TY 2019 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) THOMAS Y MCBRIDE III...................................................................... EXECUTIVE VP	5.00 ................. 55.00		X			0	1,550,268	30,204
(2) BEDRI M YUSUF MD...................................................................... VP & CPO	40.00 .................		X			1,405,897	0	71,686
(3) PHILIP R WOLFE...................................................................... PRESIDENT &	5.00 ................. 56.00		X			0	1,218,681	36,190
(4) BETHWEL RAORE MD...................................................................... PHYSICIAN	40.00 .................				X	1,196,797	0	37,372
(5) ROBERT AYER MD...................................................................... PHYSICIAN	40.00 .................				X	1,101,146	0	35,485
(6) PETER WHEELER...................................................................... GENERAL COUN	5.00 ................. 55.00		X			0	1,082,183	35,711
(7) STEVEN A RUBIN...................................................................... EXECUTIVE DI	40.00 .................		X			1,020,249	0	56,876
(8) DAVE J SEECHARAN MD...................................................................... PHYSICIAN	40.00 .................				X	947,988	0	33,013
(9) DAVID LANGFORD MD...................................................................... PHYSICIAN	40.00 .................				X	784,327	0	139,987
(10) RICHARD L HARVEY MD...................................................................... PHYSICIAN	40.00 .................				X	772,893	0	138,661
(11) JOE F CLEMENTS MD...................................................................... PHYSICIAN	40.00 .................			X		349,152	0	37,725
(12) KATHRYN PARRIS MD...................................................................... PHYSICIAN	40.00 .................			X		312,583	0	28,812
(13) MARTIN L AUSTIN MD...................................................................... PHYSICIAN	40.00 .................			X		285,553	15,000	35,875
(14) DARRELL MARK CHEEK MD...................................................................... PHYSICIAN	40.00 .................			X		205,330	0	28,767
(15) BONNY RICHARDSON...................................................................... ASSOCIATE GE	20.00 ................. 40.00		X			0	161,108	27,708
(16) L C JOHNSON...................................................................... BOARD MEMBER	2.00 ................. 5.00	X				0	2,000	0
(17) A KEITH CARNES MD...................................................................... BOARD MEMBER	2.00 ................. 4.00	X				0	2,000	0

- 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

GWINNETT MEDICAL GROUP INC

Employer identification number

58-2143107

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

GWINNETT MEDICAL GROUP INC

Employer identification number

58-2143107

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 GWINNETT MEDICAL GROUP 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
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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

Page 3

Name of organization GWINNETT MEDICAL GROUP INC		Employer identification number 58-2143107

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 GWINNETT MEDICAL GROUP INC			Employer identification number 58-2143107
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

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" 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

GWINNETT MEDICAL GROUP INC

Employer identification number

58-2143107

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

Yes

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

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)
1THOMAS Y MCBRIDE III EXECUTIVE VP & CFO	(i) (ii)	------------- 316,790	------------- 142,088	------------- 1,091,390	------------- 21,000	------------- 9,204	------------- 1,580,472	-------------
2BEDRI M YUSUF MD VP & CPO	(i) (ii)	244,363 -------------	158,330 -------------	1,003,204 -------------	46,885 -------------	24,801 -------------	1,477,583 -------------	32,106 -------------
3PHILIP R WOLFE PRESIDENT & CEO	(i) (ii)	------------- 670,732	------------- 406,192	------------- 141,757	------------- 18,200	------------- 17,990	------------- 1,254,871	-------------
4BETHWEL RAORE MD PHYSICIAN	(i) (ii)	430,619 -------------	536,307 -------------	229,871 -------------	14,000 -------------	23,372 -------------	1,234,169 -------------	-------------
5ROBERT AYER MD PHYSICIAN	(i) (ii)	403,613 -------------	458,098 -------------	239,435 -------------	13,124 -------------	22,361 -------------	1,136,631 -------------	-------------
6PETER WHEELER GENERAL COUNSEL	(i) (ii)	------------- 217,732	------------- 109,575	------------- 754,876	------------- 19,876	------------- 15,835	------------- 1,117,894	------------- 29,816
7STEVEN A RUBIN EXECUTIVE DIRECTOR	(i) (ii)	172,786 -------------	78,926 -------------	768,537 -------------	32,409 -------------	24,467 -------------	1,077,125 -------------	27,040 -------------
8DAVE J SEECHARAN MD PHYSICIAN	(i) (ii)	415,437 -------------	278,577 -------------	253,974 -------------	14,000 -------------	19,013 -------------	981,001 -------------	-------------
9DAVID LANGFORD MD PHYSICIAN	(i) (ii)	580,793 -------------	-------------	203,534 -------------	116,204 -------------	23,783 -------------	924,314 -------------	152,792 -------------
10RICHARD L HARVEY MD PHYSICIAN	(i) (ii)	574,711 -------------	-------------	198,182 -------------	114,802 -------------	23,859 -------------	911,554 -------------	147,946 -------------
11JOE F CLEMENTS MD PHYSICIAN	(i) (ii)	302,544 -------------	45,000 -------------	1,608 -------------	14,000 -------------	23,725 -------------	386,877 -------------	-------------
12KATHRYN PARRIS MD PHYSICIAN	(i) (ii)	229,457 -------------	45,000 -------------	38,126 -------------	13,492 -------------	15,320 -------------	341,395 -------------	-------------
13MARTIN L AUSTIN MD PHYSICIAN	(i) (ii)	232,569 ------------- 15,000	47,333 -------------	5,651 -------------	18,909 -------------	16,966 -------------	321,428 ------------- 15,000	-------------
14DARRELL MARK CHEEK MD PHYSICIAN	(i) (ii)	177,141 -------------	24,754 -------------	3,435 -------------	9,778 -------------	18,989 -------------	234,097 -------------	-------------
15BONNY RICHARDSON ASSOCIATE GEN. LEGAL	(i) (ii)	------------- 132,466	------------- 27,193	------------- 1,449	------------- 15,405	------------- 12,303	------------- 188,816	-------------

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
SCHEDULE J, PAGE 1, PART I, LINE 3	GWINNETT MEDICAL GROUP, INC. RELIES UPON GWINNETT HEALTH SYSTEM, INC. (THE PARENT ORGANIZATION OF A MULTI-ENTITY HEALTH SYSTEM THAT INCLUDES GWINNETT MEDICAL GROUP) TO ESTABLISH AND MONITOR EXECUTIVE COMPENSATION. GWINNETT HEALTH SYSTEM, INC. (THE SYSTEM) BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE (THE COMMITTEE) MADE UP OF VARIOUS INDEPENDENT BOARD MEMBERS WHO REVIEW THE COMPENSATION OF THE CEO, TOP MANAGEMENT AND OTHER KEY-EMPLOYEES THROUGHOUT THE MULTI-ENTITY SYSTEM. THE COMMITTEE IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE CEO. THE CEO IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE OTHER MEMBERS OF TOP MANAGEMENT AND OF THE KEY EMPLOYEES WITH OVERSIGHT FROM THE COMMITTEE. AN INDEPENDENT PROFESSIONAL EXECUTIVE COMPENSATION CONSULTING COMPANY PROVIDES COMPARATIVE SALARY AND BENEFIT INFORMATION AND MAKES RECOMMENDATIONS TO THE COMMITTEE REGARDING EXECUTIVE COMPENSATION. PERIODIC SURVEYS ARE CONDUCTED TO ENSURE FAIR MARKET VALUE EXECUTIVE COMPENSATION.
SCHEDULE J, PAGE 1, PART I, LINE 4	THOMAS Y. MCBRIDE, III 1,034,625 0 0 BEDRI M. YUSUF, MD 856,382 28,685 0 PETER WHEELER 722,080 0 0 STEVEN A. RUBIN 668,123 20,826 0 DAVID LANGFORD, M.D. 0 100,804 0 RICHARD L. HARVEY, MD 0 100,802 0
SCHEDULE J, PART III	CERTAIN DESIGNATED EMPLOYEES ARE ALLOWED TO PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE SERP IS SUBJECT TO THE PROVISIONS OF SECTION 457(F) OF THE INTERNAL REVENUE CODE. PARTICIPANTS WHO SEPARATE FROM SERVICE DUE TO A VOLUNTARY SEPARATION OR AN INVOLUNTARY SEPARATION WITH REASONABLE CAUSE FORFEIT ALL NONVESTED BENEFITS. CURRENT YEAR DEFERRALS ARE REPORTED IN THE PRECEDING TABLE. THE FOLLOWING PARTICIPANTS VESTED AND RECEIVED PAYMENT OF SERP BENEFITS IN THE CALENDAR YEAR THAT ARE INCLUDED IN REPORTABLE COMPENSATION ON THIS FORM 990, PART VII AND ON SCHEDULE J. THEY WERE ALSO REPORTED AS DEFERRED COMPENSATION ON PRIOR RETURNS: PETER WHEELER 29,816 STEVEN RUBIN 27,040 BEDRI M. YUSUF, MD 32,106 DAVID LANGFORD, MD 152,792 RICHARD L. HARVEY, MD 147,946

Schedule J (Form 990) 2019

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SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet

Complete if the organization answered "Yes" on Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet

Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet

Attach to Form 990 or 990-EZ.
bullet

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

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
GWINNETT MEDICAL GROUP INC

Employer identification number
58-2143107

Part I

Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 31, or Form 990-EZ, line 36. Part I can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity
ALL ASSETS- SEE PART 3	08-28-2019			58-1954432	NORTHSIDE HOSPITAL INC 1000 JOHNSON FERRY ROAD NE ATLANTA,GA30342	501(C)(3)

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Yes

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's significant disposition of assets? ........

Yes

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

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

Cat. No. 50087Z

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

Page 2

Part I

Liquidation, Termination, or Dissolution (continued)

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.

Yes

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III .............

Yes

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? ......

Yes

If "Yes," did the organization provide such notice? .....................

Did the organization discharge or pay all of its liabilities in accordance with state laws? .....................

Yes

Did the organization have any tax-exempt bonds outstanding during the year? .....................

If "Yes" on line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?

If "Yes" on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" on line 6b, explain in Part III.

Part II

Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Yes

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........

Yes

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

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

Cat. No. 50087Z

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

Page 3

Part III

Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.

Return Reference	Explanation

SCHEDULE N, PAGE 1, PART I, LINE 2E

KEITH CARNES, MD BECAME A MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS IN NOVEMBER 2019. NORTHSIDE HOSPITAL IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). AS A RESULT OF THE MERGER WITH NORTHSIDE HOSPITAL, SEVERANCE PAYMENTS WERE MADE BY GWINNETT MEDICAL GROUP TO BEDRI YUSUF, MD (VICE PRESIDENT AND CPO) AND STEVEN A. RUBIN (EXECUTIVE DIRECTOR). THESE PAYMENTS ARE DISCLOSED ON SCHEDULE J, PART III. IN ADDITION, THOMAS Y. MCBRIDE, III AND PETER WHEELER WERE OFFICERS OF GWINNETT MEDICAL GROUP AND ALSO RECEIVED SEVERANCE PAYMENTS AS A RESULT OF THE ACQUISITION THAT ARE DISCLOSED ON SCHEDULE J. BOTH OF THESE INDIVIDUALS WERE EMPLOYED BY A RELATED ORGANIZATION.

SCHEDULE N

AT 12:01 A.M. ON AUGUST 28, 2019 GWINNETT HEALTH SYSTEM, INC. MERGED WITH NORTHSIDE HOSPITAL, INC. NORTHSIDE HOSPITAL IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN IRC SECTION 501(C)(3). ALL ASSETS AND LIABILITIES WERE ASSUMED BY NORTHSIDE PURSUANT TO THE MERGER. THE BALANCE SHEET IMMEDIATELY PRIOR TO THE MERGER REFLECTED: CASH 2,268,314 ACCOUNTS RECEIVABLE 4,027,437 NOTES RECEIVABLE 124,382 PREPAID EXPENSES 43,579 FIXED ASSETS (NET) 1,666,325 RELATED PARTY RECEIVABLES 348,003 DEPOSITS & ESCROW 1,611,729 LIABILITIES (15,984,734) NET ASSETS 5,894,965 A VALUATION OF THE GWINNETT HEALTH SYSTEM WAS PERFORMED ON A SYSTEM WIDE BASIS AND IS REPORTED ON SCHEDULE N OF THE THE FORM 990 FOR GWINNETT HEALTH SYSTEM,INC. THE VALUATION WAS NOT PREPARED ON A SEPARATE COMPANY BASIS.

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

Additional Data

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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

GWINNETT MEDICAL GROUP INC

Employer identification number

58-2143107

Return Reference	Explanation
FORM 990 - ORGANIZATION'S MISSION	GWINNETT MEDICAL GROUP, INC., (GMGI),WAS FORMED FOR THE PURPOSE OF ESTABLISHING AND OPERATING CERTAIN HOSPITAL BASED AND CLINICAL OUTREACH PHYSICIAN SERVICES WITH OUR SERVICE COMMUNITY. GMGI EMPLOYS SPECIALTY PHYSICIANS THAT SERVE PATIENTS WITHIN GWINNETT HOSPITAL SYSTEM, INC. AND PRIMARY CARE AND OTHER PHYSICIANS THAT SERVE PATIENTS IN CLINICAL SETTINGS WITHIN THE COMMUNITY. THESE PHYSICIAN SERVICES ARE AN INTEGRAL PART OF THE HEALTHCARE MISSION OF GWINNETT HOSPITAL SYSTEM, INC. AND GWINNETT HEALTH SYSTEM, INC.
FORM 990	PAGE 1 PRINCIPAL OFFICER AND SIGNING OFFICER - ROBERT T. QUATTROCCHI IS PRESIDENT AND CEO OF NORTHSIDE HOSPITAL, INC. MR. QUATTROCCHI SERVES AS THE PRINCIPAL OFFICER OF GWINNETT MEDICAL GROUP FOR FISCAL YEAR PERIOD ENDED AUGUST 27, 2019 SOLELY IN HIS CAPACITY AS PRESIDENT AND CEO OF NORTHSIDE HOSPITAL, INC., SUCCESSOR-IN-INTEREST BY MERGER TO GWINNETT MEDICAL GROUP, INC. SHANNON A. BANNA IS THE CFO OF NORTHSIDE HOSPITAL, INC. MS. BANNA SERVES AS THE CFO OF GWINNETT MEDICAL GROUP FOR FISCAL PERIOD ENDED AUGUST 27, 2019 SOLELY IN HER CAPACITY AS CFO, NORTHSIDE HOSPITAL, INC., SUCCESSOR-IN- INTEREST BY MERGER TO GWINNETT MEDICAL GROUP, INC.
FORM 990, PAGE 2, PART III, LINE 3	EFFECTIVE 12:01 A.M. ON AUGUST 28, 2019, GWINNETT MEDICAL GROUP, INC. MERGED WITH AND INTO NORTHSIDE HOSPITAL, INC., AN UNRELATED GEORGIA NONPROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS EXEMPT UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE OF 1986 (THE SUCCESSOR ORGANIZATION), WITH THE SUCCESSOR ORGANIZATION SURVIVING THE MERGER. THE MERGER RESULTED IN THE REQUIREMENT TO FILE THIS FINAL, SHORT PERIOD TAX RETURN. THE ACTIVITY REPRESENTED IN THIS SHORT PERIOD FORM 990 IS FOR THE PERIOD JULY 1, 2019 THROUGH AUGUST 27, 2019.
FORM 990, PAGE 2, PART III, LINE 4A	GMGI OPERATES AN INPATIENT MEDICAL GROUP AT BOTH GWINNETT MEDICAL CENTER LAWRENCEVILLE (GMCL) AND GWINNETT MEDICAL CENTER DULUTH (GMCD), BOTH OF WHICH ARE PARTS OF GWINNETT HOSPITAL SYSTEM, INC. THE INPATIENT MEDICAL GROUP (THE GROUP) PROVIDES CARE TO PATIENTS AT BOTH GMCL AND GMCD. THE SERVICE IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. THE GROUP ACCEPTS REFERRALS FROM PRIMARY CARE PRACTICES; PROVIDES MEDICAL CONSULTS AS REQUESTED; AND COVERS PATIENTS IN NEED OF ADMISSION FROM THE EMERGENCY DEPARTMENT WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN. OUR INPATIENT PHYSICIANS, OR HOSPITALISTS, HAVE COMPLETED TRAINING IN INTERNAL MEDICINE AND MANY HAVE ADDITIONAL SUBSPECIALTY TRAINING. THE HOSPITALISTS ALLOW PRIMARY CARE PHYSICIANS AT GMCL AND GMCD TO FOCUS ON OUTPATIENT OR OFFICE- BASED CARE BY REFERRING HOSPITALIZED PATIENTS' CARE TO THE TEAM OF HOSPITALISTS WORKING AT GMCL AND GMCD.
FORM 990, PAGE 2, PART III, LINE 4B	GMGI OPERATES THREE UNIQUE SURGICAL PRACTICES: NEUROSURGERY & SPINE ASSOCIATES, GWINNETT TRAUMA SERVICES, AND CARDIOVASCULAR & THORACIC SURGEONS. GMCL IS A LEVEL II TRAUMA CENTER AND THE ONLY DESIGNATED TRAUMA CENTER IN GWINNETT COUNTY. THIS DESIGNATION MEANS GMCL HAS MET THE CRITERIA SET FORTH BY THE GEORGIA OFFICE OF EMERGENCY MEDICAL SERVICE AND TRAUMA TO CARE FOR CRITICALLY INJURED PATIENTS. THE GMGI TRAUMA PROGRAM IS STAFFED BY BOARD-CERTIFIED TRAUMA SURGEONS AND EMERGENCY MEDICINE PHYSICIANS. GMCL HAS ORTHOPEDIC, NEUROSURGERY AND COMPLEX FACIAL TRAUMA SPECIALISTS AVAILABLE. THIS GROUP, WHICH OPERATES IN THE STATE-OF-THE-ART STRICKLAND HEART CENTER AT GMCL, LAUNCHED IN JANUARY 2012, WITH TWO OF THE MOST EXPERIENCED AND RECOGNIZABLE SURGEONS IN THE AREA. GMGI'S TWO CARDIOTHORACIC SURGEONS POSSESS MORE THAN 45 YEARS OF CARDIAC SURGICAL EXPERIENCE. THE GOAL OF THESE PHYSICIANS IS TO PROVIDE WORLD CLASS CARDIAC CARE AND CLINICAL EXCELLENCE. BOTH SPECIALIZE IN VARIOUS OPEN HEART SURGERIES INCLUDING: AORTIC ANEURYSM SURGERY; AORTIC VALVE SURGERY; CORONARY BYPASS; MINIMALLY INVASIVE HEART SURGERY; MITRAL VALVE REPAIR AND REPLACEMENT; OPEN HEART SURGERY; AND VALVE REPAIR AND REPLACEMENT SURGERY. AT NEUROSURGERY & SPINE, PATIENTS RECEIVE COMPREHENSIVE NEUROSURGICAL CARE FROM SOME OF THE REGIONS MOST RESPECTED NEUROSURGEONS. GMGI OFFERS DISTINCT ADVANTAGES FOR THE EXPERT DIAGNOSIS AND TREATMENT OF A COMPREHENSIVE RANGE OF CEREBRAL AND SPINAL ISSUES AND CONDITIONS. WITH SPECIALIZED FELLOWSHIP TRAINING IN CEREBROVASCULAR AND SKULL BASE NEUROSURGERY, COMPLEX AND MINIMALLY INVASIVE SPINE SURGERY AND RESEARCH IN SPINAL CORD THERAPEUTICS DELIVERY, GMGI'S SURGICAL SPECIALISTS HAVE THE EXPERIENCE AND EXPERTISE FOR A RANGE OF SERVICES AND TREATMENTS.
FORM 990, PAGE 2, PART III, LINE 4D	OTHER PATIENT CARE PROGRAM EXPENSES 967,990 TOTAL REVENUES 2,303,382 SERVICES INCLUDE CRITICAL CARE, OB, CARDIO, PEDIATRICS, CONCUSSION, ENT, WOUND CARE, BARIATRICS AND PALLIATIVE CARE.
FORM 990, PART V	THE SECTION 4960 EXCISE TAX DOES NOT APPLY TO THIS ORGANIZATION. ALL EMPLOYEES RECEIVING REMUNERATION IN EXCESS OF SECTION 4960(A) THRESHOLD ARE PHYSICIANS PAID FOR PROVIDING MEDICAL SERVICES. IN ADDITION, NO EMPLOYEE RECEIVED AN EXCESS PARACHUTE PAYMENT.
FORM 990, PAGE 6, PART VI, LINE 6	THE SOLE MEMBER OF GWINNETT MEDICAL GROUP, INC. IS GWINNETT HEALTH SYSTEM, INC., A RELATED SECTION 501(C)(3) ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF GWINNETT MEDICAL GROUP, INC. IS APPOINTED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS OF GWINNETT HEALTH SYSTEM, INC.
FORM 990, PAGE 6, PART VI, LINE 7B	UNDER THE ORGANIZATION'S GOVERNING DOCUMENTS, CERTAIN DECISIONS MADE BY THE GOVERNING BODY MUST BE APPROVED BY THE BOARD OF DIRECTORS OF GWINNETT HEALTH SYSTEM, INC. (A RELATED SECTION 501(C)(3) PARENT ORGANIZATION AND THE SOLE MEMBER OF THE ORGANIZATION).
FORM 990, PAGE 6, PART VI, LINE 11B	EFFECTIVE 12:01 A.M. ON AUGUST 28, 2019, GWINNETT MEDICAL GROUP, INC. MERGED WITH AND INTO NORTHSIDE HOSPITAL,INC., AN UNRELATED GEORGIA NONPROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS EXEMPT UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE OF 1986 (THE SUCCESSOR ORGANIZATION), WITH THE SUCCESSOR ORGANIZATION SURVIVING THE MERGER. THE MERGER OCCURRED PRIOR TO THE FILING OF THIS RETURN. AFTER THE RETURN WAS PREPARED AND PRIOR TO FILING, IT WAS REVIEWED IN DETAIL BY SENIOR FINANCIAL MANAGEMENT OF THE SUCCESSOR ORGANIZATION. THIS RETURN IS THE FINAL RETURN FOR GWINNETT MEDICAL GROUP.
FORM 990, PAGE 6, PART VI, LINE 12C	ANNUALLY, A CONFLICTS OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO AND DISCUSSED WITH EACH MEMBER OF THE BOARD OF DIRECTORS. THE HOSPITAL'S LEGAL DEPARTMENT IS RESPONSIBLE FOR ENSURING THESE QUESTIONNAIRES ARE SIGNED AND RETURNED. LEGAL MONITORS ALL TRANSACTIONS INVOLVING CONFLICTS OF INTEREST WITH BOARD MEMBERS. BOARD MEMBERS MUST DISCLOSE POTENTIAL CONFLICTS USING A REASONABLE BELIEF STANDARD; PLAY NO DIRECT OR INDIRECT PART IN DELIBERATIONS; AND ABSENT THEMSELVES FROM ANY MEETING AT WHICH A CONFLICT IS DISCUSSED. ONLY NONCONFLICTED MEMBERS MAY DECIDE TO PURSUE A TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT IF A MAJORITY DETERMINES THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. VIOLATION OF THE COI POLICY IS SUBJECT TO CORRECTIVE ACTION, INCLUDING EXONERATION, CENSURE AND/OR REQUESTING RESIGNATION OF THE MEMBER. APPROVAL FOR ANY LOANS, PAYMENTS, HONORARIUMS, TRIP OR TRAVEL REIMBURSEMENTS, SERVICES, PRODUCTS, ENTERTAINMENT, PRIZES OR AWARDS PROVIDED TO ANY BOARD MEMBER MUST BE APPROVED BY AN ADMINISTRATIVE OFFICER OR HIS OR HER DESIGNEE. THE CEO MUST OBTAIN APPROVAL OF THE CHAIRMAN OF THE BOARD (AND PAYMENTS TO THE CEO ARE APPROVED BY ANOTHER ADMINISTRATIVE OFFICER). IN ADDITION, HUMAN RESOURCES SENDS OUT A CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM TO OFFICERS AND KEY EMPLOYEES EVERY 3 - 5 YEARS. THESE OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICT THAT ARISE DURING THE FISCAL YEAR.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE FILED WITH AND AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE OR THROUGH THAT OFFICE. THESE DOCUMENTS CAN ALSO BE OBTAINED BY CONTACTING GWINNETT HOSPITAL SYSTEM. THE CONFLICT OF INTEREST POLICY CAN BE OBTAINED BY CONTACTING THE HOSPITAL. CERTAIN DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE HOSPITAL. FOR MORE INFORMATION VISIT - HTTPS://WWW.GWINNETTMEDICALCENTER.ORG/FACILITIES/NORTHSIDE-HOSPITAL- GWINNETT.
FORM 990, PART VII	BOARD MEMBERS OF GWINNETT ENTITIES ARE PROVIDED A SMALL STIPEND FOR THEIR SERVICES.
FORM 990, PART XI, LINE 9	TRANSFER TO GWINNETT HEALTH SYSTEM -150,397 MERGER INTO NORTHSIDE HOSPITAL 5,894,965 TOTAL 5,744,568
FORM 990, PART XII	THE SHORT PERIOD OF OPERATIONS FOR GWINNETT MEDICAL GROUP, INC. PRIOR TO ITS MERGER WITH NORTHSIDE HOSPITAL (JULY 1, 2019 THROUGH AUGUST 27, 2019) WHICH ARE DISCLOSED IN THIS FORM 990 WILL NOT BE AUDITED. THE OPERATIONS OF NORTHSIDE HOSPITAL, INC. WERE AUDITED FOR THE PERIOD ENDED SEPTEMBER 30, 2019 AND INCLUDE THE POST-MERGER OPERATIONS OF GWINNETT MEDICAL GROUP FOR THE PERIOD BEGINNING AUGUST 28, 2019 THROUGH THE END OF THE FISCAL YEAR. THE FOLLOWING TAX FOOTNOTE IS TAKEN FROM THE JUNE 30, 2019 CONSOLIDATED FINANCIAL STATEMENTS OF GWINNETT HEALTH SYSTEM, INC. AND AFFILIATES. THE SYSTEM, THE HOSPITAL, GMPI, AND GMGI HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C) (3). THE SYSTEM, THE HOSPITAL, GMPI AND GMGI ARE SUBJECT TO FEDERAL INCOME TAX ON UNRELATED BUSINESS INCOME. GMCI IS A TAXABLE NONPROFIT CORPORATION WITH LIMITED ACTIVITY AND NO MATERIAL INCOME TAX EXPENSE. THE SYSTEM APPLIES FASB ASC TOPIC 740, INCOME TAXES, WHICH ADDRESSES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS. IT ALSO PROVIDES GUIDANCE ON THE TIMING OF RECOGNITION OF TAX POSITIONS IN AN ENTITY'S FINANCIAL STATEMENTS AND THE DETERMINATION OF THE VALUES OF THESE POSITIONS. THE SYSTEM DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX POSITIONS THAT SHOULD BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR 2019.

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

GWINNETT MEDICAL GROUP INC

Employer identification number

58-2143107

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)	(f) Direct controlling entity
(1) GWINNETT PHYSICIAN GROUP LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 20-4553410	PRACTICE	GA	GW MED GRP
(2) COVENANT FAMILY MEDICINE GMG LLC 2098 TERON TRACE STE 150 DACULA,GA30019 45-5527595	PRACTICE	GA	GW MED GRP
(3) GROFF FAMILY MEDICINE LLC 115 LEE BYRD ROAD LOGANVILLE,GA30052 46-1199052	PRACTICE	GA	GW MED GRP
(4) GWINNETT CARDIOLOGY SERVICES LLC 755 WALTHER ROAD LAWENCEVILLE,GA30046 46-1977635	PRACTICE	GA	GW MED GRP
(5) GWINNETT HEART SPECIALISTS LLC 766 WALTHER ROAD LAWRENCEVILLE,GA30046 46-1448962	PRACTICE	GA	GW MED GRP
(6) GWINNETT EAR NOSE & THROAT LLC 3855 PLEASANT HILL ROAD STE 280 DULUTH,GA30096 46-4629088	PRACTICE	GA	GW MED GRP

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)GWINNETT HOSPITAL SYSTEM INC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-2002413	HOSPITAL	GA	501C3	3	HEALTH SYS		No
(2)GWINNETT HEALTH SYSTEM INC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-2135755	PARENT	GA	501C3	12C	NA		No
(3)GWINNETT MEDICAL PROPERTIES INC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-2132516	REAL ESTAT	GA	501C3	12B	HEALTH SYS		No
(4)GWINNETT HOSPITAL SYSTEM FOUNDATION 1755 NORTH BROWN ROAD 100 LAWRENCEVILLE,GA30043 58-1828486	FUNDRAISIN	GA	501C3	7	NA		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	(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 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) GWINNETT SURGERY CENTER LLC 691 PROFESSIONAL DRIVE STE 390 LAWRENCEVILLE,GA30046 27-2819709	MEDICAL SV	GA	N/A				No			No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(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) GWINNETT MANAGED CARE INC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-2135759	PHO	GA	N/A					No
(2) SEQUENT HEALTH PHYSICIAN PARTNERS 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 47-1511997	CL. INTEGR	GA	N/A					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) ............................

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

Yes

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

Yes

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

Yes

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) .......................

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) ...................

Yes

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

Yes

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

Yes

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

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: GWINNETT MEDICAL GROUP, INC., (GMGI),WAS FORMED FOR THE PURPOSE OF ESTABLISHING AND OPERATING CERTAIN HOSPITAL BASED AND CLINICAL OUTREACH PHYSICIAN SERVICES WITH OUR SERVICE COMMUNITY. GMGI EMPLOYS SPECIALTY PHYSICIANS THAT SERVE PATIENTS WITHIN GWINNETT HOSPITAL SYSTEM, INC. AND PRIMARY CARE AND OTHER PHYSICIANS THAT SERVE PATIENTS IN CLINICAL SETTINGS WITHIN THE COMMUNITY. THESE PHYSICIAN SERVICES ARE AN INTEGRAL PART OF THE HEALTHCARE MISSION OF GWINNETT HOSPITAL SYSTEM, INC. AND GWINNETT HEALTH SYSTEM, INC.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	5
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	32,665,587	31,960
9	Program service revenue (Part VIII, line 2g) .........	34,900,180	5,629,531
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....		17,667
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	274,027	209,641
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	67,839,794	5,888,799
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	52,131,024	9,307,326
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	15,332,965	2,697,731
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	67,463,989	12,005,057
19	Revenue less expenses. Subtract line 18 from line 12.......	375,805	-6,116,258
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	9,593,691	0
21	Total liabilities (Part X, line 26).............	9,222,001	0
22	Net assets or fund balances. Subtract line 21 from line 20.....	371,690	0

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,451,846 including grants of $ ) (Revenue $ 1,157,273 )
	GMGI OPERATES AN INPATIENT MEDICAL GROUP AT BOTH GWINNETT MEDICAL CENTER LAWRENCEVILLE (GMCL) AND GWINNETT MEDICAL CENTER DULUTH (GMCD), BOTH OF WHICH ARE PARTS OF GWINNETT HOSPITAL SYSTEM, INC. THE INPATIENT MEDICAL GROUP (THE GROUP) PROVIDES CARE TO PATIENTS AT BOTH GMCL AND GMCD. THE SERVICE IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. THE GROUP ACCEPTS REFERRALS FROM PRIMARY CARE PRACTICES; PROVIDES MEDICAL CONSULTS AS REQUESTED; AND COVERS PATIENTS IN NEED OF ADMISSION FROM THE EMERGENCY DEPARTMENT WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN. OUR INPATIENT PHYSICIANS, OR HOSPITALISTS, HAVE COMPLETED TRAINING IN INTERNAL MEDICINE AND MANY HAVE ADDITIONAL SUBSPECIALTY TRAINING. THE HOSPITALISTS ALLOW PRIMARY CARE PHYSICIANS AT GMCL AND GMCD TO FOCUS ON OUTPATIENT OR OFFICE- BASED CARE BY REFERRING HOSPITALIZED PATIENTS' CARE TO THE TEAM OF HOSPITALISTS WORKING AT GMCL AND GMCD.

4b	(Code: ) (Expenses $ 2,403,273 including grants of $ ) (Revenue $ 821,383 )
	GMGI OPERATES THREE UNIQUE SURGICAL PRACTICES: NEUROSURGERY & SPINE ASSOCIATES, GWINNETT TRAUMA SERVICES, AND CARDIOVASCULAR & THORACIC SURGEONS. GMCL IS A LEVEL II TRAUMA CENTER AND THE ONLY DESIGNATED TRAUMA CENTER IN GWINNETT COUNTY. THIS DESIGNATION MEANS GMCL HAS MET THE CRITERIA SET FORTH BY THE GEORGIA OFFICE OF EMERGENCY MEDICAL SERVICE AND TRAUMA TO CARE FOR CRITICALLY INJURED PATIENTS. THE GMGI TRAUMA PROGRAM IS STAFFED BY BOARD-CERTIFIED TRAUMA SURGEONS AND EMERGENCY MEDICINE PHYSICIANS. GMCL HAS ORTHOPEDIC, NEUROSURGERY AND COMPLEX FACIAL TRAUMA SPECIALISTS AVAILABLE. THIS GROUP, WHICH OPERATES IN THE STATE-OF-THE-ART STRICKLAND HEART CENTER AT GMCL, LAUNCHED IN JANUARY 2012, WITH TWO OF THE MOST EXPERIENCED AND RECOGNIZABLE SURGEONS IN THE AREA. GMGI'S TWO CARDIOTHORACIC SURGEONS POSSESS MORE THAN 45 YEARS OF CARDIAC SURGICAL EXPERIENCE. THE GOAL OF THESE PHYSICIANS IS TO PROVIDE WORLD CLASS CARDIAC CARE AND CLINICAL EXCELLENCE. BOTH SPECIALIZE IN VARIOUS OPEN HEART SURGERIES INCLUDING: AORTIC ANEURYSM SURGERY; AORTIC VALVE SURGERY; CORONARY BYPASS; MINIMALLY INVASIVE HEART SURGERY; MITRAL VALVE REPAIR AND REPLACEMENT; OPEN HEART SURGERY; AND VALVE REPAIR AND REPLACEMENT SURGERY. AT NEUROSURGERY & SPINE, PATIENTS RECEIVE COMPREHENSIVE NEUROSURGICAL CARE FROM SOME OF THE REGIONS MOST RESPECTED NEUROSURGEONS. GMGI OFFERS DISTINCT ADVANTAGES FOR THE EXPERT DIAGNOSIS AND TREATMENT OF A COMPREHENSIVE RANGE OF CEREBRAL AND SPINAL ISSUES AND CONDITIONS. WITH SPECIALIZED FELLOWSHIP TRAINING IN CEREBROVASCULAR AND SKULL BASE NEUROSURGERY, COMPLEX AND MINIMALLY INVASIVE SPINE SURGERY AND RESEARCH IN SPINAL CORD THERAPEUTICS DELIVERY, GMGI'S SURGICAL SPECIALISTS HAVE THE EXPERIENCE AND EXPERTISE FOR A RANGE OF SERVICES AND TREATMENTS.

4c	(Code: ) (Expenses $ 2,220,392 including grants of $ ) (Revenue $ 1,557,134 )
	GMGI OWNS AND OPERATES 8 FAMILY OR INTERNAL MEDICINE PRACTICES THAT PROVIDE PRIMARY CARE HEALTH SERVICES THROUGH OUR NETWORK OF 21 PHYSICIANS. THIS TRUSTED NETWORK OF PROVIDERS WORKS TO ENSURE THAT OUR PATIENTS RECEIVE THE CARE, SUPPORT AND GUIDANCE NEEDED IN EVERY HEALTH CARE SITUATION. OUR APPROACH IS TO PRIMARY CARE IS BUILT ON PROVIDING COMPASSIONATE CARE TO EVERY PATIENT. WE COMBINE THIS APPROACH WITH THE EXPERTISE AND EXTENSIVE MEDICAL RESOURCES OF GWINNETT HOSPITAL SYSTEM TO PROVIDE A CUSTOMIZED CONTINUUM OF CARE. OUR PRACTICES ARE: COVENANT FAMILY MEDICINE, GROFF FAMILY MEDICINE, BOSTOCK FAMILY MEDICINE, DACULA FAMILY MEDICINE, GWINNETT FAMILY MEDICINE, GWINNETT INTERNAL MEDICINE, ADULT PRIMARY CARE ASSOCIATES, AND SUWANEE PRIMARY CARE.

	(Code: ) (Expenses $ 967,990 including grants of $ ) (Revenue $ 2,303,382 )
	OTHER PATIENT CARE PROGRAM EXPENSES 967,990 TOTAL REVENUES 2,303,382 SERVICES INCLUDE CRITICAL CARE, OB, CARDIO, PEDIATRICS, CONCUSSION, ENT, WOUND CARE, BARIATRICS AND PALLIATIVE CARE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 967,990 including grants of $ ) (Revenue $ 2,303,382 )
4e	Total program service expenses8,043,501

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	8,381,915	4,037,240	774,072

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) MILES H MASON III MD........................................................................ BOARD MEMBER	2.00 .......................2.00	X		0	2,000	0
(19) GREG SHUMATE........................................................................ BOARD MEMBER	2.00 .......................2.00	X		0	2,000	0
(20) JEFF WAGES........................................................................ CHAIRMAN	2.00 .......................3.00	X		0	2,000	0
(21) SEE SCHEDULE O........................................................................ SEE SCHEDULE	.......................		X	0	0	0
(22) SEE SCHEDULE O........................................................................ SEE SCHEDULE	.......................		X	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
GWINNETT PULMONARY GROUP 631 PROFESSION DRIVE SUITE 350 LAWRENCEVILLE,GA30046	MEDICAL	917,204




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 1

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	19,960
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	12,000

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

h Total. Add lines 1a-1f.......		31,960

		Business Code
2a	NET PATIENT REVENUE	621110	5,333,200	5,333,200
b	CALL PAY	621110	139,400	139,400
c	TEACHING	621110	100,798	100,798
d	EKG READS	621110	19,984	19,984
e	MEDICAL DIRECTOR FEES	621110	16,800	16,800
f	All other program service revenue.		19,349	19,349
g	Total. Add lines 2a–2f .....		5,629,531

3 Investment income (including dividends, interest, and othersimilar amounts) ......			17,667			17,667
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		113,195	6a
b	Less: rental expenses			6b
c	Rental income or (loss)		113,195	6c
d	Net rental income or (loss).......			113,195	113,195
		(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	COLLECTIONS		621110	64,397	64,397
b	CLINICAL INTEGRATION/QUALTIY		621110	25,023	25,023
c	EHR MEANINGFUL USE		621110	7,026	7,026
d	All other revenue ....
e	Total. Add lines 11a–11d ......			96,446
12	Total revenue. See instructions.....			5,888,799	5,839,172		17,667

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
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 ...........	2,361,407	347,435	2,013,972
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........	6,093,545	5,210,335	883,210
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	283,807	159,871	123,936
9	Other employee benefits .......	238,933	134,593	104,340
10	Payroll taxes ...........	329,634	185,686	143,948
11	Fees for services (non-employees):
a	Management ......	969,175	895,174	74,001
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....	12,096	6,814	5,282
13	Office expenses .......	55,277	31,139	24,138
14	Information technology ......	52,671	29,670	23,001
15	Royalties ..
16	Occupancy ...........	391,048	220,281	170,767
17	Travel ............	18,380	10,354	8,026
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	27,343	15,403	11,940
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	103,332	103,332
23	Insurance ...	791,886	446,076	345,810
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	MEDICAL/SURGICAL SUPPLIES	198,558	198,558
b	OTHER	63,498	35,769	27,729
c	EQUIPMENT RENTAL & MAINT.	8,376	8,024	352
d	MINOR EQUIPMENT	3,563	3,563
e	All other expenses	2,528	1,424	1,104
25	Total functional expenses. Add lines 1 through 24e	12,005,057	8,043,501	3,961,556	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 ........		2,219,885	1
2	Savings and temporary cash investments .........			2
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		3,641,770	4
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 ...........		237,014	7
8	Inventories for sale or use ............			8
9	Prepaid expenses and deferred charges ......		192,355	9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b	1,357,337	10c
11	Investments—publicly traded securities .			11
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........		1,945,330	15
16	Total assets. Add lines 1 through 15 (must equal line 33)...		9,593,691	16	0

17	Accounts payable and accrued expenses .....	4,624,148	17
18	Grants payable ...		18
19	Deferred revenue .........	88,831	19
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 ..		23
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	4,509,022	25
26	Total liabilities. Add lines 17 through 25..	9,222,001	26	0

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	371,690	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 ...........	371,690	32	0
33	Total liabilities and net assets/fund balances ........	9,593,691	33	0