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Nonprofiteer
← NORTHSIDE HOSPITAL INC

Form 990 for tax year 2022

Filed by NORTHSIDE HOSPITAL INC.

Totals

Total revenue
$6,841,156,789
Total expenses
$6,737,049,547
Contributions and grants received
$2,974,934
Grants paid
$4,772,858
Program services expenses (Part IX)
$5,498,658,990
Management and general expenses
$1,238,390,557
Fundraising expenses
$0
Program service expenses (Part III)
$5,498,658,990

Program services were 81.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DALE M BEARMAN MD

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARK J SWEENEY

    VICE CHAIR/SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ANTHONY J SALVATORE

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • WAYNE L AMBROZE JR MD

    BOARD MEMBER

    Total calculated
    $481,939
    From this org
    $459,342
    From related orgs
    $0
    Other
    $22,597
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $439,354
    Bonus
    $10,000
    Other
    $9,988
    Deferred
    $0
    Nontaxable benefits
    $22,597
    Filer's total
    $481,939

  • THURBERT E BAKER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • CARLTON BUCHANAN MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • KEITH CARNES MD

    BOARD MEMBER

    Total calculated
    $473,093
    From this org
    $453,944
    From related orgs
    $0
    Other
    $19,149
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $441,049
    Bonus
    $0
    Other
    $12,895
    Deferred
    $0
    Nontaxable benefits
    $19,149
    Filer's total
    $473,093

  • NORWOOD DAVIS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • GENEVIEVE FAIRBROTHER MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • IQBAL GARCHA MD

    BOARD MEMBER

    Total calculated
    $601,486
    From this org
    $584,977
    From related orgs
    $0
    Other
    $16,509
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $535,943
    Bonus
    $41,000
    Other
    $8,034
    Deferred
    $0
    Nontaxable benefits
    $16,509
    Filer's total
    $601,486

  • WILLIAM G HASTY JR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • TERRI JONDAHL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • J MICHAEL LEVENGOOD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • BARBARA PARE'

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • WAYNE SIKES

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JOSEF VENABLE MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ROBERT T QUATTROCCHI

    PRESIDENT & CEO NSH, INC.

    Total calculated
    $5,000,201
    From this org
    $4,966,543
    From related orgs
    $0
    Other
    $33,658
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $1,487,319
    Bonus
    $3,450,000
    Other
    $29,224
    Deferred
    $0
    Nontaxable benefits
    $33,658
    Filer's total
    $5,000,201

  • SHANNON BANNA

    VP/CFO NSH, INC./ASST. TREASURER

    Total calculated
    $950,576
    From this org
    $940,609
    From related orgs
    $0
    Other
    $9,967
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $647,234
    Bonus
    $258,060
    Other
    $35,315
    Deferred
    $0
    Nontaxable benefits
    $9,967
    Filer's total
    $950,576

  • JORGE J HERNANDEZ

    VICE PRESIDENT/ASST. SECRETARY

    Total calculated
    $983,211
    From this org
    $960,219
    From related orgs
    $0
    Other
    $22,992
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $595,133
    Bonus
    $331,873
    Other
    $33,213
    Deferred
    $0
    Nontaxable benefits
    $22,992
    Filer's total
    $983,211

  • JANIS DUBOW

    VICE PRESIDENT

    Total calculated
    $658,133
    From this org
    $646,928
    From related orgs
    $0
    Other
    $11,205
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $422,287
    Bonus
    $213,768
    Other
    $10,873
    Deferred
    $0
    Nontaxable benefits
    $11,205
    Filer's total
    $658,133

  • WILLIAM HAYES

    CEO, NORTHSIDE HOSPITAL-CHEROKEE

    Total calculated
    $867,993
    From this org
    $849,726
    From related orgs
    $0
    Other
    $18,267
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $566,950
    Bonus
    $227,493
    Other
    $55,283
    Deferred
    $0
    Nontaxable benefits
    $18,267
    Filer's total
    $867,993

  • DEBORAH MITCHAM BILBRO

    CEO, NORTHSIDE HOSPITAL GWINNETT

    Total calculated
    $1,045,634
    From this org
    $1,032,571
    From related orgs
    $0
    Other
    $13,063
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $753,207
    Bonus
    $264,968
    Other
    $14,396
    Deferred
    $0
    Nontaxable benefits
    $13,063
    Filer's total
    $1,045,634

  • ROBERT PUTNAM

    VICE PRESIDENT

    Total calculated
    $1,066,000
    From this org
    $1,045,934
    From related orgs
    $0
    Other
    $20,066
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $702,940
    Bonus
    $283,394
    Other
    $59,600
    Deferred
    $0
    Nontaxable benefits
    $20,066
    Filer's total
    $1,066,000

  • TINA WAKIM

    VICE PRESIDENT/COO

    Total calculated
    $782,369
    From this org
    $760,236
    From related orgs
    $0
    Other
    $22,133
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $750,499
    Bonus
    $0
    Other
    $9,737
    Deferred
    $0
    Nontaxable benefits
    $22,133
    Filer's total
    $782,369

  • CHARLES DECOOK MD

    ORTHOPEDIC SURGEON

    Total calculated
    $1,870,114
    From this org
    $1,839,666
    From related orgs
    $0
    Other
    $30,448
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,258,843
    Bonus
    $571,430
    Other
    $9,393
    Deferred
    $0
    Nontaxable benefits
    $30,448
    Filer's total
    $1,870,114

  • JIMMY J JIANG MD

    ORTHOPEDIC HAND SURGEON

    Total calculated
    $2,624,718
    From this org
    $2,591,258
    From related orgs
    $0
    Other
    $33,460
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $483,402
    Bonus
    $2,098,646
    Other
    $9,210
    Deferred
    $0
    Nontaxable benefits
    $33,460
    Filer's total
    $2,624,718

  • KENNETH KRESS MD

    ORTHOPEDIC SURGEON

    Total calculated
    $1,403,831
    From this org
    $1,386,367
    From related orgs
    $0
    Other
    $17,464
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $876,997
    Bonus
    $493,961
    Other
    $15,409
    Deferred
    $0
    Nontaxable benefits
    $17,464
    Filer's total
    $1,403,831

  • DAVID A LANGFORD MD

    THORACIC SURGEON

    Total calculated
    $1,331,555
    From this org
    $1,311,887
    From related orgs
    $0
    Other
    $19,668
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $986,259
    Bonus
    $175,000
    Other
    $150,628
    Deferred
    $0
    Nontaxable benefits
    $19,668
    Filer's total
    $1,331,555

  • CHRISTOPHER A POTTS MD

    ORTHOPEDIC SURGEON

    Total calculated
    $1,718,525
    From this org
    $1,698,034
    From related orgs
    $0
    Other
    $20,491
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $716,610
    Bonus
    $962,782
    Other
    $18,642
    Deferred
    $0
    Nontaxable benefits
    $20,491
    Filer's total
    $1,718,525

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 — 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

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
ON OCCASION, CERTAIN BENEFITS, SUCH AS LONG TERM DISABILITY PREMIUMS, ARE GROSSED UP FOR SELECTED EMPLOYEES.
PART I, LINE 4B
MR. QUATTROCCHI HAS LED THE ORGANIZATION FOR MORE THAN TWENTY YEARS AS CEO AND FOR SEVENTEEN YEARS AS A SENIOR EXECUTIVE PRIOR TO BECOMING CEO. IN RECOGNITION OF HIS SUCCESSFUL LEADERSHIP AND EXTENDED TENURE, AND TO ENCOURAGE CONTINUATION OF THIS RELATIONSHIP, THE BOARD OF DIRECTORS HAS PROVIDED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") DESIGNED TO PROVIDE THE CEO WITH A SOURCE OF RETIREMENT INCOME. NORTHSIDE DOES NOT CONSIDER SERP PAYMENTS TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. THE SERP PAYMENTS ARE BASED ON A MATHEMATICAL FORMULA, PURSUANT TO A SIGNED CONTRACT, AND ARE REVIEWED AND ASSESSED PERIODICALLY FOR REASONABLENESS BY AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE AND FULL BOARD OF DIRECTORS APPROVE EACH PAYMENT BEFORE PAYMENT IS MADE. HOWEVER, NO FURTHER FUNDING OF THE SERP IS EXPECTED BASED ON ACTUARIAL PROJECTIONS. AS A RESULT, IN ORDER TO ASSIST FURTHER IN THE CEO'S RETENTION, THE COMPANY HAS ESTABLISHED AN ANNUAL RETENTION PROGRAM FOR THE CEO, PROVIDING FOR AN ANNUAL RETENTION INCENTIVE, BUT ONLY IF HE CONTINUES TO BE EMPLOYED ON THE LAST DAY OF EACH FISCAL YEAR, BEGINNING WITH THE FISCAL YEAR ENDING SEPTEMBER 30, 2021. NORTHSIDE DOES NOT CONSIDER THE RETENTION PAYMENTS TO BE DEFERRED COMPENSATION FOR TAX REPORTING PURPOSES. AS AN ADDITIONAL RETENTION INCENTIVE, THE BOARD OF DIRECTORS MAY DEFER A PORTION OF ANY ANNUAL BONUS PAYABLE TO THE CEO CONDITIONING PAYMENT OF THE DEFERRED PORTION ON THE CEO'S CONTINUED EMPLOYMENT AND SATISFACTION OF CERTAIN SPECIFIED ORGANIZATION METRICS.
PART II
CERTAIN AMOUNTS REPORTED ON SCHEDULE J, PART II, COLUMN (B) MAY INCLUDE AMOUNTS FOR SERVICES PERFORMED IN A PRIOR CALENDAR YEAR BUT NOT DUE AND PAYABLE UNTIL THE ORGANIZATION'S CURRENT TAX YEAR.

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

The 10 largest by cash amount. The API serves every itemized grant.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 August 2024
IRS schema version
2022v5.0
Source object
202402289349302910

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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