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 private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 10-01-2013 , 2013, and ending 09-30-2014
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 province, country, and ZIP or foreign postal code
ATLANTA, GA303421611
D Employer identification number

58-1954432
E Telephone number

G Gross receipts $ 2,203,308,551
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
subordinates?
H(b)
Are all subordinates
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 5
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 11,920
6 Total number of volunteers (estimate if necessary) ............. 6 895
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 10,356,082
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -838,098
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 4,395,192 4,567,196
9 Program service revenue (Part VIII, line 2g) ......... 1,736,193,480 2,171,950,633
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 10,405,830 9,263,208
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 18,882,117 16,161,375
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,769,876,619 2,201,942,412
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 5,011,097 1,637,893
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) 670,346,870 764,030,683
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,000,098,055 1,250,851,775
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,675,456,022 2,016,520,351
19 Revenue less expenses. Subtract line 18 from line 12....... 94,420,597 185,422,061
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,339,872,843 1,592,450,557
21 Total liabilities (Part X, line 26)............. 641,862,337 721,693,982
22 Net assets or fund balances. Subtract line 21 from line 20..... 698,010,506 870,756,575
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 Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line 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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 1,602,614,288 including grants of $ 1,637,893 ) (Revenue $ 2,184,882,041 )
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 NEARLY 80 OUTPATIENT SERVICE LOCATIONS WITH MORE THAN 1,500,000 SYSTEM-WIDE PATIENT ENCOUNTERS ANNUALLY. NORTHSIDE'S PRIMARY SERVICE AREA INCLUDES 21 COUNTIES WITH A TOTAL POPULATION OF MORE THAN 5 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:- NORTHSIDE ATLANTA DELIVERS MORE BABIES THAN ANY OTHER HOSPITAL IN THE US (OVER 14,000 DELIVERIES SYSTEM WIDE IN CALENDAR YEAR 2012)- NORTHSIDE HAS THE LARGEST BREAST, GYN AND PROSTATE CANCER VOLUMES OF ANY GEORGIA HOSPITAL -NORTHSIDE CONTINUES TO LEAD THE SOUTHEAST IN BREAST CANCER CARE, FOCUSING STRONGLY ON CLINICAL QUALITY AND INDIVIDUALIZED PATIENT SUPPORT - NORTHSIDE'S BONE MARROW TRANSPLANT PROGRAM HAD THE HIGHEST ACTUAL 1-YEAR SURVIVAL RATE FOR PATIENTS WHO RECEIVED THEIR FIRST ALLOGENEIC TRANSPLANT BETWEEN JANUARY 1, 2009 AND DECEMBER 31, 2011, USING RELATED AND UNRELATED DONOR TRANSPLANTS OF ANY LARGE ADULT BMT PROGRAM IN THE UNITED STATES.THE PROGRAM SERVICE REVENUES AND EXPENSES CONSIST OF ALL INPATIENT AND OUTPATIENT SERVICE LINES FOR THE YEAR ENDING SEPTEMBER 30, 2014.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 expensesMediumBullet1,602,614,288
Form 990 (2013)
Form 990 (2013)
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 (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 IClick 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 for escrow or custodial account liability; 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 IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick 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 XClick 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 XClick 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 and XII 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 and XII 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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
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 (see instructions)....
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
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government 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 or 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, line 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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ 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
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, 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 employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect 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, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, 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...
35b
 
 
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,062
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
11,920
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” to line 3b, 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, securities account, or other financial 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 as charitable contributions?...
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.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
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 or note to any line 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
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
5
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
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete 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 this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletDEBORAH S MITCHAM1000 JOHNSON FERRY ROADATLANTAGA30342 (404) 851-8000
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ROBERT T QUATTROCCHI........................................................................
PRESIDENT & CEO NSH, INC.
40.00
.......................1.00
X   X       5,292,678 0 7,499
(2) ROBERT E WHITLEY........................................................................
BOARD MEMBER
1.00
.......................1.00
X           0 0 0
(3) DALE M BEARMAN MD........................................................................
BOARD MEMBER
1.00
.......................  
X           0 0 0
(4) THOMAS W GABLE MD........................................................................
BOARD MEMBER
1.00
.......................  
X           0 0 0
(5) ANTHONY J SALVATORE........................................................................
CHAIRMAN & TREASURER
1.00
.......................1.00
X           0 0 0
(6) K DOUGLAS SMITH MD........................................................................
VICE-CHAIRMAN
1.00
.......................1.00
X           0 0 0
(7) LAWRENCE B STONE MD........................................................................
BOARD MEMBER
1.00
.......................1.00
X           0 0 0
(8) MARK J SWEENEY........................................................................
SECRETARY
1.00
.......................1.00
X           0 0 0
(9) BARBARA PARE'........................................................................
BOARD MEMBER
1.00
.......................1.00
X           0 0 0
(10) GENEVIEVE FAIRBROTHER MD........................................................................
BOARD MEMBER
1.00
.......................  
X           0 0 0
(11) WILLIAM HASTY JR........................................................................
BOARD MEMBER
1.00
.......................  
X           0 0 0
(12) WAYNE AMBROZE MD........................................................................
BOARD MEMBER
1.00
.......................  
X           0 0 0
(13) DEBORAH S MITCHAM........................................................................
VP/CFO NSH, INC.
40.00
.......................1.00
    X       659,958 0 6,494
(14) JORGE J HERNANDEZ........................................................................
VICE PRESIDENT/ASST. SECRE
40.00
.......................  
    X       487,634 0 1,165
(15) TINA WAKIM........................................................................
VICE PRESIDENT
40.00
.......................  
      X     756,826 0 6,753
(16) ROBERT PUTNAM........................................................................
VICE PRESIDENT
40.00
.......................  
      X     667,609 0 6,096
(17) SUSAN SOMMERS........................................................................
VICE PRESIDENT
40.00
.......................  
      X     468,325 0 8,596
Form 990 (2013)
Form 990 (2013)
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 (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) JANIS DUBOW........................................................................
VICE PRESIDENT
40.00
.......................  
      X     358,340 0 3,895
(19) MARY SHEPHERD........................................................................
VICE PRESIDENT
40.00
.......................  
      X     337,201 0 7,499
(20) GERALD FEUER MD........................................................................
GYNECOLOGIST/SURGEON
40.00
.......................  
        X   827,972 0 9,999
(21) AASHISH DESAI MD........................................................................
CARDIOLOGIST
40.00
.......................  
        X   725,737 0 1,395
(22) AMOL BAPAT MD........................................................................
CARDIOLOGIST
40.00
.......................  
        X   719,641 0 7,326
(23) STEPHEN SALMIERI MD........................................................................
GYNECOLOGIC ONCOLOGIST
40.00
.......................  
        X   849,106 0 6,057
(24) GUILHERME H CANTUARIA MD........................................................................
GYNECOLOGIC ONCOLOGIST
40.00
.......................  
        X   754,314 0 7,499












1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 12,905,341 0 80,273
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet13
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
GEORGIA CANCER SPECIALISTS I PC1835 SAVOY DRIVE STE 300ATLANTAGA30342 SEE SCHEDULE O 36,097,267
AGA LLC550 PEACHTREE ST STE 1620ATLANTAGA30308 SEE SCHEDULE O 22,298,733
ATLANTA CANCER CARE1100 JOHNSON FERRY ROAD STE 150SANDY SPRINGSGA30342 SEE SCHEDULE O 15,233,974
MCKENNA LONG & ALDRIDGE LLPPO BOX 116573ATLANTAGA30368 LEGAL SERVICES 13,716,525
MORRISON MANAGEMENT SPECIALISTSPO BOX 102289ATLANTAGA30368 FOOD SERVICES 6,922,597
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet199
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 797,859
e Government grants (contributions)1e 2,986,678
f All other contributions, gifts, grants, and
similar amounts not included above
1f
782,659
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 4,567,196
 Program Service RevenueAmt Business Code
2a NET PATIENT REVENUE 621990 2,089,855,210 2,088,702,269 1,152,941  
b PHARMACY REVENUE 446110 57,586,012   4,179,735 53,406,277
c RENTAL INCOME 531120 14,301,596 14,301,596    
d CAFETERIA & VENDING 722210 2,095,387     2,095,387
e PARKING REVENUE 812930 1,809,304     1,809,304
f All other program service revenue . 6,303,124   1,793,439 4,509,685
g Total. Add lines 2a–2f........MediumBullet 2,171,950,633
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 5,654,883     5,654,883
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 4,974,464  
b Less: cost or other basis and sales expenses 0 1,366,139
c Gain or (loss) 4,974,464 -1,366,139
d Net gain or (loss)..........MediumBullet 3,608,325     3,608,325
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 900099 14,651,483 12,931,408 1,720,075  
b PASSTHROUGH INVESTMENT 621300 1,509,892   1,509,892  
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 16,161,375
12 Total revenue. See Instructions......MediumBullet 2,201,942,412 2,115,935,273 10,356,082 71,083,861
Form 990 (2013)
Form 990 (2013)
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).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 United States. See Part IV, line 21 1,597,882 1,597,882
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 40,011 40,011
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 11,371,803 9,021,013 2,350,790  
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 613,841,176 486,947,329 126,893,847  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 17,266,204 13,696,917 3,569,287  
9 Other employee benefits ....... 79,494,082 63,060,988 16,433,094  
10 Payroll taxes ........... 42,057,418 33,363,267 8,694,151  
11 Fees for services (non-employees):        
a Management ...... 17,641,774 17,641,774    
b Legal ......... 21,756,603 1,598 21,755,005  
c Accounting ........... 874,725   874,725  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 1,994,204   1,994,204  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 283,673,402 192,371,867 91,301,535  
12 Advertising and promotion .... 9,715,103 155,851 9,559,252  
13 Office expenses ....... 35,049,231 25,790,182 9,259,049  
14 Information technology ...... 11,550,047 3,306,110 8,243,937  
15 Royalties ..        
16 Occupancy ........... 58,360,672 33,677,636 24,683,036  
17 Travel ............ 1,005,661 542,195 463,466  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 758,866 556,081 202,785  
20 Interest ........... 6,785,503 1,205,384 5,580,119  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 104,868,282 75,865,582 29,002,700  
23 Insurance .............. 20,388,163 2,888,298 17,499,865  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a SUPPLIES 535,479,067 531,428,188 4,050,879  
b BAD DEBT EXPENSE 78,276,910 78,276,910 0  
c MINOR EQUIPMENT PURCHAS 21,821,250 2,812,060 19,009,190  
d COLLECTION FEES 17,909,149 1,230,913 16,678,236  
e All other expenses 22,943,163 27,136,252 -4,193,089  
25 Total functional expenses. Add lines 1 through 24e 2,016,520,351 1,602,614,288 413,906,063 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 34,355 1 41,956
2 Savings and temporary cash investments ......... 213,625,902 2 328,077,149
3 Pledges and grants receivable, net ........... 1,266,011 3 271,354
4 Accounts receivable, net ............. 122,952,645 4 128,178,919
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 3,032,964 7 2,211,843
8 Inventories for sale or use .............. 28,427,627 8 26,845,999
9 Prepaid expenses and deferred charges .......... 12,876,285 9 14,928,630
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,500,508,450
b Less: accumulated depreciation ..... 10b 871,232,220 562,679,128 10c 629,276,230
11 Investments—publicly traded securities .......... 149,065,245 11 181,425,948
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ............... 205,712,180 14 225,809,686
15 Other assets. See Part IV, line 11 ........... 40,200,501 15 55,382,843
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,339,872,843 16 1,592,450,557
Liabilities 17 Accounts payable and accrued expenses ......... 308,098,375 17 345,132,362
18 Grants payable .................   18  
19 Deferred revenue ................ 776 19 555,238
20 Tax-exempt bond liabilities ............. 56,821,963 20 44,304,313
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other 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 .. 89,333,865 23 86,372,605
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 187,607,358 25 245,329,464
26 Total liabilities. Add lines 17 through 25......... 641,862,337 26 721,693,982
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 698,010,506 27 870,756,575
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... 698,010,506 33 870,756,575
34 Total liabilities and net assets/fund balances ........ 1,339,872,843 34 1,592,450,557
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,201,942,412
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,016,520,351
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
185,422,061
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
698,010,506
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-12,675,992
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
870,756,575
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 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?
2c
 
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 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
Provide the following information about the supported organization(s).
(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 monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

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.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
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
that total 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(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) (2013)

Additional Data


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

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

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

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

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

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










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
314,247
j
Total. Add lines 1c through 1i ...............................
314,247
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: NORTHSIDE HOSPITAL, INC. DOES NOT PURSUE ANY DIRECT LOBBYING ACTIVITIES; HOWEVER, IT PAYS MEMBERSHIP DUES TO PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION, GEORGIA HOSPITAL ASSOCIATION, AND THE GEORGIA ALLIANCE FOR COMMUNITY HOSPITALS. A PORTION OF THESE DUES ARE DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.
Schedule C (Form 990 or 990EZ) 2013

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 (ASC 958) 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 7,044,190 6,092,371 5,750,449 5,806,929 5,483,812
b Contributions ........ 1,352,241 1,566,045 1,117,389 1,170,547 888,554
c Net investment earnings, gains, and losses 117,482 112,842 112,483 112,618 107,765
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
1,434,277 727,068 887,950 1,339,645 673,202
f Administrative expenses ....          
g End of year balance ...... 7,079,636 7,044,190 6,092,371 5,750,449 5,806,929
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet58.470 %
c
Temporarily restricted endowment SchDMd Bullet41.530 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
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)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   179,618,504 179,618,504
b Buildings ................   772,771,278 474,970,022 297,801,256
c Leasehold improvements ............        
d Equipment ................   480,384,304 396,262,198 84,122,106
e Other .................   67,734,364   67,734,364
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 629,276,230
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
FAS 106 ACCRUAL 1,462,696
INTERCHANGE FINANCE LIABILITY 69,964,144
FMV OF SWAP AGREEMENT 659,321
RENT OBLIGATION, LONG-TERM PORTION 7,848,054
OTHER LIABILITY 74,000
OBLIGATIONS UNDER CAPITAL LEASE 184,688
RESERVE FOR MALPRACTICE 125,453,151
RETIREMENT PLAN OBLIGATIONS 39,683,445
NET INTERCOMPANY -35
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 245,329,464
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: NORTHSIDE HEALTH SERVICES, INC., AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2014 AND 2013, AND INDEPENDENT AUDITOR'S REPORT: NORTHSIDE QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED.
Schedule D (Form 990) 2013

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.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did 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
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance 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 Financial Assistance at cost
(from Worksheet 1) ..
    83,087,691   83,087,691 4.290 %
b Medicaid (from Worksheet 3,
column a) ....
    145,505,610 74,037,029 71,468,581 3.690 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    228,593,301 74,037,029 154,556,272 7.980 %
Other Benefits
    6,201,155 511,201 5,689,954 0.290 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    800,503 495,950 304,553 0.020 %
g Subsidized health services
(from Worksheet 6) ..
           
h Research (from Worksheet 7)     636,524 1,070,958 -434,434 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    1,253,371 0 1,253,371 0.060 %
j Total. Other Benefits ..     8,891,553 2,078,109 6,813,444 0.370 %
k Total. Add lines 7d and 7j .     237,484,854 76,115,138 161,369,716 8.350 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(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     1,622,711   1,622,711 0.080 %
9 Other            
10 Total     1,622,711   1,622,711 0.080 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
19,532,792
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
257,045,276
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
289,108,446
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-32,063,170
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
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

 

No
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(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 %
11 GWINNETT ENDOSCOPY CENTER INC
 
OUTPATIENT CENTER 15.000 %   77.800 %
22 MIDTOWN ENDOSCOPY CENTER LLC
 
OUTPATIENT CENTER 15.000 %   77.800 %
33 NORTH CRESCENT ENDOSCOPY SUITE LLC
 
OUTPATIENT CENTER 70.000 %   27.400 %
44 WOODSTOCK ENDOSCOPY CENTER LLC
 
OUTPATIENT CENTER 15.000 %   77.800 %
55 WEST METRO ENDOSCOPY CENTER LLC
 
OUTPATIENT CENTER 15.000 %   77.800 %
66 NORTHWEST ENDOSCOPY CENTER LLC
 
OUTPATIENT CENTER 15.000 %   77.800 %
77 BULLOCH COUNTY ENDOSCOPY CENTER LLC
 
OUTPATIENT CENTER 15.000 %   77.800 %
88 ENT SURGERY CENTER OF ATLANTA LLC
 
AMBULATORY SURGERY 70.000 %   30.700 %
99 PEACHTREE ORTHOPAEDIC SURGERY CENTER AT PERIMETER LLC
 
AMBULATORY SURGERY 15.000 %   67.800 %
1010 UROLOGY SURGICAL PARTNERS LLC
 
AMBULATORY SURGERY 70.000 %   30.000 %
1111 SOUTHERN CRESCENT ENDOSCOPY CENTER SUITE PC
 
OUTPATIENT CENTER 15.000 %   77.800 %
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?3
Name, address, primary website address, and state license number
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 NORTHSIDE HOSPITAL
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
060-604
X X         X     A
2 NORTHSIDE HOSPITAL - FORSYTH
1200 NORTHSIDE FORSYTH DRIVE
CUMMING,GA30041
058-604
X X         X     A
3 NORTHSIDE HOSPITAL - CHEROKEE
201 HOSPITAL ROAD
CANTON,GA30114
028-552
X X         X     A
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP - A
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
 
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 125.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 250.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: NORTHSIDE HOSPITAL, - FACILITY 2: NORTHSIDE HOSPITAL - FORSYTH, - FACILITY 3: NORTHSIDE HOSPITAL - CHEROKEE
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 1J: NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") COMPLETED A CHNA FOR EACH OF ITS HOSPITAL FACILITIES IDENTIFIED IN PART V, SECTION A. IN COMPLETING THE CHNAS FOR ITS HOSPITAL FACILITIES, NORTHSIDE DID NOT ENCOUNTER ANY INFORMATION GAPS THAT LIMITED ITS ABILITY TO ASSESS EACH HOSPITAL FACILITY'S COMMUNITY NEED. IN ADDITION TO THE INFORMATION LISTED ABOVE, NORTHSIDE DESCRIBES IN THE CHNAS EACH COMMUNITY'S ACCESS TO HEALTH CARE AND PROVIDES AN OVERVIEW OF EACH HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 3: NORTHSIDE IDENTIFIED COMMUNITY STAKEHOLDERS WHO BROADLY REPRESENTED THE INTERESTS OF EACH HOSPITAL FACILITY'S COMMUNITY AND SPECIFICALLY SOUGHT TO IDENTIFY STAKEHOLDERS WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH. NORTHSIDE THEN DEVELOPED THE STAKEHOLDER ASSESSMENT DISCUSSION GUIDE (A COPY OF WHICH IS INCLUDED AS APPENDIX A IN EACH HOSPITAL FACILITY'S CHNA) AND CONDUCTED, EITHER IN PERSON OR BY TELEPHONE, INTERVIEWS WITH A QUALIFIED REPRESENTATIVE OF EACH IDENTIFIED STAKEHOLDER. THE FOLLOWING IS A COMPREHENSIVE LIST OF ORGANIZATIONS NORTHSIDE CONTACTED TO HELP IDENTIFY THE NEEDS OF THE HOSPITAL FACILITIES' COMMUNITY NEEDS: (1) MARCH OF DIMES, (2) GOOD SAMARITAN HEALTH CENTER OF ATLANTA, (3) GOOD SAMARITAN HEALTH CENTER OF COBB, (4) VISITING NURSE HEALTH SYSTEM, (5) FORSYTH HEALTH DEPARTMENT, (6) GEORGIA HIGHLANDS MEDICAL SERVICES, (7) GOOD SHEPHERD CLINIC OF DAWSON COUNTY, (8) BETHESDA COMMUNITY CLINIC, (9) GOOD SAMARITAN HEALTH CENTER OF PICKENS, (10) UNITED WAY OF CHEROKEE COUNTY, (11) HOMESTRETCH, (12) M.U.S.T. MINISTRIES, (13) UNITED WAY OF FORSYTH COUNTY, (14) NORTH FULTON COMMUNITY CHARITIES, (15) NORTH FULTON SENIOR SERVICES, (16) UNITED WAY OF GREATER ATLANTA, (17) CITY OF SANDY SPRINGS, (18) CHEROKEE COUNTY MANAGER, (19) CHEROKEE COUNTY SCHOOLS, (20) CITY OF CUMMING, (21) CITY OF CANTON, (22) CHEROKEE COUNTY CHAMBER OF COMMERCE, (23) PICKENS CHAMBER OF COMMERCE, AND (24) CUMMING/FORSYTH CHAMBER OF COMMERCE.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 4: THE NORTHSIDE HOSPITAL, INC. SYSTEM COMPRISES THREE HOSPITAL FACILITIES: (1) NORTHSIDE HOSPITAL-ATLANTA, (2) NORTHSIDE HOSPITAL-CHEROKEE AND (3) NORTHSIDE HOSPITAL-FORSYTH. NORTHSIDE UTILIZED SIMILAR RESOURCES, PROCESSES AND PROCEDURES IN CONDUCTING ITS HOSPITAL FACILITIES' CHNAS; ADDITIONALLY, THE CHNAS WERE CONDUCTED SIMULTANEOUSLY.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 6I: NORTHSIDE ADOPTED A CHNA FOR EACH OF ITS HOSPITAL FACILITIES FOR THE FIRST TIME AT THE END OF FISCAL YEAR 2013. IN FISCAL YEAR 2014, NORTHSIDE PROCURED AN ONLINE SOFTWARE SYSTEM (I.E. CBISAPLUS) TO SUPPORT THE MONITORING AND TRACKING OF EACH HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES. BY FISCAL YEAR'S END, THIRTY-FIVE "REPORTERS" FROM ACROSS THE ORGANIZATION WERE IDENTIFIED AND TRAINED ON HOW TO ENTER COMMUNITY BENEFIT OCCURENCES IN CBISAPLUS. EACH NORTHSIDE HOSPITAL IDENTIFIED NEARLY FORTY COMMUNITY BENEFIT PROGRAMS OCCURRING IN THEIR RESPECTIVE COMMUNITIES; THE MAJORITY OF WHICH WERE PROGRAMS COMPLEMENTING EACH HOSPITAL'S IMPLEMENTATION STRATEGY.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 7: AS SET FORTH IN EACH HOSPITAL FACILITY'S CHNA, NORTHSIDE IS UNABLE TO ADDRESS EACH HOSPITAL FACILITY'S IDENTIFIED COMMUNITY NEEDS DUE TO AVAILABILITY OF RESOURCES, MAGNITUDE/SEVERITY OF THE ISSUES IDENTIFIED, AND EXISTING RESOURCES ALREADY AVAILABLE TO MEET SUCH NEEDS. THE NEEDS THAT WILL NOT BE ADDRESSED DIRECTLY FOR EACH NORTHSIDE HOSPITAL FACILITY ARE AS FOLLOWS: -NORTHSIDE HOSPITAL-ATLANTA:(1) OBESITY, (2) AFFORDABLE CARE, (3) SPECIALTY CARE, (4) PRIMARY CARE, (5) MENTAL HEALTH, AND (6) TRANSPORTATION. -NORTHSIDE HOSPITAL-CHEROKEE:(1) AFFORDABLE CARE, (2) MATERNAL AND INFANT HEALTH, (3) SPECIALTY CARE, (4) OBESITY, (5) MENTAL HEALTH, AND (6) TRANSPORTATION. -NORTHSIDE HOSPITAL-FORSYTH:(1) OBESITY, (2) AFFORDABLE CARE, (3) SPECIALTY CARE, (4) HEALTHY LIFESTYLE BEHAVIORS, (5) MENTAL HEALTH, AND (6) TRANSPORTATION. A DETAILED ANALYSIS OF WHY EACH OF THESE NEEDS WILL NOT BE ADDRESSED IS INCLUDED IN THE HOSPITAL FACILITIES' CHNAS.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 10: IN ADDITION TO THE FPG THRESHOLDS, NORTHSIDE'S POLICY ALLOWS FOR MEDICAL INDIGENCY AS WELL AS AN ASSET TEST FOR ADDITIONAL OPPORTUNITY TO QUALIFY FOR CHARITY. AN APPLICATION IS COMPLETED BY THE PATIENT AND/OR A SCORING METHODOLOGY IS GATHERED FROM A THIRD PARTY USING IT'S PROPRIETORY SOURCE TO DETERMINE PROPENSITY TO PAY. THESE TOOLS ARE USED TO DETERMINE SOMEONE'S QUALIFICATIONS FOR A CHARITY DISCOUNT OR FREE CARE IN ADDITION TO THE FPG THRESHOLDS STATED ABOVE.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 11: IN ADDITION TO THE FPG THRESHOLDS, NORTHSIDE ALSO USES ASSETS, DEBT RATIO AND OTHER MEDICAL DEBT, ALONG WITH PROPENSITY TO PAY SCORING TO DETERMINE FINANCIAL ASSISTANCE.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 12I: NORTHSIDE ALSO USES A PROPENSITY TO PAY SCORE AFTER A PERIOD OF COLLECTION EFFORTS ARE EXHAUSTED.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 14G: NOTIFICATION OF THE POLICY WAS PROVIDED IN ALL INSTANCES A) THROUGH G) AND THE POLICY AVAILABLE UPON REQUEST.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 16E: DEPENDING ON THE TIMING OF THE APPLICATION, PRE APPROVALS RECEIVE NO BILLS, MOST OFTEN APPLY AFTER AN INVOICE IS RECEIVED REQUESTING PAYMENT. THE INITIAL INVOICE AND ALL SUBSEQUENT INVOICES NOTIFY THE PATIENT OF OUR FINANCIAL ASSISTANCE POLICY AND AVAILABLE CHARITY.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 18E: IN ADDITION, NORTHSIDE PUBLISHES THE FINANCIAL ASSISTANCE POLICY ON THEIR WEBSITE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?60
Name and address Type of Facility (describe)
1 GEORGIA CANCER SPECIALISTS
308 COLISEUM DRIVE SUITE 120
MACON,GA31217
PHYSICIAN SERVICES
2 ATLANTA GASTROENTEROLOGY ASSOCIATES (3 L
980 JOHNSON FERRY ROAD SUITE 820
ALTANTA,GA30342
OUTPATIENT CENTER
3 GEORGIA CANCER SPECIALISTS
624 MARTIN LUTHER KING JR DRIVE
MILLEDGEVILLE,GA31061
PHYSICIAN SERVICES
4 GEORGIA CANCER SPECIALISTS
308 DEEP SOUTH FARM ROAD SUITE 200
BLAIRSVILLE,GA30512
PHYSICIAN SERVICES
5 GEORGIA CANCER SPECIALISTS
125 KING AVENUE SUITE 200
ATHENS,GA30606
PHYSICIAN SERVICES
6 GEORGIA CANCER SPECIALISTS
747 S 8TH STREET SUITE C
GRIFFIN,GA30224
PHYSICIAN SERVICES
7 GEORGIA CANCER SPECIALISTS
101 RIVERSTONE VISTA SUITE 102
BLUE RIDGE,GA30513
PHYSICIAN SERVICES
8 GEORGIA CANCER SPECIALISTS
214 PERRY HIGHWAY
HAWKINSVILLE,GA31036
PHYSICIAN SERVICES
9 GEORGIA CANCER SPECIALISTS
1000 COWLES CLINIC WAY - MAGNOLIA
BUILDI
GREENSBORO,GA30642
PHYSICIAN SERVICES
10 LAUREATE MEDICAL GROUP (4 LOCATIONS)
550 PEACHTREE STREET NE SUITE 1550
ATLANTA,GA30308
OUTPATIENT CENTER
11 MARIETTA PATHOLOGY LAB
488 KENNESAW AVENUE SUITES 150 AND
200
MARIETTA,GA30060
OUTPATIENT CENTER
12 MEDICAL ASSOCIATES OF NORTH GEORGIA (2 L
320 HOSPITAL ROAD CANTON
CANTON,GA30014
OUTPATIENT CENTER
13 NORTHSIDE VASCULAR PRACTICE
1400 NORTHSIDE FORSYTH DRIVE SUITE
270
CUMMING,GA30041
OUTPATIENT CENTER
14 CARDIOVASCULAR PHYSICIANS OF NORTH ATLAN
1285 UPPER HEMBREE ROAD
ROSWELL,GA30076
OUTPATIENT CENTER
15 PRIMARY CARE PHYSICIANS OF ATLANTA
5670 PEACHTREE DUNWOODY ROAD SUITE
1230
ATLANTA,GA30342
PHYSICIAN SERVICES
16 GEORGIA COLON & RECTAL SURGEONS (7 LOCAT
5445 MERIDIAN MARK SUITE 180
ATLANTA,GA30342
OUTPATIENT CENTER
17 CUMMING FAMILY MEDICINE (4 LOCATIONS)
765 LANIER 400 PARKWAY
CUMMING,GA30040
PHYSICIAN SERVICES
18 NORTHSIDE CARDIOLOGY (2 LOCATIONS)
5670 PEACHTREE DUNWOODY ROAD SUITE
880
ATLANTA,GA30342
PHYSICIAN SERVICES
19 ENT OF GEORGIA (8 LOCATIONS)
3400-C OLD MILTON PKWY SUITE 365
ALPHARETTA,GA30005
AMBULATORY SURGERY
20 GWINNETT ADVANCED SURGERY CENTER LLC
2131 FOUNTAIN DRIVE
SNELLVILLE,GA30078
AMBULATORY SURGERY
21 ATLANTA ADVANCED SURGERY CENTER LLC
5505 PEACHTREE-DUNWOODY ROAD SUITE
150
ATLANTA,GA30342
AMBULATORY SURGERY
22 ATLANTA INSTITUTE OF ENT (2 LOCATIONS)
5670 PEACHTREE DUNWOODY ROAD SUITE
1280
ATLANTA,GA30342
OUTPATIENT CENTER
23 SPECIALTY CENTER OF JOHNS CREEK
3350 PADDOCKS PARKWAY
SUWANEE,GA30024
PHYSICIAN SERVICES
24 PULMONARY AND CRITICAL CARE OF ATLANTA
5505 PEACHTREE DUNWOODY RD SUITE
370
ATLANTA,GA30342
OUTPATIENT CENTER
25 UNIVERSITY GYNECOLOGIC ONCOLOGY
960 JOHNSON FERRY ROAD SUITE 130
ATLANTA,GA30342
PHYSICIAN SERVICES
26 GEORGIA GYNECOLOGIC ONCOLOGY (2 LOCATION
980 JOHNSON FERRY ROAD SUITE 910
ATLANTA,GA30342
PHYSICIAN SERVICES
27 UROLOGY OF GREATER ATLANTA
290 COUNTRY CLUB DRIVE SUITE 100
STOCKBRIDGE,GA30281
OUTPATIENT CENTER
28 MOUNT VERNON INTERNAL MEDICINE
755 MT VERNON HIGHWAY NE SUITE 400
SANDY SPRINGS,GA30328
OUTPATIENT CENTER
29 ATLANTA CARDIAC & THORACIC SURGICAL ASSO
960 JOHNSON FERRY ROAD SUITE 100
ATLANTA,GA30342
PHYSICIAN SERVICES
30 NORTH POINT PULMONARY ASSOCIATES
1357 HEMBREE RD STE 100
ROSWELL,GA30076
PHYSICIAN SERVICES
31 NORTHSIDE CHEROKEE PEDIATRICS
684 SIXES ROAD SUITE 220
HOLLY SPRINGS,GA30142
PHYSICIAN SERVICES
32 TOWNE LAKE PRIMARY CARE
900 TOWNE LAKE PKWY SUITE 410
WOODSTOCK,GA30189
PHYSICIAN SERVICES
33 ROSWELL INTERNAL MEDICINE SPECIALISTS
11785 NORTHFALL LANE SUITE 505
ALPHARETTA,GA30004
PHYSICIAN SERVICES
34 NORTH ATLANTA ENT
1400 NORTHSIDE FORSYTH DRIVE SUITE
240
CUMMING,GA30041
OUTPATIENT CENTER
35 GEORGIA PULMONARY AND CRITICAL CARE CONS
1505 NORTHSIDE BLVD SUITE 3000
CUMMING,GA30041
OUTPATIENT CENTER
36 NORTHSIDE CHEROKEE CARDIOLOGY (2 LOCATIO
210 OAKSIDE LANE SUITE 210-B
CANTON,GA30114
PHYSICIAN SERVICES
37 NORTH ATLANTA PULMONARY AND SLEEP
5667 PEACHTREE DUNWOODY ROAD SUITE
250
ATLANTA,GA30342
OUTPATIENT CENTER
38 ATLANTA CLINICAL CARE - INFUSION CENTER
5673 PEACHTREE DUNWOODY ROAD SUITE
330
ATLANTA,GA30342
PHYSICIAN SERVICES
39 RAVRY MEDICAL GROUP
5505 PEACHTREE DUNWOODY RD STE 650
ATLANTA,GA30342
PHYSICIAN SERVICES
40 NORTH GEORGIA DIABETES AND ENDOCRINOLOGY
1505 NORTHSIDE BOULEVARD SUITE 2800
CUMMING,GA30041
PHYSICIAN SERVICES
41 WINDERMERE MEDICAL CLINIC
WINDERMERE PARKWAY SUITE 105
CUMMING,GA30041
OUTPATIENT CENTER
42 NORTHSIDE HOSPITAL CARDIOVASCULAR CARE
980 JOHNSON FERRY ROAD SUITE 250
ATLANTA,GA30342
PHYSICIAN SERVICES
43 ATLANTA GYNECOLOGIC ONCOLOGY AT NORTHSID
980 JOHNSON FERRY ROAD SUITE 1080
ATLANTA,GA30342
PHYSICIAN SERVICES
44 NORTHSIDE CHEROKEE ORTHOPEDICS AND SPORT
684 SIXES ROAD SUITE 230
HOLLY SPRINGS,GA30142
OUTPATIENT CENTER
45 GOYCO INTERNAL MEDICINE
900 SANDERS RD SUITE B
CUMMING,GA30041
PHYSICIAN SERVICES
46 MELANOMA SPECIALISTS OF GEORGIA
980 JOHNSON FERRY ROAD SUITE 940A
ATLANTA,GA30342
OUTPATIENT CENTER
47 INTERNAL MEDICINE PRACTICE OF NORTHSIDE
10745 WESTSIDE WAY SUITE 125
ALPHARETTA,GA30009
PHYSICIAN SERVICES
48 NORTHSIDE TOTAL JOINT SPECIALISTS
3400 OLD MILTON PARKWAY BUILDING
CSUITE
ALPHARETTA,GA30005
OUTPATIENT CENTER
49 CAPITAL CITY ORTHOPEDICS AND SPORTS MEDI
5555 PEACHTREE DUNWOODY ROAD
NESUITE 101
ATLANTA,GA30342
OUTPATIENT CENTER
50 NORTHSIDE CHEROKEE NEUROLOGY
145 RIVERSTONE TERRACE SUITE 102
CANTON,GA30114
PHYSICIAN SERVICES
51 NORTHSIDE CHEROKEE SURGICAL ASSOCIATES
900 TOWNE LAKE PKWY SUITE 412
WOODSTOCK,GA30189
PHYSICIAN SERVICES
52 ANDERSON FAMILY MEDICINE
400 DAWSON COMMONS CIRCLE STE 410
DAWSONVILLE,GA30534
PHYSICIAN SERVICES
53 UROLOGY SURGICAL PARTNERS
5673 PEACHTREE DUNWOODY ROAD SUITE
900
ATLANTA,GA30342
AMBULATORY SURGERY
54 NORTHSIDE RHEUMATOLOGY
1265 UPPER HEMBREE ROAD
ROSWELL,GA30076
OUTPATIENT CENTER
55 ATLANTA ORTHOPEDIC SPECIALISTS
3400 C OLD MILTON PARKWAY SUITE 415
ALPHARETTA,GA30005
OUTPATIENT CENTER
56 GLENRIDGE NORTHSIDE GYNECOLOGY
5445 MERIDIAN MARK SUITE 120
ATLANTA,GA30342
PHYSICIAN SERVICES
57 DUNWOODY OUTPATIENT SURGERY CENTER
4553 NORTH SHALLOWFORD ROAD STE 60C
ATLANTA,GA30342
OUTPATIENT CENTER
58 INTERNAL MEDICINE ASSOCIATES OF JOHN'S C
3340 AND 3350 PADDOCK PARKWAY
SUWANEE,GA30024
OUTPATIENT CENTER
59 UROLOGY SPECIALISTS OF ATLANTA
5673 PEACHTREE DUNWOODY ROAD SUITE
910
ATLANTA,GA30342
OUTPATIENT CENTER
60 NORTHSIDE ARTHRITIS CENTER
3400 OLD MILTON PARKWAY BUILDING C
SUIT
ALPHARETTA,GA30005
PHYSICIAN SERVICES
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: NORTHSIDE HOSPITAL, - FACILITY 2: NORTHSIDE HOSPITAL - FORSYTH, - FACILITY 3: NORTHSIDE HOSPITAL - CHEROKEE
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 1J: NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") COMPLETED A CHNA FOR EACH OF ITS HOSPITAL FACILITIES IDENTIFIED IN PART V, SECTION A. IN COMPLETING THE CHNAS FOR ITS HOSPITAL FACILITIES, NORTHSIDE DID NOT ENCOUNTER ANY INFORMATION GAPS THAT LIMITED ITS ABILITY TO ASSESS EACH HOSPITAL FACILITY'S COMMUNITY NEED. IN ADDITION TO THE INFORMATION LISTED ABOVE, NORTHSIDE DESCRIBES IN THE CHNAS EACH COMMUNITY'S ACCESS TO HEALTH CARE AND PROVIDES AN OVERVIEW OF EACH HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 3: NORTHSIDE IDENTIFIED COMMUNITY STAKEHOLDERS WHO BROADLY REPRESENTED THE INTERESTS OF EACH HOSPITAL FACILITY'S COMMUNITY AND SPECIFICALLY SOUGHT TO IDENTIFY STAKEHOLDERS WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH. NORTHSIDE THEN DEVELOPED THE STAKEHOLDER ASSESSMENT DISCUSSION GUIDE (A COPY OF WHICH IS INCLUDED AS APPENDIX A IN EACH HOSPITAL FACILITY'S CHNA) AND CONDUCTED, EITHER IN PERSON OR BY TELEPHONE, INTERVIEWS WITH A QUALIFIED REPRESENTATIVE OF EACH IDENTIFIED STAKEHOLDER. THE FOLLOWING IS A COMPREHENSIVE LIST OF ORGANIZATIONS NORTHSIDE CONTACTED TO HELP IDENTIFY THE NEEDS OF THE HOSPITAL FACILITIES' COMMUNITY NEEDS: (1) MARCH OF DIMES, (2) GOOD SAMARITAN HEALTH CENTER OF ATLANTA, (3) GOOD SAMARITAN HEALTH CENTER OF COBB, (4) VISITING NURSE HEALTH SYSTEM, (5) FORSYTH HEALTH DEPARTMENT, (6) GEORGIA HIGHLANDS MEDICAL SERVICES, (7) GOOD SHEPHERD CLINIC OF DAWSON COUNTY, (8) BETHESDA COMMUNITY CLINIC, (9) GOOD SAMARITAN HEALTH CENTER OF PICKENS, (10) UNITED WAY OF CHEROKEE COUNTY, (11) HOMESTRETCH, (12) M.U.S.T. MINISTRIES, (13) UNITED WAY OF FORSYTH COUNTY, (14) NORTH FULTON COMMUNITY CHARITIES, (15) NORTH FULTON SENIOR SERVICES, (16) UNITED WAY OF GREATER ATLANTA, (17) CITY OF SANDY SPRINGS, (18) CHEROKEE COUNTY MANAGER, (19) CHEROKEE COUNTY SCHOOLS, (20) CITY OF CUMMING, (21) CITY OF CANTON, (22) CHEROKEE COUNTY CHAMBER OF COMMERCE, (23) PICKENS CHAMBER OF COMMERCE, AND (24) CUMMING/FORSYTH CHAMBER OF COMMERCE.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 4: THE NORTHSIDE HOSPITAL, INC. SYSTEM COMPRISES THREE HOSPITAL FACILITIES: (1) NORTHSIDE HOSPITAL-ATLANTA, (2) NORTHSIDE HOSPITAL-CHEROKEE AND (3) NORTHSIDE HOSPITAL-FORSYTH. NORTHSIDE UTILIZED SIMILAR RESOURCES, PROCESSES AND PROCEDURES IN CONDUCTING ITS HOSPITAL FACILITIES' CHNAS; ADDITIONALLY, THE CHNAS WERE CONDUCTED SIMULTANEOUSLY.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 6I: NORTHSIDE ADOPTED A CHNA FOR EACH OF ITS HOSPITAL FACILITIES FOR THE FIRST TIME AT THE END OF FISCAL YEAR 2013. IN FISCAL YEAR 2014, NORTHSIDE PROCURED AN ONLINE SOFTWARE SYSTEM (I.E. CBISAPLUS) TO SUPPORT THE MONITORING AND TRACKING OF EACH HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES. BY FISCAL YEAR'S END, THIRTY-FIVE "REPORTERS" FROM ACROSS THE ORGANIZATION WERE IDENTIFIED AND TRAINED ON HOW TO ENTER COMMUNITY BENEFIT OCCURENCES IN CBISAPLUS. EACH NORTHSIDE HOSPITAL IDENTIFIED NEARLY FORTY COMMUNITY BENEFIT PROGRAMS OCCURRING IN THEIR RESPECTIVE COMMUNITIES; THE MAJORITY OF WHICH WERE PROGRAMS COMPLEMENTING EACH HOSPITAL'S IMPLEMENTATION STRATEGY.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 7: AS SET FORTH IN EACH HOSPITAL FACILITY'S CHNA, NORTHSIDE IS UNABLE TO ADDRESS EACH HOSPITAL FACILITY'S IDENTIFIED COMMUNITY NEEDS DUE TO AVAILABILITY OF RESOURCES, MAGNITUDE/SEVERITY OF THE ISSUES IDENTIFIED, AND EXISTING RESOURCES ALREADY AVAILABLE TO MEET SUCH NEEDS. THE NEEDS THAT WILL NOT BE ADDRESSED DIRECTLY FOR EACH NORTHSIDE HOSPITAL FACILITY ARE AS FOLLOWS: -NORTHSIDE HOSPITAL-ATLANTA:(1) OBESITY, (2) AFFORDABLE CARE, (3) SPECIALTY CARE, (4) PRIMARY CARE, (5) MENTAL HEALTH, AND (6) TRANSPORTATION. -NORTHSIDE HOSPITAL-CHEROKEE:(1) AFFORDABLE CARE, (2) MATERNAL AND INFANT HEALTH, (3) SPECIALTY CARE, (4) OBESITY, (5) MENTAL HEALTH, AND (6) TRANSPORTATION. -NORTHSIDE HOSPITAL-FORSYTH:(1) OBESITY, (2) AFFORDABLE CARE, (3) SPECIALTY CARE, (4) HEALTHY LIFESTYLE BEHAVIORS, (5) MENTAL HEALTH, AND (6) TRANSPORTATION. A DETAILED ANALYSIS OF WHY EACH OF THESE NEEDS WILL NOT BE ADDRESSED IS INCLUDED IN THE HOSPITAL FACILITIES' CHNAS.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 10: IN ADDITION TO THE FPG THRESHOLDS, NORTHSIDE'S POLICY ALLOWS FOR MEDICAL INDIGENCY AS WELL AS AN ASSET TEST FOR ADDITIONAL OPPORTUNITY TO QUALIFY FOR CHARITY. AN APPLICATION IS COMPLETED BY THE PATIENT AND/OR A SCORING METHODOLOGY IS GATHERED FROM A THIRD PARTY USING IT'S PROPRIETORY SOURCE TO DETERMINE PROPENSITY TO PAY. THESE TOOLS ARE USED TO DETERMINE SOMEONE'S QUALIFICATIONS FOR A CHARITY DISCOUNT OR FREE CARE IN ADDITION TO THE FPG THRESHOLDS STATED ABOVE.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 11: IN ADDITION TO THE FPG THRESHOLDS, NORTHSIDE ALSO USES ASSETS, DEBT RATIO AND OTHER MEDICAL DEBT, ALONG WITH PROPENSITY TO PAY SCORING TO DETERMINE FINANCIAL ASSISTANCE.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 12I: NORTHSIDE ALSO USES A PROPENSITY TO PAY SCORE AFTER A PERIOD OF COLLECTION EFFORTS ARE EXHAUSTED.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 14G: NOTIFICATION OF THE POLICY WAS PROVIDED IN ALL INSTANCES A) THROUGH G) AND THE POLICY AVAILABLE UPON REQUEST.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 16E: DEPENDING ON THE TIMING OF THE APPLICATION, PRE APPROVALS RECEIVE NO BILLS, MOST OFTEN APPLY AFTER AN INVOICE IS RECEIVED REQUESTING PAYMENT. THE INITIAL INVOICE AND ALL SUBSEQUENT INVOICES NOTIFY THE PATIENT OF OUR FINANCIAL ASSISTANCE POLICY AND AVAILABLE CHARITY.
FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 18E: IN ADDITION, NORTHSIDE PUBLISHES THE FINANCIAL ASSISTANCE POLICY ON THEIR WEBSITE.
Schedule H (Form 990) 2013
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
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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. Part II can be duplicated if additional space is needed.
(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) WELLNESS COMMUNITY
5775 PEACHTREE DUNWOODY RD
ATLANTA,GA30342
58-2142151 501(C)(3) 580,764       GENERAL SUPPORT
(2) MARCH OF DIMES
1275 MAMORONECK AVE
WHITE PLAINS,NY10605
13-1846366 501(C)(3) 195,000       GENERAL SUPPORT
(3) AMERICAN HEART ASSOCIATION
1101 NORTHCHASE PKWY STE 1
MARIETTA,GA30067
13-5613797 501(C)(3) 140,000       GENERAL SUPPORT
(4) SOUTHEASTERN SOCIETY OF PLASTIC AND RECONSTRUCTIVE SURGEONS
12100 SUNSET HILLS RD STE 130
RESTON,VA20190
58-1431500 501(C)(6) 40,000       GENERAL SUPPORT
(5) CUMMING FORSYTH COUNTY CHAMBER OF COMMERCE
212 KELLY MILL RD
CUMMING,GA30040
58-1048245 501(C)(6) 87,500       GENERAL SUPPORT
(6) OVARIAN CANCER INSTITUTE
960 JOHNSON FERRY RD STE 130
ATLANTA,GA30342
58-2445245 501(C)(3) 125,000       GENERAL SUPPORT
(7) GREATER NORTH FULTON CHAMBER OF COMMERCE
11605 HAYNES BRIDGE RD
ALPHARETTA,GA30004
58-1157316 501(C)(6) 45,000       GENERAL SUPPORT
(8) VISITING NURSE HOSPICE ATLANTA
5775 GLENRIDGE DR NE
ATLANTA,GA30328
58-0566250 501(C)(3) 50,000       GENERAL SUPPORT
(9) AMERICAN CANCER SOCIETY
PO BOX 56566
ATLANTA,GA30343
13-1788491 501(C)(3) 37,500       GENERAL SUPPORT
(10) COBB CHAMBER OF COMMERCE
PO BOX 671868
MARIETTA,GA30006
58-0198114 501(C)(6) 64,500       GENERAL SUPPORT
(11) GEORGIA CENTER OF ONCOLOGY RESEARCH AND EDUCATION
50 HURT PLAZA
ATLANTA,GA30303
57-1159979 501(C)(3) 29,950       GENERAL SUPPORT
(12) MOREHOUSE SCHOOL OF MEDICINE
720 WESTVIEW DR SW
ATLANTA,GA30310
58-1438873 501(C)(3) 100,000       GENERAL SUPPORT
(13) PARTNERS FOR CARE INC
2001 BRECKINRIDGE LANE
ALPHARETTA,GA30005
26-2931776   34,500       GENERAL SUPPORT
(14) GEORGIA OVARIAN CANCER ALLIANCE
6065 ROSWELL ROAD SUITE 512
ATLANTA,GA30328
58-2424106 501(C)(3) 30,000       GENERAL SUPPORT
(15) THE LANDON GROUP INC
301 HERITAGE WALK SUITE 105
WOODSTOCK,GA30188
58-2210159   38,168       ROAD CONSTRUCTION (SEE ADDITIONAL DETAIL PROVIDED IN PART IV)
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
10
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
6
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
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.
Part III can be duplicated 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 11 40,011      












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
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, PART II, COLUMN 1H, DESCRIPTION OF ROAD CONSTRUCTION DURING 2013, NORTHSIDE HOSPITAL MADE PAYMENTS TO CONSTRUCTION VENDORS ON BEHALF OF CHEROKEE COUNTY, AS WELL AS DIRECTLY TO CHEROKEE COUNTY, TOWARD THE CONSTRUCTION OF TWO ROADS FOR THE BENEFIT OF THE COMMUNITY OF CHEROKEE COUNTY IN RELATION TO THE RELOCATION OF NORTHSIDE CHEROKEE HOSPITAL. SUCH PAYMENTS ARE PURSUANT TO AN AGREEMENT BY AND AMONG NORTHSIDE HOSPITAL, CHEROKEE COUNTY AND THE GEORGIA DEPARTMENT OF TRANSPORTATION, IN WHICH EACH PARTY AGREED TO PAY AND/OR REIMBURSE A PORTION OF THE COST TO COMPLETE THE TWO ROADS.
Schedule I (Form 990) 2013


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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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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 Regulations 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)ROBERT T QUATTROCCHIPRESIDENT & CEO NSH, INC. (i)
(ii)
1,400,104
0
1,375,000
0
2,517,574
0
0
0
7,499
0
5,300,177
0
0
0
(2)DEBORAH S MITCHAMVP/CFO NSH, INC. (i)
(ii)
503,674
0
150,001
0
6,283
0
0
0
6,494
0
666,452
0
0
0
(3)JORGE J HERNANDEZVICE PRESIDENT/ASST. SECRE (i)
(ii)
338,273
0
144,500
0
4,861
0
0
0
1,165
0
488,799
0
0
0
(4)TINA WAKIMVICE PRESIDENT (i)
(ii)
553,313
0
191,102
0
12,411
0
0
0
6,753
0
763,579
0
0
0
(5)ROBERT PUTNAMVICE PRESIDENT (i)
(ii)
507,235
0
141,226
0
19,148
0
0
0
6,096
0
673,705
0
0
0
(6)SUSAN SOMMERSVICE PRESIDENT (i)
(ii)
368,405
0
91,923
0
7,997
0
0
0
8,596
0
476,921
0
0
0
(7)JANIS DUBOWVICE PRESIDENT (i)
(ii)
301,071
0
43,377
0
13,892
0
0
0
3,895
0
362,235
0
0
0
(8)MARY SHEPHERDVICE PRESIDENT (i)
(ii)
267,866
0
63,885
0
5,450
0
0
0
7,499
0
344,700
0
0
0
(9)GERALD FEUER MDGYNECOLOGIST/SURGEON (i)
(ii)
697,526
0
127,353
0
3,093
0
0
0
9,999
0
837,971
0
0
0
(10)AASHISH DESAI MDCARDIOLOGIST (i)
(ii)
615,170
0
110,000
0
567
0
0
0
1,395
0
727,132
0
0
0
(11)AMOL BAPAT MDCARDIOLOGIST (i)
(ii)
609,011
0
110,000
0
630
0
0
0
7,326
0
726,967
0
0
0
(12)STEPHEN SALMIERI MDGYNECOLOGIC ONCOLOGIST (i)
(ii)
817,705
0
30,000
0
1,401
0
0
0
6,057
0
855,163
0
0
0
(13)GUILHERME H CANTUARIA MDGYNECOLOGIC ONCOLOGIST (i)
(ii)
666,603
0
86,991
0
720
0
0
0
7,499
0
761,813
0
0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
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 MR. QUATTROCCHI HAS LED THE ORGANIZATION FOR MORE THAN ELEVEN YEARS AS CEO AND FOR SIXTEEN YEARS AS A SENIOR EXECUTIVE PRIOR TO BECOMING CEO. AS A RESULT OF HIS LEADERSHIP AND LONGEVITY, AND TO ASSIST IN HIS RETENTION, NORTHSIDE'S BOARD OF DIRECTORS HAS PROVIDED THE CEO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AGREEMENT WHICH IS DESIGNED TO PROVIDE HIM RETIREMENT INCOME OVER HIS LIFE IN RETIREMENT. THE SERP PAYMENTS ARE BASED ON A MATHEMATICAL FORMULA, PURSUANT TO A SIGNED CONTRACT, AND ARE REVIEWED AND ASSESSED FOR REASONABLENESS BY AN OUTSIDE CONSULTANT AND THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND ULTIMATELY BY THE FULL BOARD BEFORE PAYMENT IS MADE. THE SERP VESTS AND DISBURSES INCREMENTAL FUNDING PAYOUTS EACH TWO OR THREE YEARS. CALENDAR YEAR 2013 WAS SUCH A YEAR. NORTHSIDE DOES NOT CONSIDER THE SERP PAYMENT TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. THE CEO IS ELIGIBLE FOR AN ANNUAL INCENTIVE WHICH INCLUDES VARIOUS MEASUREMENTS FOR ACHIEVEMENTS OF QUALITY, OPERATIONAL, STRATEGIC, AND FINANCIAL TARGETS. THE COMPENSATION COMMITTEE DETERMINES THE INCENTIVE PLAN AND APPROVES THE PAYMENTS/CALCULATIONS IN ACCORDANCE WITH THE PLAN ANNUALLY.
Schedule J (Form 990) 2013

Additional Data


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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 Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 360053GW6 12-12-2011 51,910,000 PROVIDE FUNDS TO REFUND A PRIOR ISSUE - 2/16/2003; 2/2/1994   X   X   X
B HOSPITAL AUTHORITY OF FULTON COUNTY
 
58-1033907 360053GX4 12-12-2011 16,260,000 PROVIDE FUNDS TO REFUND A PRIOR ISSUE - 2/16/2003   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . .        
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 51,910,000 16,260,000    
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 325,322 101,902    
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 51,584,678 16,158,098    
11 Other spent proceeds . . . . . . . . . . . . . .        
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2011 2011
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
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 of bond-financed property? . . . . . . . . . . . .   X   X        
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X        
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
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 Does the bond issue meet the private security or payment test? . . . . .   X   X        
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X        
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . . X   X          
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .                
b Exception to rebate? . . . . . . . .                
c No rebate due? . . . . . . . .                
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X X          
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X X          
b Name of provider . . . . . . . . . WELLS FARGO BANK
 
WELLS FARGO BANK
 
 
 
 
 
c Term of hedge . . . . . . . . . . 4.750000000000 4.750000000000    
d Was the hedge superintegrated? . . . .   X   X        
e Was the hedge terminated? . . . . . .   X   X        
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (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? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X        
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X        
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X        
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART III, LINE 9 SECTION 7.2 OF THE TAX CERTIFICATE SPECIFIES NORTHSIDE'S CONTINUING COMPLIANCE PROCEDURES WITH RESPECT TO IRC SEC. 148. INASMUCH AS THIS WAS A CURRENT REFUNDING WITH NO PLEDGED FUNDS AND NO UNSPENT PROJECT FUND PROCEEDS TO WHICH A TEMPORARY PERIOD WOULD APPLY RELATING TO RATE OF EXPENDITURE OR THE INTEREST RATE ON INTERIM INVESTMENTS, THOSE PROCEDURES ARE DIRECTED AT COMPLIANCE WITH IRC SEC. 148(F), IN PARTICULAR, RELATING TO CALCULATION AND PAYMENT OF ANY ARBITRAGE REBATE.
Schedule K (Form 990) 2013

Additional Data


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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, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
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 & ATLANTA PERINATAL CONS. PARTNER 2,439,115 LAWRENCE STONE, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, IS A PARTNER IN ATLANTA PERINATAL CONSULTANTS, WHICH PROVIDES MEDICAL SERVICES TO NORTHSIDE HOSPITAL, INC. TRANSACTIONS ARE CONDUCTED AT ARMS-LENGTH.   No
(2) NORTHSIDE ANESTHESIOLOGY CONSULTANTS LLC
 
DOUGLAS SMITH, M.D., NSH BOARD MEMBER & NS ANESTHESIOLOGY CONS. OFF./OWNER 4,134,180 DOUGLAS SMITH, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, IS AN OFFICER/OWNER OF NORTHSIDE ANESTHESIOLOGY CONSULTANTS, LLC, WHICH PROVIDES MEDICAL SERVICES TO NORTHSIDE HOSPITAL, INC. TRANSACTIONS WITH THIS ENTITY ARE CONDUCTED AT ARMS-LENGTH AND ARE REPRESENTATIVE OF PAYMENTS FOR PROVISION OF ON-CALL PHYSICIAN SERVICES TO THE COMMUNITY WHICH NSH SERVES.   No
(3) J BRYAN WHITLEY ROBERT E. WHITLEY, NSH BOARD MEMBER & J. BRYAN WHITLEY FAMILY 84,902 ROBERT E. WHITLEY, MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH J. BRYAN WHITLEY, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC.   No
(4) MEDLOCK MEDICAL LLC
 
DALE M.BEARMAN, M.D., NSH BOARD MEMBER & MEDLOCK MEDICAL, LLC OWNER 380,777 DALE M. BEARMAN, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A GREATER THAN 5% OWNERSHIP INTEREST IN MEDLOCK MEDICAL, LLC, WHICH PROVIDES RENTAL SPACE TO NORTHSIDE HOSPITAL, INC. TRANSACTIONS WITH THIS ENTITY ARE CONDUCTED AT ARMS-LENGTH.   No
(5) RACHEL BEARMAN DALE BEARMAN, NSH BOARD MEMBER & RACHEL BEARMAN FAMILY 74,781 DALE BEARMAN, MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH RACHEL BEARMAN, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC.   No
(6) JENNIFER WHITLEY ROBERT E. WHITLEY, NSH BOARD MEMBER & JENNIFER WHITLEY FAMILY 33,943 ROBERT E. WHITLEY, MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH JENNIFER WHITLEY, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC.   No
(7) WILLIAM HASTY JR WILLIAM HASTY, JR., NSH BOARD MEMBER 4,021,062 WILLIAM HASTY, JR., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, SOLD PROPERTY TO NORTHSIDE DURING THE YEAR. THE ONE TIME TRANSACTION WAS CONDUCTED AT ARMS-LENGTH, INCLUDING AN INDEPENDENT APPRAISAL AND ALL RELEVANT FACTS WERE DISCLOSED TO THE BOARD THROUGH WHICH INDEPENDENT MEMBERS APPROVED.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
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.
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. OUR CONFLICT OF INTEREST POLICY IS MADE AVAILABLE ON OUR INTRANET TO NORTHSIDE EMPLOYEES, HOWEVER, NEITHER OUR AUDITED FINANCIAL STATEMENTS NOR OUR CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC. WHEN AND IF APPROPRIATE REQUESTS ARE MADE BY THE PUBLIC, WE EVALUATE DISCLOSURE ON A CASE BY CASE BASIS.
FORM 990, PART VI, LINE 16B IN LIEU OF ADOPTING A WRITTEN POLICY CONCERNING JOINT VENTURE ARRANGEMENTS, THE ORGANIZATION REQUIRES AND UNDERTAKES A RIGOROUS CASE-BY-CASE EVALUATION OF ITS PARTICIPATION IN ANY PROPOSED JOINT VENTURE ARRANGEMENT UNDER APPLICABLE TAX AND OTHER LAWS AND REGULATIONS. EACH PROPOSED JOINT VENTURE WITH A TAXABLE ENTITY IS REVIEWED UNDER APPLICABLE TAX LAWS, REGULATIONS, AND GUIDELINES BY OUTSIDE LEGAL COUNSEL AND ORGANIZATION PERSONNEL TO CONFIRM THAT THE JOINT VENTURE WOULD BE FORMED, OPERATED AND MANAGED IN A MANNER THAT FURTHERS THE COMMUNITY BENEFIT AND CHARITABLE PURPOSES OF THE ORGANIZATION. JOINT VENTURES WITH TAXABLE ENTITIES ARE REQUIRED TO BE STRUCTURED, INCLUDING THROUGH FINANCIAL AND GOVERNANCE PROVISIONS AND RESERVED POWERS, IN A MANNER TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS AND ENSURE THAT THE ORGANIZATION CONTROLS ALL ASPECTS OF THE JOINT VENTURE RELATED TO ITS EXEMPT PURPOSE.
FORM 990, PART VII, SECTION A: IN FISCAL YEAR 2014, THERE WERE ONLY ELEVEN BOARD MEMBERS AT ANY GIVEN POINT DURING THE YEAR; HOWEVER, TWELVE BOARD MEMBERS ARE LISTED ON PART VII AS A RESULT OF WAYNE AMBROZE, M.D. REPLACING LAWRENCE B. STONE, M.D. DURING THE YEAR.
FORM 990, PART VII, SECTION B: TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED PRODUCTIVITY WITH AGA, LLC TO INSURE GASTROENTEROLOGY ("GI") SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. AS SUCH, THIS ARRANGEMENT ALLOWS NORTHSIDE TO ESTABLISH CENTERS OF EXCELLENCE IN GI SERVICES, ESPECIALLY RELATED TO ENDOSCOPIC ULTRASOUND AND ENDOSCOPIC RETROGRADE CLOANGIOPANCREATOGRAPHY. GI SERVICES ALSO HAVE A SIGNIFICANT TIE-IN TO ONCOLOGY SERVICES FOR WHICH NORTHSIDE IS A LEADER IN THE ATLANTA SERVICE AREA IN TERMS OF DIAGNOSIS AND TREATMENT. AGA, LLC HAS A LARGE COMPLEMENT OF CLINICIANS THAT PROVIDE GI SERVICES INCLUDING GI ONCOLOGY. IN ACCORDANCE WITH THE PSA, AGA, LLC REMAINS A PRIVATELY-HELD ORGANIZATION WITHOUT OWNERSHIP BY NORTHSIDE. AGA, LLC MAINTAINS RESPONSIBILITY FOR ALL EXPENSES TYPICALLY FOUND IN A GI CLINICIANS PRACTICE (E.G., STAFF, BILLING, MEDICAL SUPPLIES, MEDICAL RECORDS, OCCUPANCY, MALPRACTICE INSURANCE, ETC.). UNDER THE PSA, NORTHSIDE PAYS AGA A FAIR MARKET VALUE RATE BASED ON PERSONALLY PERFORMED WRVUS. AGA, LLC PROVIDES APPROXIMATELY 29 CLINICIANS TO INSURE GI SERVICES AT NORTHSIDE'S FACILITIES. THE COMPENSATION REFLECTED ON FORM 990, PART VII, SECTION B, COLUMN (C), REPRESENTS PROFESSIONAL SERVICES UNDER THE PSA TO INCLUDE RELATED COMPENSATION AND BENEFITS. TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED PRODUCTIVITY WITH GEORGIA CANCER SPECIALISTS I, P.C. ("GCS") TO INSURE ONCOLOGY AND HEMATOLOGY SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. NORTHSIDE HAS PROVIDED A BROAD RANGE OF CANCER CARE SERVICES THROUGH ITS CANCER CARE PROGRAM AT THE NORTHSIDE HOSPITAL CANCER INSTITUTE ("NHCI"). THE NHCI, WHICH IS RECOGNIZED NATIONALLY AS A LEADER IN ONCOLOGY DIAGNOSIS, TREATMENT AND RESEARCH, OFFERS CLINICAL EXCELLENCE ON PAR WITH ACADEMIC-BASED PROGRAMS ALONG WITH THE PERSONALIZED AND ATTENTIVE CARE TYPICALLY ASSOCIATED WITH A COMMUNITY HOSPITAL. NORTHSIDE HAS COMMITTED TO BECOMING A REGIONAL AND NATIONAL LEADER THAT REDEFINES CANCER CARE, WHICH IN PART REQUIRES THE EXPANSION OF ITS GEOGRAPHIC FOOTPRINT THROUGH DEVELOPMENT OF AN AFFILIATION WITH ADDITIONAL LOCATIONS, AS WELL AS HAVING AN INTEGRATED CANCER CARE PROGRAM THAT FACILITATES COLLABORATION BETWEEN NORTHSIDE AND CLINICIANS SPECIALIZING IN ONCOLOGY SERVICES. GCS HAS A LARGE COMPLEMENT OF CLINICIANS TO ASSIST NORTHSIDE IN DEVELOPING AN OUTPATIENT ONCOLOGY SERVICES PROGRAM, SPECIALIZING IN MEDICAL ONCOLOGY AND HEMATOLOGY AND THE PROVISION OF INFUSION THERAPY SERVICES AND MEDICAL AND CLINICAL RESEARCH SERVICES. IN ACCORDANCE WITH THE PSA, GCS REMAINS A PRIVATELY-HELD ORGANIZATION WITHOUT OWNERSHIP BY NORTHSIDE. GCS MAINTAINS RESPONSIBILITY FOR PROVIDING ALL ADMINISTRATIVE OPERATIONS OF THE PRACTICE (E.G., STAFF BENEFITS, MALPRACTICE INSURANCE, ETC.). NORTHSIDE MAKES PAYMENTS TO GCS AT FAIR MARKET RATES FOR 1) PERSONALLY PERFORMED PROFESSIONAL SERVICES 2) MANAGEMENT OVERSIGHT RESPONSIBILITIES AND 3) BILLING ARRANGEMENTS. GCS EMPLOYS APPROXIMATELY 74 CLINICIANS AND 115 STAFF TO MAINTAIN ONCOLOGY, HEMATOLOGY, MANAGEMENT AND BILLING SERVICES AT NORTHSIDE'S FACILITIES. TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED PRODUCTIVITY WITH ATLANTA CANCER CARE ("ACC") TO INSURE ONCOLOGY AND HEMATOLOGY SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. NORTHSIDE HAS PROVIDED A BROAD RANGE OF CANCER CARE SERVICES THROUGH ITS CANCER CARE PROGRAM AT THE NORTHSIDE HOSPITAL CANCER INSTITUTE ("NHCI"). THE NHCI, WHICH IS RECOGNIZED NATIONALLY AS A LEADER IN ONCOLOGY DIAGNOSIS, TREATMENT AND RESEARCH, OFFERS CLINICAL EXCELLENCE ON PAR WITH ACADEMIC-BASED PROGRAMS ALONG WITH THE PERSONALIZED AND ATTENTIVE CARE TYPICALLY ASSOCIATED WITH A COMMUNITY HOSPITAL. NORTHSIDE HAS COMMITTED TO BECOMING A REGIONAL AND NATIONAL LEADER THAT REDEFINES CANCER CARE, WHICH IN PART REQUIRES THE EXPANSION OF ITS GEOGRAPHIC FOOTPRINT THROUGH DEVELOPMENT OF AN AFFILIATION WITH ADDITIONAL LOCATIONS, AS WELL AS HAVING AN INTEGRATED CANCER CARE PROGRAM THAT FACILITATES COLLABORATION BETWEEN NORTHSIDE AND CLINICIANS SPECIALIZING IN ONCOLOGY SERVICES. ACC HAS A LARGE COMPLEMENT OF CLINICIANS TO ASSIST NORTHSIDE IN DEVELOPING AN OUTPATIENT ONCOLOGY SERVICES PROGRAM, SPECIALIZING IN MEDICAL ONCOLOGY AND HEMATOLOGY AND THE PROVISION OF INFUSION THERAPY SERVICES AND MEDICAL AND CLINICAL RESEARCH SERVICES. IN ACCORDANCE WITH THE PSA, ACC REMAINS A PRIVATELY-HELD ORGANIZATION WITHOUT OWNERSHIP BY NORTHSIDE. ACC MAINTAINS RESPONSIBILITY FOR PROVIDING ALL ADMINISTRATIVE OPERATIONS OF THE PRACTICE (E.G., STAFF BENEFITS, MALPRACTICE INSURANCE, ETC.). NORTHSIDE MAKES PAYMENTS TO ACC AT FAIR MARKET RATES FOR 1) PERSONALLY PERFORMED PROFESSIONAL SERVICES 2) MANAGEMENT OVERSIGHT RESPONSIBILITIES AND 3) BILLING ARRANGEMENTS. ACC EMPLOYS APPROXIMATELY 29 CLINICIANS AND 57 STAFF TO MAINTAIN ONCOLOGY, HEMATOLOGY, MANAGEMENT AND BILLING SERVICES AT NORTHSIDE'S FACILITIES.
FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 192,371,867. MANAGEMENT AND GENERAL EXPENSES 91,301,535. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 283,673,402.
FORM 990, PART XI, LINE 9: CHANGE IN PENSION: OTHER CHANGES IN NET ASSETS: -10,387,748. INCOME FROM EQUITY METHOD INVESTMENTS: INCOME FROM JOINT VENTURE: -1,509,892. NON-CONTROLLING INTEREST INCOME: EXPENSE ADJUSTMENT: ENT REVENUE/EXPENSES NOT INCLUDED: -778,352.
COMMUNITY BENEFITS REPORT - FISCAL YEAR 2014 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 A REGIONAL LEADER 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 AND 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 BECAUSE NORTHSIDE HOSPITAL INC. IS NOT-FOR-PROFIT AND IS NOT REQUIRED TO RETURN PROFITS TO SHAREHOLDERS LIKE TAXABLE ORGANIZATIONS, WE REINVEST REVENUES, IN EXCESS OF EXPENSES, IN ORDER TO ENHANCE OUR CAPACITY TO DELIVER HIGH-QUALITY HEALTH CARE TO THE COMMUNITIES WE SERVE. 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 US 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 2014 OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014. 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 IN RESPECT 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. IN 2014, NORTHSIDE HOSPITAL PROVIDED APPROXIMATELY $297.1 MILLION IN INDIGENT AND CHARITY CARE. UNCOMPENSATED CARE INCLUDING INDIGENT AND CHARITY CARE AND UNCOLLECTED ACCOUNTS REPRESENTED APPROXIMATELY $375.4 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 380,000 HOUSEHOLDS, WITH AN ADDITIONAL 10,000 WIDELY DISTRIBUTED AT THE HOSPITAL, PHYSICIAN OFFICES AND THROUGHOUT THE COMMUNITY. IT ALSO IS AVAILABLE VIA THE HOSPITAL'S WEBSITE, WWW.NORTHSIDE.COM. THE EDITORIAL STAFF OF TWO DEDICATES APPROXIMATELY 200 HOURS OF WORK PER YEAR. TOTAL COSTS IN 2014 (DESIGN, PRINTING AND DISTRIBUTION) WERE $396,643.63. 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 2014, MOTHERSFIRST REACHED 26,391 PEOPLE, THROUGH 1,227 CLASSES AND 1,323 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. THREE GROUPS MEET EACH WEEK IN DUNWOODY, ALPHARETTA AND CUMMING. TYPICALLY, 5-20 MOMS ATTEND EACH WEEK. EACH GROUP IS FACILITATED BY A CERTIFIED LACTATION CONSULTANT. - THE SPECIAL CARE NURSERY (SCN) SUPPORT GROUP IS FOR PARENTS WHO HAVE BABIES CURRENTLY IN THE SCN. APPROXIMATELY 4-6 FAMILIES ATTENDED THE GROUP EACH WEEK IN 2014. - CARING AND COPING IS A SUPPORT GROUP FOR PARENTS AND GRANDPARENTS WHO HAVE LOST A BABY DUE TO MISCARRIAGE, ECTOPIC PREGNANCY, STILLBIRTH OR NEWBORN DEATH. MEETINGS ARE HELD ONCE A MONTH AND ARE FACILITATED BY TWO STAFF MEMBERS. APPROXIMATELY 20-30 PEOPLE ATTENDED EACH MEETING IN 2014. - RAINBOW PALS (PREGNANCY AFTER LOSS SUPPORT) IS A SOCIAL SUPPORT GROUP FOR PARENTS CONSIDERING OR EXPERIENCING A SUBSEQUENT PREGNANCY FOLLOWING THE LOSS OF A BABY. MEETINGS ARE USUALLY ONCE A MONTH AND ARE FACILITATED BY A H.E.A.R.T.STRINGS STAFF MEMBER, WITH A MEMORIAL EVENT BEING HELD IN OCTOBER. APPROXIMATELY 6-15 PEOPLE ATTENDED EACH MEETING IN 2014. - ANEW IS A SOCIAL SUPPORT GROUP FOR PARENTS, WHO ARE RAISING SURVIVING MULTIPLE(S) FOLLOWING THE LOSS OF ONE OR MORE MULTIPLE(S). THE GROUP MEETS TWICE A MONTH AND IS FACILITATED BY A H.E.A.R.T.STRINGS STAFF MEMBER. A MEMORIAL EVENT IS HELD ONCE PER YEAR. APPROXIMATELY 4-8 PEOPLE ATTENDED EACH MEETING IN 2014. CANCER INSTITUTE IN 2014, THE CANCER INSTITUTE AT NORTHSIDE HOSPITAL CONTINUED ITS COMMITMENT TO THE COMMUNITY THROUGH NUMEROUS OUTREACH ACTIVITIES, EDUCATIONAL PRESENTATIONS AND PARTNERSHIPS, REACHING MORE THAN 53,000 PEOPLE. NORTHSIDE PROVIDED PROSTATE, SKIN, COLORECTAL AND BREAST CANCER SCREENINGS TO 2,666 PEOPLE IN 2014, AN 186 PERCENT INCREASE OVER THE PREVIOUS YEAR. - FOUR FREE PROSTATE CANCER SCREENINGS TOOK PLACE, REACHING 209 PARTICIPANTS. TWENTY-TWO MEN WERE RECOMMENDED FOR MEDICAL FOLLOW UP AS A RESULT OF SUSPICIOUS FINDINGS, ONE DIAGNOSIS OF PROSTATE CANCER. - FOUR FREE SKIN CANCER SCREENINGS WERE HELD, WITH 436 PARTICIPANTS. ONE-HUNDRED SEVENTEEN PEOPLE WERE RECOMMENDED FOR FOLLOW-UP TREATMENT BECAUSE OF ABNORMAL FINDINGS, ONE MELANOMA DIAGNOSIS. - COLORECTAL CANCER SCREENINGS WERE PROVIDED THROUGHOUT THE YEAR. THREE-HUNDRED-EIGHTEEN PEOPLE PARTICIPATED. TWO RECTAL CANCERS, TWO COLON CANCERS AND ONE CARCINOID TUMOR WERE DIAGNOSED AS A RESULT OF THE SCREENINGS. - THROUGH GRANTS FROM SUSAN G. KOMEN FOR THE CURE AND ITS THE JOURNEY, AND OTHER DONATIONS TO THE NORTHSIDE HOSPITAL FOUNDATION, NORTHSIDE WAS ABLE TO BETTER ASSIST UNINSURED WOMEN WITH SCREENING MAMMOGRAPHY AND DIAGNOSTIC SERVICES. MORE THAN 1,700 WOMEN RECEIVED SERVICES. FIFTEEN BREAST CANCERS WERE DETECTED. 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 AND THE IMPORTANCE OF EARLY DETECTION AND UNDERSTANDING RISK FACTORS. SCHOOLS IN COBB, FULTON, GWINNETT, DEKALB AND FORSYTH COUNTIES HAVE ACCEPTED THE PROGRAM AS PART OF THEIR HEALTH CURRICULUM. IN 2014, THE PROGRAM WAS PRESENTED TO 1,078 GIRLS. NORTHSIDE'S TRANSPORTATION ASSISTANCE PROGRAM, CONTINUED THROUGH FUNDING FROM THE COLON CANCER ALLIANCE, PROVIDED TAXI VOUCHERS/GAS GIFT CARDS FOR 80 PATIENTS UNDERGOING COLORECTAL CANCER SCREENINGS AND TREATMENT. ANOTHER 41,000 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, CUMMING AND CANTON. IN 2014, THE ORGANIZATION HAD 7,466 PATIENT VISITS, 5,375 OR 72 PERCENT OF WHO WERE NORTHSIDE HOSPITAL PATIENTS.
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 43 VOLUNTEERS IN 2014, NETWORK OF HOPE VOLUNTEERS CONTRIBUTED APPROXIMATELY 2,376 HOURS OF THEIR TIME AND ASSISTED WITH 930 PATIENT ENCOUNTERS. HEART & VASCULAR INSTITUTE IN MAY, NORTHSIDE HOSPITAL HOSTED THREE FREE COMMUNITY STROKE SCREENINGS IN ATLANTA, HOLLY SPRINGS AND CUMMING. APPROXIMATELY 324 PEOPLE WERE SCREENED FOR STROKE RISK FACTORS. EIGHT INDIVIDUALS WERE REFERRED FOR FOLLOW UP MEDICAL CARE. TWO STROKE SUPPORT GROUPS FOR STROKE SURVIVORS AND THEIR FAMILIES MEET MONTHLY AT NORTHSIDE'S ATLANTA AND ALPHARETTA CAMPUSES. THE GROUPS HOST SPEAKERS AND PROVIDE NETWORKING AND SOCIAL SUPPORT FOR STROKE SURVIVORS AND THEIR FAMILIES. APPROXIMATELY 12-20 PEOPLE ATTENDED THE GROUPS EACH MONTH IN 2014. IN 2014, NORTHSIDE OFFERED FOUR FREE CARDIOVASCULAR SCREENINGS TO THE COMMUNITY TO DETERMINE RISK FOR HEART AND BLOOD VESSEL (CARDIOVASCULAR) DISEASE, OR CVD. THE SCREENINGS INCLUDED A RISK ASSESSMENT, BLOOD PRESSURE READING, TOTAL CHOLESTEROL (HDL, RATIO OF TC/HDL) AND GLUCOSE TESTING, BODY MASS INDEX (BMI) ANALYSIS, AND A ONE-ON-ONE CONSULTATION WITH A HEALTHCARE PROFESSIONAL. A LIMITED NUMBER OF ADVANCED SERVICES - EKG, LEG VEIN AND PERIPHERAL ARTERY DISEASE (PAD) SCREENING, CAROTID AND HEART ULTRASOUND ALSO WERE AVAILABLE. IN ALL, 253 PEOPLE PARTICIPATED INCLUDING 132 ADVANCED SCREENINGS. ONE-HUNDRED-AND-ONE PATIENTS WERE REFERRED FOR FOLLOW-UP. NORTHSIDE HOSPITAL-CHEROKEE OFFERS A FREE DIABETES SUPPORT GROUP FOR ANYONE CURRENTLY AFFECTED BY DIABETES. THOSE NEEDING MORAL SUPPORT, CLINICAL INFORMATION, GUIDANCE OR ADVICE ABOUT LIVING WITH DIABETES ARE ENCOURAGED TO ATTEND. THE GROUP MEETS MONTHLY. IN 2014, THERE WERE 10 ACTIVE MEMBERS. 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 2014, APPROXIMATELY 400 PEOPLE PARTICIPATED IN THESE CLASSES IN ATLANTA AND CUMMING. AT NORTHSIDE HOSPITAL-FORSYTH, 45 PATIENTS ALSO ATTENDED A MONTHLY AMPUTEE SUPPORT GROUP. IN RECOGNITION OF BETTER HEARING AND SPEECH MONTH IN MAY, THE AUDIOLOGY DEPARTMENT OFFERED FREE HEARING SCREENINGS TO THE COMMUNITY. THIRTY-TWO PEOPLE PARTICIPATED, WITH 15 PEOPLE BEING REFERRED FOR FURTHER EVALUATION. THREE PEOPLE RETURNED FOR FOLLOW-UP. THE AUDIOLOGY DEPARTMENT ALSO PROVIDED FREE HEARING SCREENINGS THROUGH THE CHEROKEE COUNTY SCHOOL DISTRICT'S "GIVE A KID A CHANCE" PROGRAM. SCREENINGS WERE PROVIDED TO 415 SCHOOL CHILDREN. BARIATRIC SURGERY NORTHSIDE PROVIDES ONLINE WEIGHT LOSS INFORMATIONAL SEMINARS FOR THE COMMUNITY TO LEARN 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 2014, NINE ATTENDED THE FACE-TO-FACE INFORMATIONAL SEMINARS, WITH 130 FINISHING THE ONLINE 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 CUMMING) FOR ANY BARIATRIC PATIENT, PRE OR POST-SURGERY. A THIRD GROUP IS HELD IN ATLANTA FOR PATIENTS MORE THAN ONE YEAR POST SURGERY. A TOTAL OF 308 ATTEND THE SUPPORT GROUPS IN 2014. SUPPORT SERVICES THE NORTHSIDE HOSPITAL AUXILIARIES ADD A SPECIAL CARING TOUCH AS THEY INTERACT WITH PATIENTS AND FAMILIES THROUGHOUT NORTHSIDE'S THREE HOSPITALS. APPROXIMATELY 807 VOLUNTEERS, RANGING IN AGE FROM 18 TO 94, GAVE 117,682 HOURS OF SERVICE. IN 2014, THE AUXILIARIES RAISED MORE THAN $404,614 FOR HOSPITALS AND COMMUNITY PROJECTS. IN ADDITION TO THE ADULT VOLUNTEERS, TEENAGERS (AGES 14-18), FROM 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 2014, THERE WERE 221 TEENS, WORKING THROUGHOUT THE ATLANTA, CHEROKEE AND FORSYTH CAMPUSES, GIVING 9,099 HOURS. NORTHSIDE HOSPITAL OPERATES A CALL CENTER TO TAKE PHONE REGISTRATIONS FOR CLASSES AND FOR FREE PHYSICIAN REFERRAL. IN 2014, THE CALL CENTER'S FIVE EMPLOYEES TOOK/MADE 52,277 CALLS INCLUDING 9,946 CALLS FOR CLASS REGISTRATION AND 9,635 CALLS FOR PHYSICIAN REFERRAL. THEY MADE 32,446 QUALITY ASSESSMENT CALLS TO FORMER PATIENTS. IN ADDITION TO THE SUPPORT THAT THE CHAPLAINCY DEPARTMENT PROVIDES TO STAFF AND PATIENTS, THEY 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, HOSPITAL ETIQUETTE FOR VISITING CLERGY, AND EDUCATIONAL ARTICLES ABOUT SPIRITUALITY AND HEALTH AND CHAPLAINCY IN COMMUNITY AND PROFESSIONAL PUBLICATIONS. - LEADING MEMORIAL SERVICES (OPEN TO THE COMMUNITY) FOR PATIENTS AND FAMILY MEMBERS WHO EXPERIENCED A PERINATAL LOSS OR ADULT DEATH IN THE HOSPITAL. - PLANNING COMMUNITY THANKSGIVING SERVICES (APPROXIMATELY 10 HOURS/YEAR). - FACILITATING BEREAVEMENT SUPPORT GROUPS WHEN REQUESTED THAT ARE OPEN TO MEMBERS OF THE COMMUNITY, AS WELL AS THOSE SERVED BY NORTHSIDE HOSPITAL OR NORTHSIDE EMPLOYEES. MEMBERS OF THE CHAPLAINCY DEPARTMENT ALSO SERVED WITH THE: - FORSYTH COUNTY MINISTERIAL ASSOCIATION - LEADERSHIP FORSYTH - GEORGIA CRISIS CONSORTIUM - AMERICAN RED CROSS - BRAZILIAN GENERAL CONSULATE - GEORGIA SOCIETY FOR HEALTHCARE CHAPLAINS - DISTRICT COMMITTEE ON ORDAINED MINISTRY FOR THE ATLANTA COLLEGE PARK DISTRICT, UNITED METHODIST CHURCH. NORTHSIDE'S HEALTH RESOURCE CENTER, OR THE MEDICAL LIBRARY, IS OPEN TO THE COMMUNITY AND HOME TO A VAST COLLECTION OF MEDICAL INFORMATION AND RESOURCES INCLUDING BOOKS, JOURNALS AND AUDIO-VISUAL MATERIALS. THE CENTER OFFERS ELECTRONIC ACCESS TO MORE THAN 400 MEDICAL JOURNALS, AS WELL AS PRINT SUBSCRIPTIONS TO MORE THAN 150 JOURNALS. INTERNET ACCESS TO SCHOLARLY AND CONSUMER HEALTH INFORMATION DATABASES ALSO IS AVAILABLE. THE LAUGHING LIBRARY CONSISTS OF A VARIETY OF VIDEOS AVAILABLE FOR CHECKOUT TO PATIENTS AND THEIR FAMILIES. THE PATIENT AND FAMILY LIBRARY HAS MATERIALS FOR THOSE ENCOUNTERING CHALLENGING EMOTIONAL EXPERIENCES. SPECIAL AUDIO MATERIALS FEATURING RELAXATION TECHNIQUES ALSO ARE AVAILABLE. IN 2014, THE CENTER FACILITATED 5,480 REQUESTS FROM CLINICIANS AND PATIENTS FOR LITERATURE SEARCHES. THE HEALTH RESOURCE CENTER'S HIGHLY TRAINED STAFF IS AVAILABLE TO ASSIST PATRONS FIND WHAT THEY WANT AND/OR NEED. THE PATIENT RELATIONS (CUSTOMER SERVICE) DEPARTMENT ASSISTED APPROXIMATELY 32,813 PATIENTS IN 2014. 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), ORTHOPEDIC, SURGERY/BARIATRIC AND GENERAL MEDICINE PATIENTS. - ASSISTING WITH PATIENT 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. - COORDINATING WITH THE EMBASSIES AND CONSULATES TO ASSIST INTERNATIONAL PATIENTS IN BRINGING FAMILIES TO THE UNITED STATES IN EMERGENCY CASES. ASSISTING WITH CHANGING FLIGHTS. - TRACKING PATIENT CONCERNS AND COMMUNICATING TRENDS TO MANAGEMENT. PROVIDING MEAL VOUCHERS TO THE HOSPITAL CAFETERIA TO PATIENTS, FAMILY MEMBERS AND VISITORS WHO EXPERIENCE LONG WAIT TIMES OR HAVE BEEN INCONVENIENCED. - VISITING PATIENTS. PROVIDING BOOKS, MAGAZINES, CROSS WORD PUZZLES TO PATIENTS WHEN REQUESTED. PLAYING GAMES AND CARDS WITH PATIENTS WITHOUT VISITORS. - COORDINATING INFORMATION-DESK VOLUNTEERS WHO SERVE AS WELCOMING TEAM TO HOSPITAL GUESTS. - MAINTAINING CLOTHING CLOSET FOR INDIGENT PATIENTS. PROVIDING CLOTHING FOR PATIENTS, WHOSE CLOTHING HAS BEEN SOILED OR DAMAGED, SO THAT THEY HAVE CLOTHES TO WEAR UPON DISCHARGE. - ACTING AS AN ADVOCATE WITH ELECTRIC, GAS AND PHONE COMPANIES CONCERNING BILLING ISSUES WHILE HOSPITALIZED. - WORKING CLOSELY WITH THE CHAPLAINCY DEPARTMENT TO PROVIDE ASSISTANCE WITH AIRPORT MORTUARY SERVICES. - ASSISTING TO LOCATE FAMILY MEMBERS OR LOVED ONES OF PATIENTS OR DECEASED PATIENTS. - CELEBRATING PATIENT BIRTHDAYS, ANNIVERSARIES AND OTHER SPECIAL OCCASIONS FOR PATIENTS IN THE HOSPITAL. - ASSISTING FAMILY MEMBERS AND PATIENTS WITH COMMUNICATION BETWEEN DOCTORS, NURSES, AND CONSULTING DOCTORS.
-PROVIDING DOCUMENTATION OF PATIENT ADMISSION FOR FAMILY MEMBERS AS REQUESTED FOR WORK OR SCHOOL. - ASSISTING IN LOCATING DONATED EQUIPMENT SUCH AS WALKERS, CANES AND WHEELCHAIRS FOR UNINSURED OR THOSE UNABLE TO AFFORD SUCH EQUIPMENT. THE HOSPITAL'S INTERPRETATION SERVICES DEPARTMENT PROVIDES SIGN LANGUAGE AND FOREIGN LANGUAGE INTERPRETATION AND TRANSLATION SERVICES TO PATIENTS AND THEIR FAMILIES. IN 2014, THE DEPARTMENT INCLUDING SPANISH, PORTUGUESE, FRENCH, RUSSIAN, VIETNAMESE, KOREAN, MANDARIN AND CANTONESE STAFF INTERPRETERS; AN OPERATIONS ASSISTANT; A COORDINATOR; AND CONTRACTED AGENCY, TELEPHONE, AND VIDEO INTERPRETERS SERVED MORE THAN 85,000 INTERPRETATION ENCOUNTERS IN 89 DIFFERENT LANGUAGES AT NORTHSIDE'S THREE CAMPUSES, OFF-SITE FACILITIES, AND PHYSICIAN PRACTICES. THE DEPARTMENT ALSO COMPLETED OVER 100 DOCUMENT TRANSLATION PROJECTS FOR STAFF AND PATIENT USE. 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 & WEIGHT CONTROL, WOMEN & HEART DISEASE, BREAST HEALTH, SLEEP DISORDERS, AND MORE. IN 2014, NORTHSIDE PROVIDED SPEAKERS TO 26 GROUPS (20 DIFFERENT ORGANIZATIONS), REACHING 725 PEOPLE. AN ADDITIONAL SIX REQUESTS FOR SPEAKERS CAME IN FOR DATES IN FY2015. ANOTHER FIVE REQUESTS FOR SPEAKERS WERE CANCELLED BY EITHER THE ORGANIZATION OR NORTHSIDE BECAUSE A SPEAKER COULD NOT BE FOUND. THE PROGRAM IS MANAGED BY A STAFF OF ONE, WITH APPROXIMATELY 75 HOURS SPENT ON THE PROJECT IN 2014. THROUGH NORTHSIDE HOSPITAL-CHEROKEE'S JUNIOR HEALTH ADVOCATES, MEDICAL PROFESSIONALS SPEAK TO AN ARRAY OF HEALTHY LIVING TOPICS, TAILORED TO CHILDREN GRADES 6-8. EACH CLASS OFFERS A 45-MINUTE INTERACTIVE PRESENTATION. STUDENTS RECEIVE AN ACTIVITY BOOK AND GIFT TO REINFORCE EACH SUBJECT. IN 2014, THE PROGRAM ARRANGED 103 SPEAKERS TO GROUPS WITHIN THE CHEROKEE COUNTY SCHOOL SYSTEM, REACHING 12,563 STUDENTS. CORPORATE & COMMUNITY HEALTH SOLUTIONS NORTHSIDE HOSPITAL PROVIDES FREE ON-SITE HEALTH SCREENINGS AT CORPORATE AND COMMUNITY LOCATIONS TO RAISE HEALTHCARE AWARENESS AND TO PROMOTE PREVENTION AND EARLY DETECTION OF DISEASES. CORPORATE & COMMUNITY HEALTH SOLUTIONS OFFERS THE BROADEST, MOST COMPREHENSIVE ARRAY OF CLINICAL SCREENING SERVICES AND HEALTHY LIFESTYLE EDUCATION TO THE PEOPLE IN THE COMMUNITIES WE SERVE. HEALTH SCREENINGS ARE CONDUCTED THROUGHOUT THE YEAR AND INCLUDE CHOLESTEROL/GLUCOSE TESTING, BLOOD PRESSURE SCREENING, BODY COMPOSITION ANALYSIS, OSTEOPOROSIS SCREENING, PULMONARY FUNCTION TESTING, SLEEP QUALITY SCREENING, CANCER RISK ASSESSMENT, DIABETES ASSESSMENT, CORONARY RISK PROFILE AND AUDIOLOGY SCREENING. IN 2014, NORTHSIDE OFFERED HEALTH SCREENINGS TO 51 GROUPS, REACHING 4,010 PEOPLE. NEARLY 3,720 RESOURCE HOURS WERE SPENT ON THE PLANNING AND IMPLEMENTATION OF THE EVENTS, WITH AN AVERAGE OF 19 NORTHSIDE EMPLOYEES PER EVENT IN 7 DIFFERENT COUNTIES. LONG-STANDING CLIENTS INCLUDE: STATE FARM INSURANCE (MULTIPLE LOCATIONS), UPS CORPORATE, SIEMENS, APCO, SAWNEE EMC, INPO, MARCUS JEWISH COMMUNITY CENTER AND ST. BRIGID CATHOLIC CHURCH. NORTHSIDE ALSO COLLABORATES WITH THE AMERICAN HEART ASSOCIATION TO OFFER THE PICTURE AND A PROMISE BOOTH AT SOME SCREENINGS, WHICH ALLOWS PARTICIPANTS THE OPPORTUNITY TO MAKE A "PROMISE" TO THEIR HEARTS TO MAKE LIFESTYLE CHANGES TO BE MORE HEART HEALTHY. NORTHSIDE'S PROFESSIONAL PRACTICE COUNCIL, PART OF THE NURSING SHARED GOVERNANCE AT THE HOSPITAL, PARTNERS WITH THE ATLANTA MISSION'S ATLANTA DAY SHELTER FOR WOMEN AND CHILDREN TO PROVIDE ANNUAL SCREENING SERVICES TO HOMELESS WOMEN AT THE SHELTER. COUNCIL ALSO HOLDS COLLECTIONS THROUGHOUT THE YEAR FOR ITEMS THE SHELTER NEEDS. THE ATLANTA DAY SHELTER SERVES AS MANY AS 140 WOMEN AND CHILDREN AT ANY TIME. WEBSITE NORTHSIDE HOSPITAL'S OFFICIAL WEBSITE 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 1,365,910 VISITS (810,846 UNIQUE VISITORS) TO THE SITE, OF WHICH APPROXIMATELY 57 PERCENT WERE NEW VISITORS. THE SITE SAW A 28 PERCENT INCREASE IN TRAFFIC OVER 2013. 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 2014, THE PROGRAM PERFORMED 26 PUPPET SHOWS, DRIVING MORE THAN 1,529 MILES AND REACHING MORE THAN 3,800 METRO ATLANTA STUDENTS. PARTNERS IN EDUCATION NORTHSIDE HOSPITAL'S PARTNERS IN EDUCATION PROGRAM SPONSORS NEARLY 100 SCHOOLS IN SEVEN NORTH METRO ATLANTA COUNTIES: CHEROKEE, COBB, DAWSON, DEKALB, FORSYTH, FULTON AND GWINNETT. NORTHSIDE'S COMMITMENT TO ITS PARTNERS IN EDUCATION SCHOOLS REPRESENTS THE HOSPITAL'S MISSION AND VALUES AND ITS CONTINUED EFFORTS TO SUPPORT WOMEN, FAMILIES, EDUCATION AND HEALTH & SAFETY. THROUGH THESE PARTNERSHIPS, NORTHSIDE FULFILLS CLINIC SUPPLIES; PARTICIPATES IN FUNDRAISERS; SUPPORTS CAREER DAYS AND INVESTS IN OTHER STUDENT PROGRAMS THAT PROMOTE HEALTH AND WELLNESS, SCIENCE, SAFETY AND ANTI-BULLYING; SPONSORS TEACHER APPRECIATION/ RECOGNITION EVENTS; AND MUCH MORE. PARTNER SCHOOLS SUPPORT NORTHSIDE WITH ART PROJECTS FOR PATIENTS, PARTICIPATING IN THE HOSPITAL'S FUNDRAISING WALKS FOR HEALTH CARE CAUSES, PERFORMING AT HOSPITAL EVENTS AND VOLUNTEERING WITH NORTHSIDE'S COMMUNITY CONNECTION VOLUNTEER PROGRAM. THE NORTHSIDE HOSPITAL-FORSYTH LABORATORY PARTICIPATES IN LAMBERT HIGH SCHOOL'S HEALTH SCIENCES PROGRAM TO HELP PREPARE STUDENTS FOR ADVANCED HEALTHCARE EDUCATION AND INDUSTRY PLACEMENT. THE HIGH SCHOOL PROVIDES THE CONTENT, SKILLS AND SAFETY PROCEDURES AS IT RELATES TO CLINICAL LABORATORY AND HEALTHCARE DIAGNOSTICS. STUDENTS JOB SHADOW AT NORTHSIDE FOR A TOTAL OF 30 WEEKS, ROTATING THROUGH SIX DEPARTMENTS WITHIN THE LABORATORY INCLUDING CHEMISTRY, HEMATOLOGY, BLOOD AND TISSUE BANK, PHLEBOTOMY, MICROBIOLOGY AND HISTOLOGY/PATHOLOGY. STUDENTS GET HANDS-ON EXPERIENCE, REVIEWING AND ANALYZING DATA AND WORKING WITH REAL EQUIPMENT. IN 2014, 60 STUDENTS PARTICIPATED FOR A TOTAL OF 900 HOURS. TEN NORTHSIDE STAFF MEMBERS SPENT 300 HOURS ORGANIZING AND SUPERVISING THE PROGRAM. IN ADDITION, SEVEN LAMBERT HIGH SCHOOL SENIORS PARTICIPATE WITH THE DIRECTOR OF EDUCATION AT NORTHSIDE HOSPITAL-FORSYTH IN A WEEKLY INTERNSHIP WHERE THEY ARE MENTORED BY ONE OR A TEAM OF INDIVIDUALS IN A SPECIFIC AREA OF THE HOSPITAL, DEPARTMENTS INCLUDE: EMERGENCY MEDICINE, PHYSICAL THERAPY, RESPIRATORY THERAPY, CLINICAL LABORATORY AND RADIOLOGY. EACH STUDENT SPENDS A MINIMUM OF 100 CLINICAL HOURS TOTALING 700 HOURS. LAMBERT HEALTH SCIENCES STUDENTS ALSO GIVE BACK TO NORTHSIDE BY VOLUNTEERING FOR HOSPITAL EVENTS SUCH AS CELEBRATION OF LIGHTS FUNDRAISING FOR THE FOUNDATION AND ORGANIZING RED CROSS BLOOD DRIVES, WHERE ALL UNITS COLLECTED GET CREDITED TO NORTHSIDE. NEW THIS YEAR, LAMBERT WORKED WITH THE CUMMING-FORSYTH COUNTY CHAMBER OF COMMERCE HEALTHCARE ASSOCIATION AND NORTHSIDE HOSPITAL-FORSYTH TO LAUNCH THE COMMUNITY INITIATIVE WALK WITH THE DOC. THE LAMBERT STUDENTS WERE INCLUDED IN ALL OF THE DEVELOPMENT AND PLANNING MEETINGS. THEY DEVELOPED AND DESIGNED THE WEBSITE AND APP, FORSYTH COUNTY WALK WITH A DOC LOGO, COLLECTED MEDICAL HISTORIES THE DAY OF THE WALKS AND SERVED AS MONITORS ALONG THE COURSE ROUTE. IN 2014, LAMBERT STUDENTS VOLUNTEERED MORE THAN 1,000 HOURS TO NORTHSIDE EVENTS AND CAUSES.
FOR OUTSTANDING HIGH SCHOOL STUDENTS INTERESTED IN EXPLORING HEALTH CARE CAREERS, NORTHSIDE HOSPITAL-CHEROKEE AGAIN PARTICIPATED IN THE CHEROKEE COUNTY SCHOOLS' WORK BASED LEARNING PROGRAM YOUTH APPRENTICESHIP. THE UNPAID INTERNSHIP OFFERS AN OBSERVATION-ONLY EXPERIENCE FOR STUDENTS WISHING TO PURSUE HEALTH CARE CAREERS. STUDENTS ROTATE THROUGH ELEVEN DIFFERENT DEPARTMENTS OF THE HOSPITAL INCLUDING SURGERY, RADIOLOGY AND THE EMERGENCY DEPARTMENT FOR AN HOUR EACH WEEKDAY DURING THE SCHOOL YEAR. STUDENTS ALSO RECEIVE CPR/AED TRAINING. IN 2014, 20 STUDENTS PARTICIPATED IN THE PROGRAM AT THE HOSPITAL. TWO EMPLOYEES MANAGED THE PROGRAM, SPENDING APPROXIMATELY 20 HOURS EACH, IN ADDITION TO THE TIME INDIVIDUAL DEPARTMENTS DEDICATED TO THEIR RESPECTIVE STUDENTS. 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 HEALTH CARE 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, ONCOLOGY, PHARMACY, WOMEN'S SERVICES AND OTHER SPECIALTIES. DURING THE 2013-2014 SESSION, 29 STUDENTS FROM ALL OVER ATLANTA PARTICIPATED IN THE PROGRAM, WHICH INCLUDED 7 CLASSES, AND SPENT A TOTAL OF 609 HOURS AT NORTHSIDE. THE PROGRAM WAS FACILITATED BY APPROXIMATELY 30 NORTHSIDE EMPLOYEES AND PHYSICIANS WHO GAVE APPROXIMATELY 120 HOURS OF THEIR TIME. BROAD-BASED COMMUNITY OUTREACH/SPECIAL EVENTS TENNIS AGAINST BREAST CANCER IN OCTOBER 2013, NORTHSIDE HOSPITAL ORGANIZED THE 10TH ANNUAL "TENNIS AGAINST BREAST CANCER" EVENT, LUNCHEON AND FASHION SHOW AT MULTIPLE LOCATIONS IN NORTH FULTON AND FORSYTH COUNTIES TO RAISE COMMUNITY AWARENESS OF BREAST CANCER PREVENTION AND EDUCATION. MORE THAN 894 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 $160,000 WAS RAISED FOR THE NORTHSIDE HOSPITAL BREAST CARE PROGRAM FOR THE EDUCATIONAL AND EMOTIONAL SUPPORT OF BREAST CARE PATIENTS. MIRACLE BABIES IN NOVEMBER 2013, NORTHSIDE HOSTED THE SECOND MIRACLE BABIES AT NORTHSIDE HOSPITAL FUNDRAISING EVENT TO RAISE FINANCIAL ASSISTANCE AND SUPPORT FOR FAMILIES WITH NEWBORNS IN THE HOSPITAL'S NEONATAL INTENSIVE CARE UNIT (NICU). MORE THAN 200 PEOPLE ATTENDED AND MORE THAN $70,000 WAS RAISED. CELEBRATION OF LIGHTS THE 25TH ANNUAL CELEBRATION OF LIGHTS CHRISTMAS TREE LIGHTING AND FESTIVAL IN DECEMBER 2013 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 3,000 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 NEARLY $20,000 WAS RAISED FOR THE NORTHSIDE HOSPITAL CANCER INSTITUTE. EGGSTRAVAGANZA IN APRIL 2014, 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 $1,700 FOR THE HOSPITAL'S SPECIAL CARE NURSERY. STROKE 5K IN RECOGNITION OF NATIONAL STROKE AWARENESS MONTH IN MAY, NORTHSIDE HOSTED ITS 5TH ANNUAL STROKE AWARENESS 5K RUN/WALK. APPROXIMATELY 78 PEOPLE PARTICIPATED IN THE EVENT. CHARITY GOLF CLASSIC THE NORTHSIDE HOSPITAL CHARITY GOLF CLASSIC IS A CORPORATE FUNDRAISER FOR THE NORTHSIDE HOSPITAL BLOOD & MARROW TRANSPLANT PROGRAM (BMT) AND GENERAL RESEARCH PROGRAM. THE 2014 EVENT WAS HELD AT THE ATLANTA ATHLETIC CLUB IN JOHNS CREEK AND INCLUDED 256 GOLFERS PLAYING 18 HOLES EACH AND RAISING MORE THAN $462,000. BABY ALUMNI BIRTHDAY PARTY THE 2014 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. MANY ATTENDEES BROUGHT NON-PERISHABLE FOODS, DIAPERS AND BABY WIPES TO DONATE TO THE ATLANTA COMMUNITY FOOD BANK. APPROXIMATELY 5,000 POUNDS OF ITEMS WERE COLLECTED. CANCER SURVIVORS' EVENT NORTHSIDE'S ANNUAL CANCER SURVIVORS' EVENT CELEBRATES PATIENTS' LIVES THROUGH LAUGHTER AND SONG. THE MORE THAN 2,000 GUESTS WHO ATTENDED THE 2014 FAMILY 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 2014, THE NORTHSIDE HOSPITAL-ATLANTA AUXILIARY HOSTED ITS EIGHTH 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 2014, 20 PATIENTS ATTENDED. BARIATRIC REUNION FOR MORE THAN 30 YEARS, NORTHSIDE HAS SUCCESSFULLY GUIDED PATIENTS THROUGH LIFE-CHANGING WEIGHT-LOSS SURGERY, FROM INITIAL CONSULTATION TO LONG-TERM FOLLOW-UP. ANNUALLY, NORTHSIDE HOSTS A BARIATRIC REUNION TO CELEBRATE THE SUCCESSES OF THE HOSPITAL'S BARIATRIC SURGERY PATIENTS. IN 2014, 246 PEOPLE ATTENDED THE EVENT. WINE WOMEN AND SHOES NEARLY 400 PEOPLE ATTENDED NORTHSIDE'S WINE WOMEN AND SHOES EVENT, BENEFITTING OVARIAN AND GYN CANCER RESEARCH AT NORTHSIDE. GUESTS ENJOYED AN AFTERNOON OF WINE TASTINGS FROM SOME OF THE COUNTRY'S TOP WINEMAKERS, SHOPPED THE LATEST TRENDS IN THE MULTI-DESIGNER MARKETPLACE AND SWOONED OVER THE CHARMING "SHOE GUYS" SERVING UP THIS SEASON'S MUST-HAVES ON SILVER PLATTERS. MORE THAN $188,000 WAS RAISED. BLOOD DRIVES NORTHSIDE HOSPITAL IS A PARTNER WITH THE METRO ATLANTA RED CROSS TO OFFER BLOOD DRIVES FOR HOSPITAL STAFF AND THE COMMUNITY. IN 2014, 26 BLOOD DRIVES WERE HELD IN ATLANTA, CUMMING, CANTON AND ALPHARETTA, COLLECTING 1,546 PINTS OF BLOOD. NORTHSIDE ALSO HOSTED A DRIVE AT KELLY MILL ELEMENTARY SCHOOL IN FORSYTH COUNTY, WHERE AN ADDITIONAL 19 UNITS WERE COLLECTED. OTHER COMMUNITY-SPONSORED EVENTS IN 2014, MANY GRATEFUL PATIENTS AND THEIR FAMILIES AND FRIENDS DONATED FUNDS TO HELP NORTHSIDE'S BLOOD & MARROW TRANSPLANT (BMT) PROGRAM, CANCER INSTITUTE, BREAST CARE PROGRAM, HIGH RISK PERINATAL, SPECIAL CARE NURSERY, PERINATAL LOSS FAMILY SUPPORT PROGRAM AND PARENTS PARTNERED FOR PREEMIES. FUNDS PROVIDED LIFE-SAVING SCREENINGS, LEADING-EDGE RESEARCH, PATIENT SERVICES, EDUCATION AND STATE-OF-THE-ART TECHNOLOGY UPGRADES.
CONTINUING MEDICAL EDUCATION PHYSICIANS NORTHSIDE HOSPITAL IS ACCREDITED BY THE MEDICAL ASSOCIATION OF GEORGIA TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) ACTIVITIES, WHICH AWARD AMA PRA CATEGORY 1 CREDITTM TO PHYSICIANS FOR PARTICIPATION IN CME ACTIVITIES. IN 2014, 352 CME ACTIVITIES WERE OFFERED TO 4,280 PHYSICIAN ATTENDEES AND 3,998 NON-PHYSICIAN ATTENDEES. ACTIVITIES OFFERED: REGULARLY SCHEDULED SERIES: IN 2014, 13 REGULARLY-SCHEDULED SERIES WERE CONDUCTED AT ATLANTA, FORSYTH AND CHEROKEE CAMPUSES. 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 OB-GYN, ONCOLOGY, RADIATION ONCOLOGY, COLON AND RECTAL AND FETAL THERAPY. VARIOUS TUMOR CONFERENCES PROVIDE FREQUENT OPPORTUNITIES FOR BOTH MEDICAL AND SURGICAL SUBSPECIALISTS TO DISCUSS COMPLEX CASES. 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 ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) CRITERIA. THIS YEAR, NORTHSIDE HOSTED NINE GUEST SPEAKERS AND 30 ON-STAFF PHYSICIANS AND/OR HEALTH CARE PROFESSIONALS AT THE INTERNAL MEDICINE CONFERENCES. NORTHSIDE ADDITIONALLY HOSTS THE QUARTERLY MULTIDISCIPLINARY GRAND ROUNDS LECTURE FOR A TARGET AUDIENCE OF SURGEONS AND ANESTHESIOLOGISTS, OB/GYNS AND A VARIETY OF HEALTH CARE PROFESSIONALS. IN 2014, FOUR MULTIDISCIPLINARY GRAND ROUNDS WERE OFFERED AND NORTHSIDE HOSTED THREE GUEST SPEAKERS AS FACULTY AND ONE SPEAKER FROM NORTHSIDE MEDICAL STAFF. MEDICAL EDUCATION CONTINUES TO SPONSOR CME PRESENTATIONS AT EACH OF THE NORTHSIDE OB/GYN SECTION MEETINGS THAT ARE RELEVANT TO THE SPECIALTY AND ARE HELD ON A QUARTERLY BASIS THROUGHOUT THE YEAR. ADDITIONALLY, THE MEDICAL EDUCATION DEPARTMENT CONTINUED TO PROVIDE CME CREDIT FOR THE NEONATAL CLINICAL CONFERENCES FOR WHICH FOUR GUEST FACULTIES PRESENTED FOR 66 PHYSICIAN AND HEALTH CARE PROFESSIONALS. IN FY14, THE COLON AND RECTAL JOURNAL CLUB/ MORBIDITY & MORTALITY CONFERENCE WAS INITIATED FOR CME CREDITS. FIVE CONFERENCES WERE HELD IN THIS FISCAL YEAR WITH TWO LOCAL PRESENTERS AND 37 PHYSICIAN AND HEALTH CARE PROFESSIONAL PARTICIPANTS. IN 2014, NORTHSIDE HOSPITAL'S JOINT SPONSORSHIP EDUCATIONAL VENTURES INCLUDED TWO COURSES IN ADVANCED CARDIAC LIFE SUPPORT FOR NORTHSIDE PHYSICIANS WHO PERFORM CONSCIOUS SEDATION AS PART OF THEIR PRACTICE OF MEDICINE. IN ADDITION, NORTHSIDE CO-SPONSORED THREE ADVANCED CARDIAC LIFE SUPPORT COURSES. OTHER CME ACTIVITIES ADDITIONAL CONFERENCES THAT WERE AWARDED AMA PRA CATEGORY 1 CREDITS BY NORTHSIDE HOSPITAL MEDICAL EDUCATION DEPARTMENT INCLUDED ACTIVITIES IN THE SPECIALTIES OF PULMONOLOGY, ONCOLOGY, ETHICS, CARDIOLOGY, AND HEALTHCARE REGULATORY PROCESS IMPROVEMENTS. IN A UNIQUE OFFERING, NORTHSIDE HOSPITAL MEDICAL EDUCATION DEPARTMENT AWARDED AMA PRA CATEGORY 1 CREDITS FOR AN INTERNATIONAL SYMPOSIUM ON ENDOMETRIOSIS AND ONCOFERTILITY. THESE COURSES REFLECT PLANNING FOR MULTI-HOUR AND MULTI-CREDIT AND IN MOST CASES MULTI-FACULTY ACTIVITIES. THE AVERAGE ATTENDANCE AT EACH OF THESE FUNCTIONS WAS 41 PHYSICIAN AND 46 NON-PHYSICIAN PARTICIPANTS. MEDICAL EDUCATION DEPARTMENT STAFFING: THE MEDICAL EDUCATION DEPARTMENT EMPLOYS THREE FULL-TIME EMPLOYEES AND ONE PART-TIME EMPLOYEE, AND WORKS WITH VARIOUS HOSPITAL REPRESENTATIVES TO IDENTIFY EDUCATIONAL NEEDS AND IMPLEMENT PLANNING FOR CME ACTIVITIES. AN ESTIMATED 5,520 HOURS WERE DEDICATED TO THE EDUCATIONAL SERVICES OFFERED IN 2014 BY THE MEDICAL EDUCATION DEPARTMENT. 418.75 HOURS OF INSTRUCTION WERE OFFERED THROUGH THE REGULARLY SCHEDULE SERIES AND LIVE ACTIVITIES. NURSES/NURSING STUDENTS AND OTHER HEALTH PROFESSIONAL EDUCATION (CAREER PLACEMENT) IN OCTOBER 2013, THE HOSPITAL'S STROKE CENTER HOSTED ITS 6TH ANNUAL STROKE SYMPOSIUM. APPROXIMATELY 158 NURSES FROM NORTHSIDE ATTENDED THE EVENT. THE STROKE TEAM ALSO PROVIDED ADVANCED STROKE LIFE SUPPORT PROVIDER COURSE EDUCATION TO 100 CERTIFIED PROVIDERS AND 2 INSTRUCTORS. IN MAY 2014, THE HOSPITAL HOSTED A WOMEN AND STROKE SYMPOSIUM. APPROXIMATELY 110 NURSES FROM NORTHSIDE ATTENDED THE EVENT. 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 2014, $51,750 WAS AWARDED IN SCHOLARSHIPS BY THE ATLANTA AUXILIARY, INCLUDING $900 IN VOLUNTEEN GRANTS. THE FORSYTH AUXILIARY AWARDED $26,500 IN SCHOLARSHIPS, INCLUDING $2,000 IN VOLUNTEEN GRANTS. THE CHEROKEE AUXILIARY AWARDED FOUR $1,000 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 2014, FIVE NURSING STUDENTS EACH RECEIVED $2,500 IN SCHOLARSHIP MONEY. 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, STAFF AND PHYSICIANS VOLUNTEER THEIR TIME, TALENTS AND RESOURCES TO MAKE A POSITIVE IMPACT AND BUILD STRONG AND HEALTHY COMMUNITIES. IN 2014, MORE THAN 4,500 COMMUNITY CONNECTION VOLUNTEERS DONATED MORE THAN 47,000 HOURS OF THEIR TIME TO MORE THAN 100 COMMUNITY SERVICE PROJECTS IN THE HOSPITAL'S SERVICE AREAS. EMPLOYEES HELP STRENGTHEN THEIR COMMUNITIES BY SUPPORTING THE FOLLOWING ATLANTA-METRO COMMUNITY ORGANIZATIONS AND CHARITIES AND MANY MORE IN THE COMMUNITY. - A TOUCH OF WARMTH - AMERICAN CANCER SOCIETY - AMERICAN DIABETES ASSOCIATION - AMERICAN RED CROSS - ATLANTA COMMUNITY FOOD BANK - ATLANTA DAY SHELTER FOR WOMEN - AMERICAN HEART ASSOCIATION - ATLANTA MISSION - BACK ON MY FEET - BOYS AND GIRLS CLUB OF METRO ATLANTA - BROOKHAVEN ACUTE NURSING HOME - CHILDREN'S RESTORATION NETWORK - CITY OF ALPHARETTA - COLON CANCER ALLIANCE - DRAKE HOUSE - GEORGIA OVARIAN CANCER ALLIANCE - GWINNETT CHILDREN'S SHELTER - JESSE'S HOUSE - MEDSHARE INTERNATIONAL - MUST MINISTRIES - NO ONE ALONE SHELTER - ONESIGHT - OPEN HAND - PARTNERSHIP AGAINST DOMESTIC VIOLENCE - PROJECT TURN AROUND - SECOND WIND DREAMS - THE PLACE OF FORSYTH COUNTY - TOYS FOR TOTS - TURNAROUND MINISTRIES - UNITED WAY OF FORSYTH COUNTY - UNITED WAY OF METROPOLITAN ATLANTA PROGRAM HIGHLIGHTS: - CELL PHONES ARE COLLECTED THROUGHOUT THE YEAR FOR THE PARTNERSHIP AGAINST DOMESTIC VIOLENCE TO SUPPORT WOMEN AND THEIR CHILDREN IN THEIR EFFORT TO LIVE VIOLENCE FREE.
-IN CELEBRATION OF THE 14TH ANNUAL ABSOLUTELY INCREDIBLE KID DAY, NORTHSIDE PARTNERED WITH UNITED WAY OF METROPOLITAN ATLANTA TO PROVIDE HAND-WRITTEN LETTERS OF ENCOURAGEMENT TO STUDENTS IN TITLE I SCHOOLS. THESE LETTERS SHOWED SUPPORT OF THE STUDENT'S DREAMS AND GOALS FOR SUCCESS. - NORTHSIDE HAS PROVIDED MORE THAN 2,475 MEALS TO COMMUNITY MEMBERS IN NEED THROUGH SUMMER AND FALL FOOD DRIVES. - EMPLOYEES PROVIDE HEALTHY SNACKS FOR CHILDREN AT NO ONE ALONE SHELTER WHO HAVE BEEN AFFECTED BY DOMESTIC VIOLENCE. THESE SNACKS ARE ESSENTIAL TO THE CHILDREN'S WEEKLY SUPPORT GROUP, WHERE THROUGH SNACKS AND ACTIVITIES CHILDREN INCREASE THEIR SELF-ESTEEM, LEARN SAFETY SKILLS AND IMPROVE THEIR BEHAVIOR. - NORTHSIDE HOSPITAL'S ANNUAL "OPERATION BOOK BAG," A BOOK BAG AND SCHOOL SUPPLY DRIVE BENEFITING CHILDREN'S RESTORATION NETWORK, WAS BY FAR NORTHSIDE'S BIGGEST YEAR EVER. MORE THAN 4,000 NEW BOOK BAGS FILLED WITH SCHOOL SUPPLIES WERE COLLECTED AND DISTRIBUTED TO HOMELESS CHILDREN IN THE METRO ATLANTA AREA. - EVERY MONTH, MORE THAN FIFTEEN EMPLOYEES FROM NORTHSIDE'S BUSINESS OFFICE VISIT AMAZING SENIORS AT A LOCAL RETIREMENT CENTER. DURING THESE VISITS, SENIORS AND EMPLOYEES PLAY BINGO, CELEBRATE BIRTHDAYS AND SPEND QUALITY TIME TOGETHER. THE SENIORS LOVE CHILDREN, SO SEVERAL EMPLOYEES BRING THEIR CHILDREN AND FAMILIES WITH THEM TO VISIT. THE BONDS BETWEEN VOLUNTEERS AND THE SENIORS HAS STEADILY GROWN. EMPLOYEES ALSO ADOPT THE MORE THAN 150 RESIDENTS TO PROVIDE THEM WITH A PERSONAL CARE PACKAGE DURING THE HOLIDAY SEASON. - THE OVERCOME OVARIAN CANCER 5K WALK/RUN IS THE LARGEST OVARIAN CANCER AWARENESS EVENT SERIES IN THE SOUTHEAST. NORTHSIDE AND AFFILIATED PHYSICIAN PRACTICE EMPLOYEES PARTICIPATED IN THIS NORTHSIDE-SPONSORED EVENT. PROCEEDS FROM THIS EVENT HELD ON TWO DAYS IN SEPTEMBER, BENEFIT THE GEORGIA OVARIAN CANCER ALLIANCE. - NORTHSIDE HOSPITAL'S MARCH OF DIMES - MARCH FOR BABIES CAMPAIGN WAS A BIG SUCCESS. NORTHSIDE AND ITS FAMILY PARTNERS WAS THE NO. 1 HEALTHCARE FUNDRAISING TEAM AND THE NO. 2 TEAM OVERALL IN THE STATE OF GEORGIA FOR 2014. NORTHSIDE HOSPITAL, ALONG WITH PARENTS PARTNERED FOR PREEMIES AND ADDITIONAL FAMILIES THAT DELIVERED AT NORTHSIDE, RAISED $468,852 WITH 333 PARTICIPANTS. - NORTHSIDE PARTICIPATED IN AND SPONSORED THE UNDY5000, PRESENTED BY THE COLON CANCER ALLIANCE, A FUN RUN TO BRING AWARENESS TO COLON CANCER AND TO RAISE FUNDS FOR DIAGNOSIS AND TREATMENT. SEVERAL HOSPITAL EMPLOYEES ALSO PARTICIPATED IN THE RUN. - NORTHSIDE HOSPITAL ATTENDED BOTH THE NORTH METRO (CUMMING) AND DOWNTOWN ATLANTA LIGHT THE NIGHT FUNDRAISING WALKS, AS A PARTICIPANT AND SPONSOR. - NORTHSIDE EMPLOYEES, FAMILIES, AND FRIENDS, FILLED THE WISH LISTS OF MORE THAN 800 HOMELESS CHILDREN IN THE METRO ATLANTA AREA. NORTHSIDE PARTNERED WITH CHILDREN'S RESTORATION NETWORK TO ENSURE THAT MORE THAN 3,000 HOMELESS CHILDREN IN METRO ATLANTA HAD A MEMORABLE AND MEANINGFUL CHRISTMAS. - DEPARTMENTS, INDIVIDUALS AND THEIR FAMILIES HELPED EMPLOYEES, WHO HAVE RECEIVED ASSISTANCE FROM THE NORTHSIDE SHARES HELP FUND CREATE MEMORABLE HOLIDAYS FOR THEIR CHILDREN. THE NORTHSIDE HOSPITAL SHARES HELP FUND PROVIDES AID TO EMPLOYEES IN DIRE FINANCIAL NEED RESULTING FROM AN EMERGENCY. THE WISH LISTS OF SIXTEEN FAMILIES, A TOTAL OF 49 CHILDREN WERE FULFILLED. - NORTHSIDE HOSPITAL-CHEROKEE'S HOLIDAY TOY DRIVE PROVIDED TOYS TO THE BOYS & GIRLS CLUB OF CHEROKEE COUNTY. - NORTHSIDE 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 MORE THAN 100 CHILDREN. - THROUGHOUT THE YEAR, EMPLOYEES DONATED BASIC NEEDS ITEMS FROM A WISH LIST TO THE PARTNERSHIP AGAINST DOMESTIC VIOLENCE. THE ITEMS BENEFIT VICTIMS OF DOMESTIC VIOLENCE WHO RESIDE IN SAFE HOUSES AND THEIR SUPPORTIVE HOUSING PROGRAMS. - A GROUP FROM THE NURSING PRACTICE COUNCIL VOLUNTEERED AND PROVIDED A MEAL AND SERVED IT TO A GROUP OF 160 WOMEN AND CHILDREN AT THE ATLANTA DAY SHELTER FOR WOMEN AND CHILDREN. - THROUGH OPEN HAND, STAFF MEMBERS PACK MEALS FOR DELIVERY TO PERSONS WITH HIV/AIDS, THE SICK AND SHUT-INS AND THE ELDERLY. 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. - EMPLOYEES AT THE NORTHSIDE HOSPITAL-FORSYTH CAMPUS VOLUNTEER ANNUALLY AT HANDS ON FORSYTH, TASTE OF FORSYTH, THE CUMMING COUNTRY FAIR AND FESTIVAL, UNITED WAY OF FORSYTH, THE PLACE, AND THE DRAKE HOUSE. - EMPLOYEES AT NORTHSIDE HOSPITAL-CHEROKEE PARTICIPATED IN VARIOUS COMMUNITY PROJECTS INCLUDING THE TASTE OF CANTON, CHEROKEE FAMILY VIOLENCE CENTER AND MUST MINISTRIES. EMPLOYEE PLEDGE DRIVE EACH YEAR, STAFF AND PHYSICIANS CONTRIBUTE MONEY THROUGH PAYROLL DEDUCTIONS, CHECKS AND CASH TO THE NORTHSIDE HOSPITAL EMPLOYEE GIVING CAMPAIGN. DONATIONS IMPROVE THE LIVES OF PATIENTS, FELLOW EMPLOYEES AND THE LOCAL COMMUNITY THROUGH DESIGNATIONS TO THE NORTHSIDE HOSPITAL FOUNDATION, NORTHSIDE SHARES HELP EMPLOYEE/RETIREE EMERGENCY RELIEF FUND AND THE UNITED WAY. IN 2014, MORE THAN $850,000 WAS RAISED AND 33 PERCENT OF EMPLOYEES PARTICIPATED. NORTHSIDE HOSPITAL IS RANKED THE TOP GEORGIA HOSPITAL 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, NORTHSIDE PROVIDES FINANCIAL ASSISTANCE TO MORE THAN 330 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. THIS REPUTATION FOR COMMUNITY OUTREACH AND SUPPORT IS EVIDENT IN NORTHSIDE BEING RECOGNIZED (IN INDEPENDENT SURVEYS CONDUCTED BY THE NATIONAL RESEARCH CORPORATION) AS THE LEADER IN COMMUNITY OUTREACH EFFORTS IN ATLANTA. IN-KIND DONATIONS NORTHSIDE HOSPITAL-CHEROKEE PROVIDES MEETING AND EDUCATIONAL CLASSROOM SPACE FOR VARIOUS MEETINGS, CONFERENCES AND CLASSES FOR NOT-FOR-PROFIT COMMUNITY GROUPS THROUGHOUT THE YEAR. IN 2014, ROOMS WERE PROVIDED AT NO COST TO 3 ORGANIZATIONS FOR APPROXIMATELY 88 HOURS. 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) 2013

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
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 (if applicable) 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 0 0 NORTHSIDE HOSPITAL INC
 
(2) NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
33-1105310
PROFESSIONAL SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(3) NORTHSIDE SURGERY CENTERS LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
01-0642336
HEALTHCARE SERVICES GA 0 1,929,167 NORTHSIDE HOSPITAL INC
 
(4) SURGERY CENTER OF GEORGIA LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
58-2169517
SURGERY CENTER GA 0 0 NORTHSIDE SURGERY CENTERS LLC
 
(5) NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
45-1259671
PROFESSIONAL SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(6) NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
45-1259435
PROFESSIONAL SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(7) SURGICOE REAL ESTATE LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
58-2558486
SURGERY CENTER GA 0 0 NORTHSIDE SURGERY CENTERS LLC
 
(8) NORTHSIDE ATLANTA SURGERY CENTERS LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
45-4364531
HEALTHCARE SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(9) ATLANTA ADVANCED SURGERY CENTER LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
37-1663139
SURGERY CENTER GA 1,569,175 10,344,185 NORTHSIDE ATLANTA SURGERY CENTERS LLC
 
(10) NORTHSIDE FORSYTH SURGERY CENTERS LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
45-4364708
SURGERY CENTER GA 0 0 NORTHSIDE HOSPITAL INC
 
(11) GWINNETT ADVANCED SURGERY CENTER LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
45-5067682
SURGERY CENTER GA 2,553,451 3,246,289 NORTHSIDE HOSPITAL INC
 
(12) AGA PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
45-3694469
PROFESSIONAL SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(13) GALEN ADVISORS LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
26-2016143
MEDICAL BILLING SERVICES GA 4,371,187 5,098,269 NORTHSIDE HOSPITAL INC
 
(14) LMG AT NORTHSIDE LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
58-1436087
PROFESSIONAL SERVICES GA 26,357,117 8,195,502 NORTHSIDE HOSPITAL INC
 
(15) NORTHSIDE 993 LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
46-6251430
REAL ESTATE SERVICES GA 3,776,251 31,636,591 NORTHSIDE HOSPITAL INC
 
(16) NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
46-0667707
ONCOLOGY SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(17) NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
46-0676654
ONCOLOGY SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(18) GEORGIA SURGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
46-3858353
PROFESSIONAL SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(19) MEDICAL ASSOCIATES PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
46-3806922
PROFESSIONAL SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(20) UROLOGICAL PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
46-5757579
PROFESSIONAL SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(21) PERIMETER PROFESSIONAL SERVICES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
47-1088986
PROFESSIONAL SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(22) CHEROKEE COUNTY INVESTORS LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
30-0834387
REAL ESTATE SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(23) NORTHSIDE URGENT CARE HOLDING LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
47-1625673
PROFESSIONAL SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(24) NORTHSIDE MEDICAL GROUP LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
58-1954432
INACTIVE GA 0 0 NORTHSIDE HOSPITAL INC
 
(25) NORTHSIDE HOSPITAL HOLDINGS LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
45-3364630
INACTIVE GA 0 0 NORTHSIDE HOSPITAL INC
 
(26) NORTHSIDE ATLANTA EAR NOSE & THROAT ASSOCIATES LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
58-1954432
INACTIVE GA 0 0 NORTHSIDE HOSPITAL INC
 
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 entity?
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
PUBLIC CHARITY, ORGANIZED EMPLOYEE RELIEF FUND GA 501(C)(3) LINE 7 NORTHSIDE HEALTH SERVICES INC
 
 
No








For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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
(1) ENT SURGERY CENTER OF ATLANTA LLC

1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
20-0075229
AMBULATORY SURGERY OUTPATIENT SPECIALTYAMBULATORY SUL ESTATE SERVICES GA NORTHSIDE HOSPITAL INC
 
RELATED 212,297     No     No 70.000 %
(2) NORTHERN CRESCENT ENDOSCOPY SUITE LLC

550 PEACHTREE STREET SUITE 1620
ATLANTA,GA30308
58-2453504
OUTPATIENT SURGERY GA NORTHSIDE HOSPITAL INC
 
RELATED 276,634     No     No 70.000 %
(3) UROLOGY SURGICAL PARTNERS LLC

5673 PEACHTREE DUNWOODY RD SUITE 91
ATLANTA,GA30342
47-2619158
AMBULATORY SURGERY OUTPATIENT SPECIALTYAMBULATORY SUL ESTATE SERVICES GA NORTHSIDE HOSPITAL INC
 
RELATED       No     No 70.000 %








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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) NORTHSIDE VENTURES INC

1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
58-1954456
LEASING COMPANY GA N/A
C         No












Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(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 Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
PART I, LINE D: IN MOST INSTANCES WHERE (D) TOTAL INCOME IS ZERO, ENTITIES WERE ESTABLISHED FOR BILLING IDENTIFICATION ONLY AND NO ASSETS OR INCOME ARE APPLICABLE TO EMPLOYER IDENTIFICATION NUMBER.
Schedule R (Form 990) 2013
Additional Data


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