2022-11-10T13:03:56-06:00 2021-12-31 580914992 Draffin & Tucker LLP PO Box 71309 Albany GA 317081309 990 2021-01-01 582149127 NAVICENT HEALTH INC NAVI 4786336968 777 Hemlock Street MSC 111 MACON GA 31201 Kimberly Shrewsbury CFO 2022-11-10 true Kimberly Shrewsbury 999009999 W Edward Phillips P00451499 2298837878 2022-10-24 2021 2022-09-23 18:48:47Z Delvecchio S Finley 777 Hemlock Street MSC 111 MACON GA 31201 138628462 false X www.navicentheatlh.org X 1994 GA NAVICENT 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. 19 14 1076 856600 439339 116882768 611574 92546389 131997913 160320 288212 450163 5730763 210039640 138628462 10131106 36750 0 84988069 102948418 0 0 60354843 76084087 155474018 179069255 54565622 -40440793 218184816 383086657 70134106 384805858 148050710 -1719201 NAVICENT 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. false false 141660168 36750 114402610 NAVICENT 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. 21388544 22469466 NAVICENT 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 BEDS 163048712 true true false true false false false false false true false true true true true false true false false true false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true X 0 0 1076 true true true true CJ false false false false false false false false true false X 19 14 false false false false true true true true true false false true true true true true true true true true false GA X Kimberly Shrewsbury 4786331452 777 HEMLOCK STREET MACON GA 31201 Kim Johnston MD VICE CHAIRMAN 1.0 1.0 X X 0 0 0 Starr Purdue CHAIRMAN 1.0 1.0 X X 0 0 0 Bill Tift MD Board Member 1.0 1.0 X 0 0 0 Carol Lovin Board Member 1.0 41.0 X 0 1715644 204400 Connie Cater Board Member 1.0 1.0 X 0 0 0 David Danzie Board Member 1.0 1.0 X 0 0 0 Henry Koplin Board Member 1.0 2.0 X 0 0 0 J Marbury Rainer Board Member 1.0 1.0 X 0 0 0 Jayesh Patel MD Board Member 1.0 1.0 X 0 0 0 John D Houser Board Member 1.0 1.0 X 0 0 0 MAC EVERETT Board Member 1.0 1.0 X 0 0 0 Mark Grossnickle MD Board Member 1.0 1.0 X 0 0 0 Ray Pippin Board Member 1.0 1.0 X 0 0 0 Rick Shackelford Board Member 1.0 1.0 X 0 0 0 Ron Shipman Board Member 1.0 1.0 X 0 0 0 Ronnie Collier Board Member 1.0 1.0 X 0 0 0 Sheila Ray Board Member 1.0 1.0 X 0 0 0 Timothy Jackson Board Member 1.0 1.0 X 0 0 0 Wimberly Treadwell Board Member 1.0 1.0 X 0 0 0 Delvecchio Finley PRESIDENT/CEO 5.0 50.0 X 0 1113418 65210 Kenneth B Banks CORPORATE SECRETARY & CHIEF LEGAL COUNSEL 45.0 5.0 X 614094 0 64817 Robert C Wilde EVP Enterprise Chief Financial Officer 45.0 5.0 X 587462 0 107177 Bhalla Vishal Chief HR Officer 15.0 35.0 X 0 322183 4964 Elbert T McQueen SENIOR VP 35.0 10.0 X 474267 0 49913 Judy K Ware CFO Rural Health 40.0 1.0 X 216740 0 37278 Sanford G Duke MD Chief Clinical Officer Enterprise Clinical Systems 40.0 0 X 656228 0 37956 Thomas Oliver MD President Hospitals and Clinics 40.0 1.0 X 1202047 0 28294 Todd M Dixon CEO - BALDWIN 1.0 40.0 X 0 262109 23645 Cynthia Busbee SVP Mkt Comm. Public Affairs 40.0 0 X 289393 0 26211 Jr Dale J Boylston CEO TC2 Health/President Stratus Healthcare 40.0 0 X 313029 0 33665 Luis Fonseca President Hospitals and Clinics 40.0 0 X 450834 0 13540 Sara L Lonergan VP Deputy General Counsel 40.0 0 X 378547 0 12140 Stephen B Kardon President Stratus/TC2 40.0 0 X 315571 0 29452 Ninfa M Saunders PRESIDENT/CEO 0 X 0 1740727 0 5498212 5154081 738662 151 true true false MACON OCCUPATIONAL MEDICINE LLC 124 THIRD STREET MACON GA 312013404 EMPLOYE HEALTH SERVICES 1740860 TAYLOR ENGLISH DUMA LLP 1600 PARKWOOD CIRCLE SUITE 200 ATLANTA GA 30339 Legal Services 884704 BENDIN SUMRALL & LADNER LLC 1360 PEACHTREE ST NE SUITE 800 Atlanta GA 30309 Legal Services 660402 API HEALTHCARE CORPORATION 33073 COLLECTION CENTER DR CHICAGO IL 60693 Maint. Contract and Support 597999 Parker Hudson Rainer & Dobbs LLP 303 Peachtree Street NE STE 3600 ATLANTA GA 30308 Legal Services 542590 44 231605 379969 611574 AFFILIATED SUPPORT REVENUE 541200 107705925 107705925 PATIENT REVENUE 621990 21832288 21832288 PARKING FEES 821930 1278230 1278230 MANAGEMENT FEES 561000 856600 856600 CAFETERIA SALES 722514 8002 8002 316868 316868 0 0 131997913 287051 287051 395024 395024 0 395024 395024 1161 0 1161 1161 1161 Equity PARTNERSHIP INVESTMENT 531390 3533555 3533555 Recovery of Loan Previously Written Off 531390 1802184 1802184 0 0 0 0 5335739 138628462 136872076 856600 288212 36750 36750 5498212 5498212 66159586 61257898 4901688 2251393 2065946 185447 24058596 23945234 113362 4980631 4346488 634143 1791255 588934 1202321 98866 98866 27766 27766 9714281 8899387 814894 0 846924 645196 201728 5566989 5252408 314581 20802416 20802416 682862 617071 65791 265261 196761 68500 695 695 37701 36158 1543 10310193 10307994 2199 11555359 11555359 Medical Supplies 6267065 6243291 23774 Minor Eq, Eq Rental & Maint 4604050 4573738 30312 Taxes, Penalties & Fees 1540307 585882 954425 Dues & Subscriptions 1076196 173830 902366 895901 889510 6391 0 179069255 163048712 16020543 0 2926616 222751932 4501962 5081921 0 0 0 0 374340 135098 9618965 5472357 231883519 179520486 55187705 52363033 0 41173379 40969542 21844495 25246807 82557354 31065967 218184816 383086657 16421452 54886685 894514 9529500 9276500 0 0 44183154 319748159 70134106 384805858 X 148050710 -1719201 148050710 -1719201 218184816 383086657 X -40440793 -1073979 -108255139 X false true X false true true X X 1 The Medical Center of Central Goergia Inc 582149128 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true true true X true true Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies Complete 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/Trustee Navicent 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/Activities Navicent 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 98867 98867 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING 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. 713639 713639 55169025 38788619 16380406 739029 724932 14097 170951272 140006935 30944337 4310554 4310554 52363033 Investments in Affiliates 17734598 Investments in Joint Ventures 23234944 40969542 A/R HOSPITAL AUTHORITY 32907 Miscellaneous Receivable 2626109 Management Fee Receivable 457B Deferred Compensation 25504575 DC SERP Due from Affiliates Third Party Settlement Due from CPI Noncurrent Loans 2902376 Penison (GASB Conformity ) 31065967 SERP Liability 3588770 DC SERP Liability 457B Plan 24445058 Retention Plan Wells Fargo Term Loan 2019 5755736 Deferred Inflow - Pension 47137228 Reserve IBNR Due to Affiliates 226812792 Operating Lease 11006186 Commitments and Contingencies 1002389 319748159 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Atrium 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. Central America and the Caribbean 0 0 Investments 109042068 0 0 0 0 0 0 109042068 0 109042068 true false true true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true true X true X true X true true false false 285632 285632 0.0134 1835378 1168472 666906 0.0312 0 0.0 0 0 2121010 1168472 952538 0.0445 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 2121010 1168472 952538 0.0445 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 605279 11403270 9045353 2357917 X true true 1 1 Central Georgia Rehabilitation Hospital LLC 3351 Northside Drive Macon GA 31210 011-627 X Specialty - Rehab Central Georgia Rehabilitation Hospital LLC 1 false false true X X X X X X X X X 20 true true false true X https://navicenthealth.org/our-annual-reports X true 21 true https://navicenthealth.org/our-annual-reports false true X 200.0 400.0 X X true true X X X true X https://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docs X https://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docs X https://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docs X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E Prioritization 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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. 0 Schedule H, Part I Percent of Total Expenses and Other Financial Information The 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 assistance THE 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 amount PATIENT 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 footnote ATRIUM 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 costs THE 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 assistance PATIENTS 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 assessment A 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 assistance PATIENTS 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 information THE 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 health THE 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 system THE 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 report GA true 'The Grand Opera House 651 Mulberry Street Macon GA 31201 580566167 501(C)(3) 5000 Community Support American Heart Association PO Box 4002900 Des Moines IA 503402900 135613797 501(C)(3) 18750 Community Sponsorship THE GEORGIA TRUSTHAY HOUSE 934 Georgia Ave Macon GA 31201 237357226 501(C)(3) 8000 Community Sponsorship HISTORIC MACON FOUNDATION INC PO Box 13358 Macon GA 31201 510200143 501(C)(3) 5000 Community Sponsorship 4 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. NAVICENT 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. X X X X X true true false false false false false false false Carol Lovin Board Member 0 787371 0 706786 0 221487 0 188297 0 16103 0 1920044 0 0 Ninfa M Saunders PRESIDENT/CEO 0 0 0 0 0 1740727 0 0 0 0 0 1740727 0 0 Kenneth B Banks CORPORATE SECRETARY & CHIEF LEGAL COUNSEL 441391 0 92598 0 80105 0 36619 0 28198 0 678911 0 0 0 Robert C Wilde EVP Enterprise Chief Financial Officer 467778 0 97513 0 22171 0 85905 0 21272 0 694639 0 0 0 Delvecchio Finley PRESIDENT/CEO 0 763260 0 150000 0 200158 0 46583 0 18627 0 1178628 0 0 Todd M Dixon CEO - BALDWIN 0 214496 0 37686 0 9927 0 6012 0 17633 0 285754 0 0 Sanford G Duke MD Chief Clinical Officer Enterprise Clinical Systems 521053 0 109278 0 25897 0 11642 0 26314 0 694184 0 0 0 Elbert T McQueen SENIOR VP 341094 0 66755 0 66418 0 26193 0 23720 0 524180 0 0 0 Thomas Oliver MD President Hospitals and Clinics 862705 0 149300 0 190042 0 11600 0 16694 0 1230341 0 0 0 Judy K Ware CFO Rural Health 178551 0 19774 0 18415 0 8746 0 28532 0 254018 0 0 0 Bhalla Vishal Chief HR Officer 0 170985 0 50000 0 101198 0 4964 0 0 0 327147 0 0 Jr Dale J Boylston CEO TC2 Health/President Stratus Healthcare 290666 0 0 0 22363 0 9048 0 24617 0 346694 0 0 0 Cynthia Busbee SVP Mkt Comm. Public Affairs 231479 0 37664 0 20250 0 6522 0 19689 0 315604 0 0 0 Luis Fonseca President Hospitals and Clinics 329623 0 50000 0 71211 0 5530 0 8010 0 464374 0 0 0 Stephen B Kardon President Stratus/TC2 304019 0 0 0 11552 0 8722 0 20730 0 345023 0 0 0 Sara L Lonergan VP Deputy General Counsel 287083 0 50863 0 40601 0 11514 0 626 0 390687 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment Ninfa Saunders $1,740,727 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan MCCG 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 A Macon-Bibb County Hospital Authority 581034851 NONENONEN 2019-12-18 9770500 Refinance long term debt false false false A 0 9770500 0 0 0 0 0 0 0 9770500 0 2013 true true false true A false false true false true false false false true A false true false false true false false false true A false Form 990, Part V, Line 1a Forms 1099 The Medical Center of Central Georgia issues all Forms 1099 for the healthcare system. Form 990, Part VI, Line 6 Classes of members or stockholders AH 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 body AH 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 stockholders The 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 body THE 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 policy THE 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 official THE 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 employees ALL 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 public NAVICENT HEALTH, INC. PROVIDES COPIES OF ITS GOVERNING AND OTHER CORPORATE DOCUMENTS UPON REQUEST. Form 990, Part VIII, Line 2f Other Program Service Revenue Wellness 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 balances Rebranding Cost - 1902464; Pension/ OPEB-2021 - 40267161; Pension-Post Retirement Adjustment - 18665362; Pension/OPEB -2020 - -XXX-XX-XXXX; Part VII Section A Board Members Central 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) Investments NAVICENT 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 Corporations The 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 Corporations The 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 PFICs BLACKSTONE 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 Partnerships NAVICENT 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. Central Georgia Rehab Hospital LLC 3351 Northside Drive Macon GA 31201 300371539 Rehabilitation Services GA 1080922 6596687 Navicent Health Inc Navicent Health Oconee LLC 777 Hemlock Street MCC 111 Macon GA 31201 822446235 Dormant GA 0 0 Navicent Health Inc Central Georgia Senior Health Inc 777 Hemlock Street MSC 111 Macon GA 31201 582345439 Retirement Community GA 501(c)(3) Type II Navicent Health Inc true Health Ser vices of Central Georgia Inc 777 Hemlock Street MSC 111 Macon GA 31201 582307485 Healthcare Services GA 501(c)(3) 3 Navicent Health Inc true The Medical Center of Central Georgia Inc 777 Hemlock Street MSC 111 Macon GA 31201 582149128 Hospital GA 501(c)(3) 3 Navicent Health Inc true The Medical Center of Peach County Inc 777 Hemlock Street MSC 111 Macon GA 31201 453765471 Hospital GA 501(c)(3) 3 Navicent Health Inc true NAVICENT HEALTH BALDWIN INC 777 Hemlock Street MSC 111 MACON GA 31201 823914925 HOSPITAL GA 501(c)(3) 3 NAVICENT HEALTH INC true AH Georgia Inc PO Box 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