TY 2020 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)
(1) ALEX WAYNE...................................................................... MEMBER	1.00 .................	X		0	0
(2) CAMILLE VIERA-HEWELL...................................................................... MEMBER	1.00 .................	X		0	0
(3) DJ CAMPBELL MD...................................................................... MEMBER	1.00 .................	X		227,481	0
(4) EUGENE CINDEA MD...................................................................... MEMBER	1.00 .................	X		0	0
(5) DAVID HOLT HARRISON MD...................................................................... MEMBER, PHYSICIAN - NGMC	1.00 ................. 40.00	X		761,406	40,187
(6) JOHN NIX...................................................................... CHAIR	1.00 ................. 1.00	X		0	0
(7) KAYE ANN HERTH...................................................................... MEMBER	1.00 .................	X		0	0
(8) PHILLIPPA LEWIS-MOSS...................................................................... VICE CHAIR	1.00 .................	X		0	0
(9) PRESTON BOWEN...................................................................... MEMBER	1.00 ................. 1.00	X		0	0
(10) SEMUEL MAYSONET...................................................................... MEMBER	1.00 .................	X		0	0
(11) STEPHEN SAMUEL...................................................................... MEMBER	1.00 .................	X		0	0
(12) STEVE BLAIR...................................................................... MEMBER	1.00 .................	X		0	0
(13) TIM SCULLY MD...................................................................... MEMBER, PHYSICIAN - NGHS/THC PHYSICIAN	1.00 ................. 40.00	X		292,008	33,087
(14) CAROL BURRELL...................................................................... PRESIDENT & CEO	1.00 ................. 40.00		X	1,387,598	124,036
(15) BRIAN D STEINES...................................................................... CHIEF FINANCIAL OFFICER	1.00 ................. 40.00		X	836,593	113,162
(16) STEPHEN KELLY...................................................................... CHIEF COMPLIANCE OFFICER	1.00 ................. 40.00		X	297,483	53,353
(17) MICHAEL COVERT...................................................................... CHIEF OPERATING OFFICER	40.00 ................. 1.00	X	X	785,050	69,102

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JOHN DELZELL JR........................................................................ VP MEDICAL EDUCATION - NGMC	40.00 .......................	X			493,655	0	74,694
(19) JOHN A WILLIAMSON........................................................................ PRESIDENT NGMC BRASELTON	40.00 .......................	X			505,422	0	144,758
(20) TRACY VARDEMAN........................................................................ CHIEF STRATEGY EXECUTIVE - NGHS	1.00 .......................40.00	X			444,369	0	168,264
(21) NIRAJ PARIKH........................................................................ NGMC PHYSICIAN	40.00 .......................		X		1,265,453	0	43,069
(22) JAMES G REEVES........................................................................ NGMC PHYSICIAN	40.00 .......................		X		1,259,087	0	39,111
(23) BRANDON BRUCE........................................................................ NGMC PHYSICIAN	40.00 .......................		X		881,107	0	34,592
(24) FRANCIS LAKE JR........................................................................ NGMC PHYSICIAN	40.00 .......................		X		778,416	0	41,937
(25) FERNANDO SERNA........................................................................ NGMC PHYSICIAN	40.00 .......................		X		775,945	0	35,247
(26) BRENDA SIMPSON........................................................................ FORMER CHIEF NURSING EXECUTIVE - NGMC	0.00 .......................0.00			X	544,847	0	71,066
(27) DEBORAH WEBER........................................................................ FORMER CHIEF HR OFFICER - NGHS	0.00 .......................0.00			X	164,774	0	17,093
(28) LOUIS SMITH JR........................................................................ FORMER PRESIDENT - NGMC - SYSTEM ACUTE	0.00 .......................0.00			X	757,577	0	29,396
(29) SAMUEL JOHNSON MD........................................................................ FORMER CHIEF MEDICAL OFFICER - NGHS	0.00 .......................0.00			X	226,950	0	33,285

(A) Name and business address	(B) Description of services	(C) Compensation
MEDIFIS INC PO BOX 5068 NEW YORK,NY10087	STAFFING SERVICES	15,308,777
GE PRECISION HEALTHCARE LLC PO BOX 96483 CHICAGO,IL60693	BIOMEDICAL EQUIPMENT MAINTENANCE	9,564,005
ANESTHESIA ASSOCIATES OF GAINESVILLE PO BOX 1076 GAINESVILLE,GA30503	ANESTHESIA SERVICES	8,068,473
EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE,WI53288	SOFTWARE LICENSE AND MAINTENANCE	4,760,976
NOVO HEALTH SERVICES PO BOX 98254 WASHINGTON,DC20090	LAUNDRY SERVICES	3,734,531
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 228

- 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

2020

Open to Public
Inspection

Name of the organization

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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—2019. 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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) 2020

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 lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

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 0.015 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 0.035	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) 2020

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 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 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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) 2020

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

2020

Name of the organization

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization NORTHEAST GEORGIA MEDICAL CENTER 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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization NORTHEAST GEORGIA MEDICAL CENTER INC		Employer identification number 58-1694098

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization NORTHEAST GEORGIA MEDICAL CENTER INC			Employer identification number 58-1694098
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) (2020)

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

2020

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

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

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) 2020

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) 2017	(b) 2018	(c) 2019	(d) 2020	(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) 2020

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

86,402

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

86,402

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:	NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS: -AMERICAN ACADEMY OF FAMILY PHYSICIANS -AMERICAN ACADEMY OF SLEEP MEDICINE -AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION -AMERICAN ASSOCIATION OF DIABETES EDUCATORS -AMERICAN COLLEGE OF EMERGENCY PHYSICIANS -AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES -AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS -AMERICAN COLLEGE OF PHYSICIANS -AMERICAN COLLEGE OF SURGEONS -AMERICAN HEALTHCARE ASSOCIATION -AMERICAN MEDICAL ASSOCIATION -AMERICAN ORGANIZATION OF NURSING LEADERSHIP -ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL AND EPIDEMIOLOGY -ASSOCIATION OF PROGRAM DIRECTORS IN SURGERY -ASSOCIATION OF REHABILITATION NURSES -ASSOCIATION OF SCIENCE ENGINEERING TECHNOLOGY -ASSOCIATION OF WOMEN'S HEALTH OBSTETRIC AND NEONATAL NURSES -AMERICAN SOCIETY FOR HEALTHCARE ENGINEERING -AMERICAN SOCIETY FOR RADIATION ONCOLOGY -AMERICAN SOCIETY OF ECHOCARDIOLOGY -AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS -COLLEGE OF AMERICAN PATHOLOGISTS -EMERGENCY NURSES ASSOCIATION -GEORGIA ALLIANCE OF COMMUNITY HOSPITALS -GEORGIA HEALTHCARE ASSOCIATION -GEORGIA HOSPITAL ASSOCIATION -GEORGIA OBGYN SOCIETY -NATIONAL ASSOCIATION OF NEONATAL NURSES -SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY -SOCIETY OF TEACHERS OF FAMILY MEDICINE A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.

Return Reference

Explanation

PART II-B, LINE 1:

NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS: -AMERICAN ACADEMY OF FAMILY PHYSICIANS -AMERICAN ACADEMY OF SLEEP MEDICINE -AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION -AMERICAN ASSOCIATION OF DIABETES EDUCATORS -AMERICAN COLLEGE OF EMERGENCY PHYSICIANS -AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES -AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS -AMERICAN COLLEGE OF PHYSICIANS -AMERICAN COLLEGE OF SURGEONS -AMERICAN HEALTHCARE ASSOCIATION -AMERICAN MEDICAL ASSOCIATION -AMERICAN ORGANIZATION OF NURSING LEADERSHIP -ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL AND EPIDEMIOLOGY -ASSOCIATION OF PROGRAM DIRECTORS IN SURGERY -ASSOCIATION OF REHABILITATION NURSES -ASSOCIATION OF SCIENCE ENGINEERING TECHNOLOGY -ASSOCIATION OF WOMEN'S HEALTH OBSTETRIC AND NEONATAL NURSES -AMERICAN SOCIETY FOR HEALTHCARE ENGINEERING -AMERICAN SOCIETY FOR RADIATION ONCOLOGY -AMERICAN SOCIETY OF ECHOCARDIOLOGY -AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS -COLLEGE OF AMERICAN PATHOLOGISTS -EMERGENCY NURSES ASSOCIATION -GEORGIA ALLIANCE OF COMMUNITY HOSPITALS -GEORGIA HEALTHCARE ASSOCIATION -GEORGIA HOSPITAL ASSOCIATION -GEORGIA OBGYN SOCIETY -NATIONAL ASSOCIATION OF NEONATAL NURSES -SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY -SOCIETY OF TEACHERS OF FAMILY MEDICINE A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.

Schedule C (Form 990 or 990EZ) 2020

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

2020

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

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) 2020

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 ....	23,676,482	21,656,841	20,784,579	19,765,400	18,583,043
b	Contributions ...	4,433,267	3,457,050	3,238,108	4,000,666	3,314,674
c	Net investment earnings, gains, and losses	507,097	-100,742	98,280	113,308	150,450
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	3,276,227	1,265,325	2,665,485	3,737,972	2,291,945
f	Administrative expenses ....	117,612	71,342	-201,359	-643,177	-9,178
g	End of year balance ......	25,223,007	23,676,482	21,656,841	20,784,579	19,765,400

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

24.740 %

Term endowment SchDMd Bullet

75.260 %

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 .....	9,170,006		9,170,006
b	Buildings ....	673,198,472	282,757,302	390,441,170
c	Leasehold improvements	13,227,319	11,002,399	2,224,920
d	Equipment ....	730,406,613	560,030,490	170,376,123
e	Other .....	36,675,295	1,449,913	35,225,382
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				607,437,601

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other 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

Investments - Program 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
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	30,218,181
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) 2020

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	1,716,605,000
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	110,120,520
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-70,318
e	Add lines 2a through 2d .....................			2e	110,050,202
3	Subtract line 2e from line 1..................			3	1,606,554,798
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	3,024,638
b	Other (Describe in Part XIII.) ...........	4b	122,021,051
c	Add lines 4a and 4b....................			4c	125,045,689
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,731,600,487

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	1,353,084,000
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	-1,775,151
e	Add lines 2a through 2d....................			2e	-1,775,151
3	Subtract line 2e from line 1...................			3	1,354,859,151
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	125,046,309
c	Add lines 4a and 4b.....................			4c	125,046,309
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,479,905,460

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	NORTHEAST GEORGIA MEDICAL CENTER, INC. (NGMC) IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2021 AND 2020, RESPECTIVELY, MANAGEMENT DOES NOT BELIEVE NGMC HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. IT IS NGMC'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS AS AN OPERATING EXPENSE WHERE APPLICABLE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 26,238. PARTNERSHIP INCOME NOT ON BOOKS -96,556.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	NON-OPERATING EXPENSES 2,386,748. ESTIMATED PROVISION FOR BAD DEBTS 119,634,187. OTHER ADJUSTMENTS 116.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 26,238. GRANTS FOR CAPITAL EXPENDITURES -1,801,389.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	NON-OPERATING EXPENSES 2,386,748. ESTIMATED PROVISION FOR BAD DEBTS 119,634,187. PARTNERSHIP EXPENSES NOT ON BOOKS 414. INVESTMENT MANAGEMENT FEES 3,024,638. OTHER ADJUSTMENT 322.

Schedule D (Form 990) 2020

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

2020

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

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 %

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) . . .			73,169,644		73,169,644	4.940 %
b	Medicaid (from Worksheet 3, column a) . . . . .			152,726,204	134,074,990	18,651,214	1.260 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			3,594,526	1,378,422	2,216,104	0.150 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			229,490,374	135,453,412	94,036,962	6.350 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	21	259,242	6,227,816	641	6,227,175	0.420 %
f	Health professions education (from Worksheet 5) . . .	6	3,652	8,159,768	529,458	7,630,310	0.520 %
g	Subsidized health services (from Worksheet 6) . . . .			21,495,904	15,818,020	5,677,884	0.380 %
h	Research (from Worksheet 7) .	1	300	1,219,031	586,452	632,579	0.040 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	39	4,218	866,907	24,053	842,854	0.060 %
j	Total. Other Benefits . .	67	267,412	37,969,426	16,958,624	21,010,802	1.420 %
k	Total. Add lines 7d and 7j .	67	267,412	267,459,800	152,412,036	115,047,764	7.770 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	4	18,553	581,943	164,330	417,613	0.030 %
4	Environmental improvements	1		10,000	1,000	9,000	0 %
5	Leadership development and training for community members
6	Coalition building	1		80,200		80,200	0.010 %
7	Community health improvement advocacy
8	Workforce development	3		99,370	500	98,870	0.010 %
9	Other
10	Total	9	18,553	771,513	165,830	605,683	0.050 %

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. ......

119,634,187

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).....

276,652,473

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

318,479,232

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

-41,826,759

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

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2020

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?1Name, 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)
1	NORTHEAST GEORGIA MEDICAL CENTER INC 743 SPRING STREET GAINESVILLE,GA30501 WWW.NGHS.COM 069-074	X	X	X	X

Schedule H (Form 990) 2020

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)

	NORTHEAST GEORGIA MEDICAL CENTER INC
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 18

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

Yes

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): WWW.NGHS.COM

Other website (list url): HABERSHAMMEDICAL.COM;STEPHENSCOUNTYHOSPITAL.COM

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 18

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

Yes

If "Yes" (list url): WWW.NGHS.COM

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

10b

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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NORTHEAST GEORGIA MEDICAL CENTER INC
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 150.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

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.NGHS.COM/FINANCIAL-ASSISTANCE

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

WWW.NGHS.COM/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.NGHS.COM/FINANCIAL-ASSISTANCE

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) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	NORTHEAST GEORGIA MEDICAL CENTER INC
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) 2020

Page 7

Part VFacility Information (continued)

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

	NORTHEAST GEORGIA MEDICAL CENTER INC
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) 2020

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
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 5: THE FOLLOWING ORGANIZATIONS HAVE PARTNERED AND COLLABORATED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR COMMUNITIES THEY (CHNA PARTNERS) SERVE IN NORTHEASTERN GEORGIA: - DISTRICT 2 PUBLIC HEALTH - HABERSHAM MEDICAL CENTER - NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE - NORTHEAST GEORGIA MEDICAL CENTER BRASELTON - NORTHEAST GEORGIA MEDICAL CENTER BARROW - NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN - STEPHENS COUNTY HOSPITALTHESE CHNA PARTNERS UNDERSTAND THE IMPORTANCE OF SERVING THE HEALTH NEEDS OF THEIR COMMUNITIES. BEGINNING IN NOVEMBER 2018, THE CHNA PARTNERS BEGAN THE PROCESS OF ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY THE HOSPITAL FACILITIES AND THE HEALTH DEPARTMENT WITH A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. IBM WATSON HEALTH (WATSON HEALTH) WAS ENGAGED TO HELP COLLECT AND ANALYZE THE DATA FOR THIS PROCESS, AND TO COMPILE A FINAL REPORT TO BE MADE PUBLICLY AVAILABLE BY SEPTEMBER 30, 2019; WATSON HEALTH DELIVERS ANALYTIC TOOLS, BENCHMARKS, AND STRATEGIC CONSULTING SERVICES TO THE HEALTHCARE INDUSTRY, COMBINING RICH DATA ANALYTICS IN DEMOGRAPHICS, INCLUDING THE COMMUNITY NEEDS INDEX, PLANNING, AND DISEASE PREVALENCE ESTIMATES, WITH EXPERIENCED STRATEGIC CONSULTANTS TO DELIVER COMPREHENSIVE AND ACTIONABLE COMMUNITY HEALTH NEEDS ASSESSMENTS.THE COMMUNITIES SERVED BY EACH OF THE CHNA PARTNERS OVERLAPPED AND COMBINED TO INCLUDE ALL OR PART OF 16 COUNTIES IN NORTHEAST GEORGIA. WHILE A COLLABORATIVE APPROACH WAS UTILIZED, A NEEDS ANALYSIS WAS CONDUCTED FOR EACH CHNA PARTNER'S DEFINED COMMUNITY; COMMUNITY-SPECIFIC SUBSECTIONS ARE INCLUDED IN THE REPORT. NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) DEFINED FOUR COMMUNITIES SERVED BY THEIR FOUR HOSPITAL FACILITIES: NGHS GREATER BRASELTON SERVICE AREA (GBSA), NGHS PRIMARY SERVICE AREA (PSA), NGHS SECONDARY SERVICE AREA 400 (SSA 400), AND NGHS SECONDARY SERVICE AREA NORTH (SSA NORTH).WATSON HEALTH CONDUCTED EIGHT FOCUS GROUPS WITH A TOTAL OF 75 PARTICIPANTS AS WELL AS 25 KEY INFORMANT INTERVIEWS TO GATHER THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITIES SERVED THROUGHOUT THE REGION. THE FOCUS GROUPS AND INTERVIEWS SOLICITED FEEDBACK FROM LEADERS AND REPRESENTATIVES WHO SERVE THE COMMUNITY AND HAVE INSIGHT INTO COMMUNITY NEEDS.PARTICIPATION IN THE WATSON HEALTH INTERVIEW AND FOCUS GROUPS INCLUDED INPUT FROM AT LEAST ONE STATE, LOCAL, OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY, AS WELL AS INDIVIDUALS OR ORGANIZATIONS WHO SERVED AND/OR REPRESENTED THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY.PARTICIPATION FROM COMMUNITY LEADERS/GROUPS, PUBLIC HEALTH ORGANIZATIONS, OTHER HEALTHCARE ORGANIZATIONS, AND OTHER HEALTHCARE PROVIDERS ENSURED THAT THE INPUT RECEIVED REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED.ADDITIONAL QUALITATIVE DATA SOURCES SUPPLEMENTED THE FOCUS GROUPS AND INTERVIEWS. THESE INCLUDED A HALL COUNTY HEALTH SURVEY OF UNINSURED INDIVIDUALS (199 SURVEYS COMPLETED); HALL COUNTY MENTAL AND BEHAVIORAL HEALTH LISTENING SESSIONS (60+ PARTICIPANTS FROM KEY STAKEHOLDER ORGANIZATIONS); AND QUALITATIVE FINDINGS FROM UNION GENERAL & CHATUGE REGIONAL HOSPITALS 2018 CHNA REPORTS (148 COMMUNITY-BASED SURVEYS, FOUR KEY INFORMANT INTERVIEWS).IN JUNE 2019, A SESSION WAS HELD WITH THE CHNA PARTNERS AND THEIR COMMUNITY ADVISORS TO IDENTIFY AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS FOR EACH CHNA PARTNER'S COMMUNITY. THE MEETING WAS MODERATED BY WATSON HEALTH.
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6A: THE FOLLOWING ORGANIZATIONS HAVE PARTNERED AND COLLABORATED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR COMMUNITIES THEY (CHNA PARTNERS) SERVE IN NORTHEASTERN GEORGIA:-HABERSHAM MEDICAL CENTER-NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE-NORTHEAST GEORGIA MEDICAL CENTER BRASELTON-NORTHEAST GEORGIA MEDICAL CENTER BARROW-NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN-STEPHENS COUNTY HOSPITAL
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6B: THE FOLLOWING NON-HOSPITAL ORGANIZATION HAS PARTNERED AND COLLABORATED WITH NGMC TO CONDUCT A CHNA FOR THE COMMUNITY IT SERVES IN NORTHEASTERN GEORGIA:-DISTRICT 2 PUBLIC HEALTH
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 11: NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) DEFINED FOUR COMMUNITIES SERVED BY THEIR FOUR HOSPITAL FACILITIES: NGHS GREATER BRASELTON SERVICE AREA (GBSA), NGHS PRIMARY SERVICE AREA (PSA), NGHS SECONDARY SERVICE AREA 400 (SSA 400), AND NGHS SECONDARY SERVICE AREA NORTH (SSA NORTH). BASED ON RESULTS OF THE 2019 CHNA, THE FOLLOWING FIVE PRIORITIES WERE ADOPTED BY THE ORGANIZATION AND REPRESENT THOSE ON WHICH WE CAN HAVE THE MOST IMPACT BASED ON PRIORITIZATION CRITERIA:- BEHAVIORAL AND MENTAL HEALTH (ALL NGHS SERVICE AREAS)- ACCESS TO CARE (ALL NGHS SERVICE AREAS)- DIABETES (GBSA, SSA 400, SSA NORTH)- CARDIOVASCULAR DISEASE (SSA 400)- SEPTICEMIA (ALL NGHS SERVICE AREAS)FOR DETAILS ON HOW NGMC IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, GO TO: HTTPS://WWW.NGHS.COM/WP-CONTENT/UPLOADS/2022/05/IMPLEMENTATION-PLAN-REPORT-2021.PDF.SPECIFIC TO NGHS, THE HEALTH NEEDS NGMC CHOSE NOT TO ADDRESS THROUGH THE PRIORITIZATION PROCESS INCLUDE THE FOLLOWING:- PSA: FOOD ACCESS AND NUTRITION, MATERNAL AND CHILD HEALTH, SOCIAL ISOLATION.- GBSA: MATERNAL AND CHILD HEALTH, PHYSICAL ACTIVITY, INJURY AND DEATH, VIOLENCE, CHILD ABUSE, INCOME, EDUCATION, ACCESS TO DENTAL CARE, CANCER, TRANSPORTATION.- SSA NORTH: MATERNAL AND CHILD HEALTH, CARDIOVASCULAR DISEASE, INCOME, PHYSICAL ACTIVITY, VIOLENCE, CHILD ABUSE, EDUCATION, ACCESS TO DENTAL CARE, EMPLOYMENT, CEREBROVASCULAR DISEASE, SOCIAL ISOLATION, CANCER, COPD AND RESPIRATORY DISEASE, INJURY AND DEATH.- SSA 400: MATERNAL AND CHILD HEALTH, SMOKING, VIOLENCE/CHILD ABUSE, INCOME, ACCESS TO DENTAL CARE, SOCIAL ISOLATION, CANCER, TRANSPORTATION.EVEN SO, NGHS DOES ACTIVELY WORK ON THESE ISSUES. FOR INSTANCE, ACCESS TO CARE IS A PRIORITY ACROSS THE REGION AND WHILE TRANSPORTATION WAS NOT SINGLED OUT AS A PRIORITY, WE CONSIDER TRANSPORTATION TO BE A KEY COMPONENT TO ACCESSING CARE. WHILE TRANSPORTATION ON ITS OWN DID NOT MAKE THE HEALTH PRIORITY LIST, IT WOULD BE AN ISSUE CONSIDERED IN ACCESS TO CARE ISSUES. WHILE CANCER WAS NOT CHOSEN AS A COMMUNITY HEALTH IMPROVEMENT PRIORITY, NGHS ALREADY HAS AN INTERNAL EMPHASIS ON THIS HEALTH ISSUE AND WILL REPORT ITS ACTIVITY VIA THE ANNUAL COMMUNITY BENEFIT REPORT.
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 16J: PATIENTS MAY SUBMIT A FINANCIAL ASSISTANCE APPLICATION VIA OUR ONLINE PATIENT PORTAL APP VERSION OF MYCHART.

Schedule H (Form 990) 2020

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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?28
Name and address		Type of Facility (describe)
1	1 - IMAGING CENTER - GAINESVILLE 1315 JESSE JEWELL PKWY GAINESVILLE,GA30501	IMAGING / RADIOLOGY CENTER
2	2 - NGMC NICD 1404 RIVER PLACE SUITE 100 BUFORD,GA30517	TESTING AND DIAGNOSTIC CENTER
3	3 - IMAGING CENTER - BRASELTON 1515 RIVER PLACE BRASELTON,GA30517	IMAGING / RADIOLOGY CENTER
4	4 - BRASELTON RADIATION THERAPYPHYSICS 1515 RIVER PLACE STE 120 BRASELTON,GA30517	RADIATION THERAPY
5	5 - TOCCOA CANCER CENTER 1640 FALLS ROAD TOCCOA,GA30577	CANCER SERVICES
6	6 - LAURELWOOD 200 WISTERIA DRIVE GAINESVILLE,GA30501	MENTAL HEALTH SERVICES
7	7 - IMAGING CENTER - DAWSONVILLE 108 PROMINENCE COURT DAWSONVILLE,GA30534	IMAGING / RADIOLOGY CENTER
8	8 - REHABILITATION INSTITUTE 597 SOUTH ENOTA DRIVE NE GAINESVILLE,GA30501	REHABILITATION SERVICES
9	9 - NEW HORIZONS LIMESTONE NORTH 2020 BEVERLY ROAD NE GAINESVILLE,GA30501	LONG TERM CARE
10	10 - CUMMING OP DIAGNOSTIC CARDIOLOGY 900 SANDERS ROAD CUMMING,GA30041	DIAGNOSTIC CARDIOLOGY
11	11 - NEW HORIZONS LANIER PARK WEST 675 WHITE SULPHUR ROAD GAINESVILLE,GA30501	LONG TERM CARE
12	12 - HEALTHLINK LAB AT RIVERPLACE 1515 RIVER PLACE STE 170 BRASELTON,GA30517	CLINICAL LABORATORY
13	13 - WOUND OSTOMY CONTINENCEHYPERBARIC THER 675 WHITE SULPHUR ROAD GAINESVILLE,GA30501	WOUND HEALING CENTER
14	14 - SLEEP LAB 1466 JESSE JEWELL PKWY GAINESVILLE,GA30501	SLEEP DISORDER CENTER
15	15 - REHAB - BRASELTON 1515 RIVER PLACE STE 290 BRASELTON,GA30517	REHABILITATION SERVICES
16	16 - GYN ONCOLOGY INFUSION SERVICES 1498 JESSE JEWELL PARKWAY SUITE C HALL,GA30501	GYNECOLOGIC ONCOLOGY
17	17 - BUFORD OUTPATIENT IMAGING 3425 BUFORD DRIVE SUITE 100 BUFORD,GA30519	IMAGING / RADIOLOGY CENTER
18	18 - REHAB - FRIENDSHIP (BUFORD) 4889 GOLDEN PKWY SUITE 150 BUFORD,GA30518	REHABILITATION SERVICES
19	19 - REHAB - DAWSONVILLE 5959 HIGHWAY 53E SUITE 200 DAWSONVILLE,GA30534	REHABILITATION SERVICES
20	20 - ESSENTIALLY FOR WOMEN - LACTATION CENTER 825 JESSE JEWELL PKWY GAINESVILLE,GA30501	LACTATION CENTER
21	21 - REHAB - CLEVELAND 640-A HELEN HWY CLEVELAND,GA30528	REHABILITATION SERVICES
22	22 - REHAB - DAHLONEGA 95 MORRISON MOORE PKWY SUITE 200 DAHLONEGA,GA30533	REHABILITATION SERVICES
23	23 - NGMC NEUROPHYSIOLOGY 1404 RIVER PLACE SUITE 403 BUFORD,GA30517	NEUROPHYSIOLOGY
24	24 - HEALTHLINK LAB AT DAWSONVILLE 108 PROMINENCE COURT DAWSONVILLE,GA30534	CLINICAL LABORATORY
25	25 - DIABETES EDUCATION 675 WHITE SULPHUR ROAD GAINESVILLE,GA30501	DIABETES SERVICES
26	26 - BARIATRIC SERVICES 675 WHITE SULPHUR ROAD GAINESVILLE,GA30501	BARIATRIC WEIGHT LOSS SERVICES
27	27 - NGMC VASCULAR 1404 RIVER PLACE SUITE 200 BUFORD,GA30517	VASCULAR SERVICES
28	28 - BARIATRICWEIGHT MGM & NUTRITIONAL COUNSEL 1515 RIVER PLACE SUITE 190 BRASELTON,GA30517	BARIATRIC WEIGHT LOSS SERVICES

Schedule H (Form 990) 2020

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:	PATIENTS WHO ARE DETERMINED TO BE INDIGENT, DETERMINED BY CRITERIA-BASED METHODS, SUCH AS PROPENSITY TO PAY OR HEALTH SCORES, PARTICIPATION IN LOW INCOME GOVERNMENT ASSISTANCE PROGRAMS, ETC. MAY BE PRESUMPTIVELY ELIGIBLE FOR ASSISTANCE, PROVIDING THEY COOPERATE WITH SCREENING FOR OTHER FINANCIAL ASSISTANCE RESOURCES (E.G. MEDICAID OR DISABILITY), AS APPLICABLE.
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS PUBLISHED BY NORTHEAST GEORGIA HEALTH SYSTEM AND INCLUDES PROGRAMS FOR NORTHEAST GEORGIA MEDICAL CENTER AND ITS AFFILIATES, INCLUDING NGMC BARROW AND NGMC LUMPKIN. THE REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE (WWW.NGHS.COM) AND IS ALSO PUBLISHED ANNUALLY IN ITS MAGAZINE, COMMUNICARE.
PART I, LINE 7:	CHARITY CARE COST WAS CALCULATED APPLYING SEPARATE COST-TO-CHARGE RATIOS (CCR) TO THE SKILLED NURSING FACILITY (SNF) AND TO THE REMAINING PATIENT CHARGES FROM ALL OTHER HOSPITAL ACTIVITIES. THE CCR FOR THE SNF WAS COMPUTED USING THE TOTAL SNF OPERATING EXPENSES DIVIDED BY THE TOTAL SNF GROSS CHARGES. THE CCR FOR THE REMAINING PATIENT CHARGES WAS COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.THE CCR FOR THE UNREIMBURSED MEDICAID SERVICES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE OTHER MEANS TESTED GOVERNMENT PROGRAM COST WAS DERIVED FROM INTERNAL TRENDSTAR SYSTEM DATA WHICH COMPUTED COST AT THE PATIENT DETAIL LEVEL.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES WERE FOR NEONATAL INTENSIVE CARE UNIT, LAURELWOOD (MENTAL HEALTH), AND INPATIENT MEDICINE. NO COSTS WERE ATTRIBUTABLE TO PHYSICIANS.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN A, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $119,634,187. THE ESTIMATED PROVISION FOR BAD DEBTS IS REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE.
PART II, COMMUNITY BUILDING ACTIVITIES:	IT IS WELL DOCUMENTED THAT MANY FACTORS COMBINE TO AFFECT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WHETHER PEOPLE ARE HEALTHY OR NOT IS DETERMINED BY THEIR CIRCUMSTANCES AND THEIR ENVIRONMENT, ACCORDING TO THE WORLD HEALTH ORGANIZATION. TO A LARGE EXTENT, FACTORS SUCH AS WHERE WE LIVE, THE STATE OF OUR ENVIRONMENT, GENETICS, OUR INCOME AND EDUCATION LEVEL, AND OUR RELATIONSHIPS WITH FRIENDS AND FAMILY ALL HAVE CONSIDERABLE IMPACTS ON HEALTH.THE DETERMINANTS OF HEALTH INCLUDE THE SOCIAL AND ECONOMIC ENVIRONMENT, THE PHYSICAL ENVIRONMENT, AND A PERSON'S INDIVIDUAL CHARACTERISTICS AND BEHAVIORS. ADDITIONAL FACTORS THAT RELATE INCLUDE EDUCATION, CULTURE, INCOME AND SOCIAL STATUS, EMPLOYMENT AND WORKING CONDITIONS, SOCIAL SUPPORT NETWORKS, GENETICS, HEALTH SERVICES, AND GENDER. IF COMMUNITY MEMBERS HAVE ADEQUATE EDUCATION, EMPLOYMENT, INCOME, A SAFE ENVIRONMENT, AND SUPPORTIVE SOCIAL NETWORKS, THEY WILL HAVE THE CAPACITY TO MAKE HEALTHIER BEHAVIOR CHOICES AND BE MORE LIKELY TO HAVE ACCESS TO HEALTH SERVICES. THEREFORE, NGMC AS AN ORGANIZATION MUST CONSIDER THE SOCIAL DETERMINANTS OF HEALTH STATUS AS PART OF PREVENTATIVE CARE. A FEW OF THE COMMUNITY BUILDING ACTIVITIES INCLUDED IN PART II INCLUDE:COMMUNITY SUPPORTTHROUGHOUT THE PANDEMIC, NGHS REMAINS AT THE FRONTIER OF COVID-19 INFORMATION DISTRIBUTION. DAILY STATISTICS ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE HOSPITAL'S OWN WEBSITE, KEEPING THE COMMUNITY INFORMED ON CONFIRMED POSITIVE PATIENTS IN OUR CARE, PERCENTAGE OF POSITIVE PATIENTS NOT FULLY VACCINATED, AND AVERAGE AGE OF POSITIVE PATIENTS. THIS INFORMATION IS AVAILABLE AT NGHS.COM/COVID-DATA. ADDITIONALLY, NGHS REGULARLY PUBLISHES TIPS ON WAYS TO AVOID COVID-19 AND INFORMATION ON VACCINE DISTRIBUTION. COUNTY-SPECIFIC INFORMATION. RESOURCES AND TRENDS FOR COVID-19 ARE AVAILABLE TO THE PUBLIC AT WWW.NGHS.COM/COVID-19.COALITION BUILDINGSAFE KIDS NORTHEAST GEORGIA, LED BY NGMC, IS PART OF SAFE KIDS WORLDWIDE, THE FIRST AND ONLY NATIONAL ORGANIZATION DEDICATED SOLELY TO PREVENTING UNINTENTIONAL CHILDHOOD INJURY, THE NATION'S NUMBER ONE KILLER OF CHILDREN AGES 19 AND UNDER. THIS PROGRAM PROVIDES AFFORDABLE SAFETY EQUIPMENT SUCH AS CAR SEATS, BIKE HELMETS, AND LIFE JACKETS TO AREA CHILDREN IN NEED. WORKING WITH A COALITION OF LAW ENFORCEMENT, AREA SCHOOLS, COMMUNITY VOLUNTEERS, AND OTHERS, SAFE KIDS PROVIDES EDUCATIONAL MATERIALS AND PROGRAMS THAT TEACH CHILDREN AND THEIR PARENTS HOW TO AVOID ACCIDENTS AND INJURIES. SAFE KIDS CONTINUE ITS WORK OF INJURY PREVENTION FOR FAMILIES IN THE HALL COUNTY COMMUNITY IN 2021. THE MEDICAL CENTER AUXILIARY PROCEEDS FROM MARKETPLACE, AN ANNUAL FUNDRAISING EVENT OF THE MEDICAL CENTER AUXILIARY, WHICH BENEFITS HEALTHCARE SERVICES OF NGMC. NGMC PROVIDED MORE THAN 25 PROGRAMS AND EVENTS THAT REACHED AN ESTIMATED 16,000 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THROUGH THESE PROGRAMS, OVER 1,500 SAFETY ITEMS WERE DISTRIBUTED TO FAMILIES NEEDING THEM. THE ESTIMATED COST OF THIS SUPPORT IS $26,750 IN FY21.WORKFORCE DEVELOPMENTNGMC CONTINUES TO SERVE AS A "PIPELINE" TO HELP GET MORE QUALIFIED PEOPLE INTERESTED IN HEALTHCARE POSITIONS AND HELP PROVIDE TRAINING AND EDUCATION TO STUDENTS. THIS TRAINING AND EDUCATION ARE DONE THROUGH VARIOUS AVENUES, FROM JOB SHADOWING TO THE NURSE EXTERN PROGRAM AND PHARMACY RESIDENCY PROGRAM, AS WELL AS SIGNIFICANT SUPPORT TO FOOTHILLS AREA HEALTH EDUCATION CENTERS (AHEC). IN THE YOUTH APPRENTICESHIP PROGRAM, HIGH SCHOOL STUDENTS WORK IN THE HOSPITAL FOR ONE CLASS PERIOD IN THEIR DAY AND ROTATE THROUGH MULTIPLE DEPARTMENTS. IN FY21, 42 STUDENTS PARTICIPATED REPRESENTING 15 AREA HIGH SCHOOLS.
PART III, LINE 2:	PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, NORTHEAST GEORGIA MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
PART III, LINE 4:	BAD DEBT EXPENSE REPORTED ON LINE 2 REPRESENTS GROSS CHARGES WRITTEN OFF DURING THE FISCAL YEAR NET OF ANY RECOVERIES. BAD DEBTS ARE DISCUSSED IN THE FOOTNOTES AS A COMPONENT OF NET PATIENT SERVICE REVENUE, BUT DO NOT HAVE THEIR OWN FOOTNOTE.
PART III, LINE 8:	THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE COST TO CHARGE RATIO REFLECTED IN THE ORGANIZATION'S MEDICARE COST REPORT.
PART III, LINE 9B:	EACH BILLING CYCLE FOR THE FIRST 120 DAYS OF STATEMENTS CONTAINS CONTACT INFORMATION FOR FINANCIAL ASSISTANCE INFORMATION. A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY IS PROVIDED AT DAY 90. FOR DAYS 121-180, TWO BAD DEBT COLLECTION LETTERS ARE MAILED WITH CONTACT INFORMATION FOR FINANCIAL ASSISTANCE INFORMATION. DURING THE 180 DAYS PRIOR TO PLACEMENT WITH AN EXTERNAL COLLECTION AGENCY, REGULAR PHONE CALLS ARE MADE THAT INCLUDE NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS. DURING THE FIRST 60 DAYS OF PLACEMENT WITH EXTERNAL COLLECTIONS VENDOR, NO REPORTING TO CREDIT BUREAUS MAY TAKE PLACE, AND THE VENDOR PROVIDES ALL PATIENTS WITH AN OPPORTUNITY TO REQUEST FINANCIAL ASSISTANCE CONSIDERATION, INCLUDING RETURNING THE ACCOUNT TO US. WITH AGGREGATED MULTIPLE EPISODES OF PATIENT ACCOUNTS, FOR PURPOSES OF MEASURING 120 AND 240 DAYS, THE FIRST POST-DISCHARGE BILLING STATEMENT WILL BE USED.
PART VI, LINE 2:	ON A CONTINUOUS BASIS, NGMC SEEKS A VARIETY OF DATA SOURCES AND RELIABLE INDICATORS TO HELP IDENTIFY AND WORK TO IMPROVE ON HEALTH INEQUITIES IN THE COMMUNITIES IT SERVES. A LISTING OF THE RESOURCES IS LISTED BELOW:- AS PART OF THE HALL COUNTY FAMILY CONNECTION, WE REVIEW INFORMATION FROM KIDS COUNT, WHICH PROVIDES KEY INDICATORS OF CHILD WELL-BEING.- NGMC IS ACTIVELY INVOLVED WITH THE GREATER HALL CHAMBER OF COMMERCE WHICH THROUGH VISION 3030, FOCUSES ON THE CREATION OF A CULTURE OF COMMUNITY WELLNESS, THE SUPPORT AND MAINTENANCE OF LIFELONG LEARNING, THE BUILDING OF AN ECONOMY AROUND EMERGING LIFE SCIENCES, THE ENCOURAGEMENT OF INNOVATIVE GROWTH/INFRASTRUCTURE DEVELOPMENT, AND THE PROMOTION OF CULTURAL INTEGRATION. THREE NGHS STAFF ARE ON THE 2020-2021 BOARD OF DIRECTORS.- NGMC HAS PARTNERED WITH OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY TO FORM THE HEALTHCARE INITIATIVE CONSORTIUM. THIS GROUP HAS WORKED WITH A LOCAL UNIVERSITY TO DEVELOP AN ONGOING DATABASE OF FIVE DATA ELEMENTS THAT WILL GIVE THE COMMUNITY UP-TO-DATE INFORMATION ON THE HEALTH ISSUES AFFECTING ITS RESIDENTS. THE FIVE DATA ELEMENTS COLLECTED ARE: BMI (HEIGHT/WEIGHT), A1C, BLOOD PRESSURE, CHOLESTEROL, LDL, AND MICROALBUMIN. THIS GIVES US INFORMATION RELATED TO THE FOLLOWING HEALTH ISSUES: OBESITY, DIABETES, CARDIOVASCULAR DISEASE, AND HYPERTENSION. THE GROUP HAS COLLECTED DATA ON BOTH ADULTS, AS WELL AS PEDIATRIC PATIENTS.- WE REGULARLY MONITOR THE COUNTY HEALTH RANKINGS PUBLISHED BY THE ROBERT WOOD JOHNSON FOUNDATION (HTTP://WWW.COUNTYHEALTHRANKINGS.ORG/ABOUT-PROJECT), AS WELL AS CDC WONDER AND OTHER PUBLICLY AVAILABLE INFORMATION. IN ADDITION, WE HAVE MULTIPLE MECHANISMS IN PLACE FOR OUR LEADERSHIP TO HEAR DIRECTLY FROM THE COMMUNITY ON ANY HEALTH NEEDS.- NGMC ANNUALLY REPORTS ON THE PROGRESS OF CHNA OUTCOMES AND ACTIVITIES, WHICH INCLUDES QUANTITATIVE INFORMATION ON IDENTIFIED HEALTH NEEDS.
PART VI, LINE 3:	WE HAVE SIGNAGE POSTED THROUGHOUT THE EMERGENCY DEPARTMENT (ED) AND AT REGISTRATION AREAS. OUR NGHS, THE HEART CENTER AT NGMC, AND NGPG WEBSITES PROVIDE A PLAIN LANGUAGE SUMMARY ALONG WITH A COPY OF OUR APPLICATION AND POLICY IN ENGLISH AND SPANISH. OUR PATIENT PORTAL, MYCHART, PROVIDES AN ONLINE APPLICATION. WE HAVE PLAIN LANGUAGE SUMMARIES OF OUR FINANCIAL ASSISTANCE POLICY FOR PATIENTS AT REGISTRATION. REGISTRARS OFFER FINANCIAL ASSISTANCE APPLICATIONS TO PATIENTS WHO EXPRESS A NEED OR ARE NOT ABLE TO PAY AT TIME OF SERVICE. FINANCIAL NAVIGATORS COMPLETE BED-SIDE SCREENING FOR SELF-PAY BEDDED PATIENTS AND EMERGENCY DEPARTMENT PATIENTS DURING OUR SERVICE HOURS. MISSED PATIENTS ARE CALLED AND MAILED FINANCIAL ASSISTANCE APPLICATIONS. FINANCIAL NAVIGATORS COMPLETE FINANCIAL SCREENING FOR PATIENTS WHO ARE TO BE SCHEDULED FOR MEDICALLY URGENT SERVICES. WE HAVE WORK QUEUES THAT IDENTIFY POTENTIALLY ELIGIBLE PATIENTS. THESE PATIENTS ARE CALLED AND MAILED FINANCIAL ASSISTANCE APPLICATIONS. OUR CUSTOMER SERVICE TEAM PROVIDES INFORMATION AND COMPLETES REFERRALS. EACH STATEMENT AND COLLECTION LETTER INCLUDES AN ANNOUNCEMENT ABOUT FINANCIAL ASSISTANCE BEING AVAILABLE ALONG WITH OUR PHONE NUMBER AND URL. OUR LONG-TERM PAYMENT PLAN BROCHURE INCLUDES AN ANNOUNCEMENT ABOUT FINANCIAL ASSISTANCE BEING AVAILABLE ALONG WITH OUR PHONE NUMBER AND URL. OUR EXTERNAL COLLECTION AGENCIES ARE TRAINED TO PROVIDE EDUCATION AND RETURN ACCOUNTS TO US IF A PATIENT IS IDENTIFIED AS POTENTIALLY ELIGIBLE. ALSO, AVAILABLE ONLINE AT HTTPS://WWW.NGHS.COM/FINANCIAL-ASSISTANCE.
PART VI, LINE 4:	POPULATION: FROM 2010 TO 2019, THE HEALTH SYSTEM'S TOTAL SERVICE AREA ("TSA") POPULATION GREW AN ESTIMATED 2.0% PER YEAR ON AVERAGE COMPARED TO THE STATE OF GEORGIA AT 1.0% AND THE US AT 0.7%. POPULATION FOR THE TSA IN 2019 IS ESTIMATED TO BE 989,845 REPRESENTING A TOTAL GROWTH RATE OF 19.9% SINCE 2010, COMPARED TO THE STATE OF GEORGIA'S GROWTH (9.3%) AND THE US (5.3%) OVER THE SAME TIME PERIOD. THE TSA'S POPULATION GROWTH RATE IS PROJECTED TO OUTPACE GEORGIA AND THE US THROUGH AT LEAST 2021, THUS CONTINUING TO DRIVE ABOVE AVERAGE DEMAND FOR HEALTH CARE SERVICES. SOURCES: US CENSUS BUREAU; ESRI, INC.HOUSEHOLD INCOME AND HOME VALUES: MEDIAN HOUSEHOLD INCOME FOR THE TSA IS CURRENTLY $51,790 COMPARED TO THE STATE OF GEORGIA AT $58,700. THE MEDIAN HOME VALUE FOR THE TSA IS CURRENTLY $185,800 COMPARED TO THE STATE OF GEORGIA AT $176,000. SOURCES: US CENSUS BUREAU; ESRI, INC.EMPLOYMENT: THE UNEMPLOYMENT RATE FOR THE NGHS TOTAL SERVICE AREA WAS 3.0% IN 2019 COMPARED WITH THE STATE OF GEORGIA AT 3.5% AND THE U.S. AT 3.7%. FOR AT LEAST THE LAST 10 YEARS, THE TSA HAS CONSISTENTLY EXPERIENCED AN ANNUAL UNEMPLOYMENT RATE BELOW THOSE OF GEORGIA AND THE U.S. SOURCE: US BUREAU OF LABOR STATISTICS; ESRI, INC.
PART VI, LINE 5:	NORTHEAST GEORGIA MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF 15 MEMBERS AND REPRESENTS THE COMMUNITIES DIRECTLY SERVED BY THE ORGANIZATION. BOARD MEMBERS PROVIDE LEADERSHIP THAT SUPPORTS THE ORGANIZATION'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY.PRACTITIONERS AT NGHS ENTITIES UNDERGO EXTENSIVE ONBOARDING PRIOR TO BEING AFFILIATED WITH THE HEALTH SYSTEM, SECURING STANDARD OF CARE AND SAFETY TO OUR COMMUNITY. THE MEDICAL CENTER CONDUCTS PHYSICIAN MANPOWER STUDIES TO DETERMINE THE NUMBER OF PHYSICIANS NEEDED BY SPECIALTY TO MEET COMMUNITY NEED. INFORMATION FROM THESE STUDIES IS USED TO HELP GUIDE DECISIONS FOR PHYSICIAN RECRUITMENT.ALL REVENUES MORE THAN EXPENSES ARE REINVESTED INTO HEALTHCARE SERVICES FOR THE COMMUNITY AND NO PROFITS ACCRUE TO INDIVIDUAL INVESTORS. THE MEDICAL CENTER'S POLICY ON FINANCIAL ASSISTANCE (FORMERLY KNOWN AS THE CHARITY CARE POLICY) HELPS ENSURE ACCESS TO HOSPITAL SERVICES TO LOW-INCOME PATIENTS, I.E., PATIENTS WITH A FAMILY INCOME OF UP TO AND INCLUDING/EQUAL TO 150 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR A 100 PERCENT CHARITY ADJUSTMENT, WHICH MEANS THAT THEIR QUALIFYING SERVICES ARE FREE. ADDITIONALLY, PATIENTS WITH A FAMILY INCOME OF 151 TO 300 PERCENT QUALIFY FOR DISCOUNTED CARE ON A SLIDING SCALE, WITH THE MOST THAT A PATIENT WOULD PAY IS THE MEDICARE RATE.
PART VI, LINE 6:	NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM. OTHER AFFILIATES ALONG WITH NGMC GAINESVILLE AND BRASELTON INCLUDE NGMC BARROW, NGMC LUMPKIN, NORTHEAST GEORGIA PHYSICIANS GROUP, THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION, NORTHEAST GEORGIA HEALTH PARTNERS, RIVER PLACE MEDICAL OFFICE PLAZA I, AND GEORGIA HEART INSTITUTE, LLC FORMERLY THE HEART CENTER, LLC.THE MISSION OF NORTHEAST GEORGIA MEDICAL CENTER AND ALL RELATED AFFILIATES IS TO "IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." AS A NOT-FOR-PROFIT HOSPITAL, NGMC TREATS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND IS ACCOUNTABLE TO THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE FOR THE PROVISION OF CHARITABLE SERVICES TO THE COMMUNITY.NORTHEAST GEORGIA MEDICAL CENTER PROVIDES ACUTE AND SPECIALTY INPATIENT AND OUTPATIENT SERVICES FOR A REGIONAL COMMUNITY OF OVER 18 COUNTIES AND RECEIVES NO LOCAL TAX SUPPORT FROM ANY OF THOSE COUNTIES FOR OPERATIONS OR INDIGENT CARE.THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION HELPS SUPPORT THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM THROUGH FUNDRAISING INITIATIVES THAT IMPROVE SERVICES OFFERED AT NGMC, AS WELL HEALTH-FOCUSED SERVICES IN THE COMMUNITY.NORTHEAST GEORGIA HEALTH PARTNERS WORKS TO BUILD COLLABORATIVE RELATIONSHIPS BETWEEN HOSPITALS, PHYSICIANS AND OTHER HEALTHCARE PROVIDERS, EMPLOYERS, AND THE EMPLOYEES THEY REPRESENT THROUGH INSURANCE PRODUCTS THAT HELP SUPPORT PATIENT ACCESS TO HEALTHCARE SERVICES THROUGHOUT THE REGION.RIVER PLACE MEDICAL OFFICE PLAZA 1 IS A MEDICAL OFFICE BUILDING THAT IS HOME TO AN URGENT CARE CENTER, IMAGING CENTER, OUTPATIENT REHABILITATION CENTER, FULL-SERVICE LAB AND MANY PRIVATE PHYSICIAN PRACTICES REPRESENTING MORE THAN 20 MEDICAL SPECIALTIES, IMPROVING ACCESS TO CARE IN THE SOUTHERN REGION SERVED BY NORTHEAST GEORGIA HEALTH SYSTEM.NORTHEAST GEORGIA PHYSICIANS GROUP IS A MULTI-SPECIALTY GROUP WITH MORE THAN 400 PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND OTHER CLINICAL STAFF PROVIDING HEALTHCARE SERVICES AT 65 LOCATIONS THROUGHOUT NORTHEAST GEORGIA, WHICH FURTHER IMPROVES THE COMMUNITY'S ACCESS TO CARE FOR THE REGION OF 19 COUNTIES.NORTHEAST GEORGIA HEALTH SYSTEM VOLUNTEERS AND AUXILIANS ARE PEOPLE OF ALL AGES WHO GIVE OF THEMSELVES TO MAKE A DIFFERENCE IN THE LIVES OF OTHERS. THE MEDICAL CENTER AUXILIARY IS COMMITTED TO INVOLVING DEDICATED VOLUNTEERS TO IMPROVE THE SERVICES OF THE HEALTH SYSTEM. VOLUNTEERS CONTRIBUTE TIME AND COMPASSIONATE SERVICE ASSISTING WITH NON-MEDICAL DUTIES AS THEY PROVIDE COMFORT AND SUPPORT TO PATIENTS, FAMILY MEMBERS AND VISITORS.THE AFFILIATION BETWEEN NORTHEAST GEORGIA MEDICAL CENTER'S HEART AND VASCULAR SERVICES AND GEORGIA HEART INSTITUTE FORMERLY KNOWN AS THE HEART CENTER OF NORTHEAST GEORGIA MEDICAL CENTER ENSURES PATIENTS HAVE ACCESS TO THE LATEST CARDIOVASCULAR TECHNOLOGY AND RECEIVE TOP QUALITY CARE FROM TOP PHYSICIANS. THIS GROUP HAS SEVERAL OFFICES THROUGHOUT THE NORTHEASTERN PART OF GEORGIA AND PROVIDES ALL CARDIOVASCULAR SUBSPECIALTY CARE, INCLUDING GENERAL, INVASIVE, AND INTERVENTIONAL CARDIOLOGY, CONGESTIVE HEART FAILURE, ELECTROPHYSIOLOGY, PERIPHERAL VASCULAR INTERVENTIONS, AND WOMEN'S CARDIOVASCULAR HEALTH PROGRAMS.
PART VI, LINE 7, REPORTS FILED WITH STATES	GA

Schedule H (Form 990) 2020

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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

2020

Open to Public
Inspection

Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number
58-1694098

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) NGHS FOUNDATION 743 SPRING STREET GAINESVILLE,GA30501	58-1694820	501(C)(3)	1,801,389				OPERATING 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) 2020

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)
(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 MAJORITY OF GRANTS ARE TO 501(C)(3) ORGANIZATIONS. APPROVAL IS OBTAINED PRIOR TO DISBURSEMENT.

Schedule I (Form 990) 2020

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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
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

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

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

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 .....

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) 2020

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)
1DJ CAMPBELL MD MEMBER	(i) (ii)	227,481 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	227,481 ------------- 0	0 ------------- 0
2DAVID HOLT HARRISON MD MEMBER, PHYSICIAN - NGMC	(i) (ii)	736,004 ------------- 0	0 ------------- 0	25,402 ------------- 0	9,975 ------------- 0	30,212 ------------- 0	801,593 ------------- 0	0 ------------- 0
3TIM SCULLY MD MEMBER, PHYSICIAN - NGHS/THC PHYSICI	(i) (ii)	263,508 ------------- 0	0 ------------- 0	28,500 ------------- 0	8,836 ------------- 0	24,251 ------------- 0	325,095 ------------- 0	0 ------------- 0
4CAROL BURRELL PRESIDENT & CEO	(i) (ii)	1,077,256 ------------- 0	0 ------------- 0	310,342 ------------- 0	98,665 ------------- 0	25,371 ------------- 0	1,511,634 ------------- 0	0 ------------- 0
5BRIAN D STEINES CHIEF FINANCIAL OFFICER	(i) (ii)	608,995 ------------- 0	76,387 ------------- 0	151,211 ------------- 0	85,676 ------------- 0	27,486 ------------- 0	949,755 ------------- 0	72,002 ------------- 0
6STEPHEN KELLY CHIEF COMPLIANCE OFFICER	(i) (ii)	219,456 ------------- 0	28,102 ------------- 0	49,925 ------------- 0	36,175 ------------- 0	17,178 ------------- 0	350,836 ------------- 0	26,489 ------------- 0
7MICHAEL COVERT CHIEF OPERATING OFFICER	(i) (ii)	534,667 ------------- 0	94,599 ------------- 0	155,784 ------------- 0	51,488 ------------- 0	17,614 ------------- 0	854,152 ------------- 0	43,270 ------------- 0
8JOHN DELZELL JR VP MEDICAL EDUCATION - NGMC	(i) (ii)	375,246 ------------- 0	48,379 ------------- 0	70,030 ------------- 0	57,454 ------------- 0	17,240 ------------- 0	568,349 ------------- 0	45,602 ------------- 0
9JOHN A WILLIAMSON PRESIDENT NGMC BRASELTON	(i) (ii)	385,592 ------------- 0	46,761 ------------- 0	73,069 ------------- 0	117,556 ------------- 0	27,202 ------------- 0	650,180 ------------- 0	44,077 ------------- 0
10TRACY VARDEMAN CHIEF STRATEGY EXECUTIVE - NGHS	(i) (ii)	322,858 ------------- 0	41,634 ------------- 0	79,877 ------------- 0	141,138 ------------- 0	27,126 ------------- 0	612,633 ------------- 0	39,045 ------------- 0
11NIRAJ PARIKH NGMC PHYSICIAN	(i) (ii)	1,241,313 ------------- 0	2,500 ------------- 0	21,640 ------------- 0	9,975 ------------- 0	33,094 ------------- 0	1,308,522 ------------- 0	0 ------------- 0
12JAMES G REEVES NGMC PHYSICIAN	(i) (ii)	1,236,877 ------------- 0	0 ------------- 0	22,210 ------------- 0	9,975 ------------- 0	29,136 ------------- 0	1,298,198 ------------- 0	0 ------------- 0
13BRANDON BRUCE NGMC PHYSICIAN	(i) (ii)	859,467 ------------- 0	0 ------------- 0	21,640 ------------- 0	9,975 ------------- 0	24,617 ------------- 0	915,699 ------------- 0	0 ------------- 0
14FRANCIS LAKE JR NGMC PHYSICIAN	(i) (ii)	755,294 ------------- 0	0 ------------- 0	23,122 ------------- 0	9,975 ------------- 0	31,962 ------------- 0	820,353 ------------- 0	0 ------------- 0
15FERNANDO SERNA NGMC PHYSICIAN	(i) (ii)	773,805 ------------- 0	0 ------------- 0	2,140 ------------- 0	8,880 ------------- 0	26,367 ------------- 0	811,192 ------------- 0	0 ------------- 0
16BRENDA SIMPSON FORMER CHIEF NURSING EXECUTIVE - NGM	(i) (ii)	331,408 ------------- 0	143,132 ------------- 0	70,307 ------------- 0	49,193 ------------- 0	21,873 ------------- 0	615,913 ------------- 0	124,424 ------------- 0
17DEBORAH WEBER FORMER CHIEF HR OFFICER - NGHS	(i) (ii)	0 ------------- 0	0 ------------- 0	164,774 ------------- 0	0 ------------- 0	17,093 ------------- 0	181,867 ------------- 0	0 ------------- 0
18LOUIS SMITH JR FORMER PRESIDENT - NGMC - SYSTEM ACU	(i) (ii)	0 ------------- 0	129,460 ------------- 0	628,117 ------------- 0	0 ------------- 0	29,396 ------------- 0	786,973 ------------- 0	0 ------------- 0
19SAMUEL JOHNSON MD FORMER CHIEF MEDICAL OFFICER - NGHS	(i) (ii)	183,444 ------------- 0	20,823 ------------- 0	22,683 ------------- 0	26,014 ------------- 0	7,271 ------------- 0	260,235 ------------- 0	20,823 ------------- 0

Schedule J (Form 990) 2020

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, LINES 4A-B

EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN BRENDA SIMPSON $ 42,895 BRIAN D. STEINES $ 75,701 JOHN DELZELL, JR. $ 47,479 JOHN A. WILLIAMSON $ 48,231 MICHAEL COVERT $ 43,270 SAMUEL O. JOHNSON $ 20,823 STEPHEN KELLY $ 28,939 TRACY M. VARDEMAN $ 41,634 CAROL H. BURRELL, PRESIDENT AND CEO: BEGINNING IN DECEMBER 2017, NORTHEAST GEORGIA HEALTH SYSTEM (A RELATED ORGANIZATION) INVESTED IN A JOINTLY-OWNED SPLIT DOLLAR LIFE INSURANCE PLAN FOR MS. BURRELL. THE ASSET VALUE AS OF SEPTEMBER 30, 2021 WAS $5,737,849. EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION): BRENDA SIMPSON $ 127,832 BRIAN D. STEINES $ 76,387 JOHN DELZELL, JR. $ 48,379 JOHN A. WILLIAMSON $ 46,761 MICHAEL COVERT $ 43,270 TRACY M. VARDEMAN $ 41,634 SAMUEL O. JOHNSON $ 20,823 STEPHEN KELLY $ 28,102

Schedule J (Form 990) 2020

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number
58-1694098

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2017AB)	58-6002388	362762LT1	02-09-2017	346,169,739	PAY THE COST OF ISSUING 2017AB, ADVANCE REFUND PORTION OF 2010AB		X		X		X
B	THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2021A)	58-6002388	362762QP4	09-09-2021	251,448,743	PAY THE COST OF ISSUING THE 2021A BONDS AND FINANCE THE ACQUISITION,		X		X		X
C	THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2020A)	58-6002388	362762PT7	03-17-2020	403,036,752	PAY COST OF ISSUING 2020A AND REFUND ISSUES DATED 2/09/17, 12/11/14, 8/26/11		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	6,271,000				6,525,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	346,169,739		251,448,743		403,036,752
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,663,083		1,448,743		3,155,338
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			250,000,000
11 Other spent proceeds .............	343,506,656
12 Other unspent proceeds .............					399,881,414
13 Year of substantial completion .............	2017				2020
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........		X		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........	X			X		X
16 Has the final allocation of proceeds been made? ..........	X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X	X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X			X	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X				X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X			X	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X				X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.210 %				0.210 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %				0 %
6 Total of lines 4 and 5 .............	0.210 %				0.210 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART I, COLUMN (C), BOND A CONTINUATION:	2017B CUSIP # 362762MM5
SCHEDULE K, PART I, COLUMN (F), BOND B CONTINUATION:	CONSTRUCTION, INSTALLATION AND EQUIPPING OF ADDITIONS AND IMPROVEMENTS TO, AND EQUIPMENT FOR, THE HEATHCARE FACILITIES OF NGHS.
SCHEDULE K, PART I, COLUMN (F), BOND C CONTINUATION:	AND 2/18/10.

Schedule K (Form 990) 2020

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

2020

Open to Public
Inspection

Name of the organization

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

Return Reference	Explanation
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:	THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM, INC., (NGHS) AND ALL RELATED AFFILIATES IS TO "IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." LED BY VOLUNTEER BOARDS MADE UP OF COMMUNITY LEADERS, THE HEALTH SYSTEM SERVES MORE THAN ONE MILLION PEOPLE IN 19 COUNTIES ACROSS NORTHEAST GEORGIA. NGHS IS A GEORGIA, NOT-FOR-PROFIT CORPORATION THAT, ALONG WITH ITS AFFILIATES, PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS OF NORTHEAST GEORGIA. NGHS OPERATES A 56-BED LICENSED HOSPITAL LOCATED IN WINDER (NGMC BARROW, LLC) AND IN JULY 2018, NGHS ACQUIRED NGMC LUMPKIN, LLC (FORMERLY CHESTATEE REGIONAL HOSPITAL), TO INCLUDE EMERGENCY SERVICES, 10 INPATIENT BEDS AND OTHER SUPPORT SERVICES IN DAHLONEGA AND SURROUNDING COMMUNITIES. NGHS AFFILIATE, NORTHEAST GEORGIA MEDICAL CENTER (NGMC), OPERATES A 557-LICENSED BED INPATIENT FACILITY IN GAINESVILLE, AND A 134-LICENSED BED INPATIENT FACILITY IN BRASELTON. OTHER AFFILIATES INCLUDE NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG), THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION, RIVER PLACE MEDICAL OFFICE PLAZA I, AND GEORGIA HEART INSTITUTE, LLC FORMERLY THE HEART CENTER, LLC. NGMC SERVES AS A FINANCIAL ENGINE FOR THE LOCAL ECONOMY. IN 2020 (LATEST NUMBERS AVAILABLE), THE FOUR HOSPITALS COLLECTIVELY HAD A $3.55 BILLION LOCAL AND STATE ECONOMIC IMPACT, ACCORDING TO A REPORT BY THE GEORGIA HOSPITAL ASSOCIATION (GHA), WHICH APPLIED AN ECONOMIC MULTIPLIER TO THE HOSPITAL'S DIRECT EXPENDITURES TO ACCOUNT FOR THE "RIPPLE" EFFECT THE HOSPITAL'S SPENDING HAS ON OTHER SECTORS OF THE LOCAL AND STATE ECONOMIES. THE REPORT FOUND THAT THROUGH ITS ECONOMIC IMPACT, THE HEALTH SYSTEM CREATED 22,590 FULL-TIME JOBS THROUGHOUT THE REGION AND THE STATE, IN ADDITION TO NEARLY 15,826 EMPLOYEES DIRECTLY EMPLOYED. COMMUNITY HEALTH IMPROVEMENT ACTIVITIES NORTHEAST GEORGIA HEALTH SYSTEM, WITH INPUT FROM THE COMMUNITY, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS. THE STUDY CULMINATED IN THE IDENTIFICATION OF THE FIVE FOLLOWING HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE ORGANIZATION'S STRATEGIC DIRECTION: BEHAVIORAL AND MENTAL HEALTH; ACCESS TO CARE; DIABETES; CARDIOVASCULAR DISEASE; AND SEPTICEMIA. FOR MORE INFORMATION ABOUT PROGRESS ON THESE AND OTHER HEALTH PRIORITIES OF 2020-2022, GO TO: HTTPS://WWW.NGHS.COM/WP-CONTENT/UPLOADS/2022/05/IMPLEMENTATION-PLAN-REPO RT-2021.PDF. NGHS, INC., AND AFFILIATES' RESPONSE TO COVID-19 THE UNFORESEEN COVID-19 PANDEMIC QUICKLY BECAME A PRIMARY FOCUS FOR NGHS, NGMC, NGPG, AND AFFILIATES. COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY, THE HEALTH SYSTEM PIVOTED IN 2020 TO MEET THE DEMANDS OF THE PANDEMIC, REMAINING FLEXIBLE TO ADDRESS THE RISING NEEDS IN THE COMMUNITY THROUGH THE FOLLOWING ACTIVITIES: COMMUNITY COVID-19 LEADERSHIP COALITION: A COMMUNITY-WIDE COLLABORATIVE WAS FORMED IN SEPTEMBER 2020 THAT INCLUDED NGHS, LONGSTREET CLINIC, GOOD NEWS CLINIC, DISTRICT 2 PUBLIC HEALTH, GREATER HALL CHAMBER OF COMMERCE, AND OTHER LOCAL ORGANIZATIONS TO IMPLEMENT A UNIFIED PLAN FOR THE HALL COUNTY-GAINESVILLE AREA TO PREVENT THE SPREAD OF COVID-19. FROM THIS, LOCAL BUSINESSES AND GOVERNMENT ENTITIES JOINED TO CREATE THE "WE ARE HALL IN" CAMPAIGN TO SET THE STANDARD FOR COVID-19 PREVENTION. THOSE WHO ARE "HALL IN" PLEDGE TO WEAR A MASK WHEN APPROPRIATE, PRACTICE SOCIAL DISTANCING, AND ABIDE BY OTHER HEALTH AND SAFETY GUIDELINES. COVID-19 PANDEMIC: AS WITH ALL HEALTH SYSTEMS, COVID-19 CONTINUED TO IMPACT OPERATIONS, AND THE SYSTEM CONTINUED TO ADDRESS THE SHIFTING NEEDS OF THE COMMUNITY THROUGHOUT FY21. THE FOREFRONT OF COVID-19 INFORMATION: NGHS REMAINED AT THE FOREFRONT OF COVID-19 INFORMATION DISTRIBUTION THROUGHOUT THE PANDEMIC. DAILY STATISTICS WERE MADE AVAILABLE TO THE PUBLIC THROUGH THE HOSPITAL'S WEBSITE, INFORMING THE COMMUNITY OF CONFIRMED POSITIVE PATIENTS IN OUR CARE, THE PERCENTAGE OF POSITIVE PATIENTS NOT FULLY VACCINATED, AND THE AVERAGE AGE OF POSITIVE PATIENTS. THIS INFORMATION IS AVAILABLE AT NGHS.COM/COVID-DATA. ADDITIONALLY, NGHS REGULARLY PUBLISHES TIPS ON AVOIDING COVID-19 AND INFORMATION ON VACCINE DISTRIBUTION. GEORGIA TECH COVID-19 TESTING PARTNERSHIP: NGHS PARTNERED WITH GEORGIA TECH TO SUPPORT REGULAR COVID-19 TESTING FOR STATE LEGISLATORS AND CAPITOL STAFF DURING THE LEGISLATIVE SESSION. NGHS IS INTERPRETING RESULTS AND CONFIRMING THE DIAGNOSIS OF A SALIVA-BASED COVID SURVEILLANCE TEST CONDUCTED BY GEORGIA TECH'S RESEARCHERS. METRO ATLANTA HOSPITAL COVID CAMPAIGN: NGHS PARTICIPATED IN TWO JOINT SOCIAL MEDIA CAMPAIGNS WITH OTHER METRO ATLANTA HOSPITALS TO DRIVE A UNIFIED MESSAGE AROUND COVID VACCINE ACCEPTANCE IN THE COMMUNITY. THE FOLLOWING HOSPITALS AND HEALTHCARE PROVIDERS WERE INVOLVED: NGHS, EMORY, CHOA, GRADY, PIEDMONT, ST. FRANCIS EMORY, HCA, WELLSTAR, ONE MEDICAL, AND KAISER PERMANENTE. LAKE LANIER CONVENTION & VISITORS BUREAU RECOGNIZED NGHS FOR COVID-19 EFFORTS: NGHS RECEIVED THE LAKE LANIER CONVENTION & VISITORS BUREAU CHAIRMAN'S AWARD FOR COMMITMENT AND EFFORTS DURING THE COVID-19 PANDEMIC. COMMUNITY CONVERSATIONS AND EDUCATION ON COVID-19: IN JUNE 2021, MEMBERS FROM NGMC, NGHS, DISTRICT 2 PUBLIC HEALTH, ST. JOHN THE BAPTIST CHURCH, AND NEWTOWN FLORIST CLUB MET TO DISCUSS COVID-19 IN THE AFRICAN AMERICAN COMMUNITY. THIS PANEL SHARED CASE DATA ON COVID-19 BY RACE/ETHNICITY, ANSWERED QUESTIONS ABOUT COVID-19, AND DISCUSSED MYTHS ABOUT THE VIRUS AND VACCINATION. IN SEPTEMBER 2021, THE PARTNERS HOSTED A VIRTUAL PANEL IN WHICH PANELISTS DISCUSSED THEIR PERSONAL EXPERIENCES WITH THE VACCINE AND OTHER TOPICS RELATED TO COVID-19. COVID-19 OUTREACH IN PARTNERSHIP WITH COMMUNITY LEADERS: KNOWING THE DISPROPORTIONATE IMPACT COVID-19 HAS ON HISPANIC AND LATINO POPULATIONS, NGHS PARTNERED WITH THE NORTHEAST GEORGIA LATINO CHAMBER OF COMMERCE AND MIDTOWN VILLAGES IN AUGUST 2021 AT THE EVENT "FIESTA DE VERANO" TO DISTRIBUTE COVID-19 VACCINES.
FORM 990, PART III, LINE 4A	IN 2021, NGMC HOSPITALS PROVIDED CHARITY CARE IN THE COMMUNITY AT THE COST OF AN ESTIMATED $77.7 MILLION AND RECEIVED NO LOCAL TAX REVENUE FROM HALL COUNTY, OR ANY OTHER COUNTIES, TO SUPPORT OPERATIONS OR CARE PROVIDED TO INDIGENT RESIDENTS. THE CHARITY CARE POLICY PROVIDES FINANCIAL ASSISTANCE UP TO 300 PERCENT OF THE POVERTY LEVEL MANY HOSPITALS PROVIDE CHARITY ADJUSTMENTS ONLY TO THE LEVEL THAT MATCHES THE STATE DEFINITION OF MEDICALLY INDIGENT BUT NOT AT THE LEVEL THAT NGMC OFFERS. THE HEALTH SYSTEM SERVED MORE THAN ONE MILLION PEOPLE IN 18 COUNTIES ACROSS NORTHEAST GEORGIA, LED BY VOLUNTEER BOARDS OF COMMUNITY LEADERS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, ALL REVENUE GENERATED ABOVE OPERATING EXPENSES WAS RETURNED TO THE COMMUNITY THROUGH IMPROVED SERVICES AND INNOVATIVE PROGRAMS. NORTHEAST GEORGIA MEDICAL CENTER'S CHARITY CARE POLICY SUPPORTS PROVIDING CARE FOR INDIGENT PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. TOTAL ESTIMATED CHARITY CARE COST FOR EACH HOSPITAL ENTITY IN FY21: NGMC GAINESVILLE AND BRASELTON: $33.4 MILLION FOR HALL COUNTY, WITH ANOTHER $32.1 MILLION FOR REGIONAL RESIDENTS OUTSIDE OF HALL COUNTY. NGMC BARROW: $2.6 MILLION FOR BARROW COUNTY, WITH ANOTHER $865,000 PROVIDED TO REGIONAL RESIDENTS OUTSIDE BARROW COUNTY. NGMC LUMPKIN: $637,000 FOR LUMPKIN COUNTY, WITH ANOTHER $479,000 FOR REGIONAL RESIDENTS OUTSIDE LUMPKIN COUNTY. LOW-INCOME AND UNINSURED PATIENT PROGRAMS: THE HOSPITAL WAS A KEY PARTICIPANT AND FISCAL SPONSOR IN PROGRAMS AIMED AT TREATING LOW-INCOME AND UNINSURED PATIENTS, INCLUDING THE GOOD NEWS CLINICS, THE LARGEST FREE HEALTHCARE CLINIC IN GEORGIA, AND HEALTH ACCESS, A LOCAL SERVICE THAT MATCHES FINANCIALLY ELIGIBLE PATIENTS TO SPECIALTY PHYSICIANS AND PROVIDES ACCESS TO CARE, AMONG OTHER SERVICES. NGMC WAS THE PRIMARY HOSPITAL FOR LOW-INCOME PATIENTS IN GAINESVILLE-HALL COUNTY AND THROUGHOUT THE REGION IN COUNTIES SUCH AS BANKS, LUMPKIN, RABUN, UNION, AND WHITE, WHERE MANY KEY MEDICAL SPECIALTIES ARE UNAVAILABLE. NGMC TAX FUNDING: SINCE 2000, NGMC GAINESVILLE HAS PROVIDED NEARLY THREE TIMES THE AMOUNT OF INDIGENT AND CHARITY CARE OUTLINED IN REQUIREMENTS BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH TO PASS A CERTIFICATE OF NEED FOR NEW SERVICES SUCCESSFULLY. UNLIKE MANY GEORGIA NOT-FOR-PROFIT HOSPITALS HELD TO THE SAME REQUIREMENTS, NGMC DOES NOT RECEIVE TAX FUNDING FROM ITS LOCAL COUNTY TO HELP FUND INDIGENT CARE FOR AREA RESIDENTS. NGMC GAINESVILLE WAS SIXTH IN THE TOP HOSPITALS FOR NET UNCOMPENSATED CARE ($73.4 M) PROVIDED IN GEORGIA BASED ON STATE FISCAL YEAR (SFY) 2020 INDIGENT CARE TRUST FUND (ICTF) TOTAL HOSPITAL SPECIFIC DISPROPORTIONATE SHARE HOSPITAL (DSH) LIMITS; MANY OF THE HOSPITALS ON THE LIST RECEIVED LOCAL TAX DOLLARS, WHILE NGMC DID NOT, (SFY RUNS FROM JULY 1- JUNE 30). AS A NOT-FOR-PROFIT HOSPITAL, NGMC CARRIES ADDITIONAL RESPONSIBILITIES, AS ESTABLISHED BY THE IRS IN 1965. THESE OBLIGATIONS ARE: OPERATE A FULL-TIME EMERGENCY ROOM THAT IS AVAILABLE TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY; - NGMC GAINESVILLE AND BRASELTON HAD 134,032 ER VISITS, OPERATING THE BUSIEST EMERGENCY DEPARTMENT IN GEORGIA, AND NGMC BARROW AND LUMPKIN ALSO OPERATE A 24-HOUR EMERGENCY ROOM. - IN FY21, 23 PERCENT OF ALL NGMC GAINESVILLE AND BRASELTON EMERGENCY ROOM VISITS WERE MADE BY SELF-PAY PATIENTS; 27 PERCENT FOR BARROW, AND 22 PERCENT FOR LUMPKIN. PROVIDE NON-EMERGENCY SERVICES TO ANYONE UNABLE TO PAY, AND MEDICALLY NECESSARY SERVICES TO ANYONE IN THE NGHS SERVICE AREA NOT ABLE TO PAY; - NORTHEAST GEORGIA HEALTH SYSTEM PROVIDES HIGH QUALITY, ADVANCED SPECIALTY AND PRIMARY HEALTHCARE SERVICES TO THE NORTHEAST GEORGIA COMMUNITY, SERVING 1 MILLION PEOPLE IN MORE THAN 18 COUNTIES. IN FY21, NGMC'S PAYOR MIX AT GAINESVILLE AND BRASELTON WAS 60 PERCENT MEDICARE/MEDICAID, 31 PERCENT COMMERCIAL/OTHER INSURANCE AND 9 PERCENT SELF-PAY. - IN FY21, NGMC'S PAYOR MIX AT BARROW WAS 55 PERCENT FOR MEDICARE/ MEDICAID, 30 PERCENT FOR COMMERCIAL/OTHER INSURANCE AND 15 PERCENT FOR SELF-PAY. - IN FY21, NGMC'S PAYOR MIX AT LUMPKIN WAS 50 PERCENT FOR MEDICARE/ MEDICAID, 34 PERCENT FOR COMMERCIAL/OTHER INSURANCE AND 16 PERCENT FOR SELF-PAY. PARTICIPATE IN MEDICAID AND MEDICARE; - 60 PERCENT OF PATIENTS SERVED BY NGMC GAINESVILLE AND BRASELTON IN FY21 WERE MEDICAID AND MEDICARE PATIENTS; 55 PERCENT FOR BARROW AND 50 PERCENT FOR LUMPKIN. CREATE A GOVERNING BOARD THAT IS REPRESENTATIVE OF THE COMMUNITY IT SERVES; - MORE THAN 90 COMMUNITY MEMBERS ARE ACTIVELY INVOLVED IN GOVERNANCE THROUGH NORTHEAST GEORGIA HEALTH SYSTEM, NGMC AND OTHER SUBSIDIARY BOARDS AND COMMITTEES. REINVESTMENT OF SURPLUS FUNDS IN OPERATIONS: AS A NOT-FOR-PROFIT ORGANIZATION, THE REVENUE GENERATED BY NGMC AND ITS PARENT ORGANIZATION NORTHEAST GEORGIA HEALTH SYSTEM, ABOVE OPERATING EXPENSES, IS REINVESTED INTO THE COMMUNITY. EXAMPLES INCLUDE INVESTMENTS IN ADVANCED MEDICAL TECHNOLOGY SUCH AS ROBOTIC SURGICAL SYSTEMS AND STATE-OF-THE-ART RADIATION THERAPY EQUIPMENT, A LEVEL 2 TRAUMA CENTER'S DEVELOPMENT, AND BARROW, THE ONLY FACILITY TO OFFER 3D MAMMOGRAPHY IN THAT COUNTY. INDIGENT CARE TRUST FUND (ICTF): IN 2021, NGMC RECEIVED $7.6 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID DSH (ICTF) PROGRAM TO PARTIALLY OFFSET A FINANCIAL LOSS OF $65.5 MILLION IN COST THE MEDICAL CENTER INCURRED TREATING UNINSURED AND MEDICAID PATIENTS. IN ADDITION, NGMC RECEIVED $3.7 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID UPL PROGRAM TO ADJUST MEDICAID PAYMENTS UPWARD TO MATCH MEDICARE PAYMENT LEVELS. THE INDIGENT CARE TRUST FUND IS A PROGRAM THAT WAS ESTABLISHED IN 1990, WHICH EXPANDS MEDICAID ELIGIBILITY AND SERVICES. IT SUPPORTS RURAL HEALTHCARE FACILITIES THAT SERVE THE MEDICALLY INDIGENT AND FUNDS PRIMARY HEALTH CARE PROGRAMS FOR MEDICALLY INDIGENT GEORGIANS. GEORGIA'S DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM IS FUNDED THROUGH THE ICTF. IT ASSISTS HOSPITALS AND OTHER HEALTH PROVIDERS THAT CARE FOR HIGH PROPORTIONS OF MEDICAID, UNINSURED, AND/OR LOW-INCOME PATIENTS.
FORM 990, PART III, LINE 4A	NORTHEAST GEORGIA MEDICAL CENTER NGMC PROVIDES A COMPREHENSIVE RANGE OF ACUTE CARE AND SPECIALTY SERVICES AND SERVES THE AREA'S LOW-INCOME, UNINSURED, UNDERINSURED, AND OTHER VULNERABLE POPULATIONS. NGMC GAINESVILLE SERVES AS THE REGIONAL SAFETY NET HOSPITAL, WITH MANY PATIENTS COMING FROM OUTSIDE HALL COUNTY. NGMC GAINESVILLE, BRASELTON, BARROW, AND LUMPKIN EXPEND SURPLUS FUNDS IN THE ORGANIZATION TO BENEFIT THE COMMUNITY. NGHS RECEIVES NO TAX REVENUE FROM HALL, OR OTHER COUNTIES SERVED, AND SERVICES ARE FUNDED BY REVENUE GENERATED FROM OPERATIONS. NGMC'S CHARITY CARE POLICY SUPPORTS PROVIDING CARE FOR INDIGENT PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. THE FOLLOWING CONTAINS ADDITIONAL HIGHLIGHTS OF COMMUNITY BENEFIT ACTIVITIES PROVIDED BY NGMC IN FY21, OFTEN PARTNERING WITH OTHER ORGANIZATIONS AND INDIVIDUALS IN THE COMMUNITY: UNITED WAY'S ONE HALL MENTAL AND BEHAVIORAL HEALTH SUBCOMMITTEE: UNDER UNITED WAY'S ONE HALL FRAMEWORK, NGHS WORKED WITH OTHER COMMUNITY PARTNERS TO IMPROVE MENTAL AND BEHAVIORAL HEALTH IN THE COMMUNITY. THIS EFFORT REDUCED THE STIGMA OF SEEKING HELP BY RAISING AWARENESS ABOUT THE ISSUE, AVAILABLE RESOURCES, AND EDUCATION. NGHS HELPED SUPPORT ACTIVITIES, MATERIALS, AND THE ENGAGEMENT OF FORUM COMMUNICATIONS TO ADVANCE THIS COLLABORATIVE WORK. THE NGHS FOUNDATION CREATED A FIVE-VIDEO SERIES THAT ENGAGED COMMUNITY LEADERS, DONORS, AND ORGANIZATIONS TO CREATE AWARENESS OF MENTAL HEALTH NEEDS AND THE IMPORTANCE OF SUPPORTING MENTAL AND BEHAVIORAL HEALTH PROGRAMS. AVIA DIGITAL SOLUTIONS: AVIA, A DIGITAL SOLUTION TECHNOLOGY COMPANY, WORKED WITH NGHS TO LEARN FROM OTHER COMMUNITIES ACROSS THE COUNTRY WHO HAVE BEEN SUCCESSFUL IN UTILIZING SHARED DATA TO ADDRESS SOCIOECONOMIC DETERMINANTS OF HEALTH THAT MAY PREVENT PATIENTS AND COMMUNITY MEMBERS FROM GETTING AND STAYING HEALTHY. ACCORDING TO AVIA, MORE THAN TWO-THIRDS OF PATIENTS HAVE AT LEAST ONE SOCIAL, HOUSING, GOODS, OR TRANSPORTATION CHALLENGE. AVOIDABLE EMERGENCY ROOM UTILIZATION IS USUALLY A SYMPTOM OF AN UNMET SOCIAL NEED, WHICH UNDERSCORES WHY HEALTH SYSTEMS ACROSS THE COUNTRY ACTIVELY PURSUE SIMILAR PROJECTS TO IMPACT SOCIAL DETERMINANTS OF HEALTH. IN FY21, NGMC AND COMMUNITY STAKEHOLDERS FURTHER REFINED THE FUNCTIONAL REQUIREMENTS OF THE SHARED DATA PLATFORM AND HEARD PRESENTATIONS FROM THREE POTENTIAL VENDORS. IN ADDITION, MENTAL HEALTH FIRST AID TRAINING WAS PROVIDED TO TARGETED AUDIENCES. MENTAL HEALTH FIRST AID IS AN EIGHT-HOUR TRAINING COURSE DESIGNED TO GIVE MEMBERS OF THE PUBLIC SKILLS TO HELP SOMEONE WHO IS DEVELOPING A MENTAL HEALTH PROBLEM OR EXPERIENCING A MENTAL HEALTH CRISIS. UNITED WAY OF HALL COUNTY AND WISDOM PROJECT 2030, IN PARTNERSHIP WITH A GRANT FROM CRESSWIND COMMUNITY FUND, ARE OFFERING THIS FREE TRAINING TO QUALIFIED MEMBERS OF THE HALL COUNTY COMMUNITY. MORE INFORMATION ABOUT THIS PROGRAMMING CAN BE FOUND AT: HTTPS://WWW.UNITEDWAYHALLCOUNTY.ORG/REACHOUT. REACH OUT CAMPAIGN: NGHS IS A LEADING PARTNER IN THE REACH OUT CAMPAIGN TO DESTIGMATIZE THE NEED FOR MENTAL HEALTH SERVICES. AS PART OF THIS GROUP'S WORK, A CAMPAIGN TO DESTIGMATIZE THE NEED FOR MENTAL HEALTH SERVICES IS ONGOING. IT FEATURES TESTIMONIALS FROM COMMUNITY MEMBERS ON UNITED WAY'S FACEBOOK PAGE. AMONG FEATURED COMMUNITY MEMBERS ARE NGMC BOARD CHAIR PHILLIPPA LEWIS MOSS AND CHIEF STRATEGY EXECUTIVE TRACY VARDEMAN. MEDICAL CLINICS AND FLU VACCINES: NGMC WORKED WITH OPEN ARMS CLINIC (OAC) AND PROVIDED 100 FLU VACCINES IN 2021. OAC IS A NOT-FOR-PROFIT AND NON-GOVERNMENTAL MEDICAL CLINIC DEDICATED TO SERVING STEPHENS COUNTY RESIDENTS AND PROVIDING PRIMARY HEALTH CARE WITH COMPASSION AND RESPECT. LOCATED DIRECTLY ACROSS FROM TOCCOA CLINIC, FUNDING FOR OAC IS PROVIDED BY PRIVATE, INDIVIDUAL, AND PUBLIC DONATIONS. SUPPORT FOR OAC CAME AT AN ESTIMATED $1,650 FOR NGMC IN FY21. PARTNERING TO REACH THE UNINSURED: NGMC WORKED WITH OTHER HEALTHCARE PROVIDERS TO CARE FOR AREA RESIDENTS, PARTICULARLY THE INDIGENT POPULATION. PARTNERS INCLUDED, BUT ARE NOT LIMITED TO, NGMC, THE NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG) PRIMARY CARE CLINIC AT HALL COUNTY HEALTH DEPARTMENT, THE LONGSTREET CLINIC, MEDLINK (FEDERALLY QUALIFIED HEALTH CENTER), AREA PHYSICIANS, AND INDIGENT CLINICS SUCH AS GOOD NEWS CLINICS IN GAINESVILLE AND GOOD SHEPHERD CLINIC OF DAWSON COUNTY. GOOD NEWS CLINICS (GNC): NGMC PROVIDED FINANCIAL SUPPORT TO GOOD NEWS CLINICS (GNC), PROVIDING APPROXIMATELY 33 PERCENT OF THEIR OPERATING BUDGET. GNC IS GEORGIA'S LARGEST FREE CLINIC, FOUNDED IN 1992, IS A CHRISTIAN MINISTRY THAT PROVIDES MEDICAL AND DENTAL CARE TO THE INDIGENT AND UNINSURED POPULATION AT NO CHARGE. FORTY-SIX PHYSICIANS, NINE MID-LEVEL PROVIDERS, 43 DENTISTS, AND ONE DENTAL HYGIENIST VOLUNTEER TO TREAT PATIENTS AT GNC. IN ADDITION, 340 SPECIALIST PHYSICIANS VOLUNTEER TO TREAT PATIENTS THROUGH THEIR HEALTH ACCESS INITIATIVE. NGMC AND GNC ARE ALSO FOCUSED ON IMPROVING PATIENT OUTCOMES AND ARE ACTIVELY ALIGNING MUTUAL GOALS. NGMC HAS ALSO BEEN INSTRUMENTAL IN HELPING TO PROVIDE A CONGESTIVE HEART FAILURE (CHF) CLINIC AT GNC, SUCCEEDING IN PREVENTING READMISSIONS OF GNC PATIENTS WITH CHF. ADDITIONAL HEALTH SCREENINGS, SUCH AS PROSTATE SCREENINGS, ARE PROVIDED TO VULNERABLE POPULATIONS AT GNC. OTHER SERVICES PROVIDED INCLUDE A SEIZURE CLINIC, DIABETES EDUCATION AND MANAGEMENT, AND A REGISTERED DIETITIAN ON STAFF WHO HELPS PATIENTS WITH LIFESTYLE MODIFICATIONS REQUIRED FOR MANAGING HEART FAILURE, DIABETES, AND WEIGHT LOSS. THIS SUPPORT CAME AT A COST OF $583,065 FOR 2,718 PEOPLE FOR NGMC GAINESVILLE AND BRASELTON IN FY21. TO PROVIDE INTEGRATION BETWEEN GNC, NGHS, AND OTHER PROVIDERS IN THE COMMUNITY, NGMC CONTINUED ITS PARTNERSHIP BY IMPLEMENT EPIC ELECTRONIC MEDICAL RECORD SYSTEM TO IMPROVE CARE COORDINATION AND OUTCOMES FOR THIS VULNERABLE PATIENT POPULATION. NGMC RECENTLY AUTHORED A CASE STUDY EXAMINING THIS PARTNERSHIP. THIS CASE STUDY CAN BE FOUND AT: HTTPS://WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. P.I.T.C.H. PROGRAM: AS A PROGRAM OF NGHS, P.I.T.C.H. IS COMMITTED TO ENSURING THE COMMUNITY HAS ACCESS TO THE CARE IT NEEDS. COMMUNITY PARAMEDICS HELP PATIENTS BY MEETING THEM AT THEIR HOME TO: PROVIDE AND CONNECT THEM TO PRIMARY CARE SERVICES; SEEK OUT AVAILABLE COMMUNITY RESOURCES; COMPLETE POST-HOSPITAL FOLLOW-UP CARE; DISCOVER EDUCATION AND HEALTH PROGRAMS; AND DISCUSS OVERALL HEALTH AND MENTAL HAPPINESS. IN FY21, THERE WERE 150+ REFERRALS TO SERVICES, 50+ PATIENTS HAVE BEEN NEWLY ESTABLISHED WITH A PRIMARY CARE PHYSICIAN, 65 EMERGENCY ROOM VISITS WERE AVOIDED BY P.I.T.C.H. INTERVENTIONS, AND FOUR INFUSION THERAPY PATIENTS RECEIVED DAILY TRANSPORTATION THAT RESULTED IN 90 DAYS OF REDUCTION IN INPATIENT STAYS. NGPG PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT: NGMC FUNDED AND STAFFED A PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT TO IMPROVE ACCESS TO PRIMARY HEALTHCARE SERVICES FOR LOW-INCOME PEOPLE IN THE COMMUNITY. IN FY21, NGMC CONTRIBUTED $1,032,552 TO PROVIDE THIS CLINIC. PRENATAL CARE PROGRAM AT THE HEALTH DEPARTMENT: NGMC, THE LONGSTREET CLINIC, AND HALL COUNTY HEALTH DEPARTMENT PARTNERED TO IMPROVE BIRTH OUTCOMES BY INCREASING EARLY PRENATAL CARE FOR LOW-INCOME, UNINSURED, AND UNDER-INSURED PREGNANT WOMEN VIA THE HEALTH DEPARTMENT'S PRIMARY CARE CLINIC. IN FY21, NGMC PROVIDED SUPPORT OF AN ESTIMATED $319,817. INDIGENT PATIENT FUND: AT NGMC, FINANCIAL ASSISTANCE IS PROVIDED FOR INDIGENT PATIENTS TO OBTAIN URGENTLY NEEDED DISCHARGE MEDICATIONS AND TRANSPORTATION. INDIVIDUALS ELIGIBLE FOR THESE FUNDS ARE PATIENTS WHOSE NEEDS CANNOT BE MET THROUGH PRIMARY INSURANCE, THEIR FUNDS, GOVERNMENT PROGRAMS, OR OTHER CHARITABLE SERVICES. THIS HELPED TO ENSURE MEDICATION COMPLIANCE AND MAXIMIZE CONDITIONS FOR RECOVERY AND RECUPERATION. THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION PROVIDES FUNDING FOR THIS PROGRAM THAT SERVED 305 PEOPLE AT AN ESTIMATED COST OF $21,706 IN FY21. CHARITABLE AND INDIGENT PATIENT SUPPORT: NGMC PROVIDED SUPPORT FOR THE GOOD SAMARITAN HEALTH CENTER OF GWINNETT, A NON-PROFIT ORGANIZATION COMMITTED TO CARING FOR THE UNINSURED AND UNDERINSURED WORKING POOR IN THE COMMUNITY. THIS CLINIC PROVIDES HEALTH AND DENTAL SERVICES WHILE PROVIDING A CULTURALLY DIVERSE AND SPIRITUAL ENVIRONMENT FOR THOSE THEY SERVE. THIS SUPPORT CAME AT THE COST OF $4,500 FOR NGMC IN FY21. ADDITIONALLY, NGMC PROVIDES OFFICE SPACE TO GOOD SHEPHERD CLINIC IN DAWSONVILLE AND AN ANNUAL CORPORATE SPONSORSHIP TO COMMUNITY HELPING PLACE IN DAHLONEGA AT A COST OF $15,000.
FORM 990, PART III, LINE 4A	FIFTH ANNUAL NORTHEAST GEORGIA REGION 2 TRAUMA SYMPOSIUM: THE FIFTH-ANNUAL NORTHEAST GEORGIA REGION 2 TRAUMA ADVISORY COMMITTEE'S TRAUMA SYMPOSIUM WAS HELD IN OCTOBER, PRODUCED LIVE FROM THE RAMSEY CONFERENCE CENTER AT LANIER TECHNICAL COLLEGE. LOCAL AND NATIONAL SPEAKERS PRESENTED FROM THE PODIUM, WHILE ALL ATTENDEES VIEWED THE SYMPOSIUM SAFELY FROM THEIR HOMES OR WORKPLACES. ALMOST 600 ATTENDEES FROM MORE THAN 30 STATES AND SEVERAL COUNTRIES REGISTERED FOR THE EVENT, AND MANY GROUPS HOSTED WATCH PARTIES IN SOCIALLY-DISTANCED FORMATS. NGMC'S BLOOD BANK SUPERVISOR, LISSA SHIRLEY, WAS AWARDED THE NATHAN DEAL GOVERNOR'S AWARD FOR TRAUMA EXCELLENCE. THE AWARD HONORS AN INDIVIDUAL WHO HAS MADE A LASTING CLINICAL AND/OR SYSTEM IMPACT ON TRAUMA CARE IN NORTHEAST GEORGIA THROUGH EDUCATION, LEGISLATION, LEADERSHIP, OR PHILANTHROPY. CHARITY CARE: NGMC'S CHARITY CARE POLICY REMOVED BARRIERS FOR LOW-INCOME POPULATIONS WITHIN THE SERVICE AREA, BEGINNING WITH THE FREE, MEDICALLY NECESSARY CARE FOR PATIENTS WHOSE GROSS FAMILY INCOME IS ZERO TO 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ADJUSTED FOR FAMILY SIZE. FURTHER, PATIENTS FROM THE SERVICE AREA WHOSE FPL IS FROM 151 TO 300 PERCENT MAY QUALIFY FOR AN ADJUSTMENT EQUIVALENT TO THE HOSPITAL'S MEDICARE REIMBURSEMENT RATE PLUS AN ADDITIONAL 40 PERCENT DISCOUNT TO THE MEDICARE REIMBURSEMENT RATE. FINANCIAL NAVIGATORS: NGMC FINANCIAL ASSISTANCE COUNSELORS HELPED PATIENTS BECOME INSURED THROUGH MEDICAID, PEACHCARE, OR OTHER PROGRAMS. THIS TEAM FOCUSES ON ADVOCATING FOR UNINSURED AND UNDER-INSURED PATIENTS, AIDING THEM IN FINDING VIABLE MEANS TO ACCESS CARE. THEY FIND THE BEST SOLUTIONS FOR HELPING PATIENTS APPLY FOR MEDICAID OR DISABILITY, ACCESSING HEALTHCARE EXCHANGES, OR PROCESSING CHARITY APPLICATIONS WHEN APPROPRIATE. IN FY21, THE FINANCIAL NAVIGATOR TEAM SERVED NEARLY 62,377 PEOPLE SEEKING ASSISTANCE AT AN ESTIMATED COST OF $968,796. PARTNERSHIP FOR A DRUG-FREE HALL (DFH): HALL COUNTY'S RESPONSE TO THE OPIOID EPIDEMIC WAS THE COLLABORATIVE PARTNERSHIP FOR A DRUG-FREE HALL (DFH). MODELED AFTER A PARTNERSHIP FORMED IN GWINNETT COUNTY LED BY SENATOR RENEE UNTERMAN, WHO, ALONG WITH DEB BAILEY, EXECUTIVE DIRECTOR OF GOVERNMENTAL AFFAIRS AT NGHS, DALLAS GAY, FORMER NGHS BOARD MEMBER, AND JUDY BROWNELL, DIRECTOR OF PREVENTION AT CENTER POINT, PULLED TOGETHER A DIVERSE GROUP OF AGENCIES IN HALL COUNTY TO FORM DFH, A COLLABORATIVE DEDICATED TO PROVIDING THE PEOPLE OF HALL COUNTY WITH INFORMATION, RESOURCES AND ACTIONS TO ADDRESS DRUG ABUSE. TODAY, NGHS REMAINS A STRONG PARTNER AND PROVIDES CORPORATE SPONSORSHIP TO HELP SUPPORT THE EDUCATIONAL EFFORTS OF THE GROUP. ED-CARES: NGMC'S EMERGENCY DEPARTMENTS CONTINUE TO PARTNER WITH THE GEORGIA COUNCIL ON SUBSTANCE ABUSE TO IMPLEMENT THE ED-CARES (CERTIFIED ADDICTION RECOVERY SPECIALISTS) PROGRAM WHICH CONNECTS PEOPLE WHO HAVE BEEN ADMITTED TO EMERGENCY ROOMS FOR AN OPIOID-RELATED OVERDOSE WITH TRAINED PEER RECOVERY COACHES WHO PLAY AN IMPORTANT ROLE IN HELPING PEOPLE AVOID ANOTHER OVERDOSE AND ENCOURAGING THEM TO SEEK TREATMENT. NGMC REMAINS THE ONLY HOSPITAL SYSTEM IN THE NATION TO OFFER THE CARES PROGRAM IN ITS NEONATAL INTENSIVE CARE UNITS (NICUS) TO HELP FAMILIES OF BABIES BORN WITH NEONATAL ABSTINENCE SYNDROME (NAS) FIND A PATH TO RECOVERY. NGMC ALSO HAS DEDICATED NICU STAFF EDUCATING THE FAMILIES ON HOW TO CARE FOR THEIR INFANT WITH NAS. NICU MANAGERS AND PEER RECOVERY COACHES WERE INSTRUMENTAL IN POLICY CHANGE IN GEORGIA AND THE ENTIRE U.S. THAT WILL KEEP MOTHER AND BABY TOGETHER WHILE MOTHER IS RECEIVING TREATMENT FOR RECOVERY. THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION RAISES FUNDS TO BENEFIT THE COMMUNITY: THE NGHS FOUNDATION IS THE FUNDRAISING ARM OF NGMC AND RAISED FUNDS TO IMPROVE THE COMMUNITY'S HEALTH. THE FOUNDATION'S OPERATING EXPENSES ARE SUPPORTED BY NGMC SO THAT DONATED FUNDS CAN BE USED TO SUPPORT NGMC PROJECTS AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THROUGH THE EMPLOYEE GIVING CLUB WATCH (WE ARE TARGETING COMMUNITY HEALTH), MEMBERS HAVE DONATED MORE THAN $11 MILLION IN SUPPORT OF CAPITAL IMPROVEMENTS, COMMUNITY INITIATIVES, EQUIPMENT, AND ENHANCED PATIENT CARE SINCE THE PROGRAM'S INCEPTION IN 1999. WATCH HAS GROWN TO INCLUDE MORE THAN 3,600 EMPLOYEE DONORS. IN FY21, AN ESTIMATED VALUE OF $5,515 WAS GIVEN BY EMPLOYEES IN TIME SERVING ON THE WATCH COMMITTEE. NGHS FOUNDATION FUNDS THE PROJECT RESPECTING CHOICES - ADVANCED CARE PLANNING EDUCATION. RESPECTING CHOICES IS AN EVIDENCE-BASED MODEL OF ADVANCED CARE PLANNING THAT HONORS AN INDIVIDUAL'S GOALS AND VALUES FOR CURRENT AND FUTURE HEALTH CARE. THIS PROGRAM IS DESIGNED TO CREATE AN OPEN DISCUSSION ABOUT END-OF-LIFE CARE IN NORTHEAST GEORGIA SO THAT FAMILIES ARE RELIEVED OF UNNECESSARY STRESS WHILE AVOIDING USING EXPENSIVE RESOURCES THAT PATIENTS DON'T VALUE OR BENEFIT FROM. THIS PROJECT BENEFITED 1,005 PEOPLE AT A COST OF $59,631 FOR NGMC IN FY21. NGMC VOLUNTEERS: IN FY21, 401 NGMC VOLUNTEERS CONTRIBUTED 28,000 VOLUNTEER HOURS, EQUIVALENT TO 17 FULL-TIME EMPLOYEES AND A VALUE OF OVER $799 MILLION TO THE ORGANIZATION (INCLUSIVE OF GAINESVILLE, BRASELTON, AND BARROW). BY AREA, NGMC BRASELTON CONTRIBUTED 7,000 HOURS BY 134 VOLUNTEERS, EQUIVALENT TO FOUR FULL-TIME EMPLOYEES AND A VALUE OF $201,250 TO THE ORGANIZATION. NGMC GAINESVILLE CONTRIBUTED 20,300 HOURS BY 272 VOLUNTEERS, EQUIVALENT TO 12 FULL-TIME EMPLOYEES AND A VALUE OF $583,625 IN 2021. WHILE THESE FIGURES ARE NOT INCLUDED IN THE QUANTITATIVE PORTION OF THE COMMUNITY BENEFIT REPORT, THEY SHOW THE DEPTH OF SUPPORT THE COMMUNITY GIVES NGMC. FORTY-TWO TEENS PARTICIPATED IN THE TEEN VOLUNTEER PROGRAM IN 2021. SIXTEEN TEENS SERVED IN BRASELTON AND 26 IN GAINESVILLE, REPRESENTING 15 HIGH SCHOOLS IN THE AREA. COMMUNITY AND PROVIDER EDUCATION SAFE KIDS COALITION WORKS TO KEEP KIDS SAFE: SAFE KIDS NORTHEAST GEORGIA, LED BY NGMC, IS PART OF SAFE KIDS WORLDWIDE, THE FIRST AND ONLY NATIONAL ORGANIZATION DEDICATED SOLELY TO PREVENTING UNINTENTIONAL CHILDHOOD INJURY, THE NATION'S NUMBER ONE KILLER OF CHILDREN AGES 19 AND UNDER. THIS PROGRAM PROVIDES AFFORDABLE SAFETY EQUIPMENT SUCH AS CAR SEATS, BIKE HELMETS, AND LIFE JACKETS TO AREA CHILDREN IN NEED. WORKING WITH A COALITION OF LAW ENFORCEMENT, AREA SCHOOLS, COMMUNITY VOLUNTEERS, AND OTHERS, SAFE KIDS PROVIDES EDUCATIONAL MATERIALS AND PROGRAMS THAT TEACH CHILDREN AND THEIR PARENTS HOW TO AVOID ACCIDENTS AND INJURIES. SAFE KIDS CONTINUE ITS WORK OF INJURY PREVENTION FOR FAMILIES IN THE HALL COUNTY COMMUNITY IN 2021. THE NORTHEAST GEORGIA HEALTH SYSTEM AUXILIARY DONATES PROCEEDS FROM MARKETPLACE, ITS AN ANNUAL HOLIDAY FUNDRAISING EVENT, TO SAFE KIDS NORTHEAST GEORGIA. NGMC PROVIDED MORE THAN 25 PROGRAMS AND EVENTS THAT REACHED AN ESTIMATED 16,000 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THROUGH THESE PROGRAMS, OVER 1,500 SAFETY ITEMS WERE DISTRIBUTED TO FAMILIES NEEDING THEM. THE ESTIMATED COST OF THIS SUPPORT IS $26,750 IN FY21. HOSPICE BEREAVEMENT CAMPS, SUPPORT GROUPS, AND OUTREACH: HOSPICE OF NGMC PROVIDED MULTIPLE BEREAVEMENT SUPPORT GROUPS AND EDUCATION FOR THOSE GRIEVING A LOSS OR CARING FOR A LOVED ONE WITH AN ILLNESS (SUCH AS DEMENTIA) AND TWO CAMPS FOR CHILDREN DEALING WITH THE LOSS OF SOMEONE CLOSE TO THEM. CAMPS WERE CANCELED DUE TO COVID-19, BUT IN FY21, 2,408 INDIVIDUALS WERE SERVED THROUGH SUPPORT, OUTREACH, AND EDUCATION. THIS CAME AT A COST OF $24,960 TO NGMC GAINESVILLE AND BRASELTON IN 2021. REGIONAL TRAUMA ADVISORY COMMITTEE (RTAC) SYMPOSIUM: AS PART OF THE STATE OF GEORGIA'S TRAUMA SYSTEM, THE REGIONAL TRAUMA ADVISORY COMMITTEE (RTAC) DEVELOPS AND MAINTAINS THE REGION'S TRAUMA SYSTEM PLAN AND MONITORS SYSTEM COMPLIANCE AND IMPROVEMENT ACTIVITIES. NGMC PARTNERS WITH OTHER EMS AGENCIES, PARTICIPATING HOSPITALS, LOCAL GOVERNMENTS, AND THE PUBLIC AS A PART OF THIS COMMITTEE AND THE ANNUAL RTAC SYMPOSIUM, WHICH PROVIDED EDUCATION TO OVER 537 HEALTH PROFESSIONALS IN THE REGION AT A COST OF $16,8844 IN FY21. IN ADDITION, COMMUNITY EDUCATION ON INJURY PREVENTION AND TRAUMA, SUCH AS WITH FALLS AND THE STOP THE BLEED CAMPAIGN, WAS PROVIDED TO NEARLY 1,459 PROFESSIONALS AND INDIVIDUALS AT A COST OF $4,797 IN 2021.
FORM 990, PART III, LINE 4A	HEALTH SCIENCES LIBRARY AND RESOURCE CENTER: THE HEALTH SCIENCES LIBRARY AND RESOURCE CENTER AT NGMC SERVES THE HEALTH INFORMATION NEEDS OF THE NORTHEAST GEORGIA COMMUNITY, EXPANDING TO OVER 18 COUNTIES. THIS INSTITUTION GIVES CONSUMERS, PATIENTS, AND THEIR FAMILY MEMBERS ACCESS TO CREDIBLE RESOURCES RELATED TO MEDICAL SYMPTOMS, CONDITIONS, AND TREATMENTS. THE RESOURCE CENTER ENCOURAGES VISITORS TO MAKE HEALTHY CHOICES AND BECOME ACTIVE, INFORMED PARTNERS IN THEIR HEALTH CARE DECISIONS. IT HAS BENEFITED 8,509 PEOPLE AT A COST OF $124,233 IN FY21. DURING FY21, THE LIBRARY HOSTED VIRTUAL BOOK CLUBS TO EDUCATE THE COMMUNITY ON HEALTH LITERACY, PLUS A VIRTUAL DEI BOOK CLUB. COMMUNITY EDUCATION ON NUTRITION: IN FY21, NGMC PARTICIPATED IN VARIOUS REGIONAL HEALTH FAIRS, EDUCATING THE COMMUNITY ABOUT HEALTHY NUTRITION. THIS EDUCATION REACHED 1,139 PEOPLE AT A COST OF $7,099. COMMUNICARE: EACH YEAR, THE PUBLIC RELATIONS AND MARKETING DEPARTMENT AT NGMC PRODUCES AN ANNUAL HEALTH EDUCATION MAGAZINE CALLED COMMUNICARE, REACHING OVER 150,000 READERS. DUE TO PARTIAL MARKETING VALUE, ONLY 50 PERCENT OF THE COST RELATED TO COMMUNICARE IS COUNTED AS A COMMUNITY BENEFIT, AMOUNTING TO $56,659 IN FY21. NGHS HOSPITAL-COMMUNITY PARTNERSHIPS FEATURED AT NATIONAL AMERICAN HOSPITAL ASSOCIATION CONFERENCE: CHRISTY MOORE, DIRECTOR OF COMMUNITY HEALTH IMPROVEMENT, AND SEMUEL MAYSONET, NGMC BOARD MEMBER, QUALITY COMMITTEE CHAIRMAN, AND HISPANIC OUTREACH COMMITTEE MEMBER, REPRESENTED NGHS AT THE AMERICAN HOSPITAL ASSOCIATION'S (AHA) JOINT VIRTUAL CONFERENCE OF THE ASSOCIATION OF COMMUNITY HEALTH IMPROVEMENT AND INSTITUTE FOR DIVERSITY AND HEALTH EQUITY, TITLED "ACCELERATING HEALTH EQUITY." THEY SPOKE ON A PANEL ABOUT THE VALUE OF COMMUNITY/HOSPITAL PARTNERSHIPS DURING COVID. UNG NURSING AND PHYSICAL THERAPY PARTNERSHIP: TWENTY-FIVE NURSING AND PHYSICAL THERAPY STUDENTS GAINED HANDS-ON CLINICAL EXPERIENCE THROUGH A DESIGNATED EDUCATION UNIT (DEU) PARTNERSHIP WITH NGHS. THESE STUDENTS WERE PART OF A PILOT PROGRAM THAT PAIRED THEM WITH NGHS CLINICAL EDUCATORS AND PROVIDED ROTATIONS AT NGMC GAINESVILLE AND NGMC LUMPKIN, AS WELL AS NGPG'S URGENT CARE AND PRIMARY CARE FACILITIES. SEPSIS EALERT TEAM: THE NGHS SEPSIS EALERT TEAM WAS DEVELOPED TO IMPACT A PATIENT'S CARE PLAN IN REAL-TIME BY USING ARTIFICIAL INTELLIGENCE TO IDENTIFY A PATIENT'S RISK OF DEVELOPING SEPSIS. IN THE BEGINNING, SEPSIS IS HARD TO RECOGNIZE BUT EASY TO TREAT. HOWEVER, TOWARD THE END, SEPSIS IS EASY TO RECOGNIZE BUT HARD TO TREAT. SEPSIS NAVIGATORS CROSSCHECK AND COLLABORATE WITH PRIMARY CARE TEAMS TO ENSURE SEPSIS IS IDENTIFIED EARLY AND TREATED APPROPRIATELY. THIS PAST FISCAL YEAR, 266 LIVES HAVE BEEN TOUCHED THROUGH THIS PROGRAM. DIABETES SUPPORT GROUPS, EDUCATION, AND SCREENINGS: NGMC PROVIDED DIABETES OUTREACH FOR PREVENTION, EDUCATION, SCREENINGS, AND SUPPORT GROUPS. EVEN THOUGH COVID-19 HALTED MANY SESSIONS, THE DIABETES EDUCATION TEAM SERVED 245 PEOPLE IN THE COMMUNITY. WORKFORCE DEVELOPMENT: NGMC CONTINUES TO SERVE AS A "PIPELINE" TO HELP GET MORE QUALIFIED PEOPLE INTERESTED IN HEALTHCARE POSITIONS AND HELP PROVIDE TRAINING AND EDUCATION TO STUDENTS. THIS TRAINING AND EDUCATION ARE DONE THROUGH VARIOUS AVENUES, FROM JOB SHADOWING TO THE NURSE EXTERN PROGRAM AND PHARMACY RESIDENCY PROGRAM, AS WELL AS SIGNIFICANT SUPPORT TO FOOTHILLS AREA HEALTH EDUCATION CENTERS (AHEC). FOOTHILLS AHEC: FOOTHILLS AHEC IS A COMMUNITY-DRIVEN, NON-PROFIT CORPORATION SUPPORTED BY FEDERAL AND LOCAL SOURCES. THE MISSION IS TO INCREASE THE SUPPLY AND DISTRIBUTION OF HEALTHCARE PROVIDERS, ESPECIALLY IN MEDICALLY UNDERSERVED AREAS. THROUGH JOINT EFFORTS, COMMUNITIES EXPERIENCE IMPROVED SUPPLY, DISTRIBUTION, AND RETENTION OF QUALITY HEALTHCARE PROFESSIONALS. FOOTHILLS AHEC SERVES 31 COUNTIES IN THE NORTHEAST GEORGIA AREA. NGMC PROVIDED $188,740 IN SUPPORT OF THIS PROGRAM IN FY21. ALLIED HEALTH STUDENT EDUCATION: NGMC PROVIDES CLINICAL ROTATIONS FOR ALLIED HEALTH STUDENTS. EDUCATIONAL AFFILIATION AGREEMENTS ARE MAINTAINED WITH EACH SCHOOL/PROGRAM, AND NGMC ENSURES COMPLETION OF ALL ORIENTATION AND STUDENT HEALTH REQUIREMENTS BEFORE ROTATIONS. MOST OF THESE STUDENTS WORK DIRECTLY WITH NGMC STAFF. IN 2021, 359 STUDENTS WERE PROVIDED EDUCATION AT A COST OF $351,603. GRADUATE MEDICAL EDUCATION (GME): NORTHEAST GEORGIA MEDICAL CENTER'S GRADUATE MEDICAL EDUCATION (GME) PROGRAM IS DESIGNED TO TRAIN RESIDENTS AND FELLOWS TO BE LEADERS IN THE MEDICAL FIELD AND THE COMMUNITY. ALL NGMC RESIDENTS RECEIVE HANDS-ON TRAINING IN ONE OF FIVE SPECIALTIES: EMERGENCY MEDICINE, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE AND PSYCHIATRY. NGMC EXPECTS ITS GME PROGRAM TO GROW TO 200+ RESIDENTS BY 2024, WHICH WOULD MAKE THE PROGRAM ONE OF THE LARGEST IN THE STATE. THE GME PROGRAM IS ON TARGET WITH 102 POSITIONS FILLED BY 2021. THIS CAME AT A COST OF $1,007,090 FOR NGMC IN FY21. EMERGENCY MEDICINE RESIDENCY PROGRAM APPROVAL: THE EMERGENCY MEDICINE RESIDENCY PROGRAM HAS ACHIEVED INITIAL ACCREDITATION FROM THE ACGMETHE FOURTH RESIDENCY PROGRAM FOR NORTHEAST GEORGIA MEDICAL CENTER. INTERVIEWS WILL TAKE PLACE FROM OCTOBER 2021 THROUGH JANUARY 2022, AND CANDIDATES PARTICIPATED IN MATCH DAY IN MARCH 2022. RESIDENTS STARTED WORKING IN JULY 2022. PATHWAY TO MEDICAL SCHOOL GRADUATION: EIGHT UNDERGRADUATE PRE-MEDICAL STUDENTS WHO ATTENDED GEORGIA EDUCATIONAL INSTITUTIONS COMPLETED NGMC'S PATHWAY TO MED SCHOOL PROGRAM. THE FOUR-WEEK RESIDENTIAL PROGRAM PROVIDED CLINICAL SHADOWING FOR PARTICIPANTS WHO WANTED TO STAY IN-STATE FOR MEDICAL SCHOOL AND EVENTUALLY PRACTICE PRIMARY CARE IN GEORGIA. MORE THAN 50 STUDENTS HAVE COMPLETED THE PROGRAM SINCE IT STARTED IN 2015, WITH A 97% MEDICAL SCHOOL ACCEPTANCE RATE. NEW GRADUATE MEDICAL EDUCATION FELLOWSHIPS: THE OFFICE OF GRADUATE MEDICAL EDUCATION (GME) CREATED TWO NEW ACCREDITED FELLOWSHIPS IN 2021: THE CARDIOVASCULAR DISEASE FELLOWSHIP PROGRAM AND THE HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP PROGRAM. THE CARDIOVASCULAR DISEASE FELLOWSHIP PROGRAM IS A THREE-YEAR PROGRAM THAT INTERVIEWED APPROXIMATELY 60-70 FELLOWSHIP CANDIDATES FROM SEPTEMBER TO NOVEMBER 2021 TO FILL SIX FELLOWSHIP SLOTS THAT MADE UP THE INAUGURAL CLASS. AFTER PARTICIPATING IN THE MATCH IN DECEMBER 2021, NGMC WILL BEGIN THE FIRST TRAINING CLASS ON JULY 1, 2022. THE EXTENSIVE ACCREDITATION PROCESS WAS LED BY DR. UGOCHUKWU EGOLUM, PROGRAM DIRECTOR; DR. SANTHI ADIGOPULA, ASSOCIATE PROGRAM DIRECTOR; DR. JAMES KRUER, PROGRAM DIRECTOR, INTERNAL MEDICINE RESIDENCY PROGRAM; ANGELA LEWIS, PROGRAM COORDINATOR; DR. JOHN DELZELL, VP OF MEDICAL EDUCATION FOR NGHS AND DIO FOR NGMC; AND DONNA BROWN, DIRECTOR OF GRADUATE MEDICAL EDUCATION AT NGMC. THE HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP PROGRAM IS A ONE-YEAR PROGRAM THAT ANTICIPATES THE INAUGURAL CLASS OF TWO FELLOWS TO BEGIN TRAINING IN 2023. THE INTENSIVE ACCREDITATION PROCESS WAS LED BY DR. MEREDITH PICKETT, PROGRAM DIRECTOR; DR. ZAMEER GILL, ASSOCIATE PROGRAM DIRECTOR; NADIA TINOCO, PROGRAM COORDINATOR; DR. JOHN DELZELL, VICE PRESIDENT OF MEDICAL EDUCATION FOR NGHS AND DIO FOR NGMC; AND DONNA BROWN, DIRECTOR OF GRADUATE MEDICAL EDUCATION (GME) AT NGMC. YOUTH APPRENTICESHIP AND MENTORSHIP PROGRAM: IN THE YOUTH APPRENTICESHIP PROGRAM, HIGH SCHOOL STUDENTS WORK IN THE HOSPITAL FOR ONE CLASS PERIOD IN THEIR DAY AND ROTATE THROUGH MULTIPLE DEPARTMENTS. IN FY21, 42 STUDENTS PARTICIPATED REPRESENTING 15 AREA HIGH SCHOOLS. SUPPORT OF EFFORTS TO IMPROVE COMMUNITY HEALTH MARCH OF DIMES' MARCH FOR BABIES: NGMC SPONSORS THE MARCH OF DIMES WALK IN HALL COUNTY AND BASSIN' FOR BABIES, A LOCAL FISHING TOURNAMENT TO BENEFIT THE MARCH OF DIMES. PROCEEDS BENEFIT THE FIGHT TO PREVENT BIRTH DEFECTS AND RELATED LOW BIRTH WEIGHT AND INFANT MORTALITY PROBLEMS. NGMC EMPLOYEE DONATIONS TOTALED $6,500. THIS ENTRY DOES NOT INCLUDE EMPLOYEE GIVING AND ONLY REFLECTS EXPENSES ASSOCIATED WITH NGMC SPONSORSHIPS AT A COST OF $4,500 FOR NGMC IN FY21. AMERICAN HEART ASSOCIATION SPONSORSHIPS- HALL COUNTY: NGMC SUPPORTED THE AMERICAN HEART ASSOCIATION'S HEART WALK AND GO RED FOR WOMEN LUNCHEON IN GAINESVILLE, BENEFITING RESEARCH AND LOCAL COMMUNITY EDUCATION. NGMC EMPLOYEE DONATIONS TOTALED $12,500 FOR THE VIRTUAL WALK. THIS ENTRY DOES NOT INCLUDE EMPLOYEE GIVING AND ONLY REFLECTS EXPENSES ASSOCIATED WITH THE NGMC SPONSORSHIP AT A COST OF $27,000 IN FY21.
FORM 990, PART III, LINE 4A	AMERICAN CANCER SOCIETY RELAY FOR LIFE: NGMC WAS THE PRESENTING SPONSOR FOR THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE HALL COUNTY EVENT. THE WALK BENEFITS CANCER RESEARCH AND COMMUNITY EDUCATION. NGMC EMPLOYEE DONATIONS TOTALED $13,000. THIS ENTRY REFLECTS THE REGIONAL SPONSORSHIP COST OF $41,400 IN FY21 AND DOES NOT INCLUDE EMPLOYEE DONATIONS. NGMC ALSO SPONSORED RELAY FOR LIFE IN THE FOLLOWING COUNTIES: HALL, DAWSON, HABERSHAM, JACKSON, LUMPKIN, GWINNETT, UNION, AND WALTON COUNTIES. ENCOURAGING MEDICAL VOLUNTEERING: NGMC PROVIDED INFORMATION AT PHYSICIAN ORIENTATIONS TO ENCOURAGE PHYSICIANS TO STEP UP TO VOLUNTEER AT LOCAL FREE CLINICS, AS WELL AS HEALTH ACCESS. NGPG ALSO ENCOURAGES PHYSICIANS TO GIVE OF THEIR TIME VOLUNTEERING AT THESE LOCATIONS. NGMC PHYSICIANS ACTIVELY PARTICIPATE IN COMMUNITY OUTREACH THROUGH VARIOUS PHYSICIAN LEADERSHIP COUNCILS, EDUCATIONAL SEMINARS, SCREENINGS, CANCER PREVENTION INITATIVES, AND VOLUNTEER WORK IN REGIONAL INDIGENT CLINICS. PATIENT SUPPORT AND COMMUNITY HEALTH SPIRITUAL CARE: THE PUCKETT CENTER FOR SPIRITUAL CARE REOPENED AFTER BEING REFURBISHED TO MEET THE PROGRAM'S NEEDS. THE RENOVATED SPACE OFFERS A MORE CALMING AND HOSPITABLE ENVIRONMENT FOR THE VOLUNTEER CHAPLAINS AND OTHER GUESTS. GLORY, HOPE, AND LIFE SPONSORSHIP: NGMC PROVIDED SUPPORT TO GLORY, HOPE AND LIFE TO TO HELP IMPROVE THE LIVES OF INDIVIDUALS IN THE COMMUNITY WHO HAVE BEEN TOUCHED BY CANCER. THIS ORGANIZATION WORKS LOCALLY TO SUPPORT AND ASSIST CANCER PATIENTS, THEIR FAMILIES, AND CAREGIVERS. THE EXECUTIVE DIRECTOR OF ONCOLOGY AT NGMC WAS PRESIDENT-ELECT IN 2021. THIS SUPPORT CAME AT AN ESTIMATED COST OF $13,500 FOR NGMC IN FY21. KEATON FRANKLIN COKER FOUNDATION THUMBS UP MISSION: NGMC HELPED SUPPORT THIS ORGANIZATION WHOSE MISSION IS TO FORTIFY FAMILIES WHERE A PARENT OR CHILD IS FIGHTING CANCER. NGMC'S SUPPORT FOR THE FOUNDATION CAME AT A COST OF $2,250 IN FY21. BARIATRIC SURGERY SUPPORT GROUP: NGMC OFFERED A BARIATRIC SURGERY SUPPORT GROUP FOR THE COMMUNITY, PROVIDING SUPPORT FOR PATIENTS WITH BARIATRIC SURGERY WHO ARE PRE-OP AND POST-OP. THE GROUP PROVIDES EMOTIONAL SUPPORT AND RESOURCES TO PROMOTE HEALTHY EXERCISE AND EATING HABITS. DURING FY21, SUPPORT GROUPS WERE VIRTUAL, REACHING 1,100 FOLLOWERS ON SOCIAL MEDIA, PLUS NGMC HOSTED VIRTUAL COOKING CLASSES, SERVING MORE THAN 1,139 PEOPLE. THIS COMMUNITY SUPPORT CAME AT A COST OF $2,400 FOR NGMC IN FY21. CANCER PATIENT NAVIGATOR: NGMC'S PATIENT NAVIGATION PROGRAM PROVIDES CANCER PATIENTS WITH GUIDANCE THROUGHOUT THEIR CANCER JOURNEY AND ACTS AS A "LIVING RESOURCE DIRECTORY" FOR PATIENTS. SERVICES INCLUDE: CONNECTING WITH COMMUNITY RESOURCES, PROVIDING EMOTIONAL SUPPORT, HELPING PATIENTS UNDERSTAND THEIR DIAGNOSIS, COMMUNICATING WITH HEALTHCARE STAFF AND PROVIDERS, ADDRESSING LOGISTICAL ISSUES SUCH AS TRANSPORTATION NEEDS, AND HELPING PATIENTS UNDERSTAND MEDICAL TERMS AND TREATMENT OPTIONS. THE DISCUSSION WAS FOCUSED ON THE FUTURE OF CANCER CARE AND HOW WE CAN WORK TOGETHER TO SECURE NEW INVESTMENTS IN RESEARCH, PROTECT PATIENT ACCESS TO CARE, AND ENSURE AFFORDABILITY. THESE EFFORTS SUPPORTED 13,109 PEOPLE AT A TOTAL ESTIMATED COST OF $523,281 IN FY21. YOUTH DEVELOPMENT JUNIOR ACHIEVEMENT: JUNIOR ACHIEVEMENT IS AN ORGANIZATION THAT EDUCATES YOUTH ABOUT FREE ENTERPRISE WHILE ENCOURAGING THEM TO STAY IN SCHOOL. NGMC PROVIDED SPONSORSHIP TO JUNIOR ACHIEVEMENT, INCLUDING SUPPORT TO THE MIKE AND LYNN COTTRELL DISCOVERY CENTER, WHERE STUDENTS CAN LEARN KEY BUSINESS CONCEPTS TAUGHT IN THE CLASSROOM AND APPLY THEM IN A HIGHLY IMMERSIVE, AUTHENTIC, AND INTERACTIVE SETTING. J.A. PROGRAMMING, EMBEDDED INTO THE CORE CLASSROOM CURRICULUM AND AN AUTHENTIC SIMULATION EXPERIENCE AT THE J.A. DISCOVERY CENTER, SUPPORTS SCHOOL DISTRICTS IN UPDATING THE LEARNING EXPERIENCE. THIS CREATES AN EXPERIENCE THAT IS MORE RELEVANT TO STUDENTS, INCREASING THEIR OVERALL ENGAGEMENT IN SCHOOL, AND LEADS TO INCREASED ACADEMIC PERFORMANCE IN MIDDLE SCHOOL AND BEYOND. NGMC SPONSORSHIP OF J.A. CAME AT THE COST OF $4,500 IN FY21. BOY SCOUTS OF AMERICA: NGMC SUPPORTS BOY SCOUTS OF AMERICA, HELPING FUND PROGRAMS THAT TEACH CHILDREN THE VALUES OF CITIZENSHIP, CHARACTER DEVELOPMENT, AND PERSONAL FITNESS. SUPPORT FOR BOY SCOUTS OF AMERICA CAME AT THE COST OF $4,500 TO NGMC IN FY21. BOYS AND GIRLS CLUBS OF LANIER: NGMC DONATED TO BOYS AND GIRLS CLUB OF LANIER, SUPPORTING YOUTH DEVELOPMENT PROGRAMS FOR CHILDREN AND TEENS IN EDUCATION, ARTS, RECREATION, SPORTS, AND LEADERSHIP. FURTHERING THIS SUPPORT, AN NGMC STAFF MEMBER SERVES ON THE BOARD OF DIRECTORS. NGMC DONATIONS CAME AT THE COST OF $63,000 IN FY21. GIRL SCOUTS OF HISTORIC GEORGIA SUPPORT: NGMC SUPPORTED THE GIRL SCOUTS OF HISTORIC GEORGIA, AN ORGANIZATION SERVING OVER 5,000 GIRLS AGES 5-17 IN 25 COUNTIES ANNUALLY IN NORTHEAST GEORGIA. GIRL SCOUTS IS A VOLUNTEER-BASED ORGANIZATION OFFERING PROGRAMS FOR GIRLS WHERE THEY LEARN SKILLS IN LEADERSHIP. THIS SUPPORT CAME AT THE COST OF $1,080 TO NGMC IN FY21. EDMONDSON-TELFORD CENTER FOR CHILDREN: NGMC PROVIDED DONATIONS TO THE ANNUAL PHIL NIEKRO GOLF CLASSIC, BENEFITING THE EDMONDSON-TELFORD CENTER FOR CHILDREN, A CHILD ADVOCACY CENTER PROVIDING A SAFE, CHILD-FRIENDLY PLACE FOR FORENSIC INTERVIEWS OF CHILD ABUSE VICTIMS. FURTHERING THIS SUPPORT, AN NGMC STAFF MEMBER SITS ON THE BOARD OF DIRECTORS. THIS DONATION AND STAFF TIME PROVIDED TO THE ORGANIZATION CAME AT A COST OF $6,503 TO NGMC IN FY21. INTERACTIVE NEIGHBORHOOD FOR KIDS, INC. (INK): NGHS DONATED CHILDREN'S HOSPITAL GOWNS, MEDICAL BOOKS, AND FACE MASKS TO THE HOSPITAL ROOM IN THE INTERACTIVE CHILDREN'S MUSEUM. INK IS A MUSEUM DESIGNED TO ENCOURAGE CHILDREN OF ALL AGES TO DEVELOP THEIR FULL POTENTIAL THROUGH EXCITING HANDS-ON LEARNING EXPERIENCES. INK STRIVES, THROUGH EXHIBITS, TO CREATE A UNIQUE ENVIRONMENT IN WHICH CHILDREN OF ALL AGES, ABILITIES, AND EXPERIENCES CAN FEEL FREE TO IMAGINE, CREATE, AND EXPLORE BEYOND THEIR DREAMS. NGMC DEVELOPED A HOSPITAL EXHIBIT AT INK TO PROVIDE A HANDS-ON "HOSPITAL" EXPERIENCE FOR CHILDREN AND TO PROMOTE THE IDEA OF CAREERS IN HEALTH SERVICES. THIS SUPPORT FOR INK CAME AT A COST OF APPROXIMATELY $6,000IN FY21. HOSPITAL RESEARCH AND STAFF EDUCATION CLINICAL RESEARCH: IN FY21, NGMC HAD APPROXIMATELY 40 CLINICAL TRIAL RESEARCH STUDIES AVAILABLE TO PATIENTS IN THE COMMUNITY AND ENROLLED APPROXIMATELY 300 PATIENTS IN THESE TRIALS. CANCER STUDIES COVER THE SPECTRUM OF BREAST, LUNG, COLON, PROSTATE, BLADDER, AND THYROID CANCERS, AND STUDIES IN CARDIOLOGY INCLUDE INNOVATIVE THERAPIES AND DEVICES FOR TREATING CARDIOVASCULAR DISEASE. THIS RESEARCH DIRECTLY IMPACTS AND IMPROVES THE STANDARD OF CARE PATIENTS RECEIVE, BENEFITING OVER 300 PEOPLE AT THE COST OF $632,579 FOR NGMC IN FY21.
FORM 990, PART III, LINE 4A	DIVERSITY IN MEDICINE SERIES: THE CME DIVERSITY IN MEDICINE SERIES WAS DEVELOPED TO ADVANCE THE DIVERSITY AND INCLUSION EFFORTS OF NGHS. THE CME DEPARTMENT COORDINATED WITH THE GRADUATE MEDICAL EDUCATION DEPARTMENT, OFFERING A SEVEN-PART INTERACTIVE "DIVERSITY IN MEDICINE" SERIES. THESE VIRTUAL CONVERSATIONS CENTERED ON PROVIDING STRATEGIC APPROACHES TO PROMOTE AND CHAMPION DIVERSITY, EQUITY, AND INCLUSION. THE WEBINAR SERIES INCORPORATED EVIDENCE-BASED STRATEGIES FOCUSING ON WAYS FOR THE ORGANIZATION TO IMPROVE DIVERSITY AND INCLUSION PRACTICES. THE SERIES AIMED TO TRAIN ALL LEARNERS TO TREAT DIVERSE PATIENT POPULATIONS EFFECTIVELY AND DELIVER MORE EQUITABLE CARE TO COMMUNITIES BY ADDRESSING STRUCTURAL RACISM AND INTERPERSONAL BIASES THAT CONTRIBUTE TO INEQUITIES IN HEALTH CARE FOR PATIENTS. THE TOPICS FOR THE SERIES INCLUDED HEALTHCARE DISPARITIES, RACE, AND MEDICINE, CONSCIOUS AND UNCONSCIOUS RACIAL BIASES, STRUCTURAL RACISM IN HEALTHCARE, GENDER HARASSMENT, ANTI-RACISM, AND NEXT STEPS FORWARD. THIS SERIES INCLUDED THE PARTICIPATION OF 1,668 PEOPLE AT A COST OF $9,165 TO NGMC IN FY21. NURSING STUDENT EDUCATION: NGMC COORDINATES ROTATIONS FOR NURSING STUDENTS, INCLUDING FACULTY AND STUDENT ORIENTATION, EDUCATIONAL AFFILIATION AGREEMENT MAINTENANCE, AND COMPLETION OF ALL HEALTH AND LEGAL REQUIREMENTS BEFORE THE FIRST ROTATION. DURING FY21, THERE WERE MORE THAN 1,200 NURSING STUDENTS ON ROTATION AT NGMC. PASTORAL OUTREACH PROGRAMS: CLINICAL PASTORAL EDUCATION (CPE) IS AN EXPERIENCE-BASED EDUCATIONAL LEARNING MODEL FOR THOSE WHO WANT TO EXPLORE THEIR GIFTS OF PASTORAL CARE IN AN INSTITUTIONAL SETTING. THE PROGRAM INVOLVED READINGS, CLASSROOM INSTRUCTION, WRITTEN ASSIGNMENTS, GROUP INTERACTION, INDIVIDUAL AND GROUP SUPERVISION, AND SERVING AS A CHAPLAIN AT THE HOSPITAL. NGMC'S CLINICAL PASTORAL EDUCATION PROGRAM IS ACCREDITED THROUGH THE ASSOCIATION FOR CLINICAL PASTORAL EDUCATION, INC. THE PROGRAM CAME AT A COST OF $79,343 IN FY21, BENEFITING NEARLY 90 PEOPLE. INJURY AND DISEASE PREVENTION GATEWAY DOMESTIC VIOLENCE CENTER: NGMC JOINED THE FIGHT AGAINST DOMESTIC VIOLENCE BY DONATING TO THE GATEWAY DOMESTIC VIOLENCE CENTER. THROUGH CRISIS INTERVENTION, COMPREHENSIVE SUPPORT, AND COMMUNITY COLLABORATION, GATEWAY DOMESTIC VIOLENCE CENTER HELPS CREATE AN ENVIRONMENT FOR CLIENTS THAT OFFERS SAFE, HEALTHY, SELF-SUFFICIENT GROWTH AND VIOLENCE PREVENTION. THIS ASSISTANCE TO GDVC CAME AT A COST OF $6,097 TO NGMC IN FY21. FOOD SYSTEMS GEORGIA MOUNTAIN FOOD BANK SPONSORSHIP: NGMC WAS A PROUD SPONSOR OF THE EMPTY BOWL EVENT AIDING IN SUPPORT OF THE GEORGIA MOUNTAIN FOOD BANK. THIS ORGANIZATION PROVIDES A VITAL LINK BETWEEN SOURCES OF FOOD SUPPLIES AND HARDWORKING COMMUNITY-BASED PARTNER AGENCIES THAT HELP GET THE FOOD INTO THE HANDS OF FAMILIES AND INDIVIDUALS WHO NEED IT. THIS SPONSORSHIP CAME AT A COST OF $1,350 IN FY21. DONATIONS/COMMUNITY SUPPORT JOHN JARRARD FOUNDATION SUPPORT: NGMC DONATED TO THE JOHN JARRARD FOUNDATION, AN ORGANIZATION SUPPORTING THE BOYS AND GIRLS CLUB OF HALL COUNTY, GOOD NEWS CLINICS, GOOD NEWS AT NOON SHELTER, AND THE GEORGIA MOUNTAIN FOOD BANK. THIS DONATION CAME AT A COST OF $18,000 TO NGMC IN 2021. OFFICE SPACE PROVIDED TO AMERICAN RED CROSS: NGMC PROVIDED OFFICE SPACE TO THE AMERICAN RED CROSS IN 2021 AT A VALUE OF $12,959. RIVERSIDE MILITARY ACADEMY: NGMC HELPED FUND THE RMA FOUNDATION ENDOWED SCHOLARSHIP, PROVIDING CADETS WITH DEMONSTRATED FINANCIAL NEED TUITION ASSISTANCE. THIS FUNDING CAME AT A COST OF $2,250 TO NGMC IN FY21. SPORTS MEDICINE ATHLETIC CARE: THE SPORTS MEDICINE ATHLETIC TRAINING DEPARTMENT PROVIDED MEDICAL CARE TO 12 LOCAL HIGH SCHOOLS, THREE LOCAL UNIVERSITIES, AND MANY OTHER LOCAL SPORTS VENUES, PROGRAMS, AND DEPARTMENTS. THE TRAINERS PROVIDE THIS CARE DURING PRACTICES AND GAMES THROUGHOUT THE YEAR. THEY PROVIDE INJURY ASSESSMENT, REHABILITATION, TAPING/BRACING, EXERCISE PRESCRIPTION, ENVIRONMENTAL AWARENESS (HEAT AND LIGHTNING), CONCUSSION MANAGEMENT, CPR TRAINING, NUTRITIONAL SPEECHES, AND EMERGENCY COVERAGE AT COMMUNITY EVENTS. SINCE THERE IS A PARTIAL MARKETING VALUE, STAFF TIME IS ONLY COUNTED AT 30 PERCENT. HISPANIC ALLIANCE GEORGIA: NGMC PROVIDED A SPONSORSHIP TO THE HISPANIC ALLIANCE OF $2,700 IN FY21. WOMEN'S SUPPORT JUNIOR LEAGUE OF GAINESVILLE AND HALL COUNTY: NGMC SUPPORTED THE JUNIOR LEAGUE OF GAINESVILLE AND HALL COUNTY. SERVING AN EXCLUSIVELY EDUCATIONAL AND CHARITABLE PURPOSE, THE ORGANIZATION OF WOMEN COMMITS TO PROMOTING VOLUNTARISM, DEVELOPING THE POTENTIAL OF WOMEN, AND IMPROVING COMMUNITIES THROUGH THE EFFECTIVE ACTION AND LEADERSHIP OF TRAINED VOLUNTEERS. THIS SUPPORT CAME AT A COST OF $2,700 TO NGMC IN FY21. WOMENSOURCE SPONSORSHIP: NGMC SPONSORED WOMENSOURCE, A NON-PROFIT ORGANIZATION DESIGNED TO HELP WOMEN SUCCEED PROFESSIONALLY AND PERSONALLY WITH EDUCATION ON HEALTH AND FINANCES. AN NGMC STAFF MEMBER SITS ON THE BOARD OF DIRECTORS. THIS SPONSORSHIP TO THE ORGANIZATION CAME AT A COST OF $13,633 TO NGMC IN FY21.
FORM 990, PART III, LINE 4A	SPECIAL NOTES: NGMC USES THE PRECEPTS OUTLINED IN "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT," PROVIDED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND VHA, INC. FOR THE COMMUNITY BENEFIT REPORT. THE GUIDE'S PURPOSE IS TO HELP NOT-FOR-PROFIT MISSION-DRIVEN HEALTHCARE ORGANIZATIONS DEVELOP, ENHANCE AND REPORT ON THEIR COMMUNITY BENEFIT PROGRAMS. COMMUNITY BENEFIT DEFINITION: PROGRAM OR ACTIVITY MUST ADDRESS A DEMONSTRATED COMMUNITY NEED, AND SEEK TO ADDRESS AT LEAST ONE OF THE FOLLOWING COMMUNITY BENEFIT OBJECTIVES: -IMPROVE ACCESS -ENHANCE POPULATION HEALTH -ADVANCE GENERALIZABLE KNOWLEDGE -RELIEVE GOVERNMENT BURDEN TO IMPROVE HEALTH THE PROGRAM OR ACTIVITY MUST: -PRIMARILY BENEFIT THE COMMUNITY RATHER THAN THE ORGANIZATION -RESULT IN MEASURABLE EXPENSE TO THE ORGANIZATION IF THE PROGRAM OR ACTIVITY IS PROVIDED PRIMARILY FOR MARKETING PURPOSES, STANDARD PRACTICE, EXPECTED OF ALL HOSPITALS (SUCH AS ACTIVITIES REQUIRED FOR ACCREDITATION, LICENSURE, OR TO PARTICIPATE IN MEDICARE) OR IS PRIMARILY FOR EMPLOYEES (NOT INCLUDING INTERNS, RESIDENTS AND FELLOWS) AND/OR AFFILIATED PHYSICIANS, IT IS NOT COMMUNITY BENEFIT. CHARITY CARE COST IS AN ESTIMATED COST AND DOES NOT INCLUDE BAD DEBT. FOR MORE INFORMATION, CONTACT CHRISTY MOORE, DIRECTOR, COMMUNITY HEALTH IMPROVEMENT, AT (770) 219-8097, EMAIL AT CHRISTY.MOORE@NGHS.COM OR GO TO WWW.NGHS.COM.
FORM 990, PART VI, SECTION A, LINE 6	NORTHEAST GEORGIA HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST GEORGIA MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER IS APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER IS APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	INFORMATION FOR THE FORM 990 WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT FOR PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED, IT WAS REVIEWED BY SENIOR FINANCIAL MANAGEMENT. THE FORM 990 IS MADE AVAILABLE TO MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. EMPLOYEES ATTEST TO THEIR UNDERSTANDING AND REPORTING/DISCLOSURE REQUIREMENTS AT HIRE AND ANNUALLY. COMPLIANCE IS MONITORED CONTINUOUSLY THROUGHOUT THE YEAR BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE OF THE NORTHEAST GEORGIA HEALTH SYSTEM BOARD (NGHS BOARD) HAS DEVELOPED A TOTAL COMPENSATION PHILOSOPHY AND INSTALLED COMPENSATION POLICIES AND PROCEDURES THAT SEEK TO FURTHER THE PURPOSE OF NGHS AND AFFILIATES AND THE IMPORTANCE OF THESE POLICIES TO ATTRACT AND RETAIN KEY EMPLOYEES. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF VOTING DIRECTORS WHO ARE NOT EMPLOYEES OF NGHS AND IS FREE FROM CONFLICT OF INTEREST. ALL DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEE ARE REVIEWED AND RATIFIED BY THE NGHS BOARD. THE COMMITTEE'S METHODOLOGY AND APPROACH INCORPORATE BOTH QUALITATIVE AND QUANTITATIVE CONSIDERATIONS, WHICH ARE REFLECTED IN THE COMMITTEE'S DETERMINATIONS CONCERNING KEY EMPLOYEE COMPENSATION AND THE SPECIFIC COMPONENTS THEREOF. THE COMPENSATION DECISIONS OF THE COMMITTEE ARE DESCRIBED BELOW AS TO EACH OF THE THREE CATEGORIES. BASE SALARY NGHS ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT TO COLLECT APPROPRIATE DATA FROM A GROUP OF PEERS SIMILAR IN SIZE AND COMPLEXITY TO NGHS. THIS COMPARABILITY DATA IS REVIEWED WITH THE COMMITTEE ALONG WITH COMPARISONS OF NGHS EXECUTIVE SALARIES COMPARED TO THE MARKET DATA. THE CEO MAKES RECOMMENDATIONS TO THE COMMITTEE FOR SALARIES WITHIN THE PEER GROUP SALARY RANGES BASED ON INDIVIDUAL PERFORMANCE ASSESSMENTS FOR EACH POSITION. IN EACH INSTANCE, THE COMMITTEE MEMBERS REACH A CONSENSUS BASED ON THE COMBINATION OF AVAILABLE INFORMATION, AND THE COMMITTEE SETS A BASE SALARY LEVEL FOR EACH KEY EMPLOYEE. PERFORMANCE BASED VARIABLE COMPENSATION NGHS LEADERSHIP PARTICIPATE IN A PERFORMANCE BASED VARIABLE COMPENSATION PLAN WITH OPPORTUNITY LEVELS DETERMINED BASED ON THE PEER GROUP MARKET DATA AND TO ALIGN WITH THE NGHS EXECUTIVE COMPENSATION PHILOSOPHY PARAMETERS. ANNUAL GOALS AND OBJECTIVES ARE DETERMINED THROUGH A FORMAL PLANNING PROCESS INVOLVING BOARD MEMBERS AND SENIOR MANAGEMENT. FOLLOWING THE END OF THE FISCAL YEAR, CASH AWARDS ARE DETERMINED BASED ON ORGANIZATION PERFORMANCE. BENEFITS AND RETENTION PROGRAMS BENEFIT PLANS AND AMOUNTS ARE DETERMINED BY A COMPARISON PROCESS SIMILAR TO DETERMINING BASE SALARIES WITH POSITIONS AND ORGANIZATIONS SIMILAR TO NGHS. INCLUDED IN BENEFITS ARE RETIREMENT PROGRAMS TO ENHANCE RETENTION AND PROGRESS TOWARD LONG-TERM GOALS WITHIN NGHS' MISSION.
FORM 990, PART VI, SECTION C, LINE 19	FINANCIAL STATEMENTS AND STATISTICS ARE FILED QUARTERLY WITH DIGITAL ASSURANCE CERTIFICATION, LLC (DAC BOND). DAC BOND SERVES AS A DISCLOSURE DISSEMINATION AGENT FOR ISSUERS OF MUNICIPAL BONDS ELECTRONICALLY POSTING AND TRANSMITTING INFORMATION TO REPOSITORIES AND INVESTORS. ALL OTHER ITEMS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 148,333,940. MANAGEMENT AND GENERAL EXPENSES 10,295,020. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,628,960. OTHER MGMT FEES: PROGRAM SERVICE EXPENSES 1,131,982. MANAGEMENT AND GENERAL EXPENSES 78,564. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,210,546.
FORM 990, PART XI, LINE 9:	INTERCOMPANY DEBT FORGIVENESS -60,873,864. PARTNERSHIP INCOME NOT ON BOOKS -96,142. OTHER ADJUSTMENT -383,824. NET ASSETS TRANSFERRED FOR CAPITAL EXPENDITURES 2,902,293.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: IMPROVING THE HEALTH OF THE COMMUNITY IN ALL WE DO.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	10,849
6	Total number of volunteers (estimate if necessary) .............	6	406
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,793,600
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) .........	40,295,200	22,180,863
9	Program service revenue (Part VIII, line 2g) .........	1,272,778,234	1,698,310,571
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8,526,239	10,298,358
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	707,310	810,695
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,322,306,983	1,731,600,487
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,683,643	1,801,803
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)	487,701,375	577,808,691
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)....	754,845,416	900,294,966
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,244,230,434	1,479,905,460
19	Revenue less expenses. Subtract line 18 from line 12.......	78,076,549	251,695,027
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,937,388,441	2,488,165,616
21	Total liabilities (Part X, line 26).............	1,251,987,182	1,499,400,347
22	Net assets or fund balances. Subtract line 21 from line 20.....	685,401,259	988,765,269

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,316,457,071 including grants of $ 1,801,803 ) (Revenue $ 1,610,417,163 )
	NORTHEAST GEORGIA MEDICAL CENTER, INC. (NGMC) INCLUDES CAMPUSES IN GAINESVILLE AND BRASELTON, GEORGIA AND IS AFFILIATED WITH NGMC BARROW AND NGMC LUMPKIN. AS A PART OF NORTHEAST GEORGIA HEALTH SYSTEM, NGMC SERVES MORE THAN A MILLION PEOPLE ACROSS 19 COUNTIES IN OUR REGION. SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION. SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS 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 expenses1,316,457,071

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	12,685,221	0	1,165,439

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,386,748
e	Government grants (contributions)		1e	19,794,115

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

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

h Total. Add lines 1a-1f.......		22,180,863

		Business Code
2a	NET PATIENT SVC REV	621400	1,610,321,360	1,610,321,360
b	OTHER REVENUE	900099	64,593,597			64,593,597
c	PHARMACY	446110	17,351,359			17,351,359
d	CAFETERIA REVENUE	722210	4,250,655			4,250,655
e	LAB REVENUE	621500	1,793,600		1,793,600
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,698,310,571

3 Investment income (including dividends, interest, and othersimilar amounts) ......			29,674,007			29,674,007
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		741,130	6a
b	Less: rental expenses		26,238	6b
c	Rental income or (loss)		714,892	6c
d	Net rental income or (loss).......			714,892			714,892
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses	3,280	19,372,369	7b
c	Gain or (loss)	-3,280	-19,372,369	7c
d	Net gain or (loss).........			-19,375,649			-19,375,649
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	PARTNERSHIP INCOME		621990	95,803	95,803
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			95,803
12	Total revenue. See instructions.....			1,731,600,487	1,610,417,163	1,793,600	97,208,861

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,801,803	1,801,803
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 ...........	3,086,551	1,108,886	1,977,665
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........	469,969,923	439,468,875	30,501,048
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	16,093,646	15,049,168	1,044,478
9	Other employee benefits .......	57,878,713	54,122,385	3,756,328
10	Payroll taxes ...........	30,779,858	28,782,245	1,997,613
11	Fees for services (non-employees):
a	Management ......	117,285,482	30,235,768	87,049,714
b	Legal .........	904,911	846,182	58,729
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	3,024,638	2,828,339	196,299
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	159,839,506	149,465,922	10,373,584
12	Advertising and promotion ....	36,494	34,126	2,368
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	11,694,098	10,935,151	758,947
17	Travel ............	654,577	612,095	42,482
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	36,655,841	34,276,877	2,378,964
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	79,034,948	73,905,580	5,129,368
23	Insurance ...	1,199	1,121	78
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	191,996,254	179,535,697	12,460,557
b	BAD DEBT EXPENSE	119,634,187	119,634,187	0
c	MEDICAL SUPPLIES	91,394,661	91,394,661	0
d	EQUIPMENT RENTAL & MAIN	64,885,856	60,674,764	4,211,092
e	All other expenses	23,252,314	21,743,239	1,509,075
25	Total functional expenses. Add lines 1 through 24e	1,479,905,460	1,316,457,071	163,448,389	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 ........			67,439,139	1	43,257,551
2	Savings and temporary cash investments .........			154,136	2	226,290
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			98,741,342	4	154,445,191
5	Loans and other receivables from 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 ...........			384,909	7	381,908
8	Inventories for sale or use ............			16,735,235	8	17,314,524
9	Prepaid expenses and deferred charges ......			2,343,563	9	6,511,332
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,462,677,705
b	Less: accumulated depreciation	10b	855,240,104	620,139,246	10c	607,437,601
11	Investments—publicly traded securities .			1,126,137,248	11	1,615,077,587
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			1,668,780	14	1,436,720
15	Other assets. See Part IV, line 11 ...........			3,644,843	15	42,076,912
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,937,388,441	16	2,488,165,616

17	Accounts payable and accrued expenses .....	122,959,345	17	153,257,002
18	Grants payable ...		18
19	Deferred revenue .........	133,862,004	19	85,721,696
20	Tax-exempt bond liabilities .........	961,802,437	20	1,230,203,468
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	33,363,396	25	30,218,181
26	Total liabilities. Add lines 17 through 25..	1,251,987,182	26	1,499,400,347

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	685,401,259	27	988,765,269
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 ...........	685,401,259	32	988,765,269
33	Total liabilities and net assets/fund balances ........	1,937,388,441	33	2,488,165,616

(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) HEALTHECONNECTIONS LLC 743 SPRING STREET GAINESVILLE,GA30501 58-1694098	HEALTHCARE	GA	0	0	N/A

(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)NORTHEAST GEORGIA HEALTH SYSTEM INC 743 SPRING STREET GAINESVILLE,GA30501 58-1694090	HEALTHCARE - PARENT ORG.	GA	501(C)(3)	LINE 12C, III-FI	N/A	Yes
(2)THE MEDICAL CENTER FOUNDATION DBA NGHS FOUNDATION 743 SPRING STREET GAINESVILLE,GA30501 58-1694820	FUNDRAISING AND SUPPORT	GA	501(C)(3)	LINE 7	NORTHEAST GEORGIA HEALTH SYSTEM INC	Yes
(3)NORTHEAST GEORGIA PHYSICIANS GROUP INC 743 SPRING STREET GAINESVILLE,GA30501 58-2078064	HEALTHCARE	GA	501(C)(3)	LINE 12B, II	NORTHEAST GEORGIA HEALTH SYSTEM INC	Yes
(4)THE MEDICAL CENTER AUXILIARY INC 743 SPRING STREET GAINESVILLE,GA30501 58-1550576	FUNDRAISING AND SUPPORT	GA	501(C)(3)	LINE 10	NORTHEAST GEORGIA HEALTH SYSTEM INC	Yes

(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?		(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	(k) Percentage ownership

(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?		(k) Percentage ownership
(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	(k) Percentage ownership