2025-08-15T12:45:14-05:00 2024-09-30 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2023-10-01 581828486 GWINNETT HOSPITAL SYSTEM FOUNDATION INC GWIN 6783125603 1755 NORTH BROWN ROAD 100 LAWRENCEVILLE GA 30043 JASON CHANDLER PRESIDENT 6783125603 2025-08-15 1 0 DEBORAH O ERNSBERGER P00364912 8656730844 2023 2025-03-06 01:10:19Z JASON CHANDLER 1755 NORTH BROWN ROAD 100 LAWRENCEVILLE GA 30043 5116763 0 X WWW.GMCGIVING.ORG X 1987 GA GWINNETT HOSPITAL SYSTEM FOUNDATION IS A NOT-FOR-PROFIT CHARITABLE ORGANIZATION WHOSE MISSION IS TO PROVIDE FINANCIAL SUPPORT TO NORTHSIDE HOSPITAL, INC. FOR PROJECTS WHICH MEET COMMUNITY NEEDS IN GWINNETT COUNTY. FOCUS IS PLACED ON PROGRAMS THAT ACCELERATE ACCESS TO HIGH QUALITY HEALTHCARE IN GWINNETT. 72 68 0 0 0 0 4465229 4607811 0 0 398405 417958 -124327 -105321 4739307 4920448 599519 1357535 0 0 0 0 0 0 998647 1582639 1490279 2182158 2847814 2557149 2072634 18599038 23114376 2782488 2627108 15816550 20487268 X GWINNETT HOSPITAL SYSTEM FOUNDATION IS A NOT-FOR-PROFIT CHARITABLE ORGANIZATION WHOSE MISSION IS TO PROVIDE FINANCIAL SUPPORT TO NORTHSIDE HOSPITAL, INC. FOR PROJECTS WHICH MEET COMMUNITY NEEDS IN GWINNETT COUNTY. FOCUS IS PLACED ON PROGRAMS THAT ACCELERATE ACCESS TO HIGH QUALITY HEALTHCARE IN GWINNETT. 0 0 1364512 1357535 THE FOUNDATION RAISES FUNDS FOR THE PURPOSE OF IMPROVING THE QUALITY OF SERVICES PROVIDED BY NORTHSIDE HOSPITAL IN GWINNETT COUNTY. HISTORICALLY, THE FOUNDATION HAS SUPPORTED MANY OF THE HOSPITAL'S GWINNETT OPERATIONS AND PROGRAMS, INCLUDING NEONATAL INTENSIVE CARE, CANCER TREATMENT AND DETECTION, REHABILITATION SERVICES, MEDICAL RESIDENCY/EDUCATION, WOMEN'S PROGRAMS, SPORTS MEDICINE, CARDIOLOGY, SCHOLARSHIPS FOR NURSING, PALLIATIVE CARE, AND VARIOUS ALLIED HEALTH SCIENCES. 1364512 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 72 68 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 GA X SHANNON A BANNA 4048518000 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 DENISE PECHT MD CHAIR 1.00 X 0 0 0 PAIGE HAVENS VICE CHAIR 1.00 X 0 0 0 JULIUS AJAYI MD BOARD MEMBER 1.00 X 0 0 0 MARY JO ALBERT MD BOARD MEMBER 1.00 X 0 0 0 SHAMEKA ALLEN BOARD MEMBER 1.00 X 0 0 0 ETHEL ANDERSEN BOARD MEMBER 1.00 X 0 0 0 TOM ANDERSEN BOARD MEMBER 1.00 X 0 0 0 KERRY ARMSTRONG BOARD MEMBER 1.00 X 0 0 0 ART ASSAD BOARD MEMBER 1.00 X 0 0 0 MARVIN BARGE BOARD MEMBER 1.00 X 0 0 0 SHARON BARTELS BOARD MEMBER 1.00 X 0 0 0 DEBORAH MITCHAM BILBRO BOARD MEMBER, NORTHSIDE GWINNETT CEO 1.00 40.00 X 0 1053942 22774 JENNIFER BRIDWELL BOARD MEMBER 1.00 X 0 0 0 CARLTON BUCHANAN MD BOARD MEMBER 1.00 1.00 X 0 0 0 RENEE BYRD-LEWIS BOARD MEMBER 1.00 X 0 0 0 GREG CANTRELL BOARD MEMBER 1.00 X 0 0 0 BRUCE E CARTER DMD BOARD MEMBER 1.00 X 0 0 0 ANN CHANDLER BOARD MEMBER 1.00 X 0 0 0 CYNTHIA CHANDLER BOARD MEMBER 1.00 X 0 104256 23765 LISA CINK BOARD MEMBER 1.00 X 0 0 0 FRANK CIRCELLI BOARD MEMBER 1.00 X 0 0 0 CLIFF CLARK BOARD MEMBER 1.00 X 0 0 0 KRISTI COHRON BOARD MEMBER 1.00 X 0 0 0 JULIA DAVIS BOARD MEMBER 1.00 X 0 0 0 DAN DUNWODY DDS BOARD MEMBER 1.00 X 0 0 0 TOM FERRIN BOARD MEMBER 1.00 X 0 0 0 PRASAD GARIMELLA BOARD MEMBER 1.00 X 0 0 0 WILL GRANT BOARD MEMBER 1.00 X 0 0 0 DAVID GREENE BOARD MEMBER 1.00 X 0 0 0 STAN HALL BOARD MEMBER 1.00 X 0 0 0 GREG HAYES BOARD MEMBER 1.00 X 0 0 0 JANNA HAYES BOARD MEMBER 1.00 X 0 0 0 BILL HEAD BOARD MEMBER 1.00 X 0 0 0 CAROLYN HILL BOARD MEMBER 1.00 X 0 0 0 COLE HUDGENS BOARD MEMBER 1.00 X 0 0 0 KIMBERLY HUTCHERSON MD BOARD MEMBER 1.00 X 0 0 0 LC JOHNSON BOARD MEMBER 1.00 X 0 0 0 TERRI JONDAHL BOARD MEMBER 1.00 1.00 X 0 0 0 LYNNE KYTLE BOARD MEMBER 1.00 X 0 0 0 LESLIE LEIGH MD BOARD MEMBER 1.00 X 0 0 0 GARY LEVENGOOD MD BOARD MEMBER 1.00 X 0 853368 20005 BIN LIU BOARD MEMBER 1.00 X 0 0 0 NICK MASINO BOARD MEMBER 1.00 X 0 0 0 SUZANNE MASINO BOARD MEMBER 1.00 X 0 0 0 MILES H MASON MD BOARD MEMBER 1.00 X 0 0 0 WAYNE MASON BOARD MEMBER 1.00 X 0 0 0 DAVID MCCLESKEY BOARD MEMBER 1.00 X 0 0 0 ERIN O'DONNELL-MCCORMICK BOARD MEMBER 1.00 X 0 0 0 PAAYAL MEHTA BOARD MEMBER 1.00 X 0 399592 20846 STACY PATTERSON BOARD MEMBER 1.00 X 0 0 0 SCOTT PHELAN BOARD MEMBER 1.00 X 0 0 0 BETH PHELPS BOARD MEMBER 1.00 X 0 0 0 COLE PORTER BOARD MEMBER 1.00 X 0 0 0 NORA ROZIN BOARD MEMBER 1.00 X 0 0 0 SPENCER ROZIN MD BOARD MEMBER 1.00 X 0 0 0 BILL RUSSELL PHD BOARD MEMBER 1.00 X 0 0 0 RAYMER SALE BOARD MEMBER 1.00 X 0 0 0 KRISTEN SAPP BOARD MEMBER 1.00 X 0 0 0 TAMMY SHUMATE BOARD MEMBER 1.00 X 0 0 0 BILL SMITH BOARD MEMBER 1.00 X 0 0 0 CHUCK SMITH BOARD MEMBER 1.00 X 0 0 0 DAVID SNELL BOARD MEMBER 1.00 X 0 0 0 DAN SOSEBEE BOARD MEMBER 1.00 X 0 0 0 DAVID STILL BOARD MEMBER 1.00 X 0 0 0 CLYDE STRICKLAND BOARD MEMBER 1.00 X 0 0 0 MIKE TENNANT BOARD MEMBER 1.00 X 0 0 0 MIKE TOWNSEND BOARD MEMBER 1.00 X 0 0 0 CLARA TRUESDELL BOARD MEMBER 1.00 X 0 0 0 DEPRIEST WADDY BOARD MEMBER 1.00 X 0 0 0 JEFF WAGES BOARD MEMBER 1.00 X 0 0 0 KATHRYN WILLIS BOARD MEMBER 1.00 X 0 0 0 TERRA WINTER BOARD MEMBER 1.00 X 0 0 0 JASON CHANDLER FOUNDATION PRESIDENT 40.00 X 0 385050 34551 0 2796208 121941 0 0 1 0 0 433902 120000 4053909 5145 4607811 417958 417958 90994 433902 196315 -105321 -105321 4920448 0 0 312637 1357535 1357535 945381 311838 633543 67163 6977 19853 40333 40909 13494 27415 206719 68187 138532 6965 2297 4668 302 302 BANK FEES 11115 11115 211725 57569 154156 2847814 1364512 484655 998647 3325932 5820545 1669410 1206929 103494 137493 76511 75390 1424 1121 13498778 15948288 18599038 23114376 2751980 2564557 30508 62551 2782488 2627108 X 3584627 6315101 12231923 14172167 15816550 20487268 18599038 23114376 2072634 2598084 0 X 0 1 X 1 0 X 2685048 2614286 2665847 3875426 4607811 16448418 2685048 2614286 2665847 3875426 4607811 16448418 3289578 13158840 276009 302137 -61950 398405 417958 1332559 17780977 0.74010 0.92650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12231923 2796362 723908 1580026 14172167 9870205 2760651 339964 738897 12231923 9560685 2303017 -430186 1563311 9870205 12036994 1439211 503479 4418999 9560685 10036513 1428934 631352 59805 12036994 0.44030 0.55970 0 0 76511 75390 1121 1121 DUE TO NORTHSIDE HOSPITAL, INC. 62551 62551 X 7719990 2598084 201458 2799542 4920448 0 4920448 3049272 201458 201458 2847814 0 2847814 PART X, LINE 2: THE FOUNDATION HAS BEEN RECOGNIZED AS A PUBLIC CHARITY, EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) AND, THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAX. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED WITH REVENUES 196,315. OTHER ADJUSTMENT 5,143. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED WITH REVENUES 196,315. OTHER ADJUSTMENT 5,143. PAINT GWINNETT PINK 429983 386524 43459 136720 GOLF 94913 47378 47535 59595 524896 433902 90994 196315 196315 -105321 1 NORTHSIDE HOSPITAL INC 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 581954432 501(C)(3) 1272535 0 ASSISTANCE TO FUND PROGRAM OPERATIONS. WESTERN GOVERNORS UNIVERSITY 4001 S 700 E 700 SALT LAKE CITY UT 84107 474365018 501(C)(3) 10000 0 TO FUND SCHOLARSHIP PROGRAM MERCER UNIVERSITY 1501 MERCER UNIVERSITY DRIVE MACON GA 31207 580566167 501(C)(3) 10000 0 TO FUND SCHOLARSHIP PROGRAM GEORGIA GWINNETT COLLEGE 1000 UNIVERSITY CENTER LN LAWRENCEVILLE GA 30043 215107997 501(C)(3) 12500 0 TO FUND SCHOLARSHIP PROGRAM 4 0 1 0 0 0 0 0 0 0 DEBORAH MITCHAM BILBRO BOARD MEMBER, NORTHSIDE GWINNETT CEO 0 765792 0 272917 0 15233 0 0 0 22774 0 1076716 0 0 GARY LEVENGOOD MD BOARD MEMBER 0 833946 0 0 0 19422 0 0 0 20005 0 873373 0 0 PAAYAL MEHTA BOARD MEMBER 0 322840 0 67725 0 9027 0 0 0 20846 0 420438 0 0 JASON CHANDLER FOUNDATION PRESIDENT 0 288266 0 90079 0 6705 0 0 0 34551 0 419601 0 0 PART I, LINE 4B DEBORAH (MITCHAM) BILBRO, BOARD MEMBER OF GWINNETT HOSPITAL SYSTEM FOUNDATION, RECEIVED COMPENSATION AND DEFERRED COMPENSATION FOR SERVICE TO NORTHSIDE GWINNETT HOSPITAL. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING BOARD MEMBERS HAVE A RELATIONSHIP WITH ANOTHER BOARD MEMBER: ETHEL ANDERSEN AND TOM ANDERSEN - FAMILY RELATIONSHIP NORA ROZIN AND SPENCER ROZIN - FAMILY RELATIONSHIP SUZANNE MASINO AND NICK MASINO - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B INFORMATION FOR PREPARATION OF THIS RETURN WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT. AFTER THE RETURN WAS PREPARED AND PRIOR TO FILING, IT WAS REVIEWED IN DETAIL BY NORTHSIDE HOSPITAL, INC. SENIOR FINANCIAL MANAGEMENT. ALSO PRIOR TO FILING, A COPY OF THE RETURN WAS MADE AVAILABLE TO THE EXECUTIVE COMMITTEE, COMPRISED OF FOUR MEMBERS OF THE BOARD OF DIRECTORS. FORM 990 IS ALSO PRESENTED TO THE FULL BOARD AT THE BOARD MEETING FOLLOWING THE REVIEW BY THE EXECUTIVE COMMITTEE. THIS BOARD MEETING MAY FALL AFTER THE RETURN HAS BEEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C WHILE THE ORGANIZATION DOES NOT HAVE ITS OWN FORMAL CONFLICT OF INTEREST POLICY, IT ADHERES TO THE POLICIES OF NORTHSIDE HOSPITAL, INC. ANNUALLY, THE MEMBERS OF THE BOARD OF DIRECTORS DISCLOSE ANY CONFLICTS OF INTEREST. BOARD MEMBERS MUST DISCLOSE POTENTIAL CONFLICTS USING A REASONABLE BELIEF STANDARD; PLAY NO DIRECT OR INDIRECT PART IN DELIBERATIONS; AND ABSENT THEMSELVES FROM THE MEETING AT WHICH ANY POTENTIAL CONFLICT INVOLVING THE MEMBER IS DISCUSSED. ONLY NON-CONFLICTED MEMBERS MAY DECIDE TO PURSUE A TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT, IF A MAJORITY OF THE BOARD DETERMINES THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. VIOLATION OF THE CONFLICT OF INTEREST POLICY IS SUBJECT TO CORRECTIVE ACTION, INCLUDING EXONERATION, CENSURE AND/OR REQUESTING RESIGNATION OF THE MEMBER. IN ADDITION, THE HOSPITAL HUMAN RESOURCES DEPARTMENT SENDS OUT A CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM TO OFFICERS AND KEY EMPLOYEES EVERY 3 - 5 YEARS. THESE OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS THAT ARISE DURING THE FISCAL YEAR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE FILED WITH AND AVAILABLE ON THE GEORGIA SECRETARY OF STATE WEBSITE OR THROUGH THAT OFFICE. CERTAIN DOCUMENTS ARE ALSO AVAILABLE UPON REQUEST AT THE FOUNDATION OFFICE. GWINNETT HOSPITAL SYSTEM AUXILIARY INC 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 581713644 ADMINISTRATIVE SERVICES GA 501(C)(3) LINE 3 N/A 0 NORTHSIDE HEALTH SERVICES INC 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 581917328 PARENT HOLDING COMPANY GA 501(C)(3) LINE 12C, III-FI N/A 0 NORTHSIDE HOSPITAL FOUNDATION INC 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 581653541 RAISE FUNDS IN FURTHERANCE OF NORTHSIDE HOSPITAL'S EXEMPT PURPOSE GA 501(C)(3) LINE 7 NORTHSIDE HEALTH SERVICES INC 0 NORTHSIDE HOSPITAL INC 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 581954432 HOSPITAL GA 501(C)(3) LINE 3 NORTHSIDE HEALTH SERVICES INC 0 NORTHSIDE SHARES HELP INC 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 581458873 PUBLIC CHARITY, ORGANIZED EMPLOYEE RELIEF FUND GA 501(C)(3) LINE 7 NORTHSIDE HEALTH SERVICES INC 0 NORTHSIDE VENTURES INC 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 581954456 LEASING COMPANY GA N/A C 0 GWINNETT MANAGED CARE INC 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 582135759 PROFESSIONAL SERVICES GA N/A C 0 NORTHSIDE HEALTH NETWORK INC 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 843655289 PROFESSIONAL SERVICES GA N/A C 0 SEQUENT HEALTH PHYSICIAN PARTNERS 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 471511997 CLINICALLY INTEGRATED ORGANIZATION GA N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 1