Form 990 for tax year 2022
Filed by GWINNETT HOSPITAL SYSTEM FOUNDATION INC.
Totals
- Total revenue
- $4,739,307
- Total expenses
- $2,182,158
- Contributions and grants received
- $4,465,229
- Grants paid
- $599,519
- Program service revenue
- $0
- Investment income
- $398,405
- Other revenue
- -$124,327
- Total assets, end of year
- $18,599,038
- Total liabilities, end of year
- $2,782,488
- Net assets or fund balances, end of year
- $15,816,550
- Program services expenses (Part IX)
- $659,449
- Management and general expenses
- $471,384
- Fundraising expenses
- $1,051,325
- Program service expenses (Part III)
- $659,449
Program services were 30.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
DENISE PECHT MD
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
PAIGE HAVENS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
COLE HUDGENS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DEBBIE MITCHAM BILBRO
BOARD MEMBER, NORTHSIDE GWINNETT CEO
- Total calculated
- $1,045,634
- From this org
- $0
- From related orgs
- $1,032,571
- Other
- $13,063
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $753,207 related
- Bonus
- $0 + $264,968 related
- Other
- $0 + $14,396 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $13,063 related
- Filer's total
- $0 + $1,045,634 related
-
JEFF WAGES
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
JULIUS AJAYI MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
MARY JO ALBERT MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
ETHEL ANDERSEN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
TOM ANDERSEN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
KERRY ARMSTRONG
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
MARVIN BARGE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
SHARON BARTELS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
JENNIFER BRIDWELL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
CARLTON BUCHANAN MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
RENEE BYRD-LEWIS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
GREG CANTRELL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
BRUCE E CARTER DMD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
MURTAZA CASSOOBHOY MD
BOARD MEMBER
- Total calculated
- $345,656
- From this org
- $0
- From related orgs
- $328,994
- Other
- $16,662
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- $0 + $259,949 related
- Bonus
- $0 + $17,381 related
- Other
- $0 + $51,664 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $16,662 related
- Filer's total
- $0 + $345,656 related
-
ANNE CHANDLER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
CYNTHIA CHANDLER
BOARD MEMBER
- Total calculated
- $121,649
- From this org
- $0
- From related orgs
- $101,314
- Other
- $20,335
- Hours/week
- 1
-
LISA CINK
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
FRANK CIRCELLI
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
CLIFF CLARK
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
KRISTI ELLIS COHRON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
JULIA WEBB DAVIS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DAN DUNWODY DDS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
TOM FERRIN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
WILL GRANT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DAVID GREENE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
STAN HALL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
GREG HAYES
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
JANNA HAYES
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
BILL HEAD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
CAROLYN HILL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
STEPHEN K HILL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
STEPHANIE HUNT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
KIMBERLY HUTCHERSON MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
LC JOHNSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
TERRI JONDAHL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
MOHAN KRISHNAMACHARY MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
LYNNE KYTLE-HENDERSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
LESLIE LEIGH MD
BOARD MEMBER
- Total calculated
- $12,000
- From this org
- $0
- From related orgs
- $12,000
- Other
- $0
- Hours/week
- 1
-
GARY LEVENGOOD MD
BOARD MEMBER
- Total calculated
- $815,401
- From this org
- $0
- From related orgs
- $815,401
- Other
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- $0 + $645,744 related
- Bonus
- $0 + $151,838 related
- Other
- $0 + $17,819 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $815,401 related
-
BIN LIU
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
NICK MASINO
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
SUZANNE MASINO
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
MILES H MASON MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
WAYNE MASON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DAVID MCCLESKEY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
ERIN O'DONNELL MCCORMICK
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
CHUCK MOOMEY MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
BARTOW MORGAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
STACY PATTERSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
SCOTT PHELAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
BETH PHELPS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DONNY PHILLIPS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
NORA ROZIN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
SPENCER ROZIN MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
BILL RUSSELL PHD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
RAYMER SALE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
KRISTEN SAPP
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
TAMMY SHUMATE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
BILL SMITH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
CHUCK SMITH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DAVID SNELL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DAVID STILL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
CLYDE STRICKLAND
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
MIKE TENNANT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
MIKE TOWNSEND
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
RICHARD TUCKER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DEPRIEST WADDY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
KATHRYN PARSONS WILLIS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
TERRA WINTER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
JASON CHANDLER
FOUNDATION PRESIDENT
- Total calculated
- $443,282
- From this org
- $0
- From related orgs
- $422,973
- Other
- $20,309
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $281,242 related
- Bonus
- $0 + $87,456 related
- Other
- $0 + $54,275 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $20,309 related
- Filer's total
- $0 + $443,282 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 4B
- DEBBIE (MITCHAM) BILBRO, BOARD MEMBER OF GWINNETT HOSPITAL SYSTEM FOUNDATION, RECEIVED COMPENSATION AND DEFERRED COMPENSATION FOR SERVICE TO NORTHSIDE GWINNETT HOSPITAL.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$560,519
ASSISTANCE TO FUND PROGRAM OPERATIONS.
-
TO FUND SCHOLARSHIP PROGRAMS.
-
TO FUND SCHOLARSHIP PROGRAMS.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
GWINNETT HOSPITAL SYSTEM AUXILIARY INC
501(C)(3) · ADMINISTRATIVE SERVICES · GA
-
501(C)(3) · PARENT HOLDING COMPANY · GA
-
NORTHSIDE HOSPITAL FOUNDATION INC
501(C)(3) · RAISE FUNDS IN FURTHERANCE OF NORTHSIDE HOSPITAL'S EXEMPT PURPOSE · GA
Directly controlled by NORTHSIDE HEALTH SERVICES INC
-
501(C)(3) · HOSPITAL · GA
Directly controlled by NORTHSIDE HEALTH SERVICES INC
-
501(C)(3) · PUBLIC CHARITY, ORGANIZED EMPLOYEE RELIEF FUND · GA
Directly controlled by NORTHSIDE HEALTH SERVICES INC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · LEASING COMPANY · GA
-
C · PROFESSIONAL SERVICES · GA
-
C · PROFESSIONAL SERVICES · GA
-
SEQUENT HEALTH PHYSICIAN PARTNERS
C · CLINICALLY INTEGRATED ORGANIZATION · GA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202422289349301792
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