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NAVICENT HEALTH INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
NAVICENT HEALTH INC (EIN 58-2149127)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-10
IRS object ID
202233149349304443
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-10T13:03:56-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Draffin & Tucker LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 71309AddressLine1Txt
CityAlbanyCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317081309ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582149127EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NAVICENT HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNAVIBusinessNameControlTxt
Phone4786336968PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1777 Hemlock Street MSC 111AddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKimberly ShrewsburyPersonNm
Person TitleCFOPersonTitleTxt
Signature2022-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKimberlyPersonFirstNm
Person LastShrewsburyPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonW Edward PhillipsPreparerPersonNm
PTINP00451499PTIN
Phone2298837878PhoneNum
Preparation2022-10-24PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Delvecchio S FinleyBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1777 Hemlock Street MSC 111AddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$138,628,462GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.navicentheatlh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionNAVICENT HEALTH'S MISSION IS TO ELEVATE HEALTH AND WELL-BEING THROUGH COMPASSIONATE CARE FOR ALL. OUR VALUES ARE INTEGRITY, RESPECT, OWNERSHIP AND CARING. NAVICENT HEALTH, INC. IS A NONPROFIT CORPORATION WHOSE PRIMARY PURPOSE IS TO SERVE AS A PARENT CORPORATION PROVIDING STRATEGIC DIRECTION TO THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. AND OTHER AFFILIATES IN SUPPORT OF THEIR MISSION OF PROVIDING A COMPREHENSIVE RANGE OF HIGH-QUALITY, REASONABLY PRICED HEALTH CARE SERVICES TO THE CENTRAL GEORGIA COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1076TotalEmployeeCnt
Total Gross UBI$856,600TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$439,339NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$116,882,768PYContributionsGrantsAmt
CY Contributions Grants$611,574CYContributionsGrantsAmt
PY Program Service Revenue$92,546,389PYProgramServiceRevenueAmt
CY Program Service Revenue$131,997,913CYProgramServiceRevenueAmt
PY Investment Income$160,320PYInvestmentIncomeAmt
CY Investment Income$288,212CYInvestmentIncomeAmt
PY Other Revenue$450,163PYOtherRevenueAmt
CY Other Revenue$5,730,763CYOtherRevenueAmt
PY Total Revenue$210,039,640PYTotalRevenueAmt
CY Total Revenue$138,628,462CYTotalRevenueAmt
PY Grants And Similar Paid$10,131,106PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$36,750CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$84,988,069PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$102,948,418CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$60,354,843PYOtherExpensesAmt
CY Other Expenses$76,084,087CYOtherExpensesAmt
PY Total Expenses$155,474,018PYTotalExpensesAmt
CY Total Expenses$179,069,255CYTotalExpensesAmt
PY Revenues Less Expenses$54,565,622PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$40,440,793CYRevenuesLessExpensesAmt
Total Assets BOY$218,184,816TotalAssetsBOYAmt
Total Assets EOY$383,086,657TotalAssetsEOYAmt
Total Liabilities BOY$70,134,106TotalLiabilitiesBOYAmt
Total Liabilities EOY$384,805,858TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$148,050,710NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,719,201NetAssetsOrFundBalancesEOYAmt
MissionNAVICENT HEALTH'S MISSION IS TO ELEVATE HEALTH AND WELL-BEING THROUGH COMPASSIONATE CARE FOR ALL. OUR VALUES ARE INTEGRITY, RESPECT, OWNERSHIP AND CARING. NAVICENT HEALTH, INC. IS A NONPROFIT CORPORATION WHOSE PRIMARY PURPOSE IS TO SERVE AS A PARENT CORPORATION PROVIDING STRATEGIC DIRECTION TO THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. AND OTHER AFFILIATES IN SUPPORT OF THEIR MISSION OF PROVIDING A COMPREHENSIVE RANGE OF HIGH-QUALITY, REASONABLY PRICED HEALTH CARE SERVICES TO THE CENTRAL GEORGIA COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$141,660,168ExpenseAmt
Grant$36,750GrantAmt
Revenue$114,402,610RevenueAmt
DescNAVICENT HEALTH'S PRIMARY PURPOSE IS TO SERVE AS A CONTROLLING BODY FOR THE MEDICAL CENTER OF CENTRAL GEORGIA, INC., HEALTH SERVICES OF CENTRAL GEORGIA, INC., CENTRAL GEORGIA SENIOR HEALTH, INC., THE MEDICAL CENTER OF PEACH COUNTY, INC., NAVICENT HEALTH BALDWIN, INC. AND OTHER AFFILIATED ENTITIES; AND TO PROVIDE STRATEGIC DIRECTION, FINANCIAL MANAGEMENT, RESOURCE ALLOCATION AND OTHER SUPPORT TO ITS AFFILIATES IN THE PROVISION OF HEALTHCARE SERVICES TO THE CENTRAL GEORGIA COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$21,388,544ExpenseAmt
Revenue$22,469,466RevenueAmt
DescNAVICENT HEALTH OPERATES CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC, THE FIRST REHABILITATION FACILITY ESTABLISHED IN CENTRAL GEORGIA AND ONE OF TWO FREE-STANDING REHABILITATION HOSPITALS IN THE STATE. THE REHABILITATION HOSPITAL PROVIDES COMPREHENSIVE PHYSICAL REHABILITATION SERVICES ON AN INPATIENT AND OUTPATIENT BASIS. IT IS LICENSED FOR 58 BEDSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$163,048,712TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1076EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kimberly ShrewsburyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4786331452PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1777 HEMLOCK STREETAddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Kim Johnston MD
VICE CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
Starr Purdue
CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
Bill Tift MD
Board Member1.01.0Yes (X)$0$0$0
Carol Lovin
Board Member1.041.0Yes (X)$0$1,715,644$204,400
Connie Cater
Board Member1.01.0Yes (X)$0$0$0
David Danzie
Board Member1.01.0Yes (X)$0$0$0
Henry Koplin
Board Member1.02.0Yes (X)$0$0$0
J Marbury Rainer
Board Member1.01.0Yes (X)$0$0$0
Jayesh Patel MD
Board Member1.01.0Yes (X)$0$0$0
John D Houser
Board Member1.01.0Yes (X)$0$0$0
MAC EVERETT
Board Member1.01.0Yes (X)$0$0$0
Mark Grossnickle MD
Board Member1.01.0Yes (X)$0$0$0
Ray Pippin
Board Member1.01.0Yes (X)$0$0$0
Rick Shackelford
Board Member1.01.0Yes (X)$0$0$0
Ron Shipman
Board Member1.01.0Yes (X)$0$0$0
Ronnie Collier
Board Member1.01.0Yes (X)$0$0$0
Sheila Ray
Board Member1.01.0Yes (X)$0$0$0
Timothy Jackson
Board Member1.01.0Yes (X)$0$0$0
Wimberly Treadwell
Board Member1.01.0Yes (X)$0$0$0
Delvecchio Finley
PRESIDENT/CEO5.050.0Yes (X)$0$1,113,418$65,210
Kenneth B Banks
CORPORATE SECRETARY & CHIEF LEGAL COUNSEL45.05.0Yes (X)$614,094$0$64,817
Robert C Wilde
EVP Enterprise Chief Financial Officer45.05.0Yes (X)$587,462$0$107,177
Bhalla Vishal
Chief HR Officer15.035.0$0$322,183$4,964Yes (X)
Elbert T McQueen
SENIOR VP35.010.0$474,267$0$49,913Yes (X)
Judy K Ware
CFO Rural Health40.01.0$216,740$0$37,278Yes (X)
Sanford G Duke MD
Chief Clinical Officer Enterprise Clinical Systems40.00$656,228$0$37,956Yes (X)
Thomas Oliver MD
President Hospitals and Clinics40.01.0$1,202,047$0$28,294Yes (X)
Todd M Dixon
CEO - BALDWIN1.040.0$0$262,109$23,645Yes (X)
Cynthia Busbee
SVP Mkt Comm. Public Affairs40.00$289,393$0$26,211Yes (X)
Jr Dale J Boylston
CEO TC2 Health/President Stratus Healthcare40.00$313,029$0$33,665Yes (X)
Luis Fonseca
President Hospitals and Clinics40.00$450,834$0$13,540Yes (X)
Sara L Lonergan
VP Deputy General Counsel40.00$378,547$0$12,140Yes (X)
Stephen B Kardon
President Stratus/TC240.00$315,571$0$29,452Yes (X)
Ninfa M Saunders
PRESIDENT/CEO0$0$1,740,727$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,498,212TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,154,081TotReportableCompRltdOrgAmt
Total Other Compensation$738,662TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K151IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
MACON OCCUPATIONAL MEDICINE LLC
124 THIRD STREETMACONGA312013404EMPLOYE HEALTH SERVICES$1,740,860
TAYLOR ENGLISH DUMA LLP
1600 PARKWOOD CIRCLEATLANTAGA30339Legal Services$884,704SUITE 200
BENDIN SUMRALL & LADNER LLC
1360 PEACHTREE ST NE SUITE 800AtlantaGA30309Legal Services$660,402
API HEALTHCARE CORPORATION
33073 COLLECTION CENTER DRCHICAGOIL60693Maint. Contract and Support$597,999
Parker Hudson Rainer & Dobbs LLP
303 Peachtree Street NE STE 3600ATLANTAGA30308Legal Services$542,590
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K44CntrctRcvdGreaterThan100KCnt
Government Grants$231,605GovernmentGrantsAmt
All Other Contributions$379,969AllOtherContributionsAmt
Total Contributions$611,574TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
AFFILIATED SUPPORT REVENUE541200$107,705,925$107,705,925
PATIENT REVENUE621990$21,832,288$21,832,288
PARKING FEES821930$1,278,230$1,278,230
MANAGEMENT FEES561000$856,600$856,600
CAFETERIA SALES722514$8,002$8,002

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$316,868TotalRevenueColumnAmt
Related Or Exempt Func Income$316,868RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$131,997,913TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$287,051TotalRevenueColumnAmt
Exclusion$287,051ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$395,024RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$395,024RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$395,024TotalRevenueColumnAmt
Related Or Exempt Func Income$395,024RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,161OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$1,161OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,161TotalRevenueColumnAmt
Exclusion$1,161ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Equity PARTNERSHIP INVESTMENT531390$3,533,555$3,533,555
Recovery of Loan Previously Written Off531390$1,802,184$1,802,184

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,335,739OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$138,628,462TotalRevenueColumnAmt
Related Or Exempt Func Income$136,872,076RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$856,600UnrelatedBusinessRevenueAmt
Exclusion$288,212ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$36,750TotalAmt
Program Services$36,750ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,498,212TotalAmt
Management And General$5,498,212ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$66,159,586TotalAmt
Program Services$61,257,898ProgramServicesAmt
Management And General$4,901,688ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,251,393TotalAmt
Program Services$2,065,946ProgramServicesAmt
Management And General$185,447ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,058,596TotalAmt
Program Services$23,945,234ProgramServicesAmt
Management And General$113,362ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,980,631TotalAmt
Program Services$4,346,488ProgramServicesAmt
Management And General$634,143ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,791,255TotalAmt
Program Services$588,934ProgramServicesAmt
Management And General$1,202,321ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$98,866TotalAmt
Management And General$98,866ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$27,766TotalAmt
Program Services$27,766ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,714,281TotalAmt
Program Services$8,899,387ProgramServicesAmt
Management And General$814,894ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$846,924TotalAmt
Program Services$645,196ProgramServicesAmt
Management And General$201,728ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,566,989TotalAmt
Program Services$5,252,408ProgramServicesAmt
Management And General$314,581ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$20,802,416TotalAmt
Program Services$20,802,416ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$682,862TotalAmt
Program Services$617,071ProgramServicesAmt
Management And General$65,791ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$265,261TotalAmt
Program Services$196,761ProgramServicesAmt
Management And General$68,500ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$695TotalAmt
Program Services$695ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$37,701TotalAmt
Program Services$36,158ProgramServicesAmt
Management And General$1,543ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,310,193TotalAmt
Program Services$10,307,994ProgramServicesAmt
Management And General$2,199ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,555,359TotalAmt
Program Services$11,555,359ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$6,267,065$6,243,291$23,774
Minor Eq, Eq Rental & Maint$4,604,050$4,573,738$30,312
Taxes, Penalties & Fees$1,540,307$585,882$954,425
Dues & Subscriptions$1,076,196$173,830$902,366

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$895,901TotalAmt
Program Services$889,510ProgramServicesAmt
Management And General$6,391ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$179,069,255TotalAmt
Program Services$163,048,712ProgramServicesAmt
Management And General$16,020,543ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,926,616BOYAmt
EOY$222,751,932EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,501,962BOYAmt
EOY$5,081,921EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$374,340BOYAmt
EOY$135,098EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,618,965BOYAmt
EOY$5,472,357EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$231,883,519LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$179,520,486LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$55,187,705BOYAmt
EOY$52,363,033EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$41,173,379BOYAmt
EOY$40,969,542EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$21,844,495BOYAmt
EOY$25,246,807EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$82,557,354BOYAmt
EOY$31,065,967EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$218,184,816BOYAmt
EOY$383,086,657EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,421,452BOYAmt
EOY$54,886,685EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$894,514EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,529,500BOYAmt
EOY$9,276,500EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,183,154BOYAmt
EOY$319,748,159EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$70,134,106BOYAmt
EOY$384,805,858EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$148,050,710BOYAmt
EOY-$1,719,201EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$148,050,710BOYAmt
EOY-$1,719,201EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$218,184,816BOYAmt
EOY$383,086,657EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$40,440,793ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$1,073,979PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$108,255,139OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1The Medical Center of Central Goergia IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN582149128EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (true)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (true)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (true)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (true)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (true)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment PoliciesComplete overlap between the Boards of the Supported and Supporting Organizations and substantial identity among the officer group of the two organizations ensure that the Supported Organization has a significant voice in the Supporting Organization's investment policies and in the use of the Supporting Organization's assets and income.
Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/TrusteeNavicent Health annually appoints the Members to the Board of Directors of The Medical Center of Central Georgia (the supported organization). The CEO and EVP/CFO of both organizations are the same individuals.
Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/ActivitiesNavicent Health is responsible for strategic and financial planning, compensation oversight and resource allocation issues for The Medical Center of Central Georgia and all affiliated organizations within the Georgia based multi-entity healthcare system of organizations.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$98,867OtherActivitiesAmt
Total Lobbying Expenditures$98,867TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationLOBBYING EXPENSES INCLUDE A PORTION OF DUES PAID TO VARIOUS ORGANIZATIONS (I.E., GEORGIA HOSPITAL ASSOCIATION). IT ALSO INCLUDES AMOUNTS PAID TO A CONTRACTED INDIVIDUAL AND A PORTION OF THE AMOUNT PAID TO AN EMPLOYEE, WHOM LOBBY ON BEHALF OF THE ORGANIZATION AND THE NAVICENT HEALTH SYSTEM.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$713,639OtherCostOrOtherBasisAmt
Book Value$713,639BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,169,025OtherCostOrOtherBasisAmt
Depreciation$38,788,619DepreciationAmt
Book Value$16,380,406BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$739,029OtherCostOrOtherBasisAmt
Depreciation$724,932DepreciationAmt
Book Value$14,097BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$170,951,272OtherCostOrOtherBasisAmt
Depreciation$140,006,935DepreciationAmt
Book Value$30,944,337BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,310,554OtherCostOrOtherBasisAmt
Book Value$4,310,554BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$52,363,033TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Investments in Affiliates$17,734,598
Investments in Joint Ventures$23,234,944
FieldValueIRS element (for citing)
Total Book Value Program Rltd$40,969,542TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDescBook ValueBookValueAmt
A/R HOSPITAL AUTHORITY$32,907
Miscellaneous Receivable$2,626,109
Management Fee Receivable
457B Deferred Compensation$25,504,575
DC SERP
Due from Affiliates
Third Party Settlement
Due from CPI
Noncurrent Loans$2,902,376
Penison (GASB Conformity )
FieldValueIRS element (for citing)
Total Book Value Other Assets$31,065,967TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
SERP Liability$3,588,770
DC SERP Liability
457B Plan$24,445,058
Retention Plan
Wells Fargo Term Loan 2019$5,755,736
Deferred Inflow - Pension$47,137,228
Reserve IBNR
Due to Affiliates$226,812,792
Operating Lease$11,006,186
Commitments and Contingencies$1,002,389
FieldValueIRS element (for citing)
Total Liability$319,748,159TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationAtrium Health Inc., Atrium Health Navicent, Atrium Health Floyd, NCBH, WFUHS, and various affiliates are tax exempt as described in Section (c)(3) of the Internal Revenue Code (the Code) and are generally exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. As a North Carolina hospital authority, Atrium Health CMHA is also exempt from federal and state income taxes. Accordingly, no provision for income taxes is made in the combined financial statements. If applicable, unrelated business income is reported by all members and subsidiary organizations on IRS Form 990-T. Fiscal years ending on or after June 30, 2018 remain subject to examination by federal and state tax authorities. The Enterprise and its subsidiaries have evaluated uncertain tax positions for the fiscal year ended December 31, 2021, including a quantification of tax risks in areas such as unrelated business income and taxation of for-profit subsidiaries. This evaluation did not have a material effect on the Enterprise's combined financial statements for the year ended December 31, 2021.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$109,042,068RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$109,042,068SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$109,042,068TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3 Method used to account for expenditures on org's financial statementsFormAndLineReferenceDesc
ExplanationCENTRAL AMERICA AND THE CARIBBEAN-AccrualExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$285,632TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$285,632NetCommunityBenefitExpnsAmt
Total Expense0.0134TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,835,378TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,168,472DirectOffsettingRevenueAmt
Net Community Benefit Expns$666,906NetCommunityBenefitExpnsAmt
Total Expense0.0312TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,121,010TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,168,472DirectOffsettingRevenueAmt
Net Community Benefit Expns$952,538NetCommunityBenefitExpnsAmt
Total Expense0.0445TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,121,010TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,168,472DirectOffsettingRevenueAmt
Net Community Benefit Expns$952,538NetCommunityBenefitExpnsAmt
Total Expense0.0445TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$605,279BadDebtExpenseAmt
Reimbursed By Medicare$11,403,270ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,045,353CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,357,917MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Central Georgia Rehabilitation Hospital LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13351 Northside DriveAddressLine1Txt
CityMaconCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31210ZIPCd
FieldValueIRS element (for citing)
State License011-627StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
OtherSpecialty - RehabOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Central Georgia Rehabilitation Hospital LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://navicenthealth.org/our-annual-reportsOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://navicenthealth.org/our-annual-reportsStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docsFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docsFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docsFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EPrioritization for Navicent Health was determined based on a joint, regional prioritization process, along with the other Navicent Health facilities in Central Georgia. On December 17, 2020, Navicent Health convened an online meeting with community stakeholders (representing a cross section of community-based agencies and organizations) to evaluate, discuss and prioritize health issues for community, based on findings of this Community Health Needs Assessment (CHNA). Professional Research Consultants, Inc. (PRC) began the virtual meeting with a presentation of key findings from the CHNA, highlighting the significant health issues identified from the research. Following the data review, PRC answered any questions. Finally, participants were provided an overview of the prioritization exercise that followed. In order to assign priority to the identified health needs, a wireless audience response system was used in which each participant was able to register his/her ratings using a small remote keypad. The participants were asked to evaluate each health issue along two criteria: Scope & Severity Ability to Impact Individuals' ratings for each criteria were averaged for each tested health issue, and then these composite criteria scores were averaged to produce an overall score. This process yielded the following prioritized list of community health needs: 1. Diabetes 2. Heart Disease & Stroke 3. Nutrition, Physical Activity & Weight 4. Infant Health & Family Planning 5. Access to Health Care Services 6. Sexual Health 7. Mental Health 8. Respiratory Disease 9. Cancer 10. Tobacco Use 11. Substance Abuse 12. Injury & Violence 13. Potentially Disabling Conditions 14. Septicemia 15. Oral Health As a specialty hospital, none of the identified priorities specifically relate to Central Georgia Rehabilitation Hospital as a provider.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Central Georgia Rehabilitation Hospital, LLC. This assessment incorporates data from multiple sources, including primary research (through the PRC Community Health Survey and PRC Online Key Informant Survey), as well as secondary research (vital statistics and other existing health-related data). It also allows for trending and comparison to benchmark data at the state and national levels. The survey instrument used for this study is based largely on the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS), as well as various other public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives and other recognized health issues. The final survey instrument was developed by Navicent Health and PRC and is similar to the previous surveys used in the region, allowing for data trending. The study area for the survey effort (referred to as the "Total Area" in this report) is defined as each of the residential ZIP Codes predominantly associated with Baldwin, Bibb, Crawford, Houston, Jones, Monroe, Peach, or Twiggs counties in central Georgia. In the reporting, Crawford, Jones, Monroe, and Twiggs county findings are grouped into a single combined area, referred to as "Other Counties." A precise and carefully executed methodology is critical in asserting the validity of the results gathered in the PRC Community Health Survey. Thus, to ensure the best representation of the population surveyed a mixed-mode methodology was implemented. This included surveys conducted via telephone (landline and cell phone), as well as through online questionnaires. The sample design used for this effort consisted of a stratified random sample of 1,200 individuals age 18 and older in the Total Area, including 300 each in Bibb and Houston counties, 200 each in Peach and Baldwin counties, and 200 in the combined Other Counties area. Once the interviews were completed, these were weighted in proportion to the actual population distribution so as to appropriately represent the Total Area as a whole. All administration of the surveys, data collection, and data analysis was conducted by PRC. For statistical purposes, the maximum rate of error associated with a sample size of 1,200 respondents is +/-2.8% at the 95 percent confidence level.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Medical Center of Central Georgia, Inc.. An academic medical center and designated Level 1 Trauma Center, MCCG is licensed for 635-beds. Both MCCG and Central Georgia Rehabilitation Hospital, LLC are controlled by Navicent Health, Inc.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Central Georgia Rehabilitation Hospital. A wide range of priority health issues were identified by the community representatives in the 2020 CHNA. The hospital, as part of Navicent Health, will consider the top health priorities identified through the process and their overall alignment with the hospital's mission, goals and strategic priorities. The hospital will continue to focus on developing, supporting and collaborating on strategies and initiatives to improve healthcare access and health promotion. This facility is a specialty hospital providing rehabilitation services to all individuals without regard to their ability to pay. The implementation strategies for Navicent Health System (which the system refers to as the Navicent Health System Community Action Plan) may be found at: https://www.navicenthealth.org/our-annual-reports.html.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I Percent of Total Expenses and Other Financial InformationThe percent of total expenses and other financial information in Schedule H, Parts I and III are calculated using only the financial information of Central Georgia Rehab Hospital, LLC, a wholly owned limited liability company of Navicent Health, Inc. that is accounted for as a separate department of the organization.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE DATA REPORTED IN PART 1, LINE 7 IS REPORTED AS INSTRUCTED BY THE CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". THE COSTS WERE CALCULATED USING THE RATIO OF COSTS TO CHARGES USING WORKSHEET 2 IN THE INSTRUCTIONS TO FORM 990 SCHEDULE H.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountPATIENT CHARGES WRITTEN OFF TO BAD DEBT REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT HAVE BEEN MADE FOR THAT PORTION OF A PATIENT'S BILL THAT ARE NOT OTHERWISE PAID BY THIRD-PARTY INSURANCE, GOVERNMENT PROGRAMS, PATIENT PAYMENTS OR THAT DO NOT QUALIFY FOR WRITEOFF UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteATRIUM HEALTH ISSUES CONSOLIDATED FINANCIAL STATEMENTS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AS PRESCRIBED BY THE GOVERNMENTAL ACCOUNTING STANDARDS BOARD. THERE IS NO COMPREHENSIVE FOOTNOTE THAT ADDRESSES BAD DEBT EXPENSE. PATIENT SERVICE REVENUE IS EXPLAINED IN FOOTNOTE 1(P) ON PAGED 34-35, FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT COSTS ARE DISCUSSED IN FOOTNOTE 15 ON PAGE 107, AND THE USE OF ESTIMATES (WHICH INCLUDES THE USE OF ESTIMATES RELATED TO THE VALUATION OF ACCOUNTS RECEIVABLE, INCLUDING CONTRACTUAL ALLOWANCES AND PROVISIONS FOR BAD DEBTS) IS DISCUSSED IN FOOTNOTE 1(W) ON PAGE 39 OF THE AUDITED FINANCIAL ON STATEMENTS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2021.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE COSTING METHODOLOGY USES THE COSTS INCLUDED IN THE COST REPORT WHICH ARE CALCULATED USING A DEPARTMENTAL SPECIFIC COST TO CHARGE RATIO AS COMPARED TO ACTUAL MEDICARE PAYMENTS. The Medicare cost report does not fully capture all Medicare revenue and costs, including but not limited to physician services and Medicare part C. Total Medicare surplus is reduced to $2,214,726.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistancePATIENTS ARE NOTIFIED OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE. EACH BILLING STATEMENT CONTAINS A CONSPICUOUS NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO INDIVIDUALS THAT QUALIFY. ONCE A PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, IT IS NOTED IN THE PATIENT'S FINANCIAL RECORD AND ANY COLLECTION EFFORTS CEASE. ANY PREVIOUS AMOUNTS BILLED ARE WRITTEN OFF (or refunded if any payment was received) AS PROVIDED IN THE FINANCIAL ASSISTANCE POLICY. THE ASSISTANT VICE PRESIDENT OF REVENUE CYCLE OF THE ORGANIZATION REVIEWS THE FINANCIAL ACTIVITY ON OTHER ACCOUNTS TO DETERMINE IF AN ACCOUNT SHOULD BE TURNED OVER TO OUTSIDE COLLECTIONS. IF A PATIENT ACCOUNT TURNED OVER TO COLLECTIONS IS LATER DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS BROUGHT BACK FROM COLLECTIONS AND THE ACCOUNT WRITTEN OFF.
Schedule H, Part V, Section B, Line 16a FAP website- Central Georgia Rehabilitation Hospital, LLC: Line 16a URL: https://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docs;
Schedule H, Part V, Section B, Line 16b FAP Application website- Central Georgia Rehabilitation Hospital, LLC: Line 16b URL: https://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docs;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- Central Georgia Rehabilitation Hospital, LLC: Line 16c URL: https://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docs;
Schedule H, Part VI, Line 2 Needs assessmentA COMMUNITY NEEDS ASSESSMENT WAS PERFORMED IN 2020 ON BEHALF OF THE NAVICENT HEALTH BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). THE CHNA WAS CONDUCTED FOR THE MEDICAL CENTER OF CENTRAL GEORGIA AND CENTRAL GEORGIA REHABILITATION HOSPITAL. PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM. IN ADDITION, THE HOSPITAL ROUTINELY SOLICITS FEEDBACK ON COMMUNITY HEALTH NEEDS FROM MEMBERS OF THE MEDICAL STAFF AND COMMUNITY LEADERS as part of its strategic planning process.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistancePATIENTS ARE INFORMED OF AVAILABLE ASSISTANCE BY THE FOLLOWING METHODS: THE PATIENT IS NOTIFIED UPON ADMISSION OF THE FINANCIAL ASSISTANCE POLICY; SIGNAGE AT ALL ACCESS POINTS INTO THE ORGANIZATION NOTIFIES PATIENTS AND GUESTS OF THE POLICY; AND ALL BILLINGS INCLUDE INFORMATION TO CONTACT THE BUSINESS OFFICE TO APPLY FOR ASSISTANCE. WE ALSO IDENTIFY ALL PATIENTS WITHOUT INSURANCE AND WORK WITH THEM TO OBTAIN MEDICAID COVERAGE IF POSSIBLE. THE ORGANIZATION'S WEBSITE NOTIFIES VISITORS OF AVAILABLE FINANCIAL ASSISTANCE. The FAP, the plain language summary and the application for assistance are also available on the organization's website.
Schedule H, Part VI, Line 4 Community informationTHE PRIMARY SERVICE AREA IS BIBB CRAWFORD, HOUSTON, JONES MONROE, PEACH AND TWIGGS COUNTIES. THERE ARE TWENTY-ONE COUNTIES IN THE SECONDARY SERVICE AREA. THE CURRENT POPULATION IN THE PRIMARY SERVICE AREA IS 406,725 AND THE SECONDARY SERVICE AREA HAS A POPULATION OF 389,460. MCCG IS THE TERTIARY HOSPITAL FOR THE CENTRAL GEORGIA REGION.
Schedule H, Part VI, Line 5 Promotion of community healthTHE ORGANIZATION IS PART OF A MULTI-ENTITY HEALTHCARE SYSTEM THAT PROVIDES MEDICAL SERVICES TO THE COMMUNITY. THE ORGANIZATION HAS A BOARD COMPRISED OF MEMBERS OF THE COMMUNITY. THE MEDICAL STAFF OF THE HOSPITAL IS OPEN TO ALL QUALIFIED PHYSICIAN APPLICANTS. ANY SURPLUS FUNDS ARE REINVESTED IN THE ORGANIZATION AND USED FOR PROGRAM SERVICES. AN EMERGENCY ROOM OPEN 24/7/365 IS AVAILABLE AT OUR SISTER ORGANIZATION, THE MEDICAL CENTER OF CENTRAL GEORGIA, A GENERAL SHORT TERM ACUTE CARE FACILITY AND ONE OF FIVE LEVEL 1 TRAUMA CENTER'S IN THE STATE OF GEORGIA. .
Schedule H, Part VI, Line 6 Affiliated health care systemTHE ORGANIZATION IS PART OF NAVICENT HEALTH, INC. AND is one of several AFFILIATED ENTITIES comprising the MULTI-ENTITY HEALTHCARE SYSTEM. ORGANIZATIONS IN THE SYSTEM INCLUDE: AH Georgia, Inc., a North Carolina non-profit organization, serves as the sole member of the Navicent Health, Inc. NAVICENT HEALTH SERVES AS THE local (Central Georgia based) PARENT ENTITY OF THE HEALTH SYSTEM. IT ALSO OPERATES CENTRAL GEORGIA REHABILITATION HOSPITAL, INC. THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. IS A 637-BED GENERAL SHORT-TERM ACUTE CARE HOSPITAL FACILITY THAT IS DESIGNATED AS A LEVEL 1 TRAUMA CENTER AND MAGNET HOSPITAL FOR NURSING. HEALTH SERVICES OF CENTRAL GEORGIA, INC. PROVIDES FACULTY PHYSICIANS TO THE RESIDENCY TRAINING PROGRAMS OF THE MEDICAL CENTER OF CENTRAL GEORGIA AS WELL AS OTHER PHYSICIANS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS. CENTRAL GEORGIA SENIOR HEALTH, INC. IS A LIFE PLAN COMMUNITY (CCRC) OFFERING INDEPENDENT LIVING, ASSISTED LIVING, MEMORY SUPPORT AND SKILLED NURSING. NAVICENT HEALTH BALDWIN, INC. IS A 140-LICENSED BED ACUTE CARE HOSPITAL AND 15-BED SKILLED NURSING FACILITY IN NEARBY BALDWIN COUNTY. The Medical Center of Peach County, Inc. is a 25-bed critical access hospital primarily serving the residents of Peach County, Georgia. AH Georgia, Inc. is also became the sole member of Floyd Healthcare Management, Inc., a hospital serving portions of Northwest Georgia and Northeast Alabama during 2021.
Schedule H, Part VI, Line 7 State filing of community benefit reportGA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
'The Grand Opera House
651 Mulberry StreetMaconGA31201580566167501(C)(3)$5,000Community Support
American Heart Association
PO Box 4002900Des MoinesIA503402900135613797501(C)(3)$18,750Community Sponsorship
THE GEORGIA TRUSTHAY HOUSE
934 Georgia AveMaconGA31201237357226501(C)(3)$8,000Community Sponsorship
HISTORIC MACON FOUNDATION INC
PO Box 13358MaconGA31201510200143501(C)(3)$5,000Community Sponsorship
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationNAVICENT REQUIRES ALL ORGANIZATIONS THAT RECEIVE SPONSORSHIPS TO PROVIDE PROOF OF THEIR NON PROFIT STATUS. Navicent makes small grants on behalf of The Medical Center of Central Georgia.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Carol Lovin
Board Member$0$787,371$0$706,786$0$221,487$0$188,297$0$16,103$0$1,920,044$0$0
Ninfa M Saunders
PRESIDENT/CEO$0$0$0$0$0$1,740,727$0$0$0$0$0$1,740,727$0$0
Kenneth B Banks
CORPORATE SECRETARY & CHIEF LEGAL COUNSEL$441,391$0$92,598$0$80,105$0$36,619$0$28,198$0$678,911$0$0$0
Robert C Wilde
EVP Enterprise Chief Financial Officer$467,778$0$97,513$0$22,171$0$85,905$0$21,272$0$694,639$0$0$0
Delvecchio Finley
PRESIDENT/CEO$0$763,260$0$150,000$0$200,158$0$46,583$0$18,627$0$1,178,628$0$0
Todd M Dixon
CEO - BALDWIN$0$214,496$0$37,686$0$9,927$0$6,012$0$17,633$0$285,754$0$0
Sanford G Duke MD
Chief Clinical Officer Enterprise Clinical Systems$521,053$0$109,278$0$25,897$0$11,642$0$26,314$0$694,184$0$0$0
Elbert T McQueen
SENIOR VP$341,094$0$66,755$0$66,418$0$26,193$0$23,720$0$524,180$0$0$0
Thomas Oliver MD
President Hospitals and Clinics$862,705$0$149,300$0$190,042$0$11,600$0$16,694$0$1,230,341$0$0$0
Judy K Ware
CFO Rural Health$178,551$0$19,774$0$18,415$0$8,746$0$28,532$0$254,018$0$0$0
Bhalla Vishal
Chief HR Officer$0$170,985$0$50,000$0$101,198$0$4,964$0$0$0$327,147$0$0
Jr Dale J Boylston
CEO TC2 Health/President Stratus Healthcare$290,666$0$0$0$22,363$0$9,048$0$24,617$0$346,694$0$0$0
Cynthia Busbee
SVP Mkt Comm. Public Affairs$231,479$0$37,664$0$20,250$0$6,522$0$19,689$0$315,604$0$0$0
Luis Fonseca
President Hospitals and Clinics$329,623$0$50,000$0$71,211$0$5,530$0$8,010$0$464,374$0$0$0
Stephen B Kardon
President Stratus/TC2$304,019$0$0$0$11,552$0$8,722$0$20,730$0$345,023$0$0$0
Sara L Lonergan
VP Deputy General Counsel$287,083$0$50,863$0$40,601$0$11,514$0$626$0$390,687$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control paymentNinfa Saunders $1,740,727
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planMCCG HAD A SUPPLEMENTAL EXECUTIVE BENEFIT PROGRAM ("SEBP") FOR CERTAIN EXECUTIVES THAT WAS DESIGNED AS A LOAN REGIME SPLIT DOLLAR LIFE INSURANCE PROGRAM. THIS PROGRAM WAS EXPECTED TO PROVIDE DEATH AND OTHER BENEFITS TO EXECUTIVES AND TO PROVIDE REPAYMENT OF LIFE INSURANCE PREMIUMS TO THE ORGANIZATION. AS A RESULT OF ECONOMIC CONDITIONS, THE LIFE INSURANCE POLICIES DID NOT PERFORM AS ANTICIPATED. DURING 2009 MCCG SUSPENDED ALL PREMIUM PAYMENTS AND REEVALUATED THE EFFECTIVENESS OF THE PROGRAM FOR ALL CURRENT PARTICIPANTS. DURING CALENDAR YEAR 2009 THE MCCG BOARD OF DIRECTORS, AFTER CONSULTATION WITH COMPENSATION AND LEGAL ADVISERS, ADOPTED A RESOLUTION TO MAKE PAYMENTS TO THE RETIRED PARTICIPANTS IN THE SEBP. IN CONSIDERATION FOR THE RECEIPT OF SUCH PAYMENT, THE RETIRED EXECUTIVES SURRENDERED SUBSTANTIALLY ALL RIGHTS AND BENEFITS (OTHER THAN A SMALL DEATH BENEFIT) UNDER THE SEBP TO THE ORGANIZATION. SUBSEQUENTLY, A SIMILAR DECISION WAS MADE DURING FISCAL YEAR ENDED SEPTEMBER 30, 2011 FOR THE REMAINING (EMPLOYED) PARTICIPANTS WITH ANY PAYMENTS TO BE MADE DEPENDENT ON THE INDIVIDUAL CONTINUING TO PROVIDE SUBSTANTIAL SERVICES TO A SPECIFIED FUTURE DATE. IN ADDITION, MCCG AND ITS AFFILIATED ORGANIZATIONS ADOPTED A SERP PROGRAM FOR CERTAIN EXECUTIVES EFFECTIVE FOR SERVICES RENDERED ON OR AFTER JANUARY 1, 2010. THIS PROGRAM PROVIDES FOR ANNUAL ACCOUNT VESTING IF THE PARTICIPANT IS EMPLOYED ON DECEMBER 31 OF THE THIRD YEAR AFTER THE ACCOUNT IS CREATED. THE BENEFIT EQUALS THE ANNUAL INCREASE IN THE PRESENT VALUE OF A LIFETIME ANNUITY PAYABLE COMMENCING AT A SPECIFIED TARGETED FUTURE DATE. THE ANNUITY IS EQUAL TO A SPECIFIC PERCENTAGE OF FINAL AVERAGE EARNINGS (GENERALLY 60%) LESS (1) THE EXPECTED ANNUAL SEBP PAYMENT USED IN CALCULATING THE SEBP LUMP SUM PAYMENT, (2) THE ANNUAL BENEFIT PROVIDED UNDER THE DEFINED BENEFIT PLAN, AND (3) 100% OF THE PARTICIPANT'S SOCIAL SECURITY BENEFIT. DURING THE YEAR, THE FOLLOWING BENEFITS WERE ACCRUED: None IN ADDITION, NAVICENT HEALTH ADOPTED A RETENTION PAYMENT PLAN EFFECTIVE OCTOBER 1, 2011 DESIGNED TO ENCOURAGE DESIGNATED EMPLOYEES TO CONTINUE THEIR EMPLOYMENT. UNDER THE PLAN, NAVICENT Health MAY SELECT A RETENTION CREDIT EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE SALARY. THE CREDIT IS REDUCED BY THE VALUE OF LIFE INSURANCE COVERAGE PROVIDED TO THE EXECUTIVE. IN GENERAL, THE PLAN IS SUBJECT TO VESTING AT THE END OF THE THIRD PLAN YEAR AFTER THE ACCOUNT WAS CREATED OR AGE 65 IF EARLIER, AND IS SUBJECT TO FORFEITURE IF THE EXECUTIVE VOLUNTARILY SEPARATES FROM SERVICE. DURING THE YEAR THE FOLLOWING BENEFITS ACCRUED UNDER THIS PLAN: Ken Banks $25,126 Elbert McQueen $15,881 IN ADDITION, NAVICENT ADOPTED A NONQUALIFIED, UNFUNDED DEFERRED COMPENSATION PLAN DESIGNED TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT PERSONNEL. DURING THE YEAR THE FOLLOWING BENEFITS ACCRUED UNDER THIS PLAN: R. Chris Wilde $75,779

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Macon-Bibb County Hospital AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN581034851BondIssuerEIN
CUSIPNONENONENCUSIPNum
Bond Issued2019-12-18BondIssuedDt
Issue Price$9,770,500IssuePriceAmt
PurposeRefinance long term debtPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Bond Defeased$0BondDefeasedAmt
Total Proceeds$9,770,500TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$0IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$9,770,500OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2013SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (true)RefundingTaxableBondsInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsfalseEngageBondCounselContractsInd
Any Research AgreementsYes (true)AnyResearchAgreementsInd
Engage Bond Counsel ResearchfalseEngageBondCounselResearchInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a Forms 1099The Medical Center of Central Georgia issues all Forms 1099 for the healthcare system.
Form 990, Part VI, Line 6 Classes of members or stockholdersAH Georgia, Inc. is the sole member of the organization. As sole member, it has the right to appoint two members to the Board of Directors and to approve the appointment of all remaining directors. The actions listed in response to question 4 above may not be taken without the prior approval of the sole member .
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyAH Georgia, Inc. is the sole member of Navicent Health. As the sole member, it appoints two members to the board of directors and approves the appointment of all other members of the board. In addition, certain corporate actions require the prior approval of the sole member.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersThe Articles and Bylaws were amended to require the prior approval of the sole member before the following actions may be taken by the Board of Directors: amending or restating the Articles of Incorporation or Bylaws; appointment or removal of the President and CEO; organizing any subsidiary; undertake any joint venture, merger, consolidation, acquisition or reorganization; entering any transaction providing incur, restructure, refinance, discharge or defease any debt; adopt or amend strategic or capital plans; adopt operating and capital budgets; and amend or terminate any hospital facility lease.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 WAS PREPARED BY HOSPITAL PERSONNEL FROM INFORMATION PROVIDED BY MANAGEMENT AND FROM internal FINANCIAL STATEMENTS. IT IS REVIEWED IN DETAIL BOTH BY OUR OUTSIDE TAX ADVISOR (an INDEPENDENT CPA) AND BY FINANCIAL MANAGEMENT OF Navicent Health, Inc. A COPY OF THE FORM 990 WAS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE
Form 990, Part VI, Line 12c Conflict of interest policyTHE DEPARTMENT OF AUDIT AND COMPLIANCE ISSUES COI DISCLOSURE FORMS ANNUALLY TO OUR BOARD MEMBERS, ADMINISTRATION AND DIRECTORS. AUDIT AND COMPLIANCE RECEIVES, REVIEWS AND DOCUMENTS ALL POTENTIAL CONFLICTS (PERCEIVED AND REAL.) THE RESULTS ARE TAKEN TO THE COMPLIANCE COMMITTEE WHERE THE REAL CONFLICTS OF INTEREST ARE identified, DISCUSSED, AND A PLAN FOR CORRECTIVE ACTION IS DEVELOPED. THE CORRECTIVE ACTION RECOMMENDATIONS ARE TAKEN TO THE VARIOUS BOARDS AND ADMINISTRATION FOR IMPLEMENTATION. ANY TIME A CHANGE IN A RELATIONSHIP OR NEW POTENTIAL CONFLICT EVOLVES, THE INDIVIDUALS MUST AMEND THEIR COI DISCLOSURE FORM. CONFLICTED INDIVIDUALS ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISIONS REGARDING SUCH TRANSACTIONS, BUT MAY PROVIDE INFORMATION IF REQUESTED BY THE COMPLIANCE COMMITTEE
Form 990, Part VI, Line 15a Process to establish compensation of top management officialTHE COMPENSATION COMMITTEE OF THE BOARD ENGAGES AN EXECUTIVE CONSULTING FIRM TO REVIEW AND PROVIDE RECOMMENDATIONS REGARDING TOTAL COMPENSATION AND BENEFITS FOR THE EXECUTIVE LEADERSHIP TEAM. BASE COMPENSATION, INCENTIVE COMPENSATION AND BENEFITS ARE INCLUDED IN THE REVIEW. THE EXECUTIVE CONSULTANTS REVIEW ORGANIZATIONAL STRUCTURE, INDIVIDUAL JOB DESCRIPTIONS AND DISCUSS SCOPE OF LEADERSHIP AND SPAN OF CONTROL WITH HR AND THE CEO AS A PART OF THE PROCESS TO DETERMINE PROPER PLACEMENT OF THE PAY GRADE AND LEVEL OF PARTICIPATION IN INCENTIVE AND BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE PERIODICALLY REAFFIRMS THE TOTAL COMPENSATION PHILOSOPHY WHICH CURRENTLY TARGETS THE 75TH PERCENTILE OF TOTAL COMPENSATION FOR THE LEADERSHIP TEAM. THE PEER GROUP USED IS NATIONAL HOSPITALS AND HEALTH SYSTEMS OF SIMILAR SIZE AND SCOPE. KEY EMPLOYEES AND OTHERS OUTSIDE OF THE EXECUTIVE LEADERSHIP TEAM HAVE COMPENSATION SET BY HR GUIDELINES AND/OR MARKET COMPENSATION STUDIES
Form 990, Part VI, Line 15b Process to establish compensation of other employeesALL POSITIONS ARE REVIEWED VIA ABOVE PROCESS PERIODICALLY WITH THE EXECUTIVE POSITIONS REVIEWED EVERY 2-3 YEARS.
Form 990, Part VI, Line 19 Required documents available to the publicNAVICENT HEALTH, INC. PROVIDES COPIES OF ITS GOVERNING AND OTHER CORPORATE DOCUMENTS UPON REQUEST.
Form 990, Part VIII, Line 2f Other Program Service RevenueWellness Center Training & Membership - Total Revenue: 123345, Related or Exempt Function Revenue: 123345, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; TC2 JV Shared Saving - Total Revenue: 224727, Related or Exempt Function Revenue: 224727, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Misc & rebates and discounts - Total Revenue: 7532, Related or Exempt Function Revenue: 7532, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Reimb and adjustments - Total Revenue: -38736, Related or Exempt Function Revenue: -38736, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesRebranding Cost - 1902464; Pension/ OPEB-2021 - 40267161; Pension-Post Retirement Adjustment - 18665362; Pension/OPEB -2020 - -XXX-XX-XXXX;
Part VII Section A Board MembersCentral Georgia Rehabilitation Hospital, LLC is a single member disregarded entity owned by Navicent Health, Inc. The Board members of the LLC are Delvecchio Finley, Starr Purdue, Tracey Blalock, Chris Wilde (Treasurer), and Elbert McQueen (President/CEO & Chairman). in addition, Ken Banks serves as an Officer (Secretary).
Schedule F, Part I, Line 3(F) InvestmentsNAVICENT HEALTH, INC. IS THE OWNER OF VARIOUS FOREIGN INVESTMENTS WHICH ARE HELD FOR THE BENEFIT OF THE MEDICAL CENTER OF CENTRAL GEORGIA, INC., AN AFFILIATED CONTROLLED TAX-EXEMPT ORGANIZATION. FOR ACCOUNTING PURPOSES, THESE INVESTMENTS ARE REFLECTED ON THE BALANCE SHEET OF THE MEDICAL CENTER OF CENTRAL GEORGIA.
Schdule F, Part IV, Line 1 Transfers to Foreign CorporationsThe organization has made indirect investments in foreign corporations as a result of investments made in foreign partnerships. Form 926 is attached if the foreign partnership indicated filing Form 926 is required. Form 926 is also attached for transfers made to its wholly owned self-insurance captive subsidiary during the year.
Schedule F, Part IV Line 3 Ownership Interest in Foreign CorporationsThe organization has attached Form 5471 for its investments in its wholly owned self-insurance captive, Centra Professional Indemnity, Ltd.
Schedule F, Part IV, Line 4 Shareholder in PFICsBLACKSTONE PARK AVENUE NON-TAXABLE FUND, LP HAS MADE A TIMELY IRC SECTION 1295 ELECTION WITH RESPECT TO VARIOUS INVESTMENTS IN PASSIVE FOREIGN INVESTMENT COMPANIES AND HAS FILED FORM 8621 ON BEHALF OF THE PARTNERSHIP. In addition, NAVICENT HEALTH HAS INVESTED IN A FOREIGN PARTNERSHIP, GRAMERCY DISTRESSED OPPORTUNITY FUND III, LP THAT REPORTED INDIRECT PFIC INCOME. NAVICENT HEALTH IS A TAX-EXEMPT ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3). PURSUANT TO TREASURY REGULATION SECTION 1.298-1(C), FORM 8621 IS NOT REQUIRED TO BE FILED WITH RESPECT TO A PFIC UNLESS THE INCOME DERIVED WITH RESPECT TO THE PFIC STOCK IS TAXABLE AS UNRELATED BUSINESS INCOME. ACCORDING TO THE INFORMATION PROVIDED BY THE PARTNERSHIPS, THE PFIC INVESTMENTS GENERATED NO UBI. THEREFORE, FORM 8621 IS NOT REQUIRED TO BE FILED.
Schedule F, Part IV, Line 5 Ownership Interest in Foreign PartnershipsNAVICENT HEALTH OWNS DIRECT AND INDIRECT INTERESTS IN FOREIGN PARTNERSHIPS. FORM 8865 IS COMPLETED FOR EACH OF THESE INVESTMENTS WHEN REQUIRED BASED ON INFORMATION PROVIDED BY THE PARTNERSHIPS. NO FILINGS WERE REQUIRED FOR 2021 BASED UPON THE INFORMATION PROVIDED.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Central Georgia Rehab Hospital LLC
3351 Northside DriveMaconGA31201300371539Rehabilitation ServicesGA$1,080,922$6,596,687Navicent Health Inc
Navicent Health Oconee LLC
777 Hemlock Street MCC 111MaconGA31201822446235DormantGA$0$0Navicent Health Inc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Central Georgia Senior Health Inc
777 Hemlock Street MSC 111MaconGA31201582345439Retirement CommunityGA501(c)(3)Type IINavicent Health IncYes (true)
Health Ser vices of Central Georgia Inc
777 Hemlock Street MSC 111MaconGA31201582307485Healthcare ServicesGA501(c)(3)3Navicent Health IncYes (true)
The Medical Center of Central Georgia Inc
777 Hemlock Street MSC 111MaconGA31201582149128HospitalGA501(c)(3)3Navicent Health IncYes (true)
The Medical Center of Peach County Inc
777 Hemlock Street MSC 111MaconGA31201453765471HospitalGA501(c)(3)3Navicent Health IncYes (true)
NAVICENT HEALTH BALDWIN INC
777 Hemlock Street MSC 111MACONGA31201823914925HOSPITALGA501(c)(3)3NAVICENT HEALTH INCYes (true)
AH Georgia Inc
PO Box 32862CharlotteNC282322861831707383Sole Member Navicent HealthNC501(c)(3)7The Charlotte-Mecklenburg Hospital Authorityfalse
The Charlotte-Mecklenburg Hospital Authority
1000 Blythe BlvdCharlotteNC28203560529945HealthcareNCNAfalse
Floyd Healthcare Management Inc
304 Turner McCall BlvdRomeGA301620233581973570HospitalGA501(c)(3)3AH Georgia Incfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctAddress Line2USAddress/AddressLine2Txt
Central Georgia PET LLC
1650 Hardeman AvenueMaconGA31201317146447Imaging ServicesGAMedical Center of Central GeorgiaRelated$655,599$1,016,365false$0false0.6667
Secure Health Plans of Georgia Inc
577 Mulberry StreetMaconGA31201582306549Managed CareGANavicent Health IncRelated-$36,802$3,511,077false$0false0.5039Suite 1000
Cowles Clinic Realty LLC
1000 Cowles Clinic Way C100GreensboroGA30642810636590Healthcare Real EstateGANavicent Health IncRelated$201,944$5,182,405false$0false0.51
Macon Outpatient Surgery LLC
3708 Northside DriveMaconGA31210203027560Physician servicesGANavicent Health IncRelated$3,870,923$1,167,468false$0false0.51

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Central Georgia Health Ventures Inc
777 Hemlock Street MSC 111MaconGA31201582164989Holding CompanyGANavicent Health IncC Corporation$733,433$5,533,5361Yes (true)
Centra Professional Indemnity Ltd
Self-InsuranceNavicent Health IncC Corporation1Yes (true)PO Box 1363GeorgetownGrand CaymanCJKY11108CJ
NAVICENT HEALTHPLAN iNC
777 Hemlock Street MSC 111MACONGA31201202467391INSURANCEGANAVICENT HEALTH INCC Corporation1Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (68 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL CENTER OF CENTRAL GEORGIA INC
K$1,302,337CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
Q$71,657,798CASH
NAVICENT HEALTH INC
Q$429,696CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
P$429,696CASH
NAVICENT HEALTH INC
Q$253,000CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
P$253,000CASH
MEDICAL CENTER OF PEACH COUNTY INC
Q$291,651CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
P$291,651CASH
NAVICENT HEALTH BALDWIN
Q$217,876CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
P$217,876CASH
CENTRAL GEORGIA SENIOR HEALTH INC
Q$16,289,017CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
P$16,289,017CASH
MEDICAL CENTER OF PEACH COUNTY INC
Q$8,585,718CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
P$8,585,718CASH
CENTRA PROFESSIONAL INDEMNITY
R$13,718,369CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
S$3,086,557CASH
CENTRAL GEORGIA SENIOR HEALTH INC
S$86,727CASH
NAVICENT HEALTH BALDWIN
S$91,978CASH
HEALTH SERVICES OF CENTRAL GEORGIA INC
S$194,574CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
K$64,381CASH
CENTRAL GEORGIA PET LLC
J$64,381CASH
CENTRAL GEORGIA PET LLC
F$772,000CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
P$66,526,765CASH
HEALTH SERVICES OF CENTRAL GEORGIA INC
Q$66,526,765CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
P$1,664,270CASH
HEALTH SERVICES OF CENTRAL GEORGIA INC
Q$1,664,270CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
K$1,664,270CASH
HEALTH SERVICES OF CENTRAL GEORGIA INC
J$1,664,270CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
K$467,777CASH
HEALTH SERVICES OF CENTRAL GEORGIA INC
J$467,777CASH
NAVICENT HEALTH INC
J$231,548CASH
HEALTH SERVICES OF CENTRAL GEORGIA INC
K$231,548CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
J$115,939CASH
NAVICENT HEALTH INC
K$115,939CASH
MEDICAL CENTER OF PEACH COUNTY INC
J$264,421CASH
HEALTH SERVICES OF CENTRAL GEORGIA INC
K$264,421CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
J$26,207,675CASH
HEALTH SERVICES OF CENTRAL GEORGIA INC
K$26,207,675CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
P$6,210,942CASH
CENTRAL GEORGIA SENIOR HEALTH INC
Q$6,210,942CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
P$198,425CASH
CENTRAL GEORGIA SENIOR HEALTH INC
Q$198,425CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
P$21,636,721CASH
NAVICENT HEALTH BALDWIN
Q$21,636,721CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
R$62,734CASH
CENTRAL GEORGIA HEALTH VENTURES INC
S$62,734CASH
NAVICENT HEALTH INC
P$6,582,010CASH
CENTRAL GEORGIA SENIOR HEALTH INC
Q$6,582,010CASH
NAVICENT HEALTH INC
P$20,213,406CASH
NAVICENT HEALTH BALDWIN
Q$20,213,406CASH
NAVICENT HEALTH INC
P$5,201,051CASH
MEDICAL CENTER OF PEACH COUNTY INC
Q$5,201,051CASH
NAVICENT HEALTH INC
P$8,138,513CASH
HEALTH SERVICES OF CENTRAL GEORGIA INC
Q$8,138,513CASH
NAVICENT HEALTH INC
P$189,970,973CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
Q$189,970,973CASH
Atrium
P$685,699CASH
Navicent
Q$685,699CASH
NAVICENT HEALTH INC
P$116,517,515CASH
MEDICAL CENTER OF CENTRAL GEORGIA INC
Q$116,517,515CASH
NAVICENT HEALTH INC
P$3,144,159CASH
MEDICAL CENTER OF PEACH COUNTY INC
Q$3,144,159CASH
NAVICENT HEALTH INC
P$7,812,278CASH
NAVICENT HEALTH BALDWIN
Q$7,812,278CASH
NAVICENT HEALTH INC
P$1,983,440CASH
CENTRAL GEORGIA SENIOR HEALTH INC
Q$1,983,440CASH
NAVICENT HEALTH INC
P$9,255,585CASH
HEALTH SERVICES OF CENTRAL GEORGIA INC
Q$9,255,585CASH

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