MEDICAL CENTER OF CENTRAL GEORGIA INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MEDICAL CENTER OF CENTRAL GEORGIA INC (EIN 58-2149128)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-12
- IRS object ID
- 201632259349302963
- Schema version
- 2014v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-12T13:01:28-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | 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 | Five Concourse Parkway Suite 1250 | AddressLine1Txt |
| City | Atlanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30328 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582149128 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER OF CENTRAL GEORGIA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEDI | BusinessNameControlTxt |
| Phone | 4786336968 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 691 CHERRY STREET | 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 | 2016-08-12 | 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 | 4042208494 | PhoneNum |
| Preparation | 2012-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MEDICAL CENTER 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 | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $713,049,847 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCCG.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. (MCCG) IS A NON-PROFIT MEDICAL CENTER WHOSE PRIMARY PURPOSE IS TO PROVIDE HIGH QUALITY HEALTHCARE SERVICE FOR INPATIENT, OUTPATIENT , PHYSICIAN CARE, EMERGENCY SERVICES AND OTHER HEALTH CARE RELATED SERVICES TO MACON/BIBB COUNTY, GEORGIA AND SURROUNDING AREAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 5302 | TotalEmployeeCnt |
| Total Volunteers | 269 | TotalVolunteersCnt |
| Total Gross UBI | $5,116,397 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,198,819 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,023,845 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $641,934,975 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $662,548,970 | CYProgramServiceRevenueAmt |
| PY Investment Income | $60,000,183 | PYInvestmentIncomeAmt |
| CY Investment Income | $31,825,161 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,614,416 | PYOtherRevenueAmt |
| CY Other Revenue | $1,717,568 | CYOtherRevenueAmt |
| PY Total Revenue | $714,748,393 | PYTotalRevenueAmt |
| CY Total Revenue | $712,115,544 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $17,068,545 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $31,380,481 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $289,630,894 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $284,743,863 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $339,944,801 | PYOtherExpensesAmt |
| CY Other Expenses | $326,493,609 | CYOtherExpensesAmt |
| PY Total Expenses | $646,644,240 | PYTotalExpensesAmt |
| CY Total Expenses | $642,617,953 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $68,104,153 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $69,497,591 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,303,841,304 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,331,784,548 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $379,042,656 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $404,987,849 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $924,798,648 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $926,796,699 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO ENHANCE THE HEALTH STATUS OF THOSE WE SERVE IN PARTNERSHIP WITH MEDICAL STAFF AND OTHER COMMUNITY ORGANIZATIONS BY PROVIDING WELLNESS SERVICES, HEALTH EDUCATION, TRAINING, AND ACCESS TO SAFE HIGH QUALITY HEALTH CARE SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $595,812,175 | ExpenseAmt |
| Grant | $31,380,481 | GrantAmt |
| Revenue | $690,071,239 | RevenueAmt |
| Desc | THE MEDICAL CENTER, NAVICENT HEALTH IS AN ACADEMIC MEDICAL CENTER, DESIGNATED LEVEL 1 TRAUMA CENTER AND MAGNET HOSPITAL FOR NURSING AND SERVES THE RESIDENTS OF CENTRAL AND SOUTH GEORGIA WITH A PRIMARY AND SECONDARY SERVICE AREA OF 30 COUNTIES AND A POPULATION OF NEARLY 750,000 PERSONS. THE MEDICAL CENTER, NAVICENT HEALTH HAS OVER 4,500 EMPLOYEES AND A MEDICAL STAFF OF APPROXIMATGELY 650 PHYSICIANS. AS THE SECOND LARGEST HOSPITAL IN GEORGIA, IT IS LICENSED FOR 637 BEDS, INCLUDING PEDIATRICS, MEDICAL-SURGICAL, TRAUMA AND CARDIAC SURGERY. THE EMERGENCY CENTER, WITH HELIPAD CAPABILITY AND THREE URGENT CARE CENTERS, TREATS OVER 120,000 VISITORS PER YEAR. THE MEDICAL CENTER, NAVICENT HEALTH PROVIDES A BROAD RANGE OF COMMUNITY-BASED OUTPATIENT DIAGNOSTIC, PRIMARY CARE, WELLNESS AND COMPREHENSIVE REHABILITATION SERVICES. IT IS THE PRIMARY ACADEMIC HOSPITAL FOR MERCER UNIVERSITY SCHOOL OF MEDICINE, PROVIDING RESIDENCY AND FELLOWSHIP PROGRAMS FOR OVER 100 RESIDENTS AND IS AFFILIATED WITH MULTIPLE UNIVERSITIES AS A CLINICAL EDUCATION SITE. THE MEDICAL CENTER, NAVICENT HEALTH ALSO OPERATES THE DOCTORS OFFICE BUILDING, HOSPICE OF CENTRAL GEORGIA AND CENTRAL GEORGIA HOME CARE SERVICES. | Desc |
| Total Program Service Expenses | $595,812,175 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | 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 | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 396 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 5302 | 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| 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 (40 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| NINFA M SAUNDERS | ||||||||||
| PRESIDENT & CHIEF EXECUTIVE OFFICER | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $905,926 | $497,484 | |||
| ROBERTA ANDREWS MD | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KIM JOHNSTON MD | ||||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| TIMOTHY JACKSON | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| WIMBERLY TREADWELL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID DANZIE | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LEE MURPHEY | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| STARR PURDUE | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CONNIE CATER | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| HENRY KOPLIN | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RANDY HUGHES | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RAY PIPPIN | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN VINYARD | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BILL TIFT MD | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| BILL TILLETT | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RHONDA S PERRY | ||||||||||
| EXECUTIVE VICE PRESIDENT & COO | 1.00 | 49.00 | Yes (X) | $0 | $1,183,017 | $124,063 | ||||
| KENNETH B BANKS | ||||||||||
| CORPORATE SECRETARY & CHIEF LEGAL COUNSEL | 1.00 | 49.00 | Yes (X) | $0 | $593,564 | $220,295 | ||||
| WILLIAM R AVENEL | ||||||||||
| CHIEF INFORMATION OFFICER | 50.00 | $284,310 | $0 | $19,704 | Yes (X) | |||||
| TOMMY L SANDS JR | ||||||||||
| CHIEF PROFESSIONAL SVS OFFICER | 50.00 | $248,167 | $0 | $29,254 | Yes (X) | |||||
| BETH A GREER | ||||||||||
| AVP PATIENT CARE SVS | 50.00 | $210,359 | $0 | $28,172 | Yes (X) | |||||
| FADY S WANNA MD | ||||||||||
| CHIEF CLINICAL OFFICER/CHIEF MEDICAL OFFICER/EVP | 50.00 | $483,212 | $0 | $6,860 | Yes (X) | |||||
| TRACEY A BLALOCK | ||||||||||
| CHIEF NURSING OFFICER | 50.00 | $254,601 | $0 | $42,359 | Yes (X) | |||||
| ELIZABETH J CASEY | ||||||||||
| AVP PATIENT CARE SERVICES | 50.00 | $170,769 | $0 | $18,153 | Yes (X) | |||||
| NOLEEN C AFOLABI-BROWN | ||||||||||
| STAFF ANESTHETIST CRNA | 40.00 | $214,293 | $0 | $17,838 | Yes (X) | |||||
| ERIC S CURTRIGHT | ||||||||||
| STAFF ANESTHETIST AAC | 40.00 | $257,372 | $0 | $33,241 | Yes (X) | |||||
| BERRIAN L DAVIS | ||||||||||
| STAFF ANESTHETIST AAC | 40.00 | $233,116 | $0 | $19,530 | Yes (X) | |||||
| DEBRA D RILEY | ||||||||||
| AVP NURSING | 40.00 | $170,361 | $0 | $23,210 | Yes (X) | |||||
| GREGG M DEEDRICK | ||||||||||
| STAFF ANESTHETIST AAC | 40.00 | $232,305 | $0 | $20,173 | Yes (X) | |||||
| STEPHANIE A BLESHOY | ||||||||||
| STAFF ANESTHETIST AAC | 40.00 | $234,086 | $0 | $21,157 | Yes (X) | |||||
| ALBERT WARREN JR | ||||||||||
| PHYSICIAN URGENT CARE | 40.00 | $331,152 | $0 | $19,291 | Yes (X) | |||||
| WILLIAM I BOSWELL | ||||||||||
| STAFF ANESTHETIST AAC | 40.00 | $212,395 | $0 | $28,706 | Yes (X) | |||||
| SYLVIA D TURULLOIS | ||||||||||
| PHYSICIAN URGENT CARE | 40.00 | $393,688 | $0 | $21,155 | Yes (X) | |||||
| KRISHNA M PATEL MD | ||||||||||
| PHYSICIAN URGENT CARE | 40.00 | $589,021 | $0 | $22,926 | Yes (X) | |||||
| DINESHKUMAR N PATEL MD | ||||||||||
| PHYSICIAN URGENT CARE | 40.00 | $493,649 | $0 | $20,407 | Yes (X) | |||||
| TIMOTHY M LONGAKER MD | ||||||||||
| MEDICAL DIRECTOR URGENT CARE | 40.00 | $589,499 | $0 | $19,917 | Yes (X) | |||||
| RANDAL SUGERMAN MD | ||||||||||
| PHYSICIAN URGENT CARE | 40.00 | $378,452 | $0 | $18,311 | Yes (X) | |||||
| SHEREE H WOLFENDEN | ||||||||||
| STAFF ANESTHETIST CRNA | 40.00 | 0.00 | $217,978 | $0 | $26,106 | Yes (X) | ||||
| JOSEPH D LAVELLE | ||||||||||
| (FORMER) CHIEF OPERATING OFFICER | $0 | $328,980 | $0 | Yes (X) | ||||||
| JAMES M CUNINGHAM | ||||||||||
| (FORMER) CHIEF MEDICAL OFFICER | $123,692 | $0 | $0 | Yes (X) | ||||||
| A DONALD FAULK JR | ||||||||||
| (FORMER) CEO | $0 | $228,074 | $0 | Yes (X) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,322,477 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,239,561 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,298,312 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THE NEXUS MEDICAL GROUP | |||||
| 840 PINE STREET SUITE 770 | MACON | GA | 31201 | CONTRACT SERVICES-ANESTHESIA PROFESSIONAL FEES | $14,130,127 |
| AMERICAN ANESTHESIOLOGY OF GA LLC | |||||
| P O BOX 535375 | ATLANTA | GA | 30353 | CONTRACT SERVICES-ANESTHESIA PROFESSIONAL FEES | $3,938,637 |
| GEORGIA MAGNETIC IMAGING CENTER | |||||
| 770 PINE STREET SUITE L-15 | MACON | GA | 312015122 | CONTRACT SERVICES-MRI | $3,075,555 |
| ANGELICA TEXTILE SERVICES | |||||
| P O BOX 535122 | ATLANTA | GA | 303535122 | LINEN PROCESSING | $2,799,331 |
| COGENT HEALTHCARE OF MACON LLC | |||||
| 5410 MARYLAND WAY SUITE 300 | BRENTWOOD | TN | 37027 | CONTRACTED SERVICES-HOSPITALISTS | $2,363,545 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 98 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Federated Campaigns | $54,034 | FederatedCampaignsAmt |
| Related Organizations | $9,642,968 | RelatedOrganizationsAmt |
| Government Grants | $6,300,343 | GovernmentGrantsAmt |
| All Other Contributions | $26,500 | AllOtherContributionsAmt |
| Total Contributions | $16,023,845 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT CHARGES | 621500 | $644,147,338 | $639,172,471 | $4,974,867 | |
| SUPPORT & SERVICES REVENUE | 561000 | $11,091,297 | $10,949,767 | $141,530 | |
| DOB RENTAL INCOME | 531120 | $5,525,194 | $5,525,194 | ||
| SERVICES CHARGES | 621990 | $804,891 | $804,891 | ||
| PARKING FEES | 812930 | $904,063 | $904,063 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,187 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,187 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $662,548,970 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,459,562 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,459,562 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,946,483 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $228,915 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,717,568 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,717,568 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,717,568 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,574,450 | SecuritiesAmt |
| Other | $496,537 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $705,388 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,574,450 | SecuritiesAmt |
| Other | -$208,851 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,365,599 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,365,599 | RelatedOrExemptFuncIncomeAmt |
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 | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $712,115,544 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $690,071,239 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,116,397 | UnrelatedBusinessRevenueAmt |
| Exclusion | $904,063 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,380,481 | TotalAmt |
| Program Services | $31,380,481 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,171,745 | TotalAmt |
| Management And General | $4,171,745 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,393,858 | TotalAmt |
| Program Services | $215,147,366 | ProgramServicesAmt |
| Management And General | $4,246,492 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,653,650 | TotalAmt |
| Program Services | $9,653,650 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,848,961 | TotalAmt |
| Program Services | $35,112,149 | ProgramServicesAmt |
| Management And General | $736,812 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,675,649 | TotalAmt |
| Program Services | $15,100,831 | ProgramServicesAmt |
| Management And General | $574,818 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,446,387 | TotalAmt |
| Program Services | $11,603 | ProgramServicesAmt |
| Management And General | $1,434,784 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,193 | TotalAmt |
| Management And General | $28,193 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,800,665 | TotalAmt |
| Program Services | $1,800,665 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,309,665 | TotalAmt |
| Program Services | $84,813,899 | ProgramServicesAmt |
| Management And General | $19,495,766 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $707,314 | TotalAmt |
| Program Services | $679,794 | ProgramServicesAmt |
| Management And General | $27,520 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,565,721 | TotalAmt |
| Program Services | $4,276,069 | ProgramServicesAmt |
| Management And General | $289,652 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,761,871 | TotalAmt |
| Program Services | $501,362 | ProgramServicesAmt |
| Management And General | $1,260,509 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,367,782 | TotalAmt |
| Program Services | $7,356,914 | ProgramServicesAmt |
| Management And General | $10,868 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,738,591 | TotalAmt |
| Program Services | $1,538,056 | ProgramServicesAmt |
| Management And General | $200,535 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,842 | TotalAmt |
| Program Services | $39,977 | ProgramServicesAmt |
| Management And General | $96,865 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,392,590 | TotalAmt |
| Program Services | $6,392,590 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,999,954 | TotalAmt |
| Program Services | $28,664,723 | ProgramServicesAmt |
| Management And General | $4,335,231 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,316,002 | TotalAmt |
| Program Services | $158,433 | ProgramServicesAmt |
| Management And General | $8,157,569 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $129,115,123 | $129,115,899 | -$776 |
| Provider & Income Taxes | $8,487,343 | $8,355,577 | $131,766 |
| Equipment Rental, Maint & Minor Equipment | $7,852,609 | $7,030,007 | $822,602 |
| Nutritional Supplies & Meals | $4,767,282 | $4,750,506 | $16,776 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,699,675 | TotalAmt |
| Program Services | $3,931,624 | ProgramServicesAmt |
| Management And General | $768,051 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $642,617,953 | TotalAmt |
| Program Services | $595,812,175 | ProgramServicesAmt |
| Management And General | $46,805,778 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,952,809 | BOYAmt |
| EOY | $32,968,935 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,707,271 | BOYAmt |
| EOY | $209,645,534 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,959,590 | BOYAmt |
| EOY | $22,347,958 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,204,103 | BOYAmt |
| EOY | $8,317,298 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,877,790 | BOYAmt |
| EOY | $6,971,763 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $873,314,364 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $547,837,544 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,562,094 | BOYAmt |
| EOY | $325,476,820 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $436,963,403 | BOYAmt |
| EOY | $395,777,835 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,699,000 | BOYAmt |
| EOY | $281,135,000 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,635,685 | BOYAmt |
| EOY | $1,685,681 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,279,559 | BOYAmt |
| EOY | $47,457,724 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,303,841,304 | BOYAmt |
| EOY | $1,331,784,548 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,609,982 | BOYAmt |
| EOY | $26,108,896 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,314,859 | BOYAmt |
| EOY | $186,751,040 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,117,815 | BOYAmt |
| EOY | $192,127,913 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,042,656 | BOYAmt |
| EOY | $404,987,849 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $924,798,648 | BOYAmt |
| EOY | $926,796,699 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $924,798,648 | BOYAmt |
| EOY | $926,796,699 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,303,841,304 | BOYAmt |
| EOY | $1,331,784,548 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $69,497,591 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$22,249,538 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$45,250,002 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $28,193 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $28,193 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENSES INCLUDE A PORTION OF DUES PAID TO VARIOUS ORGANIZATIONS (I.E. NATIONAL ASSOC. OF CHILDREN'S HOSPITAL) ALSO, CONTRACTED INDIVIDUALS TO LOBBY ON THE ORGANIZATIONS BEHALF. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,678,020 | OtherCostOrOtherBasisAmt |
| Book Value | $24,678,020 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $418,229,372 | OtherCostOrOtherBasisAmt |
| Depreciation | $207,650,001 | DepreciationAmt |
| Book Value | $210,579,371 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,854,235 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,450,083 | DepreciationAmt |
| Book Value | $404,152 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $399,944,464 | OtherCostOrOtherBasisAmt |
| Depreciation | $335,535,185 | DepreciationAmt |
| Book Value | $64,409,279 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,608,273 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,202,275 | DepreciationAmt |
| Book Value | $25,405,998 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $325,476,820 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investments | Desc |
| Book Value | $281,135,000 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $281,135,000 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Compensation & Withholdings | $36,074,727 |
| Other Current Liabilities | $14,024,587 |
| Estimated 3rd Party Payor Settlements | $1,315,001 |
| Current portion of Long-Term debt | $9,000,000 |
| Accrued Pension Benefit Liability | $80,400,637 |
| Other Long Term Liabilities | $49,632,096 |
| Due to Affiliates | |
| FIN 47 Asset Retirement Obligation | $1,680,865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $192,127,913 | 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 | MCNH is an organization exempt from federal income tax, pursuant to Section 501(a), as an organization described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended, and state income tax. PET is organized under Georgia law and the Internal Revenue Code as a limited liability company ("LLC"). The members of an LLC report taxable income or loss on their corporate or individual tax returns. MCNH's share of income from PET operations is not considered unrelated business income ("UBI") and is therefore not subject to tax. MCNH 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, 2015. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 270 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,346,909 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,121,201 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,225,708 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0346 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $111,553,626 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $102,553,577 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,000,049 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0140 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $134,900,535 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $103,674,778 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,225,757 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0486 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $471,721 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $471,721 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,089,221 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,066,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,022,721 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0109 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $19,560,942 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,066,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,494,442 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0117 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $154,461,477 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $115,741,278 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,720,199 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0603 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $405 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $405 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $72,143,604 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $159,006,548 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $157,441,025 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,565,523 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| CENTRAL GEORGIA PET LLC | ||
| IMAGING | 0.6667 | 0.3333 |
| CENTRAL GEORGIA HEALTH NETWORK LLC | ||
| PHO | 0.29 | 0.71 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER OF CENTRAL GA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.navicenthealth.org | WebsiteAddressTxt |
| State License | 011-104 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER OF CENTRAL GA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.navicenthealth.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://maconregion.healthforecast.net/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.navicenthealth.org/our-annual-reports.html | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 1.25 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 2.7 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | NAVICENTHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | NAVICENTHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | NAVICENTHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. A COMMUNITY NEEDS ASSESSMENT WAS PERFORMED IN 2015 ON BEHALF OF THE MEDICAL CENTER OF CENTRAL GEORGIA MCCG BY PROFESSIONAL RESEARCH CONSULTANTS, INC. PRC. PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM WHICH HAS CONDUCTED HUNDREDS OF COMMUNITY NEEDS ASSESSMENTS SINCE 1994. 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 HEALTHY PEOPLE 2020 WERE USED. PARTICIPANTS ALSO INCLUDED A PUBLIC HEALTH REPRESENTATIVE AND SEVERAL INDIVIDUALS WHO WORK WITH LOW INCOME, MINORITY AND OTHER MEDICALLY UNDER SERVED POPULATIONS. A VARIETY OF SECONDARY DATA SOURCES WERE CONSULTED TO COMPLEMENT THE ASSESSMENT INCLUDING THE CENTERS FOR DISEASE CONTROL AND PREVENTION, GEOLITICS DEMOGRAPHIC ESTIMATES AND PROJECTIONS, NATIONAL CENTER FOR HEALTH STATISTICS, GEORGIA BUREAU OF INVESTIGATION, US CENSUS DATA, US DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE FBI AND US DEPARTMENT OF JUSTICE. PROFESSIONAL RESEARCH CONSULTANTS, INC. CONDUCTED THE COMMUNITY NEEDS ASSESSMENT ON BEHALF OF THE ORGANIZATION. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - THE MEDICAL CENTER OF CENTRAL GEORGIA, INC.. CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC. |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - MEDICAL CENTER OF CENTRAL GEORGIA. A COPY OF THE ASSESSMENT WAS PROVIDED TO MANY COMMUNITY LEADERS AND ORGANIZATIONS. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - MEDICAL CENTER OF CENTRAL GEORGIA, INC.. FOR THE 2015 CHNA, THE ORGANIZATION IS CURRENTLY DEVELOPING SPECIFIC INTERVENTIONS TO ADDRESS THE PRIORITIZED COMMUNITY NEEDS WHERE HOSPITAL INTERVENTION AND OR LEADERSHIP IS BENEFICIAL TO THE COMMUNITY. CLINICAL DIAGNOSIS AND TREATMENT, AND HEALTH EDUCATION ARE FOCUS AREAS FOR THE HOSPITAL AND WILL BE THE PRIMARY INTERVENTIONS FOR ALL DIRECTLY ADDRESSED NEEDS. FOR THOSE NEEDS THAT CANNOT BE ADDRESSED DIRECTLY BY THE HOSPITAL, THE ORGANIZATION IS SEEKING COLLABORATIVE PARTNERS WHERE APPROPRIATE. SOME NEEDS IDENTIFIED BY THE COMMUNITY SUCH AS TRANSPORTATION NEEDS ARE NOT CONSIDERED TO BE THE BEST USE OF HOSPITAL RESOURCES AND WILL NOT BE ADDRESSED. |
| Schedule H, Part V, Section B, Line 15 Facility , 1 | Facility , 1 - THE MEDICAL CENTER OF CENTRAL GEORGIA. HOSPITAL STAFF AND EXTERNAL RESOURCES ARE MADE AVAILABLE TO ASSIST INDIVIDUALS WITH THE COMPLETION OF THE FAP APPLICATION. |
| Schedule H, Part V, Section B, Line 22 Facility , 1 | Facility , 1 - THE MEDICAL CENTER OF CENTRAL GEORGIA, INC.. FAP ELIGIBLE PATIENTS' BILLS ARE DISCOUNTED TO THE ESTIMATED AVERAGE BILLING OF THE THREE LOWEST COMMERCIALLY INSURED RATES. THE HOSPITAL IS CURRENTLY DEVELOPING A NEW METHOD OF CALCULATING AMOUNTS GENERALLY BILLED INSURED PATIENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PINE POINTE HOSPICE & PALLIATIVE CARE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6261 PEAKE ROAD | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 312108074 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | HOSPICE | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | NAVICENT HEALTH |
| Schedule H, Part I, Line 7g Subsidized Health Services | N/A |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | COST TO CHARGE RATIO FROM WORKSHEET 2. |
| 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 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. MCCG'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 98% OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2015 AND 2014. |
| 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 ORGANIZATION REVIEWS THE FINANCIAL ACTIVITY ON OTHER ACCOUNTS TO DETERMINE IF THE ACCOUNTS SHOULD BE TURNED OVER TO OUTSIDE COLLECTIONS. IF A PATIENT ACCOUNT TURNED OVER TO COLLECTIONS IS LATER DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, THE ACCOUNT IS BROUGHT BACK FROM COLLECTIONS AND THE ACCOUNT WRITTEN OFF. |
| Schedule H, Part V, Section B, Line 16a FAP website | - MEDICAL CENTER OF CENTRAL GA, INC.: Line 16a URL: NAVICENTHEALTH.ORG; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - MEDICAL CENTER OF CENTRAL GA, INC.: Line 16b URL: NAVICENTHEALTH.ORG; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - MEDICAL CENTER OF CENTRAL GA, INC.: Line 16c URL: NAVICENTHEALTH.ORG; |
| Schedule H, Part VI, Line 2 Needs assessment | A COMMUNITY NEEDS ASSESSMENT WAS PERFORMED IN 2015 ON BEHALF OF THE MEDICAL CENTER OF CENTRAL GEORGIA (MCCG) BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). 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 TO THE COMMUNITY. |
| Schedule H, Part VI, Line 6 Affiliated health care system | THE ORGANIZATION IS PART OF NAVICENT HEALTH, INC., A MULTI-ENTITY HEALTHCARE SYSTEM. OTHER ORGANIZATIONS IN THE SYSTEM INCLUDE: NAVICENT HEALTH, INC. - SERVES AS THE PARENT ENTITY OF THE HEALTH SYSTEM. IT ALSO OPERATES CENTRAL GEORGIA REHABILITATION HOSPITAL, INC. 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. - 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. THE MEDICAL CENTER OF PEACH COUNTY, INC. IS A 25 BED CRITICAL ACCESS HOSPITAL SERVING THE RESIDENTS OF PEACH COUNTY AND SURROUNDING AREAS. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | GA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| HEALTH SERVICES OF CENTRAL GEORGIA INC | ||||||||
| 691 CHERRY STREET | SUITE 400 | MACON | GA | 31201 | 582307485 | 501(C)(3) | $23,175,073 | INTERCOMPANY |
| NAVICENT HEATLH | ||||||||
| 691 CHERRY STREET SUITE 400 | MACON | GA | 31201 | 582149127 | 501(C)(3) | $8,134,158 | INTERCOMPANY | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds | MCCG REQUIRES ALL ORGANIZATIONS THAT RECEIVE FUNDS TO PRESENT PROOF OF THEIR NON PROFIT STATUS. |
| Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | MCCG REQUIRES ALL ORGANIZATIONS THAT RECEIVE FUNDS TO PRESENT PROOF OF THEIR NON PROFIT STATUS. |
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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NINFA M SAUNDERS | ||||||||||||||
| PRESIDENT & CHIEF EXECUTIVE OFFICER | $0 | $870,293 | $0 | $0 | $0 | $35,633 | $0 | $474,243 | $0 | $23,241 | $0 | $1,403,410 | $0 | $0 |
| RHONDA S PERRY | ||||||||||||||
| EXECUTIVE VICE PRESIDENT & COO | $0 | $439,044 | $0 | $0 | $0 | $743,973 | $0 | $115,742 | $0 | $8,321 | $0 | $1,307,080 | $0 | $743,019 |
| KENNETH B BANKS | ||||||||||||||
| CORPORATE SECRETARY & CHIEF LEGAL COUNSEL | $0 | $291,197 | $0 | $0 | $0 | $302,367 | $0 | $197,319 | $0 | $22,976 | $0 | $813,859 | $0 | $270,013 |
| WILLIAM R AVENEL | ||||||||||||||
| CHIEF INFORMATION OFFICER | $262,017 | $0 | $0 | $0 | $22,293 | $0 | $6,226 | $0 | $13,478 | $0 | $304,014 | $0 | $0 | $0 |
| TOMMY L SANDS JR | ||||||||||||||
| CHIEF PROFESSIONAL SVS OFFICER | $238,630 | $0 | $0 | $0 | $9,537 | $0 | $6,207 | $0 | $23,047 | $0 | $277,421 | $0 | $0 | $0 |
| BETH A GREER | ||||||||||||||
| AVP PATIENT CARE SVS | $205,915 | $0 | $0 | $0 | $4,444 | $0 | $2,207 | $0 | $25,965 | $0 | $238,531 | $0 | $0 | $0 |
| FADY S WANNA MD | ||||||||||||||
| CHIEF CLINICAL OFFICER/CHIEF MEDICAL OFFICER/EVP | $465,246 | $0 | $0 | $0 | $17,966 | $0 | $6,192 | $0 | $668 | $0 | $490,072 | $0 | $0 | $0 |
| TRACEY A BLALOCK | ||||||||||||||
| CHIEF NURSING OFFICER | $254,053 | $0 | $0 | $0 | $548 | $0 | $18,915 | $0 | $23,444 | $0 | $296,960 | $0 | $0 | $0 |
| ELIZABETH J CASEY | ||||||||||||||
| AVP PATIENT CARE SERVICES | $165,831 | $0 | $0 | $0 | $4,938 | $0 | $2,598 | $0 | $15,555 | $0 | $188,922 | $0 | $0 | $0 |
| NOLEEN C AFOLABI-BROWN | ||||||||||||||
| STAFF ANESTHETIST CRNA | $213,494 | $0 | $0 | $0 | $799 | $0 | $3,766 | $0 | $14,072 | $0 | $232,131 | $0 | $0 | $0 |
| ERIC S CURTRIGHT | ||||||||||||||
| STAFF ANESTHETIST AAC | $230,667 | $0 | $0 | $0 | $26,705 | $0 | $6,242 | $0 | $26,999 | $0 | $290,613 | $0 | $0 | $0 |
| BERRIAN L DAVIS | ||||||||||||||
| STAFF ANESTHETIST AAC | $227,498 | $0 | $0 | $0 | $5,618 | $0 | $5,631 | $0 | $13,899 | $0 | $252,646 | $0 | $0 | $0 |
| DEBRA D RILEY | ||||||||||||||
| AVP NURSING | $170,144 | $0 | $0 | $0 | $217 | $0 | $4,406 | $0 | $18,804 | $0 | $193,571 | $0 | $0 | $0 |
| GREGG M DEEDRICK | ||||||||||||||
| STAFF ANESTHETIST AAC | $227,251 | $0 | $0 | $0 | $5,054 | $0 | $5,868 | $0 | $14,305 | $0 | $252,478 | $0 | $0 | $0 |
| STEPHANIE A BLESHOY | ||||||||||||||
| STAFF ANESTHETIST AAC | $233,708 | $0 | $0 | $0 | $378 | $0 | $4,640 | $0 | $16,517 | $0 | $255,243 | $0 | $0 | $0 |
| ALBERT WARREN JR | ||||||||||||||
| PHYSICIAN URGENT CARE | $250,223 | $0 | $80,798 | $0 | $131 | $0 | $2,307 | $0 | $16,984 | $0 | $350,443 | $0 | $0 | $0 |
| WILLIAM I BOSWELL | ||||||||||||||
| STAFF ANESTHETIST AAC | $211,939 | $0 | $0 | $0 | $456 | $0 | $5,507 | $0 | $23,199 | $0 | $241,101 | $0 | $0 | $0 |
| SYLVIA D TURULLOIS | ||||||||||||||
| PHYSICIAN URGENT CARE | $321,282 | $0 | $54,726 | $0 | $17,680 | $0 | $5,188 | $0 | $15,967 | $0 | $414,843 | $0 | $0 | $0 |
| KRISHNA M PATEL MD | ||||||||||||||
| PHYSICIAN URGENT CARE | $452,521 | $0 | $99,506 | $0 | $36,994 | $0 | $4,003 | $0 | $18,923 | $0 | $611,947 | $0 | $0 | $0 |
| DINESHKUMAR N PATEL MD | ||||||||||||||
| PHYSICIAN URGENT CARE | $360,902 | $0 | $115,407 | $0 | $17,340 | $0 | $4,175 | $0 | $16,232 | $0 | $514,056 | $0 | $0 | $0 |
| TIMOTHY M LONGAKER MD | ||||||||||||||
| MEDICAL DIRECTOR URGENT CARE | $482,030 | $0 | $93,281 | $0 | $14,188 | $0 | $2,624 | $0 | $17,293 | $0 | $609,416 | $0 | $0 | $0 |
| RANDAL SUGERMAN MD | ||||||||||||||
| PHYSICIAN URGENT CARE | $314,980 | $0 | $43,686 | $0 | $19,786 | $0 | $6,001 | $0 | $12,310 | $0 | $396,763 | $0 | $0 | $0 |
| SHEREE H WOLFENDEN | ||||||||||||||
| STAFF ANESTHETIST CRNA | $215,111 | $0 | $0 | $0 | $2,867 | $0 | $4,728 | $0 | $21,378 | $0 | $244,084 | $0 | $0 | $0 |
| JOSEPH D LAVELLE | ||||||||||||||
| (FORMER) CHIEF OPERATING OFFICER | $0 | $0 | $0 | $0 | $0 | $328,980 | $0 | $0 | $0 | $0 | $0 | $328,980 | $0 | $0 |
| JAMES M CUNINGHAM | ||||||||||||||
| (FORMER) CHIEF MEDICAL OFFICER | $123,692 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $123,692 | $0 | $0 | $0 |
| A DONALD FAULK JR | ||||||||||||||
| (FORMER) CEO | $0 | $228,074 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $228,074 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF CENTRAL GEORGIA HEALTH SYSTEMS, INC. ENGAGES AN EXECUTIVE CONSULTING FIRM PERIODICALLY TO REVIEW AND PROVIDE RECOMMENDATIONS REGARDING TOTAL COMPENSATION AND BENEFITS FOR THE EXECUTIVE LEADERSHIP TEAM. BASE COMPENSATION, INCENTIVE COMPENSATION, AND BENEFITS ARE INCLUDED IN THE REVIEW. THE EXECUTIVE CONSULTANTS REVIEW ORGANIZATION STRUCTURE, INDIVIDUAL JOB DESCRIPTIONS, AND DISCUSS SCOPE OF LEADERSHIP AND SPAN OF CONTROL WITH HR, THE COO, AND THE CEO AS A PART OF THE PROCESS TO DETERMINE PROPER PLACEMENT OF THE PAY GRADE AND LEVEL OF PARTICIPATION IN INCENTIVE AND BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE PERIODICALLY REAFFIRMS THE TOTAL COMPENSATION PHILOSOPHY WHICH TARGETS THE 75TH PERCENTILE OF TOTAL COMPENSATION FOR OUR LEADERSHIP TEAM. THE PEER GROUP USED IS NATIONAL HOSPITALS AND HEALTH SYSTEMS OF SIMILAR SIZE AND SCOPE. OUR HUMAN RESOURCES DEPARTMENT SURVEYS THOSE EMPLOYED OUTSIDE OF THE EXECUTIVE LEADERSHIP TEAM USING TOOLS THAT PROVIDE COMPARABLE DATA IN OUR MARKET AREA TO ENSURE THE COMPENSATION IS IN LINE WITH OTHER HEALTH CARE ORGANIZATIONS. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | DURING CY2013 SEVERANCE PAYMENTS WERE PAID TO THE FOLLOWING EXECUTIVES: JOSEPH D. LAVELLE $319,835 |
| 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: RHONDA PERRY $ 79,690 KEN BANKS $174,368 IN ADDITION, NAVICENT ADOPTED A RETENTION PAYMENT PLAN EFFECTIVE OCTOBER 1, 2011 DESIGNED TO ENCOURAGE DESIGNATED EMPLOYEES TO CONTINUE THEIR EMPLOYMENT. UNDER THE PLAN, CGHS 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 $34,643 KEN BANKS $19,107 NINFA SAUNDERS $225,000 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 $245,704 TRACEY A. BLALOCK $12,882 THE FOLLOWING NONQUALIFIED RETIREMENT PLAN BENEFITS WERE REPORTED AS TAXABLE INCOME TO VESTED INDIVIDUALS: RHONDA PERRY $743,019 KEN BANKS $270,013 |
| Schedule J, Part I, Line 7 Non-fixed payments | THIS PROGRAM IS ADMINISTERED BY THE CEO OF NAVICENT HEALTH, INC. THE DISCRETIONARY INCENTIVE PROGRAM WAS ESTABLISHED FOR REWARD AND RECOGNITION OF EXECUTIVES AND ORGANIZATIONAL LEADERS WHO GO ABOVE AND BEYOND THE SCOPE OF THEIR RESPONSIBILITIES. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MACON-BIBB COUNTY HOSPITAL AUTHORITY | ||||||||
| A | 581034851 | 55553RCN3 | 2009-09-24 | $81,345,501 | 2009 - PAID OFF LOANS USED TO REFUND 2005 ISSUE DATED 7/27/2005 | false | false | false |
| MACON-BIBB COUNTY HOSPITAL AUTHORITY | ||||||||
| B | 581034851 | NONENONEN | 2012-01-31 | $78,700,000 | REFUND 2003B, 1998, 1997 BONDS ISSUED AND CONSTRUCT- NEW HOSPITAL AND EQUIP | false | false | false |
| MACON-BIBB COUNTY HOSPITAL AUTHORITY | ||||||||
| C | 581034851 | NONENONEN | 2015-05-26 | $11,860,000 | REFUND THE SERIES 2003A BONDS REISSUED ON 9/02/2009 | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $81,345,501 | $0 | $0 | $0 | $1,345,501 | $0 | $0 | $0 | $80,000,000 | $0 | 2008 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $11,600,000 | $0 | $78,700,000 | $0 | $65,374 | $0 | $118,870 | $0 | $0 | $26,169,965 | $48,700,000 | $3,711,165 | 2013 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $0 | $11,860,000 | $11,860,000 | 2003 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | false | Yes (true) | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| B | false | false | Yes (true) | false | Yes (true) | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| C | false | false | Yes (true) | false | Yes (true) | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | false | false | false | Yes (true) |
| B | false | Yes (true) | false | Yes (true) | false | false | false | Yes (true) | |
| C | false | Yes (true) | Yes (true) | false | Yes (true) | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
| C | false |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part II, Line 12 2012D UNSPENT PROCEEDS | 2012D BOND WAS A DRAW DOWN LOAN WITH $3,711,165 REMAINING. DRAW PERIOD ENDED 1/31/2014. |
| Schedule K, Part III, Line 3b BOND COUNSEL REVIEW | BOND COUNSEL REVIEWS MANAGEMENT OR SERVICE CONTRACTS DURING DISCOVERY WHEN NEW BOND ISSUES ARE ANTICIPATED. |
| Schedule K, Part III, Line 3d BOND COUNSEL REVIEW | BOND COUNSEL REVIEWS RESEARCH AGREEMENTS DURING DISCOVERY WHEN NEW BOND ISSUES ARE ANTICIPATED. |
| Schedule K, Part IV, Line 2c Rebate Calculation | Issuer name: MACON-BIBB COUNTY HOSPITAL AUTHORITY The calculation for computing no rebate due was performed on 12/11/2014 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (75 entries)
| Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|
| ALFRED D FAULK - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $4,764,065 | $8,004,494 | false | Yes (true) | Yes (true) |
| ALFRED D FAULK - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $458,584 | $713,531 | false | Yes (true) | Yes (true) |
| ALFRED D FAULK - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $115,000 | $157,339 | false | Yes (true) | Yes (true) |
| ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $375,677 | $631,206 | false | Yes (true) | Yes (true) |
| ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $150,000 | $233,391 | false | Yes (true) | Yes (true) |
| ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $230,000 | $363,280 | false | Yes (true) | Yes (true) |
| ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $230,000 | $342,152 | false | Yes (true) | Yes (true) |
| ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $203,992 | $279,097 | false | Yes (true) | Yes (true) |
| BARB STICKEL - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $979,436 | $1,645,632 | false | Yes (true) | Yes (true) |
| BARB STICKEL - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $219,691 | $341,827 | false | Yes (true) | Yes (true) |
| BARB STICKEL - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $235,540 | $322,260 | false | Yes (true) | Yes (true) |
| BETH PEARSON - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $20,000 | $33,604 | false | Yes (true) | Yes (true) |
| BETH PEARSON - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $25,000 | $38,898 | false | Yes (true) | Yes (true) |
| BETH PEARSON - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $25,000 | $39,488 | false | Yes (true) | Yes (true) |
| BETH PEARSON - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $25,000 | $37,190 | false | Yes (true) | Yes (true) |
| BETH PEARSON - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $21,000 | $28,732 | false | Yes (true) | Yes (true) |
| DAWN COLE - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $53,000 | $89,049 | false | Yes (true) | Yes (true) |
| DAWN COLE - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $58,000 | $90,245 | false | Yes (true) | Yes (true) |
| DAWN COLE - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $58,000 | $91,610 | false | Yes (true) | Yes (true) |
| DAWN COLE - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $58,000 | $86,282 | false | Yes (true) | Yes (true) |
| DAWN COLE - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $55,000 | $75,249 | false | Yes (true) | Yes (true) |
| DEBBIE ORR - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $349,590 | $587,377 | false | Yes (true) | Yes (true) |
| DEBBIE ORR - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $143,606 | $223,442 | false | Yes (true) | Yes (true) |
| ELBERT MCQUEEN - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $61,000 | $83,459 | false | Yes (true) | Yes (true) |
| ETHEL CULLINAN - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $636,204 | $1,068,937 | false | Yes (true) | Yes (true) |
| ETHEL CULLINAN - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $37,479 | $58,316 | false | Yes (true) | Yes (true) |
| ETHEL CULLINAN - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $161,243 | $220,608 | false | Yes (true) | Yes (true) |
| JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $110,000 | $184,820 | false | Yes (true) | Yes (true) |
| JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $110,000 | $171,155 | false | Yes (true) | Yes (true) |
| JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $170,000 | $268,511 | false | Yes (true) | Yes (true) |
| JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $170,000 | $252,895 | false | Yes (true) | Yes (true) |
| JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $135,000 | $184,703 | false | Yes (true) | Yes (true) |
| KEN BANKS - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $228,829 | $384,474 | false | Yes (true) | Yes (true) |
| KEN BANKS - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $82,000 | $127,586 | false | Yes (true) | Yes (true) |
| KEN BANKS - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $82,000 | $129,517 | false | Yes (true) | Yes (true) |
| KEN BANKS - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $82,000 | $121,985 | false | Yes (true) | Yes (true) |
| KEN BANKS - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $48,000 | $65,672 | false | Yes (true) | Yes (true) |
| LARRY PARKS - SPLIT INS LOAN | |||||
| Yes (X) | $359,594 | $604,182 | false | Yes (true) | Yes (true) |
| LARRY PARKS - SPLIT INS LOAN | |||||
| Yes (X) | $150,000 | $233,391 | false | Yes (true) | Yes (true) |
| LARRY PARKS - SPLIT INS LOAN | |||||
| Yes (X) | $150,000 | $236,922 | false | Yes (true) | Yes (true) |
| LARRY PARKS - SPLIT INS LOAN | |||||
| Yes (X) | $108,904 | $162,007 | false | Yes (true) | Yes (true) |
| LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $953,762 | $1,602,492 | false | Yes (true) | Yes (true) |
| LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $269,000 | $418,549 | false | Yes (true) | Yes (true) |
| LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $269,000 | $424,879 | false | Yes (true) | Yes (true) |
| LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $269,000 | $400,170 | false | Yes (true) | Yes (true) |
| MARCIA HUTCHINSON - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $155,000 | $212,066 | false | Yes (true) | Yes (true) |
| MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $2,941,423 | $4,942,125 | false | Yes (true) | Yes (true) |
| MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $451,034 | $701,784 | false | Yes (true) | Yes (true) |
| MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $250,000 | $342,042 | false | Yes (true) | Yes (true) |
| MICHAEL VADEN - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $232,111 | $389,989 | false | Yes (true) | Yes (true) |
| MICHAEL VADEN - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $110,000 | $171,155 | false | Yes (true) | Yes (true) |
| MICHAEL VADEN - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $110,000 | $173,743 | false | Yes (true) | Yes (true) |
| MICHAEL VADEN - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $110,000 | $163,637 | false | Yes (true) | Yes (true) |
| MICHAEL VADEN - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $76,000 | $103,981 | false | Yes (true) | Yes (true) |
| PATRICIA D'ERRICO - SPLIT INS LOAN | |||||
| Yes (X) | $50,000 | $84,009 | false | Yes (true) | Yes (true) |
| PATRICIA D'ERRICO - SPLIT INS LOAN | |||||
| Yes (X) | $50,000 | $77,798 | false | Yes (true) | Yes (true) |
| PATRICIA D'ERRICO - SPLIT INS LOAN | |||||
| Yes (X) | $50,000 | $78,974 | false | Yes (true) | Yes (true) |
| PATRICIA D'ERRICO - SPLIT INS LOAN | |||||
| Yes (X) | $50,000 | $74,381 | false | Yes (true) | Yes (true) |
| PATRICIA D'ERRICO - SPLIT INS LOAN | |||||
| Yes (X) | $49,000 | $67,040 | false | Yes (true) | Yes (true) |
| RAYMOND T OLMER - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $2,191,396 | $3,681,943 | false | Yes (true) | Yes (true) |
| RAYMOND T OLMER - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $222,887 | $346,799 | false | Yes (true) | Yes (true) |
| RAYMOND T OLMER - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $184,000 | $251,743 | false | Yes (true) | Yes (true) |
| RHONDA PERRY - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $509,455 | $855,977 | false | Yes (true) | Yes (true) |
| RHONDA PERRY - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $260,000 | $404,545 | false | Yes (true) | Yes (true) |
| RHONDA PERRY - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $260,000 | $410,663 | false | Yes (true) | Yes (true) |
| RHONDA PERRY - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $260,000 | $386,780 | false | Yes (true) | Yes (true) |
| RHONDA PERRY - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $143,000 | $195,649 | false | Yes (true) | Yes (true) |
| TOM SANDS JR - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $30,000 | $50,407 | false | Yes (true) | Yes (true) |
| TOM SANDS JR - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $34,000 | $52,902 | false | Yes (true) | Yes (true) |
| TOM SANDS JR - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $34,000 | $53,701 | false | Yes (true) | Yes (true) |
| TOM SANDS JR - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $34,000 | $50,580 | false | Yes (true) | Yes (true) |
| TOM SANDS JR - SPLIT DOLLAR INS LOAN | |||||
| Yes (X) | $30,000 | $41,045 | false | Yes (true) | Yes (true) |
| VIRGIL COOPER - SPLIT INS LOAN | |||||
| Yes (X) | $1,012,536 | $1,701,244 | false | Yes (true) | Yes (true) |
| VIRGIL COOPER - SPLIT INS LOAN | |||||
| Yes (X) | $358,905 | $491,044 | false | Yes (true) | Yes (true) |
| GAAP ADJUSTMENT TO CSV | |||||
| Yes (X) | -$1,891,558 | -$16,070,393 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $22,347,958 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAREN JOHNSTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF A BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $87,442 | TransactionAmt |
| Transaction | MS. JOHNSTON WORKS FOR THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. (HOSPICE) AS A NURSE. | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part IV, Line 14b INVESTMENTS | NAVICENT HEALTH, INC. OWNS CERTAIN INVESTMENTS SUBJECT TO DISCLOSURE ON SCHEDULE F AND TO ADDITIONAL INFORMATION RETURN REPORTING REQUIREMENTS. THESE INVESTMENTS ARE HELD FOR THE BENEFIT OF THE MEDICAL CENTER OF CENTRAL GEORGIA AND FOR FINANCIAL STATEMENT PURPOSES ARE REFLECTED ON THE BALANCE SHEET OF MCCG. |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | BY RESOLUTION OF THE BOARD OF THE ORGANIZATION AND ITS SOLE MEMBER, THE ORGANIZATION'S GOVERNANCE WEAS AMENDED TO PROVIDE COMPLETE IDENTITY OF INTEREST BETWEEN THE ORGANIZATION AND ITS FUNCTIONALLY INTEGRATED PARENT. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | NAVICENT HEALTH, INC. (A RELATED 501(C)(3) ORGANIZATION) IS SOLE MEMBER OF THE MEDICAL CENTER 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) AND THE ORGANIZATION HAVE COMPLETE IDENTITY OF INTEREST AT YEAR END. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | CERTAIN ACTIONS OF THE BOARD MUST BE APPROVED BY THE BOARD OF NAVICENT HEALTH, INC., A RELATED 501(C)(3) ORGANIZATION. |
| 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 FINANCIAL STATEMENTS (AUDITED BY AN INDEPENDENT CPA FIRM). IT WAS REVIEWED BY OUR OUTSIDE TAX ADVISOR (ANOTHER INDEPENDENT ACCOUNTANT) AND BY FINANCIAL MANAGEMENT OF THE MEDICAL CENTER OF CENTRAL GEORGIA. 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 | MCCG PROVIDES COPIES OF ITS GOVERNING AND OTHER COMPANY DOCUMENTS UPON REQUEST. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | CLINICAL RESEARCH REV - Total Revenue: 14641, Related or Exempt Function Revenue: 14641, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MASSAGE THERAPY - Total Revenue: 40210, Related or Exempt Function Revenue: 40210, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; ALTERNATIVE MEDICINE - Total Revenue: 21336, Related or Exempt Function Revenue: 21336, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | Maint Contract Systems Software - Total Expense: 2658973, Program Service Expense: 149805, Management and General Expenses: 2509168, Fundraising Expenses: ; Maint Contract Application Software - Total Expense: 9793435, Program Service Expense: 46030, Management and General Expenses: 9747405, Fundraising Expenses: ; Professional Fees - Total Expense: 20092553, Program Service Expense: 20092553, Management and General Expenses: , Fundraising Expenses: ; Contract Svcs-Corporate - Total Expense: 27163584, Program Service Expense: 24878268, Management and General Expenses: 2285316, Fundraising Expenses: ; Contract Services-Net - Total Expense: 23032190, Program Service Expense: 21470784, Management and General Expenses: 1561406, Fundraising Expenses: ; Contract Personnel - Total Expense: 7067025, Program Service Expense: 6719009, Management and General Expenses: 348016, Fundraising Expenses: ; Contract Linen Serv - Total Expense: 2548855, Program Service Expense: 2548855, Management and General Expenses: , Fundraising Expenses: ; Maintenance Agreement - Total Expense: 5882905, Program Service Expense: 5072061, Management and General Expenses: 810844, Fundraising Expenses: ; Contract Svcs/Transcription - Total Expense: 675143, Program Service Expense: 675143, Management and General Expenses: , Fundraising Expenses: ; Director Fees - Total Expense: 567997, Program Service Expense: 567997, Management and General Expenses: , Fundraising Expenses: ; Consultation Fees - Total Expense: 362993, Program Service Expense: 142726, Management and General Expenses: 220267, Fundraising Expenses: ; Other Fees for Service - Total Expense: 2309046, Program Service Expense: 2278054, Management and General Expenses: 30992, Fundraising Expenses: ; Collection Fees - Total Expense: 2154966, Program Service Expense: 172614, Management and General Expenses: 1982352, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Change in Interest Rate SWAP - -2946461; FIN 47 Change - -9965; Pension Plan Adjustment - -38926005; Post Retirement Benefit Plan Adjustment - -3367571; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| CENTRAL GEORGIA MEDICAL PROPERTIES LLC | ||||||||
| 777 HEMLOCK STREET MSC 111 | MACON | GA | 31201 | PHYSICIAN RELATIONSHIPS | GA | $0 | $0 | MEDICAL CENTER OF CENTRAL GEORGIA |
| CENTRAL GEORGIA CVI PROPERTIES LLC | ||||||||
| 777 HEMLOCK ST MSC 111 | MACON | GA | 31201 | PHYSICIAN RELATIONSHIPS | GA | $0 | $0 | MEDICAL CENTER OF CENTRAL GEORGIA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL GEORGIA SENIOR HEALTH INC | ||||||||||
| 691 CHERRY STREET SUTIE 400 | MACON | GA | 31201 | 582345439 | RETIREMENT COMMUNITY | GA | 501(c)(3 | Type II | CENTRAL GEORGIA HEALTH SYSTEMS INC | false |
| HEALTH SERVICES OF CENTRAL GEORGIA INC | ||||||||||
| 691 CHERRY STREET SUTIE 400 | MACON | GA | 31201 | 582307485 | HEALTH SERVICES | GA | 501(c)(3 | 3 | CENTRAL GEORGIA HEALTH SYSTEMS INC | false |
| MEDCEN COMMUNITY HEALTH FOUNDATION INC | ||||||||||
| 858 HIGH STREET | MACON | GA | 31201 | 237363555 | FUNDRAISING | GA | 501(c)(3 | 7 | CENTRAL GEORGIA HEALTH SYSTEMS | false |
| NAVICENT HEATLH INC | ||||||||||
| 691 CHERRY STREET SUTIE 400 | MACON | GA | 31201 | 582149127 | HEALTHCARE SERVICES, PARENT ENTITY/STRATEGIC & FINANCIAL MANAGEMENT | GA | 501(c)(3 | Type III-FI | NA | false |
| THE MEDICAL CENTER OF PEACH COUNTY INC | ||||||||||
| 1960 HWY 247 | BYRON | GA | 31008 | 453765471 | HOSPITAL | GA | 501(c)(3 | 3 | CENTRAL GEORGIA HEALTH SYSTEMS | 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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SECURE HEALTH PLANS OF GEORGIA LLC | ||||||||||||||
| 577 MULBERRY STREET SUITE 1000 | MACON | GA | 31201 | 582306549 | MANAGED CARE | GA | NA | N/A | ||||||
| CENTRAL GEORGIA PET LLC | ||||||||||||||
| 1650 HARDEMAN AVENUE | MACON | GA | 31201 | 371464470 | MEDICAL IMAGING CENTER | GA | MEDICAL CENTER OF CENTRAL GEORGIA | Related | $1,298,687 | $389,097 | false | $0 | false | 0.6667 |
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 | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|
| CENTRAL GEORGIA HEALTH VENTURES INC | |||||||||
| 691 CHERRY STREET SUITE 400 | MACON | GA | 31201 | 582164989 | MANAGEMENT & HOME CARE SERVICES | GA | NA | C Corporation | |
| CENTRA PROFESSIONAL INDEMNITY LTD | |||||||||
| INSURANCE | NA | C Corporation | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (true) | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | 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 |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CENTRAL GEORGIA PET LLC | ||
| S | $1,334,000 | CASH DISTRIBUTION RECEIVED |
| CENTRAL GEORGIA PET LLC | ||
| A | $61,547 | FMV |
| CENTRAL GEORGIA PET LLC | ||
| Q | $300,230 | CASH |
Comments