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
NORTHSIDE HOSPITAL INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1000 JOHNSON FERRY ROAD NE
 
Room/suite
City or town, state or country, and ZIP + 4
ATLANTA, GA303421611
D Employer identification number

58-1954432
E Telephone number

G Gross receipts $ 1,259,200,796
F Name and address of principal officer:
ROBERT T QUATTROCCHI
1000 JOHNSON FERRY ROAD NE
ATLANTA,GA303421611
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.NORTHSIDE.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: 1991
M State of legal domicile: GA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO BE A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 11
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 6
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 8,208
6 Total number of volunteers (estimate if necessary) .... 6 896
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 4,554,352
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -639,541
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,606,399 4,591,896
9 Program service revenue (Part VIII, line 2g) ......... 1,014,794,230 1,092,378,014
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,551,283 7,940,006
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 701,451 5,773,635
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,024,653,363 1,110,683,551
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 43,953 1,443,482
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) 443,174,232 494,630,078
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet189,807    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 531,224,694 565,175,306
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 974,442,879 1,061,248,866
19 Revenue less expenses. Subtract line 18 from line 12...... 50,210,484 49,434,685
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 894,734,300 973,107,585
21 Total liabilities (Part X, line 26)............ 561,117,478 540,598,773
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 333,616,822 432,508,812
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: NORTHSIDE HOSPITAL IS COMMITTED TO THE HEALTH AND WELLNESS OF OUR COMMUNITY. AS SUCH, WE DEDICATE OURSELVES TO BEING A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE. WE PLEDGE COMPASSIONATE SUPPORT, PERSONAL GUIDANCE AND UNCOMPROMISING STANDARDS TO OUR PATIENTS IN THEIR JOURNEYS TOWARD HEALTH OF BODY AND MIND. TO ENSURE INNOVATIVE AND UNSURPASSED CARE FOR OUR PATIENTS, WE ARE DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. TO ENHANCE THE WELLNESS OF OUR COMMUNITY, WE COMMIT OURSELVES TO PROVIDING A DIVERSE ARRAY OF EDUCATIONAL AND OUTREACH PROGRAMS.
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 $ 768,853,739 including grants of $ 367,140 ) (Revenue $ 1,098,151,649 )
THE NORTHSIDE HEALTH CARE DELIVERY SYSTEM INCLUDES THREE HOSPITALS - NORTHSIDE HOSPITAL - ATLANTA IN SANDY SPRINGS, NORTHSIDE HOSPITAL - CHEROKEE IN CANTON AND NORTHSIDE HOSPITAL - FORSYTH IN CUMMING - AND MORE THAN 30 OUTPATIENT SERVICE LOCATIONS WITH MORE THAN 689,000 SYSTEM-WIDE PATIENT ENCOUNTERS ANNUALLY. NORTHSIDE'S SERVICE AREA INCLUDES 8 COUNTIES WITH A TOTAL POPULATION OF MORE THAN 4 MILLION. NORTHSIDE IS HOME TO THE LARGEST MEDICAL STAFF OF ANY HEALTH CARE SYSTEM IN THE SOUTHEAST. STAFF PROVIDE A FULL RANGE OF HEALTH CARE SERVICES, INCLUDING WOMEN'S HEALTH, CANCER CARE, EMERGENCY CARE, SURGERY, SPECIALTY MEDICINE AND A WIDE ARRAY OF OUTPATIENT SERVICES AT MANY LOCATIONS. NORTHSIDE HOSPITAL IS PRIMARILY KNOWN AS A LEADER IN WOMEN'S HEALTH SERVICES, BUT ALSO HAS MANY OTHER AREAS OF EXPERTISE:- DELIVERS MORE BABIES THAN ANY OTHER HOSPITAL IN THE US (OVER 17,000 DELIVERIES SYSTEM WIDE IN FISCAL YEAR 2011)- DIAGNOSES AND TREATS MORE CASES OF BREAST AND GYN CANCER THAN ANY OTHER HOSPITAL IN THE SOUTHEAST- TREATS MORE PROSTATE CANCER CASES THAN ANY OTHER HOSPITAL IN THE US- PERFORMS MORE SURGERY THAN AT ANY OTHER GA HOSPITALTHE PROGRAM SERVICE REVENUES AND EXPENSES CONSIST OF ALL INPATIENT AND OUTPATIENT SERVICE LINES FOR THE YEAR ENDING SEPTEMBER 30, 2011.SEE THE COMMUNITY BENEFITS REPORT INCLUDED LATER IN SCHEDULE O.
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$ 768,853,739
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 I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
.........................
4
 
No
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
 
No
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
Yes
 
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
Yes
 
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
Yes
 
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
656
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
8,208
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
Yes
 
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
11
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
6
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
 
No
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
 
No
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
 
 
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
DEBORAH S MITCHAM
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
(404) 851-8000
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) ROBERT T QUATTROCCHI
PRESIDENT & CEO NSH, INC.
40.00 X   X       2,110,807 0 6,077
(2) ROBERT E WHITLEY
BOARD MEMBER
1.00 X           0 0 0
(3) J BANCROFT LESESNE MD
CHAIRMAN
1.00 X           0 0 0
(4) WILLIAM HASTY JR
BOARD MEMBER
1.00 X           0 0 0
(5) DALE M BEARMAN MD
BOARD MEMBER
1.00 X           0 0 0
(6) THOMAS W GABLE MD
BOARD MEMBER
1.00 X           0 0 0
(7) ANTHONY J SALVATORE
VICE-CHAIRMAN & TREASURER
1.00 X           0 0 0
(8) K DOUGLAS SMITH MD
BOARD MEMBER
1.00 X           0 0 0
(9) LAWRENCE B STONE MD
BOARD MEMBER
1.00 X           0 0 0
(10) MARK J SWEENEY
SECRETARY
1.00 X           0 0 0
(11) BARBARA PARE
BOARD MEMBER
1.00 X           0 0 0
(12) DEBORAH S MITCHAM
VP/CFO NSH, INC.
40.00     X       432,683 0 10,904
(13) JORGE J HERNANDEZ
VICE PRESIDENT/ASST. SECRETARY
40.00     X       327,112 0 1,094
(14) TINA WAKIM
VICE PRESIDENT
40.00       X     525,952 0 1,128
(15) ROBERT PUTNAM
VICE PRESIDENT
40.00       X     449,441 0 4,900
(16) SUSAN SOMMERS
VICE PRESIDENT
40.00         X   352,260 0 4,844
(17) WAYNE CHIU MD
PHYSICIAN
40.00         X   362,605 0 10,904
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) BENEDICT BENIGNO MD
PHYSICIAN
40.00         X   584,036 0 5,376
(19) WILLIAM HAYES
VICE PRESIDENT
40.00         X   357,053 0 6,077
(20) JANIS DUBOW
VICE PRESIDENT
40.00         X   304,494 0 4,128




















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,806,443 0 55,432
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet314
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
MCKENNA LONG & ALDRIDGE LLP
PO BOX 116573
ATLANTA,GA30368
LEGAL SERVICES 6,560,855
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289
ATLANTA,GA30368
FOOD SERVICES 6,104,766
HOLLIS COBB ASSOCIATES INC
PO BOX 2248
NORCROSS,GA30091
ACCOUNTS RECEIVABLE MGMT 3,694,716
ANGELICA TEXTILE SERVICES INC
PO BOX 535122
ATLANTA,GA30353
LINEN SERVICES 3,458,236
PIEDMONT GRAPHICS
PO BOX 6907
MARIETTA,GA30065
PRINTING SERVICES 3,195,356
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet117
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 860,636
e Government grants (contributions)1e 2,981,701
f All other contributions, gifts, grants, and
similar amounts not included above
1f
749,559
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 4,591,896
 Program Service Revenue Business Code
2a NET PATIENT REVENUE 621,990 1,063,185,928 1,063,185,928    
b RENTAL INCOME 531,120 11,877,827 11,877,827    
c PHARMACY REVENUE 446,110 11,090,299   4,464,655 6,625,644
d PARKING REVENUE 812,930 1,768,741     1,768,741
e CAFETERIA & VENDING 722,210 1,729,288     1,729,288
f All other program service revenue . 2,725,931 1,862,618 89,697 773,616
g Total. Add lines 2a–2f........MediumBullet 1,092,378,014
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 4,210,974     4,210,974
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 152,057,481 188,796
b Less: cost or other basis and sales expenses 148,371,009 146,236
c Gain or (loss) 3,686,472 42,560
d Net gain or (loss)..........MediumBullet 3,729,032     3,729,032
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 MISCELLANEOUS 900,099 5,773,635 5,773,635    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 5,773,635
12 Total revenue. See Instructions....MediumBullet 1,110,683,551 1,082,700,008 4,554,352 18,837,295
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 1,380,417 1,380,417
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 63,065 63,065
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 .... 6,266,163 4,699,622 1,566,541  
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 369,242,839 276,932,129 92,310,710  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 28,050,539 21,037,904 7,012,635  
9 Other employee benefits ....... 65,108,057 48,831,043 16,277,014  
10 Payroll taxes ........... 25,962,480 19,471,860 6,490,620  
11 Fees for services (non-employees):        
a Management ...... 11,827,782 591,389 11,236,393  
b Legal ......... 11,631,552   11,631,552  
c Accounting ........... 848,789   848,789  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 1,801,896   1,801,896  
g Other .......... 81,891,373 48,315,910 33,575,463  
12 Advertising and promotion .... 4,810,442   4,810,442  
13 Office expenses ....... 20,545,138 11,916,180 8,628,958  
14 Information technology ...... 4,492,724 224,636 4,268,088  
15 Royalties ..        
16 Occupancy ........... 32,835,761 12,149,232 20,686,529  
17 Travel ............ 413,446 95,093 318,353  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 229,850 105,731 124,119  
20 Interest ........... 4,518,168   4,518,168  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 77,158,917 47,066,939 30,091,978  
23 Insurance .............. 10,547,818 632,869 9,914,949  
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 SUPPLIES 213,451,147 211,316,636 2,134,511  
b BAD DEBT EXPENSE 63,415,043 63,415,043    
c MISCELLANEOUS 14,320,494 503,691 13,626,996 189,807
d COLLECTION FEES 10,434,966 104,350 10,330,616  
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 1,061,248,866 768,853,739 292,205,320 189,807
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 .......... 22,259 1 22,834
2 Savings and temporary cash investments ....... 181,253,459 2 195,770,678
3 Pledges and grants receivable, net ......... 492,112 3 977,638
4 Accounts receivable, net ......... 58,049,148 4 58,246,804
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 ............. 1,572,184 7 2,018,483
8 Inventories for sale or use .............. 9,672,413 8 11,583,791
9 Prepaid expenses and deferred charges ............ 6,800,394 9 6,990,882
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,113,593,881
b Less: accumulated depreciation. ..... 10b 636,037,575 456,395,529 10c 477,556,306
11 Investments—publicly traded securities .......... 91,538,800 11 93,039,420
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 69,457,595 14 105,502,227
15 Other assets. See Part IV, line 11 ........... 19,480,407 15 21,398,522
16 Total assets. Add lines 1 through 15 (must equal line 34)... 894,734,300 16 973,107,585
Liabilities 17 Accounts payable and accrued expenses . 232,377,219 17 257,359,001
18 Grants payable ..........   18  
19 Deferred revenue .......... 14,514 19 112,698
20 Tax-exempt bond liabilities .......... 36,665,000 20 34,270,000
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 .. 15,000,000 23 12,333,333
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 277,060,745 25 236,523,741
26 Total liabilities. Add lines 17 through 25..... 561,117,478 26 540,598,773
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 ..... 333,616,822 27 432,508,812
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 ..... 333,616,822 33 432,508,812
34 Total liabilities and net assets/fund balances ..... 894,734,300 34 973,107,585
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
1,110,683,551
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
1,061,248,866
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
49,434,685
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
333,616,822
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
49,457,305
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
432,508,812
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
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
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
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
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
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
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
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
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
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
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 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
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
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 .................   102,554,172 102,554,172
b Buildings ................   569,500,169 324,333,532 245,166,637
c Leasehold improvements ............        
d Equipment ................   379,282,347 311,704,043 67,578,304
e Other .................   62,257,193   62,257,193
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 477,556,306
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  
INTERCHANGE FINANCE LIABILITY 14,010,934
RENT OBLIGATION 2,047,730
RESERVE FOR MALPRACTICE 119,806,948
RETIREMENT PLAN OBLIGATION 60,601,996
OBLIGATION UNDER CAPITAL LEASE 36,519,593
FMV OF SWAP AGREEMENT 1,809,530
OTHER LIABILITY 124,000
POST RETIREMENT OBLIGATION 1,603,010

Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 236,523,741
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  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
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  
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  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
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  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
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  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
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  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
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: THE HOSPITALS QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED.
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
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
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) ..
    39,586,430   39,586,430 3.970 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
    97,002,007 48,469,477 48,532,530 4.860 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs .....
    136,588,437 48,469,477 88,118,960 8.830 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    4,550,860 378,286 4,172,574 0.420 %
f Health professions education
(from Worksheet 5) ..
    1,374,720 1,243,816 130,904 0.010 %
g Subsidized health services
(from Worksheet 6) ..
           
h Research (from Worksheet 7)     431,505 437,614 -6,109 0 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
    1,655,419   1,655,419 0.170 %
jTotal Other Benefits ...     8,012,504 2,059,716 5,952,788 0.600 %
kTotal. Add lines 7d and 7j. ..     144,600,941 50,529,193 94,071,748 9.430 %
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            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
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
20,928,883
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
122,457,502
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
147,135,261
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-24,677,759
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?3
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 NORTHSIDE HOSPITAL
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
X X         X    
2 NORTHSIDE HOSPITAL - FORSYTH
1200 NORTHSIDE FORSYTH DRIVE
CUMMING,GA30041
X X         X    
4 NORTHSIDE HOSPITAL - CHEROKEE
201 HOSPITAL ROAD
CANTON,GA30114
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:NORTHSIDE HOSPITAL
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 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:NORTHSIDE HOSPITAL - FORSYTH
Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

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 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:NORTHSIDE HOSPITAL - CHEROKEE
Line Number of Hospital Facility (from Schedule H, Part V, Section A):4

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?28
Name and address Type of Facility (Describe)
1 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
2 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
3 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
4 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
5 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
6 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
7 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
8 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
9 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
10 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
11 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
12 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
13 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
14 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
15 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
16 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
17 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
18 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
19 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
20 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
21 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
22 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
23 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
24 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
25 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
26 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
27 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER CENTER
28 NORTHSIDEDUNWOODY CANCER CENTER
1155 HAMMOND DRIVE
300
ATLANTA,GA30328
CANCER 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: NORTHSIDE HOSPITAL, INC. PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS MADE AVAILABLE TO THE PUBLIC.
    PART I, LINE 7: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 7 IS THE COST TO CHARGE RATIO CALCULATED PURSUANT TO THE IRS SCHEDULE H WORKSHEET 2 INSTRUCTIONS.
    PART I, L7 COL(F): BAD DEBT EXPENSE IN THE AMOUNT OF $63,415,043 HAS BEEN REMOVED FROM TOTAL EXPENSE.
    PART III, LINE 4: "THE PROVISION FOR BAD DEBTS THAT RELATES TO PATIENT SERVICE REVENUES IS BASED ON AN EVALUATION OF POTENTIALLY UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS REPRESENTS THE ESTIMATE OF THE UNCOLLECTIBLE PORTION OF ACCOUNTS RECEIVABLE." THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINES 2 AND 3 WAS A COST TO CHARGE RATIO APPLIED TO BAD DEBT CHARGES WRITTEN OFF, NET OF RECOVERIES. NORTHSIDE HOSPITAL PROVIDES CARE TO THE COMMUNITY, REGARDLESS OF PATIENTS' ABILITY TO PAY. THE FORGONE CHARGES ARE AT THE EXPENSE OF NORTHSIDE HOSPITAL.
    PART III, LINE 8: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 WAS A COST TO CHARGE RATIO FROM THE FISCAL YEAR 2011 MEDICARE COST REPORT APPLIED TO MEDICARE CHARGES. THE MEDICARE PROGRAM PAYS AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING SERVICES. ANY COST NOT REIMBURSED BY MEDICARE IS BORNE BY NORTHSIDE HOSPITAL WHICH EASES THE BURDEN TO THE GOVERNMENT FOR THE PROVISION OF HEALTHCARE UNDER THE MEDICARE PROGRAM.
    PART III, LINE 9B: FINANCIAL COUNSELORS IDENTIFY PATIENTS DURING THE PRE-SCREENING PROCESS THAT APPEAR TO BE EXPERIENCING FINANCIAL HARDSHIP AND NOTIFY THEM OF FINANCIAL ASSISTANCE OPTIONS. IF IT IS DETERMINED THAT AN ACCOUNT IS UNCOLLECTIBLE DURING THE COLLECTION PROCESS BECAUSE OF THE PATIENT'S FINANCIAL STATUS, THE PATIENT IS CONTACTED TO APPLY FOR FINANCIAL ASSISTANCE. ONCE THEY ARE DETERMINED TO BE CHARITY, COLLECTION EFFORTS CEASE AND THE ACCOUNT IS WRITTEN OFF TO CHARITY RELIEVING THE PATIENT OF LIABILITY FOR THE DEBT. THE RESULT OF BEING APPROVED FOR CHARITY ALSO PREVENTS THE PATIENT FROM ANY POTENTIAL ADVERSE EFFECT ON THEIR CREDIT.
    PART VI, LINE 2: NORTHSIDE HOSPITAL, INC. IS DEDICATED TO MEETING THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. NORTHSIDE REGULARLY ASSESSES THE NEEDS OF ITS COMMUNITY THROUGH A VARIETY OF MEANS. NORTHSIDE CONTINUOUSLY MONITORS STATEWIDE NEEDS ASSESSMENTS AND REPORTS, INCLUDING, BUT NOT LIMITED TO, QUARTERLY NEEDS CALCULATIONS PREPARED AND PUBLISHED BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH, DIVISION OF HEALTH PLANNING ("DCH") FOR VARIOUS SERVICE LINES SUCH AS OBSTETRICAL SERVICES, NEONATAL SPECIALTY CARE SERVICES, AMBULATORY SURGERY SERVICES, PET/CT IMAGING, MEGAVOLTAGE RADIATION THERAPY, AND OPEN HEART SURGERY. NORTHSIDE ALSO REGULARLY REQUESTS THAT DCH RE-EVALUATE THE PROJECTED NEED FOR ADDITIONAL HOSPITAL BEDS TO SERVE THE COMMUNITY. IN ADDITION, NORTHSIDE SUBSCRIBES TO AND REVIEWS INFORMATION CONTAINED IN VARIOUS PUBLIC AND PRIVATE DATABASES AND OTHER HEALTH INFORMATION AND POPULATION SOURCES REGARDING THE DEMOGRAPHICS, HEALTH, AND SOCIAL INDICATORS FOR THE COMMUNITY, INCLUDING, BUT NOT LIMITED TO, THE VARIOUS DCH SURVEY DATABASES, CLARITAS, THE GEORGIA OFFICE OF PLANNING AND BUDGET, OASIS, AND THE ADVISORY BOARD COMPANY. NORTHSIDE CONTINUOUSLY REVIEWS INTERNAL SERVICE UTILIZATION DATA AND SURVEY RESPONSES TO IDENTIFY AREAS IN NEED OF ENHANCEMENT, EXPANSION OR OTHER INVESTMENTS TO IMPROVE PATIENT CARE. NORTHSIDE, ITS REPRESENTATIVES AND EMPLOYEES PARTICIPATE IN COMMUNITY COALITIONS, ADVISORY GROUPS, COMMITTEES, BOARDS, AND OTHER FORMAL AND INFORMAL GROUPS OR MEETINGS THAT EITHER SERVE THE COMMUNITIES GENERALLY OR SPECIFICALLY ENDEAVOR TO IMPROVE HEALTH CARE ACCESSIBILITY, QUALITY, AND SERVICE IN THE COMMUNITY. NORTHSIDE WORKS CLOSELY WITH ELECTED OFFICIALS, COMMUNITY ORGANIZATIONS, AND OTHER COMMUNITY LEADERS TO IDENTIFY GAPS IN SERVICE DELIVERY, INCLUDING GAPS DUE TO GEOGRAPHY, FINANCIAL ACCESSIBILITY, OVER-UTILIZATION OF EXISTING SERVICES/PROVIDERS, OR QUALITY OF CARE. NORTHSIDE FURTHER COMMUNICATES WITH SAFETY NET CLINICS AND OTHER COMMUNITY RELIEF ORGANIZATIONS TO IDENTIFY PATIENTS WHOSE HEALTH CARE NEEDS ARE NOT MET BY THE CURRENT HEALTH CARE DELIVERY SYSTEM. THE RESULTS OF OUR CONTINUING EFFORTS ASSIST US IN DEVELOPING PRIORITIES AS WELL AS, WHERE NECESSARY, DEVELOPING STRATEGIES FOR OBTAINING NECESSARY REGULATORY APPROVALS FOR NEW OR EXPANDED SERVICE LINES OR FACILITIES. TO ILLUSTRATE, IN CIRCUMSTANCES WHERE DCH'S PUBLISHED NEED CALCULATIONS FOR LARGE REGIONS DO NOT COMPORT WITH IDENTIFIED NEEDS OF SMALLER SEGMENTS OF THE COMMUNITY (AS DETERMINED THROUGH NORTHSIDE'S NEEDS ASSESSMENT), NORTHSIDE PETITIONS DCH TO REVIEW DOCUMENTATION EVIDENCING GAPS IN CARE. MANY OF THESE EFFORTS HAVE PROVEN SUCCESSFUL, RESULTING IN IMPROVED ACCESS TO CARE. EVERY TWO YEARS, NORTHSIDE ALSO ENGAGES HEALTH PLANNING EXPERTS TO DEVELOP A COMMUNITY NEEDS ASSESSMENT TO IDENTIFY HEALTH PROFESSIONAL SHORTAGES. THIS NEEDS ASSESSMENT IS RE-EVALUATED ANNUALLY TO ADDRESS THE IDENTIFIED NEED TO ENSURE EASIER ACCESS TO PRIMARY CARE AS WELL AS SPECIALTY PHYSICIAN SERVICES. NORTHSIDE'S PHYSICIAN RECRUITMENT EFFORTS ARE DESIGNED TO ENSURE THAT SUFFICIENT QUALIFIED HEALTH PROFESSIONALS ARE AVAILABLE TO MEET THE IDENTIFIED COMMUNITY NEEDS.
    PART VI, LINE 3: NORTHSIDE HOSPITAL 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 CHARITY CARE POLICY. BI-LINGUAL SIGNAGE IS POSTED IN THE WAITING AREAS OF THE EMERGENCY DEPARTMENT AS WELL AS ALL OUT-PATIENT LOCATIONS OF THE HOSPITAL WHICH PROVIDES INFORMATION AND EDUCATION TO ALL PATIENTS REGARDING NORTHSIDE'S CHARITY POLICIES. ALL PATIENTS ARE PROVIDED WITH AND MUST SIGN TO ACKNOWLEDGE RECEIPT OF INFORMATION REGARDING THEIR FINANCIAL RESPONSIBILITY OF HOSPITAL CHARGES. PATIENTS ARE NOTIFIED THAT IF THEY ARE AN UNINSURED OR SELF-PAY PATIENT, THEY WILL BE REFERRED TO A FINANCIAL COUNSELOR FOR DETERMINATION OF THEIR ELIGIBILITY FOR CHARITY CARE, INDIGENT CARE, OR GOVERNMENT REIMBURSEMENT. IF THE PATIENT IS NOT ELIGIBLE FOR ANY OF THESE, THE FINANCIAL COUNSELOR WILL DISCUSS PAYMENT OPTIONS DEVELOPED ON A CASE-BY-CASE BASIS. NORTHSIDE HOSPITAL ALSO WORKS CLOSELY WITH MANY COMMUNITY OUTREACH PROGRAMS TO PROVIDE CHARITY CARE TO THOSE PATIENTS WHO QUALIFY FOR FREE OR DISCOUNTED SERVICES THROUGH THE VARIOUS COMMUNITY OUTREACH PROGRAMS. NORTHSIDE PROVIDES A PRE-APPROVAL CHARITY PROCESS FOR ALL PATIENTS WHO REQUIRE MEDICALLY NECESSARY TREATMENT AND CANNOT AFFORD TO PAY, THIS PROCESS ALLOWS A PATIENT TO QUALIFY FOR CHARITY SERVICES PRIOR TO THE SERVICES BEING PERFORMED, RELIEVING THEM OF THE STRESS AND BURDEN OF THE FINANCIAL ASPECT OF THEIR CARE, AND ALLOWING THEM TO FOCUS ON THEIR RECOVERY.
    PART VI, LINE 4: NORTHSIDE HOSPITAL-ATLANTANORTHSIDE HOSPITAL-ATLANTA IS A 537-BED ACUTE CARE COMMUNITY HOSPITAL LOCATED ON THE NORTHERN END OF THE CITY OF ATLANTA IN FULTON COUNTY. THE HOSPITAL IS EASILY ACCESSIBLE FROM MAJOR INTERSTATE HIGHWAYS AND PUBLIC TRANSPORTATION SYSTEMS. NORTHSIDE HOSPITAL-ATLANTA'S PREDEFINED PRIMARY AND SECONDARY SERVICE AREAS ENCOMPASS MUCH OF THE METRO ATLANTA AREA AND INCLUDE SIGNIFICANT PORTIONS OF CHEROKEE, COBB, DEKALB, FORSYTH, FULTON, AND GWINNETT COUNTIES. NORTHSIDE HOSPITAL-ATLANTA'S PREDEFINED SERVICE AREA REPRESENTS NEARLY 85% OF THE HOSPITAL'S TOTAL INPATIENTS, OUTPATIENTS AND EMERGENCY DEPARTMENT PATIENTS.ACCORDING TO CLARITAS, INC. POPULATION ESTIMATES, IN 2011 NEARLY 3 MILLION PEOPLE RESIDED IN NORTHSIDE HOSPITAL-ATLANTA'S PREDEFINED SERVICE AREA. FEMALES OF CHILDBEARING AGE REPRESENTED AN ESTIMATED 21% OF THE 2011 SERVICE AREA POPULATION WHILE THE 65+ AGE COHORT REPRESENTED AN ESTIMATED 9%. THE RACIAL COMPOSITION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED TO BE PREDOMINATELY CAUCASIAN (62%), FOLLOWED BY AFRICAN AMERICAN (23%) AND ASIAN (6%). IN 2011, AN ESTIMATED THIRTEEN PERCENT OF THE HOSPITAL'S SERVICE AREA POPULATION WAS HISPANIC OR LATINO. ALSO IN 2011, FOURTEEN PERCENT OF THE HOUSEHOLDS IN THE HOSPITAL'S SERVICE AREA HAD A HOUSEHOLD INCOME OF LESS THAN $25,000.LOOKING TO THE FUTURE, BY 2016 NORTHSIDE HOSPITAL-ATLANTA'S PREDEFINED SERVICE AREA POPULATION IS PROJECTED TO INCREASE TEN PERCENT, REACHING NEARLY 3.3 MILLION PEOPLE. THE HOSPITAL'S SERVICE AREA POPULATION IS PROJECTED TO AGE SLIGHTLY DUE TO THE PROJECTED RAPID GROWTH OF THE 65+ AGE COHORT. TO ILLUSTRATE, FEMALES OF CHILDBEARING AGE ARE PROJECTED TO DECREASE SLIGHTLY TO 20% OF THE SERVICE AREA'S TOTAL POPULATION WHILE THE 65+ COHORT IS PROJECTED TO INCREASE TO 11% OF THE SERVICE AREA'S TOTAL POPULATION. THE 65+ POPULATION IS PROJECTED TO INCREASE 34% BETWEEN 2011 AND 2016 WHICH FAR EXCEEDS THE GROWTH RATE OF FEMALES 15-44 (2%) AND THE TOTAL POPULATION (10%). THE RACIAL COMPOSITION OF NORTHSIDE HOSPITAL-ATLANTA'S 2016 SERVICE AREA POPULATION IS PROJECTED TO SHIFT SLIGHTLY WITH CAUCASIANS COMPRISING 58% OF THE SERVICE AREA POPULATION FOLLOWED BY AFRICAN AMERICANS (25%) AND ASIANS (7%). A SLIGHT INCREASE IN THE HISPANIC OR LATINO POPULATION AS A PERCENT OF THE TOTAL SERVICE AREA POPULATION ALSO IS PROJECTED (13% TO 15%) WHILE THE PERCENTAGE OF HOUSEHOLDS WITH INCOMES LESS THAN $25,000 IS PROJECTED TO REMAIN AT FOURTEEN PERCENT.GIVEN THE DENSITY OF THE POPULATION RESIDING IN NORTHSIDE HOSPITAL-ATLANTA'S SERVICE AREA AND ITS PROJECTED GROWTH, PARTICULARLY IN THE 65+ AGE COHORT, NORTHSIDE HOSPITAL-ATLANTA ANTICIPATES CONTINUED DEMAND FOR HIGH-QUALITY HEALTHCARE SERVICES. DEMAND FOR INPATIENT SERVICES IN THE HOSPITAL'S PREDEFINED SERVICE AREA IS PROJECTED TO INCREASE 10% BETWEEN 2011 AND 2016 WITH DEMAND FOR HOSPITAL-BASED OUTPATIENT SERVICES PROJECTED TO INCREASE 17% OVER THE SAME TIME PERIOD. EXAMPLES OF PROJECTED HIGH-DEMAND SERVICES INCLUDE BUT ARE NOT LIMITED TO: GENERAL MEDICINE SERVICES, OBSTETRICAL AND NEONATAL SERVICES, CARDIAC SERVICES, GENERAL SURGERY, ORTHOPEDICS, RADIOLOGY AND EMERGENCY SERVICES.THIS DESCRIPTION IS CONTINUED LATER IN SCHEDULE H.
    PART VI, LINE 6: NORTHSIDE IS DEDICATED TO IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES AND TO MEETING THE HEALTHCARE NEEDS OF ITS GROWING COMMUNITY. TO THAT END, NORTHSIDE CONTINUALLY INVESTS IN NEW OR EXPANDED FACILITIES AND SERVICES, AND STATE-OF-THE-ART TECHNOLOGY. IN ADDITION, NORTHSIDE INVESTS ITS RESOURCES, BOTH CAPITAL AND PERSONNEL, INTO NUMEROUS OUTREACH ACTIVITIES SUCH AS FREE HEALTH SEMINARS, SCREENINGS, AWARENESS EVENTS AND MORE.NORTHSIDE CONTINUES TO INVEST IN NEW AND/OR EXPANDED SERVICES OR FACILITIES DESIGNED TO IMPROVE AVAILABILITY OF SERVICES AND GEOGRAPHIC AND FINANCIAL ACCESS TO CARE. AMONG OTHER THINGS, DURING FISCAL YEAR 2011, NORTHSIDE ALLOCATED ITS RESOURCES TO IMPROVE ACCESS TO TIME-SENSITIVE CARE FOR CARDIAC PATIENTS AND TO EXPAND INPATIENT BED CAPACITY. IN ADDITION, NORTHSIDE MADE A SIGNIFICANT INVESTMENT IN STATE-OF-THE-ART TECHNOLOGY THAT BENEFITS PATIENTS IN NUMEROUS WAYS, AS DETAILED BELOW. NORTHSIDE'S COMMITMENT TO MEETING THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES IS EVIDENCED BY NORTHSIDE'S SUCCESSFUL EFFORTS IN FISCAL YEAR 2011 TO OBTAIN REGULATORY APPROVAL FOR SEVERAL PROJECTS IN FURTHERANCE OF ITS MISSION. AS A LEADING PROVIDER OF SURGICAL SERVICES, NORTHSIDE IS COMMITTED TO PROVIDING ITS PATIENTS ACCESS TO THE LATEST IN SURGICAL TECHNOLOGY AND TREATMENT. IN FISCAL YEAR 2011, NORTHSIDE HOSPITAL-ATLANTA INVESTED MORE THAN $7 MILLION IN UPGRADING AND EXPANDING THE CAPACITY OF ITS ROBOTIC SURGICAL PROGRAM. ROBOTIC-ASSISTED MINIMALLY INVASIVE SURGERY PROVIDES NUMEROUS BENEFITS TO PATIENTS, INCLUDING IMPROVED CLINICAL OUTCOMES, SHORTER HOSPITAL STAYS, REDUCED BLOOD LOSS, REDUCED PAIN AND TRAUMA, LOWER RISK OF INFECTION, FASTER RECOVERY, AND LESS SCARRING. IN FISCAL YEAR 2011, NORTHSIDE HOSPITAL-CHEROKEE BEGAN OFFERING PERCUTANEOUS CORONARY INTERVENTION SERVICES TO THE RESIDENTS OF NORTH GEORGIA. WITHIN THE FIRST NINE (9) MONTHS OF OPERATIONS, THE HOSPITAL PERFORMED MORE THAN 70 POTENTIALLY LIFE-SAVING INTERVENTIONS. WITHOUT ACCESS TO THIS CRITICAL SERVICE, RESIDENTS OF NORTH GEORGIA WOULD NEED TO TRAVEL MORE THAN 20 MILES ALONG HEAVILY-CONGESTED INTERSTATE HIGHWAYS AND ROADWAYS TO REACH THE NEAREST PCI PROVIDER. BY REINVESTING CASH SURPLUSES INTO EXPANDING SERVICES, NORTHSIDE IMPROVED ACCESS TO CRITICAL LIFESAVING TREATMENT. ALSO IN FY 2011, NORTHSIDE RECEIVED REGULATORY APPROVAL TO INVEST $51 MILLION TO EXPAND INPATIENT BED CAPACITY AT NORTHSIDE HOSPITAL-FORSYTH FROM 155 TO 188 INPATIENT BEDS. THIS INVESTMENT IS IN DIRECT RESPONSE TO THE DEPARTMENT OF COMMUNITY HEALTH'S IDENTIFIED INSTITUTION-SPECIFIC BED NEED PROJECTION. ALL OF THESE INVESTMENTS IMPROVE ACCESS TO NEEDED HEALTHCARE SERVICES THROUGHOUT THE NORTHSIDE SYSTEM SERVICE AREA.THIS DESCRIPTION IS CONTINUED LATER IN SCHEDULE H.
    PART VI, LINE 7: NORTHSIDE HOSPITAL, INC. INCLUDES THREE HOSPITALS - NORTHSIDE HOSPITAL - ATLANTA IN SANDY SPRINGS, NORTHSIDE HOSPITAL - CHEROKEE IN CANTON AND NORTHSIDE HOSPITAL - FORSYTH IN CUMMING. THESE HOSPITALS AND OTHER OFFSITE LOCATIONS MAKE UP THE NORTHSIDE HOSPITAL SYSTEM WHICH SERVES AN AREA THAT INCLUDES 8 COUNTIES WITH A TOTAL POPULATION OF MORE THAN 4 MILLION. IN ADDITION TO PROVIDING HOSPITAL-BASED MEDICAL SERVICES, THE NORTHSIDE HOSPITAL SYSTEM PROVIDES A NUMBER OF COMMUNITY-BASED SERVICES, DESIGNED TO IMPROVE THE HEALTH OF AREA RESIDENTS. WORKING WITH VARIOUS ORGANIZATIONS, HOSPITAL EMPLOYEES AND MEDICAL STAFF, THE NORTHSIDE HOSPITAL SYSTEM PARTICIPATES IN HEALTH EDUCATION AND SCREENINGS AS WELL AS PROVIDES SUPPORT ACTIVITIES FOR INDIVIDUALS IN THE COMMUNITY LIVING WITH A SERIOUS OR CHRONIC HEALTH CONDITION.IN ADDITION TO THE EXCELLENT MEDICAL CARE AND EDUCATIONAL PROGRAMS WE PROVIDE TO THE COMMUNITY, THE HOSPITAL ALSO PROVIDES FINANCIAL SUPPORT TO A NUMBER OF OTHER NON-PROFIT, COMMUNITY AND CIVIC CAUSES WHOSE MISSIONS AND OBJECTIVES COMPLEMENT NORTHSIDE HOSPITAL'S MISSION AND VALUES. NORTHSIDE HOSPITAL GIVES BACK A SIGNIFICANT AMOUNT TO THE COMMUNITY. WE MEASURE THE SUCCESS OF OUR EFFORTS BY THE NUMBER OF RESIDENTS WE REACH WITH OUR MESSAGES RELATED TO HEALTH AND WELLNESS. OUR MISSION IS TO WORK TO POSITIVELY IMPACT THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. CLEARLY, EDUCATION, OUTREACH AND COMMUNITY SERVICE ALLOW US TO BROADEN OUR IMPACT BEYOND THE WALLS OF OUR FACILITIES.
  PART VI, LINE 7: NORTHSIDE HOSPITAL, INC. IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT UNDER GEORGIA LAW. HOWEVER, WE PRODUCE AN ANNUAL REPORT WHICH IS MADE AVAILABLE TO THE PUBLIC ON OUR WEBSITE, WWW.NORTHSIDE.COM.
  PART VI, LINE 4 (CONTINUED): NORTHSIDE HOSPITAL-FORSYTHNORTHSIDE HOSPITAL-FORSYTH IS A 188-BED ACUTE CARE COMMUNITY HOSPITAL CENTRALLY LOCATED IN CUMMING, FORSYTH COUNTY. NORTHSIDE HOSPITAL-FORSYTH'S PREDEFINED PRIMARY AND SECONDARY SERVICE AREAS PRIMARILY ENCOMPASS FORSYTH AND DAWSON COUNTIES AS WELL AS PORTIONS OF THE ADJACENT COUNTIES OF CHEROKEE, FULTON, GWINNETT, AND HALL. NORTHSIDE HOSPITAL-FORSYTH'S PREDEFINED SERVICE AREA REPRESENTS 89% OF THE HOSPITAL'S TOTAL INPATIENTS, OUTPATIENTS AND EMERGENCY DEPARTMENT PATIENTS. ACCORDING TO CLARITAS, INC. POPULATION ESTIMATES, IN 2011 MORE THAN 730,000 PEOPLE RESIDED IN NORTHSIDE HOSPITAL-FORSYTH'S PREDEFINED SERVICE AREA. FEMALES OF CHILDBEARING AGE REPRESENTED AN ESTIMATED 20% OF THE 2011 SERVICE AREA POPULATION WHILE THE 65+ AGE COHORT REPRESENTED AN ESTIMATED 9%. THE RACIAL COMPOSITION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED TO BE PREDOMINATELY CAUCASIAN (79%) FOLLOWED BY AFRICAN AMERICAN (7%) AND ASIAN (6%). IN 2011, AN ESTIMATED TWELVE PERCENT OF THE HOSPITAL'S SERVICE AREA POPULATION WAS HISPANIC OR LATINO. ALSO IN 2011, THIRTEEN PERCENT OF HOUSEHOLDS IN THE HOSPITAL'S SERVICE AREA HAD A HOUSEHOLD INCOME OF LESS THAN $25,000.LOOKING TO THE FUTURE, BY 2016 NORTHSIDE HOSPITAL-FORSYTH'S PREDEFINED SERVICE AREA POPULATION IS PROJECTED TO INCREASE FIFTEEN PERCENT, TO MORE THAN 840,000 PEOPLE. THE HOSPITAL'S SERVICE AREA IS PROJECTED TO AGE SLIGHTLY DUE TO THE PROJECTED RAPID GROWTH OF THE 65+ AGE COHORT. TO ILLUSTRATE, FEMALES OF CHILDBEARING AGE ARE PROJECTED TO DECREASE SLIGHTLY TO 19% OF THE SERVICE AREA'S TOTAL POPULATION WHILE THE 65+ AGE COHORT IS PROJECTED TO INCREASE TO 11% OF THE SERVICE AREA'S TOTAL POPULATION. THE 65+ POPULATION IS PROJECTED TO INCREASE 41% BETWEEN 2011 AND 2016 WHICH FAR EXCEEDS THE GROWTH RATE OF FEMALES 15-44 (7%) AND THE TOTAL POPULATION (15%). THE RACIAL COMPOSITION OF NORTHSIDE HOSPITAL-FORSYTH'S 2016 SERVICE AREA POPULATION IS PROJECTED TO SHIFT SLIGHTLY WITH CAUCASIANS COMPRISING 76% OF THE SERVICE AREA POPULATION, FOLLOWED BY AFRICAN AMERICANS (8%) AND ASIANS (8%). A SLIGHT INCREASE IN THE HISPANIC OR LATINO POPULATION ALSO IS PROJECTED (13% TO 14%) WHILE THE PERCENTAGE OF HOUSEHOLDS WITH INCOMES LESS THAN $25,000 IS PROJECTED TO DECREASE SLIGHTLY TO TWELVE PERCENT.GIVEN THE RAPID POPULATION GROWTH PROJECTED FOR NORTHSIDE HOSPITAL-FORSYTH'S PRIMARY SERVICE AREA, PARTICULARLY IN THE 65+ AGE COHORT, COUPLED WITH THE FACT THAT NORTHSIDE HOSPITAL-FORSYTH IS THE SOLE-COUNTY PROVIDER, NORTHSIDE HOSPITAL-FORSYTH ANTICIPATES CONTINUED STRONG DEMAND FOR HIGH-QUALITY HEALTHCARE SERVICES. DEMAND FOR INPATIENT SERVICES IN THE HOSPITAL'S PREDEFINED SERVICE AREA IS PROJECTED TO INCREASE 15% BETWEEN 2011 AND 2016 WITH DEMAND FOR HOSPITAL-BASED OUTPATIENT SERVICES PROJECTED TO INCREASE 22% OVER THE SAME TIME PERIOD. EXAMPLES OF PROJECTED HIGH-DEMAND SERVICES INCLUDE BUT ARE NOT LIMITED TO: GENERAL MEDICINE SERVICES, OBSTETRICAL AND NEONATOLOGY SERVICES, CARDIAC SERVICES, GENERAL SURGERY, ORTHOPEDICS, RADIOLOGY AND EMERGENCY SERVICES.NORTHSIDE HOSPITAL-CHEROKEENORTHSIDE HOSPITAL - CHEROKEE IS AN 84-BED ACUTE CARE COMMUNITY HOSPITAL CENTRALLY LOCATED IN CANTON, CHEROKEE COUNTY. NORTHSIDE HOSPITAL - CHEROKEE'S PREDEFINED PRIMARY AND SECONDARY SERVICE AREA PRIMARILY ENCOMPASS CHEROKEE AND PICKENS COUNTIES, AS WELL AS PORTIONS OF THE SURROUNDING COUNTIES OF BARTOW, COBB, DAWSON, FORSYTH, FULTON, GILMER, LUMPKIN AND PAULDING. NORTHSIDE HOSPITAL-CHEROKEE'S PREDEFINED SERVICE AREA REPRESENTS NEARLY 94% OF THE HOSPITAL'S TOTAL INPATIENTS, OUTPATIENTS, AND EMERGENCY DEPARTMENT PATIENTS.ACCORDING TO CLARITAS, INC. POPULATION ESTIMATES, IN 2011 MORE THAN 700,000 PEOPLE RESIDED IN NORTHSIDE HOSPITAL-CHEROKEE'S PREDEFINED SERVICE AREA. FEMALES OF CHILDBEARING AGE REPRESENTED AN ESTIMATED 20% OF THE 2011 SERVICE AREA POPULATION WHILE THE 65+ AGE BOHORT REPRESENTED AN ESTIMATED 9%. THE RACIAL COMPOSITION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED TO BE PREDOMINATELY CAUCASIAN (84%) FOLLOWED BY AFRICAN AMERICAN (7%) AND ASIAN (3%). IN 2011, AN ESTIMATED EIGHT PERCENT OF THE HOSPITAL'S SERVICE AREA POPULATION WAS HISPANIC OR LATINO. ALSO IN 2011, THIRTEEN PERCENT OF HOUSEHOLDS IN THE HOSPITAL'S SERVICE AREA HAD A HOUSEHOLD INCOME OF LESS THAN $25,000.LOOKING TO THE FUTURE, BY 2016 NORTHSIDE HOSPITAL-CHEROKEE'S PREDEFINED SERVICE AREA POPULATION IS PROJECTED TO INCREASE THIRTEEN PERCENT TO MORE THAN 800,000 PEOPLE. THE HOSPITAL'S SERVICE AREA POPULATION IS PROJECTED TO AGE SLIGHTLY DUE TO THE PROJECTED RAPID GROWTH OF THE 65+ AGE COHORT. TO ILLUSTRATE, FEMALES OF CHILDBEARING AGE ARE PROJECTED TO DECREASE SLIGHTLY TO 19% OF THE SERVICE AREA'S TOTAL POPULATION WHILE THE 65+ POPULATION IS PROJECTED TO INCREASE TO 12% OF THE SERVICE AREA'S TOTAL POPULATION. THE 65+ POPULATION IS PROJECTED TO INCREASE 39% BETWEEN 2011 AND 2016 WHICH FAR EXCEEDS THE GROWTH RATE OF FEMALES 15-44 (5%) AND THE TOTAL POPULATION (13%). THE RACIAL COMPOSITION OF NORTHSIDE HOSPITAL-CHEROKEE'S 2016 SERVICE AREA POPULATION IS PROJECTED TO SHIFT SLIGHTLY WITH CAUCASIANS COMPRISING 81% OF THE SERVICE AREA POPULATION, FOLLOWED BY AFRICAN AMERICANS (9%) AND ASIANS (4%). A SLIGHT INCREASE IN THE HISPANIC OR LATINO POPULATION ALSO IS PROJECTED (8% TO 10%) WHILE THE PERCENTAGE OF HOUSEHOLDS WITH INCOMES LESS THAN $25,000 IS PROJECTED TO REMAIN AT THIRTEEN PERCENT.GIVEN THE STRONG POPULATION GROWTH PROJECTED FOR NORTHSIDE HOSPITAL-CHEROKEE'S PREDEFINED SERVICE AREA, PARTICULARLY IN THE 65+ AGE COHORT, COUPLED WITH THE FACT THAT NORTHSIDE HOSPITAL-CHEROKEE IS THE SOLE-COUNTY PROVIDER, NORTHSIDE HOSPITAL-CHEROKEE ANTICIPATES CONTINUED STRONG DEMAND FOR HIGH-QUALITY HEALTHCARE SERVICES. DEMAND FOR INPATIENT SERVICES IN THE HOSPITAL'S PREDEFINED SERVICE AREA IS PROJECTED TO INCREASE 13% BETWEEN 2011 AND 2016 WITH DEMAND FOR HOSPITAL-BASED OUTPATIENT SERVICES PROJECTED TO INCREASE 20% OVER THE SAME TIME PERIOD. EXAMPLES OF PROJECTED HIGH-DEMAND SERVICES INCLUDE BUT ARE NOT LIMITED TO: GENERAL MEDICINE SERVICES, OBSTETRICAL AND NEONATAL SERVICES, CARDIAC SERVICES, GENERAL SURGERY, ORTHOPEDICS, RADIOLOGY AND EMERGENCY SERVICES.
  PART VI, LINE 5 (CONTINUED): IN ADDITION TO BRICKS AND MORTAR INVESTMENTS, THE NORTHSIDE SYSTEM INVESTS A SUBSTANTIAL AMOUNT OF TIME AND RESOURCES IN PUBLIC HEALTH EDUCATION, PREVENTION AND SCREENING ACTIVITIES IN LOCAL COMMUNITIES THROUGHOUT ITS SERVICE AREA. WHETHER HOSTING ITS OWN OUTREACH EVENT OR PARTNERING WITH A LOCAL COMMUNITY ORGANIZATION LIKE THE MARCH OF DIMES, AMERICAN CANCER SOCIETY OR THE AMERICAN HEART ASSOCIATION, NORTHSIDE IS DEDICATED TO IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES. AS AN EXAMPLE OF THIS COMMITMENT, IN FISCAL YEAR 2011 MORE THAN 20,000 PEOPLE WERE REACHED THROUGH THE OUTREACH ACTIVITIES OF THE NORTHSIDE CANCER INSTITUTE. THESE ACTIVITIES INCLUDED FREE PROSTATE AND SKIN CANCER SCREENINGS, NUMEROUS EDUCATIONAL SEMINARS AND SUPPORT GROUP ACTIVITIES. NORTHSIDE ALSO SUPPORTS LOCAL COMMUNITY ORGANIZATIONS IN THEIR OUTREACH EFFORTS. IN FISCAL YEAR 2011, NORTHSIDE SPONSORED THE MARCH OF DIMES MARCH FOR BABIES EVENT AND HAD A TEAM OF 600 WALKERS. NORTHSIDE RAISED MORE THAN $475,000 FOR THE MARCH OF DIMES THROUGH EMPLOYEE DONATIONS, NORTHSIDE'S PREEMIE SUPPORT GROUP'S FUNDRAISING EFFORTS AND NORTHSIDE'S MATCHING FUNDS. ALL OF THESE ACTIVITIES ARE IN FURTHERANCE OF NORTHSIDE'S MISSION TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES.TO FOLLOW UP ON ITS COMMUNITY NEEDS ASSESSMENT, THE HOSPITAL ALSO ENGAGES IN RECRUITMENT EFFORTS DESIGNED TO ENSURE THAT SUFFICIENT QUALIFIED HEALTH PROFESSIONALS ARE AVAILABLE TO MEET THE IDENTIFIED COMMUNITY NEEDS. THE 2010 PHYSICIAN NEED ANALYSIS INDICATED A NEED FOR HALF A FULL-TIME EMPLOYEE OR MORE IN NORTHSIDE HOSPITAL-FORSYTH'S SERVICE AREA FOR TWENTY-NINE (29) SPECIALTIES INCLUDING, AMONG OTHERS: FAMILY AND INTERNAL MEDICINE, GYNECOLOGY, OB/GYN, GASTROENTEROLOGY, HEMATOLOGY/ONCOLOGY, GENERAL SURGERY, ORTHOPEDIC SURGERY AND NEUROSURGERY. NORTHSIDE HOSPITAL-CHEROKEE'S 2010 PHYSICIAN NEED ANALYSIS PRODUCED SIMILAR RESULTS INDICATING A NEED FOR HALF AN FTE OR MORE IN THIRTY (30) SPECIALTIES INCLUDING, AMONG OTHERS: FAMILY AND INTERNAL MEDICINE, GYNECOLOGY, OB/GYN, GASTROENTEROLOGY, HEMATOLOGY/ONCOLOGY, COLON AND RECTAL SURGERY AND UROLOGY. BOTH HOSPITALS ARE CONCENTRATING RECRUITMENT EFFORTS ON THESE NEEDED SPECIALTIES. NORTHSIDE WILL UPDATE THE PHYSICIAN COMMUNITY NEEDS ASSESSMENT IN 2012.THE SYSTEM'S MEDICAL STAFF IS ORGANIZED IN THE PUBLIC INTEREST WITH MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES OPEN AND AVAILABLE TO QUALIFIED PHYSICIANS IN THE COMMUNITY. MANY OF THE PHYSICIANS ON STAFF ACROSS THE SYSTEM NOT ONLY PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITY BUT ALSO VOLUNTEER THEIR TIME TO PARTICIPATE IN NORTHSIDE'S COMMUNITY BENEFIT PROGRAMS SUCH AS FREE HEALTH SCREENINGS AND PUBLIC SPEAKING ENGAGEMENTS ON A VARIETY OF HEALTH AND WELLNESS TOPICS. AT NORTHSIDE HOSPITAL-CHEROKEE THERE ARE MORE THAN 400 PHYSICIANS IN MORE THAN 30 SPECIALTIES ON STAFF, MANY OF WHOM RESIDE IN THE COMMUNITY SERVED BY THE HOSPITAL. NORTHSIDE HOSPITAL-ATLANTA AND NORTHSIDE HOSPITAL-FORSYTH HAVE A COMBINED MEDICAL STAFF OF MORE THAN 2,000 PHYSICIANS IN MORE THAN 30 SPECIALTIES, OF WHICH NEARLY 300 DESIGNATE NORTHSIDE HOSPITAL-FORSYTH AS THEIR PRIMARY CAMPUS. NORTHSIDE HOSPITAL, INC. HAD AN ELEVEN (11) MEMBER BOARD WITH DIVERSIFIED REPRESENTATION INCLUDING PHYSICIANS, COMMUNITY MEMBERS, BUSINESS LEADERS AND HOSPITAL ADMINISTRATION. ALL MEMBERS OF THE BOARD RESIDED IN THE SYSTEM'S COUNTY-LEVEL PRIMARY SERVICE AREA. THE HOSPITAL MAINTAINS A CONFLICTS OF INTEREST POLICY TO ENSURE THAT BOARD MEMBERS REMAIN THE COMMUNITY'S FIDUCIARIES BY RECUSING THEMSELVES FROM PARTICIPATING IN ANY DECISIONS IN WHICH THEY MAY HAVE A DIRECT OR INDIRECT VESTED INTEREST.
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
NORTHSIDE HOSPITAL INC
 
Employer identification number
58-1954432
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) MARCH OF DIMES FOUNDATION1275 MAMORONECK AVENUE
WHITE PLAINS,NY10605
13-1846366 501(C)(3) 304,075       GENERAL SUPPORT
(2) AMERICAN CANCER SOCIETYPO BOX 56566
ATLANTA,GA30343
13-1788491 501(C)(3) 75,200       GENERAL SUPPORT
(3) AMERICAN HEART ASSOCIATION1101 NORTHCHASE PKWY SUITE 1
MARIETTA,GA30067
13-5613797 501(C)(3) 45,000       GENERAL SUPPORT
(4) ARTHRITIS FOUNDATION2970 PEACHTREE ROAD NW
ATLANTA,GA30305
58-6011830 501(C)(3) 50,000       GENERAL SUPPORT
(5) FREEMANVILLE CHRISTIAN SCHOOL INC2765 BETHANY BEND
ALPHARETTA,GA30004
58-2600863 501(C)(3) 150,000       BASEBALL COMPLEX
(6) GEORGIA STATE125 DECATUR STREET
ATLANTA,GA30303
58-6033185 501(C)(3) 75,000       GENERAL SUPPORT
(7) GREATER NORTH FULTON CHAMBER OF COMMERCE11605 HAYNES BRIDGE ROAD
ALPHARETTA,GA30004
58-1157316 501(C)(3) 60,000       GENERAL SUPPORT
(8) NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE2001 MARTIN LUTHER KING DRIVE
ATLANTA,GA30310
58-0812615 501(C)(3) 50,000       GENERAL SUPPORT
(9) OVARIAN CANCER INSTITUTE960 JOHNSON FERRY ROAD SUITE 130
ATLANTA,GA30332
58-2445245 501(C)(3) 72,000       GENERAL SUPPORT
(10) WELLNESS COMMUNITY5775 PEACHTREE DUNWOODY ROAD
ATLANTA,GA30342
58-2142151 501(C)(3) 499,142       GENERAL SUPPORT




2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
10
3
Enter total number of other organizations ................................ . Bullet Image
0
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
(1) SCHOLARSHIP / EDUCATIONAL ASSISTANCE 7 63,065      













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 ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL.
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
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
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
Yes
 
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
Yes
 
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
 
No
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) ROBERT T QUATTROCCHI (i)
(ii)
1,093,546
0
1,000,000
0
17,261
0
0
0
6,077
0
2,116,884
0
0
0
(2) DEBORAH S MITCHAM (i)
(ii)
355,285
0
71,801
0
5,597
0
0
0
10,904
0
443,587
0
0
0
(3) JORGE J HERNANDEZ (i)
(ii)
261,849
0
60,801
0
4,462
0
0
0
1,094
0
328,206
0
0
0
(4) TINA WAKIM (i)
(ii)
401,708
0
112,598
0
11,646
0
0
0
1,128
0
527,080
0
0
0
(5) ROBERT PUTNAM (i)
(ii)
348,176
0
84,576
0
16,689
0
0
0
4,900
0
454,341
0
0
0
(6) SUSAN SOMMERS (i)
(ii)
299,528
0
45,478
0
7,254
0
0
0
4,844
0
357,104
0
0
0
(7) WAYNE CHIU MD (i)
(ii)
274,290
0
83,036
0
5,279
0
0
0
10,904
0
373,509
0
0
0
(8) BENEDICT BENIGNO MD (i)
(ii)
446,745
0
123,000
0
14,291
0
0
0
5,376
0
589,412
0
0
0
(9) WILLIAM HAYES (i)
(ii)
295,556
0
56,039
0
5,458
0
0
0
6,077
0
363,130
0
0
0
(10) JANIS DUBOW (i)
(ii)
253,917
0
37,471
0
13,106
0
0
0
4,128
0
308,622
0
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, LINE 1A ON OCCASION, CERTAIN BENEFITS, SUCH AS LONG TERM DISABILITY PREMIUMS, ARE GROSSED UP FOR SELECTED EMPLOYEES.
  PART I, LINE 4B NORTHSIDE HOSPITAL, INC.'S CEO HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHICH INCLUDES VARIOUS COMPONENTS, NONE OF WHICH NORTHSIDE CONSIDERS TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. SERP PAYMENTS ARE PERIODIC IN NATURE AND THE CEO RECEIVED A PAYMENT DURING THE REPORTING PERIOD. THE CEO IS ELIGIBLE FOR AN ANNUAL INCENTIVE WHICH INCLUDES VARIOUS MEASUREMENTS FOR ACHIEVEMENTS OF QUALITY, OPERATIONAL, FINANCIAL, AND STRATEGIC TARGETS. THE COMPENSATION COMMITTEE DETERMINES THE INCENTIVE PLAN AND APPROVES THE PAYMENTS/CALCULATIONS IN ACCORDANCE WITH THE PLAN, ANNUALLY.
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
NORTHSIDE HOSPITAL INC
 
Employer identification number
58-1954432
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 HOSPITAL AUTHORITY OF FULTON COUNTY
 
58-1033907 360053GU0 12-16-2003 30,000,000 CAPITAL IMPROVEMENTS   X   X   X
B HOSPITAL AUTHORITY OF FULTON COUNTY
 
58-1033907 360053GV8 12-16-2003 20,000,000 CAPITAL IMPROVEMENTS   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 . . . . 30,000,000 20,000,000    
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 375,000 250,000    
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 29,625,000 19,750,000    
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2006 2006
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        
16 Has the final allocation of proceeds been made? . . X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . 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        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   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        
b Are there any research agreements that may result in private business use of bond-financed property? . .   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        
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 % 0 %    
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 % 0 %    
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0 %    
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? 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          
2 Is the bond issue a variable rate issue? X   X          
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue? X     X        
b Name of provider . WACHOVIA BANK
 
 
 
 
 
 
 
c Term of hedge . . 14.830000000000      
d Was the hedge superintegrated? .   X            
e Was a hedge terminated? .   X            
4a Were gross proceeds invested in a GIC? .   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        
6 Did the bond issue qualify for an exception to rebate? . . .   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
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
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
(1) RACHEL BEARMAN DALE BEARMAN, NSH BOARD MEMBER, IS A FAMILY MEMBER OF RACHEL BEARMAN. 10,000
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) ATLANTA PERINATAL CONSULTANTS LLP
 
LAWRENCE STONE, M.D., NSH BOARD MEMBER/PARTNER ATLANTA PERINATAL CONS. 1,848,395 LAWRENCE STONE, M.D., MEMBER OF THE NSH, INC. BOARD OF DIRECTORS, IS A PARTNER IN ATLANTA PERINATAL CONSULTANTS, WHICH PROVIDES MEDICAL SERVICES TO NSH, INC. TRANSACTIONS ARE CONDUCTED AT ARMS-LENGTH.   No
(2) NORTHSIDE ANESTHESIOLOGY CONSULTANTS LLC
 
DOUGLAS SMITH, M.D., NSH BOARD MEMBER/KEY EMPLOYEE NS ANESTHESIOLOGY CONS. 695,814 DOUGLAS SMITH, M.D., MEMBER OF THE NSH, INC. BOARD OF DIRECTORS, IS A KEY EMPLOYEE OF NORTHSIDE ANESTHESIOLOGY CONSULTANTS, LLC, WHICH PROVIDES MEDICAL SERVICES TO NSH, INC. TRANSACTIONS WITH THIS ENTITY ARE CONDUCTED AT ARMS-LENGTH AND ARE REPRESENTATIVE OF PAYMENTS FOR PROVISION OF ON-CALL PHYSICIAN SERVICES TO THE COMMUNITY WHICH NSH SERVES.   No
(3) J BRYAN WHITLEY ROBERT E. WHITLEY, NSH BOARD MEMBER/FAMILY MEMBER TO J. BRYAN WHITLEY 66,366 ROBERT E. WHITLEY, MEMBER OF THE NSH, INC. BOARD OF DIRECTORS, IS A FAMILY MEMBER TO J. BRYAN WHITLEY, WHO IS AN EMPLOYEE OF NSH, INC.   No
(4) MEDLOCK MEDICAL LLC
 
DALE M.BEARMAN, M.D., NSH BOARD MEMBER/MEDLOCK MEDICAL, LLC OWNER 401,235 DALE M. BEARMAN, M.D., MEMBER OF THE NSH, INC. BOARD OF DIRECTORS, HAS A GREATER THAN 5% OWNERSHIP INTEREST IN MEDLOCK MEDICAL, LLC, WHICH PROVIDES RENTAL SPACE TO NSH, INC. TRANSACTIONS WITH THIS ENTITY ARE CONDUCTED AT ARMS-LENGTH.   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
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6   NORTHSIDE HEALTH SERVICES, THE PARENT ENTITY, ELECTS ALL THE MEMBERS OF THE GOVERNING BODY FOR NORTHSIDE HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7A   NORTHSIDE HEALTH SERVICES, THE PARENT ENTITY, ELECTS ALL THE MEMBERS OF THE GOVERNING BODY FOR NORTHSIDE HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7B   NORTHSIDE HEALTH SERVICES, THE PARENT ENTITY, MUST APPROVE BYLAW REVISIONS AND REVISIONS OF THE ARTICLES OF INCORPORATION FOR NORTHSIDE HOSPITAL, INC.
FORM 990, PART VI, SECTION B, LINE 11   THE FORM 990 WAS PREPARED BY AN UNRELATED AND INDEPENDENT ACCOUNTANT USING DETAILED FINANCIAL STATEMENTS SUPPORTED BY A CONSOLIDATED AUDIT (ALSO PREPARED BY OUTSIDE, INDEPENDENT AUDITORS). NORTHSIDE FINANCIAL LEADERSHIP, INCLUDING THE SYSTEM CONTROLLER AND CFO, PERFORM A DETAILED REVIEW OF THE 990 AND SIGN-OFF ON THE RETURNS BEFORE THEY ARE FILED. OUTSIDE COUNSEL REVIEWS SEVERAL SECTIONS AT NORTHSIDE'S REQUEST. FINAL RETURNS AND ALL ASSOCIATED SCHEDULES ARE THEN REVIEWED BY THE CHAIRMAN OF THE FINANCE & AUDIT COMMITTEE OF THE BOARD OF NORTHSIDE HOSPITAL, INC.
  FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AND SIGN A DISCLOSURE QUESTIONNAIRE ANNUALLY, IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. NORTHSIDE'S LEGAL SERVICES DEPARTMENT REVIEWS CONTRACTS WITH OTHER CARE PROVIDERS, EDUCATIONAL INSTITUTIONS, MANUFACTURERS AND PAYORS TO DETERMINE WHETHER CONFLICTS OF INTEREST EXIST AND WHETHER THEY ARE WITHIN LAW AND REGULATION.
  FORM 990, PART VI, SECTION B, LINE 15 TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO AND KEY EMPLOYEES, A COMPENSATION STUDY, INCLUDING PEER ORGANIZATIONS, IS COMPLETED BY AN INDEPENDENT COMPENSATION CONSULTANT. THIS INFORMATION IS SHARED WITH THE COMPENSATION COMMITTEE. INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE DELIBERATE AND DETERMINE THE COMPENSATION OF THE CEO AND APPROVE THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. RECORDS ARE RETAINED OF THESE DECISIONS. THE CEO'S FINAL WRITTEN EMPLOYMENT CONTRACT MUST BE APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD.
  FORM 990, PART VI, SECTION C, LINE 19 THE CORPORATE GOVERNANCE DOCUMENTS (SPECIFICALLY ALL ARTICLES OF INCORPORATION DOCUMENTS) ARE MADE AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE. THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 AND ARE THEREFORE OPEN FOR PUBLIC DISCLOSURE VIA GUIDESTAR.ORG. OUR CONFLICT OF INTEREST POLICY IS MADE AVAILABLE ON OUR INTRANET, TO NORTHSIDE EMPLOYEES, BUT IS NOT AVAILABLE TO THE PUBLIC. WHEN AND IF APPROPRIATE REQUESTS ARE MADE BY THE PUBLIC, WE EVALUATE DISCLOSURE ON A CASE-BY-CASE BASIS.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -4,322,683. CHANGE IN PENSION: 53,864,331. OTHER CHANGES IN NET ASSETS: -2,465. DEFERRED GRANT REVENUE: -81,878. TOTAL TO FORM 990, PART XI, LINE 5: 49,457,305.
  COMMUNITY BENEFITS REPORT - FISCAL YEAR 2011 NORTHSIDE HOSPITAL IS COMMITTED TO THE HEALTH AND WELLNESS OF OUR COMMUNITY. AS SUCH, WE DEDICATE OURSELVES TO BEING A CENTER OF EXCELLENCE IN PROVIDING HEALTH CARE OF THE HIGHEST QUALITY. WE PLEDGE COMPASSIONATE SUPPORT, PERSONAL GUIDANCE AND UNCOMPROMISING STANDARDS TO OUR PATIENTS IN THEIR INDIVIDUAL JOURNEYS TOWARD HEALTH OF BODY AND MIND. TO ENSURE INNOVATIVE AND UNSURPASSED CARE FOR OUR PATIENTS, WE ARE DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. AND TO ENHANCE THE WELLNESS OF OUR COMMUNITY, WE COMMIT OURSELVES TO PROVIDING A DIVERSE ARRAY OF EDUCATIONAL AND OUTREACH PROGRAMS. IN ADDITION TO PROVIDING HOSPITAL-BASED MEDICAL SERVICES, NORTHSIDE HOSPITAL PROVIDES A NUMBER OF COMMUNITY-BASED SERVICES, DESIGNED TO IMPROVE THE HEALTH OF AREA RESIDENTS. WORKING WITH VARIOUS ORGANIZATIONS, HOSPITAL EMPLOYEES AND MEDICAL STAFF, NORTHSIDE PARTICIPATES IN HEALTH EDUCATION AND SCREENINGS AS WELL AS PROVIDES SUPPORT ACTIVITIES FOR INDIVIDUALS IN THE COMMUNITY, WHO ARE LIVING WITH A SERIOUS OR CHRONIC HEALTH CONDITION. A NOT-FOR-PROFIT COMMUNITY-FOCUSED RESOURCE NORTHSIDE HOSPITAL, INC., AS A NOT-FOR-PROFIT ENTITY, REINVESTS EXCESS REVENUES (OVER EXPENSES) TO ENHANCE THE SYSTEM'S CAPACITY TO DELIVER HIGH-QUALITY HEALTH CARE TO THE COMMUNITIES IT SERVES. THESE RESOURCES PROVIDE FOR A LONG-TERM FOCUS ON THE RECRUITMENT AND RETENTION OF OUTSTANDING MEDICAL PROFESSIONALS, ENHANCED RESEARCH AND TECHNOLOGIES, AND NEW FACILITIES AND SERVICES. IN ADDITION, SUCH RESOURCES ENABLE THE SYSTEM TO PROVIDE NUMEROUS OTHER SERVICES THAT BENEFIT THE COMMUNITY. THE INFORMATION PRESENTED IN THIS REPORT DEMONSTRATES THE LEVEL OF COMMUNITY SERVICE AND BENEFITS THAT WE HAVE PROVIDED TO THE COMMUNITIES WE SERVE DURING FISCAL YEAR 2011 - OCTOBER 1, 2010 THROUGH SEPTEMBER 30, 2011. TO BENEFIT OUR COMMUNITIES NORTHSIDE HOSPITAL DEFINES COMMUNITY BENEFIT AS SERVICES AND ACTIVITIES THAT ADDRESS COMMUNITY HEALTH NEEDS PRIMARILY THROUGH DISEASE PREVENTION, HEALTH PROMOTION AND EDUCATION, IMPROVING ACCESS TO SERVICES AND WORKING WITH OTHERS TO IMPROVE INDIVIDUAL AND COMMUNITY HEALTH STATUS. COMMUNITY BENEFIT ACTIVITIES HIGHLIGHTED IN THIS REPORT INCLUDE: - CHARITY CARE - SERVICES AND MEDICAL SPECIALTIES - EDUCATION FOR COMMUNITY HEALTH - BROAD-BASED COMMUNITY OUTREACH/SPECIAL EVENTS - CONTINUING MEDICAL EDUCATION - COMMUNITY SERVICE ACTIVITIES CHARITY CARE NORTHSIDE HOSPITAL TREATS ALL PATIENTS, REGARDLESS OF AGE, SEX, CREED, RACE, NATIONAL ORIGIN OR SOURCE OF PAYMENT. ALL PATIENTS ARE TREATED EQUALLY WITH REGARD TO CHARGES, BED ASSIGNMENTS AND MEDICAL CARE, REGARDLESS OF ABILITY TO PAY. NORTHSIDE HOSPITAL PROVIDES CARE WITHOUT CHARGE, OR AT DISCOUNTED RATES, TO PATIENTS WHO MEET CERTAIN CRITERIA. SUCH CASES ARE NOT REPORTED AS REVENUE OR LISTED AS ACCOUNTS RECEIVABLE. WE MAINTAIN RECORDS TO IDENTIFY AND MONITOR THE INDIGENT AND CHARITY CARE WE PROVIDE. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES PROVIDED UNDER THE CHARITY CARE POLICY. DURING FISCAL YEAR 2011, THE COST OF INDIGENT AND CHARITY CARE PROVIDED BY NORTHSIDE HOSPITAL WAS APPROXIMATELY $39.5 MILLION. THE COST OF UNCOMPENSATED CARE INCLUDING INDIGENT AND CHARITY CARE AND UNCOLLECTED ACCOUNTS REPRESENTED APPROXIMATELY $60.5 MILLION. SERVICES AND MEDICAL SPECIALTIES WOMEN'S SERVICES AND MATERNITY EDUCATION THE LIFETIME MAGAZINE IS A 16-PAGE HEALTH PUBLICATION FOR WOMEN AGES 30-65. THE FREE PUBLICATION FOCUSES ON FAMILY HEALTH AND IS PUBLISHED THREE TIMES A YEAR. EACH ISSUE IS MAILED TO APPROXIMATELY 367,000 HOUSEHOLDS WITH AN ADDITIONAL 23,000 WIDELY DISTRIBUTED AT THE HOSPITAL, PHYSICIAN OFFICES AND THROUGHOUT THE COMMUNITY. IT ALSO IS AVAILABLE VIA THE HOSPITAL'S WEBSITE, WWW.NORTHSIDE.COM. THE NORTHSIDE HOSPITAL MOTHERSFIRST PROGRAM IS A VALUABLE RESOURCE TO WOMEN, WHO ARE ALREADY PREGNANT OR CONSIDERING BECOMING PREGNANT. MOTHERSFIRST OFFERS PERTINENT EDUCATION, CLASSES, SUPPORT GROUPS, HOSPITAL TOURS AND OTHER SERVICES FOR WOMEN THROUGHOUT THE MANY STAGES OF THEIR CHILDBEARING YEARS, FROM EARLY PREGNANCY THROUGH THE EARLY CHILDHOOD OF THEIR BABY. IN FISCAL YEAR 2011, MOTHERSFIRST REACHED 26,800 PEOPLE THROUGH THE MORE THAN 2,000 CLASSES AND 1,400 HOSPITAL TOURS THAT THE GROUP OFFERED THROUGHOUT THE YEAR. SUPPORT GROUPS OFFER PATIENTS AND THE COMMUNITY A WAY TO COPE WITH THE ISSUES THEY FACE WITH THE COMFORT OF KNOWING THAT THERE ARE OTHERS THERE TO HELP. NORTHSIDE OFFERS VARIOUS SUPPORT GROUPS FOR WOMEN, CONDUCTED AT THE HOSPITALS AND SUPPORTED BY VARIOUS STAFF MEMBERS WHO ORGANIZE, LECTURE AND FACILITATE. - MOM-ME CONNECTION OFFERS BREASTFEEDING SUPPORT FOR NEW MOMS. TWO GROUPS MEET EACH WEEK AT NORTHSIDE'S CAMPUSES IN SANDY SPRINGS AND ALPHARETTA, WITH APPROXIMATELY 32 MOMS IN ATTENDANCE. - THE SPECIAL CARE NURSERY (SCN) SUPPORT GROUP IS A GROUP FOR PARENTS WHO HAVE BABIES CURRENTLY IN THE SCN. APPROXIMATELY 4-6 FAMILIES ATTENDED THE GROUP EACH WEEK IN 2011. - CARING AND COPING IS A SUPPORT GROUP FOR PARENTS AND GRANDPARENTS WHO HAVE LOST A BABY DUE TO MISCARRIAGE, ECTOPIC PREGNANCY, STILLBIRTH, AND NEWBORN DEATH. MEETINGS ARE HELD ONCE A MONTH. APPROXIMATELY 20-30 PEOPLE ATTENDED EACH MEETING IN 2011. - PREGNANCY AFTER LOSS IS A GROUP FOR THOSE WHO ARE EXPERIENCING A SUBSEQUENT PREGNANCY FOLLOWING THE LOSS OF A BABY. MEETINGS ARE HELD ONCE A MONTH AND HAVE ONE FACILITATOR. APPROXIMATELY EIGHT PEOPLE ATTENDED EACH MEETING IN 2011. - LOSS IN MULTIPLE BIRTH GROUP IS A GROUP FOR THOSE WHO HAVE LOST ONE OR MORE MULTIPLES. MEETINGS ARE HELD ONCE A MONTH AND HAVE ONE FACILITATOR. APPROXIMATELY 5-10 PEOPLE ATTENDED EACH MEETING IN 2011. - H.E.A.R.T. STRINGS LUNCH BUNCH IS A GROUP FOR FAMILIES WHO ARE EITHER EXPECTING A BABY WITH A LIFE-LIMITING DIAGNOSIS OR WHO HAVE DELIVERED A BABY WHO HAS PASSED AWAY FROM A LIFE-LIMITING DIAGNOSIS. MEETINGS ARE HELD ONCE A MONTH AND HAVE ONE FACILITATOR. APPROXIMATELY 3-6 PEOPLE ATTENDED EACH MEETING IN 2011. CANCER CARE PROGRAM IN 2011, THE CANCER CARE PROGRAM AT NORTHSIDE HOSPITAL CONTINUED ITS COMMITMENT TO THE COMMUNITY THROUGH NUMEROUS OUTREACH ACTIVITIES AND PARTNERSHIPS, REACHING 20,257 PEOPLE. NORTHSIDE PROVIDED SKIN, PROSTATE AND BREAST CANCER SCREENINGS TO 932 PEOPLE DURING FISCAL YEAR 2011. - FOUR FREE PROSTATE CANCER SCREENINGS TOOK PLACE, REACHING 257 PARTICIPANTS, A 6 PERCENT INCREASE OVER 2010. TWENTY-SIX MEN WERE RECOMMENDED FOR MEDICAL FOLLOW UP AS A RESULT OF SUSPICIOUS FINDINGS. - THREE FREE SKIN CANCER SCREENINGS WERE HELD IN MAY, RESULTING IN 300 PARTICIPANTS, AN 18 PERCENT INCREASE OVER 2010. ONE-HUNDRED-TWENTY PEOPLE WERE RECOMMENDED FOR FOLLOW-UP TREATMENT BECAUSE OF ABNORMAL FINDINGS. IN APRIL, NORTHSIDE HOSTED A THREE-HOUR CLASS CALLED, "INTERACTIVE EXERCISE IN CULTURAL DIVERSITY," PRESENTED BY THE REV. DR. TERESA SNORTON, EXECUTIVE DIRECTOR FOR THE ASSOCIATION OF CLINICAL PASTORAL EDUCATION. APPROXIMATELY 40 NORTHSIDE HOSPITAL STAFF AND COMMUNITY PARTNERS ATTENDED THE LECTURE. CHECK IT OUT! IS A COLLABORATIVE EFFORT WITH THE GREATER ATLANTA HADASSAH, WHICH PROVIDES BREAST HEALTH EDUCATION TO HIGH SCHOOL JUNIOR AND SENIOR GIRLS, TEACHING THEM PROPER BREAST SELF-EXAM TECHNIQUE, THE IMPORTANCE OF EARLY DETECTION AND ABOUT RISK FACTORS. SCHOOLS IN COBB, FULTON, GWINNETT AND DEKALB COUNTIES HAVE ACCEPTED THE PROGRAM AS PART OF THEIR HEALTH CURRICULUM. IN 2011, THE PROGRAM WAS PRESENTED TO APPROXIMATELY 728 WOMEN. COLORECTAL CANCER EDUCATION WAS PROVIDED ON ALL THREE NORTHSIDE CAMPUSES DURING COLON CANCER AWARENESS MONTH (MARCH). NEARLY 500 PEOPLE BENEFITED FROM ONE-ON-ONE EDUCATION ABOUT THE IMPORTANCE OF COLORECTAL SCREENING AND SYMPTOMS OF THE DISEASE. NORTHSIDE ALSO COLLABORATED WITH OTHER COMMUNITY AGENCIES AND PROVIDED EDUCATION AT THE SUPER COLON EVENT IN CENTENNIAL OLYMPIC PARK. ANOTHER 13,173 PEOPLE RECEIVED CANCER EDUCATION, ACROSS ALL SPECIALTIES, THROUGH A VARIETY OF OTHER COMMUNITY EDUCATION AND OUTREACH PROGRAMS THROUGHOUT THE YEAR.
    NORTHSIDE HOSPITAL PARTNERS WITH THE CANCER SUPPORT COMMUNITY - ATLANTA (CSC ATLANTA) TO PROVIDE PSYCHOSOCIAL AND EDUCATIONAL SUPPORT TO CANCER PATIENTS, SURVIVORS AND THEIR FAMILIES AND FRIENDS. THE ORGANIZATION PROVIDES SUPPORT GROUPS FACILITATED BY LICENSED PSYCHOTHERAPISTS AND A VARIETY OF EDUCATIONAL WORKSHOPS, STRESS REDUCTION CLASSES AND SOCIAL EVENTS TO HELP PARTICIPANTS LEARN THAT THEY ARE NOT ALONE IN THEIR FIGHT FOR RECOVERY. PROGRAMS ARE AVAILABLE IN ATLANTA, FORSYTH AND CHEROKEE. IN 2011, THERE WERE 4,289 VISITS BY NORTHSIDE HOSPITAL PATIENTS TO CSC ATLANTA, A 5.8 PERCENT INCREASE OVER 2010. APPROXIMATELY 4 PERCENT OF THE PATIENTS WERE NEW TO CSC ATLANTA. WITH TWO GRANTS AWARDED TO THE HOSPITAL, NORTHSIDE WAS ABLE TO BETTER ASSIST UNINSURED WOMEN WITH SCREENING MAMMOGRAPHY AND DIAGNOSTIC SERVICES. ONE GRANT FROM SUSAN G. KOMEN FOR THE CURE HELPED 355 WOMEN, WHO LIVE WITHIN 10 METRO ATLANTA COUNTIES. ANOTHER GRANT FROM IT'S THE JOURNEY SERVED 34 WOMEN, WHO LIVE OUTSIDE OF METRO ATLANTA. IN ADDITION TO SCREENING MAMMOGRAPHY AND DIAGNOSTIC SERVICES, IT'S THE JOURNEY ALSO PROVIDED $15,000 IN GRANT MONEY FOR NORTHSIDE'S HEREDITARY CANCER PROGRAM. FOURTEEN PATIENTS WERE SERVED. THE NETWORK OF HOPE IS A NETWORK OF CANCER SURVIVORS, WHO VOLUNTEER TO SUPPORT NEWLY DIAGNOSED PATIENTS THROUGH SHARING, STRENGTH AND SUPPORT. THEY ALSO ASSIST WITH COMMUNITY EDUCATION. WITH 34 VOLUNTEERS IN 2011, NETWORK OF HOPE VOLUNTEERS CONTRIBUTED APPROXIMATELY 2,927 HOURS OF THEIR TIME AND ASSISTED WITH 1,135 PATIENT ENCOUNTERS. HEART HEALTH IN MAY, NORTHSIDE HOSPITAL HOSTED TWO FREE COMMUNITY STROKE SCREENINGS - IN ATLANTA AND FORSYTH. APPROXIMATELY 147 PEOPLE WERE SCREENED FOR STROKE RISK FACTORS. TWO STROKE SUPPORT GROUPS FOR STROKE SURVIVORS AND THEIR FAMILIES MEET MONTHLY AT NORTHSIDE'S ALPHARETTA CAMPUS. THE GROUPS HOST SPEAKERS AND PROVIDE NETWORKING AND SOCIAL SUPPORT FOR STROKE SURVIVORS AND THEIR FAMILIES. APPROXIMATELY 25 PEOPLE ATTENDED THE GROUPS IN 2011. NORTHSIDE HOSPITAL-CHEROKEE OFFERS A FREE DIABETES SUPPORT GROUP FOR ANYONE CURRENTLY SUFFERING FROM DIABETES AND NEEDING MORAL SUPPORT, CLINICAL INFORMATION, GUIDANCE OR ADVICE ABOUT LIVING WITH DIABETES IS ENCOURAGED TO ATTEND. THE GROUP MEETS MONTHLY. APPROXIMATELY 10 PEOPLE ATTENDED IN 2011. REHABILITATION SERVICES NURSES AND PHYSICAL THERAPISTS OFFER FREE PRE-OPERATIVE CLASSES TO ANYONE CONSIDERING OR PLANNING TOTAL HIP AND KNEE REPLACEMENTS OR BACK AND NECK SURGERY. PATIENTS AND THEIR FAMILIES LEARN WHAT TO EXPECT DURING THEIR HOSPITALIZATION AND THROUGHOUT RECOVERY. IN 2011, APPROXIMATELY 415 PEOPLE PARTICIPATED IN THESE CLASSES IN ATLANTA AND FORSYTH. BARIATRIC SURGERY NORTHSIDE HOSTS MONTHLY WEIGHT LOSS INFORMATIONAL SEMINARS FOR THE COMMUNITY TO DISCUSS THE TYPES OF SURGERY AVAILABLE, THE PROS AND CONS OF SURGERY, THE SCREENING PROCESS, PRE AND POST-OPERATIVE REQUIREMENTS AND WHAT TO EXPECT AT THE HOSPITAL. IN 2011, 114 PEOPLE ATTENDED 51 SEMINARS. SUPPORT GROUPS ALSO ARE HELD EACH MONTH FOR PATIENTS WHO HAVE UNDERGONE (OR ARE CONSIDERING) BARIATRIC SURGERY. TWO GROUPS ARE HELD (IN ATLANTA AND FORSYTH) FOR ANY BARIATRIC PATIENT, PRE OR POST SURGERY. A THIRD GROUP IS HELD IN ATLANTA FOR PATIENTS MORE THAN ONE YEAR POST SURGERY. IN ALL, 789 PEOPLE ATTENDED BARIATRIC SUPPORT GROUPS IN 2011. SUPPORT SERVICES THE NORTHSIDE HOSPITAL AUXILIARIES ADD A SPECIAL CARING TOUCH AS THEY INTERACT WITH PATIENTS AND FAMILIES THROUGHOUT NORTHSIDE'S THREE HOSPITALS. APPROXIMATELY 660 VOLUNTEERS, RANGING IN AGE FROM 14 TO 99, ANNUALLY GIVE MORE THAN 125,370 HOURS OF SERVICE. IN 2011, THE AUXILIARIES RAISED MORE THAN $356,925 FOR HOSPITAL AND COMMUNITY PROJECTS. IN ADDITION TO THE REGULAR VOLUNTEERS, TEENAGERS (AGES 14-18), FROM ALL OF THE SURROUNDING COUNTIES AND SCHOOL SYSTEMS, VOLUNTEERED THEIR TIME DURING THE SUMMER TO HELP OUT PATIENTS AND STAFF, GAINING INVALUABLE EXPERIENCE IN THE PROCESS. IN 2011, THERE WERE 236 TEENS, WORKING IN 20+ AREAS AND GIVING 9,727 HOURS. TWO LUNCH 'N LEARNS AND ONE VOLUNTEEN CONFERENCE ALSO WERE HELD AT THE ATLANTA CAMPUS, WHICH WERE ATTENDED BY 30 TEENS. NORTHSIDE HOSPITAL OPERATES A CALL CENTER TO TAKE PHONE REGISTRATIONS FOR CLASSES AND FOR FREE PHYSICIAN REFERRAL. IN 2011, THE CALL CENTER TOOK 12,000 CALLS FOR CLASS REGISTRATION AND 8,670 CALLS FOR PHYSICIAN REFERRAL. IT ALSO MADE 22,000 QUALITY ASSESSMENT CALLS TO FORMER PATIENTS. IN ADDITION TO THE SUPPORT THAT OUR CHAPLAINCY DEPARTMENT PROVIDES TO STAFF AND PATIENTS, THEY ALSO ASSIST COMMUNITY SPIRITUAL LEADERS AND CLERGY WHO VISIT THE HOSPITAL AND ARE CALLED ON FREQUENTLY TO PROVIDE BOTH EDUCATION AND SUPPORT TO COMMUNITY AGENCIES AND AREA CHURCHES. RECENT EXAMPLES OF THIS INCLUDE: - PROVIDING EDUCATIONAL PROGRAMS ABOUT SPIRITUALITY AND HEALTH, GRIEF, END-OF-LIFE CONCERNS, FAMILY DYNAMICS IN HOSPITAL PASTORAL CARE, ADVANCE DIRECTIVES AND MORE TO COMMUNITY AND VARIOUS RELIGIOUS GROUPS, STEPHENS MINISTERS' GROUPS, THE KIWANIS CLUB OF CUMMING, AND EDUCATIONAL ARTICLES ABOUT SPIRITUALITY AND HEALTH AND CHAPLAINCY IN COMMUNITY AND PROFESSIONAL PUBLICATIONS. - ONE OF OUR CHAPLAINS PARTICIPATED IN THE LEADERSHIP FORSYTH (LF) CLASS OF 2011 BETWEEN JANUARY AND MAY 2011. HE ALSO ACTS AS A LOGISTICS COORDINATOR, SUPPORTING THE LF CLASS OF 2012. - PARTICIPATING IN THE FORSYTH COUNTY MINISTERIAL ASSOCIATION - MEETING WITH CLERGY EVERY MONTH FOR A LUNCH SPONSORED BY NORTHSIDE HOSPITAL-FORSYTH. - PLANNING COMMUNITY THANKSGIVING SERVICES. - PARTICIPATING IN THE UNITED WAY WORK DAY. - OFFERING FOUR BEREAVEMENT SUPPORT GROUPS EACH YEAR THAT ARE OPEN TO MEMBERS OF THE COMMUNITY, AS WELL AS THOSE SERVED BY NORTHSIDE HOSPITAL OR NORTHSIDE EMPLOYEES. THE GROUP MEETS ONCE A MONTH. FOURTEEN PEOPLE ATTENDED THE GROUPS IN 2011. - PARTICIPATING THE GEORGIA CRISIS CONSORTIUM, RED CROSS AND NUMEROUS OTHER CHARITABLE OR HELPING ORGANIZATIONS. NORTHSIDE'S HEALTH RESOURCE CENTER, OR THE MEDICAL LIBRARY, IS OPEN TO THE COMMUNITY AND HOME TO A VAST COLLECTION OF HIGH-QUALITY MEDICAL INFORMATION AND RESOURCES INCLUDING BOOKS, JOURNALS AND VIDEOTAPES AVAILABLE FOR CHECKOUT. INTERNET ACCESS AND CONSUMER HEALTH INFORMATION DATABASES ALSO ARE AVAILABLE. THE LAUGHING LIBRARY CONSISTS OF A VARIETY OF VIDEOTAPES (DRAMA, HUMOR, EDUCATIONAL AND SUSPENSE) AND VCRS THAT CAN BE CHECKED OUT OVERNIGHT TO PATIENTS AND THEIR FAMILIES. SPECIAL AUDIOCASSETTES FEATURING RELAXATION TECHNIQUES AND PORTABLE CASSETTE PLAYERS ALSO ARE AVAILABLE FOR PATIENTS AND FAMILY MEMBERS. IN 2011, THE CENTER FACILITATED 3,400 REQUESTS FROM PATIENTS FOR SEARCHES/INFORMATION REQUESTS, INTERNET USAGE AND CHECK-OUTS. THE PATIENT RELATIONS (CUSTOMER SERVICE) DEPARTMENT ASSISTED APPROXIMATELY 21,098 PATIENTS IN 2011. IN ADDITION TO NORMAL DUTIES, THE DEPARTMENT PROVIDES RESOURCES TO PATIENTS AND THEIR FAMILIES INCLUDING: - COORDINATING "HAPPY TAILS" PET VISITATION TO HIGH RISK PERINATAL (HRP) PATIENTS - COORDINATING CHIP (COMPASSIONATE HELP ISSUE PREVENTION) VOLUNTEERS TO VISIT PATIENTS ON THEIR FIRST DAY OF STAY AND LONG TERM PATIENTS - COORDINATING INFORMATION DESK VOLUNTEERS WHO SERVE AS WELCOMING TEAM TO HOSPITAL GUESTS - CONDUCTING PATIENT INTERVIEWS AND PROACTIVELY VISITING PATIENTS ON THEIR SECOND DAY OF STAY - DOCUMENTING AND TRACKING PATIENT CONCERNS AND COMMUNICATE TRENDS TO MANAGEMENT - ASSISTING WITH FINDING TRANSPORTATION TO HOME OR OTHER DESTINATIONS VIA TAXI, GAS CARDS AND MARTA BREEZE CARDS - ASSISTING WITH HOTEL ACCOMMODATIONS WITH REDUCED RATES FOR OUT-OF-TOWN FAMILIES - WORKING CLOSELY WITH THE CHAPLAINCY DEPARTMENT TO PROVIDE ASSISTANCE WITH AIRPORT MORTUARY SERVICES - ASSISTING WITH THE VARIOUS EMBASSIES AND CONSULATES TO ASSIST PATIENTS IN BRINGING THEIR FAMILIES TO THE UNITED STATES IN THE CASES OF EMERGENCIES - PROVIDING MEAL VOUCHERS TO THE HOSPITAL CAFETERIA TO PATIENTS, FAMILY MEMBERS AND VISITORS WHO EXPERIENCE LONG WAIT TIMES OR HAVE BEEN INCONVENIENCED - PROVIDING CLOTHING FOR PATIENTS, WHOSE CLOTHING HAS BEEN SOILED OR DAMAGED, SO THAT THEY HAVE CLOTHES TO WEAR UPON DISCHARGE - MAINTAINING CLOTHING CLOSET FOR INDIGENT PATIENTS - ASSISTING WITH SPANISH-SPEAKING PERINATAL LOSS SERVICES - ACTING AS AN ADVOCATE WITH ELECTRIC, GAS AND PHONE COMPANY CONCERNING BILLING ISSUES WHILE HOSPITALIZED - ASSISTING WITH BABY SHOWERS FOR EXPECTANT MOTHERS ON HRP
    THE HOSPITAL'S INTERPRETATION SERVICES DEPARTMENT PROVIDES LANGUAGE INTERPRETATION AND TRANSLATION SERVICES TO PATIENTS AND THEIR FAMILIES. IN FISCAL YEAR 2011, THE DEPARTMENT - INCLUDING SPANISH, PORTUGUESE, RUSSIAN, VIETNAMESE, KOREAN, MANDARIN AND CANTONESE INTERPRETERS; A DISPATCHER AND A COORDINATOR - SERVED 56,551 INTERPRETATION AND TRANSLATION ENCOUNTERS IN 80 DIFFERENT LANGUAGES AT NORTHSIDE'S THREE CAMPUSES, TOTALING MORE THAN 15,568 HOURS. THE DEPARTMENT ALSO PRODUCED 215 TRANSLATED DOCUMENTS FOR STAFF AND PATIENT USE. IN 2011, MORE THAN $454,786 IN PARKING FEES WAS WAIVED FOR PATIENTS, FAMILIES AND SPECIAL GUESTS WHO VISITED THE ATLANTA CAMPUS. EDUCATION FOR COMMUNITY HEALTH SPEAKERS' BUREAU THE SPEAKERS' BUREAU PROVIDES A SIGNIFICANT AMOUNT OF EDUCATIONAL PROGRAMS AND MATERIALS TO ORGANIZATIONS AND INDIVIDUALS EACH YEAR. THE PROGRAM OFFERS FREE COMMUNITY LECTURES ON A REGULAR BASIS, PROVIDING USEFUL INFORMATION ABOUT A VARIETY OF HEALTH-RELATED TOPICS INCLUDING EXERCISE, NUTRITION AND WEIGHT CONTROL, WOMEN AND HEART DISEASE, BREAST HEALTH, SLEEP DISORDERS, AND MORE. IN 2011, NORTHSIDE PROVIDED SPEAKERS TO 26 GROUPS, REACHING MORE THAN 700 PEOPLE. AN ADDITIONAL 28 REQUESTS FOR SPEAKERS WERE RECEIVED, BUT CANCELLED BY EITHER THE ORGANIZATION OR NORTHSIDE BECAUSE A SPEAKER COULD NOT BE FOUND. CORPORATE & COMMUNITY HEALTH SOLUTIONS NORTHSIDE HOSPITAL PROVIDES ON-SITE HEALTH SCREENINGS AT LARGE COMPANIES, TO DETECT EARLY RISK FACTORS OF DISEASE BY OFFERING THE BROADEST, MOST COMPREHENSIVE ARRAY OF CLINICAL SCREENING SERVICES AND HEALTHY LIFESTYLE EDUCATION TO THE PEOPLE OF NORTH ATLANTA. HEALTH SCREENINGS ARE CONDUCTED THROUGHOUT THE YEAR AND INCLUDE CHOLESTEROL/GLUCOSE TESTING, BLADDER HEALTH, CORONARY RISK PROFILE, HEARING SCREENING, OSTEOPOROSIS SCREENING, PULMONARY FUNCTION TESTING, BODY COMPOSITION ANALYSIS, SLEEP QUALITY SCREENING, BLOOD PRESSURE SCREENING AND CANCER RISK ASSESSMENT. IN 2011, NORTHSIDE OFFERED HEALTH SCREENINGS TO 38 GROUPS, REACHING 5,051 PEOPLE. WEBSITE NORTHSIDE HOSPITAL'S OFFICIAL WEBSITE, WWW.NORTHSIDE.COM, HAS BEEN RANKED #1 BY ATLANTA CONSUMERS EVERY YEAR SINCE 2005 IN THE NATIONAL RESEARCH CORPORATION'S ANNUAL HEALTHCARE MARKET GUIDE STUDY. THE SITE FEATURES INFORMATION ABOUT HOSPITAL PROGRAMS AND SERVICES, A CLINICAL TRIAL DATABASE, HEALTH ENCYCLOPEDIA AND VIDEO LIBRARY OF GENERAL HEALTH CONTENT ABOUT SURGERIES AND PROCEDURES, PHYSICIAN DIRECTORY, PREGNANCY CENTER AND A COMPREHENSIVE EMPLOYMENT SECTION. THERE WERE 869,626 VISITS (545,958 UNIQUE VISITORS) TO THE SITE, OF WHICH APPROXIMATELY 60 PERCENT WERE NEW VISITORS. NORTHSIDE HOSPITAL-ATLANTA AUXILIARY PUPPET PROGRAM THIS PROGRAM TRAVELS TO SCHOOLS IN DEKALB, COBB AND NORTH FULTON COUNTIES, EDUCATING CHILDREN IN GRADES PRE K-4 ABOUT MEDICAL CHECK-UPS, PEER PRESSURE AND DRUG AND ALCOHOL ABUSE. THE PROGRAM HAS RECEIVED NUMEROUS AWARDS SINCE ITS BEGINNING IN 1977, INCLUDING THE GEORGIA HOSPITAL ASSOCIATION'S COUNCIL ON AUXILIARIES/VOLUNTEERS COMMUNITY OUTREACH AWARD AND THE GEORGIA SOCIETY OF DIRECTORS OF VOLUNTEER SERVICES EXCELLENCE IN UTILIZATION OF VOLUNTEERS AWARD. IN 2011, THE PROGRAM PERFORMED 43 PUPPET SHOWS, REACHING NEARLY 5,555 METRO ATLANTA STUDENTS. PARTNERS IN EDUCATION NORTHSIDE HOSPITAL'S PARTNERS IN EDUCATION PROGRAM SPONSORS MORE THAN 100 SCHOOLS IN SEVEN NORTH METRO ATLANTA COUNTIES: CHEROKEE, COBB, DAWSON, DEKALB, FORSYTH, FULTON AND GWINNETT. OUR COMMITMENT TO OUR PARTNERS IN EDUCATION SCHOOLS REPRESENTS THE HOSPITAL'S MISSION AND VALUES AND ITS CONTINUED EFFORTS TO SUPPORT WOMEN, FAMILIES, EDUCATION AND HEALTH AND SAFETY. THROUGH THESE PARTNERSHIPS, WE FULFILL HEALTH CARE EQUIPMENT NEEDS; PARTICIPATE IN FUNDRAISERS; SUPPORT CAREER DAYS AND OTHER STUDENT PROGRAMS THAT PROMOTE HEALTH AND WELLNESS, SCIENCE, SAFETY AND ANTI-BULLYING; SPONSOR TEACHER APPRECIATION/ RECOGNITION EVENTS; AND MUCH MORE. OUR PARTNER SCHOOLS SUPPORT NORTHSIDE WITH ART PROJECTS FOR PATIENTS, PARTICIPATING IN OUR FUNDRAISING WALKS FOR HEALTH CARE CAUSES, PERFORMING AT HOSPITAL EVENTS AND VOLUNTEERING WITH OUR COMMUNITY CONNECTION VOLUNTEER PROGRAM. HEALTHCARE EXPLORING NORTHSIDE HOSPITAL PARTNERS WITH THE LEARNING FOR LIFE HEALTHCARE EXPLORING PROGRAM TO OFFER LOCAL HIGH SCHOOL STUDENTS (GRADES 9-12), WHO ARE CONSIDERING A CAREER IN HEALTHCARE, A UNIQUE, INSIDER'S VIEW OF THE HOSPITAL AND ITS MANY CAREERS. THROUGHOUT THE SEVEN-MONTH PROGRAM, WHICH IS AFFILIATED WITH THE BOY SCOUTS OF AMERICA, THE STUDENTS VISIT MANY AREAS OF THE HOSPITAL, PERFORMING EXERCISES AND PARTICIPATING DURING LECTURES BY HEALTHCARE PROFESSIONALS. EACH CLASS FOCUSES ON A DIFFERENT AREA OF HEALTH CARE - CARDIOLOGY, ROBOTIC SURGERY, RADIOLOGY, PHARMACY, WOMEN'S SERVICES AND OTHER SPECIALTIES. DURING THE 2010-2011 SESSION, 60 STUDENTS ATTENDED 20 CLASSES, WHICH WERE FACILITATED BY APPROXIMATELY 40 NORTHSIDE EMPLOYEES AND PHYSICIANS. BROAD-BASED COMMUNITY OUTREACH/SPECIAL EVENTS TENNIS AGAINST BREAST CANCER IN OCTOBER 2010, NORTHSIDE HOSPITAL ORGANIZED THE SEVENTH ANNUAL "TENNIS AGAINST BREAST CANCER" EVENT, LUNCHEON AND FASHION SHOW AT MULTIPLE LOCATIONS IN NORTH FULTON AND FORSYTH TO RAISE COMMUNITY AWARENESS OF BREAST CANCER PREVENTION AND EDUCATION. MORE THAN 500 WOMEN PARTICIPATED IN TENNIS FUNDAMENTAL DRILLS AND ENJOYED LUNCH AND A TENNIS FASHION SHOW. PHYSICIANS AT EACH LUNCHEON GAVE PRESENTATIONS ON NEW STATE-OF-THE-ART DIGITAL BREAST CANCER DIAGNOSTIC TOOLS AVAILABLE. MORE THAN $65,800 WAS RAISED FOR THE NORTHSIDE HOSPITAL BREAST CARE PROGRAM FOR THE EDUCATIONAL AND EMOTIONAL SUPPORT OF BREAST CARE PATIENTS. CELEBRATION OF LIGHTS THE 22ND ANNUAL CELEBRATION OF LIGHTS CHRISTMAS TREE LIGHTING AND FESTIVAL IN DECEMBER 2010 WAS A SPECIAL CELEBRATION FOR NORTHSIDE HOSPITAL'S CANCER PATIENTS, THEIR FAMILIES AND THE COMMUNITIES WE SERVE. TREES WERE LIT ATOP THE 980 DOCTORS' CENTRE IN SANDY SPRINGS, THE NORTHSIDE/ALPHARETTA MEDICAL CAMPUS AND NORTHSIDE HOSPITAL-FORSYTH IN CUMMING. MORE THAN 5,000 NORTHSIDE HOSPITAL EMPLOYEES, PHYSICIANS, CANCER SURVIVORS, FAMILIES AND COMMUNITY MEMBERS ATTENDED THE EVENT AT NORTHSIDE HOSPITAL-FORSYTH. GUESTS ENJOYED FACE PAINTERS, CLOWNS AND PERFORMANCES BY LOCAL SCHOOL GROUPS. LIGHTS ON THE TREES COULD BE PURCHASED IN HONOR OR MEMORY OF A LOVED ONE, AND MORE THAN $40,000 WAS RAISED FOR THE NORTHSIDE HOSPITAL CANCER CARE PROGRAM. EGGSTRAVAGANZA IN APRIL 2011, NORTHSIDE HOSPITAL-CHEROKEE HOSTED ITS ANNUAL EASTER EGGSTRAVAGANZA. CHILDREN AND THEIR PARENTS ENJOYED AN EASTER EGG HUNT, CARNIVAL GAMES, PHOTOS WITH THE EASTER BUNNY, A PETTING ZOO AND MUCH MORE. MORE THAN 2,000 PEOPLE PARTICIPATED IN THE EVENT, WHICH RAISED NEARLY $1,500 FOR THE HOSPITAL'S SPECIAL CARE NURSERY. CHARITY GOLF CLASSIC THE 2011 NORTHSIDE HOSPITAL CHARITY GOLF CLASSIC WAS A CORPORATE FUNDRAISER FOR THE NORTHSIDE HOSPITAL BLOOD AND MARROW TRANSPLANT PROGRAM (BMT) AND GENERAL RESEARCH PROGRAM. HELD AT THE ATLANTA ATHLETIC CLUB IN JOHNS CREEK, 264 GOLFERS PLAYED 18 HOLES, RAISING NEARLY $300,000. BABY ALUMNI BIRTHDAY PARTY THE 2011 NORTHSIDE HOSPITAL BABY ALUMNI BIRTHDAY PARTY AT ZOO ATLANTA WAS ATLANTA'S LARGEST BIRTHDAY PARTY. MORE THAN 5,000 CHILDREN AND THEIR FAMILIES CELEBRATED AND ENJOYED FACE PAINTERS, CRAFTS, BIRTHDAY COOKIES AS WELL AS AN EVENING VISIT OF THE ANIMAL EXHIBITS. CANCER SURVIVORS' EVENT NORTHSIDE'S ANNUAL CANCER SURVIVORS' EVENT CELEBRATES OUR PATIENTS' LIVES THROUGH LAUGHTER AND SONG. THE MORE THAN 400 GUESTS WHO ATTENDED OUR 2011 EVENT CAME AWAY TOUCHED WITH THE KNOWLEDGE THAT EVEN THOUGH CANCER IS A DREADFUL DISEASE, THERE IS ALWAYS HOPE AND THAT LIFE IS WORTH LIVING AND CELEBRATING. CAMP HOPE IN APRIL 2011, THE NORTHSIDE HOSPITAL-ATLANTA AUXILIARY HOSTED ITS SEVENTH ANNUAL CAMP HOPE, A THREE-DAY WEEKEND RETREAT THAT PROVIDES HELPFUL RELAXATION ACTIVITIES AND TECHNIQUES, AS WELL AS ENTERTAINMENT AND FUN, FOR THE NORTHSIDE HOSPITAL CANCER PATIENTS. TRANSPORTATION TO AND FROM THE CAMP WAS PROVIDED AND THE ENTIRE WEEKEND WAS FREE OF CHARGE, THANKS TO THE GENEROSITY OF THE NORTHSIDE HOSPITAL-ATLANTA AUXILIARY. IN 2011, 26 PATIENTS ATTENDED. SENIORFEST IN SEPTEMBER 2011, NORTHSIDE HOSPITAL ORGANIZED AND SPONSORED THE ANNUAL SENIORFEST AT THE ED ISAKSON/ALPHARETTA FAMILY YMCA. THIS IS AN ANNUAL EVENT CELEBRATING ATLANTA'S SENIOR CITIZENS AND THIS YEAR IT INCLUDED 300 SENIORS FROM FOUR DIFFERENT CENTERS IN THE NORTH FULTON AREA. THE SENIORS WERE TREATED TO LUNCH, FASHION SHOW, ENTERTAINMENT, ARTS AND CRAFTS AND BINGO. BLOOD DRIVES NORTHSIDE HOSPITAL IS A PARTNER WITH THE METRO ATLANTA RED CROSS TO OFFER BLOOD DRIVES FOR HOSPITAL STAFF AND THE COMMUNITY. IN 2011, 20 BLOOD DRIVES WERE HELD IN ATLANTA, FORSYTH, CHEROKEE AND ALPHARETTA, COLLECTING 769 PINTS OF BLOOD.
    OTHER COMMUNITY-SPONSORED EVENTS IN 2011, MANY GRATEFUL PATIENTS AND THEIR FAMILIES AND FRIENDS DONATED FUNDS TO HELP OUR BLOOD AND MARROW TRANSPLANT (BMT) PROGRAM, CANCER CARE PROGRAM, BREAST CARE PROGRAM, HIGH RISK PERINATAL, SPECIAL CARE NURSERY, PERINATAL LOSS FAMILY SUPPORT PROGRAM AND PARENTS PARTNERED FOR PREEMIES. FUNDS HELPED FAMILIES WITH MEDICAL CARE, MEDICINE, TRANSPORTATION, LODGING, PEER SUPPORT GROUPS, PATIENT EDUCATION MATERIALS, RESEARCH AND STATE-OF-THE-ART TECHNOLOGY UPGRADES. IN 2011, OUR BREAST CARE PROGRAM, HEREDITARY CANCER PROGRAM AND SCREENATLANTA MOBILE MAMMOGRAPHY UNIT RECEIVED GENEROUS DONATIONS FROM THE SPORT OF GIVING, IT'S THE JOURNEY, SUSAN G. KOMEN FOR THE CURE AND THE NORTHSIDE HOSPITAL-ATLANTA AUXILIARY. THE SPECIAL CARE NURSERY RECEIVED A GENEROUS DONATION FOR PATIENT AND STAFF EDUCATION. IN ADDITION, SEVERAL LOCAL SCHOOL SPORTS PROGRAMS, RESTAURANTS AND OTHER LOCAL BUSINESSES RAISED FUNDS THROUGH BREAST CANCER AWARENESS EVENTS FOR OUR BREAST CARE PROGRAM. THESE GENEROUS GRANTS SUPPORT PATIENT EDUCATION, TREATMENT, RESEARCH AND SCREENING. CONTINUING MEDICAL EDUCATION PHYSICIANS NORTHSIDE HOSPITAL IS ACCREDITED BY THE MEDICAL ASSOCIATION OF GEORGIA TO SPONSOR CONTINUING MEDICAL EDUCATION (CME) ACTIVITIES, WHICH AWARD AMA PRA CATEGORY 1 CREDIT TO PHYSICIANS FOR PARTICIPATION IN CME ACTIVITIES. IN FY 2011, THE NORTHSIDE HOSPITAL DEPARTMENT OF MEDICAL EDUCATION RECEIVED A 4-YEAR REACCREDITATION AS A CME PROVIDER FROM THE MEDICAL ASSOCIATION OF GEORGIA UNTIL AUGUST, 2015. IN FISCAL YEAR 2011, 227 LIVE CME ACTIVITIES WERE OFFERED TO 2,972 PHYSICIAN ATTENDEES. ACTIVITIES OFFERED: REGULARLY SCHEDULED SERIES: NINE REGULARLY-SCHEDULED SERIES ARE CONDUCTED AT NORTHSIDE HOSPITAL-ATLANTA, NORTHSIDE HOSPITAL-FORSYTH AND NORTHSIDE HOSPITAL-CHEROKEE. MULTIDISCIPLINARY GROUPS OF HEALTHCARE PROVIDERS MEET ON A WEEKLY, BIWEEKLY, MONTHLY OR QUARTERLY BASIS TO ADDRESS APPROPRIATE CLINICAL ISSUES THROUGH A CASE REVIEW FORMAT IN ETHICS, OB-GYN, ONCOLOGY AND RADIATION ONCOLOGY, VARIOUS TUMOR CONFERENCES PROVIDE FREQUENT OPPORTUNITIES FOR BOTH MEDICAL AND SURGICAL SUBSPECIALISTS TO DISCUSS COMPLEX CASES. ONE NEW REGULARLY SCHEDULED SERIES WAS ADDED DURING THIS PERIOD: FETAL THERAPY CASE CONFERENCE. GRAND ROUNDS ACTIVITIES: THE WEEKLY INTERNAL MEDICINE CONFERENCE FEATURES LOCAL AS WELL AS GUEST FACULTY FROM ACROSS THE COUNTRY WHO SPEAK ON TIMELY IDENTIFIED MEDICAL ISSUES THAT SERVE TO BENEFIT PRIMARY CARE PHYSICIANS AND SPECIALISTS IN ACCORDANCE WITH THE ACCME CRITERIA. THIS YEAR THE RADIOLOGY CONFERENCE HAS BEEN INCORPORATED INTO THE INTERNAL MEDICINE CONFERENCE WITH A SPECIFIC THURSDAY DESIGNATED FOR A RELATIVE RADIOLOGY TOPIC ON A BI-MONTHLY BASIS. NORTHSIDE ADDITIONALLY HOSTS THE QUARTERLY MULTIDISCIPLINARY GRAND ROUNDS LECTURE FOR A TARGET AUDIENCE OF SURGEONS AND ANESTHESIOLOGISTS, OB/GYNS AND A VARIETY OF HEALTHCARE PROFESSIONALS. THE ANESTHESIA CONFERENCE CONTINUES TO PRESENT DIDACTIC LECTURES ON A MONTHLY BASIS FOR MEMBERS OF THE DEPARTMENT RELATIVE TO THEIR CLINICAL PRACTICE. NORTHSIDE HOSPITAL'S JOINT SPONSORSHIP EDUCATIONAL VENTURES INCLUDED FOUR COURSES IN ADVANCED CARDIAC LIFE SUPPORT. IN THE FOURTH QUARTER OF 2010, NORTHSIDE HOSPITAL HOSTED A MULTI-DAY CONFERENCE FOR A NATIONAL AUDIENCE ON LAPAROSCOPIC SUTURING AND KNOT TYING AND LAPAROSCOPIC AND ROBOTIC HYSTERECTOMY. IN THE THIRD QUARTER OF 2011, THIS SAME CONFERENCE WAS OFFERED TO AN INTERNATIONAL AUDIENCE OF OB/GYN AND GYN PHYSICIANS. IN ADDITION, NORTHSIDE HOSPITAL HOSTED A MULTI-DAY INTERNATIONAL SYMPOSIUM WITH THE WORLD'S LEADING EXPERTS ON ENDOMETRIOSIS AND PRESENTED OPEN FORUM DISCUSSIONS TO FURTHER EXPLORE TREATMENT AND DIAGNOSIS OPTIONS IN THE MANAGEMENT OF ENDOMETRIOSIS. THIRTY-NINE STATES AND 41 COUNTRIES WERE REPRESENTED. ONLINE CME: NORTHSIDE HOSPITAL'S MEDICAL EDUCATION DEPARTMENT SUBSCRIBED TO ONLINE CME/CEU ACCREDITED BY GRADUATE EDUCATION FOUNDATION, AND OFFERED FREE ACCESS FOR NORTHSIDE HOSPITAL PHYSICIANS AND ALLIED HEALTH PROFESSIONALS. TWENTY PHYSICIANS AND 94 HEALTHCARE PROFESSIONALS COMPLETED A TOTAL OF 95 COURSES ONLINE FOR CME CREDIT. THE GRADUATE EDUCATION FOUNDATION HAS TERMINATED THIS SERVICE AS OF 12/31/2011 DUE TO A LACK OF FUNDING AND CURRENT ECONOMIC CONDITIONS. MEDICAL EDUCATION DEPARTMENT STAFFING: BEGINNING IN FISCAL YEAR 2011, THE MEDICAL EDUCATION DEPARTMENT EMPLOYED TWO FULL-TIME EMPLOYEES AND ONE PART-TIME EMPLOYEE. IN ADDITION, THE DEPARTMENT HAS PERIODICALLY HIRED OUTSIDE CONSULTANTS TO MEET THE DEMANDS OF SOME CME ACTIVITIES. AN ESTIMATED 8,000 HOURS WERE DEDICATED TO THE EDUCATIONAL SERVICES OFFERED IN FISCAL YEAR 2011 BY THE MEDICAL EDUCATION DEPARTMENT. TWO HUNDRED NINETY-EIGHT HOURS OF INSTRUCTION WERE OFFERED THROUGH THE REGULARLY SCHEDULE SERIES AND LIVE ACTIVITIES. MEDICAL EDUCATION COMMITTEE: THE ACCREDITED PROGRAM OF CONTINUING MEDICAL EDUCATION IS COORDINATED BY THE DEPARTMENT OF MEDICAL EDUCATION IN CONJUNCTION WITH THE CME COMMITTEE. THE PRIMARY ROLE OF THE CME COMMITTEE IS TO PROVIDE ADVICE AND GUIDANCE TO THE DEPARTMENT OF MEDICAL EDUCATION (1) TO ENSURE THE DEVELOPMENT OF CME ACTIVITIES WHICH ADDRESS THE EDUCATIONAL NEEDS OF THE MEDICAL STAFF, AND (2) TO ESTABLISH POLICIES AND PROCEDURES FOR THE DEVELOPMENT AND IMPLEMENTATION OF CME ACTIVITIES OF HIGH EDUCATIONAL QUALITY THAT COMPLY WITH THE ACCME ESSENTIALS AND STANDARDS. THE MEDICAL EDUCATION COMMITTEE MEETS QUARTERLY THROUGHOUT THE YEAR AND HAS A MEMBERSHIP OF 12 PHYSICIANS IN ADDITION TO REPRESENTATIVES FROM THE MEDICAL STAFF OFFICE, PHARMACY, THE HEALTH RESOURCE CENTER AND QUALITY IMPROVEMENT FOR THE FISCAL YEAR 2011. CME ACTIVITY FACULTY: THE DEPARTMENT OF MEDICAL EDUCATION HAS HOSTED 141 PHYSICIANS, AND 15 HEALTHCARE PROFESSIONALS WHO HAVE SERVED AS FACULTY FOR LIVE CME ACTIVITIES THROUGHOUT THE FISCAL YEAR 2011. IN ADDITION, NINE PHYSICIANS SERVE AS ACTIVITY DIRECTORS FOR THE REGULARLY SCHEDULED SERIES FEATURING APPROXIMATELY 196 MEETINGS. NURSES/NURSING STUDENTS AND OTHER HEALTH PROFESSIONAL EDUCATION (CAREER PLACEMENT) NORTHSIDE HOSPITAL PARTICIPATES IN EXTENSIVE CLINICAL AND INTERNSHIP AFFILIATIONS WITH SEVERAL COLLEGES AND UNIVERSITIES. SOME OF THESE INCLUDE CLAYTON STATE UNIVERSITY, EMORY UNIVERSITY, GEORGIA PERIMETER COLLEGE, GEORGIA STATE UNIVERSITY, GWINNETT TECHNICAL COLLEGE, KENNESAW STATE UNIVERSITY, LANIER TECHNICAL COLLEGE, CHATTAHOOCHEE TECHNICAL COLLEGE, MEDICAL COLLEGE OF GEORGIA AND MERCER UNIVERSITY. BY PROVIDING EDUCATIONAL OPPORTUNITIES FOR COLLEGE STUDENTS FROM THE METRO ATLANTA AREA AND BEYOND, WE ASSIST STUDENTS IN IDENTIFYING HEALTH CARE EMPLOYMENT OPTIONS, SELECTING CAREER PATHS AND CHOOSING AN EFFECTIVE AND EFFICIENT EDUCATIONAL ROUTE. THIS WORKING RELATIONSHIP HELPS TO LOWER EDUCATIONAL COSTS, REDUCE HOSPITAL RECRUITMENT COSTS AND SIGNIFICANTLY ENHANCE THE RELATIONSHIP BETWEEN THE HOSPITAL AND THE COMMUNITY. IN 2011, APPROXIMATELY SIX STAFF MEMBERS EACH PARTICIPATED IN EIGHT CAREER DAYS AND RECRUITMENT FAIRS. DIRECT MAIL AND E-MAILS DISTRIBUTED REGARDING THESE EVENTS REACHED NEARLY 902,000 POTENTIAL EMPLOYEES. NORTHSIDE HOSPITAL HAS A JOB SHADOWING PROGRAM THAT OFFERS INDIVIDUALS INTERESTED IN LEARNING ABOUT HEALTHCARE CAREERS AND OPPORTUNITY TO COME AND SHADOW A HEALTHCARE PROFESSIONAL. APPROXIMATELY 400 INDIVIDUALS PARTICIPATED IN THE SHADOW PROGRAM IN 2011. IN MAY, NORTHSIDE'S CANCER CARE PROGRAM HOSTED ITS 4TH ANNUAL ONCOLOGY NURSING SYMPOSIUM, "NAVIGATING THE CONTINUUM OF CARE." MORE THAN 115 NURSES FROM GEORGIA AND SOUTH CAROLINA ATTENDED THIS EDUCATIONAL EVENT, WITH TOPICS INCLUDING MULTIPLE MYELOMA, NURSE NAVIGATION, PALLIATIVE CARE, HEREDITARY BREAST CANCER AND MORE.
    SCHOLARSHIPS THE NORTHSIDE HOSPITAL AUXILIARY SCHOLARSHIP IS AN ANNUAL SCHOLARSHIP AWARDED TO ASSIST RECIPIENTS PURSUING A HEALTH-RELATED EDUCATIONAL PROGRAM AS A STUDENT IN AN ACCREDITED COLLEGE, UNIVERSITY OR HEALTH-RELATED TECHNICAL SCHOOL. THE SCHOLARSHIP IS AWARDED BASED ON DOCUMENTED NEED AND THE NUMBER OF APPLICANTS. CURRENT AUXILIANS, NORTHSIDE EMPLOYEES AND THEIR IMMEDIATE FAMILY ARE ELIGIBLE. IN 2011, MORE THAN $40,800 WAS AWARDED IN SCHOLARSHIPS BY THE ATLANTA AND FORSYTH AUXILIARIES. THE ATLANTA AUXILILARY'S SCHOLARSHIP WAS $37,800; THE GROUP ALSO GAVE $7,200 IN VOLUNTEEN GRANTS. THE NORTHSIDE HOSPITAL-CHEROKEE AUXILIARY SCHOLARSHIP IS AN ANNUAL SCHOLARSHIP AWARDED TO ASSIST RECIPIENTS PURSUING A HEALTH-RELATED EDUCATIONAL PROGRAM AS A STUDENT IN AN ACCREDITED COLLEGE, UNIVERSITY OR HEALTH-RELATED TECHNICAL SCHOOL. THE SCHOLARSHIP IS AWARDED BASED ON DOCUMENTED NEED AND THE NUMBER OF APPLICANTS. CURRENT AUXILIANS, NORTHSIDE EMPLOYEES AND THEIR IMMEDIATE FAMILY ARE ELIGIBLE. IN 2011, $1,000 WAS AWARDED IN SCHOLARSHIPS. NORTHSIDE HOSPITAL'S NORTHSIDE SCHOLARS PROGRAM IS AN EXCITING SCHOLARSHIP OPPORTUNITY FOR HIGH-PERFORMING NURSING STUDENTS ENTERING THEIR JUNIOR OR SENIOR YEARS. THE RECEIPT OF THE SCHOLARSHIP INVOLVES INTERNSHIP ROTATION, PERSONALIZED MENTORING, AND A MINIMUM OF TWO YEARS EMPLOYMENT COMMITMENT TO NORTHSIDE HOSPITAL FOLLOWING SUCCESSFUL COMPLETION OF PROGRAM AND GRADUATION FROM A SCHOOL OF NURSING. IN 2011, $63,065 WAS AWARDED IN SCHOLARSHIPS. COMMUNITY SERVICE ACTIVITIES EMPLOYEE VOLUNTEERISM (THE COMMUNITY CONNECTION) NORTHSIDE HOSPITAL PROMOTES AND ENCOURAGES COMMUNITY VOLUNTEERISM AMONG ITS PHYSICIANS, EMPLOYEES, AUXILIANS AND THEIR FAMILIES AND FRIENDS. EACH YEAR, OUR STAFF AND PHYSICIANS VOLUNTEER THEIR TIME, TALENTS AND RESOURCES TO MAKE A POSITIVE IMPACT AND BUILD STRONG AND HEALTHY COMMUNITIES. IN 2011, MORE THAN 1,900 EMPLOYEES DONATED MORE THAN 18,500 HOURS OF THEIR TIME TO MORE THAN 100 COMMUNITY SERVICE PROJECTS IN THE HOSPITAL'S SERVICE AREAS. - A SPRING CELL PHONE DRIVE FOR THE LOCAL PARTNERSHIP AGAINST DOMESTIC VIOLENCE CHAPTER PROVIDED CELL PHONES THAT, IN TURN, WERE REPROGRAMMED FOR 911 EMERGENCY ACCESS AND GIVEN TO THEIR CONSTITUENTS. - WE PARTNERED WITH PEACHTREE CHARTER MIDDLE SCHOOL AND PEARLE VISION - PERIMETER AND THE NORTHSIDE STAFF DONATED MORE THAN 400 EYEGLASSES TO BENEFIT THE ONESIGHT FOUNDATION. - SUMMER, FALL, LIVE UNITED AND HOLIDAY FOOD DRIVES ALL HELPED RESTOCK LOCAL FOOD PANTRIES. - STAFF SUPPORTED CHILDREN THROUGH THE CHILDREN'S RESTORATION "12 DAYS OF CARING" PROJECT, ADOPTING APPROXIMATELY 600 HOMELESS CHILDREN AND PROVIDING TOYS AND FULFILLED THEIR WISH LISTS, THEREBY HELPING CHILDREN'S RESTORATION NETWORK TO ENSURE THAT OVER 2,000 HOMELESS CHILDREN IN METRO ATLANTA HAD A MEMORABLE AND MEANINGFUL CHRISTMAS. - DEPARTMENTS, INDIVIDUALS AND THEIR FAMILIES FULFILLED THE WISH LISTS FOR SEVEN NORTHSIDE HOSPITAL FAMILIES WHO WERE IN NEED THROUGH THE NORTHSIDE UNITED WAY SHARES HELP PROGRAM. - NORTHSIDE HOSPITAL-CHEROKEE'S HOLIDAY TOY DRIVE PROVIDED TOYS TO THE BOYS & GIRLS CLUB OF CHEROKEE COUNTY. - THE STAFF AT THE NORTHSIDE/ALPHARETTA MEDICAL CAMPUS PARTICIPATED IN THE SECOND WIND DREAMS PROJECT TO PROVIDE GIFTS FOR SENIORS AT NURSING HOMES, AND STAFF MEMBERS HAD THE OPPORTUNITY TO SHOP FOR THE SENIORS, AND SOME INCLUDED FAMILY AND FRIENDS TO DELIVER GIFTS TO SENIORS ON CHRISTMAS EVE OR CHRISTMAS DAY. - STAFF AT NORTHSIDE HOSPITAL-FORSYTH PARTICIPATED IN THE TOYS FOR TOTS DRIVE, PROVIDING TOYS TO OVER 100 CHILDREN. - THE JULY BACK-TO-SCHOOL DRIVE BENEFITTED CHILDREN'S RESTORATION NETWORK'S ANNUAL BACK 2 SCHOOL PROGRAM FOR HOMELESS CHILDREN IN PROVIDING CHILDREN IN SHELTERS AND GROUP HOMES WITH OVER 400 NEW BOOK BAGS FILLED WITH ALL OF THE NECESSARY SCHOOL SUPPLIES AND VARIOUS CHILDREN'S BOOKS. - THE ATLANTA DAY SHELTER FOR WOMEN AND CHILDREN'S UNDERGARMENT DRIVE WAS A HUGE SUCCESS AND PROVIDED UNDERWEAR, DIAPERS, SOCKS AND FEMININE HYGIENE PRODUCTS TO THE FAMILIES IN THE SHELTER. - BUSINESS OFFICE STAFF CONTINUED THEIR PARTNERSHIP WITH A UNI-HEALTH POST-ACUTE CARE, WHICH IS A LOCAL SENIOR RETIREMENT CENTER. ONE SATURDAY A MONTH, 15-20 EMPLOYEES PLAY BINGO WITH PRIZES, CELEBRATE BIRTHDAYS AND VISIT WITH THE SENIORS. THE BOND BETWEEN OUR VOLUNTEERS AND THE SENIORS HAS STEADILY GROWN. THE SENIORS LOVE CHILDREN, SO SEVERAL EMPLOYEES BRING THEIR CHILDREN (AGES 5 AND UP) AND FAMILY WITH THEM TO VISIT WITH THE SENIORS. STAFF ALSO ANNUALLY ADOPT EACH RESIDENT (150+) AND PROVIDE THEM WITH A PERSONAL CARE PACKAGE DURING THE CHRISTMAS SEASON. - THROUGH PROJECT OPEN HAND, STAFF MEMBERS PACK MEALS FOR DELIVERY TO PERSONS WITH HIV/AIDS, THE SICK AND SHUT-INS AND THE ELDERLY. PROJECT OPEN HAND PREPARES AND DELIVERS TWO FRESHLY COOKED MEALS, EVERY DAY, SEVEN DAYS A WEEK, TO PEOPLE WITH AIDS OR HIV-RELATED ILLNESSES WHO NEED THEM. THIS PROJECT DEPENDS ON THE PARTICIPATION OF MORE THAN 100 VOLUNTEERS EACH DAY TO COOK, PACK AND DELIVER THE MEALS. - A NEW HOLIDAY PROJECT WAS CREATED TO PROVIDE STAFF MEMBERS THE OPPORTUNITY TO ADOPT A CHILD, FULFILL THEIR WISH LIST, AND BE ABLE TO MEET AND SEE THE KIDS AND SPEND TIME WITH THEM DURING THE HOLIDAYS. THE FIRST HOLIDAYS WITH THE KIDS PROJECT WAS HELD SATURDAY, DEC. 3 AT NORTHSIDE HOSPITAL-FORSYTH. THE KIDS WERE TREATED TO A LIGHT LUNCH, ARTS AND CRAFTS AND, OF COURSE, GIFTS. YOUTH COORDINATORS FROM THE ALPHARETTA YMCA CONDUCTED FUN GAMES AND ICE-BREAKERS. IT WAS A GREAT OPPORTUNITY TO SHOW THESE KIDS THAT NO MATTER WHAT THEIR CIRCUMSTANCES, NORTHSIDE HOSPITAL CARES ABOUT THEM. - IN ADDITION, NORTHSIDE HOSPITAL-FORSYTH STAFF PARTICIPATED IN THE JESSE'S HOUSE PROJECT PROVIDING GIFTS FOR THE GIRLS AT JESSE'S HOUSE, AND THEY FOLLOWED UP WITH A HOLIDAY POTLUCK LUNCHEON. OTHER FORSYTH PROJECTS INCLUDE HANDS ON FORSYTH, TASTE OF FORSYTH, THE CUMMING COUNTRY FAIR AND FESTIVAL, UNITED WAY OF FORSYTH, THE PLACE AND THE DRAKE HOUSE. - NORTHSIDE HOSPITAL-CHEROKEE STAFF PARTICIPATED IN VARIOUS COMMUNITY PROJECTS TO HELP THE TASTE OF CANTON AND THE CHEROKEE FAMILY VIOLENCE CENTER AND MUST MINISTRIES. THE CHEROKEE STAFF ALSO PROVIDED COATS TO FOREVER FED, WHICH IS A MOBILE FOOD MINISTRY THAT SERVES NORTH GEORGIA. EMPLOYEE PLEDGE DRIVE EACH YEAR, STAFF AND PHYSICIANS CONTRIBUTE MONEY THROUGH PAYROLL DEDUCTIONS, CHECKS AND CASH TO THE NORTHSIDE HOSPITAL SHARES HELP/UNITED WAY CAMPAIGN. TWENTY PERCENT OF THE FUNDS RAISED GOES TO THE EMERGENCY AID OF HOSPITAL EMPLOYEES AND THEIR DEPENDENTS IN DIRE FINANCIAL NEED DUE TO AN EMERGENCY SITUATION. THE OTHER 80 PERCENT OF FUNDS RAISED ARE DONATED FOR LOCAL HEALTH AND HUMAN SERVICE AGENCY NEEDS THROUGH THE UNITED WAY OF METROPOLITAN ATLANTA AND FORSYTH. FUNDS ARE FOCUSED ON COMMUNITY IMPACT AREAS (I.E. EDUCATION, INCOME AND HEALTH TO BUILD STRONG AND HEALTHY COMMUNITIES) VIA 400 COMMUNITY PROGRAMS WITHIN MORE THAN 250 DIFFERENT CHARITABLE ORGANIZATIONS ACROSS THE ATLANTA METROPOLITAN AREA. IN 2011, MORE THAN $542,000 WAS RAISED AND 48 PERCENT OF EMPLOYEES PARTICIPATED. NORTHSIDE HOSPITAL IS RANKED THE TOP GEORGIA HOSPITAL CAMPAIGN IN TERMS OF FINANCIAL, GIFTS-IN-KIND AND VOLUNTEER SUPPORT TO THE COMMUNITIES IT SERVES.
    SPONSORSHIPS IN ADDITION TO THE EXCELLENT MEDICAL CARE AND EDUCATIONAL PROGRAMS WE PROVIDE, NORTHSIDE PROVIDES FINANCIAL ASSISTANCE TO MORE THAN 250 CHARITABLE ORGANIZATIONS EACH YEAR. THE HOSPITAL'S FOUR-MEMBER SPONSORSHIP COMMITTEE REVIEWS ALL REQUESTS RECEIVED AND DETERMINES WHETHER OR NOT EACH ORGANIZATION COMPLIMENTS THE HOSPITAL'S MISSION AND VALUES AND MEETS GEOGRAPHIC AND DEMOGRAPHIC PARAMETERS THAT THE HOSPITAL HAS ESTABLISHED THROUGHOUT ITS PRIMARY AND SECONDARY SERVICE AREAS. NORTHSIDE HOSPITAL GIVES BACK TO THE COMMUNITY MORE THAN ANY OTHER ATLANTA-AREA HOSPITAL. OUR REPUTATION FOR COMMUNITY OUTREACH AND SUPPORT IS EVIDENT IN OUR BEING RECOGNIZED (IN INDEPENDENT SURVEYS CONDUCTED BY THE NATIONAL RESEARCH CORPORATION) AS THE LEADER IN COMMUNITY OUTREACH EFFORTS IN ATLANTA. A FEW OF OUR FISCAL YEAR 2011 SPONSORSHIPS INCLUDE: - NORTHSIDE HOSPITAL'S MARCH OF DIMES MARCH FOR BABIES CAMPAIGN WAS BIG SUCCESS, WITH 611 REGISTERED WALKERS ACROSS FOUR EVENTS. NORTHSIDE MATCHED ALL FUNDS RAISED THROUGH THE HOSPITAL (FROM EMPLOYEE FUNDRAISING AND TEAMS) FOR A TOTAL OF $335,542. FAMILY TEAMS, THROUGH NORTHSIDE'S SUPPORT GROUP PARENTS PARTNERED FOR PREEMIES (PPP) AND OTHER FAMILIES OF PREMATURE BABIES BORN AT NORTHSIDE, RAISED $143,427. - NORTHSIDE WAS ONCE AGAIN THE PRESENTING SPONSOR OF THE AMERICAN CANCER SOCIETY'S 2011 RELAY FOR LIFE ATLANTA EVENT, HELD AT HAMMOND PARK. THERE WERE 68 MEMBERS ON THE NORTHSIDE TEAM, WHO RAISED MONEY AND PARTICIPATED IN THE WALK. - NORTHSIDE HOSPITAL ALSO WAS A PROUD SPONSOR OF THE 2011 SUSAN G. KOMEN RACE FOR THE CURE, AN EVENT TO RAISE MONEY FOR BREAST CANCER RESEARCH, EDUCATION, AND ADVOCACY. THE NORTHSIDE TEAM WAS COMPRISED OF 288 EMPLOYEES, VOLUNTEERS, CANCER SURVIVORS, FAMILY AND FRIENDS, ALL WALKING IN HONOR OF THOSE BATTLING THIS DISEASE. COLLECTIVELY, THE TEAM RAISED NEARLY $16,000 FOR BREAST CANCER RESEARCH. AN ADDITIONAL $600 WAS RAISED FOR THE HOSPITAL'S BREAST CARE PROGRAM FROM THE SALE OF THE LEFTOVER TEAM T-SHIRTS. - IN FISCAL YEAR 2011, NORTHSIDE CONTINUED ITS RELATIONSHIP WITH THE LEUKEMIA AND LYMPHOMA SOCIETY'S LIGHT THE NIGHT WALK. FIFTEEN NORTHSIDE EMPLOYEES, PHYSICIANS, PATIENTS AND THEIR FAMILIES PARTICIPATED IN THIS DOWNTOWN ATLANTA EVENT, RAISING $7,086. - FOR THE FIRST TIME, NORTHSIDE PARTICIPATED IN THE COLON CANCER ALLIANCE UNDY 5000, "A BRIEF RUN TO RAISE AWARENESS OF COLON CANCER." NORTHSIDE WAS THE EVENT'S MEDICAL CIRCLE SPONSOR. THE HOSPITAL WAS REPRESENTED BY APPROXIMATELY 10-15 PEOPLE AT THE RACE, WHO STAFFED THE MEDICAL TENT, NORTHSIDE'S BOOTH AND PARTICIPATED IN THE RUN. - IN ADDITION TO THE ABOVE SIGNATURE EVENTS, NORTHSIDE HOSPITAL CONTINUED ITS PARTNERSHIP WITH LOCAL CANCER AWARENESS ORGANIZATIONS SUCH AS THE GEORGIA BREAST CANCER COALITION AND THE GEORGIA OVARIAN CANCER ALLIANCE. THROUGH THESE PARTNERSHIPS, NUMEROUS EVENTS WERE HELD THAT RAISED THOUSANDS OF DOLLARS FOR CANCER RESEARCH AND ALSO SPREAD THE IMPORTANCE OF CANCER PREVENTION AND EARLY DETECTION. - ADDITIONAL SPONSORSHIPS INCLUDED THE AMERICAN RED CROSS, AMERICAN HEART ASSOCIATION GO RED LUNCHEON AND HEART BALL, CHEROKEE COUNTY SERVICE LEAGUE, DAWSON COUNTY SENIOR CENTER, DUNWOODY NATURE CENTER, FORSYTH COUNTY FAMILY HAVEN, JOHNS CREEK ART CENTER, PARTNERSHIP AGAINST DOMESTIC VIOLENCE, SPECIAL OLYMPICS OF GEORGIA, VISITING NURSE/HOSPICE ATLANTA, WSB-TV'S FAMILY 2 FAMILY PROJECT, THE YWCA OF GREATER ATLANTA AND MANY MORE. IN-KIND DONATIONS NORTHSIDE HOSPITAL-FORSYTH AND NORTHSIDE HOSPITAL-CHEROKEE PROVIDE MEETING AND EDUCATIONAL CLASSROOM SPACE FOR VARIOUS MEETINGS, CONFERENCES AND CLASSES FOR NOT-FOR-PROFIT COMMUNITY GROUPS THROUGHOUT THE YEAR. IN 2011, ROOMS WERE PROVIDED AT NO COST TO 67 ORGANIZATIONS FOR APPROXIMATELY 1,700 HOURS. THE REHABILITATION SERVICES DEPARTMENT DONATED APPROXIMATELY 50 SETS OF SCRUBS TO GENESIS SHELTER, AN ATLANTA-BASED SHELTER FOR BABIES TWO MONTHS OF AGE AND YOUNGER AND THEIR FAMILIES, EMPOWERING THEM TO GROW AND DEVELOP IN NURTURING AND HEALTHY SURROUNDINGS. IN 2011, MORE THAN 10,000 POUNDS OF MEDICAL SUPPLIES WERE DONATED TO MEDSHARE INTERNATIONAL, AN ORGANIZATION THAT RECYCLES SURPLUS MEDICAL SUPPLIES AND EQUIPMENT FOR USE BY HEALTH CARE INSTITUTIONS SERVING THE POOR IN DEVELOPING COUNTRIES. APPROXIMATELY 43 DIFFERENT DEVELOPING COUNTRIES AND COUNTLESS PATIENTS HAVE BEEN SERVED BY MEDSHARE. OUR COMMITMENT WE MEASURE THE SUCCESS OF OUR EFFORTS BY THE NUMBER OF RESIDENTS WE REACH WITH OUR MESSAGES RELATED TO HEALTH AND WELLNESS. OUR MISSION IS TO WORK TO POSITIVELY IMPACT THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. CLEARLY, EDUCATION, OUTREACH AND COMMUNITY SERVICE ALLOW US TO BROADEN OUR IMPACT BEYOND THE WALLS OF OUR FACILITIES.
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:  
Software Version:  
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
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
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) NORTH ATLANTA PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
20-5106086
PROFESSIONAL SERVICES GA 4,827,123 0 N/A
(2) NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
33-1105310
PROFESSIONAL SERVICES GA 1,956,513 0 N/A
(3) NORTHSIDE SURGERY CENTERS LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
01-0642336
HEALTHCARE SERVICES GA 0 1,512,014 N/A
(4) SURGERY CENTER OF GEORGIA LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
58-2169517
SURGERY CENTER GA 278,506 1,501,676 NORTHSIDE SURGERY CENTERS LLC
 
(5) NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
45-1259671
HEALTHCARE SERVICES GA 2,761,358 0 N/A
(6) NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
45-1259435
HEALTHCARE SERVICES GA 0 0 N/A
(7) NORTHSIDE MEDICAL GROUP LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
58-1954432
INACTIVE GA 0 0 N/A
(8) SURGICOE REAL ESTATE LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
58-2558486
REAL ESTATE SERVICES GA     NORTHSIDE SURGERY CENTERS LLC
 
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) NORTHSIDE FOUNDATION INC

1000 JOHNSON FERRY ROAD

ATLANTA,GA30342
58-1653541
FUNDRAISING FOR NORTHSIDE GA 501(C)(3) LINE 7 NORTHSIDE HEALTH SERVICES INC
 
 
No
(2) NORTHSIDE HEALTH SERVICES INC

1000 JOHNSON FERRY ROAD

ATLANTA,GA30342
58-1917328
MANAGEMENT SERVICES GA 501(C)(3) LINE 11C, III-FI N/A
 
No
(3) NORTHSIDE SHARES HELP INC

1000 JOHNSON FERRY ROAD

ATLANTA,GA30342
58-1458873
FUNDRAISING & COMMUNITY BUILDING GA 501(C)(3) LINE 7 NORTHSIDE HEALTH SERVICES 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) NORTHSIDE VENTURES INC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
58-1954456
LEASING COMPANY 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
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
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
Yes
 
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
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
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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