EMORY UNIVERSITY: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- EMORY UNIVERSITY (EIN 58-1966795)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-11
- IRS object ID
- 201631329349303178
- Schema version
- 2014v6.0
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-11T14:54:33-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581966795 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEKALB MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DEKA | BusinessNameControlTxt |
| Phone | 4045011000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 NORTH DECATUR ROAD | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30033 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN KATSIANIS | PersonNm |
| Person Title | EVP & CFO | PersonTitleTxt |
| Phone | 4045011000 | PhoneNum |
| Signature | 2016-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN KATSIANIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 NORTH DECATUR ROAD | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $490,669,074 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DEKALBMEDICAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE PATIENTS' LIVES THROUGH THE DELIVERY OF EXCELLENT HEALTH AND WELLNESS SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 4782 | TotalEmployeeCnt |
| Total Volunteers | 250 | TotalVolunteersCnt |
| Total Gross UBI | $72,719 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,055,801 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,708,412 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $498,103,865 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $470,244,959 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,656,686 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,653,485 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,625 | PYOtherRevenueAmt |
| CY Other Revenue | $2,062,218 | CYOtherRevenueAmt |
| PY Total Revenue | $524,822,977 | PYTotalRevenueAmt |
| CY Total Revenue | $490,669,074 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $474,741 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $211,971 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $233,597,147 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $240,531,660 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $289,106,341 | PYOtherExpensesAmt |
| CY Other Expenses | $247,604,938 | CYOtherExpensesAmt |
| PY Total Expenses | $523,178,229 | PYTotalExpensesAmt |
| CY Total Expenses | $488,348,569 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,644,748 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,320,505 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $382,543,002 | TotalAssetsBOYAmt |
| Total Assets EOY | $374,041,760 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $237,095,996 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $234,481,816 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $145,447,006 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $139,559,944 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $279,044,449 | ExpenseAmt |
| Grant | $211,971 | GrantAmt |
| Revenue | $334,135,833 | RevenueAmt |
| Desc | DEKALB MEDICAL AT THE NORTH DECATUR - 20,907 PATIENTS DISCHARGED (INCLUDES NICU AND EXCLUDES BABIES) FROM THE HOSPITAL FOR A TOTAL OF 98,953 DISCHARGED DAYS. THERE WERE 193,217 VISITS TO THE HOSPITAL DURING THE YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $75,583,243 | ExpenseAmt |
| Revenue | $90,704,323 | RevenueAmt |
| Desc | DEKALB MEDICAL AT HILLANDALE - 4,567 PATIENTS DISCHARGED FROM THE HOSPITAL FOR A TOTAL OF 18,125 DISCHARGED DAYS. THERE WERE 101,398 VISITS TO THE HOSPITAL DURING THE YEAR. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $50,899,595 | ExpenseAmt |
| Revenue | $47,210,587 | RevenueAmt |
| Desc | DEKALB MEDICAL PHYSICIAN NETWORK - 149,950 PATIENTS WERE TREATED IN THE PHYSICIAN OFFICES DURING THE FISCAL YEAR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $405,527,287 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 749 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4782 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN KATSIANIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4045015025 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 NORTH DECATUR ROAD | AddressLine1Txt |
| City | DECATUR ROAD | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30033 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN A SHELTON JR | |||||||||
| PRESIDENT & CEO | 40.00 | 6.00 | Yes (X) | Yes (X) | $707,128 | $0 | $36,730 | ||
| DAVID JOLLAY | |||||||||
| CHAIRMAN | 0.50 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT WILSON | |||||||||
| VICE CHAIRMAN | 0.50 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANIEL THOMPSON | |||||||||
| SECRETARY | 0.50 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES CLIFTON MD | |||||||||
| TREASURER | 0.50 | 4.00 | Yes (X) | Yes (X) | $2,483 | $0 | $0 | ||
| GREGORY LEVETT | |||||||||
| DIRECTOR | 0.50 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| TERRI TENHOOR MD | |||||||||
| CHIEF OF STAFF - NORTH DECATUR | 40.00 | 4.00 | Yes (X) | $11,666 | $0 | $0 | |||
| ANDRE' SCOTT MD | |||||||||
| CHIEF OF STAFF - HILLANDALE | 40.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN KATISIANIS | |||||||||
| EVP & CFO | 40.00 | 6.00 | Yes (X) | $377,050 | $0 | $31,124 | |||
| DANE W HENRY | |||||||||
| CHIEF OPERATING OFFICER | 40.00 | 6.00 | $364,388 | $0 | $32,603 | Yes (X) | |||
| SUSAN BRESLIN | |||||||||
| CHIEF NURSING OFFICER | 40.00 | $278,667 | $0 | $26,729 | Yes (X) | ||||
| JAMES FORSTNER | |||||||||
| CHIEF STRATEGY OFFICER | 40.00 | $300,143 | $0 | $32,541 | Yes (X) | ||||
| REG GILBREATH | |||||||||
| CHIEF MEDICAL OFFICER (THROUGH JUNE 2014) | 40.00 | $227,072 | $0 | $20,815 | Yes (X) | ||||
| SUSAN HARRIS | |||||||||
| VP & ADMINISTRATOR-HILLANDALE | 40.00 | $261,840 | $0 | $29,564 | Yes (X) | ||||
| CHERYL IVERSON | |||||||||
| VP MARKETING | 40.00 | $193,178 | $0 | $36,354 | Yes (X) | ||||
| JOEL SCHUESSLER | |||||||||
| VP LEGAL SERVICES | 40.00 | $193,864 | $0 | $15,647 | Yes (X) | ||||
| STEPHEN THOMAS | |||||||||
| VP DEKALB MEDICAL PHYSICIANS GROUP | 40.00 | $419,809 | $0 | $25,869 | Yes (X) | ||||
| AUGUSTINE CONDUAH | |||||||||
| PHYSICIAN | 40.00 | $835,719 | $0 | $32,540 | Yes (X) | ||||
| MURRAY ROBINSON | |||||||||
| PHYSICIAN | 40.00 | $938,885 | $0 | $52,097 | Yes (X) | ||||
| MICHAEL HARTMAN | |||||||||
| PHYSICIAN | 40.00 | $1,010,175 | $0 | $31,239 | Yes (X) | ||||
| RICHARD GULLICK | |||||||||
| PHYSICIAN | 40.00 | $815,037 | $0 | $19,955 | Yes (X) | ||||
| FREDERICK SCHNELL | |||||||||
| PHYSICIAN | 40.00 | $535,071 | $0 | $43,810 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,472,175 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $467,617 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 300 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMERICAN ANESTHESIOLOGY OF GEORGIA | |||||
| 2171 WEST PARK COURT SUITE A | STONE MOUNTAIN | GA | 30087 | ANESTHESIOLOGY SERVICES | $3,403,150 |
| MORRISON MANAGEMENT | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | MANAGEMENT SERVICES | $2,888,229 |
| PHILIP MEDICAL | |||||
| PO BOX 100355 | ATLANTA | GA | 303840355 | SERVICES - CONTRACTS | $1,986,591 |
| DEKALB EMERGENCY PHYSICIANS (CEP) | |||||
| 2100 POWELL STREET | EMERYVILLE | CA | 94608 | SURGICAL SERVICES | $1,947,500 |
| FRESENIUS MEDICAL ACUTE | |||||
| PO BOX 101518 | ATLANTA | GA | 303921518 | NEPHROLOGY SERVICES | $1,612,525 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 41 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $10,571,034 | RelatedOrganizationsAmt |
| All Other Contributions | $137,378 | AllOtherContributionsAmt |
| Total Contributions | $10,708,412 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REV N DECATUR | 621990 | $329,390,901 | $329,390,901 |
| NET PATIENT REV HILLANDALE | 621990 | $88,793,271 | $88,793,271 |
| NET PATIENT REV PRIMARY CARE | 621110 | $45,538,664 | $45,538,664 |
| MEANINGFUL USE | 900099 | $3,113,975 | $3,113,975 |
| WELLNESS CENTER | 713940 | $490,592 | $490,592 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,917,556 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,844,837 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $72,719 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $470,244,959 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,254,815 | TotalRevenueColumnAmt |
| Exclusion | $4,254,815 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,398,670 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,398,670 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,398,670 | TotalRevenueColumnAmt |
| Exclusion | $3,398,670 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PHARMACY REVENUE | 900099 | $1,878,503 | $1,878,503 | |
| MISCELLANEOUS INCOME | 900099 | $183,715 | $183,715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,062,218 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $490,669,074 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $472,050,743 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $72,719 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,837,200 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,971 | TotalAmt |
| Program Services | $211,971 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,625,052 | TotalAmt |
| Program Services | $164,500,042 | ProgramServicesAmt |
| Management And General | $41,125,010 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,879,159 | TotalAmt |
| Program Services | $3,903,327 | ProgramServicesAmt |
| Management And General | $975,832 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,611,224 | TotalAmt |
| Program Services | $12,488,979 | ProgramServicesAmt |
| Management And General | $3,122,245 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,416,225 | TotalAmt |
| Program Services | $11,532,980 | ProgramServicesAmt |
| Management And General | $2,883,245 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $974,543 | TotalAmt |
| Management And General | $974,543 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,248 | TotalAmt |
| Management And General | $201,248 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $787,299 | TotalAmt |
| Management And General | $787,299 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,765,740 | TotalAmt |
| Program Services | $33,370,198 | ProgramServicesAmt |
| Management And General | $8,395,542 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,920,584 | TotalAmt |
| Program Services | $8,736,467 | ProgramServicesAmt |
| Management And General | $2,184,117 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,471,116 | TotalAmt |
| Program Services | $7,576,893 | ProgramServicesAmt |
| Management And General | $1,894,223 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,173,273 | TotalAmt |
| Program Services | $9,738,618 | ProgramServicesAmt |
| Management And General | $2,434,655 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,853 | TotalAmt |
| Program Services | $119,882 | ProgramServicesAmt |
| Management And General | $29,971 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,908 | TotalAmt |
| Program Services | $204,726 | ProgramServicesAmt |
| Management And General | $51,182 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,244,342 | TotalAmt |
| Management And General | $11,244,342 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,243,876 | TotalAmt |
| Program Services | $15,395,101 | ProgramServicesAmt |
| Management And General | $3,848,775 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,825,203 | TotalAmt |
| Program Services | $6,260,162 | ProgramServicesAmt |
| Management And General | $1,565,041 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $73,604,336 | $73,604,336 | |
| BAD DEBT EXPENSE | $48,569,478 | $48,569,478 | |
| MEDICAL PROVIDER TAX | $4,898,076 | $4,898,076 | |
| REPAIRS AND MAINTENANCE | $4,555,102 | $3,644,082 | $911,020 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $964,961 | TotalAmt |
| Program Services | $771,969 | ProgramServicesAmt |
| Management And General | $192,992 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $488,348,569 | TotalAmt |
| Program Services | $405,527,287 | ProgramServicesAmt |
| Management And General | $82,821,282 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,849,766 | BOYAmt |
| EOY | $4,137,784 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,558,761 | BOYAmt |
| EOY | $7,558,761 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,627,990 | BOYAmt |
| EOY | $72,120,667 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,751,010 | BOYAmt |
| EOY | $6,145,915 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,078,330 | BOYAmt |
| EOY | $2,254,067 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $418,937,430 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $312,740,663 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,592,087 | BOYAmt |
| EOY | $106,196,767 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,493,140 | BOYAmt |
| EOY | $167,979,927 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,960,812 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $25,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,631,106 | BOYAmt |
| EOY | $7,622,872 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $382,543,002 | BOYAmt |
| EOY | $374,041,760 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,290,411 | BOYAmt |
| EOY | $45,026,596 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,725,480 | BOYAmt |
| EOY | $177,461,441 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,080,105 | BOYAmt |
| EOY | $11,993,779 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,095,996 | BOYAmt |
| EOY | $234,481,816 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,911,412 | BOYAmt |
| EOY | $138,835,368 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $535,594 | BOYAmt |
| EOY | $724,576 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,447,006 | BOYAmt |
| EOY | $139,559,944 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $382,543,002 | BOYAmt |
| EOY | $374,041,760 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,320,505 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$5,123,777 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,083,790 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $38,867 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $38,867 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DUES PAID TO GEORGIA HOSPITAL ASSOCIATION WERE $109,305; OF THIS AMOUNT, $27,326 OR APPROXIMATELY 25%, WENT TOWARDS LOBBYING. DUES PAID TO AMERICAN HOSPITAL ASSOCIATION WERE $52,175; OF THIS AMOUNT, $11,541 OR APPROXIMATELY 22.12%, WENT TOWARDS LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $535,594 | BeginningYearBalanceAmt |
| Contributions | $1,107,613 | ContributionsAmt |
| Other Expenditures | $918,632 | OtherExpendituresAmt |
| End Year Balance | $724,575 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $574,155 | BeginningYearBalanceAmt |
| Contributions | $603,135 | ContributionsAmt |
| Other Expenditures | $641,696 | OtherExpendituresAmt |
| End Year Balance | $535,594 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $539,074 | BeginningYearBalanceAmt |
| Contributions | $873,035 | ContributionsAmt |
| Other Expenditures | $837,954 | OtherExpendituresAmt |
| End Year Balance | $574,155 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $549,831 | BeginningYearBalanceAmt |
| Contributions | $826,617 | ContributionsAmt |
| Other Expenditures | $837,374 | OtherExpendituresAmt |
| End Year Balance | $539,074 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $585,490 | BeginningYearBalanceAmt |
| Contributions | $672,897 | ContributionsAmt |
| Other Expenditures | $708,556 | OtherExpendituresAmt |
| End Year Balance | $549,831 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $403,305 | OtherCostOrOtherBasisAmt |
| Book Value | $403,305 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $239,704,074 | OtherCostOrOtherBasisAmt |
| Depreciation | $179,303,243 | DepreciationAmt |
| Book Value | $60,400,831 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $173,957,107 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,124,542 | DepreciationAmt |
| Book Value | $43,832,565 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,872,944 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,312,878 | DepreciationAmt |
| Book Value | $1,560,066 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $106,196,767 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE RESERVES | $4,039,378 |
| ASSET RETIREMENT OBLIGATION | $5,716,195 |
| FAIR VALUE OF INTEREST RATE SWAPS | $823,917 |
| DUE FROM RELATED PARTY | $202,038 |
| ACCRUED PENSION BENEFIT LIABILITIES | $1,212,251 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,993,779 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| PART X, LINE 2: | THE SYSTEM, DMC, DHR, AND THE FOUNDATION 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. VENTURES IS A TAXABLE ENTITY AND ANNUALLY 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 WHICH 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. THE SYSTEM HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2015 AND 2014. FISCAL YEARS ENDED ON OR AFTER JUNE 30, 2012 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,596,143 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,596,143 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,266,377 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $53,116,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,149,429 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04350 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,862,520 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $53,116,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,745,572 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09030 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7990 | PersonsServedCnt |
| Total Community Benefit Expns | $1,069,130 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,069,130 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3172 | PersonsServedCnt |
| Total Community Benefit Expns | $3,857,970 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,857,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3315 | PersonsServedCnt |
| Total Community Benefit Expns | $1,800,865 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,800,865 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 895 | PersonsServedCnt |
| Total Community Benefit Expns | $190,380 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $190,380 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15372 | PersonsServedCnt |
| Total Community Benefit Expns | $6,918,345 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,918,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01570 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15372 | PersonsServedCnt |
| Total Community Benefit Expns | $99,780,865 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $53,116,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,663,917 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10600 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,795 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,795 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,795 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $15,467,280 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $78,020,184 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $79,256,433 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,236,249 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|
| DEKALB MEDICAL AT NORTH DECATUR | ||||||||
| 1 | 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | Yes (X) | Yes (X) | Yes (X) | A |
| DEKALB MEDICAL AT HILLANDALE | ||||||||
| 2 | 2801 DEKALB MEDICAL PARKWAY | DECATUR | GA | 30058 | Yes (X) | Yes (X) | Yes (X) | A |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY REPORTING GROUP - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.DEKALBMEDICAL.ORG/ABOUT-US/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.DEKALBMEDICAL.ORG/ABOUT-US/ | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: DEKALB MEDICAL AT NORTH DECATUR, - FACILITY 2: DEKALB MEDICAL AT HILLANDALE |
| GROUP A-FACILITY 1 -- DEKALB MEDICAL AT NORTH DECATUR PART V, SECTION B, LINE 3J: | IN COMPLIANCE WITH 501(R)(C) OF THE INTERNAL REVENUE CODE, BOTH DEKALB MEDICAL CENTER HOSPITAL FACILITIES CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN. THE IMPLEMENTATION PLANS WERE APPROVED BY THE BOARD OF DIRECTORS ON JUNE 10, 2013. THE NEXT FULL CHNAS AND IMPLEMENTATION PLAN ARE DUE IN 2016. SINCE THIS IS THE FIRST YEAR OF THE IMPLEMENTATION PLAN, SOME STRATEGIES HAVE BEEN STARTED, BUT NOT LONG ENOUGH TO ASSESS RESULTS.THE DEKALB COUNTY BOARD OF HEALTH (BOH) HAS A LONG HISTORY OF CONDUCTING COMMUNITY NEEDS HEALTH ASSESSMENTS AND THE DEKALB MEDICAL SYSTEM HAS PARTICIPATED IN AND SUPPORTED THOSE EFFORTS. THE DEKALB COUNTY BOH AGREED TO TAKE THE LEAD IN CONDUCTING COMMUNITY HEALTH ASSESSMENTS ON BEHALF OF DEKALB MEDICAL CENTER AND DEKALB MEDICAL AT HILLANDALE. IN ADDITION TO DEKALB SYSTEM HOSPITALS USING THE CHNAS AND IMPLEMENTATION PLANS, THEY ARE ALSO BEING USED AS THE COMMUNITY HEALTH ASSESSMENT. AFTER REVIEWING THE INFORMATION FROM THE CHNA, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES. USING THIS LIST OF PRIORITIES, THE HOSPITALS DEVELOPED IMPLEMENTATION PLANS WITH STRATEGIES IDENTIFIED FOR SELECTED PRIORITIES WHICH THE HOSPITALS DETERMINED THEY COULD MOST EFFECTIVELY ADDRESS. STRATEGIES FOR OTHER IDENTIFIED PRIORITIES WERE NOT DEVELOPED BECAUSE THERE ARE OTHER ORGANIZATIONS WITH MORE EXPERTISE DEALING WITH THOSE HEALTH ISSUES OR A LACK OF RESOURCES, AT THE HOSPITAL-LEVEL, TO ADDRESS THE PARTICULAR HEALTH ISSUE. PRIORITIES SUCH AS COLORECTAL CANCER, FALL PREVENTION, MATERNAL AND INFANTS HEALTH, AND PNEUMOCOCCAL AND PERTUSSIS VACCINATIONS, AMONG OTHERS, WERE IDENTIFIED AS PRIORITIES TO BE ADDRESSED BY HOSPITALS IN THE DEKALB SYSTEM.THE IMPLEMENTATION PLANS WILL HELP GUIDE THE DEKALB SYSTEM HOSPITALS' EFFORTS TOWARDS COMMUNITY HEALTH NEEDS THAT HAVE BEEN IDENTIFIED THROUGH THE CHNAS. ALL THE STRATEGIES IDENTIFIED ARE TO ENHANCE AND IMPROVE THE HEALTH OF THE COMMUNITY AND THE PEOPLE THE HOSPITALS SERVE. |
| GROUP A-FACILITY 1 -- DEKALB MEDICAL AT NORTH DECATUR PART V, SECTION B, LINE 5: | AFTER REVIEWING THE INFORMATION FROM THE CHNA, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES. |
| GROUP A-FACILITY 1 -- DEKALB MEDICAL AT NORTH DECATUR PART V, SECTION B, LINE 11: | AFTER REVIEWING THE INFORMATION FROM THE CHNA, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES. USING THIS LIST OF PRIORITIES, THE HOSPITALS DEVELOPED IMPLEMENTATION PLANS WITH STRATEGIES IDENTIFIED FOR SELECTED PRIORITIES WHICH THE HOSPITALS DETERMINED THEY COULD MOST EFFECTIVELY ADDRESS. STRATEGIES FOR OTHER IDENTIFIED PRIORITIES WERE NOT DEVELOPED BECAUSE THERE ARE OTHER ORGANIZATIONS WITH MORE EXPERTISE DEALING WITH THOSE HEALTH ISSUES OR A LACK OF RESOURCES, AT THE HOSPITAL-LEVEL, TO ADDRESS THE PARTICULAR HEALTH ISSUE. PRIORITIES SUCH AS COLORECTAL CANCER, FALL PREVENTION, MATERNAL AND INFANTS HEALTH, AND PNEUMOCOCCAL AND PERTUSSIS VACCINATIONS, AMONG OTHERS, WERE IDENTIFIED AS PRIORITIES TO BE ADDRESSED BY HOSPITALS IN THE DEKALB SYSTEM. |
| GROUP A-FACILITY 1 -- DEKALB MEDICAL AT NORTH DECATUR PART V, SECTION B, LINE 13B: | 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. |
| GROUP A-FACILITY 1 -- DEKALB MEDICAL AT NORTH DECATUR PART V, SECTION B, LINE 15E: | 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. |
| GROUP A-FACILITY 1 -- DEKALB MEDICAL AT NORTH DECATUR PART V, SECTION B, LINE 16I: | AVAILABILITY OF THE FAP APPLICATION IS DISCUSSED DURING THE FINANCIAL COUNSELING PROCESS. |
| GROUP A-FACILITY 1 -- DEKALB MEDICAL AT NORTH DECATUR PART V, SECTION B, LINE 22D: | 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). |
| GROUP A-FACILITY 1 -- DEKALB MEDICAL AT NORTH DECATUR PART V, SECTION B, LINE 24: | 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 JUNE 30, 2015, THE FACILITY BILLED ALL FAP ELIGIBLE PATIENTS AT GROSS BUT COLLECTED LESS THAN GROSS BASED ON FAP AND FPG. |
| GROUP A-FACILITY 2 -- DEKALB MEDICAL AT HILLANDALE PART V, SECTION B, LINE 5: | AFTER REVIEWING THE INFORMATION FROM THE CHNA, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES. |
| GROUP A-FACILITY 2 -- DEKALB MEDICAL AT HILLANDALE PART V, SECTION B, LINE 11: | AFTER REVIEWING THE INFORMATION FROM THE CHNA, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES. USING THIS LIST OF PRIORITIES, THE HOSPITALS DEVELOPED IMPLEMENTATION PLANS WITH STRATEGIES IDENTIFIED FOR SELECTED PRIORITIES WHICH THE HOSPITALS DETERMINED THEY COULD MOST EFFECTIVELY ADDRESS. STRATEGIES FOR OTHER IDENTIFIED PRIORITIES WERE NOT DEVELOPED BECAUSE THERE ARE OTHER ORGANIZATIONS WITH MORE EXPERTISE DEALING WITH THOSE HEALTH ISSUES OR A LACK OF RESOURCES, AT THE HOSPITAL-LEVEL, TO ADDRESS THE PARTICULAR HEALTH ISSUE. PRIORITIES SUCH AS COLORECTAL CANCER, FALL PREVENTION, MATERNAL AND INFANTS HEALTH, AND PNEUMOCOCCAL AND PERTUSSIS VACCINATIONS, AMONG OTHERS, WERE IDENTIFIED AS PRIORITIES TO BE ADDRESSED BY HOSPITALS IN THE DEKALB SYSTEM. |
| GROUP A-FACILITY 2 -- DEKALB MEDICAL AT HILLANDALE PART V, SECTION B, LINE 13B: | 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. |
| GROUP A-FACILITY 2 -- DEKALB MEDICAL AT HILLANDALE PART V, SECTION B, LINE 16I: | AVAILABILITY OF THE FAP APPLICATION IS DISCUSSED DURING THE FINANCIAL COUNSELING PROCESS. |
| GROUP A-FACILITY 2 -- DEKALB MEDICAL AT HILLANDALE PART V, SECTION B, LINE 22D: | 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). |
| GROUP A-FACILITY 2 -- DEKALB MEDICAL AT HILLANDALE PART V, SECTION B, LINE 24: | 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 JUNE 30, 2015, THE FACILITY BILLED ALL FAP ELIGIBLE PATIENTS AT GROSS BUT COLLECTED LESS THAN GROSS BASED ON FAP AND FPG. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 $ 48,569,477. |
| 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.HISTORICAL EXPERIENCE HAS DEMONSTRATED THAT A SIGNIFICANT PORTION OF THE SYSTEM'S UNINSURED OR UNDER-INSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, ARE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THEREFORE, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO THESE PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THE SYSTEM DOES NOT MAINTAIN A SIGNIFICANT ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, NOR DOES IT INCUR SIGNIFICANT WRITE-OFFS, RELATED TO THIRD PARTY PAYORS. |
| 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 FOR WHICH THE INDIVIDUAL WILL BE RESPONSIBLE. |
| PART VI, LINE 2: | IN COMPLIANCE WITH 501(R)(C) OF THE INTERNAL REVENUE CODE, ALL THREE HOSPITALS OF THE DEKALB MEDICAL SYSTEM CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN. THE IMPLEMENTATION PLANS WERE APPROVED BY THE BOARD OF DIRECTORS ON JUNE 10, 2013. THE NEXT FULL CHNAS AND IMPLEMENTATION PLANS ARE DUE IN 2016. AN ASSESSMENT OF THE STRATEGIES SET FORTH FROM THE IMPLEMENTATION PLAN ACCOMPANIES THIS REPORT. THE HIGH PRIORITY NEEDS IDENTIFIED WILL NOT YIELD RESULTS IMMEDIATELY PLUS THERE IS A 2-3 YEAR LAG TIME BETWEEN INTERVENTION AND AVAILABLE MEASURES>THE DEKALB COUNTY BOARD OF HEALTH (BOH) HAS A LONG HISTORY OF CONDUCTING COMMUNITY NEEDS HEALTH ASSESSMENTS AND THE DEKALB MEDICAL SYSTEM HAS PARTICIPATED IN AND SUPPORTED THOSE EFFORTS. THE DEKALB COUNTY BOH AGREED TO TAKE THE LEAD IN CONDUCTING COMMUNITY HEALTH ASSESSMENTS ON BEHALF OF DEKALB MEDICAL CENTER AND DEKALB MEDICAL AT HILLANDALE. AFTER REVIEWING THE INFORMATION FROM THE CHNS, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA FOR BOTH FACILITIES,, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES. USING THIS LIST OF PRIORITIES, THE HOSPITALS DEVELOPED IMPLEMENTATION PLANS WITH STRATEGIES IDENTIFIED FOR SELECTED PRIORITIES WHICH THE HOSPITALS DETERMINED THEY COULD MOST EFFECTIVELY ADDRESS. STRATEGIES FOR OTHER IDENTIFIED PRIORITIES WERE NOT DEVELOPED BECAUSE THERE ARE OTHER ORGANIZATIONS WITH MORE EXPERTISE DEALING WITH THOSE HEALTH ISSUES OR A LACK OF RESOURCES, AT THE HOSPITAL-LEVEL, TO ADDRESS THE PARTICULAR HEALTH ISSUE. PRIORITIES SUCH AS COLORECTAL CANCER, FALL PREVENTION, MATERNAL AND INFANTS HEALTH, AND PNEUMOCOCCAL AND PERTUSSIS VACCINATIONS, AMONG OTHERS, WERE IDENTIFIED AS PRIORITIES TO BE ADDRESSED BY HOSPITALS IN THE DEKALB SYSTEM. THIS IMPLEMENTATION PLAN WAS APPROVED BY THE BOARD OF DIRECTORS IN JUNE 2013.PUBLIC HEALTH PROFESSIONALS FROM THE ROLLINS SCHOOL OF PUBLIC HEALTH AT EMORY UNIVERSITY AGREED TO TAKE THE LEAD IN CONDUCTING A CHNA ON BEHALF OF DEKALB MEDICAL AT DOWNTOWN DECATUR ("DECATUR HOSPITAL"). IN ORDER TO OBTAIN THE COMMUNITY PRIORITIES, IN-DEPTH INTERVIEWS WERE CONDUCTED WITH VARIOUS STAKEHOLDERS. STAKEHOLDERS WERE DEFINED AS INDIVIDUALS, OR GROUPS OF INDIVIDUALS, WHO WERE ACTIVE PARTICIPANTS IN THE TRANSITION OF THE PATIENT FROM AN ACUTE CARE FACILITY TO THE LTAC. THESE INCLUDED THE DISCHARGE PLANNERS, CURRENT PATIENTS, AND PATIENTS' FAMILIES. DISCHARGE PLANNERS FROM TWO OF LTAC'S MAJOR REFERRAL SOURCES- DEKALB MEDICAL CENTER AND EMORY HEALTHCARE WERE INTERVIEWED.BASED ON THE PATIENT AND DISCHARGE PLANNER INTERVIEWS, PRIORITIES WERE IDENTIFIED. THOSE PRIORITIES WERE ANALYZED AND AN IMPLEMENTATION PLAN WITH STRATEGIES IDENTIFIED FOR SELECTED PRIORITIES WAS DEVELOPED. THIS WAS APPROVED BY THE DECATUR HEALTH RESOURCES BOARD OF DIRECTORS IN JUNE 2013. THE IMPLEMENTATION PLAN WAS ACCOMPLISHED BY A TEAM OF DEKALB REGIONAL HEALTH SYSTEM STAFF (INCLUDING STAFF FROM DEKALB MEDICAL AT DOWNTOWN DECATUR) AND PUBLIC HEALTH PROFESSIONALS WHO SPEARHEADED THE DEVELOPMENT IF THE CHNA. THE IMPLEMENTATION PLAN IDENTIFIED AS PRIORITIES (1) THE NEED FOR EDUCATION TOOLS FOR PATIENT TRANSITION FROM LTAC TO HOME CARE, AND USE OF AVAILABLE HEALTH CARE RESOURCES IN THE COMMUNITY INCLUDING LTAC AND (2) THE NEED FOR PROFESSIONAL EDUCATION AND COMMUNICATION TO IMPROVE QUALITY OF CARE AND PATIENT AWARENESS. THE IMPLEMENTATION PLANS HELP GUIDE THE DEKALB SYSTEM HOSPITALS' EFFORTS TOWARDS COMMUNITY HEALTH NEEDS THAT HAVE BEEN IDENTIFIED THROUGH THE CHNAS. ALL THE STRATEGIES IDENTIFIED ARE TO ENHANCE AND IMPROVE THE HEALTH OF THE COMMUNITY AND RESIDENTS THE HOSPITALS SERVE. |
| 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 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: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 TO PROVIDE SWITCHBOARD OPERATORS FOR THE HEALTH SYSTEM;10) 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;11) WE PARTICIPATE IN NUMEROUS CAREER DAYS, ENCOURAGING THE SCIENCE AND MATH EDUCATION THAT'S NEEDED TO PROVIDE COMPETENT HEALTH WORKERS OF THE FUTURE;12) WE SUPPORT A DEKALB WORKFORCE DEVELOPMENT PARTNERSHIP THAT PROVIDES TRAINING PROGRAMS, EDUCATION AND A CLINICAL SITE FOR PATIENT CARE TECHNICIAN CERTIFICATION; AND13) 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. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | GA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEKALB MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 NORTH DECATUR ROAD | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 581924605 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $211,971 | CashGrantAmt |
| Purpose Of Grant | OPERATIONAL ASSISTANCE | PurposeOfGrantTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN A SHELTON JR | ||||||||||||||
| PRESIDENT & CEO | $615,202 | $0 | $55,684 | $0 | $36,242 | $0 | $16,900 | $0 | $19,830 | $0 | $743,858 | $0 | $0 | $0 |
| JOHN KATISIANIS | ||||||||||||||
| EVP & CFO | $353,370 | $0 | $0 | $0 | $23,680 | $0 | $9,100 | $0 | $22,024 | $0 | $408,174 | $0 | $0 | $0 |
| DANE W HENRY | ||||||||||||||
| CHIEF OPERATING OFFICER | $337,971 | $0 | $0 | $0 | $26,417 | $0 | $9,100 | $0 | $23,503 | $0 | $396,991 | $0 | $0 | $0 |
| SUSAN BRESLIN | ||||||||||||||
| CHIEF NURSING OFFICER | $256,214 | $0 | $0 | $0 | $22,453 | $0 | $21,127 | $0 | $5,602 | $0 | $305,396 | $0 | $0 | $0 |
| JAMES FORSTNER | ||||||||||||||
| CHIEF STRATEGY OFFICER | $210,623 | $0 | $71,847 | $0 | $17,673 | $0 | $31,411 | $0 | $1,130 | $0 | $332,684 | $0 | $0 | $0 |
| REG GILBREATH | ||||||||||||||
| CHIEF MEDICAL OFFICER (THROUGH JUNE | $213,045 | $0 | $0 | $0 | $14,027 | $0 | $14,457 | $0 | $6,358 | $0 | $247,887 | $0 | $0 | $0 |
| SUSAN HARRIS | ||||||||||||||
| VP & ADMINISTRATOR-HILLANDALE | $246,327 | $0 | $0 | $0 | $15,513 | $0 | $20,938 | $0 | $8,626 | $0 | $291,404 | $0 | $0 | $0 |
| CHERYL IVERSON | ||||||||||||||
| VP MARKETING | $169,846 | $0 | $0 | $0 | $23,332 | $0 | $14,187 | $0 | $22,167 | $0 | $229,532 | $0 | $0 | $0 |
| JOEL SCHUESSLER | ||||||||||||||
| VP LEGAL SERVICES | $184,510 | $0 | $0 | $0 | $9,354 | $0 | $11,071 | $0 | $4,576 | $0 | $209,511 | $0 | $0 | $0 |
| STEPHEN THOMAS | ||||||||||||||
| VP DEKALB MEDICAL PHYSICIANS GROUP | $311,994 | $0 | $90,000 | $0 | $17,815 | $0 | $9,100 | $0 | $16,769 | $0 | $445,678 | $0 | $0 | $0 |
| AUGUSTINE CONDUAH | ||||||||||||||
| PHYSICIAN | $817,733 | $0 | $0 | $0 | $17,986 | $0 | $9,100 | $0 | $23,440 | $0 | $868,259 | $0 | $0 | $0 |
| MURRAY ROBINSON | ||||||||||||||
| PHYSICIAN | $914,392 | $0 | $0 | $0 | $24,493 | $0 | $26,600 | $0 | $25,497 | $0 | $990,982 | $0 | $0 | $0 |
| MICHAEL HARTMAN | ||||||||||||||
| PHYSICIAN | $985,682 | $0 | $0 | $0 | $24,493 | $0 | $9,100 | $0 | $22,139 | $0 | $1,041,414 | $0 | $0 | $0 |
| RICHARD GULLICK | ||||||||||||||
| PHYSICIAN | $814,857 | $0 | $0 | $0 | $180 | $0 | $0 | $0 | $19,955 | $0 | $834,992 | $0 | $0 | $0 |
| FREDERICK SCHNELL | ||||||||||||||
| PHYSICIAN | $516,849 | $0 | $0 | $0 | $18,222 | $0 | $24,159 | $0 | $19,651 | $0 | $578,881 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE DEKALB COUNTY HOSPITAL AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 586011209 | BondIssuerEIN |
| CUSIP | 24047CDH8 | CUSIPNum |
| Bond Issued | 2010-05-03 | BondIssuedDt |
| Issue Price | $180,623,920 | IssuePriceAmt |
| Purpose | REFUND SERIES 2010 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $265,000 | RetiredAmt |
| Total Proceeds | $180,391,500 | TotalProceedsAmt |
| In Reserve Fund | $14,147,036 | InReserveFundAmt |
| Issuance Costs From Proceeds | $3,168,280 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $19,992,698 | CapitalExpendituresAmt |
| Other Spent Proceeds | $151,520,000 | OtherSpentProceedsAmt |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00840 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.00840 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 INCORPORATIONS 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 THE 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 | 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 VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENT AVAILABLE TO THE PUBLIC. ANY WRITTEN REQUEST FROM THE PUBLIC TO VIEW THESE DOCUMENTS WOULD BE REVIEWED AND ACTED UPON BY THE ORGANIZATION'S BOARD OF DIRECTORS. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST RATE SWAPS 1,094,039. MINIMUM PENSION LIABILITY -3,627,829. TRANSFER OF NET ASSETS TO AFFILIATE -550,000. |
| PART XII, LINE 2C: | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| 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 | $13,695,000 | $2,776,000 | DEKALB MEDICAL CENTER INC |
| DEKALB MEDICAL PRIMARY CARE GROUP LLC | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 263454827 | PHYSICIAN SERVICES | GA | $21,566,000 | $4,086,000 | DEKALB MEDICAL CENTER INC |
| DEKALB MEDICAL OCCUPATIONAL MEDICINE GROUP LLC | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 263455069 | PHYSICIAN SERVICES | GA | $1,185,000 | $341,000 | DEKALB MEDICAL CENTER INC |
| DEKALB MEDICAL HOSPITALISTS | |||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 582639633 | PHYSICIAN SERVICES | GA | $8,463,000 | $1,999,000 | DEKALB MEDICAL CENTER INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DEKALB MEDICAL CENTER FOUNDATION INC | |||||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 581924605 | FUNDRAISING ON BEHALF OF DMC | GA | 501(C)(3) | LINE 11A, I | 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 11B, II | 0 | N/A | |
| DECATUR HEALTH RESOURCES INC | |||||||||||
| 450 NORTH CHANDLER STREET | DECATUR | GA | 30033 | 582081599 | LONG TERM ACUTE CARE | GA | 501(C)(3) | LINE 3 | DEKALB REGIONAL HEALTH SYSTEM INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DRHS VENTURES INC | |||||||||||||
| 2701 NORTH DECATUR ROAD | DECATUR | GA | 30033 | 201864828 | JOINT VENTURE | GA | N/A | C | 0 | ||||
| DEKALB PHYSICIAN HOSPITAL ORGANIZATION INC | |||||||||||||
| 250 E PONCE LEON AVENUE STE 434 | DECATUR | GA | 30030 | 582110792 | PHYSICIANS SERVICES | GA | C | 0 | DEKALB MEDICAL CENTER INC | $1,137,137 | $811,820 | 0.50000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |