EMORY UNIVERSITY: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- EMORY UNIVERSITY (EIN 58-1966795)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-10
- IRS object ID
- 201221319349302487
- Schema version
- 2010v3.4
- 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 D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-10T15:50:46-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WARREN AVERETT LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 ACTON ROAD | AddressLine1 |
| City | BIRMINGHAM | City |
| State | AL | State |
| ZIP Code | 35243 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | 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 SHELTON | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 4045011000 | Phone |
| Date Signed | 2012-05-03 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2059794100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | 422869996 | 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 | AT DEKALB MEDICAL, OUR MISSION IS TO IMPROVE LIVES THROUGH THE DELIVERY OF EXCELLENT HEALTH AND WELLNESS SERVICES IN PARTNERSHIP WITH OUR PHYSICIANS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2870 | TotalNbrEmployees |
| Total Nbr Volunteers | 240 | TotalNbrVolunteers |
| Total Gross UBI | 120993 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 59104 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1620773 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1192414 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 397818422 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 413438521 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -3859566 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6038682 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1553633 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2195151 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 397133262 | TotalRevenuePriorYear |
| Total Revenue Current Year | 422864768 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 188069534 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 194620044 | 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 | 224083058 | OtherExpensePriorYear |
| Other Expenses Current Year | 227304366 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 412152592 | TotalExpensesPriorYear |
| Total Expenses Current Year | 421924410 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -15019330 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 940358 | RevenuesLessExpensesCY |
| Total Assets BOY | 397952138 | TotalAssetsBOY |
| Total Assets EOY | 404221357 | TotalAssetsEOY |
| Total Liabilities BOY | 266531359 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 245325559 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 131420779 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 158895798 | NetAssetsOrFundBalancesEOY |
| Mission Description | AT DEKALB MEDICAL, 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 | 244037154 | Expense |
| Revenue | 315897214 | Revenue |
| Description | DEKALB MEDICAL NORTH DECATUR - 22,261 PATIENTS DISCHARGED FROM THE HOSPITAL FOR A TOTAL OF 112,424 PATIENT DAYS. THERE WERE 180,682 OUTPATIENT VISITS TO THE HOSPITAL DURING THE FISCAL YEAR. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 58031895 | Expense |
| Revenue | 77832387 | Revenue |
| Description | DEKALB MEDICAL AT HILLANDALE - 4,738 PATIENTS WERE DISCHARGED FROM THE HOSPITAL FOR A TOTAL OF 20,121 PATIENT DAYS. THERE WERE 85,730 OUTPATIENT VISITS TO THE HOSPITAL DURING THE FISCAL YEAR. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 28305552 | Expense |
| Revenue | 19708920 | Revenue |
| Description | DEKALB MEDICAL PHYSICIAN NETWORK - 103,759 PATIENTS WERE TREATED IN THE PHYSICIAN OFFICES DURING THE FISCAL YEAR. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4896079 | Expense |
| Revenue | 2159290 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 4896079 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 2159290 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 335270680 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 0 | 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 | 1 | 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 | 496 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2870 | 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 | 6 | 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 | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | DIANE HARDEN | 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 (21 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 NORWOOD | ||||||||
| PRESIDENT & CEO | 40.00 | X | X | 1060770 | 0 | 41979 | ||
| OLIVER LEE | ||||||||
| CHAIRMAN | 5.00 | X | 0 | 0 | 0 | |||
| TERRY DUIS | ||||||||
| VICE CHAIRMAN | 5.00 | X | 0 | 0 | 0 | |||
| ROBERT WILSON | ||||||||
| SECRETARY | 5.00 | X | 0 | 0 | 0 | |||
| DAVID JOLLAY | ||||||||
| TREASURER | 5.00 | X | 0 | 0 | 0 | |||
| ROBIN DRETLER MD | ||||||||
| CHIEF OF STAFF - NORTH DEC | 5.00 | X | 0 | 0 | 0 | |||
| DOMINIQUE SMITH MD | ||||||||
| CHIEF OF STAFF - HILLANDAL | 5.00 | X | 0 | 0 | 0 | |||
| JOHN SHELTON | ||||||||
| EXECUTIVE VP & COO | 40.00 | X | 741752 | 0 | 53598 | |||
| DIANE HARDEN | ||||||||
| SENIOR VP & CFO | 40.00 | X | 630657 | 0 | 48792 | |||
| DUANE BARCLAY DO | ||||||||
| VP & CHIEF MEDICAL OFFICER | 40.00 | 508471 | 0 | 38760 | X | |||
| TOM CRAWFORD | ||||||||
| VP HUMAN RESOURCES | 40.00 | 394927 | 0 | 42927 | X | |||
| CATHLEEN WHEATLEY | ||||||||
| SENIOR VP & CHIEF QUALITY | 40.00 | 278267 | 0 | 77045 | X | |||
| CLAY FOWLER | ||||||||
| VP & ADMINISTRATOR | 40.00 | 307418 | 0 | 39294 | X | |||
| RUTH ANDERSON | ||||||||
| VP & COMPLIANCE OFFICER | 40.00 | 365619 | 0 | 34066 | X | |||
| JAN GANNON | ||||||||
| VP & CHIEF NURSING OFFICER | 40.00 | 197700 | 0 | 63537 | X | |||
| CHERYL IVERSON | ||||||||
| VP BUSINESS DEVELOPMENT | 40.00 | 326282 | 0 | 46772 | X | |||
| DAVID HOLLADAY MD | ||||||||
| PHYSICIAN | 40.00 | 935240 | 0 | 19246 | X | |||
| RAYMOND LAWHEAD MD | ||||||||
| PHYSICIAN | 40.00 | 601353 | 0 | 16847 | X | |||
| SHAINUL BHATIA MD | ||||||||
| PHYSICIAN | 40.00 | 455574 | 0 | 26316 | X | |||
| AUGSTINE CONDUAH MD | ||||||||
| PHYSICIAN | 40.00 | 491244 | 0 | 16833 | X | |||
| RODERICK STEVENSON MD | ||||||||
| PHYSICIAN | 40.00 | 365665 | 0 | 12345 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7660939 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 578357 | TotalOtherCompensation |
| Number Individuals GT100 K | 109 | 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 | 300870000 | ANESTHESIOLOGY SERVICES | 3216448 |
| COGENT HEALTHCARE | |||||
| PO BOX 975075 | DALLAS | TX | 753975075 | HOSPITALISTS | 2722346 |
| BRASFIELD & GORRIE | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 352460351 | GENERAL CONSTRUCTION CONTRACTORS | 2374581 |
| SODEXHO INC AND AFFILIATES | |||||
| PO BOX 536922 | ATLANTA | GA | 303536922 | FOOD & EVS MANAGEMENT SERVICES | 2267844 |
| METRO VASCULAR PC | |||||
| 2675 N DECATUR ROAD SUITE 210 | DECATUR | GA | 300330000 | CONTRACT VASCULAR ULTRASOUND SERVICES | 1214142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 245 | NumberOfContractorsGT100K |
| Related Organizations | 568292 | RelatedOrganizations |
| All Other Contributions | 624122 | AllOtherContributions |
| Total Contributions | 1192414 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| DEKALB MEDICAL AT NORT | 900099 | 315897214 | 315897214 |
| DEKALB MEDICAL AT HILL | 900099 | 77832387 | 77832387 |
| PHYSICIAN PRACTICE NET | 900099 | 19708920 | 19708920 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 413438521 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4630167 | TotalRevenueColumn |
| Exclusion | $4,630,167 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 102477 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 102477 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 102477 | TotalRevenueColumn |
| Related Or Exempt Function Income | 102477 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1397343 | Securities |
| Other | 16400 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 5228 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1397343 | Securities |
| Other | 11172 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1408515 | TotalRevenueColumn |
| Exclusion | $1,408,515 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| WELLNESS CENTER | 900099 | 771191 | 771191 | |
| LAB OUTREACH REVENUE | 900099 | 120993 | 120993 | |
| CAFETERIA/VENDING | 900099 | 94980 | 94980 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1105510 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1105510 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2092674 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 422864768 | TotalRevenueColumn |
| Related Or Exempt Function Income | 415512679 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 120993 | UnrelatedBusinessRevenue |
| Exclusion | $6,038,682 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4811863 | Total |
| Management And General | 4811863 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162869996 | Total |
| Program Services | 138209571 | ProgramServices |
| Management And General | 24660425 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5859714 | Total |
| Program Services | 4829792 | ProgramServices |
| Management And General | 1029922 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8522761 | Total |
| Program Services | 6622709 | ProgramServices |
| Management And General | 1900052 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12555710 | Total |
| Program Services | 10337627 | ProgramServices |
| Management And General | 2218083 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 868831 | Total |
| Program Services | 250 | ProgramServices |
| Management And General | 868581 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 302468 | Total |
| Management And General | 302468 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26864431 | Total |
| Program Services | 10570016 | ProgramServices |
| Management And General | 16294415 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1568768 | Total |
| Program Services | 5575 | ProgramServices |
| Management And General | 1563193 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75378471 | Total |
| Program Services | 71728528 | ProgramServices |
| Management And General | 3649943 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8001386 | Total |
| Program Services | 713478 | ProgramServices |
| Management And General | 7287908 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25875807 | Total |
| Program Services | 13193080 | ProgramServices |
| Management And General | 12682727 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188113 | Total |
| Program Services | 48465 | ProgramServices |
| Management And General | 139648 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203452 | Total |
| Program Services | 74427 | ProgramServices |
| Management And General | 129025 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21031342 | Total |
| Program Services | 17741390 | ProgramServices |
| Management And General | 3289952 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3818259 | Total |
| Program Services | 503737 | ProgramServices |
| Management And General | 3314522 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR UNCOLLECT | 51757472 | 51757472 | 0 |
| REPAIRS AND MAINTENANCE | 9467512 | 8674055 | 793457 |
| MEMBERSHIPS, DUES & SUB | 1139629 | 215324 | 924305 |
| OTHER EXPENSES | 837981 | 44740 | 793241 |
| LOSS ON EXTINGUISHMENT | 444 | 444 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 421924410 | Total |
| Program Services | 335270680 | ProgramServices |
| Management And General | 86653730 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15942468 | BOY |
| EOY | 13485455 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7076737 | BOY |
| EOY | 7621947 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50602142 | BOY |
| EOY | 62572601 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5439927 | BOY |
| EOY | 5860483 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1863143 | BOY |
| EOY | 2749509 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 402388755 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 264646631 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143085471 | BOY |
| EOY | 137742124 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168891348 | BOY |
| EOY | 168590597 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1029985 | BOY |
| EOY | 1063206 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4020917 | BOY |
| EOY | 4535435 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 397952138 | BOY |
| EOY | 404221357 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39260026 | BOY |
| EOY | 43330734 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194411884 | BOY |
| EOY | 191970095 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32859449 | BOY |
| EOY | 10024730 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 266531359 | BOY |
| EOY | 245325559 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130835289 | BOY |
| EOY | 158345967 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 585490 | BOY |
| EOY | 549831 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131420779 | BOY |
| EOY | 158895798 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 397952138 | BOY |
| EOY | 404221357 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 940358 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 26534661 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| 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 D IRS990ScheduleD
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 | 231403470 | OtherCostOrOtherBasis |
| Depreciation | 128555836 | Depreciation |
| Book Value | 102847634 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 163034275 | OtherCostOrOtherBasis |
| Depreciation | 133724229 | Depreciation |
| Book Value | 29310046 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7547705 | OtherCostOrOtherBasis |
| Depreciation | 2366566 | Depreciation |
| Book Value | 5181139 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 137742124 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ASSET RETIREMENT OBLIGATION | $4,661,599 |
| INTEREST RATE SWAPS | $1,879,226 |
| SELF INSURANCE RESERVES | $3,483,905 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10024730 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE SYSTEM APPLIES ASC 740, INCOME TAXES, ASC 740 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. | Explanation |
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 |
| Pcent300 | X | Pcent300 |
| 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 | 16674208 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16674208 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04500 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 51919792 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 46550258 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5369534 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01450 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 68594000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 46550258 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22043742 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05950 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1779 | PersonsServed |
| Total Community Benefit Expense | 61332 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 61332 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1779 | PersonsServed |
| Total Community Benefit Expense | 61332 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 61332 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1779 | PersonsServed |
| Total Community Benefit Expense | 68655332 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 46550258 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22105074 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05970 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $16,246,683 | BadDebtExpenseAmount |
| Amount Attributable To | 3249337 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 95908755 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 88196989 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 7711766 | 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 | 300330000 | X | X | X |
| DEKALB MEDICAL AT HILLANDALE | |||||||
| 2 | 2801 DEKALB MEDICAL PARKWAY | LITHONIA | GA | 300580000 | 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 | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Actions On NonpaymentActionsOnNonpayment | Permit Report To Credit AgencyPermitReportToCreditAgency | Permit LawsuitPermitLawsuit | Permit Other ActionsPermitOtherActions | Collection ActivitiesCollectionActivities | Report To Credit AgencyReportToCreditAgency | LawsuitLawsuit | Other ActionsOtherActions | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | 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 | 300.000000000000 | 1 | X | X | X | X | X | X | 1 | 0 | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 |
| DEKALB MEDICAL CENTER AT HILLANDALE | ||||||||||||||||||||||||||||||
| 2 | 0 | 1 | 1 | 200.000000000000 | 1 | 300.000000000000 | 1 | X | X | X | X | X | X | 1 | 0 | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES. | ||
| PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS PRODUCED BY DEKALB MEDICAL CENTER, INC. | ||
| PART I, LINE 7: THE COSTING METHODOLOGY USED WAS BASED ON A RATIO OF COST TO CHARGES. COSTS WERE CALCULATED BY TAKING TOTAL OPERATING EXPENSES AND REDUCING THEM BY BAD DEBT EXPENSE AND ANY NON-PATIENT CARE REVENUE. CHARGES ARE EQUAL TO TOTAL GROSS PATIENT CHARGES. | ||
| PART I, LINE 7G: N/A | ||
| 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 $ 51757472. | ||
| PART II: N/A | ||
| PART III, LINE 4: 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 REALTED 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 WHO ARE KNOWN TO BE HAVING 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, 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 ON 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. BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX, LINE 25 IS RECORDED AT GROSS PATIENT CHARGES LESS ANY PAYMENTS AND DISCOUNTS, INCLUDING CHARITY. THE BAD DEBT COST ON PART III, LINE 2 IS CALCULATED BY MULTIPLYING TOTAL BAD DEBT EXPENSE BY THE RATIO OF TOTAL OPERATING EXPENSE TO TOTAL GROSS PATIENT CHARGES. | ||
| PART III, LINE 8: MEDICARE ALLOWABLE COST PER THE AS-FILED MEDICARE COST REPORT IS USED TO DETERMINE MEDICARE COSTS. REVENUE RECEIVED FROM MEDICARE INCLUDING CO-PAYS / DEDUCTIBLES COMES FROM THE AS-FILED MEDICARE COST REPORT. | ||
| PART III, LINE 9B: N/A | ||
| PART V, SECTION B, LINE 15E: GARNISHMENTS AND LIENS ON AUTOMOBILE ACCIDENT SETTLEMENTS ARE USED AS PART OF THE COLLECTION POLICY. | DEKALB MEDICAL CENTER AT NORTH DECATUR | |
| PART V, SECTION B, LINE 15E: GARNISHMENTS AND LIENS ON AUTOMOBILE ACCIDENT SETTLEMENTS ARE USED AS PART OF THE COLLECTION POLICY. | DEKALB MEDICAL CENTER AT HILLANDALE | |
| PART V, SECTION B, LINE 19D: ALL PATIENTS ARE BILLED AT GROSS CHARGES. THE HEALTH SYSTEM OFFERS PAYMENT PLANS, PROMPT PAY DISCOUNTS AND CHARITY CARE TO THE UNINSURED, SEVERELY UNDER INSURED AND PATIENT BALANCES REMAINING AFTER INSURANCE. | DEKALB MEDICAL CENTER AT NORTH DECATUR | |
| PART V, SECTION B, LINE 19D: ALL PATIENTS ARE BILLED AT GROSS CHARGES. THE HEALTH SYSTEM OFFERS PAYMENT PLANS, PROMPT PAY DISCOUNTS AND CHARITY CARE TO THE UNINSURED, SEVERELY UNDER INSURED AND PATIENT BALANCES REMAINING AFTER INSURANCE. | DEKALB MEDICAL CENTER AT HILLANDALE | |
| PART V, SECTION B, LINE 21: ALL PATIENTS ARE BILLED AT GROSS CHARGES. THE HEALTH SYSTEM OFFERS PAYMENT PLANS, PROMPT PAY DISCOUNTS AND CHARITY CARE TO THE UNINSURED, SEVERELY UNDER-INSURED AND PATIENT BALANCES REMAINING AFTER INSURANCE. | DEKALB MEDICAL CENTER AT NORTH DECATUR | |
| PART V, SECTION B, LINE 21: ALL PATIENTS ARE BILLED AT GROSS CHARGES. THE HEALTH SYSTEM OFFERS PAYMENT PLANS, PROMPT PAY DISCOUNTS AND CHARITY CARE TO THE UNINSURED, SEVERELY UNDER-INSURED AND PATIENT BALANCES REMAINING AFTER INSURANCE. | 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. ELIGIBILITY 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 ADVISES 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. | ||
| PART VI, LINE 6: UNDERSTANDING THAT A HEALTHY 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:*WE HELP REDUCE TEEN PREGNANCY AND SEXUALLY TRANSMITTED DISEASE BY PROVIDING FREE PREVENTION EDUCATION THROUGH OUR PUBERTY ROCKS PROGRAM FOR PRE-TEENS.*WE SUPPORT 100 BLACK MEN OF DEKALB IN THE EFFORT TO PROVIDE HIGHER EDUCATION TO AT-RISK YOUTH.*WE PARTNER WITH THE PHYSICIAN'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.*WE SPONSOR A FREE ANNUAL CANCER SCREENING DAY ON TWO OF OUR HOSPITAL CAMPUSES.*RECENT HEALTHY WORKPLACE INITIATIVES INCLUDE SMOKE-FREE BUILDINGS INSIDE AND OUT, A NO-NICOTINE HIRING POLICY AND ADOPTION OF HEALTHY FOOD OPTIONS IN HOSPITAL CAFETERIAS*WE COLLECT AND DONATE SURPLUS MEDICAL SUPPLIES TO MEDSHARE INTERNATIONAL IN SUPPORT OF HEALTH INITIATIVES IN LESS FORTUNATE COUNTRIES.*AN OPEN MEDICAL STAFF THAT ATTRACTS UNLIMITED, HIGHLY TRAINED MEDICAL TALENT TO SERVE THE AREA.*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.*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 TO PROVIDE SWITCHBOARD OPERATORS FOR THE HEALTH SYSTEM. *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. *WE PARTICIPATE IN NUMEROUS CAREER DAYS, ENCOURAGING THE SCIENCE AND MATH EDUCATION THAT'S NEEDED TO PROVIDE COMPETENT HEALTH WORKERS OF THE FUTURE.*WE SUPPORT A DEKALB WORKFORCE DEVELOPMENT PARTNERSHIP THAT PROVIDES TRAINING PROGRAMS, EDUCATION AND A CLINICAL SITE FOR PATIENT CARE TECHNICIAN CERTIFICATION.*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 7: 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 FOUNDATION'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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| 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 | 0 | 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 (15 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 NORWOOD | |||||||||||||
| 490381 | 0 | 524064 | 0 | 46325 | 0 | 20825 | 0 | 30902 | 0 | 1112497 | 0 | 0 | 0 |
| JOHN SHELTON | |||||||||||||
| 298973 | 0 | 417099 | 0 | 25680 | 0 | 42952 | 0 | 12592 | 0 | 797296 | 0 | 53213 | 0 |
| DIANE HARDEN | |||||||||||||
| 247901 | 0 | 342254 | 0 | 40502 | 0 | 40418 | 0 | 10140 | 0 | 681215 | 0 | 53361 | 0 |
| DUANE BARCLAY DO | |||||||||||||
| 252265 | 0 | 225490 | 0 | 30716 | 0 | 38760 | 0 | 1660 | 0 | 548891 | 0 | 42696 | 0 |
| TOM CRAWFORD | |||||||||||||
| 148399 | 0 | 212927 | 0 | 33601 | 0 | 39927 | 0 | 4081 | 0 | 438935 | 0 | 39851 | 0 |
| CATHLEEN WHEATLEY | |||||||||||||
| 212812 | 0 | 42622 | 0 | 22833 | 0 | 73889 | 0 | 4574 | 0 | 356730 | 0 | 27600 | 0 |
| CLAY FOWLER | |||||||||||||
| 145638 | 0 | 145030 | 0 | 16750 | 0 | 31402 | 0 | 8932 | 0 | 347752 | 0 | 41250 | 0 |
| RUTH ANDERSON | |||||||||||||
| 145697 | 0 | 196880 | 0 | 23042 | 0 | 33730 | 0 | 1352 | 0 | 400701 | 0 | 36383 | 0 |
| JAN GANNON | |||||||||||||
| 153827 | 0 | 21258 | 0 | 22615 | 0 | 55567 | 0 | 9073 | 0 | 262340 | 0 | 21258 | 0 |
| CHERYL IVERSON | |||||||||||||
| 122780 | 0 | 186682 | 0 | 16820 | 0 | 34200 | 0 | 13490 | 0 | 373972 | 0 | 34986 | 0 |
| DAVID HOLLADAY MD | |||||||||||||
| 917468 | 0 | 0 | 0 | 17772 | 0 | 13475 | 0 | 7735 | 0 | 956450 | 0 | 0 | 0 |
| RAYMOND LAWHEAD MD | |||||||||||||
| 496976 | 0 | 80000 | 0 | 24377 | 0 | 13475 | 0 | 5336 | 0 | 620164 | 0 | 0 | 0 |
| SHAINUL BHATIA MD | |||||||||||||
| 233812 | 0 | 175662 | 0 | 46100 | 0 | 18375 | 0 | 9896 | 0 | 483845 | 0 | 0 | 0 |
| AUGSTINE CONDUAH MD | |||||||||||||
| 474589 | 0 | 0 | 0 | 16655 | 0 | 7902 | 0 | 9608 | 0 | 508754 | 0 | 0 | 0 |
| RODERICK STEVENSON MD | |||||||||||||
| 279174 | 0 | 75400 | 0 | 11091 | 0 | 3882 | 0 | 8463 | 0 | 378010 | 0 | 0 | 0 |
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 SERIES 1993 A BONDS 09-21-1993 | 0 | 0 | 0 |
| THE DEKALB COUNTY HOSPITAL AUTHORITY | |||||||
| 586011209 | 24047CDH8 | 2010-05-03 | 180623920 | REFUND BONDS DATED 3/29/2000, 12/10/2003, 5/18/2005 | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|
| 28325646 | 2691072 | 233698 | 1 | 0 | 1 | 1 | |
| 180623920 | 14114456 | 3421900 | 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 | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | 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 | 0.00840 | 0.00000 | 0.00840 | 1 |
| 0 | 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 (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| DEKALB ANESTHESIA ASSOCIATES | |||
| FORMER BOARD MEMBER | 3216447 | PROVIDER OF ANESTHESIA SERVICES | 0 |
| DR MICHAEL QUINONES | |||
| PRACTICING PHYSICIAN | 73196 | PHYSICIAN CALL COVERAGE | 0 |
| DEKALB SURGICAL ASSOCIATES | |||
| FORMER BOARD MEMBER | 118754 | PHYSICIAN CALL COVERAGE | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 B, LINE 11 | A COPY OF THE FORM 990 WAS PROVIDED TO THE AUDIT COMMITTEE OF THE DEKALB REGIONAL HEALTH SYSTEM, INC. BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. | |
| THE ORGANIZATION REQUIRES ALL MANAGEMENT EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY AND MONITORS THE COMPLIANCE WITH THIS POLICY. | FORM 990, PART VI, SECTION B, LINE 12C | |
| COMPENSATION IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE DEKALB REGIONAL HEALTH SYSTEM, INC. BOARD OF DIRECTORS. THE COMMITTEE USES AN INDEPENDENT CONSULTANT TO ASSIST IN SETTING COMPENSATION LEVELS. | FORM 990, PART VI, SECTION B, LINE 15 | |
| AS A GENERAL RULE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANY WRITTEN REQUEST BY THE PUBLIC WOULD BE REVIEWED AND ACTED UPON BY THE BOARD. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | INTEREST RATE SWAP 1,196,741. PENSION FUNDING TRUE UP 13,293,686. INTERCOMPANY TRANSFERS 2,607,699. NET ASSETS RELEASED FROM RESTRICTIONS -708,456. NET UNREALIZED GAINS ON INVESTMENTS 10,145,089. PRIOR PERIOD ADJUSTMENTS -98. TOTAL TO FORM 990, PART XI, LINE 5: 26,534,661. | FORM 990, PART XI, LINE 5: |
| THE ORGANIZATION MADE NO CHANGES TO ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. | FORM 990, PART XI, LINE 2C: |
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 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| NETWORK MEDICAL PROVIDERS | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 300330000 | 582121470 | PHYSICIANS SERVICES | GA | 0 | 0 | N/A |
| DEKALB MEDICAL SPECIALTY CARE GROUP LLC | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 300330000 | 263454941 | PHYSICIANS SERVICES | GA | 0 | 0 | N/A |
| DEKALB MEDICAL PRIMARY CARE GROUP LLC | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 300330000 | 263454827 | PHYSICIANS SERVICES | GA | 0 | 0 | N/A |
| DEKALB MEDICAL OCCUPATIONAL MEDICINE GROUP LLC | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 300330000 | 263455069 | PHYSICIANS SERVICES | GA | 0 | 0 | N/A |
| DEKALB MEDICAL HOSPITALISTS | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 300330000 | 582639633 | PHYSICIANS SERVICES | GA | 0 | 0 | N/A |
| DECATUR NETWORK MEDICAL PROVIDER | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 300330000 | 586300825 | PHYSICIANS SERVICES | GA | 0 | 0 | N/A |
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 | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DEKALB REGIONAL HEALTH SYSTEM INC | |||||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 300330000 | 582034958 | SUPPORT DMC, INC. | GA | 501(C)(3) | TYPE II SUPPORT ORG | N/A | 0 | |
| DECATUR HEALTH RESOURCES INC | |||||||||||
| 450 NORTH CHANDLER STREER | DECATUR | GA | 300300000 | 582081599 | LONG TERM ACUTE CARE | GA | 501(C)(3) | HOSPITAL | 0 | DEKALB REGIONAL HEALTH SYSTEM INC | |
| DEKALB MEDICAL CENTER FOUNDATION INC | |||||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 300330000 | 581924605 | FUNDRAISING ON BEHALF OF DMC, INC. | GA | 501(C)(3) | TYPE III SUPPORT ORG | 0 | DEKALB REGIONAL HEALTH SYSTEM INC | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Direct Controlling Entity NADirectControllingEntityNA | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DRHS VENTURES INC | ||||||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 300330000 | 201864828 | JOINT VENTURES | GA | DEKALB REGIONAL HEALTH SYSTEM INC | C | ||||
| DEKALB PHYSICIAN HOSPITAL ORGANIZATION INC | ||||||||||||
| 250 E PONCE DE LEON AVENUE | DECATUR | GA | 300330000 | 582110792 | PHYSICIANS SERVICES | GA | C | N/A | 899537 | 615972 | 0.50000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | 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 | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| DEKALB MEDICAL CENTER FOUNDATION INC | ||
| C | 568292 | FMV |
| DEKALB REGIONAL HEALTH SYSTEM INC | ||
| R | 597910 | FMV |
| DECATUR HEALTH RESOURCES INC | ||
| R | 2009770 | FMV |
| DEKALB REGIONAL HEALTH SYSTEM INC | ||
| J | 3420582 | FMV |