TY 2022 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) CAMILLE VIERA-HEWELL...................................................................... MEMBER	1.00 .................	X			0	0
(2) JENNY FLOYD...................................................................... MEMBER	1.00 .................	X			0	0
(3) JEREMY WALKER...................................................................... PHYSICIAN - NGPG	1.00 ................. 40.00	X			400,941	41,644
(4) MARTHA RANDOLPH...................................................................... MEMBER	1.00 .................	X			0	0
(5) PETE WILLIAMS...................................................................... PHYSICIAN - NGPG	1.00 ................. 40.00	X			355,835	41,645
(6) PHILLIPPA LEWIS MOSS...................................................................... CHAIR	1.00 ................. 1.00	X			0	0
(7) PRESTON BOWEN...................................................................... MEMBER	1.00 .................	X			0	0
(8) SEMUEL MAYSONET...................................................................... VICE CHAIR	1.00 .................	X			0	0
(9) STEPHEN SAMUEL...................................................................... MEMBER	1.00 .................	X			0	0
(10) CAROL BURRELL...................................................................... PRESIDENT & CEO	1.00 ................. 40.00		X		1,737,600	26,733
(11) BRIAN D STEINES...................................................................... CHIEF FINANCIAL OFFICER	1.00 ................. 40.00		X		932,421	125,459
(12) STEPHEN KELLY...................................................................... CHIEF COMPLIANCE OFFICER	1.00 ................. 40.00		X		327,490	61,283
(13) MICHAEL COVERT...................................................................... CHIEF OPERATING OFFICER, MEMBER	40.00 ................. 1.00	X	X		1,198,403	122,131
(14) DIANE POIROT...................................................................... CHIEF HR OFFICER - NGHS	1.00 ................. 40.00			X	153,802	7,842
(15) JOHN DELZELL JR...................................................................... VP MEDICAL EDUCATION - NGMC	40.00 .................			X	543,085	82,199
(16) JOHN A WILLIAMSON...................................................................... PRESIDENT NGMC BRASELTON	40.00 .................			X	564,401	114,281
(17) MELISSA TYMCHUK...................................................................... CHIEF OF STAFF - NGHS	1.00 ................. 40.00			X	453,575	93,148

(A) Name and business address	(B) Description of services	(C) Compensation
MEDEFIS INC PO BOX 5068 NEW YORK,NY10087	STAFFING SERVICES	79,005,144
PERKINS & WILL INC PO BOX 71181 CHICAGO,IL60694	ARCHITECTURAL SERVICES	17,093,971
ARAMARK SERVICES PO BOX 978839 DALLAS,TX75397	ENVIRONMENTAL SERVICES	16,148,820
GE PRECISION HEALTHCARE LLC PO BOX 641936 PITTSBURGH,PA15264	BIOMEDICAL EQUIPMENT MAINTENANCE	14,468,939
ANESTHESIA ASSOCIATES OF GAINESVILLE 1488 JESSE JEWELL PKWY GAINESVILLE,GA30501	ANESTHESIA SERVICES	9,094,007
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 439

- 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

2022

Open to Public
Inspection

Name of the organization

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

Part I

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

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

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

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

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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (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—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

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) 2022

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) 2022

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) 2022

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 2022 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-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

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

2022

Name of the organization

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization NORTHEAST GEORGIA MEDICAL CENTER INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

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

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization NORTHEAST GEORGIA MEDICAL CENTER INC			Employer identification number 58-1694098
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (2022)

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

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

Part I-A

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

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

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

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

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

30,733

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

30,733

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
PART II-B, LINE 1:	NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS: -AMERICAN ACADEMY OF FAMILY PHYSICIANS -AMERICAN ACADEMY OF SLEEP MEDICINE -AMERICAN COLLEGE OF EMERGENCY PHYSICIANS -AMERICAN COLLEGE OF PHYSICIANS INC -AMERICAN COLLEGE OF SURGEONS -AMERICAN MEDICAL ASSOCIATION -AMERICAN OSTEOPATHIC BOARD OF FAMILY PHYSICIANS -ASSOCIATION OF PROGRAM DIRECTORS IN SURGERY -GEORGIA ALLIANCE OF COMMUNITY HOSPITALS -GEORGIA HEALTH CARE ASSOCIATION -HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY MEMBERSHIP -SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY -SOCIETY OF TEACHERS OF FAMILY MEDICINE -TRAUMA CENTER ASSOCIATION OF AMERICA A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.

Return Reference

Explanation

PART II-B, LINE 1:

NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS: -AMERICAN ACADEMY OF FAMILY PHYSICIANS -AMERICAN ACADEMY OF SLEEP MEDICINE -AMERICAN COLLEGE OF EMERGENCY PHYSICIANS -AMERICAN COLLEGE OF PHYSICIANS INC -AMERICAN COLLEGE OF SURGEONS -AMERICAN MEDICAL ASSOCIATION -AMERICAN OSTEOPATHIC BOARD OF FAMILY PHYSICIANS -ASSOCIATION OF PROGRAM DIRECTORS IN SURGERY -GEORGIA ALLIANCE OF COMMUNITY HOSPITALS -GEORGIA HEALTH CARE ASSOCIATION -HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY MEMBERSHIP -SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY -SOCIETY OF TEACHERS OF FAMILY MEDICINE -TRAUMA CENTER ASSOCIATION OF AMERICA A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.

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

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 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 ....	29,507,736	25,223,007	23,676,482	21,656,841	20,784,579
b	Contributions ...	5,929,585	6,849,840	4,433,267	3,457,050	3,238,108
c	Net investment earnings, gains, and losses	376,127	-211,627	507,097	-100,742	98,280
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	5,138,334	2,111,709	3,276,227	1,265,325	2,665,485
f	Administrative expenses ....	44,090	241,775	117,612	71,342	-201,359
g	End of year balance ......	30,631,024	29,507,736	25,223,007	23,676,482	21,656,841

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

24.930 %

Term endowment SchDMd Bullet

75.070 %

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 .....	8,087,554		8,087,554
b	Buildings ....	673,836,310	331,514,398	342,321,912
c	Leasehold improvements	13,172,104	11,644,948	1,527,156
d	Equipment ....	820,665,988	648,434,263	172,231,725
e	Other .....	394,584,124		394,584,124
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				918,752,471

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
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	46,146,618
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	1,953,594,000
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	71,683,676
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-581,099
e	Add lines 2a through 2d .....................			2e	71,102,577
3	Subtract line 2e from line 1..................			3	1,882,491,423
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	3,845,901
b	Other (Describe in Part XIII.) ...........	4b	135,620,474
c	Add lines 4a and 4b....................			4c	139,466,375
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	2,021,957,798

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,570,904,000
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	-2,452,854
e	Add lines 2a through 2d....................			2e	-2,452,854
3	Subtract line 2e from line 1...................			3	1,573,356,854
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	3,845,901
b	Other (Describe in Part XIII.) ............	4b	135,625,804
c	Add lines 4a and 4b.....................			4c	139,471,705
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,712,828,559

Part XIII

Supplemental Information

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

Return Reference	Explanation
PART X, LINE 2:	NORTHEAST GEORGIA MEDICAL CENTER, INC. (NGMC) IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2023 AND 2022, RESPECTIVELY, MANAGEMENT DOES NOT BELIEVE NGMC HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. IT IS NGMC'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS AS AN OPERATING EXPENSE WHERE APPLICABLE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 17,005. PARTNERSHIP INCOME NOT ON BOOKS -598,104.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	NON-OPERATING EXPENSES 942,510. ESTIMATED PROVISION FOR BAD DEBTS 134,652,205. OTHER ADJUSTMENTS 25,759.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	GRANTS FOR CAPITAL EXPENDITURES -2,469,859. RENTAL EXPENSES 17,005.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	NON-OPERATING EXPENSES 942,510. ESTIMATED PROVISION FOR BAD DEBTS 134,652,205. OTHER ADJUSTMENT 31,089.

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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			71,638,424		71,638,424	4.180 %
b	Medicaid (from Worksheet 3, column a) . . . . .			169,577,473	143,439,137	26,138,336	1.530 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			3,249,549	1,074,186	2,175,363	0.130 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			244,465,446	144,513,323	99,952,123	5.840 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	35	293,798	10,199,842	2,637,347	7,562,495	0.440 %
f	Health professions education (from Worksheet 5) . . .	14	13,731	62,192,937	46,911,691	15,281,246	0.890 %
g	Subsidized health services (from Worksheet 6) . . . .	0	0	300,738,858	228,046,290	72,692,568	4.240 %
h	Research (from Worksheet 7) .	1	510	2,053,077	950,268	1,102,809	0.060 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	58	727	935,726	32,090	903,636	0.050 %
j	Total. Other Benefits . .	108	308,766	376,120,440	278,577,686	97,542,754	5.680 %
k	Total. Add lines 7d and 7j .	108	308,766	620,585,886	423,091,009	197,494,877	11.520 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			15,000	1,500	13,500	0 %
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	1	14,086	181,376		181,376	0.010 %
7	Community health improvement advocacy
8	Workforce development	4	185	779,422		779,422	0.050 %
9	Other
10	Total	5	14,271	975,798	1,500	974,298	0.060 %

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. ......

134,652,205

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).....

282,205,951

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

286,224,416

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

-4,018,465

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

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

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	NORTHEAST GEORGIA MEDICAL CENTER INC 743 SPRING STREET GAINESVILLE,GA30501 WWW.NGHS.COM 069-074	X	X	X	X

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	NORTHEAST GEORGIA MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

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

Yes

6 a

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): WWW.NGHS.COM

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

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

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

Yes

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

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

10b

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

12a

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

12a

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

12b

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

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NORTHEAST GEORGIA MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

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

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

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

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

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

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

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

WWW.NGHS.COM/FINANCIAL-ASSISTANCE

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

WWW.NGHS.COM/FINANCIAL-ASSISTANCE

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

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	NORTHEAST GEORGIA MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

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

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

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

	NORTHEAST GEORGIA MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

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

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 5: THE FOLLOWING ORGANIZATIONS HAVE PARTNERED AND COLLABORATED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR COMMUNITIES THEY (CHNA PARTNERS) SERVE IN NORTHEASTERN GEORGIA: -DISTRICT 2 PUBLIC HEALTH -HABERSHAM MEDICAL CENTER -GOOD NEWS CLINICS -NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE -NORTHEAST GEORGIA MEDICAL CENTER BRASELTON -NORTHEAST GEORGIA MEDICAL CENTER BARROW -NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN -STEPHENS COUNTY HOSPITALTHROUGH THIS ASSESSMENT, THE CHNA PARTNERS WORKED TO BETTER UNDERSTAND LOCAL HEALTH CHALLENGES, IDENTIFY HEALTH TRENDS, DETERMINE GAPS IN THE CURRENT HEALTH DELIVERY SYSTEM, AND CRAFT A PLAN TO ADDRESS THOSE GAPS AND THE IDENTIFIED HEALTH NEEDS. THE COMMUNITIES SERVED BY EACH OF THE PARTNERS OVERLAPPED AND COMBINED TO INCLUDE ALL OR PART OF 14 COUNTIES IN NORTHEAST GEORGIA. THESE COMMUNITIES REFLECT THE FOLLOWING SERVICE AREAS: -HABERSHAM MEDICAL CENTER (HMC): HABERSHAM, BANKS, AND RABUN COUNTIES -NGMC PRIMARY SERVICE AREA (PSA): HALL COUNTY -NGMC GREATER BRASELTON SERVICE AREA (GBSA): BARROW AND JACKSON COUNTIES, PARTS OF GWINNETT AND HALL COUNTIES -NGMC SECONDARY SERVICE AREA 400 (SSA 400): DAWSON AND LUMPKIN COUNTIES -NGMC SECONDARY SERVICE AREA NORTH (SSA NORTH): BANKS, HABERSHAM, RABUN, STEPHENS, TOWNS, UNION, AND WHITE COUNTIES -STEPHENS COUNTY HOSPITAL (SCH): STEPHENS AND FRANKLIN COUNTIESPUBLIC GOODS GROUP (PGG) WAS ENGAGED BY THE PARTNERS TO COLLECT AND ANALYZE QUANTITATIVE DATA FOR THE CHNA AND OVER 190 PUBLIC HEALTH INDICATORS WERE EXAMINED IN THE COMMUNITIES REPRESENTED WITHIN THE ABOVE-NAMED NORTHEAST GEORGIA COMMUNITIES. A QUALITATIVE ASSESSMENT WAS THEN CONDUCTED TO SOLICIT THE INPUT OF MORE THAN 4,900 PEOPLE THROUGH SIX CHANNELS: FOCUS GROUPS, INTERVIEWS, IN-PERSON SURVEYS, A MULTI-LINGUAL ONLINE COMMUNITY SURVEY, AN ONLINE EMPLOYEE SURVEY, AND LISTENING SESSIONS. THE COMMUNITY SURVEY WAS OPEN TO THE PUBLIC AND THE EMPLOYEE SURVEY WAS OPEN TO ALL EMPLOYEES OF EACH PARTNER ORGANIZATION. PARTICIPANTS IN LISTENING SESSIONS, FOCUS GROUPS, AND ONE-ON-ONE INTERVIEWS WERE INDIVIDUALS OR ORGANIZATIONS SERVING AND/OR REPRESENTING THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS IN THE COMMUNITY. IN FEBRUARY AND MARCH 2022, THE THOMOSS GROUP INTERVIEWED KEY STAKEHOLDERS WITH PARTICULAR EXPERTISE OR KNOWLEDGE OF THE VARIOUS SERVICE AREAS TO GAIN EACH COMMUNITY'S PERSPECTIVE. THIRTY-FIVE REPRESENTATIVES OF LOCAL AND REGIONAL PUBLIC HEALTH ENTITIES, MINORITY POPULATIONS, FAITH-BASED COMMUNITIES, LOCAL BUSINESS OWNERS, PHILANTHROPIC COMMUNITIES, MENTAL HEALTH AGENCIES, ELECTED OFFICIALS, AND INDIVIDUALS REPRESENTING OUR MOST VULNERABLE PATIENTS WERE INTERVIEWED. ADDITIONALLY, THE STAFF OF GOOD NEWS CLINICS, DISTRICT 2 PUBLIC HEALTH, AND THE HOUSING AUTHORITY CONDUCTED IN-PERSON INTERVIEWS WITH APPROXIMATELY 190 COMMUNITY MEMBERS REPRESENTING THOSE SETTINGS. THESE CONVERSATIONS WERE DESIGNED TO CAPTURE RESPONDENTS' PERCEPTIONS OF HOW WELL THEIR HEALTH CARE NEEDS WERE BEING MET AND WHAT OBSTACLES INTERFERED WITH THEIR NEEDS. EIGHT FOCUS GROUPS WERE CONDUCTED FOR THE FOLLOWING COMMUNITIES AND GROUPS, AND THE NUMBER OF PARTICIPANTS FOR EACH ARE NOTED IN PARENTHESES. -NGMC PRIMARY SERVICE AREA (15) -NGMC GREATER BRASELTON SERVICE AREA (11) -NGMC SECONDARY SERVICE AREA 400 (5) -NGMC SECONDARY SERVICE AREA NORTH (7) -HALL COUNTY FAMILY CONNECTION NETWORK (15) -AFRICAN AMERICAN STAKEHOLDERS, HOSTED BY THE NEWTOWN FLORIST CLUB (13) -GWINNETT HUMAN SERVICES DIVISION (5) -HISPANIC AND LATINO STAKEHOLDERS, HOSTED BY THE HISPANIC ALLIANCE (26)IN MARCH 2022, AN ELECTRONIC COMMUNITY-BASED SURVEY TO SOLICIT COMMUNITY INPUT WAS RELEASED AND WIDELY ADVERTISED TO THE COMMUNITY VIA PRESS RELEASES, PARTNER WEBSITES, AND SOCIAL MEDIA. SURVEY QUESTIONS CAN BE FOUND IN APPENDIX ELEVEN. APPROXIMATELY 4,200 COMMUNITY MEMBERS COMPLETED THE SURVEY, WHICH WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE. AN EMPLOYEE SURVEY WAS ALSO RELEASED THROUGH EACH PARTNER ORGANIZATION. APPROXIMATELY 460 EMPLOYEES THROUGHOUT ALL CHNA PARTNER ORGANIZATIONS RESPONDED.THE OUTCOME OF THE QUANTITATIVE ANALYSIS WAS THEN COMPARED WITH THE QUALITATIVE FINDINGS TO CREATE A LIST OF HEALTH NEEDS IN THE COMMUNITY. EACH HEALTH NEED WAS ASSIGNED TO ONE OF FOUR QUADRANTS IN A HEALTH NEEDS MATRIX WHICH PRIORITIZES HEALTH NEEDS AS: -LOW DATA + LOW QUALITATIVE: NEITHER THE BENCHMARK ANALYSIS NOR THE COMMUNITY DEMONSTRATED A PARTICULAR INDICATOR WAS A SIGNIFICANT ISSUE. -LOW DATA + HIGH QUALITATIVE: THE BENCHMARK ANALYSIS DID NOT IDENTIFY THE INDICATOR AS A COMPARATIVELY SIGNIFICANT PROBLEM BUT THE COMMUNITY MEMBERS INTERVIEWED OR SURVEYED RELAYED IT WAS AS SIGNIFICANT ISSUE. -HIGH DATA + LOW QUALITATIVE: THE BENCHMARK ANALYSIS SHOWS A PARTICULAR INDICATOR WAS AN ISSUE BUT IT WAS NOT MENTIONED OFTEN, IF AT ALL, BY COMMUNITY MEMBERS INTERVIEWED OR SURVEYED. -HIGH DATA + HIGH QUALITATIVE: BOTH THE COMMUNITY AND THE BENCHMARK ANALYSIS IDENTIFIED A PARTICULAR INDICATOR AS A SIGNIFICANT ISSUE. THIS HELPED THE CHNA PARTNERS TO IDENTIFY THE TOP HEALTH NEEDS FOR EACH COMMUNITY. NEEDS CATEGORIZED AS HIGH DATA AND HIGH QUALITATIVE WERE FURTHER ANALYZED DURING THE PRIORITIZATION PROCESS.IN MAY 2022, THE CHNA PARTNERS AND ADVISORS CONSISTING OF BOARD MEMBERS AND COMMUNITY LEADERS HOSTED THREE PRIORITIZATION SESSIONS TO DETERMINE THE PRIORITIES EACH ENTITY WOULD ADDRESS OVER THE NEXT THREE YEARS. CRITERIA USED TO SELECT THE PRIORITIES INCLUDED: -ROOT CAUSE AND DISPROPORTIONATE IMPACT ON DISADVANTAGED COMMUNITY MEMBERS -MAGNITUDE AND EXTENT OF THE ISSUE WITHIN THE COMMUNITY -ABILITY OF CHNA PARTNERS TO MAKE AN IMPACT ON THE ISSUEAS A RESULT OF THIS PROCESS, THE FOLLOWING HEALTH PRIORITIES WERE IDENTIFIED FOR NGMC HOSPITALS: -ACCESS TO CARE -MENTAL AND BEHAVIORAL HEALTH -HEALTHY BEHAVIORSFOR EACH PRIORITY, NGMC WILL WORK TO ACHIEVE GREATER HEALTH EQUITY BY REDUCING THE IMPACT OF POVERTY AND OTHER SOCIOECONOMIC INDICATORS ON THAT PRIORITY BY IMPLEMENTING PROGRAMMING AND INVESTMENT IN AREAS THAT DIRECTLY ADDRESS ISSUES RELATED TO INCOME AND POVERTY AND INDIVIDUALS WHO FACE PARTICULAR CHALLENGES IN ACCESSING CARE DUE TO DISABILITY, RACE, ENGLISH PROFICIENCY, EDUCATIONAL ATTAINMENT, AND OTHER AREAS OF SOCIOECONOMIC STATUS.THE FULL CHNA REPORT IS PUBLICLY AVAILABLE AT NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. AN INTERACTIVE DATA PLATFORM CREATED THROUGH TABLEAU IS AVAILABLE TO ALL COMMUNITY MEMBERS AT NORTHEASTGEORGIACHNA.COM. THIS PLATFORM PROVIDES ACCESS TO BOTH ZIP CODE AND COUNTY-LEVEL PUBLIC HEALTH INDICATORS FOUND THROUGHOUT THE CHNA, INCLUDING DEMOGRAPHICS, SOCIOECONOMIC INDICATORS, DISEASE PREVALENCE, INSURANCE COVERAGE, AND PREVENTABLE HOSPITALIZATIONS. ADDITIONALLY, DOWNLOADABLE DATA SHEETS FOR EACH SERVICE AREA ARE AVAILABLE THAT PROVIDE A SUMMARY OF KEY HEALTH, ECONOMIC, AND DEMOGRAPHIC INDICATORS. DOWNLOADABLE DATA SHEETS RELEVANT TO THE SERVICE AREAS ARE AVAILABLE TO THE COMMUNITY AT NGHS.COM/COMMUNITY-BENEFIT-RESOURCES.BOTH THE CHNA AND THE SUBSEQUENT IMPLEMENTATION STRATEGIES WERE DESIGNED TO FULLY MEET INTERNAL REVENUE SERVICE REGULATIONS, AS FOUND IN THE INTERNAL REVENUE CODE SECTION 501(R).
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITIES WERE INCLUDED IN THE CHNA: -NORTHEAST GEORGIA MEDICAL CENTER GAINESVILLE -NORTHEAST GEORGIA MEDICAL CENTER BRASELTON -NORTHEAST GEORGIA MEDICAL CENTER BARROW -NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN -HABERSHAM MEDICAL CENTER -STEPHENS COUNTY HOSPITAL
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATION PARTNERED AND COLLABORATED IN OUR REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT: -DISTRICT 2 PUBLIC HEALTH -GOOD NEWS CLINICS
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 11: NORTHEAST GEORGIA MEDICAL CENTER DEFINED FOUR COMMUNITIES SERVED BY THEIR FOUR HOSPITAL FACILITIES: NGMC GREATER BRASELTON SERVICE AREA (GBSA), NGMC PRIMARY SERVICE AREA (PSA), NGMC SECONDARY SERVICE AREA 400 (SSA 400), AND NGMC SECONDARY SERVICE AREA NORTH (SSA NORTH). BASED ON RESULTS OF THE 2022 CHNA, THE FOLLOWING THREE PRIORITIES WERE ADOPTED BY THE ORGANIZATION AND REPRESENT THOSE ON WHICH WE CAN HAVE THE MOST IMPACT BASED ON PRIORITIZATION CRITERIA: -BEHAVIORAL AND MENTAL HEALTH (ALL NGMC SERVICE AREAS) -ACCESS TO CARE (ALL NGMC SERVICE AREAS) -HEALTHY BEHAVIORS (ALL NGMC SERVICE AREAS)FOR DETAILS ON HOW NGMC IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, GO TO: HTTPS://WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES, GO TO INITIATIVES AND ACTIVITIES, AND CLICK ON 2023-2025 IMPLEMENTATION PLAN.THE HEALTH NEEDS THE SYSTEM CHOSE NOT TO ADDRESS THROUGH THE PRIORITIZATION PROCESS INCLUDE THE FOLLOWING, BROKEN DOWN BY SERVICE AREA: -NGMC PSA: FOOD ACCESS AND NUTRITION, MATERNAL AND CHILD HEALTH, SOCIAL ISOLATION. -NGMC GBSA: MATERNAL AND CHILD HEALTH, PHYSICAL ACTIVITY, INJURY AND DEATH, VIOLENCE, CHILD ABUSE, INCOME, EDUCATION, ACCESS TO DENTAL CARE, CANCER, TRANSPORTATION. -NGMC SSA NORTH: MATERNAL AND CHILD HEALTH, CARDIOVASCULAR DISEASE, INCOME, PHYSICAL ACTIVITY, VIOLENCE, CHILD ABUSE, EDUCATION, ACCESS TO DENTAL CARE, EMPLOYMENT, CEREBROVASCULAR DISEASE, SOCIAL ISOLATION, CANCER, COPD AND RESPIRATORY DISEASE, INJURY, AND DEATH. -NGMC SSA 400: MATERNAL AND CHILD HEALTH, SMOKING, VIOLENCE/CHILD ABUSE, INCOME, ACCESS TO DENTAL CARE, SOCIAL ISOLATION, CANCER, TRANSPORTATION.EVEN SO, NGMC DOES ACTIVELY WORK ON THESE ISSUES. FOR INSTANCE, ACCESS TO CARE IS A PRIORITY ACROSS THE REGION AND WHILE TRANSPORTATION WAS NOT SINGLED OUT AS A PRIORITY, WE CONSIDER TRANSPORTATION TO BE A KEY COMPONENT TO ACCESSING CARE. WHILE TRANSPORTATION ON ITS OWN DID NOT MAKE THE HEALTH PRIORITY LIST, IT WOULD BE AN ISSUE CONSIDERED IN ACCESS TO CARE ISSUES. WHILE CANCER WAS NOT CHOSEN AS A COMMUNITY HEALTH IMPROVEMENT PRIORITY, NGMC ALREADY HAS AN INTERNAL EMPHASIS ON THIS HEALTH ISSUE AND WILL REPORT ITS ACTIVITY VIA THE ANNUAL COMMUNITY BENEFIT REPORT.
NORTHEAST GEORGIA MEDICAL CENTER, INC.	PART V, SECTION B, LINE 16J: PATIENTS MAY SUBMIT A FINANCIAL ASSISTANCE APPLICATION VIA OUR ONLINE PATIENT PORTAL OR APP VERSION OF MYCHART.

Schedule H (Form 990) 2022

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?28
Name and address		Type of Facility (describe)
1	1 - IMAGING CENTER - GAINESVILLE 1315 JESSE JEWELL PKWY GAINESVILLE,GA30501	IMAGING / RADIOLOGY CENTER
2	2 - NGMC NICD 1404 RIVER PLACE SUITE 100 BUFORD,GA30517	TESTING AND DIAGNOSTIC CENTER
3	3 - IMAGING CENTER - BRASELTON 1515 RIVER PLACE BRASELTON,GA30517	IMAGING / RADIOLOGY CENTER
4	4 - BRASELTON RADIATION THERAPYPHYSICS 1515 RIVER PLACE STE 120 BRASELTON,GA30517	RADIATION THERAPY
5	5 - TOCCOA CANCER CENTER 1640 FALLS ROAD TOCCOA,GA30577	CANCER SERVICES
6	6 - LAURELWOOD 200 WISTERIA DRIVE GAINESVILLE,GA30501	MENTAL HEALTH SERVICES
7	7 - IMAGING CENTER - DAWSONVILLE 108 PROMINENCE COURT DAWSONVILLE,GA30534	IMAGING / RADIOLOGY CENTER
8	8 - REHABILITATION INSTITUTE 597 SOUTH ENOTA DRIVE NE GAINESVILLE,GA30501	REHABILITATION SERVICES
9	9 - NEW HORIZONS LIMESTONE NORTH 2020 BEVERLY ROAD NE GAINESVILLE,GA30501	LONG TERM CARE
10	10 - NEW HORIZONS LANIER PARK WEST 675 WHITE SULPHUR ROAD GAINESVILLE,GA30501	LONG TERM CARE
11	11 - HEALTHLINK LAB AT RIVERPLACE 1515 RIVER PLACE STE 170 BRASELTON,GA30517	CLINICAL LABORATORY
12	12 - CUMMING OP DIAGNOSTIC CARDIOLOGY 900 SANDERS ROAD CUMMING,GA30041	DIAGNOSTIC CARDIOLOGY
13	13 - WOUND OSTOMY CONTINENCEHYPERBARIC THER 675 WHITE SULPHUR ROAD GAINESVILLE,GA30501	WOUND HEALING CENTER
14	14 - SLEEP LAB 1466 JESSE JEWELL PKWY GAINESVILLE,GA30501	SLEEP DISORDER CENTER
15	15 - BUFORD OUTPATIENT IMAGING 3425 BUFORD DRIVE SUITE 100 BUFORD,GA30519	IMAGING / RADIOLOGY CENTER
16	16 - REHAB - BRASELTON 1515 RIVER PLACE STE 290 BRASELTON,GA30517	REHABILITATION SERVICES
17	17 - REHAB - FRIENDSHIP (BUFORD) 4889 GOLDEN PKWY SUITE 150 BUFORD,GA30518	REHABILITATION SERVICES
18	18 - GYN ONCOLOGY INFUSION SERVICES 1498 JESSE JEWELL PARKWAY SUITE C HALL,GA30501	GYNECOLOGIC ONCOLOGY
19	19 - REHAB - CLEVELAND 640-A HELEN HWY CLEVELAND,GA30528	REHABILITATION SERVICES
20	20 - REHAB - DAWSONVILLE 5959 HIGHWAY 53E SUITE 200 DAWSONVILLE,GA30534	REHABILITATION SERVICES
21	21 - ESSENTIALLY FOR WOMEN - LACTATION CENTER 825 JESSE JEWELL PKWY GAINESVILLE,GA30501	LACTATION CENTER
22	22 - REHAB - DAHLONEGA 95 MORRISON MOORE PKWY SUITE 200 DAHLONEGA,GA30533	REHABILITATION SERVICES
23	23 - NGMC NEUROPHYSIOLOGY 1404 RIVER PLACE SUITE 403 BUFORD,GA30517	NEUROPHYSIOLOGY
24	24 - HEALTHLINK LAB AT DAWSONVILLE 108 PROMINENCE COURT DAWSONVILLE,GA30534	CLINICAL LABORATORY
25	25 - DIABETES EDUCATION 675 WHITE SULPHUR ROAD GAINESVILLE,GA30501	DIABETES SERVICES
26	26 - BARIATRIC SERVICES 675 WHITE SULPHUR ROAD GAINESVILLE,GA30501	BARIATRIC WEIGHT LOSS SERVICES
27	27 - NGMC VASCULAR 1404 RIVER PLACE SUITE 200 BUFORD,GA30517	VASCULAR SERVICES
28	28 - BARIATRICWEIGHT MGM & NUTRITIONAL COUNS 1515 RIVER PLACE SUITE 190 BRASELTON,GA30517	BARIATRIC WEIGHT LOSS SERVICES

Schedule H (Form 990) 2022

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Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
PART I, LINE 3C:	PATIENTS WHO ARE DETERMINED TO BE INDIGENT, DETERMINED BY CRITERIA-BASED METHODS, SUCH AS PROPENSITY TO PAY OR HEALTH SCORES, PARTICIPATION IN LOW INCOME GOVERNMENT ASSISTANCE PROGRAMS, ETC. MAY BE PRESUMPTIVELY ELIGIBLE FOR ASSISTANCE, PROVIDING THEY COOPERATE WITH SCREENING FOR OTHER FINANCIAL ASSISTANCE RESOURCES (E.G. MEDICAID OR DISABILITY), AS APPLICABLE.
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS PUBLISHED BY NORTHEAST GEORGIA HEALTH SYSTEM AND INCLUDES PROGRAMS FOR NORTHEAST GEORGIA MEDICAL CENTER AND ITS AFFILIATES, INCLUDING NGMC BARROW AND NGMC LUMPKIN. THE REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE (WWW.NGHS.COM) AND IS ALSO PUBLISHED ANNUALLY IN ITS MAGAZINE, COMMUNICARE.
PART I, LINE 7:	CHARITY CARE COST WAS CALCULATED APPLYING SEPARATE COST-TO-CHARGE RATIOS (CCR) TO THE SKILLED NURSING FACILITY (SNF) AND TO THE REMAINING PATIENT CHARGES FROM ALL OTHER HOSPITAL-BASED ACTIVITIES. THE CCR FOR THE SNF WAS COMPUTED USING THE TOTAL SNF OPERATING EXPENSES DIVIDED BY THE TOTAL SNF GROSS CHARGES. THE CCR FOR THE REMAINING PATIENT CHARGES WAS COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.THE CCR FOR THE UNREIMBURSED MEDICAID SERVICES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. OTHER MEANS TESTED GOVERNMENT PROGRAM COST WAS DERIVED FROM INTERNAL TRENDSTAR SYSTEM DATA WHICH COMPUTED COST AT THE PATIENT DETAIL LEVEL.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES WERE FOR INPATIENT MEDICINE, NICU AND LAURELWOOD (MENTAL HEALTH). NO COSTS WERE ATTRIBUTABLE TO PHYSICIANS.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN A, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $134,652,205. THE ESTIMATED PROVISION FOR BAD DEBTS IS REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE.
PART II, COMMUNITY BUILDING ACTIVITIES:	IT IS WELL DOCUMENTED THAT MANY FACTORS COMBINE TO AFFECT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WHETHER PEOPLE ARE HEALTHY OR NOT IS DETERMINED BY THEIR CIRCUMSTANCES AND THEIR ENVIRONMENT, ACCORDING TO THE WORLD HEALTH ORGANIZATION. TO A LARGE EXTENT, FACTORS SUCH AS WHERE WE LIVE, THE STATE OF OUR ENVIRONMENT, GENETICS, OUR INCOME AND EDUCATION LEVEL, AND OUR RELATIONSHIPS WITH FRIENDS AND FAMILY ALL HAVE CONSIDERABLE IMPACTS ON HEALTH. THE DETERMINANTS OF HEALTH INCLUDE THE SOCIAL AND ECONOMIC ENVIRONMENT, THE PHYSICAL ENVIRONMENT, AND A PERSON'S INDIVIDUAL CHARACTERISTICS AND BEHAVIORS. ADDITIONAL FACTORS THAT RELATE INCLUDE EDUCATION, CULTURE, INCOME AND SOCIAL STATUS, EMPLOYMENT AND WORKING CONDITIONS, SOCIAL SUPPORT NETWORKS, GENETICS, HEALTH SERVICES, AND GENDER. IF COMMUNITY MEMBERS HAVE ADEQUATE EDUCATION, EMPLOYMENT, INCOME, A SAFE ENVIRONMENT, AND SUPPORTIVE SOCIAL NETWORKS, THEY WILL HAVE THE CAPACITY TO MAKE HEALTHIER BEHAVIOR CHOICES AND BE MORE LIKELY TO HAVE ACCESS TO HEALTH SERVICES. THEREFORE, NGMC AS AN ORGANIZATION MUST CONSIDER THE SOCIAL DETERMINANTS OF HEALTH STATUS AS PART OF PREVENTATIVE CARE. A FEW OF THE COMMUNITY BUILDING ACTIVITIES INCLUDED IN PART II INCLUDE:GAINESVILLE PARKS & RECREATION: IN FY23, NGMC SUPPORTED GAINESVILLE PARKS & RECREATION PARK2PARK CONNECTIVITY INITIATIVE AT A COST OF $13,500. THROUGH THIS CAMPAIGN, GAINESVILLE PARKS & RECREATION CREATED SIDEWALKS, WALKING TRAILS AND BIKE LANES TO CONNECT LOWER-INCOME NEIGHBORHOODS AND COMMUNITY BUSINESSES TO PARKS AND GREENSPACES. COALITION BUILDING: SAFE KIDS NORTHEAST GEORGIA, LED BY NGMC, IS PART OF SAFE KIDS WORLDWIDE, THE FIRST AND ONLY NATIONAL ORGANIZATION DEDICATED SOLELY TO PREVENTING UNINTENTIONAL CHILDHOOD INJURY, THE NATION'S NUMBER ONE KILLER OF CHILDREN AGES 19 AND UNDER. THIS PROGRAM PROVIDES SAFETY EQUIPMENT SUCH AS CAR SEATS, BIKE HELMETS, AND LIFE JACKETS TO AREA CHILDREN IN NEED. WORKING WITH A COALITION OF LAW ENFORCEMENT, AREA SCHOOLS, COMMUNITY VOLUNTEERS, AND OTHERS, SAFE KIDS PROVIDES EDUCATIONAL MATERIALS AND PROGRAMS THAT TEACH CHILDREN AND THEIR PARENTS HOW TO AVOID ACCIDENTS AND INJURIES. NGMC PROVIDED EVENTS THAT REACHED AN ESTIMATED 12,497 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THROUGH THESE PROGRAMS, $112,409 WORTH OF HELMETS AND CAR SEATS WERE DISTRIBUTED TO FAMILIES NEEDING THEM. THE ESTIMATED COST OF THIS SUPPORT IS $177,339 IN FY23.WORKFORCE DEVELOPMENT: NGMC INCLUDED ACTIVITIES DESIGNED TO INTEREST HIGH SCHOOL STUDENTS IN HEALTH PROFESSIONS UNDER WORKFORCE DEVELOPMENT. THESE ACTIVITIES INCLUDE THE HALL COUNTY SCHOOLS HONORS MENTORSHIP PROGRAM, PROJECT SEARCH, AND SUPPORT FOR FOOTHILLS AHEC. IN FY23, OVER 185 STUDENTS BENEFITTED FROM THESE PROGRAMS.
PART III, LINE 2:	PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, NORTHEAST GEORGIA MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
PART III, LINE 4:	BAD DEBT EXPENSE REPORTED ON LINE 2 REPRESENTS GROSS CHARGES WRITTEN OFF DURING THE FISCAL YEAR NET OF ANY RECOVERIES. BAD DEBTS ARE DISCUSSED IN THE FOOTNOTES AS A COMPONENT OF NET PATIENT SERVICE REVENUE, BUT DO NOT HAVE THEIR OWN FOOTNOTE.
PART III, LINE 8:	THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE COST TO CHARGE RATIO REFLECTED IN THE ORGANIZATION'S MEDICARE COST REPORT.
PART III, LINE 9B:	EACH BILLING CYCLE FOR THE FIRST 120 DAYS STATEMENTS CONTAIN CONTACT INFORMATION. A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY IS PROVIDED AT DAY 90. FOR DAYS 121-180 TWO BAD DEBT COLLECTION LETTERS ARE SENT WITH CONTACT INFORMATION FOR FINANCIAL ASSISTANCE INFORMATION. DURING THE 180 DAYS PRIOR TO PLACEMENT WITH AN EXTERNAL COLLECTION AGENCY, REGULAR CALLS ARE MADE THAT INCLUDE NOTIFICATION OF FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS.DURING THE FIRST 60 DAYS OF PLACEMENT WITH EXTERNAL COLLECTION VENDORS NO REPORTING TO CREDIT BUREAUS MAY TAKE PLACE AND VENDOR PROVIDES ALL PATIENTS WITH AN OPPORTUNITY TO REQUEST FINANICAL ASSISTANCE CONSIDERATION INCLUDING RETURNING THE ACCOUNT TO US.
PART VI, LINE 2:	ON A CONTINUOUS BASIS, NGMC SEEKS A VARIETY OF DATA SOURCES AND RELIABLE INDICATORS TO HELP IDENTIFY AND WORK TO IMPROVE ON HEALTH INEQUITIES IN THE COMMUNITIES IT SERVES. A LISTING OF THE RESOURCES IS LISTED BELOW: -NGMC IS ACTIVELY INVOLVED WITH THE GREATER HALL CHAMBER OF COMMERCE WHICH THROUGH VISION 2030, FOCUSES ON THE CREATION OF A CULTURE OF COMMUNITY WELLNESS, THE SUPPORT AND MAINTENANCE OF LIFELONG LEARNING, THE BUILDING OF AN ECONOMY AROUND EMERGING LIFE SCIENCES, THE ENCOURAGEMENT OF INNOVATIVE GROWTH/INFRASTRUCTURE DEVELOPMENT, AND THE PROMOTION OF CULTURAL INTEGRATION. -NGMC HAS PARTNERED WITH OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY TO FORM THE HEALTHCARE INITIATIVE CONSORTIUM. THIS GROUP HAS WORKED WITH A LOCAL UNIVERSITY TO DEVELOP AN ONGOING DATABASE OF FIVE DATA ELEMENTS THAT WILL GIVE THE COMMUNITY UP-TO-DATE INFORMATION ON THE HEALTH ISSUES AFFECTING ITS RESIDENTS. THE FIVE DATA ELEMENTS COLLECTED ARE: BMI (HEIGHT/WEIGHT), A1C, BLOOD PRESSURE, CHOLESTEROL, LDL, AND MICROALBUMIN. THIS GIVES US INFORMATION RELATED TO THE FOLLOWING HEALTH ISSUES: OBESITY, DIABETES, CARDIOVASCULAR DISEASE, AND HYPERTENSION. THE GROUP HAS COLLECTED DATA ON BOTH ADULTS, AS WELL AS PEDIATRIC PATIENTS. -WE REGULARLY MONITOR THE COUNTY HEALTH RANKINGS PUBLISHED BY THE ROBERT WOOD JOHNSON FOUNDATION (HTTP://WWW.COUNTYHEALTHRANKINGS.ORG/ABOUT-PROJECT), AS WELL AS CDC WONDER AND OTHER PUBLICLY AVAILABLE INFORMATION. -NGMC ANNUALLY REPORTS ON THE PROGRESS OF CHNA OUTCOMES AND ACTIVITIES, WHICH INCLUDES QUANTITATIVE INFORMATION ON IDENTIFIED HEALTH NEEDS.
PART VI, LINE 3:	EDUCATION BEGINS WITH OUR PLAIN LANGUAGE SUMMARY PROVIDED AT REGISTRATION. SIGNS ARE PROMINENTLY POSTED AT CHECK IN, REGISTRATION & WAITING AREAS AND BUSINESS CARDS & FLIERS ARE ALSO AVAILABLE. REGISTRARS PROVIDE COPIES OF OUR APPLICATION UPON REQUEST. FINANCIAL ASSISTANCE REPRESENTATIVES PROVIDE BEDSIDE SCREENING IN THE EMERGENCY AND TO UNINSURED BEDDED PATIENTS DURING STAFFED HOURS OR VIA FOLLOW UP PHONE CALLS IF A BEDDED PATIENT IS DISCHARGED PRIOR TO SCREENING. OUR NGHS WEBSITE INCLUDES OUR PLAIN LANGUAGE SUMMARY, POLICY, AND APPLICATIONS IN ENGLISH & SPANISH. OUR PATIENT PORTAL, MYCHART, INCLUDES A SELF-SERVICE ONLINE APPLICATION & CONTACT INFORMATION FOR ASSISTANCE. OUR PATIENT BILLING CUSTOMER SERVICE TEAM IS TRAINED TO PROVIDE DETAILED SUPPORT TO PATIENTS WHO HAVE A HIGH BALANCE OR EXPRESS DIFFICULTY IN AFFORDING THEIR RESPONSIBILITY. ALL PATIENT SCREENED BY A FINANCIAL ASSISTANCE REPRESENTATIVE OR WHO SUBMIT AN FA APPLICATION MAY RECEIVE COUNSELING RE: GOVERNMENTAL PROGRAMS FOR WHICH THEY MAY QUALIFY INCLUDING BUT NOT LIMITED TO MEDICAID & DISABILITY
PART VI, LINE 4:	POPULATION: FROM 2010 TO 2022, THE HEALTH SYSTEM'S TOTAL SERVICE AREA ("TSA") POPULATION GREW AN ESTIMATED 1.4% PER YEAR ON AVERAGE COMPARED TO THE STATE OF GEORGIA AT 1.2% AND THE US AT 0.4%. POPULATION FOR THE TSA IN 2022 IS ESTIMATED TO BE 1,089,212, REPRESENTING A TOTAL GROWTH RATE OF 2.0% SINCE 2010, COMPARED TO THE STATE OF GEORGIA'S GROWTH (1.0%) AND THE US (0.6%) OVER THE SAME TIME PERIOD. THE TSA'S POPULATION GROWTH RATE IS PROJECTED TO OUTPACE GEORGIA AND THE US THROUGH AT LEAST 2023, THUS CONTINUING TO DRIVE ABOVE AVERAGE DEMAND FOR HEALTH CARE SERVICES.SOURCE: US CENSUS BUREAU; AMERICAN COMMUNITY SURVEY HOUSEHOLD INCOME AND HOME VALUES: MEDIAN HOUSEHOLD INCOME FOR THE TSA IS CURRENTLY 68,344 COMPARED TO THE STATE OF GEORGIA AT 71,355. THE MEDIAN HOME VALUE FOR THE TSA IS CURRENTLY 250,750 COMPARED TO THE STATE OF GEORGIA AT 245,900.SOURCE: US CENSUS BUREAUEMPLOYMENT: THE UNEMPLOYMENT RATE FOR THE NGHS TOTAL SERVICE AREA WAS 2.7% IN 2022 COMPARED WITH THE STATE OF GEORGIA AT 3.1% AND THE US AT 3.7%. FOR THE LAST 12 YEARS, THE TSA HAS CONSISTENTLY EXPERIENCED AN ANNUAL UNEMPLOYMENT RATES BELOW THOSE OF GEORGIA AND THE US.SOURCE: BUREAU OF LABOR STATISTICS
PART VI, LINE 5:	NORTHEAST GEORGIA MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF 15 MEMBERS AND REPRESENTS THE COMMUNITIES DIRECTLY SERVED BY THE ORGANIZATION. BOARD MEMBERS PROVIDE LEADERSHIP THAT SUPPORTS THE ORGANIZATION'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY.PRACTITIONERS AT NGMC ENTITIES UNDERGO EXTENSIVE ONBOARDING PRIOR TO BEING AFFILIATED WITH THE HEALTH SYSTEM, SECURING STANDARD OF CARE AND SAFETY TO OUR COMMUNITY. THE MEDICAL CENTER CONDUCTS PHYSICIAN MANPOWER STUDIES TO DETERMINE THE NUMBER OF PHYSICIANS NEEDED BY SPECIALTY TO MEET COMMUNITY NEED. INFORMATION FROM THESE STUDIES IS USED TO HELP GUIDE DECISIONS FOR PHYSICIAN RECRUITMENT.ALL REVENUES MORE THAN EXPENSES ARE REINVESTED INTO HEALTHCARE SERVICES FOR THE COMMUNITY AND NO PROFITS ACCRUE TO INDIVIDUAL INVESTORS. THE MEDICAL CENTER'S POLICY ON FINANCIAL ASSISTANCE (FORMERLY KNOWN AS THE CHARITY CARE POLICY) HELPS ENSURE ACCESS TO HOSPITAL SERVICES TO LOW-INCOME PATIENTS, I.E., PATIENTS WITH A FAMILY INCOME OF UP TO AND INCLUDING/EQUAL TO 150 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR A 100 PERCENT CHARITY ADJUSTMENT, WHICH MEANS THAT THEIR QUALIFYING SERVICES ARE FREE. ADDITIONALLY, PATIENTS WITH A FAMILY INCOME OF 151 TO 300 PERCENT QUALIFY FOR DISCOUNTED CARE ON A SLIDING SCALE, WITH THE MOST THAT A PATIENT WOULD PAY IS THE MEDICARE RATE.
PART VI, LINE 6:	NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM. OTHER AFFILIATES ALONG WITH NGMC GAINESVILLE AND BRASELTON INCLUDE NGMC BARROW, NGMC LUMPKIN, NORTHEAST GEORGIA PHYSICIANS GROUP, THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION, NORTHEAST GEORGIA HEALTH PARTNERS, RIVER PLACE MEDICAL OFFICE PLAZA I, AND THE GEORGIA HEART INSTITUTE, LLC.THE MISSION OF NORTHEAST GEORGIA MEDICAL CENTER AND ALL RELATED AFFILIATES IS TO "IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." AS A NOT-FOR-PROFIT HOSPITAL, NGMC TREATS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND IS ACCOUNTABLE TO THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE FOR THE PROVISION OF CHARITABLE SERVICES TO THE COMMUNITY. NORTHEAST GEORGIA MEDICAL CENTER PROVIDES ACUTE AND SPECIALTY INPATIENT AND OUTPATIENT SERVICES FOR A REGIONAL COMMUNITY OF OVER 18 COUNTIES AND RECEIVES NO LOCAL TAX SUPPORT FROM ANY OF THOSE COUNTIES FOR OPERATIONS OR INDIGENT CARE. THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION HELPS SUPPORT THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM THROUGH FUNDRAISING INITIATIVES THAT IMPROVE SERVICES OFFERED AT NGMC, AS WELL HEALTH-FOCUSED SERVICES IN THE COMMUNITY. NORTHEAST GEORGIA HEALTH PARTNERS WORKS TO BUILD COLLABORATIVE RELATIONSHIPS BETWEEN HOSPITALS, PHYSICIANS AND OTHER HEALTHCARE PROVIDERS, EMPLOYERS, AND THE EMPLOYEES THEY REPRESENT THROUGH INSURANCE PRODUCTS THAT HELP SUPPORT PATIENT ACCESS TO HEALTHCARE SERVICES THROUGHOUT THE REGION.RIVER PLACE MEDICAL OFFICE PLAZA 1 IS A MEDICAL OFFICE BUILDING THAT IS HOME TO AN URGENT CARE CENTER, IMAGING CENTER, OUTPATIENT REHABILITATION CENTER, FULL-SERVICE LAB AND MANY PRIVATE PHYSICIAN PRACTICES REPRESENTING MORE THAN 20 MEDICAL SPECIALTIES, IMPROVING ACCESS TO CARE IN THE SOUTHERN REGION SERVED BY NORTHEAST GEORGIA HEALTH SYSTEM. NORTHEAST GEORGIA PHYSICIANS GROUP IS A MULTI-SPECIALTY GROUP WITH MORE THAN 400 PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND OTHER CLINICAL STAFF PROVIDING HEALTHCARE SERVICES AT 65 LOCATIONS THROUGHOUT NORTHEAST GEORGIA, WHICH FURTHER IMPROVES THE COMMUNITY'S ACCESS TO CARE FOR THE REGION OF 19 COUNTIES.NORTHEAST GEORGIA HEALTH SYSTEM VOLUNTEERS AND AUXILIANS ARE PEOPLE OF ALL AGES WHO GIVE OF THEMSELVES TO MAKE A DIFFERENCE IN THE LIVES OF OTHERS. THE MEDICAL CENTER AUXILIARY IS COMMITTED TO INVOLVING DEDICATED VOLUNTEERS TO IMPROVE THE SERVICES OF THE HEALTH SYSTEM. VOLUNTEERS CONTRIBUTE TIME AND COMPASSIONATE SERVICE ASSISTING WITH NON-MEDICAL DUTIES AS THEY PROVIDE COMFORT AND SUPPORT TO PATIENTS, FAMILY MEMBERS AND VISITORS.THE AFFILIATION BETWEEN NORTHEAST GEORGIA MEDICAL CENTER'S HEART AND VASCULAR SERVICES AND GEORGIA HEART INSTITUTE ENSURES PATIENTS HAVE ACCESS TO THE LATEST CARDIOVASCULAR TECHNOLOGY AND RECEIVE TOP QUALITY CARE FROM TOP PHYSICIANS. THIS GROUP HAS SEVERAL OFFICES THROUGHOUT THE NORTHEASTERN PART OF GEORGIA AND PROVIDES ALL CARDIOVASCULAR SUBSPECIALTY CARE, INCLUDING GENERAL, INVASIVE, AND INTERVENTIONAL CARDIOLOGY, CONGESTIVE HEART FAILURE, ELECTROPHYSIOLOGY, PERIPHERAL VASCULAR INTERVENTIONS, AND WOMEN'S CARDIOVASCULAR HEALTH PROGRAMS.
PART VI, LINE 7, REPORTS FILED WITH STATES	GA

Schedule H (Form 990) 2022

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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

2022

Open to Public
Inspection

Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number
58-1694098

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) NGHS FOUNDATION 743 SPRING STREET GAINESVILLE,GA30501	58-1694820	501(C)(3)	2,469,859	0			OPERATING SUPPORT
(2) HALL COUNTY HEALTH DEPARTMENT DISTRICT 2 PUBLIC HEALTH GAINESVILLE,GA30507	58-6000363	115	70,000	0			DONATION EXPENSE

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) 2022

Page 2

Part III

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

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference	Explanation
PART I, LINE 2:	THE MAJORITY OF GRANTS ARE TO 501(C)(3) ORGANIZATIONS. APPROVAL IS OBTAINED PRIOR TO DISBURSEMENT.

Schedule I (Form 990) 2022

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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

2022

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2022

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)
1JEREMY WALKER PHYSICIAN - NGPG	(i) (ii)	357,264 ------------- 0	42,614 ------------- 0	1,063 ------------- 0	10,675 ------------- 0	30,969 ------------- 0	442,585 ------------- 0	0 ------------- 0
2PETE WILLIAMS PHYSICIAN - NGPG	(i) (ii)	327,771 ------------- 0	0 ------------- 0	28,064 ------------- 0	10,675 ------------- 0	30,970 ------------- 0	397,480 ------------- 0	0 ------------- 0
3CAROL BURRELL PRESIDENT & CEO	(i) (ii)	1,224,403 ------------- 0	422,941 ------------- 0	90,256 ------------- 0	446 ------------- 0	26,287 ------------- 0	1,764,333 ------------- 0	0 ------------- 0
4BRIAN D STEINES CHIEF FINANCIAL OFFICER	(i) (ii)	631,187 ------------- 0	262,576 ------------- 0	38,658 ------------- 0	92,778 ------------- 0	32,681 ------------- 0	1,057,880 ------------- 0	77,146 ------------- 0
5STEPHEN KELLY CHIEF COMPLIANCE OFFICER	(i) (ii)	232,787 ------------- 0	72,860 ------------- 0	21,843 ------------- 0	42,435 ------------- 0	18,848 ------------- 0	388,773 ------------- 0	29,491 ------------- 0
6MICHAEL COVERT CHIEF OPERATING OFFICER, MEMBER	(i) (ii)	814,501 ------------- 0	339,878 ------------- 0	44,024 ------------- 0	114,931 ------------- 0	7,200 ------------- 0	1,320,534 ------------- 0	104,256 ------------- 0
7DIANE POIROT CHIEF HR OFFICER - NGHS	(i) (ii)	127,154 ------------- 0	100 ------------- 0	26,548 ------------- 0	327 ------------- 0	7,515 ------------- 0	161,644 ------------- 0	0 ------------- 0
8JOHN DELZELL JR VP MEDICAL EDUCATION - NGMC	(i) (ii)	398,073 ------------- 0	119,541 ------------- 0	25,471 ------------- 0	63,000 ------------- 0	19,199 ------------- 0	625,284 ------------- 0	48,385 ------------- 0
9JOHN A WILLIAMSON PRESIDENT NGMC BRASELTON	(i) (ii)	400,977 ------------- 0	121,434 ------------- 0	41,990 ------------- 0	84,441 ------------- 0	29,840 ------------- 0	678,682 ------------- 0	49,152 ------------- 0
10MELISSA TYMCHUK CHIEF OF STAFF - NGHS	(i) (ii)	328,698 ------------- 0	91,179 ------------- 0	33,698 ------------- 0	58,913 ------------- 0	34,235 ------------- 0	546,723 ------------- 0	30,061 ------------- 0
11TRACY VARDEMAN CHIEF STRATEGY EXECUTIVE - NGHS	(i) (ii)	389,375 ------------- 0	159,666 ------------- 0	44,168 ------------- 0	104,560 ------------- 0	29,761 ------------- 0	727,530 ------------- 0	42,429 ------------- 0
12JACK CHENG PHYSICIAN	(i) (ii)	225,491 ------------- 0	145,159 ------------- 0	1,170 ------------- 0	8,768 ------------- 0	11,906 ------------- 0	392,494 ------------- 0	0 ------------- 0
13KONSTANTIN ZUBELEVITSKIY VP - POST ACUTE CARE	(i) (ii)	504,637 ------------- 0	10,147 ------------- 0	2,662 ------------- 0	10,675 ------------- 0	33,654 ------------- 0	561,775 ------------- 0	0 ------------- 0
14KRUPA DESAI MEDICAL DIRECTOR - CAPACITY COMMAND	(i) (ii)	386,609 ------------- 0	15,300 ------------- 0	1,180 ------------- 0	10,675 ------------- 0	30,970 ------------- 0	444,734 ------------- 0	0 ------------- 0
15MARTIN AUSTIN PHYSICIAN	(i) (ii)	426,570 ------------- 0	0 ------------- 0	28,064 ------------- 0	10,675 ------------- 0	20,216 ------------- 0	485,525 ------------- 0	0 ------------- 0
16TINA WALDEN VP - ADMINISTRATOR OF PHYSICIAN PRAC	(i) (ii)	265,168 ------------- 0	76,366 ------------- 0	14,484 ------------- 0	72,028 ------------- 0	23,125 ------------- 0	451,171 ------------- 0	30,572 ------------- 0
17LUISA GUTMAN FORMER CHIEF HR OFFICER - NGHS	(i) (ii)	0 ------------- 0	0 ------------- 0	101,974 ------------- 0	23,469 ------------- 0	1,791 ------------- 0	127,234 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

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

Return Reference

Explanation

PART I, LINES 4A-B

EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN BRIAN D. STEINES $ 82,103 JOHN DELZELL, JR. $ 52,325 JOHN A. WILLIAMSON $ 53,153 MELISSA TYMCHUK $ 37,015 MICHAEL COVERT $ 104,256 STEPHEN KELLY $ 31,892 TRACY VARDEMAN $ 51,583 TINA WALDEN $ 33,897 CAROL H. BURRELL, PRESIDENT AND CEO: BEGINNING IN DECEMBER 2017, NORTHEAST GEORGIA HEALTH SYSTEM (A RELATED ORGANIZATION) INVESTED IN A JOINTLY-OWNED SPLIT DOLLAR LIFE INSURANCE PLAN FOR MS. BURRELL. THE ASSET VALUE AS OF SEPTEMBER 30, 2023 WAS $5,756,819. EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION): BRIAN D. STEINES $ 77,146 JOHN DELZELL, JR. $ 48,385 JOHN A. WILLIAMSON $ 49,152 MELISSA TYMCHUK $ 30,061 MICHAEL COVERT $ 104,256 STEPHEN KELLY $ 29,491 TINA WALDEN $ 30,572 TRACY VARDEMAN $ 42,429

Schedule J (Form 990) 2022

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number
58-1694098

Part Ⅰ

Bond Issues

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

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	11,635,000				28,710,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	346,169,739		252,894,238		403,036,752
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,663,083		1,487,764		3,155,338
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			251,277,340
11 Other spent proceeds .............	343,506,656				399,881,414
12 Other unspent proceeds .............			129,134
13 Year of substantial completion .............	2017				2020
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X		X
16 Has the final allocation of proceeds been made? ..........	X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X	X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X			X	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X				X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X			X	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X				X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.230 %				0.230 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0.230 %				0.230 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

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

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

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

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
SCHEDULE K, PART I, COLUMN (F), BOND B:	CONSTRUCTION, INSTALLATION AND EQUIPPING OF ADDITIONS AND IMPROVEMENTS TO, AND EQUIPMENT FOR, THE HEATHCARE FACILITIES OF NGHS.
SCHEDULE K, PART I, COLUMN (F), BOND C:	1, AND 02/18/2010.
SCHEDULE K, PART I, COLUMN (F), BOND A:	ISSUE DATED 02/18/2010.
SCHEDULE K PART IV, LINE 2C, BOND A:	AN ARBITRAGE REBATE COMPUTATION WAS PERFORMED ON 03/27/2023.

Schedule K (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

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

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 KELLY	WIFE OF STEVE KELLY, CHIEF COMPLIANCE OFFICER OF NGMC	35,860	RACHEL KELLY, THE WIFE OF STEVE KELLY, IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER		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

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

Return Reference	Explanation
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:	NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) IS A GEORGIA NOT-FOR-PROFIT COMMUNITY HEALTH SYSTEM WITH THE MISSION TO "IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." THE HEALTH SYSTEM SERVES MORE THAN ONE MILLION PEOPLE IN 19 COUNTIES ACROSS NORTHEAST GEORGIA OFFERING A FULL RANGE OF HEALTHCARE SERVICES, INCLUDING ONCOLOGY, ORTHOPEDICS, CARDIAC SURGERY, CRITICAL CARE, SURGICAL TRAUMA, NEONATOLOGY, AND WOMEN'S CARE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, ALL REVENUE GENERATED ABOVE OPERATING EXPENSES IS RETURNED TO THE COMMUNITY THROUGH IMPROVED SERVICES AND INNOVATIVE PROGRAMS. IT IS LED BY VOLUNTEER BOARDS MADE UP OF COMMUNITY LEADERS. NGHS OPERATES THE FOLLOWING HOSPITAL CAMPUSES: NGMC BARROW, LLC: A 56-LICENSED-BED HOSPITAL IN WINDER, GEORGIA. IN JULY 2018, NGHS ACQUIRED NGMC LUMPKIN, LLC (FORMERLY CHESTATEE REGIONAL HOSPITAL) AND REOPENED THE CLOSED RURAL HOSPITAL TO PRESERVE EMERGENCY SERVICES, NPATIENT CARE, AND OTHER SUPPORT SERVICES FOR RESIDENTS IN DAHLONEGA AND SURROUNDING COMMUNITIES. IN JUNE 2022, NGMC LUMPKIN BROKE GROUND ON A NEW REPLACEMENT HOSPITAL IN DAHLONEGA WHICH WILL ENHANCE ACCESS TO HEALTHCARE SERVICES FOR AREA RESIDENTS. NORTHEAST GEORGIA MEDICAL CENTER (NGMC GAINESVILLE AND BRASELTON), OPERATES A 557-LICENSED BED INPATIENT FACILITY IN GAINESVILLE AND A 134-LICENSED BED INPATIENT FACILITY IN BRASELTON. ON JULY 1, 2023, NGHS ACQUIRED HABERSHAM MEDICAL CENTER, NOW CALLED NGMC HABERSHAM, LLC. THIS HOSPITAL OPERATES A 53-LICENSED BED INPATIENT FACILITY IN DEMOREST. OTHER AFFILIATES INCLUDE THE NGHS FOUNDATION (THE MEDICAL CENTER FOUNDATION, INC. D/B/A THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION), GEORGIA HEART INSTITUTE, LLC (GHI), AND NORTHEAST GEORGIA PHYSICIANS GROUP (NGPG). NGPG BRINGS TOGETHER MORE THAN 650 PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, MIDWIVES, AND OTHER CLINICAL STAFF AT MORE THAN 135 LOCATIONS ACROSS NORTH GEORGIA. NGPG IS THE STATE'S SIXTH-LARGEST PHYSICIAN GROUP OFFERING EXPERTISE IN MORE THAN 40 SPECIALTIES. GHI IS MADE UP OF MORE THAN 70 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS REPRESENTING MULTIPLE CARDIAC SPECIALTIES THROUGH 14 LOCATIONS ACROSS NORTHEAST GEORGIA. NGHS ALSO HAS NINE URGENT CARE FACILITIES, THREE LONG-TERM CARE CENTERS, ONE MENTAL HEALTH FACILITY, A SATELLITE CANCER TREATMENT FACILITY AND SEVEN REHAB LOCATIONS PROVIDING OUTPATIENT PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. ECONOMIC IMPACT NGMC CONTINUES TO HAVE A POSITIVE FINANCIAL IMPACT ON THE LOCAL COMMUNITY AND STATE, ACCORDING TO THE LATEST ANNUAL STUDY CONDUCTED BY THE GEORGIA HOSPITAL ASSOCIATION. FOR 2022 (LATEST STUDY AVAILABLE), NGHS (NGMC GAINESVILLE, NGMC BRASELTON, NGMC BARROW, NGMC LUMPKIN) CONTRIBUTED MORE THAN $7.4 BILLION IN ECONOMIC IMPACT ON LOCAL AND STATE ECONOMIES, SUSTAINING MORE THAN 22,000 FULL-TIME JOBS IN ADDITION TO THE 12,000 EMPLOYED DIRECTLY BY NGHS. THIS IS IN ADDITION TO THE MORE THAN $194 MILLION PROVIDED IN CHARITY CARE AND OVER $17 MILLION PROVIDED IN COMMUNITY OUTREACH. NGMC SERVES AS A STRONG FINANCIAL ENGINE FOR THE LOCAL ECONOMY. CHARITY CARE IN FY23, NGHS HOSPITALS PROVIDED CHARITY CARE IN THE COMMUNITY AT THE COST OF AN ESTIMATED $76.4 MILLION AND RECEIVED NO LOCAL TAX REVENUE FROM HALL COUNTY OR ANY OTHER COUNTIES TO SUPPORT OPERATIONS OR CARE PROVIDED TO INDIGENT RESIDENTS. THE CHARITY CARE POLICY PROVIDES FINANCIAL ASSISTANCE UP TO 300 PERCENT OF THE POVERTY LEVEL MANY HOSPITALS PROVIDE CHARITY ADJUSTMENTS ONLY TO THE LEVEL THAT MATCHES THE STATE DEFINITION OF MEDICALLY INDIGENT BUT NOT AT THE LEVEL THAT NGHS OFFERS. NGHS'S CHARITY CARE POLICY SUPPORTS PROVIDING CARE FOR INDIGENT PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT HEALTH SYSTEM, ALL REVENUE GENERATED ABOVE OPERATING EXPENSES WAS RETURNED TO THE COMMUNITY THROUGH IMPROVED SERVICES AND INNOVATIVE PROGRAMS. NGHS REINVESTED IN THE FUTURE WITH THE FOLLOWING PROJECTS: -BRASELTON CAMPUS SERVICES - ENDOVASCULAR SUITE - GEORGIA HEART INSTITUTE EXPANSION - NGPG EXPANSION -BRASELTON CANCER CENTER - SECOND LINEAR ACCELERATOR -GAINESVILLE CAMPUS SERVICES - HOSPICE UNIT RENOVATION - SECOND MRI -GAINESVILLE IMAGING CENTER - MRI REPLACEMENT -INPATIENT REHABILITATION FACILITY TOTAL ESTIMATED CHARITY CARE COST FOR EACH HOSPITAL ENTITY IN FY23: - NGMC GAINESVILLE/BRASELTON: $31.9 MILLION FOR HALL COUNTY RESIDENTS + $40.0 MILLION FOR REGIONAL RESIDENTS OUTSIDE OF HALL FOR A TOTAL OF $71.9 MILLION. - NGMC BARROW: $2.5 MILLION FOR BARROW COUNTY RESIDENTS + $670,000 FOR REGIONAL RESIDENTS OUTSIDE OF BARROW FOR A TOTAL OF $3.2 MILLION. - NGMC LUMPKIN: $510,000 FOR LUMPKIN COUNTY RESIDENTS + $385,000 FOR REGIONAL RESIDENTS OUTSIDE OF LUMPKIN FOR A TOTAL OF $895,000. - NGMC HABERSHAM: $225,000 FOR HABERSHAM COUNTY RESIDENTS + $185,000 FOR REGIONAL RESIDENTS OUTSIDE OF HABERSHAM FOR A TOTAL OF $410,000. TOTAL ESTIMATED CHARITY CARE COST FOR EACH HOSPITAL ENTITY IN FY23: $76.4 MILLION LOW-INCOME AND UNINSURED PATIENT PROGRAMS: NGMC HOSPITALS ARE KEY PARTICIPANTS AND FISCAL SPONSORS IN PROGRAMS AIMED AT TREATING LOW-INCOME AND UNINSURED PATIENTS, INCLUDING CLINICS SUCH AS GOOD SHEPHERD CLINIC IN DAWSONVILLE, COMMUNITY HELPING PLACE IN LUMPKIN, AND GOOD NEWS CLINICS IN GAINESVILLE, THE LARGEST FREE HEALTHCARE CLINIC IN GEORGIA, AND HEALTH ACCESS, A LOCAL SERVICE THAT MATCHES FINANCIALLY ELIGIBLE PATIENTS TO SPECIALTY PHYSICIANS AND PROVIDES ACCESS TO CARE, AMONG OTHER SERVICES. NGMC WAS THE PRIMARY HOSPITAL FOR LOW-INCOME PATIENTS IN GAINESVILLE-HALL COUNTY AND THROUGHOUT THE REGION IN COUNTIES SUCH AS BANKS, LUMPKIN, RABUN, UNION, AND WHITE, WHERE MANY KEY MEDICAL SPECIALTIES ARE UNAVAILABLE. NGMC TAX FUNDING: SINCE 2000, NGMC GAINESVILLE HAS PROVIDED SLIGHTLY MORE THAN THREE TIMES THE AMOUNT OF INDIGENT AND CHARITY CARE OUTLINED IN REQUIREMENTS BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH TO PASS A CERTIFICATE OF NEED FOR NEW SERVICES SUCCESSFULLY. UNLIKE MANY GEORGIA NOT-FOR-PROFIT HOSPITALS HELD TO THE SAME REQUIREMENTS, NGMC DOES NOT RECEIVE TAX FUNDING FROM ITS LOCAL COUNTY TO HELP FUND INDIGENT CARE FOR AREA RESIDENTS. IRS OBLIGATIONS AS A NOT-FOR-PROFIT HOSPITAL, NGMC CARRIES ADDITIONAL RESPONSIBILITIES AS ESTABLISHED BY THE IRS IN 1965. THESE OBLIGATIONS ARE: OPERATE A FULL-TIME EMERGENCY ROOM THAT IS AVAILABLE TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY: - NGMC GAINESVILLE AND BRASELTON HAD 153,819 ER VISITS, OPERATING THE BUSIEST EMERGENCY DEPARTMENT IN GEORGIA; NGMC BARROW AND LUMPKIN ALSO OPERATE 24-HOUR EMERGENCY ROOMS. - IN FY23, 15% OF ALL NGMC GAINESVILLE AND BRASELTON EMERGENCY ROOM VISITS WERE MADE BY SELF-PAY PATIENTS; 19% FOR BARROW, 15% FOR HABERSHAM, AND 15% FOR LUMPKIN. - PROVIDE EMERGENCY SERVICES TO ANYONE UNABLE TO PAY, AND MEDICALLY NECESSARY SERVICES TO ANYONE IN THE NGHS SERVICE AREA NOT ABLE TO PAY. - NGMC PROVIDES HIGH QUALITY, ADVANCED SPECIALTY, AND PRIMARY HEALTHCARE SERVICES TO THE NORTHEAST GEORGIA COMMUNITY, SERVING OVER 1 MILLION PEOPLE IN MORE THAN 19 COUNTIES. - IN FY23, NGMC'S PAYOR MIX AT GAINESVILLE AND BRASELTON WAS 59% MEDICARE/MEDICAID, 32% COMMERCIAL/OTHER INSURANCE AND 8% SELF-PAY. - IN FY23, NGMC'S PAYOR MIX AT BARROW WAS 53% FOR MEDICARE/ MEDICAID, 34% FOR COMMERCIAL/OTHER INSURANCE AND 13% FOR SELF-PAY. - IN FY23, NGMC'S PAYOR MIX AT LUMPKIN WAS 52% FOR MEDICARE/ MEDICAID, 35% FOR COMMERCIAL/OTHER INSURANCE AND 13% FOR SELF-PAY. - IN FY23, NGMC'S PAYOR MIX AT HABERSHAM WAS 82% FOR MEDICARE/ MEDICAID, 9% FOR OTHER INSURANCE AND 9% FOR SELF-PAY. PARTICIPATE IN MEDICAID AND MEDICARE: 59% OF PATIENTS SERVED BY NGMC GAINESVILLE AND BRASELTON IN FY23 WERE MEDICAID AND MEDICARE PATIENTS; 53% FOR BARROW, 82% FOR HABERSHAM, AND 52% FOR LUMPKIN. CREATE A GOVERNING BOARD THAT IS REPRESENTATIVE OF THE COMMUNITY IT SERVES: MORE THAN 90 COMMUNITY MEMBERS AND MORE THAN 25 MEDICAL STAFF MEMBERS ARE ACTIVELY INVOLVED IN GOVERNANCE THROUGH NGHS, NGMC AND OTHER SUBSIDIARY BOARDS AND COMMITTEES. INDIGENT CARE TRUST FUND (ICTF): IN 2023, NGMC GAINESVILLE BRASELTON RECEIVED $5.2 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID DSH (ICTF) PROGRAM TO PARTIALLY OFFSET A FINANCIAL LOSS OF $26.1 MILLION IN COST THE MEDICAL CENTER INCURRED TREATING UNINSURED AND MEDICAID PATIENTS. IN ADDITION, NGMC RECEIVED $18.7 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID UPL PROGRAM TO ADJUST MEDICAID PAYMENTS UPWARD TO MATCH MEDICARE PAYMENT LEVELS. ESTABLISHED IN 1990, THE ICTF EXPANDS MEDICAID ELIGIBILITY AND SERVICES. IT SUPPORTS RURAL HEALTHCARE FACILITIES THAT SERVE THE MEDICALLY INDIGENT AND FUNDS PRIMARY HEALTH CARE PROGRAMS FOR MEDICALLY INDIGENT GEORGIANS. GEORGIA'S DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM IS FUNDED THROUGH THE ICTF.
FORM 990, PART III, LINE 4A	IT ASSISTS HOSPITALS AND OTHER HEALTH PROVIDERS THAT CARE FOR HIGH PROPORTIONS OF MEDICAID, UNINSURED, AND/OR LOW-INCOME PATIENTS. COMMUNITY HEALTH NEEDS ASSESSMENT: WITH SIGNIFICANT INPUT FROM THE COMMUNITY, THE HOSPITAL ENTITIES OF NORTHEAST GEORGIA HEALTH SYSTEM COMPLETED A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS, PLUS ONLINE SURVEYS THAT GARNERED APPROXIMATELY 4,500 RESPONSES, WELL ABOVE EXPECTED RESPONSE RATES. THE STUDY IDENTIFIED THE THREE HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE ORGANIZATION'S STRATEGIC DIRECTION: MENTAL & BEHAVIORAL HEALTH, ACCESS TO CARE, AND HEALTHY BEHAVIORS. INFORMATION FROM THIS STUDY CONTINUES TO DRIVE COMMUNITY BENEFIT ACTIVITIES TODAY. GRANTS AND COMMITMENTS $5 MILLION MATERNAL CARDIAC HEALTH: NGHS WAS ONE OF NINE RECIPIENTS OF A $5 MILLION FEDERAL GRANT FROM HEALTH RESOURCES AND SERVICES ADMINISTRATION TO SUPPORT MATERNAL HEALTH INNOVATION. IN 2023, NGHS ASSEMBLED A STATEWIDE MATERNAL HEALTH TASK FORCE, DEVELOPED AN ELECTRONIC TOOL THAT SCREENS ALL POSTPARTUM MOTHERS FOR CARDIAC RISKS, COLLABORATED WITH COMMUNITY PARTNERS TO PROVIDE EDUCATION AND CREATED A MATERNAL HEALTH PATIENT REGISTRY IN EPIC. SENATOR RAPHAEL WARNOCK VISITED NGMC GAINESVILLE TO LEARN ABOUT THE WORK THAT NGHS IS DOING TO IMPROVE MATERNAL HEALTH OUTCOMES IN NORTHEAST GEORGIA. $2.1 MILLION IN CONGRESSIONAL FUNDING: GEORGIA SENATOR JON OSSOFF VISITED THE NGMC GAINESVILLE CAMPUS TO CELEBRATE THE $2.1 MILLION OF APPROPRIATED CONGRESSIONAL FUNDS NGMC RECEIVED TO HELP WITH CONSTRUCTION COSTS FOR A ROOFTOP HELIPAD ON THE NEW PATIENT TOWER, AS WELL AS AN ELEVATOR THAT CONNECTS THE HELIPAD TO THE EMERGENCY DEPARTMENT, CATHETERIZATION LAB AND OTHER AREAS IN THE TOWER. ACHIEVEMENTS VERIFIED LEVEL 1 TRAUMA CENTER: IN FEBRUARY 2023, NGMC GAINESVILLE WAS VERIFIED AS A LEVEL I TRAUMA CENTER, MAKING IT ONE OF FIVE STATE-DESIGNATED LEVEL I TRAUMA CENTERS IN GEORGIA AND ONLY THE FOURTH NATIONALLY VERIFIED LEVEL I TRAUMA CENTER IN THE STATE. CENTER FOR COMPLEX CORONARY DISEASE LAUNCHES: A NEW CENTER FOR COMPLEX CORONARY DISEASE OPENED IN FY23 AT GEORGIA HEART INSTITUTE LED BY INTERVENTIONAL CARDIOLOGISTS GLEN HENRY, MD, NIMA GHASEMZADEH, MD, AND FALGUN PATEL, MD. BIRTH TISSUE DONATION: NEW MOTHERS AT NGMC GAINESVILLE AND NGMC BRASELTON NOW HAVE THE OPPORTUNITY TO DONATE BIRTH TISSUE THE PLACENTA, UMBILICAL CORD, CORD BLOOD AND AMNIOTIC FLUID TO THE NATIONAL BIRTH TISSUE DONOR SERVICES CENTER, WHERE THEY USE IT TO MAKE TRANSPLANTABLE GRAFTS TO TREAT BURNS, SURGICAL WOUNDS AND OTHER HEALTH ISSUES. DONOR BREAST MILK: NGMC GAINESVILLE AND NGMC BRASELTON ARE TWO OF THE FIRST HOSPITALS IN GEORGIA TO OFFER DONOR BREAST MILK ON THE MOTHER/BABY UNITS AS AN ALTERNATIVE TO FORMULA WHEN AN INFANT NEEDS TO BE SUPPLEMENTED FOR MEDICAL REASONS, SUCH AS HYPOGLYCEMIA OR WEIGHT LOSS. ACCREDITATIONS PAIN AND ADDICTION CARE IN THE EMERGENCY DEPARTMENT: NGMC GAINESVILLE WAS AMONG THE FIRST HOSPITALS IN THE STATE TO BECOME ACCREDITED BY THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS IN PAIN AND ADDICTION CARE IN THE EMERGENCY DEPARTMENT (PACED). PACED ACCREDITATION RECOGNIZES EMERGENCY DEPARTMENTS WITH COMPREHENSIVE PROGRAMS TO PROVIDE OPTIMAL CARE FOR PATIENTS SUFFERING FROM PAIN AND/OR ADDICTION USING PROGRESSIVE TREATMENT, PROTOCOLS, TRAINING AND RESOURCES. SOON AFTER, NGMC BRASELTON ALSO EARNED PACED ACCREDITATION. CANCER CENTER ACCREDITATION: NGMC'S CANCER CENTERS IN BRASELTON, GAINESVILLE AND TOCCOA RECEIVED NATIONAL ACCREDITATION FROM THE AMERICAN SOCIETY FOR RADIATION ONCOLOGY, WHICH EVALUATED THE RADIATION ONCOLOGY SERVICE'S SAFETY AND QUALITY PROCESSES, AS WELL AS EFFECTIVE COMMUNICATION, COORDINATED TREATMENTS AND STRONG PATIENT ENGAGEMENT. CENTER FOR SIMULATION AND INNOVATION ACCREDITED: THE CENTER FOR SIMULATION AND INNOVATION WAS RECOGNIZED AS AN ACCREDITED SIMULATION CENTER IN THE AREA OF TEACHING/EDUCATION BY THE SOCIETY FOR SIMULATION IN HEALTHCARE, WHICH RECOGNIZES NGHS' COMMITMENT TO EXCELLENCE IN SIMULATION-BASED EDUCATION. NGMC HOSPITALS RECEIVE EMERGENCY CARDIAC CARE REACCREDITATION: FOUR NGMC HOSPITAL CAMPUSES WERE REACCREDITED AS EMERGENCY CARDIAC CARE CENTERS, AN ACCREDITATION WHICH HELPS EMS PROFESSIONALS IN THE FIELD KNOW WHAT LEVEL OF EMERGENCY CARDIAC CARE SERVICES ARE PROVIDED AT A HOSPITAL TO ENSURE THEY TRANSPORT PATIENTS TO THE APPROPRIATE LEVEL OF CARE. NGMC GAINESVILLE WAS REACCREDITED AS A LEVEL 1, NGMC BRASELTON AS A LEVEL 2, AND NGMC BARROW AND NGMC LUMPKIN AS LEVEL 3 CENTERS, WHILE NGMC HABERSHAM HAS NOW BEGUN THE ACCREDITATION PROCESS. IN-HOME PALLIATIVE CARE ACCREDITATION: NGMC'S IN-HOME PALLIATIVE CARE PROGRAM IS THE FIRST IN THE STATE TO BE ACCREDITED BY COMMUNITY HEALTH ACCREDITATION PARTNER, AN INDEPENDENT NON-PROFIT ACCREDITING ORGANIZATION FOR HOME AND COMMUNITY-BASED HEALTHCARE ORGANIZATIONS. ADOLESCENT BARIATRIC WEIGHT LOSS ACCREDITATION: NGMC'S BARIATRIC WEIGHT LOSS CENTER EARNED ADOLESCENT ACCREDITATION FROM THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM, MAKING THE PROGRAM ONE OF ONLY TWO PROGRAMS IN GEORGIA TO BE NATIONALLY ACCREDITED IN ADULT SURGERY, ADOLESCENT SURGERY AND OBESITY MEDICINE. ACCREDITATIONS FOR STROKE, HEART AND DIABETES CARE: THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION RECOGNIZED NGMC'S HOSPITALS IN BRASELTON, GAINESVILLE AND BARROW FOR PROVIDING EXCEPTIONAL STROKE, HEART AND DIABETES CARE. THEIR GET WITH THE GUIDELINES AND TARGET AWARDS HONOR PROGRAMS THAT ENSURE PATIENT CARE IS ALIGNED WITH THE LATEST RESEARCH- AND EVIDENCE-BASED GUIDELINES SO THAT PATIENTS GET CARE FASTER, HAVE FEWER COMPLICATIONS, ENJOY MORE HEALTHY DAYS AT HOME AND RETURN TO THE HOSPITAL LESS OFTEN. AWARDS AND RECOGNITION NGMC GAINESVILLE NAMED A TOP CHARITABLE HOSPITAL: NGMC GAINESVILLE WAS NAMED A TOP HOSPITAL FOR FAIR SHARE SPENDING BY THE LOWN INSTITUTE. THIS MEANS WE HAD A "FAIR SHARE" SURPLUS IN 2020, SPENDING MORE ON FINANCIAL ASSISTANCE AND COMMUNITY INVESTMENT THAN THE ESTIMATED VALUE OF OUR TAX EXEMPTION. "A" SAFETY GRADE FROM THE LEAPFROG GROUP: IN FY23, NGMC BRASELTON AND NGMC BARROW RECEIVED A "A" SAFETY GRADE FROM THE LEAPFROG GROUP, A NATIONAL NONPROFIT UPHOLDING THE STANDARD OF PATIENT SAFETY IN HOSPITALS AND AMBULATORY SURGERY CENTERS. NGMC BARROW NAMED SMALL HOSPITAL OF THE YEAR: NGMC BARROW WAS NAMED THE 2023 "SMALL HOSPITAL OF THE YEAR" BY THE GEORGIA ALLIANCE OF COMMUNITY HOSPITALS, WHICH IS PRESENTED TO FACILITIES THAT HAVE MADE EXTRAORDINARY STRIDES AND EXHIBITED EXCEPTIONAL ACHIEVEMENT WITHIN THEIR HEALTH SYSTEM AND COMMUNITY. SPECIFICALLY, NGMC BARROW PROVIDED $3.8 MILLION WORTH OF CHARITY CARE, IMPROVED ACCESS TO CARE THROUGH ON-DEMAND VIRTUAL VISITS, AND EXPANDED EMS AMBULANCE SERVICES, AS WELL AS CONTRIBUTED OVER $102 MILLION TO THE LOCAL ECONOMY AND PROVIDED OVER 749 JOBS TO THE BARROW COMMUNITY. GOVERNOR NATHAN DEAL AWARD FOR TRAUMA EXCELLENCE: JESSE GIBSON, RN, TRAUMA PROGRAM DIRECTOR AT NGMC, RECEIVED THE GOVERNOR NATHAN DEAL AWARD FOR TRAUMA EXCELLENCE AT THE REGION 2 TRAUMA ADVISORY COMMITTEE'S NORTHEAST GEORGIA TRAUMA SYMPOSIUM FOR HER LASTING CLINICAL AND/OR SYSTEM IMPACT ON TRAUMA CARE IN NORTHEAST GEORGIA THROUGH EDUCATION, LEGISLATION, LEADERSHIP OR PHILANTHROPY. LANTERN AWARD: IN FY23, NGMC GAINESVILLE AND NGMC BARROW WERE TWO OF THE FIRST HOSPITALS IN THE STATE TO BE AWARDED THE 2023 LANTERN AWARD BY THE EMERGENCY NURSES ASSOCIATION, WHICH RECOGNIZES EMERGENCY DEPARTMENTS THAT DEMONSTRATE EXCEPTIONAL AND INNOVATIVE PERFORMANCE IN LEADERSHIP, PRACTICE, EDUCATION, ADVOCACY AND RESEARCH. NGMC GAINESVILLE SELECTED FOR NATIONAL TRAUMA TRIAL: RESEARCHERS AT NGMC GAINESVILLE ARE PARTICIPATING IN AN INTERNATIONAL CLINICAL TRIAL TO STUDY HOW A DRUG COULD INCREASE TRAUMA PATIENTS' CHANCES OF SURVIVAL. NGMC GAINESVILLE WAS CHOSEN AS ONE OF EIGHT LEVEL I TRAUMA CENTERS ACROSS THE UNITED STATES AND CANADA TO PARTICIPATE IN WHAT WILL BE THE SECOND-LARGEST TRAUMA TRIAL EVER CONDUCTED. NEW HORIZONS RECEIVES FOUR-STARS: TWO OF OUR SKILLED NURSING FACILITIES, NEW HORIZONS LANIER PARK AND NEW HORIZONS LIMESTONE, RECEIVED THE CENTERS FOR MEDICARE AND MEDICAID SERVICES FOUR-STAR RATINGS. GEORGIA CENTER FOR ONCOLOGY RESEARCH: ANGIE CATON, RN, ASSISTANT NURSE MANAGER AT NGMC, WAS HONORED AS "TODAY'S INNOVATOR" FOR HER REMARKABLE CONTRIBUTIONS TO CANCER CARE AT THE GEORGIA CENTER FOR ONCOLOGY RESEARCH ANNUAL GALA IN 2023.
FORM 990, PART III, LINE 4A	PHYSICIAN ASSISTANT OF THE YEAR: GEORGIA HEART INSTITUTE'S HALEY QUEEN, PA-C, WAS NAMED THE 2023 "PA OF THE YEAR" BY THE GEORGIA ASSOCIATION OF PHYSICIAN ASSISTANTS (GAPA). THIS AWARD HONORS A PHYSICIAN ASSISTANT WHO HAS DEMONSTRATED EXEMPLARY SERVICE TO THE PA PROFESSION IN THEIR COMMUNITY AND THE STATE. GEORGIA TREND'S 100 MOST INFLUENTIAL GEORGIANS: NGHS PRESIDENT AND CEO CAROL BURRELL WAS SELECTED FOR GEORGIA TREND MAGAZINE'S ANNUAL LIST OF THE 100 MOST INFLUENTIAL GEORGIANS FOR A NINTH YEAR IN A ROW. GEORGIA TREND'S 40 UNDER 40: GEORGIA TREND MAGAZINE HONORED BLAKE FULENWIDER, NGHS' EXECUTIVE DIRECTOR OF GOVERNMENT AFFAIRS, ON ITS ANNUAL 40 UNDER 40 LIST. 2023 HEALTHY HALL AWARDS: IN FY23, MONICA NEWTON, D.O. WITH NGPG FAMILY MEDICINE, ASHLEY SIMPSON, NP FOR THE GEORGIA HEART INSTITUTE, TRACY VARDEMAN, FORMER CHIEF STRATEGY EXECUTIVE, AND PHILIP WILHEIT, SR., NGHS BOARD CHAIR EMERITUS, WERE RECOGNIZED FOR THEIR EFFORTS IN THE HALL COUNTY COMMUNITY AT THE HEALTHY HALL AWARDS. HELP FOR HEALTHCARE PROFESSIONALS: AT THE HELP FOR HEALTHCARE PROFESSIONALS' ANNUAL CELEBRATION OF HEALTHCARE WORKERS AND FIRST RESPONDERS, ERINE RAYBON-ROJAS, MD, WITH NGPG CRITICAL CARE MEDICINE, RECEIVED THE PHYSICIAN OF THE YEAR AWARD, AND JUAN TURNER, WITH NGHS NUTRITIONAL SERVICES, RECEIVED THE NUTRITIONAL WELLNESS CHAMPION OF THE YEAR AWARD. OUTSTANDING WOMAN IN HEALTHCARE: DEB BAILEY, RETIRED EXECUTIVE DIRECTOR OF GOVERNMENTAL AFFAIRS AT NGHS, WAS HONORED BY THE GEORGIA ASSOCIATION OF COMMUNITY HOSPITALS AS THE INAUGURAL RECIPIENT OF THE "OUTSTANDING WOMEN IN HEALTHCARE" AWARD. COMMUNITY SERVICE AWARD: IN FY23, GEORGIA HEART INSTITUTE RECEIVED THE GREATER HALL CHAMBER OF COMMERCE'S 2023 COMMUNITY SERVICE AWARD, WHICH RECOGNIZES A PERSON OR BUSINESS PROVIDING OUTSTANDING SERVICES THAT ARE TRANSFORMING THE COMMUNITY. DIGITAL HEALTH MOST WIRED SURVEY: FOR THE 10TH YEAR IN A ROW, THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES INCLUDED NGHS ON ITS ANNUAL LIST OF HEALTHCARE'S MOST WIRED FOR 2023. NGHS RECEIVED LEVEL 9 CERTIFICATION, ONE OF JUST FOUR ORGANIZATIONS IN GEORGIA TO RECEIVE THIS DESIGNATION. NGMC AUXILIARY VOLUNTEER SUPPORT: IN FY23, MORE THAN 591 AUXILIARY VOLUNTEERS PROVIDED OVER 47K HOURS OF SERVICE THROUGHOUT THE HEALTH SYSTEM, WHICH EQUATES TO 28FTES AND A VALUE OF $1.5 MILLION TO ENHANCE THE QUALITY OF SERVICES PROVIDED BY NGHS. THIS LEVEL OF COMMUNITY SERVICE IS AN INDICATOR OF THE STRONG COMMUNITY RELATIONSHIPS THAT ARE MAINTAINED THROUGHOUT THE REGION. DIGITAL HEALTH & INNOVATIONS IN 2023, NGMC SAW A 60% INCREASE IN APPOINTMENTS SCHEDULED ONLINE, WITH 16% OF THOSE BEING NEW PATIENTS TO NGHS. NGPG INTRODUCES ON-DEMAND URGENT CARE VISITS IN FY23, NGPG LAUNCHED ON-DEMAND URGENT CARE VIDEO VISITS, ALLOWING PATIENTS TO SEE A TRUSTED NGPG URGENT CARE PROVIDER FROM THE COMFORT OF THEIR HOMES. PATIENTS CAN BE SEEN FOR IMMEDIATE CARE NEEDS SUCH AS COLDS, FLU SYMPTOMS, SINUS ISSUES, SORE THROATS AND RASHES. SINCE THE FEBRUARY 2023 LAUNCH, NGMC HAS COMPLETED OVER 2,300 VISITS. NGPG LAUNCHES POST-DISCHARGE VIRTUAL VISITS TO HELP PREVENT HOSPITAL READMISSIONS AND FACILITATE TRANSITION OF CARE, NGPG LAUNCHED AN AMBULATORY VIRTUAL CLINIC FOR HIGH-RISK PATIENTS AFTER THEY'VE BEEN DISCHARGED FROM THE HOSPITAL. THROUGH THE CLINIC, PATIENTS SEE A DOCTOR VIRTUALLY TO ENSURE THEY UNDERSTAND THEIR DISCHARGE PLANS, ARE APPROPRIATELY TAKING THEIR MEDICATIONS AND HAVE FOLLOW-UP APPOINTMENTS SCHEDULED. NGMC GAINESVILLE AND BRASELTON HIGHLIGHTS OF NGMC GAINESVILLE AND BRASELTON COMMUNITY BENEFIT ACTIVITIES: NGMC GAINESVILLE AND BRASELTON VALUE COOPERATIVE EFFORTS WITH COMMUNITY ORGANIZATIONS AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA RESIDENTS. THIS IS DEMONSTRATED THROUGH MANY PARTNERSHIPS RANGING FROM SERVING AS THE LEAD AGENCY OF SAFE KIDS NORTHEAST GEORGIA, TO PARTNERING WITH ORGANIZATIONS SUCH AS GOOD NEWS CLINICS AND PUBLIC HEALTH TO REACH AT-RISK POPULATIONS IN NEED OF HEALTH CARE. HEALTH EDUCATION WAS PROVIDED THROUGH FREE COMMUNITY LECTURES, HEALTH SCREENINGS, AND VARIOUS SUPPORT GROUPS. NGMC ALSO OFFERED EDUCATION SEMINARS FOR HEALTH PROFESSIONALS IN THE COMMUNITY, REGION, AND STATE AND WORKED TO TRAIN STUDENTS PURSUING HEALTH CAREERS. IN ADDITION, NGMC HELPED SUPPORT THE WORK OF LOCAL NON-PROFIT ORGANIZATIONS THAT SERVE THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY. CHARITY CARE LIKE NGMC BARROW, HABERSHAM AND LUMPKIN, GAINESVILLE AND BRASELTON'S CHARITY CARE POLICY REMOVED BARRIERS FOR LOW-INCOME POPULATIONS WITHIN OUR SERVICE AREA, BEGINNING WITH FREE MEDICALLY NECESSARY CARE FOR PATIENTS WHOSE GROSS FAMILY INCOME WAS ZERO TO 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ADJUSTED FOR FAMILY SIZE. PATIENTS FROM OUR SERVICE AREA WHOSE FPL IS FROM 151 TO 300 PERCENT QUALIFIED FOR AN ADJUSTMENT EQUIVALENT TO THE HOSPITAL'S MEDICARE REIMBURSEMENT RATE PLUS AN ADDITIONAL 40 PERCENT DISCOUNT TO THE MEDICARE REIMBURSEMENT RATE. IN FY23, THE ESTIMATED COST OF INDIGENT AND CHARITY CARE THROUGH NGMC GAINESVILLE AND BRASELTON WAS $71,900,000 FOR AN 40,360 PATIENT ENCOUNTERS. IN ADDITION, NGMC INCURRED BAD DEBT EXPENSE DURING FY23 OF OVER $134.7 MILLION AS MEASURED BY CHARGES. THIS REPRESENTS APPROXIMATELY 7.8% OF NET PATIENT REVENUE AS REFLECTED IN THE AUDITED FINANCIAL STATEMENTS. A SIGNIFICANT PERCENTAGE OF THIS AMOUNT IS ESTIMATED TO BE THE RESULT OF PATIENTS THAT ARE EMPLOYED BUT UNABLE TO PAY MEDICAL EXPENSES AND ARE THEREFORE CONSIDERED "MEDICALLY INDIGENT." FINANCIAL NAVIGATION NGMC GAINESVILLE AND NGMC BRASELTON EMPLOYS FINANCIAL ASSISTANCE COUNSELORS WHO HELP PATIENTS BECOME INSURED, BE IT THROUGH MEDICAID, PEACHCARE, OR OTHER PROGRAMS. NGMC'S FINANCIAL NAVIGATORS FOCUS ON BEING ADVOCATES FOR UNINSURED AND UNDERINSURED PATIENTS AIDING THEM IN FINDING VIABLE MEANS TO ACCESS CARE. THE TEAM'S FOCUS IS FINDING THE BEST SOLUTIONS FOR HELPING PATIENTS APPLY FOR MEDICAID, DISABILITY, ACCESSING THE NEW HEALTHCARE EXCHANGES, OR PROCESSING CHARITY, WHEN APPROPRIATE. INDIGENT PATIENT FUND AT NGMC, FINANCIAL ASSISTANCE IS PROVIDED FOR INDIGENT PATIENTS TO OBTAIN URGENTLY NEEDED DISCHARGE MEDICATIONS AND TRANSPORTATION. INDIVIDUALS ELIGIBLE FOR THESE FUNDS ARE PATIENTS WHOSE NEEDS CANNOT BE MET THROUGH PRIMARY INSURANCE, THEIR FUNDS, GOVERNMENT PROGRAMS, OR OTHER CHARITABLE SERVICES. THIS HELPED TO ENSURE MEDICATION COMPLIANCE AND MAXIMIZE CONDITIONS FOR RECOVERY AND RECUPERATION. THE NGHS FOUNDATION PROVIDED FUNDING FOR THIS PROGRAM AT AN ESTIMATED COST OF $37,974 ACROSS ALL CAMPUSES IN FY23. PATIENT NAVIGATION NGMC EMPLOYS PATIENT NAVIGATORS WHO PROVIDE GUIDANCE TO CANCER PATIENTS AND THEY ARE SEEN AS A "LIVING RESOURCE DIRECTORY" FOR PATIENTS. SERVICES INCLUDE: CONNECTING PATIENTS WITH COMMUNITY RESOURCES, PROVIDING EMOTIONAL SUPPORT, HELPING PATIENTS UNDERSTAND THEIR DIAGNOSIS, COMMUNICATING WITH HEALTHCARE STAFF AND PROVIDERS, ADDRESSING LOGISTICAL ISSUES SUCH AS TRANSPORTATION AND HELPING PATIENTS UNDERSTAND MEDICAL TERMS AND TREATMENT OPTIONS. THESE EFFORTS CAME AT A TOTAL ESTIMATED COST OF $555,873 FOR 8,998 PEOPLE FOR NGMC IN FY23. GOOD NEWS CLINICS SUPPORT NGMC PROVIDES ANNUAL SUPPORT TO GOOD NEWS CLINICS (GNC), A CHRISTIAN MINISTRY THAT PROVIDES MEDICAL AND DENTAL CARE TO THE INDIGENT AND UNINSURED POPULATION AT NO CHARGE, BY PROVIDING OPERATIONAL SUPPORT, ACCESS TO THE SAME ELECTRONIC MEDICAL RECORD SYSTEM USED BY THE HEALTH SYSTEM, STAFF TIME OF NGMC PHYSICIANS, AND FUNDING TOWARDS GNC'S CAPITAL BUILDING CAMPAIGN. FOR MORE INFORMATION, GO TO HTTPS://WWW.NGHS.COM/WP-CONTENT/UPLOADS/2024/06/PARTNERS.PDF. WHAT DRIVES COMMUNITY HEALTH IMPROVEMENT ACTIVITIES WITH SIGNIFICANT INPUT FROM THE COMMUNITY, THE HOSPITAL ENTITIES OF NORTHEAST GEORGIA HEALTH SYSTEM COMPLETED A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH DISTRICT 2 PUBLIC HEALTH, STEPHENS COUNTY HOSPITAL, HABERSHAM MEDICAL CENTER AND GOOD NEWS CLINICS IN 2022. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS, PLUS ONLINE SURVEYS THAT GARNERED APPROXIMATELY 4,500 RESPONSES, WELL ABOVE EXPECTED RESPONSE RATES. THE STUDY IDENTIFIED THE THREE HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE ORGANIZATION'S STRATEGIC DIRECTION: MENTAL & BEHAVIORAL HEALTH, ACCESS TO CARE, AND HEALTHY BEHAVIORS. FOR DETAILS ON HOW NGMC AND ITS PARTNERS ARE ACTIVELY ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS CHNA, GO TO WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. IN FY23, DIRECTOR OF COMMUNITY HEALTH IMPROVEMENT CHRISTY MOORE MET WITH KEL LEE CUTRELL, INTERIM DIRECTOR OF STUDENT COUNSELING AT THE UNIVERSITY OF NORTH GEORGIA REGARDING THE COMMUNITY HEALTH NEEDS ASSESSMENT METHODOLOGY AND SHARED LESSONS LEARNED SO UNG COULD USE IT IN THEIR OWN ASSESSMENT WORK.
FORM 990, PART III, LINE 4A	IN FY23, EAGLE RANCH, A NON-PROFIT IN HALL COUNTY FOCUSED ON IMPROVING FAMILY RELATIONSHIPS THROUGH COUNSELING, REPORTED USING NGMC'S REGIONAL CHNA DATA TO INFORM THEIR EXPANSION OF EAGLE RANCH'S PROGRAMS TO INCLUDE THE WINGS CENTER, WHICH PROVIDES OUTPATIENT COUNSELING TO ADDRESS FAMILY NEEDS AT ALL AGES AND STAGES OF LIFE. WORKFORCE DEVELOPMENT & HEALTH PROFESSIONS EDUCATION NGMC CONTINUES TO SERVE AS A PIPELINE TO ATTRACT AND PREPARE QUALIFIED INDIVIDUALS AND STUDENTS INTERESTED IN HEALTHCARE POSITIONS. FROM JOB SHADOWING TO THE NURSING STUDENT EDUCATION PROGRAM, THE ACCELERATED BSN PROGRAM AND SIGNIFICANT SUPPORT TO FOOTHILLS AREA HEALTH EDUCATION CENTERS (AHEC), NGMC WORKS TO TRAIN, EDUCATE AND RECRUIT STUDENTS FOR CAREERS IN HEALTHCARE. NGMC SPENT OVER $15 MILLION IN THESE AREAS: ACCELERATED BSN PARTNERSHIP WITH THE UNIVERSITY OF NORTH GEORGIA: NGHS AND UNG PARTNERED TO CREATE AN ACCELERATED BACHELOR OF SCIENCE IN NURSING PROGRAM TO ADD 280 NURSES TO THE WORKFORCE OVER THE NEXT FIVE YEARS. THE 15-MONTH PROGRAM IS FOR STUDENTS WHO ALREADY HAVE A BACHELOR'S OR MASTER'S DEGREE IN ANOTHER FIELD AND WANT TO TRANSITION INTO A CAREER IN NURSING. IN FY23, NGMC PROVIDED $1,762,760 TOWARDS THIS PROGRAM. ALLIED HEALTH STUDENT EDUCATION: THE ALLIED HEALTH STUDENT EDUCATION PROGRAM HELPS STUDENTS LEARN VALUABLE SKILLS IN A CLINICAL ENVIRONMENT AND PROMOTES CAREERS IN HEALTHCARE, IMPROVING THE COMMUNITY'S ACCESS TO CARE. EDUCATIONAL AFFILIATION AGREEMENTS ARE MAINTAINED WITH EACH SCHOOL/PROGRAM, AND NGMC ENSURES COMPLETION OF ALL ORIENTATION AND STUDENT HEALTH REQUIREMENTS PRIOR TO ROTATIONS. MOST OF THESE STUDENTS WORK DIRECTLY WITH NGMC STAFF AS THERE ARE NO INSTRUCTORS ON CAMPUS, EXCEPT FOR SELECT GROUPS WHO ARE ACCOMPANIED BY INSTRUCTORS. IN FY23, NGMC PROVIDED CLINICAL ROTATIONS FOR 777 ALLIED HEALTH STUDENTS. CLINICAL SIMULATION: NGMC IS A FACILITATOR OF SIMULATION LEARNING, DESIGNED FOR PARTICIPANTS TO PRACTICE PATIENT SAFETY BY IMPROVING DETECTION AND RESPONSE TO POTENTIAL COMPLICATIONS, FACILITATE THE DEVELOPMENT OF COMMUNICATION AND COLLABORATION AND INCORPORATE EVIDENCE-BASED PRACTICES AND STANDARDS OF PROFESSIONAL PRACTICE. FOOTHILLS AHEC: NGMC PROVIDED SUPPORT TOWARDS FOOTHILLS AREA HEALTH EDUCATION CENTER, WHICH IS A COMMUNITY-DRIVEN, NON-PROFIT CORPORATION, SUPPORTED BY FEDERAL AND LOCAL SOURCES. THE MISSION IS TO INCREASE THE SUPPLY AND DISTRIBUTION OF HEALTHCARE PROVIDERS, ESPECIALLY IN MEDICALLY UNDERSERVED AREAS. THROUGH JOINT EFFORTS, COMMUNITIES EXPERIENCE IMPROVED SUPPLY, DISTRIBUTION AND RETENTION OF QUALITY HEALTHCARE PROFESSIONALS. FOOTHILLS AHEC SERVES 31 COUNTIES IN THE NORTHEAST GEORGIA AREA. GRADUATE MEDICAL EDUCATION: NORTHEAST GEORGIA MEDICAL CENTER'S (NGMC) GRADUATE MEDICAL EDUCATION PROGRAM IS DESIGNED TO TRAIN RESIDENTS TO BE LEADERS IN THE MEDICAL FIELD WHILE RECEIVING HANDS-ON TRAINING IN VARIOUS MEDICAL SPECIALTIES. IN 2023, NGMC HAD 60 INTERNAL MEDICINE RESIDENTS, 36 FAMILY MEDICINE RESIDENTS, 30 GENERAL SURGERY RESIDENTS, 24 EMERGENCY MEDICINE RESIDENTS, 12 CARDIOVASCULAR DISEASE FELLOWS, 12 PSYCHIATRY RESIDENTS, FOUR INTERNAL MEDICINE PRIMARY CARE TRACK RESIDENTS, AND TWO HOSPICE AND PALLIATIVE MEDICINE FELLOWS. TWO NEW RESIDENCIES LAUNCH: THE PRIMARY CARE TRACK, A SUBSET OF OUR INTERNAL MEDICINE RESIDENCY PROGRAM, WELCOMED ITS INAUGURAL CLASS OF FOUR RESIDENTS THIS YEAR. THIS PROGRAM PREPARES RESIDENTS TO BECOME PRIMARY CARE INTERNISTS PRACTICING IN THE COMMUNITY, WHICH CONTINUES TO BE A GREAT NEED IN OUR REGION AND STATE. THE TRANSITIONAL YEAR RESIDENCY PROGRAM, A ONE-YEAR PROGRAM THAT SERVES AS THE CLINICAL BASE YEAR THAT PRECEDES ADVANCED RESIDENCIES IN ANESTHESIOLOGY, DERMATOLOGY, RADIOLOGY AND OTHER SPECIALTIES, WELCOMED ITS INAUGURAL CLASS OF 12 RESIDENTS. NEW HOSPICE & PALLIATIVE MEDICINE FELLOWSHIP WELCOMES INAUGURAL FELLOWS: THROUGH THIS ONE-YEAR COMMUNITY-BASED TRAINING PROGRAM, FELLOWS RECEIVE INTENSIVE TRAINING IN THE CARE OF SERIOUSLY ILL PATIENTS AND THEIR FAMILIES AS PART OF AN INTERDISCIPLINARY TEAM. IN FY23, TWO FELLOWS JOINED THE PROGRAM. FIRST PATHWAY TO MED SCHOOL NGMC RESIDENT: DR. JANA BYRD IS THE FIRST PATHWAY TO MED SCHOOL GRADUATE TO MATCH WITH AN NGMC RESIDENCY PROGRAM. PATHWAY TO MED SCHOOL IS A FOUR-WEEK, INTENSIVE PROGRAM IN NORTHEAST GEORGIA PROVIDED BY FOOTHILLS AREA HEALTH EDUCATION CENTER (AHEC) DESIGNED FOR UNDERGRADUATE COLLEGE STUDENTS WHO ARE GEORGIA RESIDENTS AND PLAN TO ATTEND MEDICAL SCHOOL TO BECOME A PRIMARY CARE PHYSICIAN IN THE STATE OF GEORGIA. THE PROGRAM PROVIDES CLINICAL SHADOWING, COMMUNITY-BASED RESEARCH AND INSTRUCTIONAL SESSIONS AND BOASTS A 97% MEDICAL SCHOOL ACCEPTANCE RATE FOR ITS PARTICIPANTS, INCLUDING DR. BYRD, WHO COMPLETED MEDICAL SCHOOL AT MERCER UNIVERSITY AND IS NOW A FIRST-YEAR INTERNAL MEDICINE RESIDENT AT NGMC. HALL COUNTY HONORS MENTORSHIP PROGRAM: IN THE HALL COUNTY SCHOOLS HONORS MENTORSHIP PROGRAM, HIGH SCHOOL JUNIORS AND SENIORS ARE MATCHED WITH A PROFESSIONAL IN THEIR SPECIFIC FIELD OF HEALTHCARE INTEREST AS PART OF REAL-LIFE CAREER EXPERIENCE IN AN HONORS-LEVEL ELECTIVE COURSE. IN FY23, 16 STUDENTS PARTICIPATED IN THIS PROGRAM. NURSING STUDENT EDUCATION: NURSING STUDENT EDUCATION AT NGMC WORKS TO ADDRESS THE SHORTAGE OF NURSES IN OUR COMMUNITY, IMPROVING ACCESS TO CARE. NGMC COORDINATED CLINICAL ROTATIONS FOR 2,184 NURSING STUDENTS AT NGMC IN FY23. PROJECT SEARCH: PROJECT SEARCH, A PROGRAM DEDICATED TO WORKFORCE DEVELOPMENT THAT BENEFITS THE INDIVIDUAL, COMMUNITY AND WORKPLACE, PROVIDES EMPLOYMENT AND EDUCATION OPPORTUNITIES FOR INDIVIDUALS WITH MILD TO MODERATE DISABILITIES. EMPLOYERS LIKE NGMC WHO PROVIDE OPPORTUNITIES THROUGH PROJECT SEARCH ARE CHALLENGED TO INCREASE EMPLOYMENT OPPORTUNITIES FOR QUALIFIED PERSONS WITH DISABILITIES AND TO ADVOCATE ON BEHALF OF THEIR EMPLOYMENT TO OTHER ORGANIZATIONS IN THEIR COMMUNITIES. IN FY23, 12 STUDENTS PARTICIPATED IN THIS PROGRAM. SUPPORT OF CHARITABLE CLINICS AND OTHER NON-PROFITS NGMC HELPS SUPPORT LOCAL NON-PROFITS THAT CONNECT PEOPLE IN NEED TO RESOURCES SUCH AS FOOD, TRANSPORTATION, AND OTHER IMPORTANT SUPPORT SERVICES. OFTEN REFERRED TO AS SOCIAL DETERMINANTS OF HEALTH, LACK OF ACCESS TO THESE RESOURCES PLAYS A DETRIMENTAL ROLE IN OVERALL HEALTH. IN FACT, RESEARCH SUPPORTS THE IDEA THAT AS MUCH AS 80% OF A PERSON'S WELLBEING IS TIED TO PHYSICAL ENVIRONMENT, ECONOMIC FACTORS, AND HEALTH BEHAVIORS. MAKING IMPROVEMENTS IN THESE AREAS UPSTREAM CAN IMPACT BETTER HEALTH DOWNSTREAM, MINIMIZING POOR HEALTH, UNNECESSARY SUFFERING AND HIGHER COSTS OF CARE. IN FY23, NGMC HELPED SUPPORT 52 COMMUNITY NON-PROFITS IN FY23 AT A COST OF OVER $904,000, INCLUDING: -AINSLEY'S ANGELS OF NORTH GEORGIA -AMERICAN CANCER SOCIETY -AMERICAN HEART ASSOCIATION -AMERICAN RED CROSS -AMPED KIDS FOUNDATION -ANGEL HOUSE OF GEORGIA -BOY SCOUTS OF AMERICA -BRENAU UNIVERSITY -CENTER POINT -CHILDREN'S CENTER FOR HOPE AND HEALING -EAGLE RANCH -EDMONDSON-TELFORD CENTER FOR CHILDREN -ELACHEE NATURE CENTER -FISHING WITH EVERYDAY HEROES -GAINESVILLE JAYCEES -GAINESVILLE-HALL COUNTY BLACK HISTORY SOCIETY -GATEWAY DOMESTIC VIOLENCE CENTER -GEORGIA CORE -GEORGIA MOUNTAIN FOOD BANK -GFWC GAINESVILLE PHOENIX WOMEN'S CLUB -GIRL SCOUTS OF HISTORIC GEORGIA -HABITAT FOR HUMANITY -HELP FOR HEALTHCARE PROFESSIONALS -HISPANIC ALLIANCE GEORGIA -HUGS FOR HARRISON -INTERACTIVE NEIGHBORHOOD FOR KIDS -J'S PLACE -JACKSON COUNTY FAMILY CONNECTION -JARRARD BURCH FOUNDATION -JUNIOR LEAGUE OF GAINESVILLE AND HALL COUNTY -KEATON FRANKLIN COKER FOUNDATION THUMBS UP MISSION -LEADERSHIP GEORGIA -MY SISTER'S PLACE -NATIONAL PKU ALLIANCE -NAVIGATE RECOVERY GWINNETT, LIGHTWAY ADDICTION RECOVERY -NORTH GEORGIA WORKS -PARTNERSHIP FOR DRUG FREE HALL -PARTNERSHIP FOR GYNECOLOGICAL CANCER -QUINLAN VISUAL ARTS CENTER -RACHEL'S GIFT -RAINBOW VILLAGE -RAPE RESPONSE -REBOOT JACKSON -ROTARY CLUB OF BUFORD -ROTARY CLUB OF SOUTH HALL -SISU, EARLY INTEGRATED LEARNING -SOUTHEASTERN BRAIN TUMOR FOUNDATION -SPECIAL OLYMPICS -SYFAN SUPPORTS RALLY -THE HUB GAINESVILLE CITY SCHOOLS -THE WISDOM PROJECT -WOMENSOURCE UNITE US AFTER YEARS OF RESEARCH AND DUE DILIGENCE IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS (CBOS) THROUGH UNITED WAY OF HALL COUNTY, UNITE US WENT LIVE AT NGHS ON MAY 30, 2023 IN PILOT FORMAT. UNITE US IS A SHARED DATA PLATFORM THAT CREATES A COORDINATED CARE NETWORK WITH PARTNERS WORKING TOGETHER TO CONNECT PEOPLE TO A RANGE OF SERVICES SUCH AS HOUSING, EMPLOYMENT OPPORTUNITIES, FOOD ASSISTANCE AND MORE. IT'S A SOCIAL CARE NETWORK THAT ALLOWS FOR ELECTRONIC REFERRALS BETWEEN NON-PROFITS AND SERVICE ORGANIZATIONS TO CONNECT INDIVIDUALS AND FAMILIES TO THE SERVICES THEY NEED IN REAL TIME.
FORM 990, PART III, LINE 4A	AT THE END OF FY23, 70 CBOS WERE ON THE PLATFORM. RESEARCH SHOWS THAT ISSUES LIKE UNEMPLOYMENT, FOOD INSECURITY, POOR HOUSING, AND SOCIAL ISOLATION PLAY A DETRIMENTAL ROLE IN OVERALL HEALTH. BY MAKING IMPROVEMENTS IN THESE SOCIAL DETERMINANTS OF HEALTH (SDOH) UPSTREAM, IT WILL MINIMIZE POOR HEALTH, UNNECESSARY SUFFERING, AND HIGHER COSTS. MENTAL & BEHAVIORAL HEALTH MENTAL HEALTH QUESTION PERSUADE REFER (QPR) TRAINING: NGMC SUPPORTED SUICIDE PREVENTION TRAINING FOR THE COMMUNITY IN FY23. THIS TRAINING TEACHES HOW TO ASK THE SUICIDE QUESTION, PERSUADE THE PERSON TO STAY ALIVE AND THEN REFER THE PERSON TO THE APPROPRIATE SUPPORT. ONE HALL MENTAL AND BEHAVIORAL HEALTH COLLABORATIVE : NGMC IS A COLLABORATIVE PARTNER WITH ONE HALL (THROUGH UNITED WAY) TO IMPROVE MENTAL AND BEHAVIORAL HEALTH IN THE COMMUNITY AND REDUCE THE STIGMA RELATED TO SEEKING HELP BY RAISING AWARENESS ABOUT THE ISSUE, AS WELL AS PROVIDING AVAILABLE RESOURCES AND EDUCATION. IN FY23, ADAM RAULERSON AND MONICA NEWTON, D.O. DEDICATED STAFF TIME TO SERVE ON THE ONE HALL MBH COMMITTEE. FOR MORE DETAILS ABOUT THE WORK OF THIS COLLABORATIVE, SEE HTTPS://WWW.UNITEDWAYHALLCOUNTY.ORG/REACHOUT/REPORTS. PEER SUPPORT IN THE NICU: NGMC AND THE GEORGIA COUNCIL ON SUBSTANCE ABUSE (GCSA) PARTNER TO PROVIDE CARES PEER SUPPORT PROGRAM, WHICH CONNECTS PEOPLE SURVIVING OVERDOSES TO CERTIFIED ADDICTION RECOVERY EMPOWERMENT SPECIALISTS (CARES) AT ITS EDS AND NICUS. IF A PATIENT IS IDENTIFIED TO BE IN NEED OF PEER SUPPORT, A CARES IS PAIRED WITH THE INDIVIDUAL. THEY PROVIDE SUPPORT AND CONNECT THE INDIVIDUAL WITH RESOURCES WHILE AT THE HOSPITAL. THE CARES VISITS THE INDIVIDUAL TEN DAYS AFTER DISCHARGE TO PROVIDE CONTINUED SUPPORT AND RECOVERY RESOURCES. IN FY23, OVER 2,131 PEERS WERE SERVED THROUGH THIS PROGRAM WITH 6,844 SUCCESSFUL FOLLOW-UPS. ACCESS TO CARE BRASELTON SURGERY CENTER: IN OCTOBER 2023, THE BRASELTON SURGERY CENTER, NGHS' FIRST AMBULATORY SURGERY CENTER OPENED. THIS SURGERY CENTER PROVIDES CONVENIENT ACCESS TO AMBULATORY SURGERY AND OTHER SPECIALTY CARE TO THE BRASELTON COMMUNITY. NGMC GAINESVILLE'S NEW PATIENT TOWER TOPS OUT: IN JULY 2023, NGHS CELEBRATED THE TOPPING OUT OF THE NEW PATIENT TOWER AT NGMC GAINESVILLE. SET TO OPEN IN EARLY 2025, THE 927,000 SQUARE-FOOT NEW TOWER WILL HOUSE 150 ADDITIONAL INPATIENT BEDS, AN EXPANDED RELOCATION OF OUR EMERGENCY DEPARTMENT, A NEW AND EXPANDED INTERVENTIONAL CATH LAB, EXPANDED SURGICAL CAPACITY, A NEW FOOD-SERVICE AREA AND ADDITIONAL PARKING. NGMC BRASELTON EXPANSION GROUNDBREAKING AND TOPPING OUT: IN MAY 2023, NGHS BROKE GROUND ON A NEW EXPANSION AT NGMC BRASELTON, WHICH PAVES THE WAY FOR SEVERAL IMPROVEMENTS INCLUDING: ADDITIONAL INPATIENT BEDS, EXPANDED EMERGENCY DEPARTMENT, A NEW HELIPAD, ADDITIONAL PARKING AND EXPANDED SUPPORT SPACE. HEALTH EDUCATION AND COMMUNITY OUTREACH AGAPE PROJECT OF GEORGIA: NGMC PARTNERED WITH AGAPE PROJECT OF GEORGIA TO PROVIDE HEALTH OUTREACH AND EDUCATION TO INDIVIDUALS EXPERIENCING HOMELESSNESS IN HALL COUNTY. HOSTED AT THE BUDGETEL EXTENDED STAY HOTEL, THE EVENT INCLUDED PARTNERS SUCH AS GOOD NEWS CLINICS, THE LONGSTREET CLINIC, WEGO, AND PEACHCARE FOR KIDS. NGMC FINANCIAL NAVIGATORS PROVIDED COUNSELING TO 32 ADULTS, CONNECTING THEM WITH RESOURCES AND PROGRAMS TO IMPROVE ACCESS TO HEALTHCARE. INDIVIDUALS THAT DISCUSSED THEIR HEALTHCARE NEEDS WITH A NAVIGATOR RECEIVED A $10 WEGO GIFT CARD FOR MEDICAL TRIP VISITS AND A $25 GROCERY GIFT CARD. DIABETES EDUCATION, SCREENINGS AND SUPPORT GROUPS: NGMC WORKED IN THE COMMUNITY TO EDUCATE AND SCREEN COMMUNITY MEMBERS FOR DIABETES AT NO CHARGE, CREATING OPPORTUNITIES FOR EDUCATION ABOUT THE RISKS OF DIABETES WHILE CHECKING BLOOD SUGAR LEVELS TO DETERMINE WHICH INDIVIDUALS NEEDED FURTHER MEDICAL TESTING. PREVENTIVE EDUCATION WAS ALSO FACILITATED THROUGH PRE-DIABETIC SEMINARS AND HEALTH FAIR PARTICIPATION. THIS SUPPORT BENEFITTED 244 COMMUNITY MEMBERS IN FY23. NGMC ALSO PROVIDED DIABETES SUPPORT GROUPS FOR THOSE IN THE COMMUNITY SUPPORTING PEOPLE WITH OR LIVING WITH DIABETES. THESE SUPPORT GROUPS OFFERED A PLACE FOR OVER 148 PEOPLE TO LEARN HOW TO MANAGE THIS DISEASE, DISCUSS CHALLENGES, SHARE EXPERIENCES AND CELEBRATE ACHIEVEMENTS WITH OTHERS. HEALTH SCIENCES LIBRARY AND RESOURCE CENTER: THE HEALTH SCIENCES LIBRARY AND RESOURCE CENTER AT NGMC SERVES THE HEALTH INFORMATION NEEDS OF THE NORTHEAST GEORGIA COMMUNITY EXPANDING TO OVER 18 COUNTIES. CONSUMERS, PATIENTS AND THEIR FAMILY MEMBERS HAVE ACCESS TO CREDIBLE RESOURCES RELATING TO MEDICAL SYMPTOMS, CONDITIONS AND TREATMENTS. THE RESOURCE CENTER ENCOURAGES VISITORS TO MAKE HEALTHY CHOICES AND BECOME ACTIVE, INFORMED PARTNERS IN THEIR HEALTHCARE. DURING FY23, THE LIBRARY HOSTED BOOK CLUBS TO EDUCATE THE COMMUNITY ON ADVANCE CARE PLANNING & WELCOMED 13,246 VISITORS: A 35% INCREASE FROM LAST YEAR. THE HEALTH SCIENCES LIBRARY ALSO PARTNERED WITH ST. JOHN'S BAPTIST CHURCH IN GAINESVILLE TO PROVIDE MEN'S HEALTH INFORMATION TO CHURCH MEMBERS, AS WELL AS TO EDUCATE ON HOW TO UTILIZE MEDLINE PLUS, AN ONLINE HEALTH RESOURCE FOR PATIENTS AND FAMILIES. HOSPICE: HOSPICE OF NGMC PROVIDED MULTIPLE BEREAVEMENT SUPPORT GROUPS AND EDUCATION FOR THOSE GRIEVING A LOSS OR CARING FOR A LOVED ONE WITH AN ILLNESS (SUCH AS DEMENTIA) AND CAMPS FOR CHILDREN DEALING WITH THE LOSS OF SOMEONE CLOSE TO THEM. IN FY23, HOSPICE OF NGMC SERVED 3,448 INDIVIDUALS. JUNETEENTH: NGMC PARTNERED WITH THE NEWTOWN FLORIST CLUB AND THE GAINESVILLE-HALL COUNTY BLACK HISTORY SOCIETY TO PLAN AND IMPLEMENT THE HEALTH CARE RESOURCE PORTION OF THE JUNETEENTH CELEBRATION IN GAINESVILLE. NGMC AND OTHER COMMUNITY-BASED ORGANIZATIONS PARTICIPATED IN HEALTH PANELS, HEALTH EDUCATION RESOURCE TABLES AND FREE HEALTH SCREENINGS FOR OVER 500 ATTENDEES. ONE HALL ADVOCATES: UNITED WAY OF HALL COUNTY'S ONE HALL ADVOCATES PARTNERED WITH NGHS, GAINESVILLE-HALL COUNTY COMMUNITY SERVICES, NEWTOWN FLORIST CLUB AND WOMENSOURCE TO PRESENT A COMMUNITY SCREENING OF "THE IMMORTAL LIFE OF HENRIETTA LACKS." A DISCUSSION ON WOMEN'S HEALTH WITH PANELISTS FROM NGHS (DR. SAMANTHA GRANT, GME FAMILY MEDICINE RESIDENT; ASHLEY SIMPSON, NP, ACUTE CARE NURSE PRACTITIONER, GEORGIA HEART INSTITUTE; ANGIE CATON, RN, NGMC ONCOLOGY NURSE) FOLLOWED THE SCREENING OF THE FILM MODERATED BY PHILLIPPA LEWIS MOSS, NGMC'S BOARD CHAIR AND CO-CHAIR OF OUR CHNA. PARAMEDICS IMPROVING THE COMMUNITY'S HEALTH (PITCH): PITCH WORKS TO IDENTIFY POPULATIONS IN THE COMMUNITY THAT NEED ASSISTANCE NAVIGATING THE HEALTHCARE SYSTEM APPROPRIATELY AND GRADUATING THEM TO A LEVEL OF INDEPENDENCE. MANY INDIVIDUALS EXPERIENCE BARRIERS TO GETTING THE HEALTHCARE AND SOCIAL CARE SERVICES THEY NEED. THE PITCH PROGRAM WORKS WITH COMMUNITY NON-PROFIT PARTNERS WHO ACT AS BOTH A REFERRAL SOURCE AND RESOURCE FOR PARTICIPANTS. IN FY23, PITCH SERVED OVER 140 INDIVIDUALS, ESTABLISHING 60 NEW PITCH PROGRAM PATIENTS WITH PRIMARY CARE WHO INITIALLY REPORTED NO PRIMARY CARE. RESPECTING CHOICES: RESPECTING CHOICES IS AN EVIDENCE-BASED MODEL OF ADVANCED CARE PLANNING THAT HONORS AN INDIVIDUAL'S GOALS AND VALUES FOR CURRENT AND FUTURE HEALTH CARE. THIS PROGRAM IS DESIGNED TO CREATE A CULTURE OF OPEN DISCUSSION ABOUT END-OF-LIFE CARE IN NORTHEAST GEORGIA SO THAT FAMILIES ARE RELIEVED OF UNNECESSARY STRESS AND TO AVOID THE USE OF EXPENSIVE RESOURCES THAT PATIENTS DON'T VALUE NOR BENEFIT FROM. THIS PROJECT IS FUNDED BY THE NGHS FOUNDATION. SAFE KIDS NORTHEAST GEORGIA: NORTHEAST GEORGIA MEDICAL CENTER SERVES AS LEAD AGENCY FOR SAFE KIDS NORTHEAST GEORGIA. THE MISSION OF SAFE KIDS IS TO REDUCE UNINTENTIONAL INJURIES AND DEATH IN CHILDREN 19 AND UNDER. IN FY23, SAFE KIDS PROVIDED 100 PROGRAMS AND EVENTS WITH OUTREACH ACROSS NGMC GAINESVILLE AND BRASELTON TO AN ESTIMATED 11,612 CHILDREN, FAMILY MEMBERS, TEACHERS AND CAREGIVERS. THROUGH THESE PROGRAMS, SAFETY ITEMS WERE DISTRIBUTED TO FAMILIES IN NEED. SEPSIS COMMUNITY OUTREACH: NGMC PROVIDED SEPSIS AWARENESS EDUCATION AT LOCAL HEALTH FAIRS AND SEMINARS IN FY23, AND ALSO ASSISTED OTHER HEALTHCARE ORGANIZATIONS IN THE REGION TO DEVELOP SEPSIS NAVIGATION PROGRAMS TO ULTIMATELY INCREASE THE EARLY RECOGNITION OF SEPSIS TO SAVE LIVES. SYMPOSIA REGIONAL TRAUMA ADVISORY COMMITTEE (RTAC) AND SYMPOSIUM: NGMC AND THE REGIONAL TRAUMA ADVISORY COMMITTEE TO HOST THE ANNUAL NORTHEAST GEORGIA REGIONAL TRAUMA SYMPOSIUM, A TWO-DAY SYMPOSIUM THAT PROVIDES EDUCATIONAL SPEAKERS ON CURRENT TOPICS OF INTEREST TO PHYSICIANS, ADVANCE PRACTITIONERS, NURSES, RESPIRATORY THERAPISTS, PHYSICAL/OCCUPATIONAL THERAPISTS, EMS PROFESSIONALS AND OTHER HEALTHCARE WORKERS. AS PART OF THE STATE OF GEORGIA'S TRAUMA SYSTEM, THE REGIONAL TRAUMA ADVISORY COMMITTEE (RTAC) DEVELOPS AND MAINTAINS THE REGION'S TRAUMA SYSTEM PLAN AND MONITORS SYSTEM COMPLIANCE AND IMPROVEMENT ACTIVITIES. NGMC PARTNERS WITH OTHER EMS AGENCIES, PARTICIPATING HOSPITALS, LOCAL GOVERNMENTS AND THE PUBLIC AS A PART OF THIS COMMITTEE. IN FY23, 598 HEALTHCARE PROFESSIONALS ATTENDED THIS SYMPOSIUM.
FORM 990, PART III, LINE 4A	REGIONAL INFECTION PREVENTION SYMPOSIUM: THE NORTHEAST GEORGIA REGIONAL INFECTION PREVENTION SYMPOSIUM IS A FREE CONFERENCE OFFERED TO ANY HEALTHCARE PROVIDER BY NGMC'S INFECTION PREVENTION & CONTROL DEPARTMENT. MANY OF THE SMALL RURAL FACILITIES THROUGHOUT GEORGIA HAVE LIMITED TO NO ACCESS TO INFECTION PREVENTION AND CONTROL EDUCATION. IN FY23, THIS SYMPOSIUM PROVIDED EDUCATION TO 161 INDIVIDUALS. NEURO REHAB SYMPOSIUM: THE NEURO REHAB SYMPOSIUM IS A ONE-DAY SYMPOSIUM FEATURING EDUCATIONAL PRESENTATIONS ON NEUROLOGICAL REHABILITATION AFTER STROKE. DESIGNED SPECIFICALLY FOR THERAPISTS WHO CARE FOR PATIENTS AND FAMILIES, TOPICS COVERED STROKE-SPECIFIC IMPAIRMENT PRIORITIES IN EACH PHASE OF STROKE REHABILITATION. IN FY23, 280 HEALTHCARE PROFESSIONALS ATTENDED THIS SYMPOSIUM. GEORGIA HEART & VASCULAR SYMPOSIUM: THE GEORGIA HEART & VASCULAR SYMPOSIUM WAS A TWO-DAY CONFERENCE BRINGING HEALTHCARE PROFESSIONALS AND OVER 50 RENOWNED EXPERTS TOGETHER TO SHARE THEIR EXPERIENCE AND KNOWLEDGE ON CARDIOVASCULAR MEDICINE AND TREATMENT. THE EVENT INCLUDED DEBATES, DISCUSSIONS, EXHIBITS, TWO LIVE-STREAMED HEART PROCEDURES AND MORE FOR OVER 550 PHYSICIANS, ADVANCED PRACTICE PRACTITIONERS, NURSES, EMS AND OTHER CLINICAL PROFESSIONALS. RESEARCH IN FY23, NGMC OFFERED PATIENTS THE OPPORTUNITY TO PARTICIPATE IN 50 CLINICAL TRIALS INVOLVING SOME OF THE MOST PROMISING, BREAKTHROUGH NEW MEDICAL THERAPIES. OVER 510 PATIENTS WERE ENROLLED IN TRIALS THAT PROVIDED PATIENTS WITH ACCESS TO CUTTING EDGE TREATMENTS FOR CANCER AND HEART DISEASE. FOR MORE INFORMATION, VISIT NGHS.COM/RESEARCH. AWARDS AND RECOGNITION NGHS REPRESENTS IN WASHINGTON, D.C.: BEAU PROCTOR, RN, SYSTEM MANAGER OF CARDIAC REHAB, REPRESENTED NGHS AT THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION'S "DAY ON THE HILL" IN MARCH 2023, ADVOCATING FOR BETTER ACCESS TO CARDIAC REHAB FOR PATIENTS IN GEORGIA TO ELIMINATE BARRIERS TO CARE. COMMUNITY SERVICE IN FY23, 66 LEADERS FROM NGMC GAINESVILLE AND BRASELTON REPORTED DEDICATING STAFF TIME TOWARDS A TOTAL OF 222 LEADERSHIP POSITIONS WITHIN VARIOUS CIVIC AND PROFESSIONAL ORGANIZATIONS. NGMC BARROW HIGHLIGHTS OF NGMC BARROW COMMUNITY BENEFIT ACTIVITIES: NGMC BARROW VALUES COOPERATIVE EFFORTS WITH COMMUNITY ORGANIZATIONS AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA RESIDENTS. THE ORGANIZATION DEMONSTRATES THIS THROUGH COMMUNITY PARTNERSHIPS AND SUPPORT. NGMC BARROW SUPPORTED THE COMMUNITY IN A VARIETY OF WAYS DURING FY23, FROM MENTAL HEALTH AWARENESS PROGRAMS AND SUICIDE PREVENTION, TO FACILITATING YOUTH APPRENTICESHIP PROGRAMS. IN ADDITION, BARROW PROVIDED SUPPORT TO OTHER LOCAL NON-PROFIT ORGANIZATIONS THAT SERVE THE COMMUNITY. CHARITY CARE LIKE NGMC GAINESVILLE, BRASELTON, LUMPKIN AND HABERSHAM, NGMC BARROW'S CHARITY CARE POLICY REMOVED BARRIERS FOR LOW-INCOME POPULATIONS WITHIN OUR SERVICE AREA, BEGINNING WITH THE FREE, MEDICALLY NECESSARY CARE FOR PATIENTS WHOSE GROSS FAMILY INCOME IS 0 TO 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ADJUSTED FOR FAMILY SIZE. PATIENTS FROM OUR SERVICE AREA WHOSE FPL IS FROM 151 TO 300 PERCENT MAY QUALIFY FOR AN ADJUSTMENT EQUIVALENT TO THE HOSPITAL'S MEDICARE REIMBURSEMENT RATE PLUS AN ADDITIONAL 40 PERCENT DISCOUNT TO THE MEDICARE REIMBURSEMENT RATE. IN FY23, THE ESTIMATED COST OF INDIGENT AND CHARITY CARE THROUGH NGMC BARROW WAS $3.2 MILLION BASED ON 3,586 PATIENT ENCOUNTERS. IN ADDITION, NGMC BARROW INCURRED BAD DEBT EXPENSE DURING 2023 OF APPROXIMATELY $11.4 MILLION AS MEASURED BY CHARGES. THIS REPRESENTS APPROXIMATELY 21.8 PERCENT OF NET PATIENT REVENUE AS REFLECTED IN THE AUDITED FINANCIAL STATEMENTS. A SIGNIFICANT PERCENTAGE OF THIS AMOUNT IS ESTIMATED TO BE THE RESULT OF PATIENTS THAT ARE EMPLOYED BY UNABLE TO PAY MEDICAL EXPENSES AND ARE THEREFORE CONSIDERED "MEDICALLY INDIGENT." FINANCIAL NAVIGATION NGMC BARROW EMPLOYS FINANCIAL ASSISTANCE COUNSELORS WHO HELP PATIENTS BECOME INSURED, BE IT THROUGH MEDICAID, PEACHCARE, OR OTHER PROGRAMS. NGMC'S FINANCIAL NAVIGATORS FOCUS ON BEING ADVOCATES FOR UNINSURED AND UNDERINSURED PATIENTS AIDING THEM IN FINDING VIABLE MEANS TO ACCESS CARE. THE TEAM'S FOCUS IS FINDING THE BEST SOLUTIONS FOR HELPING PATIENTS APPLY FOR MEDICAID, DISABILITY, ACCESSING THE NEW HEALTHCARE EXCHANGES, OR PROCESSING CHARITY, WHEN APPROPRIATE. PATIENT NAVIGATION NGMC BARROW EMPLOYS PATIENT NAVIGATORS WHO PROVIDE GUIDANCE TO CANCER PATIENTS AND THEY ARE SEEN AS A "LIVING RESOURCE DIRECTORY" FOR PATIENTS. SERVICES INCLUDE: CONNECTING PATIENTS WITH COMMUNITY RESOURCES, PROVIDING EMOTIONAL SUPPORT, HELPING PATIENTS UNDERSTAND THEIR DIAGNOSIS, COMMUNICATING WITH HEALTHCARE STAFF AND PROVIDERS, ADDRESSING LOGISTICAL ISSUES SUCH AS TRANSPORTATION AND HELPING PATIENTS UNDERSTAND MEDICAL TERMS AND TREATMENT OPTIONS. THESE EFFORTS CAME AT A TOTAL ESTIMATED COST OF $117,442 FOR 1,439 PEOPLE FOR NGMC BARROW IN FY23. INDIGENT PATIENT FUND AT NGMC BARROW, FINANCIAL ASSISTANCE IS PROVIDED FOR INDIGENT PATIENTS TO OBTAIN URGENTLY NEEDED DISCHARGE MEDICATIONS AND TRANSPORTATION. INDIVIDUALS ELIGIBLE FOR THESE FUNDS ARE PATIENTS WHOSE NEEDS CANNOT BE MET THROUGH PRIMARY INSURANCE, THEIR FUNDS, GOVERNMENT PROGRAMS, OR OTHER CHARITABLE SERVICES.. THE NGHS FOUNDATION PROVIDED FUNDING FOR THIS PROGRAM AT AN ESTIMATED COST OF $37,974 ACROSS ALL NGMC CAMPUSES IN FY23. WHAT DRIVES COMMUNITY HEALTH IMPROVEMENT ACTIVITIES WITH SIGNIFICANT INPUT FROM THE COMMUNITY, THE HOSPITAL ENTITIES OF NORTHEAST GEORGIA HEALTH SYSTEM COMPLETED A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH DISTRICT 2 PUBLIC HEALTH, STEPHENS COUNTY HOSPITAL, HABERSHAM MEDICAL CENTER AND GOOD NEWS CLINICS IN 2022. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS, PLUS ONLINE SURVEYS THAT GARNERED APPROXIMATELY 4,500 RESPONSES, WELL ABOVE EXPECTED RESPONSE RATES. THE STUDY IDENTIFIED THE THREE HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE ORGANIZATION'S STRATEGIC DIRECTION: MENTAL & BEHAVIORAL HEALTH, ACCESS TO CARE, AND HEALTHY BEHAVIORS. FOR MORE INFORMATION ABOUT THESE PRIORITIES, GO TO WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. WORKFORCE DEVELOPMENT & HEALTH PROFESSIONS EDUCATION NGMC BARROW CONTINUES TO SERVE AS A PIPELINE TO ATTRACT AND PREPARE QUALIFIED INDIVIDUALS AND STUDENTS INTERESTED IN HEALTHCARE POSITIONS AND WORKS TO TRAIN, EDUCATE AND RECRUIT STUDENTS FOR CAREERS IN HEALTHCARE. NGMC BARROW SPENT OVER $134,000 IN FY23 IN THESE AREAS: ALLIED HEALTH STUDENT EDUCATION: IN FY23, NGMC BARROW PROVIDED CLINICAL ROTATIONS FOR 10 ALLIED HEALTH STUDENTS. THE ALLIED HEALTH STUDENT EDUCATION PROGRAM HELPS STUDENTS LEARN VALUABLE SKILLS IN A CLINICAL ENVIRONMENT AND PROMOTES CAREERS IN HEALTHCARE, IMPROVING THE COMMUNITY'S ACCESS TO CARE. NURSING STUDENT EDUCATION: NGMC BARROW WORKS TO ADDRESS THE SHORTAGE OF NURSES IN OUR COMMUNITY, IMPROVING ACCESS TO CARE. NGMC COORDINATED CLINICAL ROTATIONS FOR 22 NURSING STUDENTS AT NGMC BARROW IN FY23. YOUTH APPRENTICESHIP PROGRAM: THE YOUTH APPRENTICESHIP PROGRAM PROVIDES AN OPPORTUNITY FOR HIGH SCHOOL STUDENTS TO COME WORK IN THE HOSPITAL FOR ONE CLASS PERIOD, WHICH PROVIDES HANDS-ON EXPOSURE TO MANY DIFFERENT HEALTHCARE CAREERS. 12 STUDENTS PARTICIPATED WITH NGMC BARROW IN FY23. SUPPORT OF CHARITABLE CLINICS AND OTHER NON-PROFITS NGMC HELPS SUPPORT LOCAL NON-PROFITS THAT CONNECT PEOPLE IN NEED TO RESOURCES SUCH AS FOOD, TRANSPORTATION, AND OTHER IMPORTANT SUPPORT SERVICES. OFTEN REFERRED TO AS SOCIAL DETERMINANTS OF HEALTH, LACK OF ACCESS TO THESE RESOURCES PLAY A DETRIMENTAL ROLE IN OVERALL HEALTH. IN FACT, RESEARCH SUPPORTS THE IDEA THAT AS MUCH AS 80% OF A PERSON'S WELLBEING IS TIED TO PHYSICAL ENVIRONMENT, ECONOMIC FACTORS, AND HEALTH BEHAVIORS. MAKING IMPROVEMENTS IN THESE AREAS UPSTREAM CAN IMPACT BETTER HEALTH DOWNSTREAM, MINIMIZING POOR HEALTH, UNNECESSARY SUFFERING AND HIGHER COSTS OF CARE. IN FY23, NGMC BARROW HELPED SUPPORT THE FOLLOWING ORGANIZATIONS AT A COST OF OVER $265,000: -ADVENTURE BAGS -AMERICAN FOUNDATION FOR SUICIDE PREVENTION, OUT OF THE DARKNESS WALK -AMERICAN HEART ASSOCIATION -BARROW AREA ROTARY CLUB -BARROW MINISTRY VILLAGE -FOOD BANK OF NORTHEAST GEORGIA -FRIENDS OF ADVANTAGE -HABITAT FOR HUMANITY -NORTHEAST GEORGIA COUNCIL OF BOY SCOUTS OF AMERICA -REGION TEN EMS DIRECTOR'S ASSOCIATION -ROTARY CLUB OF WINDER -SOUTHEASTERN BRAIN TUMOR FOUNDATION -THE BARROW COMMUNITY FOUNDATION -THE CANCER FOUNDATION -THE TREE HOUSE -UNITED WAY OF NORTHEAST GEORGIA -WIMBERLY'S ROOTS -WINDER FIRE DEPARTMENT -YMCA OF GEORGIA'S PIEDMONT
FORM 990, PART III, LINE 4A	MENTAL AND BEHAVIORAL HEALTH IN FY23, DIRECTOR OF COMMUNITY HEALTH IMPROVEMENT CHRISTY MOORE AND ONE HALL CO-CHAIR OF MENTAL AND BEHAVIORAL HEALTH MONICA NEWTON, D.O. MET WITH LOCAL CHURCH REPRESENTATIVES ABOUT THEIR LOCAL SUICIDE PREVENTION EFFORTS TO INTRODUCE THE ONE HALL STRUCTURE AND ANSWER QUESTIONS ABOUT HOW THEY MIGHT CONSIDER ORGANIZING EFFORTS. ACCESS TO CARE BETHLEHEM MEDICAL PLAZA: IN DECEMBER 2022, NGHS BROKE GROUND ON THE MEDICAL PLAZA LOCATED IN BETHLEHEM. EXPECTED TO OPEN IN SPRING 2024, THE TWO-STORY, 34,000-SQUARE-FOOT BUILDING WILL INCLUDE PRIMARY CARE, OB/GYN, SPORTS MEDICINE, ORTHOPEDIC SURGERY AND GENERAL SURGERY PHYSICIAN OFFICES, AN URGENT CARE AND ON-SITE LAB AND DIGITAL X-RAY SERVICES. HEALTH EDUCATION AND COMMUNITY OUTREACH CENTER FOR INNOVATIVE TEACHING SUPPORT: NGMC BARROW DONATED $225,000 TOWARDS THE BUILDING OUR FUTURES PROJECT IN BARROW COUNTY. THE BUILDING OUR FUTURES PROJECT IS A PUBLIC-PRIVATE PARTNERSHIP BETWEEN THE BARROW COMMUNITY FOUNDATION, BARROW COUNTY SCHOOLS, LOCAL BUSINESSES, AND COMMUNITY MEMBERS TO DEVELOP AN 8-ACRE PARK AND PLAYGROUND THAT WILL BE CENTRALLY LOCATED NEAR THE CENTER FOR INNOVATIVE TEACHING (CFIT) IN WINDER. IT WILL PROVIDE SPACE FOR RECREATION, EDUCATION, AND PROGRAMS FOR BARROW COUNTY RESIDENTS. THE PLAYGROUND FEATURES UNIQUE AND CHALLENGING PLAY PIECES AS WELL AS ADA-ACCESSIBLE FEATURES FOR CHILDREN WITH DISABILITIES. NGHS PRESIDENT AND CEO, A NATIVE OF BARROW COUNTY, SERVES AS CAMPAIGN LEADER COUNCIL CO-CHAIR. SAFE KIDS NORTHEAST GEORGIA: NGMC BARROW SERVED AS THE LEAD AGENCY FOR SAFE KIDS NORTHEAST GEORGIA, REDUCING UNINTENTIONAL INJURIES AND DEATHS IN CHILDREN 19 AND UNDER. IN FY23, SAFE KIDS PROVIDED TEN PROGRAMS AND EDUCATIONAL EVENTS IN THE BARROW AREA, WITH OUTREACH TO AN ESTIMATED 1,388 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THROUGH THESE PROGRAMS, SAFETY ITEMS WERE DISTRIBUTED TO FAMILIES WHO WERE IN NEED OF THEM. THE NGHS FOUNDATION SUPPORTS SAFE KIDS OVERALL AT A COST OF $204,394. TAR WARS: NGMC BARROW PARTNERED WITH BARROW COUNTY SCHOOLS TO IMPLEMENT "TAR WARS" FOR 2,061 FOURTH AND FIFTH-GRADE STUDENTS. "TAR WARS" IS A TOBACCO-FREE EDUCATION PROGRAM DEVELOPED BY THE AMERICAN ACADEMY OF FAMILY PHYSICIANS TO TEACH KIDS ABOUT THE DANGERS OF TOBACCO USE, THE COST OF TOBACCO PRODUCTS AND THE ADVERTISING TECHNIQUES USED BY THE TOBACCO INDUSTRY TO MARKET THEIR PRODUCTS TO YOUTH. PARTNERS IN EDUCATION: AS A PARTNER IN EDUCATION WITH BARROW COUNTY SCHOOLS, NGMC BARROW PROVIDED A DONATION OF MEDICAL SUPPLIES TO STOCK ALL 19 BARROW COUNTY SCHOOLS' NURSING CLINICS. AWARDS & RECOGNITION PARAMEDICS OF THE YEAR: NGMC BARROW AND BARROW EMS PARTNER TOGETHER TO PROVIDE CRUCIAL EMERGENCY CARE TO THE BARROW COUNTY COMMUNITY. PRIOR TO THEIR PARTNERSHIP, BARROW COUNTY DID NOT HAVE EMERGENCY SERVICES WITHIN CITY LIMITS, NEGATIVELY IMPACTING CRITICAL RESPONSE TIME IN EMERGENCY SITUATIONS. JAMES OUELETT AND ROBERT LEE, PARAMEDICS FROM BARROW EMS, WERE RECOGNIZED AS THE 2023 BARROW COUNTY PARAMEDICS OF THE YEAR AT THE 29TH ANNUAL REGION 10 EMS AWARDS BANQUET. COMMUNITY SERVICE IN FY23, SEVEN LEADERS FROM NGMC BARROW DEDICATED STAFF TIME TOWARDS 29 LEADERSHIP POSITIONS WITH VARIOUS CIVIC AND PROFESSIONAL ORGANIZATIONS. NGMC BARROW MANAGER SUNITA SINGH SERVED AS BOTH A MEMBER OF THE EXECUTIVE LEADERSHIP TEAM OF THE AMERICAN HEART ASSOCIATION'S GO RED FOR WOMEN BOARD AND THE BOARD CHAIR OF THE NORTHEAST GEORGIA COUNCIL OF BOY SCOUTS OF AMERICA. NGMC BARROW ADMINISTRATOR JOHN NEIDENBACH SERVED WITH THE BARROW AREA ROTARY CLUB AND AS A BOARD MEMBER OF THE BARROW COUNTY CHAMBER OF COMMERCE. NGMC LUMPKIN HIGHLIGHTS OF NGMC LUMPKIN'S FY23 COMMUNITY BENEFIT ACTIVITIES: NGMC LUMPKIN VALUES COOPERATIVE EFFORTS WITH COMMUNITY ORGANIZATIONS AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA RESIDENTS. THE ORGANIZATION DEMONSTRATES THIS BY PROVIDING FINANCIAL AND STAFF SUPPORT TO LOCAL NONPROFIT AGENCIES, DEVELOPING PARTNERSHIPS WITH SCHOOLS, PROVIDING HEALTH PROFESSIONS EDUCATION, AND FOSTERING PARTNERSHIPS WITH INDIGENT CLINICS THAT SERVE THE UNDER-SERVED POPULATION. CHARITY CARE NGMC LUMPKIN'S CHARITY CARE POLICY REMOVED BARRIERS FOR LOW-INCOME POPULATIONS WITHIN OUR SERVICE AREA, BEGINNING WITH FREE MEDICALLY NECESSARY CARE FOR PATIENTS WHOSE GROSS FAMILY INCOME WAS ZERO TO 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ADJUSTED FOR FAMILY SIZE. PATIENTS FROM OUR SERVICE AREA WHOSE FPL IS FROM 151 TO 300 PERCENT QUALIFIED FOR AN ADJUSTMENT EQUIVALENT TO THE HOSPITAL'S MEDICARE REIMBURSEMENT RATE PLUS AN ADDITIONAL 40 PERCENT DISCOUNT TO THE MEDICARE REIMBURSEMENT RATE. IN FY23, THE ESTIMATED COST OF INDIGENT AND CHARITY CARE THROUGH NGMC LUMPKIN WAS APPROXIMATELY $895,000 BASED ON 1,194 PATIENT ENCOUNTERS. IN ADDITION, NGMC INCURRED BAD DEBT EXPENSE DURING 2023 OF OVER $7.2 MILLION AS MEASURED BY CHARGES. THIS REPRESENTS APPROXIMATELY 28.3 PERCENT OF NET PATIENT REVENUE AS REFLECTED IN THE AUDITED FINANCIAL STATEMENTS. A SIGNIFICANT PERCENTAGE OF THIS AMOUNT IS ESTIMATED TO BE THE RESULT OF PATIENTS THAT ARE EMPLOYED BY UNABLE TO PAY MEDICAL EXPENSES AND ARE THEREFORE CONSIDERED "MEDICALLY INDIGENT." INDIGENT PATIENT FUND AT NGMC LUMPKIN, FINANCIAL ASSISTANCE IS PROVIDED FOR INDIGENT PATIENTS TO OBTAIN URGENTLY NEEDED DISCHARGE MEDICATIONS AND TRANSPORTATION. INDIVIDUALS ELIGIBLE FOR THESE FUNDS ARE PATIENTS WHOSE NEEDS CANNOT BE MET THROUGH PRIMARY INSURANCE, THEIR FUNDS, GOVERNMENT PROGRAMS, OR OTHER CHARITABLE SERVICES. THE NGHS FOUNDATION PROVIDED FUNDING FOR THIS PROGRAM AT AN ESTIMATED COST OF $37,974 ACROSS ALL NGMC CAMPUSES IN FY23. WHAT DRIVES COMMUNITY HEALTH IMPROVEMENT ACTIVITIES WITH SIGNIFICANT INPUT FROM THE COMMUNITY, THE HOSPITAL ENTITIES OF NORTHEAST GEORGIA HEALTH SYSTEM COMPLETED A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH DISTRICT 2 PUBLIC HEALTH, STEPHENS COUNTY HOSPITAL, HABERSHAM MEDICAL CENTER AND GOOD NEWS CLINICS IN 2022, WHICH CONTINUES TO DRIVE COMMUNITY HEALTH IMPROVEMENT ACTIVITIES TODAY. THE ASSESSMENT FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS, PLUS ONLINE SURVEYS THAT GARNERED APPROXIMATELY 4,500 RESPONSES, WELL ABOVE EXPECTED RESPONSE RATES. THE STUDY IDENTIFIED THE THREE HEALTH PRIORITIES THAT FIT HAND-IN-GLOVE WITH THE ORGANIZATION'S STRATEGIC DIRECTION: MENTAL & BEHAVIORAL HEALTH, ACCESS TO CARE, AND HEALTHY BEHAVIORS. FOR MORE INFORMATION ABOUT THESE PRIORITIES, GO TO WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. WORKFORCE DEVELOPMENT NGMC LUMPKIN CONTINUES TO SERVE AS A PIPELINE TO ATTRACT AND PREPARE QUALIFIED INDIVIDUALS AND STUDENTS INTERESTED IN HEALTHCARE POSITIONS. NGMC LUMPKIN WORKS TO TRAIN, EDUCATE AND RECRUIT STUDENTS FOR CAREERS IN HEALTHCARE. NGMC LUMPKIN SPENT OVER $73,000 IN FY23 IN THESE AREAS: ALLIED HEALTH STUDENT EDUCATION: IN FY23, NGMC LUMPKIN PROVIDED CLINICAL ROTATIONS FOR 10 ALLIED HEALTH STUDENTS. THE ALLIED HEALTH STUDENT EDUCATION PROGRAM HELPS STUDENTS LEARN VALUABLE SKILLS IN A CLINICAL ENVIRONMENT AND PROMOTES CAREERS IN HEALTHCARE, IMPROVING THE COMMUNITY'S ACCESS TO CARE. EDUCATIONAL AFFILIATION AGREEMENTS ARE MAINTAINED WITH EACH SCHOOL/PROGRAM, AND NGMC LUMPKIN ENSURES COMPLETION OF ALL ORIENTATION AND STUDENT HEALTH REQUIREMENTS PRIOR TO ROTATIONS. NURSING STUDENT EDUCATION: NURSING STUDENT EDUCATION AT NGMC LUMPKIN WORKS TO ADDRESS THE SHORTAGE OF NURSES IN OUR COMMUNITY, IMPROVING ACCESS TO CARE. NGMC COORDINATED CLINICAL ROTATIONS FOR SEVEN NURSING STUDENTS WHICH INCLUDES FACULTY AND STUDENT ORIENTATION, EDUCATIONAL AFFILIATION AGREEMENT MAINTENANCE AND COMPLETION OF ALL HEALTH AND LEGAL REQUIREMENTS PRIOR TO FIRST ROTATION. SUPPORT OF CHARITABLE CLINICS AND OTHER NON-PROFITS NGMC LUMPKIN HELPS SUPPORT LOCAL NON-PROFITS THAT CONNECT PEOPLE IN NEED TO RESOURCES SUCH AS FOOD, TRANSPORTATION, AND OTHER IMPORTANT SUPPORT SERVICES. OFTEN REFERRED TO AS SOCIAL DETERMINANTS OF HEALTH, LACK OF ACCESS TO THESE RESOURCES PLAY A DETRIMENTAL ROLE IN OVERALL HEALTH. IN FACT, RESEARCH SUPPORTS THE IDEA THAT AS MUCH AS 80% OF A PERSON'S WELLBEING IS TIED TO PHYSICAL ENVIRONMENT, ECONOMIC FACTORS, AND HEALTH BEHAVIORS. MAKING IMPROVEMENTS IN THESE AREAS UPSTREAM CAN IMPACT BETTER HEALTH DOWNSTREAM, MINIMIZING POOR HEALTH, UNNECESSARY SUFFERING AND HIGHER COSTS OF CARE.
FORM 990, PART III, LINE 4A	NGMC LUMPKIN PROVIDED OVER $32,000 IN SUPPORT OF COMMUNITY NON-PROFITS IN FY23. BELOW ARE HIGHLIGHTS: COMMUNITY HELPING PLACE: IN FY23, NGMC LUMPKIN PROVIDED SUPPORT FOR COMMUNITY HELPING PLACE, A NON-PROFIT IN LUMPKIN COUNTY THAT PROVIDES FREE MEDICAL AND DENTAL SERVICES, A FOOD PANTRY, SUMMER FOOD PROGRAMS FOR CHILDREN, A BABY AND PERSONAL CARE PANTRY, EMERGENCY FINANCIAL ASSISTANCE AND REFERRAL SUPPORT SERVICES FOR THE AREA'S MOST VULNERABLE POPULATIONS. GOOD SHEPHERD OF DAWSON COUNTY: NGMC LUMPKIN PARTNERS WITH THE GOOD SHEPHERD CLINIC TO PROVIDE FREE AND REDUCED COST HEALTHCARE, DENTAL AND MENTAL HEALTH SERVICES TO COMMUNITY MEMBERS IN DAWSONVILLE, GEORGIA. NGMC ALSO PROVIDES DONATED OFFICE SPACE TO THE GOOD SHEPHERD CLINIC. LUMPKIN COUNTY FAMILY CONNECTION: NGMC LUMPKIN SUPPORTED LUMPKIN COUNTY FAMILY CONNECTION, A PARTNERSHIP OF ORGANIZATIONS WORKING TOGETHER TO HELP MEET THE NEEDS OF CHILDREN AND FAMILIES OF THE COMMUNITY, TO PREVENT CHILD ABUSE AND NEGLECT, AND TO GIVE ALL CHILDREN AN EQUAL OPPORTUNITY TO SUCCEED IN SCHOOL AND LIFE. CONNECTABILITY: NGMC LUMPKIN PROVIDED A DONATION TOWARDS THE PROGRAMMING OF CONNECTABILITY, A NON-PROFIT IN LUMPKIN COUNTY THAT OFFERS DIRECT SERVICES & COMMUNITY-BASED PROGRAMS TO STRENGTHEN SOCIAL NETWORKS AND REDUCE SOCIAL ISOLATION FOR CHILDREN AND ADULTS WITH DISABILITIES AND THEIR FAMILIES. LUMPKIN FIGHT AGAINST DRUGS, ALCOHOL AND VIOLENCE: NGMC LUMPKIN PROVIDED A DONATION TO THE LUMPKIN COUNTY SHERIFF'S OFFICE TO DEVELOP AND PRODUCE CRIME PREVENTION, SAFETY EDUCATION & SUBSTANCE USE EDUCATION MATERIALS FOR LUMPKIN COUNTY SCHOOLS AS A PART OF THE "LUMPKIN FIGHT AGAINST DRUGS, ALCOHOL AND VIOLENCE" PROGRAM. SOUTH ENOTAH CHILD ADVOCACY CENTER: NGMC LUMPKIN PROVIDED FUNDS TOWARDS SOUTH ENOTAH CHILD ADVOCACY CENTER'S SERVICES, INCLUDING FORENSIC INTERVIEWS, ADVOCACY, THERAPY AND FORENSIC MEDICAL EXAMINATIONS TO CHILD VICTIMS OF ABUSE AND NEGLECT IN LUMPKIN COUNTY AND WHITE COUNTY. OTHER ORGANIZATIONS THAT NGMC LUMPKIN HELPED SUPPORT INCLUDE: -AMERICAN CANCER SOCIETY -DAHLONEGA SUNRISE ROTARY ACCESS TO CARE LUMPKIN COUNTY SCHOOL-BASED HEALTH CLINIC: IN FY23, TAMMY SOLES, DIRECTOR OF CLINICAL CARE & STAFF DEVELOPMENT, WORKED WITH LUMPKIN COUNTY HIGH SCHOOL TO DEVELOP A PROPOSAL FOR A STATE GRANT FOR RENOVATIONS & STAFFING OF A SCHOOL-BASED HEALTH CLINIC. MEDICAL PLAZA DAWSONVILLE: IN MARCH 2023, NGHS BROKE GROUND ON A NEW MEDICAL PLAZA OFFICE BUILDING IN DAWSONVILLE. THIS SECOND BUILDING ADDED TO MEDICAL PLAZA DAWSONVILLE WILL BE HOME TO A NEW, LARGER URGENT CARE AND NUMEROUS PHYSICIAN OFFICES AND IS SET TO OPEN IN EARLY 2024. NGMC LUMPKIN DRYING-IN: IN 2023, NGMC LUMPKIN CELEBRATED ANOTHER MILESTONE WITH A SPECIAL "DRYING-IN" CEREMONY. THE NEW NGMC LUMPKIN IS SET TO OPEN IN SPRING 2024. HEALTH EDUCATION AND COMMUNITY OUTREACH COMMUNITY EDUCATION ON INJURY PREVENTION AND TRAUMA: NGMC LUMPKIN PROVIDED COMMUNITY EDUCATION REGARDING FALLS, INJURY PREVENTION AND TRAUMA TO SCHOOLS, SUPPORT GROUPS AND HEALTHCARE PROFESSIONALS IN THE LUMPKIN COUNTY COMMUNITY, AS WELL AS TRAINING FOR THE STOP THE BLEED CAMPAIGN, A PROGRAM DESIGNED TO ENABLE TEACHERS, NURSES, AND STAFF TO RENDER IMMEDIATE, POTENTIALLY LIFE-SAVING MEDICAL AID TO INJURED STUDENTS OR CO-WORKERS WHILE AWAITING THE ARRIVAL OF PROFESSIONAL RESPONDERS. HEALTHY AGING DAWSON: NGMC LUMPKIN PROVIDED COMMUNITY HEALTH EDUCATION, WITH TOPICS RANGING FROM SEPSIS PREVENTION TO ADVANCE CARE PLANNING, TO OVER 32 ATTENDEES AT THE HEALTHY AGING DAWSON HEALTH FAIR IN FY23. SCHOOL-BASED GRIEF SUPPORT GROUPS: NGMC'S HOSPICE PROVIDED SCHOOL-BASED GRIEF SUPPORT GROUPS TO 18 ELEMENTARY AND MIDDLE SCHOOL STUDENTS IN LUMPKIN COUNTY IN FY23. SCHOOL-BASED HEALTH EDUCATION: NGPG STAFF PROVIDED HEALTHCARE EDUCATION COURSES TO LUMPKIN COUNTY HIGH SCHOOL STUDENTS AND BASIC LIFE SUPPORT COURSES TO LANIER TECHNICAL COLLEGE STUDENTS IN FY23. COMMUNITY SERVICE IN FY23, SIX LEADERS FROM NGMC LUMPKIN REPORTED SPENDING DEDICATED STAFF TIME TOWARDS 17 LEADERSHIP POSITIONS WITH VARIOUS CIVIC AND PROFESSIONAL ORGANIZATIONS. NGMC LUMPKIN DIRECTOR KAY HALL SERVED ON THE BOARD OF COMMUNITY HELPING PLACE AND NGPG VP OF OPERATIONS BOBBY NORRIS SERVED ON THE BOARD OF DIRECTORS FOR THE GOOD SHEPHERD CLINIC OF DAWSON COUNTY. NGMC HABERSHAM HIGHLIGHTS OF NGMC HABERSHAM'S FY23 COMMUNITY BENEFIT ACTIVITIES: HABERSHAM MEDICAL CENTER (HMC) OFFICIALLY BECAME NGMC HABERSHAM ON JULY 1, 2023. NGHS ACQUIRED THE STRUGGLING RURAL HOSPITAL TO MAINTAIN ACCESS TO LOCAL HOSPITAL CARE FOR RURAL PARTS OF THE NORTH GEORGIA REGION. NGMC HABERSHAM VALUES COOPERATIVE EFFORTS WITH COMMUNITY ORGANIZATIONS AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA RESIDENTS. THE ORGANIZATION DEMONSTRATES THIS BY PROVIDING FINANCIAL AND STAFF SUPPORT TO LOCAL NONPROFIT AGENCIES, DEVELOPING PARTNERSHIPS WITH SCHOOLS ON HEALTH EDUCATION, AND FOSTERING A PARTNERSHIP WITH THE LOCAL INDIGENT CLINIC THAT SERVES THE UNDER-SERVED POPULATION. CHARITY CARE NGMC HABERSHAM'S CHARITY CARE POLICY REMOVED BARRIERS FOR LOW-INCOME POPULATIONS WITHIN OUR SERVICE AREA, BEGINNING WITH FREE MEDICALLY NECESSARY CARE FOR PATIENTS WHOSE GROSS FAMILY INCOME WAS ZERO TO 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ADJUSTED FOR FAMILY SIZE. PATIENTS FROM OUR SERVICE AREA WHOSE FPL IS FROM 151 TO 300 PERCENT QUALIFIED FOR AN ADJUSTMENT EQUIVALENT TO THE HOSPITAL'S MEDICARE REIMBURSEMENT RATE PLUS AN ADDITIONAL 40 PERCENT DISCOUNT TO THE MEDICARE REIMBURSEMENT RATE. IN FY23, THE ESTIMATED COST OF INDIGENT AND CHARITY CARE THROUGH NGMC HABERSHAM WAS APPROXIMATELY $410,000 BASED ON 268 PATIENT ENCOUNTERS. IN ADDITION, NGMC HABERSHAM REPORTED NO BAD DEBT EXPENSE FOR THE PERIOD AS PATIENT ACCOUNTS DERIVED AFTER THE ACQUISITION DATE OF THE HOSPITAL BY NORTHEAST GEORGIA HEALTH SYSTEM DID NOT ALLOW FOR ENOUGH TIME TO PASS BEFORE DECLARING ANY ACCOUNTS AS BAD DEBT EXPENSE FOR THE PERIOD. FINANCIAL NAVIGATION NGMC HABERSHAM EMPLOYS FINANCIAL ASSISTANCE COUNSELORS WHO HELP PATIENTS BECOME INSURED, BE IT THROUGH MEDICAID, PEACHCARE, OR OTHER PROGRAMS. NGMC'S FINANCIAL NAVIGATORS FOCUS ON BEING ADVOCATES FOR UNINSURED AND UNDERINSURED PATIENTS, AIDING THEM IN FINDING VIABLE MEANS TO ACCESS CARE. THE TEAM'S FOCUS IS FINDING THE BEST SOLUTIONS FOR HELPING PATIENTS APPLY FOR MEDICAID, DISABILITY, ACCESSING THE NEW HEALTHCARE EXCHANGES, OR PROCESSING CHARITY, WHEN APPROPRIATE. INDIGENT PATIENT FUND FINANCIAL ASSISTANCE IS PROVIDED FOR INDIGENT PATIENTS TO OBTAIN URGENTLY NEEDED DISCHARGE MEDICATIONS AND TRANSPORTATION. INDIVIDUALS ELIGIBLE FOR THESE FUNDS ARE PATIENTS WHOSE NEEDS CANNOT BE MET THROUGH PRIMARY INSURANCE, THEIR FUNDS, GOVERNMENT PROGRAMS, OR OTHER CHARITABLE SERVICES. THE NGHS FOUNDATION PROVIDED FUNDING FOR THIS PROGRAM AT AN ESTIMATED COST OF $37,974 ACROSS ALL NGMC CAMPUSES IN FY23. REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022, NGMC PARTNERED WITH HABERSHAM MEDICAL CENTER AND OTHER REGIONAL PARTNERS ON THE NORTHEAST GEORGIA REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT. THIS CHNA COVERED HABERSHAM, RABUN, AND BANKS COUNTIES, IN ADDITION TO OTHER COUNTIES IN THE REGION AND FOCUSED MAINLY ON THE NEEDS OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS, PARTICULARLY THOSE WITH LOW INCOMES WHO ARE UNINSURED. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS. THE STUDY CULMINATED IN THE IDENTIFICATION OF THE THREE FOLLOWING HEALTH PRIORITIES: MENTAL AND BEHAVIORAL HEALTH, ACCESS TO CARE, AND HEALTHY BEHAVIORS. FOR MORE INFORMATION ABOUT THESE PRIORITIES, GO TO WWW.NGHS.COM/COMMUNITY-BENEFIT-RESOURCES. WORKFORCE DEVELOPMENT NGMC HABERSHAM SERVES AS A PIPELINE TO ATTRACT AND PREPARE QUALIFIED INDIVIDUALS AND STUDENTS INTERESTED IN HEALTHCARE POSITIONS AND WORKS TO TRAIN, EDUCATE AND RECRUIT STUDENTS FOR CAREERS IN HEALTHCARE. NGMC HABERSHAM SPENT OVER $75,000 IN FY23 IN THESE AREAS: ALLIED HEALTH STUDENT EDUCATION: NGMC HABERSHAM PROVIDES CLINICAL ROTATIONS FOR ALLIED HEALTH STUDENTS, HELPING STUDENTS LEARN VALUABLE SKILLS IN A CLINICAL ENVIRONMENT. FROM JULY 1 SEPTEMBER 30 IN FY23, NINE STUDENTS BENEFITTED FROM THIS PROGRAM. NURSING STUDENT EDUCATION: THROUGH CLINICAL ROTATIONS AT NGMC HABERSHAM, NURSING STUDENTS LEARN VALUABLE SKILLS. FOR THE JULY 1 SEPTEMBER 30 PERIOD IN FY23, SEVEN STUDENTS BENEFITTED FROM THIS PROGRAM.
FORM 990, PART III, LINE 4A	SUPPORT OF CHARITABLE CLINICS AND OTHER NON-PROFITS NGMC HABERSHAM HELPS SUPPORT LOCAL NON-PROFITS THAT CONNECT PEOPLE IN NEED TO RESOURCES SUCH AS FOOD, TRANSPORTATION, AND OTHER IMPORTANT SUPPORT SERVICES. OFTEN REFERRED TO AS SOCIAL DETERMINANTS OF HEALTH, LACK OF ACCESS TO THESE RESOURCES PLAY A DETRIMENTAL ROLE IN OVERALL HEALTH. IN FACT, RESEARCH SUPPORTS THE IDEA THAT AS MUCH AS 80% OF A PERSON'S WELLBEING IS TIED TO PHYSICAL ENVIRONMENT, ECONOMIC FACTORS, AND HEALTH BEHAVIORS. MAKING IMPROVEMENTS IN THESE AREAS UPSTREAM CAN IMPACT BETTER HEALTH DOWNSTREAM, MINIMIZING POOR HEALTH, UNNECESSARY SUFFERING AND HIGHER COSTS OF CARE. NGMC HABERSHAM PROVIDED OVER $10,000 IN SUPPORT OF COMMUNITY NON-PROFITS IN FY23. BELOW ARE HIGHLIGHTS: HUB OF HABERSHAM: NGMC MADE A DONATION TOWARD THE HUB OF HABERSHAM TO HELP SERVE YOUNG PEOPLE IN THE COMMUNITY THROUGH AN IN-SCHOOL MENTORING PROGRAM FOCUSED ON LEADERSHIP AND GOOD DECISION MAKING. HEALTHY SELF ESTEEM IS A FOCUS OF THIS WORK, WHICH ALIGNS WITH NGMC HABERSHAM'S FOCUS ON MENTAL HEALTH. NORTH GEORGIA TECHNICAL COLLEGE: NGMC HABERSHAM DONATED TOWARDS THE RICH PERKINS AWARD FOR EXCELLENCE IN TECHNICAL INSTRUCTION, HONORING HEALTHCARE WORKERS WHO HAVE MADE CONTRIBUTIONS TO TECHNICAL EDUCATION THROUGH INNOVATION AND LEADERSHIP. VANESSA LONE, MEDICAL ASSISTING INSTRUCTOR AT NGTC, WAS THE HONOREE IN FY23. HABERSHAM COUNTY RELAY FOR LIFE: IN FY23, NGMC HABERSHAM WAS A SPONSOR OF THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE EVENT IN HABERSHAM COUNTY, BENEFITTING CANCER RESEARCH AND COMMUNITY EDUCATION. WATER SAFETY: IN FY23, NGMC HABERSHAM PARTNERED WITH HABERSHAM COUNTY PARKS & RECREATION THROUGH SAFE KIDS TO PROVIDE WATER SAFETY TRAINING TO CHILDREN & PARENTS. SOQUE RIVER WATERSHED ASSOCIATION: NGMC HABERSHAM PROVIDED A DONATION TOWARDS THE SOQUE RIVER WATERSHED ASSOCIATION TO HELP SUPPORT EFFORTS TOWARDS WATER TESTING, RESEARCH AND EDUCATION ON THE IMPORTANCE OF CLEAN WATER RELATED TO HUMAN HEALTH. GRACE GATE CLINIC: STAFF FROM FINANCIAL NAVIGATION AND COMMUNITY HEALTH IMPROVEMENT MET WITH LEADERSHIP AT GRACE GATE CLINIC TO ENSURE NAVIGATION PROCESSES ARE WORKING AND OPEN THE DOOR TO FUTURE PARTNERSHIP. UNITED WAY OF HABERSHAM COUNTY: PARTNERSHIP MEETINGS OCCURRED BETWEEN NGMC AND UNITED WAY OF HABERSHAM COUNTY IN FY23. ACCESS TO CARE URGENT CARE OPENED IN TOCCOA: IN FY23, NGHS OPENED ITS NINTH URGENT CARE LOCATION IN TOCCOA, PROVIDING CARE FOR MINOR ILLNESSES AND INJURIES. COMMUNITY SERVICE KEVIN MATSON, VP OF REGIONAL HOSPITALS, SERVED ON THE HABERSHAM COUNTY CHAMBER OF COMMERCE BOARD OF DIRECTORS & FINANCE COMMITTEE, LEADERSHIP HABERSHAM, HABERSHAM COUNTY ROTARY, ECONOMIC DEVELOPMENT COMMITTEE, AND THE UNITED WAY OF HABERSHAM COMMITTEE FOR FUNDING DECISIONS. SPECIAL NOTES ABOUT COMMUNITY BENEFIT REPORTING NGMC USED THE PRECEPTS OUTLINED IN "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT," PROVIDED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND VIZIENT FOR ITS COMMUNITY BENEFIT REPORTING WITHIN THE ORGANIZATION'S IRS 990 SCHEDULE H. THE GUIDE'S PURPOSE IS TO HELP NOT-FOR-PROFIT MISSION-DRIVEN HEALTHCARE ORGANIZATIONS DEVELOP, ENHANCE AND REPORT ON THEIR COMMUNITY BENEFIT PROGRAMS. COMMUNITY BENEFIT DEFINITION: THE PROGRAM OR ACTIVITY MUST ADDRESS A DEMONSTRATED COMMUNITY NEED AND SEEK TO ADDRESS AT LEAST ONE OF THE FOLLOWING: -IMPROVING ACCESS -ENHANCING POPULATION HEALTH -ADVANCING GENERALIZABLE KNOWLEDGE -RELIEVING THE GOVERNMENT BURDEN ON IMPROVING HEALTH THE PROGRAM OR ACTIVITY MUST: -PRIMARILY BENEFIT THE COMMUNITY RATHER THAN THE ORGANIZATION -RESULT IN MEASURABLE EXPENSE TO THE ORGANIZATION IF THE PROGRAM OR ACTIVITY IS PROVIDED PRIMARILY FOR MARKETING PURPOSES, STANDARD PRACTICE, EXPECTED OF ALL HOSPITALS (SUCH AS ACTIVITIES REQUIRED FOR ACCREDITATION, LICENSURE, OR TO PARTICIPATE IN MEDICARE) OR IS PRIMARILY FOR EMPLOYEES (NOT INCLUDING INTERNS, RESIDENTS, AND FELLOWS) AND/OR AFFILIATED PHYSICIANS, IT IS NOT COMMUNITY BENEFIT. CHARITY CARE COST IS AN ESTIMATED COST AND DOES NOT INCLUDE BAD DEBT. ADDITIONAL INFORMATION HAS BEEN INCLUDED IN THE SCHEDULE O TO GIVE THE BROADEST VIEW OF COMMUNITY IMPACT OF NGHS HOSPITALS. FOR MORE INFORMATION, CONTACT THE COMMUNITY HEALTH IMPROVEMENT DEPARTMENT AT 770-219-8085.
FORM 990, PART VI, SECTION A, LINE 6	NORTHEAST GEORGIA HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST GEORGIA MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER IS APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER IS APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	INFORMATION FOR THE FORM 990 WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT FOR PREPARATION OF THE RETURN. AFTER THE RETURN WAS PREPARED, IT WAS REVIEWED BY SENIOR FINANCIAL MANAGEMENT. THE FORM 990 IS MADE AVAILABLE TO MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. EMPLOYEES ATTEST TO THEIR UNDERSTANDING AND REPORTING/DISCLOSURE REQUIREMENTS AT HIRE AND ANNUALLY. COMPLIANCE IS MONITORED CONTINUOUSLY THROUGHOUT THE YEAR BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE OF THE NORTHEAST GEORGIA HEALTH SYSTEM BOARD (NGHS BOARD) HAS DEVELOPED A TOTAL COMPENSATION PHILOSOPHY AND INSTALLED COMPENSATION POLICIES AND PROCEDURES THAT SEEK TO FURTHER THE PURPOSE OF NGHS AND AFFILIATES AND THE IMPORTANCE OF THESE POLICIES TO ATTRACT AND RETAIN KEY EMPLOYEES. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF VOTING DIRECTORS WHO ARE NOT EMPLOYEES OF NGHS AND IS FREE FROM CONFLICT OF INTEREST. ALL DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEE ARE REVIEWED AND RATIFIED BY THE NGHS BOARD. THE COMMITTEE'S METHODOLOGY AND APPROACH INCORPORATE BOTH QUALITATIVE AND QUANTITATIVE CONSIDERATIONS, WHICH ARE REFLECTED IN THE COMMITTEE'S DETERMINATIONS CONCERNING KEY EMPLOYEE COMPENSATION AND THE SPECIFIC COMPONENTS THEREOF. THE COMPENSATION DECISIONS OF THE COMMITTEE ARE DESCRIBED BELOW AS TO EACH OF THE THREE CATEGORIES. BASE SALARY NGHS ENGAGES AN INDEPENDENT THIRD-PARTY CONSULTANT TO COLLECT APPROPRIATE DATA FROM A GROUP OF PEERS SIMILAR IN SIZE AND COMPLEXITY TO NGHS. THIS COMPARABILITY DATA IS REVIEWED WITH THE COMMITTEE ALONG WITH COMPARISONS OF NGHS EXECUTIVE SALARIES COMPARED TO THE MARKET DATA. THE CEO MAKES RECOMMENDATIONS TO THE COMMITTEE FOR SALARIES WITHIN THE PEER GROUP SALARY RANGES BASED ON INDIVIDUAL PERFORMANCE ASSESSMENTS FOR EACH POSITION. IN EACH INSTANCE, THE COMMITTEE MEMBERS REACH A CONSENSUS BASED ON THE COMBINATION OF AVAILABLE INFORMATION, AND THE COMMITTEE SETS A BASE SALARY LEVEL FOR EACH KEY EMPLOYEE. PERFORMANCE BASED VARIABLE COMPENSATION NGHS LEADERSHIP PARTICIPATE IN A PERFORMANCE BASED VARIABLE COMPENSATION PLAN WITH OPPORTUNITY LEVELS DETERMINED BASED ON THE PEER GROUP MARKET DATA AND TO ALIGN WITH THE NGHS EXECUTIVE COMPENSATION PHILOSOPHY PARAMETERS. ANNUAL GOALS AND OBJECTIVES ARE DETERMINED THROUGH A FORMAL PLANNING PROCESS INVOLVING BOARD MEMBERS AND SENIOR MANAGEMENT. FOLLOWING THE END OF THE FISCAL YEAR, CASH AWARDS ARE DETERMINED BASED ON ORGANIZATION PERFORMANCE. BENEFITS AND RETENTION PROGRAMS BENEFIT PLANS AND AMOUNTS ARE DETERMINED BY A COMPARISON PROCESS SIMILAR TO DETERMINING BASE SALARIES WITH POSITIONS AND ORGANIZATIONS SIMILAR TO NGHS. INCLUDED IN BENEFITS ARE RETIREMENT PROGRAMS TO ENHANCE RETENTION AND PROGRESS TOWARD LONG-TERM GOALS WITHIN NGHS' MISSION.
FORM 990, PART VI, SECTION C, LINE 19	FINANCIAL STATEMENTS AND STATISTICS ARE FILED QUARTERLY WITH DIGITAL ASSURANCE CERTIFICATION, LLC (DAC BOND). DAC BOND SERVES AS A DISCLOSURE DISSEMINATION AGENT FOR ISSUERS OF MUNICIPAL BONDS ELECTRONICALLY POSTING AND TRANSMITTING INFORMATION TO REPOSITORIES AND INVESTORS. ALL OTHER ITEMS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	INTERCOMPANY DEBT FORGIVENESS -176,114,897. PARTNERSHIP INCOME NOT ON BOOKS -598,104. OTHER ADJUSTMENT -218,618. NET ASSETS TRANSFERRED FOR CAPITAL EXPENDITURES 1,631,429. LEASES -1,111,218.

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

NORTHEAST GEORGIA MEDICAL CENTER INC

Employer identification number

58-1694098

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(f) Direct controlling entity
(1) HEALTHECONNECTIONS LLC 743 SPRING STREET GAINESVILLE,GA30501 58-1694098	HEALTHCARE	GA	N/A
(2) BRASELTON ASC LLC 1524 RIVER PLACE SUITE 100 BRASELTON,GA30517 88-4229346	HEALTHCARE	GA	NORTHEAST GEORGIA MEDICAL CENTER INC

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)NORTHEAST GEORGIA HEALTH SYSTEM INC 743 SPRING STREET GAINESVILLE,GA30501 58-1694090	HEALTHCARE - PARENT ORG.	GA	501(C)(3)	LINE 12C, III-FI	N/A	Yes
(2)THE MEDICAL CENTER FOUNDATION DBA NGHS FOUNDATION 743 SPRING STREET GAINESVILLE,GA30501 58-1694820	FUNDRAISING AND SUPPORT	GA	501(C)(3)	LINE 7	NORTHEAST GEORGIA HEALTH SYSTEM INC	Yes
(3)NORTHEAST GEORGIA PHYSICIANS GROUP INC 743 SPRING STREET GAINESVILLE,GA30501 58-2078064	HEALTHCARE	GA	501(C)(3)	LINE 12B, II	NORTHEAST GEORGIA HEALTH SYSTEM INC	Yes
(4)THE MEDICAL CENTER AUXILIARY INC 743 SPRING STREET GAINESVILLE,GA30501 58-1550576	FUNDRAISING AND SUPPORT	GA	501(C)(3)	LINE 10	NORTHEAST GEORGIA HEALTH SYSTEM INC	Yes

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) SCA - NORTHEAST GEORGIA HEALTH LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 62-1589343	HEALTHCARE	AL	NORTHEAST GEORGIA MEDICAL CENTER INC	RELATED	564,695	903,020		No		Yes		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) NORTHEAST GEORGIA HEALTH PARTNERS LLC 743 SPRING STREET GAINESVILLE,GA30501 58-2131807	PPO DEVELOPMENT	GA	N/A	C					No
(2) NORTHEAST GEORGIA HEALTH PARTNERS NETWORK LLC 743 SPRING STREET GAINESVILLE,GA30501 61-1972705	PPO DEVELOPMENT	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) ............................

Yes

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

Yes

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

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

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

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

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

Yes

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

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

Yes

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

Yes

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

Yes

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

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

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

Yes

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

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: IMPROVING THE HEALTH OF THE COMMUNITY IN ALL WE DO.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	11,850
6	Total number of volunteers (estimate if necessary) .............	6	662
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,138,945
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	16,675,201	10,297,384
9	Program service revenue (Part VIII, line 2g) .........	1,696,723,683	1,933,629,224
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	55,140,315	77,296,743
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,485,139	734,447
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,770,024,338	2,021,957,798
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,087,131	2,539,896
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)	687,469,425	714,444,193
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)....	886,670,876	995,844,470
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,576,227,432	1,712,828,559
19	Revenue less expenses. Subtract line 18 from line 12.......	193,796,906	309,129,239
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,367,614,985	2,577,164,049
21	Total liabilities (Part X, line 26).............	1,423,208,858	1,428,356,415
22	Net assets or fund balances. Subtract line 21 from line 20.....	944,406,127	1,148,807,634

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,558,566,317 including grants of $ 2,539,896 ) (Revenue $ 1,861,730,566 )
	NORTHEAST GEORGIA MEDICAL CENTER, INC. (NGMC) INCLUDES CAMPUSES IN GAINESVILLE AND BRASELTON, GEORGIA AND IS AFFILIATED WITH NGMC BARROW AND NGMC LUMPKIN. AS A PART OF NORTHEAST GEORGIA HEALTH SYSTEM, NGMC SERVES MORE THAN A MILLION PEOPLE ACROSS THE REGION. SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION. SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,558,566,317

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) TRACY VARDEMAN........................................................................ CHIEF STRATEGY EXECUTIVE - NGHS	1.00 .......................40.00	X			593,209	0	134,321
(19) JACK CHENG........................................................................ PHYSICIAN	40.00 .......................		X		371,820	0	20,674
(20) KONSTANTIN ZUBELEVITSKIY........................................................................ VP - POST ACUTE CARE	40.00 .......................		X		517,446	0	44,329
(21) KRUPA DESAI........................................................................ MEDICAL DIRECTOR - CAPACITY COMMAND CENTER	40.00 .......................		X		403,089	0	41,645
(22) MARTIN AUSTIN........................................................................ PHYSICIAN	40.00 .......................		X		454,634	0	30,891
(23) TINA WALDEN........................................................................ VP - ADMINISTRATOR OF PHYSICIAN PRACTICE, GEORGIA	40.00 .......................		X		356,018	0	95,153
(24) LUISA GUTMAN........................................................................ FORMER CHIEF HR OFFICER - NGHS	1.00 .......................40.00			X	101,974	0	25,260

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,465,743	0	1,108,638

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	942,510
e	Government grants (contributions)		1e	9,354,874

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

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

h Total. Add lines 1a-1f.......		10,297,384

		Business Code
2a	NET PATIENT SVC REV	621400	1,861,135,610	1,861,135,610
b	OTHER REVENUE	621990	33,464,143			33,464,143
c	PHARMACY	456110	29,718,135			29,718,135
d	CAFETERIA REVENUE	722514	8,172,391			8,172,391
e	LAB REVENUE	621500	1,138,945		1,138,945
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,933,629,224

3 Investment income (including dividends, interest, and othersimilar amounts) ......			44,561,246			44,561,246
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		156,496	6a
b	Less: rental expenses		17,005	6b
c	Rental income or (loss)		139,491	6c
d	Net rental income or (loss).......			139,491			139,491
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	25,400	32,710,097	7a
b	Less: cost or other basis and sales expenses	0	0	7b
c	Gain or (loss)	25,400	32,710,097	7c
d	Net gain or (loss).........			32,735,497			32,735,497
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	PARTNERSHIP INCOME		621990	594,956	594,956
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			594,956
12	Total revenue. See instructions.....			2,021,957,798	1,861,730,566	1,138,945	148,790,903

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,539,896	2,539,896
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	2,305,889	647,162	1,658,727
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........	601,403,793	539,332,908	62,070,885
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,854,371	10,630,881	1,223,490
9	Other employee benefits .......	59,647,118	53,490,939	6,156,179
10	Payroll taxes ...........	39,233,022	35,183,782	4,049,240
11	Fees for services (non-employees):
a	Management ......	163,709,620	146,813,150	16,896,470
b	Legal .........	9,518,486	8,536,083	982,403
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	3,845,901	3,448,966	396,935
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	119,876,157	107,503,739	12,372,418
12	Advertising and promotion ....	47,545	42,638	4,907
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	12,924,645	11,590,692	1,333,953
17	Travel ............	2,526,488	2,265,729	260,759
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	35,148,933	31,521,212	3,627,721
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	68,789,927	61,690,119	7,099,808
23	Insurance ...	2,142,824	1,921,663	221,161
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	228,295,828	204,733,416	23,562,412
b	BAD DEBT EXPENSE	134,652,205	134,652,205
c	DRUG SUPPLIES	94,757,596	94,757,596
d	EQUIPMENT RENTAL & MAIN	90,015,355	80,724,870	9,290,485
e	All other expenses	29,592,960	26,538,671	3,054,289
25	Total functional expenses. Add lines 1 through 24e	1,712,828,559	1,558,566,317	154,262,242	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 ........			38,217,295	1	15,288,935
2	Savings and temporary cash investments .........			169,036	2	236,843
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			144,358,686	4	169,629,560
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 ...........			272,710	7	201,538
8	Inventories for sale or use ............			13,625,071	8	15,922,901
9	Prepaid expenses and deferred charges ......			10,500,861	9	11,497,564
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,910,346,080
b	Less: accumulated depreciation	10b	991,593,609	712,330,632	10c	918,752,471
11	Investments—publicly traded securities .			1,419,580,030	11	1,394,575,866
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			1,204,661	14	14,914,636
15	Other assets. See Part IV, line 11 ...........			27,356,003	15	36,143,735
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,367,614,985	16	2,577,164,049

17	Accounts payable and accrued expenses .....	163,693,606	17	195,081,521
18	Grants payable ...		18
19	Deferred revenue .........	16,770,127	19	9,404,313
20	Tax-exempt bond liabilities .........	1,196,136,751	20	1,177,723,963
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	46,608,374	25	46,146,618
26	Total liabilities. Add lines 17 through 25..	1,423,208,858	26	1,428,356,415

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	944,406,127	27	1,148,807,634
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	944,406,127	32	1,148,807,634
33	Total liabilities and net assets/fund balances ........	2,367,614,985	33	2,577,164,049