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.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 10-01-2014 , and ending 09-30-2015
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 $ 2,571,991,440
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 6
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 13,292
6 Total number of volunteers (estimate if necessary) ............. 6 978
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 12,508,072
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 4,567,196 4,189,243
9 Program service revenue (Part VIII, line 2g) ......... 2,171,950,633 2,518,339,576
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 9,263,208 20,533,759
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 16,161,375 28,795,123
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,201,942,412 2,571,857,701
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,637,893 2,426,359
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) 764,030,683 890,492,569
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).... 1,250,851,775 1,398,264,647
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,016,520,351 2,291,183,575
19 Revenue less expenses. Subtract line 18 from line 12....... 185,422,061 280,674,126
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,592,450,557 1,880,045,994
21 Total liabilities (Part X, line 26)............. 721,693,982 795,787,729
22 Net assets or fund balances. Subtract line 21 from line 20..... 870,756,575 1,084,258,265
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 (2014)
Form 990 (2014)
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, INC. ("NORTHSIDE") IS COMMITTED TO THE HEALTH AND WELLNESS OF OUR COMMUNITY. AS SUCH, WE DEDICATE OURSELVES TO BEING A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE. WE PLEDGE COMPASSIONATE SUPPORT, PERSONAL GUIDANCE AND UNCOMPROMISING STANDARDS TO OUR PATIENTS IN THEIR JOURNEYS TOWARD HEALTH OF BODY AND MIND. TO ENSURE INNOVATIVE AND UNSURPASSED CARE FOR OUR PATIENTS, WE ARE DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. TO ENHANCE THE WELLNESS OF OUR COMMUNITY, WE COMMIT OURSELVES TO PROVIDING A DIVERSE ARRAY OF EDUCATIONAL AND OUTREACH PROGRAMS.
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 $ 1,780,804,339 including grants of $ 2,426,359 ) (Revenue $ 2,544,363,935 )
AS NOTED IN ITS MISSION, NORTHSIDE IS DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. THESE SELECT SPECIALTIES, OR PROGRAM SERVICES, INCLUDE EMERGENCY SERVICES, ONCOLOGY SERVICES, RADIOLOGY SERVICES, SURGICAL SERVICES, AND WOMEN'S SERVICES. IN FURTHERANCE OF ITS CHARITABLE MISSION, NORTHSIDE INVESTED IN THE CONTINUED GROWTH, EXPANSION, AND INCREASED ACCESS TO THESE VITAL PROGRAM SERVICES.EMERGENCY SERVICES- IN FY2015, TOTAL EMERGENCY ROOM VISITS INCREASED 5.5% ACROSS THE NORTHSIDE SYSTEM, SURPASSING 161,000. - DUE TO CONTINUED VOLUME GROWTH AND IN ORDER TO SERVE PATIENTS IN A TIMELY MANNER, NORTHSIDE HOSPITAL-ATLANTA ("NHA") INITIATED AN EXPANSION OF ITS EMERGENCY ROOM. THE PROJECT INCLUDED THE ADDITION OF NINE (9) PATIENT EXAM ROOMS AND SIX (6) BEHAVIORAL HEALTH HOLDING ROOMS. UPON COMPLETION, NHA WILL HAVE A TOTAL OF 48 EMERGENCY EXAM ROOMS.ONCOLOGY SERVICESIN 2015, THE NORTHSIDE HOSPITAL CANCER INSTITUTE ("NHCI") CONTINUED TO STRENGTHEN ITS SERVICES AND INFRASTRUCTURE TO BETTER SUPPORT THE GROWING CANCER CARE NEEDS OF THE COMMUNITIES SERVED. BELOW IS A SUMMARY OF THE MAJOR SUCCESSES IN 2015:- HOSTED OUR FIRST REGIONAL ATLANTA CANCER SYMPOSIUM;- ACHIEVED OUTSTANDING BLOOD AND MARROW TRANSPLANT OUTCOMES FOR THE SEVENTH CONSECUTIVE REPORTING CYCLE;- COMPLETED OPERATIONAL IMPLEMENTATION OF GEORGIA NATIONAL CANCER INSTITUTE ONCOLOGY RESEARCH PROGRAM AS A NEW, STATEWIDE CANCER RESEARCH NETWORK;- INITIATED SEVERAL HIGH PRIORITY NCI CLINICAL TRIALS, INCLUDING LUNGMAP, ALCHEMIST, EXCEPTIONAL RESPONDERS, AND MATCH;- ACHIEVED A 14.1% CLINICAL TRIAL ACCRUAL RATE (2014), EXCEEDING THE COMMISSION ON CANCER'S 6% GOAL;- INCREASED THE NUMBER OF NHCI PHYSICIAN INVESTIGATORS BY 27%; AND- IMPLEMENTED A SYSTEM-WIDE PATIENT DISTRESS SCREENING TOOL TO IDENTIFY CANCER PATIENTS MOST IN NEED OF SUPPORT SERVICES.RADIOLOGY SERVICES- NORTHSIDE CONTINUED INVESTING IN EXPANDING ITS IMAGING NETWORK IN ORDER TO MEET THE NEEDS OF ITS GROWING SERVICE AREA AND POPULATION. AS A RESULT, IN FY2015 NORTHSIDE INCREASED ITS IMAGING NETWORK FROM 36 LOCATIONS TO NEARLY 60 LOCATIONS. THE EXPANDED GEOGRAPHIC COVERAGE ENABLES NORTHSIDE TO PROVIDE COMPLIMENTARY SERVICES TO ONCOLOGY AND PRIMARY CARE PROVIDERS, AS WELL AS TO PROVIDE EXPANDED ACCESS TO IMAGING SERVICES TO ITS PATIENTS.- IN FURTHERANCE OF ITS CHARITABLE MISSION, NORTHSIDE DEVELOPED AN IMAGING CHARITY REFERRAL PROGRAM WHICH AIMS TO CONNECT UNINSURED/UNDERINSURED PATIENTS IN NEED OF IMAGING SERVICES WITH ONE OF NORTHSIDE'S FIFTEEN CHARITABLE IMAGING LOCATIONS ("CHARITABLE IMAGING LOCATION"). (WHILE ALL NORTHSIDE LOCATIONS ACCEPT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND PROVIDE FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY FOR SUCH ASSISTANCE UNDER NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM, NORTHSIDE'S CHARITABLE IMAGING LOCATIONS HAVE SPECIFIC AND SEPARATE INDIGENT/CHARITY CARE COMMITMENTS RESULTING FROM GEORGIA'S CERTIFICATE OF NEED PROGRAM.) INITIATED IN JULY 2015, THE IMAGING CHARITY REFERRAL PROGRAM RECEIVED NEARLY 300 PATIENT REFERRALS IN THE FIRST THREE (3) MONTHS.SURGICAL SERVICES- IN FY2015, TOTAL SURGERIES INCREASED 8.7% ACROSS THE NORTHSIDE SYSTEM, SURPASSING 49,000. - SURGICAL SERVICES CONTINUES TO BE AN AREA OF GROWTH AND INVESTMENT AS EVIDENCED BY NORTHSIDE'S NUMEROUS PROJECTS TO INCREASE CAPACITY, IMPROVE OPERATIONAL EFFICIENCIES, UPGRADE FACILITIES, AND EXPAND SERVICES. ONE OF THE MORE SIGNIFICANT INVESTMENTS WAS A NINE-MILLION-DOLLAR PROJECT TO EXPAND SURGICAL SERVICES AT NORTHSIDE HOSPITAL-FORSYTH ("NHF"). NHF'S OPERATING ROOMS ARE HIGHLY UTILIZED, WITH UTILIZATION RATES ABOVE 80% FOR EACH OF THE PAST SIX YEARS INCLUDING VERY NEAR OR ABOVE 85% FOR EACH OF THE PAST THREE YEARS. WITH CONTINUED RAPID POPULATION GROWTH PROJECTED IN NHF'S SERVICE AREA, THE EXPANSION PROJECT INCLUDES THE ADDITION OF THREE (3) SHARED OPERATING ROOMS, EXPANDED SUPPORT AREAS INCLUDING FOURTEEN (14) NEW PRE-OP/POST-OP/PACU BAYS, AND OTHER SUPPORT SPACE. THIS PROJECT WILL INCREASE THE NUMBER OF OPERATING ROOMS AT NHF FROM ELEVEN (11) TO FOURTEEN (14).- IN ADDITION TO THE FINANCIAL ASSISTANCE SERVICES PROVIDED TO PATIENTS WHO QUALIFY FOR SUCH SERVICES UNDER NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM, IN FURTHERANCE OF ITS CHARITABLE MISSION AND IN RESPONSE TO AN IDENTIFIED COMMUNITY NEED, NORTHSIDE CREATED THE FINANCIAL ACCESS SURGERY PROGRAM ("FASP"). THE FASP WAS ESTABLISHED AND DESIGNED TO PROVIDE MEDICALLY-NECESSARY, NON-EMERGENT SURGICAL SERVICES AND ALL RELATED ANCILLARY SERVICES AT NO COST TO UNINSURED/UNDERINSURED PATIENTS. NORTHSIDE ENTERED INTO FORMAL REFERRAL AGREEMENTS WITH SEVERAL COMMUNITY ORGANIZATIONS INCLUDING FEDERALLY QUALIFIED HEALTH CENTERS AND SAFETY NET CLINICS LOCATED ACROSS GEORGIA. DEMAND FOR THE PROGRAM WAS SO GREAT THAT NORTHSIDE SUBSEQUENTLY CREATED THE FASP OVERFLOW PROGRAM AND EXPANDED THE NUMBER OF LOCATIONS TO FOUR (4). IN FY2015, THE FASP RECEIVED OVER 800 REFERRALS FROM ITS COMMUNITY PARTNERS.WOMEN'S SERVICES- IN FY2015, DELIVERIES INCREASED 7.6% ACROSS THE NORTHSIDE SYSTEM, SURPASSING 20,000.- NHA IS CONSISTENTLY RANKED AS THE NATION'S LEADER IN MATERNITY SERVICES, DELIVERING MORE BABIES THAN ANY OTHER HOSPITAL. IN CY2014, THE MOST RECENT DATA AVAILABLE, NORTHSIDE HOSPITAL-ATLANTA AGAIN WAS THE NATIONAL LEADER IN MATERNITY SERVICES WITH JUST OVER 15,100 BIRTHS WHILE THE NEXT CLOSEST PROVIDER HAD JUST OVER 14,300 BIRTHS.- IN GEORGIA, NHA IS THE LEADER IN MATERNITY SERVICES INCLUDING HIGH-RISK PERINATAL SERVICES. IN 2014, THE MOST RECENT DATA AVAILABLE, NHA CARED FOR MORE THAN 760 HIGH-RISK PERINATAL PATIENTS WITH THE NEXT CLOSEST PROVIDER CARING FOR MORE THAN 500 PATIENTS.- NHA'S EXPERTISE IN CARING FOR THE MOST FRAGILE NEONATES ALSO IS UNSURPASSED. IN 2014, THE MOST RECENT DATA AVAILABLE, NHA CARED FOR NEARLY 5,000 NEONATES (EXCLUDING NORMAL NEWBORNS) WITH THE NEXT CLOSEST PROVIDER CARING FOR MORE THAN 1,700 NEONATES (EXCLUDING NORMAL NEWBORNS).- GEORGIA CURRENTLY RANKS 50TH IN MATERNAL DEATHS IN THE US, WHICH IS A SERIOUS PUBLIC HEALTH CONCERN WITHIN THE STATE. CURRENTLY, THE NUMBER OF DEATHS AND CAUSES OF MATERNAL DEATHS ARE NOT PROPERLY DOCUMENTED. AS SUCH, THE CENTERS FOR DISEASE CONTROL DETERMINED THAT A REVIEW COMMITTEE SHOULD BE CONVENED TO INVESTIGATE MATERNAL MORTALITY IN THE STATE. THE GEORGIA MATERNAL MORTALITY REVIEW COMMITTEE AIMS TO DEVELOP PREVENTION RECOMMENDATIONS FOR MATERNAL DEATH AND DISSEMINATE THEIR FINDINGS THROUGHOUT GEORGIA TO POLICY MAKERS, HEALTH CARE PROVIDERS, HEALTH CARE FACILITIES, AND THE GENERAL PUBLIC. IN FURTHERANCE OF ITS CHARITABLE MISSION AND TO ENHANCE PUBLIC HEALTH, NORTHSIDE'S CLINICAL OUTCOMES MANAGER JOINED THIS COMMITTEE AND ACTIVELY PARTICIPATES IN THE COMMITTEE'S ACTIVITIES WITH THE FULL MONETARY SUPPORT OF NORTHSIDE.
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 expensesMediumBullet1,780,804,339
Form 990 (2014)
Form 990 (2014)
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? Click to see attachment
20b
Yes
 
Form 990 (2014)
Form 990 (2014)
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 domestic 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 or for domestic individuals 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), 501(c)(4), and 501(c)(29) 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 "Yes," complete Schedule L, Part II................ Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or 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 (2014)
Form 990 (2014)
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
1,333
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
13,292
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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2014)
Form 990 (2014)
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
6
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
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
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
GA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you 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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDEBORAH S MITCHAM

1000 JOHNSON FERRY ROAD
ATLANTA,GA30342 (404) 851-8000
Form 990 (2014)
Form 990 (2014)
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       2,857,407 0 8,473
(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) MARK J SWEENEY........................................................................
SECRETARY
1.00
.......................1.00
X           0 0 0
(8) BARBARA PARE'........................................................................
BOARD MEMBER
1.00
.......................1.00
X           0 0 0
(9) GENEVIEVE FAIRBROTHER MD........................................................................
BOARD MEMBER
1.00
.......................  
X           0 0 0
(10) WILLIAM HASTY JR........................................................................
BOARD MEMBER
1.00
.......................  
X           0 0 0
(11) WAYNE AMBROZE MD........................................................................
BOARD MEMBER
1.00
.......................  
X           650,653 0 7,284
(12) DEBORAH S MITCHAM........................................................................
VP/CFO NSH, INC.
40.00
.......................1.00
    X       769,757 0 8,133
(13) JORGE J HERNANDEZ........................................................................
VICE PRESIDENT/ASST. SECRE
40.00
.......................  
    X       512,847 0 1,189
(14) TINA WAKIM........................................................................
VICE PRESIDENT
40.00
.......................  
      X     896,505 0 8,426
(15) ROBERT PUTNAM........................................................................
VICE PRESIDENT
40.00
.......................  
      X     760,123 0 6,923
(16) JANIS DUBOW........................................................................
VICE PRESIDENT
40.00
.......................  
      X     370,527 0 4,079
(17) WILLIAM HAYES........................................................................
CEO OF NORTHSIDE HOSPITAL-CHEROKEE
40.00
.......................  
      X     467,070 0 8,473
Form 990 (2014)
Form 990 (2014)
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) GERALD FEUER MD........................................................................
GYNECOLOGIST/SURGEON
40.00
.......................  
        X   957,025 0 10,973
(19) GUILHERME H CANTUARIA MD........................................................................
GYNECOLOGIC ONCOLOGIST
40.00
.......................  
        X   889,844 0 8,473
(20) WILLIAM EARLY........................................................................
GASTROENTEROLOGY/INTERNAL MEDICINE
40.00
.......................  
        X   792,673 0 8,148
(21) JOEL HOFFMAN........................................................................
ENT
40.00
.......................  
        X   748,628 0 8,441
(22) MARION SCHERTZER........................................................................
COLON & RECTAL SURGEON
40.00
.......................  
        X   736,365 0 6,485
















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 11,409,424 0 95,500
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet430
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 PC

1835 SAVOY DRIVE STE 300
ATLANTA,GA30342
SEE SCHEDULE O 43,471,770
MCKENNA LONG & ALDRIDGE LLP

PO BOX 116573
ATLANTA,GA30368
LEGAL SERVICES 21,609,295
AGA LLC

550 PEACHTREE ST STE 1620
ATLANTA,GA30308
SEE SCHEDULE O 21,539,534
ATLANTA CANCER CARE

1100 JOHNSON FERRY ROAD STE 150
SANDY SPRINGS,GA30342
SEE SCHEDULE O 19,426,493
MORRISON MANAGEMENT SPECIALISTS

PO BOX 102289
ATLANTA,GA30368
FOOD SERVICES 7,653,482
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet218
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 186,044
e Government grants (contributions)1e 2,906,748
f All other contributions, gifts, grants, and
similar amounts not included above
1f
1,096,451
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 4,189,243
 Program Service RevenueAmt Business Code
2a NET PATIENT REVENUE 621990 2,415,250,140 2,413,898,392 1,351,748  
b PHARMACY REVENUE 446110 73,774,995   5,994,265 67,780,730
c RENTAL INCOME 531120 17,541,831 17,541,831    
d PARKING REVENUE 812930 2,814,009     2,814,009
e CAFETERIA & VENDING 722210 2,269,651     2,269,651
f All other program service revenue . 6,688,950   2,129,125 4,559,825
g Total. Add lines 2a–2f........MediumBullet 2,518,339,576
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 6,467,780     6,467,780
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 14,199,718  
b Less: cost or other basis and sales expenses 0 133,739
c Gain or (loss) 14,199,718 -133,739
d Net gain or (loss)..........MediumBullet 14,065,979     14,065,979
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 26,790,452 25,762,189 1,028,263  
b PASSTHROUGH INVESTMENT 621300 2,004,671   2,004,671  
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 28,795,123
12 Total revenue. See Instructions......MediumBullet 2,571,857,701 2,457,202,412 12,508,072 97,957,974
Form 990 (2014)
Form 990 (2014)
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 domestic organizations and domestic governments. See Part IV, line 21 .... 2,089,051 2,089,051
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 337,308 337,308
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............    
4 Benefits paid to or for members ....    
5 Compensation of current officers, directors, trustees, and key employees .... 13,476,267 10,629,837 2,846,430  
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 .... 708,953,890 559,210,085 149,743,805  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 28,767,667 22,691,419 6,076,248  
9 Other employee benefits ....... 90,662,894 71,513,261 19,149,633  
10 Payroll taxes ........... 48,631,851 38,359,930 10,271,921  
11 Fees for services (non-employees):        
a Management ...... 18,916,988 17,899,988 1,017,000  
b Legal ......... 25,844,389 60,657 25,783,732  
c Accounting ........... 1,077,798   1,077,798  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 2,299,447   2,299,447  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 353,128,486 250,878,549 102,249,937  
12 Advertising and promotion .... 10,908,943 202,544 10,706,399  
13 Office expenses ....... 40,872,742 29,140,830 11,731,912  
14 Information technology ...... 13,861,010 3,935,965 9,925,045  
15 Royalties ..        
16 Occupancy ........... 66,601,810 41,360,569 25,241,241  
17 Travel ............ 1,215,035 660,719 554,316  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 1,137,030 659,672 477,358  
20 Interest ........... 6,640,324   6,640,324  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 124,086,881 85,055,412 39,031,469  
23 Insurance .............. 23,732,184 745,504 22,986,680  
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 563,589,350 558,993,604 4,595,746  
b BAD DEBT EXPENSE 83,478,697 83,478,697    
c MINOR EQUIPMENT PURCHAS 26,502,485 2,576,085 23,926,400  
d COLLECTION FEES 18,668,566 745,584 17,922,982  
e All other expenses 15,702,482 -420,931 16,123,413  
25 Total functional expenses. Add lines 1 through 24e 2,291,183,575 1,780,804,339 510,379,236 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 (2014)
Form 990 (2014)
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 ............. 41,956 1 49,828
2 Savings and temporary cash investments ......... 328,077,149 2 425,854,234
3 Pledges and grants receivable, net ........... 271,354 3 750,285
4 Accounts receivable, net ............. 128,178,919 4 153,568,508
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 ............. 2,211,843 7 1,521,169
8 Inventories for sale or use .............. 26,845,999 8 28,769,418
9 Prepaid expenses and deferred charges .......... 14,928,630 9 23,785,048
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,681,786,774
b Less: accumulated depreciation ..... 10b 978,755,131 629,276,230 10c 703,031,643
11 Investments—publicly traded securities .......... 181,425,948 11 179,697,003
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ............... 225,809,686 14 306,757,551
15 Other assets. See Part IV, line 11 ........... 55,382,843 15 56,261,307
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,592,450,557 16 1,880,045,994
Liabilities 17 Accounts payable and accrued expenses ......... 345,132,362 17 396,046,850
18 Grants payable .................   18  
19 Deferred revenue ................ 555,238 19 422,317
20 Tax-exempt bond liabilities ............. 44,304,313 20 31,135,000
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 .. 86,372,605 23 63,070,175
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.................... 245,329,464 25 305,113,387
26 Total liabilities. Add lines 17 through 25......... 721,693,982 26 795,787,729
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 .............. 870,756,575 27 1,084,258,265
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 ........... 870,756,575 33 1,084,258,265
34 Total liabilities and net assets/fund balances ........ 1,592,450,557 34 1,880,045,994
Form 990 (2014)
Form 990 (2014)
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
2,571,857,701
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,291,183,575
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
280,674,126
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
870,756,575
5
Net unrealized gains (losses) on investments ...............
5
-15,471,408
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
-51,701,028
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,084,258,265
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
Yes
 
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
Yes
 
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 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
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 listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.)..            
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 section 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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.) ..            
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2014
(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)
 
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
 
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2015. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

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
2014
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
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


(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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
NORTHSIDE HOSPITAL INC
 
Employer identification number

58-1954432
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

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 Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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) 2014

Schedule C (Form 990 or 990-EZ) 2014
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2011 (b) 2012 (c) 2013 (d) 2014 (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) 2014


Schedule C (Form 990 or 990-EZ) 2014
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
 
449,476
j
Total. Add lines 1c through 1i ...............................
449,476
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, lines 1 and 2 (see instructions), 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. 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. NORTHSIDE HOSPITAL, INC. DOES NOT DIRECT ANY OF THESE ORGANIZATIONS' LOBBYING ACTIVITIES. IN ADDITION, CONNECT SOUTH, A SERVICE VENDOR, IS RETAINED TO MONITOR LEGISLATION IN THE GEORGIA GENERAL ASSEMBLY.
Schedule C (Form 990 or 990EZ) 2014

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 value of contributions to (during year)    
3 Aggregate value of 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)
Revenue 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
Revenue 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) 2014

Schedule D (Form 990) 2014
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, for escrow or custodial account liability?
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 .... 7,079,636 7,044,190 6,092,371 5,750,449 5,806,929
b Contributions ........ 1,525,651 1,352,241 1,566,045 1,117,389 1,170,547
c Net investment earnings, gains, and losses 114,920 117,482 112,842 112,483 112,618
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
978,133 1,434,277 727,068 887,950 1,339,645
f Administrative expenses ....          
g End of year balance ...... 7,742,074 7,079,636 7,044,190 6,092,371 5,750,449
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 Bullet61.730 %
c
Temporarily restricted endowment SchDMd Bullet38.270 %
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 .................   191,355,211 191,355,211
b Buildings ................   827,330,246 526,212,199 301,118,047
c Leasehold improvements ............        
d Equipment ................   559,316,266 452,542,932 106,773,334
e Other .................   103,785,051   103,785,051
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 703,031,643
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
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 1,287,184
INTERCHANGE FINANCE LIABILITY 67,809,460
FMV OF SWAP AGREEMENT 427,911
RENT OBLIGATION, LONG-TERM PORTION 13,010,920
OTHER LIABILITY 650,456
OBLIGATIONS UNDER CAPITAL LEASE 111,392
RESERVE FOR MALPRACTICE 133,660,139
RETIREMENT PLAN OBLIGATIONS 88,156,024
NET INTERCOMPANY -99
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 305,113,387
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) 2014

Schedule D (Form 990) 2014
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 (losses) 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 HOSPITAL, INC., AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2015 AND 2014, 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) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 criteria used 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) ..
    90,057,610   90,057,610 3.930 %
b Medicaid (from Worksheet 3,
column a) ....
    168,725,587 108,450,699 60,274,888 2.630 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    258,783,197 108,450,699 150,332,498 6.560 %
Other Benefits
    3,863,928 408,232 3,455,696 0.150 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    107,270 100,120 7,150 0 %
g Subsidized health services
(from Worksheet 6) ..
           
h Research (from Worksheet 7)     1,205,516 1,088,747 116,769 0.010 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    1,550,822   1,550,822 0.070 %
j Total. Other Benefits ..     6,727,536 1,597,099 5,130,437 0.230 %
k Total. Add lines 7d and 7j .     265,510,733 110,047,798 155,462,935 6.790 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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     1,520,922   1,520,922 0.070 %
9 Other            
10 Total     1,520,922   1,520,922 0.070 %
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
16,812,293
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
274,201,208
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
312,596,955
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-38,395,747
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 %   85.000 %
22 MIDTOWN ENDOSCOPY CENTER LLC
 
OUTPATIENT CENTER 15.000 %   85.000 %
33 NORTH CRESCENT ENDOSCOPY SUITE LLC
 
OUTPATIENT CENTER 70.000 %   30.000 %
44 WOODSTOCK ENDOSCOPY CENTER LLC
 
OUTPATIENT CENTER 15.000 %   85.000 %
55 WEST METRO ENDOSCOPY CENTER LLC
 
OUTPATIENT CENTER 15.000 %   85.000 %
66 NORTHWEST ENDOSCOPY CENTER LLC
 
OUTPATIENT CENTER 15.000 %   85.000 %
77 BULLOCH COUNTY ENDOSCOPY CENTER LLC
 
OUTPATIENT CENTER 15.000 %   85.000 %
88 ENT SURGERY CENTER OF ATLANTA LLC
 
AMBULATORY SURGERY 63.300 %   36.670 %
99 PEACHTREE ORTHOPAEDIC SURGERY CENTER AT PERIMETER LLC
 
AMBULATORY SURGERY 15.000 %   71.260 %
1010 UROLOGY SURGICAL PARTNERS LLC
 
AMBULATORY SURGERY 70.000 %   30.000 %
1111 SOUTHERN CRESCENT ENDOSCOPY CENTER SUITE PC
 
OUTPATIENT CENTER 15.000 %   85.000 %
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
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) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
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 REPORTING GROUP - A PART V, SECTION B, LINE 16A WEBSITE: WWW.NORTHSIDE.COM
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16B WEBSITE: WWW.NORTHSIDE.COM
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16C WEBSITE: WWW.NORTHSIDE.COM
GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 3J: NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") COMPLETED A CHNA FOR EACH OF ITS HOSPITAL FACILITIES IDENTIFIED IN PART V, SECTION A. IN COMPLETING THE CHNAS FOR ITS HOSPITAL FACILITIES, NORTHSIDE DID NOT ENCOUNTER ANY INFORMATION GAPS THAT LIMITED ITS ABILITY TO ASSESS EACH HOSPITAL FACILITY'S COMMUNITY NEED. IN ADDITION TO THE INFORMATION LISTED ABOVE, NORTHSIDE DESCRIBES IN THE CHNAS EACH COMMUNITY'S ACCESS TO HEALTH CARE AND PROVIDES AN OVERVIEW OF EACH HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY.
GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 5: NORTHSIDE IDENTIFIED COMMUNITY STAKEHOLDERS WHO BROADLY REPRESENTED THE INTERESTS OF EACH HOSPITAL FACILITY'S COMMUNITY AND SPECIFICALLY SOUGHT TO IDENTIFY STAKEHOLDERS WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH. NORTHSIDE THEN DEVELOPED THE STAKEHOLDER ASSESSMENT DISCUSSION GUIDE (A COPY OF WHICH IS INCLUDED AS APPENDIX A IN EACH HOSPITAL FACILITY'S CHNA) AND CONDUCTED, EITHER IN PERSON OR BY TELEPHONE, INTERVIEWS WITH A QUALIFIED REPRESENTATIVE OF EACH IDENTIFIED STAKEHOLDER. THE FOLLOWING IS A COMPREHENSIVE LIST OF ORGANIZATIONS NORTHSIDE CONTACTED TO HELP IDENTIFY THE NEEDS OF THE HOSPITAL FACILITIES' COMMUNITY NEEDS: (1) MARCH OF DIMES, (2) GOOD SAMARITAN HEALTH CENTER OF ATLANTA, (3) GOOD SAMARITAN HEALTH CENTER OF COBB, (4) VISITING NURSE HEALTH SYSTEM, (5) FORSYTH HEALTH DEPARTMENT, (6) GEORGIA HIGHLANDS MEDICAL SERVICES, (7) GOOD SHEPHERD CLINIC OF DAWSON COUNTY, (8) BETHESDA COMMUNITY CLINIC, (9) GOOD SAMARITAN HEALTH CENTER OF PICKENS, (10) UNITED WAY OF CHEROKEE COUNTY, (11) HOMESTRETCH, (12) M.U.S.T. MINISTRIES, (13) UNITED WAY OF FORSYTH COUNTY, (14) NORTH FULTON COMMUNITY CHARITIES, (15) NORTH FULTON SENIOR SERVICES, (16) UNITED WAY OF GREATER ATLANTA, (17) CITY OF SANDY SPRINGS, (18) CHEROKEE COUNTY MANAGER, (19) CHEROKEE COUNTY SCHOOLS, (20) CITY OF CUMMING, (21) CITY OF CANTON, (22) CHEROKEE COUNTY CHAMBER OF COMMERCE, (23) PICKENS CHAMBER OF COMMERCE, AND (24) CUMMING/FORSYTH CHAMBER OF COMMERCE.
GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 6A: THE NORTHSIDE HOSPITAL, INC. SYSTEM COMPRISES THREE HOSPITAL FACILITIES: (1) NORTHSIDE HOSPITAL-ATLANTA, (2) NORTHSIDE HOSPITAL-CHEROKEE AND (3) NORTHSIDE HOSPITAL-FORSYTH. NORTHSIDE UTILIZED SIMILAR RESOURCES, PROCESSES AND PROCEDURES IN CONDUCTING ITS HOSPITAL FACILITIES' CHNAS; ADDITIONALLY, THE CHNAS WERE CONDUCTED SIMULTANEOUSLY.
GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 11: 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.
GROUP A-FACILITY 1 -- HOSPITALS - ATLANTA, CHEROKEE, FORSYTH PART V, SECTION B, LINE 20E: IN ADDITION, NORTHSIDE PUBLISHES THE FINANCIAL ASSISTANCE POLICY ON THEIR WEBSITE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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?104
Name and address Type of Facility (describe)
1 NORTHSIDE HOSPITAL CANCER INSTITUTE MAC
308 COLISEUM DRIVE SUITE 120
MACON,GA31217
PHYSICIAN SERVICES/ OUTPATIENT SERVICES
2 NORTHSIDE HOSPITAL CANCER INSTITUTE MIL
624 MARTIN LUTHER KING JR DRIVE
MILLEDGEVILLE,GA31061
PHYSICIAN SERVICES/ OUTPATIENT SERVICES
3 NORTHSIDE HOSPITAL CANCER INSTITUTE ATH
125 KING AVENUE SUITE 200
ATHENS,GA30606
PHYSICIAN SERVICES/ OUTPATIENT SERVICES
4 NORTHSIDE HOSPITAL CANCER INSTITUTE BLU
101 RIVERSTONE VISTA SUITE 102
BLUE RIDGE,GA30513
PHYSICIAN SERVICES/ OUTPATIENT SERVICES
5 NORTHSIDE HOSPITAL CANCER INSTITUTE GRI
747 S 8TH STREET SUITE C
GRIFFIN,GA30224
PHYSICIAN SERVICES/ OUTPATIENT SERVICES
6 NORTHSIDE HOSPITAL CANCER INSTITUTE BLA
308 DEEP SOUTH FARM ROAD SUITE 200
BLAIRSVILLE,GA30512
PHYSICIAN SERVICES/ OUTPATIENT SERVICES
7 NORTHSIDE HOSPITAL CANCER INSTITUTE OCO
1000 COWLES CLINIC WAY - MAGNOLIA
BUILDI
GREENSBORO,GA30642
PHYSICIAN SERVICES/ OUTPATIENT SERVICES
8 NORTHSIDE HOSPITAL CANCER INSTITUTE HAW
214 PERRY HIGHWAY
HAWKINSVILLE,GA31036
PHYSICIAN SERVICES/ OUTPATIENT SERVICES
9 LAUREATE MEDICAL GROUP - BARFIELD
6135 BARFIELD ROAD
ATLANTA,GA30328
PHYSICIAN SERVICES
10 LAUREATE MEDICAL GROUP - PEACHTREE
550 PEACHTREE STREET NE SUITE 1550
ATLANTA,GA30308
PHYSICIAN SERVICES
11 LAUREATE MEDICAL GROUP - ALPHARETTA
3400-C OLD MILTON PARKWAY SUITE 500
ALPHARETTA,GA30005
PHYSICIAN SERVICES
12 LAUREATE MEDICAL GROUP - JONESBORO
7823 SPIVEY STATION BOULEVARD SUITE
310
JONESBORO,GA30326
PHYSICIAN SERVICES
13 LAUREATE MEDICAL GROUP - HOLLY SPRINGS
684 SIXES ROAD SUITE 265
HOLLY SPRINGS,GA30115
PHYSICIAN SERVICES
14 LAUREATE MEDICAL GROUP - EAST COBB
1121 JOHNSON FERRY ROAD SUITE 320
MARIETTA,GA30068
PHYSICIAN SERVICES
15 MEDICAL ASSOCIATES OF NORTH GEORGIA - CA
320A HOSPITAL ROAD CANTON
CANTON,GA30014
PHYSICIAN SERVICES
16 MEDICAL ASSOCIATES OF NORTH GEORGIA - BA
470 VALLEY ST SUITE 200
BALLGROUND,GA30107
PHYSICIAN SERVICES
17 PERIMETER NORTH FAMILY MEDICINE - ALPHAR
3400-A OLD MILTON PKWY SUITE 130
ALPHARETTA,GA30005
PHYSICIAN SERVICES
18 PERIMETER NORTH FAMILY MEDICINE - ATLANT
960 JOHNSON FERRY RD NE SUITE 300
ATLANTA,GA30342
PHYSICIAN SERVICES
19 PERIMETER NORTH FAMILY MEDICINE - WOODST
900 TOWNE LAKE PKWY SUITE 210
WOODSTOCK,GA30189
PHYSICIAN SERVICES
20 PERIMETER NORTH FAMILY MEDICINE - SUWANE
4375 JOHNS CREEK PKWY SUITE 320
SUWANEE,GA30024
PHYSICIAN SERVICES
21 PERIMETER NORTH FAMILY MEDICINE - CUMMIN
1505 NORTHSIDE BLVD SUITE 4400
CUMMING,GA30041
PHYSICIAN SERVICES
22 NORTHSIDE VASCULAR SURGERY - ATLANTA
980 JOHNSON FERRY RD SUITE 1040
ATLANTA,GA30342
PHYSICIAN SERVICES
23 NORTHSIDE VASCULAR SURGERY - CANTON
145 RIVERSTONE TERRACE SUITE 101
CANTON,GA30114
PHYSICIAN SERVICES
24 NORTHSIDE VASCULAR SURGERY - CUMMING
1505 NORTHSIDE FORSYTH DRIVE SUITE
2400
CUMMING,GA30041
PHYSICIAN SERVICES
25 GEORGIA COLON & RECTAL SURGEONS - SANDY
5445 MERIDIAN MARK SUITE 180
ATLANTA,GA30342
PHYSICIAN SERVICES
26 GEORGIA COLON & RECTAL SURGEONS - FAYETT
1260 HWY 54 W SUITE 100
FAYETTEVILLE,GA30214
PHYSICIAN SERVICES
27 GEORGIA COLON & RECTAL SURGEONS - CUMMIN
1505 NORTHSIDE BLVD SUITE 2900
CUMMING,GA30041
PHYSICIAN SERVICES
28 GEORGIA COLON & RECTAL SURGEONS - GWINNE
721 WELLNESS WAY SUITE 200
LAWRENCEVILLE,GA30045
PHYSICIAN SERVICES
29 GEORGIA COLON & RECTAL SURGEONS - ALPHAR
3400 C MILTON PKWY SUITE 185
ALPHARETTA,GA30005
PHYSICIAN SERVICES
30 GEORGIA COLON & RECTAL SURGEONS - ATLANT
1 BALTIMORE PLACE SUITE 290
ATLANTA,GA30308
PHYSICIAN SERVICES
31 GEORGIA COLON & RECTAL SURGEONS - DEKALB
2801 NORTH DECATUR RD SUITE 120
DECATUR,GA30033
PHYSICIAN SERVICES
32 CUMMING FAMILY MEDICINE - CUMMING
765 LANIER 400 PARKWAY
CUMMING,GA30040
PHYSICIAN SERVICES
33 CUMMING FAMILY MEDICINE - FORSYTH
1400 NORTHSIDE FORSYTH DR SUITE 210
CUMMING,GA30041
PHYSICIAN SERVICES
34 CUMMING FAMILY MEDICINE - DAWSONVILLE
133 PROMINENCE COURT SUITE 230
DAWSONVILLE,GA30535
PHYSICIAN SERVICES
35 CUMMING FAMILY MEDICINE - FOOTHILLS
25 FOOTHILLS PKWY
MARBLE HILL,GA30149
PHYSICIAN SERVICES
36 NORTHSIDE CARDIOLOGY - ATLANTA
5670 PEACHTREE DUNWOODY ROAD SUITE
880
ATLANTA,GA30342
PHYSICIAN SERVICES
37 NORTHSIDE CARDIOLOGY - ALPHARETTA
3400 C OLD MILTON PARKWAY SUITE 360
ALPHARETTA,GA30005
PHYSICIAN SERVICES
38 NORTHSIDE CARDIOLOGY - FORSYTH
1400 NORTHSIDE FORSYTH DRIVE SUITE
340
CUMMING,GA30041
PHYSICIAN SERVICES
39 GWINNETT ADVANCED SURGERY CENTER LLC
2131 FOUNTAIN DRIVE
SNELLVILLE,GA30078
AMBULATORY SURGERY
40 CARDIOVASCULAR PHYSICIANS OF NORTH ATLAN
1285 UPPER HEMBREE ROAD
ROSWELL,GA30076
PHYSICIAN SERVICES
41 CARDIOVASCULAR PHYSICIANS OF NORTH ATLAN
6135 BARFIELD ROAD SUITE 100
SANDY SPRINGS,GA30328
PHYSICIAN SERVICES
42 CARDIOVASCULAR PHYSICIANS OF NORTH ATLAN
1505 NORTHSIDE FORSYTH DRIVE SUITE
3600
CUMMING,GA30040
PHYSICIAN SERVICES
43 INTERNAL MEDICINE ASSOCIATES OF JOHN'S C
3340 AND 3350 PADDOCK PARKWAY
SUWANEE,GA30024
PHYSICIAN SERVICES
44 PULMONARY AND CRITICAL CARE OF ATLANTA
5505 PEACHTREE DUNWOODY RD SUITE
370
ATLANTA,GA30342
PHYSICIAN SERVICES
45 NORTHSIDE FAMILY MEDICINE AND URGENT CAR
81 NORTHSIDE DAWSON DR
DAWSONVILLE,GA30534
PHYSICIAN SERVICES
46 NORTHSIDE FAMILY MEDICINE AND URGENT CAR
5610 BETHELVIEW RD
CUMMING,GA30040
PHYSICIAN SERVICES
47 NORTHSIDE FAMILY MEDICINE AND URGENT CAR
1121 JOHNSON FERRY RD
MARIETTA,GA30068
PHYSICIAN SERVICES
48 NORTHSIDE FAMILY MEDICINE AND URGENT CAR
684 SIXES RD STE 125
HOLLY SPRINGS,GA30115
PHYSICIAN SERVICES
49 ATLANTA CLINICAL CARE - INFECTIOUS DISEA
5673 PEACHTREE DUNWOODY ROAD SUITE
330
ATLANTA,GA30342
PHYSICIAN SERVICES
50 ATLANTA CLINICAL CARE - INFUSION CENTER
5673 PEACHTREE DUNWOODY ROAD SUITE
330
ATLANTA,GA30342
PHYSICIAN SERVICES
51 NORTHSIDE PULMONARY AND SLEEP MEDICINE -
1400 NORTHSIDE FORSYTH DR SUITE 280
CUMMING,GA30041
PHYSICIAN SERVICES
52 NORTHSIDE PULMONARY AND SLEEP MEDICINE -
200 DAWSON COMMONS CIRCLE SUITE 210
DAWSONVILLE,GA30534
PHYSICIAN SERVICES
53 NORTHSIDE PULMONARY AND SLEEP MEDICINE -
4700 NELSON BROGDEN BLVD NE SUITE
125
BUFORD,GA30518
PHYSICIAN SERVICES
54 NORTHSIDE CHEROKEE CARDIOLOGY
900 TOWNE LAKE PKWY SUITE 400
WOODSTOCK,GA30189
PHYSICIAN SERVICES
55 WINDERMERE MEDICAL CLINIC
WINDERMERE PARKWAY SUITE 105
CUMMING,GA30041
PHYSICIAN SERVICES
56 NORTHSIDE NEUROLOGY
1400 NORTHSIDE FORSYTH DR STE 250
CUMMING,GA30041
PHYSICIAN SERVICES
57 MOUNT VERNON INTERNAL MEDICINE
755 MT VERNON HIGHWAY NE SUITE 400
SANDY SPRINGS,GA30328
PHYSICIAN SERVICES
58 GEORGIA GYNECOLOGIC ONCOLOGY - ATLANTA
980 JOHNSON FERRY ROAD SUITE 910
ATLANTA,GA30342
PHYSICIAN SERVICES
59 GEORGIA GYNECOLOGIC ONCOLOGY - GWINNETT
759 OLD NORCROSS ROAD
LAWRENCEVILLE,GA30046
PHYSICIAN SERVICES
60 GEORGIA GYNECOLOGIC ONCOLOGY - CUMMING
1505 NORTHSIDE BLVD SUITE 3800
CUMMING,GA30041
PHYSICIAN SERVICES
61 GEORGIA GYNECOLOGIC ONCOLOGY - PEACHTREE
2001 PEACHTREE ROAD SUITE 650
ATLANTA,GA30309
PHYSICIAN SERVICES
62 UNIVERSITY GYNECOLOGIC ONCOLOGY
960 JOHNSON FERRY ROAD SUITE 130
ATLANTA,GA30342
PHYSICIAN SERVICES
63 ATLANTA CARDIAC & THORACIC SURGICAL ASSO
960 JOHNSON FERRY ROAD SUITE 100
ATLANTA,GA30342
PHYSICIAN SERVICES
64 GEORGIA PULMONARY AND CRITICAL CARE CONS
1505 NORTHSIDE BLVD SUITE 3000
CUMMING,GA30041
PHYSICIAN SERVICES
65 UROLOGY SPECIALISTS OF ATLANTA
5673 PEACHTREE DUNWOODY ROAD SUITE
910
ATLANTA,GA30342
PHYSICIAN SERVICES
66 NORTHSIDE CHEROKEE ORTHOPEDICS AND SPORT
684 SIXES ROAD SUITE 230
HOLLY SPRINGS,GA30142
PHYSICIAN SERVICES
67 NORTH POINT PULMONARY ASSOCIATES
1357 HEMBREE RD STE 100
ROSWELL,GA30076
PHYSICIAN SERVICES
68 NORTH GEORGIA DIABETES AND ENDOCRINOLOGY
1505 NORTHSIDE BOULEVARD SUITE 2800
CUMMING,GA30041
PHYSICIAN SERVICES
69 NORTH GEORGIA DIABETES AND ENDOCRINOLOGY
4310 JOHNS CREEK PKWY STE 100
JOHNS CREEK,GA30024
PHYSICIAN SERVICES
70 NORTHSIDE CHEROKEE PEDIATRICS
684 SIXES ROAD SUITE 220
HOLLY SPRINGS,GA30142
PHYSICIAN SERVICES
71 RAVRY MEDICAL GROUP
5505 PEACHTREE DUNWOODY RD STE 650
ATLANTA,GA30342
PHYSICIAN SERVICES
72 NORTHSIDE HOSPITAL CARDIOVASCULAR CARE
980 JOHNSON FERRY ROAD SUITE 250
ATLANTA,GA30342
PHYSICIAN SERVICES
73 GOYCO INTERNAL MEDICINE
900 SANDERS RD SUITE B
CUMMING,GA30041
PHYSICIAN SERVICES
74 ATLANTA GYNECOLOGIC ONCOLOGY - ATLANTA
980 JOHNSON FERRY ROAD SUITE 1080
ATLANTA,GA30342
PHYSICIAN SERVICES
75 ATLANTA GYNECOLOGIC ONCOLOGY - MARIETTA
780 CANTON RD SUITE 405
MARIETTA,GA30060
PHYSICIAN SERVICES
76 NORTHSIDE TOTAL JOINT SPECIALISTS & ARTH
3400 OLD MILTON PARKWAY BUILDING
CSUITE
ALPHARETTA,GA30005
PHYSICIAN SERVICES
77 THE IMAGING CENTER OF WARNER ROBINS
2706 WATSON BOULEVARD SUITE D
WARNER ROBINS,GA31093
OUTPATIENT CENTER
78 NORTH ATLANTA PULMONARY AND SLEEP
5667 PEACHTREE DUNWOODY ROAD SUITE
250
ATLANTA,GA30342
PHYSICIAN SERVICES
79 MELANOMA SPECIALISTS OF GEORGIA
980 JOHNSON FERRY ROAD SUITE 940A
ATLANTA,GA30342
PHYSICIAN SERVICES
80 TOWNE LAKE PRIMARY CARE
900 TOWNE LAKE PKWY SUITE 410
WOODSTOCK,GA30189
PHYSICIAN SERVICES
81 PEACHTREE DUNWOODY INTERNAL MEDICINE AND
875 JOHNSON FERRY RD NE SUITE 200
ATLANTA,GA30342
PHYSICIAN SERVICES
82 NORTHSIDE ATLANTA ORTHOPAEDICS AND SPORT
5555 PEACHTREE DUNWOODY ROAD NE
SUITE 1
ATLANTA,GA30342
PHYSICIAN SERVICES
83 ENDOCRINE SPECIALIST OF ATLANTA
975 JOHNSON FERRY ROAD SUITE 400
ATLANTA,GA30342
PHYSICIAN SERVICES
84 MRI & IMAGING OF ATHENS
845 PRINCE AVENUE
ATHENS,GA30606
OUTPATIENT CENTER
85 INTERNAL MEDICINE PRACTICE OF NORTHSIDE
10745 WESTSIDE WAY SUITE 125
ALPHARETTA,GA30009
PHYSICIAN SERVICES
86 NORTHSIDE CHEROKEE NEUROLOGY
145 RIVERSTONE TERRACE SUITE 102
CANTON,GA30114
PHYSICIAN SERVICES
87 ROSWELL INTERNAL MEDICINE SPECIALISTS
11785 NORTHFALL LANE SUITE 505
ALPHARETTA,GA30004
PHYSICIAN SERVICES
88 BARIATRIC INNOVATIONS OF ATLANTA
6135 BARFIELD ROAD SUITE 150
SANDY SPRINGS,GA30328
PHYSICIAN SERVICES
89 NORTHSIDE CHEROKEE SURGICAL ASSOCIATES
900 TOWNE LAKE PKWY SUITE 412
WOODSTOCK,GA30189
PHYSICIAN SERVICES
90 ANDERSON FAMILY MEDICINE
400 DAWSON COMMONS CIRCLE STE 410
DAWSONVILLE,GA30534
PHYSICIAN SERVICES
91 MRI & IMAGING OF HABERSHAM
638 HISTORIC HIGHWAY 441 NORTH
SUITE D
DEMOREST,GA30535
OUTPATIENT CENTER
92 PREMIER CARE FOR WOMEN
960 JOHNSON FERRY RD SUITE 400
ATLANTA,GA30342
PHYSICIAN SERVICES
93 DUNWOODY OUTPATIENT SURGERY CENTER
4553 NORTH SHALLOWFORD ROAD STE 60C
ATLANTA,GA30342
AMBULATORY SURGERY
94 GORDON J AZAR SR MD INTERNAL MEDICINE
960 JOHNSON FERRY ROAD SUITE 235
ATLANTA,GA30342
PHYSICIAN SERVICES
95 NEWTOWN MEDICAL
3400-C OLD MILTON PKWY SUITE 380
ALPHARETTA,GA30005
PHYSICIAN SERVICES
96 ALPHARETTA FOOT AND ANKLE SPECIALISTS
3400-A OLD MILTON PARKWAY SUITE 500
ALPHARETTA,GA30005
PHYSICIAN SERVICES
97 REPRODUCTIVE SURGICAL SPECIALISTS
1800 NORTHSIDE FORYSTH DRIVE SUITE
380
CUMMING,GA30041
PHYSICIAN SERVICES
98 GLENRIDGE NORTHSIDE GYNECOLOGY
5445 MERIDIAN MARK SUITE 120
ATLANTA,GA30342
PHYSICIAN SERVICES
99 CHEROKEE LUNG AND SLEEP - CANTON
15 REINHARDT COLLEGE PKWY BLDG 100
SUIT
CANTON,GA30114
PHYSICIAN SERVICES
100 CHEROKEE LUNG AND SLEEP - WOODSTOCK
900 TOWNELAKE PKWY SUITE 202
WOODSTOCK,GA30189
PHYSICIAN SERVICES
101 CHEROKEE LUNG AND SLEEP - BLAIRSVILLE
308 DEEP SOUTH FARM RD
BLAIRSVILLE,GA30512
PHYSICIAN SERVICES
102 NORTHSIDE FAMILY PRACTICE
960 WOODSTOCK PKWY SUITE 300
WOODSTOCK,GA30188
PHYSICIAN SERVICES
103 PERIMETER ADVANCED SURGERY CENTER
4553 NORTH SHALLOWFORD ROAD
ATLANTA,GA30338
AMBULATORY SURGERY
104 NORTHSIDE RHEUMATOLOGY
1265 UPPER HEMBREE ROAD
ROSWELL,GA30076
PHYSICIAN SERVICES
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 I, LINE 3C: IN ADDITION TO THE FPG THRESHOLDS, NORTHSIDE'S POLICY ALLOWS FOR MEDICAL INDIGENCY AS WELL AS AN ASSET TEST FOR ADDITIONAL OPPORTUNITY TO QUALIFY FOR CHARITY. AN APPLICATION IS COMPLETED BY THE PATIENT AND/OR A SCORING METHODOLOGY IS GATHERED FROM A THIRD PARTY USING IT'S PROPRIETARY SOURCE TO DETERMINE PROPENSITY TO PAY. THESE TOOLS ARE USED TO DETERMINE SOMEONE'S QUALIFICATIONS FOR A CHARITY DISCOUNT OR FREE CARE IN ADDITION TO THE FPG THRESHOLDS STATED ABOVE.
PART I, LINE 6A: NORTHSIDE HOSPITAL, INC. PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS MADE AVAILABLE TO THE PUBLIC.
PART I, LINE 7: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 7 IS THE COST TO CHARGE RATIO CALCULATED PURSUANT TO THE IRS SCHEDULE H WORKSHEET 2 INSTRUCTIONS.
PART I, LN 7 COL(F): BAD DEBT EXPENSE IN THE AMOUNT OF $69,842,938 HAS BEEN REMOVED FROM TOTAL EXPENSE TO COMPUTE THE PERCENTAGE IN COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES: BIENNIALLY, NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") CONDUCTS A COMMUNITY-BASED PHYSICIAN NEED ANALYSIS FOR NORTHSIDE HOSPITAL-CHEROKEE ("NHC") AND NORTHSIDE HOSPITAL-FORSYTH ("NHF"). NHC AND NHF EACH ARE SOLE COUNTY PROVIDERS AND AS SUCH MUST ENSURE THAT APPROPRIATE MEDICAL SERVICES ARE ACCESSIBLE TO THE RESIDENTS OF THE COMMUNITIES SERVED. EACH HOSPITAL'S PHYSICIAN NEED ANALYSIS DEFINES A GEOGRAPHIC AREA COMPLIANT WITH THE FEDERAL PHYSICIAN SELF-REFERRAL LAW, IDENTIFIES NHC AND NHF MEDICAL STAFF MEMBERS WITH AN OFFICE IN THE DEFINED GEOGRAPHIC AREA, IDENTIFIES NON-NORTHSIDE PHYSICIANS WITH AN OFFICE IN THE DEFINED GEOGRAPHIC AREA, AND INCLUDES A QUANTITATIVE ANALYSIS OF EACH COMMUNITY'S PHYSICIAN NEED ("COMMUNITY PHYSICIAN NEED"). BASED ON THE FINDINGS OF THE ANALYSES, NORTHSIDE ENGAGES IN RECRUITMENT EFFORTS DESIGNED TO ENSURE THAT SUFFICIENT QUALIFIED HEALTH PROFESSIONALS ARE AVAILABLE TO MEET THE IDENTIFIED COMMUNITY PHYSICIAN NEED. THROUGH THESE ANALYSES, NORTHSIDE HAS IDENTIFIED A DEFINED NUMERIC NEED FOR ONE-HALF PHYSICIAN FULL-TIME EQUIVALENT ("FTE") OR MORE IN TWENTY-SEVEN SPECIALTIES IN NHC'S STARK-COMPLIANT GEOGRAPHIC AREA AND A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN THIRTY SPECIALTIES IN NHF'S STARK-COMPLIANT GEOGRAPHIC AREA. BOTH NHC AND NHF ARE CONCENTRATING RECRUITMENT EFFORTS ON PRIMARY CARE AND SURGICAL SPECIALTIES WITH AN EMPHASIS ON RECRUITING NEEDED PHYSICIANS INTO FORSYTH, DAWSON, PICKENS, AND CHEROKEE COUNTIES TO MEET THE IDENTIFIED COMMUNITY PHYSICIAN NEED.
PART III, LINE 4: NORTHSIDE PROVIDES FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE BY ESTABLISHING AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. NORTHSIDE ESTIMATES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORICAL AND EXPECTED COLLECTIONS, ACCOUNTS RECEIVABLE AGINGS, TRENDS IN REIMBURSEMENT, GENERAL BUSINESS AND ECONOMIC CONDITIONS AND OTHER COLLECTION INDICATORS. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINES 2 AND 3 WAS A COST TO CHARGE RATIO APPLIED TO BAD DEBT CHARGES WRITTEN OFF, NET OF RECOVERIES. NORTHSIDE HOSPITAL PROVIDES CARE TO THE COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE FORGONE CHARGES ARE AT THE EXPENSE OF NORTHSIDE HOSPITAL.
PART III, LINE 8: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 WAS A COST TO CHARGE RATIO FROM THE FISCAL YEAR 2015 MEDICARE COST REPORT APPLIED TO MEDICARE CHARGES. THE MEDICARE PROGRAM PAYS AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING SERVICES. ANY COST NOT REIMBURSED BY MEDICARE IS BORNE BY NORTHSIDE HOSPITAL WHICH EASES THE BURDEN TO THE GOVERNMENT FOR THE PROVISION OF HEALTH CARE UNDER THE MEDICARE PROGRAM.
PART III, LINE 9B: THE COLLECTION POLICY IS SPECIFIC TO THE TIMING AND PROTOCOLS FOLLOWED IN THE DEBT COLLECTION PROCESS. HOWEVER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY SUPERCEDES THE DEBT COLLECTION POLICY IN ANY SITUATION WHERE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2: THE NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") SYSTEM COMPRISES THREE HOSPITAL FACILITIES: (1) NORTHSIDE HOSPITAL-ATLANTA, (2) NORTHSIDE HOSPITAL-CHEROKEE AND (3) NORTHSIDE HOSPITAL-FORSYTH. AT THE END OF FISCAL YEAR 2013, NORTHSIDE ADOPTED A CHNA FOR EACH OF ITS HOSPITAL FACILITIES. NORTHSIDE UTILIZED SIMILAR RESOURCES, PROCESSES AND PROCEDURES IN CONDUCTING ITS HOSPITAL FACILITIES' CHNAS; ADDITIONALLY, THE CHNAS WERE CONDUCTED SIMULTANEOUSLY.NORTHSIDE DEVELOPED A STANDARDIZED PROCESS FOR CONDUCTING EACH HOSPITAL'S CHNA. IN SHORT, NORTHSIDE'S ASSESSMENT PROCESS INCLUDED:A. REVIEW OF HOSPITAL INTERNAL DATA. THIS INCLUDED, BUT WAS NOT LIMITED TO, A REVIEW OF THE HOSPITAL FACILITIES' DEMOGRAPHIC AND SOCIOECONOMIC DATA, THE TOP SERVICES UTILIZED BY INDIGENT AND CHARITY CARE PATIENTS, AND THE TOP CONDITIONS TREATED IN EACH HOSPITAL FACILITY'S EMERGENCY DEPARTMENT.B. REVIEW OF PUBLICLY AVAILABLE HEALTH DATA. THIS DATA ASSISTED NORTHSIDE IN DISCERNING THE TOP CHRONIC CONDITIONS AND PREVENTABLE BEHAVIORS IN EACH HOSPITAL FACILITY'S COMMUNITY. C. REVIEW OF PROPRIETARY QUANTITATIVE CONSUMER RESEARCH DATA.D. STAKEHOLDER INPUT FROM A VARIETY OF STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF EACH HOSPITAL FACILITY'S COMMUNITY. E. SUMMARY AND PRIORITIZATION OF NEEDS IDENTIFIED.F. DEVELOPMENT OF AN IMPLEMENTATION STRATEGY TO ADDRESS THE NEEDS IDENTIFIED.G. PRESENTATION AND ADOPTION OF THE CHNAS AND IMPLEMENTATION STRATEGIES BY THE PLANNING COMMITTEE OF THE BOARD OF DIRECTORS OF NORTHSIDE. H. PUBLIC ACCESS TO EACH HOSPITAL'S CHNA.NORTHSIDE CONTINUES TO IMPLEMENT THE VARIOUS STRATEGIES IDENTIFIED IN CONNECTION WITH ITS FISCAL YEAR 2013 - FISCAL YEAR 2015 CHNA. TO AID NORTHSIDE IN REPORTING AND TRACKING ITS COMMUNITY BENEFIT ACTIVITIES, NORTHSIDE INVESTED IN AN ONLINE TOOL THAT ALLOWS USERS TO ENTER SPECIFIC COMMUNITY BENEFIT EVENTS AND ACTIVITIES. TO DATE, APPROXIMATELY 35 "REPORTERS" FROM ACROSS THE NORTHSIDE SYSTEM ARE ENTERING NORTHSIDE COMMUNITY BENEFIT ACTIVITIES. IN ADDITION, NORTHSIDE HAS BEGUN ITS FISCAL YEAR 2016 CHNA, AND IN CONNECTION WITH THIS PROCESS IS TAKING A RENEWED LOOK AT ITS COMMUNITY TO GAUGE IF ANY OF NORTHSIDE COMMUNITIES' NEEDS HAVE CHANGED SINCE THE LAST CHNA. THE NEW CHNA WILL BE FINALIZED IN FISCAL YEAR 2016.NORTHSIDE EMPLOYS A VARIETY OF METHODS FOR ASSESSING THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES IN ADDITION TO CONDUCTING A FORMAL CHNA. THESE ADDITIONAL METHODS INCLUDE UTILIZING DEMAND-BASED FORECASTING TOOLS PROVIDED BY INDUSTRY ASSOCIATIONS SUCH AS THE ADVISORY BOARD COMPANY; CONDUCTING INTERNAL CAPACITY AND UTILIZATION PROJECTION ANALYSES; PERFORMING A COMMUNITY-BASED PHYSICIAN NEED ANALYSIS FOR NHC AND NHF; AND MONITORING OFFICIAL SERVICE-SPECIFIC NEED MODELS PUBLISHED BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH.
PART VI, LINE 3: NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS AS WELL AS UNDER THE NORTHSIDE FINANCIAL ASSISTANCE PROGRAM POLICY. BI-LINGUAL SIGNAGE IS POSTED IN THE WAITING AREAS OF THE EMERGENCY DEPARTMENT AS WELL AS ALL OUT-PATIENT LOCATIONS OF ALL OF NORTHSIDE'S HOSPITALS, WHICH PROVIDES INFORMATION ABOUT HOW PATIENTS CAN LEARN MORE ABOUT NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM. PATIENTS PARTICIPATE IN A FINANCIAL DISCUSSION REGARDING OUT-OF-POCKET PAYMENT LIABILITY EITHER PRIOR TO SERVICES RENDERED OR AT THE POINT OF SERVICE RENDERED. IF A PATIENT INDICATES A POSSIBLE NEED FOR FINANCIAL ASSISTANCE, A COPY OF NORTHSIDE'S FINANCIAL ASSISTANCE APPLICATION IS PROVIDED TO THE PATIENT AND THE PATIENT WILL BE REFERRED TO A FINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR WILL WORK WITH THE PATIENT TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR GOVERNMENT BENEFITS OR FINANCIAL ASSISTANCE, AND IF NOT, WILL DISCUSS PAYMENT PLAN OPTIONS WITH THE PATIENT. MOREOVER, ALL PATIENTS ARE PROVIDED WITH AND MUST SIGN TO ACKNOWLEDGE RECEIPT OF INFORMATION REGARDING THEIR FINANCIAL RESPONSIBILITY OF HOSPITAL CHARGES PRIOR TO DISCHARGE/SERVICES BEING RENDERED. NORTHSIDE ALSO WORKS CLOSELY WITH MANY COMMUNITY OUTREACH PROGRAMS TO PROVIDE FINANCIAL ASSISTANCE TO THOSE PATIENTS WHO QUALIFY FOR FREE OR DISCOUNTED SERVICES BASED ON THESE PROGRAMS' FINANCIAL ASSISTANCE CRITERIA. FOR PATIENTS RECEIVING MEDICALLY NECESSARY SERVICES WHO ARE REFERRED THROUGH AND SATISFY COMMUNITY OUTREACH PROGRAM CRITERIA, NORTHSIDE WILL PROVIDE THESE PATIENTS WITH FREE OR DISCOUNTED CARE WITHOUT REQUIRING THESE PATIENTS TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THIS PROCESS ALLOWS PATIENTS TO QUALIFY FOR FINANCIAL ASSISTANCE PRIOR TO THE POINT OF SERVICE, THEREBY RELIEVING THEM FROM THE STRESS AND BURDEN OF THE FINANCIAL ASPECT OF THEIR CARE, AND ALLOWING THEM TO FOCUS ON THEIR RECOVERY.
PART VI, LINE 4: NORTHSIDE HOSPITAL-ATLANTA ("NHA")BROADLY, NHA PRIMARILY SERVES PORTIONS OF CHEROKEE, COBB, DEKALB, FORSYTH, FULTON, AND GWINNETT COUNTIES. GIVEN THAT NHA ONLY SERVES PORTIONS OF THE AFOREMENTIONED COUNTIES, FOR ITS FY2013-FY2015 CHNA, THE HOSPITAL DEFINED ITS "COMMUNITY" ON A ZIP-CODE LEVEL BASIS IN ORDER TO IDENTIFY AND DEFINE A CONTIGUOUS AREA THAT REPRESENTS 75% OF ITS TOTAL INPATIENT AND OUTPATIENT VOLUME. IT IS IMPORTANT TO NOTE THAT NO HIGH-PRIORITY POPULATIONS (E.G., INDIGENT, MINORITY, MEDICALLY UNDERSERVED OR THOSE WITH CHRONIC DISEASES) WERE EXCLUDED FROM THE DEFINITION.AN ESTIMATED 2.1 MILLION PEOPLE RESIDED IN NHA'S COMMUNITY. THE GENDER RATIO WAS BALANCED, ESSENTIALLY 50/50, AND THE MEDIAN AGE WAS 35; EQUIVALENT WITH THE MEDIAN AGE FOR GEORGIA'S TOTAL POPULATION. FEMALES 15-44 REPRESENTED 21% OF THE COMMUNITY'S TOTAL POPULATION, THE SAME AS GEORGIA, AND THE 65+ AGE GROUP REPRESENTED 9% OF THE COMMUNITY'S TOTAL POPULATION COMPARED TO 11% FOR THE STATE.NHA'S COMMUNITY PREDOMINATELY IS CAUCASIAN (65%) WITH AFRICAN AMERICANS (17%) AND ASIANS (7%) COMPRISING THE TWO LARGEST MINORITY POPULATIONS. A LARGER PERCENTAGE OF NHA'S COMMUNITY IS CAUCASIAN AND ASIAN COMPARED TO THE RACE BREAKDOWN FOR THE STATE. IN ADDITION, A HIGHER PERCENTAGE OF NHA'S COMMUNITY IS HISPANIC OR LATINO WHEN COMPARED TO GEORGIA'S STATEWIDE RATE: 15% OF NHA'S COMMUNITY IS HISPANIC OR LATINO COMPARED TO 9% FOR GEORGIA.NHA'S COMMUNITY IS RELATIVELY AFFLUENT IN TERMS OF THE HIGHEST EDUCATIONAL ATTAINMENT ACHIEVED, HOUSEHOLD INCOME AND HOUSING VALUES. THE PERCENTAGE OF NHA'S COMMUNITY WITH BACHELORS (31%) OR MASTERS (11%) DEGREES IS NEARLY DOUBLE THE STATE-WIDE RATE. GIVEN THE HIGHER PERCENTAGE OF POPULATION WITH ADVANCED DEGREES, IT IS NOT SURPRISING THAT THE HOUSEHOLD INCOME AND HOUSING VALUES IN NHA'S COMMUNITY EXCEEDS STATE-WIDE RATES AS WELL. THE LARGEST PERCENTAGE OF THE POPULATION IN NHA'S COMMUNITY HAD HOUSEHOLD INCOMES OF $100,000 OR MORE COMPARED TO $25,000-$49,999 FOR GEORGIA. FOR HOUSING UNIT VALUE, NEARLY 55% OF HOMES IN THE COMMUNITY WERE VALUED AT $200,000 OR MORE COMPARED TO JUST 30% FOR GEORGIA.NHA'S COMMUNITY HAS A HIGHER PERCENTAGE OF THE WORKING-AGED POPULATION (I.E., AGE 16-AND-OLDER) EMPLOYED THAN STATE WIDE. IN FACT, NEARLY 68% OF THE COMMUNITY'S POPULATION AGE 16-AND-OLDER IS EMPLOYED IN NON-MILITARY POSITIONS COMPARED TO 59% FOR GEORGIA. THE COMMUNITY ALSO ENJOYS LOWER CIVILIAN UNEMPLOYMENT (5% VS. 6%) AND HAS A LOWER PERCENTAGE OF RESIDENTS NOT IN THE LABOR FORCE" (27% VS. 34%); NOT IN THE LABOR FORCE INCLUDES ALL PERSONS AGE 16-AND-OLDER WHO ARE NOT EMPLOYED OR LOOKING FOR EMPLOYMENT.CONSISTENT WITH THE HIGHER EDUCATIONAL ATTAINMENT AND FINANCIAL STATUS DEMOGRAPHICS OF NHA'S COMMUNITY, IT IS NOT SURPRISING THAT THE RATE OF POVERTY IN THE COMMUNITY IS LOWER THAN THE STATE-WIDE RATE: AN ESTIMATED 35,600 FAMILIES, OR 7% OF NHA'S COMMUNITY, WERE BELOW THE POVERTY LEVEL COMPARED TO NEARLY 12% OF GEORGIA'S FAMILIES. NORTHSIDE HOSPITAL-CHEROKEE ("NHC")LOCATED IN CHEROKEE COUNTY, GEORGIA, NHC IS THE SOLE-COUNTY PROVIDER AND PRIMARILY SERVES THE RESIDENTS OF CHEROKEE AND PICKENS COUNTIES. IN FACT, THESE TWO COUNTIES REPRESENT 84% OF TOTAL INPATIENT AND OUTPATIENT VOLUME. THUS, FOR ITS FY2013-FY2015 CHNA, NHC DEFINED ITS "COMMUNITY" BASED ON THESE TWO COUNTIES. IT IS IMPORTANT TO NOTE THAT NO HIGH-PRIORITY POPULATIONS (E.G., INDIGENT, MINORITY, MEDICALLY UNDERSERVED OR THOSE WITH CHRONIC DISEASES) WERE EXCLUDED FROM THE DEFINITION.CHEROKEE COUNTY IS THE SEVENTH LARGEST COUNTY IN GEORGIA AND IS PROJECTED TO BE THE STATE'S FIFTH LARGEST COUNTY BY 2020. AN ESTIMATED 250,000 PEOPLE RESIDED IN NHC'S COMMUNITY. THE GENDER RATIO WAS BALANCED, ESSENTIALLY 50/50, AND THE MEDIAN AGE WAS 36; SLIGHTLY HIGHER THAN THE MEDIAN AGE FOR GEORGIA'S TOTAL POPULATION. FEMALES 15-44 REPRESENTED 22% OF THE COMMUNITY'S TOTAL POPULATION COMPARED TO 21% OF GEORGIA'S AND THE 65+ AGE GROUP REPRESENTED 10% OF THE COMMUNITY'S TOTAL POPULATION COMPARED TO 11% FOR THE STATE.NHC'S COMMUNITY PREDOMINATELY IS CAUCASIAN WITH AFRICAN AMERICANS COMPRISING THE LARGEST MINORITY POPULATION. A SIGNIFICANTLY LARGER PERCENTAGE OF NHC'S COMMUNITY (86%) IS CAUCASIAN AS COMPARED TO THE STATE (61%). SIX PERCENT (6%) OF THE COMMUNITY'S POPULATION IS BLACK OR AFRICAN AMERICAN COMPARED TO THIRTY PERCENT (30%) FOR THE STATE. LASTLY, THE COMMUNITY'S PERCENTAGE OF HISPANIC OR LATINO POPULATION IS THE SAME AS GEORGIA'S STATEWIDE RATE OF 9%.THE PERCENTAGE OF NHC'S COMMUNITY WITH A BACHELORS DEGREE (23%) IS HIGHER THAN THE STATE-WIDE RATE (18%) AND THE PERCENTAGE OF NHC'S COMMUNITY THAT HAS OBTAINED MASTERS DEGREES (6%) IS FAIRLY SIMILAR THE STATE OF GEORGIA (7%). GIVEN THAT THE EDUCATIONAL ATTAINMENT OF THE POPULATION IS FAIRLY ALIGNED WITH THE STATE OF GEORGIA, IT IS NOT SURPRISING THAT THE HOUSEHOLD INCOME AND HOUSING VALUES IN NHC'S COMMUNITY ARE ALIGNED WITH THE STATE-WIDE RATES AS WELL. THE LARGEST PERCENTAGE OF THE POPULATION IN NHC'S COMMUNITY HAD HOUSEHOLD INCOMES BETWEEN $25,000 AND $49,000; CONSISTENT WITH GEORGIA. FOR HOUSING UNIT VALUE, NEARLY 52% OF HOMES IN THE COMMUNITY WERE VALUED BETWEEN $100,000 AND $199,999 COMPARED TO 43% FOR GEORGIA.NHC'S COMMUNITY HAS A HIGHER PERCENTAGE OF THE WORKING-AGED POPULATION (I.E., AGE 16-AND-OLDER) EMPLOYED THAN STATE WIDE. IN FACT, 65% OF THE COMMUNITY'S POPULATION AGE 16-AND-OLDER IS EMPLOYED IN NON-MILITARY POSITIONS COMPARED TO 59% FOR GEORGIA. THE COMMUNITY ALSO ENJOYS LOWER CIVILIAN UNEMPLOYMENT (5% VS. 6%) AND HAS A LOWER PERCENTAGE OF RESIDENTS NOT IN THE LABOR FORCE"(30% VS. 34%); NOT IN THE LABOR FORCE INCLUDES ALL PERSONS 16-AND-OLDER WHO ARE NOT EMPLOYED OR LOOKING FOR EMPLOYMENT.WHILE FORTY-SEVEN PERCENT (47%) OF THE COMMUNITY'S HOUSEHOLDS ARE MIDDLE-INCOME HOUSEHOLDS (IDENTICAL TO GEORGIA) ONLY FOURTEEN PERCENT (14%) OF THE COMMUNITY'S HOUSEHOLDS HAVE INCOME LESS THAN $25,000 COMPARED TO TWENTY-FOUR PERCENT (24%) OF GEORGIA'S HOUSEHOLDS. THEREFORE, IT IS NOT SURPRISING THAT THE RATE OF POVERTY IN THE COMMUNITY IS LOWER THAN THE STATE-WIDE RATE: AN ESTIMATED 4,000 FAMILIES, OR 6% OF NHC'S COMMUNITY, WERE BELOW THE POVERTY LEVEL COMPARED TO NEARLY 12% OF GEORGIA'S FAMILIES. THIS DESCRIPTION IS CONTINUED LATER IN SCHEDULE H.
PART VI, LINE 5: NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") IS DEDICATED TO IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES AND TO MEETING THE HEALTHCARE NEEDS OF ITS GROWING COMMUNITY. TO THAT END, NORTHSIDE CONTINUALLY INVESTS IN NEW OR EXPANDED FACILITIES AND SERVICES, AND STATE-OF-THE-ART TECHNOLOGY. IN ADDITION, NORTHSIDE INVESTS ITS RESOURCES, BOTH CAPITAL AND PERSONNEL, INTO NUMEROUS OUTREACH ACTIVITIES SUCH AS FREE HEALTH SEMINARS, SCREENINGS, AWARENESS EVENTS AND MORE.NORTHSIDE CONTINUES TO INVEST IN NEW AND/OR EXPANDED SERVICES OR FACILITIES DESIGNED TO IMPROVE AVAILABILITY OF SERVICES AND GEOGRAPHIC AND FINANCIAL ACCESS TO CARE. AMONG OTHER THINGS, DURING FISCAL YEAR 2014, NORTHSIDE ACQUIRED VARIOUS PHYSICIAN PRACTICES AND OUTPATIENT SPECIALTY CENTERS TO CONCENTRATE PHYSICIAN FOCUS ON PATIENT NEEDS AND TO PROVIDE GREATER ACCESS TO HIGH QUALITY CARE. NORTHSIDE ALSO CONTINUES TO OPEN ADDITIONAL OUTPATIENT CARE FACILITIES AND MEDICAL CAMPUSES. IN FY2013, NORTHSIDE OPENED A MAJOR MEDICAL CAMPUS IN TOWNE LAKE WHICH HOUSES A WIDE VARIETY OF OUTPATIENT HEALTH CARE SERVICES AND PHYSICIAN PRACTICES REPRESENTING NUMEROUS MEDICAL SPECIALTIES. IN APRIL 2014, NORTHSIDE COMPLETED ITS EXPANSION OF ITS RADIATION ONCOLOGY FACILITIES AND SERVICES AT THE ATLANTA CAMPUS TO BETTER ACCOMMODATE THE GROWING NUMBER OF PATIENTS REQUIRING TREATMENT AT THE HOSPITAL'S ATLANTA CANCER CENTER ALSO, DURING FY2014, NORTHSIDE HOSPITAL-FORSYTH ("NHF") BEGAN OFFERING LEVEL-III NEONATAL CARE SERVICES AT ITS WOMEN'S CENTER, ESTABLISHING A 4 BED NEONATAL INTENSIVE CARE UNIT. IN ADDITION TO EXPANDING ITS NEONATAL SERVICES, NHF ALSO OPENED A NEW MOB ADJACENT TO ITS WOMEN'S CENTER WHICH WILL HOUSE A VARIETY OF PHYSICIAN SPECIALTIES. NORTHSIDE CONTINUES TO MAKE SIGNIFICANT INVESTMENTS IN STATE-OF-THE-ART TECHNOLOGY THAT BENEFITS PATIENTS IN NUMEROUS WAYS. AS A LEADING PROVIDER OF SURGICAL SERVICES, NORTHSIDE IS COMMITTED TO PROVIDING ITS PATIENTS ACCESS TO THE LATEST IN SURGICAL TECHNOLOGY AND TREATMENT. IN FY2014, NHF'S PULMONARY AND ENDOSCOPY LAB ANNOUNCED THE ADDITION OF A NEW TECHNOLOGY, ELECTROMAGNETIC NAVIGATION BRONCHOSCOPY (ENB), WHICH IS A MINIMALLY-INVASIVE TECHNOLOGY THAT HELPS PHYSICIANS LOCATE, BIOPSY AND PLAN TREATMENT FOR LESIONS DETECTED DEEP IN THE LUNGS IN THE DIAGNOSIS OF LUNG CANCER. THE ENB PROCEDURE REDUCES THE POTENTIAL FOR COMPLICATIONS THAT ARE OFTEN CAUSED BY MORE INVASIVE PROCEDURES. NORTHSIDE HOSPITAL-ATLANTA ("NHA") AND NHF BOTH OFFER SINGLE-INCISION ROBOTIC SURGERY, AS NHA PERFORMED THE FIRST SINGLE INCISION ROBOTIC SURGERY IN GEORGIA DURING FY 2012. ROBOTIC-ASSISTED MINIMALLY INVASIVE SURGERY PROVIDES NUMEROUS BENEFITS TO PATIENTS, INCLUDING IMPROVED CLINICAL OUTCOMES, SHORTER HOSPITAL STAYS, REDUCED BLOOD LOSS, REDUCED PAIN AND TRAUMA, LOWER RISK OF INFECTION, FASTER RECOVERY, AND LESS SCARRING. ALL THREE (3) HOSPITALS OFFER THE LATEST MODEL OF THE DA VINCI SURGICAL SYSTEM THE SI. THIS IS A FURTHER TESTAMENT TO NORTHSIDE'S COMMITMENT TO PROVIDING QUALITY CARE UTILIZING CUTTING EDGE TECHNOLOGY. IN 2013, NHC EXPANDED ITS CARDIAC CATHETERIZATION/INTERVENTIONAL RADIOLOGY LABORATORY TO NOT ONLY ACCOMMODATE A HIGHER VOLUME OF PATIENTS BUT TO OFFER THESE PATIENTS GREATER FLEXIBILITY AND ADDITIONAL CARE.DURING FY 2012, NHC BROKE GROUND ON ITS REPLACEMENT HOSPITAL AND ITS CONSTRUCTION IS CURRENTLY UNDERWAY. THE CONSTRUCTION WAS APPROVED THAT YEAR BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH. THIS RELOCATED HOSPITAL WILL OFFER THE SAME HIGH QUALITY HEALTHCARE SERVICES IN A NEW, MODERN AND MORE ACCESSIBLE HEALTH CARE FACILITY. THE COMMUNITY SUPPORT FOR THIS PROJECT HAS BEEN OVERWHELMING; OVER 2,000 OFFICIALS, BUSINESS LEADERS, PHYSICIANS, HEALTH CARE PERSONNEL AND CITIZENS VOICED THEIR SUPPORT FOR THE PROJECT THROUGH LETTERS, EMAILS AND PHONE CALLS.DURING FY 2011, NORTHSIDE RECEIVED REGULATORY APPROVAL TO INVEST $51 MILLION TO EXPAND INPATIENT BED CAPACITY AT NHF, WHICH BROUGHT TOTAL BEDS FROM 155 TO 201 BY THE END OF FY 2012. SINCE THEN NHF HAS SINCE EXPANDED ITS INPATIENT BED CAPACITY TO 231 BEDS AS OF THE END OF FY2014. THIS INVESTMENT IS IN DIRECT RESPONSE TO THE DEPARTMENT OF COMMUNITY HEALTH'S IDENTIFIED INSTITUTION-SPECIFIC BED NEED PROJECTION. ALL OF THESE INVESTMENTS IMPROVE ACCESS TO NEEDED HEALTHCARE SERVICES THROUGHOUT THE NORTHSIDE SYSTEM SERVICE AREAS.IN ADDITION TO BRICK AND MORTAR INVESTMENTS AND GENERAL PATIENT CARE, NORTHSIDE INVESTS A SUBSTANTIAL AMOUNT OF TIME AND RESOURCES IN PUBLIC HEALTH EDUCATION, PREVENTION AND SCREENING ACTIVITIES IN LOCAL COMMUNITIES THROUGHOUT ITS SERVICE AREA. WHETHER HOSTING ITS OWN OUTREACH EVENT OR PARTNERING WITH A LOCAL COMMUNITY ORGANIZATION LIKE THE MARCH OF DIMES, AMERICAN CANCER SOCIETY OR THE AMERICAN HEART ASSOCIATION, NORTHSIDE IS DEDICATED TO IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES. IN FY 2014, NORTHSIDE SPONSORED THE MARCH OF DIMES MARCH FOR BABIES EVENT AND HAD A TEAM OF OVER 300 WALKERS. NORTHSIDE RAISED MORE THAN $468,000 FOR THE MARCH OF DIMES, AND WAS THE #2 CORPORATE TEAM IN GEORGIA. ALL OF THESE ACTIVITIES ARE IN FURTHERANCE OF NORTHSIDE'S MISSION TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES. ADDITIONAL ACTIVITIES, WHICH NORTHSIDE FUNDS AND SPONSORS FOR THE COMMUNITY AT LARGE, CAN BE FOUND IN ITS COMMUNITY BENEFITS REPORT.NORTHSIDE ALSO CONTINUES TO FOCUS ON EXPANDING AND ENHANCING THE OVERALL HEALTH AND WELFARE OF THE COMMUNITY THROUGH ITS INVOLVEMENT WITH AND DONATIONS TO SCHOOLS, LAW ENFORCEMENT AND THE COMMUNITY AT LARGE. DURING FY2014 NORTHSIDE HOSPITAL-CHEROKEE ("NHC") DONATED AUTOMATIC EXTERNAL DEFIBRILLATORS (AED'S) TO 6 SCHOOLS IN CHEROKEE COUNTY AS WELL AS THE CITY OF HOLLY SPRINGS POLICE DEPARTMENT. THESE LIFE-SAVING DEVICES ARE CRUCIAL IN THE PREVENTION OF CARDIAC DEATH.CANCER REMAINS A GRAVE ISSUE IN ALL COMMUNITIES. NORTHSIDE'S COMMITMENT TO BEING A LEADER IN CANCER CARE THROUGH ITS CANCER INSTITUTE IS EVIDENT IN THE VARIOUS PROGRAMS AND PARTNERSHIPS WITH NATIONAL CANCER ORGANIZATIONS. NORTHSIDE CONTINUES TO BE A LEADER IN CANCER RESEARCH. SINCE BECOMING AN NCCCP (NATIONAL COMMUNITY CANCER CENTER) SITE IN APRIL 2010, THE NSH CANCER INSTITUTE HAS WORKED DILIGENTLY TOWARD INCREASING COMMUNITY OUTREACH TO TARGETED, UNDERSERVED POPULATIONS IN ORDER TO IMPROVE ACCESS TO CAR AND ENHANCE ACCRUAL IN CLINICAL RESEARCH TRIALS. TODAY, THE NSH CANCER INSTITUTE COLLABORATES WITH MORE THAN 40 LOCAL AND NATIONAL ORGANIZATIONS TO TARGET MINORITY AND DISPARATE POPULATIONS. IN 2013, NORTHSIDE REPRESENTATIVES PRESENTED OVER 3,042 CASES AT OVER 100 CONFERENCES. IN FY2012, 1,597 PEOPLE BENEFITED FROM PATIENT NAVIGATION THROUGH THE NCCCP PROGRAM. THIS NUMBER INCREASED TO 1,957 IN FY2013. NORTHSIDE HAS ESTABLISHED A BIO-REPOSITORY CAPABLE OF HOUSING OVER 6,000 SAMPLES BASED ON NCI BEST PRACTICES. THE NCCCP PROGRAM CONCLUDED IN JULY 2014. AS A RESULT OF THE RELATIONSHIP WITH THE NCCCP PROGRAM, WE NOW EMPLOY AN ACS NAVIGATOR, 10 DISEASE-SPECIFIC NURSE NAVIGATORS, A DISPARITIES NURSE NAVIGATOR, 5 CANCER CARE LIAISONS AND ONCOLOGY SOCIAL WORKERS WHO COLLABORATE TO PROVIDE AN INTEGRATED CARE TEAM APPROACH FOR OUR PATIENTS. TOWARD THE END OF FY2014, NORTHSIDE PROUDLY ANNOUNCED A NEW PARTNERSHIP WITH THE NATIONAL CANCER INSTITUTE (NCI) UNDER THE NCI COMMUNITY ONCOLOGY RESEARCH PROGRAM (NCORP) WHICH IS A NEW CANCER RESEARCH PROGRAM THAT AIMS TO REACH MORE GEORGIANS IN THEIR OWN CITIES OR TOWNS, WITH A FOCUS ON THOSE WHO ARE CHALLENGED IN FINDING CANCER CARE RESOURCES IN THEIR LOCAL COMMUNITIES. GOING FORWARD INTO FY2015, THIS PROGRAM WILL PROVIDE THESE INDIVIDUALS ACCESS TO STATE-OF-THE-ART CANCER PREVENTION, SCREENING, CONTROL, TREATMENT AND POST-TREATMENT TRIALS WITH 110 ONCOLOGY CLINICAL PROVIDERS IN 41 DIFFERENT LOCATIONS THROUGHOUT GEORGIA. NORTHSIDE'S MEDICAL STAFF IS ORGANIZED IN THE PUBLIC INTEREST WITH MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES OPEN AND AVAILABLE TO QUALIFIED PHYSICIANS IN THE COMMUNITY. MANY OF THE PHYSICIANS ON STAFF AT NORTHSIDE NOT ONLY PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITY BUT ALSO VOLUNTEER THEIR TIME TO PARTICIPATE IN NORTHSIDE'S COMMUNITY BENEFIT PROGRAMS, WHICH INCLUDE FREE HEALTH SCREENINGS AND PUBLIC SPEAKING ENGAGEMENTS ON A VARIETY OF HEALTH AND WELLNESS TOPICS. AT NHC THERE ARE MORE THAN 400 PHYSICIANS IN MORE THAN 30 SPECIALTIES ON STAFF, MANY OF WHOM RESIDE IN THE COMMUNITY SERVED BY THE HOSPITAL. NHA AND NHF HAVE A COMBINED MEDICAL STAFF OF MORE THAN 2,000 PHYSICIANS IN MORE THAN 30 SPECIALTIES, OF WHICH NEARLY 300 DESIGNATE NHF AS THEIR PRIMARY CAMPUS. THIS DESCRIPTION IS CONTINUED LATER IN SCHEDULE H.
PART VI, LINE 6: NORTHSIDE HOSPITAL, INC. INCLUDES THREE HOSPITALS - NORTHSIDE HOSPITAL - ATLANTA IN SANDY SPRINGS, NORTHSIDE HOSPITAL - CHEROKEE IN CANTON AND NORTHSIDE HOSPITAL - FORSYTH IN CUMMING. THESE HOSPITALS AND NEARLY 80 OTHER OFFSITE LOCATIONS MAKE UP THE NORTHSIDE HOSPITAL SYSTEM WHICH SERVES A PRIMARY AREA THAT INCLUDES 21 COUNTIES WITH A TOTAL POPULATION OF MORE THAN 5 MILLION. IN ADDITION TO PROVIDING HOSPITAL-BASED MEDICAL SERVICES, THE NORTHSIDE HOSPITAL SYSTEM PROVIDES A NUMBER OF COMMUNITY-BASED SERVICES, DESIGNED TO IMPROVE THE HEALTH OF AREA RESIDENTS. WORKING WITH VARIOUS ORGANIZATIONS, HOSPITAL EMPLOYEES AND MEDICAL STAFF, THE NORTHSIDE HOSPITAL SYSTEM PARTICIPATES IN HEALTH EDUCATION AND SCREENINGS AS WELL AS PROVIDES SUPPORT ACTIVITIES FOR INDIVIDUALS IN THE COMMUNITY LIVING WITH A SERIOUS OR CHRONIC HEALTH CONDITION.IN ADDITION TO THE EXCELLENT MEDICAL CARE AND EDUCATIONAL PROGRAMS WE PROVIDE TO THE COMMUNITY, THE HOSPITAL ALSO PROVIDES FINANCIAL SUPPORT TO A NUMBER OF OTHER NON-PROFIT, COMMUNITY AND CIVIC CAUSES WHOSE MISSIONS AND OBJECTIVES COMPLEMENT NORTHSIDE HOSPITAL'S MISSION AND VALUES. NORTHSIDE HOSPITAL GIVES BACK A SIGNIFICANT AMOUNT TO THE COMMUNITY. WE MEASURE THE SUCCESS OF OUR EFFORTS BY THE NUMBER OF RESIDENTS WE REACH WITH OUR MESSAGES RELATED TO HEALTH AND WELLNESS. OUR MISSION IS TO WORK TO POSITIVELY IMPACT THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. CLEARLY, EDUCATION, OUTREACH AND COMMUNITY SERVICE ALLOW US TO BROADEN OUR IMPACT BEYOND THE WALLS OF OUR FACILITIES.
PART VI, LINE 4 (CONTINUED): NORTHSIDE HOSPITAL-FORSYTH ("NHF")LOCATED IN FORSYTH COUNTY, GEORGIA, NHF IS THE SOLE-COMMUNITY PROVIDER AND PRIMARILY SERVES RESIDENTS OF FORSYTH AND DAWSON COUNTIES. IN FACT, THESE TWO COUNTIES REPRESENT 80% OF TOTAL INPATIENT AND OUTPATIENT VOLUME. THUS, FOR ITS FY 2013-FY 2015 CHNA, NHF DEFINED ITS "COMMUNITY" BASED ON THESE TWO COUNTIES. IT IS IMPORTANT TO NOTE THAT NO HIGH-PRIORITY POPULATIONS (E.G., INDIGENT, MINORITY, MEDICALLY UNDERSERVED OR THOSE WITH CHRONIC CONDITIONS) WERE EXCLUDED FROM THE DEFINITION. AN ESTIMATED 204,000 PEOPLE RESIDED IN NHF'S COMMUNITY. THE GENDER RATIO WAS BALANCED, ESSENTIALLY 50/50, AND THE MEDIAN AGE WAS 36.6; SLIGHTLY HIGHER THAN THE MEDIAN AGE FOR GEORGIA'S TOTAL POPULATION. FEMALES 15-44 REPRESENTED 19% OF THE COMMUNITY'S TOTAL POPULATION COMPARED TO 21% OF GEORGIA'S AND THE 65+ AGE GROUP REPRESENTED 9% OF THE COMMUNITY'S TOTAL POPULATION COMPARED TO 11% FOR THE STATE.A SIGNIFICANTLY LARGER PERCENTAGE (85%) OF NHF'S COMMUNITY IS CAUCASIAN AS COMPARED TO THE STATE (61%). FOUR-PERCENT (4%) OF THE COMMUNITY'S POPULATION IS BLACK OR AFRICAN AMERICAN COMPARED TO THIRTY PERCENT (30%) FOR THE STATE. LASTLY, THE COMMUNITY'S PERCENTAGE OF HISPANIC OR LATINO POPULATION IS FAIRLY SIMILAR TO GEORGIA: 8% OF NHF'S COMMUNITY IS HISPANIC OR LATINO COMPARED TO 9% FOR GEORGIA.NHF'S COMMUNITY IS RELATIVELY AFFLUENT IN TERMS OF THE HIGHEST EDUCATIONAL ATTAINMENT ACHIEVED, HOUSEHOLD INCOME AND HOUSING VALUES. THE PERCENTAGE OF NHF'S COMMUNITY WITH BACHELORS (29%) OR MASTERS (10%) DEGREES IS HIGHER THAN THE STATE-WIDE RATE (18% AND 7%, RESPECTIVELY). GIVEN THE HIGHER PERCENTAGE OF POPULATION WITH ADVANCED DEGREES, IT IS NOT SURPRISING THAT THE HOUSEHOLD INCOME AND HOUSING VALUES IN NHF'S COMMUNITY EXCEED STATE-WIDE RATES AS WELL. THE LARGEST PERCENTAGE OF THE POPULATION IN NHF'S COMMUNITY HAD HOUSEHOLD INCOME OF $100,000 OR MORE COMPARED TO $25,000-$49,999 FOR GEORGIA. FOR HOUSING UNIT VALUE, 60% OF HOMES IN THE COMMUNITY WERE VALUED AT $200,000 OR MORE COMPARED TO JUST 30% FOR GEORGIA.NHF'S COMMUNITY HAS A HIGHER PERCENTAGE OF THE WORKING-AGED POPULATION (I.E., AGE 16-AND-OLDER) EMPLOYED THAN STATE-WIDE. IN FACT, 66% OF THE COMMUNITY'S POPULATION AGE 16-AND-OLDER IS EMPLOYED IN NON-MILITARY POSITIONS COMPARED TO 59% FOR GEORGIA. THE COMMUNITY ALSO ENJOYS LOWER CIVILIAN UNEMPLOYMENT (4% VS. 6%) AND HAS A LOWER PERCENTAGE OF RESIDENTS NOT IN THE LABOR FORCE" (29% VS. 34%); NOT IN THE LABOR FORCE INCLUDES ALL PERSONS 16-AND-OLDER WHO ARE NOT EMPLOYED OR LOOKING FOR EMPLOYMENT.CONSISTENT WITH THE HIGHER EDUCATIONAL ATTAINMENT AND FINANCIAL STATUS DEMOGRAPHICS OF NHF'S COMMUNITY, IT IS NOT SURPRISING THAT THE RATE OF POVERTY IN THE COMMUNITY IS LOWER THAN THE STATE-WIDE RATE: AN ESTIMATED 2,900 FAMILIES OR 5% OF NHF'S COMMUNITY WERE BELOW THE POVERTY LEVEL COMPARED TO NEARLY 12% OF GEORGIA'S FAMILIES.
PART VI, LINE 5 (CONTINUED) NORTHSIDE HAS AN ELEVEN (11) MEMBER BOARD OF DIRECTORS (THE "BOARD") WITH DIVERSIFIED REPRESENTATION INCLUDING PHYSICIANS, COMMUNITY MEMBERS, BUSINESS LEADERS AND HOSPITAL ADMINISTRATION. ALL MEMBERS OF THE BOARD RESIDED IN NORTHSIDE'S COUNTY-LEVEL PRIMARY SERVICE AREA. NORTHSIDE EMPLOYS A CONFLICTS OF INTEREST POLICY TO ENSURE THAT BOARD MEMBERS REMAIN THE COMMUNITY'S FIDUCIARIES.
Schedule H (Form 990) 2014
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
2014
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 Domestic Organizations and Domestic Governments. 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 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) SANDY SPRINGS SOCIETY
PO BOX 720074
ATLANTA,GA30358
58-1868282 501(C)(3) 20,000       GENERAL SUPPORT
(2) LEUKEMIA AND LYMPHOMA SOCIETY
3715 NORTHSIDE PARKWAY NW NORTHCREE
400 SUITE 300
ATLANTA,GA30327
13-5644916 501(C)(3) 25,000       GENERAL SUPPORT
(3) JACK & JILL LATE STAGE CANCER
3282 NORTHSIDE PARKWAY NW SUITE 100
100
ATLANTA,GA30327
20-4415512 501(C)(3) 25,000       GENERAL SUPPORT
(4) PARTNERS FOR CARE INC
2001 BRECKINRIDGE LANE
ALPHARETTA,GA30005
26-2931776 501(C)(3) 25,000       GENERAL SUPPORT
(5) BE THE MATCH FOUNDATION
315 W PONCE DE LEON STE 344
DECATUR,GA30030
41-1704734 501(C)(3) 25,000       GENERAL SUPPORT
(6) TRAVELER'S AID OF METRO ATLANTA
75 MARIETTA STREET SUITE 400
ATLANTA,GA30303
58-0566247 501(C)(3) 25,000       GENERAL SUPPORT
(7) MENS HEALTH & WELLNESS CENTER
1 GLENLAKE PARKWAY SUITE 700
SANDY SPRINGS,GA30328
83-0512342 501(C)(3) 27,000       GENERAL SUPPORT
(8) PARTNERSHIP AGAINST DOMESTIC VIOLENCE
315 W PONCE DE LEON STE 735
ATLANTA,GA30030
58-1314556 501(C)(3) 32,500       GENERAL SUPPORT
(9) AMERICAN RED CROSS
1955 MONROE DRIVE NE
ATLANTA,GA30324
53-0196605 501(C)(3) 35,000       GENERAL SUPPORT
(10) GEORGIA OVARIAN CANCER ALLIANCE
6065 ROSWELL ROAD SUITE 512
ATLANTA,GA30328
58-2424106 501(C)(3) 40,250       GENERAL SUPPORT
(11) AMERICAN HEART ASSOCIATION
1101 NORTHCHASE PKWY STE 1
MARIETTA,GA30067
13-5613797 501(C)(3) 45,000       GENERAL SUPPORT
(12) GREATER ATLANTA AFFILIATE OF SUSAN G KOMEN
3525 PIEDMONT ROAD BUILDING 5 SUITE
215
ATLANTA,GA30305
58-1959763 501(C)(3) 45,000       GENERAL SUPPORT
(13) REINHARDT UNIVERSITY
7300 REINHARDT COLLEGE CIRCLE
WALESKA,GA301832981
58-0603153 501(C)(3) 50,000       GENERAL SUPPORT
(14) ATLANTA RONALD MCDONALD HOUSE CHARITIES
795 GATEWOOD RD NE
ATLANTA,GA30329
58-1295754 501(C)(3) 52,000       GENERAL SUPPORT
(15) ARTHRITIS FOUNDATION GEORGIA
PO BOX 78423
ATLANTA,GA30357
58-1341679 501(C)(3) 70,000       GENERAL SUPPORT
(16) AMERICAN CANCER SOCIETY
PO BOX 56566
ATLANTA,GA30343
13-1788491 501(C)(3) 72,000       GENERAL SUPPORT
(17) ATLANTA TRACK CLUB INC
3097 E SHADOWLAWN AVE NE
ATLANTA,GA30305
58-1367422 501(C)(3) 75,000       GENERAL SUPPORT
(18) MOREHOUSE SCHOOL OF MEDICINE
720 WESTVIEW DR SW
ATLANTA,GA30310
58-1438873 501(C)(3) 100,000       GENERAL SUPPORT
(19) OVARIAN CANCER INSTITUTE
960 JOHNSON FERRY RD STE 130
ATLANTA,GA30342
58-2445245 501(C)(3) 125,000       GENERAL SUPPORT
(20) MARCH OF DIMES
1275 MAMORONECK AVE
WHITE PLAINS,NY10605
13-1846366 501(C)(3) 329,000       GENERAL SUPPORT
(21) CANCER SUPPORT COMMUNITY OF ATLANTA
5775 PEACHTREE DUNWOODY RD
ATLANTA,GA30342
58-2142151 501(C)(3) 575,101       GENERAL SUPPORT
(22) BICYCLE RIDE ACROSS GEORGIA
PO BOX 871111
STONE MOUNTAIN,GA30087
58-1576748 501(C)(4) 75,000       GENERAL SUPPORT
(23) SOUTHEASTERN SOCIETY OF PLASTIC AND RECONSTRUCTIVE SURGEONS
12100 SUNSET HILLS RD STE 130
RESTON,VA20190
58-1431500 501(C)(6) 40,000       GENERAL SUPPORT
(24) GEORGIA CHAMBER OF COMMERCE
233 PEACHTREE STREET SUITE 2000
ATLANTA,GA30303
58-1537370 501(C)(6) 40,000       GENERAL SUPPORT
(25) GREATER NORTH FULTON CHAMBER OF COMMERCE
11605 HAYNES BRIDGE RD
ALPHARETTA,GA30004
58-1157316 501(C)(6) 48,200       GENERAL SUPPORT
(26) COBB CHAMBER OF COMMERCE
PO BOX 671868
MARIETTA,GA30006
58-0198114 501(C)(6) 68,000       GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
21
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
5
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. 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 11 337,308      












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 (Form 990) 2014


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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 Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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), 501(c)(4), and 501(c)(29) organizations 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) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1ROBERT T QUATTROCCHIPRESIDENT & CEO NSH, INC. (i)
(ii)
1,428,961
...............................
0
1,415,000
...............................
0
13,446
...............................
0
0
...............................
0
8,473
...............................
0
2,865,880
...............................
0
0
...............................
0
2WAYNE AMBROZE MDBOARD MEMBER (i)
(ii)
445,941
...............................
0
202,648
...............................
0
2,064
...............................
0
0
...............................
0
7,284
...............................
0
657,937
...............................
0
0
...............................
0
3DEBORAH S MITCHAMVP/CFO NSH, INC. (i)
(ii)
527,103
...............................
0
236,252
...............................
0
6,402
...............................
0
0
...............................
0
8,133
...............................
0
777,890
...............................
0
0
...............................
0
4JORGE J HERNANDEZVICE PRESIDENT/ASST. SECRE (i)
(ii)
358,591
...............................
0
149,225
...............................
0
5,031
...............................
0
0
...............................
0
1,189
...............................
0
514,036
...............................
0
0
...............................
0
5TINA WAKIMVICE PRESIDENT (i)
(ii)
620,444
...............................
0
262,901
...............................
0
13,160
...............................
0
0
...............................
0
8,426
...............................
0
904,931
...............................
0
0
...............................
0
6ROBERT PUTNAMVICE PRESIDENT (i)
(ii)
543,020
...............................
0
197,716
...............................
0
19,387
...............................
0
0
...............................
0
6,923
...............................
0
767,046
...............................
0
0
...............................
0
7JANIS DUBOWVICE PRESIDENT (i)
(ii)
310,970
...............................
0
45,546
...............................
0
14,011
...............................
0
0
...............................
0
4,079
...............................
0
374,606
...............................
0
0
...............................
0
8WILLIAM HAYESCEO OF NORTHSIDE HOSPITAL-CHEROKEE (i)
(ii)
389,868
...............................
0
71,359
...............................
0
5,843
...............................
0
0
...............................
0
8,473
...............................
0
475,543
...............................
0
0
...............................
0
9GERALD FEUER MDGYNECOLOGIST/SURGEON (i)
(ii)
754,232
...............................
0
199,697
...............................
0
3,096
...............................
0
0
...............................
0
10,973
...............................
0
967,998
...............................
0
0
...............................
0
10GUILHERME H CANTUARIA MDGYNECOLOGIC ONCOLOGIST (i)
(ii)
750,652
...............................
0
138,112
...............................
0
1,080
...............................
0
0
...............................
0
8,473
...............................
0
898,317
...............................
0
0
...............................
0
11WILLIAM EARLYGASTROENTEROLOGY/INTERNAL MEDICINE (i)
(ii)
762,921
...............................
0
25,000
...............................
0
4,752
...............................
0
0
...............................
0
8,148
...............................
0
800,821
...............................
0
0
...............................
0
12JOEL HOFFMANENT (i)
(ii)
393,993
...............................
0
353,605
...............................
0
1,030
...............................
0
0
...............................
0
8,441
...............................
0
757,069
...............................
0
0
...............................
0
13MARION SCHERTZERCOLON & RECTAL SURGEON (i)
(ii)
450,989
...............................
0
282,208
...............................
0
3,168
...............................
0
0
...............................
0
6,485
...............................
0
742,850
...............................
0
0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
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 TWELVE YEARS AS CEO AND FOR SEVENTEEN YEARS AS A SENIOR EXECUTIVE PRIOR TO BECOMING CEO. AS A RESULT OF HIS LEADERSHIP AND LONGEVITY, AND TO ASSIST IN HIS RETENTION, NORTHSIDE'S BOARD OF DIRECTORS HAS PROVIDED THE CEO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AGREEMENT WHICH IS DESIGNED TO PROVIDE HIM SUPPLEMENTAL 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. 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 AS ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE DETERMINES THE INCENTIVE PLAN AND APPROVES THE PAYMENTS/CALCULATIONS IN ACCORDANCE WITH THE PLAN ANNUALLY.
Schedule J (Form 990) 2014

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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.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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) 2014
Schedule K (Form 990) 2014
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        
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        
6 Total of lines 4 and 5 . . . . . . . . . . . . .        
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . . 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 "Yes" to 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) 2014
Schedule K (Form 990) 2014
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) 2014

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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.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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), section 501(c)(4), and 501(c)(29) 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 Benefiting 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) 2014
Schedule L (Form 990 or 990-EZ) 2014
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) NORTHSIDE ANESTHESIOLOGY CONSULTANTS LLC
 
K. DOUGLAS SMITH, M.D., BOARD MEMBER & NS ANESTHESIOLOGY CONS OFF./OWNER 4,116,758 K. DOUGLAS SMITH, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, IS AN OFFICER/OWNER OF NORTHSIDE ANESTHESIOLOGY CONSULTANTS, LLC, WHICH PROVIDES MEDICAL SERVICES TO NORTHSIDE HOSPITAL, INC. TRANSACTIONS WITH THIS ENTITY ARE CONDUCTED AT ARMS-LENGTH AND ARE REPRESENTATIVE OF PAYMENTS FOR PROVISION OF ON-CALL PHYSICIAN SERVICES TO THE COMMUNITY WHICH NORTHSIDE SERVES.   No
(2) J BRYAN WHITLEY ROBERT E. WHITLEY, BOARD MEMBER & J. BRYAN WHITLEY FAMILY MEMBER 109,975 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
(3) MEDLOCK MEDICAL LLC
 
DALE M. BEARMAN, M.D., BOARD MEMBER & MEDLOCK MEDICAL, LLC OWNER 375,515 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
(4) RACHEL BEARMAN DALE M. BEARMAN, M.D., BOARD MEMBER & RACHEL BEARMAN FAMILY MEMBER 70,539 DALE M. BEARMAN, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH RACHEL BEARMAN, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC.   No
(5) JENNIFER WHITLEY ROBERT E. WHITLEY, BOARD MEMBER & JENNIFER WHITLEY FAMILY MEMBER 36,079 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
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) 2014

Additional Data


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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 990-EZ 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
2014
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. ADDITIONALLY, OUTSIDE COUNSEL REVIEWS SEVERAL SECTIONS OF THE FORM 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 IN COMPLIANCE WITH SPECIFIC LAWS AND REGULATIONS.
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 B: TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH AGA, LLC TO ENSURE GASTROENTEROLOGY ("GI") SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. AS SUCH, THIS ARRANGEMENT ALLOWS NORTHSIDE TO ESTABLISH CENTERS OF EXCELLENCE IN GI SERVICES, ESPECIALLY RELATED TO ENDOSCOPIC ULTRASOUND AND ENDOSCOPIC RETROGRADE CLOANGIOPANCREATOGRAPHY. GI SERVICES ALSO HAVE A SIGNIFICANT TIE-IN TO ONCOLOGY SERVICES FOR WHICH NORTHSIDE IS A LEADER IN THE ATLANTA SERVICE AREA IN TERMS OF DIAGNOSIS AND TREATMENT. AGA, LLC HAS A LARGE COMPLEMENT OF CLINICIANS THAT PROVIDE GI SERVICES INCLUDING GI ONCOLOGY. IN ACCORDANCE WITH THE PSA, AGA, LLC REMAINS A PRIVATELY-HELD ORGANIZATION WITHOUT OWNERSHIP OR MANAGEMENT BY NORTHSIDE. AGA, LLC MAINTAINS RESPONSIBILITY FOR ALL EXPENSES TYPICALLY FOUND IN A GI CLINICIANS PRACTICE (E.G., STAFF, BILLING, MEDICAL SUPPLIES, MEDICAL RECORDS, OCCUPANCY, MALPRACTICE INSURANCE, ETC.). UNDER THE PSA, NORTHSIDE PAYS AGA A FAIR MARKET VALUE RATE BASED ON PERSONALLY PERFORMED AND MODIFIER ADJUSTED WRVUS. AGA, LLC PROVIDES APPROXIMATELY 97 CLINICIANS TO ENSURE GI SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE. THE COMPENSATION REFLECTED ON FORM 990, PART VII, SECTION B, COLUMN (C), REPRESENTS PROFESSIONAL SERVICES UNDER THE PSA TO INCLUDE RELATED COMPENSATION AND BENEFITS. TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH GEORGIA CANCER SPECIALISTS I, P.C. ("GCS") TO ENSURE ONCOLOGY AND HEMATOLOGY SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. NORTHSIDE HAS PROVIDED A BROAD RANGE OF CANCER CARE SERVICES THROUGH ITS CANCER CARE PROGRAM AT THE NORTHSIDE HOSPITAL CANCER INSTITUTE ("NHCI"). THE NHCI, WHICH IS RECOGNIZED NATIONALLY AS A LEADER IN ONCOLOGY DIAGNOSIS, TREATMENT AND RESEARCH, OFFERS CLINICAL EXCELLENCE ON PAR WITH ACADEMIC-BASED PROGRAMS ALONG WITH THE PERSONALIZED AND ATTENTIVE CARE TYPICALLY ASSOCIATED WITH A COMMUNITY HOSPITAL. NORTHSIDE HAS COMMITTED TO BECOMING A REGIONAL AND NATIONAL LEADER THAT REDEFINES CANCER CARE, WHICH IN PART REQUIRES THE EXPANSION OF ITS GEOGRAPHIC FOOTPRINT THROUGH DEVELOPMENT OF AN AFFILIATION WITH ADDITIONAL LOCATIONS, AS WELL AS HAVING AN INTEGRATED CANCER CARE PROGRAM THAT FACILITATES COLLABORATION BETWEEN NORTHSIDE AND CLINICIANS SPECIALIZING IN ONCOLOGY SERVICES. GCS HAS A LARGE COMPLEMENT OF CLINICIANS TO ASSIST NORTHSIDE IN DEVELOPING AN OUTPATIENT ONCOLOGY SERVICES PROGRAM, SPECIALIZING IN MEDICAL ONCOLOGY AND HEMATOLOGY AND THE PROVISION OF INFUSION THERAPY SERVICES AND MEDICAL AND CLINICAL RESEARCH SERVICES. IN ACCORDANCE WITH THE PSA, GCS REMAINS A PRIVATELY-HELD ORGANIZATION WITHOUT OWNERSHIP OR MANAGEMENT BY NORTHSIDE. GCS MAINTAINS RESPONSIBILITY FOR PROVIDING ALL ADMINISTRATIVE OPERATIONS OF THE PRACTICE (E.G., STAFF BENEFITS, MALPRACTICE INSURANCE, ETC.). NORTHSIDE MAKES PAYMENTS TO GCS AT FAIR MARKET VALUE RATES FOR 1) PERSONALLY PERFORMED AND MODIFIER ADJUSTED PROFESSIONAL SERVICES 2) MANAGEMENT OVERSIGHT RESPONSIBILITIES AND 3) BILLING ARRANGEMENTS. GCS EMPLOYS APPROXIMATELY 77 CLINICIANS AND 111 STAFF TO MAINTAIN ONCOLOGY, HEMATOLOGY, MANAGEMENT AND BILLING SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE. TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH ATLANTA CANCER CARE ("ACC") TO ENSURE ONCOLOGY AND HEMATOLOGY SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. NORTHSIDE HAS PROVIDED A BROAD RANGE OF CANCER CARE SERVICES THROUGH ITS CANCER CARE PROGRAM AT THE NORTHSIDE HOSPITAL CANCER INSTITUTE ("NHCI"). THE NHCI, WHICH IS RECOGNIZED NATIONALLY AS A LEADER IN ONCOLOGY DIAGNOSIS, TREATMENT AND RESEARCH, OFFERS CLINICAL EXCELLENCE ON PAR WITH ACADEMIC-BASED PROGRAMS ALONG WITH THE PERSONALIZED AND ATTENTIVE CARE TYPICALLY ASSOCIATED WITH A COMMUNITY HOSPITAL. NORTHSIDE HAS COMMITTED TO BECOMING A REGIONAL AND NATIONAL LEADER THAT REDEFINES CANCER CARE, WHICH IN PART REQUIRES THE EXPANSION OF ITS GEOGRAPHIC FOOTPRINT THROUGH DEVELOPMENT OF AN AFFILIATION WITH ADDITIONAL LOCATIONS, AS WELL AS HAVING AN INTEGRATED CANCER CARE PROGRAM THAT FACILITATES COLLABORATION BETWEEN NORTHSIDE AND CLINICIANS SPECIALIZING IN ONCOLOGY SERVICES. ACC HAS A LARGE COMPLEMENT OF CLINICIANS TO ASSIST NORTHSIDE IN DEVELOPING AN OUTPATIENT ONCOLOGY SERVICES PROGRAM, SPECIALIZING IN MEDICAL ONCOLOGY AND HEMATOLOGY AND THE PROVISION OF INFUSION THERAPY SERVICES AND MEDICAL AND CLINICAL RESEARCH SERVICES. IN ACCORDANCE WITH THE PSA, ACC REMAINS A PRIVATELY-HELD ORGANIZATION WITHOUT OWNERSHIP BY NORTHSIDE. ACC MAINTAINS RESPONSIBILITY FOR PROVIDING ALL ADMINISTRATIVE OPERATIONS OF THE PRACTICE (E.G., STAFF BENEFITS, MALPRACTICE INSURANCE, ETC.). NORTHSIDE MAKES PAYMENTS TO ACC AT FAIR MARKET VALUE RATES FOR 1) PERSONALLY PERFORMED AND MODIFIER ADJUSTED PROFESSIONAL SERVICES 2) MANAGEMENT OVERSIGHT RESPONSIBILITIES AND 3) BILLING ARRANGEMENTS. ACC EMPLOYS APPROXIMATELY 26 CLINICIANS AND 60 STAFF TO MAINTAIN ONCOLOGY, HEMATOLOGY, MANAGEMENT AND BILLING SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE.
FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 250,878,549. MANAGEMENT AND GENERAL EXPENSES 102,249,937. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 353,128,486.
FORM 990, PART XI, LINE 9: CHANGE IN PENSION: -48,178,000. OTHER CHANGES IN NET ASSETS: -1,813,365. EQUITY TRANSFER: -1,926,792. INCOME FROM JOINT VENTURE: -2,004,671. NON-CONTROLLING INTEREST INCOME: REVENUE ADJUSTMENT: -2,051,304. ENT REVENUE/EXPENSES NOT INCLUDED: 4,273,104.
COMMUNITY BENEFITS REPORT - FISCAL YEAR 2015 NORTHSIDE 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. OUR COMMUNITY BENEFIT PHILOSOPHY IN ADDITION TO PROVIDING HIGH QUALITY HOSPITAL-BASED MEDICAL SERVICES, NORTHSIDE PROVIDES A NUMBER OF COMMUNITY-BASED SERVICES, DESIGNED TO IMPROVE THE HEALTH OF INDIVIDUALS WHO LIVE, WORK AND PLAY IN THE AREAS WE SERVE. 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, INCLUDING VULNERABLE POPULATIONS. BECAUSE NORTHSIDE IS NOT-FOR-PROFIT AND IS NOT REQUIRED TO RETURN PROFITS TO SHAREHOLDERS LIKE TAXABLE ORGANIZATIONS, WE REINVEST OUR 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 PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. "COMMUNITY BENEFIT" DEFINED COMMUNITY BENEFIT APPLIES TO ACTIVITIES OR PROGRAMS THAT RESPOND TO IDENTIFIED COMMUNITY HEALTH NEEDS AND THAT SEEK TO ACHIEVE ONE OR MORE OF THE FOLLOWING OBJECTIVES: - IMPROVING ACCESS TO HEALTH SERVICES - ENHANCING PUBLIC HEALTH - ADVANCING INCREASED GENERAL KNOWLEDGE - RELIEVING OR REDUCING GOVERNMENT'S BURDEN TO IMPROVE HEALTH THE INFORMATION PRESENTED IN THIS REPORT DEMONSTRATES THE LEVEL OF COMMUNITY SERVICE AND BENEFITS THAT WE HAVE PROVIDED TO THE COMMUNITY DURING FISCAL YEAR 2015, DEFINED AS OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015. FINANCIAL ASSISTANCE / CHARITY CARE NORTHSIDE 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. WE PROVIDE 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 FY2015, NORTHSIDE PROVIDED APPROXIMATELY $332,381,878 IN INDIGENT AND CHARITY CARE. UNCOMPENSATED CARE INCLUDING INDIGENT AND CHARITY CARE AND UNCOLLECTED ACCOUNTS REPRESENTED APPROXIMATELY $415,900,560. COMMUNITY HEALTH IMPROVEMENT SERVICES CORPORATE & COMMUNITY HEALTH EDUCATION IN RESPONSE TO REQUESTS FROM THE COMMUNITY, NORTHSIDE PHYSICIANS AND EMPLOYEES REGULARLY PROVIDE FREE LECTURES THROUGH THE HOSPITAL'S SPEAKERS BUREAU. HEALTH-RELATED TOPICS INCLUDE EXERCISE, NUTRITION & WEIGHT CONTROL, WOMEN & HEART DISEASE, BREAST HEALTH, SLEEP DISORDERS, AND MORE. IN FY2015, 1,398 PEOPLE WERE SERVED AT 35 EVENTS, INVOLVING 126 STAFF HOURS. NORTHSIDE'S SMOKING CESSATION PROGRAM OFFERS PARTICIPANTS TIPS ON HOW TO QUIT, MANAGE STRESS, AVOID WEIGHT GAIN, COPE WITH WITHDRAWAL SYMPTOMS AND MUCH MORE. THE SEVEN-WEEK SESSIONS USE A COMBINATION OF GROUP DISCUSSION AND INTERACTION, WITH NICOTINE REPLACEMENT THERAPY, TO PROVIDE THE SUPPORT NEEDED TO QUIT SMOKING. ALL CLASSES ARE FACILITATED BY TRAINED NORTHSIDE HOSPITAL STAFF. ADDITIONAL RESOURCES INCLUDING ONLINE SUPPORT SERVICES AND REFERRALS TO TELEPHONE COUNSELING ALSO ARE AVAILABLE. IN FY2015, THE PROGRAM ENROLLED 25 PARTICIPANTS. THE NORTHSIDE HOSPITAL CANCER INSTITUTE'S COMMUNITY OUTREACH STAFF PROVIDE COMMUNITY EDUCATION AND OUTREACH PROGRAMS THROUGHOUT THE YEAR ABOUT BREAST CANCER, PROSTATE CANCER, LUNG CANCER, CANCER PREVENTION, THE IMPORTANCE OF SCREENING AND OTHER CANCER-RELATED TOPICS. IN FY2015, 879 NORTHSIDE STAFF HOURS SERVED 12,610 PEOPLE. APPROXIMATELY 27,932 PEOPLE ATTENDED EVENTS WHERE NORTHSIDE WAS PRESENT. CHECK IT OUT! IS A COLLABORATIVE EFFORT BETWEEN NORTHSIDE AND 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 AND DEKALB COUNTIES HAVE ACCEPTED THE PROGRAM AS PART OF THEIR HEALTH CURRICULUM. IN FY2015, THE PROGRAM WAS PRESENTED TO 12 HIGH SCHOOLS, REACHING 1,612 GIRLS. NORTHSIDE HOSPITAL WEBSITE / ONLINE EDUCATION NORTHSIDE'S OFFICIAL WEBSITE FEATURES A HEALTH ENCYCLOPEDIA AND VIDEO LIBRARY OF GENERAL HEALTH CONTENT ABOUT SURGERIES AND PROCEDURES INCLUDING DEDICATED ONLINE EDUCATIONAL CENTERS FOR CANCER, WEIGHT LOSS SURGERY AND PREGNANCY. MORE THAN 49,900 PEOPLE VISITED THIS CONTENT IN FY2015, INCLUDING: - 1,629 UNIQUE PAGE VIEWS OF WEIGHT LOSS SURGERY CONTENT - 1,077 PAGE VIEWS OF ONLINE CANCER CENTER CONTENT - 38,204 PAGE VIEWS OF MATERNITY AND WOMEN'S CENTER CONTENT NORTHSIDE'S "LIFETIME OF CARE MAGAZINE", AVAILABLE ONLINE AND IN PRINT, IS A FREE HEALTH MAGAZINE GEARED TOWARD WOMEN AGES 30-65. THE MAGAZINE IS PUBLISHED THREE TIMES A YEAR AND MAILED TO 500,000 INDIVIDUALS, INCLUDING 150,832 INDIVIDUALS WHO HAVE NOT BEEN TREATED AT NORTHSIDE HOSPITAL. THE EDITORIAL STAFF OF TWO DEDICATES APPROXIMATELY 200 HOURS OF WORK PER YEAR. MATERNAL AND INFANT HEALTH EDUCATION THE NORTHSIDE 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. MOTHERSFIRST OFFERS FOUR CLASSES THAT QUALIFY AS COMMUNITY BENEFIT - LABOR & BIRTH, CPR, BABY ESSENTIALS AND BREASTFEEDING. IN FY2015, 7,222 PEOPLE ATTENDED THESE CLASSES (721 CLASS SESSIONS). AT NORTHSIDE, WE WANT TO SUPPORT THE DECISION TO BREASTFEED. THE AMERICAN ACADEMY OF PEDIATRICS RECOMMENDS EXCLUSIVE BREASTFEEDING FOR BABY'S FIRST SIX MONTHS OF LIFE. NORTHSIDE'S "WARM LINE," LACTATION TELEPHONE HOTLINE IS AVAILABLE TO ANYONE IN THE COMMUNITY AND OFFERS BREASTFEEDING ADVICE FROM CERTIFIED LACTATION CONSULTANTS. THE WARM LINE IS AVAILABLE 7 DAYS A WEEK, FROM 8:30 A.M. TO 4:30 P.M., AND SERVED 31,598 PEOPLE (WITH 3,128 STAFF HOURS) IN FY2015. NORTHSIDE ALSO OFFERS A FREE BREASTFEEDING ELEARNING PROGRAM ON WWW.NORTHSIDE.COM, WHICH ALLOWS 24/7 ACCESS TO INFORMATION, VIDEOS, PDFS AND ANIMATIONS ABOUT BREASTFEEDING. APPROXIMATELY 1,850 PEOPLE ACCESSED THE ELEARNING PROGRAM IN FY2015.
SUPPORT GROUPS 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, CONDUCTED AT THE HOSPITALS AND SUPPORTED BY VARIOUS STAFF MEMBERS WHO ORGANIZE, LECTURE AND FACILITATE. THESE SUPPORT GROUPS ARE OPEN TO THE COMMUNITY, REGARDLESS OF WHERE MEDICAL CARE WAS RECEIVED. - MOM-ME CONNECTION OFFERS BREASTFEEDING SUPPORT FOR NEW MOMS. THREE GROUPS MEET EACH WEEK IN DUNWOODY, ALPHARETTA AND CUMMING. EACH GROUP IS FACILITATED BY A CERTIFIED LACTATION CONSULTANT. APPROXIMATELY 1,843 PEOPLE ATTENDED IN FY2015. - THE NEW MOM SUPPORT GROUP IS OPEN TO ANY NEW MOM IN THE COMMUNITY. FORTY WOMEN ATTENDED THE GROUP IN FY2015. - TWO MONTHLY BARIATRIC SUPPORT 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. APPROXIMATELY 520 PEOPLE ATTEND THE SUPPORT GROUPS IN FY2015. - NORTHSIDE HOSPITAL-CHEROKEE OFFERS A FREE MONTHLY DIABETES SUPPORT GROUP FOR ANYONE CURRENTLY AFFECTED BY DIABETES AND NEEDING MORAL SUPPORT, CLINICAL INFORMATION, GUIDANCE OR ADVICE ABOUT LIVING WITH DIABETES. IN FY2015, 31 PEOPLE ATTENDED. - 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 15-20 PEOPLE ATTENDED THE GROUPS EACH MONTH IN FY2015. - NORTHSIDE'S OUTPATIENT BEHAVIORAL HEALTH DEPARTMENT OFFERS A WOMEN'S EMPOWERMENT THERAPEUTIC GROUP FOR WOMEN, AGE 40+, WHO ARE UNDERGOING CANCER TREATMENT OR ARE IN REMISSION FROM CANCER. TWO LICENSED SOCIAL WORKERS LEAD AND MODERATE THE GROUP. TOPICS INCLUDE: SELF-CASE/HEALTH AND WELLNESS, INTIMACY/SEXUALITY, GRIEF AND LOSS, RELATIONSHIPS, AND NEW FACTORS IN YOUR LIFE SINCE DIAGNOSIS. IN FY2015, 10 PEOPLE ATTENDED THIS GROUP (13 STAFF HOURS). - 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 FY2015, WITH APPROXIMATELY ONE-THIRD OF ATTENDEES COMING FROM OTHER HOSPITALS. - 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 STAFF MEMBER OF NORTHSIDE'S H.E.A.R.T.STRINGS PERINATAL BEREAVEMENT & PALLIATIVE CARE OFFICE, WITH A MEMORIAL EVENT BEING HELD IN OCTOBER. APPROXIMATELY 6-15 PEOPLE ATTENDED EACH MEETING IN FY2015, WITH APPROXIMATELY ONE-THIRD OF ATTENDEES COMING FROM OTHER HOSPITALS. - 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 FY2015, WITH APPROXIMATELY ONE-THIRD OF ATTENDEES COMING FROM OTHER HOSPITALS. PARTNERING WITH SCHOOLS NORTHSIDE'S PARTNERS IN EDUCATION PROGRAM SPONSORS 115 SCHOOLS IN SEVEN NORTH METRO ATLANTA COUNTIES: CHEROKEE, COBB, DAWSON, DEKALB, FORSYTH, FULTON AND GWINNETT. 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. IN FY2015, 320 STAFF HOURS WERE SPENT SERVING APPROXIMATELY 150,000 PEOPLE. THROUGH NORTHSIDE HOSPITAL-CHEROKEE'S JUNIOR HEALTH ADVOCATES, MEDICAL PROFESSIONALS SPEAK TO AN ARRAY OF HEALTHY LIVING TOPICS, TAILORED TO CHILDREN GRADES PRE-K TO EIGHTH. TOPICS INCLUDE NUTRITION NATION, BUDDY NOT BULLY, HAPPY HANDS, HOUSE RULES, DRUG FREE ME, FITNESS FUN, SQUEAKY CLEAN HYGIENE, TOOTH TRUTH, SUMMER SAFETY, AND NET SAFE NAVIGATOR. EACH CLASS OFFERS A 45-MINUTE INTERACTIVE PRESENTATION. STUDENTS RECEIVE AN ACTIVITY BOOK AND GIFT TO REINFORCE EACH SUBJECT. IN FY2015, THE PROGRAM ARRANGED 583 CLASSES (466 CLASSROOM HOURS), REACHING 13,996 STUDENTS. NORTHSIDE ALSO 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 HEALTH CARE 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 2014-15 SESSION, 26 STUDENTS PARTICIPATED IN THE PROGRAM, FACILITATED BY 112 STAFF HOURS. FOR OUTSTANDING HIGH SCHOOL STUDENTS INTERESTED IN PURSUING A CAREER IN HEALTH CARE, NORTHSIDE HOSPITAL-CHEROKEE PARTICIPATES IN THE CHEROKEE COUNTY SCHOOLS' WORK BASED LEARNING PROGRAM - YOUTH APPRENTICESHIP. THE UNPAID INTERNSHIP OFFERS AN OBSERVATION-ONLY EXPERIENCE FOR STUDENTS, WHO 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 AMERICAN HEART ASSOCIATION HEARTSAVER/AED TRAINING. IN FY2015, 21 STUDENTS PARTICIPATED IN THE PROGRAM AT THE HOSPITAL. TWO EMPLOYEES MANAGED THE PROGRAM, SPENDING APPROXIMATELY 30 HOURS. THE NORTHSIDE HOSPITAL-FORSYTH LABORATORY PARTICIPATES IN LAMBERT HIGH SCHOOL'S HEALTH SCIENCES PROGRAM TO HELP PREPARE STUDENTS FOR ADVANCED HEALTH CARE EDUCATION AND INDUSTRY PLACEMENT. THE HIGH SCHOOL PROVIDES THE CONTENT, SKILLS AND SAFETY PROCEDURES AS IT RELATES TO CLINICAL LABORATORY AND HEALTH CARE 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. DIAGNOSTIC PHLEBOTOMY AND INTERNSHIP STUDENTS WERE ABLE TO INTERACT FIRST HAND WITH PATIENTS, NURSES AND PHYSICIANS IN A CLINICAL SETTING. IN FY2015, 90 STUDENTS PARTICIPATED FOR A TOTAL OF 1000 HOURS. OVER TEN NORTHSIDE STAFF MEMBERS SPENT 400 HOURS ORGANIZING AND SUPERVISING THE PROGRAM. THE NORTHSIDE HOSPITAL-ATLANTA AUXILIARY'S PUPPET PROGRAM TRAVELS TO SCHOOLS IN DEKALB, COBB AND NORTH FULTON COUNTIES, EDUCATING CHILDREN IN GRADES PRE-K TO FOURTH ABOUT MEDICAL CHECK-UPS, PEER PRESSURE AND DRUG AND ALCOHOL ABUSE. IN FY2015, THE PROGRAM PERFORMED 26 PUPPET SHOWS, REACHING 3,820 STUDENTS. VOLUNTEERS PROVIDED MORE THAN 470 HOURS AND DROVE MORE THAN 1,529 MILES. NORTHSIDE'S CALL CENTER HANDLES THE SCHEDULING OF THE PUPPET SHOWS. IN FY2015, THE DEPARTMENT SPENT APPROXIMATELY 1,500 HOURS FIELDING CALLS FROM SCHOOLS AND SCHEDULING.
SUBSIDIZED HEALTH SERVICES CORPORATE & COMMUNITY HEALTH FAIRS NORTHSIDE PROVIDES FREE ON-SITE HEALTH SCREENINGS AT CORPORATE AND COMMUNITY LOCATIONS THROUGHOUT THE YEAR TO RAISE HEALTH CARE AWARENESS AND TO PROMOTE PREVENTION AND EARLY DETECTION OF DISEASES. HEALTH SCREENINGS 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 FY2015, NORTHSIDE OFFERED HEALTH SCREENINGS AT 30 COMMUNITY AND 27 CORPORATE EVENTS, REACHING 4,764 PEOPLE. MORE THAN 3,973 STAFF HOURS WERE SPENT ON THE PLANNING AND IMPLEMENTATION OF THE EVENTS. COMMUNITY SCREENINGS THROUGHOUT THE YEAR, NORTHSIDE ALSO OFFERS DISEASE-SPECIFIC HEALTH SCREENINGS AT THE HOSPITAL'S CAMPUSES IN ATLANTA, ALPHARETTA, CHEROKEE AND FORSYTH. SCREENINGS ARE OFFERED AT LOW COST OR COMPLETELY FREE TO THOSE WHO QUALIFY. - THREE PROSTATE CANCER SCREENINGS TOOK PLACE, REACHING 210 MEN. - FOUR FREE SKIN CANCER SCREENINGS WERE HELD, WITH 496 PARTICIPANTS - 123 PEOPLE WERE RECOMMENDED FOR FOLLOW-UP TREATMENT BECAUSE OF ABNORMAL FINDINGS. - IN RECOGNITION OF BETTER HEARING AND SPEECH MONTH IN MAY, THE AUDIOLOGY DEPARTMENT OFFERED FREE HEARING SCREENINGS TO 216 INDIVIDUALS. EIGHTY PEOPLE WERE REFERRED FOR FURTHER EVALUATION. 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 329 SCHOOL CHILDREN. THIRTEEN CHILDREN WERE REFERRED FOR FURTHER TESTING. NORTHSIDE'S FINANCIAL ACCESS SURGERY PROGRAM (FASP) IS DESIGNED TO ELIMINATE FINANCIAL OBSTACLES FACED BY THE UNINSURED OR UNDERINSURED IN OBTAINING NON-EMERGENT, YET MEDICALLY-NECESSARY, OUTPATIENT SURGICAL AND ENDOSCOPY SERVICES INCLUDING SCREENING AND DIAGNOSTIC COLONOSCOPIES. THE SERVICES ARE PROVIDED AT NO COST TO QUALIFIED PARTICIPANTS. THIS PROGRAM SERVES 12 COUNTIES - BARTOW, CHEROKEE, COBB, DAWSON, DEKALB, FORSYTH, FULTON, GILMER, GWINNETT, HALL, LUMPKIN, AND PICKENS COUNTIES. IN FY2015, 28 SCREENING COLONOSCOPIES WERE PERFORMED AS WELL AS 129 COLONOSCOPIES FOR DIAGNOSTIC WORKUPS. RESEARCH THE NORTHSIDE HOSPITAL RESEARCH PROGRAM WORKS TO PROVIDE PATIENTS WITH THE LATEST TREATMENTS AND PREVENTION METHODS BEING TESTED THROUGH CLINICAL TRIALS. STAFF ORGANIZE AND MANAGE ALL ASPECTS OF THE CLINICAL TRIALS OFFERED, WITH THE GOAL OF PROVIDING ACCESS TO CUTTING-EDGE CLINICAL TRIALS IN A COMMUNITY SETTING AND ENSURING THAT THE SAFETY OF TRIAL PARTICIPANTS IS THE TOP PRIORITY. IN FY2015, 11,167 STAFF HOURS WERE SPENT ON RESEARCH, 497 PEOPLE WERE SERVED, AND 89 RESEARCH PROJECTS WERE PERFORMED. SPECIALTIES INCLUDE BLOOD AND MARROW TRANSPLANT, CARDIOLOGY, CRITICAL CARE, ENDOCRINOLOGY, ONCOLOGY, ORTHOPEDICS, PULMONOLOGY, RHEUMATOLOGY, AND VASCULAR SURGERY. HEALTH PROFESSIONS EDUCATION CARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH WORLDWIDE AND A MAJOR CAUSE OF DISABILITY IN ADULTS. WITH INNOVATIVE ADVANCES MADE IN THE FIELDS OF CARDIOLOGY AND VASCULAR SURGERY, IT IS THE GOAL OF NORTHSIDE HOSPITAL HEART & VASCULAR INSTITUTE'S ANNUAL CARDIOVASCULAR SYMPOSIUM TO PROVIDE PHYSICIANS AND HEALTHCARE PROFESSIONALS AN OPPORTUNITY TO ABSORB INFORMATION ON NEW TREATMENTS AND TECHNIQUES AVAILABLE FOR PATIENTS WHO HAVE BEEN DIAGNOSED WITH CARDIOVASCULAR DISEASE. THE PROGRAM IS OPEN TO ALL PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REGARDLESS OF WHERE THEY ARE ON STAFF. IN FY2015, 270 STAFF HOURS WERE SPENT ON THE EVENT, WHICH SERVED 180 HEALTH PROFESSIONALS. MATERNAL HEART DISEASE COMPLICATES AT LEAST 2 PERCENT OF PREGNANCIES AND IS ONE OF THE MOST COMMON CAUSES OF MATERNAL DEATH. "THE HEART OF THE MATTER: MANAGING CARDIOVASCULAR RISKS IN PREGNANCY" CONFERENCE WAS DESIGNED TO PROVIDE PHYSICIANS AND OTHER RELATED HEALTH CARE PROFESSIONALS AN OPPORTUNITY TO EVALUATE THE BENEFITS OF A CONTINUUM OF CARE AS IT RELATES TO CARDIAC ISSUES FOR WOMEN - BEFORE, DURING AND AFTER PREGNANCY. THIS PROGRAM WAS MARKETED NATIONALLY TO MATERNAL-FETAL MEDICINE SPECIALISTS, OB/GYNS AND CARDIOLOGISTS. THE EVENT INVOLVED 75 ATTENDEES AND 89 STAFF HOURS. THE FY2015 ATLANTA CANCER SYMPOSIUM: "ENGAGING THE EXPERTS" FOCUSED ON MALIGNANT HEMATOLOGY, BREAST CANCER, AND GYNECOLOGIC CANCER. APPROXIMATELY 160 STAFF HOURS (4 PEOPLE) COORDINATED THE EVENT WITH 128 INDIVIDUALS ATTENDING. CASH AND IN-KIND DONATIONS CANCER INSTITUTE THROUGH THE NORTHSIDE HOSPITAL CANCER INSTITUTE, APPROXIMATELY 752 HOURS WERE ALLOCATED TO COMMUNITY BENEFIT PLANNING, OPERATIONAL SUPPORT AND FUNDRAISING. ANOTHER 300 STAFF HOURS WERE SPENT PREPARING AND WRITING GRANTS TO ALLOW NORTHSIDE TO INCREASE ACCESS TO CANCER CARE. NORTHSIDE WAS AWARDED FOUR GRANTS RELATED TO BREAST CANCER IN FY2015, TOTALING $255,510. APPROXIMATELY 275 STAFF HOURS WERE SPENT PREPARING AND WRITING THESE GRANTS TO PROVIDE THE FOLLOWING SERVICES FREE OF CHARGE TO VULNERABLE POPULATIONS THROUGH THE HOSPITAL'S BREAST CARE PROGRAM FUND: - 556 SCREENING MAMMOGRAMS - 282 DIAGNOSTIC MAMMOGRAMS - 148 ULTRASOUNDS - 49 BREAST BIOPSIES - 30 CYST ASPIRATIONS - 7 BREAST MRIS - 5 MRI BIOPSIES - GENETIC COUNSELING AND TESTING FOR 10 UNINSURED/UNDERSERVED WOMEN A COLON CANCER ALLIANCE TRANSPORTATION GRANT ($78,637) WAS RECEIVED AND PROVIDES $25 GASOLINE CARDS OR TAXI VOUCHERS TO PATIENTS UNABLE TO DRIVE TO SCREENING OR CANCER TREATMENT APPOINTMENTS. 25 STAFF HOURS WERE INVOLVED IN THIS PROGRAM IN FY2015. SPONSORSHIPS IN ADDITION TO THE EXCELLENT MEDICAL CARE AND EDUCATIONAL PROGRAMS, NORTHSIDE PROVIDES FINANCIAL ASSISTANCE TO MORE THAN 300 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. MORE THAN 1,000 HOURS WERE SPENT COMPILING, REVIEWING AND APPROVING SPONSORSHIP REQUESTS IN FY2015. PICTURE AND A PROMISE NORTHSIDE COLLABORATES WITH THE AMERICAN HEART ASSOCIATION TO PROVIDE AWARENESS AND EDUCATION OF CARDIOVASCULAR DISEASE. THE PICTURE AND A PROMISE BOOTH IS OFFERED AT THE HOSPITAL'S COMMUNITY SCREENINGS AND OTHER COMMUNITY EVENTS. IT ALLOWS PARTICIPANTS THE OPPORTUNITY TO MAKE A "PROMISE" TO THEIR HEARTS TO MAKE LIFESTYLE CHANGES TO BE MORE HEART HEALTHY. IN FY2015, NORTHSIDE CONTRIBUTED $30,000 FOR THE SPONSORSHIP OF THIS PROGRAM. TENNIS AGAINST BREAST CANCER IN OCTOBER 2014, NORTHSIDE ORGANIZED THE 11TH 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. APPROXIMATELY 1,014 WOMEN PARTICIPATED IN THE EVENT, WHICH RAISED $182,920 FOR THE HOSPITAL'S BREAST CARE PROGRAM FUND. 323 HOURS WERE SPENT COORDINATING THE EVENT. MIRACLE BABIES IN NOVEMBER 2014, NORTHSIDE HOSTED THE SECOND "MIRACLE BABIES", A NORTHSIDE FUNDRAISING EVENT TO RAISE FINANCIAL ASSISTANCE AND SUPPORT FOR FAMILIES FACING A FINANCIAL HARDSHIP DUE TO HAVING A NEWBORN IN THE HOSPITAL'S NEONATAL INTENSIVE CARE UNIT (NICU). MORE THAN $80,615 WAS RAISED FOR THE MIRACLE BABIES FUND; 125 PEOPLE ATTENDED. CHARITY GOLF CLASSIC THE "NORTHSIDE HOSPITAL CHARITY GOLF CLASSIC" IS A CORPORATE FUNDRAISER FOR NORTHSIDE'S BLOOD & MARROW TRANSPLANT PROGRAM (BMT) AND GENERAL RESEARCH PROGRAM. THE FY2015 EVENT RAISED $479,780 - 50 PERCENT FOR THE BMT PROGRAM AND 50 PERCENT TO THE CANCER RESEARCH FUND. THE EVENT WAS ATTENDED BY 256 PEOPLE AND COORDINATED BY 110 STAFF HOURS. WINE WOMEN AND SHOES APPROXIMATELY 280 PEOPLE ATTENDED NORTHSIDE'S "WINE WOMEN AND SHOES" EVENT, BENEFITTING THE OVARIAN AND GYNECOLOGICAL CANCER RESEARCH FUND. MORE THAN $188,000 WAS RAISED. APPROXIMATELY 120 STAFF HOURS WERE SPENT COORDINATING THE EVENT. BLOOD DRIVES NORTHSIDE IS A PARTNER WITH THE METRO ATLANTA RED CROSS TO OFFER BLOOD DRIVES FOR HOSPITAL STAFF AND THE COMMUNITY. IN FY2015, 113 STAFF HOURS WERE SPENT COORDINATING 27 BLOOD DRIVES, AT WHICH 1,547 PINTS OF BLOOD WERE DONATED. BABY ALUMNI BIRTHDAY PARTY THE 2015 NORTHSIDE 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. APPROXIMATELY 3,971 POUNDS OF NON-PERISHABLE FOODS, DIAPERS AND BABY WIPES WERE BROUGHT BY GUESTS AND DONATED TO THE ATLANTA COMMUNITY FOOD BANK.
COMMUNITY BENEFIT OPERATIONS NORTHSIDE'S PLANNING DEPARTMENT PERFORMS THE HEALTH SYSTEM'S COMMUNITY HEALTH NEEDS ASSESSMENT ONCE EVERY THREE YEARS. APPROXIMATELY 110 STAFF HOURS WERE SPENT ON THIS ACTIVITY IN FY2015. NORTHSIDE'S COMMUNITY CONNECTION EMPLOYEE VOLUNTEER PROGRAM IS COORDINATED BY ONE STAFF MEMBER, WHO SPENT 1,560 STAFF HOURS COORDINATING VOLUNTEERS PARTICIPATING IN COMMUNITY BENEFIT ACTIVITIES / PROGRAMS THROUGHOUT THE COMMUNITY IN FY2015. THE HOSPITAL'S SPONSORSHIP ACTIVITIES ARE COORDINATED BY A COMMUNITY DEVELOPMENT SPECIALIST IN THE MARKETING DEPARTMENT, WHO SPENT APPROXIMATELY 1,092 HOURS IN FY2015 ASSESSING AND COORDINATING SPONSORSHIPS THAT MEET COMMUNITY BENEFIT GUIDELINES. COMMUNITY-BUILDING ACTIVITIES THE GEORGIA MATERNAL MORTALITY REVIEW COMMITTEE AIMS TO IDENTIFY PREGNANCY-ASSOCIATED DEATHS AND THEIR CAUSES, AND REVIEW CONTRIBUTING FACTORS AND INTERVENTIONS THAT MAY REDUCE THESE DEATHS. NORTHSIDE'S CLINICAL OUTCOMES MANAGER JOINED THE COMMITTEE. THE HOSPITAL OFFERS FULL MONETARY SUPPORT OF HER TIME/COSTS ASSOCIATED WITH GOING TO THE COMMITTEE'S MEETINGS - 3 MEETINGS, 19 HOURS IN FY2015. BROAD-BASED COMMUNITY OUTREACH (NON COMMUNITY BENEFIT) EMPLOYEE VOLUNTEERISM (THE COMMUNITY CONNECTION): NORTHSIDE 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 FY2015, MORE THAN 3,900 COMMUNITY CONNECTION VOLUNTEERS DONATED MORE THAN 30,000 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 EMPLOYEES WROTE HAND-WRITTEN LETTERS OF ENCOURAGEMENT TO EVERY STUDENT AT HIGH POINT ELEMENTARY, A TITLE I SCHOOL. THESE LETTERS SHOWED SUPPORT OF THE STUDENT'S DREAMS AND GOALS FOR SUCCESS. - EMPLOYEES PROVIDED 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'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. - NORTHSIDE'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 2015. - 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 4,000 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. - 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. - 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. NORTHSIDE'S HEALTH RESOURCE CENTER/MEDICAL LIBRARY IS OPEN TO THE COMMUNITY AND IS HOME TO A VAST COLLECTION OF MEDICAL INFORMATION INCLUDING BOOKS, JOURNALS AND ONLINE RESOURCES. THE LIBRARY OFFERS ELECTRONIC ACCESS TO MORE THAN 400 MEDICAL JOURNALS, AS WELL AS PRINT SUBSCRIPTIONS TO MORE THAN 150 JOURNALS. INTERNET ACCESS TO HEALTH INFORMATION DATABASES IS ALSO AVAILABLE. STAFF IS AVAILABLE TO PROVIDE LITERATURE SEARCHES. WE ALSO PROVIDE PROCTORING SERVICES TO DISTANCE LEARNERS. THE HEALTH RESOURCE CENTER'S HIGHLY TRAINED STAFF IS AVAILABLE TO ASSIST PATRONS FIND WHAT THEY WANT AND/OR NEED. 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) 2014

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
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
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 1,928,028 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 34,773 252,049 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 3,118,033 3,681,648 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 4,911,685 4,667,097 NORTHSIDE HOSPITAL INC
 
(14) LMG AT NORTHSIDE LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
58-1436087
PROFESSIONAL SERVICES GA 31,763,746 10,174,625 NORTHSIDE HOSPITAL INC
 
(15) NORTHSIDE 993 LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
46-6251430
REAL ESTATE SERVICES GA 4,116,763 29,202,817 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) FORREST PARK PRESERVE HOLDINGS LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
47-4363731
PROFESSIONAL SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(25) ADVANCED JOINT SURGERY SPECIALISTS LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
47-4793694
SURGERY CENTER GA 0 0 NORTHSIDE HOSPITAL INC
 
(26) UROLOGY SPECIALISTS OF ATLANTA NORTH LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
47-2619158
HEALTHCARE SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(27) NORTHSIDE IMAGING LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
47-3958809
RADIOLOGY SERVICES GA 0 0 NORTHSIDE HOSPITAL INC
 
(28) ADVANCED SURGERY CENTER PERIMETER LLC
1000 JOHNSON FERRY ROAD
ATLANTA,GA30342
47-3080613
SURGERY CENTER GA 15,095 17,799 NORTHSIDE HOSPITAL INC
 
(29) NORTHSIDE ATLANTA EAR NOSE AND 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
PARENT HOLDING COMPANY 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) 2014
Schedule R (Form 990) 2014
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 GA NORTHSIDE HOSPITAL INC
 
RELATED 203,957 1,922,412   No     No 63.330 %
(2) NORTHERN CRESCENT ENDOSCOPY SUITE LLC

550 PEACHTREE STREET SUITE 1620
ATLANTA,GA30308
58-2453504
OUTPATIENT SURGERY GA NORTHSIDE HOSPITAL INC
 
RELATED 736,253 14,588,263   No     No 97.960 %
(3) UROLOGY SURGICAL PARTNERS LLC

5673 PEACHTREE DUNWOODY RD SUITE 91
ATLANTA,GA30342
47-2619158
AMBULATORY SURGERY GA NORTHSIDE HOSPITAL INC
 
RELATED -11,989 2,788,011   No     No 70.000 %
(4) HAND AND UPPER EXTREMITY SURGERY CENTER

980 JOHNSON FERRY RD NE STE 1020
ATLANTA,GA30342
20-0147862
OUTPATIENT SURGERY GA NORTHSIDE HOSPITAL INC
 
RELATED       No     No 51.000 %






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) 2014
Schedule R (Form 990) 2014
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) 2014
Schedule R (Form 990) 2014
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) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
PART I, COLUMN D: IN MOST INSTANCES WHERE (D) TOTAL INCOME IS ZERO, ENTITIES WERE ESTABLISHED FOR BILLING IDENTIFICATION ONLY AND NO ASSETS, INCOME OR EMPLOYEES ARE APPLICABLE TO EMPLOYER IDENTIFICATION NUMBER.
Schedule R (Form 990) 2014
Additional Data


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