TY 2017 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...................................................................... BOARD MEMBER	1.00 ................. 1.00	X			0	0
(2) WILLIAM G HASTY JR...................................................................... BOARD MEMBER	1.00 .................	X			0	0
(3) WAYNE L AMBROZE MD...................................................................... BOARD MEMBER	40.00 .................	X			513,794	21,500
(4) ROBERT E WHITLEY ESQ...................................................................... BOARD MEMBER	1.00 ................. 1.00	X			0	0
(5) K DOUGLAS SMITH MD...................................................................... BOARD MEMBER	1.00 ................. 1.00	X			0	0
(6) MARK J SWEENEY...................................................................... BOARD MEMBER	1.00 ................. 1.00	X			0	0
(7) DALE M BEARMAN MD...................................................................... BOARD MEMBER	1.00 ................. 1.00	X			0	0
(8) BARBARA PARE'...................................................................... BOARD MEMBER	1.00 ................. 1.00	X			0	0
(9) GENEVIEVE FAIRBROTHER MD...................................................................... BOARD MEMBER	1.00 .................	X			0	0
(10) IQBAL GARCHA MD...................................................................... BOARD MEMBER	1.00 .................	X			0	0
(11) ROBERT T QUATTROCCHI...................................................................... PRESIDENT & CEO NSH, INC.	40.00 ................. 1.00	X	X		4,867,995	35,387
(12) JORGE J HERNANDEZ...................................................................... VICE PRESIDENT/ASST. SECRE	40.00 .................		X		574,173	15,826
(13) DEBORAH S MITCHAM...................................................................... VP/CFO NSH, INC. (FORMER)	40.00 ................. 1.00		X		888,644	20,562
(14) SHANNON BANNA...................................................................... VP/CFO NSH, INC. (CURRENT)	40.00 ................. 1.00		X		316,056	11,726
(15) WILLIAM HAYES...................................................................... CEO, NORTHSIDE HOSPITAL-CH	40.00 .................			X	544,994	35,069
(16) JANIS DUBOW...................................................................... VICE PRESIDENT	40.00 .................			X	501,521	14,534
(17) ROBERT PUTNAM...................................................................... VICE PRESIDENT	40.00 .................			X	869,614	22,756

(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	46,230,884
AGA LLC 550 PEACHTREE ST STE 1620 ATLANTA,GA30308	SEE SCHEDULE O	26,607,208
BAKER & HOSTETLER LLP 1170 PEACHTREE STREET NE STE 2400 ATLANTA,GA30309	LEGAL SERVICES	20,652,499
ATLANTA CANCER CARE PC 1100 JOHNSON FERRY ROAD STE 150 SANDY SPRINGS,GA30342	SEE SCHEDULE O	19,828,944
GE HEALTHCARE INC 1575 NORTHSIDE DR NW 305 ATLANTA,GA30318	BIOMEDICAL SERVICES	11,582,248
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 379

- 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2019

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) 2019

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 (explain in Part VI). 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) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization NORTHSIDE HOSPITAL INC

Part I Contributors	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
		$	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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|No

(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

636,986

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

636,986

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. FOR FY18, THERE WAS AN INCREASE IN THE DOLLAR AMOUNT FOR LOBBYING REPORTED ON PART II-B, LINE 1I OVER THE PRIOR YEAR. THE INCREASE IS DUE TO TWO YEARS OF INVOICES THAT WERE PAID DURING FY18 AND IS NOT DUE TO AN INCREASE IN LOBBYING ACTIVITY BY NORTHSIDE HOSPITAL, INC.

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. FOR FY18, THERE WAS AN INCREASE IN THE DOLLAR AMOUNT FOR LOBBYING REPORTED ON PART II-B, LINE 1I OVER THE PRIOR YEAR. THE INCREASE IS DUE TO TWO YEARS OF INVOICES THAT WERE PAID DURING FY18 AND IS NOT DUE TO AN INCREASE IN LOBBYING ACTIVITY BY NORTHSIDE HOSPITAL, INC.

Schedule C (Form 990 or 990EZ) 2019

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2019

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 ....	9,083,135	8,616,383	7,742,074	7,079,636	7,044,190
b	Contributions ...	2,049,190	1,701,861	1,758,394	1,525,651	1,352,241
c	Net investment earnings, gains, and losses	185,144	150,580	128,084	114,920	117,482
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	1,137,100	1,385,689	1,012,169	978,133	1,434,277
f	Administrative expenses ....
g	End of year balance ......	10,180,369	9,083,135	8,616,383	7,742,074	7,079,636

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

30.460 %

Term endowment SchDMd Bullet

69.540 %

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 .....	278,637,757		278,637,757
b	Buildings ....	1,421,482,101	697,624,795	723,857,306
c	Leasehold improvements
d	Equipment ....	716,645,981	583,948,922	132,697,059
e	Other .....	129,665,663		129,665,663
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,264,857,785

Schedule D (Form 990) 2019

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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	337,611,478
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) 2019

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 40 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, 2018 AND 2017, 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) 2019

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

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		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			139,656,024		139,656,024	4.650 %
b	Medicaid (from Worksheet 3, column a) . . . . .			219,215,980	156,668,248	62,547,732	2.080 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			358,872,004	156,668,248	202,203,756	6.730 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	48	226,302	1,666,856	257,286	1,409,570	0.050 %
f	Health professions education (from Worksheet 5) . . .	5	429	990,996	92,096	898,900	0.030 %
g	Subsidized health services (from Worksheet 6) . . . .	1	0	161,974		161,974	0.010 %
h	Research (from Worksheet 7) .	1	666	1,225,281	370,244	855,037	0.030 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	8	37,000	4,692,034		4,692,034	0.160 %
j	Total. Other Benefits . .	63	264,397	8,737,141	719,626	8,017,515	0.280 %
k	Total. Add lines 7d and 7j .	63	264,397	367,609,145	157,387,874	210,221,271	7.010 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	2	5,987	43,507		43,507	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	1	0	1,498		1,498	0 %
8	Workforce development	1	62	12,920	9,300	3,620	0 %
9	Other			75,163		75,163	0 %
10	Total	4	6,049	133,088	9,300	123,788	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

34,126,212

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).....

341,338,793

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

443,953,115

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

-102,614,322

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 PC	OUTPATIENT CENTER	15.000 %	85.000 %
22 MIDTOWN ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	15.000 %	85.000 %
33 NORTHERN CRESCENT ENDOSCOPY SUITE LLC	OUTPATIENT CENTER	70.000 %	30.000 %
44 NORTHWEST ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	15.000 %	85.000 %
55 SOUTHERN CRESCENT ENDOSCOPY CENTER SUITE PC	OUTPATIENT CENTER	15.000 %	85.000 %
66 WOODSTOCK ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	70.000 %	30.000 %
77 WEST METRO ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	15.000 %	85.000 %
88 ENT SURGERY CENTER OF ATLANTA LLC	AMBULATORY SURGERY	64.330 %	35.670 %
99 PEACHTREE ORTHOPAEDIC SURGERY CENTER AT PERIMETER LLC	AMBULATORY SURGERY	15.000 %	71.260 %
1010 UROLOGY SURGICAL PARTNERS LLC	AMBULATORY SURGERY	70.000 %	30.000 %
1111 THE HAND & UPPER EXTREMITY SURGERY CENTER OF GA LLC	AMBULATORY SURGERY	51.000 %	19.000 %
1212 NASA SURGERY CENTER LLC	AMBULATORY SURGERY	70.000 %	30.000 %
1313 SOVEREIGN REHABILITATION OF GEORGIA LLC	REHABILITATION CENTER	88.000 %	12.000 %
1414 PANOLA ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	15.000 %	85.000 %
1515 AOA AMC LLC	ONCOLOGY CLINIC	49.000 %	51.000 %
1616 ADVANCED CENTER FOR JOINT SURGERY LLC	ORTHOPEDIC SURGERY	51.000 %	49.000 %

Schedule H (Form 990) 2019

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?3Name, 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) 2019

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

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/CHNA

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) 2019

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)

Was widely publicized 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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	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 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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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:	NORTHSIDE FOLLOWS A VERY DETAILED AND ROBUST PROCESS PRIOR TO INITIATING ECAS. AS INDICATED IN RESPONSE TO QUESTION 20, NORTHSIDE (1) PROVIDES A WRITTEN NOTICE ABOUT UPCOMING ECAS AND A PLAIN LANGUAGE SUMMARY OF THE FAP AT LEAST 30 DAYS BEFORE INITIATING ANY ECAS, (2) NORTHSIDE MAKES REASONABLE EFFORTS TO ORALLY (AND VIA OTHER MEANS) NOTIFY INDIVIDUALS ABOUT THE FAP AND FAP APPLICATION PROCESS, AND (3) NORTHSIDE MAKES PRESUMPTIVE ELIGIBILITY DETERMINATIONS TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE. NORTHSIDE PROMPTLY PROCESSES ALL COMPLETE FAP APPLICATIONS. NORTHSIDE ALSO EVALUATES ALL INCOMPLETE FAP APPLICATIONS, AND IN CONNECTION WITH SUCH INCOMPLETE APPLICATIONS, TAKES THE FOLLOWING STEPS: IF NORTHSIDE DETERMINES THAT A PATIENT HAS SUBMITTED AN INCOMPLETE FAP APPLICATION, NORTHSIDE WILL (A) IMMEDIATELY SUSPEND ANY ECAS THAT MAY HAVE BEEN INITIATED AGAINST THE PATIENT AFTER THE EXPIRATION OF THE NOTIFICATION PERIOD BUT BEFORE THE EXPIRATION OF THE APPLICATION PERIOD; (B) PROVIDE THE PATIENT WITH WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION AND/OR DOCUMENTATION THE INDIVIDUAL MUST SUBMIT TO COMPLETE THE FAP APPLICATION AND INCLUDE A COPY OF THE FAP WITH THE WRITTEN NOTICE; AND (C) MAKE A NOTE IN THE BILLING SYSTEM INDICATING THAT ECAS SHOULD NOT BE INITIATED (OR RE-INITIATED) ON THE PATIENT'S ACCOUNT UNTIL THE EXPIRATION OF THE APPLICATION PERIOD, AND ONLY IF AT THAT POINT THE PATIENT HAS NOT SUBMITTED THE NECESSARY INFORMATION TO COMPLETE THE FAP APPLICATION. NORTHSIDE DEFINES THE NOTIFICATION PERIOD" TO MEAN THE PERIOD DURING WHICH IT MUST NOTIFY AN INDIVIDUAL ABOUT THE FAP AND BEGINS ON THE DATE THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE WAS PROVIDED TO THE PATIENT AND ENDS ON THE 120TH DAY AFTER THE PATIENT WAS PROVIDED WITH THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE. NORTHSIDE DEFINES THE "APPLICATION PERIOD" TO MEAN THE PERIOD DURING WHICH NORTHSIDE MUST ACCEPT AND PROCESS A FAP APPLICATION SUBMITTED BY A PATIENT. THE "APPLICATION PERIOD" BEGINS ON THE DATE CARE IS PROVIDED TO THE PATIENT AND ENDS ON THE LATER OF THE 240TH DAY AFTER THE DATE THAT THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE IS PROVIDED OR EITHER (I) IN THE CASE OF INDIVIDUAL WHO NORTHSIDE HAS PROVIDED A NOTICE OF AT LEAST 30 DAYS PRIOR TO INITIATING ONE OR MORE ECAS, THE 30TH DAY AFTER THE DATE SUCH NOTICE IS PROVIDED, OR (II) IN THE CASE OF A PATIENT WHO NORTHSIDE HAS PRESUMPTIVELY DETERMINED TO BE ELIGIBLE FOR LESS THAN THE MOST GENEROUS ASSISTANCE AVAILABLE UNDER NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM, A REASONABLE TIME AFTER THE PATIENT HAS HAD A CHANCE TO APPLY FOR MORE GENEROUS FINANCIAL ASSISTANCE.

Schedule H (Form 990) 2019

Page 9

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?156
Name and address		Type of Facility (describe)
1	1 - NORTHSIDE HOSPITAL CANCER INSTITUTE 308 COLISEUM DRIVE SUITE 120 MACON,GA31217	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
2	2 - NORTHSIDE HOSPITAL CANCER INSTITUTE 125 KING AVENUE SUITE 200 ATHENS,GA30606	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
3	3 - NORTHSIDE HOSPITAL CANCER INSTITUTE 624 MARTIN LUTHER KING JR DRIVE MILLEDGEVILLE,GA31061	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
4	4 - NORTHSIDE HOSPITAL CANCER INSTITUTE 308 DEEP SOUTH FARM ROAD SUITE 200 BLAIRSVILLE,GA30512	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
5	5 - NORTHSIDE HOSPITAL CANCER INSTITUTE 747 SOUTH 8TH STREET SUITE C GRIFFIN,GA30224	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
6	6 - NORTHSIDE HOSPITAL CANCER INSTITUTE 101 RIVERSTONE VISTA SUITE 102 BLUE RIDGE,GA30513	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
7	7 - LAUREATE MEDICAL GROUP 6135 BARFIELD ROAD ATLANTA,GA30328	PHYSICIAN SERVICES
8	8 - MEDICAL ASSOCIATES OF NORTH GEORGIA 320 HOSPITAL ROAD CANTON,GA30114	PHYSICIAN SERVICES
9	9 - NORTHSIDE HOSPITAL CANCER INSTITUTE 1000 COWLES CLINIC WAY - MAGNOLIA BUILDING GREENSBORO,GA30642	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
10	10 - NORTHSIDE HEART 1285 UPPER HEMBREE ROAD ROSWELL,GA30076	PHYSICIAN SERVICES
11	11 - ARTHRITIS AND TOTAL JOINT SPECIALIST 3400 C-OLD MILTON PARKWAY SUITE 290 CUMMING,GA30041	PHYSICIAN SERVICES
12	12 - NORTHSIDE HOSPITAL CANCER INSTITUTE 214 PERRY HIGHWAY HAWKINSVILLE,GA31036	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
13	13 - ATLANTA CLINICAL CARE 5673 PEACHTREE DUNWOODY ROAD SUITE 330 ATLANTA,GA30342	PHYSICIAN SERVICES
14	14 - THE IMAGING CENTER OF WARNER ROBINS 2706 WATSON BOULEVARD SUITE D WARNER ROBINS,GA31093	OUTPATIENT CENTER
15	15 - AOA-AMC LLC 308 COLISEUM DRIVE SUITE 100 MACON,GA31217	PHYSICIAN SERVICES
16	16 - NORTHSIDE HEART 460 NORTHSIDE CHEROKEE BOULEVARD SUITE 19 CANTON,GA30115	PHYSICIAN SERVICES
17	17 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK 900 TOWNE LAKE PARKWAY SUITE 320 WOODSTOCK,GA30189	PHYSICIAN SERVICES
18	18 - PULMONARY AND CRITICAL CARE OF ATLANTA 960 JOHNSON FERRY ROAD SUITE 500 ATLANTA,GA30342	PHYSICIAN SERVICES
19	19 - LAUREATE MEDICAL GROUP 550 PEACHTREE STREET NORTHEAST SUITE 15 ATLANTA,GA30308	PHYSICIAN SERVICES
20	20 - UROLOGY SPECIALISTS OF ATLANTA 5673 PEACHTREE DUNWOODY ROAD SUITE 910 ATLANTA,GA30342	PHYSICIAN SERVICES
21	21 - NORTH GEORGIA OBGYN SPECIALISTS 900 TOWNE LAKE PARKWAY SUITE 404 WOODSTOCK,GA30188	PHYSICIAN SERVICES
22	22 - GWINNETT ADVANCED SURGERY CENTER LLC 2131 FOUNTAIN DRIVE SNELLVILLE,GA30078	AMBULATORY SURGERY
23	23 - PREMIER CARE FOR WOMEN 960 JOHNSON FERRY ROAD SUITE 400 ATLANTA,GA30342	PHYSICIAN SERVICES
24	24 - MRI AND IMAGING OF ATHENS 845 PRINCE AVENUE ATHENS,GA30606	OUTPATIENT CENTER
25	25 - ENDOCRINE SPECIALISTS OF ATLANTA 975 JOHNSON FERRY ROAD SUITE 400 ATLANTA,GA30342	PHYSICIAN SERVICES
26	26 - CHATTAHOOCHEE SURGICAL GROUP 980 SANDERS ROAD SUITE 100 CUMMING,GA30042	PHYSICIAN SERVICES
27	27 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE 5610 BETHELVIEW ROAD SUITE 500 CUMMING,GA30040	PHYSICIAN SERVICES
28	28 - NORTHSIDE VASCULAR SURGERY 1505 NORTHSIDE FORSYTH DRIVE SUITE 2400 CUMMING,GA30041	PHYSICIAN SERVICES
29	29 - NORTHSIDE VASCULAR SURGERY 980 JOHNSON FERRY ROAD SUITE 1040 ATLANTA,GA30342	PHYSICIAN SERVICES
30	30 - INTERNAL MEDICINE ASSOCIATES OF JOHNS CREE 3380 PADDOCKS PARKWAY SUWANEE,GA30024	PHYSICIAN SERVICES
31	31 - UNIVERSITY GYNECOLOGIC ONCOLOGY 960 JOHNSON FERRY ROAD SUITE 130 ATLANTA,GA30342	PHYSICIAN SERVICES
32	32 - WINDERMERE MEDICAL CLINIC 3850 WINDERMERE PARKWAY SUITE 105 CUMMING,GA30041	PHYSICIAN SERVICES
33	33 - PEACHTREE DUNWOODY MEDICAL ASSOCIATES 875 JOHNSON FERRY ROAD NORTHEAST SUITE 20 ATLANTA,GA30342	PHYSICIAN SERVICES
34	34 - JOHNS CREEK SPECIALIST CENTER 3340 PADDOCKS PARKWAY SUWANEE,GA30024	PHYSICIAN SERVICES
35	35 - CUMMING FAMILY MEDICINE 765 LANIER 400 PARKWAY CUMMING,GA30040	PHYSICIAN SERVICES
36	36 - ATLANTA COLON AND RECTAL SURGERY 5667 PEACHTREE DUNWOODY ROAD SUITE 330 ATLANTA,GA30342	PHYSICIAN SERVICES
37	37 - NORTHSIDE PULMONARY AND SLEEP MEDICINE 1400 NORTHSIDE FORSYTH DRIVE SUITE 210 CUMMING,GA30041	PHYSICIAN SERVICES
38	38 - NORTHSIDE NEUROLOGY 1400 NORTHSIDE FORSYTH DRIVE SUITE 250 CUMMING,GA30041	PHYSICIAN SERVICES
39	39 - NORTHSIDE FAMILY PRACTICE 960 WOODSTOCK PARKWAY SUITE 300 WOODSTOCK,GA30188	PHYSICIAN SERVICES
40	40 - LAUREATE MEDICAL GROUP 3400-C OLD MILTON PARKWAY SUITE 500 ALPHARETTA,GA30005	PHYSICIAN SERVICES
41	41 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS 980 JOHNSON FERRY ROAD NORTHEAST SUITE 49 ATLANTA,GA30309	PHYSICIAN SERVICES
42	42 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE 684 SIXES ROAD SUITE 125 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
43	43 - PERIMETER NORTH MEDICAL ASSOCIATES 900 TOWNE LAKE PARKWAY SUITE 210 WOODSTOCK,GA30189	PHYSICIAN SERVICES
44	44 - CHEROKEE LUNG AND SLEEP 460 NORTHSIDE CHEROKEE BOULEVARD SUITE 10 CANTON,GA30114	PHYSICIAN SERVICES
45	45 - NORTHSIDE HEART 1505 NORTHSIDE BOULEVARD SUITE 3600 CUMMING,GA30041	PHYSICIAN SERVICES
46	46 - NORTHSIDE HOSPITAL CARDIOVASCULAR CARE 980 JOHNSON FERRY ROAD SUITE 520 ATLANTA,GA30342	PHYSICIAN SERVICES
47	47 - CUMMING FAMILY MEDICINE 303 PIRKLE FERRY ROAD CUMMING,GA30040	PHYSICIAN SERVICES
48	48 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO 960 JOHNSON FERRY ROAD SUITE 100 ATLANTA,GA30342	PHYSICIAN SERVICES
49	49 - PERIMETER NORTH MEDICAL ASSOCIATES 3400-A OLD MILTON PARKWAY SUITE 130 ALPHARETTA,GA30005	PHYSICIAN SERVICES
50	50 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK 3400-C OLD MILTON PARKWAY SUITE 190 ALPHARETTA,GA30005	PHYSICIAN SERVICES
51	51 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE 4800 OLDE TOWNE PARKWAY SUITE 150 MARIETTA,GA30068	PHYSICIAN SERVICES
52	52 - NORTH POINT PULMONARY ASSOCIATES 3400-C OLD MILTON PARKWAY SUITE 425 ALPHARETTA,GA30005	PHYSICIAN SERVICES
53	53 - ATLANTA COLON AND RECTAL SURGERY 780 CANTON ROAD NORTHEAST SUITE 315 MARIETTA,GA30060	PHYSICIAN SERVICES
54	54 - LAUREATE MEDICAL GROUP 7823 SPIVEY STATION BOULEVARD SUITE 310 JONESBORO,GA30236	PHYSICIAN SERVICES
55	55 - PERIMETER NORTH MEDICAL ASSOCIATES 960 JOHNSON FERRY ROAD NORTHEAST SUITE ATLANTA,GA30342	PHYSICIAN SERVICES
56	56 - NORTHSIDE CHEROKEE PEDIATRICS 684 SIXES ROAD SUITE 220 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
57	57 - GENERAL SURGEONS OF GWINNETT 1800 TREE LANE SUITE 330 SNELLVILLE,GA30078	PHYSICIAN SERVICES
58	58 - MEDICAL ASSOCIATES OF NORTH GEORGIA 460 NORTHSIDE CHEROKEE BOULEVARD SUITE 30 CANTON,GA30115	PHYSICIAN SERVICES
59	59 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT 5445 MERIDIAN MARK SUITE 180 ATLANTA,GA30342	PHYSICIAN SERVICES
60	60 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE 81 NORTHSIDE DAWSON DRIVE SUITE 100 DAWSONVILLE,GA30535	PHYSICIAN SERVICES
61	61 - MRI AND IMAGING OF HABERSHAM 638 HISTORIC HIGHWAY 441 NORTH SUITE D DEMOREST,GA30535	OUTPATIENT CENTER
62	62 - NORTH GEORGIA DIABETES AND ENDOCRINOLOGY 1505 NORTHSIDE BOULEVARD SUITE 2800 CUMMING,GA30041	PHYSICIAN SERVICES
63	63 - GEORGIA GYNECOLOGIC ONCOLOGY 759 OLD NORCROSS ROAD LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
64	64 - MIDTOWN MEDICAL ASSOCIATES 1110 WEST PEACHTREE STREET NORTHWEST SUIT ATLANTA,GA30309	PHYSICIAN SERVICES
65	65 - PERIMETER NORTH MEDICAL ASSOCIATES 1505 NORTHSIDE BOULEVARD SUITE 4400 CUMMING,GA30041	PHYSICIAN SERVICES
66	66 - NORTHSIDE VASCULAR SURGERY 460 NORTHSIDE CHEROKEE BOULEVARD SUITE 10 CANTON,GA30115	PHYSICIAN SERVICES
67	67 - MOUNT VERNON INTERNAL MEDICINE 755 MOUNT VERNON HIGHWAY NORTHEAST SUITE SANDY SPRINGS,GA30328	PHYSICIAN SERVICES
68	68 - PERIMETER NORTH MEDICAL ASSOCIATES 3890 JOHNS CREEK PARKWAY SUITE 230 SUWANEE,GA30024	PHYSICIAN SERVICES
69	69 - RAVRY MEDICAL GROUP 5505 PEACHTREE DUNWOODY ROAD SUITE 650 ATLANTA,GA30342	PHYSICIAN SERVICES
70	70 - NORTHSIDE CHEROKEE PEDIATRICS 900 TOWNE LAKE PARKWAY SUITE 306 WOODSTOCK,GA30189	PHYSICIAN SERVICES
71	71 - GOYCO INTERNAL MEDICINE 900 SANDERS ROAD SUITE B CUMMING,GA30041	PHYSICIAN SERVICES
72	72 - MARTHA M BOONE MD 3400 OLD MILTON PARKWAY BUILDING A SUITE ALPHARETTA,GA30005	PHYSICIAN SERVICES
73	73 - GEORGIA PULMONARY AND CRITICAL CARE CONSUL 1505 NORTHSIDE BOULEVARD SUITE 3000 CUMMING,GA30041	PHYSICIAN SERVICES
74	74 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT 1260 HWY 54 WEST SUITE 100 FAYETTEVILLE,GA30214	PHYSICIAN SERVICES
75	75 - ATLANTA GYNECOLOGIC ONCOLOGY 980 JOHNSON FERRY ROAD NE SUITE 900 ATLANTA,GA30342	PHYSICIAN SERVICES
76	76 - LAUREATE MEDICAL GROUP 4800 OLDE TOWNE PARKWAY SUITE 400 MARIETTA,GA30068	PHYSICIAN SERVICES
77	77 - MELANOMA AND SARCOMA SPECIALISTS OF GEOR 980 JOHNSON FERRY ROAD SUITE 940 ATLANTA,GA30342	PHYSICIAN SERVICES
78	78 - NORTH ATLANTA PULMONARY AND SLEEP 993 JOHNSON FERRY ROAD SUITE 300 BUILDIN ATLANTA,GA30342	PHYSICIAN SERVICES
79	79 - TOWN LAKE PRIMARY CARE 900 TOWNE LAKE PARKWAY SUITE 410 WOODSTOCK,GA30189	PHYSICIAN SERVICES
80	80 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT 721 WELLNESS WAY SUITE 200 LAWRENCEVILLE,GA30045	PHYSICIAN SERVICES
81	81 - INTERNAL MEDICINE PRACTICE OF NORTHSIDE 10745 WESTSIDE WAY SUITE 125 ALPHARETTA,GA30009	PHYSICIAN SERVICES
82	82 - ALPHARETTA FOOT AND ANKLE SPECIALISTS 2000 HOWARD FARM DRIVE SUITE 340 CUMMING,GA30041	PHYSICIAN SERVICES
83	83 - LAUREATE MEDICAL GROUP 684 SIXES ROAD SUITE 265 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
84	84 - NORTH GEORGIA DIABETES AND ENDOCRINOLOGY 3350 PADDOCKS PARKWAY SUWANEE,GA30024	PHYSICIAN SERVICES
85	85 - ATLANTA LIVER AND PANCREAS SURGICAL SPEC 980 JOHNSON FERRY ROAD SUITE 170 ATLANTA,GA30342	PHYSICIAN SERVICES
86	86 - ATLANTA COLON AND RECTAL SURGERY 1505 NORTHSIDE BOULEVARD SUITE 1900 CUMMING,GA30041	PHYSICIAN SERVICES
87	87 - BARIATRIC INNOVATIONS OF ATLANTA 6135 BARFIELD ROAD SUITE 150 SANDY SPRINGS,GA30328	PHYSICIAN SERVICES
88	88 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT 1505 NORTHSIDE BOULEVARD SUITE 2900 CUMMING,GA30041	PHYSICIAN SERVICES
89	89 - NORTHSIDE CHEROKEE SURGICAL ASSOCIATES 900 TOWNE LAKE PARKWAY SUITE 412 WOODSTOCK,GA30189	PHYSICIAN SERVICES
90	90 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK 5555 PEACHTREE DUNWOODY ROAD NORTHEAST SU ATLANTA,GA30342	PHYSICIAN SERVICES
91	91 - ANKLE AND FOOT CENTERS OF NORTH GEORGIA 81 NORTHSIDE DAWSON DRIVE SUITE 204 DAWSONVILLE,GA30534	PHYSICIAN SERVICES
92	92 - CUMMING FAMILY MEDICINE 133 PROMINENCE COURT SUITE 230 DAWSONVILLE,GA30535	PHYSICIAN SERVICES
93	93 - CUMMING FAMILY MEDICINE 25 FOOTHILLS PARKWAY MARBLE HILL,GA30149	PHYSICIAN SERVICES
94	94 - EAST COBB FAMILY MEDICINE 1121 JOHNSON FERRY ROAD BUILDING ONE S MARIETTA,GA30068	PHYSICIAN SERVICES
95	95 - ROSWELL INTERNAL MEDICINE SPECIALISTS 11785 NORTHFALL LANE SUITE 505 ALPHARETTA,GA30004	PHYSICIAN SERVICES
96	96 - WINDERMERE MEDICAL CLINIC 200 EAGLES NEST DRIVE SUITE 300D CANTON,GA30115	PHYSICIAN SERVICES
97	97 - MEDICAL ASSOCIATES OF NORTH GEORGIA 470 VALLEY STREET SUITE 200 BALL GROUND,GA30107	PHYSICIAN SERVICES
98	98 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK 4800 OLDE TOWNE PARKWAY SUITE 430 MARIETTA,GA30068	PHYSICIAN SERVICES
99	99 - NORTH ATLANTA BREAST CARE 1400 NORTHSIDE FORSYTH DRIVE SUITE 290 CUMMING,GA30041	PHYSICIAN SERVICES
100	100 - REPRODUCTIVE SURGICAL SPECIALISTS 1800 NORTHSIDE FORSYTH DRIVE SUITE 380 CUMMING,GA30041	PHYSICIAN SERVICES
101	101 - ARTHRITIS AND TOTAL JOINT SPECIALIST 1255 FRIENDSHIP ROAD SUITE 200 BRASELTON,GA30517	PHYSICIAN SERVICES
102	102 - NEWTOWN MEDICAL 3400-A OLD MILTON PARKWAY SUITE 200 ALPHARETTA,GA30005	PHYSICIAN SERVICES
103	103 - ANDERSON FAMILY MEDICINE 81 NORTHSIDE DAWSON DRIVE SUITE 205 DAWSONVILLE,GA30534	PHYSICIAN SERVICES
104	104 - KENNESAW FAMILY MEDICINE 6110 PINE MOUNTAIN ROAD SUITE 102 KENNESAW,GA30152	PHYSICIAN SERVICES
105	105 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT 1110 WEST PEACHTREE STREET NORTHWEST SUIT ATLANTA,GA30309	PHYSICIAN SERVICES
106	106 - LANIER FAMILY PRACTICE 1080 SANDERS ROAD SUITE 100 CUMMING,GA30041	PHYSICIAN SERVICES
107	107 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK 960 JOHNSON FERRY ROAD SUITE 415 ATLANTA,GA30342	PHYSICIAN SERVICES
108	108 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE 11685 ALPHARETTA HIGHWAY SUITE 150 ROSWELL,GA30076	PHYSICIAN SERVICES
109	109 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT 2801 NORTH DECATUR ROAD SUITE 120 DECATUR,GA30033	PHYSICIAN SERVICES
110	110 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK 684 SIXES ROAD SUITE 130 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
111	111 - SLEEP DISORDERS CENTER OF GEORGIA 993-C JOHNSON FERRY ROAD SUITE 301 ATLANTA,GA30342	PHYSICIAN SERVICES
112	112 - SOUTHEASTERN PRIMARY CARE SPECIALISTS 105 CARNEGIE PLACE SUITE 103 FAYETTEVILLE,GA30214	PHYSICIAN SERVICES
113	113 - GEORGIA COLON AND RECTAL SURGICAL ASSOCIAT 3400-A OLD MILTON PARKWAY SUITE 440 ALPHARETTA,GA30005	PHYSICIAN SERVICES
114	114 - ATLANTA GYNECOLOGIC ONCOLOGY 460 NORTHSIDE CHEROKEE BOULEVARD SUITE 40 CANTON,GA30115	PHYSICIAN SERVICES
115	115 - CHEROKEE BREAST CARE 684 SIXES ROAD SUITE 230 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
116	116 - PERIMETER NORTH MEDICAL ASSOCIATES 10515 BELLS FERRY ROAD SUITE 200 CANTON,GA30114	PHYSICIAN SERVICES
117	117 - LAUREATE MEDICAL GROUP 460 NORTHSIDE CHEROKEE BOULEVARD SUITE 17 CANTON,GA30115	PHYSICIAN SERVICES
118	118 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO 1100 NORTHSIDE FORSYTH DRIVE SUITE 410 CUMMING,GA30041	PHYSICIAN SERVICES
119	119 - CHEROKEE LUNG AND SLEEP 900 TOWNE LAKE PARKWAY SUITE 206 WOODSTOCK,GA30189	PHYSICIAN SERVICES
120	120 - GORDON J AZAR SR MD INTERNAL MEDICINE 960 JOHNSON FERRY ROAD SUITE 235 ATLANTA,GA30342	PHYSICIAN SERVICES
121	121 - INTERNAL MEDICINE SPECIALIST OF ROSWELL 11685 ALPHARETTA HIGHWAY SUITE 270 ATLANTA,GA30076	PHYSICIAN SERVICES
122	122 - ATLANTA GYNECOLOGIC ONCOLOGY 780 CANTON ROAD SUITE 405 MARIETTA,GA30060	PHYSICIAN SERVICES
123	123 - NORTH POINT PULMONARY ASSOCIATES 1400 NORTHSIDE FORSYTH DRIVE SUITE 240 CUMMING,GA30041	PHYSICIAN SERVICES
124	124 - NORTH POINT PRIMARY CARE 3180 NORTH POINT PARKWAY BUILDING 200 SU ALPHARETTA,GA30005	PHYSICIAN SERVICES
125	125 - PRIMARY CARE OF MILTON 980 BIRMINGHAM VILLAGE SUITE 304 MILTON,GA30004	PHYSICIAN SERVICES
126	126 - GEORGIA GYNECOLOGIC ONCOLOGY 980 JOHNSON FERRY ROAD SUITE 910 ATLANTA,GA30342	PHYSICIAN SERVICES
127	127 - NORTH GEORGIA OBGYN SPECIALISTS 433 HIGHLAND PARKWAY SUITE 203 EAST ELIJAY,GA30540	PHYSICIAN SERVICES
128	128 - UNIVERSITY GYNECOLOGIC ONCOLOGY 1100 NORTHSIDE FORSYTH DRIVE SUITE 420 CUMMING,GA30041	PHYSICIAN SERVICES
129	129 - PERIMETER ADVANCED SURGERY CENTER 1100 JOHNSON FERRY ROAD CENTER POINTE ONE ATLANTA,GA30342	AMBULATORY SURGERY
130	130 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK 1839 BUFORD HIGHWAY NORTHEAST SUITE 100 BUFORD,GA30518	PHYSICIAN SERVICES
131	131 - NORTH GEORGIA OBGYN SPECIALISTS 2855 OLD HIGHWAY 5 NORTH SUITE 110 BLUE RIDGE,GA30513	PHYSICIAN SERVICES
132	132 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK 11685 ALPHARETTA HIGHWAY SUITE 170 ROSWELL,GA30076	PHYSICIAN SERVICES
133	133 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK 1110 WEST PEACHTREE STREET SUITE 950 ATLANTA,GA30309	PHYSICIAN SERVICES
134	134 - WINDERMERE MEDICAL CLINIC 386 HIGHWAY 441 BYPASS BALDWIN,GA30511	PHYSICIAN SERVICES
135	135 - CUMMING FAMILY MEDICINE 765 LANIER 400 PARKWAY SUITE 200 CUMMING,GA30040	PHYSICIAN SERVICES
136	136 - NORTHSIDE FAMILY MEDICINE AND URGENT CARE 1110 WEST PEACHTREE STREET NORTHWEST SUIT ATLANTA,GA30309	PHYSICIAN SERVICES
137	137 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK 2000 HOWARD FARM DRIVE SUITE 305 CUMMING,GA30041	PHYSICIAN SERVICES
138	138 - LAUREATE MEDICAL GROUP 2000 HOWARD FARM DRIVE SUITE 400 CUMMING,GA30041	PHYSICIAN SERVICES
139	139 - NORTHSIDE HEART 900 TOWNE LAKE PARKWAY SUITE 400 WOODSTOCK,GA30189	PHYSICIAN SERVICES
140	140 - NORTHSIDE HEART 4800 OLDE TOWNE PARKWAY SUITE 420 MARIETTA,GA30068	PHYSICIAN SERVICES
141	141 - NORTHSIDE HEART 3400-C OLD MILTON PARKWAY SUITE 360 ALPHARETTA,GA30005	PHYSICIAN SERVICES
142	142 - NORTHSIDE HEART 5670 PEACHTREE DUNWOODY ROAD SUITE 880 ATLANTA,GA30342	PHYSICIAN SERVICES
143	143 - NORTHSIDE HEART 6135 BARFIELD ROAD NORTHEAST SUITE 100 SANDY SPRINGS,GA30328	PHYSICIAN SERVICES
144	144 - ARTHRITIS AND TOTAL JOINT SPECIALIST 1100 NORTHSIDE FORSYTH DRIVE SUITE 250 CUMMING,GA30041	PHYSICIAN SERVICES
145	145 - ARTHRITIS AND TOTAL JOINT SPECIALIST 1110 WEST PEACHTREE STREET NORTHWEST SUIT ATLANTA,GA30309	PHYSICIAN SERVICES
146	146 - ARTHRITIS AND TOTAL JOINT SPECIALIST 1505 NORTHSIDE BOULEVARD SUITE 3500 CUMMING,GA30041	PHYSICIAN SERVICES
147	147 - ARTHRITIS AND TOTAL JOINT SPECIALIST 5670 PEACHTREE DUNWOODY ROAD SUITE 1250 ATLANTA,GA30342	PHYSICIAN SERVICES
148	148 - ARTHRITIS AND TOTAL JOINT SPECIALIST 960 WOODSTOCK PARKWAY SUITE 200 WOODSTOCK,GA30188	PHYSICIAN SERVICES
149	149 - ARTHRITIS AND TOTAL JOINT SPECIALIST 771 OLD NORCROSS ROAD SUITE 135 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
150	150 - NORTHSIDE HOSPITAL SPORTS MEDICINE NETWORK 3280 PEACHTREE ROAD NORTHEAST SUITE 160 ATLANTA,GA30309	PHYSICIAN SERVICES
151	151 - ATLANTA CARDIAC AND THORACIC SURGICAL ASSO 1110 WEST PEACHTREE STREET NORTHEAST SUIT ATLANTA,GA30309	PHYSICIAN SERVICES
152	152 - SOUTHEASTERN NEUROSURGICAL SPECIALISTS 631 CAMPBELL HILL STREET SUITE 100 MARIETTA,GA30060	PHYSICIAN SERVICES
153	153 - ALPHARETTA FOOT AND ANKLE SPECIALISTS 3400-A OLD MILTON PARKWAY SUITE 500 ALPHARETTA,GA30005	PHYSICIAN SERVICES
154	154 - NORTHSIDE MEDICAL SPECIALISTS 145 RIVERSTONE TERRACE SUITE 100 CANTON,GA30114	PHYSICIAN SERVICES
155	155 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1240 JESSE JEWEL PARKWAY SUITE 500 GAINESVILLE,GA30501	PHYSICIAN SERVICES
156	156 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1270 FRIENDSHIP ROAD SUITE 100 BRASELTON,GA30517	PHYSICIAN SERVICES

Schedule H (Form 990) 2019

Page 10

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 ITS 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 $154,013,312 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 2018 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 SUPERSEDES 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 METRIC 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 STATE-FUNDED 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 THE 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 INVESTED APPROXIMATELY $280 MILLION IN BUILDING A NEW, STATE-OF-THE-ART REPLACEMENT HOSPITAL, MEDICAL OFFICE BUILDING AND PARKING DECK IN CHEROKEE COUNTY. THE REPLACEMENT HOSPITAL INCREASED NORTHSIDE CHEROKEE'S INPATIENT CAPACITY FROM 84 INPATIENT BEDS TO 105 AND PROVIDES THE COMMUNITY WITH A MORE VISIBLE, EASY-TO-ACCESS HOSPITAL CONVENIENTLY LOCATED OFF A MAJOR INTERSTATE HIGHWAY. IN FORSYTH COUNTY, IN ORDER TO MEET THE COMMUNITY'S HEALTHCARE NEEDS, NORTHSIDE EXPANDED NORTHSIDE HOSPITAL FORSYTH'S INPATIENT BED CAPACITY FROM 247 INPATIENT BEDS TO 284. IN FULTON COUNTY, THE SYSTEM'S LARGEST AND OLDEST HOSPITAL CAMPUS ALSO IS UNDERGOING SIGNIFICANT EXPANSION AND RENOVATION. NORTHSIDE IS INVESTING APPROXIMATELY $200 MILLION IN NORTHSIDE ATLANTA THROUGH THE CONSTRUCTION OF A NEW EIGHT-STORY MEDICAL/SURGICAL TOWER, THE ADDITION OF FOUR OPERATING ROOMS, AND OTHER CAMPUS-WIDE RENOVATIONS AS WELL AS A NEW PARKING DECK. UPON COMPLETION OF THE NEW EIGHT-STORY TOWER, NORTHSIDE ATLANTA'S INPATIENT BED CAPACITY WILL INCREASE FROM 537 BEDS TO 621 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) 2019

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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	(h) Purpose of grant or assistance
(1) AMERICAN CANCER SOCIETY PO BOX 56566 ATLANTA,GA30343	13-1788491	501(C)(3)	144,250	GENERAL SUPPORT
(2) AMERICAN HEART ASSOCIATION 1101 NORTHCHASE PKWY SUITE 1 MARIETTA,GA30067	13-5613797	501(C)(3)	250,000	GENERAL SUPPORT
(3) AMERICAN RED CROSS 1955 MONROE DRIVE NE ATLANTA,GA30324	53-0196605	501(C)(3)	50,000	GENERAL SUPPORT
(4) ARCS FOUNDATION INC PO BOX 52124 ATLANTA,GA30355	58-2004368	501(C)(3)	47,500	GENERAL SUPPORT
(5) ARTHRITIS FOUNDATION OF GEORGIA PO BOX 78423 ATLANTA,GA30357	58-1341679	501(C)(3)	130,000	GENERAL SUPPORT
(6) ATLANTA BALLET INC 1695 MARIETTA BOULEVARD NW ATLANTA,GA30318	58-1047778	501(C)(3)	50,000	GENERAL SUPPORT
(7) ATLANTA BELTLINE PARTNERSHIP INC 112 KROG STREET SUITE 14 ATLANTA,GA30307	56-2464486	501(C)(3)	45,000	GENERAL SUPPORT
(8) ATLANTA TRACK CLUB INC 3097 E SHADOWLAWN AVE NE ATLANTA,GA30305	58-1367422	501(C)(3)	165,000	GENERAL SUPPORT
(9) BE THE MATCH FOUNDATION 500 NORTH 5TH STREET MINNEAPOLIS,MN55401	41-1704734	501(C)(3)	20,000	GENERAL SUPPORT
(10) BICYCLE RIDE ACROSS GEORGIA PO BOX 871111 STONE MOUNTAIN,GA30087	58-1576748	501(C)(4)	75,000	GENERAL SUPPORT
(11) CANCER SUPPORT COMMUNITY OF ATLANTA 5775 PEACHTREE DUNWOODY RD SUITE C-225 ATLANTA,GA30342	58-2142151	501(C)(3)	211,964	GENERAL SUPPORT
(12) CHATTAHOOCHEE NATURE CENTER INC PO BOX 769769 ROSWELL,GA30076	58-1275604	501(C)(3)	70,000	GENERAL SUPPORT
(13) COBB CHAMBER OF COMMERCE PO BOX 671868 MARIETTA,GA300060032	58-0198114	501(C)(6)	28,500	GENERAL SUPPORT
(14) DUNWOODY NATURE CENTER INC PO BOX 88070 DUNWOODY,GA30356	58-2009823	501(C)(3)	20,000	GENERAL SUPPORT
(15) GEORGIA AQUARIUM INC 225 BAKER STREET NW ATLANTA,GA30313	58-2574918	501(C)(3)	112,500	GENERAL SUPPORT
(16) GEORGIA OVARIAN CANCER ALLIANCE 6065 ROSWELL ROAD SUITE 512 ATLANTA,GA30328	58-2424106	501(C)(3)	30,000	GENERAL SUPPORT
(17) GREATER NORTH FULTON CHAMBER OF COMMERCE 11605 HAYNES BRIDGE RD ALPHARETTA,GA30004	58-1157316	501(C)(6)	25,000	GENERAL SUPPORT
(18) HADASSAH THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA 1606 COOPER FOSTER PARK RD W LORAIN,OH44053	34-6607994	501(C)(3)	25,000	GENERAL SUPPORT
(19) INMAN PARK NEIGHBORHOOD ASSOCIATION 245 N HIGHLAND AVE NE STE 230 401 ATLANTA,GA30307	58-1869166	501(C)(4)	25,000	GENERAL SUPPORT
(20) LEUKEMIA AND LYMPHOMA SOCIETY 3715 NORTHSIDE PARKWAY NW NORTHCREE 400 SUITE 300 ATLANTA,GA30327	13-5644916	501(C)(3)	30,000	GENERAL SUPPORT
(21) LOVE NOT LOST INC 1551 DUNWOODY VILLAGE PARKWAY 88872 DUNWOODY,GA30338	47-4760639	501(C)(3)	20,000	GENERAL SUPPORT
(22) MARCH OF DIMES 1275 MAMORONECK AVE WHITE PLAINS,NY10605	13-1846366	501(C)(3)	478,365	GENERAL SUPPORT
(23) MARIETTA COBB MUSEUM OF ART 30 ATLANTA ST SE MARIETTA,GA30060	58-1528144	501(C)(3)	50,000	GENERAL SUPPORT
(24) MEDSHARE INTERNATIONAL 3240 CLIFTON SPRINGS ROAD DECATUR,GA30034	58-2433968	501(C)(3)	60,000	GENERAL SUPPORT
(25) MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE SW ATLANTA,GA303101495	58-1438873	501(C)(3)	105,000	GENERAL SUPPORT
(26) MUSEUM OF CONTEMPORARY ART OF GEORGIA 75 BENNETT STREET ATLANTA,GA30309	58-2562811	501(C)(3)	40,000	GENERAL SUPPORT
(27) OVARIAN CANCER INSTITUTE 960 JOHNSON FERRY RD STE 130 ATLANTA,GA30342	58-2445245	501(C)(3)	320,000	GENERAL SUPPORT
(28) PGA TOUR INC 100 PGA TOUR BLVD PONTE VEDRA,FL32082	52-0999206	501(C)(6)	38,000	GENERAL SUPPORT
(29) PIEDMONT PARK CONSERVANCY INC 400 PARK DRIVE NE ATLANTA,GA30306	58-1551369	501(C)(3)	50,000	GENERAL SUPPORT
(30) SANDY SPRINGS SOCIETY PO BOX 720074 ATLANTA,GA30358	58-1868282	501(C)(3)	20,000	GENERAL SUPPORT
(31) SANDY SPRINGSPERIMETER CHAMBER OF COMMERCE SIX CONCOURSE SUITE 3 SANDY SPRINGS,GA30328	26-0677794	501(C)(6)	21,000	GENERAL SUPPORT
(32) SOUTHEASTERN SOCIETY OF PLASTIC AND RECONSTRUCTIVE SURGEONS 12100 SUNSET HILLS ROAD SUITE 130 RESTON,VA201903221	58-1431500	501(C)(6)	40,000	GENERAL SUPPORT
(33) SUSAN G KOMEN BREAST CANCER FOUNDATION PO BOX 934048 ATLANTA,GA311934048	58-1959763	501(C)(3)	30,000	GENERAL SUPPORT
(34) THE DRAKE HOUSE INC 10500 CLARA DRIVE ROSWELL,GA30075	20-0943038	501(C)(3)	25,000	GENERAL SUPPORT
(35) THE PARTNERSHIP AGAINST DOMESTIC VIOLENCE PO BOX 361969 DECATUR,GA30036	82-3295945	501(C)(3)	118,000	GENERAL SUPPORT
(36) TRAVELER'S AID OF METRO ATLANTA 75 MARIETTA STREET SUITE 400 ATLANTA,GA30303	58-0566247	501(C)(3)	30,000	GENERAL SUPPORT
(37) VISITING NURSE HEALTH SYSTEM 5775 GLENRIDGE DRIVE NE SUITE E200 ATLANTA,GA30328	58-0566250	501(C)(3)	50,000	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) 2019

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) SCHOLARSHIP / EDUCATIONAL ASSISTANCE	3	19,572
(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) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 on 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 on 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 nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

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) 2019

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)
1WAYNE L AMBROZE MD BOARD MEMBER	(i) (ii)	445,669 ------------- 0	63,117 ------------- 0	5,008 ------------- 0	1,385 ------------- 0	20,115 ------------- 0	535,294 ------------- 0	0 ------------- 0
2ROBERT T QUATTROCCHI PRESIDENT & CEO NSH, INC.	(i) (ii)	1,496,122 ------------- 0	1,242,519 ------------- 0	2,129,354 ------------- 0	5,982 ------------- 0	29,405 ------------- 0	4,903,382 ------------- 0	0 ------------- 0
3JORGE J HERNANDEZ VICE PRESIDENT/ASST. SECRE	(i) (ii)	386,576 ------------- 0	164,865 ------------- 0	22,732 ------------- 0	5,119 ------------- 0	10,707 ------------- 0	589,999 ------------- 0	0 ------------- 0
4DEBORAH S MITCHAM VP/CFO NSH, INC. (FORMER)	(i) (ii)	604,664 ------------- 0	273,491 ------------- 0	10,489 ------------- 0	6,136 ------------- 0	14,426 ------------- 0	909,206 ------------- 0	0 ------------- 0
5SHANNON BANNA VP/CFO NSH, INC. (CURRENT)	(i) (ii)	265,441 ------------- 0	50,319 ------------- 0	296 ------------- 0	3,194 ------------- 0	8,532 ------------- 0	327,782 ------------- 0	0 ------------- 0
6WILLIAM HAYES CEO, NORTHSIDE HOSPITAL-CH	(i) (ii)	410,447 ------------- 0	82,607 ------------- 0	51,940 ------------- 0	6,037 ------------- 0	29,032 ------------- 0	580,063 ------------- 0	0 ------------- 0
7JANIS DUBOW VICE PRESIDENT	(i) (ii)	352,617 ------------- 0	127,725 ------------- 0	21,179 ------------- 0	4,596 ------------- 0	9,938 ------------- 0	516,055 ------------- 0	0 ------------- 0
8ROBERT PUTNAM VICE PRESIDENT	(i) (ii)	600,698 ------------- 0	239,780 ------------- 0	29,136 ------------- 0	5,196 ------------- 0	17,560 ------------- 0	892,370 ------------- 0	0 ------------- 0
9TINA WAKIM VICE PRESIDENT/COO	(i) (ii)	680,772 ------------- 0	304,341 ------------- 0	43,410 ------------- 0	3,433 ------------- 0	9,803 ------------- 0	1,041,759 ------------- 0	0 ------------- 0
10WILLIAM EARLY MD GASTROENTEROLOGY/INTERNAL	(i) (ii)	634,357 ------------- 0	125,936 ------------- 0	169,212 ------------- 0	0 ------------- 0	26,902 ------------- 0	956,407 ------------- 0	0 ------------- 0
11GERALD FEUER MD GYNECOLOGIST/SURGEON	(i) (ii)	742,621 ------------- 0	119,239 ------------- 0	6,592 ------------- 0	6,115 ------------- 0	29,254 ------------- 0	903,821 ------------- 0	0 ------------- 0
12KENNETH KRESS MD ORTHOPEDIC SURGEON	(i) (ii)	1,042,790 ------------- 0	120,000 ------------- 0	33,536 ------------- 0	5,654 ------------- 0	16,259 ------------- 0	1,218,239 ------------- 0	0 ------------- 0
13CHARLES DECOOK MD ORTHOPEDIC SURGEON	(i) (ii)	962,259 ------------- 0	566,775 ------------- 0	7,176 ------------- 0	5,163 ------------- 0	29,032 ------------- 0	1,570,405 ------------- 0	0 ------------- 0
14NANCY WIGGERS MD RADIATION ONCOLOGIST	(i) (ii)	592,404 ------------- 0	258,620 ------------- 0	3,358 ------------- 0	6,000 ------------- 0	29,405 ------------- 0	889,787 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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 FIFTEEN 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 WITH A SOURCE OF FUNDS FOR USE AS SUPPLEMENTAL INCOME OVER HIS LIFE IN RETIREMENT. THE SERP VESTS AND DISBURSES INCREMENTAL FUNDING PAYOUTS EACH TWO OR THREE YEARS. THE SERP PAYMENTS ARE BASED ON A MATHEMATICAL FORMULA, PURSUANT TO A SIGNED CONTRACT, AND ARE REVIEWED AND ASSESSED PERIODICALLY FOR REASONABLENESS BY AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE FULL BOARD APPROVE EACH PAYMENT BEFORE PAYMENT IS MADE. NORTHSIDE DOES NOT CONSIDER SERP PAYMENTS TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. MR. QUATTROCCHI PARTICIPATES IN A LONG-TERM INCENTIVE PLAN THAT PROVIDES AN INCENTIVE COMPENSATION OPPORTUNITY IN THE EVENT OF THE ACHIEVEMENT OF A NUMBER OF PERFORMANCE MEASURES, INCLUDING CLINICAL QUALITY STANDARDS, MEASURED OVER PERFORMANCE PERIODS EXTENDING FROM 3 TO 5 YEARS. THIS FIRST PERFORMANCE PERIOD UNDER THIS PROGRAM ENDED SEPTEMBER 30, 2017 WITH A PAYMENT HAVING BEEN EARNED BY MR. QUATTROCCHI.

Schedule J (Form 990) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 section 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 the 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) 2019

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	5,381,513	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	126,683	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 2017 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	407,384	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	83,039	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 2017 TO RACHEL BEARMAN FOR SERVICES RENDERED TO THE ORGANIZATION.		No
(5) JENNIFER WHITLEY	ROBERT E. WHITLEY, BOARD MEMBER & JENNIFER WHITLEY FAMILY MEMBER	35,917	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 2017 TO JENNIFER WHITLEY FOR SERVICES RENDERED TO THE ORGANIZATION.		No
(6) ROBERT E WHITLEY JR	ROBERT E. WHITLEY, BOARD MEMBER & ROBERT E. WHITLEY, JR. FAMILY MEMBER	85,749	ROBERT E. WHITLEY, MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH ROBERT E. WHITLEY, JR., AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2017 TO ROBERT E. WHITLEY, JR. 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) 2019

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Return Reference	Explanation
PROGRAM SERVICE ACCOMPLISHMENTS (CONT'D)	REINVESTING TO ENHANCE CAPACITY AND TO DELIVER HIGH-QUALITY HEALTHCARE TO THE COMMUNITIES WE SERVE: BECAUSE NORTHSIDE HOSPITAL INC. IS NOT-FOR-PROFIT AND IS NOT REQUIRED TO RETURN PROFITS TO SHAREHOLDERS LIKE TAXABLE ORGANIZATIONS, WE ROUTINELY REINVEST OUR CASH RESERVES IN ORDER TO ENHANCE OUR CAPACITY AND ABILITY TO DELIVER HIGH-QUALITY HEALTH CARE TO THE COMMUNITIES WE SERVE. ACCORDINGLY, NORTHSIDE HOSPITAL EARMARKED NEARLY $212 MILLION IN CAPITAL INVESTMENTS IN FY2018. NUMEROUS OF THESE ALLOCATIONS WERE DESIGNATED TO KEY SERVICE LINES SUCH AS ONCOLOGY, CARDIOLOGY AND WOMEN'S SERVICES, MANY OF WHICH OVERLAP WITH NORTHSIDE'S TOP IDENTIFIED HEALTH NEEDS IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. SELECT EARMARKED INVESTMENTS INCLUDE: $62 MILLION FOR INPATIENT CAPACITY AND NEONATAL SERVICES EXPANSION, CONSTRUCTION OF AN ADDITIONAL MEDICAL OFFICE BUILDING AND EXPANDED PARKING FOR THE NEW NORTHSIDE HOSPITAL-CHEROKEE CAMPUS; $25.9 MILLION FOR SURGICAL SERVICES; $10.8 MILLION FOR RADIOLOGY SERVICES; $6.8 MILLION FOR ONCOLOGY SERVICES; $3.3 MILLION FOR GENERAL MEDICINE/SURGERY INPATIENT UNITS; $2.9 MILLION FOR CARDIOLOGY SERVICES; AND $2.0 MILLION FOR WOMEN'S SERVICES. PROVIDING A BROAD ARRAY OF COMMUNITY BENEFIT PROGRAM ACTIVITIES: IN FURTHERANCE OF ITS CHARITABLE MISSION AND TO MEET THE COMMUNITY'S TOP IDENTIFIED HEALTH NEEDS, NORTHSIDE HOSPITAL ENGAGES IN NUMEROUS OUTREACH AND COMMUNITY BENEFIT ACTIVITIES THROUGHOUT THE YEAR. THE CULMINATION OF THESE EFFORTS RESULTED IN NORTHSIDE HOSPITAL REACHING OVER 270,000 PERSONS, SPENDING OVER 62,000 HOURS AND PROVIDING MORE THAN $8 MILLION IN COMMUNITY BENEFIT PROGRAM ACTIVITIES. THE HIGHEST DOLLAR IMPACT CATEGORIES (I.E., BENEFIT IN EXCESS OF $1 MILLION) INCLUDE CASH AND IN-KIND DONATIONS AND COMMUNITY HEALTH IMPROVEMENT SERVICES. THROUGH CASH AND IN-KIND DONATIONS, NORTHSIDE HOSPITAL SUPPORTED OVER 200 COMMUNITY ORGANIZATIONS WHOSE MISSIONS COMPLEMENT THE HOSPITAL'S MISSION AND WHOSE INITIATIVES ALIGN WITH THE HOSPITAL'S IDENTIFIED HEALTH NEEDS. WHILE SOME OF THE RECIPIENT ORGANIZATIONS ARE WELL-KNOWN COMMUNITY GROUPS SUCH AS THE AMERICAN CANCER SOCIETY AND THE AMERICAN HEART ASSOCIATION, NORTHSIDE ALSO SUPPORTED SMALLER, GRASSROOTS ORGANIZATIONS SUCH AS BOAT PEOPLE SOS. BOAT PEOPLE SOS WAS ESTABLISHED IN 2000 WITH THE MISSION TO EMPOWER, ORGANIZE, AND EQUIP VIETNAMESE INDIVIDUALS AND COMMUNITIES IN THEIR PURSUIT OF LIBERTY AND DIGNITY. THROUGH THEIR HEALTH AWARENESS AND PROMOTION PROGRAM, BOAT PEOPLE SOS HAS PROVIDED NECESSARY HEALTH SERVICES TO OVER 2,000 UNINSURED PATIENTS. NORTHSIDE'S FINANCIAL SUPPORT HELPS TO FUND THEIR LOCAL CLINIC AND TO PROVIDE COMMUNITY HEALTH IMPROVEMENT SERVICES FOR PERSONS LIVING IN POVERTY. THE SECOND HIGHEST DOLLAR IMPACT CATEGORY, COMMUNITY HEALTH IMPROVEMENT SERVICES, INCLUDES ALMOST FIFTY PROGRAMS WITH NEARLY 470 OCCURRENCES. MUCH OF THE ACTIVITY INCLUDES COMMUNITY AND CORPORATE HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION EVENTS AND COMMUNITY-BASED CANCER SCREENINGS. HOWEVER, A COUPLE OF UNIQUE PROGRAMS MAY APPEAR SMALLER IN TERMS OF OCCURRENCES BUT HAVE A MEANINGFUL IMPACT ON THE COMMUNITY'S DISPARATE POPULATION. ONE SUCH PROGRAM IS THE FINANCIAL ACCESS SURGERY PROGRAM OR FASP. NORTHSIDE'S FASP WAS DESIGNED SPECIFICALLY TO ADDRESS AN UNMET COMMUNITY-BASED NEED FOR HIGH QUALITY, FINANCIALLY ACCESSIBLE, SPECIALTY SERVICES FOR THE UNINSURED OR UNDERINSURED POPULATION. MORE SPECIFICALLY, VARIOUS CHARITY ORGANIZATIONS AND FREE CLINICS SERVING THE METROPOLITAN ATLANTA AREA HAVE CONFIRMED DIFFICULTY SECURING ACCESS TO NEEDED OUTPATIENT SURGICAL SERVICES FOR THE POPULATIONS THEY SERVE. NORTHSIDE NOW HAS REFERRAL ARRANGEMENTS WITH APPROXIMATELY 60 CHARITABLE ORGANIZATIONS, INCLUDING SAFETY NET CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS, TO REFER PATIENTS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD OR OBTAIN MEDICALLY NECESSARY OUTPATIENT SURGERY. PATIENTS ARE PRE-SCREENED BASED ON FINANCIAL STATUS AND MEDICAL NECESSITY, AMONG OTHER FACTORS. THE FASP IS DESIGNED TO COVER THE ENTIRE SURGICAL EPISODE OF CARE INCLUDING PRE- AND POST-OPERATIVE SERVICES AND, AS NEEDED, RELATED SERVICES SUCH AS ANESTHESIA, RADIOLOGY, PHARMACY AND LABORATORY. THE FASP BEGAN IN 2012 WITH ONE (1) LOCATION AND HAS GROWN TO FOUR (4) LOCATIONS BASED ON COMMUNITY DEMAND. ANOTHER UNIQUE COMMUNITY HEALTH IMPROVEMENT PROGRAM IS NORTHSIDE'S IMAGING OUTREACH PROGRAM. THROUGH THIS PROGRAM, NORTHSIDE PROVIDES A COMPREHENSIVE RANGE OF IMAGING SERVICES TO LOW INCOME, UNINSURED OR UNDERINSURED PATIENTS. A DEDICATED IMAGING CHARITY COORDINATOR RECEIVES REFERRALS FROM COMMUNITY SAFETY NET CLINICS, ASSISTS PATIENTS WITH COMPLETING NORTHSIDE'S FINANCIAL ASSISTANCE APPLICATION PROCESS, SCHEDULES THE PATIENT'S EXAM, AND SENDS THE RESULTS BACK TO THE REFERRING CLINIC. IN ESSENCE, NORTHSIDE HAS ESTABLISHED A SUCCESSFUL MEDICAL HOME NETWORK MODEL OF CARE THAT IS DEDICATED TO SERVING THE COMMUNITY'S MOST VULNERABLE POPULATION. THESE ARE JUST A FEW EXAMPLES OF HOW NORTHSIDE HOSPITAL IS FULFILLING ITS CHARITABLE MISSION AND PROVIDING MEANINGFUL BENEFITS TO ITS COMMUNITY.
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 11B	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 APPROVAL OF 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 89 CLINICIANS AND 110 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 126 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 61 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 320,835,541. MANAGEMENT AND GENERAL EXPENSES 150,710,053. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 471,545,594.
FORM 990, PART XI, LINE 9:	CHANGE IN PENSION 90,534,751. EQUITY TRANSFER -2,182,940. INCOME FROM JOINT VENTURES NOT ON BOOKS -1,817,157. OTHER CHANGES IN NET ASSETS -124,566. INTERCOMPANY FORGIVENESS 1,042,360.
COMMUNITY BENEFITS REPORT - FISCAL YEAR 2018	ABOUT US NORTHSIDE'S COMMITMENT TO HEALTH AND WELLNESS IN THE ATLANTA COMMUNITY BEGAN IN 1970 WITH THE OPENING OF NORTHSIDE HOSPITAL ATLANTA. SINCE THEN, THE NORTHSIDE HOSPITAL SYSTEM HAS GROWN TO INCLUDE THREE GENERAL ACUTE CARE HOSPITALS, 1,051 INPATIENT BEDS, A NETWORK OF MORE THAN 2,900 PHYSICIANS, AND 15,000 EMPLOYEES. ADDITIONALLY, NORTHSIDE OPERATES MORE THAN 150 OUTPATIENT LOCATIONS IN COUNTIES ACROSS THE GREATER METROPOLITAN ATLANTA AREA. OUR MISSION THROUGH ALL OF THE GROWTH, NORTHSIDE HAS REMAINED STEADFAST AND COMMITTED TO ITS MISSION. NORTHSIDE HOSPITAL IS COMMITTED TO THE HEALTH AND WELLNESS OF OUR COMMUNITY. AS SUCH, WE DEDICATE OURSELVES TO BEING A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE. WE PLEDGE COMPASSIONATE SUPPORT, PERSONAL GUIDANCE AND UNCOMPROMISING STANDARDS TO OUR PATIENTS IN THEIR JOURNEYS TOWARD HEALTH OF BODY AND MIND. TO ENSURE INNOVATIVE AND UNSURPASSED CARE FOR OUR PATIENTS, WE ARE DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. AND TO ENHANCE THE WELLNESS OF OUR COMMUNITY, WE COMMIT OURSELVES TO PROVIDING A DIVERSE ARRAY OF EDUCATIONAL AND OUTREACH PROGRAMS. OUR VALUES NORTHSIDE'S OUTSTANDING REPUTATION IS FUELED BY AN INSTINCTIVE DEVOTION TO A UNIQUE SET OF VALUES. THIS STATEMENT OF VALUES DEFINES AND COMMUNICATES THOSE GUIDING, MOTIVATING PHILOSOPHIES THAT HAVE LED US TO DISTINCTION: EXCELLENCE - A PRIMARY VALUE IN ALL MATTERS OF HEALTH CARE, OUR EXCELLENCE IS BORN OF INDIVIDUAL COMMITMENT TO THE HIGHEST PERSONAL POTENTIAL. FOR IF WE REACH OUR INDIVIDUAL POTENTIALS, WE CAN ACHIEVE EXCELLENCE AS AN INSTITUTION. COMPASSION - WE BELIEVE THAT EACH PERSON IS UNIQUE - PATIENT, FAMILY OR CAREGIVER - IN HEALTH, IN SICKNESS, IN LIFE, IN DEATH. EACH IS TO RECEIVE OUR RESPECT, OUR CARE, OUR APPRECIATION AND OUR CONCERN.....OUR EMPATHY. COMMUNITY - WE VALUE ITS WELL-BEING AND ARE COMMITTED TO ITS PROGRESS. IN ADDITION TO OUR SERVICES, WE PROVIDE AN IMPORTANT CORPORATE CONTRIBUTION, EXPRESSED THROUGH INVOLVEMENT WITH THE PEOPLE, ORGANIZATIONS AND JURISDICTIONS THAT VITALIZE, ENERGIZE AND SUPPORT OUR REGION. SERVICE - WE RECOGNIZE A PERSONALIZED EXPRESSION OF CARING WHICH TRANSCENDS PHYSICAL ASPECTS OF HEALTH. WE REALIZE THAT THIS DEPTH OF SERVICE TO OTHERS CAN BE THE SOURCE OF OUR OWN GROWTH AND WELL-BEING, WHILE MAINTAINING A FINANCIALLY SUCCESSFUL ORGANIZATION. TEAMWORK - OUR SUCCESS STEMS FROM TEAMWORK. WE RECOGNIZE THE EQUAL VALUE AND INDIVIDUAL CONTRIBUTION OF EACH MEMBER OF OUR TEAM. WE BELIEVE IN MUTUAL REGARD FOR EACH OTHER AND FOR OUR PATIENTS. WE ENCOURAGE TEAMWORK BY WORKING TOGETHER RESPECTFULLY, COMMUNICATING OPENLY AND SUPPORTING THE EXPRESSION OF DIFFERING OPINIONS AND PERSPECTIVES. PROGRESS & INNOVATION - WE UNDERSTAND THE NEED FOR THESE ATTRIBUTES IN PATIENT CARE AND ORGANIZATIONAL MANAGEMENT. WHILE PRESERVING THE TRADITION AND WISDOM OF THOSE WHO HAVE GONE BEFORE US, WE SEEK NEW INFORMATION AND STATE-OF-THE-ART TECHNOLOGY. WE WELCOME NEW INSIGHTS, NEW TECHNIQUES, NEW IDEAS AND WILL REMAIN LEADERS IN THE HEALTH CARE OF OUR COMMUNITY. OUR COMMUNITY NORTHSIDE'S CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") COVERS FY 2016 - FY 2018, AND MARKS THE SECOND CYCLE OF ASSESSING, PRIORITIZING AND ADDRESSING OUR COMMUNITY'S HEALTH NEEDS. GIVEN THE GEOGRAPHIC PROXIMITY OF NORTHSIDE'S THREE HOSPITALS, NORTHSIDE HOSPITAL ATLANTA ("NHA"), NORTHSIDE HOSPITAL CHEROKEE ("NHC") AND NORTHSIDE HOSPITAL FORSYTH ("NHF"), NORTHSIDE DEVELOPED A SINGLE COMMUNITY DEFINITION FOR THE FY 2016 - FY 2018 CHNA. NORTHSIDE'S COMMUNITY IS DEFINED AS: CHEROKEE, COBB, DAWSON, DEKALB, FORSYTH, FULTON, GWINNETT, AND PICKENS COUNTIES. TOGETHER THESE COUNTIES REPRESENTED EIGHTY-FOUR PERCENT (84%) OF THE SYSTEM'S TOTAL CASES INCLUDING EIGHTY-ONE PERCENT (81%) OF NHA'S, NINETY-TWO PERCENT (92%) OF NHC'S AND EIGHTY-NINE PERCENT (89%) OF NHF'S TOTAL CASES. IDEALLY, NORTHSIDE WOULD HAVE UNLIMITED RESOURCES TO ADDRESS ALL OF THE COMMUNITY'S IDENTIFIED NEEDS. HOWEVER, IT IS NOT REALISTIC FOR ANY SINGLE ORGANIZATION TO ADDRESS ALL OF A COMMUNITY'S NEEDS, HENCE THE IMPORTANCE OF PRIORITIZING THE IDENTIFIED NEEDS. NORTHSIDE SELECTED THOSE NEEDS THAT IMPACT THE GREATEST NUMBER OF INDIVIDUALS IN THE COMMUNITY; THOSE NEEDS THAT DISPROPORTIONATELY IMPACT THE MOST VULNERABLE POPULATIONS; THOSE NEEDS THAT ARE MOST SEVERE AND/OR PREVALENT; AND THOSE NEEDS THAT NORTHSIDE HAS THE WHEREWITHAL TO ADDRESS. THUS, NORTHSIDE'S FY 2016 - FY 2018 PRIORITIZED HEALTH NEEDS INCLUDE: 1. CANCER 2. CARDIOVASCULAR DISEASE 3. HEALTHY LIFESTYLE BEHAVIORS 4. MATERNAL AND INFANT HEALTH 5. PREVENTIVE HEALTH BEHAVIORS 6. OBESITY AND DIABETES IT IS IMPORTANT TO NOTE THAT OVER THE COURSE OF ITS CHNA DEVELOPMENT, NORTHSIDE IDENTIFIED OVER FOUR HUNDRED (400) RESOURCES LOCATED THROUGHOUT THE COMMUNITY. THESE RESOURCES ARE AVAILABLE TO THE COMMUNITY TO HELP ADDRESS ALL OF THE NEEDS NORTHSIDE IDENTIFIED, INCLUDING THOSE NEEDS THAT NORTHSIDE IS NOT FORMALLY ADDRESSING. SEEKING COMMUNITY INPUT NORTHSIDE IDENTIFIED INDIVIDUALS IN THE COMMUNITY WHO COULD PROVIDE A UNIQUE PERSPECTIVE AND CONNECTION TO THE COMMUNITY AND ITS MEMBERS' HEALTH NEEDS. NORTHSIDE MADE SPECIFIC EFFORTS TO IDENTIFY STAKEHOLDERS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. AFTER IDENTIFYING STAKEHOLDERS TO INTERVIEW, NORTHSIDE DEVELOPED THE STAKEHOLDER ASSESSMENT DISCUSSION GUIDE. THIS GUIDE WAS USED TO LEAD A DISCUSSION WITH EACH STAKEHOLDER TO LEARN ABOUT THE NEEDS AND RESOURCES WITHIN THE NORTHSIDE COMMUNITY. FOR THIS PROCESS, NORTHSIDE REACHED OUT TO 41 STAKEHOLDERS, INCLUDING REPRESENTATIVES AT ALL COUNTY-LEVEL PUBLIC HEALTH DEPARTMENTS IN THE COMMUNITY. THIS OUTREACH EFFORT RESULTED IN THE COMPLETION OF 23 STAKEHOLDER INTERVIEWS COMPRISING: PUBLIC HEALTH DEPARTMENTS (7), SAFETY-NET CLINICS (7), COMMUNITY ORGANIZATIONS (5), OTHER LOCAL GOVERNMENT (2), AND BUSINESS COMMUNITY (2).
OUR COMMUNITY BENEFIT PROGRAM ACTIVITIES	AS A NOT-FOR-PROFIT ENTITY, NORTHSIDE ALWAYS HAS BEEN MISSION DRIVEN TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY MEMBERS AND TO SERVE ALL, REGARDLESS OF ABILITY TO PAY. NORTHSIDE HAS A LONG HISTORY OF COMMUNITY OUTREACH WHETHER THROUGH EDUCATION, SUPPORT GROUPS, OR SCREENINGS AND HEALTH FAIRS. THROUGH THE CHNA PROCESS, NORTHSIDE'S OUTREACH EFFORTS ARE BECOMING MORE STRATEGIC IN NATURE AND MORE COLLABORATIVE. ALSO, THERE IS NOW A FORMAL FRAMEWORK AND STRUCTURE SURROUNDING NORTHSIDE'S OUTREACH EFFORTS WHICH ENABLES IMPROVED CAPTURE AND REPORTING. SINCE FY 2016, NORTHSIDE HAS INCREASED THE NUMBER OF PEOPLE REACHED VIA ITS COMMUNITY BENEFIT PROGRAM ACTIVITIES FROM JUST OVER 239,000 TO JUST OVER 270,000 (I.E., 13%) AND HAS INCREASED THE REPORTED VALUE OF THESE EFFORTS FROM ROUGHLY $4.5 MILLION TO JUST OVER $8.0 MILLION (I.E., 76%). AS NOTED PREVIOUSLY, NORTHSIDE'S CURRENT CHNA COVERS FY 2016 - FY 2018. IT WAS ADOPTED BY THE NORTHSIDE HOSPITAL PLANNING COMMITTEE IN JULY 2016 AND POSTED ON THE ORGANIZATION'S WEBSITE IN SEPTEMBER 2016. OVER THE COURSE OF FY 2017 AND FY 2018, NORTHSIDE ENGAGED IN NUMEROUS ACTIVITIES TO MEET THE SIX (6) PRIORITIZED HEALTH NEEDS NOTED ABOVE AND AS OUTLINED IN ITS IMPLEMENTATION STRATEGY. NORTHSIDE PAID PARTICULAR ATTENTION TO THE CHALLENGES FACING THE COMMUNITY'S MOST VULNERABLE POPULATIONS WHILE ALSO LOOKING TO HELP IMPROVE THE HEALTH STATUS OF THE BROADER COMMUNITY. FOLLOWING IS A HIGH-LEVEL SUMMARY OF THE OBJECTIVE MEASURES (DOLLARS SPENT AND NUMBER SERVED) OF THESE COMMUNITY BENEFIT EFFORTS. CANCER COMMUNITY HEALTH EDUCATION: -HEALTH FAIRS: NORTHSIDE'S ONCOLOGY DEPARTMENT ATTENDED 230 HEALTH FAIRS/COMMUNITY EVENTS, WHERE THEY DISTRIBUTED EDUCATIONAL MATERIALS REGARDING CANCER RISK, TREATMENT AND PREVENTION AS WELL AS PROVIDED SCREENINGS IN FY 2017 - FY 2018. EDUCATIONAL MATERIALS AND SCREENINGS WERE PROVIDED TO APPROXIMATELY 62,717 ATTENDEES, ACCOUNTING FOR $94,352 IN COMMUNITY BENEFIT. -EDUCATIONAL PRESENTATIONS: NORTHSIDE'S ONCOLOGY DEPARTMENT MADE 59 EDUCATIONAL PRESENTATIONS THROUGHOUT THE COMMUNITY TO 10,231 ATTENDEES FROM FY 2017 - FY 2018, ACCOUNTING FOR $14,875 IN COMMUNITY BENEFIT. -SMOKING CESSATION: NORTHSIDE FACILITATED 25 SMOKING CESSATION COURSES FROM FY 2017 - FY 2018 WHERE 100% OF PARTICIPANTS (87) QUIT. COMMUNITY-BASED CLINICAL HEALTH SERVICES: -PROSTATE CANCER SCREENING: THE PROSTATE CANCER SCREENING TARGETING BLACK MEN PROVIDED 94 SCREENINGS AT A 2017 EVENT, ACCOUNTING FOR $1,688 IN COMMUNITY BENEFIT. 14 ATTENDEES WITH ABNORMAL RESULTS WERE LINKED TO FOLLOW-UP CARE. -NON-HEALTH FAIR SCREENINGS: OUTSIDE OF HEALTH FAIR SETTINGS, NORTHSIDE'S ONCOLOGY DEPARTMENT HELD 19 SCREENING EVENTS (10 SKIN CANCER, 9 PROSTATE CANCER) FROM FY 2017 - FY 2018. APPROXIMATELY 2,376 PEOPLE WERE SCREENED, ACCOUNTING FOR $67,879 IN COMMUNITY BENEFIT. -HEALTH PROFESSIONALS EDUCATION: FROM FY 2017 TO FY 2018, NORTHSIDE HELD 3 CANCER-RELATED CONFERENCES THAT PROVIDED CONTINUING EDUCATION CREDITS TO HEALTH PROFESSIONALS: 1) NHCI SYMPOSIUM 2017: ONCOLOGY FOR PRIMARY CARE PHYSICIANS, 2) NHCI SYMPOSIUM 2018: A MULTIDISCIPLINARY APPROACH TO GASTROINTESTINAL CANCER, 3) GLOBAL BREAKTHROUGHS: BREAST & OVARIAN CANCER. THESE CONFERENCES HAD A TOTAL OF 214 ATTENDEES AND ACCOUNTED FOR $97,941 IN COMMUNITY BENEFIT. CARDIOVASCULAR DISEASE COMMUNITY-BASED CLINICAL HEALTH SERVICES: NHF'S CARDIOLOGY DEPARTMENT HOSTED AN ANNUAL CARDIOVASCULAR SCREENING IN FY 2017 AND FY 2018 WHERE 166 ATTENDEES RECEIVED SCREENINGS, ACCOUNTING FOR $9,993 IN COMMUNITY BENEFIT. NORTHSIDE'S CORPORATE & COMMUNITY HEALTH SOLUTIONS DEPARTMENT HOSTED 112 SCREENING EVENTS WHERE CARDIOVASCULAR SCREENINGS WERE PROVIDED REACHING 8,474 ATTENDEES AND PROVIDING $356,615 IN COMMUNITY BENEFIT. COMMUNITY HEALTH EDUCATION: NORTHSIDE'S MARKETING DEPARTMENT HOSTED ITS SPEAKER'S BUREAU SERIES IN FY 2017 AND FY 2018, WHERE 7 OF THE PRESENTATIONS WERE RELATED TO CARDIOVASCULAR DISEASES. THERE WERE 240 ATTENDEES ACCOUNTING FOR $3,002 IN COMMUNITY BENEFIT. NORTHSIDE FORSYTH'S CARDIOLOGY DEPARTMENT ATTENDED 7 COMMUNITY EVENTS FROM FY 2017 - FY 2018 WHERE EDUCATIONAL MATERIALS WERE DISTRIBUTED. APPROXIMATELY 652 ATTENDEES RECEIVED THESE MATERIALS, ACCOUNTING FOR $5,165 IN COMMUNITY BENEFIT. HEALTH PROFESSIONALS EDUCATION: FROM FY 2017 TO FY 2018, NORTHSIDE HELD 4 CARDIOVASCULAR-RELATED CONFERENCES THAT PROVIDED CONTINUING EDUCATION CREDITS TO HEALTH PROFESSIONALS. THESE CONFERENCES HAD A TOTAL OF 518 ATTENDEES. HEALTHY LIFESTYLE BEHAVIORS COMMUNITY HEALTH EDUCATION: FROM FY 2017 - FY 2018, COMMUNITY MEMBERS WERE EDUCATED ON HEALTHY LIFESTYLE BEHAVIORS BY NORTHSIDE THROUGH NHC'S LEARNING & EDUCATIONAL DEVELOPMENT DEPARTMENT: MIDDLE & HIGH SCHOOL OUTREACH, NH MARKETING DEPARTMENT'S SPEAKER'S BUREAU AND HEALTH FAIRS. A TOTAL OF 8,222 PEOPLE WERE REACHED. MATERNAL AND INFANT HEALTH COMMUNITY HEALTH EDUCATION: -CLASSES: NORTHSIDE OFFERS LOW-COST EDUCATIONAL COURSES ON SEVERAL SUBJECT MATTERS RELATED TO MATERNAL AND INFANT HEALTH, OVER 1,200 CLASSES WERE OFFERED BETWEEN FY 2017 AND FY 2018 IN THE FOLLOWING SUBJECTS: BABY ESSENTIALS, INFANT & CHILD CPR, CHILDBIRTH, AND BREASTFEEDING. 14,722 PEOPLE ATTENDED THESE COURSES. NORTHSIDE'S COMMUNITY BENEFIT STEERING COMMITTEE ("CBSC") IS DEVELOPING A PROGRAM AIMED AT REDUCING THE INCIDENCE OF GESTATIONAL DIABETES IN HISPANIC MOTHERS. COMMITTEE MEMBERS SPENT APPROXIMATELY 21 STAFF HOURS ON PLANNING ACTIVITIES FOR THIS PROGRAM IN FY 2018. -LACTATION SUPPORT: NORTHSIDE SUPPORTED 22,781 WOMEN WITH BREASTFEEDING ADVICE THROUGH NORTHSIDE'S FREE LACTATION SUPPORT LINE. ANOTHER 3,408 MOTHERS ATTENDED NORTHSIDE'S MOM-ME CONNECTION LACTATION SUPPORT GROUP. -ONLINE LIBRARY: NORTHSIDE'S WOMEN'S SERVICES DEPARTMENT HOSTED AN ONLINE LIBRARY OF MATERNITY RESOURCES, WHICH IT PAID $4,808 IN FY 2018 TO OFFER. -COMMUNITY SUPPORT GROUPS: NORTHSIDE'S PERINATAL DEPARTMENT PROVIDES SUPPORT TO MOTHERS AND FAMILIES GRIEVING THE LOSS OF AN INFANT THROUGH PERINATAL LOSS SUPPORT GROUPS AND ATLANTA WALK TO REMEMBER. THESE PROGRAMS REACHED 954 ATTENDEES AND ACCOUNTED FOR $11,216 IN COMMUNITY BENEFIT FROM FY 2017 TO FY 2018. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT AND SAFETY: NORTHSIDE'S WOMEN'S SERVICES AND STRATEGIC PLANNING DEPARTMENTS PARTICIPATED IN TWO COMMITTEES THAT ADVOCATED FOR IMPROVEMENTS IN MATERNAL AND INFANT HEALTH IN GEORGIA: 1) THE GEORGIA PERINATAL QUALITY COLLABORATIVE AND 2) THE GEORGIA MATERNAL MORTALITY REVIEW COMMITTEE. NORTHSIDE REPRESENTATIVES DEDICATED 127 STAFF HOURS TO THESE EFFORTS, ACCOUNTING FOR $8,985 IN COMMUNITY BENEFIT. PREVENTIVE HEALTH BEHAVIORS COMMUNITY-BASED CLINICAL HEALTH SERVICES: NORTHSIDE CONTINUED TO PROVIDE ACCESS TO (NON-EMERGENT YET MEDICALLY-NECESSARY) OUTPATIENT SURGICAL AND ENDOSCOPY SERVICES THROUGH ITS FINANCIAL ACCESS SURGERY PROGRAM ("FASP"). NORTHSIDE PARTNERED WITH TWENTY DIFFERENT SAFETY-NET CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS FROM ACROSS THE METRO-ATLANTA REGION TO IMPROVE ACCESS TO MUCH NEEDED SPECIALTY CARE. OVER THE COURSE OF 2017-2018, THE FASP SERVED 915 UNINSURED/UNDERINSURED PATIENTS WHO OTHERWISE WOULD HAVE GONE UNTREATED UNTIL THEIR NEED BECAME SO GREAT THAT THEY WOULD HAVE NO OPTION BUT TO SEEK CARE IN A LOCAL HOSPITAL'S EMERGENCY ROOM. ALSO, AS NOTED IN ITS FY 2016 - FY 2018 IMPLEMENTATION STRATEGY, NORTHSIDE DID EXPAND THE FASP BY OPENING A NORTH GEORGIA LOCATION IN WOODSTOCK, CHEROKEE COUNTY. THIS LATEST FASP LOCATION BECAME OPERATIONAL IN APRIL 2018. OBESITY & DIABETES COMMUNITY HEALTH EDUCATION: NHC'S LEARNING & EDUCATIONAL DEVELOPMENT DEPARTMENT HOSTED 30 EVENTS AT COMMUNITY ELEMENTARY SCHOOLS IN FY 2018 RELATED TO OBESITY PREVENTION. THESE EVENTS WERE ATTENDED BY APPROXIMATELY 4,955 STUDENTS, ACCOUNTING FOR $17,257 IN COMMUNITY BENEFIT.
REPORTING OUR COMMUNITY FINANCIALS	NORTHSIDE FOLLOWS THE BEST PRACTICES OUTLINED BY THE CATHOLIC HEALTH ASSOCIATION WHEN REPORTING ITS COMMUNITY BENEFIT. ACCORDINGLY, NORTHSIDE PRESENTS ITS FINANCIALS IN TWO CATEGORIES: 1) REPORTABLE COMMUNITY BENEFIT WHICH INCLUDES INDIGENT AND CHARITY CARE, MEDICAID SHORTFALL AND OTHER COMMUNITY BENEFIT PROGRAMS, AND 2) TOTAL COMMUNITY SPEND WHICH INCLUDES REPORTABLE COMMUNITY BENEFIT PLUS BAD DEBT AND MEDICARE SHORTFALL. $210,270,000 FY 2018 REPORTABLE COMMUNITY BENEFIT $139,656,000 COST OF PROVIDING CHARITY CARE $62,548,000 UNREIMBURSED COST OF PROVIDING CARE TO MEDICAID BENEFICIARIES $8,066,000 COST OF OTHER COMMUNITY BENEFIT PROGRAMS $136,741,000 FY 2018 OTHER COMMUNITY SPEND $102,615,000 UNREIMBURSED COST OF PROVIDING CARE TO MEDICARE BENEFICIARIES $34,126,000 UNREIMBURSED COST OF PROVIDING CARE TO OTHER PATIENTS (I.E. BAD DEBT) $347,011,000 FY 2018 TOTAL COMMUNITY SPEND NORTHSIDE WILL CONTINUE TO BE MISSION-DRIVEN. WE WILL FOCUS OUR COMMUNITY BENEFIT ACTIVITIES ON THE HIGHEST PRIORITY NEEDS OF OUR COMMUNITY, DELIVERING A ROBUST ARRAY OF TARGETED PROGRAMS DESIGNED WITH A PARTICULAR FOCUS ON SERVING THE MOST VULNERABLE MEMBERS OF OUR COMMUNITY.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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	0	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	0	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	2,353,482	3,690,144	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	6,434,111	4,197,362	NORTHSIDE HOSPITAL INC
(14) LMG AT NORTHSIDE LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-1436087	PROFESSIONAL SERVICES	GA	35,828,134	18,399,860	NORTHSIDE HOSPITAL INC
(15) NORTHSIDE 993 LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 46-6251430	REAL ESTATE SERVICES	GA	0	0	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	FORREST PARK PRESERVE HOLDINGS LLC
(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	179,327	5,912,524	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
(31) NORTHSIDE HEALTH NETWORK LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-1654872	PROFESSIONAL SERVICES	GA	0	0	NORTHSIDE HOSPITAL INC
(32) NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-5415284	PROFESSIONAL SERVICES	GA	0	0	NORTHSIDE HOSPITAL INC
(33) NORTHSIDE SEPC PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-5334312	PROFESSIONAL SERVICES	GA	0	0	NORTHSIDE HOSPITAL INC
(34) NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-5113736	PROFESSIONAL SERVICES	GA	0	0	NORTHSIDE HOSPITAL INC
(35) NORTH ATLANTA EYE CARE PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-3273795	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 HOSPITAL 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 12C, 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) 2019

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 LLC 5673 PEACHTREE DUNWOODY RD STE 945 ATLANTA,GA30342 20-0075229	AMBULATORY SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	129,985	1,420,471		No			No	64.300 %
(2) HAND & UPPER EXTREMITY SURGERY CENTER OF GA LLC 993 JOHNSON FERRY RD ATLANTA,GA30342 20-0147862	OUTPATIENT SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	197,064	2,876,936		No		Yes		51.000 %
(3) SOVEREIGN REHABILITATION OF GEORGIA LLC 5555 PEACHTREE DUNWOODY RD STE 225 ATLANTA,GA30342 20-5084665	REHABILITATION CENTER	GA	NORTHSIDE HOSPITAL INC	RELATED	-374,912	3,014,822		No		Yes		88.000 %
(4) NASA SURGERY CENTER LLC 1100 JOHNSON FERRY RD STE 180 SANDY SPRINGS,GA30342 26-4824662	AMBULATORY SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	-77,461	846,236		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	2,072,919	12,124,904		No			No	70.000 %
(6) UROLOGY SURGICAL PARTNERS LLC 5673 PEACHTREE DUNWOODY RD SUITE 90 ATLANTA,GA30342 58-2622573	AMBULATORY SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	104,382	2,277,407		No			No	70.000 %
(7) WOODSTOCK ENDOSCOPY CENTER LLC 550 PEACHTREE STREET SUITE 1620 ATLANTA,GA30308 58-2656248	OUTPATIENT SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	413,871	3,833,227		No			No	70.000 %
(8) ADVANCED CENTER FOR JOINT SURGERY LLC 2000 HOWARD FARM DRIVE SUITE T100 CUMMING,GA30041 82-0606082	ORTHOPEDIC SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	-4,568	1,981,857		No			No	51.000 %
(9) 1110 INVESTOR LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-1783922	CONSTRUCTION	GA	N/A
(10) AOA AMC LLC 320 PARKWAY DRIVE NE ATLANTA,GA30312 81-3018210	ONCOLOGY CLINIC	GA	NORTHSIDE HOSPITAL INC	RELATED	153,871	4,352,308		No			No	49.000 %

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) 2019

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) 2019

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) 2019

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) 2019

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	6
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	17,601
6	Total number of volunteers (estimate if necessary) .............	6	980
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	17,604,049
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,997,899	1,020,392
9	Program service revenue (Part VIII, line 2g) .........	3,068,195,685	3,252,869,985
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	13,764,887	21,815,756
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	20,700,814	42,106,668
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,104,659,285	3,317,812,801
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,592,059	3,075,702
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)	1,162,937,054	1,283,592,604
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)....	1,733,097,975	1,868,926,366
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,898,627,088	3,155,594,672
19	Revenue less expenses. Subtract line 18 from line 12.......	206,032,197	162,218,129
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,402,828,834	2,726,110,697
21	Total liabilities (Part X, line 26).............	860,577,883	917,238,461
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,542,250,951	1,808,872,236

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,471,239,365 including grants of $ 3,075,702 ) (Revenue $ 3,289,872,356 )
	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 expenses2,471,239,365

(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) TINA WAKIM........................................................................ VICE PRESIDENT/COO	40.00 .......................	X		1,028,523	0	13,236
(19) WILLIAM EARLY MD........................................................................ GASTROENTEROLOGY/INTERNAL	40.00 .......................		X	929,505	0	26,902
(20) GERALD FEUER MD........................................................................ GYNECOLOGIST/SURGEON	40.00 .......................		X	868,452	0	35,369
(21) KENNETH KRESS MD........................................................................ ORTHOPEDIC SURGEON	40.00 .......................		X	1,196,326	0	21,913
(22) CHARLES DECOOK MD........................................................................ ORTHOPEDIC SURGEON	40.00 .......................		X	1,536,210	0	34,195
(23) NANCY WIGGERS MD........................................................................ RADIATION ONCOLOGIST	40.00 .......................		X	854,382	0	35,405

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	15,490,189	0	344,380

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	430,541
e	Government grants (contributions)		1e	282,641

f	All other contributions, gifts, grants, and similar amounts not included above		1f	307,210

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,020,392

		Business Code
2a	NET PATIENT REVENUE	621990	3,216,877,020	3,094,515,350	9,220,431	113,141,239
b	RENTAL INCOME	531120	17,472,805	17,472,805
c	BILLING REVENUE	561000	6,434,111		3,279,321	3,154,790
d	PARKING REVENUE	812930	5,924,394			5,924,394
e	CAFETERIA & VENDING	722210	5,241,431			5,241,431
f	All other program service revenue.		920,224			920,224
g	Total. Add lines 2a–2f .....		3,252,869,985

3 Investment income (including dividends, interest, and othersimilar amounts) ......			21,815,756			21,815,756
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	MISCELLANEOUS		900099	37,890,014	34,940,806	2,949,208
b	PASSTHROUGH INVESTMENT		621300	4,216,654	2,061,565	2,155,089
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			42,106,668
12	Total revenue. See instructions.....			3,317,812,801	3,148,990,526	17,604,049	150,197,834

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	3,056,130	3,056,130
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	19,572	19,572
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	13,038,487	9,969,519	3,068,968
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........	1,012,022,028	773,814,665	238,207,363
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	54,706,064	41,829,479	12,876,585
9	Other employee benefits .......	133,296,567	101,921,535	31,375,032
10	Payroll taxes ...........	70,529,458	53,928,400	16,601,058
11	Fees for services (non-employees):
a	Management ......	20,422,646	20,422,646
b	Legal .........	33,889,401		33,889,401
c	Accounting ...........	997,131	1,454	995,677
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	2,843,661		2,843,661
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	471,545,594	320,835,541	150,710,053
12	Advertising and promotion ....	12,753,609	403,590	12,350,019
13	Office expenses .......	56,087,522	38,895,823	17,191,699
14	Information technology ......	23,539,159	3,866,108	19,673,051
15	Royalties ..
16	Occupancy ...........	88,090,028	62,459,061	25,630,967
17	Travel ............	2,588,829	1,057,918	1,530,911
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,433,096	999,424	433,672
20	Interest ...........	6,125,927		6,125,927
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	133,680,108	86,207,346	47,472,762
23	Insurance ...	45,501,294	725,697	44,775,597
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	760,474,360	756,607,968	3,866,392
b	BAD DEBT EXPENSE	154,013,312	153,960,784	52,528
c	MINOR EQUIPMENT PURCHAS	13,151,898	8,451,447	4,700,451
d	RECRUITMENT	5,061,837	65,049	4,996,788
e	All other expenses	36,726,954	31,740,209	4,986,745
25	Total functional expenses. Add lines 1 through 24e	3,155,594,672	2,471,239,365	684,355,307	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 ........			55,560	1	61,314
2	Savings and temporary cash investments .........			448,992,646	2	473,740,545
3	Pledges and grants receivable, net ......			252,402	3	309,315
4	Accounts receivable, net .............			212,969,478	4	218,774,559
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			126,630	7	159,474
8	Inventories for sale or use ............			48,666,545	8	53,149,179
9	Prepaid expenses and deferred charges ......			47,586,833	9	36,074,069
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,546,431,502
b	Less: accumulated depreciation	10b	1,281,573,717	995,709,893	10c	1,264,857,785
11	Investments—publicly traded securities .			294,301,580	11	324,565,957
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			291,865,649	14	282,050,766
15	Other assets. See Part IV, line 11 ...........			62,301,618	15	72,367,734
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,402,828,834	16	2,726,110,697

17	Accounts payable and accrued expenses .....	424,592,663	17	488,148,491
18	Grants payable ...		18
19	Deferred revenue .........	1,713,490	19	1,986,595
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	60,000,000	23	89,491,897
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	374,271,730	25	337,611,478
26	Total liabilities. Add lines 17 through 25..	860,577,883	26	917,238,461

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,542,250,951	32	1,808,872,236
33	Total liabilities and net assets/fund balances ........	2,402,828,834	33	2,726,110,697