2025-11-17T05:57:57-06:00 2024-12-31 990 2024-01-01 582149127 NAVICENT HEALTH INC NAVI 4786336968 777 HEMLOCK STREET MSC 111 MACON GA 31201 PHILIP WHEELER CFO 4786336968 2025-11-16 0 2024 2025-03-06 01:10:19Z DELVECCHIO S FINLEY 777 HEMLOCK STREET MSC 111 MACON GA 31201 153298292 0 X WWW.NAVICENTHEALTH.ORG X 1994 GA TO ELEVATE HEALTH AND WELL-BEING THROUGH COMPASSIONATE CARE FOR ALL. OUR VALUES ARE INTEGRITY, RESPECT, OWNERSHIP AND CARING. TO PROVIDE 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. 18 17 874 83 71364 58351 164313 665137 133497250 150277346 4334428 1712566 12160634 627971 150156625 153283020 82190 127250 0 0 104311588 125316149 0 0 0 83670850 91171618 188064628 216615017 -37908003 -63331997 180125712 242022002 204392785 331170883 -24267073 -89148881 X NAVICENT HEALTH'S MISSION IS TO ELEVATE HEALTH AND WELL-BEING THROUGH COMPASSIONATE CARE FOR ALL. OUR VALUES ARE INTEGRITY, RESPECT, OWNERSHIP, AND CARING. NAVICENT HEALTH, INC. IS A NONPROFIT CORPORATION WHOSE PRIMARY PURPOSE IS TO SERVE AS A PARENT CORPORATION PROVIDING STRATEGIC DIRECTION TO THE MEDICAL CENTER OF CENTRAL GEORGIA, INC., THE MEDICAL CENTER OF PEACH COUNTY, INC., NAVICENT HEALTH, BALDWIN, INC., HEALTH SERVICES 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. 0 0 162733785 127250 120202145 NAVICENT HEALTH'S PRIMARY PURPOSE IS TO SERVE AS A CONTROLLING BODY FOR THE MEDICAL CENTER OF CENTRAL GEORGIA, INC., HEALTH SERVICES OF CENTRAL GEORGIA, INC., CENTRAL GEORGIA SENIOR HEALTH, INC., THE MEDICAL CENTER OF PEACH COUNTY, INC., NAVICENT HEALTH BALDWIN, INC., AND OTHER AFFILIATED ENTITIES; AND TO PROVIDE STRATEGIC DIRECTION, FINANCIAL MANAGEMENT, RESOURCE ALLOCATION, AND OTHER SUPPORT TO ITS AFFILIATES IN THE PROVISION OF HIGH QUALITY HEALTHCARE SERVICES TO THE CENTRAL GEORGIA COMMUNITY. 27321299 30840088 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 AND HAD OVER 15,500 PATIENT DAYS IN CALENDAR YEAR 2024. 190055084 1 1 0 1 0 0 0 0 0 0 1 1 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 874 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X KIMBERLY SHREWSBURY 4786331452 777 HEMLOCK STREET MACON GA 31201 WOODS MD JOHN CHIEF OF STAFF 1.00 0.00 X 0 0 0 CAROL A LOVIN FORMER DIRECTOR 40.00 0.00 X 0 3476868 404502 DELVECCHIO FINLEY PRESIDENT/CEO 5.00 55.00 X 0 2366516 175740 ERIN SNYDER SEC/CH LEGAL COUNSEL 5.00 45.00 X 0 920296 100384 VISHAL BHALLA CH HR OFF 15.00 35.00 X 0 831204 43087 SANFORD G DUKE MD CHIEF CLINICAL OFFICER ENTERPRISE CLINICAL SYSTEMS 40.00 0.00 X 0 847912 40977 KENNETH B BANKS SEC/CH LEGAL COUNSEL (TO 10/2023) 0.00 0.00 X 0 774364 0 KIMBERLY SHREWSBURY TREASURER 45.00 5.00 X 0 673324 81256 LUIS FONSECA COO CENRAL/SOUTH GA 40.00 0.00 X 0 566298 12388 CYNTHIA BUSBEE SVP MKT COMMUNICATIONS PUBLIC AFFAIRS & COMMUNITY 40.00 0.00 X 0 463281 33957 SARA L LONERGAN VP DEPUTY GENERAL COUNSEL 40.00 0.00 X 0 479812 13954 KATHERINE BOWEN VP FINANCE 40.00 0.00 X 0 393903 37736 GENEEN RANSAW AVP HR OPERATIONS & DEI 40.00 0.00 X 0 396409 31787 ALLISON SCHEETZ MD PHYSICIAN 40.00 0.00 X 0 402106 12769 NANCY SCROGGINS ASSISTANT SECRETARY 5.00 35.00 X 0 77935 14794 DAVID DANZIE BOARD MEMBER 1.00 1.00 X 0 0 0 HENRY KOPLIN BOARD MEMBER 1.00 2.00 X 0 0 0 JACKSON TIMOTHY BOARD MEMBER (TO 12/31/24) 1.00 1.00 X 0 0 0 KIM JOHNSTON MD VICE CHAIR 1.00 1.00 X X 0 0 0 WIMBERLY TREADWELL BOARD MEMBER 1.00 1.00 X 0 0 0 0 12670228 1003331 164 1 1 0 DELTA LOCUM TENENS PO BOX 202940 DALLAS TX 75320 CONTRACT SERVICES - HEALTHCARE 3129242 BENDIN SUMRALL & LADNER LLC 1360 PEACHTREE ST NE SUITE 800 ATLANTA GA 30339 LEGAL SERVICES 1764594 GEORGIA ADS 900 CIRCLE 75 PKWY SE STE 1235 ATLANTA GA 30339 LOSS FINANCING MANAGEMENT 1064564 WAYSTAR INC 888 W MARKET ST LOUISVILLE KY 40202 REVENUE CYCLE SERVICES 835225 HAYS SERVICE 4312 INTERSTATE DR MACON GA 31210 REPAIR & MAINTENANCE SERVICES 674457 37 638146 26991 665137 AFFILIATED SUPPORT REVENUE 541200 116753718 116753718 PATIENT SERVICE REVENUE 621990 31713131 31713131 HEALTHCARE SERVICE REVENUE 621990 1739133 1739133 HEALTHCARE MANAGEMENT REVENUE 561000 71364 71364 150277346 1725919 1725919 403930 0 403930 403930 403930 1919 15272 0 -15272 1919 -13353 -13353 OTHER HEALTHCARE INCOME 621990 224041 224041 224041 153283020 150430023 71364 2116496 83750 83750 43500 43500 8059857 7092141 967716 72538707 63829267 8709440 2672832 2351915 320917 36986170 32545385 4440785 5058583 4451219 607364 610473 390398 220075 146222 146222 50340 50340 9730 8076 1654 4614169 3875413 738756 787002 503288 283714 388153 325249 62904 36388289 30491250 5897039 360383 302790 57593 108090 90622 17468 625 519 106 13119568 9637751 3481817 23760211 23760211 OTHER SUPPLIES 4643906 3891321 752585 BAD DEBT 3051520 3051520 MEDICAL SUPPLIES 2677386 2677386 PROVIDER ASSESSMENT 314443 314443 141108 141108 216615017 190055084 26559933 0 37910580 106083753 22335 21544 32359056 6362090 126132 92061 1453154 2371436 115359441 76380570 39206347 38978871 17976483 24314423 21519327 11757576 10451178 32976109 38165259 180125712 242022002 85754775 97667159 696994 29294777 7749040 7456040 5168822 5461822 293000 253435 104730154 191037650 204392785 331170883 X -24267073 -89148881 -24267073 -89148881 180125712 242022002 X -63331997 -1549811 X 0 1 X 1 1 1 X X 4 MEDICAL CENTER OF CENTRAL GEORGIA INC 582149128 3 1 112064 0 THE MEDICAL CENTER OF PEACH COUNTY INC 453765471 3 1 0 0 NAVICENT HEALTH BALDWIN INC 823914925 3 1 0 0 HEALTH SERVICES OF CENTRAL GEORGIA INC 582307485 3 1 0 0 4 112064 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3 NAVICENT HEALTH, INC. IS THE SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS. AS SOLE MEMBER, NAVICENT HEALTH, INC. HAS THE RIGHT TO APPOINT AND REMOVE A MAJORITY OF THE SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS. IN ADDITION, THE PRIOR APPROVAL OF THE BOARD OF DIRECTORS OF NAVICENT HEALTH. INC. IS REQUIRED FOR CHANGES IN THE SUPPORTED ORGANIZATIONS' GOVERNANCE, ORGANIZATIONAL STRUCTURE, 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. ACCORDINGLY, NAVICENT HEALTH, INC. HAS A SIGNIFICANT VOICE IN ITS SUPPORTED ORGANIZATIONS' INVESTMENTS AND INVESTMENT POLICIES AS WELL AS IN THE USE OF THE SUPPORTED ORGANIZATIONS' ASSETS AND INCOME. PART IV, SECTION E, LINE 3A NAVICENT HEALTH, INC. IS THE SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS. AS SOLE MEMBER, NAVICENT HEALTH, INC. HAS THE RIGHT TO APPOINT AND REMOVE A MAJORITY OF THE SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS. PART IV, SECTION E, LINE 3B NAVICENT HEALTH, INC. IS RESPONSIBLE FOR STRATEGIC AND FINANCIAL PLANNING, COMPENSATION OVERSIGHT, AND RESOURCE ALLOCATION ISSUES FOR ITS SUPPORTED ORGANIZATIONS AND ALL AFFILIATED ORGANIZATIONS WITHIN THE GEORGIA BASED MULTI-ENTITY HEALTHCARE SYSTEM. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 50340 50340 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO VARIOUS HEALTHCARE ASSOCIATIONS. A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. 1427362 1427362 57014591 43847097 13167494 555526 555526 0 51997031 31977947 20019084 4364931 4364931 38978871 INVESTMENTS OTHER SECURITIES 17976483 C 17976483 INVESTMENTS IN JOINT VENTURES AND SUBSIDIARIES 21519327 C 21519327 457B DEFERRED COMPENSATION 29624271 OPERATING LEASES 8540988 38165259 0 PENSION AND RETIREMENT LIABILITY 210879 DUE TO AFFILIATES 182128558 OPERATING LEASE 8698213 191037650 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEARS ENDED DECEMBER 31, 2024 AND 2023, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR CALENDAR YEARS ENDED DECEMBER 31, 2024 AND 2023. 1 1 1 X 300.000000000000 1 X 1 1 0 1 1 475027 475027 0.01730 2699289 1779028 920261 0.03360 3174316 1779028 1395288 0.05090 3174316 1779028 1395288 0.05090 1 1158552 0 17381654 15889034 1492620 X 1 1 1 1 CENTRAL GEORGIA REHABILITATION HOSPITAL LLC 3351 NORTHSIDE DRIVE MACON GA 31210 011-627 X SPECIALTY - REHAB CENTRAL GEORGIA REHABILITATION HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 1 0 1 X WWW.NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTS X 1 23 1 WWW.NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTS 0 1 X 300.000000000000 400.000000000000 X X X 1 1 X X X 1 X SEE PAGE V X SEE PAGE V X SEE PAGE V X X X X X X 1 X 0 X X X X 1 X 0 0 CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC PART V, SECTION B, LINE 5: DURING THE CONDUCTION OF ITS MOST RECENT CHNA, THE HOSPITAL FACILITY SOUGHT COMMUNITY INPUT THROUGH THE FOLLOWING PRIMARY SOURCES: -A COMMUNITY HEALTH SURVEY CONDUCTED ON BEHALF OF THE HOSPITAL FACILITY BY PRC, INC., A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM. SURVEYS WERE CONDUCTED VIA PRC THROUGH TELEPHONE AND ONLINE QUESTIONNAIRES WITH LOCAL RESIDENTS.-AN ONLINE SURVEY OF PUBLIC HEALTH REPRESENTATIVES, HEALTH PROVIDERS, AND A VARIETY OF OTHER COMMUNITY SERVICE PROVIDERS AND STAKEHOLDERS-COMMENTS FROM PRIOR COMMUNITY HEALTH NEED ASSESSMENTS AND IMPLEMENTATION STRATEGIES.ADDITIONALLY, A VARIETY OF SECONDARY DATA SOURCES WERE USED BY REVIEWING EXISTING VITAL STATISTICS, PUBLIC HEALTH DOCUMENTS, CENSUS DOCUMENTS, AND OTHER DATA. CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. (ATRIUM HEALTH NAVICENT THE MEDICAL CENTER, NAVICENT HEALTH, INC (ATRIUM HEALTH NAVICENT REHABILITATION HOSPITAL), AND NAVICENT HEALTH BALDWIN, INC. (ATRIUM HEALTH NAVICENT BALDWIN). CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED NUMEROUS COMMUNITY HEALTH NEEDS AND CONCERNS. THE TOP HEALTH ISSUES IDENTIFIED WERE PRESENTED TO THE FACILITY'S STEERING COUNCIL WHERE MEMBERS WERE ASKED TO RANK THE ISSUES BASED ON THE FOLLOWING CRITERIA: SIZE/SERIOUSNESS OF THE PROBLEM, EFFECTIVENESS OF AVAILABLE INTERVENTIONS, AVAILABLE RESOURCES TO ADDRESS THE HEALTH ISSUE, HEALTH CARE SYSTEM ADEQUATELY SITUATED TO ADDRESS THE HEALTH ISSUE, MEETS A DEFINED COMMUNITY NEED AS IDENTIFIED THROUGH DATA, POTENTIAL FOR ISSUE TO IMPACT OTHER HEALTH AND SOCIAL ISSUES, AND ABILITY TO EFFECTIVELY ADDRESS OR IMPACT HEALTH ISSUE THROUGH COLLABRATION. THE FOLLOWING HEALTH NEEDS WERE PRIORITIZED BY THE HOSPITAL FACILITY IN ITS MOST RECENT CHNA: 1) HEART DISEASE & STROKE2) DIABETES3) NUTRITION, PHYSICIAL ACTIVITY, & WEIGHT4) INJURY AND VIOLENCE5) MATERNAL & CHILD HEALTH6) ACCESS TO HEALTHCARE SERVICESTHE HOSPITAL FACILITY IMPLEMENTATION STRATEGY OUTLINES THE PROGRAMS AND RESOURCES THE HOSPITAL FACILITY WILL USE TO ADDRESS THE ABOVE MENTIONED PRIORITIZED HEALTH NEEDS. THE IMPLEMENTATION STRATEGY ALSO INCLUDES AN EVALUATION OF IMPACT OF THOSE PROGRAMS ON PRIORITIZED COMMUNITY HEALTH NEEDS IDENTIFIED FROM THE CHNA. ALL EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUE OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL FACILITY ACKNOWLEDGES THE IMPORTANCE OF ALL COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA; HOWEVER, THE HOSPITAL FACILITY'S RESOURCES AND ASSETS WERE BEST ALIGNED TO FOCUS ON THE PRIORITIZED NEEDS MENTIONED ABOVE. THE CHNA PROVIDES A COMPREHENSIVE LIST OF AVAILABLE RESOURCES IN THE COMMUNITY FOR THOSE NEEDS THAT WERE NOT PRIORITIZED BY THE HOSPITAL FACILITY. ALTHOUGH NOT PRIORITIZED, THE HOSPITAL FACILITY WILL CONTINUE TO PARTNER WITH COMMUNITY AND NON-PROFIT ORGANIZATIONS TO HELP ADDRESS THESE NEEDS. CENTRAL GEORGIA REHABILITATION HOSPITALPART V, LINE 16A, FAP WEBSITE: HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTSHTTPS://NAVICENTHEALTH.ORG/FOR-PATIENTS-AND-VISITORS/FINANCIAL-AID-INFORMATIONCENTRAL GEORGIA REHABILITATION HOSPITALPART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTSHTTPS://NAVICENTHEALTH.ORG/FOR-PATIENTS-AND-VISITORS/FINANCIAL-AID-INFORMATIONCENTRAL GEORGIA REHABILITATION HOSPITALPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTSHTTPS://NAVICENTHEALTH.ORG/FOR-PATIENTS-AND-VISITORS/FINANCIAL-AID-INFORMATION PART I, LINE 3C: THE FINANCIAL ASSISTANCE PROGRAMS ARE DESIGNED TO ENSURE ASSISTANCE IS PROVIDED TO PATIENTS DEMONSTRATING A FINANCIAL NEED AND TO ENSURE THE ORGANIZATION COMPLIES WITH ANY REQUIRED FEDERAL OR STATE REGULATIONS RELATED TO FINANCIAL ASSISTANCE. THOSE ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NEVER BE BILLED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO AN INSURED PATIENT. THE ORGANIZATION USES THE LOOK-BACK METHOD TO CALCULATE AGB. PART I, LINE 7: THE ORGANIZATION USED THE WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO FORM 990, SCHEDULE H TO COMPUTE ITS COST TO CHARGE RATIO.THE PERCENT OF TOTAL EXPENSES AND OTHER FINANCIAL INFORMATION IN SCHEDULE H ARE CALCULATED USING ONLY THE FINANCIAL INFORMATION OF CENTRAL GEORGIA REHAB HOSPITAL, LLC, A WHOLLY OWNED, LIMITED LIABILITY COMPANY OF NAVICENT HEALTH, INC. PART I, LN 7 COL(F): THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $3,051,520 FOR THE YEAR ENDED DECEMBER 31, 2024. THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7. PART III, LINE 2: THE ORGANIZATION USED WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS TO COMPUTE A COST TO CHARGE RATIO, WHICH IS USED TO CALCULATE BAD DEBT AT COST. BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7. PART III, LINE 4: FOOTNOTE 2 (PATIENT SERVICE REVENUE) ON PAGE 26 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE TREATMENT OF BAD DEBT. PART III, LINE 8: THE COSTING METHODOLOGY USES THE COSTS INCLUDED IN THE COST REPORT, WHICH ARE CALCULATED USING A DEPARTMENTAL SPECIFIC COST TO CHARGE RATIO AS COMPARED TO ACTUAL MEDICARE PAYMENTS. THE MEDICARE COST REPORT DOES NOT FULLY CAPTURE ALL MEDICARE REVENUE AND COSTS, INCLUDING BUT NOT LIMITED TO PHYSICIAN SERVICES AND MEDICARE PART C. PART III, LINE 9B: THE HOSPITAL MAKES A REASONABLE EFFORT TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE ENGAGING IN ANY COLLECTION ACTIONS. ALL COLLECTION ACTIONS WILL BE SUSPENDED IF THE INDIVIDUAL SUBMITS A COMPLETED FAP APPLICATION DURING THE APPLICATION PERIOD, OR IF THE INDIVIDUAL SUBMITS AN INCOMPLETE APPLICATION DURING THE APPLICATION PERIOD THAT IS SUBSEQUENTLY COMPLETED WITHIN A REASONABLE TIME AFTER THE HOSPITAL REQUESTS FURTHER INFORMATION. IF THE INDIVIDUAL IS DETERMINED NOT TO BE ELIGIBLE FOR A FULL DISCOUNT UNDER THE FAP, ANY COLLECTION ACTIVITIES WILL BE RESUMED AS TO THE OUTSTANDING BALANCE OWED. IF THE INDIVIDUAL IS DETERMINED TO BE ELIGIBLE FOR ASSISTANCE UNDER THE FAP, APPROPRIATE MEASURES ARE TAKEN TO REFUND ANY AMOUNTS OWED TO THE INDIVIDUAL AND REVERSE OR MODIFY COLLECTION ACTIONS CONSISTENT WITH THE NEW BALANCE OWED AFTER APPLYING THE APPLICABLE FAP DISCOUNTS. PART VI, LINE 2: THE HOSPITAL FACILITY'S MOST RECENT CHNA WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING REGIONAL PRIORITY AREAS TO FOCUS ON FOR CY2024 TO CY2026. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS, AND COLLABORATE WITH LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE PROVIDERS. COMMUNITY FEEDBACK WAS RECEIVED IN THE FORM OF A COMMUNITY HEALTH SURVEY CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS ON BEHALF OF THE ORGANIZATION. THE HOSPITAL FACILITY DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS THOSE PRIORITIZED NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR THE NEXT THREE CALENDAR YEARS. BEYOND PROGRAMS ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL FACILITY WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF ABILITY TO PAY. PART VI, LINE 3: THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR FINANCIAL ASSISTANCE OPTIONS. INFORMATION REGARDING FINANCIAL ASSISTANCE CAN BE FOUND ON THE HOSPITAL FACILITY'S WEBSITE, CONSPICUOUSLY DISPLAYED SIGNAGE THROUGHOUT THE HOSPITAL FACILITY, PATIENT BILLING STATEMENTS, AND FROM TEAMMATES DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES DURING PREADMISSION, DISCHARGE, AND THE "COLLECTION" PERIOD. PART VI, LINE 4: THE FILING ORGANIZATION HAS A PRIMARY SERVICE AREA WHICH SERVES EIGHT COUNTIES IN GEORGIA: BALDWIN, BIBB, CRAWFORD, HOUSTON, JONES, MONROE, PEACH, AND TWIGGS. THE PRIMARY SERVICE AREA ENCOMPASSES APPROXIMATELY 2,509 SQUARE MILES AND HOUSES A TOTAL POPULATION OF APPROXIMATELY 453,600 RESIDENTS.AGE:23.8% - 0 -1761.7% - 18-6414.5% - 65+RACE:54.6% - WHITE39.7% - BLACK4.2% - HISPANIC OR LATINO1.5% - OTHER PART VI, LINE 5: THE ORGANIZATION IS COMMITTED TO BEING RESPONSIVE TO THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A NUMBER OF PROGRAM ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE ORGANIZATION HAS ADOPTED AND MAINTAINED A FINANCIAL ASSISTANCE POLICY, PROVIDES SUBSIDIZED HEALTH SERVICES TO PATIENTS IN NEED, AND ACCEPT ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24/7. THE GOVERNING BOARD IS COMPRISED OF LEADERS WITHIN THE COMMUNITY THE HOSPITAL SERVES. FUNDS ARE REINVESTED IN HEALTH IMPROVEMENT INITIATIVES TO BETTER SERVE THE COMMUNITY HEALTH NEEDS. PART VI, LINE 6: THE FILING ORGANIZATION IS PART OF ADVOCATE HEALTH, WHICH IS HEADQUARTERED IN CHARLOTTE, NORTH CAROLINA, AND IS THE THIRD-LARGEST NONPROFIT HEALTH SYSTEM IN THE UNITED STATES, CREATED FROM THE COMBINATION OF ATRIUM HEALTH AND ADVOCATE AURORA HEALTH. TOGETHER WITH AN INTEGRATED GROUP OF 501(C)(3) HOSPITALS, PHYSICIAN NETWORKS, OTHER HEALTHCARE PROVIDERS, THE ORGANIZATION IS COMMITTED TO PROVIDING SIGNIFICANT BENEFITS TO THE COMMUNITIES IT SERVES ACROSS. EACH HOSPITAL ORGANIZATION IN THE ADVOCATE HEALTH SYSTEM REPORTS ITS OWN COMMUNITY BENEFIT ON FORM 990, SCHEDULE H. THE CONSOLIDATED COMMUNITY BENEFIT TOTAL OF THE HEALTH SYSTEM IS REPORTED AT HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTS PART VI, LINE 7, REPORTS FILED WITH STATES GA 1 GEORGIA RESEARCH ALLIANCE INC 270 PEACHTREE STREET NW STE 2200 ATLANTA GA 30303 581901815 501(C)(3) 10000 0 COMMUNITY SUPPORT FORWARD MACON INC PO BOX 169 MACON GA 31201 581443695 501(C)(3) 30000 0 COMMUNITY SUPPORT 2 0 REACH PROGRAM 29 43500 PART I, LINE 2: THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. X X X X X 1 1 0 0 0 0 0 0 0 CAROL A LOVIN FORMER DIRECTOR 0 1163466 0 1951658 0 361744 0 387150 0 17352 0 3881370 0 261827 DELVECCHIO FINLEY PRESIDENT/CEO 0 1178066 0 1018122 0 170328 0 134082 0 41658 0 2542256 0 102881 ERIN SNYDER SEC/CH LEGAL COUNSEL 0 524733 0 347626 0 47937 0 67405 0 32979 0 1020680 0 21480 VISHAL BHALLA CH HR OFF 0 280317 0 300878 0 250009 0 13800 0 29287 0 874291 0 19513 SANFORD G DUKE MD CHIEF CLINICAL OFFICER ENTERPRISE CL 0 564401 0 238072 0 45439 0 12938 0 28039 0 888889 0 0 KENNETH B BANKS SEC/CH LEGAL COUNSEL (TO 10/2023) 0 0 0 143987 0 630377 0 0 0 0 0 774364 0 0 KIMBERLY SHREWSBURY TREASURER 0 400832 0 229998 0 42494 0 46946 0 34310 0 754580 0 5927 LUIS FONSECA COO CENRAL/SOUTH GA 0 217924 0 242148 0 106226 0 4844 0 7544 0 578686 0 0 CYNTHIA BUSBEE SVP MKT COMMUNICATIONS PUBLIC AFFAIR 0 296195 0 124332 0 42754 0 13800 0 20157 0 497238 0 0 SARA L LONERGAN VP DEPUTY GENERAL COUNSEL 0 312198 0 117478 0 50136 0 13274 0 680 0 493766 0 0 KATHERINE BOWEN VP FINANCE 0 270193 0 99148 0 24562 0 13800 0 23936 0 431639 0 0 GENEEN RANSAW AVP HR OPERATIONS & DEI 0 281680 0 110507 0 4222 0 12468 0 19319 0 428196 0 0 ALLISON SCHEETZ MD PHYSICIAN 0 399830 0 0 0 2276 0 13800 0 -1031 0 414875 0 0 PART I, LINES 4A-B CERTAIN DIRECTORS, OFFICERS, AND/OR KEY EMPLOYEES OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP) AND/OR RECEIVED PAYMENTS FOR SEVERANCE. THE DETERMINATION OF THE PAYMENT AMOUNT FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS, OFFICERS, AND/OR KEY EMPLOYEES RECEIVED PAYMENTS FOR SEVERANCE AND/OR PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: SEVERANCE PAYMENTS: KENNETH B. BANKS 630,377 VISHAL BHALLA 192,598 NON-QUALIFIED DEFERRED COMPENSATION PAYMENTS: CAROL A. LOVIN 359,550 DELVECCHIO S. FINLEY 109,932 ERIN SNYDER 42,388 KIMBERLY SHREWSBURY 23,152 A MACON-BIBB-COUNTY HOSPITAL AUTHORITY 581034851 000000000 2019-12-18 9770500 REFINANCE LONG-TERM DEBT 0 0 0 A 1350396 9770500 9770500 2013 1 1 1 1 A 0 0 1 0 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 SCHEDULE K, PART III LINE 3B BOND COUNSEL REVIEWS MANAGEMENT AND SERVICE AGREEMENTS DURING DUE DILIGENCE ON BOND TRANSACTIONS OR WHEN CHANGES OCCUR. SCHEDULE K, PART III LINE 3D BOND COUNSEL REVIEWS RESEARCH AGREEMENTS DURING DUE DILIGENCE ON BOND TRANSACTIONS OR WHEN CHANGES OCCUR. COLUMN A: THIS SCHEDULE REFLECTS A PORTION OF THE SERIES AND PROCEEDS TOTALING $235.4 MILLION; OTHER PROCEEDS ARE INCLUDED ON SCHEDULE K DOCUMENTS FOR CENTRAL GEORGIA SENIOR HEALTH INC. AND THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. FORM 990, PART VI, SECTION A, LINE 6 AH GEORGIA, INC., A TAX EXEMPT 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A AH GEORGIA, INC. IS THE SOLE MEMBER OF NAVICENT HEALTH. AS THE SOLE MEMBER, IT APPOINTS TWO MEMBERS TO THE BOARD OF DIRECTORS AND APPROVES THE APPOINTMENT OF ALL OTHER MEMBERS OF THE BOARD. IN ADDITION, CERTAIN CORPORATE ACTIONS REQUIRE THE PRIOR APPROVAL OF THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B PRIOR APPROVAL OF THE SOLE MEMBER IS REQUIRED BEFORE THE FOLLOWING ACTIONS MAY BE TAKEN BY THE FILING ORGANIZATION'S BOARD OF DIRECTORS: AMENDING OR RESTATING THE ARTICLES OF INCORPORATION OR BYLAWS; APPOINTMENT OR REMOVAL OF THE PRESIDENT AND CEO; ORGANIZING ANY SUBSIDIARY; UNDERTAKE ANY JOINT VENTURE, MERGER, CONSOLIDATION, ACQUISITION OR REORGANIZATION; ENTERING ANY TRANSACTION PROVIDING INCUR, RESTRUCTURE, REFINANCE, DISCHARGE OR DEFEASE ANY DEBT; ADOPT OR AMEND STRATEGIC OR CAPITAL PLANS; ADOPT OPERATING AND CAPITAL BUDGETS; AND AMEND OR TERMINATE ANY HOSPITAL FACILITY LEASE. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES COPIES OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ITS OFFICERS, DIRECTORS AND KEY EMPLOYEES TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DETERMINE ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS NOTED IN THE QUESTIONNAIRE ARE REVIEWED BY A STANDING COMMITTEE FOR APPROPRIATE RESOLUTION. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO DETERMINE AND REPORT ANNUALLY, AND AS THEY ARISE, ANY POTENTIAL CONFLICTS OF INTEREST TO THE SECRETARY OF THE BOARD OF DIRECTORS. THE RESOLUTION OF POTENTIAL AND ACTUAL CONFLICTS IS SUBJECT TO THE APPROVAL OF THE CHAIR OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND BENEFITS COMMITTEE (THE "COMMITTEE") OF THE ADVOCATE HEALTH, INC. BOARD OF DIRECTORS HAS AUTHORITY AS THE NAVICENT HEALTH BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF NAVICENT HEALTH, INC. OR THE FILING ORGANIZATION. THE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH NAVICENT HEALTH, INC. AND THE FILING ORGANIZATION'S POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENT; USE OF VALID MARKET COMPARISONS OF DATA FROM HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE, STRUCTURE, AND COMPLEXITY, AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE MAINTAINED IN THE ADVOCATE HEALTH, INC. LEGAL DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART XI, LINE 9: PENSION-POST RETIREMENT ADJUSTMENT 6,311,399. SUBSIDIARY EQUITY -7,861,210. CENTRAL GEORGIA REHABILITATION HOSPITAL LLC 3351 NORTHSIDE DRIVE MACON GA 31201 300371539 HEALTHCARE GA -1816044 4531515 NAVICENT HEALTH INC NAVICENT HEALTH OCONEE LLC 777 HEMLOCK STREET MSC 111 MACON GA 31201 822446235 INACTIVE GA 0 0 NAVICENT HEALTH INC CENTRAL GEORGIA SENIOR HEALTH INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582345439 CONTINUING CARE RETIREMENT COMMUNITY GA 501(C)(3) LINE 12B, II NAVICENT HEALTH INC 1 HEALTH SERVICES OF CENTRAL GEORGIA INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582307485 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 1 MEDICAL CENTER OF CENTRAL GEORGIA INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582149128 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 1 THE MEDICAL CENTER OF PEACH COUNTY INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 453765471 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 1 NAVICENT HEALTH BALDWIN INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 823914925 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 1 AH GEORGIA INC PO BOX 32861 CHARLOTTE NC 282322861 831707383 HOLDING COMPANY NC 501(C)(3) LINE 7 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY 0 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY 1000 BLYTHE BOULEVARD CHARLOTTE NC 28203 560529945 HEALTHCARE NC NC POLITICAL SUBDIVI N/A 0 FLOYD HEALTHCARE MANAGEMENT INC 304 TURNER MCCALL BOULEVARD ROME GA 301620233 581973570 HEALTHCARE GA 501(C)(3) LINE 3 AH GEORGIA INC 0 SECURE HEALTH PLANS OF GEORGIA LLC 577 MULBERRY STREET SUITE 1000 MACON GA 31201 582306549 INSURANCE GA NAVICENT HEALTH INC RELATED 255349 3553828 0 0 0.50390 CENTRAL GEORGIA PET LLC 1650 HARDEMAN AVENUE MACON GA 31201 371464470 HEALTHCARE GA N/A 0 0 COWLES CLINIC REALTY LLC 1000 COWLES CLINIC WAY C100 GREENSBORO GA 30642 810636590 REAL ESTATE GA NAVICENT HEALTH INC RELATED 48087 5098343 0 0 0.51000 MACON OUTPATIENT SURGERY LLC 3708 NORTHSIDE DRIVE MACON GA 31201 203027560 HEALTHCARE GA NAVICENT HEALTH INC RELATED 3840032 791668 0 0 0.51000 NAVICENT HOLDING LLC 777 HEMLOCK ST MSC 111 MACON GA 31201 844982377 HOLDING CO. GA NAVICENT HEALTH INC RELATED 4075000 0 0 0.99980 CENTRAL GEORGIA HEALTH VENTURES INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582164989 HOLDING COMPANY GA NAVICENT HEALTH INC C 1018636 8211151 1.00000 0 NAVICENT HEALTHPLAN INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 202467931 INSURANCE GA NAVICENT HOLDING LLC C 0.99980 0 CENTRA PROFESSIONAL INDEMNITY LTD PO BOX 1363 GEORGETOWN GRAND CAYMAN CJ KY1-1108 981468431 INSURANCE CJ NAVICENT HEALTH INC C 17982169 91042409 1.00000 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 CENTRAL GEORGIA HEALTH VENTURES INC Q 74377 CASH HEALTH SERVICES OF CENTRAL GEORGIA INC Q 27115005 CASH MEDICAL CENTER OF CENTRAL GEORGIA INC Q 95230289 CASH MEDICAL CENTER OF CENTRAL GEORGIA INC R 689881606 CASH MEDICAL CENTER OF PEACH COUNTY INC R 23049237 CASH MEDICAL CENTER OF PEACH COUNTY INC Q 10279555 CASH NAVICENT HEALTH BALDWIN Q 33939755 CASH NAVICENT HEALTH BALDWIN R 46800731 CASH