Northside Hospital Inc

“Northside health services elects all the members of the governing body for northside hospital, inc.”

“Northside health services must approve bylaw revisions and revisions of the articles of incorporation for northside hospital, inc.”

“The form 990 was prepared by an outside, independent accounting firm using detailed financial statements supported by a consolidated audit (also prepared by outside, independent auditors). Northside financial leadership, including the senior director of corporate finance and cfo, perform a detailed review of the form 990 and approval of the return before it is filed. Additionally, outside counsel reviews several sections of the form at northside's request.”

“Officers, directors and key employees are required to complete and sign a disclosure questionnaire annually, in accordance with the conflict of interest policy. Northside's legal services department reviews contracts with other care providers, educational institutions, manufacturers and payors to determine whether conflicts of interest exist and whether they are in compliance with specific laws and regulations.”

“To establish the compensation of the organization's ceo and key employees, a compensation study, including peer organizations, is completed by an independent compensation consultant. This information is shared with the compensation committee. Independent members of the compensation committee deliberate and determine the compensation of the ceo and approve the compensation of other officers and key employees. Records of these decisions are retained. The ceo's final written employment contract must be approved by the compensation committee of the board.”

“The corporate governance documents (specifically all articles of incorporation documents) are made available on the georgia secretary of state website. Our conflict of interest policy is made available on our intranet to northside employees. Our audited financial statements and our conflict of interest policy are available in accordance with state requirements. When and if appropriate requests are made by the public, we evaluate disclosure on a case by case basis.”

“In lieu of adopting a written policy concerning joint venture arrangements, the organization requires and undertakes a rigorous case-by-case evaluation of its participation in any proposed joint venture arrangement under applicable tax and other laws and regulations. Each proposed joint venture with a taxable entity is reviewed under applicable tax laws, regulations, and guidelines by outside legal counsel and organization personnel to confirm that the joint venture would be formed, operated and managed in a manner that furthers the community benefit and charitable purposes of the organization. Joint ventures with taxable entities are required to be structured, including through financial and governance provisions and reserved powers, in a manner to safeguard the organization's exempt status and ensure that the organization controls all aspects of the joint venture related to its exempt purpose.”

“To serve the patients within northside's geographic region, northside entered into a professional services agreement ("psa") based upon personally performed and modifier adjusted productivity with aga, llc to ensure gastroenterology ("gi") services are provided to all patients within the community, regardless of the patients' ability to pay. As such, this arrangement allows northside to establish centers of excellence in gi services, especially related to endoscopic ultrasound and endoscopic retrograde cholangiopancreatography. Gi services also have a significant tie-in to oncology services for which northside is a leader in the atlanta service area in terms of diagnosis and treatment. Aga, llc has a large complement of clinicians that provide gi services including gi oncology. In accordance with the psa, aga, llc remains a privately held organization without ownership or management by northside. Aga, llc maintains responsibility for all expenses typically found in a gi clinicians' practice (e.g., staff, billing, medical supplies, medical records, occupancy, malpractice insurance, etc.). Under the psa, northside pays aga a fair market value rate based on personally performed and modifier adjusted wrvus. Aga, llc provides approximately 254 clinicians to ensure gi services at northside's facilities and throughout the communities served by northside. The compensation reflected on form 990, part vii, section b, column (c), represents professional services under the psa to include related compensation and benefits.”

“Reinvesting to enhance capacity and to deliver high-quality health care to the communities we serve. Because northside hospital inc. Is not-for-profit and is not required to return profits to shareholders like taxable organizations, we routinely reinvest our cash reserves to enhance our capacity and ability to deliver high-quality health care to the communities we serve. In fy2024, northside hospital, inc. Deployed over $455 million in cash investments across the system for important program services and initiatives. While the $455 million was allocated over a dozen categories, a majority of the cash investments were to program services and initiatives that overlap with northside's most recent community health needs assessment. Northside made cash investments to numerous program services including cardiology, gi, inpatient services, oncology, and women's services; details of these commitments are as follows: $14 million for cardiology to improve access to diagnostic services by establishing three (3) outpatient cardiovascular diagnotic centers located in forsyth and gwinnett counties and to upgrade cardiac cath lab equipment at northside atlanta. $15 million for gi services primarily to establish a state-of-the-art outpatient gi lab at northside gwinnett. While gi is not listed as a prioritized health need in northside's current community health needs assessment, it is an important area of focus within cancer and access, both of which are prioritized health needs. $195 million to improve access to inpatient services by expanding inpatient capacity through the contstruction of two new inpatient bed towers at northside cherokee and northside gwinnett, which will add approximatley 341 inpatient beds to the system. $17 million for oncology primarily to expand capacity and enhance access to specialists and infusion services across numerous geographies. $15 million for women's services primarily to expand capacity or enhance the patient care experience in the special care nurseries at northside atlanta, cherokee, and gwinnett. $16 million to enhance access to primary care, specialists, and screening and diagnostic services through the construction of two new medical office buildings located in hall and gwinnett counties. Northside also made substantial cash investments in other vital program services and initiatives to expand capacity, improve quality, and increase access to care; the latter of which also is in northside's most recent community health needs assessment. Details of these commitments include: $58 million for radiology to upgrade equipment across multiple modalities such as mri, ct, and interventional radiology; as well as to exhance access to outpatient screening and diagnsotic imaging services through the development of five (5) new outpatient imaging centers located in cobb, gwinnett, and rockdale counties. $34 million for surgery to expand inpatient surgical capacity and/or renovate exisitng surgical suites at northside atlanta, cherokee, and gwinnett; expand outpatient surgical capacity and increase access to outpatient surgical services through the construction of three (3) ambulatory surgery centers located in cherokee and gwinnett counties; and to acquire numerous state-of-the-art robotic surgical systems which have the demonstrated benefits of improving quality outcomes through faster recovery times and lowering costs. In furtherance of its charitable mission and to meet the community's top identified health needs, northside hospital engages in numerous outreach and community benefit activities throughout the year. The culmination of these efforts resulted in northside hospital serving over 350,000 persons, spending over 182,700 staff hours, and providing over $32 million in net community benefit program activities. The highest dollar impact categories (i.e., benefit in excess of $1 million) include 1) subsidized health services, 2) health professions education, 3) cash and in-kind donations, and 4) community h”

“Much of northside's community health improvement activities includes community and corporate health screenings, community health education events and community-based cancer screenings. However, there are also a couple of unique programs that may appear smaller in terms of occurrences but have a meaningful impact on the community's disparate population. One such program is the financial access surgery program ("fasp"). Northside's fasp was designed specifically to address an unmet community-based need for high quality, financially accessible, outpatient surgical and endoscopy services for the uninsured or underinsured population. More specifically, various charity organizations and free clinics serving the metropolitan atlanta area have confirmed difficulty securing access to needed outpatient surgical services for the populations they serve. Northside received referrals from 15 charitable organizations, including safety net clinics and federally qualified health centers, for patients who would not otherwise be able to afford or obtain medically necessary outpatient surgery and endoscopy services. Patients are pre-screened based on financial status and medical necessity, among other factors. The fasp covers the entire surgical episode of care including pre- and post-operative services and, as needed, related services such as anesthesia, radiology, pharmacy, and laboratory. The fasp began in 2012 with one (1) location and has grown to four (4) locations based on community demand. The fasp provided free outpatient surgical and endoscopy services to over 500 financially indigent patients whose conditions would have gone untreated until the condition worsened leaving the patient no choice but to seek care in a local hospital's emergency department. In fy2024 fasp served 507 persons. Another unique community health improvement program is northside's imaging outreach program. Through this program, northside provides a comprehensive range of imaging services to low income, uninsured or underinsured patients. A dedicated imaging charity coordinator receives referrals from community safety net clinics and assists patients with completing northside's financial assistance policy application. Approximately 718 indigent and charity patients received much-needed medical imaging through this important safety-net program. In essence, northside has established a successful medical home network model of care that is dedicated to serving the community's most vulnerable population. These are just a few examples of how northside hospital is fulfilling its charitable mission and providing meaningful benefits to its community.”

“Other fees: program service expenses 568,053,017. Management and general expenses 217,169,573. Fundraising expenses 0. Total expenses 785,222,590.”

“Income from joint ventures not on books -16,087,068. Other changes in net assets -3,111,276. Change in pension 62,842,746. Equity transfer -6,019,710. Intercompany revenues -2,760. Change in resitrced net assets -1,306,025.”