4A (Expenses $ 4901152375 including grants of $ 3415425) (Revenue $ 5844661357)
AS NOTED IN ITS MISSION, NORTHSIDE IS DEDICATED TO MAINTAINING OUR POSITION AS REGIONAL LEADERS IN SELECT MEDICAL SPECIALTIES. THESE SELECT SPECIALTIES, OR PROGRAM SERVICES, INCLUDE EMERGENCY SERVICES, ONCOLOGY SERVICES, RADIOLOGY SERVICES, SURGICAL SERVICES, AND WOMEN'S SERVICES. IN FURTHERANCE OF ITS CHARITABLE MISSION, NORTHSIDE INVESTED IN THE CONTINUED GROWTH, EXPANSION, AND INCREASED ACCESS TO THESE VITAL PROGRAM SERVICES.SEE SCHEDULE O FOR CONTINUATION

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: NORTHSIDE HOSPITAL, - FACILITY 3: NORTHSIDE HOSPITAL - FORSYTH, - FACILITY 4: NORTHSIDE HOSPITAL - CHEROKEE, - FACILITY 2: NORTHSIDE HOSPITAL GWINNETT, - FACILITY 5: NORTHSIDE HOSPITAL DULUTH

GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 5:
NORTHSIDE IDENTIFIED AND REACHED OUT TO A TOTAL OF 65 COMMUNITY STAKEHOLDERS WHO BROADLY REPRESENTED THE INTERESTS OF NORTHSIDE'S COMMUNITY, INCLUDING STAKEHOLDERS WHO REPRESENT MEDICALLY UNDERSERVED, UNINSURED, AND DISPARATE POPULATIONS, UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY AND WHO HAVE A SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH. NORTHSIDE THEN DEVELOPED THE STAKEHOLDER ASSESSMENT DISCUSSION GUIDE TO LEARN ABOUT THE NEEDS AND RESOURCES WITHIN THE COMMUNITY (A COPY OF WHICH IS INCLUDED AS APPENDIX A TO NORTHSIDE'S CHNA) AND CONDUCTED TELEPHONE INTERVIEWS WITH A QUALIFIED REPRESENTATIVE OF EACH IDENTIFIED STAKEHOLDER. IN TOTAL, NORTHSIDE COMPLETED INTERVIEWS WITH THE FOLLOWING 24 OF THE 65 STAKEHOLDERS IDENTIFIED: (1) CIMA INTERNATIONAL WOMEN'S SERVICES (2) ATLANTA CANCER CARE FOUNDATION (3) COBB AND DOUGLAS PUBLIC HEALTH (4) GEORGIA HIGHLANDS MEDICAL SERVICES (5) CROSSROADS ATLANTA (6) DEPARTMENT OF PUBLIC HEALTH NORTHEAST GEORGIA (7) GOOD SAMARITAN ATLANTA (8) DAWSON FAMILY CONNECTION (9) GWINNETT, NEWTON, & ROCKDALE HEALTH DEPARTMENTS GWINNETT COUNTY (10) GOOD SAMARITAN COBB (11) HEALTHMPOWERS (12) GOOD SAMARITAN GWINNETT (13) HEALTHY MOTHERS, HEALTHY BABIES COALITION OF GEORGIA (INTERVIEW CONDUCTED IN 2020)(14) HEALTHY MOTHERS, HEALTH BABIES COALITION OF GEORGIA (INTERVIEW CONDUCTED IN 2021)(15) GOOD SAMARITAN HEALTH & WELLNESS CENTER (16) GWINNETT COALITION (17) HOPE CLINIC (18) NAVIGATE RECOVERY (19) MEDLINK GWINNETT (20) NEXT GENERATION YOUTH DEVELOPMENT (21) MEDSHARE (22) NORTH FULTON COMMUNITY CHARITIES (23) VIEW POINT HEALTH (24) UNITED WAY FORSYTH

GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 6A:
THE NORTHSIDE HOSPITAL, INC. SYSTEM COMPRISES FIVE HOSPITAL FACILITIES: (1) NORTHSIDE HOSPITAL-ATLANTA, (2) NORTHSIDE HOSPITAL-CHEROKEE (3) NORTHSIDE HOSPITAL-DULUTH, (4) NORTHSIDE HOSPITAL-FORSYTH, AND (5) NORTHSIDE HOSPITAL-GWINNETT. GIVEN THE SIGNIFICANT OVERLAP IN SERVICE AREAS AMONG ITS FIVE FACILITIES, NORTHSIDE CONDUCTED A JOINT CHNA (OR SYSTEM-LEVEL CHNA).

GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 7D:
HOSPITAL WEBSITE:WWW.NORTHSIDE.COM/COMMUNITY-WELLNESS/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 11:
BASED ON THE RESULTS OF NORTHSIDE'S FY2022-FY2024 CHNA, NORTHSIDE HOSPITAL, INC. ADOPTED AN IMPLEMENTATION STRATEGY WHICH OUTLINED SEVERAL INITIATIVES TO HELP ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY. AS SET FORTH IN THE FY2022-FY2024 CHNA, NORTHSIDE IS UNABLE TO ADDRESS EACH IDENTIFIED COMMUNITY NEED DUE TO AVAILABILITY OF RESOURCES, MAGNITUDE/SEVERITY OF THE ISSUES IDENTIFIED, AND EXISTING RESOURCES ALREADY AVAILABLE TO MEET SUCH NEEDS. THE NEEDS THAT WILL NOT BE ADDRESSED DIRECTLY FOLLOW: (1) HEALTHY LIFESTYLE BEHAVIORS, (2) RESPIRATORY DISEASE AND SMOKING, AND (3) HIV/AIDSA DETAILED ANALYSIS OF WHY EACH OF THESE NEEDS WILL NOT BE ADDRESSED IS INCLUDED IN NORTHSIDE'S CHNA.

GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 13B:
IN ADDITION TO FPG NORTHSIDE ALSO USES MEDICAL INDIGENCY AS WELL AS PROPENSITY TO PAY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.

GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 16J:
THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

GROUP A-FACILITY 1 -- ALL HOSPITALS PART V, SECTION B, LINE 20E:
"NORTHSIDE FOLLOWS A VERY DETAILED AND ROBUST PROCESS PRIOR TO INITIATING ECAS. AS INDICATED IN RESPONSE TO QUESTION 20, NORTHSIDE (1) PROVIDES A WRITTEN NOTICE ABOUT UPCOMING ECAS AND A PLAIN LANGUAGE SUMMARY OF THE FAP AT LEAST 30 DAYS BEFORE INITIATING ANY ECAS, (2) NORTHSIDE MAKES REASONABLE EFFORTS TO ORALLY (AND VIA OTHER MEANS) NOTIFY INDIVIDUALS ABOUT THE FAP AND FAP APPLICATION PROCESS, AND (3) NORTHSIDE MAKES PRESUMPTIVE ELIGIBILITY DETERMINATIONS TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE. NORTHSIDE PROMPTLY PROCESSES ALL COMPLETE FAP APPLICATIONS. NORTHSIDE ALSO EVALUATES ALL INCOMPLETE FAP APPLICATIONS, AND IN CONNECTION WITH SUCH INCOMPLETE APPLICATIONS, TAKES THE FOLLOWING STEPS: IF NORTHSIDE DETERMINES THAT A PATIENT HAS SUBMITTED AN INCOMPLETE FAP APPLICATION, NORTHSIDE WILL (A) IMMEDIATELY SUSPEND ANY ECAS THAT MAY HAVE BEEN INITIATED AGAINST THE PATIENT AFTER THE EXPIRATION OF THE NOTIFICATION PERIOD BUT BEFORE THE EXPIRATION OF THE APPLICATION PERIOD; (B) PROVIDE THE PATIENT WITH WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION AND/OR DOCUMENTATION THE INDIVIDUAL MUST SUBMIT TO COMPLETE THE FAP APPLICATION AND INCLUDE A COPY OF THE FAP WITH THE WRITTEN NOTICE; AND (C) MAKE A NOTE IN THE BILLING SYSTEM INDICATING THAT ECAS SHOULD NOT BE INITIATED (OR RE-INITIATED) ON THE PATIENT'S ACCOUNT UNTIL THE EXPIRATION OF THE APPLICATION PERIOD, AND ONLY IF AT THAT POINT THE PATIENT HAS NOT SUBMITTED THE NECESSARY INFORMATION TO COMPLETE THE FAP APPLICATION.NORTHSIDE DEFINES THE NOTIFICATION PERIOD"" TO MEAN THE PERIOD DURING WHICH IT MUST NOTIFY AN INDIVIDUAL ABOUT THE FAP AND BEGINS ON THE DATE THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE WAS PROVIDED TO THE PATIENT AND ENDS ON THE 120TH DAY AFTER THE PATIENT WAS PROVIDED WITH THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE. NORTHSIDE DEFINES THE ""APPLICATION PERIOD"" TO MEAN THE PERIOD DURING WHICH NORTHSIDE MUST ACCEPT AND PROCESS A FAP APPLICATION SUBMITTED BY A PATIENT. THE ""APPLICATION PERIOD"" BEGINS ON THE DATE CARE IS PROVIDED TO THE PATIENT AND ENDS ON THE LATER OF THE 240TH DAY AFTER THE DATE THAT THE FIRST POST-DISCHARGE BILLING STATEMENT FOR CARE IS PROVIDED OR EITHER (I) IN THE CASE OF INDIVIDUAL WHO NORTHSIDE HAS PROVIDED A NOTICE OF AT LEAST 30 DAYS PRIOR TO INITIATING ONE OR MORE ECAS, THE 30TH DAY AFTER THE DATE SUCH NOTICE IS PROVIDED, OR (II) IN THE CASE OF A PATIENT WHO NORTHSIDE HAS PRESUMPTIVELY DETERMINED TO BE ELIGIBLE FOR LESS THAN THE MOST GENEROUS ASSISTANCE AVAILABLE UNDER NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM, A REASONABLE TIME AFTER THE PATIENT HAS HAD A CHANCE TO APPLY FOR MORE GENEROUS FINANCIAL ASSISTANCE."

GROUP A-FACILITY 3 -- NORTHSIDE HOSPITAL - FORSYTH PART V, SECTION B, LINE 16J:
THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

GROUP A-FACILITY 4 -- NORTHSIDE HOSPITAL - CHEROKEE PART V, SECTION B, LINE 16J:
THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

GROUP A-FACILITY 2 -- NORTHSIDE HOSPITAL GWINNETT PART V, SECTION B, LINE 16J:
THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

GROUP A-FACILITY 5 -- NORTHSIDE HOSPITAL DULUTH PART V, SECTION B, LINE 7D:
HOSPITAL WEBSITE:WWW.NORTHSIDE.COM/COMMUNITY-WELLNESS/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

GROUP A-FACILITY 5 -- NORTHSIDE HOSPITAL DULUTH PART V, SECTION B, LINE 16J:
THE FULL URL TO ACCESS THE FINANCIAL ASSISTANCE POLICY IS:WWW.NORTHSIDE.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

PART I, LINE 3C:
IN ADDITION TO THE FPG THRESHOLDS, NORTHSIDE'S POLICY ALLOWS FOR MEDICAL INDIGENCY, AS WELL AS AN ASSET TEST, FOR AN ADDITIONAL OPPORTUNITY TO QUALIFY FOR CHARITY. AN APPLICATION IS COMPLETED BY THE PATIENT AND/OR A SCORING METHODOLOGY IS GATHERED FROM A THIRD PARTY USING ITS PROPRIETARY SOURCE TO DETERMINE PROPENSITY TO PAY. THESE TOOLS ARE USED TO DETERMINE SOMEONE'S QUALIFICATIONS FOR A CHARITY DISCOUNT OR FREE CARE IN ADDITION TO THE FPG THRESHOLDS STATED ABOVE.

PART I, LINE 7:
THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 7 IS THE COST TO CHARGE RATIO CALCULATED PURSUANT TO THE IRS SCHEDULE H WORKSHEET 2 INSTRUCTIONS.

PART I, LN 7 COL(F):
BAD DEBT EXPENSE IN THE AMOUNT OF $285,564,858 HAS BEEN REMOVED FROM TOTAL EXPENSE TO COMPUTE THE PERCENTAGE IN COLUMN (F).

PART I, LINE 7H
THE COST OF RESEARCH PER SCHEDULE H IS LIMITED TO INTERNALLY-FUNDED RESEARCH OR RESEARCH FUNDED BY GOVERNMENT AND NON-PROFIT ENTITIES THAT IS PUBLISHED OR INTENDED TO BE MADE AVAILABLE TO THE PUBLIC. NORTHSIDE INCURS COSTS FOR RESEARCH THAT, ALTHOUGH NOT MADE AVAILABLE TO THE PUBLIC AND THUS NOT INCLUDED IN SCHEDULE H, IS USED INTERNALLY FOR THE BENEFIT OF THE COMMUNITY AS A WHOLE. DURING THE YEAR ENDING SEPTEMBER 30, 2022, NORTHSIDE INCURRED TOTAL RESEARCH COSTS OF $9.4 MILLION.

PART II, COMMUNITY BUILDING ACTIVITIES:
"AS A COMMUNITY HOSPITAL, NORTHSIDE IS ACTIVELY INVOLVED IN IMPROVING THE HEALTH STATUS OF ITS COMMUNITY EITHER THROUGH ITS COMMUNITY BENEFIT ACTIVITIES OR THROUGH ITS COMMUNITY BUILDING ACTIVITIES. THE LATTER INCLUDES ACTIVITIES LIKE PHYSICAL IMPROVEMENTS AND HOUSING; ECONOMIC DEVELOPMENT; COMMUNITY SUPPORT; ENVIRONMENTAL IMPROVEMENTS; LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS; COALITION BUILDING; COMMUNITY HEALTH IMPROVEMENT ADVOCACY; WORKFORCE DEVELOPMENT; AND OTHERS. NORTHSIDE ALSO WORKS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH (""SDOH"") WHICH, AS DEFINED BY HEALTHY PEOPLE 2030, ARE THE CONDITIONS IN THE ENVIRONMENTS WHERE PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE-RANGE OF HEALTH, FUNCTIONING AND QUALITY-OF-LIFE OUTCOMES AND RISKS. SDOH CAN BE GROUPED INTO FIVE (5) DOMAINS: 1) ECONOMIC STABILITY, 2) EDUCATION ACCESS AND QUALITY, 3) HEALTH CARE ACCESS AND QUALITY, 4) NEIGHBORHOOD AND BUILT ENVIRONMENT, AND 5) SOCIAL AND COMMUNITY CONTEXT. EXAMPLES OF SDOH INCLUDE THINGS SUCH AS SAFE HOUSING, TRANSPORTATION AND NEIGHBORHOODS; RACISM, DISCRIMINATION AND VIOLENCE; EDUCATION, JOB OPPORTUNITIES AND INCOME; ACCESS TO NUTRITIOUS FOODS AND PHYSICAL ACTIVITY OPPORTUNITIES; POLLUTED AIR AND WATER AND; LANGUAGE AND LITERACY SKILLS. EFFORTS TO ADDRESS SDOH OFTEN ARE FOUND WITHIN COMMUNITY BUILDING ACTIVITIES; HOWEVER, RECENT GUIDELINES FROM THE CATHOLIC HEALTH ASSOCIATION (""CHA"") ADVISE HOSPITALS TO COUNT THESE ACTIVITIES IN PART I IF APPROPRIATE. ADDRESSING SDOH COMPLEMENTS A HOSPITAL'S COMMUNITY BENEFIT PROGRAM ACTIVITIES AS THE TWO WORK TOGETHER TO HELP IMPROVE A COMMUNITY'S OVERALL HEALTH STATUS. GIVEN THE RECENT CHANGE IN REPORTING GUIDANCE FROM CHA, MANY ACTIVITIES THAT ONCE WERE REPORTED IN PART II AS COMMUNITY BUILDING ARE NOW REPORTED IN PART I AS COMMUNITY HEALTH IMPROVEMENT SERVICES.IN FY 2022, NORTHSIDE SUPPORTED THREE (3) DIFFERENT COMMUNITY BUILDING ACTIVITIES INCLUDING ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT AND PHYSICAL IMPROVEMENTS/HOUSING, PROVIDING $313,000 IN COMMUNITY BUILDING FUNDING TO 20 NON-PROFIT ORGANIZATIONS. FOR EXAMPLE, NORTHSIDE CONTRIBUTED TO THE NON-PROFIT, ELACHEE NATURE SCIENCE CENTER. ELACHEE NATURE SCIENCE CENTER PROMOTES ENVIRONMENTAL UNDERSTANDING THROUGH EDUCATION AND CONSERVATION. FOUNDED IN 1978, ELACHEE SITS IN ONE OF GEORGIA'S LARGEST PROTECTED GREENSPACES, THE 1,440-ACRE CHICOPEE WOODS NATURE PRESERVE. ELACHEE IS AN URBAN WOODLAND REFUGE, OUTDOOR CLASSROOM AND EXHIBIT CENTER DESIGNED TO INVOLVE, ENGAGE AND EDUCATE. AS THE ONLY SACS/COGNIA-ACCREDITED NATURE CENTER IN THE SOUTHEASTERN UNITED STATES, ELACHEE LEADS THE WAY IN TEACHING SCHOOLCHILDREN AND NATURE LOVERS HOW NATURE WORKS. ELACHEE IS BUSY YEAR-ROUND, HISTORICALLY WELCOMING SOME 70,000 ANNUAL VISITORS TO HIKE THE TRAILS IN THE CHICOPEE WOODS, VISIT ON SCHOOL FIELD TRIPS AND TO EXPERIENCE CAMP ELACHEE SUMMER DAY CAMPS. ELACHEE ALSO OFFERS FAMILY-FRIENDLY SEASONAL PUBLIC NATURE ENCOUNTERS AND ADULT LEARNING PROGRAMS, AS WELL AS SELF-GUIDED INTERPRETIVE ECOLOGY AND LIVE ANIMAL EXHIBITS. A ROBUST VOLUNTEER CORPS AND OTHER COMMUNITY PARTNERS ASSIST ELACHEE'S PRESERVE MANAGEMENT TEAM IN CONSERVATION AND PRESERVATION INITIATIVES WITHIN THE CHICOPEE WOODS CONSERVATION AREA. AMONG THESE ARE ACTIVITIES THAT SUPPORT AND MAINTAIN THE CHICOPEE WOODS 8-MILE HIKING TRAIL SYSTEM. OF NOTE, THIS TRAIL SYSTEM PROMOTES HEALTHY LIVING CHOICES FOR THE NORTH GEORGIA REGION; OPEN DAILY TO THE VISITING PUBLIC AT NO CHARGE TO ACCESS THESE TRAILS. THE NATURE CENTER CAMPUS IS ALSO HOME TO ELACHEE NATURE ACADEMY, AN ACCREDITED AND LICENSED SCHOOL WITH NATURE-BASED PRESCHOOL TO 3RD GRADE CLASSES. ELACHEE RELIES ON SPONSORSHIPS TO OFFER INNOVATIVE PROGRAMMING, ACCESS TO EXHIBITS AND THE CHICOPEE WOODS HIKING TRAILS. FURTHERMORE, ELACHEE NATURE ACADEMY IS CATEGORIZED AS COMMUNITY BUILDING PHYSICAL IMPROVEMENTS SINCE IT ADDRESSES MULTIPLE DOMAINS WITHIN SDOH, INCLUDING NEIGHBORHOOD AND BUILT ENVIRONMENT AND EDUCATION ACCESS AND QUALITY."

PART III, LINE 8:
THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 WAS A COST TO CHARGE RATIO FROM THE FISCAL YEAR 2022 MEDICARE COST REPORT APPLIED TO MEDICARE CHARGES. THE MEDICARE PROGRAM PAYS AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING SERVICES. ANY COST NOT REIMBURSED BY MEDICARE IS BORNE BY NORTHSIDE HOSPITAL WHICH EASES THE BURDEN TO THE GOVERNMENT FOR THE PROVISION OF HEALTH CARE UNDER THE MEDICARE PROGRAM. AS SUCH, THIS SHORTFALL IS REPORTED AS A COMMUNITY BENEFIT.

PART III, LINE 9B:
THE COLLECTION POLICY IS SPECIFIC TO THE TIMING AND PROTOCOLS FOLLOWED IN THE DEBT COLLECTION PROCESS. HOWEVER, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY SUPERSEDES THE DEBT COLLECTION POLICY IN ANY SITUATION WHERE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE.

PART VI, LINE 7
NORTHSIDE HOSPITAL, INC. IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT UNDER GEORGIA LAW; HOWEVER, IT DOES PREPARE AN ANNUAL COMMUNITY BENEFIT REPORT, AVAILABLE ON OUR WEBSITE:HTTPS://CM.NORTHSIDE.COM/DOCS/DEFAULT-SOURCE/DEFAULT-DOCUMENT-LIBRARY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/FY-21-CB.PDF

PART II, LINE 8
"BIANNUALLY, NORTHSIDE HOSPITAL, INC. (""NORTHSIDE"") CONDUCTS A COMMUNITY-BASED PHYSICIAN NEED ANALYSIS FOR NORTHSIDE HOSPITAL-CHEROKEE (""NHC""), NORTHSIDE HOSPITAL-FORSYTH (""NHF""), NORTHSIDE HOSPITAL GWINNETT (""NHG""), AND NORTHSIDE HOSPITAL DULUTH (""NHD""). NHC AND NHF ARE SOLE COUNTY PROVIDERS AND AS SUCH MUST ENSURE THAT APPROPRIATE MEDICAL SERVICES ARE ACCESSIBLE TO THE RESIDENTS OF THE COMMUNITIES SERVED. EACH HOSPITAL'S PHYSICIAN NEED ANALYSIS DEFINES A GEOGRAPHIC AREA COMPLIANT WITH THE FEDERAL PHYSICIAN SELF-REFERRAL LAW, IDENTIFIES NHC, NHF, NHG, AND NHD MEDICAL STAFF MEMBERS WITH AN OFFICE IN THE DEFINED GEOGRAPHIC AREA, IDENTIFIES NON-NORTHSIDE PHYSICIANS WITH AN OFFICE IN THE DEFINED GEOGRAPHIC AREA, AND INCLUDES A QUANTITATIVE ANALYSIS OF EACH COMMUNITY'S PHYSICIAN NEED (""COMMUNITY PHYSICIAN NEED""). BASED ON THE FINDINGS OF THE ANALYSES, NORTHSIDE ENGAGES IN RECRUITMENT EFFORTS DESIGNED TO ENSURE THAT SUFFICIENT QUALIFIED HEALTH PROFESSIONALS ARE AVAILABLE TO MEET THE IDENTIFIED COMMUNITY PHYSICIAN NEED. THROUGH THESE ANALYSES, NORTHSIDE HAS IDENTIFIED A DEFINED NUMERIC NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 19 SPECIALTIES IN NHC'S STARK-COMPLIANT GEOGRAPHIC AREA, A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 20 SPECIALTIES IN NHF'S STARK-COMPLIANT GEOGRAPHIC AREA, A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 22 SPECIALTIES IN NHG'S STARK-COMPLIANT GEOGRAPHIC AREA, AND A NEED FOR ONE-HALF PHYSICIAN FTE OR MORE IN 19 SPECIALTIES IN NHD'S STARK-COMPLIANT GEOGRAPHIC AREA. NHC, NHF, NHG, AND NHD ARE CONCENTRATING RECRUITMENT EFFORTS ON PRIMARY CARE AND MEDICAL AND SURGICAL SPECIALTIES WITH AN EMPHASIS ON RECRUITING NEEDED PHYSICIANS INTO FORSYTH, DAWSON, PICKENS, CHEROKEE, AND GWINNETT COUNTIES TO MEET THE IDENTIFIED COMMUNITY PHYSICIAN NEED.IN ADDITION TO THE WORKFORCE DEVELOPMENT ACTIVITIES NOTED ABOVE, NORTHSIDE ALSO PARTICIPATED IN OTHER COMMUNITY BUILDING ACTIVITIES SUCH AS THE GEORGIA MATERNAL MORTALITY REVIEW COMMITTEE."

PART III, LINE 4:
NORTHSIDE DETERMINES ITS ESTIMATES OF EXPLICIT AND IMPLICIT PRICE CONCESSIONS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT IN ACCORDANCE WITH FASB ASU 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). SUBSEQUENT CHANGES IN THE TRANSACTION PRICE THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS OPERATING EXPENSES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. THE PROVISION FOR BAD DEBTS FOR THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021 WAS NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINES 2 AND 3 WAS A COST TO CHARGE RATIO APPLIED TO BAD DEBT CHARGES WRITTEN OFF, NET OF RECOVERIES. NORTHSIDE HOSPITAL PROVIDES CARE TO THE COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE FORGONE CHARGES ARE AT THE EXPENSE OF NORTHSIDE HOSPITAL.

PART VI, LINE 2:
"NORTHSIDE DEVELOPED A STANDARDIZED PROCESS FOR CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT (""CHNA""). IN SHORT, NORTHSIDE'S CHNA PROCESS INCLUDED: - DEFINING THE NORTHSIDE COMMUNITY. - REVIEWING NORTHSIDE INTERNAL DATA. - REVIEWING PUBLICLY AVAILABLE HEALTH DATA. - REVIEWING PROPRIETARY QUANTITATIVE CONSUMER RESEARCH DATA. - PERFORMING STAKEHOLDER INTERVIEWS. - SUMMARIZING AND PRIORITIZING THE HEALTH NEEDS IDENTIFIED WITHIN NORTHSIDE'S COMMUNITY. - DEVELOPING AN IMPLEMENTATION STRATEGY TO ADDRESS THE IDENTIFIED NEEDS. - PRESENTING THE FINALIZED CHNA REPORT AND IMPLEMENTATION STRATEGY TO THE BOARD OF DIRECTORS OF NORTHSIDE HOSPITAL, INC. FOR ADOPTION. - PROVIDING CONTINUED PUBLIC ACCESS TO NORTHSIDE'S CHNA REPORT VIA WWW.NORTHSIDE.COM/COMMUNITY-WELLNESS/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT AND PROVIDING AN OPPORTUNITY FOR PUBLIC FEEDBACK VIA NORTHSIDE.CHNA@NORTHSIDE.COM.NORTHSIDE UTILIZED AN EVIDENCE-BASED MODEL OF POPULATION HEALTH ADAPTED FROM THE WISCONSIN POPULATION HEALTH INSTITUTE AND ALSO UTILIZED BY COUNTY HEALTH RANKINGS AND ROADMAPS. THIS MODEL ILLUSTRATES THE COMPLEXITY OF ASSESSING A COMMUNITY'S HEALTH STATUS BY OUTLINING THE FACTORS THAT ACT IN COMBINATION TO DETERMINE THE CURRENT STATUS OF A COMMUNITY'S HEALTH. THE EVIDENCE-BASED MODEL OUTLINES THE HEALTH DETERMINANTS (DEMOGRAPHICS AND SOCIAL ENVIRONMENT, HEALTHCARE ACCESS AND QUALITY, HEALTH BEHAVIORS, AND THE PHYSICAL ENVIRONMENT) THAT LEAD TO THE HEALTH OUTCOMES IN A COMMUNITY (MORBIDITY AND MORTALITY).THE CENTERS FOR DISEASE CONTROL AND PREVENTION (""CDC"") PERFORMED A SYSTEMATIC LITERATURE REVIEW TO DETERMINE A COMMON SET OF HEALTH METRICS THAT SHOULD BE USED TO MEASURE BOTH THE HEALTH DETERMINANTS AND HEALTH OUTCOMES. NORTHSIDE USED THE CDC'S LIST OF ""MOST FREQUENTLY RECOMMENDED HEALTH METRICS"" TO DETERMINE WHAT VARIABLES TO CONSIDER FOR NORTHSIDE'S CURRENT CHNA. NORTHSIDE UTILIZED THE CDC'S RECOMMENDED VARIABLES AND METRIC WHEN THEY WERE READILY AVAILABLE AT THE COUNTY LEVEL."

PART VI, LINE 3:
NORTHSIDE INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM IN NUMEROUS WAYS.NORTHSIDE CONSPICUOUSLY POSTS NOTICE OF ITS FINANCIAL ASSISTANCE PROGRAM AND HOW TO ACCESS ITS FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION AT ALL MAJOR POINTS OF ACCESS TO ITS INPATIENT AND OUTPATIENT FACILITIES, THESE POINTS OF ACCESS INCLUDE THE HOSPITALS' PATIENT WAITING ROOMS AND EMERGENCY DEPARTMENTS. FOR PATIENTS THAT PRE-REGISTER OVER THE PHONE FOR HOSPITAL SERVICES, NORTHSIDE VERBALLY INFORMS PATIENTS OF ITS FINANCIAL ASSISTANCE PROGRAM AND PROVIDES PATIENTS WITH INFORMATION ON HOW TO OBTAIN A COPY OF NORTHSIDE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION VIA NORTHSIDE'S WEBSITE OR VIA MAIL. ADDITIONALLY, UPON ADMISSION TO ONE OF ITS HOSPITALS FOR SERVICES, NORTHSIDE PROVIDES EACH PATIENT A REGISTRATION PACKET THAT INCLUDES INFORMATION ON ITS FINANCIAL ASSISTANCE PROGRAM. FURTHER, A FINANCIAL COUNSELOR WILL SPEAK WITH ALL PATIENTS DURING EITHER THE PRE-REGISTRATION PROCESS OR UPON ADMISSION AND EXPLAIN NORTHSIDE'S FINANCIAL ASSISTANCE PROGRAM. IF A PATIENT INDICATES A NEED OR REQUESTS MORE INFORMATION REGARDING FINANCIAL ASSISTANCE, NORTHSIDE WILL REFER THE PATIENT TO A FINANCIAL ASSISTANCE COUNSELOR WHO WILL WORK DIRECTLY WITH THE PATIENT TO ASSIST THE PATIENT IN APPLYING FOR FINANCIAL ASSISTANCE.IN ORDER TO EXPEDITE THE FINANCIAL ASSISTANCE PROCESS, NORTHSIDE USES THIRD PARTY SOFTWARE TO HELP IDENTIFY PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON PUBLICLY AVAILABLE INFORMATION (E.G., PARTICIPATION IN STATE FUNDED PRESCRIPTION PROGRAMS, PARTICIPATION IN THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM, PARTICIPATION IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP, FORMERLY FOOD STAMPS), SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY, OR ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS). PATIENTS THAT ARE IDENTIFIED BY SUCH THIRD-PARTY SOFTWARE AS ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE WILL NOT BE REQUIRED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND INSTEAD WILL AUTOMATICALLY BE DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE. FURTHER, NORTHSIDE'S FINANCIAL COUNSELORS WILL ASSIST PATIENTS WITH APPLYING TO PROGRAMS THAT THEY ARE ELIGIBLE FOR, BUT NOT CURRENTLY ENROLLED IN, SUCH AS STATE OR FEDERAL HEALTHCARE PROGRAMS OR DRUG DISCOUNT PROGRAMS.NORTHSIDE ALSO INCLUDES A SUMMARY OF ITS FINANCIAL ASSISTANCE PROGRAM, INCLUDING HOW TO OBTAIN MORE INFORMATION AND APPLY FOR FINANCIAL ASSISTANCE, ON ALL PATIENT BILLS.LASTLY, NORTHSIDE WORKS WITH MANY COMMUNITY OUTREACH PROGRAMS TO PROVIDE FINANCIAL ASSISTANCE TO PATIENTS WHO QUALIFY FOR FREE OR DISCOUNTED SERVICES THROUGH THESE PROGRAMS. TO EXPEDITE THE FINANCIAL ASSISTANCE PROCESS FOR SUCH PATIENTS, NORTHSIDE PROVIDES A PRE-APPROVAL PROCESS FOR ALL PATIENTS WHO ARE REFERRED FOR MEDICALLY NECESSARY SERVICES VIA A COMMUNITY OUTREACH PROGRAM. THIS PROCESS ALLOWS PATIENTS TO QUALITY FOR FINANCIAL ASSISTANCE PRIOR TO RECEIVING HOSPITAL SERVICES, THEREBY RELIEVING THE PATIENTS OF THE STRESS AND BURDEN OF THE FINANCIAL ASPECT OF THEIR CARE, AND ALLOWING THEM TO FOCUS ON THEIR HEALTH, WELL-BEING AND RECOVERY.

PART VI, LINE 4:
NORTHSIDE BEGAN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS BY DEFINING EACH HOSPITAL'S COMMUNITY, WHICH INCLUDED (I) DEFINING EACH FACILITY'S PRIMARY PATIENT CATCHMENT AREA; (II) MAPPING THE MEDICALLY UNDERSERVED AREAS AROUND EACH FACILITY TO ENSURE THAT NO MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS WERE EXCLUDED WITHIN OR NEAR THE PRIMARY CATCHMENT AREAS; AND (III) MAPPING EACH FACILITY'S DISTRIBUTION OF OUTPATIENT SERVICES ACROSS THE REGION. THE RESULTS OF THIS PROCESS REVEALED SIGNIFICANT OVERLAP BETWEEN THE COMMUNITIES SERVED BY EACH NORTHSIDE HOSPITAL FACILITY. THUS, NORTHSIDE HOSPITAL-ATLANTA, NORTHSIDE HOSPITAL-CHEROKEE, NORTHSIDE HOSPITAL-DULUTH, NORTHSIDE HOSPITAL-FORSYTH, AND NORTHSIDE HOSPITAL-GWINNETT DEVELOPED A SINGLE COMMUNITY DEFINITION IN COMPLIANCE WITH IRS SECTION 501(R) FINAL RULE. THE NORTHSIDE COMMUNITY CONSISTS OF BARROW, CHEROKEE, COBB, DAWSON, DEKALB, FORSYTH, FULTON, GWINNETT, PICKENS, AND WALTON COUNTIES.IN 2020, THE ESTIMATED 4.3 MILLION RESIDENTS OF THE NORTHSIDE COMMUNITY ACCOUNTED FOR 40% OF GEORGIA'S TOTAL POPULATION. THE NORTHSIDE COMMUNITY IS SLIGHTLY YOUNGER THAN GEORGIA OVERALL, WITH A MEDIAN AGE OF 36.3 COMPARED TO GEORGIA'S 36.9. OVERALL, THE 2020 NORTHSIDE COMMUNITY WAS COMPRISED OF A DIVERSE POPULATION. INDIVIDUAL COUNTIES, HOWEVER, HAVE VARYING RACIAL COMPOSITIONS, INCLUDING TWO COUNTIES THAT HAVE 90 PERCENT OF THEIR POPULATIONS BELONGING TO JUST ONE RACIAL GROUP. ALMOST HALF OF GEORGIA'S HISPANIC POPULATION LIVES IN THE COMMUNITY AND 25% LIVES IN GWINNETT COUNTY.OVERALL, THE NORTHSIDE COMMUNITY HAS A HIGH LEVEL OF EDUCATIONAL ATTAINMENT AND AFFLUENCE WHEN COMPARED TO GEORGIA AS A WHOLE. THE MEDIAN DISPOSABLE INCOME, HOUSEHOLD INCOME, HOUSEHOLD NET WORTH, AND HOUSING UNIT VALUE IN THE NORTHSIDE COMMUNITY ARE ALL HIGHER THAN GEORGIA'S AVERAGES. DESPITE THIS GENERAL PICTURE OF AFFLUENCE, HOWEVER, DISPARITIES DO EXIST, ESPECIALLY ALONG RACIAL AND ETHNIC LINES AND BETWEEN COUNTIES THAT NORTHSIDE'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY AIM TO ADDRESS.

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NORTHSIDE HOSPITAL, INC. IS A CHARITABLE ORGANIZATION AND AS SUCH IS ENGAGED IN NUMEROUS ACTIVITIES TO PROVIDE RELIEF TO THE POOR, THE DISTRESSED, OR THE UNDERPRIVILEGED. NORTHSIDE ROUTINELY PROVIDES FINANCIAL ASSISTANCE, HEALTH PROFESSIONS EDUCATION, CASH AND IN-KIND DONATIONS, COMMUNITY HEALTH IMPROVEMENT SERVICES, RESEARCH, AND COMMUNITY-BUILDING ACTIVITIES. MANY OF THESE EFFORTS HAVE BEEN REPORTED THROUGHOUT THIS RETURN.IN ADDITION TO THE NUMEROUS COMMUNITY BENEFIT ACTIVITIES NORTHSIDE ENGAGES IN THROUGHOUT THE YEAR, NORTHSIDE ALSO INVESTS SURPLUS FUNDS BACK INTO EXPANDING ACCESS TO SERVICES FOR ALL PEOPLE THROUGHOUT ITS COMMUNITY. OVER THE COURSE OF FY 2022, NORTHSIDE HOSPITAL, INC. SUBMITTED THIRTY-SEVEN APPLICATIONS TO THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH TO EXPAND OR RENOVATE FACILITIES, EXPAND SERVICES, ACQUIRE STATE-OF-THE-ART EQUIPMENT, CONTINUE CRITICAL CARDIAC-RELATED SERVICES (I.E., THERAPEUTIC CARDIAC CATHETERIZATION), AND EXPAND OUTPATIENT LOCATIONS. THESE APPLICATIONS REPRESENT A LONG-TERM FINANCIAL COMMITMENT TOTALING OVER $632 MILLION OVER THE NEXT SEVERAL YEARS. PROJECTS INCLUDE: 1) $450 MILLION TO EXPAND INPATIENT BED CAPACITY AT NORTHSIDE HOSPITAL GWINNETT; 2) $122 MILLION IN SEVERAL FACILITY EXPANSION PROJECTS SUCH AS TO MODERNIZE AN INPATIENT REHABILITATION FACILITY, TO CONSTRUCT THREE (3) NEW OUTPATIENT IMAGING CENTERS AND TWO (2) NEW AMBULATORY SURGERY CENTERS, AND TO ESTABLISH A NEW RADIATION THERAPY CENTER; 3) $31 MILLION TO ACQUIRE THREE (3) STATE-OF-THE-ART SURGICAL ROBOTS, NUMEROUS IMAGING EQUIPMENT UPGRADES ACROSS THE SYSTEM'S PORTFOLIO AND TO ACQUIRE STATE-OF-THE-ART CARDIAC PET/CT IMAGING EQUIPMENT; AND 4) $29 MILLION TO DEVELOPED A NEW, OFF-CAMPUS MEDICAL OFFICE BUILDING LOCATED IN COBB COUNTY, GEORGIA. THESE PROJECTS ARE LOCATED THROUGHOUT NORTHSIDE HOSPITAL, INC.'S SERVICE AREA IN CHEROKEE, COBB, FORSYTH, FULTON, AND GWINNETT COUNTIES AND WILL HELP IMPROVE THE COMMUNITY'S ACCESS TO INPATIENT CARE, SPECIALISTS AND OUTPATIENT HOSPITAL SERVICES.

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THE NORTHSIDE HOSPITAL SYSTEM PROVIDES A NUMBER OF COMMUNITY-BASED SERVICES, DESIGNED TO IMPROVE THE HEALTH OF AREA RESIDENTS. WORKING WITH VARIOUS ORGANIZATIONS, HOSPITAL EMPLOYEES AND MEDICAL STAFF, THE NORTHSIDE HOSPITAL SYSTEM PARTICIPATES IN HEALTH EDUCATION AND SCREENINGS, AS WELL AS PROVIDES SUPPORT ACTIVITIES FOR INDIVIDUALS IN THE COMMUNITY LIVING WITH A SERIOUS OR CHRONIC HEALTH CONDITION.IN ADDITION TO THE EXCELLENT MEDICAL CARE AND EDUCATIONAL PROGRAMS WE PROVIDE TO THE COMMUNITY, NORTHSIDE ALSO PROVIDES FINANCIAL SUPPORT TO A NUMBER OF OTHER NON-PROFIT, COMMUNITY AND CIVIC CAUSES WHOSE MISSIONS AND OBJECTIVES COMPLEMENT NORTHSIDE HOSPITAL'S MISSION AND VALUES.NORTHSIDE HOSPITAL GIVES BACK A SIGNIFICANT AMOUNT TO THE COMMUNITY. WE MEASURE THE SUCCESS OF OUR EFFORTS BY THE NUMBER OF RESIDENTS WE REACH WITH OUR MESSAGES RELATED TO HEALTH AND WELLNESS. OUR MISSION IS TO WORK TO POSITIVELY IMPACT THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. CLEARLY, EDUCATION, OUTREACH AND COMMUNITY SERVICE ALLOW US TO BROADEN OUR IMPACT BEYOND THE WALLS OF OUR FACILITIES.