TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) ALEX WAYNE...................................................................... VICE CHAIR	1.00 .................	X		0	0
(2) BRAD PURYEAR...................................................................... MEMBER	1.00 .................	X		0	0
(3) CINDY GREEN...................................................................... MEMBER	1.00 .................	X		0	0
(4) DEEPAK AGGARWAL...................................................................... MEMBER	1.00 .................	X		0	0
(5) GLENNIS BARNES...................................................................... MEMBER	1.00 .................	X		0	0
(6) GREG OURS...................................................................... MEMBER	1.00 .................	X		0	0
(7) JACK KEENER...................................................................... MEMBER	1.00 .................	X		0	0
(8) JACKIE WALLACE...................................................................... MEMBER	1.00 .................	X		0	0
(9) LETRELL SIMPSON...................................................................... MEMBER	1.00 .................	X		0	0
(10) MOHAK DAVE...................................................................... MEMBER	1.00 .................	X		99,500	0
(11) PHILLIPPA LEWIS MOSS...................................................................... MEMBER - EX OFFICIO	1.00 ................. 1.00	X		0	0
(12) PIERPONT BROWN...................................................................... MEMBER, PHYSICIAN-NGPG	1.00 ................. 40.00	X		453,431	37,879
(13) RK WHITEHEAD...................................................................... MEMBER	1.00 .................	X		0	0
(14) SPENCE PRICE...................................................................... CHAIR	1.00 .................	X		0	0
(15) CAROL BURRELL...................................................................... PRESIDENT & CEO, MEMBER	40.00 ................. 1.00	X	X	2,257,161	82,156
(16) BRIAN D STEINES...................................................................... CHIEF FINANCIAL OFFICER	40.00 ................. 1.00		X	1,026,643	127,462
(17) STEPHEN KELLY...................................................................... CHIEF COMPLIANCE OFFICER	40.00 ................. 1.00		X	350,897	71,555

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MICHAEL COVERT........................................................................ CHIEF OPERAT. OFFICER-ENDED 12/23	1.00 .......................40.00	X				1,311,947	142,506
(19) JOHN KUEVEN........................................................................ CHIEF OPERAT. OFFICER-BEGIN 12/23	1.00 .......................40.00	X				714,810	99,830
(20) ANDREI BOYARSHINOV........................................................................ CHIEF LEGAL OFFICER	40.00 .......................		X			789,807	108,145
(21) CHRISTOPHER PARAVATE........................................................................ CHIEF INFORMATION OFFICER - NGHS	40.00 .......................		X			707,508	103,331
(22) DANIEL TUFFY........................................................................ PRESIDENT AND CAO - NGPG	40.00 .......................		X			665,067	103,744
(23) HABIB SAMADY........................................................................ PRESIDENT - GEORGIA HEART INSTITUTE	40.00 .......................		X			1,325,284	154,389
(24) LORIE SHOEMAKER........................................................................ CHIEF NURSING EXECUTIVE - CONTRACTED	1.00 .......................40.00		X			197,776	0
(25) MELISSA TYMCHUK........................................................................ CHIEF OF STAFF & STRATEGY OFFICER - NGHS	40.00 .......................1.00		X			622,245	103,332
(26) DARLENE SWEET........................................................................ VP - GEORGIA HEART INSTITUTE	1.00 .......................40.00		X			342,457	47,704
(27) DIANE POIROT........................................................................ CHIEF HR OFFICER - NGHS	40.00 .......................1.00		X			550,153	89,362
(28) STUART DOWNS........................................................................ CHIEF NURSING EXECUTIVE	1.00 .......................40.00		X			174,447	16,552
(29) VIKRAM REDDY........................................................................ CHIEF MEDICAL OFFICER - NGHS	40.00 .......................1.00		X			293,298	19,925
(30) LAURA DIVOKY........................................................................ PHYSICIAN	40.00 .......................			X		970,918	32,625
(31) MANIVANNAN VEERASAMY........................................................................ PHYSICIAN	40.00 .......................			X		1,039,576	26,131
(32) NAGA KOMMURI........................................................................ PHYSICIAN	40.00 .......................			X		943,085	14,040
(33) RAZA ABBAS........................................................................ PHYSICIAN	40.00 .......................			X		908,243	46,049
(34) UGOCHUKWU EGOLUM........................................................................ PHYSICIAN	40.00 .......................1.00			X		1,049,231	44,290
(35) TRACY VARDEMAN........................................................................ FORMER CHIEF STRATEGY EXECUTIVE - NGHS	40.00 .......................1.00				X	512,845	228,097

(A) Name and business address	(B) Description of services	(C) Compensation
KINETIX LLC 50 GLENLAKE PKWY SUITE 625 ATLANTA,GA30328	OUTSOURCED RECRUITMENT SERVICES	4,572,715
CLOUDMED SOLUTIONS LLC PO BOX 208272 DALLAS,TX75320	REIMBURSEMENT SERVICES	2,667,551
HEALTHCARE IT LEADERS LLP PO BOX 930816 ATLANTA,GA31193	STAFFING SERVICES	1,950,077
DELOITTE AND TOUCHE LLP PO BOX 844708 DALLAS,TX752844708	CONSULTING SERVICES	1,626,873
UNIDINE CORPORATION PO BOX 102289 ATLANTA,GA303682289	DIETARY SERVICES	1,530,739
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 179

- 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

2023

Open to Public
Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

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 ............................... 1

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(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)
(A) NORTHEAST GEORGIA MEDICAL CENTER	581694098	3	Yes		0	0

Total 1					0	0

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

Cat. No. 11285F

Schedule A (Form 990) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

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.

Yes

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) 2023

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?

Yes

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).

Yes

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.

Yes

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.

Yes

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.

Yes

Schedule A (Form 990) 2023

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) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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
PART IV, SECTION D, LINE 3	NORTHEAST GEORGIA HEALTH SYSTEM, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES, TO INCLUDE THE INVESTMENTS OF NORTHEAST GEORGIA MEDICAL CENTER, INC. BY APPOINTING THE MEMBERS OF ITS BOARD OF TRUSTEES.
PART IV, SECTION E, LINE 3A	NORTHEAST GEORGIA HEALTH SYSTEM, INC. HAS THE POWER TO REGULARLY APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF NORTHEAST GEORGIA MEDICAL CENTER, INC.
PART IV, SECTION E, LINE 3B	NORTHEAST GEORGIA HEALTH SYSTEM, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF NORTHEAST GEORGIA MEDICAL CENTER, INC. BY APPOINTING THE MEMBERS OF ITS BOARD OF TRUSTEES.

Schedule A (Form 990) 2023

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

right arrow

Complete if the organization is described below. 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

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.
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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 HEALTH SYSTEM INC

Employer identification number

58-1694090

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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)? ........

Yes

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

Yes

144,845

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Yes

55,125

Other activities? ...................................................................................................................

Yes

176,738

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

376,708

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 HEALTH SYSTEM, INC. PAYS MEMBERSHIP DUES TO SEVERAL PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS: -AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES -AMERICAN ASSOCIATION OF NURSE PRACTITIONERS -AMERICAN COLLEGE OF CARDIOLOGY -AMERICAN COLLEGE OF PHYSICIANS -AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION -AMERICAN MEDICAL GROUP ASSOCIATION -BARROW COUNTY CHAMBER OF COMMERCE INC -GEORGIA ALLIANCE OF COMMUNITY HOSPITALS -GEORGIA CHAMBER OF COMMERCE -GEORGIA HEALTH CARE ASSOCIATION -GEORGIA HOSPITAL ASSOCIATION -HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY MEMBERSHIP -SOCIETY OF CARDIOVASCULAR ANGIOGRAPHY & INTERVENTIONS -SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY -WALTON COUNTY CHAMBER OF COMMERCE A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.

Return Reference

Explanation

PART II-B, LINE 1:

NORTHEAST GEORGIA HEALTH SYSTEM, INC. PAYS MEMBERSHIP DUES TO SEVERAL PROFESSIONAL AND TRADE ASSOCIATIONS SUCH AS: -AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES -AMERICAN ASSOCIATION OF NURSE PRACTITIONERS -AMERICAN COLLEGE OF CARDIOLOGY -AMERICAN COLLEGE OF PHYSICIANS -AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION -AMERICAN MEDICAL GROUP ASSOCIATION -BARROW COUNTY CHAMBER OF COMMERCE INC -GEORGIA ALLIANCE OF COMMUNITY HOSPITALS -GEORGIA CHAMBER OF COMMERCE -GEORGIA HEALTH CARE ASSOCIATION -GEORGIA HOSPITAL ASSOCIATION -HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY MEMBERSHIP -SOCIETY OF CARDIOVASCULAR ANGIOGRAPHY & INTERVENTIONS -SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY -WALTON COUNTY CHAMBER OF COMMERCE A PORTION OF THESE DUES IS DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.

Schedule C (Form 990) 2022

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.
right arrow

Attach to Form 990.
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 HEALTH SYSTEM INC

Employer identification number

58-1694090

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

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)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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 .....	68,239,891		68,239,891
b	Buildings ....	356,568,658	109,604,736	246,963,922
c	Leasehold improvements	3,437,454	3,398,402	39,052
d	Equipment ....	69,959,815	42,500,308	27,459,507
e	Other .....	11,277,026	471,777	10,805,249
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				353,507,621

Schedule D (Form 990) 2022

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)DEFERRED COMPENSATION				139,211,820
(2)BOARD DESIGNATED ASSETS				115,230,777
(3)OTHER ASSETS				148,000
(4)ROU ASSET OPERATING LEASE				11,498,482
(5)ESTIMATED THIRD PARTY SETTLEMENTS				18,797,387
(6)OTHER RECEIVABLES				2,997,607
(7)DUE FROM AFFILIATES				10,374,063
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				298,258,136

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
DEFERRED COMPENSATION	44,129,820
ESTIMATED THIRD PARTY SETTLEMENTS	4,440,160
LEASES	11,636,643






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	60,206,623
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) 2022

Page 4

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

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

Part XIII

Supplemental Information

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

Return Reference

Explanation

PART X, LINE 2:

NORTHEAST GEORGIA HEALTH SYSTEM, INC. (NGHS), NORTHEAST GEORGIA MEDICAL CENTER, INC. (NGMC), THE FOUNDATION, NORTHEAST GEORGIA PHYSICIANS GROUP, INC. (NGPG), AND LANIER COMMUNITY ASSURANCE, LTD. (LCA) ARE CLASSIFIED AS ORGANIZATIONS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OR PROVISIONS OF THE COMPANIES LAW OF THE CAYMAN ISLANDS. THE INCOME FOR NGMC-BARROW, NGMC-LUMPKIN, NGMC-HABERSHAM, NGHH, NGRH, PEO, AND GHI PASSES THROUGH TO NGHS, WHICH IS TAX EXEMPT. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. NORTHEAST GEORGIA HEALTH PARTNERS, LLC (NGHP), NGHP NETWORK, AND NGHV ARE TAXABLE ENTITIES AND ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH THE FASB ASC 740, INCOME TAXES (ASC 740). AT SEPTEMBER 30, 2024 AND 2023, RESPECTIVELY, MANAGEMENT DOES NOT BELIEVE THE SYSTEM HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER ASC 740. IT IS THE SYSTEM'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS AS AN OPERATING EXPENSE.

Schedule D (Form 990) 2022

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.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

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) . . .			6,181,920	0	6,181,920	1.480 %
b	Medicaid (from Worksheet 3, column a) . . . . .			25,387,948	24,887,481	500,467	0.120 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			3,954	3,775	179	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			31,573,822	24,891,256	6,682,566	1.600 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	23	2,301	675,102	1,500	673,602	0.160 %
f	Health professions education (from Worksheet 5) . . .	4	280	944,784	0	944,784	0.230 %
g	Subsidized health services (from Worksheet 6) . . . .			2,894,501	1,157,920	1,736,581	0.420 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	46	80	127,431	7,400	120,031	0.030 %
j	Total. Other Benefits . .	73	2,661	4,641,818	1,166,820	3,474,998	0.840 %
k	Total. Add lines 7d and 7j .	73	2,661	36,215,640	26,058,076	10,157,564	2.440 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	2	2,547	32,328		32,328	0.010 %
7	Community health improvement advocacy
8	Workforce development	4	131	26,800		26,800	0.010 %
9	Other
10	Total	6	2,678	59,128		59,128	0.020 %

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. ......

36,368,384

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).....

20,803,389

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

23,834,218

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

-3,030,829

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) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?3Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	NGMC BARROW LLC 316 NORTH BROAD STREET WINDER,GA30680 WWW.NGHS.COM/LOCATIONS/BARROW 007-718	X	X	X
2	NGMC LUMPKIN LLC 227 MOUNTAIN DRIVE DAHLONEGA,GA30533 WWW.NGHS.COM/LOCATIONS/LUMPKIN 093-628	X	X	X
3	NGMC HABERSHAM LLC 541 HISTORIC HWY 441-N DEMOREST,GA30535 WWW.NGHS.COM/LOCATIONS/HABERSHAM	X	X	X

Schedule H (Form 990) 2023

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)

	NGMC BARROW LLC
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): NGHS.COM/COMMUNITY-BENEFIT-RESOURCES

Other website (list url): NORTHEASTGEORGIACHNA.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): NGHS.COM/COMMUNITY-BENEFIT-RESOURCES

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NGMC BARROW LLC
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) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	NGMC BARROW LLC
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) 2023

Page 7

Part VFacility Information (continued)

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

	NGMC BARROW LLC
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) 2023

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)

	NGMC LUMPKIN LLC
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?........................

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

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): NGHS.COM/COMMUNITY-BENEFIT-RESOURCES

Other website (list url): NORTHEASTGEORGIACHNA.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): NGHS.COM/COMMUNITY-BENEFIT-RESOURCES

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

10b

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NGMC LUMPKIN LLC
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

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)

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) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	NGMC LUMPKIN LLC
Name of hospital facility or letter of facility reporting group

Yes

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

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

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) 2023

Page 7

Part VFacility Information (continued)

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

	NGMC LUMPKIN LLC
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 prospective Medicare or Medicaid method

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) 2023

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)

	NGMC HABERSHAM LLC
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?........................

Yes

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

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): NGHS.COM/COMMUNITY-BENEFIT-RESOURCES

Other website (list url): NORTHEASTGEORGIACHNA.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): NGHS.COM/COMMUNITY-BENEFIT-RESOURCES

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

10b

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NGMC HABERSHAM LLC
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

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)

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) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	NGMC HABERSHAM LLC
Name of hospital facility or letter of facility reporting group

Yes

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

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

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) 2023

Page 7

Part VFacility Information (continued)

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

	NGMC HABERSHAM LLC
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 prospective Medicare or Medicaid method

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) 2023

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
NGMC HABERSHAM LLC	PART V, SECTION B, LINE 2: IN 2019, THE HOSPITAL AUTHORITY OF HALL COUNTY & THE CITY OF GAINESVILLE, THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY AND HABERSHAM COUNTY GOVERNMENT ENTERED A FIVE-YEAR AGREEMENT TO SECURE THE FUTURE OF STRUGGLING HABERSHAM MEDICAL CENTER, WHICH INCLUDED AN OPTION TO ASSUME OWNERSHIP OF HABERSHAM MEDICAL CENTER AT THE END OF THE AGREEMENT IN 2024 OR EARLIER. THE AGREEMENT CALLED FOR THE HOSPITAL AUTHORITY OF HALL COUNTY & THE CITY OF GAINESVILLE TO INVEST $3 MILLION PER YEAR FOR A TOTAL OF $15 MILLION IN FIVE YEARS IN CAPITAL IMPROVEMENTS TO ENHANCE AND EXPAND HMC'S SERVICES. IN EARLY 2023, ALL THREE PARTIES AGREED TO EXECUTE AN EARLY TRANSITION, PAYING THE FINAL INSTALLMENT OF $3 MILLION BY JULY 1, 2023. HABERSHAM MEDICAL CENTER WAS ACQUIRED BY NORTHEAST GEORGIA HEALTH SYSTEM ON JULY 1, 2023, BECOMING NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM.
NGMC BARROW LLC	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).
NGMC LUMPKIN LLC	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).
NGMC HABERSHAM LLC	PART V, SECTION B, LINE 5: HABERSHAM MEDICAL CENTER WAS A PARTNER IN NGMC'S MOST RECENT CHNA WHICH WAS IN 2022. TECHNICALLY, WE DID NOT OWN HMC AT THAT TIME, HOWEVER HERE IS THE INFORMATION REGARDING OUR COLLECTIVE CHNA: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).
NGMC BARROW LLC	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
NGMC LUMPKIN LLC	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
NGMC HABERSHAM LLC	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
NGMC BARROW LLC	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
NGMC LUMPKIN LLC	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
NGMC HABERSHAM LLC	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
NGMC BARROW LLC	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 REPORTS ITS ACTIVITY VIA CANCER SERVICES' ANNUAL REPORT: HTTPS://WWW.NGHS.COM/WP-CONTENT/UPLOADS/2025/05/CANCER-2024-REV-APRIL-2025.PDF
NGMC LUMPKIN LLC	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 REPORTS ITS ACTIVITY VIA CANCER SERVICES' ANNUAL REPORT: HTTPS://WWW.NGHS.COM/WP-CONTENT/UPLOADS/2025/05/CANCER-2024-REV-APRIL-2025.PDF
NGMC HABERSHAM LLC	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 REPORTS ITS ACTIVITY VIA CANCER SERVICES' ANNUAL REPORT: HTTPS://WWW.NGHS.COM/WP-CONTENT/UPLOADS/2025/05/CANCER-2024-REV-APRIL-2025.PDF
NGMC BARROW LLC	PART V, SECTION B, LINE 16J: PATIENTS MAY SUBMIT A FINANCIAL ASSISTANCE APPLICATION VIA THE ONLINE PATIENT PORTAL OR MYCHART APP.
NGMC LUMPKIN LLC	PART V, SECTION B, LINE 16J: PATIENTS MAY SUBMIT A FINANCIAL ASSISTANCE APPLICATION VIA THE ONLINE PATIENT PORTAL OR MYCHART APP.
NGMC HABERSHAM LLC	PART V, SECTION B, LINE 16J: PATIENTS MAY SUBMIT A FINANCIAL ASSISTANCE APPLICATION VIA THE ONLINE PATIENT PORTAL OR MYCHART APP.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?14
Name and address		Type of Facility (describe)
1	1 - GEORGIA HEART INSTITUTE GAINESVILLE 200 SOUTH ENOTA DRIVE SUITE 100/SUITE 2 GAINESVILLE,GA30501	CARDIOLOGY
2	2 - GEORGIA HEART INSTITUTE BLAIRSVILLE 346 DEEP SOUTH FARM ROAD SUITE B BLAIRSVILLE,GA30512	CARDIOLOGY
3	3 - GEORGIA HEART INSTITUTE CUMMING 900 SANDERS ROAD SUITE A CUMMING,GA30041	CARDIOLOGY
4	4 - GEORGIA HEART INSTITUTE BUFORD 4445 SOUTH LEE STREET SUITE 300 BUFORD,GA30518	CARDIOLOGY
5	5 - GEORGIA HEART INSTITUTE CLAYTON 536 HIGHWAY 441 S CLAYTON,GA30525	CARDIOLOGY
6	6 - GEORGIA HEART INSTITUTE DAHLONEGA 70 MOUNTAIN DRIVE SUITE C DAHLONEGA,GA30533	CARDIOLOGY
7	7 - GEORGIA HEART INSTITUTE TOCCOA 288 BIG A RD TOCCOA,GA30577	CARDIOLOGY
8	8 - GEORGIA HEART INSTITUTE DEMOREST (HABERS 590 OLD HISTORIC US 441 DEMOREST,GA30535	CARDIOLOGY
9	9 - GEORGIA HEART INSTITUTE DAWSONVILLE 108 PROMINENCE COURT SUITE 210 DAWSONVILLE,GA30534	CARDIOLOGY
10	10 - GEORGIA HEART INSTITUTE HAMILTON MILL 3575 BRASELTON HWY DACULA,GA30019	CARDIOLOGY
11	11 - GEORGIA HEART INSTITUTE COMMERCE 170 CARDIOLOGY PLACE COMMERCE,GA30529	CARDIOLOGY
12	12 - GEORGIA HEART INSTITUTE BETHLEHEM 426 EXCHANGE BLVD SUITE 600 BETHELHEM,GA30620	CARDIOLOGY
13	13 - GEORGIA HEART INSTITUTE OF NGMC AT NGDC 1240 JESSE JEWELL PARKWAY SOUTHEAST SUI GAINESVILLE,GA30501	CARDIOLOGY
14	14 - GEORGIA HEART INSTITUTE BRASELTON 1404 RIVER PLACE SUITE 501 BRASELTON,GA30517	CARDIOLOGY

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
PART I, LINE 3C:	PATIENTS WHO ARE DETERMINED TO BE INDIGENT BASED UPON CRITERIA-BASED METHODS (E.G. PROPENSITY TO PAY/HEALTH SCORE, PARTICIPATION IN LOW INCOME GOVERNMENT PROGRAM) MAY BE PRESUMPTIVELY ELIGIBLE FOR ASSISTANCE PROVIDING THEY COOPERATE WITH SCREENING FOR OTHER FINANCIAL ASSISTANCE RESOURCES (E.G. MEDICAID, 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 A COST-TO-CHARGE RATIO THAT 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, IF NOTED, WAS DERIVED FROM INTERNAL TRENDSTAR SYSTEM DATA WHICH COMPUTED COST AT THE PATIENT DETAIL LEVEL.IN ADDITION, NGHS HAS MULTIPLE ACTIVITIES WITHIN THE ORGANIZATION THAT DO NOT FALL UNDER THE OPERATIONS OF THE HOSPITALS, NGMC BARROW, NGMC LUMPKIN OR NGMC HABERSHAM. THE INSTRUCTIONS FOR SCHEDULE H, PART I, LINE 7, COLUMN (F) STATE THAT THE PERCENTAGE IS TO BE CALCULATED USING THE TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) LESS BAD DEBT EXPENSE. THEREFORE, THE REPORTED PERCENTAGES ARE RELATIVE TO ALL NGHS EXPENSES, NOT JUST THE EXPENSES ATTRIBUTABLE TO THE HOSPITAL OPERATIONS OF NGMC BARROW, NGMC LUMPKIN AND NGMC HABERSHAM.
PART I, LN 7 COL(F):	NGMC BARROW:THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN D, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $14,592,800 FOR NGMC BARROW. THE ESTIMATED PROVISION FOR BAD DEBTS IS REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE.NGMC LUMPKIN:THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN D, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $8,452,849 FOR NGMC LUMPKIN. THE ESTIMATED PROVISION FOR BAD DEBTS IS REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE.NGMC HABERSHAM:THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN D, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $13,322,735 FOR NGMC HABERSHAM. THE ESTIMATED PROVISION FOR BAD DEBTS IS REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE.
PART II, COMMUNITY BUILDING ACTIVITIES:	NGMC BARROWNGMC BARROW CONDUCTED A VARIETY OF COMMUNITY BUILDING ACTIVITIES PROMOTING THE HEALTH OF ITS COMMUNITY IN FY22. SUCH PROGRAMS ACTIVATED AWARENESS AROUND CHILDREN'S SAFETY, COMMUNITY HEALTH EDUCATION, AND MENTAL HEALTH.SAFE KIDS NORTHEAST GEORGIA: NGMC BARROW SERVED AS THE LEAD AGENCY FOR SAFE KIDS NORTHEAST GEORGIA, REDUCING UNINTENTIONAL INJURIES AND DEATH IN CHILDREN 19 AND UNDER. IN FY22, SAFE KIDS PROVIDED TWO PROGRAMS AND EVENTS IN THE BARROW AREA, WITH OUTREACH TO OVER 650 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THESE PROGRAMS DISTRIBUTED SAFETY ITEMS TO FAMILIES WHO NEEDED THEM, INCLUDING 125 HELMETS AND $2,549 WORTH OF BOOSTER SEATS. SAFE KIDS WAS FUNDED BY THE NGHS FOUNDATION. OVERALL SUPPORT CAME AT A COST OF $4,844 FOR NGMC BARROW IN FY22.STROKE EDUCATION AND OUTREACH: IN FY22, STAFF FROM THE NGMC BARROW STROKE UNIT PROVIDED EDUCATION TO THE COMMUNITY ABOUT STROKE PREVENTION, SYMPTOMS, RISK FACTORS, AND ACTIONS TO TAKE. EDUCATIONAL DEMONSTRATIONS WERE PROVIDED AT SEVERAL COMMUNITY EVENTS. THESE HEALTH EDUCATION ENGAGEMENTS CAME AT A COST OF $320 FOR NGMC BARROW IN FY22.QPR TRAINING FOR MENTAL HEALTH: QPR SUICIDE PREVENTION TRAINING WAS PROVIDED TO 300 INDIVIDUALS AT AN EXPENSE OF $1,455 TO NGMC BARROW IN FY22.THIS IMPORTANT TRAINING TEACHES HOW TO: ASK THE SUICIDE QUESTION, PERSUADE THE PERSON TO STAY ALIVE, AND THEN REFER THE PERSON TO THE APPROPRIATE SUPPORT.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.NGMC CONTINUES TO LEAD THE WAY IN LIFE-SAVING HEART AND VASCULAR CARE BY BECOMING THE FIRST HEALTH SYSTEM IN THE STATE WITH HOSPITALS DESIGNATED AS EMERGENCY CARDIAC CARE CENTERS BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTH (DPH), WHICH THE SYSTEM MAINTAINED IN FY22. THIS ACHIEVEMENT EXTENDS FAR BEYOND THE WALLS OF OUR SYSTEM CONNECTING FIRST RESPONDERS, EMERGENCY DEPARTMENTS AND CARDIOLOGISTS THROUGHOUT THE REGION TO ENSURE EACH PATIENT RECEIVES THE LEVEL OF CARE THEY NEED.THE GEORGIA DPH USES A THREE-LEVEL DESIGNATION SYSTEM TO RANK THE CAPABILITIES OF EACH FACILITY:- NGMC GAINESVILLE RECEIVED LEVEL 1 DESIGNATION (HOSPITALS PERFORM OPEN HEART SURGERY AND INTERVENTIONAL CARDIAC CATHETERIZATIONS).- NGMC BRASELTON RECEIVED LEVEL 2 DESIGNATION (HOSPITALS PERFORM INTERVENTIONAL CARDIAC CATHETERIZATIONS).- NGMC BARROW AND NGMC LUMPKIN BOTH RECEIVED LEVEL 3 DESIGNATION (HOSPITALS STABILIZE PATIENTS UNTIL THEY ARE TRANSPORTED TO A LEVEL 1 OR LEVEL 2 CENTER).NGMC LUMPKINNGMC LUMPKIN DIRECTOR KAY HALL SERVED ON THE BOARD OF THE LUMPKIN COUNTY COMMUNITY HELPING PLACE, WHICH PROVIDES A FREE MEDICAL CLINIC, CLOTHES CLOSET, FOOD PANTRY AND OTHER TANGIBLES SUCH AS MONETARY DONATIONS FOR ELECTRICITY, TRANSPORTATION TO MD OFFICES, COMMUNITY NAVIGATION AND HAS JUST BEGUN WITH MENTAL HEALTH SERVICES. HAVING A CONNECTION ON THIS BOARD HAS SUPPORTED THE PARTNERSHIP IN PLACE TO PROVIDE MEDICAL CARE FOR LOW-INCOME COMMUNITY MEMBERS. THIS SUPPORT CAME AT A COST OF $3,227 FOR NGMC LUMPKIN FY22.
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 HEALTH SYSTEM (THE SYSTEM) 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 METHODOLOGY REFLECTED IN THE ORGANIZATION'S MEDICARE COST REPORT.
PART III, LINE 9B:	EACH BILLING CYCLE FOR THE FIRST 120 DAYS OF STATEMENTS CONTAINS CONTACT INFORMATION FOR FINANCIAL ASSISTANCE INFORMATION. A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY IS PROVIDED AT DAY 90. FOR DAYS 121-180, TWO BAD DEBT COLLECTION LETTERS ARE MAILED WITH CONTACT INFORMATION FOR FINANCIAL ASSISTANCE INFORMATION. DURING THE 180 DAYS PRIOR TO PLACEMENT WITH AN EXTERNAL COLLECTION AGENCY, REGULAR PHONE CALLS ARE MADE THAT INCLUDE NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS. DURING THE FIRST 60 DAYS OF PLACEMENT WITH AN EXTERNAL COLLECTIONS VENDOR, NO REPORTING TO CREDIT BUREAUS MAY TAKE PLACE, AND THE VENDOR PROVIDES ALL PATIENTS WITH AN OPPORTUNITY TO REQUEST FINANCIAL ASSISTANCE CONSIDERATION, INCLUDING RETURNING THE ACCOUNT TO US.
PART VI, LINE 2:	NGMC BARROWSAFE KIDS NORTHEAST GEORGIA: NGMC SERVED AS THE LEAD AGENCY FOR SAFE KIDS NORTHEAST GEORGIA, REDUCING UNINTENTIONAL INJURIES AND DEATH IN CHILDREN 19 AND UNDER. IN FY24, SAFE KIDS PROVIDED PROGRAMS AND EVENTS IN THE BARROW AREA, WITH OUTREACH TO OVER 2,000 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THESE PROGRAMS DISTRIBUTED SAFETY ITEMS TO FAMILIES WHO NEEDED THEM, INCLUDING BOOSTER SEATS AND HELMETS. SAFE KIDS WAS FUNDED BY THE NGHS FOUNDATION AND OVERALL SUPPORT CAME AT A COST OF $18,023 FOR NGMC BARROW IN FY24.WORKFORCE DEVELOPMENT: NGMC BARROW INCLUDED ACTIVITIES DESIGNED TO INTEREST HIGH SCHOOL STUDENTS IN HEALTH PROFESSIONS UNDER WORKFORCE DEVELOPMENT. THESE ACTIVITIES INCLUDE PROJECT SEARCH AND YOUTH APPRENTICESHIP. IN FY24, 65 STUDENTS BENEFITTED FROM THESE PROGRAMS.- 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.- NGMC CONSISTENTLY REVIEWS DATA RELATED TO ITS STRATEGIC GOALS AND REVIEWS SOCIAL VULNERABILITY INDEX DATA FOR THE COMMUNITIES IT SERVES.NGMC LUMPKINSAFE KIDS NORTHEAST GEORGIA: NGMC SERVED AS THE LEAD AGENCY FOR SAFE KIDS NORTHEAST GEORGIA, REDUCING UNINTENTIONAL INJURIES AND DEATH IN CHILDREN 19 AND UNDER. IN FY24, SAFE KIDS PROVIDED PROGRAMS AND EVENTS IN THE LUMPKIN COUNTY AREA, WITH OUTREACH TO OVER 537 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS. THESE PROGRAMS DISTRIBUTED SAFETY ITEMS TO FAMILIES WHO NEEDED THEM, INCLUDING BOOSTER SEATS AND HELMETS. SAFE KIDS WAS FUNDED BY THE NGHS FOUNDATION AND OVERALL SUPPORT CAME AT A COST OF $14,215 FOR NGMC LUMPKIN IN FY24.WORKFORCE DEVELOPMENT: NGMC LUMPKIN INCLUDED ACTIVITIES DESIGNED TO INTEREST HIGH SCHOOL STUDENTS IN HEALTH PROFESSIONS UNDER WORKFORCE DEVELOPMENT, INCLUDING THE YOUTH APPRENTICESHIP PROGRAM. IN FY24, 14 STUDENTS BENEFITTED FROM THESE PROGRAMS.NGMC HABERSHAMWORKFORCE DEVELOPMENT: NGMC HABERSHAM INCLUDED ACTIVITIES DESIGNED TO INTEREST HIGH SCHOOL STUDENTS IN HEALTH PROFESSIONS UNDER WORKFORCE DEVELOPMENT, INCLUDING THE YOUTH APPRENTICESHIP PROGRAM. IN FY24, 52 STUDENTS BENEFITTED FROM THIS PROGRAM.
PART VI, LINE 3:	NGMC BARROW, NGMC LUMPKIN AND NGMC HABERSHAMEDUCATION BEGINS WITH OUR PLAIN LANGUAGE SUMMARY PROVIDED AT REGISTRATION. SIGNS ARE PROMINENTLY POSTED AT CHECK IN, REGISTRATION, AND WAITING AREAS. BUSINESS CARDS AND FLIERS ARE ALSO AVAILABLE. REGISTRARS PROVIDE COPIES OF OUR APPLICATION UPON REQUEST. FINANCIAL ASSISTANCE REPRESENTATIVES PROVIDE BEDSIDE SCREENING IN THE EMERGENCY DEPARTMENT, AND TO UNINSURED BEDDED PATIENTS DURING STAFFED HOURS OR VIA FOLLOW UP PHONE CALLS IF A BEDDED PATIENT IS DICHARGED 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 AND 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 FINANCIAL ASSISTANCE APPLICATION MAY RECEIVE COUNSELING REGARDING GOVERNMENTAL PROGRAMS FOR WHICH THEY MAY QUALIFY, INCLUDING BUT NOT LIMITED TO, MEDICAID AND DISABILITY.
PART VI, LINE 4:	NGMC BARROW, NGMC LUMPKIN AND NGMC HABERSHAMPOPULATION: FROM 2010 TO 2023, THE HEALTH SYSTEM'S TOTAL SERVICE AREA ("TSA") POPULATION GREW AN ESTIMATED 1.8% PER YEAR ON AVERAGE COMPARED TO THE STATE OF GEORGIA AT 1.0% AND THE US AT 0.6%. POPULATION FOR THE TSA IN 2023 IS ESTIMATED TO BE 2,000,869, REPRESENTING A TOTAL GROWTH RATE OF 26.8% SINCE 2010, COMPARED TO THE STATE OF GEORGIA'S GROWTH (13.8%) AND THE US (8.5%) OVER THE SAME TIME PERIOD. THE TSA'S POPULATION GROWTH RATE IS PROJECTED TO OUTPACE GEORGIA AND THE US THROUGH AT LEAST 2024, 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 89,083 COMPARED TO THE STATE OF GEORGIA AT 77,086. THE MEDIAN HOME VALUE FOR THE TSA IS CURRENTLY 389,789 COMPARED TO THE STATE OF GEORGIA AT 321,503.SOURCE: ESRI BUSINESS ANALYST ONLINEEMPLOYMENT: THE UNEMPLOYMENT RATE FOR THE NGHS TOTAL SERVICE AREA WAS 2.9% IN 2023 COMPARED WITH THE STATE OF GEORGIA AT 3.3% 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:	NGMC BARROW, NGMC LUMPKIN AND NGMC HABERSHAMNORTHEAST GEORGIA MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF 10 MEMBERS AND REPRESENTS THE COMMUNITIES DIRECTLY SERVED BY THE ORGANIZATION. BOARD MEMBERS PROVIDE LEADERSHIP THAT SUPPORTS THE ORGANIZATION'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY.PRACTITIONERS AT NGHS ENTITIES UNDERGO EXTENSIVE ONBOARDING PRIOR TO BEING AFFILIATED WITH THE HEALTH SYSTEM, SECURING STANDARD OF CARE AND SAFETY TO OUR COMMUNITY. THE MEDICAL CENTER CONDUCTS PHYSICIAN MANPOWER STUDIES TO DETERMINE THE NUMBER OF PHYSICIANS NEEDED BY SPECIALTY TO MEET COMMUNITY NEED. INFORMATION FROM THESE STUDIES IS USED TO HELP GUIDE DECISIONS FOR PHYSICIAN RECRUITMENT. ALL REVENUES MORE THAN EXPENSES ARE REINVESTED INTO HEALTHCARE SERVICES FOR THE COMMUNITY AND NO PROFITS ACCRUE TO INDIVIDUAL INVESTORS. THE MEDICAL CENTER'S POLICY ON FINANCIAL ASSISTANCE (FORMERLY KNOWN AS THE CHARITY CARE POLICY) HELPS ENSURE ACCESS TO HOSPITAL SERVICES TO LOW-INCOME PATIENTS, I.E., PATIENTS WITH A FAMILY INCOME OF UP TO AND INCLUDING/EQUAL TO 150 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR A 100 PERCENT CHARITY ADJUSTMENT, WHICH MEANS THAT THEIR QUALIFYING SERVICES ARE FREE. ADDITIONALLY, PATIENTS WITH A FAMILY INCOME OF 151 TO 300 PERCENT QUALIFY FOR DISCOUNTED CARE ON A SLIDING SCALE, WITH THE MOST THAT A PATIENT WOULD PAY IS THE MEDICARE RATE.NGMC LUMPKINNGMC LUMPKIN PROVIDED FINANCIAL AND STAFF SUPPORT FOR COMMUNITY HELPING PLACE, AN INDIGENT HEALTH CLINIC IN LUMPKIN COUNTY THAT PROVIDES MEDICAL AND DENTAL SERVICES FOR THE AREA'S MOST VULNERABLE POPULATIONS AND NAVIGATION TOWARD MENTAL HEALTH SERVICES. NGMC DONATED $15,000 TO HELP SUPPORT THESE EFFORTS. IN FY24, NGMC LUMPKIN INPATIENT NURSE DIRECTOR KAY HALL SERVED ON THE BOARD OF THE LUMPKIN COUNTY COMMUNITY HELPING PLACE.NGMC LUMPKIN ALSO PROVIDED SUPPORT AND DONATED OFFICE SPACE FOR THE GOOD SHEPHERD CLINIC IN FY24. THE GOOD SHEPHERD CLINIC OF DAWSON COUNTY STRIVES TO MAKE DAWSON COUNTY A BETTER PLACE BY PROVIDING HEALTH CARE FOR THOSE WHO HAVE NONE. IN FY24, NGPG VICE PRESIDENT OF OPERATIONS BOBBY NORRIS SERVED ON THE BOARD OF THE GOOD SHEPHERD CLINIC.
PART VI, LINE 6:	NGMC BARROW, NGMC LUMPKIN AND NGMC HABERSHAMNORTHEAST GEORGIA MEDICAL CENTER BARROW IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM. OTHER AFFILIATES ALONG WITH NGMC BARROW INCLUDE NGMC GAINESVILLE AND BRASELTON, NGMC LUMPKIN, NGMC HABERSHAM, NORTHEAST GEORGIA PHYSICIANS GROUP, THE NORTHEAST GEORGIA HEALTH SYSTEM FOUNDATION, NORTHEAST GEORGIA HEALTH PARTNERS, AND THE GEORGIA HEART INSTITUTE.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) 2023

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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

2023

Open to Public
Inspection

Name of the organization
NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number
58-1694090

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) BRENAU UNIVERSITY INC 500 WASHINGTON ST SE GAINESVILLE,GA30501	58-0566143	501(C)(3)	10,500	DONATION EXPENSE
(2) CHRISTIAN EDUCATION CENTERS INC 1050 ELEPHANT TRAIL GAINESVILLE,GA30501	58-1022054	501(C)(3)	10,500	SPONSORSHIPS
(3) GOOD NEWS CLINICS INC 810 PINE STREET GAINESVILLE,GA30501	58-2058853	501(C)(3)	1,224,349	COMMUNITY DEVELOPMENT
(4) RAPE RESPONSE PO BOX 2883 GAINESVILLE,GA30503	58-1788134	501(C)(3)	52,500	COMMUNITY DEVELOPMENT
(5) ROTARY CLUB OF GAINESVILLE PO BOX 382 GAINESVILLE,GA30503	58-6044389	501(C)(4)	10,020	SPONSORSHIPS
(6) UNITED WAY OF HALL COUNTY INC PO BOX 2656 GAINESVILLE,GA30503	58-6011393	501(C)(3)	40,000	COMMUNITY DEVELOPMENT
(7) AMERICAN HEART ASSOCIATION PO BOX 841390 DALLAS,TX75284	13-5613797	501(C)(3)	132,500	SPONSORSHIPS
(8) AMERICAN CANCER SOCIETY PO BOX 1685 ATLANTA,GA30301	13-1788491	501(C)(3)	60,500	SPONSORSHIPS
(9) DAHLONEGA LUMPKIN COUNTY 342 COURTHOUSE HILL SUITE ESUITE E DAHLONEGA,GA30533	58-0701974	115	30,150	SPONSORSHIPS
(10) GREATER HALL CHAMBER OF COMMERCE PO BOX 374 GAINESVILLE,GA305030374	58-0251406	501(C)(3)	28,620	SPONSORSHIPS
(11) DAWSON COUNTY CHAMBER OF COMMERCE HWY 53 W DAWSONVILLE,GA30534	58-1950100	115	23,950	SPONSORSHIPS
(12) JACKSON CO AREA CHAMBER OF COMMERCE PO BOX 629 JEFFERSON,GA30549	58-1238040	501(C)(3)	21,300	SPONSORSHIPS
(13) CITY OF WINDER PO BOX 568 WINDER,GA306800566	58-6000700	115	20,000	SPONSORSHIPS
(14) GLORY HOPE AND LIFE INC 725 JESSEE JEWELL PKWY SUITE 270 GAINESVILLE,GA30501	26-4134012	501(C)(3)	20,000	SPONSORSHIPS
(15) COMMUNITY HELPING PLACE INC PO BOX 712 DAHLONEGA,GA30533	37-1554432	501(C)(3)	15,000	SPONSORSHIPS
(16) ROTARY CLUB OF DAWSON COUNTY 3365 MONTVALE DR GAINESVILLE,GA30506	58-2062580	501(C)(3)	15,000	SPONSORSHIPS
(17) THE VILLAGE AT DEATON CREEK BY DEL WEBB 2095 HWY 211 NW SUITE 2F-302 BRASELTON,GA30517	20-4604842	501(C)(4)	10,500	SPONSORSHIPS
(18) HABERSHAM COUNTY CHAMBER OF COMMERCE PO BOX 366 CORNELIA,GA30531	58-0541377	115	10,175	SPONSORSHIPS
(19) CW PICKLEBALL CLUB CORP 3300 CRESSWIND MARINA DRIVE GAINESVILLE,GA30504	82-4514508	501(C)(7)	10,000	SPONSORSHIPS
(20) ELACHEE NATURE SCIENCE CENTER 2125 ELACHEE DR GAINESVILLE,GA30504	58-1643768	501(C)(3)	10,000	SPONSORSHIPS
(21) GEORGIA CENTER FOR NURSING EXCELLENCE 3032 BRIARCLIFF ROAD NE ATLANTA,GA30329	87-1005670	501(C)(3)	10,000	SPONSORSHIPS
(22) NORTHEAST GEORGIA COUNCIL BOY SCOUTS OF AMERICA PO BOX 399 JEFFERSON,GA30549	58-0566207	501(C)(3)	10,000	SPONSORSHIPS
(23) WOMENSOURCE INC PO BOX 684 GAINESVILLE,GA30503	26-2882799	501(C)(3)	8,910	SPONSORSHIPS
(24) CHATEAU ELAN MILITARY SUPPORT FOUNDATION INC 6004 CHICKASAW LANE BRASELTON,GA30517	84-1848145	501(C)(3)	7,500	SPONSORSHIPS
(25) FORSYTH CO CHAMBER OF COMMERCE 212 WEBB STREET SUITE 200 CUMMING,GA30040	58-1048245	115	7,500	SPONSORSHIPS
(26) GWINNETT CHAMBER OF COMMERCE INC 6500 SUGARLOAF PARKWAY DULUTH,GA30097	58-0537282	115	7,500	SPONSORSHIPS
(27) THE KEATON FRANKLIN COKER FOUNDATION PO BOX 2697 GAINESVILLE,GA30503	47-2023349	501(C)(3)	7,500	SPONSORSHIPS
(28) GEORGIA ASSOCIATION OF EMERGENCY MEDICAL SERVICES PO BOX 772 MORGANTON,GA30560	58-1867952	501(C)(6)	6,950	SPONSORSHIPS
(29) LUMPKIN COUNTY FAMILY CONNECTION INC 56 INDIAN DR DAHLONEGA,GA30533	74-3144389	501(C)(3)	6,500	SPONSORSHIPS
(30) CRESSWIND LL VETERANS INC 821 DAWSONVILLE HIGHWAYSUITE 250-200 GAINESVILLE,GA30501	81-5267874	501(C)(3)	6,000	SPONSORSHIPS
(31) INTERACTIVE NEIGHBORHOOD FOR KIDS INC 999 CHESTNUT STREET 11 GAINESVILLE,GA30501	75-3077646	501(C)(3)	6,000	SPONSORSHIPS
(32) JUNIOR ACHIEVEMENT OF GEORGIA GAINESVILLE DISTRICT PO BOX 378 GAINESVILLE,GA30503	58-0598050	501(C)(3)	6,000	SPONSORSHIPS
(33) LANIER TECHNICAL COLLEGE FOUNDATION INC 2535 LANIER TECH DR GAINESVILLE,GA30507	58-1688866	501(C)(3)	16,966	SPONSORSHIPS

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) 2023

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. FOR GRANTS APPROVED FOR ORGANIZATIONS OTHER THAN THOSE RECOGNIZED AS 501(C)(3) ORGANIZATIONS, MANAGEMENT DETERMINES AN ASSOCIATED COMMUNITY HEALTH NEED OR FOCUS ON COMMUNITY HEALTH PRIOR TO APPROVAL.

Schedule I (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

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

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) 2023

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)
1PIERPONT BROWN MEMBER, PHYSICIAN-NGPG	(i) (ii)	0 ------------- 379,013	0 ------------- 42,324	0 ------------- 32,094	0 ------------- 11,550	0 ------------- 26,329	0 ------------- 491,310	0 ------------- 0
2CAROL BURRELL PRESIDENT & CEO, MEMBER	(i) (ii)	0 ------------- 1,297,705	0 ------------- 655,744	0 ------------- 303,712	0 ------------- 53,476	0 ------------- 28,680	0 ------------- 2,339,317	0 ------------- 0
3BRIAN D STEINES CHIEF FINANCIAL OFFICER	(i) (ii)	0 ------------- 647,845	0 ------------- 337,758	0 ------------- 41,040	0 ------------- 92,762	0 ------------- 34,700	0 ------------- 1,154,105	0 ------------- 80,258
4STEPHEN KELLY CHIEF COMPLIANCE OFFICER	(i) (ii)	0 ------------- 236,964	0 ------------- 90,631	0 ------------- 23,302	0 ------------- 43,207	0 ------------- 28,348	0 ------------- 422,452	0 ------------- 30,406
5MICHAEL COVERT CHIEF OPERAT. OFFICER-ENDED 12/23	(i) (ii)	0 ------------- 835,529	0 ------------- 430,394	0 ------------- 46,024	0 ------------- 114,745	0 ------------- 27,761	0 ------------- 1,454,453	0 ------------- 103,195
6JOHN KUEVEN CHIEF OPERAT. OFFICER-BEGIN 12/23	(i) (ii)	0 ------------- 523,414	0 ------------- 190,216	0 ------------- 1,180	0 ------------- 67,388	0 ------------- 32,442	0 ------------- 814,640	0 ------------- 0
7ANDREI BOYARSHINOV CHIEF LEGAL OFFICER	(i) (ii)	0 ------------- 493,553	0 ------------- 252,290	0 ------------- 43,964	0 ------------- 74,181	0 ------------- 33,964	0 ------------- 897,952	0 ------------- 53,201
8CHRISTOPHER PARAVATE CHIEF INFORMATION OFFICER - NGHS	(i) (ii)	0 ------------- 467,469	0 ------------- 205,249	0 ------------- 34,790	0 ------------- 70,714	0 ------------- 32,617	0 ------------- 810,839	0 ------------- 54,058
9DANIEL TUFFY PRESIDENT AND CAO - NGPG	(i) (ii)	0 ------------- 440,309	0 ------------- 197,101	0 ------------- 27,657	0 ------------- 68,209	0 ------------- 35,535	0 ------------- 768,811	0 ------------- 53,382
10HABIB SAMADY PRESIDENT - GEORGIA HEART INSTITUTE	(i) (ii)	0 ------------- 1,053,222	0 ------------- 244,620	0 ------------- 27,442	0 ------------- 141,150	0 ------------- 13,239	0 ------------- 1,479,673	0 ------------- 0
11LORIE SHOEMAKER CHIEF NURSING EXECUTIVE - CONTRACTED	(i) (ii)	0 ------------- 197,776	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 197,776	0 ------------- 0
12MELISSA TYMCHUK CHIEF OF STAFF & STRATEGY OFFICER -	(i) (ii)	0 ------------- 386,138	0 ------------- 193,156	0 ------------- 42,951	0 ------------- 67,731	0 ------------- 35,601	0 ------------- 725,577	0 ------------- 32,356
13DARLENE SWEET VP - GEORGIA HEART INSTITUTE	(i) (ii)	0 ------------- 233,589	0 ------------- 81,026	0 ------------- 27,842	0 ------------- 36,983	0 ------------- 10,721	0 ------------- 390,161	0 ------------- 0
14DIANE POIROT CHIEF HR OFFICER - NGHS	(i) (ii)	0 ------------- 391,743	0 ------------- 128,346	0 ------------- 30,064	0 ------------- 62,548	0 ------------- 26,814	0 ------------- 639,515	0 ------------- 0
15STUART DOWNS CHIEF NURSING EXECUTIVE	(i) (ii)	0 ------------- 148,278	0 ------------- 25,000	0 ------------- 1,169	0 ------------- 2,464	0 ------------- 14,088	0 ------------- 190,999	0 ------------- 0
16VIKRAM REDDY CHIEF MEDICAL OFFICER - NGHS	(i) (ii)	0 ------------- 220,975	0 ------------- 60,000	0 ------------- 12,323	0 ------------- 3,614	0 ------------- 16,311	0 ------------- 313,223	0 ------------- 0
17LAURA DIVOKY PHYSICIAN	(i) (ii)	0 ------------- 498,723	0 ------------- 471,129	0 ------------- 1,066	0 ------------- 11,550	0 ------------- 21,075	0 ------------- 1,003,543	0 ------------- 0
18MANIVANNAN VEERASAMY PHYSICIAN	(i) (ii)	0 ------------- 499,697	0 ------------- 515,629	0 ------------- 24,250	0 ------------- 11,550	0 ------------- 14,581	0 ------------- 1,065,707	0 ------------- 0
19NAGA KOMMURI PHYSICIAN	(i) (ii)	0 ------------- 482,444	0 ------------- 436,961	0 ------------- 23,680	0 ------------- 11,550	0 ------------- 2,490	0 ------------- 957,125	0 ------------- 0
20RAZA ABBAS PHYSICIAN	(i) (ii)	0 ------------- 488,503	0 ------------- 418,560	0 ------------- 1,180	0 ------------- 11,550	0 ------------- 34,499	0 ------------- 954,292	0 ------------- 0
21UGOCHUKWU EGOLUM PHYSICIAN	(i) (ii)	0 ------------- 480,953	0 ------------- 544,598	0 ------------- 23,680	0 ------------- 11,550	0 ------------- 32,740	0 ------------- 1,093,521	0 ------------- 0
22TRACY VARDEMAN FORMER CHIEF STRATEGY EXECUTIVE - NG	(i) (ii)	0 ------------- 435,981	0 ------------- 47,305	0 ------------- 29,559	0 ------------- 226,896	0 ------------- 1,201	0 ------------- 740,942	0 ------------- 47,305

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

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

Return Reference

Explanation

PART I, LINE 4B

EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN ANDREI BOYARSHINOV $ 62,631 BRIAN D. STEINES $ 81,212 CHRISTOPHER PARAVATE $ 59,164 DANIEL TUFFY $ 56,659 DARLENE SWEET $ 26,330 DIANE POIROT $ 50,998 HABIB SAMADY $ 129,600 JOHN KUEVEN $ 55,838 MELISSA TYMCHUK $ 47,114 MICHAEL COVERT $ 103,195 STEPHEN KELLY $ 31,657 TRACY M. VARDEMAN $ 13,914 CAROL H. BURRELL, PRESIDENT AND CEO: BEGINNING IN DECEMBER 2017, NGHS INVESTED IN A JOINTLY-OWNED SPLIT DOLLAR LIFE INSURANCE PLAN FOR MS. BURRELL. THE ASSET VALUE AS OF SEPTEMBER 30, 2024 WAS $6,209,958 AND IS REPORTED ON FORM 990, PART X, LINE 5. SEE ALSO SCHEDULE L, PART V FOR ADDITIONAL INFORMATION REGARDING THE SPLIT DOLLAR LIFE INSURANCE. EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION): ANDREI BOYARSHINOV $ 53,201 BRIAN D. STEINES $ 80,258 CHRISTOPHER PARAVATE $ 54,058 DANIEL TUFFY $ 53,382 MELISSA TYMCHUK $ 32,356 MICHAEL COVERT $ 103,195 TRACY M. VARDEMAN $ 47,305 STEPHEN KELLY $ 30,406

Schedule J (Form 990) 2023

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.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

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. ........................... $

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

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
(1) CAROL BURRELL	PRESIDENT & CEO	SEE PART V		X	5,600,000	6,209,958		No	Yes		Yes



Total ............... $						6,209,958

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) 2023

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	(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

Part V

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

Return Reference

Explanation

PART II

EXPLANATION FOR NON-RECOURSE SPLIT DOLLAR TRANSACTION WITH CAROL BURRELL, PRESIDENT & CEO:NGHS PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE INTERNAL REVENUE SERVICE (IRS) REFERS TO AS COLLATERAL ASSIGNMENT SPLIT DOLLAR (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT AN ACTUAL LOAN AND NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE, AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, NGHS WILL RECOVER ALL OF ITS OUTLAYS PLUS INTEREST. THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR THE ORGANIZATION. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD NGHS WILL RECOVER NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY.CASD WORKS AS FOLLOWS. NGHS DEPOSITS FUNDS INTO A CASH VALUE LIFE INSURANCE POLICY ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT NGHS'S RECOVERY RIGHTS.AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY NGHS ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE.

Schedule L (Form 990) 2023

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

Return Reference	Explanation
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:	* = RELATES TO NGMC'S COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN PROGRESS NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) IS A GEORGIA NOT-FOR-PROFIT COMMUNITY HEALTH SYSTEM WITH THE MISSION OF IMPROVING 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. NGHS 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. NGMC LUMPKIN, LLC: A 52 LICENSED BED HOSPITAL IN DAHLONEGA, GEORGIA; NORTHEAST GEORGIA MEDICAL CENTER (NGMC GAINESVILLE AND BRASELTON), A 613-LICENSED BED INPATIENT FACILITY IN GAINESVILLE AND A 188-LICENSED BED INPATIENT FACILITY IN BRASELTON; NGMC HABERSHAM, LLC: A 53-LICENSED BED INPATIENT FACILITY IN DEMOREST, GEORGIA. 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 700 PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, MIDWIVES, AND OTHER CLINICAL STAFF AT MORE THAN 50 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 80 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS REPRESENTING MULTIPLE CARDIAC SPECIALTIES THROUGH 14 LOCATIONS ACROSS NORTHEAST GEORGIA. NGHS ALSO HAS TEN URGENT CARE FACILITIES, THREE LONG-TERM CARE CENTERS, AN AMBULATORY SURGERY CENTER, 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, DIRECTLY AND INDIRECTLY, SUSTAINING NEARLY 30,000 FULL-TIME JOBS THROUGHOUT THE REGION AND STATE. THIS IS IN ADDITION TO THE MORE THAN $84 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 FY24, NGHS HOSPITALS PROVIDED CHARITY CARE IN THE COMMUNITY AT THE COST OF AN ESTIMATED $68.7 MILLION AND RECEIVED NO LOCAL TAX REVENUE FROM HALL COUNTY OR ANY OTHER COUNTIES TO SUPPORT OPERATIONS OR CARE PROVIDED TO INDIGENT RESIDENTS. THE CHARITY CARE POLICY PROVIDES FINANCIAL ASSISTANCE UP TO 300 PERCENT OF THE POVERTY LEVEL MANY HOSPITALS PROVIDE CHARITY ADJUSTMENTS ONLY TO THE LEVEL THAT MATCHES THE STATE DEFINITION OF MEDICALLY INDIGENT BUT NOT AT THE LEVEL THAT 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: -NGMC BRASELTON - CLINICAL EXPANSION - CARDIAC CATH LAB #3 -NGMC GAINESVILLE -CLINICAL EXPANSION -FLOWERY BRANCH MEDICAL PARK I -BETHLEHEM MEDICAL OFFICE BUILDING -NORTHEAST GEORGIA REHABILITATION INSTITUTE -IT CLOUD TRANSFORMATION PROJECT TOTAL ESTIMATED CHARITY CARE COST FOR EACH HOSPITAL ENTITY IN FY24: - NGMC GAINESVILLE/BRASELTON: $27.9 MILLION FOR HALL COUNTY RESIDENTS + $34.5 MILLION FOR REGIONAL RESIDENTS OUTSIDE OF HALL FOR A TOTAL OF $62.4 MILLION. - NGMC BARROW: $1.4 MILLION FOR BARROW COUNTY RESIDENTS + $600,000 FOR REGIONAL RESIDENTS OUTSIDE OF BARROW FOR A TOTAL OF $2.0 MILLION. - NGMC LUMPKIN: $740,000 FOR LUMPKIN COUNTY RESIDENTS + $1.0 MILLION FOR REGIONAL RESIDENTS OUTSIDE OF LUMPKIN FOR A TOTAL OF $1.74 MILLION. - NGMC HABERSHAM: $1.3 MILLION FOR HABERSHAM COUNTY RESIDENTS + $1.2 MILLION FOR REGIONAL RESIDENTS OUTSIDE OF HABERSHAM FOR A TOTAL OF $2.5 MILLION. TOTAL ESTIMATED CHARITY CARE COST FOR EACH HOSPITAL ENTITY IN FY24: $68.7 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, GRACE GATE CLINIC IN DEMOREST AND GOOD NEWS CLINICS IN GAINESVILLE, THE LARGEST FREE HEALTHCARE CLINIC IN GEORGIA, 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 151,795 ER VISITS, OPERATING THE BUSIEST EMERGENCY DEPARTMENT IN GEORGIA; NGMC BARROW AND LUMPKIN ALSO OPERATE 24-HOUR EMERGENCY ROOMS. - IN FY24, 29% OF ALL NGMC GAINESVILLE AND BRASELTON EMERGENCY ROOM VISITS WERE MADE BY SELF-PAY PATIENTS; 18% FOR BARROW, 14% 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 FY24, NGMC'S PAYOR MIX AT GAINESVILLE AND BRASELTON WAS 59% MEDICARE/MEDICAID, 33% COMMERCIAL/OTHER INSURANCE AND 8% SELF-PAY. - IN FY24, NGMC'S PAYOR MIX AT BARROW WAS 51% FOR MEDICARE/ MEDICAID, 36% FOR COMMERCIAL/OTHER INSURANCE AND 13% FOR SELF-PAY. - IN FY24, NGMC'S PAYOR MIX AT LUMPKIN WAS 48% FOR MEDICARE/ MEDICAID, 39% FOR COMMERCIAL/OTHER INSURANCE AND 13% FOR SELF-PAY. - IN FY24, NGMC'S PAYOR MIX AT HABERSHAM WAS 56% FOR MEDICARE/ MEDICAID, 34% FOR OTHER INSURANCE AND 10% FOR SELF-PAY. PARTICIPATE IN MEDICAID AND MEDICARE: 59% OF PATIENTS SERVED BY NGMC GAINESVILLE AND BRASELTON IN FY24 WERE MEDICAID AND MEDICARE PATIENTS; 51% FOR BARROW, 56% FOR HABERSHAM, AND 48% FOR LUMPKIN. CREATE A GOVERNING BOARD THAT IS REPRESENTATIVE OF THE COMMUNITY IT SERVES: MORE THAN 100 COMMUNITY MEMBERS AND MORE THAN 30 MEDICAL STAFF MEMBERS ARE ACTIVELY INVOLVED IN GOVERNANCE THROUGH NGHS, NGMC AND OTHER SUBSIDIARY BOARDS AND COMMITTEES. INDIGENT CARE TRUST FUND (ICTF): IN 2024, NGMC BARROW, NGMC LUMPKIN, AND NGMC HABERSHAM RECEIVED $6.4 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID DSH (ICTF) PROGRAM TO PARTIALLY OFFSET A FINANCIAL LOSS OF $14.9 MILLION IN COST THE HOSPITALS INCURRED TREATING UNINSURED AND MEDICAID PATIENTS. IN ADDITION, THE HOSPITALS RECEIVED $1.7 MILLION IN NET FUNDS ALLOCATED THROUGH THE MEDICAID UPL AND DIRECTED PAYMENT PROGRAMS TO ADJUST MEDICAID PAYMENTS UPWARD TO MATCH MEDICARE PAYMENT LEVELS. ESTABLISHED IN 1990, THE ICTF EXPANDS MEDICAID ELIGIBILITY AND SERVICES. IT SUPPORTS HEALTHCARE FACILITIES THAT SERVE THE MEDICALLY INDIGENT AND FUNDS PRIMARY CARE HEALTH CARE PROGRAMS FOR MEDICALLY INDIGENT GEORGIANS. GEORGIA'S DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM IS FUNDED THROUGH THE ICTF. IT ASSISTS HOSPITALS AND OTHER HEALTH PROVIDERS THAT CARE FOR HIGH PROPORTIONS OF MEDICAID, UNINSURED, AND/OR LOW-INCOME PATIENTS.
FORM 990, PART III, LINE 4A	* 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. THE BELOW DASHBOARD REFLECTS PROGRESS ON THE CHNA IMPLEMENTATION PLAN. * CHNA IMPLEMENTATION PLAN DASHBOARD GOAL 1: REDUCE UNHEALTHY BEHAVIORS INCLUDING TOBACCO USE, SEDENTARY LIFESTYLES, OBESITY RATES, AND CHRONIC CONDITION RATES, SUCH AS HYPERTENSION AND DIABETES. 2022 BASELINE OVERALL OUTCOME MEASURES: - 25% OF NORTHEAST GEORGIA COMMUNITY MEMBERS ARE OBESE - 18% DRINK EXCESSIVELY - 17% ARE CURRENT SMOKERS - 10% OF ADULTS AGE 20+ HAVE DIABETES - 32% OF ADULTS AGE 18+ HAVE HIGH BLOOD PRESSURE SOURCE: CDC BEHAVIORAL RISK FACTOR SURVEY (2019), CDC NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION (2019). 2023 PROGRESS OVERALL OUTCOME MEASURES: - 27.9% OF COMMUNITY MEMBERS ARE OBESE - 15.51% DRINK EXCESSIVELY - 13.9% ARE CURRENT SMOKERS - 8.4% OF ADULTS AGE 20+ HAVE DIABETES - 32.1% OF ADULTS AGE 18+ HAVE HIGH BLOOD PRESSURE SOURCE: CDC BEHAVIORAL RISK FACTOR SURVEY (2021), CDC NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION (2021). 2024 PROGRESS OVERALL OUTCOME MEASURES: - 36.4% OF COMMUNITY MEMBERS ARE OBESE - 15.5% DRINK EXCESSIVELY - 13% ARE CURRENT SMOKERS - 12.1% OF ADULTS AGE 18+ HAVE DIABETES - 32.1% OF ADULTS AGE 18+ HAVE HIGH BLOOD PRESSURE SOURCE: CDC BEHAVIORAL RISK FACTOR SURVEY (2021, 2022), CDC NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION (2021, 2022). GOAL 2: WORK TO IMPROVE ACCESS TO CARE THROUGHOUT THE REGION THROUGH GROWTH IN WORKFORCE, RESIDENCY SLOTS FILLED IN GRADUATE MEDICAL EDUCATION PROGRAMS, MASTER FACILITY PLAN, AND DIGITAL FRONT DOOR. 2022 BASELINE OVERALL OUTCOME MEASURES: 210 RESIDENCY SLOTS FILLED IN VARIOUS SPECIALTIES BY 2025. SOURCE: NGMC GME PROGRAM. 2023 PROGRESS OVERALL OUTCOME MEASURES: 178 RESIDENCY SLOTS FILLED IN VARIOUS SPECIALTIES AS OF 2023. SOURCE: NGMC GME PROGRAM. 2024 PROGRESS OVERALL OUTCOME MEASURES: 220 RESIDENCY SLOTS FILLED IN VARIOUS SPECIALTIES AS OF 2024. SOURCE: NGMC GME PROGRAM, 2024 ACCOMPLISHMENTS PIECE. GOAL 3: REDUCE SUICIDE AND OPIOID OVERDOSE RATES WITHIN OUR SERVICE AREAS. 2022 BASELINE OVERALL OUTCOME MEASURES: THE RATE OF DEATHS IN THE REGION RELATED TO SUICIDE, ALCOHOL-RELATED DISEASE, AND/OR DRUG OVERDOSE (ALSO KNOWN AS "DEATHS OF DESPAIR") WAS 37 DEATHS FOR EVERY 100,000 PEOPLE EACH YEAR IN THE REGION BETWEEN 2016 AND 2020, HIGHER THAN THE GEORGIA RATE. SOURCE: CENTERS FOR DISEASE CONTROL AND PREVENTION. NATIONAL VITAL STATISTICS SYSTEM, 2016-2020. 2023 PROGRESS OVERALL OUTCOME MEASURES: THE RATE OF DEATHS IN THE REGION RELATED TO SUICIDE, ALCOHOL-RELATED DISEASE, AND/OR DRUG OVERDOSE (ALSO KNOWN AS "DEATHS OF DESPAIR") WAS 35.9 DEATHS FOR EVERY 100,000 PEOPLE EACH YEAR IN THE REGION BETWEEN 2017 AND 2021, HIGHER THAN THE GEORGIA RATE. SOURCE: CENTERS FOR DISEASE CONTROL AND PREVENTION. NATIONAL VITAL STATISTICS SYSTEM, 2017-2021. 2024 PROGRESS OVERALL OUTCOME MEASURES: THE RATE OF DEATHS IN THE REGION RELATED TO SUICIDE, ALCOHOL-RELATED DISEASE, AND/OR DRUG OVERDOSE (ALSO KNOWN AS "DEATHS OF DESPAIR") WAS 44.3 DEATHS FOR EVERYONE 100,000 PEOPLE EACH YEAR IN THE REGION BETWEEN 2019 AND 2023, HIGHER THAN THE GEORGIA RATE. SOURCE: CENTERS FOR DISEASE CONTROL AND PREVENTION. NATIONAL VITAL STATISTICS SYSTEM, 2019-2023.
FORM 990, PART III, LINE 4A	* GRANTS AND COMMITMENTS HOPE FOR GEORGIA MOMS: HOPE FOR GEORGIA MOMS IS THE MULTIYEAR STATE MATERNAL HEALTH INNOVATION GRANT AWARDED TO NORTHEAST GEORGIA HEALTH SYSTEM IN 2022 WITH THE PURPOSE TO DECREASE MATERNAL MORTALITY AND IMPROVE HEALTH EQUITY FOR PREGNANT AND POSTPARTUM WOMEN IN GEORGIA. NGHS SERVES THE COMMUNITY THROUGH HOPE INITIATIVES THAT BRING TOGETHER ORGANIZATIONS, CLINICIANS AND INDIVIDUALS TO BRING AWARENESS AND RESOURCES FOR MATERNAL CARDIAC AND MATERNAL MENTAL HEALTH CONDITIONS. IN FY24, HOPE FOR GEORGIA MOMS AND GEORGIA PERINATAL QUALITY COLLABORATIVE (GAPQC) HOSTED A MATERNAL CARDIAC ROUNDTABLE TO DISCUSS THE IMPORTANCE OF CARDIOVASCULAR DISEASE RISK ASSESSMENT AMONG PREGNANT AND POSTPARTUM WOMEN, PARTICIPATED IN MATERNAL HEALTH FAIRS AND AWARDED MINI GRANTS TO COMMUNITY ORGANIZATIONS FOR MEDICAID REDETERMINATION ACTIVITIES AND SUPPORT GROUPS. IN PARTNERSHIP WITH NGHS' CENTER FOR SIMULATION AND INNOVATION, HOPE FOR GEORGIA MOMS ALSO OFFERED OBSTETRIC PATIENT SAFETY WORKSHOPS FREE OF CHARGE TO 19 HEALTHCARE PROFESSIONALS FROM ACROSS THE STATE TO HELP THEM IDENTIFY, ASSESS AND MANAGE PATIENTS WITH OBSTETRIC EMERGENCY THROUGH SIMULATION AND DEBRIEFING. ACHIEVEMENTS NGMC GAINESVILLE FIRST HOSPITAL IN GEORGIA TO OFFER HISTOTRIPSY: NGMC HAS BECOME THE ONLY HOSPITAL IN GEORGIA, ONE OF THE FEW IN THE UNITED STATES AND EIGHTH IN THE WORLD TO OFFER A NEW, PROGRESSIVE FORM OF CANCER TREATMENT KNOWN AS HISTOTRIPSY. HISTOTRIPSY IS A NON-INVASIVE PROCEDURE THAT USES SOUND WAVES AS AN ALTERNATIVE FOR TREATING LIVER CANCER TUMORS. * ACCESS TO CARE NGMC LUMPKIN NOW OPEN: IN APRIL 2024, THE NEW NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN OPENED WITH SERVICES INCLUDING 24/7 EMERGENCY CARE, ADVANCED SURGERY, INPATIENT CARE AND ON-SITE IMAGING, LAB AND PHARMACY SUPPORT. THE NEW HOSPITAL RECEIVED AN OVERWHELMINGLY POSITIVE RESPONSE FROM THE COMMUNITY WITH MORE THAN 1,500 PEOPLE ATTENDING A GRAND OPENING CELEBRATION AT THE NEW HOSPITAL ON SATURDAY, APRIL 13, 2024. NGPG COMMUNITY HEALTH CLINIC: THE NGPG PRIMARY CARE CLINIC AT THE HEALTH DEPARTMENT, NOW NAMED NGPG COMMUNITY CLINIC, CELEBRATED ITS OPENING IN THE 8,000-SQUARE-FOOT MEDICAL OFFICE BUILDING ADJACENT TO THE HALL COUNTY HEALTH DEPARTMENT ON THE BUTLER CAMPUS IN GAINESVILLE. THE CLINIC OFFERS PRIMARY CARE, FAMILY MEDICINE, MEDICATION ASSISTANCE, DIABETES EDUCATION, AND BEHAVIOR HEALTH AND SOCIAL WORK SERVICES AT REDUCED COSTS BASED ON WHAT EACH PATIENT CAN AFFORD. * ACCREDITATIONS CENTER OF EXCELLENCE ACCREDITATION: IN FY24, NGMC BRASELTON RECEIVED REACCREDITATION OF THEIR CENTERS OF EXCELLENCE IN ROBOTICS AND MINIMALLY INVASIVE SURGERIES. NGMC HABERSHAM EARNS EMERGENCY CARDIAC CARE ACCREDITATION: IN FY24, NGMC HABERSHAM WAS ACCREDITED AS A LEVEL 3 EMERGENCY CARDIAC CARE CENTER (ECCC), RECOGNIZING THE LEVEL OF FAST AND EFFECTIVE CARE PATIENTS RECEIVE AT THE HOSPITAL IN DEMOREST. NGMC HABERSHAM JOINED NGMC GAINESVILLE (LEVEL 1), NGMC BRASELTON (LEVEL 2), NGMC LUMPKIN (LEVEL 3) AND NGMC BARROW (LEVEL 3) IN RECEIVING THIS DESIGNATION. * AWARDS AND RECOGNITION NGMC HOSPITALS RECEIVE SAFETY GRADE FROM LEAPFROG GROUP: IN OCTOBER 2023, NGMC BARROW AND NGMC BRASELTON BOTH RECEIVED AN "A" SAFETY GRADE FROM THE LEAPFROG GROUP, A NATIONAL NONPROFIT UPHOLDING THE STANDARD OF PATIENT SAFETY IN HOSPITALS AND AMBULATORY SURGERY CENTERS. THE LEAPFROG GROUP, AN INDEPENDENT NATIONAL WATCHDOG ORGANIZATION, ASSIGNS A LETTER GRADE TO HOSPITALS ACROSS THE COUNTRY BASED ON MORE THAN 30 NATIONAL PERFORMANCE MEASURES REFLECTING ERRORS, ACCIDENTS, INJURIES AND INFECTIONS, AS WELL AS SYSTEMS HOSPITALS HAVE IN PLACE TO PREVENT HARM. NGMC EMERGENCY DEPARTMENTS RECEIVE LANTERN AWARD: IN FY24, NGMC BRASELTON AND NGMC LUMPKIN BOTH EARNED THE PRESTIGIOUS 2024 LANTERN AWARD FROM THE EMERGENCY NURSES ASSOCIATION, WHICH HONORS EMERGENCY DEPARTMENTS DEMONSTRATING A COMMITMENT TO SAFETY, QUALITY, A HEALTHY WORK ENVIRONMENT, AND INNOVATION IN NURSING AND EMERGENCY CARE. WITH THIS RECOGNITION, NGHS BECAME THE FIRST IN THE STATE OF GEORGIA TO HAVE FOUR CAMPUSES HONORED WITH THIS AWARD. * WOMEN & CHILDREN'S SERVICES RECEIVES AWARDS FOR MATERNAL AND INFANT HEALTH: IN MAY 2024, NGHS' WOMEN'S AND CHILDREN'S SERVICES RECEIVED SEVERAL AWARDS FROM THE GEORGIA PERINATAL QUALITY COLLABORATIVE (GAPQC) FOR PARTICIPATION IN MATERNAL AND NEWBORN INITIATIVES, ENGAGEMENT WITH THE GAPQC AND MATERNAL ECHO INITIATIVES, COMMITMENT TO DATA TRANSPARENCY AND ACCOUNTABILITY, DEDICATION TO ADVANCING MATERNAL AND INFANT HEALTH AND IMPLEMENTING EVIDENCE-BASED STRATEGIES TO ADDRESS HYPERTENSION-RELATED CHALLENGES. NGMC HOSPITALS AWARDED TOP GRADES FOR SOCIAL RESPONSIBILITY: NGMC GAINESVILLE, BRASELTON, BARROW AND LUMPKIN RECEIVED AN "A" GRADE FOR SOCIAL RESPONSIBILITY IN THE LOWN INSTITUTE HOSPITALS INDEX. THE LOWN INSTITUTE, AN INDEPENDENT HEALTHCARE THINK TANK, GRADED OVER 3,500 HOSPITALS AND 300 HEALTH SYSTEMS NATIONWIDE BASED ON DATA UP TO 2022. THE REPORT EVALUATED HOSPITALS' HEALTH EQUITY AND VALUE OF CARE, ALONGSIDE PATIENT OUTCOMES AND MEASURED OVER 50 METRICS, INCLUDING COMMUNITY BENEFIT AND RACIAL INCLUSIVITY, TO COME UP WITH SOCIAL RESPONSIBILITY RANKINGS. 2024 PHYSICIAN HERO: IN FY24, THE GEORGIA HOSPITAL ASSOCIATION RECOGNIZED DR. ANTONIO RIOS, NGHS' CHIEF OF POPULATION HEALTH, AS THE 2024 PHYSICIAN HERO. THIS AWARD HONORS A PHYSICIAN WHO HAS "TIRELESSLY GIVEN TIME, TALENT AND EXPERTISE TO IMPROVE THEIR ORGANIZATION AND THE WORLD AROUND THEM, AND IS AWARDED TO ONLY ONE PHYSICIAN EACH YEAR. DR. SUNG LEE APPOINTED MEMBER OF GEORGIA EMS COUNCIL: IN FY24, DR. SUNG LEE, MEDICAL DIRECTOR FOR NEUROINTERVENTIONAL SURGERY AND COMPREHENSIVE STROKE CENTER AT NGMC, WAS APPOINTED AS A MEMBER OF THE GEORGIA EMERGENCY MEDICAL SERVICES (EMS) MEDICAL DIRECTORS ADVISORY COUNCIL. THE COUNCIL IS MADE UP OF PHYSICIANS FROM HEALTH SYSTEMS ACROSS THE STATE WHO SERVE AND ADVISE THE STATE OFFICE OF EMS. DR. LEE SERVES AS THE SOLE STROKE REPRESENTATIVE FOR THIS COUNCIL, PROVIDING GUIDANCE ON EMS STROKE SYSTEMS OF CARE FOR THE STATE OF GEORGIA. 2024 HEALTHY HALL AWARDS: THE GREATER HALL CHAMBER OF COMMERCE 2024 HEALTHY HALL AWARDS HONORS THOSE IN THE HEALTHCARE INDUSTRY WHO MAKE A SIGNIFICANT IMPACT ON OUR QUALITY OF LIFE THROUGH EXCELLENCE IN HEALTH AND WELLNESS. THE FOLLOWING WERE RECOGNIZED FOR THEIR WORK WITH NGHS: - HEALTHCARE EDUCATION: NGHS' CENTER FOR SIMULATION AND INNOVATION - HEALTHCARE INFORMATION TECHNOLOGY: JACK CHENG, MD, NGPG - VISIONARY LEADER: PIERPONT (PEPPER) BROWN III, MD, NGPG - NURSE OF THE YEAR: MANDY REICHERT, PHD, RN, PT-CSP, NGMC - OUTSTANDING ACHIEVEMENT IN BEHAVIORAL HEALTH: DEVIN VICKNAIR, PHD, MS, NGPG - HEALTHCARE WORKER OF THE YEAR: LYNNE ALLEN, NGHS VOLUNTEER SERVICES - LIFETIME ACHIEVEMENT: NGMC GRADUATE MEDICAL EDUCATION HELP FOR HEALTHCARE PROFESSIONALS: NGHS WAS A BRONZE LEVEL SPONSOR FOR THE HELP FOR HEALTHCARE PROFESSIONALS GLAM & GRATITUDE CHARITY AWARDS GALA HONORING INDIVIDUALS WHO HAVE MADE A DIFFERENCE IN THE HEALTHCARE INDUSTRY. NOMINEES FROM NGHS INCLUDED DR. CALVIN TERRELONGE, DR. BETSY GRUNCH, DR. IDOPISE UMANA, DR. ERINE RAYBON-ROJAS AND MIKE MOSQUITO. NGMC HOSPITALS RECOGNIZED BY AMERICAN HEART ASSOCIATION: NGMC GAINESVILLE AND NGMC BRASELTON WERE RECOGNIZED BY THE AMERICAN HEART ASSOCIATION WITH THE GET WITH THE GUIDELINES HEART FAILURE GOLD PLUS QUALITY AWARD FOR THEIR SUCCESSES IN APPLYING THE MOST UP-TO-DATE EVIDENCE-BASED TREATMENT GUIDELINES TO IMPROVE PATIENT CARE AND OUTCOMES. ATLANTA JOURNAL-CONSTITUTION HONORS NGMC NURSES, CENTER FOR SIMULATION AND INNOVATION: IN MAY 2024, THE ATLANTA JOURNAL-CONSTITUTION HONORED ALLIE ELLINGTON WITH NGMC BRASELTON AND TINA JORDAN WITH NGMC GAINESVILLE, AT THE 2024 CELEBRATING NURSES AWARDS FOR THEIR EFFORTS TO GO ABOVE AND BEYOND THEIR EVERYDAY DUTIES FOR THEIR COMMUNITY. ADDITIONALLY, THE CENTER FOR SIMULATION AND INNOVATION'S SIMULATION EDUCATORS JACKIE PAYNE, NICOLE DRURY AND TASHA MURCHISON WERE NOMINATED AND RECOGNIZED FOR THEIR OUTSTANDING CONTRIBUTIONS TO THE FIELD OF NURSING EDUCATION.
FORM 990, PART III, LINE 4A	ATLANTA BUSINESS CHRONICLE HONORS NGHS CEO AND PRESIDENT: IN 2024, CAROL BURRELL WAS HONORED WITH THE ATLANTA BUSINESS CHRONICLE'S LIFETIME ACHIEVEMENT AWARD AS PART OF ITS INAUGURAL HEALTH CARE CHAMPION AWARDS IN RECOGNITION OF HER LEADERSHIP THAT HAS EXPANDED ACCESS TO CARE FOR THE COMMUNITY. 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 THE TENTH YEAR IN A ROW. NGHS CENTER FOR SIMULATION AND INNOVATION RECEIVED NATIONAL RECOGNITION: IN FY24, BECKER'S HOSPITAL REVIEW NAMED NGHS AS ONE OF 34 HOSPITALS AND HEALTH SYSTEMS ACROSS THE NATION AND THE ONLY ONE IN THE STATE OF GEORGIA WITH A TOP SIMULATION AND EDUCATION PROGRAM. THE SIMULATION CENTER WAS ALSO ACCREDITED BY THE SOCIETY FOR SIMULATION IN HEALTHCARE. THE CENTER FOR SIMULATION AND INNOVATION HAS BEEN ABLE TO TRAIN MORE THAN 2,000 HIGH SCHOOL STUDENTS ACROSS NORTHEAST GEORGIA IN EMERGENCY RESPONSE THROUGH THE MOBILE SIMULATION LAB BUS. STUDENTS RECEIVE PRACTICAL, HANDS-ON EXPERIENCE IN TOPICS LIKE LIFE SUPPORT, PEDIATRIC EMERGENCIES AND STOP THE BLEED TRAINING. * NGMC AUXILIARY VOLUNTEER SUPPORT: IN FY24 MORE THAN 691 AUXILIARY VOLUNTEERS PROVIDED OVER 57.6K HOURS OF SERVICE THROUGHOUT THE HEALTH SYSTEM, WHICH EQUATES TO 34 FTES AND A VALUE OF $1.9 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. NGHS AWARDED FOR SAFETY, PATIENT EXPERIENCE, EMPLOYEE ENGAGEMENT: NGHS RECEIVED THE FIRST-EVER HIGH RELIABILITY ORGANIZATION (HRO) FOUNDATION AWARD FROM PRESS GANEY, A NATIONAL COMPANY FOCUSED ON IMPROVING HEALTH CARE. AN HRO IS AN ORGANIZATION THAT OPERATES IN COMPLEX, HIGH-RISK ENVIRONMENTS AND YET EXPERIENCE LESS ACCIDENTS OR HARMFUL EVENTS THAN ANTICIPATED. PRESS GANEY ALSO RECOGNIZED TWO NGMC CAMPUSES WITH SPECIFIC AWARDS: NGMC BRASELTON WON THE GUARDIAN OF EXCELLENCE AWARD FOR PATIENT EXPERIENCE AND NGMC BARROW RECEIVED THE GUARDIAN AWARD FOR EMPLOYEE EXPERIENCE. CHIEF INFORMATION OFFICER RECOGNIZED BY BECKER'S HOSPITAL REVIEW: IN FY24, CHRIS PARAVATE, NGHS' CHIEF INFORMATION OFFICER, WAS RECOGNIZED BY BECKER'S HOSPITAL REVIEW IN A LIST OF "CIOS TO KNOW" FOR HIS ROLE IN LAUNCHING EPIC AND LEADING THE FIRST COMMUNITY CONNECT PROGRAM. NGHS NAMED ONE OF AMERICA'S GREATEST WORKPLACES FOR DIVERSITY: NEWSWEEK RANKED NGHS AS ONE OF AMERICA'S GREATEST WORKPLACES FOR DIVERSITY FOR 2024. THE AWARD RECOGNIZES ORGANIZATIONS THAT RESPECT AND VALUE INDIVIDUALS FROM DIFFERENT BACKGROUNDS AND WALKS OF LIFE, AND NGHS EARNED THE HIGHEST POSSIBLE RANKING ON THE LIST OF LARGE EMPLOYERS WITH MORE THAN 5,000 EMPLOYEES. * DIGITAL HEALTH & INNOVATIONS: INCREASING ACCESS TO CARE IN 2024, NGMC SAW AN 80% INCREASE IN THE NUMBER OF COMPLETED APPOINTMENTS THAT WERE SCHEDULED ONLINE, WITH 16% OF THOSE BEING NEW PATIENTS TO NGHS.ALMOST 80% OF NGMC PATIENTS USE MYCHART, PUTTING US IN EPIC'S TOP 5TH PERCENTILE OF HEALTH SYSTEMS. ON-DEMAND URGENT CARE VIDEO VISITS AVAILABLE ON WEEKENDS: IF URGENT CARE IS NEEDED, PATIENTS NOW HAVE THE OPTION TO TRY A VIDEO VISIT AT HOME ON THE WEEKENDS FROM 8AM TO 5PM. 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 FY24, THE ESTIMATED COST OF INDIGENT AND CHARITY CARE THROUGH NGMC GAINESVILLE AND BRASELTON WAS $62.4 MILLION FOR 36,656 PATIENT ENCOUNTERS. IN ADDITION, NGMC INCURRED BAD DEBT EXPENSE DURING FY24 OF OVER $177.3 MILLION AS MEASURED BY CHARGES. THIS REPRESENTS APPROXIMATELY 9.8% 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 NAVIGATORS WHO 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 PROGRAMS THEY MIGHT BE ELIGIBLE 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 NEEDED 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 HELPS ENSURE MEDICATION COMPLIANCE AND MAXIMIZE CONDITIONS FOR RECOVERY AND RECUPERATION. THE NGHS FOUNDATION PROVIDED FUNDING FOR THIS PROGRAM AT AN ESTIMATED COST OF $47,160 ACROSS ALL CAMPUSES IN FY24. PATIENT NAVIGATION NGMC PATIENT NAVIGATORS PROVIDE EMOTIONAL SUPPORT, HELP PATIENTS WITH CANCER UNDERSTAND THEIR DIAGNOSIS AND TREATMENT OPTIONS, COMMUNICATE WITH HEALTHCARE STAFF AND PROVIDERS AND ADDRESS LOGISTICAL ISSUES SUCH AS TRANSPORTATION NEEDS. THEY ARE SEEN AS A "LIVING RESOURCE DIRECTORY" FOR PATIENTS. THESE EFFORTS CAME AT A TOTAL ESTIMATED COST OF $578,776 FOR 8,508 PEOPLE FOR NGMC IN FY24. * GOOD NEWS CLINICS SUPPORT NGMC PROVIDES SUPPORT TO GOOD NEWS CLINICS (GNC) ANNUALLY THROUGH OPERATING BUDGET SUPPORT, ACCESS TO THE SAME ELECTRONIC MEDICAL RECORD SYSTEM USED BY THE HEALTH SYSTEM AND A $1 MILLION COMMITMENT TO GNC'S CAPITAL BUILDING CAMPAIGN. GOOD NEWS CLINICS IS A CHRISTIAN MINISTRY THAT PROVIDES MEDICAL AND DENTAL CARE TO THE INDIGENT AND UNINSURED POPULATION AT NO CHARGE. FOR A DETAILED OVERVIEW OF THIS PARTNERSHIP, VISIT HTTPS://WWW.NGHS.COM/PARTNERS. * 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.
FORM 990, PART III, LINE 4A	* 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 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 $23 MILLION IN THESE AREAS: ACCELERATED BSN PARTNERSHIP WITH THE UNIVERSITY OF NORTH GEORGIA: SINCE JANUARY 2023, NGHS AND UNG HAVE PARTNERED TOGETHER 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 FY24, 15 STUDENTS GRADUATED AS PART OF THE FIRST ACCELERATED BACHELOR OF SCIENCE IN NURSING TRACK COHORT FROM UNG AND NGMC PROVIDED $1,757,555 TOWARDS THIS PROGRAM. ALLIED HEALTH STUDENT EDUCATION: NGMC GAINESVILLE AND NGMC BRASELTON PROVIDED 946 ALLIED HEALTH STUDENTS WITH CLINICAL ROTATIONS IN FY24 TO GIVE THEM HANDS ON EXPERIENCE UNDER THE SUPERVISION OF NGMC STAFF, ALLOWING THEM TO APPLY KNOWLEDGE AND ESSENTIAL ALLIED HEALTH SKILLS. CONTINUING MEDICAL EDUCATION (CME): THE NGMC CONTINUING MEDICAL EDUCATION PROGRAM PROVIDES RELEVANT EDUCATIONAL ACTIVITIES TO PHYSICIANS AND HEALTHCARE PROFESSIONALS DESIGNED TO ADVANCE KNOWLEDGE, IMPROVE PATIENT OUTCOMES, INCREASE AWARENESS OF CURRENT HEALTH ISSUES AND PROMOTE EVIDENCE-BASED MEDICINE IN PATIENT CARE. IN FY24, CME ORGANIZED 346 EDUCATIONAL ACTIVITIES AND DELIVERED 441 HOURS OF EDUCATION, COVERING DIVERSE MEDICAL DISCIPLINES AND THE LATEST ADVANCEMENTS IN HEALTHCARE AND REACHING OVER 9,000 PHYSICIANS AND HEALTHCARE STAFF MEMBERS. FOOTHILLS AREA HEALTH EDUCATION CENTER (AHEC): SINCE 1999, NGMC HAS BEEN A PROUD PARTNER OF FOOTHILLS AREA HEALTH EDUCATION CENTER, WHICH IS A COMMUNITY-DRIVEN, NON-PROFIT CORPORATION, SUPPORTED BY FEDERAL AND LOCAL SOURCES, WITH THE MISSION 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. IN 2024, FOOTHILLS AHEC CELEBRATED 10 YEARS OF THE PATHWAY TO MED SCHOOL PROGRAM, WHICH IS A FOUR-WEEK, RESIDENTIAL PROGRAM FOR UNDERGRADUATE, PRE-MEDICAL STUDENTS WHO ATTENDED GEORGIA COLLEGES AND INTEND ON STAYING IN THE STATE TO PRACTICE PRIMARY CARE. SINCE 2015, OVER 80 STUDENTS HAVE GRADUATED FROM THIS PROGRAM WITH A 98% MEDICAL SCHOOL ACCEPTANCE RATE. GEORGIA HEART GRAND ROUNDS: GEORGIA HEART GRAND ROUNDS' PURPOSE IS TO EDUCATE PHYSICIANS AND OTHER CLINICAL PROFESSIONALS IN THE LATEST ADVANCES AND METHODS IN CARDIOLOGY TO GUIDE IN CLINICAL DECISIONS. THE GRAND ROUNDS SERIES FEATURES NATIONALLY RENOWNED LEADERS ACROSS THE SPECTRUM OF CARDIOVASCULAR SPECIALTIES AND IS FREE AND ACCESSIBLE TO ALL PROVIDERS IN-PERSON AND VIRTUALLY. IN FY24, GRAND ROUNDS WAS ATTENDED BY OVER 800 PHYSICIANS AND OTHER CLINICAL PROFESSIONALS, ATTRACTING ATTENDEES FROM THE STATE AND NATION. * 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 2024, NGMC HAD 60 INTERNAL MEDICINE RESIDENTS, 36 FAMILY MEDICINE RESIDENTS, 36 EMERGENCY MEDICINE RESIDENTS, 30 GENERAL SURGERY RESIDENTS, 18 CARDIOVASCULAR DISEASE FELLOWS, 18 PSYCHIATRY RESIDENTS, 12 TRANSITIONAL YEAR RESIDENTS, EIGHT INTERNAL MEDICINE PRIMARY CARE TRACK RESIDENTS, AND TWO HOSPICE AND PALLIATIVE MEDICINE FELLOWS, BRINGING THE TOTAL NUMBER OF PHYSICIAN LEARNERS TO 220. GME PROGRAMS ACCREDITED: IN FEBRUARY 2024, THE CARDIOVASCULAR DISEASE FELLOWSHIP PROGRAM AND PSYCHIATRY RESIDENCY PROGRAM WERE BOTH AWARDED FULL ACCREDITATION FOR THE NEXT 10 YEARS BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION, VERIFYING THAT THE PROGRAM MEETS THE HIGHEST STANDARD AS IT PERTAINS TO TRAINING THE NEXT GENERATION OF CARDIOLOGISTS AND PSYCHIATRISTS. WALK WITH A DOC: AS PART OF A PROJECT INCORPORATED INTO THE FAMILY MEDICINE CURRICULUM, RESIDENT PHYSICIANS GENERATE IDEAS AIMED TO ADDRESS TO THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. A RESIDENT PRESENTED THE IDEA OF STARTING A GAINESVILLE CHAPTER OF "WALK WITH A DOC," A NATIONAL PROGRAM THAT OFFERS FREE WALKING PROGRAMS IN COMMUNITIES TO LEARN ABOUT CURRENT HEALTH TOPICS FROM A MEDICAL PROFESSIONAL, ASK HEALTH QUESTIONS, MEET NEW PEOPLE AND GET THEIR STEPS IN AND THIS WAS IMPLEMENTED TO ADDRESS ACCESS TO CARE AND HEALTHY BEHAVIORS. NGMC RESIDENTS COLLABORATE WITH HALL COUNTY FIRE: NGMC EMERGENCY MEDICINE RESIDENTS ARE IN THE THIRD YEAR OF COLLABORATION WITH HALL COUNTY FIRE SERVICES, WORKING TO IMPROVE EMERGENCY RESPONSE AND PATIENT CARE ACROSS THE REGION AND TO FOSTER CONSISTENT COORDINATION BETWEEN HOSPITAL-BASED PHYSICIANS AND FIRST RESPONDERS. THROUGH THIS COLLABORATION, RESIDENTS JOIN HALL COUNTY FIRE IN TRAINING EXERCISES, SIMULATIONS, REAL-WORLD EMERGENCY RESPONSES AND RIDE ALONG WITH PARAMEDICS TO LEARN ABOUT THE TRANSPORT AND TREATMENT OF PATIENTS PRIOR TO THEIR ARRIVAL AT THE HOSPITAL. 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 FY24, 23 STUDENTS PARTICIPATED IN THIS PROGRAM. NICU EDUCATION AND SUPPORT: NGMC CONTINUES EDUCATION FOR HEALTHCARE PROFESSIONALS CARING FOR AND WORKING IN NEONATAL CARE. SIMULATION TRAINING IS A CORE PRINCIPLE OF NICU EDUCATION AND SUPPORT, ALONG WITH NGMC LEADERS SERVING IN NICU EDUCATIONAL ROLES THROUGHOUT OUR HEALTHCARE COMMUNITY. IN FY24, THE NICU PROVIDED EDUCATION ON NEONATAL SUPPORT TO THE PARAMEDIC PROGRAM AT LANIER TECHNICAL COLLEGE AND HALL COUNTY DIVISION OF FAMILY AND CHILDREN SERVICES TEAM. NURSING STUDENT EDUCATION: NGMC GAINESVILLE AND NGMC BRASELTON PROVIDED 2,325 NURSING STUDENTS WITH CLINICAL ROTATIONS IN FY24 TO GIVE THEM HANDS ON EXPERIENCE UNDER THE SUPERVISION OF REGISTERED NURSES, ALLOWING THEM TO APPLY KNOWLEDGE AND DEVELOP ESSENTIAL NURSING SKILLS. 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 FY24, 16 STUDENTS PARTICIPATED IN THIS PROGRAM. YOUTH APPRENTICESHIP PROGRAM: THE YOUTH APPRENTICESHIP PROGRAM IS DESIGNED TO PROVIDE HANDS-ON EXPOSURE TO MANY DIFFERENT HEALTHCARE CAREERS TO ENCOURAGE STUDENTS TOWARDS A PATH IN HEALTHCARE. STUDENTS FROM AREA HIGH SCHOOLS APPLY TO PARTICIPATE, ROTATING THROUGH VARIOUS DEPARTMENTS DURING THE SCHOOL YEAR. PROMOTION OF HEALTHCARE CAREERS IS ALSO PROVIDED THROUGH CAREER FAIRS, HOSPITAL CAMPUS TOURS AND MOCK INTERVIEWS AND IN FY24 THIS PROGRAM SERVED OVER 900 STUDENTS. YOUTH-MED PHYSICIAN MENTORSHIP PROGRAM: FY24 WAS THE INAUGURAL YEAR FOR THE YOUTH-MED PHYSICIAN MENTORSHIP PROGRAM, WHICH STANDS FOR YOUTH OPPORTUNITIES FOR UNPARALLELED TRAINING IN HEALTHCARE, MEDICINE, EDUCATION AND DEVELOPMENT. IT IS A COLLABORATIVE EFFORT BETWEEN NORTHEAST GEORGIA HEALTH SYSTEM AND COMMUNITY PARTNER HELP FOR HEALTHCARE PROFESSIONALS, INC. (HHCP). THIS PROGRAM SPANS 5 WEEKS AND IS DESIGNED TO ADVANCE EQUITY AND INSPIRE YOUTH TO PURSUE A MYRIAD OF HEALTHCARE CAREERS, SPECIFICALLY MEDICINE. IN FY24, 65 NGHS PHYSICIANS, RESIDENTS AND FELLOWS PROVIDED OVER 750 HOURS OF MENTORSHIP TO 22 STUDENTS. * 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.
FORM 990, PART III, LINE 4A	IN FY24, NGMC HELPED SUPPORT 48 COMMUNITY NON-PROFITS AT A COST OF OVER $923,000, INCLUDING: -AMERICAN CANCER SOCIETY -AMERICAN HEART ASSOCIATION -AMPED KIDS FOUNDATION -BEYOND DEMENTIA COALITION -BOY SCOUTS OF AMERICA -BRENAU UNIVERSITY -BRIDGING HOPE -CHILDREN'S CENTER FOR HOPE AND HEALING -CENTER POINT -EDMONDSON-TELFORD CENTER FOR CHILDREN -ELACHEE NATURE CENTER -GAINESVILLE-HALL COUNTY BLACK HISTORY SOCIETY -GAINESVILLE JAYCEES -GATEWAY DOMESTIC VIOLENCE CENTER -GEORGIA GWINNETT COLLEGE -GEORGIA MOUNTAIN FOOD BANK -GENERAL FEDERATION OF WOMEN'S CLUBS GAINESVILLE PHOENIX WOMEN'S CLUB -GIRL SCOUTS OF HISTORIC GEORGIA -GLORY, HOPE AND LIFE -HABITAT FOR HUMANITY -HALL COUNTY FAMILY CONNECTION NETWORK -HALL-DAWSON CASA -HELP FOR HEALTHCARE PROFESSIONALS -HISPANIC ALLIANCE GEORGIA -HOP ON A CURE (ALS) -JARRARD BURCH FOUNDATION -J'S PLACE -JUNIOR ACHIEVEMENT -JUNIOR LEAGUE OF GAINESVILLE AND HALL COUNTY DIAPER BANK AND FEEDING OUR FUTURE -MARR ADDICTION TREATMENT CENTERS -MY SISTER'S PLACE -NORTH GEORGIA WORKS -PANCREATIC CANCER ACTION NETWORK -PATH UNITED -QUINLAN VISUAL ARTS CENTER -RACHEL'S GIFT -RAINBOW VILLAGE -ROTARY CLUB OF NORTH GWINNETT -SISU, INTEGRATED EARLY LEARNING -SOUTHEASTERN BRAIN TUMOR FOUNDATION -NATIONAL FIRE SAFETY COUNCIL -SYFAN SUPPORTS RALLY BENEFITTING CHILDHOOD CANCER RESEARCH -THE MENTAL HEALTH ALLIANCE OF AMERICA -THUMBS UP MISSION -WHISPERING ANGELS YOUTH RANCH -WOMENSOURCE -YOUNG LIFE GAINESVILLE/HALL COUNTY -YOUNG LIFE SUWANEE/BUFORD BLOOD DRIVES: NGMC SPONSORS BLOOD DRIVES FOR THE AMERICAN RED CROSS AND THE BLOOD CONNECTION THROUGHOUT THE YEAR. IN FY24, OVER 459 INDIVIDUALS DONATED BLOOD, RESULTING IN APPROXIMATELY 918 UNITS OF BLOOD COLLECTED. DONATION OF WATER BOTTLES TO GAINESVILLE ELEMENTARY SCHOOLS: IN 2024, NGMC DONATED OVER 200 REUSABLE WATER BOTTLES TO STUDENTS AT NEW HOLLAND LEADERSHIP ACADEMY AND FAIR STREET INTERNATIONAL ACADEMY WHO OTHERWISE WOULD NOT HAVE BOTTLES TO USE WHILE OUTSIDE AT THE PLAYGROUND AND THROUGHOUT THE SCHOOL DAY. NGHS DONATES STOP THE BLEED KITS: NGMC, IN COOPERATION WITH THE HEALTHCARE COALITION B, DONATED 15 STOP THE BLEED KITS TO THE UNIVERSITY OF NORTH GEORGIA AND OAKWOOD POLICE DEPARTMENT. THESE KITS CAN BE LIFESAVING IN EMERGENCY SITUATIONS, PROVIDING CRUCIAL SUPPLIES TO HELP STOP SEVERE BLEEDING UNTIL PROFESSIONAL HELP ARRIVES. * SUPPORT FOR UNITED WAY OF HALL COUNTY AND ONE HALL UNITED AGAINST POVERTY: NGHS IS A KEY PARTNER OF UNITED WAY OF HALL COUNTY, AN ORGANIZATION THAT UNITES PEOPLE, ORGANIZATIONS AND RESOURCES TO IMPROVE LIVES IN THE COMMUNITY. THEY SERVE HALL COUNTY, GEORGIA RESIDENTS WHO ARE IN OR AT RISK OF FINANCIAL INSTABILITY AND NON-PROFITS ALIGNED WITH OUR INVESTMENT PRIORITIES. ONE HALL UNITED AGAINST POVERTY IS THE VEHICLE FOR COLLECTIVE IMPACT THROUGH UNITED WAY OF HALL COUNTY AND INCLUDES SUBCOMMITTEES ON HEALTH (INCLUDES MENTAL AND BEHAVIORAL HEALTH), FINANCIAL STABILITY AND EDUCATION. THE INITIATIVE SEEKS TO BREAK THE CYCLE OF POVERTY IN HALL COUNTY BY SEEKING TO UNDERSTAND POVERTY FROM THE PERSPECTIVE OF OUR MOST VULNERABLE. DIRECTOR OF COMMUNITY HEALTH IMPROVEMENT, CHRISTY MOORE, SERVES AS CHAIRPERSON OF ONE HALL. FOR MORE ABOUT THE WORK OF THIS COLLABORATIVE, GO TO WWW.UNITEDWAYHALLCOUNTY.ORG/ONEHALL. * MENTAL & BEHAVIORAL HEALTH THE ONE HALL MENTAL AND BEHAVIORAL HEALTH COLLABORATIVE: NGHS IS AN ACTIVE PARTNER OF THE ONE HALL MENTAL AND BEHAVIORAL HEALTH SUBCOMMITTEE, NOW REFERRED TO AS THE HEALTH SUBCOMMITTEE BECAUSE "MENTAL HEALTH IS HEALTH." NGHS EMPLOYEES MONICA NEWTON, DO, AND ADAM RAULERSON OF LAURELWOOD CO-CHAIR THE COMMITTEE. WITH ACTIVITIES AROUND ACCESS, COLLABORATION AND EDUCATION, THIS COLLABORATIVE ENJOYS ACTIVE INVOLVEMENT FROM OVER 30 AGENCIES AND HUNDREDS OF INDIVIDUALS AT ITS MONTHLY MEETINGS. FY24 ACCOMPLISHMENTS OF THE COLLABORATIVE ARE FOUND HERE: HTTPS://WWW.UNITEDWAYHALLCOUNTY.ORG/REACHOUT/REPORTS. MAY IS MENTAL HEALTH AWARENESS MONTH, AND NGHS PARTNERED WITH UNITED WAY OF HALL COUNTY IN THE "HALL GOES GREEN" CHALLENGE. ON THE EVENINGS OF MAY 15 & 16, THE NGMC HOSPITAL EXTERIORS WERE LIT UP GREEN, REPRESENTING HOPE, STRENGTH AND SUPPORT FOR THOSE LIVING WITH MENTAL HEALTH CONCERNS AND NGHS EMPLOYEES WORE GREEN ON MAY 16, MENTAL HEALTH ACTION DAY, TO SHOW SUPPORT. IN FY24, OVER 100 HEALTHCARE PROFESSIONALS WERE MENTAL HEALTH FIRST AID CERTIFIED THROUGH A PARTNERSHIP BETWEEN NGHS AND THE UNIVERSITY OF NORTH GEORGIA. THROUGH THIS TRAINING, MENTAL HEALTH FIRST AIDERS LEARN HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO MENTAL HEALTH AND SUBSTANCE USE DISORDERS. MONICA NEWTON, DO, DEVIN VICKNAIR, PHD, AND ADAM RAULERSON ARE CERTIFIED MENTAL HEALTH FIRST AID INSTRUCTORS AND ASSISTED WITH TRAININGS. COMMISSIONER OF THE GEORGIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES KEVIN TANNER PROVIDED IMPORTANT INFORMATION ABOUT GEORGIA'S 988 SUICIDE & CRISIS LIFELINE AT THE UNITED WAY OF HALL COUNTY ONE HALL HEALTH MEETING IN JULY 2024. THE 988 SUICIDE & CRISIS LIFELINE IS DESIGNED TO MEET THE NEEDS OF MENTAL HEALTH, SUBSTANCE ABUSE DISORDERS AND SUICIDE INTERVENTIONS, MAKING IT EASIER FOR GEORGIANS TO ACCESS THE HELP THEY NEED, 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. WHEN CALLERS DIAL 988, THEY ARE CONNECTED TO A TRAINED STAFF MEMBER WHO CAN HELP TO ADDRESS IMMEDIATE NEEDS AND CONNECT THE CALLER TO RESOURCES, WHICH HELPS TO REDUCE HEALTHCARE SPENDING THROUGH EARLY INTERVENTION AND REDUCE THE USE OF LAW ENFORCEMENT, PUBLIC HEALTH, AND OTHER SAFETY RESOURCES. FOR MORE INFORMATION ABOUT THE WORK OF THE ONE HALL MENTAL AND BEHAVIORAL HEALTH COMMITTEE, VISIT WWW.UNITEDWAYHALLCOUNTY.ORG/REACHOUT. * PEER SUPPORT IN THE ER AND NICU: NGMC AND THE GEORGIA COUNCIL FOR RECOVERY PARTNER TO PROVIDE THE CARES PEER SUPPORT PROGRAM, WHICH CONNECTS PEOPLE SURVIVING OVERDOSES TO CERTIFIED PEER RECOVERY EMPOWERMENT SPECIALISTS (CARES) IN THE EDS AND NICUS. IF A PATIENT IS IDENTIFIED TO BE IN NEED OF PEER SUPPORT, A CARES IS PAIRED WITH THE INDIVIDUAL AND PROVIDE SUPPORT AND CONNECT THE INDIVIDUAL WITH THE RESOURCES NEEDED WHILE AT THE HOSPITAL. THE CARES VISITS THE INDIVIDUAL 10 DAYS AFTER DISCHARGE TO PROVIDE CONTINUED SUPPORT AND RECOVERY RESOURCES. THIS PROGRAM IS OFFERED AT NGMC GAINESVILLE, NGMC BRASELTON AND NGMC BARROW. SIMILARLY, THE NICU PEER RECOVERY PROGRAM OFFERS SUPPORT AND RESOURCES TO MOTHERS WHO ARE IN OR SEEKING RECOVERY FROM A SUBSTANCE USE DISORDER. IN FY24, OVER 1,841 INDIVIDUALS WERE SERVED THROUGH THIS PROGRAM.
FORM 990, PART III, LINE 4A	* UNITE US NGHS CONTINUED ITS WORK TO IMPLEMENT UNITE US IN FY24, IN PARTNERSHIP WITH AREA NONPROFITS, MAKING IT THE RECIPIENT OVER $300,000 RAISED THROUGH THE NGHS FOUNDATION'S 2024 MEDICAL CENTER OPEN. 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 ALLOWS ELECTRONIC REFERRALS BETWEEN NON-PROFITS AND SERVICE ORGANIZATIONS TO CONNECT INDIVIDUALS AND FAMILIES TO THE SERVICES THEY NEED IN REAL TIME. AT THE END OF 2024, 213 COMMUNITY-BASED ORGANIZATIONS WERE ON THE PLATFORM AND OVER 1,600 REFERRALS WERE MADE. 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 HELPS TO MINIMIZE POOR HEALTH, UNNECESSARY SUFFERING AND HIGHER COSTS. * ACCESS TO CARE BRASELTON AMBULATORY SURGERY CENTER: IN OCTOBER 2023, THE BRASELTON SURGERY CENTER, NGHS' FIRST STATE-OF-THE-ART AMBULATORY SURGERY CENTER OPENED, OFFERING NEW OUTPATIENT SURGICAL OPTIONS TO PATIENTS IN THE COMMUNITY, WITH SURGEONS COVERING A VARIETY OF SPECIALTIES AND OFFERING SAME-DAY PROCEDURES SO PATIENTS CAN RETURN HOME QUICKLY TO HEAL. GROUNDBREAKING OF MEDICAL PLAZA 1: IN FEBRUARY 2024, NGHS BROKE GROUND ON MEDICAL PLAZA 1 AT THOMPSON BRIDGE MEDICAL PARK. IT OPENED SEPTEMBER 2024, AND HOUSES NGPG THOMPSON BRIDGE, WHICH PROVIDES PRIMARY CARE, WEIGHT LOSS AND GYNECOLOGY SERVICES. GROUNDBREAKING OF INPATIENT REHABILITATION FACILITY: IN FY24, NGHS AND LIFEPOINT REHABILITATION, A BUSINESS UNIT OF LIFEPOINT HEALTH, BROKE GROUND ON A NEW INPATIENT REHABILITATION FACILITY IN GAINESVILLE. WITH A TOTAL OF 40 PRIVATE ROOMS, THE 61,000 SQUARE-FOOT FACILITY WILL NEARLY DOUBLE THE PATIENT CAPACITY OF THE EXISTING 24-BED INPATIENT REHABILITATION UNIT AT NGMC GAINESVILLE. NORTHEAST GEORGIA REHABILITATION INSTITUTE WILL PROVIDE INTENSIVE NURSING, PHYSICAL, OCCUPATIONAL AND SPEECH PATHOLOGY SERVICES FOR ADULTS RECOVERING FROM CONDITIONS SUCH AS STROKE, NEUROLOGICAL DISEASE, BRAIN OR SPINAL CORD INJURY AND OTHER DEBILITATING ILLNESSES OR INJURIES AND WILL OPEN IN 2025. NGPG LAUNCHED MEMORY ASSESSMENT CLINIC: IN PARTNERSHIP WITH STATE-FUNDED GEORGIA MEMORY NETWORK, NGPG OPENED A CLINIC FOR PATIENTS IN OUR COMMUNITY WITH COGNITIVE ISSUES. THIS YEAR, THE CLINIC SAW 500 NEW PATIENTS. PRENATAL PROGRAM AT HALL COUNTY HEALTH DEPARTMENT: NGMC PARTNERS WITH THE HALL COUNTY HEALTH DEPARTMENT TO IMPROVE BIRTH OUTCOMES BY INCREASING THE EARLY INITIATION OF PRENATAL CARE FOR LOW INCOME, UNINSURED PREGNANT WOMEN, REGARDLESS OF THEIR ABILITY TO PAY. * HEALTH EDUCATION AND COMMUNITY OUTREACH CLINICAL SIMULATION: IN FY24, CLINICAL SIMULATION EDUCATION WAS PROVIDED TO OVER 580 STUDENTS AT UNIVERSITY OF NORTH GEORGIA, LEADERSHIP GEORGIA, BRENAU UNIVERSITY, GAINESVILLE HIGH SCHOOL AND LANIER ACADEMY HIGH SCHOOL. THROUGH THIS TRAINING, STUDENTS AND STAFF LEARNED BASIC LIFE SUPPORT, HOW TO DELIVER A BABY, HOW TO ADMINISTER AN EPIPEN AND STOP THE BLEED USING EVIDENCE-BASED STANDARDS AND PRACTICES. BEGINNING IN FY24, CLINICAL SIMULATION, IN PARTNERSHIP WITH HOPE FOR GEORGIA MOMS, BEGAN OFFERING OBSTETRIC PATIENT SAFETY WORKSHOPS TO HELP CLINICIANS IDENTIFY, ASSESS AND MANAGE PATIENTS WITH AN OBSTETRIC EMERGENCY THROUGH SIMULATION AND DEBRIEFING. THIS COURSE WAS OFFERED FREE-OF-CHARGE AND IS FOCUSED ON EDUCATING HEALTHCARE PROFESSIONALS IN RURAL AREAS IN GEORGIA. COMMUNITY EDUCATION ON INJURY PREVENTION AND TRAUMA: IN FY24, NGMC PROVIDED COMMUNITY EDUCATION REGARDING FALLS, INJURY PREVENTION AND TRAUMA TO 575 INDIVIDUALS, CONSISTING OF HIGH SCHOOL STUDENTS, SUPPORT GROUP MEMBERS, AND HEALTHCARE PROFESSIONALS IN THE COMMUNITY. ADDITIONALLY, NGMC TRAUMA STAFF PROVIDED TRAINING IN THE COMMUNITY FOR THE STOP THE BLEED CAMPAIGN, A SCHOOL RESPONSE PROGRAM DESIGNED TO ENABLE STUDENTS, 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. DIABETES EDUCATION, SCREENINGS AND SUPPORT GROUPS: NGMC PROVIDED DIABETES OUTREACH FOR PREVENTION AND EDUCATION, SCREENINGS AND SUPPORT GROUPS TO APPROXIMATELY 278 COMMUNITY MEMBERS IN FY24. GEORGIA HEART INSTITUTE COMMUNITY OUTREACH: IN FY24, GEORGIA HEART INSTITUTE NURSE PRACTITIONERS, HEALTH EDUCATORS, MEDICAL ASSISTANTS AND PHYSICIANS PROVIDED HEALTH EDUCATION ABOUT HEART HEALTH TO THE COMMUNITY. NGHS SPONSORED THE AMERICAN HEART ASSOCIATION "STEM GOES RED" EVENT, WHERE YOUNG WOMEN GATHERED TO LEARN ABOUT HANDS ONLY CPR, HEART HEALTHY NUTRITION, AND THE DANGERS OF SMOKING. KEYNOTE SPEAKER DR. KAREN GERSCH, ROBOTIC CARDIOTHORACIC SURGEON WITH NGHS, INSPIRED OVER 90 HIGH SCHOOL GIRLS FROM GAINESVILLE CITY SCHOOLS & HALL COUNTY SCHOOLS TO PURSUE PASSIONS IN STEM. NGMC BARROW ALSO SPONSORED THE BARROW CLARKE OCONEE CELEBRATION OF IMPACT EVENT FOR GO RED FOR WOMEN, WHERE DR. GERSCH DELIVERED A CAPTIVATING PRESENTATION ON CARDIAC SURGERY. HANDS ONLY CPR TRAINING: IN FY24, NGMC PROVIDED HANDS ONLY CPR TRAINING TO OVER 1,000 HALL COUNTY HIGH SCHOOL JUNIORS AND 500 ATTENDEES AT A UNIVERSITY OF NORTH GEORGIA BASKETBALL GAME. HANDS ONLY CPR IS A SIMPLIFIED METHOD OF PERFORMING CPR THAT INVOLVES CHEST COMPRESSIONS WITHOUT MOUTH-TO-MOUTH BREATHING AND IS RECOMMENDED FOR USE BY PEOPLE WHO SEE A TEEN OR ADULT SUDDENLY COLLAPSE IN AN "OUT-OF-HOSPITAL" SETTING. * HALL COUNTY FAMILY CONNECTION NETWORK AND THE BUTLER CENTER: HALL COUNTY FAMILY CONNECTION NETWORK IS A COLLABORATIVE AIMING TO CONNECT CHILDREN AND FAMILIES TO RESOURCES AVAILABLE IN HALL COUNTY TO HELP THEM BECOME HEALTHY, PRODUCTIVE AND EDUCATED INDIVIDUALS. HALL COUNTY FAMILY CONNECTION NETWORK IS LOCATED AT THE BUTLER CENTER, WHICH IS A FACILITY THAT HOUSES EDUCATIONAL AND TRAINING PROGRAMS AND SERVICES DESIGNED TO HELP COMMUNITY MEMBERS REACH PERSONAL AND PROFESSIONAL GOALS. IN FY24, NGHS PHYSICIANS PROVIDED HEALTH SEMINARS TO THE COMMUNITY AT THE BUTLER CENTER IN PARTNERSHIP WITH HALL COUNTY FAMILY CONNECTION NETWORK AND THE GAINESVILLE-HALL COUNTY BLACK HISTORY SOCIETY, COVERING TOPICS SUCH AS WOMEN'S HEALTH AND BREAST CANCER AWARENESS. NGHS ALSO PROVIDED HEALTH EDUCATION MATERIALS, COVERING TOPICS SUCH AS HEART HEALTH AND CHILD SAFETY TIPS, TO BE INCLUDED IN THE HALL COUNTY FAMILY CONNECTION NEWSLETTER, WHICH WAS SENT TO OVER 1,000 COMMUNITY MEMBERS EACH MONTH. ON MONDAY, JANUARY 15, 2024, NEWTOWN FLORIST CLUB IN PARTNERSHIP WITH THE BUTLER CENTER HOSTED THE MARTIN LUTHER KING, JR. DAY CELEBRATION IN GAINESVILLE. THE CELEBRATION INCLUDED A 1.5-MILE MARCH FROM THE PEACH STATE BANK TO THE BUTLER CENTER. NGMC GAINESVILLE PROVIDED A PARAMEDIC AND MEDICAL SUPPLIES FOR THE FIRST AID STATION AT THIS EVENT, SERVING AN ESTIMATED 150 PARTICIPANTS. * 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 FY24, THE LIBRARY HOSTED BOOK CLUBS TO EDUCATE THE COMMUNITY & WELCOMED 54,598 VISITORS: A 312% 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. SHANNON GLOVER, MLIS, AHIP, NGHS' HEALTH SCIENCES LIBRARY COORDINATOR, WAS RECOGNIZED BY THE SOUTHERN CHAPTER OF THE MEDICAL LIBRARY ASSOCIATION AS ITS 2024 HOSPITAL LIBRARIAN OF THE YEAR. HOSPICE BEREAVEMENT CAMPS, SUPPORT GROUPS AND OUTREACH: HOSPICE OF NGMC PROVIDED MULTIPLE BEREAVEMENT SUPPORT GROUPS AND EDUCATION FOR THOSE GRIEVING A LOSS OR CARING FOR A LOVED ONE WITH AN ILLNESS (SUCH AS DEMENTIA) AND CAMPS FOR CHILDREN DEALING WITH THE LOSS OF SOMEONE CLOSE TO THEM. IN FY24, HOSPICE OF NGMC SERVED 1,456 INDIVIDUALS.
FORM 990, PART III, LINE 4A	* JUNETEENTH CELEBRATION: ON JUNE 15, 2024, NGHS' ERINE RAYBON-ROJAS, MD, AND RESIDENTS FROM THE GRADUATE MEDICAL EDUCATION PROGRAM PARTICIPATED IN THE JUNETEENTH CELEBRATION, HOSTED BY THE GAINESVILLE-HALL COUNTY BLACK HISTORY SOCIETY AND THE BUTLER CENTER, TO ANSWER HEALTH QUESTIONS AND TO TALK ABOUT NGHS AND THE HELP FOR HEALTHCARE PROFESSIONALS YOUTH OPPORTUNITIES FOR UNPARALLELED TRAINING IN HEALTHCARE, MEDICINE, EDUCATION AND DEVELOPMENT PHYSICIAN MENTORSHIP PROGRAM. NGHS ALSO PROVIDED BOOKLETS TO ATTENDEES LISTING HEALTH AND COMMUNITY RESOURCES AVAILABLE IN HALL COUNTY. * LATINO FEST 2024: NGMC PARTNERS WITH THE HISPANIC ALLIANCE OF GEORGIA TO SUPPORT THE LATINO COMMUNITY IN THE REGION. ON SEPTEMBER 28, 2024, NGMC WAS THE PLATINUM SPONSOR OF LATINO FEST, AN EVENT THAT CELEBRATES LOCAL LATINO CULTURE, ART, MUSIC AND FOOD. GRADUATE MEDICAL EDUCATION RESIDENTS AND DIVERSITY, EQUITY AND INCLUSION COUNCIL MEMBERS PARTICIPATED AND SHARED INFORMATION ABOUT LOCAL RESOURCES AVAILABLE TO THE COMMUNITY. PROCEEDS FROM LATINO FEST GO TOWARDS THE "FUND THE DREAM" SCHOLARSHIP, WHICH IS AWARDED TO FIRST-GENERATION, LOW-INCOME MINORITY STUDENTS. * MATERNAL CARDIAC PROGRAM: NGMC'S MATERNAL CARDIAC PROGRAM AIMS TO ENHANCE THE TIMELINESS AND QUALITY OF MATERNAL HEALTH INFORMATION IN ORDER TO PROVIDE EARLY RECOGNITION OF AT-RISK WOMEN AND ENSURE THE TIMELY INTERVENTION AND FOLLOW UP TO DECREASE NEGATIVE HEALTH OUTCOMES. IN FY24, IN PARTNERSHIP WITH GEORGIA HEART INSTITUTE STAFF, THE MATERNAL CARDIAC PROGRAM DEDICATED TIME TOWARDS COMMUNITY EDUCATION, CONFERENCES AND OUTREACH ON MATERNAL CARDIAC CONDITIONS. MEDICAL PLAZA IN BUFORD HOSTS HEALTH FAIR: NGHS HOSTED A HEALTH FAIR ON SATURDAY, SEPTEMBER 21 AT THE MEDICAL PLAZA IN BUFORD, WELCOMING OVER 150 INDIVIDUALS FOR HEALTH SCREENINGS, FLU SHOTS, CPR CLASSES, CHILD SAFETY SEAT EDUCATION AND MORE. MENDED HEARTS SUPPORT GROUP: MENDED HEARTS IS A SUPPORT GROUP THAT OFFERS MORAL SUPPORT TO PATIENTS WITH HEART DISEASE. IN FY24, MENDED HEARTS VOLUNTEERS MADE 1,800 VISITS TO HEART PATIENTS, PROVIDING SUPPORT TO THEM, THEIR SPOUSES AND OTHERS AFFECTED BY HEART DISEASE. ONCOLOGY SERVICES COMMUNITY OUTREACH AND SUPPORT GROUPS: IN FY24, ONCOLOGY SERVICES PROVIDED EDUCATIONAL AWARENESS ABOUT CANCER TO OVER 475 COMMUNITY MEMBERS AT LOCAL EVENTS IN ADDITION TO SCREENINGS FOR CANCERS SUCH AS LUNG AND THYROID CANCER. ASSISTANT NURSE MANAGER ANDRIA CATON WITH NGMC ONCOLOGY SERVICES ALSO LED A VIRTUAL SUPPORT GROUP, OPEN TO THE PUBLIC, FOR WOMEN AGES 39 AND UNDER WITH A BREAST CANCER DIAGNOSIS ONCE A MONTH. AS A HEALTH SYSTEM, NGMC NURSES AND STAFF COORDINATED "COLORECTAL CANCER SUNDAY" ON MARCH 17, 2024, AT BETHEL AME CHURCH IN GAINESVILLE. FORTY-EIGHT PEOPLE WERE IN ATTENDANCE AND RECEIVED COLORECTAL CANCER MESSAGES DURING A DESIGNATED ANNOUNCEMENT TIME DURING THE CHURCH SERVICE. NGMC STAFF PROVIDED 22 CONGREGANTS WITH ONE-ON-ONE COLORECTAL CANCER INFORMATION, INSTRUCTIONS ON STOOL COLLECTION FOR FECAL IMMUNOCHEMICAL TESTS (FIT) AND HOW TO RETURN RESULTS AND STIPENDS FOR PARTICIPATING. OUT OF 22 FIT TESTS DISTRIBUTED, 9 RESULTS WERE RETURNED AND PARTICIPANTS WERE NOTIFIED BY MAIL OF THE RESULTS AND PROVIDED WITH COLORECTAL CANCER MATERIALS. FOR MORE, VISIT HTTPS://WWW.NGHS.COM/CANCER/REPORTS. * PARAMEDICS IMPROVING THE COMMUNITY'S HEALTH (PITCH): NGMC'S PARAMEDICS IMPROVING THE COMMUNITY'S HEALTH (PITCH) PROGRAM HELPS THE COMMUNITY HAVE ACCESS TO CARE. COMMUNITY PARAMEDICS MEET PATIENTS AT THEIR HOMES TO PROVIDE AND CONNECT THEM TO PRIMARY CARE SERVICES, SEEK OUT AVAILABLE COMMUNITY RESOURCES, COMPLETE POST-HOSPITAL FOLLOW-UP CARE, DISCOVER EDUCATION AND HEALTH PROGRAMS, AND DISCUSS OVERALL HEALTH AND MENTAL HAPPINESS. IN FY24, PITCH SERVED OVER 55 INDIVIDUALS, ESTABLISHING 30 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 AND SERVED 2,200 INDIVIDUALS IN FY24. * SAFE KIDS NORTHEAST GEORGIA: NORTHEAST GEORGIA MEDICAL CENTER SERVES AS LEAD AGENCY FOR SAFE KIDS NORTHEAST GEORGIA AND IS FUNDED BY THE NGHS FOUNDATION. THE MISSION OF SAFE KIDS IS TO REDUCE UNINTENTIONAL INJURIES AND DEATH IN CHILDREN 19 AND UNDER. IN FY24, SAFE KIDS PROVIDED PROGRAMS AND EVENTS WITH OUTREACH ACROSS NGMC GAINESVILLE AND BRASELTON TO AN ESTIMATED 4,142 CHILDREN, FAMILY MEMBERS, TEACHERS AND CAREGIVERS. THROUGH THESE PROGRAMS, SAFETY ITEMS WERE DISTRIBUTED TO FAMILIES IN NEED. SEPSIS COMMUNITY OUTREACH: IN FY24, COMMUNITY HEALTH EDUCATION ON SEPSIS PREVENTION WAS PROVIDED TO AN ESTIMATED 437 INDIVIDUALS AT LOCAL COMMUNITY HEALTH FAIRS, AND SEMINARS BY NGMC TO INCREASE AWARENESS AND GUIDANCE WAS PROVIDED TO OTHER HEALTHCARE ORGANIZATIONS ON BEST PRACTICES TO BETTER RECOGNIZE SIGNS, USING EVIDENCE-BASED PRACTICE TO TREAT SEPSIS PATIENTS. SPORTS MEDICINE ATHLETIC CARE: THE SPORTS MEDICINE ATHLETIC TRAINING DEPARTMENT PROVIDES MEDICAL CARE, SUCH AS INJURY ASSESSMENT, REHABILITATION AND CONCUSSION MANAGEMENT AT ATHLETIC EVENTS FOR 12 LOCAL HIGH SCHOOLS AND THREE LOCAL UNIVERSITIES. STROKE EDUCATION AND OUTREACH: IN FY24, THE STROKE UNIT AT NGMC PROVIDED EDUCATION TO APPROXIMATELY 335 COMMUNITY MEMBERS ABOUT STROKE PREVENTION, SYMPTOMS, AND RISK FACTORS. LIFE AFTER STROKE SUPPORT GROUP MEETINGS WERE PROVIDED MONTHLY TO STROKE SURVIVORS AND THEIR CAREGIVERS. * SYMPOSIA GEORGIA HEART & VASCULAR SYMPOSIUM: THE GEORGIA HEART & VASCULAR SYMPOSIUM WAS A TWO-DAY CONFERENCE BRINGING HEALTHCARE PROFESSIONALS AND 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 700 PHYSICIANS, ADVANCED PRACTICE PRACTITIONERS, NURSES, EMS AND OTHER CLINICAL PROFESSIONALS. 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 AND FOCUSED ON INCREASING KNOWLEDGE ON INFECTION PREVENTION. MANY OF THE SMALL RURAL FACILITIES THROUGHOUT GEORGIA HAVE LIMITED TO NO ACCESS TO INFECTION PREVENTION AND CONTROL EDUCATION. IN FY24, THIS SYMPOSIUM PROVIDED EDUCATION TO 182 INDIVIDUALS. NEUROSCIENCE REHAB SYMPOSIUM: THE NEUROSCIENCE REHAB SYMPOSIUM PROVIDED THE MOST CURRENT INFORMATION FOR EMS, NURSES, PHYSICIANS, ADVANCED PRACTICE PROVIDERS, AS WELL AS PHYSICAL, SPEECH AND OCCUPATIONAL THERAPISTS WHO CARE FOR PATIENTS AND FAMILIES IN ALL PHASES OF STROKE TREATMENT AND REHABILITATION. IN FY24, OVER 480 HEALTHCARE PROFESSIONALS ATTENDED THE SYMPOSIUM. NGPG SPORTS MEDICINE SYMPOSIUM: THE NORTHEAST GEORGIA PHYSICIANS GROUP SPORTS MEDICINE SYMPOSIUM IS A ONE-DAY ORTHOPEDIC AND SPORTS MEDICINE SYMPOSIUM FEATURING INFORMATION ABOUT SURGICAL PROCEDURES, ANATOMY AND PHYSIOLOGY, DIAGNOSTIC AND TREATMENT STRATEGIES AND RELEVANT LITERATURE TO IMPROVE OUTCOMES AND SUCCESSES FOR ALL CLINICIANS. IN FY24, 240 PHYSICAL THERAPISTS, PHYSICAL THERAPIST ASSISTANTS, ATHLETIC TRAINERS AND STUDENTS IN ALLIED HEALTH RELATED FIELDS WERE IN ATTENDANCE. REGIONAL TRAUMA ADVISORY COMMITTEE (RTAC) AND SYMPOSIUM: NGMC AND THE REGIONAL TRAUMA ADVISORY COMMITTEE PARTNER TO HOST THE ANNUAL NORTHEAST GEORGIA REGIONAL TRAUMA SYMPOSIUM, A TWO-DAY SYMPOSIUM THAT PROVIDES EDUCATION ON 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 FY24, 564 HEALTHCARE PROFESSIONALS ATTENDED THIS SYMPOSIUM. * RESEARCH IN FY24, NGMC OFFERED PATIENTS THE OPPORTUNITY TO PARTICIPATE IN CLINICAL TRIALS INVOLVING SOME OF THE MOST PROMISING, BREAKTHROUGH NEW MEDICAL THERAPIES. OVER 460 PATIENTS WERE ENROLLED IN TRIALS THAT PROVIDED CUTTING EDGE TREATMENTS FOR CANCER AND HEART DISEASE. FOR MORE INFORMATION, VISIT WWW.NGHS.COM/RESEARCH.
FORM 990, PART III, LINE 4A	IN FY24, NGMC GAINESVILLE WAS THE FIRST HOSPITAL IN THE WORLD TO OFFER A GROUNDBREAKING CLINICAL TRIAL FOCUSED ON LIVER CANCER, CALLED BOOMBOX, WHICH STUDIES QUALIFIED HISTOTRIPSY PATIENTS FOR UP TO FIVE YEARS TO HELP IMPROVE STANDARD TREATMENT PROTOCOL. AWARDS AND RECOGNITION NGHS REPRESENTS AT GEORGIA STATE CAPITOL: IN FEBRUARY 2024, DR. JODY BANHMILLER, TWO PGY3 FAMILY MEDICINE RESIDENTS AND TWO MEDICAL STUDENTS FROM LOCAL UNIVERSITIES PARTICIPATED IN THE DOCTOR OF THE DAY PROGRAM AT THE GEORGIA CAPITOL, VOLUNTEERING IN THE MEDICAL AID STATION AT THE STATE CAPITOL, WHERE THEY PROVIDE FREE MINOR MEDICAL CARE FOR LEGISLATORS AND THEIR STAFF FOR THE DAY. NGHS SPREADS AWARENESS ABOUT LUNG CANCER: IN MARCH 2024, THE GEORGIA LUNG CANCER ROUNDTABLE WENT TO THE GEORGIA CAPITOL TO RECEIVE THE LUNG CANCER AWARENESS MONTH PROCLAMATION FROM GOVERNOR BRIAN KEMP. MANY FROM NGMC PARTICIPATE IN THIS ENDEAVOR TO SPREAD AWARENESS ABOUT LUNG CANCER. COMMUNITY SERVICE IN FY24, 120 STAFF MEMBERS FROM NGMC GAINESVILLE AND BRASELTON REPORTED DEDICATING STAFF TIME TOWARDS A TOTAL OF 305 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 BY PROVIDING FINANCIAL AND STAFF SUPPORT TO LOCAL NONPROFIT AGENCIES, FACILITATING WORKFORCE DEVELOPMENT PROGRAMS, PROVIDING NEEDED COUNSELING FOR SCHOOLS DURING CRISIS AND TOBACCO CESSATION EDUCATION TO ALL BARROW COUNTY 4TH AND 5TH GRADE STUDENTS. * 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 FY24, THE ESTIMATED COST OF INDIGENT AND CHARITY CARE THROUGH NGMC BARROW WAS $2.0 MILLION BASED ON 2,864 PATIENT ENCOUNTERS. IN ADDITION, NGMC BARROW INCURRED BAD DEBT EXPENSE DURING 2024 OF APPROXIMATELY $14.6 MILLION AS MEASURED BY CHARGES. THIS REPRESENTS APPROXIMATELY 23.3 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." * FINANCIAL NAVIGATION NGMC BARROW EMPLOYS FINANCIAL ASSISTANCE NAVIGATORS WHO 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 PROGRAMS THEY MIGHT BE ELIGIBLE FOR, MEDICAID, DISABILITY, ACCESSING THE NEW HEALTHCARE EXCHANGES, OR PROCESSING CHARITY, WHEN APPROPRIATE. PATIENT NAVIGATION NGMC BARROW PATIENT NAVIGATORS PROVIDED GUIDANCE TO 640 CANCER PATIENTS IN FY24. PATIENT NAVIGATORS 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. * INDIGENT PATIENT FUND AT NGMC BARROW, FINANCIAL ASSISTANCE IS PROVIDED FOR INDIGENT PATIENTS TO OBTAIN NEEDED 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 HELPS ENSURE MEDICATION COMPLIANCE AND MAXIMIZE CONDITIONS FOR RECOVERY AND RECUPERATION. THE NGHS FOUNDATION PROVIDED FUNDING FOR THIS PROGRAM AT AN ESTIMATED COST OF $47,160 ACROSS ALL CAMPUSES IN FY24. * 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 $385,000 IN FY24 IN THESE AREAS: ALLIED HEALTH STUDENT EDUCATION: NGMC BARROW PROVIDED 42 ALLIED HEALTH STUDENTS WITH CLINICAL ROTATIONS IN FY24 TO GIVE THEM HANDS ON EXPERIENCE UNDER THE SUPERVISION OF NGMC BARROW STAFF, ALLOWING THEM TO APPLY KNOWLEDGE AND DEVELOP ESSENTIAL ALLIED HEALTH SKILLS. NURSING STUDENT EDUCATION: NGMC BARROW PROVIDED 69 NURSING STUDENTS WITH CLINICAL ROTATIONS IN FY24 TO GIVE THEM HANDS ON EXPERIENCE UNDER THE SUPERVISION OF REGISTERED NURSES, ALLOWING THEM TO APPLY KNOWLEDGE AND DEVELOP ESSENTIAL NURSING SKILLS. YOUTH APPRENTICESHIP PROGRAM: THE YOUTH APPRENTICESHIP PROGRAM PROVIDED 73 BARROW STUDENTS WITH THE OPPORTUNITY FOR HIGH SCHOOL STUDENTS TO WORK FOR ONE CLASS PERIOD A DAY AT NGMC BARROW AND PARTICIPATE IN HOSPITAL CAMPUS TOURS, PROVIDING HANDS-ON EXPOSURE TO DIFFERENT HEALTHCARE CAREERS AND SERVES AS A RECRUITMENT TOOL TO ENCOURAGE STUDENT ENROLLMENT IN POST-SECONDARY HEALTHCARE PROGRAMS OF STUDY. NGMC BARROW WELCOMES EMERGENCY RESIDENTS: STARTING IN JULY 2024, NGMC BARROW WELCOMED RESIDENT PHYSICIANS TO ITS EMERGENCY DEPARTMENT STAFF, PROVIDING CARE AND PERFORMING PROCEDURES UNDER THE SUPERVISION OF MORE EXPERIENCED FACULTY PHYSICIANS. PROJECT SEARCH: PROJECT SEARCH PROVIDES EMPLOYMENT AND EDUCATION OPPORTUNITIES FOR INDIVIDUALS WITH MILD TO MODERATE DISABILITIES AND IS DEDICATED TO WORKFORCE DEVELOPMENT THAT BENEFITS THE INDIVIDUAL, COMMUNITY AND WORKPLACE. IN FY24, SIX STUDENTS PARTICIPATED AND WORKED 20 HOURS PER WEEK IN ASSIGNED DEPARTMENTS. MENTORS ARE ASSIGNED TO EACH STUDENT AND ATTEND A MONTHLY MEETING TO DISCUSS PROGRESS/NEEDS OF STUDENTS. * 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 FY24, NGMC BARROW HELPED SUPPORT THE FOLLOWING ORGANIZATIONS AT A COST OF OVER $47,000: -ADVENTURE BAGS -AMERICAN CANCER SOCIETY -AMERICAN FOUNDATION FOR SUICIDE PREVENTION -AMERICAN HEART ASSOCIATION -BARROW AREA ROTARY CLUB -BARROW COUNTY 4-H YOUTH DEVELOPMENT -BARROW COUNTY SCHOOL SYSTEM SPECIAL EDUCATION DEPARTMENT -BARROW FIRE DEPARTMENT -BARROW MINISTRY VILLAGE -BOYS AND GIRLS CLUB OF WINDER-BARROW COUNTY -FOOD BANK OF NORTHEAST GEORGIA -NEW PATH 1010 -NORTHEAST GEORGIA COUNCIL FRIENDS OF SCOUTING -NUCI'S SPACE -PIEDMONT CASA -THE CANCER FOUNDATION -THE GEORGIA CLUB FOUNDATION -THE TREE HOUSE -UNITED WAY OF NORTHEAST GEORGIA -WINDER FIRE DEPARTMENT -YMCA OF GEORGIA'S PIEDMONT -YOUTH BEHAVIORAL "YOU MATTER" SUMMIT DONATED SPACE FOR LOCAL ORGANIZATIONS: IN FY24, NGMC BARROW DONATED CONFERENCE ROOM SPACE FOR AARP, BARROW CHAMBER OF COMMERCE, BOY SCOUTS OF AMERICA AND AMERICAN CANCER SOCIETY MEETINGS.
FORM 990, PART III, LINE 4A	* ACCESS TO CARE BETHLEHEM MEDICAL PLAZA: STARTING IN AUGUST 2024, MEDICAL PLAZA 1 IN BETHLEHEM, GEORGIA OPENED FOR PATIENTS. THE TWO-STORY, 34,000 SQUARE-FOOT MEDICAL OFFICE BUILDING IS THE NEW HOME OF NGPG FAMILY HEALTH ASSOCIATES, NGPG ORTHOPEDIC SURGERY, NGPG SPORTS MEDICINE AND GEORGIA HEART INSTITUTE. * HEALTH EDUCATION AND COMMUNITY OUTREACH CENTER FOR INNOVATIVE TEACHING (CFIT) 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 CENTRALLY LOCATED NEAR THE CENTER FOR INNOVATIVE TEACHING (CFIT) IN WINDER. IN FY24, REPRESENTATIVES FROM NGHS CELEBRATED THE GRAND OPENING OF THE COMMUNITY PARK, WHICH PROVIDES SPACE FOR RECREATION AND EDUCATION AND THE PLAYGROUND FEATURES UNIQUE PLAY PIECES AS WELL AS ADA-ACCESSIBLE FEATURES. NGHS PRESIDENT AND CEO, A NATIVE OF BARROW COUNTY, SERVES AS CAMPAIGN LEADER COUNCIL CO-CHAIR. * CHILD ABUSE RECOGNITION AND REPORTING CLASS: IN FY24, NGMC BARROW PARTNERED WITH CHILDREN'S HEALTHCARE OF ATLANTA (CHOA) TO PROVIDE THE CHILD ABUSE RECOGNITION AND REPORTING CLASS TO TEACHERS, LAW ENFORCEMENT, CLINICIANS, PREHOSPITAL FIRST RESPONDERS AND SOCIAL WORKERS IN THE COMMUNITY. THIS COURSE WAS TAUGHT ACROSS ALL FIVE NGMC CAMPUSES AND WAS OFFERED FREE-OF-COST. CLINICAL SIMULATION: CLINICAL SIMULATION EDUCATION WAS PROVIDED TO OVER 200 STUDENTS AT BARROW ARTS AND SCIENCES HIGH SCHOOL AND APALACHEE HIGH SCHOOL. THROUGH THIS TRAINING, STUDENTS LEARNED BASIC LIFE SUPPORT, HOW TO DELIVER A BABY, HOW TO ADMINISTER AN EPIPEN AND STOP THE BLEED USING EVIDENCE-BASED STANDARDS AND PRACTICE. GEORGIA HEART INSTITUTE COMMUNITY OUTREACH: IN FY24, GEORGIA HEART INSTITUTE NURSE PRACTITIONERS, HEALTH EDUCATORS, MEDICAL ASSISTANTS AND PHYSICIANS PROVIDED HEALTH EDUCATION ABOUT HEART HEALTH TO OVER 100 BARROW COMMUNITY MEMBERS. LUNG CANCER SUPPORT GROUP: IN FY24, ONCOLOGY NURSES WITH NGMC BARROW PROVIDED MONTHLY, IN-PERSON SUPPORT GROUPS FOR LUNG CANCER AT NGMC BARROW. NGMC BARROW PARTICIPATES IN MASS CASUALTY TRAINING: IN PARTNERSHIP WITH THE BARROW COUNTY SCHOOL SYSTEM, LOCAL LAW ENFORCEMENT, FIRE DEPARTMENTS AND EMS, THE NGMC BARROW EMERGENCY PREPAREDNESS TEAM SIMULATED A FULL SCALE ACTIVE SHOOTER EXERCISE TO TEST THE PLANS AND RESPONSE OF BARROW MIDDLE SCHOOL. * SAFE KIDS NORTHEAST GEORGIA: NGMC SERVED AS THE LEAD AGENCY FOR SAFE KIDS NORTHEAST GEORGIA, REDUCING UNINTENTIONAL INJURIES AND DEATHS IN CHILDREN 19 AND UNDER. IN FY24, SAFE KIDS PROVIDED PROGRAMS AND EDUCATIONAL EVENTS WITH OUTREACH TO AN ESTIMATED 2,010 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS, AND CAREGIVERS IN BARROW COUNTY. THROUGH THESE PROGRAMS, SAFETY ITEMS WERE DISTRIBUTED TO FAMILIES WHO WERE IN NEED OF THEM. SEPSIS COMMUNITY OUTREACH: IN FY24, HEALTH EDUCATION ON SEPSIS PREVENTION AND INFECTION PREVENTION WAS PROVIDED AT VARIOUS COMMUNITY HEALTH FAIRS AND EVENTS IN THE BARROW COUNTY COMMUNITY. * TAR WARS: ACCORDING TO GEORGIA CANCER STATISTICS, BARROW COUNTY HAS SIGNIFICANTLY HIGHER RATES OF LUNG CANCER INCIDENCE AND MORTALITY WHEN COMPARED TO STATE AND NATIONAL NUMBERS. SINCE 2018, NGMC BARROW HAS PARTNERED WITH BARROW COUNTY SCHOOLS TO IMPLEMENT "TAR WARS" FOR OVER 12,000 FOURTH AND FIFTH-GRADE STUDENTS ACROSS NINE ELEMENTARY SCHOOLS."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. POST-EDUCATION, STUDENTS DESIGN ANTI-TOBACCO POSTERS, WITH TOP ENTRIES ADVANCING TO DISTRICT-LEVEL COMPETITION AND THE BARROW AREA ROTARY CLUB AND NGHS SOCIAL MEDIA FOLLOWERS HELP TO DETERMINE WINNERS. THIS YEAR'S WINNERS WERE HAILEY F., CANNON LORD AND JECOLIAH TAGNUM AND THEY WERE RECOGNIZED AT THE BARROW COUNTY BOARD OF EDUCATION MEETING IN AUGUST 2024. SUPPLIES FOR NURSING CLINICS AT BARROW COUNTY SCHOOLS: 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. MENTAL AND BEHAVIORAL HEALTH: IN SEPTEMBER 2024, COUNSELORS AND SPECIALISTS FROM LAURELWOOD, HOSPICE AND THE EMPLOYEE ASSISTANCE PROGRAM PROVIDED SUPPORT GROUPS FOR STUDENTS, PARENTS AND STAFF AFFECTED BY THE SCHOOL SHOOTING AT APALACHEE HIGH SCHOOL IN BARROW. SUPPORT WAS PROVIDED AT WINDER-BARROW HIGH SCHOOL, WESTSIDE MIDDLE SCHOOL, BARROW ARTS AND SCIENCES ACADEMY, BARROW COUNTY SCHOOLS CENTRAL OFFICE, APALACHEE HIGH SCHOOL, SIMS ACADEMY, NGPG GATEWAY EXCHANGE, NGPG URGENT CARE BETHLEHEM, NGMC BARROW, RUSSELL MIDDLE SCHOOL AND WINDER ELEMENTARY SCHOOL. AWARDS & RECOGNITION EMT AND PARAMEDIC 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. BOB FISHER AND CARLI CUENDET, NGMC BARROW EMS STAFF, WERE RECOGNIZED AS EMT OF THE YEAR AND PARAMEDIC OF THE YEAR, RESPECTIVELY, AT THE 2024 NORTHEAST GEORGIA REGION 10 EMS AWARDS BANQUET. BARROW CHAMBER OF COMMERCE RECOGNIZES SUNITA SINGH: IN FY24, SUNITA SINGH, PUBLIC RELATIONS MANAGER FOR NGMC BARROW, WAS RECOGNIZED BY THE BARROW COUNTY CHAMBER OF COMMERCE AS THE "BUSINESSWOMAN OF THE YEAR", AN AWARD THAT RECOGNIZES THE PAST AND PRESENT ACHIEVEMENTS OF AN OUTSTANDING BUSINESSWOMAN THAT HAS DEMONSTRATED SUPPORT FOR THE ADVANCEMENT AND LEADERSHIP OF BUSINESS AND PROFESSIONAL WOMEN AS WELL AS SUPPORT FOR THE WHOLE BARROW COUNTY. UGA MANDELA WASHINGTON FELLOWS VISIT NGMC BARROW: NGMC BARROW HOSTED THE UNIVERSITY OF GEORGIA MANDELA WASHINGTON FELLOWSHIP FOR LEADERSHIP IN CIVIC ENGAGEMENT FOR YOUNG AFRICAN LEADERS, A SIX-WEEK LEADERSHIP PROGRAM THAT ALLOWS 25 CIVIC ENGAGEMENT LEADERS FROM VARIOUS COUNTRIES IN AFRICA, UNITED STATES CITIZENS, AND LOCAL COMMUNITIES TO SHARE BEST PRACTICES WITH ONE ANOTHER REGARDING COMMUNITY LEADERSHIP. ARRANGED BY JUAN TURNER, DIRECTOR OF NUTRITION SERVICES AT NGMC BARROW, THE FELLOWS RECEIVED A TOUR OF THE HOSPITAL FROM EDEM EVOKE, MD, AND YOLANDA OAKLEY, DIRECTOR OF INPATIENT CARE AND EMERGENCY SERVICES AT NGMC BARROW AND ENGAGED IN INFORMATIVE DISCUSSION ABOUT HOW TO IMPROVE THE HEALTH OF OUR GLOBAL COMMUNITIES. * COMMUNITY SERVICE IN FY24, 13 LEADERS FROM NGMC BARROW DEDICATED STAFF TIME TOWARDS 34 LEADERSHIP POSITIONS WITH VARIOUS CIVIC AND PROFESSIONAL ORGANIZATIONS. NGMC BARROW PUBLIC RELATIONS 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. DON HAMMOND, LOGISTICS MANAGER AT NGMC BARROW, SERVED ON THE WINDER TRANSPORTATION PLAN STEERING COMMITTEE. KEVIN LLOYD, EXECUTIVE DIRECTOR OF LAURELWOOD, SERVED AS A BOARD MEMBER OF MINISTRY VILLAGE. NGMC LUMPKIN HIGHLIGHTS OF NGMC LUMPKIN 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, 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 FY24, THE ESTIMATED COST OF INDIGENT AND CHARITY CARE THROUGH NGMC LUMPKIN WAS APPROXIMATELY $1.7 MILLION BASED ON 1,678 PATIENT ENCOUNTERS. IN ADDITION, NGMC LUMPKIN INCURRED BAD DEBT EXPENSE DURING 2024 OF OVER $8.5 MILLION AS MEASURED BY CHARGES. THIS REPRESENTS APPROXIMATELY 22.4 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."
FORM 990, PART III, LINE 4A	* INDIGENT PATIENT FUND AT NGMC LUMPKIN, FINANCIAL ASSISTANCE IS PROVIDED FOR INDIGENT PATIENTS TO OBTAIN NEEDED 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 HELPS ENSURE MEDICATION COMPLIANCE AND MAXIMIZE CONDITIONS FOR RECOVERY AND RECUPERATION. THE NGHS FOUNDATION PROVIDED FUNDING FOR THIS PROGRAM AT AN ESTIMATED COST OF $47,160 ACROSS ALL CAMPUSES IN FY24. * 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. * HEALTH PROFESSIONS EDUCATION & 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 $57,000 IN FY24 IN THESE AREAS: ALLIED HEALTH STUDENT EDUCATION: NGMC LUMPKIN PROVIDED EIGHT ALLIED HEALTH STUDENTS WITH CLINICAL ROTATIONS IN FY24 TO GIVE THEM HANDS ON EXPERIENCE UNDER THE SUPERVISION OF NGMC LUMPKIN STAFF, ALLOWING THEM TO APPLY KNOWLEDGE AND ESSENTIAL ALLIED HEALTH SKILLS. NURSING STUDENT EDUCATION: NGMC LUMPKIN PROVIDED FOUR STUDENT NURSES WITH CLINICAL ROTATIONS IN FY24 TO GIVE THEM HANDS ON EXPERIENCE UNDER THE SUPERVISION OF REGISTERED NURSES, ALLOWING THEM TO APPLY KNOWLEDGE AND ESSENTIAL NURSING SKILLS. YOUTH APPRENTICESHIP: THE YOUTH APPRENTICESHIP IS DESIGNED TO PROVIDE HANDS-ON EXPOSURE TO MANY DIFFERENT HEALTHCARE CAREERS TO ENCOURAGE STUDENTS TOWARD A PATH IN HEALTHCARE. A TOTAL OF 14 STUDENTS FROM LUMPKIN AND FORSYTH COUNTY HIGH SCHOOLS PARTICIPATED AT NGMC LUMPKIN THIS YEAR. * 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. NGMC LUMPKIN PROVIDED OVER $31,000 IN SUPPORT OF COMMUNITY NON-PROFITS IN FY24. BELOW ARE HIGHLIGHTS: COMMUNITY HELPING PLACE: IN FY24, 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. DIRECTOR OF EMERGENCY AND INPATIENT DEPARTMENTS AT NGMC LUMPKIN, KAY HALL, SERVES ON THE BOARD OF COMMUNITY HELPING PLACE AND DR. ALLISON TURK AND DR. RAYMOND POLK ARE PHYSICIAN VOLUNTEERS WITH THE FREE CLINIC. COMMUNITY HEALTH IMPROVEMENT DIRECTOR CHRISTY MOORE ATTENDED A MEETING HOSTED BY COMMUNITY HELPING PLACE IN APRIL OF 2024 TO DISCUSS THE USE OF A $500,000 GRANT THE CLINIC RECEIVED THROUGH THE GEORGIA HEALTH POLICY CENTER TO ADVANCE HEALTH EQUITY, WHAT THE CLINIC PLANS TO DO WITH THE FUNDS AND HOW NGMC LUMPKIN CAN ASSIST. CONNECTABILITY: IN FY24, NGMC LUMPKIN PROVIDED A DONATION TO CONNECTABILITY, WHICH PROVIDES PROGRAMS TO SUPPORT CHILDREN AND ADULTS WITH DISABILITIES AND THEIR FAMILIES. THEY OFFER DIRECT SERVICES AND COMMUNITY-BASED PROGRAMS TO STRENGTHEN SOCIAL NETWORKS, REDUCE SOCIAL ISOLATION AND INCREASE NATURAL SUPPORTS WITHIN THE COMMUNITY. DIRECTOR OF NGPG CLINICAL CARE AND STAFF DEVELOPMENT TAMMY SOLES SERVES ON CONNECTABILITY'S BOARD OF DIRECTORS. ENOTAH COURT APPOINTED SPECIAL ADVOCATES (CASA): IN FY24, NGMC MADE A DONATION TO ENOTAH CASA'S "I AM FOR THE CHILD" PROGRAM. CASA VOLUNTEERS ARE APPOINTED BY JUDGES TO WATCH OVER AND ADVOCATE FOR ABUSED AND NEGLECTED CHILDREN, TO MAKE SURE THEY DON'T GET LOST IN THE OVERBURDENED LEGAL AND SOCIAL SERVICE SYSTEM OR LANGUISH IN INAPPROPRIATE GROUP OR FOSTER HOMES. VOLUNTEERS STAY WITH EACH CASE UNTIL IT IS CLOSED AND THE CHILD IS PLACED IN A SAFE, PERMANENT HOME. FOR MANY ABUSED CHILDREN, THEIR CASA VOLUNTEER WILL BE THE ONE CONSTANT ADULT PRESENCE IN THEIR LIVES. NGPG ADMINISTRATIVE DIRECTOR OF BEHAVIORAL HEALTH AND PRIMARY CARE JENNIFER LITTLE SERVES ON ENOTAH CASA'S BOARD OF DIRECTORS. * GOOD SHEPHERD CLINIC: NGMC LUMPKIN PARTNERS WITH GOOD SHEPHERD CLINIC TO PROVIDE FREE AND REDUCED COST HEALTHCARE, DENTAL AND MENTAL HEALTH SERVICES TO COMMUNITY MEMBERS IN DAWSONVILLE, GEORGIA. NGPG'S VP OF OPERATIONS SERVES ON THEIR BOARD OF DIRECTORS. IN FY24, NGMC LUMPKIN PROVIDED OFFICE SPACE AT NO CHARGE TO THE GOOD SHEPHERD CLINIC. * LUMPKIN COUNTY FAMILY CONNECTION: IN FY24, NGMC LUMPKIN PROVIDED A DONATION TO THE PROGRAMMING OF LUMPKIN COUNTY FAMILY CONNECTION, AN ORGANIZATION THAT CONNECTS STUDENTS AND FAMILIES WITH COMMUNITY RESOURCES TO HELP THEM SUCCEED IN SCHOOL AND LIFE. IN 2023-2024 ALONE, LUMPKIN COUNTY FAMILY CONNECTION PROVIDED 4,356 HOURS OF FAMILY SUPPORT SERVICES, 13 EDUCATIONAL SCHOLARSHIPS, HELPED 50 INDIVIDUALS RECEIVE TRANSPORTATION ASSISTANCE AND MENTORED 60 LUMPKIN COUNTY STUDENTS. RHONDA HARDY, DONOR RELATIONS OFFICER WITH THE NGHS FOUNDATION, SERVED ON THEIR BOARD OF DIRECTORS. MEALS BY GRACE: IN FY24, NGMC LUMPKIN PROVIDED A DONATION TO SUPPORT THE PROGRAMMING OF MEALS BY GRACE, AN ORGANIZATION THAT ASSISTS CHILDREN AND FAMILIES IN DAWSON AND FORSYTH COUNTIES EXPERIENCING FOOD INSECURITY BY PROVIDING MEAL DELIVERY SERVICES AND A FOOD PANTRY. SOUTH ENOTAH CHILD ADVOCACY CENTER: IN FY24, NGMC LUMPKIN PROVIDED A SPONSORSHIP TO SOUTH ENOTAH CHILD ADVOCACY CENTER, WHICH SUPPORTS CHILDREN WHO HAVE SURVIVED ABUSE AND NEGLECT IN LUMPKIN AND WHITE COUNTY THROUGH PREVENTION, INTERVENTION, THERAPY AND COMMUNITY COLLABORATION. TRUSTED SOURCES: IN FY24, NGMC LUMPKIN PROVIDED A DONATION TOWARDS TRUSTED SOURCES' "BRIDGE THE GAP" SPEAKERS PANEL FOR PARENTS, STUDENTS AND MENTAL HEALTH PROFESSIONALS TO INFORM AND EDUCATE CAREGIVERS ON HOW TO HELP FAMILY MEMBERS AND ADOLESCENTS. TRUSTED SOURCES IS A NON-PROFIT THAT PROVIDES PROGRAMS DESIGNED TO EDUCATE, EMPOWER AND EQUIP PARENTS TO ADVOCATE FOR THEIR CHILD'S MENTAL HEALTH CHALLENGES. * UNITED WAY OF DAWSON COUNTY: IN FY24, NGMC LUMPKIN PROVIDED SUPPORT TO RUN UNITED DAWSON 5K WHICH RAISED FUNDS FOR UNITED WAY OF DAWSON COUNTY, AN ORGANIZATION THAT WORKS TO IMPROVE THE LIVES OF THOSE LIVING IN DAWSON COUNTY THROUGH HEALTH, EDUCATION AND FINANCIAL STABILITY AND ECONOMIC MOBILITY. OTHER ORGANIZATIONS THAT NGMC LUMPKIN HELPED SUPPORT INCLUDE: - AMERICAN CANCER SOCIETY - DAHLONEGA LITERARY FESTIVAL - DAHLONEGA SUNRISE ROTARY - GEORGIA FAMILY CONNECTION PARTNERSHIP, INC. * ACCESS TO CARE MEDICAL PLAZA 2 OPENS IN DAWSONVILLE: IN MARCH 2024, MEDICAL PLAZA 2 OPENED IN DAWSONVILLE, GEORGIA, PROVIDING PATIENTS LIVING ALONG GA 400 AND THE SURROUNDING AREA WITH GREATER ACCESS TO CARE CLOSER TO HOME. THE THREE-STORY, 35,800 SQUARE-FOOT BUILDING IS HOME TO GEORGIA HEART INSTITUTE, NGPG ORTHOPEDIC SURGERY AND SPORTS MEDICINE, NGPG OB/GYN AND A NEW URGENT CARE.
FORM 990, PART III, LINE 4A	GEORGIA HEART INSTITUTE EXPANDS STAFF AND CLINICS ALONG GA 400: IN FY24, GEORGIA HEART INSTITUTE WELCOMED TWO NEW CLINICIANS TO ITS GROWING OUTPATIENT CARE TEAM WITH THE PLAN TO RELOCATE CLINICS IN DAWSONVILLE AND DAHLONEGA TO ALLOW FOR ENHANCED SERVICE OFFERINGS AND AN IMPROVED PATIENT EXPERIENCE. * HEALTH EDUCATION AND COMMUNITY OUTREACH CLINICAL SIMULATION: IN FY24, CLINICAL SIMULATION EDUCATION WAS PROVIDED TO OVER 100 STUDENTS AT LUMPKIN COUNTY HIGH SCHOOL AND STAFF AT LUMPKIN COUNTY FIRE DEPARTMENT. THROUGH THIS TRAINING, STUDENTS AND STAFF LEARNED BASIC LIFE SUPPORT, HOW TO DELIVER A BABY, HOW TO ADMINISTER AN EPIPEN AND STOP THE BLEED USING EVIDENCE-BASED STANDARDS AND PRACTICE. DIABETES EDUCATION: IN FY24, THE DIABETES EDUCATION DEPARTMENT PROVIDED INFORMATION AND RESOURCES ON DIABETES AND BLOOD SUGAR CHECKS TO 150 COMMUNITY MEMBERS AT THE DAHLONEGA WELL-BEING FAIR HOSTED AT THE UNIVERSITY OF NORTH GEORGIA. HOSPICE SCHOOL-BASED GRIEF SUPPORT GROUPS: IN FY24, HOSPICE OF NGMC PROVIDED BEREAVEMENT SUPPORT AND EDUCATION FOR THOSE GRIEVING THE LOSS OR CARING FOR A LOVED ONE. HOSPICE ALSO PROVIDED SCHOOL-BASED GRIEF SUPPORT GROUPS TO ELEMENTARY AND MIDDLE SCHOOL STUDENTS IN LUMPKIN COUNTY. * 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 FY24, SAFE KIDS PROVIDED PROGRAMS AND EVENTS WITH OUTREACH TO AN ESTIMATED 537 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS AND CAREGIVERS IN LUMPKIN COUNTY. THROUGH THESE PROGRAMS, SAFETY ITEMS WERE DISTRIBUTED TO FAMILIES IN NEED OF THEM. * SEPSIS COMMUNITY OUTREACH: IN FY24, SEPSIS NURSES PROVIDED EDUCATION ON SEPSIS PREVENTION AT THE DAHLONEGA HEALTH FAIR TO 80 COMMUNITY MEMBERS. * COMMUNITY SERVICE IN FY24, 17 STAFF MEMBERS FROM NGMC LUMPKIN REPORTED SPENDING DEDICATED STAFF TIME TOWARDS 28 LEADERSHIP POSITIONS WITH VARIOUS CIVIC AND PROFESSIONAL ORGANIZATIONS. NGPG CLINICAL CARE DIRECTOR TAMMY SOLES SERVED AS VICE CHAIR ON THE LUMPKIN COUNTY HIGH SCHOOL COLLEGE AND CAREER ACADEMY BOARD, DAHLONEGA-LUMPKIN COUNTY CHAMBER OF COMMERCE BOARD AND AS AN ADVISOR FOR YOUTH LEADERSHIP LUMPKIN. LAB SALES COORDINATOR MONTY SIRMANS SERVED AS CHAIR OF THE DAWSON COUNTY CHAMBER OF COMMERCE BOARD OF DIRECTORS. CARRIE SISK, MD, WITH NGPG DAHLONEGA FAMILY MEDICINE SERVED AS A BOARD MEMBER OF THE LUMPKIN COUNTY BOARD OF HEALTH. NGMC HABERSHAM HIGHLIGHTS OF NGMC HABERSHAM COMMUNITY BENEFIT ACTIVITIES: 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. IN FY24, NGMC HABERSHAM CELEBRATED ITS FIRST ANNIVERSARY AS A PART OF NORTHEAST GEORGIA HEALTH SYSTEM. OVER THE PAST YEAR, NGMC HABERSHAM HAS SEEN GROWTH IN INPATIENT CENSUS, LABOR AND DELIVERY, OUTPATIENT DIAGNOSTIC TESTING AND EMERGENCY DEPARTMENT VOLUME. IN FY24, NGMC HABERSHAM WAS ALSO ACCREDITED AS A LEVEL 3 EMERGENCY CARDIAC CARE CENTER, JOINING THE OTHER NGMC LOCATIONS IN ECCC DESIGNATION. * 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 FY24, THE ESTIMATED COST OF INDIGENT AND CHARITY CARE THROUGH NGMC HABERSHAM WAS APPROXIMATELY $2.5 MILLION BASED ON 3,319 PATIENT ENCOUNTERS. IN ADDITION, NGMC HABERSHAM INCURRED BAD DEBT EXPENSE DURING 2024 OF OVER $13.3 MILLION AS MEASURED BY CHARGES. THIS REPRESENTS APPROXIMATELY 19.4 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 HABERSHAM EMPLOYS FINANCIAL ASSISTANCE NAVIGATORS WHO 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 PROGRAMS THEY MIGHT BE ELIGIBLE 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 $47,160 ACROSS ALL NGMC CAMPUSES IN FY24. * 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. * HEALTH PROFESSIONS EDUCATION & 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 $529,000 IN FY24 IN THESE AREAS: ALLIED HEALTH STUDENT EDUCATION: NGMC HABERSHAM PROVIDED 42 ALLIED HEALTH STUDENTS WITH CLINICAL ROTATIONS IN FY24 TO GIVE THEM HANDS ON EXPERIENCE UNDER THE SUPERVISION OF NGMC HABERSHAM STAFF, ALLOWING THEM TO APPLY KNOWLEDGE AND DEVELOP ESSENTIAL ALLIED HEALTH SKILLS. NURSING STUDENT EDUCATION: NGMC HABERSHAM PROVIDED 115 STUDENT NURSES WITH CLINICAL ROTATIONS IN FY24 TO GIVE THEM HANDS ON EXPERIENCE UNDER THE SUPERVISION OF REGISTERED NURSES, ALLOWING THEM TO APPLY KNOWLEDGE AND DEVELOP ESSENTIAL NURSING SKILLS. YOUTH APPRENTICESHIP: THE YOUTH APPRENTICESHIP PROGRAM IS DESIGNED TO PROVIDE HANDS-ON EXPOSURE TO MANY DIFFERENT HEALTHCARE CAREERS TO ENCOURAGE STUDENTS TOWARDS A PATH IN HEALTHCARE. A TOTAL OF 52 STUDENTS PARTICIPATED AT NGMC HABERSHAM THIS YEAR THROUGH WORK-BASED LEARNING AND MOCK INTERVIEWS WITH HABERSHAM AND WHITE COUNTY STUDENTS.
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 $40,000 IN SUPPORT OF COMMUNITY NON-PROFITS IN FY24. BELOW ARE HIGHLIGHTS: AMERICAN CANCER SOCIETY: IN FY24, NGMC HABERSHAM SPONSORED THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE HABERSHAM COUNTY EVENT BENEFITTING CANCER RESEARCH AND COMMUNITY EDUCATION. GRACE GATE CLINIC: IN FY24, NGMC HABERSHAM PROVIDED A DONATION TOWARDS THE OPERATIONS OF GRACE GATE CLINIC, WHICH PROVIDES MEDICAL SERVICES TO UNDERINSURED AND UNDERSERVED PATIENTS AT NO COST. HABERSHAM COUNTY UNITED WAY: IN FY24, NGMC HABERSHAM PROVIDED A DONATION TOWARDS HABERSHAM COUNTY UNITED WAY, WHICH FOCUSES ON CONNECTING THOSE LIVING IN HABERSHAM COUNTY WITH PARTNER AGENCIES TO IMPROVE THEIR LIVELIHOOD, FOCUSING ON EDUCATION, INCOME AND HEALTH. HABERSHAM 4-H: IN FY24, NGMC HABERSHAM DONATED FUNDS TOWARDS UPGRADES TO THE TEACHING KITCHEN FOR HABERSHAM 4-H, WHICH IS USED TO EDUCATE STUDENTS ON HOW TO COOK HEALTHY MEALS. HABERSHAM 4-H PROVIDES PROGRAMMING TO YOUTH FROM FIFTH GRADE TO 12TH GRADE TO TEACH HOW TO CREATE HEALTHY HABITS, DEVELOP KEY LIFE SKILLS AND BECOME PRODUCTIVE MEMBERS OF SOCIETY. HABERSHAM EMS: NGMC HABERSHAM PROVIDED SUPPORT TOWARDS HABERSHAM COUNTY EMERGENCY SERVICES, WHICH PROVIDES EMERGENCY SERVICES TO THE CITIZENS OF HABERSHAM COUNTY, INCLUDING FIRE, EMS AND EMA. NGMC ALSO PROVIDED OFFICE SPACE AT NO CHARGE TO HABERSHAM EMS. HUB OF HABERSHAM: IN FY24, NGMC SUPPORTED HUB OF HABERSHAM, WHICH PROVIDES YOUTH MENTORING PROGRAMMING, LINKED TO MENTAL AND BEHAVIORAL HEALTH. THEIR TEACH 1 TO LEAD 1 PROGRAM IS A COMMUNITY MENTORING PROGRAM THAT TEACHES UNIVERSAL PRINCIPLES TO LEAD STUDENTS INTO A LIFE OF PURPOSE AND POTENTIAL. NORTH GEORGIA AUTISM FOUNDATION: IN FY24, NGMC HABERSHAM PROVIDED A DONATION TOWARDS NORTH GEORGIA AUTISM FOUNDATION, WHICH AIMS TO REMOVE BARRIERS AND INCREASE ACCESS TO DIAGNOSIS, TREATMENT, CAREER DEVELOPMENT AND GENERAL SUPPORT FOR AUTISTIC INDIVIDUALS AND THEIR FAMILIES IN NORTH GEORGIA. NORTH GEORGIA TECHNICAL COLLEGE SUPPORT: IN FY24, NGMC HABERSHAM PROVIDED A SPONSORSHIP TOWARDS THE RICK PERKINS AWARD FOR EXCELLENCE IN TECHNICAL INSTRUCTION, WHICH HONORS HEALTHCARE INSTRUCTORS WHO HAVE MADE SIGNIFICANT CONTRIBUTIONS TO TECHNICAL EDUCATION THROUGH INNOVATION AND LEADERSHIP IN THEIR FIELDS. VANESSA LONE, MEDICAL ASSISTING INSTRUCTOR AT NGTC, WAS THE RECIPIENT OF THE AWARD. OPEN ARMS CLINIC: IN FY24, NGMC HABERSHAM PROVIDED A DONATION TOWARDS OPEN ARMS CLINIC, AN INDIGENT CLINIC THAT PROVIDES CARE FOR THE NEEDY OF STEPHENS COUNTY, SUCH AS CARE FOR CHRONIC ILLNESS, MEDICATION AND SOCIAL SERVICES. PIEDMONT UNIVERSITY SCHOOL OF NURSING: IN FY24, NGMC HABERSHAM PROVIDED A DONATION TOWARDS THE PIEDMONT UNIVERSITY SCHOOL OF NURSING 5K FUNDRAISER FOR THE PINNING CEREMONY OF GRADUATING NURSING STUDENTS. SWIM SAFETY FOR HABERSHAM COUNTY PARKS AND RECREATION: IN FY24, NGMC HABERSHAM AND SAFE KIDS NORTHEAST GEORGIA DONATED TOWARDS THE SWIM SAFELY DAY EVENT, WHICH PROVIDED WATER SAFETY TRAININGS TO CHILDREN AND PARENTS. HABERSHAM COUNTY PARKS AND RECREATION OFFERS HIGH-QUALITY RECREATIONAL PROGRAMS AND ACTIVITIES FOR THE COMMUNITY, CATERING TO CHILDREN, YOUTH AND ADULTS. * HEALTH EDUCATION AND COMMUNITY OUTREACH CLINICAL SIMULATION: IN FY24, NGMC PROVIDED CLINICAL SIMULATION LEARNING TO 166 STUDENTS AT RABUN COUNTY HIGH SCHOOL AND STEPHENS COUNTY HIGH SCHOOL AND STAFF WITH STEPHENS COUNTY EMS. THROUGH THIS TRAINING, STUDENTS AND EMS STAFF LEARNED BASIC LIFE SUPPORT, HOW TO DELIVER A BABY, HOW TO ADMINISTER AN EPIPEN AND STOP THE BLEED USING EVIDENCE-BASED STANDARDS AND PRACTICE. COMMUNITY EDUCATION ON INJURY PREVENTION AND TRAUMA: IN FY24, NGMC PROVIDED COMMUNITY EDUCATION REGARDING FALLS, INJURY PREVENTION AND TRAUMA TO A RANGE OF AUDIENCES INCLUDING SCHOOLS, SUPPORT GROUPS, AND PROFESSIONALS IN THE COMMUNITY. ADDITIONALLY, NGMC TRAUMA STAFF PROVIDED TRAINING IN THE COMMUNITY FOR THE STOP THE BLEED CAMPAIGN, A SCHOOL RESPONSE 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. HABERSHAM COMMUNITY WELLNESS SERIES: IN FY24, NGMC HABERSHAM HOSTED A MONTHLY WELLNESS SERIES, FEATURING LOCAL PROVIDERS AN ARRAY OF HEALTH TOPICS, SUCH AS CARDIAC TESTING AND HEART HEALTH, COLON PROBLEMS, ARTHRITIS AND MENOPAUSE. HOSPICE SUPPORT GROUPS: IN FY24, HOSPICE OF NGMC PROVIDED MULTIPLE BEREAVEMENT SCHOOL-BASED SUPPORT GROUPS AND EDUCATION FOR STUDENTS GRIEVING A LOSS OF SOMEONE CLOSE TO THEM. ONCOLOGY OUTREACH: IN FY24, ONCOLOGY SERVICES WITH NGMC PROVIDED CERVICAL CANCER SCREENINGS AND HPV AWARENESS AT GRACE GATE CLINIC, AN INDIGENT CLINIC LOCATED IN HABERSHAM COUNTY, AND SKIN CANCER PREVENTION EDUCATION TO TOCCOA SENIOR CENTER. * COMMUNITY SERVICE IN FY24, FOUR STAFF MEMBERS WITH NGMC HABERSHAM DEDICATED STAFF TIME TOWARDS NINE LEADERSHIP POSITIONS WITH VARIOUS CIVIC AND PROFESSIONAL ORGANIZATIONS. KEVIN MATSON, VP OF REGIONAL HOSPITALS, SERVED ON THE HABERSHAM COUNTY CHAMBER OF COMMERCE BOARD OF DIRECTORS & FINANCE COMMITTEE, LEADERSHIP HABERSHAM, HABERSHAM COUNTY ROTARY AND THE ECONOMIC DEVELOPMENT COMMITTEE. KEVIN FREDERICK, SUPERVISOR WITH THE LAURELWOOD INTAKE DEPARTMENT, SERVED ON THE WHITE COUNTY FAMILY CONNECTION BEHAVIORAL HEALTH STRATEGY TEAM.
FORM 990, PART III, LINE 4A	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 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 FORGIVENESS 81,050,944. PARTNERSHIP INCOME NOT ON BOOKS 458,742. PENSION ADJUSTMENT 7,029,668. OTHER ADJUSTMENT -49,161.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

NORTHEAST GEORGIA HEALTH SYSTEM INC

Employer identification number

58-1694090

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) GEORGIA HEART INSTITUTE LLC 743 SPRING STREET GAINESVILLE,GA30501 46-4354068	HEALTHCARE	GA	46,362,353	2,048,488	NORTHEAST GEORGIA HEALTH SYSTEM INC
(2) HEALTHECONNECTIONS LLC 743 SPRING STREET GAINESVILLE,GA30501 58-1694098	HEALTHCARE	GA	93,435	0	NORTHEAST GEORGIA MEDICAL CENTER INC
(3) NGMC BARROW LLC 743 SPRING STREET GAINESVILLE,GA30501 81-4015190	HEALTHCARE	GA	79,847,421	11,177,773	NORTHEAST GEORGIA HEALTH SYSTEM INC
(4) NGMC LUMPKIN LLC 743 SPRING STREET GAINESVILLE,GA30501 83-1294232	HEALTHCARE	GA	48,440,276	67,259,259	NORTHEAST GEORGIA HEALTH SYSTEM INC
(5) NORTHEAST GEORGIA PHYSICIANS GROUP URGENT CARE LLC 743 SPRING STREET GAINESVILLE,GA30501 20-5064238	MEDICAL	GA	80,778,987	911,065	NORTHEAST GEORGIA PHYSICIANS GROUP INC
(6) NORTHEAST GEORGIA HEALTH RESOURCES LLC 743 SPRING STREET GAINESVILLE,GA30501 85-3221091	HEALTHCARE	GA	0	0	NORTHEAST GEORGIA HEALTH SYSTEM INC
(7) NORTHEAST GEORGIA PEO LLC 743 SPRING STREET GAINESVILLE,GA30501 85-3939319	HEALTHCARE	GA	6,853,517	0	NORTHEAST GEORGIA HEALTH SYSTEM INC
(8) NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM LLC 743 SPRING STREET GAINESVILLE,GA30501 92-2451946	HEALTHCARE	GA	85,847,979	17,356,989	NORTHEAST GEORGIA HEALTH SYSTEM INC
(9) NORTHEAST GEORGIA HOME HEALTH III LLC 743 SPRING STREET GAINESVILLE,GA30501 92-3515980	HEALTHCARE	GA	1,513,261	324,674	NORTHEAST GEORGIA HEALTH SYSTEM INC
(10) RIVER PLACE MEDICAL PLAZA I 1515 RIVER PLACE BRASELTON,GA30517 58-1694090	HEALTHCARE	GA	989,282	15,303,606	NORTHEAST GEORGIA HEALTH SYSTEM INC
(11) RIVER PLACE MEDICAL PLAZA II 1524 RIVER PLACE BRASELTON,GA30517 58-1694090	HEALTHCARE	GA	0	24,504,487	NORTHEAST GEORGIA HEALTH SYSTEM INC
(12) BRASELTON ASC LLC 1524 RIVER PLACE SUITE 100 BRASELTON,GA30517 88-4229346	HEALTHCARE	GA	1,837,663	24,204,962	NORTHEAST GEORGIA MEDICAL CENTER INC
(13) NGHI LLC 743 SPRING STREET GAINESVILLE,GA30501 58-1694090	HEALTHCARE	GA	-1,570,207	591,733	NORTHEAST GEORGIA HEALTH SYSTEM 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 MEDICAL CENTER INC 743 SPRING STREET GAINESVILLE,GA30501 58-1694098	HEALTHCARE - HOSPITAL	GA	501(C)(3)	LINE 3	NORTHEAST GEORGIA HEALTH SYSTEM INC	Yes
(2)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
(3)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
(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) 2023

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) NORTHEAST GEORGIA REHABILITATION HOSPITAL LLC 2500 LIMESTONE PARKWAY GAINESVILLE,GA30501 92-1186216	HEALTHCARE	GA	NORTHEAST GEORGIA HEALTH SYSTEM INC	RELATED				No		Yes		51.000 %
(2) NORTHEAST GEORGIA HEALTH VENTURES LLC 743 SPRING STREET GAINESVILLE,GA30501 88-3268162	HEALTHCARE	GA	NORTHEAST GEORGIA HEALTH SYSTEM INC	RELATED		613,293		No			No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(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 GA HEALTH PARTNERS LLC 743 SPRING STREET GAINESVILLE,GA30501 58-2131807	PPO DEVELOPMENT	GA	N/A	C	8,358,837	3,061,645	100.000 %		No
(2) LANIER COMMUNITY ASSURANCE LTD 743 SPRING STREET GAINESVILLE,GA30501	INSURANCE	CJ	N/A	C	32,376,734	101,377,970	100.000 %		No
(3) NORTHEAST GEORGIA HEALTH PARTNERS NETWORK LLC 743 SPRING STREET GAINESVILLE,GA30501 61-1972705	PPO DEVELOPMENT	GA	N/A	C	319,325		100.000 %		No

Schedule R (Form 990) 2023

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

Yes

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

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

Yes

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

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

Yes

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

Yes

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

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

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) NORTHEAST GEORGIA PHYSICIAN GROUP INC	C	35,352,405	COST
(2) NORTHEAST GEORGIA MEDICAL CENTER INC	B	121,460,385	COST
(3) NORTHEAST GEORGIA HEALTH SYSTEM INC	C	81,050,944	COST
(4) NORTHEAST GEORGIA HEALTH PARTNERS NETWORK LLC	C	1,014,311	COST
(5) NORTHEAST GEORGIA HEALTH PARTNERS LLC	C	4,042,724	COST
(6) NGHS FOUNDATION	C	2,657,462	COST
(7) NORTHEAST GEORGIA MEDICAL CENTER INC	B	2,657,462	COST
(8) NORTHEAST GEORGIA MEDICAL CENTER INC	D	563,765	COST
(9) NGHS FOUNDATION	E	563,765	COST
(10) NGHS FOUNDATION	C	97,962	COST
(11) THE MEDICAL CENTER AUXILIARY INC	B	97,962	COST
(12) NORTHEAST GEORGIA MEDICAL CENTER INC	L	172,422,311	COST

Schedule R (Form 990) 2023

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) 2023

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) 2023

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,123,274	3,490,742
9	Program service revenue (Part VIII, line 2g) .........	342,934,648	464,413,757
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,146,220	4,276,652
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,319,196	1,212,189
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	353,523,338	473,393,340
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,394,369	4,543,924
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)	187,288,310	232,728,265
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)....	158,955,345	218,702,939
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	351,638,024	455,975,128
19	Revenue less expenses. Subtract line 18 from line 12.......	1,885,314	17,418,212
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	596,798,106	718,256,957
21	Total liabilities (Part X, line 26).............	73,990,548	77,412,989
22	Net assets or fund balances. Subtract line 21 from line 20.....	522,807,558	640,843,968

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 381,955,559 including grants of $ 4,543,924 ) (Revenue $ 464,414,607 )
	NORTHEAST GEORGIA HEALTH SYSTEM IS BASED IN GAINESVILLE, GEORGIA, AND SERVES MORE THAN A MILLION PEOPLE ACROSS THE REGION. 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 expenses381,955,559

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	0	17,306,329	1,699,104

		Business Code
2a	OPERATING REVENUE	621400	250,238,274	250,238,274
b	MANAGEMENT FEES	541610	172,412,063	172,412,063
c	PS RENT FROM AFFILIATE	531120	23,535,190	23,535,190
d	OTHER OPERATING REVENUE	900003	18,228,230	18,228,230
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		464,413,757

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	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	52
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	8,440
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	3,432

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	3,490,742

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.......		3,490,742

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,078,125			4,078,125
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	1,429,683
b	Less: rental expenses	6b	226,784
c	Rental income or (loss)	6c	1,202,899
d	Net rental income or (loss).......			1,202,899			1,202,899
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	267,773
b	Less: cost or other basis and sales expenses	7b	0	69,246
c	Gain or (loss)	7c	267,773	-69,246
d	Net gain or (loss).........			198,527			198,527
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
11a	PARKING LOT & BILLBOARD LEASE		531190	8,440		8,440
b	NON-OPERATING OTHER INCOME		900099	850	850
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			9,290
12	Total revenue. See instructions.....			473,393,340	464,414,607	8,440	5,479,551

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	4,543,924	4,543,924
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 ...........
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........	193,366,584	157,941,826	35,424,758
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	27,421,054	22,397,517	5,023,537
9	Other employee benefits .......
10	Payroll taxes ...........	11,940,627	9,753,104	2,187,523
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	3,394,575	2,772,689	621,886
c	Accounting ...........	876,965	716,305	160,660
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	39,904,007	32,593,593	7,310,414
12	Advertising and promotion ....	4,640,892	3,790,681	850,211
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	7,806,173	6,376,082	1,430,091
17	Travel ............	1,818,824	1,485,615	333,209
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	182,957	149,439	33,518
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	16,731,527	13,666,311	3,065,216
23	Insurance ...	23,418,535	19,128,259	4,290,276
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	BAD DEBT	38,464,407	38,464,407
b	SUPPLIES	22,880,556	18,688,838	4,191,718
c	ADMINISTRATIVE OVERHEAD	18,739,479	15,306,406	3,433,073
d	MEDICAL SUPPLIES	8,929,854	8,929,854
e	All other expenses	30,914,188	25,250,709	5,663,479
25	Total functional expenses. Add lines 1 through 24e	455,975,128	381,955,559	74,019,569	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 ........			117,199	1	44,460
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			12,717,660	4	18,892,051
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 .......
				5,756,819	5	6,209,958
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 ...........				7
8	Inventories for sale or use ............			2,036,704	8	2,795,464
9	Prepaid expenses and deferred charges ......			4,234,715	9	2,638,892
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	509,482,844
b	Less: accumulated depreciation	10b	155,975,223	318,273,051	10c	353,507,621
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			5,696,068	12	32,647,282
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			3,263,093	14	3,263,093
15	Other assets. See Part IV, line 11 ...........			244,702,797	15	298,258,136
16	Total assets. Add lines 1 through 15 (must equal line 33)...			596,798,106	16	718,256,957

17	Accounts payable and accrued expenses .....	24,756,400	17	17,206,366
18	Grants payable ...		18
19	Deferred revenue .........	3,418,274	19	0
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	45,815,874	25	60,206,623
26	Total liabilities. Add lines 17 through 25..	73,990,548	26	77,412,989

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	522,807,558	27	640,843,968
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 ...........	522,807,558	32	640,843,968
33	Total liabilities and net assets/fund balances ........	596,798,106	33	718,256,957