HEALTH SERVICES OF CENTRAL GEORGIA INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH SERVICES OF CENTRAL GEORGIA INC (EIN 58-2307485)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-13
- IRS object ID
- 201822259349301367
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-13T14:01:11-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Draffin & Tucker LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 71309 | AddressLine1Txt |
| City | Albany | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582307485 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH SERVICES OF CENTRAL GEORGIA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 4786336968 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 691 CHERRY STREET 400 | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RHONDA S PERRY | PersonNm |
| Person Title | EXECUTIVE VICE PRESIDENT/COO | PersonTitleTxt |
| Signature | 2018-07-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | W Edward Phillips | PreparerPersonNm |
| PTIN | P00451499 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2017-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH SERVICES NAVICENT HEALTH | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ninfa M Saunders | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 691 CHERRY STREET 400 | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $67,735,804 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.navicenthealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | AS AN AFFILIATE OF NAVICENT HEALTH, INC., HEALTH SERVICES, NAVICENT HEALTH, EMPLOYS FACULTY PHYSICIANS FOR THE RESIDENCY TRAINING PROGRAMS OF THE MEDICAL CENTER, NAVICENT HEALTH (MCNH) AND PHYSICIANS WHO ARE IN SHORT SUPPLY IN THE COMMUNITY THAT ARE IMPORTANT TO THE MISSION OF MCNH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 395 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $44,765 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $24,428,560 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,949,794 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,839,248 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $47,633,303 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,412 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,993 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,482,359 | PYOtherRevenueAmt |
| CY Other Revenue | $148,714 | CYOtherRevenueAmt |
| PY Total Revenue | $67,760,579 | PYTotalRevenueAmt |
| CY Total Revenue | $67,735,804 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $55,893,312 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $60,863,507 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,364,189 | PYOtherExpensesAmt |
| CY Other Expenses | $15,210,152 | CYOtherExpensesAmt |
| PY Total Expenses | $69,257,501 | PYTotalExpensesAmt |
| CY Total Expenses | $76,073,659 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,496,922 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,337,855 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,537,290 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,362,421 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,747,629 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,910,615 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,789,661 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$3,548,194 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Health Services of Central Georgia, Inc. is a Not-For-Profit Affiliated with Navicent Health which employs a premier network of health care providers such as physicians, nurse practitioners, and physician assistants. HSCG provides Faculty Physicians to the Residency Training Programs of MCNH and physician services that are in short supply in private practice. It has been our mission to provide critically needed Physicians and efficient and effective health services in order to make a positive impact on the health of the communities we serve. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $69,498,507 | ExpenseAmt |
| Revenue | $47,737,252 | RevenueAmt |
| Desc | Health Services of Central Georgia, Inc. (HSCG) is a Not-For-Profit Affiliate of Navicent Health (formerly Central Georgia Health System, Inc.) which employs a premier network of health care providers such as physicians, nurse practitioners, and physician assistants. HSCG provides Faculty Physicians to the Residency Training Programs of The Medical Center of Central Georgia, and physician services that are in short supply in private practice. It has been our mission to provide critically needed physicians and efficient and effective health services in order to make a positive impact on the health of the communities we serve. HSCG provides Faculty Physicians and Physician Extenders to the Pediatric Residency Training Program of The Medical Center of Central Georgia. During the year this group of physicians performed approximately 46,000 patient encounters, pediatric patients from Bibb and the surrounding counties. Approximately 75% of patients seen were covered by Georgia State Medicaid or uninsured. This group of physicians also provided education and training to 18 Pediatric Residents as well as 97 medical students from the Mercer University School of Medicine. HSCG also provides Faculty Physicians and Physician Extenders to the Surgical Residency Training Program of The Medical Center of Central Georgia. They provided education and training to 20 Surgical Residents & 1 Surgical Fellows, in addition to 97 medical students from the Mercer University School of Medicine. The Faculty Physicians provided care for approximately 6,000 patients at the Anderson Health Center at The Medical Center of Central Georgia. Of those patients, approximately 33% were uninsured, members of The Medical Center of Central Georgia's managed care program for uninsured or under insured citizens, or considered self-pay, and 9% were Medicare Part B recipients. They also provided over $660,000 of care in other outpatient services and surgical services to indigent and uninsured patients during this time. This group also provided Level I Surgical Trauma services at The Medical Center of Central Georgia. HSCG also provides Faculty Physicians and Physician Extenders to the Family Medicine Residency Training Program. During the year this group of physicians, in conjunction with Faculty from the Mercer University School of Medicine saw outpatients from Bibb and the surrounding counties. This group of providers saw a high percentage of patients covered by Georgia State Medicaid and Medicare Part B, as well as uninsured patients. This group of physicians also provided education and training to 24 Family Practice Residents and 3 Hospice/Palliative Fellows, as well as 97 medical students from the Mercer University School of Medicine. The Faculty physicians also provide education and medical services in the Geriatric Fellowship Program. Founded in 2006 the program currently has 3 Fellows. The program is evidence-based, with strong emphases in Long-Term Care and Palliative Medicine and is the only comprehensive Inpatient Palliative Care Service in the state of Georgia. Other HSCG accomplishments include providing Faculty Physicians to educate and train 16 Obstetric and Gynecologic Residents. This faculty department provides specialty care, education, and training in ob/gyn, urogynecology, gynecologic oncology, reproductive endocrinology, and maternal fetal medicine while providing over 17,500 patient encounters per year. HSCG also provided physicians and physician extenders in gastroenterology, pediatric surgery, pediatric orthopedic surgery, pediatric gastroenterology, pediatric hematology/oncology, orthopaedic trauma surgery, maxillofacial trauma surgery, bariatric surgery, ophthalmology, pediatric endocrinology, vascular surgery, cardiac surgery, thoracic surgery and family medicine, all areas of high need and physician shortage in the communities they serve. | Desc |
| Total Program Service Expenses | $69,498,507 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 395 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHONDA S PERRY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4786331452 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 HEMLOCK STREET | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Rhonda Perry | ||||||||||
| Treasurer | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $1,068,531 | $51,941 | |||
| Robert DiRenzo | ||||||||||
| Board Member | 1.0 | 40.0 | Yes (X) | $0 | $715,999 | $113,083 | ||||
| Christopher A Hendry | ||||||||||
| Board Member | 1.0 | 40.0 | Yes (X) | $0 | $414,637 | $80,625 | ||||
| Kenneth B Banks | ||||||||||
| Secretary | 1.0 | 49.0 | Yes (X) | $0 | $580,752 | $171,784 | ||||
| Ninfa M Saunders | ||||||||||
| President/CEO | 1.0 | 50.0 | Yes (X) | $0 | $1,389,846 | $561,770 | ||||
| Dennis W Ashley | ||||||||||
| Professor And Chairman | 40.0 | 1.0 | $655,041 | $0 | $23,738 | Yes (X) | ||||
| William J Butler | ||||||||||
| Professor And Chairman | 40.0 | 0 | $739,813 | $0 | $29,529 | Yes (X) | ||||
| Dudley B Christie III | ||||||||||
| Assistant Professor | 1.0 | 0 | $930,528 | $0 | $6,625 | Yes (X) | ||||
| Jason R Chapman | ||||||||||
| Physician | 40.0 | 0 | $887,702 | $0 | $24,874 | Yes (X) | ||||
| Michael L Klyachkin | ||||||||||
| Physician | 40.0 | 0 | $839,801 | $0 | $25,170 | Yes (X) | ||||
| John W Mix | ||||||||||
| Physician | 40.0 | 0 | $864,005 | $0 | $33,828 | Yes (X) | ||||
| William B Schroder | ||||||||||
| Physician | 49.0 | 0 | $882,480 | $0 | $33,949 | Yes (X) | ||||
| Fady Wanna MD | ||||||||||
| Physician | 49.0 | 0 | $894,187 | $0 | $25,838 | Yes (X) | ||||
| Martin L Plevak | ||||||||||
| Employee Severance | 40.0 | 0 | $398,893 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,092,451 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,169,765 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,182,754 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 123 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDIC MANAGEMENT GROUP LLC | |||||
| 275 SPRINGSIDE DRIVE | AKRON | OH | 44333 | CONTRACT PERSONNEL | $389,965 |
| GA HEART PHYSICIANS LLC | |||||
| PO BOX 6135 | MACON | GA | 31208 | PROFESSIONAL FEES | $298,267 |
| MERCER MEDICINE | |||||
| 1550 COLLEGE ST STE B | MACON | GA | 31207 | PROFESSIONAL FEES | $258,322 |
| PEDIATRIC ORTHOPAEDIC ASSOC LP | |||||
| 6 Executive Park Drive Suite 10 | ATLANTA | GA | 30329 | ON CALL CONTRACT LABOR | $255,000 |
| HEALTH MANAGEMENT SOLUTIONS LLC | |||||
| 5527 IRON GATE DRIVE | FRANKLIN | TN | 37069 | PROFESSIONAL FEES | $237,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $19,851,654 | RelatedOrganizationsAmt |
| All Other Contributions | $98,140 | AllOtherContributionsAmt |
| Total Contributions | $19,949,794 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROGRAM SERVICE REVENUE | 624100 | $38,436,116 | $38,436,116 |
| MEDICAL EDUCATION | 611710 | $9,197,187 | $9,197,187 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $47,633,303 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,993 | TotalRevenueColumnAmt |
| Exclusion | $3,993 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $2,000 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $2,000 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,000 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $2,000 | UnrelatedBusinessRevenueAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OTHER NON OP-REVENUE | 900099 | $103,949 | $103,949 | |
| ACCOUNTING/BILLING SVC | 900099 | $42,765 | $42,765 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $146,714 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,735,804 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,737,252 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $44,765 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,993 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,325,382 | TotalAmt |
| Program Services | $2,325,382 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,481,578 | TotalAmt |
| Program Services | $48,738,312 | ProgramServicesAmt |
| Management And General | $1,743,266 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,374,999 | TotalAmt |
| Program Services | $1,306,307 | ProgramServicesAmt |
| Management And General | $68,692 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,140,376 | TotalAmt |
| Program Services | $3,935,569 | ProgramServicesAmt |
| Management And General | $204,807 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,541,172 | TotalAmt |
| Program Services | $2,426,914 | ProgramServicesAmt |
| Management And General | $114,258 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,047,115 | TotalAmt |
| Program Services | $3,374,721 | ProgramServicesAmt |
| Management And General | $2,672,394 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,052 | TotalAmt |
| Program Services | $180,221 | ProgramServicesAmt |
| Management And General | $83,831 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $433,682 | TotalAmt |
| Program Services | $345,658 | ProgramServicesAmt |
| Management And General | $88,024 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,481,035 | TotalAmt |
| Program Services | $285,738 | ProgramServicesAmt |
| Management And General | $1,195,297 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,612,958 | TotalAmt |
| Program Services | $2,550,736 | ProgramServicesAmt |
| Management And General | $62,222 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,257 | TotalAmt |
| Program Services | $22,154 | ProgramServicesAmt |
| Management And General | $24,103 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,846 | TotalAmt |
| Program Services | $361,846 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $841,660 | TotalAmt |
| Program Services | $840,557 | ProgramServicesAmt |
| Management And General | $1,103 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,128,372 | TotalAmt |
| Program Services | $1,855,611 | ProgramServicesAmt |
| Management And General | $272,761 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $451,541 | $456,373 | -$4,832 |
| MINOR EQUIPMENT | $184,462 | $174,466 | $9,996 |
| DUES & CERTIFICATIONS | $256,292 | $245,020 | $11,272 |
| MISCELLANEOUS | $100,880 | $72,922 | $27,958 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,073,659 | TotalAmt |
| Program Services | $69,498,507 | ProgramServicesAmt |
| Management And General | $6,575,152 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,865,177 | BOYAmt |
| EOY | $2,257,471 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,324,054 | BOYAmt |
| EOY | $6,756,007 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,047 | BOYAmt |
| EOY | $1,286,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,540,534 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,085,092 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,049,089 | BOYAmt |
| EOY | $1,455,442 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $716,923 | BOYAmt |
| EOY | $607,465 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,537,290 | BOYAmt |
| EOY | $12,362,421 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,020,491 | BOYAmt |
| EOY | $4,604,904 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,727,138 | BOYAmt |
| EOY | $11,305,711 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,747,629 | BOYAmt |
| EOY | $15,910,615 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,789,661 | BOYAmt |
| EOY | -$3,548,194 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,789,661 | BOYAmt |
| EOY | -$3,548,194 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,537,290 | BOYAmt |
| EOY | $12,362,421 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$8,337,855 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $531,543 | OtherCostOrOtherBasisAmt |
| Depreciation | $150,604 | DepreciationAmt |
| Book Value | $380,939 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,008,991 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,934,488 | DepreciationAmt |
| Book Value | $1,074,503 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,455,442 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| SALES TAX | |
| MEDTRONIC AGREEMENT FOR PAS STUDY | $24,297 |
| ABBOT CLINICAL STUDY SITE AGREEMENT | |
| PYTHAGORAS STUDY SITE | $15,303 |
| SEATTLE I-EKOS | |
| CANOPY STUDY | |
| UNCLAIMED CASH | -$160 |
| REFUNDS PAYABLE | -$2,575 |
| RELATED PARTY PAYABLES | $11,268,831 |
| SALES TAX | $15 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,305,711 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | Navicent Health, Inc., the Medical Center, NHPG, Carlyle Place, 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. HVNH 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rhonda Perry | ||||||||||||||
| Treasurer | $0 | $533,295 | $0 | $137,312 | $0 | $397,924 | $0 | $45,011 | $0 | $6,930 | $0 | $1,120,472 | $0 | $397,150 |
| Robert DiRenzo | ||||||||||||||
| Board Member | $0 | $493,990 | $0 | $119,159 | $0 | $102,850 | $0 | $90,179 | $0 | $22,904 | $0 | $829,081 | $0 | $81,120 |
| Christopher A Hendry | ||||||||||||||
| Board Member | $0 | $400,602 | $0 | $0 | $0 | $14,035 | $0 | $53,503 | $0 | $27,122 | $0 | $495,263 | $0 | $0 |
| Kenneth B Banks | ||||||||||||||
| Secretary | $0 | $307,469 | $0 | $86,493 | $0 | $186,790 | $0 | $144,758 | $0 | $27,026 | $0 | $752,536 | $0 | $144,078 |
| Ninfa M Saunders | ||||||||||||||
| President/CEO | $0 | $986,075 | $0 | $369,688 | $0 | $34,083 | $0 | $541,416 | $0 | $20,354 | $0 | $1,951,616 | $0 | $0 |
| Martin L Plevak | ||||||||||||||
| Employee Severance | $0 | $0 | $74,765 | $0 | $324,129 | $0 | $0 | $0 | $0 | $0 | $398,893 | $0 | $0 | $0 |
| Dennis W Ashley | ||||||||||||||
| Professor And Chairman | $613,780 | $0 | $23,560 | $0 | $17,701 | $0 | $6,625 | $0 | $17,113 | $0 | $678,779 | $0 | $0 | $0 |
| William J Butler | ||||||||||||||
| Professor And Chairman | $664,161 | $0 | $56,440 | $0 | $19,213 | $0 | $6,625 | $0 | $22,904 | $0 | $769,342 | $0 | $0 | $0 |
| Dudley B Christie III | ||||||||||||||
| Assistant Professor | $489,531 | $0 | $427,627 | $0 | $13,371 | $0 | $6,625 | $0 | $0 | $0 | $937,153 | $0 | $0 | $0 |
| Jason R Chapman | ||||||||||||||
| Physician | $582,405 | $0 | $291,128 | $0 | $14,169 | $0 | $6,625 | $0 | $18,249 | $0 | $912,576 | $0 | $0 | $0 |
| Michael L Klyachkin | ||||||||||||||
| Physician | $573,329 | $0 | $265,109 | $0 | $1,363 | $0 | $6,625 | $0 | $18,545 | $0 | $864,971 | $0 | $0 | $0 |
| John W Mix | ||||||||||||||
| Physician | $580,603 | $0 | $283,198 | $0 | $205 | $0 | $6,625 | $0 | $27,203 | $0 | $897,834 | $0 | $0 | $0 |
| William B Schroder | ||||||||||||||
| Physician | $551,633 | $0 | $312,022 | $0 | $18,824 | $0 | $6,625 | $0 | $27,324 | $0 | $916,429 | $0 | $0 | $0 |
| Fady Wanna MD | ||||||||||||||
| Physician | $576,462 | $0 | $300,730 | $0 | $16,996 | $0 | $6,625 | $0 | $19,213 | $0 | $920,025 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4a Severance or change-of-control payment | Martin Plevak $ 301,431 |
| 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 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 HEATLH 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 NINFA SAUNDERS $150,000 IN ADDITION, NAVICENT HEALTH 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 M. SAUNDERS $384,791 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 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 501 (c)(3) ORGANIZATION, HAS CERTAIN RESERVE POWERS AS WELL AS THE POWER TO APPOINT, APPROVE AND REMOVE BOARD MEMBERS OF HEALTH SERVICES OF CENTRAL GEORGIA, INC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | NAVICENT HEALTH, INC., A RELATED 501 (c)(3) ORGANIZATION, HAS CERTAIN RESERVE POWERS AS WELL AS THE POWER TO APPOINT, APPROVE AND REMOVE BOARD MEMBERS OF HEALTH SERVICES OF CENTRAL GEORGIA, INC. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | NAVICENT HEALTH, INC., A RELATED 501 (c)(3) ORGANIZATION, HAS CERTAIN RESERVE POWERS AS WELL AS THE POWER TO APPOINT, APPROVE AND REMOVE BOARD MEMBERS OF HEALTH SERVICES OF CENTRAL GEORGIA, INC. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 WAS PREPARED BY HOSPITAL ACCOUNTING PERSONNEL FROM INFORMATION PROVIDED BY MANAGEMENT AND FROM CONSOLIDATED FINANCIAL STATEMENTS AUDITED BY AN INDEPENDENT CPA FIRM. IT WAS REVIEWED IN DETAIL BY OUR OUTSIDE TAX ADVISOR (ANOTHER INDEPENDENT CPA) AND BY HEALTH SERVICES OF CENTRAL GEORGIA, INC.'S FINANCIAL MANAGEMENT. 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 19 Required documents available to the public | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NAVICENT HEALTH INC | ||||||||||
| 691 CHERRY STREET SUTIE 400 | MACON | GA | 31201 | 582149127 | PARENT COMPANY/STRATEGIC & FINANCIAL MANAGMENT | GA | 501(c)(3) | Type III-FI | NA | false |
| CENTRAL GEORGIA SENIOR HEALTH INC | ||||||||||
| 691 CHERRY STREET SUTIE 400 | MACON | GA | 31201 | 582345439 | RETIREMENT COMMUNITY | GA | 501(c)(3) | Type II | NAVICENT HEALTH INC | false |
| NAVICENT HEALTH FOUNDATION INC | ||||||||||
| 858 HIGH STREET | MACON | GA | 31201 | 237363555 | FUNDRAISING | GA | 501(c)(3) | 7 | NAVICENT HEALTH INC | false |
| MEDICAL CENTER OF GEORGIA INC | ||||||||||
| 691 CHERRY STREET SUTIE 400 | MACON | GA | 31201 | 582149128 | HOSPITAL | GA | 501(c)(3) | 3 | NAVICENT HEALTH INC | false |
| THE MEDICAL CENTER OF PEACH COUNTY INC | ||||||||||
| 1960 HWY 247 | BYRON | GA | 31008 | 453765471 | HOSPITAL | GA | 501(c)(3) | 3 | NAVICENT HEALTH INC | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|
| SECURE HEALTH PLANS OF GEORGIA LLC | |||||||||
| 577 MULBERRY STREET SUITE 1000 | MACON | GA | 31201 | 582306549 | MANAGED CARE | GA | NA | N/A | 0 |
| CENTRAL GEORGIA PET LLC | |||||||||
| 1650 HARDEMAN AVENUE | MACON | GA | 31201 | 371464470 | MEDICAL IMAGING CENTER | GA | NA | N/A | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL GEORGIA HEALTH VENTURES INC | |||||||||||||
| 691 CHERRY STREET SUITE 400 | MACON | GA | 31201 | 582164989 | HOME CARE SERVICES | GA | NA | C Corporation | false | ||||
| CENTRA PROFESSIONAL INDEMNITY LTD | |||||||||||||
| INSURANCE | NA | C Corporation | false | PO BOX 1363 | GRAND CAYMAN | CJ | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |