Civic Intelligence

Atlanta Metro Hospitals Veba Trust

EIN 58-2405550 • 501(c)9 • Atlanta, GA

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Profile

Provision of optional life insurance to members.

3625 Cumberland Blvd No 1425Atlanta, GA 30339

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2019

Liabilities / Revenue

80th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)9 • <$500k nonprofits • Source year 2019

Net Margin

59th percentile

-0.6%

Higher net margin than 59% of similar nonprofits.

501(c)9 • <$500k nonprofits • Source year 2019

Top Officer Pay

86th percentile

$3,676

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

501(c)9 • <$500k nonprofits • Source year 2019

Asset Growth

46th percentile

-100%

Faster asset growth than 46% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2018 to 2019

Revenue Growth

50th percentile

-31%

Faster revenue growth than 50% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $44,125 (-100%) from 2018

Liabilities

Down

$0

Down $42,208 (-100%) from 2018

Net Assets

Down

$0

Down $1,917 (-100%) from 2018

Operations
Liabilities / Revenue80th percentileNet Margin59th percentile

Revenue

Down

$338,784

Down $151,377 (-31%) from 2018

Expenses

Down

$340,701

Down $149,870 (-31%) from 2018

Net Income

Down

-$1,917

Down $1,507 (-368%) from 2018

Trend Graphs

Balance Sheet Trend

Asset Growth46th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60K$40K$20K$0-$20KAssets 2011: -$17,970Liabilities 2011: $0Net Assets 2011: -$17,9702011Assets 2012: $14,156Liabilities 2012: $0Net Assets 2012: $14,1562012Assets 2013: $22,573Liabilities 2013: $0Net Assets 2013: $22,5732013Assets 2014: $9,599Liabilities 2014: $0Net Assets 2014: $9,5992014Assets 2015: $245Liabilities 2015: $0Net Assets 2015: $2452015Assets 2016: $2,644Liabilities 2016: $0Net Assets 2016: $2,6442016Assets 2017: $42,905Liabilities 2017: $41,578Net Assets 2017: $1,3272017Assets 2018: $44,125Liabilities 2018: $42,208Net Assets 2018: $1,9172018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2019

Assets$0
Liabilities$0
Net Assets$0
Open 2019 Filing

Operations Trend

Revenue Growth50th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500KRevenue 2011: $908,798Expenses 2011: $918,767Net Income 2011: -$9,9692011Revenue 2012: $866,444Expenses 2012: $834,318Net Income 2012: $32,1262012Revenue 2013: $639,476Expenses 2013: $631,059Net Income 2013: $8,4172013Revenue 2014: $600,865Expenses 2014: $613,839Net Income 2014: -$12,9742014Revenue 2015: $599,422Expenses 2015: $608,776Net Income 2015: -$9,3542015Revenue 2016: $513,036Expenses 2016: $510,637Net Income 2016: $2,3992016Revenue 2017: $512,241Expenses 2017: $512,558Net Income 2017: -$3172017Revenue 2018: $490,161Expenses 2018: $490,571Net Income 2018: -$4102018Revenue 2019: $338,784Expenses 2019: $340,701Net Income 2019: -$1,9172019

Highlighted filing

2019

Revenue$338,784
Expenses$340,701
Net Income-$1,917
Open 2019 Filing

Filings

Most recent year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$338,784
Expenses
$340,701
Net income
-$1,917
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2019Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$3.39$3.41$0.02
2018Detailed filing. Detailed filing data is available for this year.$0.44$0.42$0.02$4.90$4.91$0.00
2017Detailed filing. Detailed filing data is available for this year.$0.43$0.42$0.01$5.12$5.13$0.00
2016Summary only. Only limited summary data is available for this year.$0.03$0.00$0.03$5.13$5.11$0.02
2015Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$5.99$6.09$0.09
2014Summary only. Only limited summary data is available for this year.$0.10$0.00$0.10$6.01$6.14$0.13
2013Summary only. Only limited summary data is available for this year.$0.23$0.00$0.23$6.39$6.31$0.08
2012Summary only. Only limited summary data is available for this year.$0.14$0.00$0.14$8.66$8.34$0.32
2011Summary only. Only limited summary data is available for this year.$0.18$0.00$0.18$9.09$9.19$0.10
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Sep 30, 2019
Signed
Aug 14, 2020
Return Version
2019v5.1
Gross Receipts
$338,784
Mission and Program Overview

Mission

Provision of optional life insurance to members.

Provision of optional life insurance for members.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$42,208$0▼ $42,208
Cash and Non-Interest-Bearing Accounts$1,917$0▼ $1,917
Rtn Earn Endowment Incm Other Fnds$1,917$0▼ $1,917
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$44,125$0▼ $44,125
Other Assets Total-$0-
Liabilities
Other Liabilities$41,208$0▼ $41,208
Accounts Payable and Accrued Expenses$1,000$0▼ $1,000
Total Liabilities$42,208$0▼ $42,208
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,917$0▼ $1,917
Total Liabilities and Net Assets / Fund Balance$44,125$0▼ $44,125
Compensation and Service Providers
Top Officer Pay86th percentile

Employees

NameTitleBaseTotal
R Warren GordonPlan Administrator$3,676$3,676

Board Members and Trustees

NameTitle
Steve NadeauTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$338,784
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-1,917

Audited Revenue Reconciliation

Revenue per Audited Statements
$338,784
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$338,784
Total Revenue per Form 990
$338,784
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,676
Other Expenses$241
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$336,784
Current Officers, Directors, Trustees, and Key Employees---$3,676
Fees for Service Investment Mgmnt Fees---$241
Total Functional Expenses$0$0$0$340,701

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$340,701
Total Expenses per Audited Statements$340,701
Total Expenses per Form 990$340,701
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 8B

“The governing body comprised of one trustee; there are no committees.”

Form 990, Part VI, Section B, Line 11B

“The 2019 form 990 was reviewed by warren gordon, trustee, and northside hospital senior management prior to filing.”

Form 990, Part VI, Section C, Line 19

“The governing documents for the trust are available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Atlanta Metro Hospitals Veba Trust
EIN
58-2405550
Phone
6788427331
Address
3625 CUMBERLAND BLVD NO 1425, ATLANTA, GA 30339

Signing Officer

Name
Shannon a Banna
Title
VP Finance/CFO
Phone
6788427331
Signed
2020-08-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Shannon a Banna
Formed
1997
Legal Domicile
Ga
Voting Board Members
0
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Windham Brannon LLC
Address
3630 PEACHTREE RD NE SUITE 600, ATLANTA, GA 30326
Preparer
Carlye W Dooley
Phone
4048982000
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

“The veba trust established under the plan to hold the plans assets is intended to qualify as tax-exempt pursuant to section 501(c)(9) of the internal revenue code (irc). The trust has obtained an exemption letter dated june 23, 1999 from the internal revenue service. The plan administrator believes that the plan and veba continue to qualify and to operate in compliance with the applicable requirements of the irc and the plan has no income subject to unrelated business income tax. The plans income tax returns for the past three years are subject to examination by tax authorities, and may change upon examination.”

Raw XML Appendix351 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
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IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
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IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd130339
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd230303
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE GOVERNING BODY COMPRISED OF ONE TRUSTEE; THERE ARE NO COMMITTEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 2019 FORM 990 WAS REVIEWED BY WARREN GORDON, TRUSTEE, AND NORTHSIDE HOSPITAL SENIOR MANAGEMENT PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE GOVERNING DOCUMENTS FOR THE TRUST ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0NORTHSIDE HEALTH SERVICES INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0581917328
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt01000 JOHNSON FERRY ROAD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0ATLANTA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd030342
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0GA
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt044125
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt044125
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt0340701
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt042208
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt042208
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01917
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt0338784
IRS990/TotalReportableCompFromOrgAmt03676
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0338784
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0338784
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt044125
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt03625 CUMBERLAND BLVD SUITE 1425
IRS990/USAddress/CityNm0ATLANTA
IRS990/USAddress/StateAbbreviationCd0GA
IRS990/USAddress/ZIPCd030339
IRS990/VotingMembersGoverningBodyCnt00
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02020-11-06 18:47:13Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0SHANNON A BANNA
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0VP FINANCE/CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum06788427331
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-08-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ATLANTA METRO HOSPITALS VEBA TRUST
ReturnHeader/Filer/BusinessNameControlTxt0ATLA
ReturnHeader/Filer/EIN0582405550
ReturnHeader/Filer/PhoneNum06788427331
ReturnHeader/Filer/USAddress/AddressLine1Txt03625 CUMBERLAND BLVD NO 1425
ReturnHeader/Filer/USAddress/CityNm0ATLANTA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0GA
ReturnHeader/Filer/USAddress/ZIPCd030339
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0495F65D40973E9709ED9E865635E832C7FA26B4B
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0E8AC263D5485933635023AAA180FE7305F7C0BE3
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt012.7.232.99
ReturnHeader/FilingSecurityInformation/IPDt02020-08-14
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ED
ReturnHeader/FilingSecurityInformation/IPTm009:59:03
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0581763439
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WINDHAM BRANNON LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03630 PEACHTREE RD NE SUITE 600
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ATLANTA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0GA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd030326
ReturnHeader/PreparerPersonGrp/PhoneNum04048982000
ReturnHeader/PreparerPersonGrp/PreparationDt02020-08-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0CARLYE W DOOLEY
ReturnHeader/ReturnTs02020-08-17T12:24:09-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-09-30
ReturnHeader/TaxYr02019

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