TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Anthony J Salvatore...................................................................... Treasurer	1.00 ................. 1.00	X			0	0
(2) Barbara Pare'...................................................................... Vice Chair	1.00 ................. 1.00	X			0	0
(3) Dale M Bearman MD...................................................................... Board Member	1.00 ................. 1.00	X			0	0
(4) Genevieve Fairbrother MD...................................................................... Board Member	1.00 .................	X			0	0
(5) Iqbal Garcha MD...................................................................... Board Member	40.00 .................	X			68,219	0
(6) K Douglas Smith MD...................................................................... Chair	1.00 ................. 1.00	X			0	0
(7) Mark J Sweeney...................................................................... Secretary	1.00 ................. 1.00	X			0	0
(8) Robert E Whitley Esq...................................................................... Board Member	1.00 ................. 1.00	X			0	0
(9) Robert T Quattrocchi...................................................................... President & CEO NSH, Inc.	40.00 ................. 1.00	X	X		4,242,713	10,115
(10) Wayne L Ambroze MD...................................................................... Board Member	1.00 .................	X			607,654	6,122
(11) William G Hasty Jr...................................................................... Board Member	1.00 .................	X			0	0
(12) Deborah S Mitcham...................................................................... VP/CFO NSH, Inc.	40.00 ................. 1.00		X		831,173	7,373
(13) Jorge J Hernandez...................................................................... Vice President/Asst. Secre	40.00 .................		X		536,285	2,542
(14) Janis Dubow...................................................................... Vice President	40.00 .................			X	455,796	4,484
(15) Robert Putnam...................................................................... Vice President	40.00 .................			X	821,731	5,828
(16) WILLIAM HAYES...................................................................... CEO of northside hospital-Cherokee	40.00 .................			X	493,535	9,743
(17) Tina Wakim...................................................................... Vice President	40.00 .................			X	942,538	8,556

(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	45,148,927
AGA LLC 550 Peachtree St Ste 1620 Atlanta,GA30308	SEE Schedule O	22,655,949
Atlanta Cancer Care 1100 Johnson Ferry Road STE 150 Sandy Springs,GA30342	SEE Schedule O	19,872,987
Baker Hostetler LLP 1170 Peachtree Street NE Ste 2400 Atlanta,GA30309	Legal Services	11,947,606
McKenna Long & Aldridge LLP PO Box 116573 Atlanta,GA30368	Legal Services	10,028,601
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 357

- TIN:

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

2015

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.)..

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

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

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.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) 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.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

Section B. Type I Supporting Organizations

Yes

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization NORTHSIDE HOSPITAL INC

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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

(a)
No.from Part I

(b) Purpose 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

(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

(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

(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) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ..............................................................................................................	Yes No

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) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

435,033

Total. Add lines 1c through 1i ....................................................................................................

435,033

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

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 is designated for lobbying activities by these organizations. Northside Hospital, Inc. does not direct any of these organizations' lobbying activities. In addition, Connect South, a service vendor, is retained to monitor legislation in the Georgia General Assembly.

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 is designated for lobbying activities by these organizations. Northside Hospital, Inc. does not direct any of these organizations' lobbying activities. In addition, Connect South, a service vendor, is retained to monitor legislation in the Georgia General Assembly.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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

2015

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" on 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 ....

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? ...........

Yes No

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? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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" on Form 990, Part IV, line 8.

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.

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 on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	7,742,074	7,079,636	7,044,190	6,092,371	5,750,449
b	Contributions ...	1,758,394	1,525,651	1,352,241	1,566,045	1,117,389
c	Net investment earnings, gains, and losses	128,084	114,920	117,482	112,842	112,483
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	1,012,169	978,133	1,434,277	727,068	887,950
f	Administrative expenses ....
g	End of year balance ......	8,616,383	7,742,074	7,079,636	7,044,190	6,092,371

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

34.610 %

Temporarily restricted endowment SchDMd Bullet

65.390 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

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' on 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 ...	216,238,479		216,238,479
b	Buildings	874,388,263	581,137,730	293,250,533
c	Leasehold improvements
d	Equipment ...	610,469,775	511,785,226	98,684,549
e	Other ...	264,633,767		264,633,767
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				872,807,328

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
FAS 106 Accrual	1,260,782
Interchange finance liability	66,077,245
FMV of swap agreement	204,922
Rent obligation, long-term portion	15,076,781
other liability	-64,788
Obligations under capital lease	10,025
Reserve for malpractice	116,514,065
Retirement plan obligations	221,363,800
Net Intercompany	-63
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	420,442,769
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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 V, Line 4:

Northside Hospital, Inc. and Northside Hospital Foundation, Inc. have endowment funds that consist of 39 donor-restricted individual funds established for a variety of purposes. The organizations adopted a policy regarding the endowments whose general purpose is to preserve the capital and purchasing power of the organizations and to produce sufficient investment earnings for current and future spending needs.

Part X, Line 2:

Northside Hospital, Inc., and Subsidiaries consolidated financial statements as of and for the years ended September 30, 2016 and 2015, 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on 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

2015

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other 12500.0000000000 %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	104,782,252		104,782,252	4.020 %
b	Medicaid (from Worksheet 3, column a) . . . . .	184,891,991	92,440,683	92,451,308	3.550 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	289,674,243	92,440,683	197,233,560	7.570 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,951,906	434,357	3,517,549	0.130 %
f	Health professions education (from Worksheet 5) . . .	229,000	158,409	70,591	0 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	585,630	198,376	387,254	0.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,205,063		1,205,063	0.050 %
j	Total. Other Benefits . .	5,971,599	791,142	5,180,457	0.190 %
k	Total. Add lines 7d and 7j .	295,645,842	93,231,825	202,414,017	7.760 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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.

		(c) Total community building expense	(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	1,057,638	1,057,638	0.040 %
9	Other
10	Total	1,057,638	1,057,638	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

24,472,399

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

281,292,386

Enter Medicare allowable costs of care relating to payments on line 5.....

344,973,502

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-63,681,116

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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 %	(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 %
78 ENT Surgery Center of Atlanta LLC	Ambulatory Surgery	63.330 %	36.670 %
89 Peachtree Orthopaedic Surgery Center at Perimeter LLC	Ambulatory Surgery	15.000 %	71.260 %
910 Urology Surgical Partners LLC	ambulatory Surgery	70.000 %	30.000 %
1011 Southern Crescent Endoscopy Center Suite PC	Outpatient Center	15.000 %	85.000 %
1112 The Hand & Upper Extremity Surgery Center of GA LLC	Ambulatory Surgery	51.000 %	19.000 %
1213 Nasa Surgery Center LLC	Ambulatory Surgery	70.000 %	30.000 %
1314 Soverign Rehabilitation Center LLC	Rehabilitation Center	88.000 %	12.000 %

Schedule H (Form 990) 2015

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)					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 450 Northside Cherokee Blvd Canton,GA30115 028-552	X	X	X	A

Schedule H (Form 990) 2015

Page 4

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

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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 .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): http://www.northside.com

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 125.000000000000% and FPG family income limit for eligibility for discounted care of 250.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.northside.com

The FAP application form was widely available on a website (list url):

www.northside.com

A plain language summary of the FAP was widely available on a website (list url):
www.northside.com

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

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
Group A-Facility 1 -- Hospitals - Atlanta, Cherokee, Forsyth Part V, Section B, line 3j:	Northside Hospital, Inc. ("Northside") completed a CHNA for each of its hospital facilities identified in Part V, Section A. In completing the CHNAs for its hospital facilities, Northside did not encounter any information gaps that limited its ability to assess each hospital facility's Community need. In addition to the information listed above, Northside describes in the CHNAs each Community's access to health care and provides an overview of each hospital facility's implementation strategy.
Group A-Facility 1 -- Hospitals - Atlanta, Cherokee, Forsyth Part V, Section B, line 5:	Northside identified community stakeholders who broadly represented the interests of each hospital facility's Community and specifically sought to identify stakeholders with special knowledge of, or expertise in, public health. Northside then developed the Stakeholder Assessment Discussion Guide (a copy of which is included as Appendix A in each hospital facility's CHNA) and conducted, either in person or by telephone, interviews with a qualified representative of each identified stakeholder. The following is a comprehensive list of organizations Northside contacted to help identify the needs of the hospital facilities' Community needs: (1) March of Dimes, (2) Good Samaritan Health Center of Atlanta, (3) Good Samaritan Health Center of Cobb, (4) Visiting Nurse Health System, (5) Forsyth Health Department, (6) Georgia Highlands Medical Services, (7) Good Shepherd Clinic of Dawson County, (8) Bethesda Community Clinic, (9) Good Samaritan Health Center of Pickens, (10) United Way of Cherokee County, (11) HomeStretch, (12) M.U.S.T. Ministries, (13) United Way of Forsyth County, (14) North Fulton Community Charities, (15) North Fulton Senior Services, (16) United Way of Greater Atlanta, (17) City of Sandy Springs, (18) Cherokee County Manager, (19) Cherokee County Schools, (20) City of Cumming, (21) City of Canton, (22) Cherokee County Chamber of Commerce, (23) Pickens Chamber of Commerce, and (24) Cumming/Forsyth Chamber of Commerce.
Group A-Facility 1 -- Hospitals - Atlanta, Cherokee, Forsyth Part V, Section B, line 6a:	The Northside Hospital, Inc. system comprises three hospital facilities: (1) Northside Hospital-Atlanta, (2) Northside Hospital-Cherokee and (3) Northside Hospital-Forsyth. Northside utilized similar resources, processes and procedures in conducting its hospital facilities' CHNAs; additionally, the CHNAs were conducted simultaneously.
Group A-Facility 1 -- Hospitals - Atlanta, Cherokee, Forsyth Part V, Section B, line 11:	Based on the results of Northside's 2016 CHNA, Northside Hospital, Inc. adopted an implementation strategy which outlined several initiatives to help address the significant needs identified in the Community. As set forth in the 2016 CHNA, Northside is unable to address each identified community need due to availability of resources, magnitude/severity of the issues identified, and existing resources already available to meet such needs. The needs that will not be addressed directly follow: (1) Respiratory Disease & Smoking, (2) Affordability, Access to Care & Uninsured, (3) Primary Care, (4) Mental Health/Addiction, and (5) HIV/AIDS.A detailed analysis of why each of these needs will not be addressed is included in Northside's CHNA.
Group A-Facility 1 -- Hospitals - Atlanta, Cherokee, Forsyth Part V, Section B, line 20e:	In addition, Northside publishes the financial assistance policy on their website.

Schedule H (Form 990) 2015

Page 8

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?147
Name and address		Type of Facility (describe)
1	1 - Northside Hospital Cancer Institute - Maco 308 Coliseum Drive Suite 120 Macon,GA31217	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
2	2 - Medical Associates of North Georgia - Cant 320 Hospital Road Canton,GA30114	PHYSICIAN SERVICES
3	3 - Northside Hospital Cancer Institute - Mill 624 Martin Luther King Jr Drive Milledgeville,GA31061	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
4	4 - ENT of Georgia - Alpharetta Alpharetta 3400-C Old Milton Pkwy Suite Alpharetta,GA30005	PHYSICIAN SERVICES
5	5 - Laureate Medical Group - Atlanta 6135 Barfield Road Atlanta,GA30328	PHYSICIAN SERVICES
6	6 - Northside Hospital Cancer Institute - Athe 125 King Avenue Suite 200 Athens,GA30606	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
7	7 - Northside Hospital Cancer Institute - Blue 101 Riverstone Vista Suite 102 Blue Ridge,GA30513	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
8	8 - Northside Hospital Cancer Institute - Blai 308 Deep South Farm Road Suite 200 Blairsville,GA30512	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
9	9 - Northside Hospital Cancer Institute - Grif 747 S 8th Street Suite C Griffin,GA30224	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
10	10 - Primary Care Physicians of Atlanta 5670 Peachtree Dunwoody Road Suite 1200 Atlanta,GA30342	PHYSICIAN SERVICES
11	11 - Atlanta Clinical Care 5673 Peachtree Dunwoody Road Suite 330 Atlanta,GA30342	PHYSICIAN SERVICES
12	12 - Northside Heart - Roswell 1285 Upper Hembree Rd Roswell,GA30076	PHYSICIAN SERVICES
13	13 - Atlanta Institute for ENT - Atlanta 5670 Peachtree Dunwoody Road Suite 1280 Atlanta,GA30342	PHYSICIAN SERVICES
14	14 - Northside Total Joint Specialists - Alpha 3400 C-Old Milton Parkway Suite 290 Alpharetta,GA30005	PHYSICIAN SERVICES
15	15 - Gwinnett Advanced Surgery Center LLC 2131 Fountain Drive Snellville,GA30078	AMBULATORY SURGERY
16	16 - The Imaging Center of Warner Robins 2706 Watson Boulevard Suite D Warner Robins,GA31093	OUTPATIENT CENTER
17	17 - Laureate Medical Group - Atlanta 550 Peachtree Street NE Suite 1550 Atlanta,GA30308	PHYSICIAN SERVICES
18	18 - Northside Hospital Cancer Institute - Gree 1000 Cowles Clinic Way - Magnolia Building Greensboro,GA30642	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
19	19 - Urology Specialists of Atlanta 5673 Peachtree Dunwoody Road Suite 910 Atlanta,GA30342	PHYSICIAN SERVICES
20	20 - Pulmonary & Critical Care of Atlanta 960 Johnson Ferry Rd Suite 500 Atlanta,GA30342	PHYSICIAN SERVICES
21	21 - Internal Medicine Associates of John's Cre 3340 Paddocks Parkway Suwanee,GA30024	PHYSICIAN SERVICES
22	22 - Premier Care for Women 960 Johnson Ferry Rd Suite 400 Atlanta,GA30342	PHYSICIAN SERVICES
23	23 - North Atlanta ENT 1400 Northside Forsyth Drive Suite 240 Cumming,GA30041	PHYSICIAN SERVICES
24	24 - Northside Hospital Cancer Institute - Hawk 214 Perry Highway Hawkinsville,GA31036	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
25	25 - Northside Heart - Atlanta 5670 Peachtree Dunwoody Rd Suite 880 Atlanta,GA30342	PHYSICIAN SERVICES
26	26 - MRI & Imaging of Athens 845 Prince Avenue Athens,GA30606	OUTPATIENT CENTER
27	27 - Endocrine Specialist of Atlanta 975 Johnson Ferry Road Suite 400 Atlanta,GA30342	PHYSICIAN SERVICES
28	28 - Northside Heart - Woodstock 900 Towne Lake Pkwy Suite 400 Woodstock,GA30189	PHYSICIAN SERVICES
29	29 - Atlanta Colon and Rectal Surgery - Atlanta 5667 Peachtree Dunwoody Road Suite 330 Atlanta,GA30342	PHYSICIAN SERVICES
30	30 - Northside Cherokee Orthopedics Sports Med 684 Sixes Road Suite 130 Holly Springs,GA30142	PHYSICIAN SERVICES
31	31 - Cumming Family Medicine - Cumming 765 Lanier 400 Parkway Cumming,GA30040	PHYSICIAN SERVICES
32	32 - Northside Family Medicine and Urgent Care 5610 Bethelview Rd Cumming,GA30040	PHYSICIAN SERVICES
33	33 - Perimeter North Family Medicine - Alpharet 3400-A Old Milton Pkwy Suite 130 Alpharetta,GA30005	PHYSICIAN SERVICES
34	34 - Northside Family Practice 960 Woodstock Pkwy Suite 300 Woodstock,GA30188	PHYSICIAN SERVICES
35	35 - Northside Vascular Surgery - Atlanta 980 Johnson Ferry Rd Suite 1040 Atlanta,GA30342	PHYSICIAN SERVICES
36	36 - Chattahoochee Surgical Group - Cumming 980 Sanders Road Suite 100 Cumming,GA30042	PHYSICIAN SERVICES
37	37 - Mt Vernon Internal Medicine 755 Mt Vernon Hwy NE Suite 400 Sandy Springs,GA30328	PHYSICIAN SERVICES
38	38 - Northside Pulmonary and Sleep Medicine - C 1400 Northside Forsyth Dr Suite 280 Cumming,GA30041	PHYSICIAN SERVICES
39	39 - Laureate Medical Group - Alpharetta 3400-C Old Milton Parkway Suite 500 Alpharetta,GA30005	PHYSICIAN SERVICES
40	40 - Northside Neurology 1400 Northside Forsyth Dr Suite 250 Cumming,GA30041	PHYSICIAN SERVICES
41	41 - Georgia Pulmonary and Critical Care Consul 1505 Northside Blvd Suite 3000 Cumming,GA30041	PHYSICIAN SERVICES
42	42 - Perimeter North Family Medicine - Woodstoc 900 Towne Lake Pkwy Suite 210 Woodstock,GA30189	PHYSICIAN SERVICES
43	43 - Northside Heart - Cumming 1505 Northside Blvd Suite 3600 Cumming,GA30040	PHYSICIAN SERVICES
44	44 - Cumming Family Medicine - Cumming 303 Pirkle Ferry Road Cumming,GA30040	PHYSICIAN SERVICES
45	45 - Windermere Medical Clinic - Cumming 3850 Windermere Parkway Suite 105 Cumming,GA30041	PHYSICIAN SERVICES
46	46 - Atlanta Colon and Rectal Surgery - Canton 15 Reinhardt College Parkway Suite 105 Canton,GA30114	PHYSICIAN SERVICES
47	47 - Northside Vascular Surgery - Cumming 1505 Northside Forsyth Drive Suite 2400 Cumming,GA30041	PHYSICIAN SERVICES
48	48 - Dunwoody Dermatology LLC 4360 Chamblee Dunwoody Road Suite 260 Atlanta,GA30341	PHYSICIAN SERVICES
49	49 - Perimeter North Family Medicine - Atlanta 960 Johnson Ferry Rd NE Suite 300 Atlanta,GA30342	PHYSICIAN SERVICES
50	50 - Laureate Medical Group - Jonesboro 7823 Spivey Station Boulevard Suite 310 Jonesboro,GA30236	PHYSICIAN SERVICES
51	51 - University Gynecologic Oncology 960 Johnson Ferry RoadSuite 130 Atlanta,GA30342	PHYSICIAN SERVICES
52	52 - Northside Family Medicine and Urgent Care 4800 Old Towne Pkwy Suite 150 Marietta,GA30068	PHYSICIAN SERVICES
53	53 - North Georgia OBGYN Specialist 900 Towne Lake Pkwy Suite 404 Woodstock,GA30188	PHYSICIAN SERVICES
54	54 - Northside Family Medicine and Urgent Care 684 Sixes Rd Suite 125 Holly Springs,GA30115	PHYSICIAN SERVICES
55	55 - Georgia Colon and Rectal Surgeons - Atlant 5445 Meridian Mark Suite 180 Atlanta,GA30342	PHYSICIAN SERVICES
56	56 - Northside Hospital Cardiovascular Care 980 Johnson Ferry Road Suite 520 Atlanta,GA30342	PHYSICIAN SERVICES
57	57 - Atlanta Cardiac & Thoracic Surgical Associ 960 Johnson Ferry Road Suite 100 Atlanta,GA30342	PHYSICIAN SERVICES
58	58 - Northside Cherokee Pediatrics - Holly Spri 684 Sixes Rd Suite 220 Holly Springs,GA30115	PHYSICIAN SERVICES
59	59 - Peachtree Dunwoody Internal Medicine and R 875 Johnson Ferry Rd NE Suite 200 Atlanta,GA30342	PHYSICIAN SERVICES
60	60 - Ravry Medical Group 5505 Peachtree Dunwoody Rd Suite 650 Atlanta,GA30342	PHYSICIAN SERVICES
61	61 - MRI & Imaging of Habersham 638 Historic Highway 441 North Suite D Demorest,GA30535	OUTPATIENT CENTER
62	62 - Midtown Medical Associates 550 Peachtree St Ne Suite 1230 Atlanta,GA30308	PHYSICIAN SERVICES
63	63 - North Point Pulmonary Associates - Cumming 1505 Northside Forsyth Blvd Suite 3400 Cumming,GA30041	PHYSICIAN SERVICES
64	64 - North Georgia Diabetes and Endocrinology - 1505 Northside Blvd Suite 2800 Cumming,GA30041	PHYSICIAN SERVICES
65	65 - Georgia Gynecologic Oncology - Lawrencevil 759 Old Norcross Road Lawrenceville,GA30046	PHYSICIAN SERVICES
66	66 - Cherokee Lung and Sleep - Canton 460 Northside Cherokee Blvd Suite 130 Canton,GA30114	PHYSICIAN SERVICES
67	67 - Northside Family Medicine and Urgent Care 81 Northside Dawson Dr Dawsonville,GA30534	PHYSICIAN SERVICES
68	68 - North Atlanta Pulmonary and Sleep 993 Johnson Ferry Rd 300 Building C Atlanta,GA30342	PHYSICIAN SERVICES
69	69 - Town Lake Primary Care 900 Towne Lake Pkwy Suite 410 Woodstock,GA30189	PHYSICIAN SERVICES
70	70 - Goyco Internal Medicine 900 Sanders Rd Suite B Cumming,GA30041	PHYSICIAN SERVICES
71	71 - Perimeter North Family Medicine - Cumming 1505 Northside Blvd Suite 4400 Cumming,GA30041	PHYSICIAN SERVICES
72	72 - Perimeter North Family Medicine - Suwanee 3890 Johns Creek Pky Suite 230 Suwanee,GA30024	PHYSICIAN SERVICES
73	73 - Georgia Colon and Rectal Surgeons - Fayett 1260 Hwy 54 W Suite 100 Fayetteville,GA30214	PHYSICIAN SERVICES
74	74 - Atlanta Gynecologic Oncology - Atlanta 980 Johnson Ferry Rd NE Suite 900 Atlanta,GA30342	PHYSICIAN SERVICES
75	75 - Melanoma Specialists of Georgia 980 Johnson Ferry Road Suite 940 Atlanta,GA30342	PHYSICIAN SERVICES
76	76 - Laureate Medical Group - Holly Springs 684 Sixes Road Suite 265 Holly Springs,GA30115	PHYSICIAN SERVICES
77	77 - Northside Vascular Surgery - Canton 145 Riverstone Terrace Suite 101 Canton,GA30114	PHYSICIAN SERVICES
78	78 - Laureate Medical Group - Marietta 1121 Johnson Ferry Road Building One Suit Marietta,GA30068	PHYSICIAN SERVICES
79	79 - Alpharetta Foot and Ankle Specialists 3400-A Old Milton Parkway Suite 500 Alpharetta,GA30005	PHYSICIAN SERVICES
80	80 - Atlanta Colon and Rectal Surgery - Cumming 1505 Northside Boulevard Suite 1900 Cumming,GA30041	PHYSICIAN SERVICES
81	81 - Georgia Colon and Rectal Surgeons - Lawren 721 Wellness Way Suite 200 Lawrenceville,GA30045	PHYSICIAN SERVICES
82	82 - Internal Medicine Practice of Northside 10745 Westside Way Suite 125 Alpharetta,GA30009	PHYSICIAN SERVICES
83	83 - Northside Atlanta Orthopedics and Sports M 5555 Peachtree Dunwoody Road NE Suite 101 Atlanta,GA30342	PHYSICIAN SERVICES
84	84 - Cumming Family Medicine - Dawsonville 133 Prominence Court Suite 230 Dawsonville,GA30535	PHYSICIAN SERVICES
85	85 - Northside Cherokee Pediatrics - Woodstock 900 Towne Lake Parkway Suite 306 Woodstock,GA30189	PHYSICIAN SERVICES
86	86 - Georgia Colon and Rectal Surgeons - Cummin 1505 Northside Blvd Suite 2900 Cumming,GA30041	PHYSICIAN SERVICES
87	87 - Cumming Family Medicine - Marble Hill 25 Foothills Parkway Marble Hill,GA30149	PHYSICIAN SERVICES
88	88 - North Georgia Diabetes and Endocrinology - 4310 Johns Creek Pkwy Suite 100 Suwanee,GA30024	PHYSICIAN SERVICES
89	89 - Premier Neurological Care - Canton 145 Riverstone Terrace Suite 102 Canton,GA30114	PHYSICIAN SERVICES
90	90 - Roswell Internal Medicine Specialists 11785 Northfall Lane Suite 505 Alpharetta,GA30004	PHYSICIAN SERVICES
91	91 - Bariatric Innovations of Atlanta 6135 Barfield Road Suite 150 Sandy Springs,GA30328	PHYSICIAN SERVICES
92	92 - Northside Heart - Sandy Springs 6135 Barfield Road Suite 100 Sandy Springs,GA30328	PHYSICIAN SERVICES
93	93 - Georgia Gynecologic Oncology - Atlanta Timeshare 2001 Peachtree Road Suite 650 Atlanta,GA30309	PHYSICIAN SERVICES
94	94 - Ellijay Women's Specialists 433 Highland Pkwy Suite 203 East Ellijay,GA30540	PHYSICIAN SERVICES
95	95 - Northside Cherokee Surgical Associates 900 Towne Lake Pkwy Suite 412 Woodstock,GA30189	PHYSICIAN SERVICES
96	96 - Newtown Medical 3400-A Old Milton Pkwy Suite 200 Alpharetta,GA30005	PHYSICIAN SERVICES
97	97 - Medical Associates of North Georgia - Ball 470 Valley Street Suite 200 Ball Ground,GA30107	PHYSICIAN SERVICES
98	98 - Georgia Colon and Rectal Surgeons - Decatu 2801 North Decatur Road Suite 120 Decatur,GA30033	PHYSICIAN SERVICES
99	99 - Lanier Family Practice 1080 Sanders Road Suite 100 Cumming,GA30041	PHYSICIAN SERVICES
100	100 - Georgia Colon and Rectal Surgeons - Atlant 1 Baltimore Place Suite 290 Atlanta,GA30308	PHYSICIAN SERVICES
101	101 - Reproductive Surgical Specialists 1800 Northside Forysth Drive Suite 380 Cumming,GA30041	PHYSICIAN SERVICES
102	102 - Georgia Colon and Rectal Surgeons - Alphar 3400 C Old Milton Pkwy Suite 185 Alpharetta,GA30005	PHYSICIAN SERVICES
103	103 - Northside Heart - Alpharetta 3400-C Old Milton Pkwy Suite 360 Alpharetta,GA30005	PHYSICIAN SERVICES
104	104 - Windermere Medical Clinic - Canton 200 Eagles Nest Dr Suite 300D Canton,GA30115	PHYSICIAN SERVICES
105	105 - Anderson Family Medicine 81 Northside Dawson Drive Suite 205 Dawsonville,GA30534	PHYSICIAN SERVICES
106	106 - Sleep Disorders Center of Georgia 993-C Johnson Ferry Rd Suite 301 Atlanta,GA30342	PHYSICIAN SERVICES
107	107 - Gordon J Azar Sr MD Internal Medicine 960 Johnson Ferry Road Suite 235 Atlanta,GA30342	PHYSICIAN SERVICES
108	108 - Ankle & Foot Centers of North Georgia - Da 133 Prominence Court Suite 210 Dawsonville,GA30534	PHYSICIAN SERVICES
109	109 - Atlanta Cardiac & Thoracic Surgical Associ 1100 Northside Forsyth Drive Suite 410 Cumming,GA30041	PHYSICIAN SERVICES
110	110 - Atlanta Gynecologic Oncology - Marietta 780 Canton Rd Suite 405 Marietta,GA30060	PHYSICIAN SERVICES
111	111 - Randy Rudderman MD- Plastic Surgeon 3400-C Old Milton Pkwy Suite 450 Alpharetta,GA30005	PHYSICIAN SERVICES
112	112 - Perimeter Advanced Surgery Center 4553 North Shallowford Road Atlanta,GA30338	AMBULATORY SURGERY
113	113 - Glenridge Northside Gynecology 5445 Meridian Mark Suite 120 Atlanta,GA30342	PHYSICIAN SERVICES
114	114 - North Atlanta Breast Care 1100 Norside Forsyth Drive Suite 450 Cumming,GA30041	PHYSICIAN SERVICES
115	115 - Northside East Cobb Orthopedics and Sports 1163 Johnson Ferry Rd Suite 250 Marietta,GA30068	PHYSICIAN SERVICES
116	116 - Ankle & Foot Centers of North Georgia - Al 3180 North Point Parkway Building 300 Su Alpharetta,GA30005	PHYSICIAN SERVICES
117	117 - Ankle & Foot Centers of North Georgia - Cu 3275 Market Place Blvd LakePoint Prof Bl Cumming,GA30041	PHYSICIAN SERVICES
118	118 - Atlanta Cardiac & Thoracic Surgical Associ 308 Deep South Farm Road Blairsville,GA30512	PHYSICIAN SERVICES
119	119 - Atlanta Colon and Rectal Surgery - Mariett 780 Canton Road NE Suite 315 Marietta,GA30060	PHYSICIAN SERVICES
120	120 - Atlanta Colon and Rectal Surgery - Roswell 1380 Upper Hembree Road Roswell,GA30076	PHYSICIAN SERVICES
121	121 - Atlanta Institute for ENT - Sandy Springs 5730 Glenridge Dr Suite T-200 Sandy Springs,GA30328	PHYSICIAN SERVICES
122	122 - Chattahoochee Surgical Group - Alpharetta 3400-A Old Milton Pkwy Suite 210 Alpharetta,GA30005	PHYSICIAN SERVICES
123	123 - Chattahoochee Surgical Group - Dawsonville 200 Dawson Commons Circle Suite 210 Dawsonville,GA30534	PHYSICIAN SERVICES
124	124 - Cherokee Lung and Sleep - Blairsville 308 Deep South Farm Rd Blairsville,GA30512	PHYSICIAN SERVICES
125	125 - North Point Pulmonary Associates - Alphare 3400-C Old Milton Pkwy Suite 425 Alpharetta,GA30005	PHYSICIAN SERVICES
126	126 - Northside Cherokee Orthopedics Sports Med 900 Towne Lake Pkwy Suite 320 Woodstock,GA30189	PHYSICIAN SERVICES
127	127 - Northside Pulmonary and Sleep Medicine - B 4700 Nelson Brogden Blvd NE Suite 125 Buford,GA30518	PHYSICIAN SERVICES
128	128 - Northside Pulmonary and Sleep Medicine - D 200 Dawson Commons Circle Suite 210 Dawsonville,GA30534	PHYSICIAN SERVICES
129	129 - Northside Total Joint Specialists - Alpha 3400 C-Old Milton Parkway Suite 190 Alpharetta,GA30005	PHYSICIAN SERVICES
130	130 - Northside Total Joint Specialists - Cummi 1505 Northside Blvd Suite 3500 Cumming,GA30041	PHYSICIAN SERVICES
131	131 - Northside Total Joint Specialists - Cummi 1100 Northside Forsyth Drive Suite 250 Cumming,GA30041	PHYSICIAN SERVICES
132	132 - Perimeter North Family Medicine - Atlanta 960 Johnson Ferry Rd NE Suite 340 Atlanta,GA30342	PHYSICIAN SERVICES
133	133 - Perimeter North Family Medicine - Canton 460 Northside Cherokee Blvd Suite 170 Canton,GA30115	PHYSICIAN SERVICES
134	134 - Premier Neurological Care - Alpharetta 11820 Northfall Lane Suite 1103 Alpharetta,GA30009	PHYSICIAN SERVICES
135	135 - Premier Neurological Care - Cartersville 100 Market Place Blvd Suite 307 Cartersville,GA30121	PHYSICIAN SERVICES
136	136 - ENT of Georgia - Peachtree 550 Peachtree Street Suite 1640 Atlanta,GA30308	PHYSICIAN SERVICES
137	137 - ENT of Georgia - Peachtree Dunwoody 5673 Peachtree Dunwoody Road Suite 150 Atlanta,GA30342	PHYSICIAN SERVICES
138	138 - ENT of Georgia - Decatur 484 Irvin Ct Suite 140 Decatur,GA30030	PHYSICIAN SERVICES
139	139 - ENT of Georgia - Lawrenceville 748 Old Norcross Rd Suite 100 Lawrenceville,GA30045	PHYSICIAN SERVICES
140	140 - ENT of Georgia - Marietta 3901 Roswell Road Suite 225 Marietta,GA30062	PHYSICIAN SERVICES
141	141 - ENT of Georgia - Marietta 2550 Windy Hill Road Suite 307 Marietta,GA30067	PHYSICIAN SERVICES
142	142 - ENT of Georgia - Sandy Springs 755 Mt Vernon Hwy NE Suite 370 Sandy Springs,GA30328	PHYSICIAN SERVICES
143	143 - ENT of Georgia - Snellville 1700 Tree Lane Suite 470 Snellville,GA30078	PHYSICIAN SERVICES
144	144 - ENT of Georgia - Suwanee 4320 Suwanee Dam Road Suite 200 Suwanee,GA30024	PHYSICIAN SERVICES
145	145 - ENT of Georgia - Suwanee 4245 Johns Crk Pkwy Suite D Suwanee,GA30024	PHYSICIAN SERVICES
146	146 - Georgia Gynecologic Oncology - Atlanta 980 Johnson Ferry Road Suite 910 Atlanta,GA30342	PHYSICIAN SERVICES
147	147 - Georgia Gynecologic Oncology - Cumming Timeshare 1505 Northside Blvd Suite 380 Cumming,GA30041	PHYSICIAN SERVICES

Schedule H (Form 990) 2015

Page 9

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 $110,302,320 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 2016 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:	Northside developed a standardized process for conducting its Community Health Needs Assessment ("CHNA"). In short, Northside's CHNA process included:- Defining the Northside Community.- Reviewing Northside internal data.- Reviewing publicly available health data.- Reviewing proprietary quantitative consumer research data.- Performing stakeholder interviews.- Summarizing and prioritizing the health needs identified within Northside's Community.- Developing an Implementation Strategy to address the identified needs.- Presenting the finalized CHNA report and Implementation Strategy to the Board of Directors of Northside Hospital, Inc. for adoption.- Providing continued public access to Northside's CHNA report via www.Northside.com/Community and providing an opportunity for public feedback via Northside.chna@northside.com.Northside utilized an evidence-based model of population health adapted from the Wisconsin Population Health Institute and also utilized by County Health Rankings and Roadmaps. This model illustrates the complexity of assessing a community's health status by outlining the factors that act in combination to determine the current status of a community's health. The evidence-based model outlines the health determinants (demographics and social environment, healthcare access and quality, health behaviors, and the physical environment) that lead to the health outcomes in a community (morbidity and mortality).The Centers for Disease Control and Prevention ("CDC") performed a systematic literature review to determine a common set of health metrics that should be used to measure both the health determinants and health outcomes. Northside used the CDC's list of "Most Frequently Recommended Health Metrics" to determine what variables to consider for Northside's current CHNA. Northside utilized the CDC's recommended variables and metrics when they were readily available at the county level.
Part VI, Line 3:	Northside informs and educates patients and persons who are billed for patient care about their eligibility for financial assistance and Northside's Financial Assistance Program in numerous ways. Northside conspicuously posts notice of its Financial Assistance Program and how to access its Financial Assistance Policy and Financial Assistance Application at all major points of access to its inpatient and outpatient facilities, these points of access include the hospitals' patient waiting rooms and emergency departments. For patients that pre-register over the phone for hospital services, Northside verbally informs patients of its Financial Assistance Program and provides patients with information on how to obtain a copy of Northside's Financial Assistance Policy and Financial Assistance Application via Northside's website or via mail. Additionally, upon admission to one of its hospitals for services, Northside provides each patient a registration packet that includes information on its Financial Assistance Program. Further, a Financial Counselor will speak with all patients during either the pre-registration process or upon admission and explain Northside's Financial Assistance Program. If a patient indicates a need or requests more information regarding Financial Assistance, Northside will refer the patient to a Financial Assistance Counselor who will work directly with the patient to assist the patient in applying for Financial Assistance. In order to expedite the Financial Assistance process, Northside uses third party software to help identify patients that qualify for Financial Assistance based on publicly available information (e.g., participation in statefunded prescription programs, participation in the Women, Infants and Children (WIC) program, participation in the Supplemental Nutrition Assistance Program (SNAP, formerly food stamps), subsidized school lunch program eligibility, or eligibility for other state or local assistance programs). Patients that are identified by such third-party software as eligible to receive Financial Assistance will not be required to complete the Financial Assistance Application and instead will automatically be deemed to qualify for Financial Assistance. Further, Northside's Financial Counselors will assist patients with applying to programs that they are eligible for, but not currently enrolled in, such as state or federal healthcare programs or drug discount programs. Northside also includes a summary of its Financial Assistance Program, including how to obtain more information and apply for Financial Assistance, on all patient bills. Lastly, Northside works with many community outreach programs to provide Financial Assistance to patients who qualify for free or discounted services through these programs. To expedite the Financial Assistance process for such patients, Northside provides a pre-approval process for all patients who are referred for medically necessary services via a community outreach program. This process allows patients to quality for Financial Assistance prior to receiving hospital services, thereby relieving the patients of the stress and burden of the financial aspect of their care, and allowing them to focus on their health, well-being and recovery.
Part VI, Line 4:	Northside began the Community Health Needs Assessment process by defining each hospital's community, which included:(i) defining each facility's primary patient catchment area; (ii) mapping the medically underserved areas around each facility to ensure that no medically underserved, low income, or minority populations were excluded within or near the primary catchment areas; and (iii) mapping each facility's distribution of outpatient services across the region. The results of this process revealed significant overlap between the communities served by each Northside Hospital facility. Thus, Northside Hospital-Atlanta, Northside Hospital-Cherokee, and Northside Hospital-Forsyth developed a single community definition in compliance with IRC Section 501(r) Final Rule. The Northside Community consists of Fulton, Forsyth, Cherokee, DeKalb, Cobb, Gwinnett, Dawson, and Pickens Counties.In 2015, the estimated 3.7 million residents of the Northside Community accounted for 37% of Georgia's total population. The Northside Community is slightly younger than Georgia overall, with a median age of 35.6 compared to Georgia's 36.2. Overall, the 2015 Northside Community was comprised of a diverse population. Individual counties, however, have varying racial compositions, including two counties that have 90 percent of their populations belonging to just one racial group.Overall, the Northside Community has a high level of educational attainment and affluence when compared to Georgia as a whole. The median disposable income, household income, household net worth, and housing unit value in the Northside Community are all higher than Georgia's averages. Despite this general picture of affluence, however, disparities do exist, especially along racial and ethnic lines and between counties that Northside's Community Health Needs Assessment and Implementation Strategy aim to address.
Part VI, Line 5:	Northside Hospital, Inc. is a charitable organization and as such is engaged in numerous activities to provide relief to the poor, the distressed, or the underprivileged. Northside routinely provides financial assistance, health professions education, cash and in-kind donations, community health improvement services, research, and community-building activities. Many of these efforts have been reported throughout this return.In addition to the numerous community benefit activities Northside engages in throughout the year, Northside also invests surplus funds back into expanding access to services for all people throughout its Community. For example, Northside is investing $280 million in building a new, state-of-the-art replacement hospital, medical office building and parking deck in Cherokee County. The replacement hospital will increase Northside Cherokee's inpatient capacity from 84 inpatient beds to 105 and will provide the Community with a more visible, easy-to-access hospital conveniently located off a major interstate highway. In Forsyth County, Northside has invested $44.6 million in a three-story medical/surgical tower expansion at Northside Hospital-Forsyth. This expansion will increase Northside Forsyth's inpatient bed capacity from 231 inpatient beds to 247. In Fulton County, the System's largest and oldest hospital campus also is undergoing significant expansion and renovation. Northside is investing $128.5 million in Northside Atlanta through the construction of a new five-story medical/surgical tower, campus-wide renovations and a new parking deck. Upon completion, Northside Atlanta's inpatient bed capacity will increase from 537 beds to 590 beds.
Part VI, Line 6:	Northside Hospital, Inc. includes three hospitals - Northside Hospital - Atlanta in Sandy Springs, Northside Hospital - Cherokee in Canton and Northside Hospital - Forsyth in Cumming. These hospitals and nearly 80 other offsite locations make up the Northside Hospital System which serves a primary area that includes 21 counties with a total population of more than 5 million. In addition to providing hospital-based medical services, the Northside Hospital System provides a number of community-based services, designed to improve the health of area residents. Working with various organizations, hospital employees and medical staff, the Northside Hospital System participates in health education and screenings as well as provides support activities for individuals in the community living with a serious or chronic health condition.In addition to the excellent medical care and educational programs we provide to the community, the hospital also provides financial support to a number of other non-profit, community and civic causes whose missions and objectives complement Northside Hospital's Mission and Values.Northside Hospital gives back a significant amount to the community. We measure the success of our efforts by the number of residents we reach with our messages related to health and wellness. Our mission is to work to positively impact the overall health of the communities we serve. Clearly, education, outreach and community service allow us to broaden our impact beyond the walls of our facilities.
Part VI, Line 7	Northside Hospital, Inc. is not required to file a community benefit report under Georgia law. However, we produce an annual report which is made available to the public on our website, www.northside.com.

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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," on 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

2015

Open to Public
Inspection

Name of the organization
NORTHSIDE HOSPITAL INC

Employer identification number
58-1954432

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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" on 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) AMERICAN CANCER SOCIETY PO BOX 56566 ATLANTA,GA30343	13-1788491	501(c)(3)	98,500	general support
(2) AMERICAN HEART ASSOCIATION 1101 NORTHCHASE PKWY SUITE 1 MARIETTA,GA30067	13-5613797	501(c)(3)	160,000	general support
(3) AMERICAN RED CROSS 1955 MONROE DRIVE NE ATLANTA,GA30324	53-0196605	501(c)(3)	35,000	general support
(4) ARTHRITIS FOUNDATION GEORGIA PO BOX 78423 ATLANTA,GA30357	58-1341679	501(c)(3)	90,675	general support
(5) ATLANTA TRACK CLUB INC 3097 E Shadowlawn Ave Ne Atlanta,GA30305	58-1367422	501(c)(3)	75,000	general support
(6) BICYCLE RIDE ACROSS GEORGIA PO BOX 871111 STONE MOUNTAIN,GA30087	58-1576748	501(c)(4)	75,000	general support
(7) CANCER SUPPORT COMMUNITY OF ATLANTA (PREVIOUSLY WELLNESS COMMUNITY) 5775 PEACHTREE DUNWOODY RD SUITE C-225 ATLANTA,GA30342	58-2142151	501(c)(3)	557,264	general support
(8) COBB CHAMBER OF COMMERCE PO BOX 671868 MARIETTA,GA300060032	58-0198114	501(c)(6)	28,500	general support
(9) DAWSON COUNTY CHAMBER OF COMMERCE PO BOX 299 DAWSONVILLE,GA30534	58-1950100	501(c)(6)	24,350	general support
(10) GEORGIA CENTER FOR ONCOLOGY RESEARCH AND EDUCATION 50 HURT PLAZA SUITE 704 ATLANTA,GA30303	57-1159979	501(c)(3)	20,000	general support
(11) GEORGIA CHAMBER OF COMMERCE 233 PEACHTREE STREET SUITE 2000 ATLANTA,GA30303	58-1537370	501(c)(6)	40,000	general support
(12) GEORGIA OVARIAN CANCER ALLIANCE 6065 Roswell Road Suite 512 ATLANTA,GA30328	58-2424106	501(c)(3)	40,000	general support
(13) GREATER NORTH FULTON CHAMBER OF COMMERCE 11605 HAYNES BRIDGE RD ALPHARETTA,GA30004	58-1157316	501(c)(6)	93,200	general support
(14) LEUKEMIA AND LYMPHOMA SOCIETY 3715 NORTHSIDE PARKWAY NW NORTHCREE 400 SUITE 300 ATLANTA,GA30327	13-5644916	501(c)(3)	25,000	general support
(15) MARCH OF DIMES 1275 MAMORONECK AVE WHITE PLAINS,NY10605	13-1846366	501(c)(3)	510,000	general support
(16) MERCY CARE FOUNDATION 1100 JOHNSON FERRY RD NE BUILDING 2 SUITE LL80 ATLANTA,GA30342	58-1448522	501(c)(3)	50,000	general support
(17) MOREHOUSE SCHOOL OF MEDICINE 720 Westview Drive SW ATLANTA,GA303101495	58-1438873	501(c)(3)	100,000	general support
(18) MUSCULAR DYSTROPHY ASSOCIATION 2310 PARKLANE DRIVE SUITE 375 ATLANTA,GA30345	13-1665552	501(c)(3)	21,000	general support
(19) NORTH FULTON COMMUNITY CHARITIES 11270 ELKINS ROAD ROSWELL,GA30076	58-1521088	501(c)(3)	25,000	general support
(20) OVARIAN CANCER INSTITUTE 960 JOHNSON FERRY RD STE 130 ATLANTA,GA30342	58-2445245	501(c)(3)	160,000	general support
(21) PARTNERSHIP AGAINST DOMESTIC VIOLENCE 315 W PONCE DE LEON STE 735 ATLANTA,GA30030	58-1314556	501(c)(3)	22,500	general support
(22) PORTAL DE SALUD INC PO BOX 921605 PEACHTREE CORNERS,GA30092	47-2672341	501(c)(3)	30,000	general support
(23) SANDY SPRINGS SOCIETY PO BOX 720074 ATLANTA,GA30358	58-1868282	501(c)(3)	20,000	general support
(24) SOUTHEASTERN SOCIETY OF PLASTIC AND RECONSTRUCTIVE SURGEONS 12100 SUNSET HILLS ROAD SUITE 130 RESTON,VA201903221	58-1431500	501(c)(6)	40,000	general support
(25) TRAVELER'S AID OF METRO ATLANTA 75 MARIETTA STREET SUITE 400 ATLANTA,GA30303	58-0566247	501(c)(3)	25,000	general support
(26) VISITING NURSE HEALTH SYSTEM 5775 GLENRIDGE DRIVE NE SUITE E200 ATLANTA,GA30328	58-0566250	501(c)(3)	200,000	general support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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	2	12,537
(1)
(2)
(3)
(4)
(5)
(6)
(7)

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on 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

2015

Open to Public Inspection

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

Yes

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? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on 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 ............

Were any amounts reported on 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 .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Robert T QuattrocchiPresident & CEO NSH, Inc.	(i) (ii)	1,523,793 ------------- 0	1,448,819 ------------- 0	1,270,101 ------------- 0	0 ------------- 0	10,115 ------------- 0	4,252,828 ------------- 0	0 ------------- 0
2Wayne L Ambroze MDBoard Member	(i) (ii)	468,418 ------------- 0	137,092 ------------- 0	2,144 ------------- 0	0 ------------- 0	6,122 ------------- 0	613,776 ------------- 0	0 ------------- 0
3Deborah S MitchamVP/CFO NSH, Inc.	(i) (ii)	576,629 ------------- 0	248,064 ------------- 0	6,480 ------------- 0	0 ------------- 0	7,373 ------------- 0	838,546 ------------- 0	0 ------------- 0
4Jorge J HernandezVice President/Asst. Secre	(i) (ii)	372,585 ------------- 0	154,186 ------------- 0	9,514 ------------- 0	0 ------------- 0	2,542 ------------- 0	538,827 ------------- 0	0 ------------- 0
5Janis DubowVice President	(i) (ii)	343,756 ------------- 0	97,823 ------------- 0	14,217 ------------- 0	0 ------------- 0	4,484 ------------- 0	460,280 ------------- 0	0 ------------- 0
6Robert PutnamVice President	(i) (ii)	580,109 ------------- 0	217,487 ------------- 0	24,135 ------------- 0	0 ------------- 0	5,828 ------------- 0	827,559 ------------- 0	0 ------------- 0
7WILLIAM HAYESCEO of northside hospital-Cherokee	(i) (ii)	408,760 ------------- 0	74,927 ------------- 0	9,848 ------------- 0	0 ------------- 0	9,743 ------------- 0	503,278 ------------- 0	0 ------------- 0
8Tina WakimVice President	(i) (ii)	651,717 ------------- 0	276,046 ------------- 0	14,775 ------------- 0	0 ------------- 0	8,556 ------------- 0	951,094 ------------- 0	0 ------------- 0
9Stephen Salmieri MDgynecologic oncologist	(i) (ii)	718,677 ------------- 0	110,469 ------------- 0	1,720 ------------- 0	0 ------------- 0	0 ------------- 0	830,866 ------------- 0	0 ------------- 0
10Gerald Feuer MDGynecologist/Surgeon	(i) (ii)	772,875 ------------- 0	154,913 ------------- 0	4,935 ------------- 0	0 ------------- 0	13,610 ------------- 0	946,333 ------------- 0	0 ------------- 0
11Guilherme h Cantuaria MDgynecologic oncologist	(i) (ii)	784,619 ------------- 0	121,038 ------------- 0	1,122 ------------- 0	0 ------------- 0	7,153 ------------- 0	913,932 ------------- 0	0 ------------- 0
12WILLIAM EARLY MDgastroenterology/internal	(i) (ii)	816,376 ------------- 0	11,667 ------------- 0	4,935 ------------- 0	0 ------------- 0	10,115 ------------- 0	843,093 ------------- 0	0 ------------- 0
13Joseph Ricotta MDVascular Surgeon	(i) (ii)	393,371 ------------- 0	0 ------------- 0	769,290 ------------- 0	0 ------------- 0	4,917 ------------- 0	1,167,578 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

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 thirteen 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. Calendar year 2015 was such a year. Northside does not consider the SERP payment to be deferred compensation for tax reporting purposes. The CEO is eligible for an annual incentive which includes various measurements for achievements of quality, operational, strategic, and financial targets as established by the Board. The compensation committee determines the incentive plan and approves the payments/calculations in accordance with the plan annually. In addition, Joseph Ricotta, M.D. (included in the top five highest paid employees) received a contractual payment of $768,865 during 2015, which is reported in Part II, column B(iii).

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2015

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	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) 2015

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 ....
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 .........
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
c Term of hedge .........			475.0000000000 %
d Was the hedge superintegrated? ......				X
e Was the hedge terminated? ........				X

Schedule K (Form 990) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

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) 2015

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Northside Anesthesiology Consultants LLC	K. Douglas Smith, M.D., board member & NS Anesthesiology Cons off./owner	3,969,098	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	126,468	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. Amount represents fair market value compensation paid during calendar year 2015 to J. Bryan Whitley for services rendered to the organization.		No
(3) Medlock Medical LLC	Dale M. Bearman, M.D., board member & Medlock Medical, LLC owner	372,301	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	70,853	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. Amount represents fair market value compensation paid during calendar year 2015 to Rachel Bearman for services rendered to the organization.		No
(5) Jennifer Whitley	Robert E. Whitley, board member & Jennifer Whitley family member	35,795	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. Amount represents fair market value compensation paid during calendar year 2015 to Jennifer Whitley for services rendered to the organization.		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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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

2015

Open to Public
Inspection

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Return Reference	Explanation
Program Service Accomplishments (cont'd)	Emergency Services In FY2016, total emergency room visits increased 4.8% across the Northside system, surpassing 169,000. Due to continued volume growth and in order to serve patients in a timely manner, Northside initiated several projects in FY2016 with the goals of reducing patient wait times and improving operational efficiencies. These projects included: - "Team Triage" at the Forsyth ER which expanded triage capacity and enables patients to be seen by a provider in the triage area that can examine, treat and discharge the patient without having to place the patient in an Emergency Department bed. This concept allows patients to be seen faster and cuts door-to-triage and door-to-provider times. Given its success, this concept is being implemented at the Atlanta campus in FY 2017. - The Atlanta campus ER initiated a process improvement project dubbed "Decision-to-Discharge - Actual Discharge". This initiative's goal was to improve operational efficiency and improve ER throughput. At the project's conclusion, Atlanta's ER experienced a 6-7 minute reduction in the timeframe to deliver care. Oncology Services In 2016, 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 2016: - Successfully completed Year 2 of the National Cancer Institute (NCI) Oncology Research Program grant and ranked No. 2 NCI Community Oncology Research Program (NCORP) community site in the U.S. for accruals to NRG Oncology research protocols. - Continued to be ranked nationally by NCI as a top accrual site to high-priority Precision Medicine trials. - Received three-year Commission on Cancer (CoC) reaccreditation with commendation. - Awarded Outstanding Achievement Award for the 5th consecutive survey cycle by CoC. - Received three-year National Accreditation Program for Breast Centers reaccreditation. - First hospital in Georgia to be awarded the Lung Cancer Disease Specific Care Certification by Joint Commission, making NHCI one of only six hospitals in the U.S. with this certification. - NHCI's affiliated partners, Georgia Cancer Specialists (GCS) and Atlanta Cancer Care (ACC), continue active participation in the Quality Oncology Practice Initiative (QOPI) program. - Enrolled in the National Quality Measures for Breast Centers (NQMBC) data submission and benchmarking initiative. - Successfully completed Foundation for the Accreditation of Cellular Therapy (FACT) reaccreditation for Blood and Marrow Transplant clinical program. - Chosen to partner with Cancer Support Community Atlanta (CSCA) for the Cancer Moonshot 2020 Initiative. Radiology Services - In late 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 FY2016 Northside's radiology network experienced a volume of over 535,000 patient encounters. - 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. - In FY2016, Northside's Imaging Charity Referral Program received over 800 referrals from its safety net clinic and federal qualified health center referral partners. - Below is a testimonial from one of Northside's Imaging Charity Referral Program partners, demonstrating the effectiveness of this valuable outreach program. "Good Samaritan Health Center (Atlanta) is a non-profit medical clinic serving uninsured and underserved families throughout the Atlanta metro region. Without Northside's program, our patients would not have access to ultrasounds, CT scans, or MRIs. The team at Northside demonstrates compassion and caring for our patients. They process referrals in a timely manner. They contact every patient, often multiple times. The team also contacts our providers with updates and insures all reports are delivered immediately. We had an uninsured 32 year-old mother present. She was concerned about pelvic pain. Her provider scheduled a pelvic ultrasound which was scheduled within two weeks. The radiology report was promptly sent to us and the radiologist reported a possible mass on her ovary and recommended a follow up CT scan. Northside's team scheduled the CT scan immediately. The results indicated a highly suspicious ovarian mass. We then reached out to one of Northside's patient navigators who scheduled her with gynecology oncology. The patient has since underwent surgery which revealed ovarian cancer. Fortunately, her tumor has now been removed and the cancer was detected before metastasizing. She went from presenting as a new patient to having life-saving surgery within two months due entirely to Northside's exceptional program." [Medical Services Director - Good Samaritan Health Center] Surgical Services - In FY2016, total surgeries increased 8.4% across the Northside system, surpassing 53,000. - Northside hosted the Southeastern Society for Plastic and Reconstructive Surgeons' Annual Breast Symposium. The symposium attracted over 400 attendees with international participation from over 20 countries. - In June 2016, Northside Atlanta implemented a colorectal surgical site infection bundle. The bundle is a series of strategies/interventions aimed at decreasing surgical site infections in colorectal surgery patients. The effort included surgeon, anesthesia and nurse-led initiatives that are aimed at infection prevention. In June 2016, Northside Atlanta, Forsyth and Cherokee had zero colon surgical site infections. - 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 FY2016, the FASP received over 700 referrals from its community partners. - Below is a testimonial from one of Northside's FASP referral partners, demonstrating the effectiveness of this valuable outreach program. "We are the busiest safety-net clinic in Gwinnett County; we provided more than 17,000 patient encounters during 2015. We have been a FASP partner since Spring 2012. FASP has been the most important hospital-based charitable program we work with. When we see patients back in our office after a FASP referral, they are always highly complementary of the excellent care they received. Many patients have had years of medical uncertainty and discomfort before FASP and are so relieved and grateful after FASP they are reduced to tears when thanking us for the services they received.
Too often we find that low cost diagnostic and surgical services are in	limited supply and available only at limited times. Too often we find that, even after discounting, many organizations and providers' fees remain unaffordable for our patients. In contrast, FASP accepts our referrals year round and is always striving to help us be responsive to patients' various medical needs. If not for FASP, we could not have been as impactful in the lives of so many patients in recent years." [Executive Director - Good Samaritan Health Center - Lawrenceville] Women's Services - In FY2016, delivery volume remains strong across the Northside system with deliveries surpassing 20,000. - Northside Hospital Atlanta ("NHA") is consistently ranked as the nation's leader in maternity services, delivering more babies than any other hospital. In CY2015, the most recent data available, Northside Hospital-Atlanta again was the national leader in maternity services with just over 16,100 births while the next closest provider had just over 14,800 births. - In Georgia, NHA is the leader in maternity services including high-risk perinatal services. In 2015, the most recent data available, NHA cared for nearly 780 high-risk perinatal patients with the next closest provider caring for approximately 530 patients. - NHA's expertise in caring for the most fragile neonates also is unsurpassed. In 2015, the most recent data available, NHA cared for more than 5,100 neonates (excluding normal newborns) with the next closest provider caring for more than 2,000 neonates (excluding normal newborns). - Georgia ranks "at or near the bottom" 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, healthcare providers, healthcare 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.
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 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 87 clinicians and 105 staff to maintain oncology, hematology, management and billing services at Northside's facilities and throughout the communities served by Northside. To serve the patients within Northside's geographic region, Northside entered into a professional services agreement ("PSA") based upon personally performed and modifier adjusted productivity with AGA, LLC to ensure gastroenterology ("GI") services are provided to all patients within the community, regardless of the patients' ability to pay. As such, this arrangement allows Northside to establish Centers of Excellence in GI services, especially related to endoscopic ultrasound and endoscopic retrograde cloangiopancreatography. GI services also have a significant tie-in to oncology services for which Northside is a leader in the Atlanta service area in terms of diagnosis and treatment. AGA, LLC has a large complement of clinicians that provide GI services including GI oncology. In accordance with the PSA, AGA, LLC remains a privately-held organization without ownership or management by Northside. AGA, LLC maintains responsibility for all expenses typically found in a GI clinicians practice (e.g., staff, billing, medical supplies, medical records, occupancy, malpractice insurance, etc.). Under the PSA, Northside pays AGA a fair market value rate based on personally performed and modifier adjusted wRVUs. AGA, LLC provides approximately 125 clinicians to ensure GI services at Northside's facilities and throughout the communities served by Northside. The compensation reflected on Form 990, Part VII, Section B, Column (c), represents professional services under the PSA to include related compensation and benefits. To serve the patients within Northside's geographic region, Northside entered into a professional services agreement ("PSA") based upon personally performed and modifier adjusted productivity with Atlanta Cancer Care ("ACC") to ensure oncology and hematology services are provided to all patients within the community regardless of the patients' ability to pay. Northside has provided a broad range of cancer care services through its cancer care program at The Northside Hospital Cancer Institute ("NHCI"). The NHCI, which is recognized nationally as a leader in oncology diagnosis, treatment and research, offers clinical excellence on par with academic-based programs along with the personalized and attentive care typically associated with a community hospital. Northside has committed to becoming a regional and national leader that redefines cancer care, which in part requires the expansion of its geographic footprint through development of an affiliation with additional locations, as well as having an integrated cancer care program that facilitates collaboration between Northside and clinicians specializing in oncology services. ACC has a large complement of clinicians to assist Northside in developing an outpatient oncology services program, specializing in medical oncology and hematology and the provision of infusion therapy services and medical and clinical research services. In accordance with the PSA, ACC remains a privately-held organization without ownership by Northside. ACC maintains responsibility for providing all administrative operations of the practice (e.g., staff benefits, malpractice insurance, etc.). Northside makes payments to ACC at fair market value rates for 1) personally performed and modifier adjusted professional services 2) management oversight responsibilities and 3) billing arrangements. ACC employs approximately 28 clinicians and 64 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 281,488,278. Management and general expenses 131,046,062. Fundraising expenses 0. Total expenses 412,534,340.
Form 990, Part XI, line 9:	change in pension: -122,987,267. equity transfer: -792,389. income from joint venture: -3,150,590. Other Changes in Net Assets: -714,558.
Community Benefits Report - Fiscal Year 2016	Northside Hospital is committed to the health and wellness of our community. As such, we dedicate ourselves to being a center of excellence in providing health care of the highest quality. We pledge compassionate support, personal guidance and uncompromising standards to our patients in their individual journeys toward health of body and mind. To ensure innovative and unsurpassed care for our patients, we are dedicated to maintaining our position as a regional leader in select medical specialties. And, to enhance the wellness of our community, we commit ourselves to providing a diverse array of educational and outreach programs. Our Community Benefit Philosophy In addition to providing high quality hospital-based medical services, Northside Hospital 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 Hospital Inc. 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 2016 - October 1, 2015 through September 30, 2016. FINANCIAL ASSISTANCE / CHARITY CARE Northside Hospital treats all patients, regardless of age, sex, creed, race, national origin or source of payment. All patients are treated equally in respect to charges, bed assignments and medical care, regardless of ability to pay. 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 FY2016, Northside Hospital provided $390,784,537 in indigent and charity care. Uncompensated care including indigent and charity care and uncollected accounts represented $501,088,105. COMMUNITY HEALTH IMPROVEMENT SERVICES Corporate & Community Health Education In response to requests from the community, Northside Hospital 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 FY2016, 807 people were served at 16 events, involving 64 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 FY2016, the program enrolled 36 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 FY2016, 2,241 Northside staff hours served 32,466 people. Approximately 79,000 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 FY2016, the program was presented to 12 high schools, reaching 1,266 girls. Northside Hospital Website / Online Education Northside Hospital's official website, northside.com, 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 735,515 people visited this content in FY2016, including: - 11,455 unique page views of weight loss surgery content - 11,475 page views of online cancer center - 35,464 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 490,000 individuals. The editorial staff dedicates approximately 220 hours of work per year. Maternal and Infant Health Education The Northside Hospital MothersFirst Program is a valuable resource to women who are already pregnant or considering becoming pregnant. MothersFirst offers pertinent education, classes, support groups, hospital tours and other services for women throughout the many stages of their childbearing years, from early pregnancy through the early childhood of their baby. MothersFirst offers four classes that qualify as community benefit - Labor & Birth, CPR, Baby Essentials and Breastfeeding. In FY2016, 7,164 people attended these classes (657 class sessions). At Northside Hospital, 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 15,312 people (with 3,186 staff hours) in FY2016. Northside also offers a free Breastfeeding eLearning Program on northside.com, which allows 24/7 access to information, videos, PDFs and animations about breastfeeding. Approximately 809 people accessed the eLearning Program in FY2016.
Support Groups	Support Groups offer patients and the community a way to cope with the issues they face with the comfort of knowing that others are willing to help. Northside offers various support groups, conducted at the hospitals and led by Northside staff 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, Cumming, and Canton. Each group is facilitated by a certified lactation consultant. Approximately 2,038 people attended in FY2016. - 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 who are more than one year past surgery. Approximately 518 people attend the support groups in FY2016. - 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 FY2016. - 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 FY2016, 15-20 people attended this group. - 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 people attended each meeting in FY2016, with approximately 25% 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 14 people attended each meeting in FY2016, with approximately 4 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 10 people attended each meeting in FY2016, with approximately 2-4 of attendees coming from other hospitals. Partnering with Schools Northside Hospital's Partners In Education program sponsors 111 schools in seven north metro Atlanta counties: Cherokee, Cobb, Dawson, DeKalb, Forsyth, Fulton and Gwinnett. Through these partnerships, Northside provides 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 FY2016, 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 PK-8. 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 FY2016, the program arranged 622 classes (624 classroom hours), reaching 18,040 students. Northside also partners with the Learning for Life Healthcare Exploring Program, which offers local high school students (grades 9-12) who are considering a career in health care a unique, insider's view of the hospital and its many careers. Throughout the seven-month program, which is affiliated with the Boy Scouts of America, the students visit many areas of the hospital, performing exercises and participating during lectures by healthcare professionals. Each class focuses on a different area of health care - cardiology, robotic surgery, radiology, oncology, pharmacy, women's services and other specialties. During the 2015-16 session, 18 students participated in the program, facilitated by 120 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 FY2016, 35 students participated in the program at the hospital. Two employees managed the program, spending approximately 20 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 healthcare diagnostics. Students job shadow at Northside for a total of 30 weeks, rotating through six departments within the Laboratory including Chemistry, Hematology, Blood and Tissue Bank, Phlebotomy, Microbiology and Histology/Pathology. Students get hands-on experience, reviewing and analyzing data and working with real equipment. Diagnostic Phlebotomy and Internship Students were able to interact first hand with patients, nurses and physicians in a clinical setting. In FY2016, 109 students participated for a total of 1,200 hours. More than 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 PK-4 about medical check-ups, peer pressure, and drug and alcohol abuse. In FY2016, the program conducted 25 puppet shows, reaching 2,746 students. Volunteers provided more than 100 hours and drove more than 780 miles. Northside's call center handles the scheduling of the puppet shows. In FY2016, the department spent approximately 8 -16 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 FY2016, Northside offered health screenings at 27 community and 16 corporate events, reaching 3,759 people. More than 3,025 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. - Four Prostate Cancer Screenings took place, reaching 349 men. - Five free Skin Cancer Screenings were held, with 521 participants; 117 people were recommended for follow-up treatment because of abnormal findings. - 2 free Stroke Screenings were held, with 130 participants - 15 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 64 individuals, and 23 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 123 school children. 6 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 FY2016, 50 screening colonoscopies were performed as well as 270 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 FY2016, 34,057 staff hours were spent on research, 487 people were served, and 274 research projects were performed. Specialties include blood and marrow transplant, cardiology, critical care, endocrinology, oncology, orthopedics, pulmonology, rheumatology, and vascular surgery. HEALTH PROFESSIONS EDUCATION The FY2016 Atlanta Cancer Symposium: Engaging the Experts focused on malignant hematology, breast cancer, and gynecologic cancer. Approximately 50 staff hours (4 people) coordinated the event; 186 attended. In May 2016, the hospital hosted the 4th Annual Women and Stroke Symposium. This activity is designed to provide educational content for neurologists and physicians in related fields regarding the unique challenges for women and stroke risk. Risks include hormone treatment, pregnancy, and cardiovascular health. Information about the advances in practice, treatment, prevention, and care of the stroke patient, including women experiencing stroke, will be presented. This education for the stroke professional is a vital component to providing quality patient care and achieving excellent patient outcomes long-term. Approximately 25 staff hours coordinated the event; 100 attended. CASH AND IN-KIND DONATIONS Cancer Institute Through the Northside Hospital Cancer Institute, approximately 500 hours were allocated to community benefit planning, operational support and fundraising. Another 225 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 FY2016, totaling $239,641. Approximately 200 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: - 602 screening mammograms - 296 diagnostic mammograms - 214 ultrasounds - 70 breast biopsies - 34 cyst aspirations - Genetic counseling and testing for uninsured/underserved women: 710 women screened using B-RST tool, of which 120 had a moderate or positive screen result; 12 patients counseled; eight women tested; one woman tested positive for the BRCA2 genetic mutation. Two colon cancer grants were received ($30,045), one from Colon Cancer Alliance that provided $25 gasoline cards or taxi vouchers to patients unable to drive to screening or cancer treatment appointments, and the other from the Colon Cancer Coalition that provided colon prep kits for patients preparing for a colonoscopy. Sponsorships In addition to the excellent medical care and educational programs, Northside provides financial assistance to more than 241 charitable organizations each year. The hospital's four-member Sponsorship Committee reviews all requests received and determines whether or not each organization complements 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 FY2016. 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 FY2016, Northside contributed $30,000 for the sponsorship of this program. Tennis Against Breast Cancer In October 2015, Northside Hospital organized the 12th 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, and 1,118 women participated in the event, which raised $201,700 for the hospital's Breast Care Program Fund. Approximately 320 hours were spent coordinating the event. Miracle Babies In November 2015, Northside hosted the third annual Miracle Babies, a Northside Hospital 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 $101,140 was raised for the Miracle Babies fund, and 145 people attended the event. Charity Golf Classic The Northside Hospital Charity Golf Classic is a corporate fundraiser for the Northside Hospital Blood & Marrow Transplant Program (BMT) and General Research Program. The FY2016 event raised $499,575 - 50 percent for the BMT Program and 50 percent for the Cancer Research Fund. The event was attended by 272 people and coordinated by 110 staff hours. Wine, Women and Shoes Approximately 415 people attended Northside's Wine, Women and Shoes event, benefitting the Ovarian and Gynecology Cancer Research Fund. More than $231,580 was raised. Approximately 120 staff hours were spent coordinating the event. Blood Drives Northside Hospital is a partner with the Metro Atlanta Red Cross and hosts blood drives for hospital staff and the community. In FY2016, 90.5 staff hours were spent coordinating 25 blood drives, at which 1,258 pints of blood were donated. Baby Alumni Birthday Party The 2016 Northside Hospital Baby Alumni Birthday Party at Zoo Atlanta was Atlanta's largest birthday party. More than 6,000 children and their families celebrated and enjoyed face painters, crafts, birthday cookies as well as an evening visit of the animal exhibits. Approximately 3,600 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 Hospital's Planning Department performs the health system's Community Health Needs Assessment once every three years. Approximately 77 staff hours were spent on this activity in FY2016. Northside's Community Connection Employee Volunteer Program is coordinated by one staff member, who spent 2,080 staff hours coordinating volunteers participating in community benefit activities / programs throughout the community in FY2016. The hospital's sponsorship activities are coordinated by a Community Development Specialist in the Marketing Department, who worked more than 1,000 hours in FY2016 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 - three meetings, 32 hours in FY2016. BROAD-BASED COMMUNITY OUTREACH (Non Community Benefit) Employee Volunteerism (The Community Connection) Northside Hospital promotes and encourages community volunteerism among its physicians, employees, Auxilians and their families and friends. Each year, staff and physicians volunteer their time, talents and resources to make a positive impact and build strong and healthy communities. In FY2016, more than 4,250 Community Connection volunteers donated more than 29,660 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 Region 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 1,000 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 were the No. 1 health care fundraising team and the No. 2 team overall in the state of Georgia for 2016. - Northside employees, families, and friends filled the wish lists of 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 invited 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. - 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 Hospital'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 with finding 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

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	1,926,585	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	0	252,050	Northside Atlanta Surgery Centers LLC
(10) Northside Forsyth Surgery Centers LLC 1000 Johnson Ferry Road Atlanta,GA30342 45-4364708	Surgery Center	GA	0	0	Northside Hospital Inc
(11) Gwinnett Advanced Surgery Center LLC 1000 Johnson Ferry Road Atlanta,GA30342 45-5067682	Surgery Center	GA	2,765,486	3,963,496	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	5,380,840	4,570,159	Northside Hospital Inc
(14) LMG at Northside LLC 1000 Johnson Ferry Road Atlanta,GA30342 58-1436087	Professional Services	GA	34,141,330	11,245,710	Northside Hospital Inc
(15) Northside 993 LLC 1000 Johnson Ferry Road Atlanta,GA30342 46-6251430	Real Estate Services	GA	4,104,511	30,441,650	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	Professional 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	319,229	37,898	northside hospital Inc
(29) AGA Clinical Services LLC 1000 Johnson Ferry Road Atlanta,GA30342 81-1319493	Professional Services	GA	0	0	Northside Hospital Inc
(30) Urology Clinical Services LLC 1000 Johnson Ferry Road Atlanta,GA30342 81-3281163	Professional Services	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?
(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	Yes	No
(1)Northside Foundation Inc 1000 Johnson Ferry Road Atlanta,GA30342 58-1653541	Raise & collect funds in furtherance of Northside Hospital's exempt purpose	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) 2015

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ENT Surgery Center of Atlanta 5673 Peachtree Dunwoody Rd Suite 94 atlanta,GA30342 20-0075229	Ambulatory surgery	GA	Northside Hospital inc	related	501,837	1,633,205		No			No	63.330 %
(2) Hand and Upper Extremity Surgery Center 980 Johnson Ferry Rd NE Ste 1020 atlanta,GA30342 20-0147862	outpatient Surgery	GA	northside Hospital inc	related	130,805	3,349,990		No			No	51.000 %
(3) Sovereign Rehabilitation of Georgia LLC 5555 Peachtree Dunwoody Rd NE 225 Atlanta,GA30342 20-5084665	Rehabilitation Center	GA	Northside Hospital inc	related				No			No	88.000 %
(4) NASA Surgery Center LLC 1100 Johnson Ferry Rd Ste 180 Sandy Springs,GA30342 58-1954432	Ambulatory Surgery	GA	Northside Hospital inc	related	-10,303	987,296		No			No	70.000 %
(5) Northern Crescent Endoscopy Suite LLC 550 Peachtree Street Suite 1620 Atlanta,GA30308 58-2453504	Outpatient Surgery	GA	northside Hospital inc	related	1,586,721	13,973,254		No			No	69.990 %
(6) Urology Surgical Partners LLC 5673 Peachtree Dunwoody Rd Suite 91 atlanta,GA30342 58-2622573	ambulatory surgery	GA	northside Hospital inc	related	161,956	2,752,472		No			No	70.000 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(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	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) 2015

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

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) 2015

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

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) 2015

Additional Data

Software ID:
Software Version:

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	5
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	15,416
6	Total number of volunteers (estimate if necessary) .............	6	1,037
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	12,860,116
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-1,587,350

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,189,243	2,560,786
9	Program service revenue (Part VIII, line 2g) .........	2,518,339,576	2,834,239,060
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	20,533,759	14,586,698
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	28,795,123	22,846,502
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,571,857,701	2,874,233,046
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,426,359	2,578,526
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)	890,492,569	1,042,399,044
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,398,264,647	1,562,509,909
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,291,183,575	2,607,487,479
19	Revenue less expenses. Subtract line 18 from line 12.......	280,674,126	266,745,567
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,880,045,994	2,162,316,109
21	Total liabilities (Part X, line 26).............	795,787,729	920,432,451
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,084,258,265	1,241,883,658

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,036,615,326 including grants of $ 2,578,526 ) (Revenue $ 2,852,753,803 )
	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.See Schedule O for continuation

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,036,615,326

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)		(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
(A) Name and Title
(18) Stephen Salmieri MD........................................................................ gynecologic oncologist	40.00 .......................	X	830,866	0	0
(19) Gerald Feuer MD........................................................................ Gynecologist/Surgeon	40.00 .......................	X	932,723	0	13,610
(20) Guilherme h Cantuaria MD........................................................................ gynecologic oncologist	40.00 .......................	X	906,779	0	7,153
(21) WILLIAM EARLY MD........................................................................ gastroenterology/internal	40.00 .......................	X	832,978	0	10,115
(22) Joseph Ricotta MD........................................................................ Vascular Surgeon	40.00 .......................	X	1,162,661	0	4,917

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	13,665,651	0	90,558

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	173,731
e	Government grants (contributions)		1e	2,173,599

f	All other contributions, gifts, grants, and similar amounts not included above		1f	213,456

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		2,560,786

		Business Code
2a	Net Patient Revenue	621990	2,716,172,515	2,714,622,755	1,549,760
b	Pharmacy Revenue	446110	87,707,293		6,519,066	81,188,227
c	Rental Income	531120	17,827,032	17,827,032
d	Parking Revenue	812930	2,974,963			2,974,963
e	Cafeteria & Vending	722210	2,419,378			2,419,378
f	All other program service revenue.			7,137,879		2,453,018	4,684,861
g Total.Add lines 2a–2f.....			2,834,239,060

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			7,183,893			7,183,893
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	1,834,129	5,568,676
b	Less: cost or other basis and sales expenses	0	0
c	Gain or (loss)	1,834,129	5,568,676
d	Net gain or (loss).....			7,402,805			7,402,805
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..
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..
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..
Business Code			Miscellaneous Revenue
11a	Miscellaneous		900099	19,697,841	18,514,743	1,183,098
b	PAssthrough investment		621300	3,148,661	1,993,487	1,155,174
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			22,846,502
12	Total revenue. See Instructions......			2,874,233,046	2,752,958,017	12,860,116	105,854,127

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	2,565,989	2,565,989
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	12,537	12,537
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	13,476,267	10,503,983	2,972,284
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	829,400,143	646,470,207	182,929,936
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	39,529,620	30,811,089	8,718,531
9	Other employee benefits .......	103,134,516	80,387,485	22,747,031
10	Payroll taxes ...........	56,858,498	44,317,963	12,540,535
11	Fees for services (non-employees):
a	Management ......	22,601,538	22,601,538
b	Legal .........	27,466,092	453	27,465,639
c	Accounting ...........	1,292,601		1,292,601
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	2,155,635		2,155,635
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	412,534,340	281,488,278	131,046,062
12	Advertising and promotion ....	10,709,899	210,319	10,499,580
13	Office expenses .......	53,276,918	37,524,763	15,752,155
14	Information technology ......	16,371,970	3,555,424	12,816,546
15	Royalties ..
16	Occupancy ...........	73,983,669	45,707,357	28,276,312
17	Travel ............	1,975,964	915,264	1,060,700
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,116,262	770,063	346,199
20	Interest ...........	5,531,158	22,233	5,508,925
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	131,313,089	93,410,162	37,902,927
23	Insurance ...	7,516,274	814,074	6,702,200
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	612,200,031	607,554,076	4,645,955
b	Bad debt expense	110,302,320	110,302,320
c	Minor Equipment purchas	20,908,688	7,947,307	12,961,381
d	Recruitment	5,508,852	214,507	5,294,345
e	All other expenses	45,744,609	8,507,935	37,236,674
25	Total functional expenses. Add lines 1 through 24e	2,607,487,479	2,036,615,326	570,872,153	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			49,828	1	53,247
2	Savings and temporary cash investments .........			425,854,234	2	458,398,890
3	Pledges and grants receivable, net ......			750,285	3	512,953
4	Accounts receivable, net .............			153,568,508	4	194,097,835
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 ....			1,521,169	7	1,053,560
8	Inventories for sale or use ........			28,769,418	8	41,893,841
9	Prepaid expenses and deferred charges ......			23,785,048	9	32,287,241
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,965,730,284
b	Less: accumulated depreciation	10b	1,092,922,956	703,031,643	10c	872,807,328
11	Investments—publicly traded securities .			179,697,003	11	205,737,272
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			306,757,551	14	296,876,190
15	Other assets. See Part IV, line 11 ...........			56,261,307	15	58,597,752
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,880,045,994	16	2,162,316,109

17	Accounts payable and accrued expenses .....	396,046,850	17	420,466,112
18	Grants payable ...		18
19	Deferred revenue .........	422,317	19	1,239,535
20	Tax-exempt bond liabilities .........	31,135,000	20	17,670,000
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 ..	63,070,175	23	60,614,035
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	305,113,387	25	420,442,769
26	Total liabilities. Add lines 17 through 25..	795,787,729	26	920,432,451

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,084,258,265	27	1,241,883,658
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	1,084,258,265	33	1,241,883,658
34	Total liabilities and net assets/fund balances ........	1,880,045,994	34	2,162,316,109