESS, NORTHSIDE'S OUTREACH EFFORTS ARE BECOMING MORE STRATEGIC IN NATURE AND MORE COLLABORATIVE. ALSO, THERE IS NOW A FORMAL FRAMEWORK AND STRUCTURE SURROUNDING NORTHSIDE'S OUTREACH EFFORTS WHICH ENABLES IMPROVED CAPTURE AND REPORTING. SINCE FY 2016, NORTHSIDE HAS INCREASED THE NUMBER OF PEOPLE REACHED VIA ITS COMMUNITY BENEFIT PROGRAM ACTIVITIES FROM JUST OVER 239,000 TO JUST OVER 270,000 (I.E., 13%) AND HAS INCREASED THE REPORTED VALUE OF THESE EFFORTS FROM ROUGHLY $4.5 MILLION TO JUST OVER $8.0 MILLION (I.E., 76%). AS NOTED PREVIOUSLY, NORTHSIDE'S CURRENT CHNA COVERS FY 2016 - FY 2018. IT WAS ADOPTED BY THE NORTHSIDE HOSPITAL PLANNING COMMITTEE IN JULY 2016 AND POSTED ON THE ORGANIZATION'S WEBSITE IN SEPTEMBER 2016. OVER THE COURSE OF FY 2017 AND FY 2018, NORTHSIDE ENGAGED IN NUMEROUS ACTIVITIES TO MEET THE SIX (6) PRIORITIZED HEALTH NEEDS NOTED ABOVE AND AS OUTLINED IN ITS IMPLEMENTATION STRATEGY. NORTHSIDE PAID PARTICULAR ATTENTION TO THE CHALLENGES FACING THE COMMUNITY'S MOST VULNERABLE POPULATIONS WHILE ALSO LOOKING TO HELP IMPROVE THE HEALTH STATUS OF THE BROADER COMMUNITY. FOLLOWING IS A HIGH-LEVEL SUMMARY OF THE OBJECTIVE MEASURES (DOLLARS SPENT AND NUMBER SERVED) OF THESE COMMUNITY BENEFIT EFFORTS. CANCER COMMUNITY HEALTH EDUCATION: -HEALTH FAIRS: NORTHSIDE'S ONCOLOGY DEPARTMENT ATTENDED 230 HEALTH FAIRS/COMMUNITY EVENTS, WHERE THEY DISTRIBUTED EDUCATIONAL MATERIALS REGARDING CANCER RISK, TREATMENT AND PREVENTION AS WELL AS PROVIDED SCREENINGS IN FY 2017 - FY 2018. EDUCATIONAL MATERIALS AND SCREENINGS WERE PROVIDED TO APPROXIMATELY 62,717 ATTENDEES, ACCOUNTING FOR $94,352 IN COMMUNITY BENEFIT. -EDUCATIONAL PRESENTATIONS: NORTHSIDE'S ONCOLOGY DEPARTMENT MADE 59 EDUCATIONAL PRESENTATIONS THROUGHOUT THE COMMUNITY TO 10,231 ATTENDEES FROM FY 2017 - FY 2018, ACCOUNTING FOR $14,875 IN COMMUNITY BENEFIT. -SMOKING CESSATION: NORTHSIDE FACILITATED 25 SMOKING CESSATION COURSES FROM FY 2017 - FY 2018 WHERE 100% OF PARTICIPANTS (87) QUIT. COMMUNITY-BASED CLINICAL HEALTH SERVICES: -PROSTATE CANCER SCREENING: THE PROSTATE CANCER SCREENING TARGETING BLACK MEN PROVIDED 94 SCREENINGS AT A 2017 EVENT, ACCOUNTING FOR $1,688 IN COMMUNITY BENEFIT. 14 ATTENDEES WITH ABNORMAL RESULTS WERE LINKED TO FOLLOW-UP CARE. -NON-HEALTH FAIR SCREENINGS: OUTSIDE OF HEALTH FAIR SETTINGS, NORTHSIDE'S ONCOLOGY DEPARTMENT HELD 19 SCREENING EVENTS (10 SKIN CANCER, 9 PROSTATE CANCER) FROM FY 2017 - FY 2018. APPROXIMATELY 2,376 PEOPLE WERE SCREENED, ACCOUNTING FOR $67,879 IN COMMUNITY BENEFIT. -HEALTH PROFESSIONALS EDUCATION: FROM FY 2017 TO FY 2018, NORTHSIDE HELD 3 CANCER-RELATED CONFERENCES THAT PROVIDED CONTINUING EDUCATION CREDITS TO HEALTH PROFESSIONALS: 1) NHCI SYMPOSIUM 2017: ONCOLOGY FOR PRIMARY CARE PHYSICIANS, 2) NHCI SYMPOSIUM 2018: A MULTIDISCIPLINARY APPROACH TO GASTROINTESTINAL CANCER, 3) GLOBAL BREAKTHROUGHS: BREAST & OVARIAN CANCER. THESE CONFERENCES HAD A TOTAL OF 214 ATTENDEES AND ACCOUNTED FOR $97,941 IN COMMUNITY BENEFIT. CARDIOVASCULAR DISEASE COMMUNITY-BASED CLINICAL HEALTH SERVICES: NHF'S CARDIOLOGY DEPARTMENT HOSTED AN ANNUAL CARDIOVASCULAR SCREENING IN FY 2017 AND FY 2018 WHERE 166 ATTENDEES RECEIVED SCREENINGS, ACCOUNTING FOR $9,993 IN COMMUNITY BENEFIT. NORTHSIDE'S CORPORATE & COMMUNITY HEALTH SOLUTIONS DEPARTMENT HOSTED 112 SCREENING EVENTS WHERE CARDIOVASCULAR SCREENINGS WERE PROVIDED REACHING 8,474 ATTENDEES AND PROVIDING $356,615 IN COMMUNITY BENEFIT. COMMUNITY HEALTH EDUCATION: NORTHSIDE'S MARKETING DEPARTMENT HOSTED ITS SPEAKER'S BUREAU SERIES IN FY 2017 AND FY 2018, WHERE 7 OF THE PRESENTATIONS WERE RELATED TO CARDIOVASCULAR DISEASES. THERE WERE 240 ATTENDEES ACCOUNTING FOR $3,002 IN COMMUNITY BENEFIT. NORTHSIDE FORSYTH'S CARDIOLOGY DEPARTMENT ATTENDED 7 COMMUNITY EVENTS FROM FY 2017 - FY 2018 WHERE EDUCATIONAL MATERIALS WERE DISTRIBUTED. APPROXIMATELY 652 ATTENDEES RECEIVED THESE MATERIALS, ACCOUNTING FOR $5,165 IN COMMUNITY BENEFIT. HEALTH PROFESSIONALS EDUCATION: FROM FY 2017 TO FY 2018, NORTHSIDE HELD 4 CARDIOVASCULAR-RELATED CONFERENCES THAT PROVIDED CONTINUING EDUCATION CREDITS TO HEALTH PROFESSIONALS. THESE CONFERENCES HAD A TOTAL OF 518 ATTENDEES. HEALTHY LIFESTYLE BEHAVIORS COMMUNITY HEALTH EDUCATION: FROM FY 2017 - FY 2018, COMMUNITY MEMBERS WERE EDUCATED ON HEALTHY LIFESTYLE BEHAVIORS BY NORTHSIDE THROUGH NHC'S LEARNING & EDUCATIONAL DEVELOPMENT DEPARTMENT: MIDDLE & HIGH SCHOOL OUTREACH, NH MARKETING DEPARTMENT'S SPEAKER'S BUREAU AND HEALTH FAIRS. A TOTAL OF 8,222 PEOPLE WERE REACHED. MATERNAL AND INFANT HEALTH COMMUNITY HEALTH EDUCATION: -CLASSES: NORTHSIDE OFFERS LOW-COST EDUCATIONAL COURSES ON SEVERAL SUBJECT MATTERS RELATED TO MATERNAL AND INFANT HEALTH, OVER 1,200 CLASSES WERE OFFERED BETWEEN FY 2017 AND FY 2018 IN THE FOLLOWING SUBJECTS: BABY ESSENTIALS, INFANT & CHILD CPR, CHILDBIRTH, AND BREASTFEEDING. 14,722 PEOPLE ATTENDED THESE COURSES. NORTHSIDE'S COMMUNITY BENEFIT STEERING COMMITTEE ("CBSC") IS DEVELOPING A PROGRAM AIMED AT REDUCING THE INCIDENCE OF GESTATIONAL DIABETES IN HISPANIC MOTHERS. COMMITTEE MEMBERS SPENT APPROXIMATELY 21 STAFF HOURS ON PLANNING ACTIVITIES FOR THIS PROGRAM IN FY 2018. -LACTATION SUPPORT: NORTHSIDE SUPPORTED 22,781 WOMEN WITH BREASTFEEDING ADVICE THROUGH NORTHSIDE'S FREE LACTATION SUPPORT LINE. ANOTHER 3,408 MOTHERS ATTENDED NORTHSIDE'S MOM-ME CONNECTION LACTATION SUPPORT GROUP. -ONLINE LIBRARY: NORTHSIDE'S WOMEN'S SERVICES DEPARTMENT HOSTED AN ONLINE LIBRARY OF MATERNITY RESOURCES, WHICH IT PAID $4,808 IN FY 2018 TO OFFER. -COMMUNITY SUPPORT GROUPS: NORTHSIDE'S PERINATAL DEPARTMENT PROVIDES SUPPORT TO MOTHERS AND FAMILIES GRIEVING THE LOSS OF AN INFANT THROUGH PERINATAL LOSS SUPPORT GROUPS AND ATLANTA WALK TO REMEMBER. THESE PROGRAMS REACHED 954 ATTENDEES AND ACCOUNTED FOR $11,216 IN COMMUNITY BENEFIT FROM FY 2017 TO FY 2018. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT AND SAFETY: NORTHSIDE'S WOMEN'S SERVICES AND STRATEGIC PLANNING DEPARTMENTS PARTICIPATED IN TWO COMMITTEES THAT ADVOCATED FOR IMPROVEMENTS IN MATERNAL AND INFANT HEALTH IN GEORGIA: 1) THE GEORGIA PERINATAL QUALITY COLLABORATIVE AND 2) THE GEORGIA MATERNAL MORTALITY REVIEW COMMITTEE. NORTHSIDE REPRESENTATIVES DEDICATED 127 STAFF HOURS TO THESE EFFORTS, ACCOUNTING FOR $8,985 IN COMMUNITY BENEFIT. PREVENTIVE HEALTH BEHAVIORS COMMUNITY-BASED CLINICAL HEALTH SERVICES: NORTHSIDE CONTINUED TO PROVIDE ACCESS TO (NON-EMERGENT YET MEDICALLY-NECESSARY) OUTPATIENT SURGICAL AND ENDOSCOPY SERVICES THROUGH ITS FINANCIAL ACCESS SURGERY PROGRAM ("FASP"). NORTHSIDE PARTNERED WITH TWENTY DIFFERENT SAFETY-NET CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS FROM ACROSS THE METRO-ATLANTA REGION TO IMPROVE ACCESS TO MUCH NEEDED SPECIALTY CARE. OVER THE COURSE OF 2017-2018, THE FASP SERVED 915 UNINSURED/UNDERINSURED PATIENTS WHO OTHERWISE WOULD HAVE GONE UNTREATED UNTIL THEIR NEED BECAME SO GREAT THAT THEY WOULD HAVE NO OPTION BUT TO SEEK CARE IN A LOCAL HOSPITAL'S EMERGENCY ROOM. ALSO, AS NOTED IN ITS FY 2016 - FY 2018 IMPLEMENTATION STRATEGY, NORTHSIDE DID EXPAND THE FASP BY OPENING A NORTH GEORGIA LOCATION IN WOODSTOCK, CHEROKEE COUNTY. THIS LATEST FASP LOCATION BECAME OPERATIONAL IN APRIL 2018. OBESITY & DIABETES COMMUNITY HEALTH EDUCATION: NHC'S LEARNING & EDUCATIONAL DEVELOPMENT DEPARTMENT HOSTED 30 EVENTS AT COMMUNITY ELEMENTARY SCHOOLS IN FY 2018 RELATED TO OBESITY PREVENTION. THESE EVENTS WERE ATTENDED BY APPROXIMATELY 4,955 STUDENTS, ACCOUNTING FOR $17,257 IN COMMUNITY BENEFIT.
REPORTING OUR COMMUNITY FINANCIALSNORTHSIDE FOLLOWS THE BEST PRACTICES OUTLINED BY THE CATHOLIC HEALTH ASSOCIATION WHEN REPORTING ITS COMMUNITY BENEFIT. ACCORDINGLY, NORTHSIDE PRESENTS ITS FINANCIALS IN TWO CATEGORIES: 1) REPORTABLE COMMUNITY BENEFIT WHICH INCLUDES INDIGENT AND CHARITY CARE, MEDICAID SHORTFALL AND OTHER COMMUNITY BENEFIT PROGRAMS, AND 2) TOTAL COMMUNITY SPEND WHICH INCLUDES REPORTABLE COMMUNITY BENEFIT PLUS BAD DEBT AND MEDICARE SHORTFALL. $210,270,000 FY 2018 REPORTABLE COMMUNITY BENEFIT $139,656,000 COST OF PROVIDING CHARITY CARE $62,548,000 UNREIMBURSED COST OF PROVIDING CARE TO MEDICAID BENEFICIARIES $8,066,000 COST OF OTHER COMMUNITY BENEFIT PROGRAMS $136,741,000 FY 2018 OTHER COMMUNITY SPEND $102,615,000 UNREIMBURSED COST OF PROVIDING CARE TO MEDICARE BENEFICIARIES $34,126,000 UNREIMBURSED COST OF PROVIDING CARE TO OTHER PATIENTS (I.E. BAD DEBT) $347,011,000 FY 2018 TOTAL COMMUNITY SPEND NORTHSIDE WILL CONTINUE TO BE MISSION-DRIVEN. WE WILL FOCUS OUR COMMUNITY BENEFIT ACTIVITIES ON THE HIGHEST PRIORITY NEEDS OF OUR COMMUNITY, DELIVERING A ROBUST ARRAY OF TARGETED PROGRAMS DESIGNED WITH A PARTICULAR FOCUS ON SERVING THE MOST VULNERABLE MEMBERS OF OUR COMMUNITY.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (35 entries)

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1000 JOHNSON FERRY ROADATLANTAGA30342581458873PUBLIC CHARITY, ORGANIZED EMPLOYEE RELIEF FUNDGA501(C)(3)LINE 7NORTHSIDE HEALTH SERVICES INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
ENT SURGERY CENTER OF ATLANTA LLC
5673 PEACHTREE DUNWOODY RD STE 945ATLANTAGA30342200075229AMBULATORY SURGERYGANORTHSIDE HOSPITAL INCRELATED$129,985$1,420,471000.64300
HAND & UPPER EXTREMITY SURGERY CENTER OF GA LLC
993 JOHNSON FERRY RDATLANTAGA30342200147862OUTPATIENT SURGERYGANORTHSIDE HOSPITAL INCRELATED$197,064$2,876,9360Yes (1)0.51000
SOVEREIGN REHABILITATION OF GEORGIA LLC
5555 PEACHTREE DUNWOODY RD STE 225ATLANTAGA30342205084665REHABILITATION CENTERGANORTHSIDE HOSPITAL INCRELATED-$374,912$3,014,8220Yes (1)0.88000
NASA SURGERY CENTER LLC
1100 JOHNSON FERRY RD STE 180SANDY SPRINGSGA30342264824662AMBULATORY SURGERYGANORTHSIDE HOSPITAL INCRELATED-$77,461$846,236000.70000
NORTHERN CRESCENT ENDOSCOPY SUITE LLC
550 PEACHTREE STREET SUITE 1620ATLANTAGA30308582453504OUTPATIENT SURGERYGANORTHSIDE HOSPITAL INCRELATED$2,072,919$12,124,904000.70000
UROLOGY SURGICAL PARTNERS LLC
5673 PEACHTREE DUNWOODY RD SUITE 90ATLANTAGA30342582622573AMBULATORY SURGERYGANORTHSIDE HOSPITAL INCRELATED$104,382$2,277,407000.70000
WOODSTOCK ENDOSCOPY CENTER LLC
550 PEACHTREE STREET SUITE 1620ATLANTAGA30308582656248OUTPATIENT SURGERYGANORTHSIDE HOSPITAL INCRELATED$413,871$3,833,227000.70000
ADVANCED CENTER FOR JOINT SURGERY LLC
2000 HOWARD FARM DRIVE SUITE T100CUMMINGGA30041820606082ORTHOPEDIC SURGERYGANORTHSIDE HOSPITAL INCRELATED-$4,568$1,981,857000.51000
1110 INVESTOR LLC
1000 JOHNSON FERRY ROADATLANTAGA30342821783922CONSTRUCTIONGAN/A
AOA AMC LLC
320 PARKWAY DRIVE NEATLANTAGA30312813018210ONCOLOGY CLINICGANORTHSIDE HOSPITAL INCRELATED$153,871$4,352,308000.49000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTHSIDE VENTURES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 JOHNSON FERRY ROADAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30342ZIPCd
FieldValueIRS element (for citing)
EIN581954456EIN
Primary ActivitiesLEASING COMPANYPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN D:FormAndLineReferenceDesc
ExplanationIN MOST INSTANCES WHERE (D) TOTAL INCOME IS ZERO, ENTITIES WERE ESTABLISHED FOR BILLING IDENTIFICATION ONLY AND NO ASSETS, INCOME OR EMPLOYEES ARE APPLICABLE TO EMPLOYER IDENTIFICATION NUMBER.ExplanationTxt