TY 2021 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/1099-NEC)
(1) BARBARA PARE'...................................................................... CHAIR	1.00 ................. 1.00	X		0	0
(2) DALE M BEARMAN MD...................................................................... VICE CHAIR	1.00 ................. 1.00	X		0	0
(3) ANTHONY J SALVATORE...................................................................... TREASURER	1.00 ................. 1.00	X		0	0
(4) MARK J SWEENEY...................................................................... SECRETARY	1.00 ................. 1.00	X		0	0
(5) WAYNE L AMBROZE JR MD...................................................................... BOARD MEMBER	40.00 .................	X		457,230	24,872
(6) THURBERT E BAKER...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(7) CARLTON BUCHANAN MD...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(8) KEITH CARNES MD...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(9) NORWOOD DAVIS...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(10) GENEVIEVE FAIRBROTHER MD...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(11) IQBAL GARCHA MD...................................................................... BOARD MEMBER	1.00 .................	X		493,537	20,568
(12) WILLIAM G HASTY JR...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(13) TERRI JONDAHL...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(14) J MICHAEL LEVENGOOD...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(15) WAYNE SIKES...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(16) JOSEF VENABLE MD...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(17) ROBERT T QUATTROCCHI...................................................................... PRESIDENT & CEO NSH, INC.	40.00 ................. 1.00	X	X	4,966,725	40,837

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SHANNON BANNA........................................................................ VP/CFO NSH, INC./ASST. TREASURER	40.00 .......................1.00	X			860,258	0	13,976
(19) JORGE J HERNANDEZ........................................................................ VICE PRESIDENT/ASST. SECRETARY	40.00 .......................1.00	X			907,438	0	27,700
(20) JANIS DUBOW........................................................................ VICE PRESIDENT	40.00 .......................		X		622,137	0	16,418
(21) WILLIAM HAYES........................................................................ CEO, NORTHSIDE HOSPITAL-CHEROKEE	40.00 .......................		X		803,168	0	36,825
(22) DEBORAH MITCHAM BILBRO........................................................................ CEO, NORTHSIDE HOSPITAL GWINNETT	40.00 .......................		X		1,002,357	0	23,008
(23) ROBERT PUTNAM........................................................................ VICE PRESIDENT	40.00 .......................		X		997,304	0	25,983
(24) TINA WAKIM........................................................................ VICE PRESIDENT/COO	40.00 .......................		X		1,035,866	0	26,293
(25) CHARLES DECOOK MD........................................................................ ORTHOPEDIC SURGEON	40.00 .......................			X	1,861,463	0	40,609
(26) RICHARD HARVEY MD........................................................................ CARDIOTHORACIC SURGEON	40.00 .......................			X	1,239,060	0	17,053
(27) KENNETH KRESS MD........................................................................ ORTHOPEDIC SURGEON	40.00 .......................			X	1,288,960	0	27,200
(28) DAVID A LANGFORD MD........................................................................ THORACIC SURGEON	40.00 .......................			X	1,276,056	0	25,462
(29) KEITH OSBORN MD........................................................................ SPINE SURGEON	40.00 .......................			X	1,371,062	0	25,308

(A) Name and business address	(B) Description of services	(C) Compensation
GEORGIA CANCER SPECIALISTS I PC 1835 SAVOY DRIVE STE 300 ATLANTA,GA30342	SEE SCHEDULE O	37,765,492
BAKER & HOSTETLER LLP 1170 PEACHTREE STREET NE STE 2400 ATLANTA,GA30309	LEGAL SERVICES	33,045,946
ATLANTA GASTROENTEROLOGY ASSOCIATES 550 PEACHTREE ST STE 1620 ATLANTA,GA30308	SEE SCHEDULE O	28,837,525
ATLANTA CANCER CARE PC 1100 JOHNSON FERRY ROAD STE 150 SANDY SPRINGS,GA30342	SEE SCHEDULE O	24,643,181
MORRISON HEALTHCARE INC 400 NORTHRIDGE RD 600 ATLANTA,GA30350	FOOD SERVICE	17,737,653
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 570

- TIN:

SCHEDULE A
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

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

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

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 33 1/3% 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 33 1/3% 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 on 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

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) .

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

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 on 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 on 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) 2021

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

11a

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

11b

A 35% controlled entity of a person described on 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 on 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) 2021

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) 2021

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 2021 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-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2021

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

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

Special Rules

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

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

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

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization NORTHSIDE HOSPITAL INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
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) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization NORTHSIDE HOSPITAL INC		Employer identification number 58-1954432

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization NORTHSIDE HOSPITAL INC			Employer identification number 58-1954432
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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

534,416

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

534,416

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

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

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

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

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

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

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

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

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

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

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

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

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

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

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	NORTHSIDE HOSPITAL, INC. PAYS MEMBERSHIP DUES TO PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION, GEORGIA HOSPITAL ASSOCIATION, AND THE GEORGIA ALLIANCE FOR COMMUNITY HOSPITALS. A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. NORTHSIDE HOSPITAL, INC. DOES NOT DIRECT ANY OF THESE ORGANIZATIONS' LOBBYING ACTIVITIES. IN ADDITION, CONNECT SOUTH, A SERVICE VENDOR, IS RETAINED TO MONITOR LEGISLATION IN THE GEORGIA GENERAL ASSEMBLY.

Return Reference

Explanation

PART II-B, LINE 1:

NORTHSIDE HOSPITAL, INC. PAYS MEMBERSHIP DUES TO PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION, GEORGIA HOSPITAL ASSOCIATION, AND THE GEORGIA ALLIANCE FOR COMMUNITY HOSPITALS. A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. NORTHSIDE HOSPITAL, INC. DOES NOT DIRECT ANY OF THESE ORGANIZATIONS' LOBBYING ACTIVITIES. IN ADDITION, CONNECT SOUTH, A SERVICE VENDOR, IS RETAINED TO MONITOR LEGISLATION IN THE GEORGIA GENERAL ASSEMBLY.

Schedule C (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

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

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

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

Yes No

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

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

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

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

(ii)

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

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2021

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 ....	19,297,796	10,609,127	10,973,195	10,180,369	9,083,135
b	Contributions ...	4,285,036	14,559,204	786,795	1,829,101	2,049,190
c	Net investment earnings, gains, and losses	-279,016	638,990	171,961	286,184	185,144
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	3,417,160	6,509,525	1,322,824	1,322,459	1,137,100
f	Administrative expenses ....
g	End of year balance ......	19,886,656	19,297,796	10,609,127	10,973,195	10,180,369

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

34.784 %

Term endowment SchDMd Bullet

65.216 %

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 .....	438,450,540		438,450,540
b	Buildings ....	2,067,508,058	963,493,536	1,104,014,522
c	Leasehold improvements
d	Equipment ....	1,373,360,558	1,105,785,053	267,575,505
e	Other .....	198,993,928		198,993,928
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,009,034,495

Schedule D (Form 990) 2021

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

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

Part IX

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

(a) Description				(b) Book value

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

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	591,390,531
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) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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

Return Reference

Explanation

PART V, LINE 4:

NORTHSIDE HOSPITAL, INC., NORTHSIDE HOSPITAL FOUNDATION, INC., AND GWINNETT HOSPITAL SYSTEM FOUNDATION, INC. HAVE ENDOWMENT FUNDS THAT CONSIST OF SEVERAL DONOR-RESTRICTED INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ORGANIZATIONS ADOPTED A POLICY REGARDING THE ENDOWMENTS WHOSE GENERAL PURPOSE IS TO PRESERVE THE CAPITAL AND PURCHASING POWER OF THE ORGANIZATIONS AND TO PRODUCE SUFFICIENT INVESTMENT EARNINGS FOR CURRENT AND FUTURE SPENDING NEEDS.

PART X, LINE 2:

NORTHSIDE HOSPITAL, INC., AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021, AND INDEPENDENT AUDITOR'S REPORT: NORTHSIDE QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED.

Schedule D (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

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

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 30000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

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

Yes

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

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			325,250,101	0	325,250,101	5.400 %
b	Medicaid (from Worksheet 3, column a) . . . . .			462,014,165	370,538,231	91,475,934	1.520 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			787,264,266	370,538,231	416,726,035	6.920 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	55	232,442	2,005,561	236,205	1,769,356	0.030 %
f	Health professions education (from Worksheet 5) . . .	52	3,107	17,614,583	10,599,763	7,014,820	0.120 %
g	Subsidized health services (from Worksheet 6) . . . .	2	1,507	42,529,932	36,414,681	6,115,251	0.100 %
h	Research (from Worksheet 7) .	1	1,116	494,794	0	494,794	0.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	6	135	3,246,916	5,996	3,240,920	0.050 %
j	Total. Other Benefits . .	116	238,307	65,891,786	47,256,645	18,635,141	0.310 %
k	Total. Add lines 7d and 7j .	116	238,307	853,156,052	417,794,876	435,361,176	7.230 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

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)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	2	51,243	51,243	0 %
2	Economic development	1	10,081	10,081	0 %
3	Community support	4	251,702	251,702	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	1	2,479	2,479	0 %
8	Workforce development
9	Other
10	Total	8	315,505	315,505	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

84,333,656

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).....

537,722,134

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

795,689,038

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

-257,966,904

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 GWINNETT ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	15.000 %	55.000 %
22 MIDTOWN ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	15.000 %	55.000 %
33 NORTHERN CRESCENT ENDOSCOPY SUITE LLC	OUTPATIENT CENTER	51.000 %	30.000 %
44 NORTHWEST ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	15.000 %	55.000 %
55 SOUTHERN CRESCENT ENDOSCOPY LLC	OUTPATIENT CENTER	15.000 %	55.000 %
66 WOODSTOCK ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	51.000 %	30.000 %
77 WEST METRO ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	15.000 %	55.000 %
88 ENT SURGERY CENTER OF ATLANTA LLC	AMBULATORY SURGERY	68.330 %	31.670 %
99 PEACHTREE ORTHOPAEDIC SURGERY CENTER AT PERIMETER LLC	AMBULATORY SURGERY	15.000 %	85.000 %
1010 UROLOGY SURGICAL PARTNERS LLC	AMBULATORY SURGERY	70.000 %	30.000 %
1111 THE HAND & UPPER EXTREMITY SURGERY CENTER OF GA LLC	AMBULATORY SURGERY	51.000 %	49.000 %
1212 PANOLA ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	15.000 %	55.000 %
1313 ADVANCED CENTER FOR JOINT SURGERY LLC	ORTHOPEDIC SURGERY	51.000 %	49.000 %
1414 THOMAS EYE SURGERY CENTER LLC	EYE SURGERY	40.000 %	60.000 %
1515 GWINNETT SURGERY CENTER LLC	AMBULATORY SURGERY	70.000 %	30.000 %
1616 HUDES ENDOSCOPY CENTER LLC	OUTPATIENT CENTER	15.000 %	55.000 %

Schedule H (Form 990) 2021

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?5Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	NORTHSIDE HOSPITAL 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 060-604	X	X		X	A
2	NORTHSIDE HOSPITAL GWINNETT 1000 MEDICAL CENTER BOULEVARD LAWRENCEVILLE,GA30046 067-460	X	X	X	X	A
3	NORTHSIDE HOSPITAL - FORSYTH 1200 NORTHSIDE FORSYTH DRIVE CUMMING,GA30041 058-604	X	X		X	A
4	NORTHSIDE HOSPITAL - CHEROKEE 450 NORTHSIDE CHEROKEE BLVD CANTON,GA30115 028-552	X	X		X	A
5	NORTHSIDE HOSPITAL DULUTH 3620 HOWELL FERRY ROAD DULUTH,GA30096 067-628	X	X	X	X	A

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

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

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Yes

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

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

Yes

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

Hospital facility’s website (list url): SEE EXPLANATION FOR LINE 7D

Other website (list url):

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

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

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

If "Yes" (list url):

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

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

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

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000%
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):

SEE RESPONSE TO 16J

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

SEE RESPONSE TO 16J

A plain language summary of the FAP was widely available on a website (list url):
SEE RESPONSE TO 16J

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) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

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

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

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: NORTHSIDE HOSPITAL, - FACILITY 3: NORTHSIDE HOSPITAL - FORSYTH, - FACILITY 4: NORTHSIDE HOSPITAL - CHEROKEE, - FACILITY 2: NORTHSIDE HOSPITAL GWINNETT, - FACILITY 5: NORTHSIDE HOSPITAL DULUTH
GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 5:	NORTHSIDE IDENTIFIED AND REACHED OUT TO A TOTAL OF 65 COMMUNITY STAKEHOLDERS WHO BROADLY REPRESENTED THE INTERESTS OF NORTHSIDE'S COMMUNITY, INCLUDING STAKEHOLDERS WHO REPRESENT MEDICALLY UNDERSERVED, UNINSURED, AND DISPARATE POPULATIONS, UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY AND WHO HAVE A SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH. NORTHSIDE THEN DEVELOPED THE STAKEHOLDER ASSESSMENT DISCUSSION GUIDE TO LEARN ABOUT THE NEEDS AND RESOURCES WITHIN THE COMMUNITY (A COPY OF WHICH IS INCLUDED AS APPENDIX A TO NORTHSIDE'S CHNA) AND CONDUCTED TELEPHONE INTERVIEWS WITH A QUALIFIED REPRESENTATIVE OF EACH IDENTIFIED STAKEHOLDER. IN TOTAL, NORTHSIDE COMPLETED INTERVIEWS WITH THE FOLLOWING 24 OF THE 65 STAKEHOLDERS IDENTIFIED: (1) CIMA INTERNATIONAL WOMEN'S SERVICES (2) ATLANTA CANCER CARE FOUNDATION (3) COBB AND DOUGLAS PUBLIC HEALTH (4) GEORGIA HIGHLANDS MEDICAL SERVICES (5) CROSSROADS ATLANTA (6) DEPARTMENT OF PUBLIC HEALTH NORTHEAST GEORGIA (7) GOOD SAMARITAN ATLANTA (8) DAWSON FAMILY CONNECTION (9) GWINNETT, NEWTON, & ROCKDALE HEALTH DEPARTMENTS GWINNETT COUNTY (10) GOOD SAMARITAN COBB (11) HEALTHMPOWERS (12) GOOD SAMARITAN GWINNETT (13) HEALTHY MOTHERS, HEALTHY BABIES COALITION OF GEORGIA (INTERVIEW CONDUCTED IN 2020)(14) HEALTHY MOTHERS, HEALTH BABIES COALITION OF GEORGIA (INTERVIEW CONDUCTED IN 2021)(15) GOOD SAMARITAN HEALTH & WELLNESS CENTER (16) GWINNETT COALITION (17) HOPE CLINIC (18) NAVIGATE RECOVERY (19) MEDLINK GWINNETT (20) NEXT GENERATION YOUTH DEVELOPMENT (21) MEDSHARE (22) NORTH FULTON COMMUNITY CHARITIES (23) VIEW POINT HEALTH (24) UNITED WAY FORSYTH
GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 6A:	THE NORTHSIDE HOSPITAL, INC. SYSTEM COMPRISES FIVE HOSPITAL FACILITIES: (1) NORTHSIDE HOSPITAL-ATLANTA, (2) NORTHSIDE HOSPITAL-CHEROKEE (3) NORTHSIDE HOSPITAL-DULUTH, (4) NORTHSIDE HOSPITAL-FORSYTH, AND (5) NORTHSIDE HOSPITAL-GWINNETT. GIVEN THE SIGNIFICANT OVERLAP IN SERVICE AREAS AMONG ITS FIVE FACILITIES, NORTHSIDE CONDUCTED A JOINT CHNA (OR SYSTEM-LEVEL CHNA).
GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 7D:	HOSPITAL WEBSITE:WWW.NORTHSIDE.COM/COMMUNITY-WELLNESS/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 11:	BASED ON THE RESULTS OF NORTHSIDE'S FY2022-FY2024 CHNA, NORTHSIDE HOSPITAL, INC. ADOPTED AN IMPLEMENTATION STRATEGY WHICH OUTLINED SEVERAL INITIATIVES TO HELP ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY. AS SET FORTH IN THE FY2022-FY2024 CHNA, NORTHSIDE IS UNABLE TO ADDRESS EACH IDENTIFIED COMMUNITY NEED DUE TO AVAILABILITY OF RESOURCES, MAGNITUDE/SEVERITY OF THE ISSUES IDENTIFIED, AND EXISTING RESOURCES ALREADY AVAILABLE TO MEET SUCH NEEDS. THE NEEDS THAT WILL NOT BE ADDRESSED DIRECTLY FOLLOW: (1) HEALTHY LIFESTYLE BEHAVIORS, (2) RESPIRATORY DISEASE AND SMOKING, AND (3) HIV/AIDSA DETAILED ANALYSIS OF WHY EACH OF THESE NEEDS WILL NOT BE ADDRESSED IS INCLUDED IN NORTHSIDE'S CHNA.
GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 13B:	IN ADDITION TO FPG NORTHSIDE ALSO USES MEDICAL INDIGENCY AS WELL AS PROPENSITY TO PAY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 16J:	THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 20E:	NORTHSIDE FOLLOWS A VERY DETAILED AND ROBUST PROCESS PRIOR TO INITIATING ECAS. AS INDICATED IN RESPONSE TO QUESTION 20, NORTHSIDE (1) PROVIDES A WRITTEN NOTICE ABOUT UPCOMING ECAS AND A PLAIN LANGUAGE SUMMARY OF THE FAP AT LEAST 30 DAYS BEFORE INITIATING ANY ECAS, (2) NORTHSIDE MAKES REASONABLE EFFORTS TO ORALLY (AND VIA OTHER MEANS) NOTIFY INDIVIDUALS ABOUT THE FAP AND FAP APPLICATION PROCESS, AND (3) NORTHSIDE MAKES PRESUMPTIVE ELIGIBILITY DETERMINATIONS TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE. NORTHSIDE PROMPTLY PROCESSES ALL COMPLETE FAP APPLICATIONS. NORTHSIDE ALSO EVALUATES ALL INCOMPLETE FAP APPLICATIONS, AND IN CONNECTION WITH SUCH INCOMPLETE APPLICATIONS, TAKES THE FOLLOWING STEPS: IF NORTHSIDE DETERMINES THAT A PATIENT HAS SUBMITTED AN INCOMPLETE FAP APPLICATION, NORTHSIDE WILL (A) IMMEDIATELY SUSPEND ANY ECAS THAT MAY HAVE BEEN INITIATED AGAINST THE PATIENT AFTER THE EXPIRATION OF THE NOTIFICATION PERIOD BUT BEFORE THE EXPIRATION OF THE APPLICATION PERIOD; (B) PROVIDE THE PATIENT WITH WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION AND/OR DOCUMENTATION THE INDIVIDUAL MUST SUBMIT TO COMPLETE THE FAP APPLICATION AND INCLUDE A COPY OF THE FAP WITH THE WRITTEN NOTICE; AND (C) MAKE A NOTE IN THE BILLING SYSTEM INDICATING THAT ECAS SHOULD NOT BE INITIATED (OR RE-INITIATED) ON THE PATIENT'S ACCOUNT UNTIL THE EXPIRATION OF THE APPLICATION PERIOD, AND ONLY IF AT THAT POINT THE PATIENT HAS NOT SUBMITTED THE NECESSARY INFORMATION TO COMPLETE THE FAP APPLICATION.NORTHSIDE DEFINES THE NOTIFICATION PERIOD" TO MEAN THE PERIOD DURING WHICH IT MUST NOTIFY AN INDIVIDUAL ABOUT THE FAP AND BEGINS ON THE DATE THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE WAS PROVIDED TO THE PATIENT AND ENDS ON THE 120TH DAY AFTER THE PATIENT WAS PROVIDED WITH THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE. NORTHSIDE DEFINES THE "APPLICATION PERIOD" TO MEAN THE PERIOD DURING WHICH NORTHSIDE MUST ACCEPT AND PROCESS A FAP APPLICATION SUBMITTED BY A PATIENT. THE "APPLICATION PERIOD" BEGINS ON THE DATE CARE IS PROVIDED TO THE PATIENT AND ENDS ON THE LATER OF THE 240TH DAY AFTER THE DATE THAT THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE IS PROVIDED OR EITHER (I) IN THE CASE OF INDIVIDUAL WHO NORTHSIDE HAS PROVIDED A NOTICE OF AT LEAST 30 DAYS PRIOR TO INITIATING ONE OR MORE ECAS, THE 30TH DAY AFTER THE DATE SUCH NOTICE IS PROVIDED, OR (II) IN THE CASE OF A PATIENT WHO NORTHSIDE HAS PRESUMPTIVELY DETERMINED TO BE ELIGIBLE FOR LESS THAN THE MOST GENEROUS ASSISTANCE AVAILABLE UNDER NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM, A REASONABLE TIME AFTER THE PATIENT HAS HAD A CHANCE TO APPLY FOR MORE GENEROUS FINANCIAL ASSISTANCE.
GROUP A-FACILITY 3 -- NORTHSIDE HOSPITAL - FORSYTH PART V, SECTION B, LINE 16J:	THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
GROUP A-FACILITY 4 -- NORTHSIDE HOSPITAL - CHEROKEE PART V, SECTION B, LINE 16J:	THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
GROUP A-FACILITY 2 -- NORTHSIDE HOSPITAL GWINNETT PART V, SECTION B, LINE 16J:	THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
GROUP A-FACILITY 5 -- NORTHSIDE HOSPITAL DULUTH PART V, SECTION B, LINE 7D:	HOSPITAL WEBSITE:WWW.NORTHSIDE.COM/COMMUNITY-WELLNESS/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 5 -- NORTHSIDE HOSPITAL DULUTH PART V, SECTION B, LINE 16J:	THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

Schedule H (Form 990) 2021

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?350
Name and address		Type of Facility (describe)
1	1 - NORTHSIDE HOSPITAL CANCER INSTITUTE 308 COLISEUM DRIVE STE 102 MACON,GA31217	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
2	2 - NHCI SUBURBAN HEMATOLOGY-ONCOLOGY ASSOCIAT 3855 PLEASANT HILL ROAD STE 480 DULUTH,GA30096	PHYSICIAN SERVICES
3	3 - NHCI SUBURBAN HEMATOLOGY-ONCOLOGY ASSOCIAT 1700 TREE LANE STE 490 SNELLVILLE,GA30078	PHYSICIAN SERVICES
4	4 - NORTHSIDE HOSPITAL CANCER INSTITUTE 308 DEEP SOUTH FARM ROAD STE 200 BLAIRSVILLE,GA30512	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
5	5 - NORTHSIDE HOSPITAL CANCER INSTITUTE 101 RIVERSTONE VISTA STE 102 BLUE RIDGE,GA30513	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
6	6 - NORTHSIDE HOSPITAL CANCER INSTITUTE 747 SOUTH 8TH STREET STE C GRIFFIN,GA30224	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
7	7 - CARDIOVASCULAR GROUP GRAYSON 1132 ATHENS HIGHWAY STE 207 GRAYSON,GA30017	PHYSICIAN SERVICES
8	8 - GEORGIA UROLOGY 3790 PLEASANT HILL ROAD STE 150 DULUTH,GA30096	PHYSICIAN SERVICES
9	9 - NORTHSIDE HOSPITAL CANCER INSTITUTE 820 N COBB STREET MILLEDGEVILLE,GA31061	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
10	10 - NORTHSIDE HOSPITAL CANCER INSTITUTE 1000 COWLES CLINIC WAY GREENSBORO,GA30642	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
11	11 - LAUREATE MEDICAL GROUP 6135 BARFIELD ROAD STE 160 ATLANTA,GA30328	PHYSICIAN SERVICES
12	12 - MEDICAL ASSOCIATES OF NORTH GEORGIA 320 HOSPITAL ROAD STE A CANTON,GA30114	PHYSICIAN SERVICES
13	13 - LAUREATE MEDICAL GROUP 6135 BARFIELD ROAD STE 200 ATLANTA,GA30328	PHYSICIAN SERVICES
14	14 - NORTHSIDE HOSPITAL CANCER INSTITUTE 214 PERRY HIGHWAY HAWKINSVILLE,GA31036	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
15	15 - NORTHSIDE MIDTOWN BREAST CARE IMAGING 1110 WEST PEACHTREE STREET STE 850 ATLANTA,GA30309	PHYSICIAN SERVICES
16	16 - ARTHRITIS AND TOTAL JOINT SPECIALIST 2000 HOWARD FARM DRIVE STE 200 CUMMING,GA30041	PHYSICIAN SERVICES
17	17 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1240 JESSE JEWELL PKWY BLDG B UNIT 500 GAINESVILLE,GA30501	PHYSICIAN SERVICES
18	18 - NHCI RADIATION ONCOLOGY - MACON 308 COLISEUM DRIVE STE 100 MACON,GA31217	RADIATION THERAPY CENTER AND PHYSICIAN SERVICES
19	19 - NORTHSIDE VASCULAR SURGERY 4800 OLDE TOWNE PARKWAY STE 420 MARIETTA,GA30068	PHYSICIAN SERVICES
20	20 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 2005 PRINCE AVENUE ATHENS,GA30606	PHYSICIAN SERVICES
21	21 - NORTHSIDEMCGINNIS FERRY IMAGING 6630 MCGINNIS FERRY ROAD STE D JOHNS CREEK,GA30097	PHYSICIAN SERVICES
22	22 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 2000 HOWARD FARM DRIVE STE 450 CUMMING,GA30041	PHYSICIAN SERVICES
23	23 - NORTHSIDE HEART ATLANTA 5670 PEACHTREE DUNWOODY ROAD STE 88 ATLANTA,GA30342	PHYSICIAN SERVICES
24	24 - ADVANCED NEUROSURGERY ASSOCIATES INC 1255 FRIENDSHIP ROAD STE 200C BRASELTON,GA30517	PHYSICIAN SERVICES
25	25 - NORTHSIDE HEART CANTON 460 NORTHSIDE CHEROKEE BLVD STE 150 CANTON,GA30115	PHYSICIAN SERVICES
26	26 - NORTHSIDE RADIATION ONCOLOGY - ATLAN 993F JOHNSON FERRY ROAD NE STE 120 ATLANTA,GA30342	PHYSICIAN SERVICES
27	27 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 470 NORTHSIDE CHEROKEE BLVD STE 480 CANTON,GA30115	PHYSICIAN SERVICES
28	28 - WINDERMERE MEDICAL CLINIC 200 EAGLES NEST DRIVE STE 300 CANTON,GA30115	PHYSICIAN SERVICES
29	29 - NORTH GEORGIA OBGYN SPECIALISTS 900 TOWNE LAKE PARKWAY STE 404 WOODSTOCK,GA30189	PHYSICIAN SERVICES
30	30 - SPORTS MEDICINE SOUTH OF GWINNETT LL 1900 RIVERSIDE PARKWAY LAWRENCEVILLE,GA30043	PHYSICIAN SERVICES
31	31 - PERIMETER ADVANCED SURGERY CENTER 1100 JOHNSON FERRY ROAD STE 300 ATLANTA,GA30342	PHYSICIAN SERVICES
32	32 - ATLANTA OPHTHALMOLOGY ASSOCIATES 5730 GLENRIDGE DRIVE STE 120 ATLANTA,GA30328	PHYSICIAN SERVICES
33	33 - UROLOGY SPECIALISTS OF ATLANTA 5673 PEACHTREE DUNWOODY RD STE 905 ATLANTA,GA30342	PHYSICIAN SERVICES
34	34 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 470 NORTHSIDE CHEROKEE BLVD STE 180 CANTON,GA30115	PHYSICIAN SERVICES
35	35 - CHEROKEE BREAST CARE 470 NORTHSIDE CHEROKEE BLVD STE T70 CANTON,GA30015	PHYSICIAN SERVICES/ OUTPATIENT SERVICES
36	36 - CARDIOVASCULAR GROUP LOGANVILLE 98 TARA COMMONS DRIVE STE 1 LOGANVILLE,GA30052	PHYSICIAN SERVICES
37	37 - CHEROKEE LUNG AND SLEEP 460 NORTHSIDE CHEROKEE BLVD STE 130 CANTON,GA30115	PHYSICIAN SERVICES
38	38 - NORTHSIDE GWINNETT OBGYN 1942 ATKINSON ROAD STE 100 LAWRENCEVILLE,GA30043	PHYSICIAN SERVICES
39	39 - ENDOCRINE SPECIALISTS OF ATLANTA 975 JOHNSON FERRY ROAD STE 400 ATLANTA,GA30342	PHYSICIAN SERVICES
40	40 - ATLANTA CLINICAL CARE 5673 PEACHTREE DUNWOODY RD STE 330 ATLANTA,GA30342	PHYSICIAN SERVICES
41	41 - SPECTRUM NEUROSURGICAL SPECIALISTS 1505 NORTHSIDE BOULEVARD STE 2500 CUMMING,GA30041	PHYSICIAN SERVICES
42	42 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 960 JOHNSON FERRY ROAD STE 415 ATLANTA,GA30342	PHYSICIAN SERVICES
43	43 - SURGICAL SPECIALISTS OF ATLANTA 1100 JOHNSON FERRY ROAD STE 410 ATLANTA,GA30342	PHYSICIAN SERVICES
44	44 - SOUTHEASTERN NEUROSURGICAL SPECIALIS 3300 OLD MILTON PARKWAY STE 225A ALPHARETTA,GA30005	PHYSICIAN SERVICES
45	45 - NHCI GEORGIA CANCER SPECIALISTS - STOCKBRI 1045 SOUTHCREST DRIVE STE 200 STOCKBRIDGE,GA30281	PHYSICIAN SERVICES
46	46 - THE IMAGING CENTER OF WARNER ROBINS 2706 WATSON BOULEVARD STE D WARNER ROBINS,GA31093	PHYSICIAN SERVICES
47	47 - NORTHSIDE HEART ROSWELL 1285 UPPER HEMBREE ROAD STE 100 ROSWELL,GA30076	PHYSICIAN SERVICES
48	48 - LAUREATE MEDICAL GROUP 1110 WEST PEACHTREE STREET STE 1100 ATLANTA,GA30309	PHYSICIAN SERVICES
49	49 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 1276 JESSE JEWELL PARKWAY GAINESVILLE,GA30501	PHYSICIAN SERVICES
50	50 - NS VASCULAR SURGERY LAWRENCEVILLE 601-A PROFESSIONAL DRIVE STE 220 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
51	51 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 1150 HAMMOND DRIVE STE 520 SANDY SPRINGS,GA30328	PHYSICIAN SERVICES
52	52 - MOUNT VERNON INTERNAL MEDICINE 755 MT VERNON HIGHWAY STE 400 ATLANTA,GA30328	PHYSICIAN SERVICES
53	53 - SOUTHEASTERN NEURO SPECIALISTS - CHE 470 NORTHSIDE CHEROKEE BLVD STE 375 CANTON,GA30115	PHYSICIAN SERVICES
54	54 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1240 JESSE JEWELL PARKWAY STE 380 GAINESVILLE,GA30501	PHYSICIAN SERVICES
55	55 - CHATTAHOOCHEE SURGICAL GROUP 3400 OLD MILTON PKWY BLDG A STE 210 ALPHARETTA,GA30005	PHYSICIAN SERVICES
56	56 - NORTH POINT PULMONARY ASSOCIATES 1505 NORTHSIDE BOULEVARD STE 3500 CUMMING,GA30041	PHYSICIAN SERVICES
57	57 - ROBB FAMILY ENT 3400 OLD MILTON PKWY BLDG C STE 575 ALPHARETTA,GA30005	PHYSICIAN SERVICES
58	58 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 900 TOWNE LAKE PARKWAY STE 320 WOODSTOCK,GA30189	PHYSICIAN SERVICES
59	59 - PREMIER CARE FOR WOMEN 960 JOHNSON FERRY ROAD STE 400 ATLANTA,GA30342	PHYSICIAN SERVICES
60	60 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1270 FRIENDSHIP ROAD STES 100A-I BRASELTON,GA30517	PHYSICIAN SERVICES
61	61 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 771 OLD NORCROSS ROAD STE 105 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
62	62 - UNIVERSITY GYNECOLOGIC ONCOLOGY 1100 NORTHSIDE FORSYTH DRIVE STE 420 CUMMING,GA30041	PHYSICIAN SERVICES
63	63 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 6135 BARFIELD ROAD STE 100 ATLANTA,GA30328	PHYSICIAN SERVICES
64	64 - STRICKLAND FAMILY MED CLINIC 665 DULUTH HIGHWAY STE 501 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
65	65 - NORTHSIDE HEART 1505 NORTHSIDE BOULEVARD STE 3600 CUMMING,GA30041	PHYSICIAN SERVICES
66	66 - GWINNETT NEUROLOGY ASSOCIATES 3855 PLEASANT HILL ROAD STE 270D DULUTH,GA30096	PHYSICIAN SERVICES
67	67 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1270 FRIENDSHIP ROAD STE 130 BRASELTON,GA30517	PHYSICIAN SERVICES
68	68 - NORTHSIDE HEART WOODSTOCK 900 TOWNE LAKE PARKWAY STE 400 WOODSTOCK,GA30189	PHYSICIAN SERVICES
69	69 - PERIMETER NORTH MEDICAL ASSOCIATES - 900 TOWNE LAKE PARKWAY STE 210 WOODSTOCK,GA30189	PHYSICIAN SERVICES
70	70 - INTERNAL MEDICINE ASSOCIATES OF JOHN 3380 PADDOCKS PARKWAY STE 100 SUWANEE,GA30024	PHYSICIAN SERVICES
71	71 - ARTHRITIS AND TOTAL JOINT SPECIALIST 470 NORTHSIDE CHEROKEE BLVD STE 160 CANTON,GA30115	PHYSICIAN SERVICES
72	72 - NORTHSIDE PULMONARY AND SLEEP MEDICI 81 NORTHSIDE DAWSON DRIVE STE 315B DAWSONVILLE,GA30534	PHYSICIAN SERVICES
73	73 - ATLANTA HEAD AND NECK ASSOCIATES 960 JOHNSON FERRY ROAD STE 335 ATLANTA,GA30342	PHYSICIAN SERVICES
74	74 - NORTHSIDE FAMILY PRACTICE 960 WOODSTOCK PARKWAY STE 300 WOODSTOCK,GA30188	PHYSICIAN SERVICES
75	75 - NEUROSURGERY ANSWER 1100 NORTHSIDE FORSYTH DR STE 310 CUMMING,GA30041	PHYSICIAN SERVICES
76	76 - NORTHSIDE CHEROKEE SURGICAL ASSOCIAT 470 NORTHSIDE CHEROKEE BLVD STE 230 CANTON,GA30115	PHYSICIAN SERVICES
77	77 - NORTH GEORGIA DIABETES AND ENDOCRINO 1505 NORTHSIDE BOULEVARD STE 2800 CUMMING,GA30041	PHYSICIAN SERVICES
78	78 - ATLANTA PLASTIC & RECONSTRUCTIVE SPE 1505 NORTHSIDE FORSYTH DR STE 3800C CUMMING,GA30041	PHYSICIAN SERVICES
79	79 - NORTHSIDE CARDIAC SURGERY 631 PROFESSIONAL DRIVE STE 200 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
80	80 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1250 JESSE JEWELL PARKWAY STE 400 GAINESVILLE,GA30501	PHYSICIAN SERVICES
81	81 - GWINNETT INTERNAL MEDICINE ASSOCIATE 2850 HOG MOUNTAIN ROAD STE 101 DACULA,GA30019	PHYSICIAN SERVICES
82	82 - ATLANTA GYNECOLOGIC ONCOLOGY 3400 OLD MILTON PKWY BLDG A STE 390 ALPHARETTA,GA30005	PHYSICIAN SERVICES
83	83 - ATLANTA CARDIAC AND THORACIC SURGICA 1100 NORTHSIDE FORSYTH DR STE 410 CUMMING,GA30041	PHYSICIAN SERVICES
84	84 - PERIMETER NORTH MEDICAL ASSOCIATES - 3400 OLD MILTON PKWY BLDG A STE 130 ALPHARETTA,GA30005	PHYSICIAN SERVICES
85	85 - COMPLETE CARDIOLOGY 1100 JOHNSON FERRY ROAD STE 450 ATLANTA,GA30342	PHYSICIAN SERVICES
86	86 - ATLANTA COLON & RECTAL SURGERY 5667 PEACHTREE DUNWOODY RD STE 330 ATLANTA,GA30342	PHYSICIAN SERVICES
87	87 - BOSTOCK FAMILY MEDICINE 771 OLD NORCROSS ROAD STE 255 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
88	88 - PEACHTREE DUNWOODY MEDICAL ASSOCIATE 875 JOHNSON FERRY ROAD STE 200 ATLANTA,GA30342	PHYSICIAN SERVICES
89	89 - NORTHSIDE FAMILY MED AND URG CARE OF 684 SIXES ROAD STE 125 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
90	90 - GENERAL SURGEONS OF GWINNETT 1800 TREE LANE STE 330 SNELLVILLE,GA30078	PHYSICIAN SERVICES
91	91 - NORTHSIDE CHEROKEE PEDIATRICS 684 SIXES ROAD STE 130 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
92	92 - MRI & IMAGING OF ATHENS 845 PRINCE AVENUE ATHENS,GA30606	PHYSICIAN SERVICES
93	93 - NORTHSIDE FAMILY MED AND URG CARE OF 4800 OLDE TOWNE PARKWAY STE 150 MARIETTA,GA30068	PHYSICIAN SERVICES
94	94 - MEDICAL ASSOC OF NORTH GA RHEUMATO 460 NORTHSIDE CHEROKEE BLVD STE 300 CANTON,GA30115	PHYSICIAN SERVICES
95	95 - LAUREATE MEDICAL GROUP 6135 BARFIELD ROAD STE 130A ATLANTA,GA30328	PHYSICIAN SERVICES
96	96 - ATLANTA LIVER AND PANCREAS SURGICAL 980 JOHNSON FERRY ROAD STE 170 ATLANTA,GA30342	PHYSICIAN SERVICES
97	97 - NORTHSIDE HOSPITAL CARDIOVASCULAR CA 980 JOHNSON FERRY ROAD STE 520 ATLANTA,GA30342	PHYSICIAN SERVICES
98	98 - GEORGIA COLON & RECTAL ASSOCIATES-SA 5445 MERIDIAN MARK ROAD STE 180 ATLANTA,GA30342	PHYSICIAN SERVICES
99	99 - CARDIOVASCULAR GROUP SUWANEE 4365 JOHNS CREEK PARKWAY STE 450 EAST ELLIJAY,GA30540	PHYSICIAN SERVICES
100	100 - NORTHSIDE GWINNETT WOMENS HEALTH 1800 TREE LANE STE 300 SNELLVILLE,GA30078	PHYSICIAN SERVICES
101	101 - VASCULAR MEDICINE AND SURGERY SPECIA 1462 MONTREAL ROAD STE 201 TUCKER,GA30084	PHYSICIAN SERVICES
102	102 - NORTHSIDE NEUROLOGY 1400 NORTHSIDE FORSYTH DR STE 220 CUMMING,GA30041	PHYSICIAN SERVICES
103	103 - PERIMETER NORTH MEDICAL ASSOCIATES - 960 JOHNSON FERRY ROAD STE 300 ATLANTA,GA30342	PHYSICIAN SERVICES
104	104 - ARTHRITIS AND TOTAL JOINT SPECIALIST 1110 WEST PEACHTREE STREET STE 940 ATLANTA,GA30309	PHYSICIAN SERVICES
105	105 - LAUREATE MEDICAL GROUP 7823 SPIVEY STATION BLVD STE 310 JONESBORO,GA30236	PHYSICIAN SERVICES
106	106 - BARIATRIC INNOVATIONS OF ATLANTA 470 NORTHSIDE CHEROKEE BLVD STE 170 CANTON,GA30115	PHYSICIAN SERVICES
107	107 - GEORGIA PULMONARY GROUP LAWRENCEVI 500 MEDICAL CENTER BLVD STE 160 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
108	108 - MEDICAL ASSOC OF NORTH GA BALLGROU 470 VALLEY STREET STE 200 BALL GROUND,GA30107	PHYSICIAN SERVICES
109	109 - GROFF FAMILY MEDICINE 115 LEE BYRD ROAD LOGANVILLE,GA30052	PHYSICIAN SERVICES
110	110 - WOMENS SPECIALISTS OF NORTHSIDE GWIN 601-A PROFESSIONAL DRIVE STE 310 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
111	111 - PERIMETER NORTH MEDICAL ASSOCIATES - 3890 JOHNS CREEK PARKWAY STE 230 SUWANEE,GA30024	PHYSICIAN SERVICES
112	112 - NORTHSIDE CENTER FOR UROGYNECOLOGY 595 HURRICANE SHOALS RD NW STE 301 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
113	113 - NGDE - JOHNS CREEK 3350 PADDOCKS PARKWAY STE 100 SUWANEE,GA30024	PHYSICIAN SERVICES
114	114 - ATLANTA COLON & RECTAL SURGERY-EAST 470 NORTHSIDE CHEROKEE BLVD STE 385 CANTON,GA30115	PHYSICIAN SERVICES
115	115 - MEDICAL ASSOC OF NORTH GA - CHEROKEE 470 NORTHSIDE CHEROKEE BLVD STE 380 CANTON,GA30115	PHYSICIAN SERVICES
116	116 - MRI & IMAGING OF HABERSHAM 638 HISTORIC HWY 441 NORTH STE D DEMOREST,GA30535	PHYSICIAN SERVICES
117	117 - GEORGIA PULMONARY GROUP - SNELLVILLE 1800 TREE LANE STE 200 SNELLVILLE,GA30078	PHYSICIAN SERVICES
118	118 - FAMILY MEDICAL CLINIC OF LAWRENCEVIL 2522 CRUSE ROAD STE C2 LAWRENCEVILLE,GA30044	PHYSICIAN SERVICES
119	119 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 3500 MCCLURE BRIDGE ROAD DULUTH,GA30096	PHYSICIAN SERVICES
120	120 - NORTHSIDE URGENT CARE - CUMMING 610 PEACHTREE PARKWAY STE 100 CUMMING,GA30041	PHYSICIAN SERVICES
121	121 - TOWN LAKE PRIMARY CARE 684 SIXES ROAD STE 105 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
122	122 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 3400 OLD MILTON PKWY BLDG C STE 190 ALPHARETTA,GA30005	PHYSICIAN SERVICES
123	123 - LAUREATE MEDICAL GROUP 4800 OLDE TOWNE PARKWAY STE 400 MARIETTA,GA30068	PHYSICIAN SERVICES
124	124 - NORTH GEORGIA OBGYN CANTON 470 NORTHSIDE CHEROKEE BLVD STE 290 CANTON,GA30115	PHYSICIAN SERVICES
125	125 - GEORGIA GYNECOLOGIC ONCOLOGY 1505 NORTHSIDE BOULEVARD STE 3800B CUMMING,GA30041	PHYSICIAN SERVICES
126	126 - JOHNS CREEK SPECIALIST CENTER 3340 PADDOCKS PARKWAY STE 100 SUWANEE,GA30024	PHYSICIAN SERVICES
127	127 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 1110 WEST PEACHTREE STREET STE 920 ATLANTA,GA30309	PHYSICIAN SERVICES
128	128 - CARDIOVASCULAR GROUP DULUTH 3855 PLEASANT HILL ROAD STE 250 DULUTH,GA30096	PHYSICIAN SERVICES
129	129 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 1255 FRIENDSHIP ROAD STE 120 BRASELTON,GA30517	PHYSICIAN SERVICES
130	130 - NORTHSIDE FAMILY MEDICINE AND URGENT 1110 WEST PEACHTREE STREET STE P200 ATLANTA,GA30309	PHYSICIAN SERVICES
131	131 - PERIMETER NORTH MEDICAL ASSOCIATES 1505 NORTHSIDE BOULEVARD STE 4400 CUMMING,GA30041	PHYSICIAN SERVICES
132	132 - LAUREATE MEDICAL GROUP 3400 OLD MILTON PKWY BLDG C STES 500 5 ALPHARETTA,GA30005	PHYSICIAN SERVICES
133	133 - NORTH FULTON RHEUMATOLOGY 1300 UPPER HEMBREE RD BLDG 100 STE A ALPHARETTA,GA30076	PHYSICIAN SERVICES
134	134 - NORTHSIDE CHEROKEE PEDIATRICS - TOWN 900 TOWNE LAKE PARKWAY STE 306 WOODSTOCK,GA30189	PHYSICIAN SERVICES
135	135 - COVENANT FAMILY MEDICINE 2069 TERON TRACE STE 100 DACULA,GA30019	PHYSICIAN SERVICES
136	136 - ARTHRITIS AND TOTAL JOINT SPECIALIST 3400 OLD MILTON PKWY BLDG C STE 290 ALPHARETTA,GA30005	PHYSICIAN SERVICES
137	137 - NORTH ATLANTA BREAST CARE 1400 NORTHSIDE FORSYTH DR STE 280 CUMMING,GA30041	PHYSICIAN SERVICES
138	138 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 1110 WEST PEACHTREE STREET STE 950 ATLANTA,GA30309	PHYSICIAN SERVICES
139	139 - GEORGIA COLON & RECTAL ASSOCIATES-GW 721 WELLNESS WAY STE 200 LAWRENCEVILLE,GA30045	PHYSICIAN SERVICES
140	140 - GOYCO INTERNAL MEDICINE 900 SANDERS ROAD STE B CUMMING,GA30041	PHYSICIAN SERVICES
141	141 - ATLANTA COLON AND RECTAL SURGERY 1380 UPPER HEMBREE ROAD STE A ROSWELL,GA30076	PHYSICIAN SERVICES
142	142 - MELANOMA & SARCOMA SPECIALIST OF GEORGIA 1505 NORTHSIDE FORSYTH DR STE 3400G CUMMING,GA30041	PHYSICIAN SERVICES
143	143 - NORTHSIDE FAMILY MEDICINE AND URGENT 11685 ALPHARETTA HWY STE 150 ROSWELL,GA30076	PHYSICIAN SERVICES
144	144 - RAVRY MEDICAL GROUP 5505 PEACHTREE DUNWOODY RD STE 650 ATLANTA,GA30342	PHYSICIAN SERVICES
145	145 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1255 FRIENDSHIP ROAD STE 110 BRASELTON,GA30517	PHYSICIAN SERVICES
146	146 - NORTHSIDE DULUTH SURGICAL GROUP 3855 PLEASANT HILL ROAD STE 470 DULUTH,GA30096	PHYSICIAN SERVICES
147	147 - WINDERMERE MEDICAL CLINIC 386 US-441 BALDWIN,GA30511	PHYSICIAN SERVICES
148	148 - LAUREATE MEDICAL GROUP 684 SIXES ROAD STE 250 265 270 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
149	149 - HARPER AND ASSOC FAMILY MEDICINE 6000 HILLANDALE DRIVE STE 100 LITHONIA,GA30058	PHYSICIAN SERVICES
150	150 - MIDTOWN MEDICAL ASSOCIATES 1110 WEST PEACHTREE STREET STE 1040 ATLANTA,GA30309	PHYSICIAN SERVICES
151	151 - ANKLE AND FOOT CENTERS OF NORTH GEOR 2000 HOWARD FARM DRIVE STE 340B CUMMING,GA30041	PHYSICIAN SERVICES
152	152 - NORTHSIDE ORTHOPEDIC SPECIALISTS 2108 TERON TRACE STE 100A DACULA,GA30019	PHYSICIAN SERVICES
153	153 - GEORGIA COLON AND RECTAL SURGICAL AS 1505 NORTHSIDE BOULEVARD STE 2900 CUMMING,GA30041	PHYSICIAN SERVICES
154	154 - DACULA FAMILY MEDICINE 2850 HOG MOUNTAIN ROAD STE 102 DACULA,GA30019	PHYSICIAN SERVICES
155	155 - GWINNETT FAMILY MEDICAL CARE 2835 CENTERVILLE HIGHWAY BUILDNG ONE SNELLVILLE,GA30078	PHYSICIAN SERVICES
156	156 - NORTHSIDE SUWANEE PRIMARY CARE 1120 PEACHTREE INDUSTRIAL BLVD STE 208 2 SUWANEE,GA30024	PHYSICIAN SERVICES
157	157 - SOVEREIGN REHABILITATION CANTON 470 NORTHSIDE CHEROKEE BLVD STE 190 CANTON,GA30115	PHYSICIAN SERVICES
158	158 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 4800 OLDE TOWNE PARKWAY STE 430 MARIETTA,GA30068	PHYSICIAN SERVICES
159	159 - NORTH ATLANTA MEDICAL ASSOCIATES 10700 MEDLOCK BRIDGE ROAD STE 201 DULUTH,GA30097	PHYSICIAN SERVICES
160	160 - NORTHSIDE GWINNETT FAMILY MEDICINE 771 OLD NORCROSS ROAD STE 350 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
161	161 - ARTHRITIS AND TOTAL JOINT SPECIALIST 771 OLD NORCROSS ROAD STE 135 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
162	162 - CHEROKEE LUNG AND SLEEP - TOWNE LAKE 900 TOWNE LAKE PARKWAY STE 206 WOODSTOCK,GA30189	PHYSICIAN SERVICES
163	163 - MEDICAL ASSOCIATES RHEUMATOLOGY - TO 900 TOWNE LAKE PARKWAY STE 202 WOODSTOCK,GA30189	PHYSICIAN SERVICES
164	164 - NORTHSIDE GWINNETT SURGICAL ASSOCIAT 631 PROFESSIONAL DRIVE STE 300 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
165	165 - ROSWELL INTERNAL MEDICINE SPECIALIST 1357 HEMBREE ROAD STE 130 ROSWELL,GA30076	PHYSICIAN SERVICES
166	166 - EAST COBB FAMILY MEDICINE 1121 JOHNSON FERRY ROAD STE 320 MARIETTA,GA30068	PHYSICIAN SERVICES
167	167 - SURGICAL SPECIALISTS OF ATLANTA - AL 3400 OLD MILTON PKWY BLDG A STE 560 ALPHARETTA,GA30005	PHYSICIAN SERVICES
168	168 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1255 FRIENDSHIP ROAD STE 220 BRASELTON,GA30517	PHYSICIAN SERVICES
169	169 - NORTHSIDE GRAYSON PRIMARY CARE 1132 ATHENS HIGHWAY STE 207 GRAYSON,GA30017	PHYSICIAN SERVICES
170	170 - NORTHSIDE HEART ALPHARETTA 3400 OLD MILTON PKWY BLDG C STE 360 ALPHARETTA,GA30005	PHYSICIAN SERVICES
171	171 - ACADEMIC INTERNAL MED - STAFF 500 MEDICAL CENTER BLVD STE 310 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
172	172 - GEORGIA COLON & RECTAL ASSOCIATES-FA 1260 HIGHWAY 54 WEST STE 100 FAYETTEVILLE,GA30214	PHYSICIAN SERVICES
173	173 - JOHN ATTOKAREN MD 11600 ATLANTIS PLACE STE B ALPHARETTA,GA30022	PHYSICIAN SERVICES
174	174 - GYN SURGICAL SPECIALISTS 1110 WEST PEACHTREE STREET STE 1050 ATLANTA,GA30309	PHYSICIAN SERVICES
175	175 - NORTHSIDE MEDICAL SPECIALISTS 145 RIVERSTONE TERRACE STE 100 CANTON,GA30114	PHYSICIAN SERVICES
176	176 - PEACHTREE CORNERS INTERNAL MEDICINE 5277 PEACHTREE PARKWAY NORCROSS,GA30092	PHYSICIAN SERVICES
177	177 - NORTHSIDE FAMILY MEDICINE AND URGENT 610 PEACHTREE PARKWAY STE 130 CUMMING,GA30041	PHYSICIAN SERVICES
178	178 - ALPHARETTA FOOT AND ANKLE SPECIALIST 2000 HOWARD FARM DRIVE STE 340A CUMMING,GA30041	PHYSICIAN SERVICES
179	179 - CARDIOVASCULAR GROUP BUFORD 4745 NELSON BROGDON BLVD STE 300 BUFORD,GA30518	PHYSICIAN SERVICES
180	180 - SLEEP DISORDERS CENTER OF GEORGIA 993C JOHNSON FERRY ROAD STE 301 ATLANTA,GA30342	PHYSICIAN SERVICES
181	181 - PRIMARY CARE OF BROOKHAVEN 4062 PEACHTREE ROAD STE C ATLANTA,GA30319	PHYSICIAN SERVICES
182	182 - PRIMARY CARE OF MILTON 980 BIRMINGHAM ROAD STE 304 MILTON,GA30004	PHYSICIAN SERVICES
183	183 - NORTH POINT PRIMARY CARE 3180 NORTH POINT PKWY BLDG 200 STE 201 ALPHARETTA,GA30005	PHYSICIAN SERVICES
184	184 - NEWTOWN MEDICAL 3400 OLD MILTON PKWY BLDG A STE 20 ALPHARETTA,GA30005	PHYSICIAN SERVICES
185	185 - ANDERSON FAMILY MEDICINE 81 NORTHSIDE DAWSON DRIVE STE 205 DAWSONVILLE,GA30534	PHYSICIAN SERVICES
186	186 - ARTHRITIS AND TOTAL JOINT SPECIALIST 1475 JESSE JEWELL PKWY NE STE 302 GAINESVILLE,GA30501	PHYSICIAN SERVICES
187	187 - PEACHTREE CORNERS INTERNAL MEDICINE 6460 SPALDING DRIVE STE A NORCROSS,GA30092	PHYSICIAN SERVICES
188	188 - INTERNAL MEDICINE ASSOCIATES OF LAWRENCEVI 725 WALTHER ROAD STE 200 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
189	189 - GEORGIA COLON & RECTAL ASSOCIATES-CH 470 NORTHSIDE CHEROKEE BLVD STE 385 CANTON,GA30115	PHYSICIAN SERVICES
190	190 - NORTH GEORGIA OBGYN SPECIALISTS - BL 2855 OLD HIGHWAY 5 STE 110 BLUE RIDGE,GA30513	PHYSICIAN SERVICES
191	191 - COMPREHENSIVE NEUROLOGY SPECIALISTS 3890 JOHNS CREEK PARKWAY STE 210 SUWANEE,GA30024	PHYSICIAN SERVICES
192	192 - INTERNAL MEDICINE SPECIALIST OF ROSW 11685 ALPHARETTA HWY STE 270 ROSWELL,GA30076	PHYSICIAN SERVICES
193	193 - REPRODUCTIVE SURGICAL SPECIALISTS 1800 NORTHSIDE FORSYTH DRIVE STE 380 CUMMING,GA30041	PHYSICIAN SERVICES
194	194 - GWINNETT CONSULTANTS IN CARDIOLOGY 755 WALTHER RD NW LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
195	195 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 1839 BUFORD HIGHWAY NE STE 100 BUFORD,GA30518	PHYSICIAN SERVICES
196	196 - NORTH GEORGIA OBGYN SPECIALISTS 433 HIGHLAND PKWY STE 203 EAST ELIJAY,GA30540	PHYSICIAN SERVICES
197	197 - GEORGIA COLON & RECTAL ASSOCIATES-AL 3400 OLD MILTON PKWY BLDG A STE 450 ALPHARETTA,GA30005	PHYSICIAN SERVICES
198	198 - SOUTHEASTERN NEURO SPECIALISTS 631 CAMPBELL HILL STREET STE 100 MARIETTA,GA30060	PHYSICIAN SERVICES
199	199 - NORTH ATLANTA MEDICAL ASSOC - STONE 1505 LILBURN STONE MOUNTAIN RD STE 100 STONE MOUNTAIN,GA30087	PHYSICIAN SERVICES
200	200 - LANIER FAMILY PRACTICE 1080 SANDERS ROAD STE 100 CUMMING,GA30041	PHYSICIAN SERVICES
201	201 - NORTH ATLANTA PULMONARY AND SLEEP 993C JOHNSON FERRY ROAD STE 300 ATLANTA,GA30342	PHYSICIAN SERVICES
202	202 - GEORGIA COLON & RECTAL ASSOCIATES-DE 2801 N DECATUR ROAD STE 120 DECATUR,GA30033	PHYSICIAN SERVICES
203	203 - NORTHSIDE CHEROKEE SURGICAL ASSOCIAT 900 TOWNE LAKE PARKWAY STE 412 WOODSTOCK,GA30189	PHYSICIAN SERVICES
204	204 - NS PRIMARY CARE ASSOCIATES - BRIDGEM 780 CANTON ROAD STE 405 MARIETTA,GA30060	PHYSICIAN SERVICES
205	205 - ARTHRITIS AND TOTAL JOINT SPECIALIST 1255 FRIENDSHIP ROAD STE 200 BRASELTON,GA30517	PHYSICIAN SERVICES
206	206 - GEORGIA COLON & RECTAL ASSOCIATES-MI 1110 WEST PEACHTREE STREET STE 1030 ATLANTA,GA30309	PHYSICIAN SERVICES
207	207 - ARTHRITIS AND TOTAL JOINT SPECIALIST 960 WOODSTOCK PARKWAY STE 200 WOODSTOCK,GA30188	PHYSICIAN SERVICES
208	208 - SUGARLOAF PRIMARY CARE 1805 HERRINGTON ROAD BUILDING 2 LAWRENCEVILLE,GA30043	PHYSICIAN SERVICES
209	209 - ATLANTA CARDIAC AND THORACIC SURGICA 1110 W PEACHTREE ST NW STE 1010 ATLANTA,GA30309	PHYSICIAN SERVICES
210	210 - CHEROKEE LUNG AND SLEEP - KENNESAW 6110 PINE MOUNTAIN ROAD STE 102 KENNESAW,GA30152	PHYSICIAN SERVICES
211	211 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 684 SIXES ROAD STE 230 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
212	212 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 3855 PLEASANT HILL ROAD STE 270B DULUTH,GA30096	PHYSICIAN SERVICES
213	213 - ATLANTA GYN ONCOLOGY -MARIETTA 780 CANTON ROAD STE 320A MARIETTA,GA30060	PHYSICIAN SERVICES
214	214 - DULUTH FAMILY AND SPORTS MEDICINE 3855 PLEASANT HILL ROAD STE 100 DULUTH,GA30096	PHYSICIAN SERVICES
215	215 - EAST COBB FAMILY MEDICINE 1121 JOHNSON FERRY ROAD STE 100 MARIETTA,GA30068	PHYSICIAN SERVICES
216	216 - NORTHSIDE PRIMARY CARE ASSOCIATES 4450 CALIBRE CROSSING STE 1224 ACWORTH,GA30101	PHYSICIAN SERVICES
217	217 - NORTHSIDE JOHNS CREEK PRIMARY CARE 4385 JOHNS CREEK PKWY SUWANEE,GA30024	PHYSICIAN SERVICES
218	218 - NORTHSIDE CARDIOVASCULAR GROUP 2108 TERON TRACE STE 100E DACULA,GA30019	PHYSICIAN SERVICES
219	219 - SOVEREIGN REHABILITATION LAWRENCEVILLE 575 PROFESSIONAL DR STE 370 LAWRENCEVILLE,GA30045	PHYSICIAN SERVICES
220	220 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 11685 ALPHARETTA HWY STE 170 ROSWELL,GA30076	PHYSICIAN SERVICES
221	221 - NORTHSIDE THORACIC SURGERY - MIDTOWN 1110 WEST PEACHTREE STREET STE 1010 ATLANTA,GA30309	PHYSICIAN SERVICES
222	222 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 3280 PEACHTREE ROAD NE STE 160 ATLANTA,GA30305	PHYSICIAN SERVICES
223	223 - SOVEREIGN REHABILITATION ATLANTA 5555 PEACHTREE DUNWOODY RD STE 225 ATLANTA,GA30342	PHYSICIAN SERVICES
224	224 - SOVEREIGN REHABILITATION HAPEVILLE 800 VIRGINIA AVENUE STE 200 HAPEVILLE,GA30354	PHYSICIAN SERVICES
225	225 - LAUREATE MEDICAL GROUP 470 NORTHSIDE CHEROKEE BLVD STE 490 CANTON,GA30115	PHYSICIAN SERVICES
226	226 - SOVEREIGN REHABILITATION DECATURE 495 WINN WAY STE 150 DECATUR,GA30030	PHYSICIAN SERVICES
227	227 - SOVEREIGN REHABILITATION STOCKBRIDGE 125 MEDICAL BOULEVARD STOCKBRIDGE,GA30281	PHYSICIAN SERVICES
228	228 - SURGICAL SPECIALISTS OF ATLANTA 1110 WEST PEACHTREE STREET STE 1050 ATLANTA,GA30309	PHYSICIAN SERVICES
229	229 - MEDICAL ASSOCIATES OF NORTH GEORGIA ELIJ 433 HIGHLAND PARKWAY STE 101 EAST ELIJAY,GA30540	PHYSICIAN SERVICES
230	230 - SOVEREIGN REHABILITATION CHAMBLEE 5553 PEACHTREE ROAD STE 105 CHAMBLEE,GA30341	PHYSICIAN SERVICES
231	231 - NORTHSIDE DACULA PRIMARY CARE 720 DACULA ROAD STE 2B DACULA,GA30019	PHYSICIAN SERVICES
232	232 - GWINNETT PHYSICIAN GROUP CONCUSSION 3855 PLEASANT HILL ROAD STE 130 DULUTH,GA30096	PHYSICIAN SERVICES
233	233 - NORTHSIDE CHEROKEE SURGICAL ASSOCIATES - 4450 CALIBRE CROSSING STES 1106 1110 ACWORTH,GA30101	PHYSICIAN SERVICES
234	234 - SOVEREIGN REHABILITATION SUWANEE 1220 SATELLITE BOULEVARD SUWANEE,GA30024	PHYSICIAN SERVICES
235	235 - HEALTH AND WELLNESS CENTER 100 MEDICAL CENTER BOULEVARD LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
236	236 - NORTHSIDE URGENT CARE 7386 FRIENDSHIP SPRINGS BOULEVARD STE 125 FLOWERY BRANCH,GA30542	PHYSICIAN SERVICES
237	237 - INTERNAL MEDICINE PRACTICE OF NORTHS 10745 WESTSIDE WAY STE 125 150 ALPHARETTA,GA30009	PHYSICIAN SERVICES
238	238 - ROSWELL URGENT CARE CENTER 660 WEST CROSSVILLE ROAD STE 110 ROSWELL,GA30075	PHYSICIAN SERVICES
239	239 - MASON PRIMARY CARE 3500 MCCLURE BRIDGE ROAD DULUTH,GA30096	PHYSICIAN SERVICES
240	240 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 2000 HOWARD FARM DRIVE STE 300 CUMMING,GA30041	PHYSICIAN SERVICES
241	241 - NORTHSIDE PULMONARY AND SLEEP MEDICI 4700 NELSON BROGDON BLVD NE STE 125A BUFORD,GA30019	PHYSICIAN SERVICES
242	242 - GWINNETT PHYSICIANS GROUP OBGYN 1942 ATKINSON ROAD STE 100-400 LAWRENCEVILLE,GA30043	PHYSICIAN SERVICES
243	243 - NORTHSIDE ORTHOPEDIC SPECIALISTS 2220 WISTERIA DRIVE SW STE 202 SNELLVILLE,GA30078	PHYSICIAN SERVICES
244	244 - CARDIOVASCULAR GROUP SNELLVILLE 1608 TREE LANE STE C SNELLVILLE,GA30078	PHYSICIAN SERVICES
245	245 - MELANOMA AND SARCOMA SPECIALISTS OF GEORGI 980 JOHNSON FERRY ROAD STE 940 ATLANTA,GA30342	PHYSICIAN SERVICES
246	246 - ADULT PRIMARY CARE 575 PROFESSIONAL DR STE 510 520 550 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
247	247 - GWINNETT EAR NOSE AND THROAT 3855 PLEASANT HILL ROAD STE 280 DULUTH,GA30096	PHYSICIAN SERVICES
248	248 - GEORGIA COLON & RECTAL ASSOCIATES-AL 3400 OLD MILTON PKWY BLDG A STE 440 ALPHARETTA,GA30005	PHYSICIAN SERVICES
249	249 - NORTHSIDE THORACIC SURGERY 1270 FRIENDSHIP ROAD STE 100J BRASELTON,GA30517	PHYSICIAN SERVICES
250	250 - CUMMING FAMILY MEDICINE 765 LENIER 400 PKWY STE 200 CUMMING,GA30040	PHYSICIAN SERVICES
251	251 - GWINNETT EXTENDED CARE CENTER 650 PROFESSIONAL DRIVE LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
252	252 - NORTHSIDE HEART GRAYSON 1132 ATHENS HIGHWAY STE 207 GRAYSON,GA30017	PHYSICIAN SERVICES
253	253 - GEORGIA ORTHOPEDIC SPECIALISTS 460 NORTHSIDE CHEROKEE BLVD STE 430 CANTON,GA30115	PHYSICIAN SERVICES
254	254 - ACADEMIC INTERNAL MED - STAFF 665 DULUTH HIGHWAY STE 401 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
255	255 - ADVANCED NEUROSURGERY ASSOCIATES INC 3855 PLEASANT HILL ROAD STE 270A DULUTH,GA30096	PHYSICIAN SERVICES
256	256 - ADVANCED NEUROSURGERY ASSOCIATES INC 631 PROFESSIONAL DRIVE STE 360 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
257	257 - ALPHARETTA FOOT AND ANKLE SPECIALIST 3400 OLD MILTON PKWY BLDG A STE 50 ALPHARETTA,GA30005	PHYSICIAN SERVICES
258	258 - ANKLE AND FOOT CENTERS OF NORTH GEOR 81 NORTHSIDE DAWSON DRIVE STE 204 DAWSONVILLE,GA30534	PHYSICIAN SERVICES
259	259 - ARTHRITIS AND TOTAL JOINT SPECIALIST 4800 OLDE TOWNE PARKWAY STE 430A MARIETTA,GA30068	PHYSICIAN SERVICES
260	260 - ARTHRITIS AND TOTAL JOINT SPECIALIST 5670 PEACHTREE DUNWOODY RD STE 1230 ATLANTA,GA30342	PHYSICIAN SERVICES
261	261 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1485 JESSE JEWELL PKWY NE STE 330 GAINESVILLE,GA30501	PHYSICIAN SERVICES
262	262 - ARTHRITIS AND TOTAL JOINT SPECIALIST 2000 HOWARD FARM DRIVE STE T110 CUMMING,GA30041	PHYSICIAN SERVICES
263	263 - ATLANTA CARDIAC AND THORACIC SURGICA 780 CANTON ROAD STE 320C MARIETTA,GA30060	PHYSICIAN SERVICES
264	264 - ATLANTA CARDIAC AND THORACIC SURGICA 308 DEEP SOUTH FARM ROAD STE 200 BLAIRSVILLE,GA30512	PHYSICIAN SERVICES
265	265 - ATLANTA CARDIAC AND THORACIC SURGICA 460 NORTHSIDE CHEROKEE BLVD STE 140 CANTON,GA30115	PHYSICIAN SERVICES
266	266 - ATLANTA CARDIAC AND THORACIC SURGICA 980 JOHNSON FERRY ROAD STE 800 ATLANTA,GA30342	PHYSICIAN SERVICES
267	267 - ATLANTA COLON & RECTAL SURGERY-EAST 780 CANTON ROAD STE 315 MARIETTA,GA30060	PHYSICIAN SERVICES
268	268 - ATLANTA COLON AND RECTAL SURGERY 1505 NORTHSIDE BOULEVARD STE 1900 CUMMING,GA30041	PHYSICIAN SERVICES
269	269 - ATLANTA GYNECOLOGIC ONCOLOGY 980 JOHNSON FERRY ROAD STE 900 ATLANTA,GA30342	PHYSICIAN SERVICES
270	270 - ATLANTA GYNECOLOGIC ONCOLOGY 470 NORTHSIDE CHEROKEE BLVD STE 475 CANTON,GA30115	PHYSICIAN SERVICES
271	271 - BARIATRIC INNOVATIONS OF ATLANTA 6135 BARFIELD ROAD STE 150 ATLANTA,GA30328	PHYSICIAN SERVICES
272	272 - CARDIOVASCULAR GROUP BUFORD 535 JESSE JEWELL PARKWAY STE C GAINESVILLE,GA30501	PHYSICIAN SERVICES
273	273 - CARDIOVASCULAR GROUP LAWRENCEVILLE 755 WALTHER ROAD LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
274	274 - CHATTAHOOCHEE SURGICAL GROUP 81 NORTHSIDE DAWSON DRIVE STE 305D DAWSONVILLE,GA30534	PHYSICIAN SERVICES
275	275 - CHATTAHOOCHEE SURGICAL GROUP 980 SANDERS ROAD STE 100 CUMMING,GA30042	PHYSICIAN SERVICES
276	276 - CHATTAHOOCHEE SURGICAL GROUP 4700 NELSON BROGDON BLVD NE STE 125B BUFORD,GA30019	PHYSICIAN SERVICES
277	277 - CHATTAHOOCHEE SURGICAL GROUP 70 MOUNTAIN DRIVE DAHLONEGA,GA30533	PHYSICIAN SERVICES
278	278 - GENERAL SURGEONS OF GWINNETT 3890 JOHNS CREEK PARKWAY STE 240D SUWANEE,GA30024	PHYSICIAN SERVICES
279	279 - GENERAL SURGEONS OF GWINNETT 631 PROFESSIONAL DRIVE STE 470 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
280	280 - GEORGIA GYNECOLOGIC ONCOLOGY 771 OLD NORCROSS ROAD STE 165 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
281	281 - GWINNETT INTERNAL MEDICINE ASSOCIATE 601 OLD NORCROSS ROAD STE A LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
282	282 - GYN SURGICAL SPECIALISTS 900 TOWNE LAKE PARKWAY STE 302 WOODSTOCK,GA30189	PHYSICIAN SERVICES
283	283 - GYN SURGICAL SPECIALISTS 980 JOHNSON FERRY ROAD STE 910 ATLANTA,GA30342	PHYSICIAN SERVICES
284	284 - HEALTH AND WELLNESS CENTER DULUTH 3620 HOWELL FERRY ROAD DULUTH,GA30096	PHYSICIAN SERVICES
285	285 - LAUREATE MEDICAL GROUP 6135 BARFIELD ROAD STE 130B ATLANTA,GA30328	PHYSICIAN SERVICES
286	286 - LAUREATE MEDICAL GROUP 6600 PEACHTREE DUNWOODY RD STE 310 ATLANTA,GA30328	PHYSICIAN SERVICES
287	287 - LAUREATE MEDICAL GROUP 6600 PEACHTREE DUNWOODY RD STE 325 ATLANTA,GA30328	PHYSICIAN SERVICES
288	288 - NORTHSIDE FAMILY MEDICINE AND URGENT 81 NORTHSIDE DAWSON DRIVE STE 100 DAWSONVILLE,GA30534	PHYSICIAN SERVICES
289	289 - NORTH ATLANTA BREAST CARE 1400 NORTHSIDE FORSYTH DR STE 290 CUMMING,GA30041	PHYSICIAN SERVICES
290	290 - NORTH ATLANTA MEDICAL ASSOCIATES 2545 LAWRENCEVILLE HIGHWAY STE 200 DECATUR,GA30033	PHYSICIAN SERVICES
291	291 - NORTH GEORGIA DIABETES AND ENDOCRINO 1505 NORTHSIDE BOULEVARD STE 2850 CUMMING,GA30041	PHYSICIAN SERVICES
292	292 - NORTH GEORGIA DIABETES AND ENDOCRINO 3350 PADDOCKS PARKWAY STE 100 SUWANEE,GA30024	PHYSICIAN SERVICES
293	293 - NORTH POINT PULMONARY ASSOCIATES 3400 OLD MILTON PKWY BLDG C STE 425 ALPHARETTA,GA30005	PHYSICIAN SERVICES
294	294 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1250 JESSE JEWELL PKWY BLDG A STE 500 GAINESVILLE,GA30501	PHYSICIAN SERVICES
295	295 - NORTHEAST GEORGIA DIAGNOSTIC CLINIC 1255 FRIENDSHIP ROAD STE 230 BRASELTON,GA30517	PHYSICIAN SERVICES
296	296 - NORTHSIDE CENTER FOR UROGYNECOLOGY 960 JOHNSON FERRY ROAD STE 336A ATLANTA,GA30342	PHYSICIAN SERVICES
297	297 - NORTHSIDE CHEROKEE SURGICAL ASSOCIAT 780 CANTON ROAD STE 320B MARIETTA,GA30060	PHYSICIAN SERVICES
298	298 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 575 PROFESSIONAL DRIVE STE 400 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
299	299 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 1255 FRIENDSHIP ROAD STE 240 BRASELTON,GA30517	PHYSICIAN SERVICES
300	300 - NORTHSIDE HOSPITAL CARDIOVASCULAR IN 684 SIXES ROAD STE 230 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
301	301 - NORTHSIDE HOSPITAL ORTHOPEDIC INSTIT 11685 ALPHARETTA HWY STE 250 ROSWELL,GA30076	PHYSICIAN SERVICES
302	302 - NORTHSIDE NEUROLOGY 1400 NORTHSIDE FORSYTH DR STE 220 CUMMING,GA30041	PHYSICIAN SERVICES
303	303 - NORTHSIDE RADIATION ONCOLOGY ALPHA 3330 PRESTON RIDGE RD STE 100 ALPHARETTA,GA30005	PHYSICIAN SERVICES
304	304 - NORTHSIDE RADIATION ONCOLOGY CHERO 460 NORTHSIDE CHEROKEE BLVD STE T10 CANTON,GA30115	PHYSICIAN SERVICES
305	305 - NORTHSIDE RADIATION ONCOLOGY - FORSY 1100 NORTHSIDE FORSYTH DR STE 140 CUMMING,GA30041	PHYSICIAN SERVICES
306	306 - NORTHSIDE RADIATION ONCOLOGY - MIDTO 1110 WEST PEACHTREE STREET STE P100 ATLANTA,GA30309	PHYSICIAN SERVICES
307	307 - NORTHSIDE VASCULAR SURGERY 460 NORTHSIDE CHEROKEE BLVD STE 100 CANTON,GA30115	PHYSICIAN SERVICES
308	308 - NORTHSIDE VASCULAR SURGERY 1505 NORTHSIDE BOULEVARD STE 2400 CUMMING,GA30041	PHYSICIAN SERVICES
309	309 - PERIMETER ADVANCED SURGERY CENTER 1100 JOHNSON FERRY ROAD STE 300 ATLANTA,GA30342	PHYSICIAN SERVICES
310	310 - PERIMETER ADVANCED SURGERY CENTER 460 NORTHSIDE CHEROKEE BLVD STE 200 CANTON,GA30115	PHYSICIAN SERVICES
311	311 - PERIMETER ADVANCED SURGERY CENTER 1055 HAW CREEK PARKWAY STE 1 CUMMING,GA30041	PHYSICIAN SERVICES
312	312 - PERIMETER ADVANCED SURGERY CENTER 2131 FOUNTAIN DRIVE STE 100 SNELLVILLE,GA30078	PHYSICIAN SERVICES
313	313 - PERIMETER ADVANCED SURGERY CENTER 1110 WEST PEACHTREE STREET STE 1200 ATLANTA,GA30309	PHYSICIAN SERVICES
314	314 - PERIMETER ADVANCED SURGERY CENTER 1110 WEST PEACHTREE STREET STE 1200 ATLANTA,GA30309	PHYSICIAN SERVICES
315	315 - PERIMETER ADVANCED SURGERY CENTER 2000 HOWARD FARM DRIVE STE T100 CUMMING,GA30041	PHYSICIAN SERVICES
316	316 - PERIMETER ADVANCED SURGERY CENTER 5505 PEACHTREE DUNWOODY RD STE 150 ATLANTA,GA30342	PHYSICIAN SERVICES
317	317 - PERIMETER NORTH MEDICAL ASSOCIATES - 900 TOWNE LAKE PARKWAY STE 302B WOODSTOCK,GA30189	PHYSICIAN SERVICES
318	318 - SOUTHEASTERN NEURO SPECIALISTS - MAR 900 TOWNE LAKE PARKWAY STE 375 WOODSTOCK,GA30189	PHYSICIAN SERVICES
319	319 - SOUTHEASTERN NEUROSURGICAL SPECIALIS 980 JOHNSON FERRY ROAD STE 490 ATLANTA,GA30342	PHYSICIAN SERVICES
320	320 - SOUTHEASTERN PRIMARY CARE SPECIALIST 105 CARNEGIE PLACE STE 103 FAYETTEVILLE,GA30214	PHYSICIAN SERVICES
321	321 - SOUTHEASTERN PRIMARY CARE SPECIALIST 105 CARNEGIE PLACE STE 111 FAYETTEVILLE,GA30214	PHYSICIAN SERVICES
322	322 - SPECTRUM NEUROSURGICAL SPECIALISTS 470 NORTHSIDE CHEROKEE BLVD STE 460 CANTON,GA30115	PHYSICIAN SERVICES
323	323 - SURGICAL SPECIALISTS OF ATLANTA 1110 WEST PEACHTREE ST STE 1010A ATLANTA,GA30309	PHYSICIAN SERVICES
324	324 - SURGICAL SPECIALISTS OF ATLANTA 4800 OLDE TOWNE PARKWAY STE 110C MARIETTA,GA30068	PHYSICIAN SERVICES
325	325 - SURGICAL SPECIALISTS OF ATLANTA - JO 7823 SPIVEY STATION BLVD STE 310 JONESBORO,GA30236	PHYSICIAN SERVICES
326	326 - SURGICAL SPECIALISTS OF ATLANTA - MA 4800 OLDE TOWNE PARKWAY STE 110 MARIETTA,GA30068	PHYSICIAN SERVICES
327	327 - TOWN LAKE PRIMARY CARE 900 TOWNE LAKE PARKWAY STE 410 WOODSTOCK,GA30189	PHYSICIAN SERVICES
328	328 - TOWN LAKE PRIMARY CARE 900 TOWNE LAKE PARKWAY STE 410B WOODSTOCK,GA30189	PHYSICIAN SERVICES
329	329 - UNIVERSITY GYNECOLOGIC ONCOLOGY 1110 WEST PEACHTREE STREET STE 810C ATLANTA,GA30309	PHYSICIAN SERVICES
330	330 - UNIVERSITY GYNECOLOGIC ONCOLOGY 960 JOHNSON FERRY ROAD STE 130 ATLANTA,GA30342	PHYSICIAN SERVICES
331	331 - UROLOGY SPECIALISTS OF ATLANTA 5673 PEACHTREE DUNWOODY RD STE 910 ATLANTA,GA30342	PHYSICIAN SERVICES
332	332 - WINDERMERE MEDICAL CLINIC 3850 WINDERMERE PARKWAY STE 105 CUMMING,GA30041	PHYSICIAN SERVICES
333	333 - GEORGIA COLON & RECTAL SURGICAL ASSOCIATES 684 SIXES ROAD STE 220 HOLLY SPRINGS,GA30115	PHYSICIAN SERVICES
334	334 - ELLIJAY SPORTS MEDICINE 433 HIGHLAND PARKWAY STE 102 EAST ELIJAY,GA30540	PHYSICIAN SERVICES
335	335 - ADVANCED JOINT SURGERY SPECIALISTS 433 HIGHLAND PARKWAY STE 102A EAST ELIJAY,GA30540	PHYSICIAN SERVICES
336	336 - NSC CARDIOLOGY INC 1100 NORTHSIDE FORSYTH DRIVE STE 345 CUMMING,GA30041	PHYSICIAN SERVICES
337	337 - COMPREHENSIVE NEUROLOGY SPECIALISTS PC 6300 HOSPITAL PARKWAY STE 260 JOHNS CREEK,GA30097	PHYSICIAN SERVICES
338	338 - GWINNETT NEUROLOGY ASSOCIATES LAWRENCEVIL 771 OLD NORCROSS ROAD STE 355 LAWRENCEVILLE,GA30046	PHYSICIAN SERVICES
339	339 - NORTHSIDE TRAUMA SURGICAL SPECIALISTS 500 MEDICAL CENTER BOULEVARD STE 190 LAWRENCEVILLE,GA30043	PHYSICIAN SERVICES
340	340 - GMC SPECIALTY CENTER-HAMILTON MILL 2108 TERON TRACE STE 100 DACULA,GA30019	PHYSICIAN SERVICES
341	341 - NORTHSIDE VASCULAR SURGERY 2220 WISTERIA DRIVE SW STE 209 SNELLVILLE,GA30078	PHYSICIAN SERVICES
342	342 - HEALTH CHOICE URGENT CARE - SUGAR HILL 5910 SUWANEE DAM ROAD STE 100 SUGAR HILL,GA30518	PHYSICIAN SERVICES
343	343 - HEALTHCHOICE URGENT CARE 2050 SCENIC HIGHWAY STE F SNELLVILLE,GA30078	PHYSICIAN SERVICES
344	344 - NORTHSIDE FAMILY MEDICINE PARTNERS 7376 SPOUT SPRINGS ROAD STE 125 FLOWERY BRANCH,GA30542	PHYSICIAN SERVICES
345	345 - NORTHSIDE ACUTE CARE SURGERY 980 JOHNSON FERRY ROAD STE 880 ATLANTA,GA30342	PHYSICIAN SERVICES
346	346 - NORTHSIDENORTHPOINT OB-GYN LLC 5780 PEACHTREE DUNWOODY ROAD STE 295 ATLANTA,GA30342	PHYSICIAN SERVICES
347	347 - ASTRA PLASTIC SURGERY LLC 1110 WEST PEACHTREE STREET STE 1050A ATLANTA,GA30309	PHYSICIAN SERVICES
348	348 - KIDNEY CARE CENTER GWINNETT LLC 1110 WEST PEACHTREE STREET STE 1050C ATLANTA,GA30309	PHYSICIAN SERVICES
349	349 - NORTHSIDE HOSPITAL PHARMACY 1110 WEST PEACHTREE STREET STE 340 ATLANTA,GA30309	PHYSICIAN SERVICES
350	350 - NORTHSIDE DECATUR PRIMARY CARE 1462 MONTREAL ROAD STE 316 TUCKER,GA30084	PHYSICIAN SERVICES

Schedule H (Form 990) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	IN ADDITION TO THE FPG THRESHOLDS, NORTHSIDE'S POLICY ALLOWS FOR MEDICAL INDIGENCY, AS WELL AS AN ASSET TEST, FOR AN ADDITIONAL OPPORTUNITY TO QUALIFY FOR CHARITY. AN APPLICATION IS COMPLETED BY THE PATIENT AND/OR A SCORING METHODOLOGY IS GATHERED FROM A THIRD PARTY USING ITS PROPRIETARY SOURCE TO DETERMINE PROPENSITY TO PAY. THESE TOOLS ARE USED TO DETERMINE SOMEONE'S QUALIFICATIONS FOR A CHARITY DISCOUNT OR FREE CARE IN ADDITION TO THE FPG THRESHOLDS STATED ABOVE.
PART I, LINE 7:	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 7 IS THE COST TO CHARGE RATIO CALCULATED PURSUANT TO THE IRS SCHEDULE H WORKSHEET 2 INSTRUCTIONS.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE IN THE AMOUNT OF $285,564,858 HAS BEEN REMOVED FROM TOTAL EXPENSE TO COMPUTE THE PERCENTAGE IN COLUMN (F).
PART I, LINE 7H	THE COST OF RESEARCH PER SCHEDULE H IS LIMITED TO INTERNALLY-FUNDED RESEARCH OR RESEARCH FUNDED BY GOVERNMENT AND NON-PROFIT ENTITIES THAT IS PUBLISHED OR INTENDED TO BE MADE AVAILABLE TO THE PUBLIC. NORTHSIDE INCURS COSTS FOR RESEARCH THAT, ALTHOUGH NOT MADE AVAILABLE TO THE PUBLIC AND THUS NOT INCLUDED IN SCHEDULE H, IS USED INTERNALLY FOR THE BENEFIT OF THE COMMUNITY AS A WHOLE. DURING THE YEAR ENDING SEPTEMBER 30, 2022, NORTHSIDE INCURRED TOTAL RESEARCH COSTS OF $9.4 MILLION.
PART II, COMMUNITY BUILDING ACTIVITIES:	AS A COMMUNITY HOSPITAL, NORTHSIDE IS ACTIVELY INVOLVED IN IMPROVING THE HEALTH STATUS OF ITS COMMUNITY EITHER THROUGH ITS COMMUNITY BENEFIT ACTIVITIES OR THROUGH ITS COMMUNITY BUILDING ACTIVITIES. THE LATTER INCLUDES ACTIVITIES LIKE PHYSICAL IMPROVEMENTS AND HOUSING; ECONOMIC DEVELOPMENT; COMMUNITY SUPPORT; ENVIRONMENTAL IMPROVEMENTS; LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS; COALITION BUILDING; COMMUNITY HEALTH IMPROVEMENT ADVOCACY; WORKFORCE DEVELOPMENT; AND OTHERS. NORTHSIDE ALSO WORKS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH ("SDOH") WHICH, AS DEFINED BY HEALTHY PEOPLE 2030, ARE THE CONDITIONS IN THE ENVIRONMENTS WHERE PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE-RANGE OF HEALTH, FUNCTIONING AND QUALITY-OF-LIFE OUTCOMES AND RISKS. SDOH CAN BE GROUPED INTO FIVE (5) DOMAINS: 1) ECONOMIC STABILITY, 2) EDUCATION ACCESS AND QUALITY, 3) HEALTH CARE ACCESS AND QUALITY, 4) NEIGHBORHOOD AND BUILT ENVIRONMENT, AND 5) SOCIAL AND COMMUNITY CONTEXT. EXAMPLES OF SDOH INCLUDE THINGS SUCH AS SAFE HOUSING, TRANSPORTATION AND NEIGHBORHOODS; RACISM, DISCRIMINATION AND VIOLENCE; EDUCATION, JOB OPPORTUNITIES AND INCOME; ACCESS TO NUTRITIOUS FOODS AND PHYSICAL ACTIVITY OPPORTUNITIES; POLLUTED AIR AND WATER AND; LANGUAGE AND LITERACY SKILLS. EFFORTS TO ADDRESS SDOH OFTEN ARE FOUND WITHIN COMMUNITY BUILDING ACTIVITIES; HOWEVER, RECENT GUIDELINES FROM THE CATHOLIC HEALTH ASSOCIATION ("CHA") ADVISE HOSPITALS TO COUNT THESE ACTIVITIES IN PART I IF APPROPRIATE. ADDRESSING SDOH COMPLEMENTS A HOSPITAL'S COMMUNITY BENEFIT PROGRAM ACTIVITIES AS THE TWO WORK TOGETHER TO HELP IMPROVE A COMMUNITY'S OVERALL HEALTH STATUS. GIVEN THE RECENT CHANGE IN REPORTING GUIDANCE FROM CHA, MANY ACTIVITIES THAT ONCE WERE REPORTED IN PART II AS COMMUNITY BUILDING ARE NOW REPORTED IN PART I AS COMMUNITY HEALTH IMPROVEMENT SERVICES.IN FY 2022, NORTHSIDE SUPPORTED THREE (3) DIFFERENT COMMUNITY BUILDING ACTIVITIES INCLUDING ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT AND PHYSICAL IMPROVEMENTS/HOUSING, PROVIDING $313,000 IN COMMUNITY BUILDING FUNDING TO 20 NON-PROFIT ORGANIZATIONS. FOR EXAMPLE, NORTHSIDE CONTRIBUTED TO THE NON-PROFIT, ELACHEE NATURE SCIENCE CENTER. ELACHEE NATURE SCIENCE CENTER PROMOTES ENVIRONMENTAL UNDERSTANDING THROUGH EDUCATION AND CONSERVATION. FOUNDED IN 1978, ELACHEE SITS IN ONE OF GEORGIA'S LARGEST PROTECTED GREENSPACES, THE 1,440-ACRE CHICOPEE WOODS NATURE PRESERVE. ELACHEE IS AN URBAN WOODLAND REFUGE, OUTDOOR CLASSROOM AND EXHIBIT CENTER DESIGNED TO INVOLVE, ENGAGE AND EDUCATE. AS THE ONLY SACS/COGNIA-ACCREDITED NATURE CENTER IN THE SOUTHEASTERN UNITED STATES, ELACHEE LEADS THE WAY IN TEACHING SCHOOLCHILDREN AND NATURE LOVERS HOW NATURE WORKS. ELACHEE IS BUSY YEAR-ROUND, HISTORICALLY WELCOMING SOME 70,000 ANNUAL VISITORS TO HIKE THE TRAILS IN THE CHICOPEE WOODS, VISIT ON SCHOOL FIELD TRIPS AND TO EXPERIENCE CAMP ELACHEE SUMMER DAY CAMPS. ELACHEE ALSO OFFERS FAMILY-FRIENDLY SEASONAL PUBLIC NATURE ENCOUNTERS AND ADULT LEARNING PROGRAMS, AS WELL AS SELF-GUIDED INTERPRETIVE ECOLOGY AND LIVE ANIMAL EXHIBITS. A ROBUST VOLUNTEER CORPS AND OTHER COMMUNITY PARTNERS ASSIST ELACHEE'S PRESERVE MANAGEMENT TEAM IN CONSERVATION AND PRESERVATION INITIATIVES WITHIN THE CHICOPEE WOODS CONSERVATION AREA. AMONG THESE ARE ACTIVITIES THAT SUPPORT AND MAINTAIN THE CHICOPEE WOODS 8-MILE HIKING TRAIL SYSTEM. OF NOTE, THIS TRAIL SYSTEM PROMOTES HEALTHY LIVING CHOICES FOR THE NORTH GEORGIA REGION; OPEN DAILY TO THE VISITING PUBLIC AT NO CHARGE TO ACCESS THESE TRAILS. THE NATURE CENTER CAMPUS IS ALSO HOME TO ELACHEE NATURE ACADEMY, AN ACCREDITED AND LICENSED SCHOOL WITH NATURE-BASED PRESCHOOL TO 3RD GRADE CLASSES. ELACHEE RELIES ON SPONSORSHIPS TO OFFER INNOVATIVE PROGRAMMING, ACCESS TO EXHIBITS AND THE CHICOPEE WOODS HIKING TRAILS. FURTHERMORE, ELACHEE NATURE ACADEMY IS CATEGORIZED AS COMMUNITY BUILDING PHYSICAL IMPROVEMENTS SINCE IT ADDRESSES MULTIPLE DOMAINS WITHIN SDOH, INCLUDING NEIGHBORHOOD AND BUILT ENVIRONMENT AND EDUCATION ACCESS AND QUALITY.
PART II, LINE 8	BIANNUALLY, NORTHSIDE HOSPITAL, INC. ("NORTHSIDE") CONDUCTS A COMMUNITY-BASED PHYSICIAN NEED ANALYSIS FOR NORTHSIDE HOSPITAL-CHEROKEE ("NHC"), NORTHSIDE HOSPITAL-FORSYTH ("NHF"), NORTHSIDE HOSPITAL GWINNETT ("NHG"), AND NORTHSIDE HOSPITAL DULUTH ("NHD"). NHC AND NHF ARE SOLE COUNTY PROVIDERS AND AS SUCH MUST ENSURE THAT APPROPRIATE MEDICAL SERVICES ARE ACCESSIBLE TO THE RESIDENTS OF THE COMMUNITIES SERVED. EACH HOSPITAL'S PHYSICIAN NEED ANALYSIS DEFINES A GEOGRAPHIC AREA COMPLIANT WITH THE FEDERAL PHYSICIAN SELF-REFERRAL LAW, IDENTIFIES NHC, NHF, NHG, AND NHD MEDICAL STAFF MEMBERS WITH AN OFFICE IN THE DEFINED GEOGRAPHIC AREA, IDENTIFIES NON-NORTHSIDE PHYSICIANS WITH AN OFFICE IN THE DEFINED GEOGRAPHIC AREA, AND INCLUDES A QUANTITATIVE ANALYSIS OF EACH COMMUNITY'S PHYSICIAN NEED ("COMMUNITY PHYSICIAN NEED"). BASED ON THE FINDINGS OF THE ANALYSES, NORTHSIDE ENGAGES IN RECRUITMENT EFFORTS DESIGNED TO ENSURE THAT SUFFICIENT QUALIFIED HEALTH PROFESSIONALS ARE AVAILABLE TO MEET THE IDENTIFIED COMMUNITY PHYSICIAN NEED. THROUGH THESE ANALYSES, NORTHSIDE HAS IDENTIFIED A DEFINED NUMERIC NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 19 SPECIALTIES IN NHC'S STARK-COMPLIANT GEOGRAPHIC AREA, A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 20 SPECIALTIES IN NHF'S STARK-COMPLIANT GEOGRAPHIC AREA, A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 22 SPECIALTIES IN NHG'S STARK-COMPLIANT GEOGRAPHIC AREA, AND A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 19 SPECIALTIES IN NHD'S STARK-COMPLIANT GEOGRAPHIC AREA. NHC, NHF, NHG, AND NHD ARE CONCENTRATING RECRUITMENT EFFORTS ON PRIMARY CARE AND MEDICAL AND SURGICAL SPECIALTIES WITH AN EMPHASIS ON RECRUITING NEEDED PHYSICIANS INTO FORSYTH, DAWSON, PICKENS, CHEROKEE, AND GWINNETT COUNTIES TO MEET THE IDENTIFIED COMMUNITY PHYSICIAN NEED.IN ADDITION TO THE WORKFORCE DEVELOPMENT ACTIVITIES NOTED ABOVE, NORTHSIDE ALSO PARTICIPATED IN OTHER COMMUNITY BUILDING ACTIVITIES SUCH AS THE GEORGIA MATERNAL MORTALITY REVIEW COMMITTEE.
PART III, LINE 4:	NORTHSIDE DETERMINES ITS ESTIMATES OF EXPLICIT AND IMPLICIT PRICE CONCESSIONS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT IN ACCORDANCE WITH FASB ASU 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). SUBSEQUENT CHANGES IN THE TRANSACTION PRICE THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS OPERATING EXPENSES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. THE PROVISION FOR BAD DEBTS FOR THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021 WAS NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINES 2 AND 3 WAS A COST TO CHARGE RATIO APPLIED TO BAD DEBT CHARGES WRITTEN OFF, NET OF RECOVERIES. NORTHSIDE HOSPITAL PROVIDES CARE TO THE COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE FORGONE CHARGES ARE AT THE EXPENSE OF NORTHSIDE HOSPITAL.
PART III, LINE 8:	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 WAS A COST TO CHARGE RATIO FROM THE FISCAL YEAR 2022 MEDICARE COST REPORT APPLIED TO MEDICARE CHARGES. THE MEDICARE PROGRAM PAYS AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING SERVICES. ANY COST NOT REIMBURSED BY MEDICARE IS BORNE BY NORTHSIDE HOSPITAL WHICH EASES THE BURDEN TO THE GOVERNMENT FOR THE PROVISION OF HEALTH CARE UNDER THE MEDICARE PROGRAM. AS SUCH, THIS SHORTFALL IS REPORTED AS A COMMUNITY BENEFIT.
PART III, LINE 9B:	THE COLLECTION POLICY IS SPECIFIC TO THE TIMING AND PROTOCOLS FOLLOWED IN THE DEBT COLLECTION PROCESS. HOWEVER, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY SUPERSEDES THE DEBT COLLECTION POLICY IN ANY SITUATION WHERE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	NORTHSIDE DEVELOPED A STANDARDIZED PROCESS FOR CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). IN SHORT, NORTHSIDE'S CHNA PROCESS INCLUDED: - DEFINING THE NORTHSIDE COMMUNITY. - REVIEWING NORTHSIDE INTERNAL DATA. - REVIEWING PUBLICLY AVAILABLE HEALTH DATA. - REVIEWING PROPRIETARY QUANTITATIVE CONSUMER RESEARCH DATA. - PERFORMING STAKEHOLDER INTERVIEWS. - SUMMARIZING AND PRIORITIZING THE HEALTH NEEDS IDENTIFIED WITHIN NORTHSIDE'S COMMUNITY. - DEVELOPING AN IMPLEMENTATION STRATEGY TO ADDRESS THE IDENTIFIED NEEDS. - PRESENTING THE FINALIZED CHNA REPORT AND IMPLEMENTATION STRATEGY TO THE BOARD OF DIRECTORS OF NORTHSIDE HOSPITAL, INC. FOR ADOPTION. - PROVIDING CONTINUED PUBLIC ACCESS TO NORTHSIDE'S CHNA REPORT VIA WWW.NORTHSIDE.COM/COMMUNITY-WELLNESS/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT AND PROVIDING AN OPPORTUNITY FOR PUBLIC FEEDBACK VIA NORTHSIDE.CHNA@NORTHSIDE.COM.NORTHSIDE UTILIZED AN EVIDENCE-BASED MODEL OF POPULATION HEALTH ADAPTED FROM THE WISCONSIN POPULATION HEALTH INSTITUTE AND ALSO UTILIZED BY COUNTY HEALTH RANKINGS AND ROADMAPS. THIS MODEL ILLUSTRATES THE COMPLEXITY OF ASSESSING A COMMUNITY'S HEALTH STATUS BY OUTLINING THE FACTORS THAT ACT IN COMBINATION TO DETERMINE THE CURRENT STATUS OF A COMMUNITY'S HEALTH. THE EVIDENCE-BASED MODEL OUTLINES THE HEALTH DETERMINANTS (DEMOGRAPHICS AND SOCIAL ENVIRONMENT, HEALTHCARE ACCESS AND QUALITY, HEALTH BEHAVIORS, AND THE PHYSICAL ENVIRONMENT) THAT LEAD TO THE HEALTH OUTCOMES IN A COMMUNITY (MORBIDITY AND MORTALITY).THE CENTERS FOR DISEASE CONTROL AND PREVENTION ("CDC") PERFORMED A SYSTEMATIC LITERATURE REVIEW TO DETERMINE A COMMON SET OF HEALTH METRICS THAT SHOULD BE USED TO MEASURE BOTH THE HEALTH DETERMINANTS AND HEALTH OUTCOMES. NORTHSIDE USED THE CDC'S LIST OF "MOST FREQUENTLY RECOMMENDED HEALTH METRICS" TO DETERMINE WHAT VARIABLES TO CONSIDER FOR NORTHSIDE'S CURRENT CHNA. NORTHSIDE UTILIZED THE CDC'S RECOMMENDED VARIABLES AND METRIC WHEN THEY WERE READILY AVAILABLE AT THE COUNTY LEVEL.
PART VI, LINE 3:	NORTHSIDE INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM IN NUMEROUS WAYS.NORTHSIDE CONSPICUOUSLY POSTS NOTICE OF ITS FINANCIAL ASSISTANCE PROGRAM AND HOW TO ACCESS ITS FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION AT ALL MAJOR POINTS OF ACCESS TO ITS INPATIENT AND OUTPATIENT FACILITIES, THESE POINTS OF ACCESS INCLUDE THE HOSPITALS' PATIENT WAITING ROOMS AND EMERGENCY DEPARTMENTS. FOR PATIENTS THAT PRE-REGISTER OVER THE PHONE FOR HOSPITAL SERVICES, NORTHSIDE VERBALLY INFORMS PATIENTS OF ITS FINANCIAL ASSISTANCE PROGRAM AND PROVIDES PATIENTS WITH INFORMATION ON HOW TO OBTAIN A COPY OF NORTHSIDE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION VIA NORTHSIDE'S WEBSITE OR VIA MAIL. ADDITIONALLY, UPON ADMISSION TO ONE OF ITS HOSPITALS FOR SERVICES, NORTHSIDE PROVIDES EACH PATIENT A REGISTRATION PACKET THAT INCLUDES INFORMATION ON ITS FINANCIAL ASSISTANCE PROGRAM. FURTHER, A FINANCIAL COUNSELOR WILL SPEAK WITH ALL PATIENTS DURING EITHER THE PRE-REGISTRATION PROCESS OR UPON ADMISSION AND EXPLAIN NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM. IF A PATIENT INDICATES A NEED OR REQUESTS MORE INFORMATION REGARDING FINANCIAL ASSISTANCE, NORTHSIDE WILL REFER THE PATIENT TO A FINANCIAL ASSISTANCE COUNSELOR WHO WILL WORK DIRECTLY WITH THE PATIENT TO ASSIST THE PATIENT IN APPLYING FOR FINANCIAL ASSISTANCE.IN ORDER TO EXPEDITE THE FINANCIAL ASSISTANCE PROCESS, NORTHSIDE USES THIRD PARTY SOFTWARE TO HELP IDENTIFY PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON PUBLICLY AVAILABLE INFORMATION (E.G., PARTICIPATION IN STATE FUNDED PRESCRIPTION PROGRAMS, PARTICIPATION IN THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM, PARTICIPATION IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP, FORMERLY FOOD STAMPS), SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY, OR ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS). PATIENTS THAT ARE IDENTIFIED BY SUCH THIRD-PARTY SOFTWARE AS ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE WILL NOT BE REQUIRED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND INSTEAD WILL AUTOMATICALLY BE DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE. FURTHER, NORTHSIDE'S FINANCIAL COUNSELORS WILL ASSIST PATIENTS WITH APPLYING TO PROGRAMS THAT THEY ARE ELIGIBLE FOR, BUT NOT CURRENTLY ENROLLED IN, SUCH AS STATE OR FEDERAL HEALTHCARE PROGRAMS OR DRUG DISCOUNT PROGRAMS.NORTHSIDE ALSO INCLUDES A SUMMARY OF ITS FINANCIAL ASSISTANCE PROGRAM, INCLUDING HOW TO OBTAIN MORE INFORMATION AND APPLY FOR FINANCIAL ASSISTANCE, ON ALL PATIENT BILLS.LASTLY, NORTHSIDE WORKS WITH MANY COMMUNITY OUTREACH PROGRAMS TO PROVIDE FINANCIAL ASSISTANCE TO PATIENTS WHO QUALIFY FOR FREE OR DISCOUNTED SERVICES THROUGH THESE PROGRAMS. TO EXPEDITE THE FINANCIAL ASSISTANCE PROCESS FOR SUCH PATIENTS, NORTHSIDE PROVIDES A PRE-APPROVAL PROCESS FOR ALL PATIENTS WHO ARE REFERRED FOR MEDICALLY NECESSARY SERVICES VIA A COMMUNITY OUTREACH PROGRAM. THIS PROCESS ALLOWS PATIENTS TO QUALITY FOR FINANCIAL ASSISTANCE PRIOR TO RECEIVING HOSPITAL SERVICES, THEREBY RELIEVING THE PATIENTS OF THE STRESS AND BURDEN OF THE FINANCIAL ASPECT OF THEIR CARE, AND ALLOWING THEM TO FOCUS ON THEIR HEALTH, WELL-BEING AND RECOVERY.
PART VI, LINE 4:	NORTHSIDE BEGAN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS BY DEFINING EACH HOSPITAL'S COMMUNITY, WHICH INCLUDED (I) DEFINING EACH FACILITY'S PRIMARY PATIENT CATCHMENT AREA; (II) MAPPING THE MEDICALLY UNDERSERVED AREAS AROUND EACH FACILITY TO ENSURE THAT NO MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS WERE EXCLUDED WITHIN OR NEAR THE PRIMARY CATCHMENT AREAS; AND (III) MAPPING EACH FACILITY'S DISTRIBUTION OF OUTPATIENT SERVICES ACROSS THE REGION. THE RESULTS OF THIS PROCESS REVEALED SIGNIFICANT OVERLAP BETWEEN THE COMMUNITIES SERVED BY EACH NORTHSIDE HOSPITAL FACILITY. THUS, NORTHSIDE HOSPITAL-ATLANTA, NORTHSIDE HOSPITAL-CHEROKEE, NORTHSIDE HOSPITAL-DULUTH, NORTHSIDE HOSPITAL-FORSYTH, AND NORTHSIDE HOSPITAL-GWINNETT DEVELOPED A SINGLE COMMUNITY DEFINITION IN COMPLIANCE WITH IRS SECTION 501(R) FINAL RULE. THE NORTHSIDE COMMUNITY CONSISTS OF BARROW, CHEROKEE, COBB, DAWSON, DEKALB, FORSYTH, FULTON, GWINNETT, PICKENS, AND WALTON COUNTIES.IN 2020, THE ESTIMATED 4.3 MILLION RESIDENTS OF THE NORTHSIDE COMMUNITY ACCOUNTED FOR 40% OF GEORGIA'S TOTAL POPULATION. THE NORTHSIDE COMMUNITY IS SLIGHTLY YOUNGER THAN GEORGIA OVERALL, WITH A MEDIAN AGE OF 36.3 COMPARED TO GEORGIA'S 36.9. OVERALL, THE 2020 NORTHSIDE COMMUNITY WAS COMPRISED OF A DIVERSE POPULATION. INDIVIDUAL COUNTIES, HOWEVER, HAVE VARYING RACIAL COMPOSITIONS, INCLUDING TWO COUNTIES THAT HAVE 90 PERCENT OF THEIR POPULATIONS BELONGING TO JUST ONE RACIAL GROUP. ALMOST HALF OF GEORGIA'S HISPANIC POPULATION LIVES IN THE COMMUNITY AND 25% LIVES IN GWINNETT COUNTY.OVERALL, THE NORTHSIDE COMMUNITY HAS A HIGH LEVEL OF EDUCATIONAL ATTAINMENT AND AFFLUENCE WHEN COMPARED TO GEORGIA AS A WHOLE. THE MEDIAN DISPOSABLE INCOME, HOUSEHOLD INCOME, HOUSEHOLD NET WORTH, AND HOUSING UNIT VALUE IN THE NORTHSIDE COMMUNITY ARE ALL HIGHER THAN GEORGIA'S AVERAGES. DESPITE THIS GENERAL PICTURE OF AFFLUENCE, HOWEVER, DISPARITIES DO EXIST, ESPECIALLY ALONG RACIAL AND ETHNIC LINES AND BETWEEN COUNTIES THAT NORTHSIDE'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY AIM TO ADDRESS.
PART VI, LINE 5:	NORTHSIDE HOSPITAL, INC. IS A CHARITABLE ORGANIZATION AND AS SUCH IS ENGAGED IN NUMEROUS ACTIVITIES TO PROVIDE RELIEF TO THE POOR, THE DISTRESSED, OR THE UNDERPRIVILEGED. NORTHSIDE ROUTINELY PROVIDES FINANCIAL ASSISTANCE, HEALTH PROFESSIONS EDUCATION, CASH AND IN-KIND DONATIONS, COMMUNITY HEALTH IMPROVEMENT SERVICES, RESEARCH, AND COMMUNITY-BUILDING ACTIVITIES. MANY OF THESE EFFORTS HAVE BEEN REPORTED THROUGHOUT THIS RETURN.IN ADDITION TO THE NUMEROUS COMMUNITY BENEFIT ACTIVITIES NORTHSIDE ENGAGES IN THROUGHOUT THE YEAR, NORTHSIDE ALSO INVESTS SURPLUS FUNDS BACK INTO EXPANDING ACCESS TO SERVICES FOR ALL PEOPLE THROUGHOUT ITS COMMUNITY. OVER THE COURSE OF FY 2022, NORTHSIDE HOSPITAL, INC. SUBMITTED THIRTY-SEVEN APPLICATIONS TO THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH TO EXPAND OR RENOVATE FACILITIES, EXPAND SERVICES, ACQUIRE STATE-OF-THE-ART EQUIPMENT, CONTINUE CRITICAL CARDIAC-RELATED SERVICES (I.E., THERAPEUTIC CARDIAC CATHETERIZATION), AND EXPAND OUTPATIENT LOCATIONS. THESE APPLICATIONS REPRESENT A LONG-TERM FINANCIAL COMMITMENT TOTALING OVER $632 MILLION OVER THE NEXT SEVERAL YEARS. PROJECTS INCLUDE: 1) $450 MILLION TO EXPAND INPATIENT BED CAPACITY AT NORTHSIDE HOSPITAL GWINNETT; 2) $122 MILLION IN SEVERAL FACILITY EXPANSION PROJECTS SUCH AS TO MODERNIZE AN INPATIENT REHABILITATION FACILITY, TO CONSTRUCT THREE (3) NEW OUTPATIENT IMAGING CENTERS AND TWO (2) NEW AMBULATORY SURGERY CENTERS, AND TO ESTABLISH A NEW RADIATION THERAPY CENTER; 3) $31 MILLION TO ACQUIRE THREE (3) STATE-OF-THE-ART SURGICAL ROBOTS, NUMEROUS IMAGING EQUIPMENT UPGRADES ACROSS THE SYSTEM'S PORTFOLIO AND TO ACQUIRE STATE-OF-THE-ART CARDIAC PET/CT IMAGING EQUIPMENT; AND 4) $29 MILLION TO DEVELOPED A NEW, OFF-CAMPUS MEDICAL OFFICE BUILDING LOCATED IN COBB COUNTY, GEORGIA. THESE PROJECTS ARE LOCATED THROUGHOUT NORTHSIDE HOSPITAL, INC.'S SERVICE AREA IN CHEROKEE, COBB, FORSYTH, FULTON, AND GWINNETT COUNTIES AND WILL HELP IMPROVE THE COMMUNITY'S ACCESS TO INPATIENT CARE, SPECIALISTS AND OUTPATIENT HOSPITAL SERVICES.
PART VI, LINE 6:	THE NORTHSIDE HOSPITAL SYSTEM PROVIDES A NUMBER OF COMMUNITY-BASED SERVICES, DESIGNED TO IMPROVE THE HEALTH OF AREA RESIDENTS. WORKING WITH VARIOUS ORGANIZATIONS, HOSPITAL EMPLOYEES AND MEDICAL STAFF, THE NORTHSIDE HOSPITAL SYSTEM PARTICIPATES IN HEALTH EDUCATION AND SCREENINGS, AS WELL AS PROVIDES SUPPORT ACTIVITIES FOR INDIVIDUALS IN THE COMMUNITY LIVING WITH A SERIOUS OR CHRONIC HEALTH CONDITION.IN ADDITION TO THE EXCELLENT MEDICAL CARE AND EDUCATIONAL PROGRAMS WE PROVIDE TO THE COMMUNITY, NORTHSIDE ALSO PROVIDES FINANCIAL SUPPORT TO A NUMBER OF OTHER NON-PROFIT, COMMUNITY AND CIVIC CAUSES WHOSE MISSIONS AND OBJECTIVES COMPLEMENT NORTHSIDE HOSPITAL'S MISSION AND VALUES.NORTHSIDE HOSPITAL GIVES BACK A SIGNIFICANT AMOUNT TO THE COMMUNITY. WE MEASURE THE SUCCESS OF OUR EFFORTS BY THE NUMBER OF RESIDENTS WE REACH WITH OUR MESSAGES RELATED TO HEALTH AND WELLNESS. OUR MISSION IS TO WORK TO POSITIVELY IMPACT THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. CLEARLY, EDUCATION, OUTREACH AND COMMUNITY SERVICE ALLOW US TO BROADEN OUR IMPACT BEYOND THE WALLS OF OUR FACILITIES.
PART VI, LINE 7	NORTHSIDE HOSPITAL, INC. IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT UNDER GEORGIA LAW; HOWEVER, IT DOES PREPARE AN ANNUAL COMMUNITY BENEFIT REPORT, AVAILABLE ON OUR WEBSITE:HTTPS://CM.NORTHSIDE.COM/DOCS/DEFAULT-SOURCE/DEFAULT-DOCUMENT-LIBRARY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/FY-21-CB.PDF

Schedule H (Form 990) 2021

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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

2021

Open to Public
Inspection

Name of the organization
NORTHSIDE HOSPITAL INC

Employer identification number
58-1954432

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) 247 GATEWAY LLC 275 PRYOR STREET SW ATLANTA,GA30303	26-1193832	501(C)(3)	97,850	GENERAL SUPPORT
(2) ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATION 225 N MICHIGAN AVE 17TH FLOOR CHICAGO,IL60601	13-3039601	501(C)(3)	20,000	GENERAL SUPPORT
(3) AMERICAN CANCER SOCIETY INC PO BOX 56566 ATLANTA,GA30343	13-1788491	501(C)(3)	203,000	GENERAL SUPPORT
(4) AMERICAN HEART ASSOCIATION INC 1101 NORTHCHASE PKWY SUITE 1 MARIETTA,GA30067	13-5613797	501(C)(3)	160,000	GENERAL SUPPORT
(5) AMERICAN LUNG ASSOCIATION 55 W WACKER DR SUITE 1150 CHICAGO,IL60601	13-1632524	501(C)(3)	20,000	GENERAL SUPPORT
(6) AMERICAN RED CROSS1955 MONROE 1955 MONROE DRIVE NE ATLANTA,GA30324	53-0196605	501(C)(3)	50,000	GENERAL SUPPORT
(7) ARCS FOUNDATION INC PO BOX 52124 ATLANTA,GA30355	58-2004368	501(C)(3)	22,500	GENERAL SUPPORT
(8) ARTHRITIS FOUNDATION INC PO BOX 78423 ATLANTA,GA30357	58-1341679	501(C)(3)	85,000	GENERAL SUPPORT
(9) ATLANTA BELTLINE PARTNERSHIP INC 112 KROG STREET SUITE 14 ATLANTA,GA30307	56-2464486	501(C)(3)	50,000	GENERAL SUPPORT
(10) ATLANTA RONALD MCDONALD HOUSE 795 GATEWOOD ROAD NE ATLANTA,GA30329	58-1295754	501(C)(3)	20,000	GENERAL SUPPORT
(11) ATLANTA TRACK CLUB INC 201 ARMOUR DRIVE ATLANTA,GA30324	58-1367422	501(C)(3)	150,000	GENERAL SUPPORT
(12) AURORA THEATRE INC PO BOX 2014 LAWRENCEVILLE,GA30046	58-2450282	501(C)(3)	30,000	GENERAL SUPPORT
(13) BE THE MATCH FOUNDATION 500 NORTH 5TH STREET MINNEAPOLIS,MN55401	41-1704734	501(C)(3)	25,000	GENERAL SUPPORT
(14) BOYS AND GIRLS CLUBS OF METRO ATLANTA 1275 PEACHTREE ST NE 500 ATLANTA,GA30309	58-0566123	501(C)(3)	22,500	GENERAL SUPPORT
(15) CENTER FOR BLACK WOMENS WELLNESS 477 WINDOR STREET SUITE 309 ATLANTA,GA30312	58-2212203	501(C)(3)	22,500	GENERAL SUPPORT
(16) CHATTAHOOCHEE NATURE CENTER IN ROSWELL PO BOX 769769 ROSWELL,GA30076	58-1275604	501(C)(3)	90,000	GENERAL SUPPORT
(17) CHEROKEE COUNTY CHAMBER OF COMMERCE PO BOX 4998 CANTON,GA30114	58-1090796	501(C)(6)	30,830	GENERAL SUPPORT
(18) CHEROKEE COUNTY EDUCATIONAL FOUNDATION PO BOX 4754 CANTON,GA30114	90-0902351	501(C)(3)	25,000	GENERAL SUPPORT
(19) COBB CHAMBER OF COMMERCE PO BOX 671868 MARIETTA,GA30006	58-0198114	501(C)(6)	37,500	GENERAL SUPPORT
(20) COBB COUNTY FAIR ASSOCIATION PO BOX 777 KENNESAW,GA30144	58-6043883	501(C)(3)	20,000	GENERAL SUPPORT
(21) COMMUNITY FOUNDATION FOR NORTHERN GEORGIA 6500 SUGARLOAF PKWY NO 220 DULUTH,GA30097	58-1557995	501(C)(3)	25,000	GENERAL SUPPORT
(22) DAHLONEGA-LUMPKIN CO CHAMBER OF COMMERCE 13 SOUTH PARK STREET DAHLONEGA,GA30533	58-0701974	501(C)(6)	45,000	GENERAL SUPPORT
(23) DAWSON COUNTY CHAMBER OF COMMERCE PO BOX 299 DAWSONVILLE,GA30534	58-1950100	501(C)(6)	40,000	GENERAL SUPPORT
(24) DUNWOODY CHAMBER OF COMMERCE INC PO BOX 467009 ATLANTA,GA31146	26-3082325	501(C)(6)	20,000	GENERAL SUPPORT
(25) DUNWOODY NATURE CENTER INC PO BOX 88070 DUNWOODY,GA30356	58-2009823	501(C)(3)	25,000	GENERAL SUPPORT
(26) ELACHEE NATURE SCIENCE CENTER 2125 ELACHEE DRIVE GAINESVILLE,GA30504	58-1643768	501(C)(3)	50,000	GENERAL SUPPORT
(27) GEORGIA AQUARIUM INC 225 BAKER STREET NW ATLANTA,GA30313	58-2574918	501(C)(3)	75,000	GENERAL SUPPORT
(28) GEORGIA CHAMBER OF COMMERCE 270 PEACHTREE ST NW STE 2200 ATLANTA,GA30303	58-1537370	501(C)(6)	35,500	GENERAL SUPPORT
(29) GEORGIA CHAPTER OF THE AMERICAN COLLEGE OF CARDIOLOGY 4850 GOLDEN PKWY B-418 BUFORD,GA30518	58-1989233	501(C)(3)	30,000	GENERAL SUPPORT
(30) GEORGIA INTERSCHOLASTIC CYCLING LEAGUE 931 EAST MAIN STREET SUITE A BLUE RIDGE,GA30513	81-5441679	501(C)(3)	30,000	GENERAL SUPPORT
(31) GEORGIA OVARIAN CANCER ALLIANCE 6065 ROSWELL ROAD SUITE 512 ATLANTA,GA30328	58-2424106	501(C)(3)	30,000	GENERAL SUPPORT
(32) GEORGIA PROSTATE CANCER COALITION 5825 GLENRIDGE DR BLDG 3 SUITE 223 COLLEGE PARK,GA30349	31-1717086	501(C)(3)	20,000	GENERAL SUPPORT
(33) GOSHEN VALLEY FOUNDATION 387 GOSHEN CHURCH WAY WALESKA,GA30183	58-2361483	501(C)(3)	25,000	GENERAL SUPPORT
(34) GREATER NORTH FULTON CHAMBER OF COMMERCE 11605 HAYNES BRIDGE RD ALPHARETTA,GA30004	58-1157316	501(C)(6)	48,200	GENERAL SUPPORT
(35) GWINNETT CHAMBER OF COMMERCE 6500 SUGARLOAF PKWY DULUTH,GA30097	58-0537282	501(C)(6)	115,000	GENERAL SUPPORT
(36) INMAN PARK NEIGHBORHOOD ASSOCIATION 245 N HIGHLAND AVE NE STE 230 401 ATLANTA,GA30307	58-1869166	501(C)(3)	25,000	GENERAL SUPPORT
(37) JOHNS CREEK CHAMBER OF COMMERCE 10475 MEDLOCK BRIDGE RD JOHNS CREEK,GA30097	20-4772140	501(C)(6)	29,500	GENERAL SUPPORT
(38) JUNIOR ACHIEVEMENT OF GEORGIA 275 NORTHSIDE DR NW ATLANTA,GA30314	58-0598050	501(C)(3)	40,000	GENERAL SUPPORT
(39) LEUKEMIA AND LYMPHOMA SOCIETY 3 INTERNATIONAL DRIVE SUITE 200 RYE BROOK,NY10573	13-5644916	501(C)(3)	65,000	GENERAL SUPPORT
(40) LOVE NOT LOST INC 1551 DUNWOODY VILLAGE PARKWAY 888722 DUNWOODY,GA30338	47-4760639	501(C)(3)	30,000	GENERAL SUPPORT
(41) MARCH OF DIMES FOUNDATION 1275 MAMORONECK AVE WHITE PLAINS,NY10605	13-1846366	501(C)(3)	401,375	GENERAL SUPPORT
(42) MARIETTA COBB MUSEUM OF ART 30 ATLANTA ST SE MARIETTA,GA30060	58-1528144	501(C)(3)	50,000	GENERAL SUPPORT
(43) MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE SW ATLANTA,GA30310	58-1438873	501(C)(3)	100,000	GENERAL SUPPORT
(44) MORTEN ANDERSEN FAMILY FOUNDATION 6495 OLD SHADBURN FERRY ROAD BUFORD,GA30518	27-1544616	501(C)(3)	25,000	GENERAL SUPPORT
(45) MUSEUM OF CONTEMPORARY ART OF GEORGIA 75 BENNETT STREET ATLANTA,GA30309	58-2562811	501(C)(3)	25,000	GENERAL SUPPORT
(46) NATIONAL BLACK ARTS FESTIVAL 1429 FAIRMONT AVENUE NW SUITE J ATLANTA,GA30318	58-1736780	501(C)(3)	40,000	GENERAL SUPPORT
(47) NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE 3RD FLOOR NEW YORK,NY10017	13-5661935	501(C)(3)	24,500	GENERAL SUPPORT
(48) NORTH FULTON COMMUNITY CHARITIES 11270 ELKINS ROAD ROSWELL,GA30076	58-1521088	501(C)(3)	30,000	GENERAL SUPPORT
(49) OVARIAN CANCER INSTITUTE 960 JOHNSON FERRY RD STE 130 ATLANTA,GA30342	58-2445245	501(C)(3)	167,500	GENERAL SUPPORT
(50) PIEDMONT PARK CONSERVANCY INC 400 PARK DRIVE NE ATLANTA,GA30306	58-1551369	501(C)(3)	100,000	GENERAL SUPPORT
(51) RAINBOW VILLAGE INC 3427 DULUTH HIGHWAY 120 DULUTH,GA30096	58-2181183	501(C)(3)	30,000	GENERAL SUPPORT
(52) REINHARDT UNIVERSITY 7300 REINHARDT CIR WALESKA,GA30183	58-0603153	501(C)(3)	27,500	GENERAL SUPPORT
(53) SANDY SPRINGS CONSERVANCY INC 227 SANDY SPRINGS PLACE D470 ATLANTA,GA30328	04-3839633	501(C)(3)	20,000	GENERAL SUPPORT
(54) SANDY SPRINGS PERIMETER CHAMBER OF COMMERCE 1000 ABERNATHY RD NE BLDG 400 SUITE L-10 SANDY SPRINGS,GA30328	26-0677794	501(C)(6)	28,000	GENERAL SUPPORT
(55) SOUTHEASTERN SOCIETY OF PLASTIC SURGEONS 12100 SUNSET HILLS ROAD SUITE 130 RESTON,VA20190	58-1431500	501(C)(3)	40,000	GENERAL SUPPORT
(56) SUSAN G KOMEN BREAST CANCER FOUNDATION PO BOX 934048 ATLANTA,GA31193	58-1959763	501(C)(3)	100,000	GENERAL SUPPORT
(57) THE ATLANTA WOMENS FOUNDATION 3355 LENOX ROAD SUITE 850 ATLANTA,GA30326	58-2389721	501(C)(3)	25,000	GENERAL SUPPORT
(58) THE PARTNERSHIP AGAINST DOMESTIC VIOLENCE PO BOX 361969 DECATUR,GA30036	82-3295945	501(C)(3)	137,500	GENERAL SUPPORT
(59) WOMENS CLUB OF SUGARLOAF COUNTY 6555 SUGARLOAF PKWY STE 307 DULUTH,GA30097	26-1140144	501(C)(3)	50,000	GENERAL SUPPORT

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) SCHOLARSHIP / EDUCATIONAL ASSISTANCE	4	9,170
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL.

Schedule I (Form 990) 2021

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

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

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

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

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

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

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1WAYNE L AMBROZE JR MD BOARD MEMBER	(i) (ii)	441,754 ------------- 0	10,000 ------------- 0	5,476 ------------- 0	1,962 ------------- 0	22,910 ------------- 0	482,102 ------------- 0	0 ------------- 0
2IQBAL GARCHA MD BOARD MEMBER	(i) (ii)	339,152 ------------- 0	144,633 ------------- 0	9,752 ------------- 0	4,412 ------------- 0	16,156 ------------- 0	514,105 ------------- 0	0 ------------- 0
3ROBERT T QUATTROCCHI PRESIDENT & CEO NSH, INC.	(i) (ii)	1,494,540 ------------- 0	3,450,000 ------------- 0	22,185 ------------- 0	6,747 ------------- 0	34,090 ------------- 0	5,007,562 ------------- 0	0 ------------- 0
4SHANNON BANNA VP/CFO NSH, INC./ASST. TREASURER	(i) (ii)	593,734 ------------- 0	234,600 ------------- 0	31,924 ------------- 0	4,054 ------------- 0	9,922 ------------- 0	874,234 ------------- 0	0 ------------- 0
5JORGE J HERNANDEZ VICE PRESIDENT/ASST. SECRETARY	(i) (ii)	565,637 ------------- 0	313,088 ------------- 0	28,713 ------------- 0	4,379 ------------- 0	23,321 ------------- 0	935,138 ------------- 0	0 ------------- 0
6JANIS DUBOW VICE PRESIDENT	(i) (ii)	403,439 ------------- 0	201,668 ------------- 0	17,030 ------------- 0	4,964 ------------- 0	11,454 ------------- 0	638,555 ------------- 0	0 ------------- 0
7WILLIAM HAYES CEO, NORTHSIDE HOSPITAL-CHEROKEE	(i) (ii)	548,764 ------------- 0	220,867 ------------- 0	33,537 ------------- 0	6,564 ------------- 0	30,261 ------------- 0	839,993 ------------- 0	0 ------------- 0
8DEBORAH MITCHAM BILBRO CEO, NORTHSIDE HOSPITAL GWINNETT	(i) (ii)	686,490 ------------- 0	257,250 ------------- 0	58,617 ------------- 0	6,640 ------------- 0	16,368 ------------- 0	1,025,365 ------------- 0	0 ------------- 0
9ROBERT PUTNAM VICE PRESIDENT	(i) (ii)	688,118 ------------- 0	275,140 ------------- 0	34,046 ------------- 0	5,583 ------------- 0	20,400 ------------- 0	1,023,287 ------------- 0	0 ------------- 0
10TINA WAKIM VICE PRESIDENT/COO	(i) (ii)	734,489 ------------- 0	258,487 ------------- 0	42,890 ------------- 0	3,977 ------------- 0	22,316 ------------- 0	1,062,159 ------------- 0	0 ------------- 0
11CHARLES DECOOK MD ORTHOPEDIC SURGEON	(i) (ii)	1,495,120 ------------- 0	358,987 ------------- 0	7,356 ------------- 0	6,923 ------------- 0	33,686 ------------- 0	1,902,072 ------------- 0	0 ------------- 0
12RICHARD HARVEY MD CARDIOTHORACIC SURGEON	(i) (ii)	993,092 ------------- 0	244,268 ------------- 0	1,700 ------------- 0	6,539 ------------- 0	10,514 ------------- 0	1,256,113 ------------- 0	0 ------------- 0
13KENNETH KRESS MD ORTHOPEDIC SURGEON	(i) (ii)	1,044,363 ------------- 0	235,493 ------------- 0	9,104 ------------- 0	7,327 ------------- 0	19,873 ------------- 0	1,316,160 ------------- 0	0 ------------- 0
14DAVID A LANGFORD MD THORACIC SURGEON	(i) (ii)	993,836 ------------- 0	100,000 ------------- 0	182,220 ------------- 0	6,673 ------------- 0	18,789 ------------- 0	1,301,518 ------------- 0	0 ------------- 0
15KEITH OSBORN MD SPINE SURGEON	(i) (ii)	693,782 ------------- 0	565,059 ------------- 0	112,221 ------------- 0	6,519 ------------- 0	18,789 ------------- 0	1,396,370 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 1A

ON OCCASION, CERTAIN BENEFITS, SUCH AS LONG TERM DISABILITY PREMIUMS, ARE GROSSED UP FOR SELECTED EMPLOYEES.

PART I, LINE 4B

MR. QUATTROCCHI HAS LED THE ORGANIZATION FOR MORE THAN NINETEEN YEARS AS CEO AND FOR SEVENTEEN YEARS AS A SENIOR EXECUTIVE PRIOR TO BECOMING CEO. IN RECOGNITION OF HIS SUCCESSFUL LEADERSHIP AND EXTENDED TENURE, AND TO ENCOURAGE CONTINUATION OF THIS RELATIONSHIP, THE BOARD OF DIRECTORS HAS PROVIDED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED TO PROVIDE THE CEO WITH A SOURCE OF RETIREMENT INCOME. NORTHSIDE DOES NOT CONSIDER SERP PAYMENTS TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. THE SERP PAYMENTS ARE BASED ON A MATHEMATICAL FORMULA, PURSUANT TO A SIGNED CONTRACT, AND ARE REVIEWED AND ASSESSED PERIODICALLY FOR REASONABLENESS BY AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE AND FULL BOARD OF DIRECTORS APPROVE EACH PAYMENT BEFORE PAYMENT IS MADE. HOWEVER, NO FURTHER FUNDING OF THE SERP IS EXPECTED BASED ON ACTUARIAL PROJECTIONS. AS A RESULT, IN ORDER TO ASSIST FURTHER IN THE CEO'S RETENTION, THE COMPANY HAS ESTABLISHED AN ANNUAL RETENTION PROGRAM FOR THE CEO, PROVIDING FOR AN ANNUAL RETENTION INCENTIVE, BUT ONLY IF HE CONTINUES TO BE EMPLOYED ON THE LAST DAY OF EACH FISCAL YEAR, BEGINNING WITH THE FISCAL YEAR ENDING SEPTEMBER 30, 2021. NORTHSIDE DOES NOT CONSIDER THE RETENTION PAYMENTS TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. AS AN ADDITIONAL RETENTION INCENTIVE, THE BOARD OF DIRECTORS MAY DEFER A PORTION OF ANY ANNUAL BONUS PAYABLE TO THE CEO CONDITIONING PAYMENT OF THE DEFERRED PORTION ON THE CEO'S CONTINUED EMPLOYMENT.

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

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

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

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






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

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) RACHEL BEARMAN	DALE M. BEARMAN, M.D., BOARD MEMBER & RACHEL BEARMAN FAMILY MEMBER	109,096	DALE M. BEARMAN, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH RACHEL BEARMAN, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2021 TO RACHEL BEARMAN FOR SERVICES RENDERED TO THE ORGANIZATION.		No
(2) GARY LEVENGOOD MD	MICHAEL LEVENGOOD, M.D., BOARD MEMBER & GARY LEVENGOOD, M.D. FAMILY MEMBER	796,921	MICHAEL LEVENGOOD, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH GARY LEVENGOOD, M.D., AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2021 TO GARY LEVENGOOD, M.D. FOR SERVICES RENDERED TO THE ORGANIZATION.		No
(3) ALLIE BUCHANAN	CARL BUCHANAN, M.D., BOARD MEMBER & ALLIE BUCHANAN FAMILY MEMBER	70,943	CARL BUCHANAN, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH ALLIE BUCHANAN, AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. AMOUNT REPRESENTS FAIR MARKET VALUE COMPENSATION PAID DURING CALENDAR YEAR 2021 TO ALLIE BUCHANAN FOR SERVICES RENDERED TO THE ORGANIZATION.		No
(4) DALE BEARMAN MD	BOARD MEMBER	1,451,151	THE BOARD MEMBER WAS INVOLVED IN SEPARATE JOINT VENTURES WITH THE ORGANIZATION INVOLVING BUSINESS TRANSACTIONS SPECIFIC TO REAL ESTATE SALES CONTRACTS FOR AMOUNTS AS DETERMINED BY AN INDEPENDENT THIRD PARTY TO BE FAIR MARKET VALUE.		No
(5) GENEVIEVE FAIRBROTHER MD	BOARD MEMBER	1,261,922	THE BOARD MEMBER WAS INVOLVED IN SEPARATE JOINT VENTURES WITH THE ORGANIZATION INVOLVING BUSINESS TRANSACTIONS SPECIFIC TO REAL ESTATE SALES CONTRACTS FOR AMOUNTS AS DETERMINED BY AN INDEPENDENT THIRD PARTY TO BE FAIR MARKET VALUE.		No
(6) STEPHANIE GROGAN MD	IQBAL GARCHA, M.D., BOARD MEMBER & STEPHANIE GROGAN, M.D. FAMILY MEMBER	2,594,763	IQBAL GARCHA, M.D., MEMBER OF THE NORTHSIDE HOSPITAL, INC. BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH STEPHANIE GROGAN, M.D., AN EMPLOYEE OF NORTHSIDE HOSPITAL, INC. STEPHANIE GROGAN, M.D. WAS INVOLVED IN SEPARATE JOINT VENTURES WITH THE ORGANIZATION INVOLVING BUSINESS TRANSACTIONS SPECIFIC TO REAL ESTATE SALES CONTRACTS FOR AMOUNTS AS DETERMINED BY AN INDEPENDENT THIRD PARTY TO BE FAIR MARKET VALUE.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Return Reference	Explanation
FORM 990	TO OUR PATIENTS IN THEIR JOURNEYS TOWARD HEALTH OF BODY AND MIND. TO ENSURE INNOVATIVE AND UNSURPASSED CARE FOR OUR PATIENTS, WE ARE DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. TO ENHANCE THE WELLNESS OF OUR COMMUNITY, WE COMMIT OURSELVES TO PROVIDING A DIVERSE ARRAY OF EDUCATIONAL AND OUTREACH PROGRAMS.
PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS (CONT'D)	PROVIDING A BROAD ARRAY OF COMMUNITY BENEFIT PROGRAM ACTIVITIES. IN FURTHERANCE OF ITS CHARITABLE MISSION AND TO MEET THE COMMUNITY'S TOP IDENTIFIED HEALTH NEEDS, NORTHSIDE HOSPITAL ENGAGES IN NUMEROUS OUTREACH AND COMMUNITY BENEFIT ACTIVITIES THROUGHOUT THE YEAR. THE CULMINATION OF THESE EFFORTS RESULTED IN NORTHSIDE HOSPITAL SERVING OVER 238,000 PERSONS, SPENDING OVER 138,000 STAFF HOURS, AND PROVIDING $18.95 MILLION IN NET COMMUNITY BENEFIT PROGRAM ACTIVITIES. THE HIGHEST DOLLAR IMPACT CATEGORIES (I.E., BENEFIT IN EXCESS OF $1 MILLION) INCLUDE 1) SUBSIDIZED HEALTH SERVICES, 2) HEALTH PROFESSIONS EDUCATION, 3) CASH AND IN-KIND DONATIONS, AND 4) COMMUNITY HEALTH IMPROVEMENT SERVICES. 1) THROUGH SUBSIDIZED HEALTH SERVICES, NORTHSIDE PROVIDED OVER $6.1 MILLION IN COMMUNITY BENEFIT. SUBSIDIZED HEALTH SERVICES ARE CLINICAL SERVICES PROVIDED DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF FINANCIAL ASSISTANCE, MEDICIAD SHORTFALLS AND BAD DEBT. A MAJORITY OF NORTHSIDE HOSPITAL'S SUBSIDIZED HEALTH SERVICES COMMUNITY BENEFIT WAS FROM THE LEVEL II TRAUMA CENTER LOCATED AT NORTHSIDE HOSPITAL GWINNETT. AS ONE OF ONLY SEVEN LEVEL II TRAUMA CENTERS IN GEORGIA, NORTHSIDE RECOGNIZED THE NEED TO EXPAND ED CAPACITY AND IN AUGUST 2020, NORTHSIDE INITIATED A 37,000 SQUARE FOOT EXPANSION OF NORTHSIDE HOSPITAL GWINNETT'S EMERGENCY ROOM THAT ADDED 27 MULTI-PURPOSE EXAM ROOMS, A 30-BED ED OBSERVATION UNIT AND ENLARGED THE 66 EXISTING ED ROOMS. AS A RESULT, ED VOLUME AT NORTHSIDE HOSPITAL GWINNETT INCREASED 9% FROM FY2021 TO FY2022 WITH OVER 89,000 TOTAL ED VISITS IN FY2022 INCLUDING OVER 2,100 TOTAL TRAUMA VISITS. THE GROWTH IN ED VOLUME RESULTED IN A NET COMMUNITY BENEFIT IMPACT OF JUST OVER 1,500 LEVEL II TRAUMA VISITS. 2) HEALTH PROFESSIONS EDUCATION INCLUDES EDUCATIONAL PROGRAMS FOR PHYSICIANS, INTERNS, RESIDENTS, MEDICAL STUDENTS, NURSES AND NURSING STUDENTS, PASTORAL CARE FELLOWS AND INTERNS, AND OTHER HEALTH PROFESSIONALS WHEN THAT EDUCATION IS NECESSARY TO RETAIN STATE LICENSURE OR CERTIFICATION BY A BOARD IN THE INDIVIDUAL'S HEALTH PROFESSIONAL SPECIALTY. NORTHSIDE PROVIDED CONTINUING MEDICAL EDUCATION ("CME"), GRADUATE MEDICAL EDUCATION AND VARIOUS HEALTH PROFESSIONS EDUCATION FOR NURSING STUDENTS, PASTORAL STUDENTS, AND OTHER ALLIED HEALTH STUDENTS, TOTALING $7.01 MILLION IN NET COMMUNITY BENEFIT AND SERVING 3,107 STUDENTS. NORTHSIDE'S CME ACTIVITIES PROVIDE PHYSICIANS AND HEALTH CARE PROFESSIONALS WITH COORDINATED, BALANCED EDUCATIONAL OPPORTUNITIES THAT WILL HELP TO ADVANCE THEIR PROFESSIONAL LEARNING, INCREASE THEIR COMPETENCE IN PRACTICE AND IMPROVE THEIR PRACTICE PERFORMANCE. IN FY2022, 442 PHYSICIANS/MEDICAL STUDENTS RECEIVED CME ON TOPICS SUCH AS MEDICAL ETHICS, NEUROSCIENCES AND GERIATRIC MEDICINE. A SEPTEMBER 2022 ANALYSIS BY THE KAISER FAMILY FOUNDATION INDICATED THAT GEORGIA NEEDS NEARLY 700 PRIMARY CARE PHYSICIANS TO FILL CURRENT PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS. TO HELP DEVELOP A FUTURE SUPPLY OF PRIMARY CARE PROFESSIONALS, NORTHSIDE HOSPITAL GWINNETT OFFERS THE FOLLOWING ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION ("ACGME") APPROVED POSTGRADUATE RESIDENCY AND FELLOWSHIP PROGRAMS: FAMILY MEDICINE RESIDENCY, INTERNAL MEDICINE RESIDENCY, TRANSITIONAL YEAR RESIDENCY, AND SPORTS MEDICINE FELLOWSHIP. IN FY2022 NORTHSIDE'S GME PROGRAM HAD 72 RESIDENTS ENROLLED IN ITS ACGME APPROVED PROGRAMS. LAST, NORTHSIDE'S CPE PROGRAM IS A GRADUATE-LEVEL PROFESSIONAL EDUCATION PROGRAM WHEREIN CLERGY INTEGRATE THEIR MASTER'S OR DOCTORAL LEVEL THEOLOGICAL EDUCATION AND MINISTRY EXPERIENCE WITH THE REAL CHALLENGES OF OFFERING PROFESSIONAL INTERFAITH SPIRITUAL AND PASTORAL CARE TO PERSONS IN CRISIS. IN FY2022, NORTHSIDE'S CPE PROGRAM EDUCATED 48 FUTURE SPIRITUAL COUNSELORS. 3) THROUGH CASH AND IN-KIND DONATIONS, NORTHSIDE HOSPITAL SUPPORTS COMMUNITY ORGANIZATIONS WHOSE MISSIONS COMPLEMENT THE HOSPITAL'S MISSION AND WHOSE INITIATIVES EITHER ALIGN WITH THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN NORTHSIDE'S CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") OR ADDRESS SOCIAL DETERMINANTS OF HEALTH ("SDOH") SUCH AS HOUSING/HOMELESSNESS, FOOD INSECURITY, EDUCATION, ETC. IN FY2022, NORTHSIDE PROVIDED $3.2 MILLION IN CASH AND IN-KIND DONATIONS TO 210 COMMUNITY ORGANIZATIONS. WHILE SOME OF THE RECIPIENT ORGANIZATIONS ARE WELL-KNOWN COMMUNITY GROUPS, SUCH AS THE AMERICAN CANCER SOCIETY AND THE AMERICAN HEART ASSOCIATION, NORTHSIDE ALSO SUPPORTED SMALLER, ORGANIZATIONS SUCH AS COVENANT HOUSE GEORGIA ("CHGA") AND CENTER FOR BLACK WOMEN'S WELLNESS ("CBWW"). NORTHSIDE SELECTED CHGA AS A FUNDING RECIPIENT BECAUSE IT ADDRESSES AN IMPORTANT SDOH: HOUSING/HOMELESSNESS. CHGA SERVES YOUTH AGES 16 TO 24 WHO ARE EXPERIENCING HOMELESSNESS AND ESCAPING TRAFFICKING IN THE METRO ATLANTA AREA. THEY PROVIDE WRAP-AROUND SERVICES DESIGNED TO HELP YOUTH REALIZE LASTING STABILITY. CHGA'S TWO OVERARCHING GOALS ARE 1) TO PROVIDE SAFE, ACCESSIBLE HOUSING TO YOUTH FORMERLY LIVING ON THE STREETS AND 2) TO OFFER THEM SERVICES THAT EMPOWER THEM TO ACHIEVE SELF-SUFFICIENCY. LAST YEAR CHGA SERVED OVER 1,300 YOUNG PEOPLE. ANOTHER EXAMPLE OF A SELECTED FUNDS RECIPIENT IS THE CENTER FOR BLACK WOMEN'S WELLNESS. NORTHSIDE PROVIDED FINANCIAL SUPPORT TO CBWW BECAUSE IT ADDRESSES ONE OF NORTHSIDE'S PRIORITIZED HEALTH NEEDS: MATERNAL AND INFANT HEALTH. CBWW OFFERS LOW COST/NO COST HEALTHCARE SERVICES (WOMEN'S HEALTH, PRIMARY HEALTHCARE, AND BEHAVIORAL HEALTH); PROGRAMS TO IMPROVE HEALTHY BEHAVIORS; CASE MANAGEMENT FOR PREGNANT WOMEN AND THEIR INFANTS; AND FINANCIAL LITERACY AND MICRO-BUSINESS TRAINING TO IMPROVE ECONOMIC SELF-SUFFICIENCY. 4) COMMUNITY HEALTH IMPROVEMENT SERVICES ARE ACTIVITIES OR PROGRAMS SUBSIDIZED BY NORTHSIDE HOSPITAL AND CARRIED OUT OR SUPPORTED FOR THE EXPRESS PURPOSE OF IMPROVING HEALTH. NORTHSIDE EMPLOYS A VARIETY OF COMMUNITY HEALTH IMPROVEMENT ACITIVITIES INCLUDING COMMUNITY HEALTH EDUCATION; COMMUNITY BASED CLINICAL SERVICES; HEALTH CARE SUPPORT SERVICES; AND SOCIAL AND ENVIRONMENTAL IMPROVEMENT ACTIVITIES. IN FY2022, NORTHSIDE PROVIDED OVER $1.8 MILLION IN COMMUNITY HEALTH IMPROVEMENT SERVICES ACROSS 54 DIFFERENT PROGRAMS THAT REACHED NEARLY 284,000 PEOPLE AND SERVED OVER 232,000 PEOPLE. MUCH OF NORTHSIDE'S COMMUNITY HEALTH IMPROVEMENT ACTIVITIES INCLUDES COMMUNITY AND CORPORATE HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION EVENTS AND COMMUNITY-BASED CANCER SCREENINGS. HOWEVER, THERE ALSO ARE A COUPLE OF UNIQUE PROGRAMS THAT MAY APPEAR SMALLER IN TERMS OF OCCURRENCES BUT HAVE A MEANINGFUL IMPACT ON THE COMMUNITY'S DISPARATE POPULATION. ONE SUCH PROGRAM IS THE FINANCIAL ACCESS SURGERY PROGRAM OR "FASP". NORTHSIDE'S FASP WAS DESIGNED SPECIFICALLY TO ADDRESS AN UNMET COMMUNITY-BASED NEED FOR HIGH QUALITY, FINANCIALLY ACCESSIBLE, OUTPATIENT SURGICAL AND ENDOSCOPY SERVICES FOR THE UNINSURED OR UNDERINSURED POPULATION. MORE SPECIFICALLY, VARIOUS CHARITY ORGANIZATIONS AND FREE CLINICS SERVING THE METROPOLITAN ATLANTA AREA HAVE CONFIRMED DIFFICULTY SECURING ACCESS TO NEEDED OUTPATIENT SURGICAL SERVICES FOR THE POPULATIONS THEY SERVE. NORTHSIDE RECEIVED REFERRALS FROM 17 CHARITABLE ORGANIZATIONS, INCLUDING SAFETY NET CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS, FOR PATIENTS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD OR OBTAIN MEDICALLY NECESSARY OUTPATIENT SURGERY AND ENDOSCOPY SERVICES. PATIENTS ARE PRE-SCREENED BASED ON FINANCIAL STATUS AND MEDICAL NECESSITY, AMONG OTHER FACTORS. THE FASP COVERS THE ENTIRE SURGICAL EPISODE OF CARE INCLUDING PRE- AND POST-OPERATIVE SERVICES AND, AS NEEDED, RELATED SERVICES SUCH AS ANESTHESIA, RADIOLOGY, PHARMACY, AND LABORATORY. THE FASP BEGAN IN 2012 WITH ONE (1) LOCATION AND HAS GROWN TO FOUR (4) LOCATIONS BASED ON COMMUNITY DEMAND. THE FASP PROVIDED FREE OUTPATIENT SURGICAL AND ENDOSCOPY SERVICES TO OVER 500 FINANCIALLY INDIGENT PATIENTS WHOSE CONDITIONS WOULD HAVE GONE UNTREATED UNTIL THE CONDITION WORSENED LEAVING THE PATIENT NO CHOICE BUT TO SEEK CARE IN A LOCAL HOSPITAL'S EMERGENCY DEPARTMENT. ANOTHER UNIQUE COMMUNITY HEALTH IMPROVEMENT PROGRAM IS NORTHSIDE'S IMAGING OUTREACH PROGRAM. THROUGH THIS PROGRAM, NORTHSIDE PROVIDES A COMPREHENSIVE RANGE OF IMAGING SERVICES TO LOW INCOME, UNINSURED OR UNDERINSURED PATIENTS. A DEDICATED IMAGING CHARITY COORDINATOR RECEIVES REFERRALS FROM COMMUNITY SAFETY NET CLINICS AND ASSISTS PATIENTS WITH COMPLETING NORTHSIDE'S FINANCIAL ASSISTANCE POLICY APPLICATION. APPROXIMATELY 967 INDIGENT AND CHARITY PATIENTS RECEIVED MUCH-NEEDED MEDICAL IMAGING THROUGH THIS IMPORTANT SAFETY-NET PROGRAM. IN ESSENCE, NORTHSIDE HAS ESTABLISHED A SUCCESSFUL MEDICAL HOME NETWORK MODEL OF CARE THAT IS DEDICATED TO SERVING THE COMMUNITY'S MOST VULNERABLE POPULATION. THESE ARE JUST A FEW EXAMPLES OF HOW NORTHSIDE HOSPITAL IS FULFILLING ITS CHARITABLE MISSION AND PROVIDING MEANINGFUL BENEFITS TO ITS COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 7A	NORTHSIDE HEALTH SERVICES ELECTS ALL THE MEMBERS OF THE GOVERNING BODY FOR NORTHSIDE HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7B	NORTHSIDE HEALTH SERVICES MUST APPROVE BYLAW REVISIONS AND REVISIONS OF THE ARTICLES OF INCORPORATION FOR NORTHSIDE HOSPITAL, INC.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS PREPARED BY AN UNRELATED AND INDEPENDENT ACCOUNTANT USING DETAILED FINANCIAL STATEMENTS SUPPORTED BY A CONSOLIDATED AUDIT (ALSO PREPARED BY OUTSIDE, INDEPENDENT AUDITORS). NORTHSIDE FINANCIAL LEADERSHIP, INCLUDING THE SYSTEM CONTROLLER AND CFO, PERFORM A DETAILED REVIEW OF THE 990 AND APPROVAL OF THE RETURNS BEFORE THEY ARE FILED. ADDITIONALLY, OUTSIDE COUNSEL REVIEWS SEVERAL SECTIONS OF THE FORM AT NORTHSIDE'S REQUEST.
FORM 990, PART VI, SECTION B, LINE 12C	OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AND SIGN A DISCLOSURE QUESTIONNAIRE ANNUALLY, IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. NORTHSIDE'S LEGAL SERVICES DEPARTMENT REVIEWS CONTRACTS WITH OTHER CARE PROVIDERS, EDUCATIONAL INSTITUTIONS, MANUFACTURERS AND PAYORS TO DETERMINE WHETHER CONFLICTS OF INTEREST EXIST AND WHETHER THEY ARE IN COMPLIANCE WITH SPECIFIC LAWS AND REGULATIONS.
FORM 990, PART VI, SECTION B, LINE 15	TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO AND KEY EMPLOYEES, A COMPENSATION STUDY, INCLUDING PEER ORGANIZATIONS, IS COMPLETED BY AN INDEPENDENT COMPENSATION CONSULTANT. THIS INFORMATION IS SHARED WITH THE COMPENSATION COMMITTEE. INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE DELIBERATE AND DETERMINE THE COMPENSATION OF THE CEO AND APPROVE THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. RECORDS ARE RETAINED OF THESE DECISIONS. THE CEO'S FINAL WRITTEN EMPLOYMENT CONTRACT MUST BE APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	THE CORPORATE GOVERNANCE DOCUMENTS (SPECIFICALLY ALL ARTICLES OF INCORPORATION DOCUMENTS) ARE MADE AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE. OUR CONFLICT OF INTEREST POLICY IS MADE AVAILABLE ON OUR INTRANET TO NORTHSIDE EMPLOYEES. OUR AUDITED FINANCIAL STATEMENTS AND OUR CONFLICT OF INTEREST POLICY ARE AVAILABLE IN ACCORDANCE WITH STATE REQUIREMENTS. WHEN AND IF APPROPRIATE REQUESTS ARE MADE BY THE PUBLIC, WE EVALUATE DISCLOSURE ON A CASE BY CASE BASIS.
FORM 990, PART VI, LINE 16B	IN LIEU OF ADOPTING A WRITTEN POLICY CONCERNING JOINT VENTURE ARRANGEMENTS, THE ORGANIZATION REQUIRES AND UNDERTAKES A RIGOROUS CASE-BY-CASE EVALUATION OF ITS PARTICIPATION IN ANY PROPOSED JOINT VENTURE ARRANGEMENT UNDER APPLICABLE TAX AND OTHER LAWS AND REGULATIONS. EACH PROPOSED JOINT VENTURE WITH A TAXABLE ENTITY IS REVIEWED UNDER APPLICABLE TAX LAWS, REGULATIONS, AND GUIDELINES BY OUTSIDE LEGAL COUNSEL AND ORGANIZATION PERSONNEL TO CONFIRM THAT THE JOINT VENTURE WOULD BE FORMED, OPERATED AND MANAGED IN A MANNER THAT FURTHERS THE COMMUNITY BENEFIT AND CHARITABLE PURPOSES OF THE ORGANIZATION. JOINT VENTURES WITH TAXABLE ENTITIES ARE REQUIRED TO BE STRUCTURED, INCLUDING THROUGH FINANCIAL AND GOVERNANCE PROVISIONS AND RESERVED POWERS, IN A MANNER TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS AND ENSURE THAT THE ORGANIZATION CONTROLS ALL ASPECTS OF THE JOINT VENTURE RELATED TO ITS EXEMPT PURPOSE.
FORM 990, PART VII, SECTION B:	TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH GEORGIA CANCER SPECIALISTS I, P.C. ("GCS") TO ENSURE ONCOLOGY AND HEMATOLOGY SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. NORTHSIDE HAS PROVIDED A BROAD RANGE OF CANCER CARE SERVICES THROUGH ITS CANCER CARE PROGRAM AT THE NORTHSIDE HOSPITAL CANCER INSTITUTE ("NHCI"). THE NHCI, WHICH IS RECOGNIZED NATIONALLY AS A LEADER IN ONCOLOGY DIAGNOSIS, TREATMENT AND RESEARCH, OFFERS CLINICAL EXCELLENCE ON PAR WITH ACADEMIC-BASED PROGRAMS ALONG WITH THE PERSONALIZED AND ATTENTIVE CARE TYPICALLY ASSOCIATED WITH A COMMUNITY HOSPITAL. NORTHSIDE HAS COMMITTED TO BECOMING A REGIONAL AND NATIONAL LEADER THAT REDEFINES CANCER CARE, WHICH IN PART REQUIRES THE EXPANSION OF ITS GEOGRAPHIC FOOTPRINT THROUGH DEVELOPMENT OF AN AFFILIATION WITH ADDITIONAL LOCATIONS, AS WELL AS HAVING AN INTEGRATED CANCER CARE PROGRAM THAT FACILITATES COLLABORATION BETWEEN NORTHSIDE AND CLINICIANS SPECIALIZING IN ONCOLOGY SERVICES. GCS HAS A LARGE COMPLEMENT OF CLINICIANS TO ASSIST NORTHSIDE IN DEVELOPING AN OUTPATIENT ONCOLOGY SERVICES PROGRAM, SPECIALIZING IN MEDICAL ONCOLOGY AND HEMATOLOGY AND THE PROVISION OF INFUSION THERAPY SERVICES AND MEDICAL AND CLINICAL RESEARCH SERVICES. IN ACCORDANCE WITH THE PSA, GCS REMAINS A PRIVATELY HELD ORGANIZATION WITHOUT OWNERSHIP OR MANAGEMENT BY NORTHSIDE. GCS MAINTAINS RESPONSIBILITY FOR PROVIDING ALL ADMINISTRATIVE OPERATIONS OF THE PRACTICE (E.G., STAFF BENEFITS, MALPRACTICE INSURANCE, ETC.). NORTHSIDE MAKES PAYMENTS TO GCS AT FAIR MARKET VALUE RATES FOR 1) PERSONALLY PERFORMED AND MODIFIER ADJUSTED PROFESSIONAL SERVICES 2) MANAGEMENT OVERSIGHT RESPONSIBILITIES AND 3) BILLING ARRANGEMENTS. GCS EMPLOYS APPROXIMATELY 100 CLINICIANS AND 480 STAFF TO MAINTAIN ONCOLOGY, HEMATOLOGY, MANAGEMENT AND BILLING SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE. TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH AGA, LLC TO ENSURE GASTROENTEROLOGY ("GI") SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. AS SUCH, THIS ARRANGEMENT ALLOWS NORTHSIDE TO ESTABLISH CENTERS OF EXCELLENCE IN GI SERVICES, ESPECIALLY RELATED TO ENDOSCOPIC ULTRASOUND AND ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY. GI SERVICES ALSO HAVE A SIGNIFICANT TIE-IN TO ONCOLOGY SERVICES FOR WHICH NORTHSIDE IS A LEADER IN THE ATLANTA SERVICE AREA IN TERMS OF DIAGNOSIS AND TREATMENT. AGA, LLC HAS A LARGE COMPLEMENT OF CLINICIANS THAT PROVIDE GI SERVICES INCLUDING GI ONCOLOGY. IN ACCORDANCE WITH THE PSA, AGA, LLC REMAINS A PRIVATELY HELD ORGANIZATION WITHOUT OWNERSHIP OR MANAGEMENT BY NORTHSIDE. AGA, LLC MAINTAINS RESPONSIBILITY FOR ALL EXPENSES TYPICALLY FOUND IN A GI CLINICIANS' PRACTICE (E.G., STAFF, BILLING, MEDICAL SUPPLIES, MEDICAL RECORDS, OCCUPANCY, MALPRACTICE INSURANCE, ETC.). UNDER THE PSA, NORTHSIDE PAYS AGA A FAIR MARKET VALUE RATE BASED ON PERSONALLY PERFORMED AND MODIFIER ADJUSTED WRVUS. AGA, LLC PROVIDES APPROXIMATELY 165 CLINICIANS TO ENSURE GI SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE. THE COMPENSATION REFLECTED ON FORM 990, PART VII, SECTION B, COLUMN (C), REPRESENTS PROFESSIONAL SERVICES UNDER THE PSA TO INCLUDE RELATED COMPENSATION AND BENEFITS. TO SERVE THE PATIENTS WITHIN NORTHSIDE'S GEOGRAPHIC REGION, NORTHSIDE ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT ("PSA") BASED UPON PERSONALLY PERFORMED AND MODIFIER ADJUSTED PRODUCTIVITY WITH ATLANTA CANCER CARE ("ACC") TO ENSURE ONCOLOGY AND HEMATOLOGY SERVICES ARE PROVIDED TO ALL PATIENTS WITHIN THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. NORTHSIDE HAS PROVIDED A BROAD RANGE OF CANCER CARE SERVICES THROUGH ITS CANCER CARE PROGRAM AT THE NORTHSIDE HOSPITAL CANCER INSTITUTE ("NHCI"). THE NHCI, WHICH IS RECOGNIZED NATIONALLY AS A LEADER IN ONCOLOGY DIAGNOSIS, TREATMENT AND RESEARCH, OFFERS CLINICAL EXCELLENCE ON PAR WITH ACADEMIC-BASED PROGRAMS ALONG WITH THE PERSONALIZED AND ATTENTIVE CARE TYPICALLY ASSOCIATED WITH A COMMUNITY HOSPITAL. NORTHSIDE HAS COMMITTED TO BECOMING A REGIONAL AND NATIONAL LEADER THAT REDEFINES CANCER CARE, WHICH IN PART REQUIRES THE EXPANSION OF ITS GEOGRAPHIC FOOTPRINT THROUGH DEVELOPMENT OF AN AFFILIATION WITH ADDITIONAL LOCATIONS, AS WELL AS HAVING AN INTEGRATED CANCER CARE PROGRAM THAT FACILITATES COLLABORATION BETWEEN NORTHSIDE AND CLINICIANS SPECIALIZING IN ONCOLOGY SERVICES. ACC HAS A LARGE COMPLEMENT OF CLINICIANS TO ASSIST NORTHSIDE IN DEVELOPING AN OUTPATIENT ONCOLOGY SERVICES PROGRAM, SPECIALIZING IN MEDICAL ONCOLOGY AND HEMATOLOGY AND THE PROVISION OF INFUSION THERAPY SERVICES AND MEDICAL AND CLINICAL RESEARCH SERVICES. IN ACCORDANCE WITH THE PSA, ACC REMAINS A PRIVATELY HELD ORGANIZATION WITHOUT OWNERSHIP BY NORTHSIDE. ACC MAINTAINS RESPONSIBILITY FOR PROVIDING ALL ADMINISTRATIVE OPERATIONS OF THE PRACTICE (E.G., STAFF BENEFITS, MALPRACTICE INSURANCE, ETC.). NORTHSIDE MAKES PAYMENTS TO ACC AT FAIR MARKET VALUE RATES FOR 1) PERSONALLY PERFORMED AND MODIFIER ADJUSTED PROFESSIONAL SERVICES 2) MANAGEMENT OVERSIGHT RESPONSIBILITIES AND 3) BILLING ARRANGEMENTS. ACC EMPLOYS APPROXIMATELY 36 CLINICIANS AND 170 STAFF TO MAINTAIN ONCOLOGY, HEMATOLOGY, MANAGEMENT AND BILLING SERVICES AT NORTHSIDE'S FACILITIES AND THROUGHOUT THE COMMUNITIES SERVED BY NORTHSIDE.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 564,851,874. MANAGEMENT AND GENERAL EXPENSES 99,109,325. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 663,961,199.
FORM 990, PART XI, LINE 9:	INCOME FROM JOINT VENTURES NOT ON BOOKS -9,116,506. OTHER CHANGES IN NET ASSETS 1,794. CHANGE IN PENSION 236,172,923. EQUITY TRANSFER -1,543,699. INTERCOMPANY REVENUE 109,195. INACTIVE ENTITY RETAINED EARNINGS NOT REPORTED ON PRIOR YEAR RETURN -855,504.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

NORTHSIDE HOSPITAL INC

Employer identification number

58-1954432

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) 2246 WISTERIA DRIVE LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 87-1915309	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(2) ADVANCED JOINT SURGERY SPECIALISTS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 47-4793694	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(3) ADVANCED NEUROSURGERY ASSOCIATES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 85-2031927	PROFESSIONAL SERVICES	GA	2,752,942	220,295	NORTHSIDE HOSPITAL INC
(4) ADVANCED SURGERY CENTER PERIMETER LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 47-3080613	SURGERY CENTER	GA	4,067,891	6,889,538	NORTHSIDE HOSPITAL INC
(5) AGA CLINICAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 81-1319493	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(6) AGA PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 45-3694469	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(7) AMOA HOLDING LLC 3330 PRESTON RIDGE ROAD SUITE 300 ALPHARETTA,GA30005 87-4145160	ONCOLOGY SERVICES	GA			NORTHSIDE HOSPITAL INC
(8) AOA-AMC LLC 320 PARKWAY DRIVE NE ATLANTA,GA30312 81-3018210	ONCOLOGY CLINIC	GA			NORTHSIDE HOSPITAL INC
(9) ATLANTA ADVANCED SURGERY CENTER LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 37-1663139	SURGERY CENTER	GA			NORTHSIDE ATLANTA SURGERY CENTERS LLC
(10) BRASELTON HEALTH SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HEALTH SERVICES INC
(11) BRASELTON INVESTOR LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			BRASELTON HEALTH SERVICES LLC
(12) BRASELTON SURGICAL SPECIALIST CENTER LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	SURGERY CENTER	GA			NORTHSIDE HOSPITAL INC
(13) BUTTON GWINNETT HOLDINGS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(14) CHEROKEE COUNTY INVESTORS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 30-0837387	REAL ESTATE SERVICES	GA			FORREST PARK PRESERVE HOLDINGS LLC
(15) CITY LINE DEVELOPERS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 83-3902062	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(16) CP LAND HOLDING LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			HORIZON CLINICAL LLC
(17) CRABAPPLE INVESTMENTS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(18) DAHLONEGA DEVELOPERS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(19) FORREST PARK PRESERVE HOLDINGS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 47-4363731	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(20) GALEN ADVISORS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	MEDICAL BILLING SERVICES	GA			NORTHSIDE HOSPITAL INC
(21) GALEN BILLING SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	MEDICAL BILLING SERVICES	GA			NORTHSIDE HOSPITAL INC
(22) GEORGIA CANCER SPECIALISTS I LLC 1835 SAVOY DR SUITE 300 ATLANTA,GA30341 58-2181189	PROFESSIONAL SERVICES	GA			NORTHSIDE SCG LLC
(23) GEORGIA PROFESSIONAL BILLING SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 26-2016143	MEDICAL BILLING SERVICES	GA	6,234,527	5,823,723	NORTHSIDE HOSPITAL INC
(24) GEORGIA SURGICAL PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 46-3858353	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(25) GWINNETT ADVANCED SURGERY CENTER LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 45-5067682	SURGERY CENTER	GA	2,175,004	3,692,321	NORTHSIDE HOSPITAL INC
(26) GWINNETT CARDIOLOGY SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 46-1977635	PROFESSIONAL SERVICES	GA	-608,036	266,795	NORTHSIDE HOSPITAL INC
(27) GWINNETT HOSPITAL SYSTEM GME LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 46-5634252	GRADUATE MEDICAL EDUCATION PROGRAMS	GA			NORTHSIDE HOSPITAL INC
(28) GWINNETT PHYSICIAN GROUP LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 20-4553410	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(29) GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 83-4390271	SURGERY CENTER	GA			NORTHSIDE HOSPITAL INC
(30) HICKORY FLAT HIGHWAY HOLDINGS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(31) HIGHWAY 92 INVESTORS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(32) HORIZON CLINICAL LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(33) JF DEVELOPERS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(34) KEITH BRIDGE DEVELOPMENT LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(35) LAUREATE MEDICAL GROUP AT NORTHSIDE LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-1436087	PROFESSIONAL SERVICES	GA	42,226,193	9,447,054	NORTHSIDE HOSPITAL INC
(36) MEDICAL ASSOCIATES PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 46-3806922	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(37) MRI & IMAGING OF GEORGIA LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 47-3958809	RADIOLOGY SERVICES	GA			NORTHSIDE HOSPITAL INC
(38) N PROPERTIES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(39) NORTH ATLANTA ANESTHESIA PROFESSIONALS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 88-2051065	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(40) NORTH ATLANTA EYE CARE PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-3273795	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(41) NORTH ATLANTA ONCOLOGY SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 83-4237605	ONCOLOGY SERVICES	GA			NORTHSIDE HOSPITAL INC
(42) NORTH ATLANTA PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 20-5106086	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(43) NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-5415284	PROFESSIONAL SERVICES	GA	47,763,988	7,346,497	NORTHSIDE HOSPITAL INC
(44) NORTHSIDE ATLANTA ORTHOPEDICS & SPORTS MEDICINE HOLDINGS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 83-2801900	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(45) NORTHSIDE ATLANTA SURGERY CENTERS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 45-4364531	HEALTHCARE SERVICES	GA			NORTHSIDE HOSPITAL INC
(46) NORTHSIDE CARDIOVASCULAR INSTITUTE LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 84-1936693	PROFESSIONAL SERVICES	GA	22,614,327	960,479	NORTHSIDE HOSPITAL INC
(47) NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 33-1105310	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(48) NORTHSIDE CV PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 85-1277546	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(49) NORTHSIDE FORSYTH SURGERY CENTERS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 45-4364708	SURGERY CENTER	GA			NORTHSIDE HOSPITAL INC
(50) NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-5113736	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(51) NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 45-1259435	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(52) NORTHSIDE SCG LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 87-2441276	PROFESSIONAL SERVICES	GA			NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC
(53) NORTHSIDE SEPC PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-5334312	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(54) NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 45-1259671	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(55) NORTHSIDE URGENT CARE HOLDING LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 47-1625673	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(56) NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 46-0667707	ONCOLOGY SERVICES	GA			NORTHSIDE HOSPITAL INC
(57) NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 46-0676654	ONCOLOGY SERVICES	GA			NORTHSIDE HOSPITAL INC
(58) PERIMETER PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 47-1088986	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(59) SIGNET CLINICAL LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(60) SOVEREIGN REHABILITATION OF GEORGIA LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 20-5084665	REHABILITATION SERVICES	GA	1,580,078	12,075	NORTHSIDE HOSPITAL INC
(61) SPORTS MEDICINE SOUTH OF GWINNETT LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 85-0900005	PROFESSIONAL SERVICES	GA	4,144,628	915,770	NORTHSIDE HOSPITAL INC
(62) THE CENTER FOR CANCER CARE AT GWINNETT HOSPITAL SYSTEM LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-2542369	ONCOLOGY SERVICES	GA			NORTHSIDE HOSPITAL INC
(63) UROLOGICAL PROFESSIONAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 46-5754759	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(64) UROLOGY CLINICAL SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 81-3281163	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(65) UROLOGY SPECIALISTS OF ATLANTA NORTH LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 47-2619158	PROFESSIONAL SERVICES	GA			NORTHSIDE HOSPITAL INC
(66) VISTA CLINICAL LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342	REAL ESTATE SERVICES	GA			NORTHSIDE HOSPITAL INC
(67) WEST VILLAGE HEALTH SERVICES LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 87-4224381	PROFESSIONAL SERVICES	GA			NORTHSIDE HEALTH SERVICES INC
(68) WEST VILLAGE MEDICAL LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 86-3919357	REAL ESTATE SERVICES	GA			WEST VILLAGE INVESTOR LLC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)GWINNETT HOSPITAL SYSTEM AUXILIARY INC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-1713644	ADMINISTRATIVE SERVICES	GA	501(C)(3)	LINE 3	N/A		No
(2)GWINNETT HOSPITAL SYSTEM FOUNDATION INC 1755 NORTH BROWN ROAD STE 100 LAWRENCEVILLE,GA30043 58-1828486	RAISE & COLLECT FUNDS IN FURTHERANCE OF NORTHSIDE HOSPITAL'S EXEMPT PURPOSE	GA	501(C)(3)	LINE 7	N/A		No
(3)NORTHSIDE HEALTH SERVICES INC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-1917328	PARENT HOLDING COMPANY	GA	501(C)(3)	LINE 12C, III-FI	N/A		No
(4)NORTHSIDE HOSPITAL FOUNDATION INC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-1653541	RAISE & COLLECT FUNDS IN FURTHERANCE OF NORTHSIDE HOSPITAL'S EXEMPT PURPOSE	GA	501(C)(3)	LINE 7	NORTHSIDE HEALTH SERVICES INC		No
(5)NORTHSIDE SHARES HELP INC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-1458873	PUBLIC CHARITY, ORGANIZED EMPLOYEE RELIEF FUND	GA	501(C)(3)	LINE 7	NORTHSIDE HEALTH SERVICES INC		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) 1110 INVESTOR LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 82-1783922	CONSTRUCTION	GA	N/A					No			No
(2) ADVANCED CENTER FOR JOINT SURGERY LLC 2000 HOWARD FARM DRIVE SUITE T100 CUMMING,GA30041 82-0606082	ORTHOPEDIC SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	6,969,149	4,463,970		No			No	51.000 %
(3) ENT SURGERY CENTER OF ATLANTA LLC 5673 PEACHTREE DUNWOODY RD STE 945 ATLANTA,GA30342 20-0075229	AMBULATORY SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	170,597	336,332		No			No	68.330 %
(4) GWINNETT SURGERY CENTER LLC 631 PROFESSIONAL DRIVE SUITE 390 LAWRENCEVILLE,GA30046 27-2819709	OUTPATIENT SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	260,004	401,397		No			No	70.000 %
(5) HAND & UPPER EXTREMITY SURGERY CENTER OF GEORGIA LLC 993 JOHNSON FERRY RD ATLANTA,GA30342 20-0147862	OUTPATIENT SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	270,375	2,046,203		No			No	51.000 %
(6) HEALTH CHOICE URGENT CARE LLC 216 CENTERVIEW DR SUITE 100 BRENTWOOD,TN37027 47-3382621	URGENT CARE CENTER	GA	NORTHSIDE HOSPITAL INC	RELATED	-642,752	125,517		No			No	51.000 %
(7) NORTHERN CRESCENT ENDOSCOPY SUITE LLC 5671 PEACHTREE DUNWOODY RD SUITE 68 ATLANTA,GA30342 58-2453504	OUTPATIENT SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	2,345,577	3,814,414		No			No	51.000 %
(8) UROLOGY SURGICAL PARTNERS LLC 5673 PEACHTREE DUNWOODY RD SUITE 90 ATLANTA,GA30342 58-2622573	AMBULATORY SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	241,319	1,678,940		No			No	70.000 %
(9) WEST VILLAGE INVESTOR LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 86-3879571	REAL ESTATE ENTITY	GA	WEST VILLAGE HEALTH SERVICES INC	RELATED	-310	8,005,353		No			No	50.100 %
(10) WOODSTOCK ENDOSCOPY CENTER LLC 900 TOWNE LAKE PKWY SUITE 310 WOODSTOCK,GA30189 58-2656248	OUTPATIENT SURGERY	GA	NORTHSIDE HOSPITAL INC	RELATED	584,219	1,545,044		No			No	51.000 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) GWINNETT MANAGED CARE INC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-2135759	PROFESSIONAL SERVICES	GA	N/A	C					No
(2) NORTHSIDE HEALTH NETWORK INC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 84-3655289	PROFESSIONAL SERVICES	GA	NORTHSIDE HOSPITAL INC	C	31,226	60,134	100.000 %	Yes
(3) NORTHSIDE VENTURES INC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 58-1954456	LEASING COMPANY	GA	N/A	C					No
(4) SEQUENT HEALTH PHYSICIAN PARTNERS LLC 1000 JOHNSON FERRY ROAD ATLANTA,GA30342 47-1511997	CLINICALLY INTEGRATED ORGANIZATION	GA	N/A	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

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

Yes

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

Yes

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

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

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

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

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

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

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

Yes

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

Yes

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

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

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

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

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

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

Yes

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

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

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(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

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
PART I, COLUMN D:	IN MOST INSTANCES WHERE (D) TOTAL INCOME IS ZERO, ENTITIES WERE ESTABLISHED FOR BILLING IDENTIFICATION ONLY AND NO ASSETS, INCOME OR EMPLOYEES ARE APPLICABLE TO THE EMPLOYER IDENTIFICATION NUMBER.

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO BE A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	30,124
6	Total number of volunteers (estimate if necessary) .............	6	716
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	22,654,965
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	2,273,968

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	137,894,469	23,595,029
9	Program service revenue (Part VIII, line 2g) .........	5,663,482,589	5,963,223,334
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	29,460,447	26,859,042
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	71,134,929	146,813,762
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	5,901,972,434	6,160,491,167
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,539,749	3,415,425
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)	2,331,155,760	2,771,439,748
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)....	3,186,048,711	3,251,794,277
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	5,520,744,220	6,026,649,450
19	Revenue less expenses. Subtract line 18 from line 12.......	381,228,214	133,841,717
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,670,786,128	4,492,033,881
21	Total liabilities (Part X, line 26).............	1,696,035,748	1,302,554,809
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,974,750,380	3,189,479,072

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 4,901,152,375 including grants of $ 3,415,425 ) (Revenue $ 5,844,661,357 )
	AS NOTED IN ITS MISSION, NORTHSIDE IS DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. THESE SELECT SPECIALTIES, OR PROGRAM SERVICES, INCLUDE EMERGENCY SERVICES, ONCOLOGY SERVICES, RADIOLOGY SERVICES, SURGICAL SERVICES, AND WOMEN'S SERVICES. IN FURTHERANCE OF ITS CHARITABLE MISSION, NORTHSIDE INVESTED IN THE CONTINUED GROWTH, EXPANSION, AND INCREASED ACCESS TO THESE VITAL PROGRAM SERVICES.SEE SCHEDULE O FOR CONTINUATION

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses4,901,152,375

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	19,182,621	0	392,112

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,105,228
e	Government grants (contributions)		1e	19,075,886

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,413,915

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

h Total. Add lines 1a-1f.......		23,595,029

		Business Code
2a	NET PATIENT REVENUE	621990	5,911,317,424	5,674,338,470	12,666,185	224,312,769
b	RENTAL INCOME	531120	30,004,507	30,004,507
c	CAFETERIA & VENDING	722514	7,458,997			7,458,997
d	PARKING REVENUE	812930	6,675,703			6,675,703
e	BILLING REVENUE	561000	6,234,527		3,493,398	2,741,129
f	All other program service revenue.		1,532,176			1,532,176
g	Total. Add lines 2a–2f .....		5,963,223,334

3 Investment income (including dividends, interest, and othersimilar amounts) ......			26,859,042			26,859,042
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	MISCELLANEOUS		900003	134,800,131	130,832,380	3,967,751
b	PASSTHROUGH INVESTMENT		621300	12,013,631	9,486,000	2,527,631
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			146,813,762
12	Total revenue. See instructions.....			6,160,491,167	5,844,661,357	22,654,965	269,579,816

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	3,406,255	3,406,255
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	9,170	9,170
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 ...........	12,674,733	10,204,679	2,470,054
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........	2,226,568,339	1,792,654,320	433,914,019
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	126,132,204	101,551,538	24,580,666
9	Other employee benefits .......	277,720,727	223,598,464	54,122,263
10	Payroll taxes ...........	128,343,745	103,332,094	25,011,651
11	Fees for services (non-employees):
a	Management ......	8,653,533	8,653,533
b	Legal .........	37,959,872		37,959,872
c	Accounting ...........	1,248,603		1,248,603
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	3,261,335		3,261,335
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	663,961,199	564,851,874	99,109,325
12	Advertising and promotion ....	12,602,511	5,434,298	7,168,213
13	Office expenses .......	99,972,003	43,108,686	56,863,317
14	Information technology ......	65,335,802	28,173,293	37,162,509
15	Royalties ..
16	Occupancy ...........	161,270,008	69,540,850	91,729,158
17	Travel ............	2,754,159	1,187,614	1,566,545
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,785,881	770,085	1,015,796
20	Interest ...........	872,660		872,660
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	237,404,079	139,724,969	97,679,110
23	Insurance ...	81,671,634	35,217,428	46,454,206
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	1,413,891,146	1,409,317,202	4,573,944
b	BAD DEBT EXPENSE	285,564,858	285,564,858
c	MINOR EQUIPMENT PURCHAS	25,526,778	11,007,340	14,519,438
d	RECRUITMENT	8,401,226	3,622,672	4,778,554
e	All other expenses	139,656,990	60,221,153	79,435,837
25	Total functional expenses. Add lines 1 through 24e	6,026,649,450	4,901,152,375	1,125,497,075	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 ........			77,106	1	76,953
2	Savings and temporary cash investments .........			911,966,179	2	571,731,697
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			506,694,849	4	615,088,279
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 ...........			0	7	626,381
8	Inventories for sale or use ............			93,678,248	8	108,384,033
9	Prepaid expenses and deferred charges ......			103,740,694	9	87,972,154
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,078,313,084
b	Less: accumulated depreciation	10b	2,069,278,589	1,875,171,270	10c	2,009,034,495
11	Investments—publicly traded securities .			778,943,178	11	658,242,215
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			321,205,534	14	317,282,941
15	Other assets. See Part IV, line 11 ...........			79,309,070	15	123,594,733
16	Total assets. Add lines 1 through 15 (must equal line 33)...			4,670,786,128	16	4,492,033,881

17	Accounts payable and accrued expenses .....	837,731,667	17	701,537,139
18	Grants payable ...		18
19	Deferred revenue .........	3,622,791	19	4,025,817
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	67,203,542	23	5,601,322
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	787,477,748	25	591,390,531
26	Total liabilities. Add lines 17 through 25..	1,696,035,748	26	1,302,554,809

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	2,974,750,380	27	3,182,854,988
28	Net assets with donor restrictions ...........	0	28	6,624,084
	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 ...........	2,974,750,380	32	3,189,479,072
33	Total liabilities and net assets/fund balances ........	4,670,786,128	33	4,492,033,881