Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
743 SPRING STREET
 
Room/suite
City or town, state or country, and ZIP + 4
GAINESVILLE, GA305013899
D Employer identification number

58-1694098
E Telephone number

G Gross receipts $ 636,216,444
F Name and address of principal officer:
CAROL BURRELL
743 SPRING STREET
GAINESVILLE,GA305013899
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.NGHS.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1986
M State of legal domicile: GA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION OF NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS TO PROVIDE COMPREHENSIVE, (SEE SCHEDULE O) ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 9
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 0
6 Total number of volunteers (estimate if necessary) .... 6 606
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 2,079,238
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -208,682
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,707,632 1,391,506
9 Program service revenue (Part VIII, line 2g) ......... 588,122,976 599,822,094
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 4,083,820 34,129,338
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) -4,031,803 403,901
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 589,882,625 635,746,839
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 436,350 305,820
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 226,496,393 237,914,457
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 305,857,512 319,879,748
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 532,790,255 558,100,025
19 Revenue less expenses. Subtract line 18 from line 12...... 57,092,370 77,646,814
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 930,469,881 934,950,982
21 Total liabilities (Part X, line 26)............ 677,836,415 671,455,471
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 252,633,466 263,495,511
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: TO PROVIDE COMPREHENSIVE, ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 497,170,198 including grants of $ 305,820 ) (Revenue $ 599,628,883 )
NORTHEAST GEORGIA MEDICAL CENTER, INC. IS A 557 BED REGIONAL REFERRAL FACILITY PROVIDNG A COMPREHENSIVE RANGE OF ACUTE CARE AND SPECIALTY MEDICAL CARE. NGMC SERVES THE CITY OF GAINESVILLE, GEORGIA; HALL COUNTY AND SURROUNDING COUNTIES. **SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION**
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 497,170,198
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
286
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
14
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
GA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
LINDA D NICHOLSONCONTROLLER
743 SPRING STREET
GAINESVILLE,GA30501
(770) 219-6646
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JACKIE WALLACE
MEMBER
1.00 X           0 0 0
(2) JANIE SHELTON
MEMBER
1.00 X           0 0 0
(3) KIT DUNLAP
VICE CHAIRPERSON
1.00 X           0 0 0
(4) JOHN HEMMER MD
MEMBER
1.00 X           12,620 0 16,500
(5) JAY HORTENSTINE
MEMBER & NGPG PHYSICIAN
1.00 X           0 437,094 28,640
(6) ROGER OWENS MD
MEMBER
1.00 X           0 0 0
(7) LUA BLANKENSHIP
MEMBER
1.00 X           0 0 0
(8) RODNEY SMITH MD
MEMBER
1.00 X           0 0 0
(9) DOUG CARTER
CHAIRPERSON
1.00 X           0 0 0
(10) JOHN PRIEN
MEMBER
1.00 X           0 0 0
(11) LARRY DENT
MEMBER
1.00 X           0 0 0
(12) DALLAS GAY
MEMBER
1.00 X           0 0 0
(13) JERRY JACKSON
MEMBER
1.00 X           0 0 0
(14) JACK KEENER
MEMBER
1.00 X           0 0 0
(15) SPENCE PRICE
MEMBER
1.00 X           0 0 0
(16) JOHN A WILLIAMSON
VP - NGMC
40.00     X       0 282,862 57,447
(17) JAMES GARDNER
PRESIDENT & CEO UNTIL 11/2010
1.00     X       0 940,277 491,707
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) CAROL BURRELL
PRESIDENT & CEO EFFECTIVE 11/2010
1.00     X       0 488,837 220,957
(19) ANTHONY HERDENER
VP - NGHS & CFO
1.00     X       0 451,479 138,464
(20) NANCY J MARTIN
VP - NGMC & CNO
40.00     X       0 333,505 71,786
(21) DANE HENRY
VP - NGMC
40.00     X       0 250,411 32,577
(22) MARY MARTIN
LP-ADMIN./DIR.-CLINICAL INFO. SYST.
40.00     X       0 144,368 40,196
(23) TRACY VARDEMAN
VP - NGHS
1.00     X       0 253,008 65,108
(24) JAMES BAILEY MD
VP - NGHS & CMIO
1.00     X       0 716,040 28,911
(25) SAMUEL JOHNSON
VP - NGMC & CMO
40.00     X       0 281,844 32,184
(26) SANDRA JOHNSON
VP - NGHS
1.00     X       0 263,603 25,983
(27) ALLANA CUMMINGS
VP - NGHS & CIO
1.00     X       0 316,956 27,909
(28) JAMES WALKER
VP - NGHS
1.00     X       0 202,203 12,802
(29) STEPHEN A CARLSON
DIRECTOR - PHARMACY
40.00       X     0 166,396 36,335
(30) DEBRA DUKE
DIRECTOR - DIAGNOSTIC IMAGING
40.00       X     0 156,648 35,089
(31) RANDALL P MILLER
MANAGER - RADIATION PHYSICS
40.00         X   0 234,195 28,397
(32) DAVID E PATTERSON
RADIATION - PHYSICIST
40.00         X   0 190,316 21,370
(33) WILLIAM LONERGAN
DIRECTOR - FACILITIES DEVELOPMENT
40.00         X   0 158,645 37,701
(34) SCOTT YASKULKA
PERFUSIONIST - CHIEF
40.00         X   0 139,078 26,169
(35) WILLIAM FOLEY JR
DIRECTOR - MATERIALS DISTRIBUTION
40.00         X   0 147,501 22,366
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 12,620 6,555,266 1,498,598
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
MCKESSON INFORMATION SOLUTIONS
PO BOX 98347
CHICAGO,IL60693
IT SERVICES/CONSULTING 4,312,066
MILNER VOICE AND DATA
5125 PEACHTREE IND BLVD
NORCROSS,GA30092
TRANSCRIPTION SERVICES 2,651,764
ANESTHESIA ASSOCIATES OF GAINESVILLE
PO BOX 1076
GAINESVILLE,GA30503
ANESTHESIA SERVICES 2,613,996
GE MEDICAL SYSTEMS
PO BOX 402076
ATLANTA,GA30384
DIAGNOSTIC EQUIPMENT MAINTENANCE 2,372,682
LONGSTREET CLINIC PC
PO DRAWER 658
GAINESVILLE,GA30503
HOSPITALISTS/PHYSICIAN SERVICES 1,035,413
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet104
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 1,391,506
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 1,391,506
 Program Service Revenue Business Code
2a NET PATIENT SVC REVENU 621,400 589,158,849 589,158,849    
b PHARMACY 446,110 6,091,381     6,091,381
c CAFETERIA REVENUE 722,210 2,200,970     2,200,970
d LAB REVENUE 621,500 2,029,330   2,029,330  
e DAY CARE CENTER 624,410 259,985     259,985
f All other program service revenue . 81,579   49,908 31,671
g Total. Add lines 2a–2f........MediumBullet 599,822,094
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 10,723,934     10,723,934
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 829,676  
b Less: rental expenses 31,814  
c Rental income or (loss) 797,862  
d Net rental income or (loss).......MediumBullet 797,862 -5,191   803,053
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 23,265,970 577,225
b Less: cost or other basis and sales expenses   437,791
c Gain or (loss) 23,265,970 139,434
d Net gain or (loss)..........MediumBullet 23,405,404     23,405,404
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a PARTNERSHIP INCOME 621,990 -188,020 -188,020    
b LOSS ON DEBT EXTINGUIS 900,099 -205,941     -205,941
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet -393,961
12 Total revenue. See Instructions....MediumBullet 635,746,839 588,965,638 2,079,238 43,310,457
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 305,820 305,820
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 1,292,988 1,129,296 163,692  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 187,067,557 163,384,804 23,682,753  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 10,651,383 9,302,918 1,348,465  
9 Other employee benefits ....... 24,879,374 21,729,645 3,149,729  
10 Payroll taxes ........... 14,023,155 12,247,824 1,775,331  
11 Fees for services (non-employees):        
a Management ...... 17,456,909 15,246,864 2,210,045  
b Legal ......... 695,509 607,458 88,051  
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 965,719 843,459 122,260  
g Other .......... 32,833,783 28,677,026 4,156,757  
12 Advertising and promotion .... 806,921 704,765 102,156  
13 Office expenses .......        
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 8,418,330 7,352,569 1,065,761  
17 Travel ............ 453,692 396,255 57,437  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 251,274 219,463 31,811  
20 Interest ........... 30,408,797 26,559,043 3,849,754  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 41,527,070 36,269,743 5,257,327  
23 Insurance .............. 3,119,296 2,724,393 394,903  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a UBI TAX -127,282 -111,168 -16,114  
b SUPPLIES 78,742,913 68,774,060 9,968,853  
c BAD DEBT EXPENSE 56,527,810 56,527,810    
d MEDICAL SUPPLIES 19,988,150 19,988,150    
e RENTAL & MAINTENANCE 17,416,467 15,211,542 2,204,925  
f All other expenses 10,394,390 9,078,459 1,315,931  
25 Total functional expenses. Add lines 1 through 24f 558,100,025 497,170,198 60,929,827 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... -2,401,190 1 4,050,348
2 Savings and temporary cash investments ....... 19,922,754 2 73,907
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 66,494,291 4 70,408,840
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 281,247 7 462,523
8 Inventories for sale or use .............. 2,154,612 8 3,094,904
9 Prepaid expenses and deferred charges ............ 3,577,601 9 3,451,573
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 784,528,666
b Less: accumulated depreciation. ..... 10b 369,356,334 429,979,137 10c 415,172,332
11 Investments—publicly traded securities .......... 405,064,920 11 437,207,812
12 Investments—other securities. See Part IV, line 11 ...... 34,817 12 34,817
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 4,173,016 14  
15 Other assets. See Part IV, line 11 ........... 1,188,676 15 993,926
16 Total assets. Add lines 1 through 15 (must equal line 34)... 930,469,881 16 934,950,982
Liabilities 17 Accounts payable and accrued expenses . 52,670,173 17 42,188,940
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 600,465,891 20 599,999,641
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 190,450 23 227,024
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 24,509,901 25 29,039,866
26 Total liabilities. Add lines 17 through 25..... 677,836,415 26 671,455,471
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 252,633,466 27 263,495,511
28 Temporarily restricted net assets .....   28  
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 252,633,466 33 263,495,511
34 Total liabilities and net assets/fund balances ..... 930,469,881 34 934,950,982
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
635,746,839
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
558,100,025
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
77,646,814
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
252,633,466
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-66,784,769
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
263,495,511
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Part I
Contributors (see Instructions)
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
5,354
j
Total. lines 1c through 1i ...................................
5,354
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS MEMBERSHIP DUES TO AMERICAN ACADEMY OF SLEEP, AMERICAN COLLEGE OF HEALTHCARE, AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION, AMERICAN MEDICAL ASSOCIATION, ASSOCIATION FOR PROFESSIONALS INFECTION CONTROL, AMERICAN SOCIETY FOR HEALTHCARE HUMAN RESOURCES ADMINISTRATION, AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS, COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES, CLINICAL LABORATORY MANAGEMENT ASSOCIATION, GEORGIA ALLIANCE, GEORGIA HEALTHCARE ASSOCIATION, GREATER HALL CHAMBER OF COMMERCE, GEORGIA SOCIETY FOR HEALTH RISK MANAGEMENT, MEDICAL GROUP MANAGEMENT ASSOCIATION, NATIONAL HOSPICE AND PALLATIVE CARE ORGANIZATION, SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY, FOOTHILLS OF GA SOCIETY FOR HUMAN RESOURCES MANAGEMEMT CHAPTER, SOCIETY FOR HUMAN RESOURCES MANAGEMENT, SOCIETY FOR HUMAN RESOURCE, SOCIETY FOR HUMAN RESOURCES MANAGEMENT-ATLANTA AND SOCIETY OF THORACIC SURGEONS. A PORTION OF THESE DUES ARE DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   8,503,587 8,503,587
b Buildings ................   375,877,231 95,533,805 280,343,426
c Leasehold improvements ............   9,952,635 6,397,496 3,555,139
d Equipment ................   369,626,854 258,987,413 110,639,441
e Other .................   20,568,359 8,437,620 12,130,739
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 415,172,332
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
DUE TO THIRD PARTY PAYORS 9,086,619
CAPITALIZED LEASES 2,858,036
DEFERRED COMPENSATION 8,696,177
INTEREST RATE SWAP 8,307,528
DUE TO AFFILIATES 91,506




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 29,039,866
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 635,746,839
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 558,100,025
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 77,646,814
4 Net unrealized gains (losses) on investments .......................... 4 -35,059,496
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -31,725,273
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -66,784,769
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 10,862,045
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 631,951,501
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d -3,030,316
e Add lines 2a through 2d ..................... 2e -3,030,316
3 Subtract line 2e from line 1..................... 3 634,981,817
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b 765,022
c Add lines 4a and 4b....................... 4c 765,022
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 635,746,839
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 555,920,441
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 31,813
e Add lines 2a through 2d...................... 2e 31,813
3 Subtract line 2e from line 1..................... 3 555,888,628
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b 2,211,397
c Add lines 4a and 4b....................... 4c 2,211,397
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 558,100,025
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: NORTHEAST GEORGIA MEDICAL CENTER, INC. IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2011, MANAGEMENT DOES NOT BELIEVE NGMC HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL RECOGNITION OR DISCLOSURE UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. IT IS THE SYSTEM'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS AS AN OPERATING EXPENSE WHERE APPLICABLE.
PART XI, LINE 8 - OTHER ADJUSTMENTS:   EQUITY TRANSFER TO THE MEDICAL CENTER FOUNDATION -1,065,045. INTERCOMPANY DEBT FORGIVENESS -26,675,133. PARTNERSHIP INCOME NOT ON BOOKS 187,920. CUMMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -4,173,015.
PART XII, LINE 2D - OTHER ADJUSTMENTS:   CHANGE IN FV OF DERIVATIVE -1,784,638. RECLASS OF NON-OPERATING EXPENSES -1,245,678.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   PARTNERSHIP INCOME NOT ON BOOKS -187,920. RENTAL EXPENSES -31,813. RECLASS INVESTMENT FEES 965,719. RECLASS CONTRIBUTION REVENUE 19,036.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:   RENTAL EXPENSES 31,813.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:   RECLASS INVESTMENT MGMT FEES 965,719. RECLASS NON-OPERATING EXPENSES 1,245,678.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) ..
    26,538,672   26,538,672 5.290 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
    72,308,020 69,837,697 2,470,323 0.490 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....     1,056,519 1,160,385 -103,866 0 %
dTotal Charity Care and
Means-Tested Government Programs .....
    99,903,211 70,998,082 28,905,129 5.780 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
21 196,316 794,364 67,524 726,840 0.140 %
f Health professions education
(from Worksheet 5) ..
8 4,151 1,270,064   1,270,064 0.250 %
g Subsidized health services
(from Worksheet 6) ..
    13,073,653 10,072,646 3,001,007 0.600 %
h Research (from Worksheet 7) 1 65 478,514 189,505 289,009 0.060 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
24 12,737 1,757,230 3,950 1,753,280 0.350 %
jTotal Other Benefits ... 54 213,269 17,373,825 10,333,625 7,040,200 1.400 %
kTotal. Add lines 7d and 7j. .. 54 213,269 117,277,036 81,331,707 35,945,329 7.180 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 8   17,924 2,200 15,724 0 %
4 Environmental improvements 1   900 200 700 0 %
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development 8 210 429,376 700 428,676 0.090 %
9 Other            
10 Total 17 210 448,200 3,100 445,100 0.090 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
15,094,980
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
149,128,643
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
148,154,706
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
973,937
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 NORTHEAST GEORGIA MEDICAL CENTER
743 SPRING STREET
GAINESVILLE,GA30501
X X         X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NORTHEAST GEORGIA MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?19
Name and address Type of Facility (Describe)
1 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
2 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
3 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
4 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
5 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
6 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
7 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
8 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
9 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
10 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
11 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
12 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
13 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
14 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
15 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
16 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
17 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
18 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
19 IMAGING CENTER - GAINESVILLE
1315 JESSE JEWELL PKWY
200
GAINESVILLE,GA30501
IMAGING / RADIOLOGY CENTER
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS PUBLISHED BY NORTHEAST GEORGIA HEALTH SYSTEM AND INCLUDES PROGRAMS FOR NORTHEAST GEORGIA MEDICAL CENTER AND ITS AFFILIATES. THE REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AS WELL AS IN ITS ANNUAL COMMUNICARE MAGAZINE.
    PART I, LINE 7: CHARITY CARE COSTS WERE CALCULATED APPLYING SEPARATE COST-TO-CHARGE RATIOS (CCR) TO THE SKILLED NURSING FACILITY (SNF) AND TO THE REMAINING PATIENT CHARGES FROM ALL OTHER HOSPITAL ACTIVITIES. THE CCR FOR THE SNF WAS COMPUTED USING THE TOTAL OPERATING EXPENSES FOR THE SNF LESS BAD DEBT DIVIDED BY THE TOTAL GROSS CHARGES FOR THE SNF. THE CCR FOR THE REMAINING PATIENT CHARGES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE CCR FOR THE UNREIMBURSED MEDICAID AND OTHER MEANS TESTED GOVERNMENT PROGRAMS WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.
    PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES WERE FOR INPATIENT REHAB AND LAURELWOOD (MENTAL HEALTH). NO COSTS WERE ATTRIBUTABLE TO PHYSICIAN CLINICS.
    PART I, L7 COL(F): $56,527,810 IN BAD DEBT EXPENSES WERE SUBTRACTED FROM FORM 990, PART IX, LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
    PART II: IT IS WELL DOCUMENTED THAT MANY FACTORS COMBINE TO AFFECT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WHETHER PEOPLE ARE HEALTHY OR NOT IS DETERMINED BY THEIR CIRCUMSTANCES AND THEIR ENVIRONMENT, ACCORDING TO THE WORLD HEALTH ORGANIZATION. TO A LARGE EXTENT, FACTORS SUCH AS WHERE WE LIVE, THE STATE OF OUR ENVIRONMENT, GENETICS, OUR INCOME AND EDUCATION LEVEL, OUR RELATIONSHIPS WITH FRIENDS AND FAMILY ALL HAVE CONSIDERABLE IMPACTS ON HEALTH. THE DETERMINANTS OF HEALTH INCLUDE THE SOCIAL AND ECONOMIC ENVIRONMENT, THE PHYSICAL ENVIRONMENT, AND A PERSON'S INDIVIDUAL CHARACTERISTICS AND BEHAVIORS. ADDITIONAL FACTORS THAT RELATE INCLUDE EDUCATION, CULTURE, INCOME AND SOCIAL STATUS, EMPLOYMENT AND WORKING CONDITIONS, SOCIAL SUPPORT NETWORKS, GENETICS, HEALTH SERVICES, AND GENDER. IF COMMUNITY MEMBERS HAVE ADEQUATE EDUCATION, EMPLOYMENT, INCOME, A SAFE ENVIRONMENT AND SUPPORTIVE SOCIAL NETWORKS, THEY WILL HAVE THE CAPACITY TO MAKE HEALTHY BEHAVIOR CHOICES AND BE MORE LIKELY TO HAVE ACCESS TO HEALTH SERVICES. THEREFORE, NGMC AS ORGANIZATION MUST CONSIDER THE SOCIAL DETERMINANTS OF HEALTH STATUS AS PART OF PREVENTATIVE CARE.A SNAPSHOT/HIGHLIGHTS OF SOME COMMUNITY BUILDING ACTIVITIES INCLUDE:NGMC'S SUPPORT OF FOOTHILLS AREA HEALTH EDUCATION NETWORK.NGMC HAS A UNIQUE PARTNERSHIP WITH FOOTHILLS AREA HEALTH EDUCATION CENTER (AHEC). THE MISSION FOR AHEC IS TO INCREASE THE SUPPLY AND DISTRIBUTION OF HEALTHCARE PROVIDERS, ESPECIALLY IN MEDICALLY UNDERSERVED AREAS. THROUGH JOINT EFFORTS, COMMUNITIES EXPERIENCE IMPROVED SUPPLY, DISTRIBUTION, AND QUALITY OF HEALTHCARE PROFESSIONALS. FOOTHILLS AHEC SERVES 31 COUNTIES IN THE NORTHEAST GEORGIA AREA. IN ADDITION, NGMC PROVIDES JOB SHADOWING OPPORTUNITIES, SUPPORT OF YOUTH APPRENTICESHIP PROGRAMS, AND COMMUNITY BASED VOCATIONAL INSTRUCTION TO HELP BUILD A WELL PREPARED HEALTHCARE WORK FORCE THAT WILL BENEFIT ALL RESIDENTS.NGMC'S SUPPORT OF THE SUMMER SCHOLARS PROGRAM AT GAINESVILLE COLLEGE.NGMC IS A SPONSOR OF THE SUMMER SCHOLARS PROGRAM AT GAINESVILLE COLLEGE. THIS IS SUMMER PROGRAM IS HELD ANNUALLY FOR AT-RISK MIDDLE AND HIGH SCHOOL STUDENTS TO PROVIDE EDUCATION , PROMOTE STAYING IN SCHOOL, TO PROMOTE INTEREST IN LANGUAGE ARTS AND MATH, TO PROVIDE EXPOSURE TO COLLEGE, AND TO IMPROVE SELF-ESTEEM AND SELF DISCIPLINE.SPONSORSHIP OF WOMENSOURCENGMC SUPPORTS WOMENSOURCE, A NON-PROFIT ORGANIZATION DESIGNED TO HELP WOMEN SUCCEED BOTH PROFESSIONALLY AND PERSONALLY. WOMENSOURCE PROVIDES, AMONG OTHER PROGRAMS, A FINANCIAL LEARNING SEMINAR FOR WOMEN WHO MAY BE STRUGGLING IN THIS AREA.
    PART III, LINE 4: THE COST OF BAD DEBTS REPORTED ON LINE 2 WERE ARRIVED AT BY APPLYING SEPARATE COST-TO-CHARGE RATIOS (CCR) TO THE SKILLED NURSING FACILITY (SNF) AND TO THE REMAINING PATIENT CHARGES FROM ALL OTHER HOSPITAL ACTIVITIES. THE CCR FOR THE SNF WAS COMPUTED USING THE TOTAL OPERATING EXPENSES FOR THE SNF LESS BAD DEBT DIVIDED BY THE TOTAL GROSS CHARGES FOR THE SNF. THE CCR FOR THE REMAINING PATIENT CHARGES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE REGARDING BAD DEBTS.
    PART III, LINE 8: THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE COST TO CHARGE RATIO REFLECTED IN THE ORGANIZATION'S MEDICARE COST REPORT.
    PART III, LINE 9B: THE CHARITY CARE AND PAYMENT FOR SERVICES POLICIES DESCRIBES HOW UNINSURED PATIENTS CAN RECEIVE FINANCIAL ASSISTANCE. THE POLICY DESCRIBES THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM AND INDICATED THAT AN APPLICATION FOR FINANCIAL ASSISTANCE IS PART OF THE PROCESS. IN ORDER TO ASSURE THE FUNDS FOR UNCOMPENSATED CARE ARE NOT ABUSED AND WILL BE AVAILABLE FOR THOSE IN NEED WITHIN THE HOSPITAL'S SERVICE AREA, NORTHEAST GEORGIA MEDICAL CENTER WILL MAKE REASONABLE ATTEMPTS TO ASSIST ELIGIBLE CANDIDATES TO BECOME COVERED UNDER ANY AVAILABLE ASSISTANCE PROGRAMS IN THE COMMUNITY. ONCE DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS MADE (BY RECEIPT AND APPROVAL OF COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE), THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS OUTSTANDING.
    PART V, SECTION A: NORTHEAST GEORGIA MEDICAL CENTER ALSO OFFERS IN HOME HOSPICE CARE.
    PART VI, LINE 2: ON A CONTINUOUS BASIS, NGMC SEEKS A VARIETY DATA SOURCES AND RELIABLE INDICATORS TO HELP IDENTIFY AND ELIMINATE HEALTH INEQUITIES IN THE COMMUNITIES IT SERVES. A LISTING OF THE PRIMARY SOURCES AND RESOURCES ARE LISTED BELOW:- SINCE 1997, NGMC HAS CONDUCTED A COMMUNITY ASSESSMENT EVERY 3 - 5 YEARS THROUGH A COMMUNITY PARTNERSHIP CALLED HEALTHLY HALL. THE MOST RECENT ASSESSMENT WAS CONDUCTED IN 2007, AND RESULTS WERE SHARED WIDELY VIA OUR WEBSITE, WWW.HEALTHYHALL.COM. THE ASSESSMENT INCLUDED FOCUS GROUPS, A TELEPHONE SURVEY AND A REVIEW OF SECONDARY RESEARCH.- A PRESENTATION WAS GIVEN AT THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT'S (ACHI) NATIONAL CONFERENCE IN LOS ANGELES, CA, IN MARCH 2009 BY NGMC'S MANAGER OF COMMUNITY HEALTH IMPROVEMENT AND BILL STILES OF STILES HEALTHCARE STRATEGY. THE TITLE OF PRESENTATION: "HEALTHY HALL: ONE COMMUNITY'S GUIDE TO CONDUCTING SUCCESSFUL COMMUNITY ASSESSMENTS THAT LEAD TO POWERFUL OUTCOMES." (THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (ACHI) IS A PUBLIC HEALTH ORGANIZATION FOUNDED IN 2002. IT IS A PROGRAM OF THE HEALTH RESEARCH AND EDUCATIONAL TRUST AND AN AFFILIATE OF THE AMERICAN HOSPITAL ASSOCIATION.) - NGMC ALSO PARTNERED WITH THE HALL COUNTY FAMILY CONNECTION TO PRODUCE THE HALL LIFE REPORT IN 2007, AND THE WEB VERSION IN 2010. THE PURPOSE OF THIS "PUBLIC STATUS REPORT ON CHILDREN AND FAMILIES IN HALL COUNTY," IS TO PROVIDE POLICY STAKEHOLDERS, PUBLIC AGENCY PROGRAM PERSONNEL, PRIVATE PROVIDERS AND COMMUNITY MEMBERS WITH UPDATED INDICATOR DATA TO INFORM CURRENT POLICY DISCUSSIONS AND DECISION-MAKING. THE HALL LIFE REPORT IDENTIFIES THE STATUS OF LEADING INDICATORS FOR EXCELLENCE. THE FIVE TOPIC AREAS USED IN THIS REPORT ARE CURRENTLY THE SAME AS THOSE USED BY THE FAMILY CONNECTION PARTNERSHIP AT THE STATE LEVEL AS THEY PRODUCE AND DISSEMINATE THE ANNUAL KIDS COUNT DATA FOR THE STATE OF GEORGIA. THEY ARE: HEALTHY CHILDREN, CHILDREN READY FOR SCHOOL, CHILDREN SUCCEEDING IN SCHOOL, STABLE AND SELF SUFFICIENT FAMILIES, AND STRONG COMMUNITIES. THIS REPORT CAN BE FOUND AT WWW.HCFCN.ORG.- ADDITIONALLY, NGMC HAS PARTNERED WITH OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY TO FORM THE HEALTHCARE INITIATIVE CONSORTIUM. THIS GROUP IS WORKING WITH A LOCAL UNIVERSITY TO DEVELOP AN ONGOING DATABASE OF FIVE DATA ELEMENTS THAT WILL GIVE THE COMMUNITY UP-TO-DATE INFORMATION ON THE HEALTH ISSUES AFFECTING ITS RESIDENTS. THE FIVE DATA ELEMENTS BEING PLANNED TO COLLECT ARE: BMI (HEIGHT/WEIGHT), A1C, BLOOD PRESSURE, CHOLESTEROL, LDL, AND MICRO ALBUMEN. THIS WILL GIVE US INFORMATION RELATED TO THE FOLLOWING HEALTH ISSUES: OBESITY, DIABETES, CARDIOVASCULAR DISEASE AND HYPERTENSION.- LASTLY, COUNTY BY COUNTY DATA HAS BEEN MADE AVAILABLE THROUGH THE "PARTNER UP! FOR PUBLIC HEALTH CAMPAIGN." THIS IS A STATE WIDE ADVOCACY CAMPAIGN FUNDED BY THE HEALTHCARE GEORGIA FOUNDATION DESIGNED TO ADVANCE PUBLIC HEALTH IN GEORGIA. MORE INFORMATION AND THE DATA BY COUNTY CAN BE FOUND AT WWW.TOGETHERWECANDOBETTER.COM. THE HALL COUNTY HEALTH DEPARTMENT ALSO SHARES ITS HEALTH RISK SNAPSHOTS FOR COUNTIES IN THE SERVICE AREA, WHICH FOCUSES ON POPULATION TRENDS, YOUTH RISK, INFANT RISK, GENERAL RISK, STUDENT SUBSTANCE ABUSE, TOP CAUSES OF DEATH AND WIC NUTRITION PROGRAM INFORMATION.
    PART VI, LINE 3: NORTHEAST GEORGIA MEDICAL CENTER POSTS NOTICES AT ALL REGISTRATION AREAS TO INFORM PATIENTS AND FAMILIES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. ALL UNINSURED PATIENTS ADMITTED TO THE HOSPITAL ARE CONTACTED BY THE FINANCIAL ASSISTANCE DEPARTMENT AND SCREENED FOR ELIGIBILITY FOR MEDICAID, INDIGENT CARE, AND OTHER ASSISTANCE AS APPROPRIATE. THE CHARITY/INDIGENT POLICY AND INFORMATION FOR APPLICATION FOR THESE FUNDS IS PRINTED IN THE FINANCIAL SECTION OF THE PATIENT HANDBOOK. THE SAME MESSAGE IS PRINTED ON ALL PATIENT STATEMENTS AND IS POSTED ON THE ORGANIZATION'S WEBSITE AS WELL.
    PART VI, LINE 4: LOCATED IN THE NORTHEASTERN SECTION OF THE STATE IN HALL COUNTY, NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS A 557-BED NOT-FOR-PROFIT REGIONAL REFERRAL FACILITY THAT PROVIDES A COMPREHENSIVE RANGE OF ACUTE CARE AND SPECIALTY SERVICES. THROUGH ITS ROLE AS A REGIONAL SAFETY NET HOSPITAL, NGMC SERVES THE AREA'S LOW-INCOME, UNINSURED, UNDERINSURED AND OTHER VULNERABLE POPULATIONS. APPROXIMATELY HALF OF NGMC'S PATIENTS COME FROM OUTSIDE OF HALL COUNTY. THE HEALTH SYSTEM'S SERVICE AREA EXPERIENCED AN AVERAGE ANNUAL POPULATION GROWTH OF 4.3% BETWEEN 1990 AND 2000, WHILE THE STATE OF GEORGIA POPULATION'S ANNUAL GROWTH RATE AVERAGED APPROXIMATELY ONE-HALF THE HEALTH SYSTEM'S SERVICE AREA RATE, AVERAGING 2.4%. SURVEYS BY GEORGIA DEPARTMENT OF COMMUNITY HEALTH AND CLARITAS, INC SHOW THAT THE SERVICE AREA'S TOTAL POPULATION IS PROJECTED TO CONTINUE TO INCREASE AT A SIGNIFICANTLY HIGHER RATE (I.E. ALMOST DOUBLE) THAN THAT OF THE STATE OF GEORGIA AS A WHOLE. THIS SIGNIFICANT POPULATION GROWTH IN THE SERVICE AREA WILL CONTINUE TO DRIVE INCREASES IN DEMAND FOR HEALTH CARE SERVICES.UNEMPLOYMENT DATA PROVIDED BY U.S. DEPT. OF LABOR, BUREAU OF LABOR STATISTICS & DEPARTMENT OF LABOR AND STATE OF GEORGIA ILLUSTRATES THAT THE REGION'S ECONOMY IS MORE RESILIENT THAN THAT OF THE STATE OF GEORGIA OR THE UNITED STATES AS A WHOLE DURING DOWNTURNS.IN 2013, NORTHEAST GEORGIA MEDICAL CENTER PLANS TO BREAK GROUND ON A NEW 100-BED INPATIENT HOSPITAL AT NGMC'S RIVER PLACE CAMPUS IN THE SOUTHEASTERN CORNER OF HALL COUNTY. THE PROPERTY COMPRISES 119 ACRES AND CURRENTLY CONTAINS ONE MEDICAL OFFICE BUILDING HOUSING MEDICAL-PRACTICE AND OTHER MEDICAL-RELATED OFFICES. AT LEAST TWO MORE MEDICAL OFFICE BUILDINGS ARE PLANNED FOR THE RIVER PLACE CAMPUS. NGMC'S NEW HOSPITAL IS THE FIRST INCREMENTAL HOSPITAL (I.E., NOT A REPLACEMENT OR CONSOLIDATION OF EXISTING HOSPITAL(S)) APPROVED IN GEORGIA IN MORE THAN 20 YEARS. THE LAST DECADE OR MORE OF POPULATION GROWTH IN THIS AREA OF THE STATE HAS RESULTED IN HIGH, UNMET DEMAND FOR INPATIENT HOSPITAL BEDS ACCORDING TO THE STATE'S OWN CON "NEED" CALCULATIONS.)IN LATE 2011, NGMC AND THE GREATER HALL CHAMBER OF COMMERCE ENGAGED GEORGIA TECH'S ENTERPRISE INNOVATION INSTITUTE TO EXAMINE THE POTENTIAL FISCAL AND ECONOMIC IMPACTS OF THE NEW HOSPITAL. OVERALL, THE FISCAL AND ECONOMIC IMPACTS OF THE HOSPITAL AND MEDICAL OFFICE COMPLEX ARE VERY ADVANTAGEOUS TO THE COUNTY GOVERNMENT AND TO THE COUNTY SCHOOL DISTRICT. SOME OF THE STUDY'S RESULTS ARE AS FOLLOWS:. IMPACT: THE FISCAL IMPACT OF THE HOSPITAL ON HALL COUNTY'S GOVERNMENT IS MEASURED BY THE 20-YEAR NPV (NET PRESENT VALUE), WHICH COMES TO $3,770,955.. IMPACT: THE FISCAL IMPACT OF THE HOSPITAL ON HALL COUNTY'S SCHOOL SYSTEM COMES TO A 20-YEAR NPV OF $4,973,998.. IMPACT: THE FISCAL IMPACT OF THE MEDICAL OFFICE COMPLEX OF PROVIDERS AND NON-PROVIDERS ON HALL COUNTY'S GOVERNMENT COMES TO A 20-YEAR NPV OF $4,664,663.. IMPACT: THE FISCAL IMPACT OF THE MEDICAL OFFICE COMPLEX OF PROVIDERS AND NON-PROVIDERS ON HALL COUNTY'S SCHOOL SYSTEM COMES TO A 20-YEAR NPV OF $7,674,804.THE HEALTH SYSTEM ANTICIPATES INVESTING CLOSE TO $200 MILLION ON THE NEW HOSPITAL CAMPUS OVER THE NEXT 5 YEARS TO MEET THE WELL-ESTABLISHED DEMAND IN THAT COMMUNITY FOR HEALTHCARE AND INPATIENT HOSPITAL SERVICES.
    PART VI, LINE 6: NORTHEAST GEORGIA MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF 15 MEMBERS AND INCLUDES REPRESENTATIVES FROM THE MEDICAL STAFF AND THE COMMUNITIES SERVED BY NORTHEAST GEORGIA MEDICAL CENTER. BOARD MEMBERS PROVIDE LEADERSHIP THAT SUPPORTS THE ORGANIZATION'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY. BOARD MEMBERS MAY NOT CONTRACT WITH THE HOSPITAL OR BE EMPLOYED BY THE HOSPITAL; THEY SERVE ON A VOLUNTARY BASIS AND RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS. ALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO ENSURE THAT THEY DO NOT PARTICIPATE IN ANY BUSINESS DECISIONS FOR THE MEDICAL CENTER FROM WHICH THEY WOULD PERSONALLY BENEFIT. ALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO PROTECT THE INTERESTS OF NORTHEAST GEORGIA HEALTH SYSTEM AND ITS SUBSIDIARIES. NGHS' CONFLICT OF INTEREST (COI) POLICY AND PRACTICE ARE CONSISTENT WITH STANDARDS SUPPORTING ITS TAX EXEMPT STATUS AND RELATED IRS GUIDELINES.NORTHEAST GEORGIA MEDICAL CENTER EXTENDS OPEN MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS FOR MOST SERVICES, WITH THE EXCEPTION OF SOME EXCLUSIVE CONTRACT SERVICES SUCH AS PATHOLOGY, RADIOLOGY AND ANESTHESIOLOGY. ALL PHYSICIANS UNDERGO AN EXTENSIVE CREDENTIALING PROCESS PRIOR TO BEING GRANTED MEDICAL STAFF PRIVILEGES. THE MEDICAL CENTER CONDUCTS PHYSICIAN MANPOWER STUDIES TO DETERMINE THE NUMBER OF PHYSICIANS NEEDED BY SPECIALTY TO MEET COMMUNITY NEED. INFORMATION FROM THESE STUDIES IS USED TO HELP GUIDE DECISIONS FOR PHYSICIAN RECRUITMENT. ALL REVENUES IN EXCESS OF EXPENSES ARE REINVESTED INTO HEALTHCARE SERVICES FOR THE COMMUNITY AND NO PROFITS ACCRUE TO INDIVIDUAL INVESTORS. THE MEDICAL CENTER'S CHARITY CARE POLICY HELPS ENSURE ACCESS TO HOSPITAL SERVICES TO LOW INCOME PATIENTS. I.E. PATIENTS WITH A FAMILY INCOME OF LESS THAN OR 150% OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR A 100% CHARITY ADJUSTMENT, WHICH MEANS THAT THEY SERVICES ARE FREE.NORTHEAST GEORGIA MEDICAL CENTER ALSO OPERATES AN EMERGENCY ROOM 24/7 WHICH PROVIDES SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY.
    PART VI, LINE 7: NORTHEAST GEORGIA MEDICAL CENTER (NGMC)IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM. OTHER AFFILIATES INCLUDE NORTHEAST GEORGIA PHYSICIANS GROUP, THE MEDICAL CENTER FOUNDATION, NORTHEAST GEORGIA HEALTH PARTNERS, AND RIVER PLACE MEDICAL OFFICE PLAZA I.THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM AND NORTHEAST GEORGIA MEDICAL CENTER IS "TO IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." AS A NOT-FOR-PROFIT HOSPITAL, NGMC TREATS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND IS ACCOUNTABLE TO THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE FOR THE PROVISION OF CHARITABLE SERVICES TO THE COMMUNITY. NORTHEAST GEORGIA MEDICAL CENTER PROVIDES ACUTE AND SPECIALTY INPATIENT AND OUTPATIENT SERVICES FOR A 13-COUNTY REGIONAL COMMUNITY AND RECEIVES NO LOCAL TAX SUPPORT FROM ANY OF THOSE COUNTIES FOR OPERATIONS OR INDIGENT CARE. THE MEDICAL CENTER FOUNDATION HELPS SUPPORT THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM THROUGH FUNDRAISING INITIATIVES THAT IMPROVE SERVICES OFFERED AT NGMC, AS WELL HEALTH-FOCUSED SERVICES IN THE COMMUNITY;NORTHEAST GEORGIA HEALTH PARTNERS WORKS TO BUILD COLLABORATIVE RELATIONSHIPS BETWEEN HOSPITALS, PHYSICIANS AND OTHER HEALTHCARE PROVIDERS, EMPLOYERS AND THE EMPLOYEES THEY REPRESENT THROUGH INSURANCE PRODUCTS THAT HELP SUPPORT PATIENT ACCESS TO HEALTHCARE SERVICES THROUGHOUT THE REGION;RIVER PLACE MEDICAL OFFICE PLAZA 1 IS A MEDICAL OFFICE BUILDING THAT IS HOME TO AN URGENT CARE CENTER, IMAGING CENTER, OUTPATIENT REHABILITATION CENTER, FULL SERVICE LAB AND MANY PRIVATE PHYSICIAN PRACTICES REPRESENTING MORE THAN 20 MEDICAL SPECIALTIES, IMPROVING ACCESS TO CARE TO IN THE SOUTHERN REGION SERVED BY NORTHEAST GEORGIA HEALTH SYSTEM;AND NORTHEAST GEORGIA PHYSICIANS GROUP IS A MULTI-SPECIALTY GROUP WITH MORE THAN 125 PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND OTHER CLINICAL STAFF PROVIDING HEALTHCARE SERVICES AT 30 LOCATIONS THROUGHOUT NORTHEAST GEORGIA, WHICH FURTHER IMPROVES THE 13-COUNTY REGIONAL COMMUNITY'S ACCESS TO CARE.
REPORTS FILED WITH STATES PART VI, LINE 7 GA
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number
58-1694098
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) AMERICAN CANCER SOCIETYPO BOX 102454
ATLANTA,GA30368
13-1788491 501(C)(3) 9,257       RELAY FOR LIFE SPONSOR
(2) AMERICAN HEART ASSOCIATIONPO BOX 4002900
DES MOINES,IA50340
13-5613797 501(C)(3) 18,000       HEARTBALL AND HEART WALK SPONSOR
(3) UNITED WAY OF HALL COUNTYPO BOX 2656
GAINESVILLE,GA30503
58-6011393 501(C)(3) 5,500       COMMUNITY BENEFIT
(4) INTERACTIVE NEIGHBORHOOD999 CHESTNUT STREET 11
GAINESVILLE,GA30501
75-3077646 501(C)(3) 5,600       NGMC ROOM SPONSOR
(5) NORTHEAST GA COUNCIL-BSAPO BOX 399
JEFFERSON,GA30549
58-0566207 501(C)(3) 5,000       BOYSCOUTS 2011 CAMPAIGN- TABLE SPONSOR
(6) GOOD NEWS CLINIC810 PINE STREET
GAINESVILLE,GA30501
58-2058853 501(C)(3) 262,463       DONATIONS












2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
6
3
Enter total number of other organizations ................................ . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE MAJORITY OF GRANTS ARE TO 501(C)(3) ORGANIZATIONS. BOARD APPROVAL IS OBTAINED THROUGH THE BUDGETING PROCESS.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) JAY HORTENSTINE (i)
(ii)
0
417,462
0
0
0
19,632
0
8,575
0
20,065
0
465,734
0
0
(2) JOHN A WILLIAMSON (i)
(ii)
0
190,616
0
74,767
0
17,479
0
39,633
0
17,814
0
340,309
0
21,215
(3) JAMES GARDNER (i)
(ii)
0
440,268
0
350,452
0
149,557
0
458,428
0
33,279
0
1,431,984
0
0
(4) CAROL BURRELL (i)
(ii)
0
323,391
0
135,933
0
29,513
0
197,133
0
23,824
0
709,794
0
0
(5) ANTHONY HERDENER (i)
(ii)
0
296,905
0
122,055
0
32,519
0
109,530
0
28,934
0
589,943
0
0
(6) NANCY J MARTIN (i)
(ii)
0
191,039
0
126,199
0
16,267
0
59,073
0
12,713
0
405,291
0
65,521
(7) DANE HENRY (i)
(ii)
0
170,087
0
79,742
0
582
0
24,642
0
7,935
0
282,988
0
17,414
(8) MARY MARTIN (i)
(ii)
0
124,653
0
18,130
0
1,585
0
25,197
0
14,999
0
184,564
0
0
(9) TRACY VARDEMAN (i)
(ii)
0
166,664
0
69,011
0
17,333
0
42,959
0
22,149
0
318,116
0
18,957
(10) JAMES BAILEY MD (i)
(ii)
0
695,112
0
0
0
20,928
0
9,366
0
19,545
0
744,951
0
0
(11) SAMUEL JOHNSON (i)
(ii)
0
186,579
0
77,235
0
18,030
0
17,929
0
14,255
0
314,028
0
0
(12) SANDRA JOHNSON (i)
(ii)
0
150,745
0
105,000
0
7,858
0
18,272
0
7,711
0
289,586
0
0
(13) ALLANA CUMMINGS (i)
(ii)
0
192,692
0
105,000
0
19,264
0
22,318
0
5,591
0
344,865
0
0
(14) JAMES WALKER (i)
(ii)
0
108,301
0
48,500
0
45,402
0
3,150
0
9,652
0
215,005
0
0
(15) STEPHEN A CARLSON (i)
(ii)
0
143,690
0
20,715
0
1,991
0
23,420
0
12,915
0
202,731
0
0
(16) DEBRA DUKE (i)
(ii)
0
128,405
0
18,104
0
10,139
0
17,692
0
17,397
0
191,737
0
0
(17) RANDALL P MILLER (i)
(ii)
0
233,325
0
0
0
870
0
22,374
0
6,023
0
262,592
0
0
(18) DAVID E PATTERSON (i)
(ii)
0
188,783
0
0
0
1,533
0
6,783
0
14,587
0
211,686
0
0
(19) WILLIAM LONERGAN (i)
(ii)
0
128,351
0
17,878
0
12,416
0
20,597
0
17,104
0
196,346
0
0
(20) SCOTT YASKULKA (i)
(ii)
0
138,740
0
0
0
338
0
8,440
0
17,729
0
165,247
0
0
(21) WILLIAM FOLEY JR (i)
(ii)
0
127,684
0
19,204
0
613
0
5,310
0
17,056
0
169,867
0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINES 4A-B PART I, LINES 4A-B: LINE 4A SEVERANCE PAYMENTS: JAMES GARDNER, JR. WAS EMPLOYED BY NORTHEAST GEORGIA HEALTH SYSTEM FROM MARCH 2004 UNTIL MARCH 2011. MR. GARDNER WAS HIRED TO SERVE AS PRESIDENT AND CEO OF THE SYSTEM. HE WAS PAID SEVERANCE OF $115,684 BASED ON THE TERMS OF HIS EMPLOYMENT CONTRACT. LINE 4B EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN JAMES GARDNER $435,808 ANTHONY HERDENER $75,649 TRACY VARDEMAN $23,705 CAROL BURRELL $167,565 NANCY J. MARTIN $24,159 JOHN A. WILLIAMSON $23,512 DANE HENRY $21,168 ALLANA CUMMINGS $17,544 SANDRA JOHNSON $15,241 SAMUEL JOHNSON $13,390 EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION) JOHN A. WILLIAMSON $23,905 NANCY MARTIN $69,585 DANE HENRY $19,622 TRACY VARDEMAN $21,361
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number
58-1694098
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2010A)
 
58-6002388 362762KB1 02-18-2010 311,522,031 REFUND PRINCIPAL AND INTEREST OF SERIES 2007G AND SERIES 2008B-H BONDS   X   X   X
B THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2010B)
 
58-6002388 362762KS4 02-18-2010 246,724,247 REFUND PRINCIPAL AND INTEREST OF SERIES 2007G AND SERIES 2008B-H BONDS   X   X   X
C THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2008A)
 
58-6002388 NONEAVAIL 08-26-2011 46,625,000 REFUND PRINCIPAL AND INTEREST OF SERIES 2008A   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 313,153,216 247,266,117 46,625,000  
4 Gross proceeds in reserve funds . . 25,080,929 19,529,827    
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . . 46,425,000   46,425,000  
7 Issuance costs from proceeds . . . 7,297,582 703 200,000  
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 41,879,678      
11 Other spent proceeds . .        
12 Other unspent proceeds. . . 15,326,359      
13 Year of substantial completion . . .
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X          
15 Were the bonds issued as part of an advance refunding issue?   X   X   X    
16 Has the final allocation of proceeds been made? . .   X X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X   X      
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X   X      
b Are there any research agreements that may result in private business use of bond-financed property? . . X   X   X      
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X      
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.280 % 0.280 % 0.280 %  
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0.020 % 0.020 % 0.020 %  
6 Total of lines 4 and 5 . . .. . . . . . 0.300 % 0.300 % 0.300 %  
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X    
2 Is the bond issue a variable rate issue?   X   X X      
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X X      
b Name of provider . CITIBANK NA
 
 
 
CITIBANK NA
 
 
 
c Term of hedge . . 15.000000000000   15.000000000000  
d Was the hedge superintegrated? .   X       X    
e Was a hedge terminated? .   X       X    
4a Were gross proceeds invested in a GIC? .   X   X   X    
b Name of provider .  
 
 
 
 
 
 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X    
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X    
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) THE LONGSTREET CLINIC PC
 
RODNEY SMITH, BOARD MEMBER IS A PARTNER OF THE LONGSTREET CLINIC, P.C. 189,365 NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS THE LONGSTREET CLINIC, P.C. FOR HOSPITALIST AND PHYSICIAN SERVICES. RODNEY SMITH, BOARD MEMBER IS A PARTNER OF THE LONGSTREET CLINIC, P.C. ALL TRANSACTIONS ARE CONDUCTED AT ARM'S LENGTH.   No
(2) ADAMS DATA MANAGEMENT
 
SPENCER PRICE, BOARD MEMBER IS CFO OF ADAMS DATA MANAGEMENT 280,736 NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS ADAMS DATA MANAGEMENT FOR RECORDS MANAGEMENT AND OFFICE SERVICES. SPENCER PRICE, BOARD MEMBER IS CFO OF ADAMS DATA MANAGEMENT. ALL TRANSACTIONS ARE CONDUCTED AT ARM'S LENGTH.   No
(3) STACEY CUMMINGS STACEY CUMMINGS IS SISTER TO ALLANA CUMMINGS, OFFICER. 57,758 STACEY CUMMINGS IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER, INC.   No
(4) AUNDREA STEVENS AUNDREA STEVENS IS SISTER TO JACK KEENER, BOARD MEMBER. 61,573 AUNDREA STEVENS IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER, INC.   No
(5) RACHEL BAILEY RACHEL BAILEY IS WIFE TO JAMES BAILEY M.D., BOARD MEMBER. 42,853 RACHEL BAILEY IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER, INC.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6   NORTHEAST GEORGIA HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST GEORGIA MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7A   THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER ARE APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B   THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER ARE APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11   INFORMATION FOR THE FORM 990 WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT FOR PREPARATION OF RETURN. AFTER THE RETURN WAS PREPARED, IT WAS REVIEWED BY SENIOR FINANCIAL MANAGEMENT. THE 990 IS MADE AVAILABLE TO MEMBERS OF THE BOARD PRIOR TO FILING.
  FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. EMPLOYEES ATTEST TO THEIR UNDERSTANDING AND REPORTING/DISCLOSURE REQUIREMENTS AT HIRE AND ANNUALLY. COMPLIANCE IS MONITORED CONTINUOUSLY THROUGHOUT THE YEAR BY THE BOARD.
  FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE NORTHEAST GEORGIA HEALTH SYSTEM BOARD (NGHS BOARD) HAS DEVELOPED AND INSTALLED COMPENSATION POLICIES AND PROCEDURES THAT SEEK TO FURTHER THE PURPOSE OF NGHS AND AFFILIATES AND THE IMPORTANCE OF THESE POLICIES TO ATTRACT AND RETAIN KEY EMPLOYEES. THE COMPENSATION COMMITTEE IS COMPOSED ENTIRELY OF DIRECTORS WHO ARE NOT EMPLOYEES OF NGHS. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE REVIEWED AND RATIFIED BY THE NGHS BOARD. THE COMMITTEE'S METHODOLOGY AND APPROACH INCORPORATES BOTH QUALITATIVE AND QUANTITATIVE CONSIDERATIONS, WHICH ARE REFLECTED IN THE COMMITTEE'S DETERMINATIONS CONCERNING KEY EMPLOYEE COMPENSATION AND THE SPECIFIC COMPONENTS THEREOF. THE COMPENSATION DECISIONS OF THE COMMITTEE ARE DESCRIBED BELOW AS TO EACH OF THE THREE CATEGORIES. BASE SALARY ANNUAL BASE SALARIES ARE SET AT COMPETITIVE LEVELS WITH HEALTHCARE INSTITUTIONS OF A SIMILAR SIZE AND COMPLEXITY FROM THROUGHOUT THE COUNTRY. SPECIFICALLY THE COMMITTEE CONSIDERS PEER GROUP COMPARISONS FROM SURVEY DATA FOR OTHER HEALTH SYSTEMS, RECOMMENDATIONS FROM AN INDEPENDENT COMPENSATION CONSULTANT, AND INDIVIDUAL PERFORMANCE ASSESSMENTS FOR EACH POSITION. IN EACH INSTANCE THE COMMITTEE MEMBERS REACH A CONSENSUS BASED ON THE COMBINATION OF AVAILABLE INFORMATION, AND THE COMMITTEE SETS A BASE SALARY LEVEL FOR EACH KEY EMPLOYEE. PERFORMANCE BASED VARIABLE COMPENSATION NUMEROUS PERFORMANCE GOALS ARE QUANTITATIVE IN NATURE, RESULTING IN A PERFORMANCE BASED VARIABLE COMPENSATION COMPONENT THAT IS WEIGHTED TOWARD ATTAINING NGHS BOARD-APPROVED GOALS AND OBJECTIVES. ANNUAL GOALS AND OBJECTIVES ARE ESTABLISHED THROUGH A FORMAL PLANNING PROCESS INVOLVING BOARD AND COMMUNITY MEMBERS. THE BOARD APPROVES THESE GOALS AND OBJECTIVES AT THE BEGINNING OF EACH YEAR. OFFICERS AND KEY EMPLOYEES RECEIVE CASH AWARDS AS A FORMULA DRIVEN PERCENTAGE OF BASE SALARY LEVELS BASED ON ACHIEVEMENT AND PREDETERMINED INDIVIDUAL OBJECTIVES. BENEFITS AND RETENTION PROGRAMS BENEFIT CATEGORIES AND AMOUNTS ARE DETERMINED BY A COMPARISON PROCESS SIMILAR TO DETERMINING BASE SALARIES WITH POSITIONS AND ORGANIZATIONS SIMILAR TO NGHS. INCLUDED IN BENEFITS ARE RETIREMENT PROGRAMS TO ENHANCE RETENTION AND PROGRESS TOWARD LONG-TERM GOALS WITHIN NGHS' MISSION.
  FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS AND STATISTICS ARE FILED QUARTERLY WITH DIGITAL ASSURANCE CERTIFICATION, LLC (DAC BOND). DAC BOND SERVES AS A DISCLOSURE DISSEMINATION AGENT FOR ISSUERS OF MUNICIPAL BONDS ELECTRONICALLY POSTING AND TRANSMITTING INFORMATION TO REPOSITORIES AND INVESTORS. ALL OTHER ITEMS ARE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -35,059,496. EQUITY TRANSFER TO THE MEDICAL CENTER FOUNDATION -1,065,045. INTERCOMPANY DEBT FORGIVENESS -26,675,133. PARTNERSHIP INCOME NOT ON BOOKS 187,920. CUMMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -4,173,015. TOTAL TO FORM 990, PART XI, LINE 5: -66,784,769.
  FORM 990, PART III. LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: LOCATED IN THE NORTHEASTERN SECTION OF THE STATE IN HALL COUNTY, NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS A 557-BED NOT-FOR-PROFIT REGIONAL REFERRAL FACILITY THAT PROVIDES A COMPREHENSIVE RANGE OF ACUTE CARE AND SPECIALTY SERVICES. THROUGH ITS ROLE AS A REGIONAL SAFETY NET HOSPITAL, NGMC SERVES THE AREA'S LOW-INCOME, UNINSURED, UNDERINSURED AND OTHER VULNERABLE POPULATIONS. APPROXIMATELY HALF OF NGMC'S PATIENTS COME FROM OUTSIDE OF HALL COUNTY. AS A NOT-FOR-PROFIT HOSPITAL, NGMC REINVESTS ALL FUNDS IN EXCESS OF OPERATING EXPENSES INTO HEALTHCARE SERVICES FOR THE COMMUNITY. THE MEDICAL CENTER RECEIVES NO OPERATING FUNDS FROM HALL OR OTHER COUNTIES SERVED, AND SERVICES ARE FUNDED BY REVENUE GENERATED FROM OPERATIONS. NGMC PROVIDED INDIGENT CARE TO HALL COUNTY RESIDENTS AT A COST OF $15,647,060 MILLION IN 2011, WITH ANOTHER $10,937,273 MILLION PROVIDED TO REGIONAL RESIDENTS OUTSIDE HALL COUNTY. THE MEDICAL CENTER'S CHARITY CARE POLICY PROVIDES FINANCIAL ASSISTANCE UP TO 300 PERCENT OF THE POVERTY LEVEL - DOUBLE THE AMOUNT GENERALLY PROVIDED BY OTHER HOSPITALS ACROSS THE STATE. THE HOSPITAL IS A KEY PARTICIPANT AND FISCAL SPONSOR IN PROGRAMS AIMED AT TREATING LOW-INCOME AND UNINSURED PATIENTS, INCLUDING THE GOOD NEWS CLINICS, THE LARGEST FREE HEALTH CARE CLINIC IN GEORGIA, AND HEALTH ACCESS INITIATIVE (HAI), A LOCAL SERVICE THAT MATCHES FINANCIALLY ELIGIBLE PATIENTS TO SPECIALTY PHYSICIANS AND PROVIDES ACCESS TO CARE, AMONG OTHER SERVICES. ADDITIONALLY: - LOCATED IN GEORGIA'S FASTEST GROWING REGION, THE 61-YEAR-OLD HOSPITAL HAS EXPANDED CONSIDERABLY IN RECENT YEARS TO MEET DEMAND AND UPDATE ITS AGING PLANT, INVESTING A QUARTER OF A BILLION DOLLARS IN ITS FACILITIES; - NGMC'S QUALITY OF CARE IS OFTEN AWARDED, AND THE HOSPITAL RANKS AMONG THE TOP IN THE STATE FOR CARDIAC SERVICES; - SINCE 2000, NGMC HAS PROVIDED NEARLY THREE TIMES THE AMOUNT OF INDIGENT AND CHARITY CARE SET FORTH IN REQUIREMENTS BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH FOR SUCCESSFUL PASSAGE OF A CERTIFICATE OF NEED FOR NEW SERVICES, AND, UNLIKE MANY GEORGIA NOT-FOR-FOR PROFIT HOSPITALS HELD TO THE SAME REQUIREMENTS, NGMC DOES NOT RECEIVE TAX FUNDING FROM ITS LOCAL COUNTY TO HELP FUND INDIGENT CARE TO AREA RESIDENTS; - NGMC IS THE PRIMARY HOSPITAL FOR LOW-INCOME PATIENTS IN GAINESVILLE-HALL COUNTY AND THROUGHOUT THE REGION IN COUNTIES SUCH AS BANKS, LUMPKIN, AND WHITE, WHERE MANY KEY MEDICAL SPECIALTIES ARE NOT AVAILABLE. NORTHEAST GEORGIA MEDICAL CENTER IN CALENDAR YEAR 2010, THE LATEST DATA AVAILABLE, NGMC WAS FIFTH IN THE STATE FOR NET UNCOMPENSATED CARE. NGMC PROVIDED INDIGENT CARE TO HALL COUNTY RESIDENTS AT A COST OF $15,647,060 MILLION IN 2011, WITH ANOTHER $10,937,273 MILLION PROVIDED TO REGIONAL RESIDENTS OUTSIDE HALL COUNTY. NGMC RECEIVES NO LOCAL TAX REVENUE FROM HALL COUNTY (OR ANY COUNTIES SERVED IN REGION 2) TO SUPPORT OPERATIONS OR CARE PROVIDED TO INDIGENT RESIDENTS, UNLIKE A NUMBER OF NOT-FOR-PROFIT HOSPITALS. NGMC SERVES AS A FINANCIAL ENGINE FOR ITS LOCAL ECONOMY. IN 2009 (LATEST NUMBERS AVAILABLE), THE HOSPITAL GENERATED NEARLY A BILLION DOLLARS IN REVENUE FOR THE LOCAL ECONOMY, ACCORDING TO A REPORT BY THE GEORGIA HOSPITAL ASSOCIATION, WHICH APPLIED AN ECONOMIC MULTIPLIER TO THE HOSPITAL'S DIRECT EXPENDITURES TO ACCOUNT FOR THE "RIPPLE" EFFECT THE HOSPITAL'S SPENDING HAS ON OTHER SECTORS OF THE LOCAL ECONOMY. APPLYING AN EMPLOYMENT MULTIPLIER, THE REPORT FOUND THAT THE HOSPITAL SUSTAINED MORE THAN 8,000 JOBS IN 2009 IN ADDITION TO THE MORE THAN 4,000 EMPLOYED DIRECTLY BY NORTHEAST GEORGIA HEALTH SYSTEM. UNDER THE IRS LAW, A TAX-EXEMPT ORGANIZATION, CLASSIFIED AS A 501(C)(3) CHARITY, IS REQUIRED TO: HAVE A MISSION THAT WILL BENEFIT ITS COMMUNITY; REINVEST ALL SURPLUS FUNDS IN THE ORGANIZATION IN A WAY THAT BENEFITS THE COMMUNITY; COMPENSATE EXECUTIVES, CONTRACTORS AND OTHER EMPLOYEES IN ACCORDANCE WITH FAIR MARKET VALUE; REMAIN ACCOUNTABLE TO THE COMMUNITY; REFRAIN FROM PARTICIPATING IN POLITICAL CAMPAIGNS FOR OR AGAINST CANDIDATES; REFRAIN FROM LOBBYING AS A SUBSTANTIAL PART OF ITS ACTIVITIES; AND, REMAIN FINANCIALLY ACCOUNTABLE TO THE COMMUNITY BY NOT ALLOWING ANY PORTION OF ITS NET EARNINGS TO BENEFIT ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. AS A NOT-FOR-PROFIT HOSPITAL, NGMC CARRIES ADDITIONAL RESPONSIBILITIES, AS ESTABLISHED BY THE IRS IN 1969: . OPERATE A FULL-TIME EMERGENCY ROOM THAT IS AVAILABLE TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY; - NGMC OPERATES THE 2ND BUSIEST ER IN GEORGIA. IN 2011, APPROXIMATELY 25% OF ALL NGMC'S EMERGENCY ROOM VISITS WERE MADE BY SELF-PAY PATIENTS. . PROVIDE NON-EMERGENCY SERVICES TO ANYONE ABLE TO PAY; - NORTHEAST GEORGIA HEALTH SYSTEM PROVIDES HIGH QUALITY, ADVANCED SPECIALTY AND PRIMARY HEALTHCARE SERVICES TO THE NORTHEAST GEORGIA COMMUNITY, SERVING ALMOST 700,000 PEOPLE IN MORE THAN 13 COUNTIES. IN FY2011, NGMC'S PAYOR MIX WAS 50% MEDICARE/MEDICAID, 36% COMMERCIAL INSURANCE AND 12% SELF-PAY. . PARTICIPATE IN MEDICAID AND MEDICARE; - 50% OF PATIENTS SERVED BY NGMC IN FY10 WERE MEDICAID AND MEDICARE PATIENTS. . CREATE A GOVERNING BOARD THAT IS REPRESENTATIVE OF THE COMMUNITY IT SERVES; - MORE THAN 75 COMMUNITY MEMBERS ARE ACTIVELY INVOLVED IN GOVERNANCE THROUGH NORTHEAST GEORGIA HEALTH SYSTEM, NGMC AND OTHER SUBSIDIARY BOARDS AND COMMITTEES. . ALLOW MEDICAL STAFF PRIVILEGES TO ANY PROFESSIONAL WHO IS QUALIFIED AND APPLIES; AND, - NGMC HAS A MEDICAL STAFF OF MORE THAN 500 PHYSICIANS REPRESENTING NUMEROUS ADVANCED SPECIALTIES SUCH AS GYNECOLOGIC ONCOLOGY, ELECTROPHYSIOLOGY, CARDIAC SURGERY, CRITICAL CARE MEDICINE, NEONATOLOGY AND PERINATOLOGY. . REINVEST SURPLUS FUNDS IN OPERATIONS. - AS NOT-FOR-PROFIT ORGANIZATIONS, NGMC AND ITS PARENT ORGANIZATION, NORTHEAST GEORGIA HEALTH SYSTEM, REINVEST ALL REVENUE GENERATED ABOVE OPERATING EXPENSES INTO THE COMMUNITY THROUGH NEW FACILITIES, SUCH AS THE NORTH PATIENT TOWER AND WOMEN AND CHILDREN'S PAVILION, AND IN NEW ADVANCED TECHNOLOGY, SUCH AS THE REGION'S FIRST 3T MRI, THE STATE'S FIRST STEREOTAXIS ODYSSEY MAGNETIC CATHETERIZATION SYSTEM AND REGION 2'S ONLY HYPERBARIC OXYGEN THERAPY CHAMBER. NGMC PARTICIPATES IN THE INDIGENT CARE TRUST FUND (ICTF), A 20-YEAR-OLD PROGRAM THAT EXPANDS MEDICAID ELIGIBILITY AND SERVICES, SUPPORTS RURAL HEALTH CARE FACILITIES THAT SERVE THE MEDICALLY INDIGENT AND FUNDS PRIMARY HEALTH CARE PROGRAMS FOR MEDICALLY INDIGENT GEORGIANS. GEORGIA'S DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM IS FUNDED THROUGH THE ICTF, AND ASSISTS HOSPITALS AND OTHER HEALTH PROVIDERS THAT CARE FOR HIGH PROPORTIONS OF MEDICAID, UNINSURED AND/OR LOW-INCOME PATIENTS. IN 2011, NGMC RECEIVED $10,412,862 IN NET FUNDS ALLOCATED THROUGH THE ICTF, UPL, AND DSH PROGRAM TO PARTIALLY OFFSET A FINANCIAL LOSS OF $41.5 MILLION IN COST THE MEDICAL CENTER INCURRED TREATING UNINSURED AND MEDICAID PATIENTS.
    COMMUNITY BENEFITS SITUATED IN A REGION WITH AN UNINSURED RATE THAT IS HIGHER THAN THE STATE AVERAGE, AREA HEALTH CONSUMERS CAN FACE SIGNIFICANT BARRIERS IN AFFORDING CARE. NGMC HAS SIGNIFICANTLY CONTRIBUTED TO LOCAL PROGRAMS THAT AIM TO ADDRESS THESE ISSUES, PRIMARILY THROUGH ITS SUPPORT OF THE GOOD NEWS CLINICS AND HEALTH ACCESS INITIATIVE (HAI). GOOD NEWS CLINICS WITHIN HALL COUNTY, THERE ARE SEVERAL LOW-COST ALTERNATIVES TO HELP PEOPLE AVOID CHOOSING THE HOSPITAL'S EMERGENCY DEPARTMENT FOR PRIMARY CARE SERVICES. SERVING AS THE LARGEST FREE CLINIC IN GEORGIA, THE GOOD NEWS CLINICS OFFERS PRIMARY MEDICAL, OPHTHALMOLOGY SERVICES AND DENTAL CARE, AS WELL AS MEDICATIONS TO INDIGENT, HOMELESS AND LOW-INCOME INDIVIDUALS AT OR BELOW 150 PERCENT OF THE FEDERAL POVERTY LEVEL IN HALL COUNTY WHO HAVE NO HEALTHCARE INSURANCE AND CANNOT AFFORD HIS OR HER MEDICAL CARE. ALL SERVICES ARE PROVIDED FREE OF CHARGE, EVEN THOUGH THE CLINIC RECEIVES NO FEDERAL, STATE OR LOCAL GOVERNMENT FUNDING. PATIENTS WHO NEED SPECIALTY CARE ARE REFERRED TO HEALTH ACCESS INITIATIVE. SINCE 1999, NGMC HAS PROVIDED $3,247,030 IN SUPPORT OF GOOD NEWS CLINICS AND AN AVERAGE ANNUAL SUPPORT OF $299,095 FROM FY2007-2011. IN 2011, NGMC CONTRIBUTED OVER $265,000 IN FINANCIAL SUPPORT. HALL COUNTY MEDICAL SOCIETY'S HEALTH ACCESS INITIATIVE LAUNCHED IN 2003, HALL COUNTY'S HEALTH ACCESS INITIATIVE (HAI) IS A REFERRAL SERVICE FOUNDED BY THE HALL COUNTY MEDICAL SOCIETY THAT MATCHES FINANCIALLY ELIGIBLE PATIENTS TO PHYSICIANS WHO HAVE VOLUNTEERED TO PROVIDE FREE TREATMENT TO PATIENTS WHO QUALIFY FOR SERVICES, PROVIDES HELP WITH OBTAINING MEDICATIONS AND OFFERS ANCILLARY SERVICES SUCH AS X-RAYS AND TRANSLATION SERVICES. HAI ALSO PROVIDES ANCILLARY SERVICES AND OUTREACH EDUCATION FOR ITS COMMUNITY, AND COLLABORATES WITH OTHER MEDICAL CENTERS, SUCH AS NGMC. IN 2011, APPROXIMATELY 1,800 PEOPLE WERE ASSISTED WITH NEEDED MEDICAL CARE THROUGH HAI. TO QUALIFY FOR ITS SERVICES, A PATIENT'S INCOME MUST BE AT OR BELOW 150 PERCENT FEDERAL POVERTY LEVEL AND HAVE NO MEDICAL INSURANCE. THE PATIENT MUST LIVE IN HALL COUNTY AND MUST BE REFERRED BY A PHYSICIAN THAT IS IN THE HAI NETWORK. FIRST CONCEIVED IN 1998, THE NEED FOR THE PROGRAM WAS LARGELY DETERMINED BY A COMMUNITY NEEDS ASSESSMENT CONDUCTED BY HEALTHY HALL, A COALITION OF COMMUNITY MEMBERS, INCLUDING NGMC. SINCE ITS LAUNCH, THE HOSPITAL HAS FISCALLY CONTRIBUTED TO HAI. SPECIFICALLY, IN 2011, OVER $14 MILLION IN DONATED HOSPITAL SERVICES WAS PROVIDED TO LOW INCOME, UNINSURED PATIENTS THROUGH HEALTH ACCESS. IN ADDITION, SINCE 2005, HAI HAS RECEIVED MORE THAN $1,213,000 FROM THE MEDICAL CENTER FOUNDATION. OTHER HAI PARTNERS INCLUDE THE HALL COUNTY HEALTH DEPARTMENT AND MEDLINK OF GAINESVILLE, A FEDERALLY QUALIFIED HEALTH CENTER. IN 2006, HEALTHCARE GEORGIA FOUNDATION NAMED THE HAI PROGRAM "COMMUNITY SERVICE COLLABORATIVE OF THE YEAR." NGMC ALSO PLAYS A MAJOR ROLE IN FUNDING A PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT TO IMPROVE ACCESS TO PRIMARY HEALTHCARE SERVICES FOR LOW-INCOME PEOPLE IN OUR COMMUNITY. IN FY11, NGMC CONTRIBUTED OVER $1.2 MILLION. IN FY11, NORTHEAST GEORGIA MEDICAL CENTER RECEIVED A NATIONAL CHARITABLE HEALTHCARE AWARD FROM JACKSON HEALTHCARE FOR COLLABORATIVE SUPPORT OF GOOD NEWS CLINICS AND HEALTH ACCESS INITIATIVE. ADDITIONAL HIGHLIGHTS OF COMMUNITY BENEFIT PROGRAMS NGMC VALUES COOPERATIVE EFFORTS WITH COMMUNITY SERVICES AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA CITIZENS. NGMC DEMONSTRATES ITS VALUE FOR COLLABORATIVE EFFORTS WITHIN THE COMMUNITY THROUGH MANY PARTNERSHIPS RANGING FROM SERVING AS LEAD AGENCY OF THE SAFE KIDS COALITION OF GAINESVILLE-HALL COUNTY, TO PARTNERING WITH COMMUNITY HEALTH ORGANIZATIONS, TO HELPING REACH AT-RISK POPULATIONS IN NEED OF HEALTHCARE. IN FY11, OVER $4.4 MILLION WAS PROVIDED IN COMMUNITY BENEFIT PROGRAMS/OUTREACH. COMMUNITY EDUCATION WAS PROVIDED THROUGH FREE COMMUNITY LECTURES, VARIOUS SUPPORT GROUPS, AND THE SEMI-ANNUAL HEALTH MAGAZINE, COMMUNICARE. PRESENTATIONS WERE MADE THROUGH THE SPEAKER'S BUREAU, AND NGMC ALSO OFFERED SMOKING CESSATION CLASSES, AS WELL AS LIVING LIGHTER, A WEIGHT LOSS PROGRAM. IN FY11, MORE THAN 600 NGMC VOLUNTEERS CONTRIBUTED MORE THAN 61,000 VOLUNTEER HOURS, EQUIVALENT TO 36 FULL TIME EMPLOYEES AND A VALUE OF OVER $1.3 MILLION. WHILE THESE FIGURES ARE NOT INCLUDED IN THE QUANTITATIVE PORTION OF THE COMMUNITY BENEFIT REPORT, THEY SHOW THE DEPTH OF SUPPORT THE COMMUNITY GIVES NGMC. THE MEDICAL CENTER FOUNDATION RAISES FUNDS TO BENEFIT THE COMMUNITY THE MEDICAL CENTER FOUNDATION IS THE FUNDRAISING ARM OF NORTHEAST GEORGIA MEDICAL CENTER AND HEALTH SYSTEM AND RAISES FUNDS TO IMPROVE THE HEALTH OF THE COMMUNITY. THE FOUNDATION'S OPERATING EXPENSES ARE SUPPORTED BY NGMC SO THAT DONATED FUNDS CAN BE USED TO SUPPORT NGMC PROJECTS AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. FOLLOWING ARE ITEMS OF INTEREST TO NOTE: - SINCE 1997, OVER $2.2 MILLION HAS BEEN RAISED FOR COMMUNITY HEALTH IMPROVEMENT PROJECTS THROUGH THE MEDICAL CENTER OPEN GOLF TOURNAMENT. - THE 2010 MEDICAL CENTER OPEN GOLF TOURNAMENT, HELD IN FY11, RAISED OVER $186,000 TO BENEFIT THE HALL COUNTY FIRE SERVICES AED PROGRAM AND THE NORTHEAST GEORGIA REGIONAL STEMI PROGRAM TO PROVIDE LIFE-SAVING CARDIAC EQUIPMENT FOR GAINESVILLE CITY AND HALL COUNTY SCHOOLS AND GEORGIA'S REGION II EMS. - THE MEDICAL CENTER FOUNDATION AND THE W.A.T.C.H. (WE ARE TARGETING COMMUNITY HEALTHCARE) EMPLOYEE-GIVING CLUB RECEIVED THE 2011 SPIRIT OF PHILANTHROPY AWARD FOR BEST EMPLOYEE GIVING PROGRAM FROM THE GEORGIA HOSPITAL ASSOCIATION'S GEORGIA ASSOCIATION FOR DEVELOPMENT PROFESSIONALS. W.A.T.C.H. MEMBERS HAVE DONATED MORE THAN $4 MILLION TO SUPPORT THE HEALTHY JOURNEY CAMPAIGN SINCE THE PROGRAM'S INCEPTION IN 2000. SAFE KIDS COALITION WORKS TO KEEP KIDS SAFE THE GAINESVILLE-HALL COUNTY SAFE KIDS COALITION, LED BY NGMC, IS PART OF THE NATIONAL SAFE KIDS CAMPAIGN, THE FIRST AND ONLY NATIONAL ORGANIZATION DEDICATED SOLELY TO THE PREVENTION OF UNINTENTIONAL CHILDHOOD INJURY, WHICH IS THE NATION'S NUMBER ONE KILLER OF CHILDREN AGES 14 AND UNDER. THIS PROGRAM PROVIDES AFFORDABLE SAFETY EQUIPMENT SUCH AS CAR SEATS AND BIKE HELMETS TO AREA CHILDREN IN NEED. WORKING WITH A COALITION MADE UP OF LAW ENFORCEMENT, AREA SCHOOLS, COMMUNITY VOLUNTEERS AND OTHERS, SAFE KIDS PROVIDES EDUCATIONAL MATERIALS AND PROGRAMS THAT TEACH CHILDREN AND THEIR PARENTS HOW TO AVOID ACCIDENTS AND INJURIES. SAFE KIDS CONTINUED THE WORK OF INJURY PREVENTION FOR FAMILIES IN THE HALL COUNTY COMMUNITY IN 2011 THANKS TO THE SUPPORT OF THE MEDICAL CENTER FOUNDATION AND THE HEALTHY JOURNEY CAMPAIGN. IN FY11, MEMBERS OF THE GAINESVILLE-HALL COUNTY SAFE KIDS COALITION PROVIDED OVER 300 PROGRAMS AND EVENTS THAT REACHED AN ESTIMATED 51,000 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS AND CAREGIVERS. THROUGH THESE PROGRAMS, OVER 3,000 SAFETY DEVICES WERE DISTRIBUTED TO FAMILIES WHO WERE IN NEED OF THEM. GETTING OLDER AND BETTER WORKSHOP OVER 200 PEOPLE PARTICIPATED IN THE GETTING OLDER AND BETTER WORKSHOP IN MAY AT FIRST UNITED METHODIST CHURCH IN GAINESVILLE AND THE SPOUT SPRINGS LIBRARY IN FLOWERY BRANCH. THIS EVENT WAS SPONSORED BY THE MEDICAL CENTER AUXILIARY, PROVIDED BY NGMC, AND FEATURED SPEAKERS ON SURGICAL AND NON-SURGICAL OPTIONS FOR JOINT PAIN. SPONSORSHIPS AND DONATIONS IN FY11, NGMC SPONSORED OR MADE A DONATION TO OVER 15 COMMUNITY AGENCIES SERVING HEALTH AND HUMAN SERVICE NEEDS, RANGING FROM SUPPORTING THE AMERICAN CANCER SOCIETY TO TEEN PREGNANCY PREVENTION. SPONSORSHIPS/DONATIONS TOTALED OVER $30,000 IN FY11.
    EMPLOYEES LEAD THE WAY: UNITED WAY PACESETTER & MORE NGMC COMPLETED ITS 2011 UNITED WAY CORNERSTONE CAMPAIGN 9/11. NGHS EMPLOYEES CONTRIBUTED OVER $136,000 TO UNITED WAY AS A CORNERSTONE COMPANY. THIS IS 13% MORE THAN LAST YEAR AND $18,000 MORE THAN NGHS HAS EVER CONTRIBUTED AS AN ORGANIZATION. NGMC EMPLOYEES ARE VERY ACTIVE IN THE COMMUNITY, VOLUNTEERING AT THE GOOD NEWS CLINICS, IN THEIR CHURCHES ON MISSION TRIPS AND FOR COMMUNITY AGENCIES SUCH AS THE HUMANE SOCIETY AND HABITAT FOR HUMANITY. WHEN IT COMES TO SUPPORTING THE MEDICAL CENTER FOUNDATION'S EMPLOYEE GIVING CLUB, W.A.T.C.H. (WE ARE TARGETING COMMUNITY HEALTHCARE), OVER 2,300 EMPLOYEES DONATED OVER $413,000 IN FY11. FLOYD HIGDON OF NGMC PLANT OPERATIONS RECEIVED THE BOYS AND GIRLS CLUBS' HELPING HANDS AWARD AT THEIR ANNUAL GALA. FLOYD HAS SERVED ON THE BOYS AND GIRLS CLUBS BOARD OF DIRECTORS FOR OVER FIVE YEARS. IN 2009, HE RECEIVED THEIR PRESIDENT'S AWARD FOR 1,400 HOURS OF VOLUNTEER SERVICES AND FOR ADDITIONAL VOLUNTEER EFFORTS WITH HIS CHURCH AND OVERSEAS MISSIONS. GOVERNOR NATHAN DEAL APPOINTED DEB BAILEY, BSN, MSN, NGMC DIRECTOR OF GOVERNMENTAL RELATIONS, TO THE GEORGIA BOARD OF NURSING. SHE SERVES ON THE HEALTH COMMITTEE OF THE GEORGIA CHAMBER OF COMMERCE AS WELL AS GEORGIA PUBLIC HEALTH COMMISSION AND NURSING EDUCATION STUDY GROUP. DOUG CARTER, NGMC'S BOARD CHAIRMAN, SERVED AS THE CHAIRMAN OF THE GEORGIA CHAMBER OF COMMERCE IN 2011 CAROL BURRELL, NGMC'S CEO, WAS NAMED TO THE ATLANTA BUSINESS CHRONICLE'S TOP 100 NAMES AND FACES TO KNOW IN THE HEALTHCARE INDUSTRY. BLOOD DRIVES NGMC EMPLOYEES DONATED OVER 311 UNITS OF BLOOD IN FY11, BENEFITTING OVER 900 INDIVIDUALS. SUPPORT OF COMMUNITY EVENTS NGMC EMPLOYEES ALSO TURNED OUT IN FULL FORCE FOR COMMUNITY EVENTS SUCH AS THE AMERICAN HEART WALK, MARCH OF DIMES' WALKAMERICA AND AMERICAN CANCER SOCIETY'S RELAY FOR LIFE, AVERAGING PARTICIPATION OF 200-300 PER EVENT. TRAINING AND EDUCATION FOR HEALTHCARE PROFESSIONALS AND OTHER STUDENTS NORTHEAST GEORGIA MEDICAL CENTER SUPPORTS THE TRAINING AND EDUCATION OF NURSES AND OTHER HEALTHCARE PROFESSIONALS. - NGMC IS A TRAINING SITE FOR HANDICAPPED HIGH SCHOOL STUDENTS WHO WORK IN THE AREAS OF MATERIALS MANAGEMENT, NUTRITIONAL SERVICES, PHARMACY AND LINENS. 21 STUDENTS AND 3 INSTRUCTORS PARTICIPATED IN FY11. - 64 STUDENTS FROM AREA HIGH SCHOOLS PARTICIPATED IN THE YOUTH APPRENTICESHIP PROGRAM IN FY11. - NGMC PARTNERS WITH LANIER TECH TO HOUSE A RADIOLOGY TECH PROGRAM AND HELPS FUND FACULTY; ALSO PROVIDES 2 PC LABS AND CLASSROOM SPACE FOR LANIER TECH'S LPN PROGRAM. - 94 JOB SHADOWS WERE PLACED AT NGMC DURING FY11, ALLOWING HIGH SCHOOL AND POSTSECONDARY STUDENTS FROM AREA SCHOOLS TO SHADOW PROFESSIONAL HEALTHCARE STAFF.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC
 
Employer identification number

58-1694098
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity









(1) NORTHEAST GA SPECIALTY GROUP LLC
743 SPRING STREET
GAINESVILLE,GA30501
26-0556328
HEALTHCARE CLINICS GA 0 0 N/A
(2) NGHS QUICKCARE LLC
743 SPRING STREET
GAINESVILLE,GA30501
20-5064238
HEALTHCARE CLINICS GA 0 0 N/A
(3) THE BRASELTON CLINIC LLC
743 SPRING STREET
GAINESVILLE,GA30501
26-0556190
HEALTHCARE CLINICS GA 0 0 N/A
(4) NORTHEAST GEORGIA OCCUPATIONAL HEALTH LLC
743 SPRING STREET
GAINESVILLE,GA30501
58-2608332
OCCUPATIONAL MEDICINE GA 0 0 N/A
(5) RIVER PLACE MEDICAL OFFICE PLAZA I LLC
743 SPRING STREET
GAINESVILLE,GA30501
58-1694090
RENTAL GA 0 0 N/A


Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) NORTHEAST GEORGIA HEALTH SYSTEM INC

743 SPRING STREET

GAINESVILLE,GA30501
58-1694090
HEALTHCARE - PARENT ORG. GA 501(C)(3) LINE 11C, III-FI N/A
 
No
(2) THE MEDICAL CENTER FOUNDATION INC

743 SPRING STREET

GAINESVILLE,GA30501
58-1694820
FUNDRAISING GA 501(C)(3) LINE 7 NORTHEAST GEORGIA HEALTH SYSTEM INC
 
 
No
(3) NORTHEAST GEORGIA PHYSICIANS GROUP INC

743 SPRING STREET

GAINESVILLE,GA30501
58-2078064
HEALTHCARE GA 501(C)(3) LINE 11B, II NORTHEAST GEORGIA HEALTH SYSTEM INC
 
 
No








For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) NORTHEAST GEORGIA HEALTH PARTNERS LLC
743 SPRING STREET
GAINESVILLE,GA30501
58-2131807
PPO DEVELOPMENT GA N/A
C      
(2) STRATEGIC PHYSICIAN SERVICES INC
743 SPRING STREET
GAINESVILLE,GA30501
26-0342081
HEALTHCARE PSS GA N/A
C      










Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
(2)

(3)

(4)

(5)

(6)

Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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