2026-08-14T16:17:01-05:00 2025-09-30 621517792 PYA P C 6016 BROOKVALE LANE KNOXVILLE TN 37919 990 2024-10-01 581828486 GWINNETT HOSPITAL SYSTEM FOUNDATION INC GWIN 6783125603 1755 NORTH BROWN ROAD 100 LAWRENCEVILLE GA 30043 JASON CHANDLER PRESIDENT 6783125603 2026-08-14 1 1 JENNIFER M BLACKWOOD CPA P00489783 8656730844 2024 2025-03-06 01:10:19Z JAY DENNARD 1755 NORTH BROWN ROAD 100 LAWRENCEVILLE GA 30043 5279687 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. 69 65 0 0 0 0 4607811 4516032 0 0 417958 625321 -105321 -156823 4920448 4984530 1357535 2760540 0 0 0 0 0 0 1063310 1490279 1668901 2847814 4429441 2072634 555089 23114376 24807615 2627108 2686603 20487268 22121012 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 2768158 2760540 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. 2768158 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 8 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 69 65 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 BIN LIU VICE CHAIR (BEGINNING 1/1/25) 1.00 X 0 0 0 PAIGE HAVENS FORMER VICE CHAIR (ENDED 12/31/24) 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 DEBORAH MITCHAM BILBRO BOARD MEMBER, NORTHSIDE GWINNETT CEO 1.00 40.00 X 0 1085730 21408 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 OVIE MUGHELLI BOARD MEMBER 1.00 X 0 0 0 CYNTHIA CHANDLER BOARD MEMBER 1.00 X 0 107518 22410 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 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 SECRETARY 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 1165811 10704 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 416558 19268 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 BILL 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 TREASURER 1.00 X 0 0 0 GREG WHITLOCK 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 SARAH PARK BOARD MEMBER 1.00 X 0 0 0 TEDDY RUSSELL BOARD MEMBER 1.00 X 0 0 0 JAY DENNARD BOARD MEMBER 1.00 40.00 X 0 696867 32495 CATHY DOUGHERTY BOARD MEMBER 1.00 X 0 0 0 JASON CHANDLER FOUNDATION PRESIDENT 40.00 X 0 416223 32495 0 3888707 138780 0 0 1 0 0 487238 2700 4026094 2320 4516032 625321 625321 138334 487238 295157 -156823 -156823 4984530 0 0 468498 2760540 2760540 995625 321845 673780 104395 7618 31284 65493 58687 18971 39716 144383 46673 97710 10292 3327 6965 302 302 BAD DEBT 79496 79496 BANK FEES 10263 10263 265458 85812 179646 4429441 2768158 597973 1063310 5820545 6050936 1206929 1181037 137493 72844 76511 75692 1121 819 15948288 17501979 23114376 24807615 2564557 2042553 431293 62551 212757 2627108 2686603 X 6315101 6605018 14172167 15515994 20487268 22121012 23114376 24807615 X 555089 1079167 -512 X 0 1 X 1 0 X 2614286 2665847 3875426 4607811 4479158 18242528 2614286 2665847 3875426 4607811 4479158 18242528 4426489 13816039 302137 -61950 398405 417958 625321 1681871 19924399 0.69340 0.74010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14172167 2763028 498023 1917224 15515994 12231923 2796362 723908 1580026 14172167 9870205 2760651 339964 738897 12231923 9560685 2303017 -430186 1563311 9870205 12036994 1439211 503479 4418999 9560685 0.37500 0.62500 0 0 76511 75692 819 819 DUE TO NORTHSIDE HOSPITAL, INC. 212757 212757 X 6283769 1079167 220072 1299239 4984530 0 4984530 4650077 220636 220636 4429441 0 4429441 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 295,157. UNREALIZED BAD DEBT -75,086. OTHER ADJUSTMENT 1. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED WITH REVENUES 295,157. UNREALIZED BAD DEBT -75,086. OTHER ADJUSTMENT 565. PAINT GWINNETT PINK 452792 401048 51744 166584 GOLF 98927 49316 49611 60180 2 73853 36874 36979 68393 625572 487238 138334 295157 295157 -156823 1 NORTHSIDE HOSPITAL INC 1000 JOHNSON FERRY ROAD ATLANTA GA 30342 581954432 501(C)(3) 2666925 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 GEORGIA GWINNETT COLLEGE 1000 UNIVERSITY CENTER LN LAWRENCEVILLE GA 30043 215107997 501(C)(3) 12500 0 TO FUND SCHOLARSHIP PROGRAM GEORGIA STATE UNIVERSITY 58 EDGEWOOD AVE 3RD FLOOR ATLANTA GA 30303 581845423 501(C)(3) 17500 0 TO FUND SCHOLARSHIP PROGRAM CHAMBERLAIN UNIVERSITY 500 W MONROE ST STE 1300 CHICAGO IL 60661 202452410 10000 0 TO FUND SCHOLARSHIP PROGRAM 4 1 0 1 0 0 0 0 0 0 0 DEBORAH MITCHAM BILBRO BOARD MEMBER, NORTHSIDE GWINNETT CEO 0 789433 0 281104 0 15193 0 0 0 21408 0 1107138 0 0 GARY LEVENGOOD MD BOARD MEMBER 0 844529 0 299453 0 21829 0 0 0 10704 0 1176515 0 0 PAAYAL MEHTA BOARD MEMBER 0 336894 0 70428 0 9236 0 0 0 19268 0 435826 0 0 JAY DENNARD BOARD MEMBER 0 526184 0 160424 0 10259 0 0 0 32495 0 729362 0 0 JASON CHANDLER FOUNDATION PRESIDENT 0 297491 0 92782 0 25950 0 0 0 32495 0 448718 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. FORM 990, PART XI, LINE 9: OTHER -512. 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