2021-11-10T09:03:45-06:00 2020-12-31 580914992 DRAFFIN & TUCKER LLP PO Box 71309 Albany GA 317081309 990 2020-01-01 453765471 The Medical Center of Peach County Inc MEDI 4786336968 777 Hemlock Street MSC 111 Macon GA 31201 CHRIS WILDE EXECUTIVE VICE PRESIDENT/CFO 2021-11-10 true CHRIS WILDE 999009999 W EDWARD PHILLIPS P00451499 2298837878 1917-08-14 2020 2022-09-23 18:48:47Z X The Medical Center of Peach County Navicent Health Laura Gentry 777 Hemlock Street MSC 111 Macon GA 31201 22568697 false X www.navicenthealth.org X 2011 GA The mission of The Medical Center of Peach County, Inc. is to provide access to inpatient, outpatient, physician care, emergency and other health care related services to Peach County and the surrounding counties which are primarily rural. 7 6 248 6 0 0 440391 4370757 20361767 18195821 6507 2119 0 20808665 22568697 0 0 9350708 9740653 0 0 10642616 9653865 19993324 19394518 815341 3174179 23771187 21532632 34205696 28792962 -10434509 -7260330 THE MEDICAL CENTER OF PEACH COUNTY (MCPC) PARTNERS WITH NAVICENT HEALTH, INC. TO OPERATE A 25-BED RURAL, CRITICAL ACCESS HOSPITAL AND PROVIDE EMERGENCY, SURGICAL, INPATIENT AND OUTPATIENT CARE FOR RESIDENTS OF PEACH AND SURROUNDING COUNTIES. false false 17573560 18195821 MCPC IS A NON-PROFIT CRITICAL ACCESS HOSPITAL AFFILIATED WITH NAVICENT HEALTH, INC. MCPC PROVIDES EXPANDED SERVICES WITH INNOVATIVE TECHNOLOGY TO THE LOCAL COMMUNITY FURTHERING ITS MISSION TO IMPROVE RURAL HEATH CARE ACCESS. MCPC IS LICENSED FOR 25 BEDS. 17573560 true true false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true X 0 0 248 true false false false false false false false false false false false false X 7 6 false false false false true true true true false false true true true true true true false false false GA X CHRIS WILDE 4786331452 777 HEMLOCK STREET MACON GA 31201 Jim McLendon VICE CHAIRMAN 1.0 0 X X 0 0 0 Robert C Wilde TREASURER 1.0 49.0 X X 0 528961 92661 Thomas M Green CHAIRMAN 1.0 0 X X 0 0 0 Al Waldrep Board Member 1.0 0 X 0 0 0 Crystal Brown MD Board Member 1.0 0 X 0 0 0 Isaac Crumbly Board Member 1.0 0 X 0 0 0 Paul Jones Board Member 1.0 0 X 0 0 0 Kenneth B Banks SECRETARY 1.0 49.0 X 0 1411740 467382 Laura T Gentry CEO Medical Center Peach County 40.0 1.0 X 0 179123 28412 JR Albert Jones Certified Respiratory Therapist 40.0 0 X 128226 0 11929 128226 2119823 600384 1 false true false PharmD on Demand 1971 Hog Mountain Rd Watkinsville GA 30677 Contract Labor 420945 Houston Primary Care Inc 1719 Russsell Pkwy Suite 700 Warner Robins GA 31008 Contract Labor 278632 Peach Emergency Group LLC PO Box 677979 Dallas TX 752677979 Contract Labor 274438 Twilight Consulting & Mgmt LLC 431 Leamington Lane Macon GA 31220 Consulting 211155 ACCOUNTABLE HEALTHCARE STAFFING 999 Yamato Rd BOCA RATON FL 33431 Contract Labor-Nursing 184141 7 3880095 490662 4370757 Patient Revenue 622110 18147897 18147897 Rent - Program Service 622110 27988 27988 Misc - Program Service 622110 19936 19936 0 0 0 0 18195821 2119 2119 0 0 0 0 0 0 0 0 0 22568697 18195821 0 2119 X 7951279 7302922 648357 46068 46068 1170357 1170082 275 572949 529129 43820 1501 1501 4280359 4178996 101363 0 54510 182 54328 163089 114690 48399 516339 516339 366325 355927 10398 10713 6590 4123 242541 242541 1242938 559976 682962 249988 35849 214139 MEDICAL SUPPLIES 1951604 1950298 1306 REPAIRS & MAINT 396261 396240 21 DUES & SUBSCRIPTIONS 9005 421 8584 Rentals & Leases 165178 165178 3514 2132 1382 0 19394518 17573560 1820958 0 1263342 170902 3880416 4614575 0 0 0 0 218416 294642 74535 46668 27575606 11169761 17446518 16405845 0 0 887960 0 23771187 21532632 699212 939723 0 0 33506484 27853239 34205696 28792962 X -10434509 -7260330 -10434509 -7260330 23771187 21532632 3174179 0 X false true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 734870 734870 19484827 4769821 14715006 7325446 6399940 925506 30463 30463 16405845 Due to Medical Center of Central Georgia 25013725 Medicare Advanced Funding S/T 2012285 Medicare Advanced Funding L/T 811776 third Party Payer Settlements 15453 27853239 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote On January 1, 2019, Navicent Health became part of Atrium Health (The Charlotte-Mecklenburg Hospital Authority). Following are excerpts from Footnote 1 of Atrium Health's audited statements for the year ended December 31, 2020. This Footnote discusses Navicent's relationship to Atrium Health and its inclusion in the Atrium Health Audited Financial Statements. An ASC 740 disclosure was not considered to be material for financial statement disclosure purposes; however, the requirements of ASC 740 were considered. Atrium Health is one of the nation's leading and most innovative healthcare organizations, providing a full spectrum of healthcare and wellness programs throughout the Southeast region. Its diverse network of care locations includes academic medical centers, hospitals, freestanding emergency departments, physician practices, surgical and rehabilitation centers, home health agencies, nursing homes and behavioral health centers, as well as hospice and palliative care services. Atrium Health works to enhance the overall health and wellbeing of its communities through high quality patient care, education and research programs, and numerous collaborative partnerships. Atrium Health was organized in 1943 under the North Carolina Hospital Authorities Act. It is a public body and a body corporate and politic and, therefore, has been determined by the Internal Revenue Service to be exempt from federal and state income taxes. Atrium Health is headquartered in Charlotte, North Carolina. For financial reporting purposes, Atrium Health is divided into the "Primary Enterprise", "Discrete Component Units," and "Fiduciary Activities." The Primary Enterprise consists of The Charlotte-Mecklenburg Hospital Authority (CMHA, d/b/a Atrium Health) and all of its controlled affiliates. true true X true X 125 true X 270 true true false false 222779 0 222779 0.0115 2487748 3614403 0 0.0 0 0 0 0.0 0 0 2710527 3614403 222779 0.0115 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 2710527 3614403 222779 0.0115 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 4276076 3861019 3840095 20924 X true true 1 1 Medical Center of Peach County Inc 1960 Highway 247 Connector Byron GA 31008 www.navicenthealth.org 111-687 X X X Medical Center of Peach County Inc 1 false false true X X X X X X X X X 20 true false false true X https://www.navicenthealth.org/our-annual-reports.html X true 21 true https://www.navicenthealth.org/our-annual-reports.html false true X 125.0 270.0 X X X true true X X X true X https://atriumhealth.org/for-patients-visitors/financial-assistance X https://atriumhealth.org/for-patients-visitors/financial-assistance X https://atriumhealth.org/for-patients-visitors/financial-assistance 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 The Medical Center of Peach County 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 the region, 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: 1) Scope & Severity 2) Ability to Impact. COMMUNITY HEALTH NEEDS ASSESSMENT 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 Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - The Medical Center of Peach County, Inc.. A CHNA was performed in 2020 on behalf of The Medical Center of Peach County, LLC by Professional Research Consultants, Inc. (PRC). PRC is a nationally recognized healthcare consulting firm which has conducted hundreds of community health needs assessments since 1994. 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 telephone interview methodology - one that incorporates both landline and cell phone interviews - was employed. The primary advantages of telephone interviewing are timeliness, efficiency, and random-selection capabilities. The sample design used for this effort consisted of a random sample of 200 individuals age 18 and older in Peach County. Once the interviews were completed, these were weighted in proportion to the actual population distribution so as to appropriately represent Peach County 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 200 respondents is 6.9% at the 95 percent confidence level. To accurately represent the population studied, PRC strives to minimize bias through application of a proven telephone methodology and random-selection techniques. While this random sampling of the population produces a highly representative sample, it is a common and preferred practice to "weight" the raw data to improve this representativeness even further. This is accomplished by adjusting the results of a random sample to match the geographic distribution and demographic characteristics of the population surveyed (poststratification), so as to eliminate any naturally occurring bias. COMMUNITY HEALTH NEEDS ASSESSMENT Online Key Informant Survey: To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by Navicent Health; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 10 community stakeholders took part in the Online Key Informant Survey. Final participation included representatives of the organizations outlined below. City of Byron City of Ft. Valley Family Connections Ft. Valley State University The Medical Center of Peach County - Navicent Health Peach County Peach County Fire Department Peach County Health Department Peach County School System Through this process, input was gathered from several individuals whose organizations work with low-income, minority, or other medically underserved populations. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - The Medical Center of Peach County, Inc.. Navicent Health System (NH) is a comprehensive healthcare system serving Central and South Georgia and includes three acute care hospitals with a total of 802 beds located in Baldwin, Bibb, and Peach Counties. In 2020, the three hospitals conducted individual Community Health Needs Assessments (CHNA) to identify the health needs of Central Georgia. The Implementation Strategy for NH System was developed based on findings and priorities established in the CHNA and a review of each hospital's existing community benefit activities. The implementation strategy report summarizes the plans for NH System to sustain and develop community benefit programs that (1) address prioritized needs from the 2020 CHNAs and (2) respond to other identified community health needs. The following Community Health (CH) prioritized needs were identified by the Integration teams of Atrium Health and Navicent Health. Particular focus was placed upon these needs in developing the Implementation Strategy. Priorities (Structural) Access Behavioral Health Nutrition/Physical Activity Priorities (Clinical) Diabetes Cardiovascular Disease Obesity Social Determinants of Health are foundational to each of these priorities. NH System has addressed each of the health needs identified in the CHNA. NH System developed implementation strategies to address each of the health issues identified over the next three years. Specific implementation strategies for each of the CHNA identified health needs are addressed in the appendices to this report. Over the next 3 years additional strategies might be added to this plan as opportunities arise from the integration with Atrium Health. 1 VALLEY MEDICAL CENTER 701 BLUEBIRD BLVD FT VALLEY GA 31030 RURAL HEALTH CLINIC 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 as bad debt expenses 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, the patient or that do not qualify for write-off 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. Net patient account receivables are in Footnote 1(g) on page 30, Financial Assistance and Community Benefit Costs are discussed in Footnote 1(s) on page 33, 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(u) on page 34 of the Audited Financial on Statements for the calendar year ended December 31, 2020. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The costing METHODOLOGY USES THE COSTS INCLUDED IN THE 2020 COST REPORT WHICH are CALCULATED USING A departmental SPECIFIC COST TO CHARGE RATIO AS COMPARED TO ACTUAL MEDICARE PAYMENTS. 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 ORGANIZATION REVIEWS THE FINANCIAL ACTIVITY ON OTHER ACCOUNTS TO DETERMINE IF THE ACCOUNTS SHOULD BE TURNED OVER TO OUTSIDE COLLECTIONS. IF A PATIENT ACCOUNT TURNED OVER TO COLLECTIONS IS LATER DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, THE ACCOUNT IS BROUGHT BACK FROM COLLECTIONS AND THE ACCOUNT WRITTEN OFF. Schedule H, Part V, Section B, Line 16a FAP website - Medical Center of Peach County, Inc.: Line 16a URL: https://atriumhealth.org/for-patients-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Medical Center of Peach County, Inc.: Line 16b URL: https://atriumhealth.org/for-patients-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Medical Center of Peach County, Inc.: Line 16c URL: https://atriumhealth.org/for-patients-visitors/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment A COMMUNITY NEEDS ASSESSMENT WAS PERFORMED IN 2020 BEHALF OF THE MEDICAL CENTER OF PEACH COUNTY BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). PRC IS A NATIONALLY RECOGNIZED CONSULTING FIRM. IN ADDITION, THE MEDICAL CENTER OF PEACH COUNTY REGULARLY SOLICITS FEEDBACK ON COMMUNITY HEALTH NEEDS FROM A VARIETY OF SOURCES INCLUDING MEDICAL STAFF MEMBERS 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 PEACH COUNTY. A RECENT ESTIMATE OF THE POPULATION FOR PEACH COUNTY IS 26,966 AS OF 2018. THERE ARE NO OTHER HOSPITALS IN THE COUNTY. MEDICAL CENTER OF PEACH COUNTY IS DESIGNATED A CRITICAL ACCESS HOSPITAL FOR MEDICARE PURPOSES. The characteristics of the Peach Community are summarized beginning on page 26 of the CHNA. 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 TO THE COMMUNITY. 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: AHNH Georgia, Inc., a North Carolina non-profit organization, which serves as the sole member of the Navicent Health, Inc. NAVICENT HEALTH SERVES AS THE local (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. Schedule H, Part VI, Line 7 State filing of community benefit report GA false true false false false false false false false Robert C Wilde TREASURER 0 490262 0 0 0 38699 0 68775 0 23886 0 621622 0 0 Kenneth B Banks SECRETARY 0 450640 0 0 0 961099 0 439254 0 28128 0 1879121 0 878502 Laura T Gentry CEO Medical Center Peach County 0 152527 0 0 0 26596 0 7288 0 21124 0 207535 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF NAVICENT HEALTH, INC. ENGAGES AN EXECUTIVE CONSULTING FIRM PERIODICALLY 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 ORGANIZATION STRUCTURE, INDIVIDUAL JOB DESCRIPTIONS, AND DISCUSS SCOPE OF LEADERSHIP AND SPAN OF CONTROL WITH HR, THE COO, 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 TARGETS THE 75TH PERCENTILE OF TOTAL COMPENSATION FOR OUR LEADERSHIP TEAM. THE PEER GROUP USED IS NATIONAL HOSPITALS AND HEALTH SYSTEMS OF SIMILAR SIZE AND SCOPE. OUR HUMAN RESOURCES DEPARTMENT SURVEYS THOSE EMPLOYED OUTSIDE OF THE EXECUTIVE LEADERSHIP TEAM USING TOOLS THAT PROVIDE COMPARABLE DATA IN OUR MARKET AREA TO ENSURE THE COMPENSATION IS IN LINE WITH OTHER HEALTH CARE ORGANIZATIONS. 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: Ken Banks $428,705 IN ADDITION, NAVICENT 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: None 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 $57,375 Form 990, Part V, Line 1a Forms 1099 All Forms 1099 are issued by the Medical Center of Central Georgia for the healthcare system. Form 990, Part VI, Line 6 Classes of members or stockholders Navicent Health, Inc., a related Section 501(c)(3) organization, is the sole member of the Organization. The member has the right to appoint and remove members of the Board of Directors of the organization. In addition, the prior approval of the Board of Directors of Navicent Health is required for changes in governance, organizational structure changes (organizing a subsidiary or entering a joint venture, liquidating or dissolving, merging of consolidating the entity), adopting or amending capital or operating budgets (or spending more than is authorized pursuant to such budgets unless permitted by a Navicent Health approved policy), appointing or removing the CEO, and amending or terminating any lease agreement. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Navicent Health, Inc., a related Section 501(c)(3) organization, has the right to appoint and remove members of the Board of Directors of the Organization. However, one member of the Board of Directors must be a currently serving member of the Hospital Authority of Peach County and two other members are to be nominated by the Hospital Authority of Peach County. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Navicent Health, Inc., a related Section 501(c)(3) organization, has certain reserve powers as well as the power to appoint, approve and remove Board Members of The Medical Center of Peach County, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body Form 990 was prepared by Hospital accounting personnel from information provided by management and from internal financial statements. It was reviewed in detail by our outside tax advisor (an independent CPA) and by management of The Medical Center of Peach County, Inc. A copy of Form 990 was provided to each Board Member prior to filing 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 MEMBER, 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. IF NEEDED, CORRECTIVE ACTION RECOMMENDATIONS ARE TAKEN TO THE APPROPRIATE BOARD AND ADMINISTRATION FOR IMPLEMENTATION. ANY TIME A CHANGE IN A RELATIONSHIP OR NEW POTENTIAL CONFLICT EVOLVES, THE INDIVIDUAL 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 19 Required documents available to the public The Medical Center of Peach County, INC. PROVIDES COPIES OF ITS GOVERNING AND OTHER CORPORATE DOCUMENTS UPON REQUEST. Form 990, Part IX, Line 11g Other Fees Consultation Fees - Total Expense: 8002, Program Service Expense: , Management and General Expenses: 8002, Fundraising Expenses: ; Credentialing Fee Expense - Total Expense: 8268, Program Service Expense: , Management and General Expenses: 8268, Fundraising Expenses: ; Contract Svcs-Corporate - Total Expense: 1337208, Program Service Expense: 1337208, Management and General Expenses: , Fundraising Expenses: ; Contract Services - Total Expense: 2000099, Program Service Expense: 1983645, Management and General Expenses: 16454, Fundraising Expenses: ; Contract Linen Serv - Total Expense: 99454, Program Service Expense: 99454, Management and General Expenses: , Fundraising Expenses: ; Contract Personnel - Total Expense: 758689, Program Service Expense: 758689, Management and General Expenses: , Fundraising Expenses: ; Georgia Heart Program Fee - Total Expense: 68639, Program Service Expense: , Management and General Expenses: 68639, Fundraising Expenses: ; Form 990, Page 1, Heading Block B Amended Return Explanation The organization originally filed its 2020 Form 990 with an electronic attachment which disclosed separate company financial information for each of the Navicent entities included in the Consolidated Audited Financial Statements of the Charlotte-Mecklenburg Hospital Authority. This attachment was not in the format required by the IRS. Additionally, the audited financial statements may not have been properly attached in the original electronic submission. This amended return provides the Consolidated Audited Financial Statements and combines the separate company financial information in one pdf file that satisfies IRS formatting requirements. NAVICENT HEALTH INC 777 Hemlock Street MSC 111 MACON GA 31201 582149127 PARENT COMPANY/STRATEGIC & FINANCIAL MANAGEMENT GA 501(c)(3) Type III-FI AHNH Georgia Inc false CENTRAL GEORGIA SENIOR HEALTH INC 777 Hemlock Street MSC 111 MACON GA 31201 582345439 Continuing Care RETIREMENT COMMUNITY GA 501(c)(3) Type II NAVICENT HEALTH INC false MEDICAL CENTER OF CENTRAL GEORGIA IINC 777 Hemlock Street MSC 111 MACON GA 31201 582149128 HOSPITAL GA 501(c)(3) 3 NAVICENT HEALTH INC false HEALTH SERVICES OF CENTRAL GEORGIA INC 777 Hemlock Street MSC 111 MACON GA 31201 582307485 HEALTHCARE SERVICES GA 501(c)(3) 3 NAVICENT HEALTH INC false NAVICENT HEALTH BALDWIN INC 777 Hemlock Street MSC 111 MACON GA 31204 823914925 HOSPITAL GA 501(c)(3) 3 NAVICENT HEALTH INC false AHNH Georgia Inc PO Box 32861 Charlotte NC 282322861 831707383 Sole Member Navicent Health NC 501(c)(3) 7 The Charlotte-Mecklenburg Hospital Authortiy false The Charlotte-Mecklenburg Hospital Authority 1000 Blythe Blvd Charlotte NC 28203 580529945 Healthcare NC NA false SECURE HEALTH PLANS OF GEORGIA LLC 577 MULBERRY STREET SUITE 1000 MACON GA 31201 582306549 MANAGED CARE GA NA N/A CENTRAL GEORGIA PET LLC 1650 HARDEMAN AVE MACON GA 31201 371464470 MEDICAL IMAGING CENTER GA NA N/A Cowles Clinic Realty LLC 1000 Cowles Clinic Way C100 Greensboro GA 30642 810636590 Real Estate GA NA N/A CENTRAL GEORGIA HEALTH VENTURES INC 777 Hemlock Street MSC 111 MACON GA 31201 582164989 HOME CARE MANAGEMENT SERVICE GA NA C Corporation false CENTRA PROFESSIONAL INDEMNITY LTD Self-INSURANCE CJ NA C Corporation false NAVICENT HEALTHPLAN INC 777 Hemlock Street MSC 111 MACON GA 31201 202467391 INSURANCE GA NA C Corporation false false false false true true false false false false true true false false false true true false false false