EMORY UNIVERSITY: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- EMORY UNIVERSITY (EIN 58-1966795)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201301349349307060
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T16:28:12-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621517792 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PERSHING YOAKLEY & ASSOCIATES P C | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CHEROKEE MILLS 2220 SUTHERLAND | AddressLine1 |
| City | KNOXVILLE | City |
| State | TN | State |
| ZIP Code | 379192363 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581966795 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEKALB MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DEKA | NameControl |
| Phone | 4045011000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 NORTH DECATUR ROAD | AddressLine1 |
| City | DECATUR | City |
| State | GA | State |
| ZIP Code | 30033 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN KATSIANIS | Name |
| Title | SVP & CFO | Title |
| Phone | 4045011000 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN P CLARK CPAFHFMA | Name |
| PTIN | P00017549 | PTIN |
| Phone | 8656730844 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN SHELTON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 NORTH DECATUR ROAD | AddressLine1 |
| City | DECATUR | City |
| State | GA | State |
| ZIP Code | 30033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 452936183 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.DEKALBMEDICAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE PATIENTS' LIVES THROUGH THE DELIVERY OF EXCELLENT HEALTH AND WELLNESS SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4326 | TotalNbrEmployees |
| Total Nbr Volunteers | 240 | TotalNbrVolunteers |
| Total Gross UBI | 62768 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -56517 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1192414 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3340510 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 413438521 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 443625483 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6038682 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5960679 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2195151 | OtherRevenuePriorYear |
| Other Revenue Current Year | 8941 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 422864768 | TotalRevenuePriorYear |
| Total Revenue Current Year | 452935613 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1777045 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 194620044 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 204971666 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 227304366 | OtherExpensePriorYear |
| Other Expenses Current Year | 253340341 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 421924410 | TotalExpensesPriorYear |
| Total Expenses Current Year | 460089052 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 940358 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -7153439 | RevenuesLessExpensesCY |
| Total Assets BOY | 404221357 | TotalAssetsBOY |
| Total Assets EOY | 379429709 | TotalAssetsEOY |
| Total Liabilities BOY | 245325559 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 256486577 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 158895798 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 122943132 | NetAssetsOrFundBalancesEOY |
| Mission Description | AT DEKALB MEDICAL CENTER, INC. ("DMC"), OUR MISSION IS TO IMPROVE LIVES THROUGH THE DELIVERY OF EXCELLENT HEALTH AND WELLNESS SERVICES IN PARTNERSHIP WITH OUR PHYSICIANS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 255551735 | Expense |
| Grants | 1777045 | Grants |
| Revenue | 329333881 | Revenue |
| Description | DEKALB MEDICAL AT NORTH DECATUR - 22,067 PATIENTS DISCHARGED (INCLUDES NICU AND EXCLUDES BABIES) FROM THE HOSPITAL FOR A TOTAL OF 107,796 DISCHARGED DAYS. THERE WERE 181,745 VISITS TO THE HOSPITAL DURING THE YEAR. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 68579339 | Expense |
| Revenue | 89181943 | Revenue |
| Description | DEKALB MEDICAL AT HILLANDALE - 5,068 PATIENTS DISCHARGED FROM THE HOSPITAL FOR A TOTAL OF 21,197 DISCHARGED DAYS. THERE WERE 93,862 VISITS TO THE HOSPITAL DURING THE YEAR. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 36469945 | Expense |
| Revenue | 25118600 | Revenue |
| Description | DEKALB MEDICAL PHYSICIAN NETWORK - 130,930 PATIENTS WERE TREATED IN THE PHYSICIANS OFFICES DURING THE FISCAL YEAR. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 360601019 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 510 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 4326 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN KATSIANIS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4045015025 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 NORTH DECATUR ROAD | AddressLine1 |
| City | DECATUR | City |
| State | GA | State |
| ZIP Code | 30033 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| ERIC P NORWOOD | ||||||||
| DIR., DMC PRES./CEO RESIGNED 9/11 | 40.00 | X | X | 963071 | 0 | 51741 | ||
| JOHN A SHELTON JR | ||||||||
| DIR., DMC PRES./CEO EFFECTIVE 11/11 | 40.00 | X | X | 289772 | 0 | 13820 | ||
| OLIVER LEE | ||||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | |||
| DAVID JOLLAY | ||||||||
| VICE CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT WILSON | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | |||
| CHARLES CLIFTON MD | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | |||
| ROBIN DRETLER MD | ||||||||
| DIR., CHIEF OF STAFF - N. DECATUR | 40.00 | X | 19997 | 0 | 0 | |||
| DOMINIQUE SMITH MD | ||||||||
| DIR., CHIEF OF STAFF - HILLANDALE | 1.00 | X | 9165 | 0 | 0 | |||
| DIANE P HARDEN | ||||||||
| DIR., DMC SVP & CFO RESIGNED 4/12 | 40.00 | X | 440291 | 0 | 45670 | |||
| CATHLEEN WHEATLEY | ||||||||
| SVP & CHIEF OF QUALITY | 40.00 | X | 451713 | 0 | 21962 | |||
| JAN GANNON | ||||||||
| CHIEF NURSING OFFICER | 40.00 | X | 337181 | 0 | 19192 | |||
| JOSEPH FOWLER | ||||||||
| VP & ADMINISTRATOR | 40.00 | X | 201059 | 0 | 10508 | |||
| CHERYL IVERSON | ||||||||
| VP MARKETING & BUSINESS DEVELOPMENT | 40.00 | X | 199414 | 0 | 38372 | |||
| THOMAS CRAWFORD | ||||||||
| VP HUMAN RESOURCES | 40.00 | X | 223010 | 0 | 41905 | |||
| CHARLES BARCLAY MD | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | X | 312754 | 0 | 24387 | |||
| STEPHEN THOMAS MD | ||||||||
| VP DEKALB MEDICAL PHYSICIAN GROUP | 40.00 | 335407 | 0 | 21922 | X | |||
| MARK TROCINO | ||||||||
| VP & CHIEF INFORMATION OFFICER | 40.00 | 252619 | 0 | 14203 | X | |||
| JAMES FORSTNER | ||||||||
| VP & CHIEF STRATEGY OFFICER | 40.00 | 204230 | 0 | 26658 | X | |||
| SUSAN HARRIS | ||||||||
| VP & ADMINISTRATOR | 40.00 | 190846 | 0 | 27601 | X | |||
| JOEL SCHUESSLER | ||||||||
| VP & CHIEF COMPLIANCE OFFICER | 40.00 | 158687 | 0 | 13977 | X | |||
| DAVID HOLLADAY MD | ||||||||
| PHYSICIAN | 40.00 | 962222 | 0 | 23957 | X | |||
| RAYMOND LAWHEAD MD | ||||||||
| PHYSICIAN | 40.00 | 545945 | 0 | 19987 | X | |||
| SHAINUL BHATIA MD | ||||||||
| PHYSICIAN | 40.00 | 389713 | 0 | 41628 | X | |||
| AUGSTINE CONDUAH MD | ||||||||
| PHYSICIAN | 40.00 | 516796 | 0 | 29412 | X | |||
| RODERICK STEVENSON MD | ||||||||
| PHYSICIAN | 40.00 | 253709 | 0 | 14771 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7257601 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 501673 | TotalOtherCompensation |
| Number Individuals GT100 K | 97 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DEKALB ANESTHESIA ASSOCIATES PA | |||||
| 21717 WEST PARK COURT SUITE A | STONE MOUNTAIN | GA | 30087 | ANESTHESIOLOGY SRVCS | 3733295 |
| SODEXO INC & AFFILIATES | |||||
| PO BOX 536922 | ATLANTA | GA | 30353 | MANAGEMENT SERVICES | 3502010 |
| MEADOWS AND OHLY LLC | |||||
| 275 SCIENTIFIC DRIVE SUITE 275 | NORCROSS | GA | 30092 | MANAGEMENT SERVICES | 3198833 |
| BRASFIELD AND GORRIE | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 35246 | CONSTRUCTION SRVCS | 2160531 |
| METRO VASCULAR PC | |||||
| 2675 N DECATUR ROAD SUITE 210 | DECATUR | GA | 30033 | SURGICAL SERVICES | 1076169 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 42 | NumberOfContractorsGT100K |
| Related Organizations | 2539336 | RelatedOrganizations |
| Government Grants | 127108 | GovernmentGrants |
| All Other Contributions | 674066 | AllOtherContributions |
| Total Contributions | 3340510 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REV N DECA | 621990 | 328046984 | 328046984 |
| NET PATIENT REV HILLAN | 621990 | 89181943 | 89181943 |
| NET PATIENT REV PRIMAR | 621110 | 25118616 | 25118616 |
| WELLNESS CENTER | 713940 | 804119 | 804119 |
| RADIOLOGY SCHOOL | 900099 | 117792 | 117792 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 356029 | TotalRevenueColumn |
| Related Or Exempt Function Income | 225317 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 62768 | UnrelatedBusinessRevenue |
| Exclusion | $67,944 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 443625483 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5521209 | TotalRevenueColumn |
| Exclusion | $5,521,209 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 8941 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 8941 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8941 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8941 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 440040 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 570 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 440040 | Securities |
| Other | -570 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 439470 | TotalRevenueColumn |
| Exclusion | $439,470 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 452935613 | TotalRevenueColumn |
| Related Or Exempt Function Income | 443503712 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 62768 | UnrelatedBusinessRevenue |
| Exclusion | $6,028,623 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1777045 | Total |
| Program Services | 1777045 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175651919 | Total |
| Program Services | 143770104 | ProgramServices |
| Management And General | 31881815 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6157672 | Total |
| Program Services | 5040020 | ProgramServices |
| Management And General | 1117652 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10367998 | Total |
| Program Services | 8621161 | ProgramServices |
| Management And General | 1746837 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12794077 | Total |
| Program Services | 10460572 | ProgramServices |
| Management And General | 2333505 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 810319 | Total |
| Management And General | 810319 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 316383 | Total |
| Program Services | 1732 | ProgramServices |
| Management And General | 314651 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 465847 | Total |
| Management And General | 465847 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28192472 | Total |
| Program Services | 17643968 | ProgramServices |
| Management And General | 10548504 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1947611 | Total |
| Program Services | 584 | ProgramServices |
| Management And General | 1947027 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77725883 | Total |
| Program Services | 75523617 | ProgramServices |
| Management And General | 2202266 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8136763 | Total |
| Program Services | 751032 | ProgramServices |
| Management And General | 7385731 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21601143 | Total |
| Program Services | 8955551 | ProgramServices |
| Management And General | 12645592 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166316 | Total |
| Program Services | 58441 | ProgramServices |
| Management And General | 107875 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 315740 | Total |
| Program Services | 96566 | ProgramServices |
| Management And General | 219174 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112137 | Total |
| Management And General | 112137 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20868738 | Total |
| Program Services | 757050 | ProgramServices |
| Management And General | 20111688 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3055170 | Total |
| Program Services | 428822 | ProgramServices |
| Management And General | 2626348 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 72305001 | 72305001 | |
| REPAIRS AND MAINTENANCE | 9826253 | 9006490 | 819763 |
| MEDICARE PROVIDER TAX | 4645312 | 4645312 | |
| MEMBERSHIP, DUES & SUBS | 1033470 | 218326 | 815144 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1815783 | Total |
| Program Services | 539625 | ProgramServices |
| Management And General | 1276158 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 460089052 | Total |
| Program Services | 360601019 | ProgramServices |
| Management And General | 99488033 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13485455 | BOY |
| EOY | 12249518 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7621947 | BOY |
| EOY | 7165490 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62572601 | BOY |
| EOY | 58112119 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5860483 | BOY |
| EOY | 5921091 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2749509 | BOY |
| EOY | 1743794 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 410304538 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 281378942 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137742124 | BOY |
| EOY | 128925596 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168590597 | BOY |
| EOY | 160126020 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1063206 | BOY |
| EOY | 1413807 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4535435 | BOY |
| EOY | 3772274 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 404221357 | BOY |
| EOY | 379429709 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43330734 | BOY |
| EOY | 38057988 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 191970095 | BOY |
| EOY | 189316202 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10024730 | BOY |
| EOY | 29112387 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 245325559 | BOY |
| EOY | 256486577 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158345967 | BOY |
| EOY | 122404058 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 549831 | BOY |
| EOY | 539074 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158895798 | BOY |
| EOY | 122943132 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 404221357 | BOY |
| EOY | 379429709 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -7153439 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -28799227 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $35,655 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 35655 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | DUES PAID TO GEORGIA HOSPITAL ASSOCIATION WERE $98,913. OF THIS AMOUNT, $23,739 OR APPROXIMATELY 24%, WENT FOR LOBBYING. DUES PAID TO AMERICAN HOSPITAL ASSOCIATION WERE $48,439. OF THIS AMOUNT, $11,916 OR APPROXIMATELY 24.6%, WENT FOR LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 549831 | BeginningOfYearBalance |
| Contributions | 826617 | Contributions |
| Other Expenditures | 837374 | OtherExpenditures |
| End Of Year Balance | 539074 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 585490 | BeginningOfYearBalance |
| Contributions | 672897 | Contributions |
| Other Expenditures | 708556 | OtherExpenditures |
| End Of Year Balance | 549831 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1999808 | BeginningOfYearBalance |
| Contributions | 7300 | Contributions |
| Investment Earnings Or Losses | -1277654 | InvestmentEarningsOrLosses |
| Other Expenditures | 143964 | OtherExpenditures |
| End Of Year Balance | 585490 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2836621 | BeginningOfYearBalance |
| Contributions | 261659 | Contributions |
| Investment Earnings Or Losses | -1045126 | InvestmentEarningsOrLosses |
| Other Expenditures | 53346 | OtherExpenditures |
| End Of Year Balance | 1999808 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 403305 | OtherCostOrOtherBasis |
| Book Value | 403305 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 229231586 | OtherCostOrOtherBasis |
| Depreciation | 133418070 | Depreciation |
| Book Value | 95813516 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 172313148 | OtherCostOrOtherBasis |
| Depreciation | 142500045 | Depreciation |
| Book Value | 29813103 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8356499 | OtherCostOrOtherBasis |
| Depreciation | 5460827 | Depreciation |
| Book Value | 2895672 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 128925596 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF INSURANCE RESERVES | $3,982,046 |
| ACCRUED PENSION COSTS | $18,485,795 |
| ASSET RETIREMENT OBLIGATION | $4,931,327 |
| FAIR VALUE OF INTEREST RATE SWAPS | $1,713,219 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 29112387 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | TO PURCHASE EQUIPMENT, GRANT FUNDS FOR THE CANCER CENTER, PURCHASE SAFETY EQUIPMENT FOR THE EMERGENCY RESPONSE UNIT, AND FUND THE WELLNESS ON WHEELS PROGRAM. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | PER THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR DEKALB REGIONAL HEALTH SYSTEM, INC. AND SUBSIDIARIES: THE SYSTEM, DEKALB MEDICAL CENTER,INC., DEKALB MEDICAL CENTER FOUNDATION, INC., AND DECATUR HEALTH RESOURCES, INC. ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AS WELL AS STATE INCOME TAX. VENTURES IS A TAXABLE ENTITY AND FILES A CORPORATE TAX RETURN. WITH RESPECT TO ITS FOR-PROFIT ENTITY, AS WELL AS ANY UNRELATED BUSINESS INCOME GENERATED AT THE TAX-EXEMPT ENTITIES, THE SYSTEM RECORDS INCOME TAXES USING THE ASSET AND LIABILITY METHOD UNDER WITH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. ALL SUCH INCOME TAX ACCOUNTING IS IMMATERIAL TO THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM APPLIES ASC 740, INCOME TAXES, WHICH PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11283505 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 11283505 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02910 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 64203823 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41379596 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22824227 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05890 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 75487328 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41379596 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 34107732 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08800 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11584 | PersonsServed |
| Total Community Benefit Expense | 57461 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 57461 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2336 | PersonsServed |
| Total Community Benefit Expense | 416924 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 416924 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1460 | PersonsServed |
| Total Community Benefit Expense | 72860 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 72860 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3 | PersonsServed |
| Total Community Benefit Expense | 4317 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11799 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -7482 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3857 | PersonsServed |
| Total Community Benefit Expense | 194988 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 194988 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19240 | PersonsServed |
| Total Community Benefit Expense | 746550 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11799 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 734751 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19240 | PersonsServed |
| Total Community Benefit Expense | 76233878 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41391395 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 34842483 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08990 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $24,152,982 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 94557395 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 83855313 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 10702082 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|
| DEKALB MEDICAL AT NORTH DECATUR | |||||||
| 1 | 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | X | X | X |
| DEKALB MEDICAL AT HILLANDALE | |||||||
| 2 | 2801 DEKALB MEDICAL PARKWAY | LITHONIA | GA | 30058 | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEKALB MEDICAL CENTER AT NORTH DECATUR | ||||||||||||||||||||||||
| 1 | 0 | 1 | 1 | 200.000000000000 | 1 | 250.000000000000 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | 1 | 0 | 1 | X | 0 | 1 |
| DEKALB MEDICAL CENTER AT HILLANDALE | ||||||||||||||||||||||||
| 2 | 0 | 1 | 1 | 200.000000000000 | 1 | 250.000000000000 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | 1 | 0 | 1 | X | 0 | 1 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| DEKALB MEDICAL PRIMARY CARE | ||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | PRIMARY CARE |
| DEKALB MEDICAL SPECIALTY CARE | ||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | SPECIALIST CARE |
| DEKALB MEDICAL OCCUPATIONAL MEDICINE GRO | ||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | OCCUPATIONAL MEDICINE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES. | ||
| PART I, LINE 7: A COST-TO-CHARGE RATIO, DERIVED FROM THE SCHEDULE H APPLICABLE WORKSHEETS, INCLUDING WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES, WAS USED TO DETERMINE CHARITY CARE. ACTUAL EXPENSE DATA IS ACCUMULATED WITHIN THE GENERAL LEDGER WHICH ADDRESSES ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, COMMERCIAL INSURANCE, GOVERNMENT INSURANCE, UNINSURED AND SELF-PAY. THE TOTAL OPERATING EXPENSE WAS DIVIDED BY PATIENT REVENUES TO CALCULATE AN OVERALL RATIO THAT WAS THEN APPLIED TO INDIGENT AND CHARITY CARE CHARGES TO ARRIVE AT COST. | ||
| PART I, LINE 7G: BEHAVIORAL HEALTH SERVICES ARE OFFERED BY DEKALB MEDICAL CENTER. | ||
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 72305002. | ||
| PART III, LINE 4: PER THE DEKALB REGIONAL HEALTH SYSTEM, INC. AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS: "THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES, IN THE NORMAL COURSE OF BUSINESS, THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS ASSESSMENT OF THESE AND OTHER FACTORS BY PAYOR CATEGORY, AND ADJUSTS THE ALLOWANCE AND RELATED PROVISION ACCORDINGLY. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, MANAGEMENT ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A RELATED PROVISION, IF NECESSARY, FOR PAYORS WITH KNOWN FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL (PATIENT APPORTIONMENT), MANAGEMENT RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE SYSTEM'S SELF-PAY WRITE-OFFS INCREASED $15,393,000 DURING 2012 FROM $46,803,000 IN FISCAL YEAR 2011 TO $62,196,000 IN FISCAL YEAR 2012. THE INCREASE WAS A RESULT OF DECREASES IN THE NUMBER OF PATIENTS QUALIFYING FOR CHARITY CARE IN FISCAL YEAR 2012. THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2012 OR 2011. AS IT RELATES TO THIRD-PARTY PAYORS, THE SYSTEM DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, NOR DOES IT HAVE SIGNIFICANT WRITE-OFFS." | ||
| PART III, LINE 9B: THE CURRENT BILLING AND COLLECTION POLICY DOES NOT CONTAIN PROVISIONS FOR COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE BUT THE FAP OR "CHARITY POLICY" DOES AS IT OUTLINES THE COMPLETE WRITE OFF OR SLIDING SCALE AMOUNTS THE INDIVIDUAL WILL BE RESPONSIBLE FOR. | ||
| PART V, SECTION B, LINE 13G: AVAILABILITY OF FAP APPLICATION IS DISCUSSED DURING THE FINANCIAL COUNSELING PROCESS. | DEKALB MEDICAL CENTER AT NORTH DECATUR | |
| PART V, SECTION B, LINE 13G: AVAILABILITY OF FAP APPLICATION DISCUSSED DURING THE FINANCIAL COUNSELING PROCESS | DEKALB MEDICAL CENTER AT HILLANDALE | |
| PART V, SECTION B, LINE 19D: DEKALB'S FAP REQUIRES A COMPLETE WRITE OFF OR ADJUSTMENT OF TOTAL CHARGES OR A PORTION OF CHARGES IF PATIENT IS FAP ELIGIBLE AND IS BASED ON FEDERAL POVERTY GUIDELINES (FPG). | DEKALB MEDICAL CENTER AT NORTH DECATUR | |
| PART V, SECTION B, LINE 19D: DEKALB'S FAP REQUIRES A COMPLETE WRITE OFF OR ADJUSTMENT OF TOTAL CHARGES OR A PORTION OF CHARGES IF PATIENT IS FAP ELIGIBLE AND IS BASED ON FEDERAL POVERTY GUIDELINES (FPG). | DEKALB MEDICAL CENTER AT HILLANDALE | |
| PART V, SECTION B, LINE 21: THE HOSPITAL CURRENTLY UTILIZES AN AUTOMATIC BILL PROCEDURE WHICH PREPARES THE FIRST BILL AT GROSS CHARGES. DISCOUNTS AND WRITE-OFFS ARE APPLIED AFTER THE FIRST BILL. IN TAX YEAR ENDING 06/30/2012, THE FACILITY BILLED ALL FAP ELIGIBLE PATIENTS AT GROSS BUT COLLECTED LESS THAN GROSS BASED ON FAP AND FPG. | DEKALB MEDICAL CENTER AT NORTH DECATUR | |
| PART V, SECTION B, LINE 21: THE HOSPITAL CURRENTLY UTILIZES AN AUTOMATIC BILL PROCEDURE WHICH PREPARES THE FIRST BILL AT GROSS CHARGES. DISCOUNTS AND WRITE-OFFS ARE APPLIED AFTER THE FIRST BILL. IN TAX YEAR ENDING 06/30/2012, THE FACILITY BILLED ALL FAP ELIGIBLE PATIENTS AT GROSS BUT COLLECTED LESS THAN GROSS BASED ON FAP AND FPG. | DEKALB MEDICAL CENTER AT HILLANDALE | |
| PART VI, LINE 2: EVERY FIVE YEARS, WE PARTNER WITH THE DEKALB BOARD OF HEALTH TO ASSESS LOCAL RISK FACTORS AND MEASURE THE SUCCESS OF OUR HEALTHCARE INITIATIVES. THE COMMUNITY "HEALTH REPORT" INCLUDES AN EVALUATION OF DISEASE PREVALENCE AND COMPARISON AGAINST NATIONAL AVERAGES THAT HELPS US ENGINEER SERVICES TO ELIMINATE HEALTH DISPARITIES BASED ON ETHNICITY, INCOME, EDUCATION AND OTHER FACTORS. AMONG THE OPPORTUNITIES IDENTIFIED FOR PREVENTION AND COMMUNITY ACTION IN DEKALB AND SURROUNDING COUNTIES WERE THE FOLLOWING: *80% OF REFUGEES IN GEORGIA LIVE IN DEKALB COUNTY AND SPEAK MORE THAN 64 DIFFERENT LANGUAGES. *72% OF ALL HOSPITALIZATIONS ARE CAUSED BY HEART DISEASE. *PREGNANCY AND CHILDBIRTH COMPLICATIONS ARE THE 2ND LEADING CAUSE OF HOSPITALIZATION. *STROKE, HEART DISEASE AND CANCER WERE THE LEADING CAUSES FOR DEATH IN ADULTS AGED 65 AND OVER. | ||
| PART VI, LINE 3: PATIENTS PROVIDED CARE BY THE HOSPITAL MEET WITH A FINANCIAL COUNSELOR AFTER THEIR CARE IS RENDERED. ELEGIBILITY CRITERIA FOR VARIOUS FINANCIAL ASSISTANCE PROGRAMS IS REVIEWED WITH THE PATIENT INCLUDING CHARITY, MEDICAID, OR OTHER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS. BILLING STATEMENTS RECEIVED BY A PATIENT ADVISE THEM TO CONTACT THE FINANCIAL COUNSELING DEPARTMENT ABOUT THESE PROGRAMS. | ||
| PART VI, LINE 4: DEKALB REGIONAL HEALTH SYSTEM SERVES THE POPULATION OF DEKALB COUNTY, GA (54% AFRICAN AMERICAN, 35% WHITE, 4% ASIAN) AS WELL AS ROCKDALE AND GWINNETT COUNTIES. THE MEDIAN INCOME OF DEKALB COUNTY IS APPROXIMATELY $51,700 AND ABOUT 17% OF THE COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL. APPROXIMATELY 9% OF THE POPULATION IS OVER AGE 65 AND 24% OF THE POPULATION IS UNDER AGE 18. | ||
| PART VI, LINE 5: UNDERSTANDING THAT A HEALTH COMMUNITY IS ABOUT MORE THAN JUST THE ABSENCE OF DEATH AND DISEASE, WE ALSO CONTRIBUTE TO THE ECONOMIC VITALITY AND CREATION OF QUALITY JOBS RIGHT HERE AT HOME. NAMED THE 2010 CORPORATION OF THE YEAR BY THE DEKALB COUNTY CHAMBER OF COMMERCE FOR OUR ROLE AS AN ACTIVE CORPORATE CITIZEN AND PROPONENT OF DIVERSITY, THE FOLLOWING PROGRAMS HAVE HELPED BUILD THE HEALTH OF OUR COMMUNITY: 1) WE HELP REDUCE TEEN PREGNANCY AND SEXUALLY TRANSMITTED DISEASE BY PROVIDING FREE PREVENTION EDUCATION THROUGH OUR PUBERTY ROCKS PROGRAM FOR PRE-TEENS; 2) WE SUPPORT 100 BLACK MEN OF DEKALB IN THE EFFORT TO PROVIDE HIGHER EDUCATION TO AT-RISK YOUTH; 3) WE PARTNER WITH THE PHYSICIANS'S CARE CLINIC TO PROVIDE NEARLY 2,000 LOW OR NO COST PATIENT VISITS A YEAR INCLUDING LAB WORK AND PRESCRIPTION MEDICATIONS TO AREA LOW-INCOME AND UNINSURED RESIDENTS; 4) WE SPONSOR A FREE ANNUAL CANCER SCREENING DAY ON TWO OF OUR HOSPITAL CAMPUSES; 5) WE HAVE RECENT HEALTHY WORKPLACE INIATIVES INCLUDE SMOKE-FREE BUILDINGS INSIDE AND OUT, A NO-NICOTINE HIRING POLICY AND ADOPTION OF HEALTHY FOOD OPTIONS IN HOSPITAL CAFETERIAS; 6) WE COLLECT AND DONATE SURPLUS MEDICAL SUPPLIES TO MEDSHARE INTERNATIONAL IN SUPPORT OF HEALTH INITIATIVES IN LESS FORTUNATE COUNTRIES; 7) WE HAVE AN OPEN MEDICAL STAFF THAT ATTRACTS UNLIMITED, HIGHLY TRAINED MEDICAL TALENT TO SERVE THE AREA; 8) WE ARE A MAJOR SPONSOR OF THE LEADERSHIP DEKALB INITIATIVE TO PROMOTE COMMUNITY CONNECTIVITY AND ACTION PLANS FOR ECONOMIC DEVELOPMENT, SUSTAINABILITY AND IMPROVEMENT OF THE QUALITY OF LIFE IN DEKALB COUNTY; 9) DEKALB MEDICAL PROVIDES FURTHER ENRICHMENT AND EMPLOYMENT OPPORTUNITIES BY CHAMPIONING WORKPLACE SUCCESS FOR YOUTH AND ADULTS WITH DISABILITIES. PARTNERING WITH THE NATIONALLY RECOGNIZED TOMMY NOBIS CENTER, DEKALB MEDICAL CONTRACTS WITH THE CENTER, DEKALB MEDICAL CONTRACTS WITH THE CENTER TO PROVIDE SWITCHBOARD OPERATORS FOR THE HEALTH SYSTEM; 9) WE PARTNER WITH DEKALB COUNTY HIGH SCHOOLS TO PROVIDE MENTALLY AND PHYSICALLY CHALLENGED STUDENTS WITH VOCATIONAL TRAINING AND REAL-LIFE WORK EXPERIENCE IN THE HEALTHCARE INDUSTRY. THE STUDENTS, WHO RECEIVE SCHOOL CREDIT, SERVE AS VOLUNTEERS IN OUR CAFETERIA, LAUNDRY ROOM AND MOTHER-BABY UNITS; 10) WE PARTICIPATE IN NUMEROUS CAREER DAYS, ENCOURAGING THE SCIENCE AND MATH EDUCATION THAT'S NEEDED TO PROVIDE COMPETENT HEALTH WORKERS OF THE FUTURE; 11) WE SUPPORT A DEKALB WORKFORCE DEVELOPMENT PARTNERSHIP THAT PROVIDES TRAINING PROGRAMS, EDUCATION AND A CLINICAL SITE FOR PATIENT CARE TECHNICIAN CERTIFICATION; AND 12) WE MAINTAIN A PARTNERSHIP WITH GEORGIA PERIMETER COLLEGE AND MERCER UNIVERSITY TO PROVIDE CLINICAL ROTATIONS, PRECEPTORSHIPS, EDUCATION AND INSTRUCTION TO GEORGIA'S FUTURE NURSES. | ||
| PART VI, LINE 6: DEKALB REGIONAL HEALTH SYSTEM, INC. IS THE PARENT ENTITY WHICH PROVIDES SUPPORT TO DEKALB MEDICAL CENTER, INC., DECATUR HEALTH RESOURCES, INC. AND DEKALB MEDICAL CENTER FOUNDATION, INC. DEKALB MEDICAL CENTER, INC. OPERATES TWO ACUTE CARE HOSPITALS AND A PHYSICIAN PRACTICE NETWORK TO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF DEKALB COUNTY, GEORGIA AND SURROUNDING COUNTIES. DECATUR HEALTH RESOURCES PROVIDES LONG-TERM ACUTE CARE HOSPITAL SERVICES TO PATIENTS WHO NEED ADDITIONAL TIME TO RECOVER FROM SERIOUS ILLNESS. DEKALB MEDICAL CENTER FOUNDATIONS'S MISSION IS TO STRENGTHEN THE LINK BETWEEN DEKALB REGIONAL HEALTH SYSTEM AND THE COMMUNITY IT SERVICES THROUGH COMMUNICATION, EDUCATION, SERVICE AND PHILANTHROPY. | ||
| GA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEKALB REGIONAL HEALTH SYSTEM INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 NORTH DECATUR | AddressLine1 |
| City | DECATUR | City |
| State | GA | State |
| ZIP Code | 30033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 582034980 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 1777045 | AmountOfCashGrant |
| Purpose Of Grant | INTERCOMPANY TRANSFER - GENERAL SUPPORT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. SCHOLARSHIP FUNDS ARE REMITTED TO THE EDUCATIONAL INSTITUTIONS DIRECTLY. FOR OTHER GRANTS, VARIOUS PROCEDURES ARE IN PLACE DEPENDING ON GRANT TYPE, INCLUDING REQUIREMENTS TO SUBMIT APPLICATIONS FOR REVIEW AND APPROVAL. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERIC P NORWOOD | |||||||||||||
| 431548 | 0 | 232630 | 0 | 298893 | 0 | 11025 | 0 | 40716 | 0 | 1014812 | 0 | 0 | 0 |
| JOHN A SHELTON JR | |||||||||||||
| 134762 | 0 | 104900 | 0 | 50110 | 0 | 6264 | 0 | 7556 | 0 | 303592 | 0 | 0 | 0 |
| DIANE P HARDEN | |||||||||||||
| 320507 | 0 | 89442 | 0 | 30342 | 0 | 32425 | 0 | 13245 | 0 | 485961 | 0 | 0 | 0 |
| CATHLEEN WHEATLEY | |||||||||||||
| 279032 | 0 | 150043 | 0 | 22638 | 0 | 15925 | 0 | 6037 | 0 | 473675 | 0 | 0 | 0 |
| JAN GANNON | |||||||||||||
| 101629 | 0 | 92804 | 0 | 142748 | 0 | 10609 | 0 | 8583 | 0 | 356373 | 0 | 0 | 0 |
| JOSEPH FOWLER | |||||||||||||
| 3300 | 0 | 3539 | 0 | 194220 | 0 | 0 | 0 | 10508 | 0 | 211567 | 0 | 0 | 0 |
| CHERYL IVERSON | |||||||||||||
| 163622 | 0 | 13474 | 0 | 22318 | 0 | 14179 | 0 | 24193 | 0 | 237786 | 0 | 0 | 0 |
| THOMAS CRAWFORD | |||||||||||||
| 139296 | 0 | 61628 | 0 | 22086 | 0 | 35563 | 0 | 6342 | 0 | 264915 | 0 | 0 | 0 |
| CHARLES BARCLAY MD | |||||||||||||
| 246125 | 0 | 21092 | 0 | 45537 | 0 | 18375 | 0 | 6012 | 0 | 337141 | 0 | 0 | 0 |
| STEPHEN THOMAS MD | |||||||||||||
| 300019 | 0 | 19609 | 0 | 15779 | 0 | 7552 | 0 | 14370 | 0 | 357329 | 0 | 0 | 0 |
| MARK TROCINO | |||||||||||||
| 211162 | 0 | 19005 | 0 | 22452 | 0 | 8530 | 0 | 5673 | 0 | 266822 | 0 | 0 | 0 |
| JAMES FORSTNER | |||||||||||||
| 172059 | 0 | 15553 | 0 | 16618 | 0 | 25736 | 0 | 922 | 0 | 230888 | 0 | 0 | 0 |
| SUSAN HARRIS | |||||||||||||
| 171706 | 0 | 7418 | 0 | 11722 | 0 | 15226 | 0 | 12375 | 0 | 218447 | 0 | 0 | 0 |
| JOEL SCHUESSLER | |||||||||||||
| 139397 | 0 | 13230 | 0 | 6060 | 0 | 5276 | 0 | 8701 | 0 | 172664 | 0 | 0 | 0 |
| DAVID HOLLADAY MD | |||||||||||||
| 938662 | 0 | 318 | 0 | 23242 | 0 | 13797 | 0 | 10160 | 0 | 986179 | 0 | 0 | 0 |
| RAYMOND LAWHEAD MD | |||||||||||||
| 521977 | 0 | 0 | 0 | 23968 | 0 | 13628 | 0 | 6359 | 0 | 565932 | 0 | 0 | 0 |
| SHAINUL BHATIA MD | |||||||||||||
| 275018 | 0 | 91380 | 0 | 23315 | 0 | 34875 | 0 | 6753 | 0 | 431341 | 0 | 0 | 0 |
| AUGSTINE CONDUAH MD | |||||||||||||
| 500997 | 0 | 500 | 0 | 15299 | 0 | 8575 | 0 | 20837 | 0 | 546208 | 0 | 0 | 0 |
| RODERICK STEVENSON MD | |||||||||||||
| 115384 | 0 | 61797 | 0 | 76528 | 0 | 8100 | 0 | 6671 | 0 | 268480 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4A | ReturnReference |
| Explanation | THE INDIVIDUALS BELOW RECEIVED SEVERANCE PAYMENTS TOTALING THE FOLLOWING: ERIC NORWOOD $153,462 JOSEPH FOWLER $171,600 JAN GANNON $101,629 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| THE DEKALB COUNTY HOSPITAL AUTHORITY | |||||||
| 586011209 | 24047CCC0 | 2003-12-10 | 28325646 | REFUND 2003A SERIES | 0 | 0 | 0 |
| THE DEKALB COUNTY HOSPITAL AUTHORITY | |||||||
| 586011209 | 24047CDH8 | 2010-05-03 | 180623920 | REFUND SERIES 2010 | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|
| 28325646 | 2691072 | 177160 | 2003 | 1 | 0 | 1 | 1 | |
| 180623920 | 14114456 | 3168280 | 2011 | 1 | 0 | 1 | 1 | 19992698 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0.00840 | 0.00000 | 0.00840 | 1 |
| 0 | 0 | 0 | 0 | 0.00840 | 0.00000 | 0.00840 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEKALB ANESTHESIA ASSOCIATES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | PROVIDER OF MEDICAL SERVICES TO DMC. | Relationship |
| Amount Of Transaction | 3067440 | AmountOfTransaction |
| Description Of Transaction | CHARLES CLIFTON, M.D., MEMBER OF THE DMC BOARD OF DIRECTORS, IS AN OWNER OF DEKALB ANESTHESIA ASSOCIATES. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | DEKALB REGIONAL HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF DEKALB MEDICAL CENTER, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | EACH BOARD OF DIRECTORS MEMBER NOMINATED TO THE DEKALB MEDICAL CENTER, INC. BOARD IS SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS OF DEKALB REGIONAL HEALTH SYSTEM, INC. IN ACCORDANCE WITH THE DEKALB MEDICAL CENTER BYLAWS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | DEKALB REGIONAL HEALTH SYSTEM, INC. MUST APPROVE CAPITAL EXPENDITURES IN EXCESS OF $2,000,000, ACQUISITIONS, REORGANIZATIONS, MERGERS AND/OR CONSOLIDATIONS, BUDGETS AND ANY REVISIONS AND REVISIONS OF THE ARTICLES OF INCORPORATION FOR DEKALB MEDICAL CENTER, INC. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND SUBMITTED TO THE FINANCE COMMITTEE OF THE DEKALB REGIONAL HEALTH SYSTEM, INC. BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. A COPY OF FORM 990 IS ALSO PROVIDED TO THE DEKALB MEDICAL CENTER, INC. BOARD OF DIRECTORS PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ALL OFFICERS, DIRECTORS, AND INDIVIDUALS IN MANAGEMENT LEVEL POSITIONS TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THESE CONFLICT OF INTEREST DISCLOSURES ARE REVIEWED TO ASSURE COMPLIANCE WITH THE POLICY. ADDITIONALLY, BOARD MEMBERS ARE ASKED TO RECUSE THEMSELVES ON ANY MATTERS OF INTEREST BEFORE THE BOARD IN WHICH A CONFLICT OF INTEREST MAY EXIST. ANY RECUSAL IS DOCUMENTED WITHIN THE MINUTES OF THE BOARD OR COMMITTEE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE OF THE DEKALB REGIONAL HEALTH SYSTEM, INC. BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO AND OTHER OFFICERS. THE COMMITTEE RELYS ON COMPENSATION DATA SUPPLIED BY AN INDEPENDENT CONSULTANT IN DETERMINING THE APPROPRIATE COMPENSATION. | |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL OFFICERS ARE COMPENSATED BY DEKALB MEDICAL CENTER, INC., A RELATED ENTITY. COMPENSATION IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE DEKALB REGIONAL HEALTH SYSTEM, INC. BOARD OF DIRECTORS. THE COMMITTEE UTILIZES AN INDEPENDENT CONSULTANT TO ASSIST IN SETTING COMPENSATION LEVELS. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -3,118,240. PRIOR PERIOD ADJUSTMENTS: -916. MINIMUM PENSION LIABILITY -25,680,071. TOTAL TO FORM 990, PART XI, LINE 5: -28,799,227. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| NETWORK MEDICAL PROVIDERS | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 582121470 | PHYSICIAN SERVICES | GA | 0 | 0 | DEKALB MEDICAL CENTER INC |
| DEKALB MEDICAL SPECIALTY CARE GROUP LLC | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 263454941 | PHYSICIAN SERVICES | GA | 0 | 0 | DEKALB MEDICAL CENTER INC |
| DEKALB MEDICAL PRIMARY CARE GROUP LLC | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 263454827 | PHYSICIAN SERVICES | GA | 0 | 0 | DEKALB MEDICAL CENTER INC |
| DEKALB MEDICAL OCCUPATIONAL MEDICINE GROUP LLC | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 263455069 | PHYSICIAN SERVICES | GA | 0 | 0 | DEKALB MEDICAL CENTER INC |
| DEKALB MEDICAL HOSPITALISTS | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 582639633 | PHYSICIAN SERVICES | GA | 0 | 0 | DEKALB MEDICAL CENTER INC |
| DECATUR NETWORK MEDICAL PROVIDER | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 586300825 | PHYSICIAN SERVICES | GA | 0 | 0 | DEKALB MEDICAL CENTER INC |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DEKALB MEDICAL CENTER FOUNDATION INC | |||||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 581924605 | FUNDRAISING ON BEHALF OF DMC | GA | 501(C)(3) | LINE 11B, II | DEKALB REGIONAL HEALTH SYSTEM INC | 0 | |
| DEKALB REGIONAL HEALTH SYSTEM | |||||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 582034958 | SUPPORT DMC, INC. | GA | 501(C)(3) | LINE 3 | 0 | N/A | |
| DECATUR HEALTH RESOURCES INC | |||||||||||
| 450 NORTH CANDLER STREET | DECATUR | GA | 30030 | 582081599 | LONG TERM ACUTE CARE | GA | 501(C)(3) | LINE 11C, III-FI | DEKALB REGIONAL HEALTH SYSTEM INC | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DRHS VENTURES INC | ||||||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 201864828 | JOINT VENTURE | GA | N/A | C | ||||
| DEKALB PHYSICIAN HOSPITAL ORGANIZATION INC | ||||||||||||
| 250 E PONCE LEON AVENUE | DECATUR | GA | 30033 | 582110792 | PHYSICIANS SERVICES | GA | C | DEKALB MEDICAL CENTER INC | 899537 | 615997 | 0.50000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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