2018-08-13T14:00:10-05:00 2017-09-30 580914992 Draffin & Tucker LLP PO Box 71309 Albany GA 317081309 990 2016-10-01 582149127 NAVICENT HEALTH INC NAVI 4786336968 691 CHERRY STREET 400 MACON GA 31201 Rhonda S Perry Executive Vice President/COO 2018-07-26 true W Edward Phillips P00451499 2298837878 2017-08-14 2016 2022-09-23 18:48:47Z Ninfa M Saunders 691 CHERRY STREET 400 MACON GA 31201 99226591 false X www.navicentheatlh.org X 1994 GA 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. 17 14 459 0 2496 0 22505719 18189658 53183108 70233530 5233004 10303207 675738 500196 81597569 99226591 63750 40500 0 35064999 63487317 0 0 29462332 32760591 64591081 96288408 17006488 2938183 91503236 131706453 20243201 57508235 71260035 74198218 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 61170407 40500 56837179 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., MEDCEN COMMUNITY HEALTH FOUNDATION, 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. 15900293 13894051 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 77070700 true true false true false 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 false false false false false false true false false false false false true true true true false false true 0 0 459 true true true true CJ false false false false false false false false X 17 14 false false false false false false false true true false false true true true true true true true true true true GA X RHONDA S PERRY 4786331452 777 HEMLOCK STREET MACON GA 31201 Ninfa M Saunders President and Chief Executive Officer 47.0 4.0 X X 1389846 0 561770 Armand Balsano Board Member 1.0 1.0 X 0 0 0 Connie Cater Board Member 1.0 1.0 X 0 0 0 David Danzie Board Member 1.0 1.0 X 0 0 0 Sanford Duke MD Board Member 1.0 1.0 X 0 0 0 Mike Finnerty Board Member 1.0 1.0 X 0 0 0 Randy Hughes Board Member 1.0 1.0 X 0 0 0 Timothy Jackson Board Member 1.0 2.0 X 0 0 0 Kim Johnston MD Vice Chairman 1.0 1.0 X 0 0 0 Henry Koplin Board Member 1.0 1.0 X 0 0 0 Ray Pippin Board Member 1.0 1.0 X 0 0 0 Starr Purdue Chairman 1.0 1.0 X 0 0 0 Rick Shackelford Board Member 1.0 1.0 X 0 0 0 Bill Tift MD Board Member 1.0 1.0 X 0 0 0 Bill Tillett Board Member 1.0 1.0 X 0 0 0 Wimberly Treadwell Board Member 1.0 1.0 X 0 0 0 John Vinyard Board Member 1.0 1.0 X 0 0 0 Kenneth B Banks Corporate Secretary & Chief Legal Counsel 45.0 5.0 X 580752 0 171784 Darren R Pearce Chief Administrative Officer 40.0 1.0 X 242943 0 12636 Rhonda Perry Executive Vice President & Chief Operating Officer 45.0 5.0 X 1068531 0 51941 Christopher M Cornue SVP Chief Strategy and Innovation Officer 40.0 0 X 252728 0 67102 Robert DiRenzo EVP Physician Strategy and Alignment 40.0 1.0 X 715999 0 113083 Roy E Gilbreath SVP Systems of Care Integration 40.0 0 X 491756 0 66326 Christopher A Hendry Chief Medical Officer 40.0 1.0 X 414637 0 80625 Elbert T McQueen Central Ga Rehab Hosp Administrator 35.0 10.0 X 396220 0 181935 Robert H Powell SVP Business Dev and Strategy 40.0 0 X 367106 0 78779 Bernard J Price SVP Chief Human Resources and Talent Officer 40.0 0 X 348937 0 10508 Katherine L Bowen Director Financial Planning And Budget 40.0 0 X 236938 0 16299 Gina B Keadle VP Human Resources 40.0 0 X 217409 0 58191 Allison P Scheetz Physician 40.0 0 X 241598 0 6032 Timothy A Slocum VP System Support Services 40.0 0 X 233856 0 25029 Julie E Windom VP of Governmental Affairs 40.0 0 X 207622 0 11832 7406877 0 1513873 85 false true false AEGIS COMPLIANCE & ETHICS CENTER LLP 4147 N Ravenswood Suite 200 Chicago IL 60613 Consultants 881753 HEWITT ASSOCIATES LLC PO BOX 95135 CHICAGO IL 606945135 BENEFITS ADMIN SERVICES 795336 INFOR(US) INC PO BOX 1450 MINNEAPOLIS MN 554857418 SOFTWARE CONSULTANTS 701910 PARKER HUDSON & RAINER DOBBS LLP 303 PEACHTREE STREET NE SUITE 3600 ATLANTA GA 30308 PROFESSIONAL SERVICES 601155 DIXON HUGHES GOODMAN PLLC PO BOX 602828 CHARLOTTE NC 282602828 AUDIT SERVICES 599284 26 X 18189658 18189658 PATIENT REVENUE 621990 13765220 13765220 REBATE REVENUE 621990 100901 100901 CAFTERIA & VENDING 621990 69231 69231 AFFILIATED SUPPORT REVENUE 541200 55317513 55315017 2496 MANAGEMENT FEE REVENUE 561000 912950 912950 67715 67715 0 0 70233530 10303207 10303207 100051 100051 0 100051 100051 0 0 PARTNERSHIP INVESTMENT 531390 400145 400145 0 0 0 0 400145 99226591 70731230 2496 10303207 X 40500 40500 6269454 6269454 45395189 42886652 2508537 -1560213 -1560213 10042139 9263106 779033 3340748 2913104 427644 2479234 368242 2110992 775386 775386 76856 76856 1116646 1116646 12293788 9203195 3090593 0 954159 621056 333103 1110175 1004931 105244 1022127 973433 48694 443750 428704 15046 586708 82403 504305 199414 161868 37546 103637 103637 3683691 3672356 11335 57658 57658 Medical Supplies 958005 955712 2293 Minor Eq, Eq Rental & Maint 4667944 4593245 74699 Taxes & Licenses 657574 341419 316155 Dues & Subscriptions 922729 335792 586937 651110 623900 27210 0 96288408 77070700 19217708 0 6580196 19107876 10444739 6137948 0 0 103728 160435 4126454 5898867 45517801 25195994 18765532 20321807 0 24335651 40797404 27146936 39282116 91503236 131706453 5076677 11745502 15166524 45762733 20243201 57508235 X 71260035 74198218 71260035 74198218 91503236 131706453 2938183 0 X false true X true false 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 At year end, 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/COO 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 for The Medical Center of Central Georgia, compensation oversight and resource allocation issues for all affiliated organizations within the multi-entity healthcare system of organizations. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 76856 76856 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, BOTH OF WHOM LOBBY ON BEHALF OF THE ORGANIZATION. 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, BOTH OF WHOM LOBBY ON BEHALF OF THE ORGANIZATION. 2680384 836927 1843457 512640 111072 401568 39579211 24247995 15331216 2745566 2745566 20321807 Investments in Affiliates 16018784 C Investments in Joint Ventures 24778620 C 40797404 Workers Comp Escrow 275000 Miscellaneous Receivable 120621 Putnam County Receivable 5149420 Management Fee Receivable 1424998 Travel Advance 457B Deferred Compensation 10866089 DC SERP 2077674 Due from Affiliates 18291690 Third Party Settlement 162966 Due from CPI 913658 39282116 SERP Liability 2336430 DC SERP Liability 2559914 457B Plan 10866089 Other 300 TD Bank Money Market 30000000 45762733 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Navicent Health, Inc., the Medical Center of Central Georgia, Inc., Health Services of Central Georgia, Inc., Central Georgia Senior Health, Inc., and the Foundation are organizations exempt from federal income tax, pursuant to Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. CPI is a foreign corporation not subject to tax in the United States. PET, RHNH and SHPG are organized under Georgia law and the Internal Revenue Code as limited liability companies ("LLC"). The members of an LLC report taxable income or loss on their corporate or individual tax returns. Navicent Health's share of income from PET, RHNH and SHPG operations is not considered unrelated business income ("UBI") and is therefore not subject to tax. Navicent Health and its affiliates have evaluated their tax positions and have determined that they do not have any material unrecognized tax benefits or obligations as of September 30, 2017. Central Georgia Health Ventures, Inc. is subject to income tax. With respect to its for-profit subsidiaries, Navicent Health accounts for income taxes in accordance with the liability method under which deferred tax assets and liabilities are determined based on the differences between the financial accounting and tax bases of assets and liabilities. Deferred tax assets or liabilities at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the periods that the deferred tax asset or liability is expected to be realized or settled. Central America and the Caribbean 0 0 Investments 229167413 0 0 0 0 0 0 229167413 0 229167413 true false true true true false 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. Schedule F, Part IV, Line 4 Qualified Electing Fund 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. No unrelated business taxable income is earned or reported as a result of this investment. true true X true X 125 true X 270 true true false true true 764392 0 764392 0.0464 271836 0 271836 0.0165 0 0 0 0.0 0 0 1036228 0 1036228 0.0629 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 1036228 0 1036228 0.0629 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 1293828 0 11413372 8713829 2699543 X true true 1 1 Central Georgia Rehabilitation Hospital LLC 3351 Northside Drive Macon GA 31210 011-627 X Central Georgia Rehabilitation Hospital LLC 1 false false true X X X X X X X X X 15 true true false true X https://www.navicenthealth.org/our-annual-reports.html X HTTPS://MACONREGION.HEALTHFORECAST.NET/INDEX-3.HTML X X true 16 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://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html X https://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html X https://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Medical Center of Central Georgia, Inc.. Primary medical-surgical hospital also located in Macon, GA. Both hospitals owned and controlled by Navicent Health, Inc. 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 is calculated using only the audited financial information of Central Georgia Rehab Hospital, LLC, a wholly owned limited liability company of Navicent Health, Inc. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount PATIENT CHARGES WRITTEN OFF TO BAD DEBT NOT OTHERWISE PAID BY THIRD-PARTY INSURANCE, GOVERNMENT PROGRAMS, PATIENT PAYMENTS OR OTHERWISE QUALIFIED UNDER HOSPITAL'S CHARITY AND INDIGENT POLICIES. Schedule H, Part III, Line 3 Bad Debt Expense Methodology N/A Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. NAVICENT HEALTH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 98% OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2017 AND 2016. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COSTING METHODOLOGY IS TO USE THE ACTUAL COSTS INCLUDED IN THE 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 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 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://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html; Schedule H, Part V, Section B, Line 16b FAP Application website - Central Georgia Rehabilitation Hospital, LLC: Line 16b URL: https://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Central Georgia Rehabilitation Hospital, LLC: Line 16c URL: https://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html; Schedule H, Part VI, Line 2 Needs assessment A COMMUNITY NEEDS ASSESSMENT WAS PERFORMED IN 2015 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 WHICH HAS CONDUCTED HUNDREDS OF COMMUNITY NEEDS ASSESSMENTS SINCE 1994. THE SURVEY AREA INCLUDED THE PRIMARY SERVICE AREAS FOR MCCG INCLUDING BIBB, CRAWFORD, HOUSTON, JONES, MONROE, PEACH AND TWIGGS COUNTIES. THE SURVEY INCLUDED 1,035 LAND LINE AND CELL PHONE SURVEYS AND FIVE KEY INFORMANT FOCUS GROUPS WHICH INCLUDED HEALTHCARE PROVIDERS AND OTHER COMMUNITY LEADERS. ADDITIONALLY; PUBLIC HEALTH, VITAL STATISTICS AND BENCHMARK DATA INCLUDING GEORGIA AND NATIONWIDE RISK FACTOR DATA AND HEALTHLY PEOPLE 2020 WERE USED. PRC ALSO CONSULTED WITH REGARD TO THE PREVIOUS 2012 CHNA. 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. 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 AFFILIATED ENTITIES, A MULTI-ENTITY HEALTHCARE SYSTEM. OTHER ORGANIZATIONS IN THE SYSTEM INCLUDE: NAVICENT HEALTH, INC. WHICH SERVES AS THE 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 CONTINUING CARE RETIREMENT COMMUNITY (CCRC) OFFERING INDEPENDENT LIVING, ASSISTED LIVING, MEMORY SUPPORT AND SKILLED NURSING. MEDCEN FOUNDATION, INC . PROVIDES FUNDRAISING AND SUPPORT FOR NAVICENT HEALTH , INC. AND ITS AFFILIATES. Schedule H, Part VI, Line 7 State filing of community benefit report GA true AMERICAN CANCER SOCIETY PO BOX 4406 MACON GA 31208 580659875 501(c)(3) 5500 CASH COMMUNITY ASSISTANCE SUSAN G KOMENMIDDLE GA CHAPTER 804 CHERRY ST MACON GA 31201 752881536 501(C)(3) 5000 CASH COMMUNITY SPONSORSHIP GOODWILL WORKS FOUNDATION 5171 EISNEHOWER PARKWAY MACON GA 31206 581249683 501(C)(3) 5000 CASH COMMUNITY ASSISTANCE MIDDLE GA STATE COLLEGE FOUNDATION INC 100 COLLEGE STATION DR MACON GA 31206 237066010 501(C)(3) 10000 CASH COMMUNITY SPONSORSHIP THE RIVER EDGE FOUNDATION 277 MARTIN LUTHER KING JR BLVD STE 102-A MACON GA 31201 205794390 501(C)(3) 5000 CASH COMMUNITY SPONSORSHIP CHERRY BLOSSOM FESTIVAL 794 CHERRY STREET MACON GA 31201 581648127 501(C)(3) 10000 CASH COMMUNITY SPONSORSHIP 6 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 true true X X X X false true false false false false false true false Ninfa M Saunders President and Chief Executive Officer 986075 0 369688 0 34083 0 541416 0 20354 0 1951616 0 0 0 Kenneth B Banks Corporate Secretary & Chief Legal Counsel 307469 0 86493 0 186790 0 144758 0 27026 0 752536 0 144078 0 Darren R Pearce Chief Administrative Officer 205631 0 29208 0 8104 0 2448 0 10189 0 255579 0 0 0 Rhonda Perry Executive Vice President & Chief Operating Officer 533295 0 137312 0 397924 0 45011 0 6930 0 1120472 0 397150 0 Christopher M Cornue SVP Chief Strategy and Innovation Officer 211172 0 0 0 41556 0 54442 0 12660 0 319830 0 0 0 Robert DiRenzo EVP Physician Strategy and Alignment 493990 0 119159 0 102850 0 90179 0 22904 0 829081 0 81120 0 Roy E Gilbreath SVP Systems of Care Integration 332750 0 92334 0 66672 0 56587 0 9739 0 558082 0 45296 0 Christopher A Hendry Chief Medical Officer 400602 0 0 0 14035 0 53503 0 27122 0 495263 0 0 0 Elbert T McQueen Central Ga Rehab Hosp Administrator 298863 0 77921 0 19436 0 166798 0 15137 0 578155 0 5816 0 Robert H Powell SVP Business Dev and Strategy 293921 0 39690 0 33495 0 56625 0 22154 0 445885 0 0 0 Bernard J Price SVP Chief Human Resources and Talent Officer 258541 0 63578 0 26818 0 6625 0 3883 0 359444 0 0 0 Katherine L Bowen Director Financial Planning And Budget 195194 0 27795 0 13949 0 5153 0 11146 0 253238 0 0 0 Gina B Keadle VP Human Resources 177639 0 22889 0 16881 0 37095 0 21095 0 275599 0 0 0 Allison P Scheetz Physician 241280 0 0 0 318 0 6032 0 0 0 247630 0 0 0 Timothy A Slocum VP System Support Services 189391 0 24110 0 20355 0 5625 0 19404 0 258886 0 0 0 Julie E Windom VP of Governmental Affairs 189406 0 17752 0 463 0 2093 0 9739 0 219454 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel FIRST CLASS TRAVEL IS AUTHORIZED BY THE CHAIRMAN OF THE BOARD FOR THE CEO IN SPECIFIC SITUATIONS 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 ANNUTIY 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 $118,780 ELBERT MCQUEEN $148,523 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 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: RHONDA PERRY $38,386 KEN BANKS $19,353 ELBERT MCQUEEN $11,650 NINFA SAUNDERS $150,000 ROBERT POWELL $50,000 Wallace Brown $35,000 Christopher Cornue $50,000 IN ADDITION, NAVICENT ADOPTED A NONQUALIFIED, UNFUNDED DEFERRED COMPENSATION PLAN DESIGNED TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT PESONNEL. DURING THE YEAR THE FOLLOWING BENEFITS ACCRUED UNDER THIS PLAN: NINFA SAUNDERS $384,791 Chris Hendry $46,878 Gina Keadle $31,825 Robert DiRenzo $83,554 Roy Gilbreath $46,654 Susan Harris $46,410 THE FOLLOWING NONQUALIFIED RETIREMENT PLAN BENEFITS WERE REPORTED AS TAXABLE INCOME TO VESTED INDIVIDUALS: RHONDA PERRY $397,150 KEN BANKS $144,078 ROBERT DIRENZO $81,120 ROY GILBREATH $45,296 Elbert McQueen $5,816 Schedule J, Part I, Line 7 Non-fixed payments FIRST CLASS TRAVEL IS AUTHORIZED BY THE CHAIRMAN OF THE BOARD FOR THE CEO IN SPECIFIC SITUATIONS CAREN JOHNSTON FAMILY MEMBER OF A BOARD MEMBER 97635 MS JOHNSTON IS EMPLOYED AS A NURSE MANAGER FOR THE MEDICAL CENTER OF CENTRAL GA, INC. false MAUREEN ECKARD FAMILY MEMBER OF A BOARD MEMBER 87181 MS ECKARD IS EMPLOYED AS A THERAPIST/PROJECT COORDINATOR FOR HEALTH SERVICES OF CENTRAL GEORGIA, INC. false WALTER HUTCHINGS MD BROTHER OF BOARD MEMBER 66950 DR. HUTCHINGS IS A CONTRACT PHYSICIAN FOR THE MEDICAL CENTER OF CENTRAL GA, INC. false MARK JOHNSTON BROTHER OF BOARD MEMBER 94550 MR. JOHNSTON IS A DIRECTOR OF FACLILTY SERVICES AT CENTRAL GA SENIOR HEALTH, INC. 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 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY HOSPITAL PERSONNEL FROM INFORMATION PROVIDED BY MANAGEMENT AND FROM CONSOLIDATED FINANCIAL STATEMENTS (AUDITED BY AN INDEPENDENT CPA FIRM). IT IS REVIEWED IN DETAIL BOTH BY OUR OUTSIDE TAX ADVISOR (ANOTHER INDEPENDENT CPA) AND BY FINANCIAL MANAGEMENT OF CENTRAL GEORGIA HEALTH SYSTEMS. 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 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 OF DIRECTORS ENGAGES AN EXECUTIVE CONSULTING FIRM EVERY 2-3 YEARS 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 CURRENTLY 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. 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 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS ENGAGES AN EXECUTIVE CONSULTING FIRM EVERY 2-3 YEARS 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 CURRENTLY 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. 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 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 OTHER REVENUE - Total Revenue: 67715, Related or Exempt Function Revenue: 67715, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Other Collection Fees - Total Expense: 6094, Program Service Expense: 6094, Management and General Expenses: , Fundraising Expenses: ; Consultation Fees - Total Expense: 3221799, Program Service Expense: 999115, Management and General Expenses: 2222684, Fundraising Expenses: ; Contract Transcription Svcs - Total Expense: 33014, Program Service Expense: 33014, Management and General Expenses: , Fundraising Expenses: ; Contract Svcs-Corporate - Total Expense: 1378632, Program Service Expense: 1378632, Management and General Expenses: , Fundraising Expenses: ; Contract Services - Total Expense: 5867149, Program Service Expense: 4999753, Management and General Expenses: 867396, Fundraising Expenses: ; Contract Svcs Lab - Total Expense: 110802, Program Service Expense: 110802, Management and General Expenses: , Fundraising Expenses: ; Alternative to Hospitalization - Total Expense: 492486, Program Service Expense: 492486, Management and General Expenses: , Fundraising Expenses: ; Moving Expense (NonEmployee) - Total Expense: 4660, Program Service Expense: 4660, Management and General Expenses: , Fundraising Expenses: ; Contract Linen Serv - Total Expense: 101102, Program Service Expense: 101102, Management and General Expenses: , Fundraising Expenses: ; Janitorial Company - Total Expense: 20770, Program Service Expense: 20770, Management and General Expenses: , Fundraising Expenses: ; Contract Waste Disposal - Total Expense: 16300, Program Service Expense: 16300, Management and General Expenses: , Fundraising Expenses: ; Contract Personnel - Total Expense: 389558, Program Service Expense: 389558, Management and General Expenses: , Fundraising Expenses: ; Professional Fees - Total Expense: 1544, Program Service Expense: 1544, Management and General Expenses: , Fundraising Expenses: ; Recruitment Expense - Total Expense: 490433, Program Service Expense: 489920, Management and General Expenses: 513, Fundraising Expenses: ; Employee Relocation - Total Expense: 159445, Program Service Expense: 159445, Management and General Expenses: , Fundraising Expenses: ; 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 Bo Stollenwerck, Connie Cater, Chi Ezekueche, Ruth Knox, Rhonda Perry and Elbert McQueen. Central Georgia Rehab Hospital LLC 3351 Northside Drive Macon GA 31201 300371539 Rehabilitation Services GA 13898748 7516819 Navicent Health Inc Central Georgia Senior Health Inc 691 Cherry Street Suite 400 Macon GA 31201 582345439 Retirement Community GA 501(c)(3) Type II Navicent Health Inc true Health Ser vices of Central Georgia Inc 691 Cherry Street Suite 400 Macon GA 31201 582307485 Healthcare Services GA 501(c)(3) 3 Navicent Health Inc true Navicent Health Foundation Inc 691 Cherry Street Suite 400 Macon GA 31201 237363555 Fundraising GA 501(c)(3) 7 Navicent Health Inc true The Medical Center of Central Georgia Inc 691 Cherry Street Suite 400 Macon GA 31201 582149128 Hospital GA 501(c)(3) 3 Navicent Health Inc true The Medical Center of Peach County Inc 691 Cherry Street Suite 400 Macon GA 31201 453765471 Hospital GA 501(c)(3) 3 Navicent Health Inc true Central Georgia PET LLC 1650 Hardeman Avenue Macon GA 31201 317146447 Imaging Services GA Navicent Health Inc Related 1140183 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