2015-08-17T09:00:08-05:00 2014-09-30 580914992 DRAFFIN & TUCKER LLP FIVE CONCOURSE PARKWAY SUITE 1250 ATLANTA GA 30328 990 2013-10-01 582149128 MEDICAL CENTER OF CENTRAL GEORGIA INC MEDI 4786331407 691 CHERRY STREET MACON GA 31201 RHONDA S PERRY EXECUTIVE VICE PRESIDENT/CFO 2015-08-13 true W Edward Phillips P00451499 4042208494 2013 2016-03-07 17:11:31Z THE MEDICAL CENTER NAVICENT HEALTH NINFA M SAUNDERS 691 CHERRY STREET MACON GA 31201 1060723281 false X WWW.MCCG.ORG X 1994 GA 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. 9 8 5435 308 4556019 0 11873009 11198819 663775688 641934975 33207515 60000183 1812325 1614416 710668537 714748393 16638863 17068545 0 0 313958657 289630894 0 0 0 338338608 339944801 668936128 646644240 41732409 68104153 1228902798 1303841304 329546296 379042656 899356502 924798648 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. false false 596689705 17068545 638046728 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. 596689705 true true false true false false false false false true true false false true true false true false false false false false false false false true true true false true true false false false false false true false false true false false false false false true true true true false false true 440 0 true 5435 true true true false false false false false false false false false X 9 8 false false false false true true true true true false false true true true true true true false false true false GA X RHONDA S PERRY 4786331452 777 HEMLOCK STREET MACON GA 31201 A KENNETH HARPER MD CHAIRMAN 1.00 X 0 0 0 DAN SLAGLE VICE CHAIRMAN 1.00 X 0 0 0 DAVID DANZIE DIRECTOR 1.00 X 0 0 0 JOAN WALTON DIRECTOR 1.00 X 0 0 0 KIM JOHNSTON MD DIRECTOR 1.00 X 0 0 0 LEE MURPHEY DIRECTOR 1.00 X 0 0 0 ROBERTA ANDREWS MD DIRECTOR 1.00 X 0 0 0 TIMOTHY JACKSON DIRECTOR 1.00 3.00 X 0 0 0 WIMBERLY TREADWELL DIRECTOR 1.00 X 0 0 0 KENNETH B BANKS CORPORATE SECRETARY/SVP/CHIEF LEGAL COUNSEL 1.00 49.00 X 0 585748 179231 NINFA M SAUNDERS PRESIDENT/CHIEF EXECUTIVE OFFICER 1.00 49.00 X 0 768125 638299 RHONDA S PERRY CHIEF FINANCIAL OFFICER/EVP 1.00 49.00 X 0 1285717 88437 BETH A GREER AVP PATIENT CARE SVS 50.00 X 207445 0 25141 ELIZABETH J CASEY AVP PATIENT CARE SERVICES 50.00 X 162115 0 18021 FADY S WANNA MD CHIEF CLINICAL OFFICER/CHIEF MEDICAL OFFICER/EVP 50.00 X 354491 0 77978 JAMES M CUNNINGHAM CHIEF MEDICAL OFFICER (TRANSITION) 50.00 X 554736 0 5327 JOSEPH D LAVELLE CHIEF OPERATING OFFICER 40.00 X 2695959 0 1749 JUDY C PAULL CHIEF NURSING OFFICER (TRANSITION) 50.00 X 356753 0 4667 TOMMY L SANDS JR CHIEF PROFESSIONAL SVS OFFICER 50.00 X 235776 0 24895 TRACEY A BLALOCK CHIEF NURSING OFFICER 50.00 X 209258 0 41509 WILLIAM R AVENEL CHIEF INFORMATION OFFICER 50.00 X 260918 0 19002 DAWN C COLE AVP PATIENT CARE SVS 50.00 X 457442 0 18355 DINESHKUMAR N PATEL MD PHYSICIAN URGENT CARE 50.00 X 684454 0 18918 KRISHNA M PATEL MD PHYSICIAN URGENT CARE 50.00 X 801761 0 20043 RANDAL SUGERMAN MD PHYSICIAN URGENT CARE 50.00 X 469864 0 14510 TIMOTHTY M LONGAKER MD MEDICAL DIRECTOR URGENT CARE 50.00 X 660105 0 17850 A DONALD FAULK JR CEO (TRANSITION) 2.00 X 0 171300 0 PATRICIA M D'ERRICO VICE PRESIDENT X 185634 0 0 8296711 2810890 1213932 195 true true false THE NEXUS MEDICAL GROUP 840 PINE STREET SUITE 770 MACON GA 31201 CONTRACT SERVICES-ANESTHESIA PROFESSIONAL FEES 14732084 AMERICAN ANESTHESIOLOGY OF GA LLC P O BOX 535375 ATLANTA GA 30353 CONTRACT SERVICES-ANESTHESIA PROFESSIONAL FEES 3938637 GEORGIA MAGNETIC IMAGING CENTER 770 PINE STREET SUITE L-15 MACON GA 312015122 CONTRACT SERVICES-MRI 3075555 ANGELICA TEXTILE SERVICES P O BOX 535122 ATLANTA GA 303535122 LINEN PROCESSING 2799331 COGENT HEALTHCARE OF MACON LLC 5410 MARYLAND WAY SUITE 300 BRENTWOOD TN 37027 CONTRACTED SERVICES-HOSPITALISTS 2363545 98 63966 4354618 6703641 76594 11198819 PATIENT CHARGES 621500 624434628 620116063 4318565 SUPPORT & SERVICES REVENUE 561000 10295721 10058267 237454 DOB RENTAL INCOME 531120 4717433 4717433 SERVICE CHARGES 621990 1459582 1459582 PARKING FEES 812930 946644 946644 80967 80967 0 0 641934975 12000058 12000058 0 0 1899968 285552 1614416 0 1614416 1614416 393392482 296979 344005983 1683353 49386499 -1386374 48000125 48000125 0 0 0 0 0 0 0 0 0 0 0 714748393 638046728 4556019 60946827 X 17068545 17068545 0 0 0 2527760 2527760 0 225702428 219925672 5776756 8218559 8145587 72972 37124997 36359435 765562 16057150 15497886 559264 0 790394 11323 779071 0 32903 32903 0 2342067 2342067 94174582 75110455 19064127 0 1325369 1321966 3403 4483710 4097844 385866 1535201 497013 1038188 0 7762830 7704361 58469 2069291 1791391 277900 0 80316 28558 51758 6170225 6170225 0 37656046 29250090 8405956 8394777 149919 8244858 MEDICAL SUPPLIES 123948373 123898920 49453 PROVIDER TAXES 8041209 8041209 0 EQUIPMENT RENTAL, MAINT & MINOR EQUIPMENT 6815382 5680236 1135146 NUTRITIONAL SUPPLIES AND MEALS 4522401 4512322 10079 29799725 29084681 715044 0 646644240 596689705 49954535 0 0 25470201 44952809 148286243 147707271 22798880 23959590 0 7720070 7204103 3663980 5877790 844840989 516278895 341043402 328562094 469944407 436963403 183705000 267699000 1579626 1635685 24690989 39279559 1228902798 1303841304 52449456 59609982 168982513 179314859 0 108114327 140117815 329546296 379042656 X 899356502 924798648 899356502 924798648 1228902798 1303841304 X 68104153 -6062036 -36599971 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 32903 32903 false Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i LOBBYING EXPENSES INCLUDE A PORTION OF DUES PAID TO VARIOUS ORGANIZATIONS (I.E., NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS.) ALSO, CONTRACTED INDIVIDUAL TO LOBBY ON THE ORGANIZATIONS BEHALF. 24793819 24793819 386583058 193853424 192729634 1908092 1389668 518424 387755992 318026950 69729042 43800028 3008853 40791175 328562094 0 0 COMMODITIES 73501000 DEBT SECURITIES 58949000 EQUITIES 70895000 MULTI-CATEGORY INVESTMENTS 64354000 267699000 0 WITHHOLDINGS 1115400 OTHER CURRENT LIABILITIES 35080711 CURRENT PORTION OF LONG-TERM DEBT 8100000 ACCRUED PENSION BENEFIT LIABILITY 52010492 OTHER LONG TERM LIABILITIES 42124988 FIN 47 ASSET RETIREMENT OBLIGATION 1686224 140117815 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote 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 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. MCHN 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, 2014. FISCAL YEARS ENDING ON AFTER SEPTEMBER 30, 2011 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. true true X true X 1.25 true X 2.7 true true true false true true 31579324 3098837 28480487 0.04400 110646587 109556490 1090097 0.00170 0 0 0 0.00000 0 0 142225911 112655327 29570584 0.04570 342244 68 342176 0.00050 17673344 13340727 4332617 0.00670 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 18015588 13340795 4674793 0.00720 0 0 160241499 125996122 34245377 0.05290 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 false 55763250 0 164973448 150243474 14729974 X true true CENTRAL GEORGIA PET LLC IMAGING 0.6667 0.3333 CENTRAL GEORGIA HEALTH NETWORK LLC PHO 0.29 0.71 1 1 THE MEDICAL CENTER OF CENTRAL GA INC 777 HEMLOCK STREET MACON GA 31201 WWW.NAVICENTHEALTH.ORG 011-104 X X X X X THE MEDICAL CENTER OF CENTRAL GA INC 1 true X X X X X X X X X 12 true true true X WWW.MCCG.ORG X WWW.NAVICENTHEALTH.ORG X X X X X X X X X X false false true true 125 true 270 true X X X X X X true true X X X X X X true false X X X X true X false false Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) - THE MEDICAL CENTER OF CENTRAL GEORGIA, INC.: A STRATIFIED RANDOM TELEPHONE SURVEY OF 1,000 INDIVIDUALS AGE 18 OR OLDER WAS CONDUCTED ACROSS BIBB, HOUSTON, PEACH, JONES, TWIGGS, MONROE AND CRAWFORD COUNTIES. AS PART OF THE ASSESSMENT, FIVE FOCUS GROUPS WERE HELD THROUGHOUT THE REGION. PARTICPANTS INCLUDED 34 KEY INFORMANTS INCLUDING SOCIAL SERVICE PROVIDERS, PHYSICIANS, BUSINESS LEADERS AND OTHERS. PARTICIPANTS ALSO INCLUDED A PUBLIC HEALTH REPRESENTATIVE AND SEVERAL INDIVIDUALS WHO WORK WITH LOW INCOME, MINORITY AND OTHER MEDICALLY UNDERSERVED POPULATIONS. A VARIETY OF SECONDARY DATA SOURCES WERE CONSULTED TO COMPLEMENT THE ASSESSMENT INCLUDING THE CENTERS FOR DISEASE CONTROL AND PREVENTION, GEOLYTICS 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 Sec B, Line 4, Other Hospital Facilities included in Needs Assessment (1) - THE MEDICAL CENTER OF CENTRAL GEORGIA, INC.: CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC.; Schedule H, Part V Sec B, Line 5d, Availability of Needs Assessment (1) - MEDICAL CENTER OF CENTRAL GEORGIA: A COPY OF THE ASSESSMENT WAS PROVIDED TO MANY COMMUNITY LEADERS AND ORGANIZATIONS.; Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment (1) - THE MEDICAL CENTER OF CENTRAL GEORGIA, INC.: THE FOLLOWING HEALTH PRIORITIES WERE NOT ADDRESSED BY THE MEDICAL CENTER OF CENTRAL GEORGIA FOR THE REASONS INDICATED DURING FISCAL YEAR 2014: 1) MENTAL HEALTH-LACK OF EXPERTISE, RESOURCES AND EXISTENCE OF OTHER PROVIDERS BETTER SUITED TO ADDRESS THIS NEED. 2) ORAL HEALTH-OTHER COMMUNITY ORGANIZATIONS ARE CURRENTLY BETTER SUITED TO ADDRESS THIS NEED. 3) SEXUALLY TRANSMITTED DISEASES-LIMITED RESOURCES AND EXPERTISE. ADDITIONALLY, WE DETERMINED THIS NEED IS BETTER ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS INCLUDING THE PUBLIC HEALTH DEPARTMENT, A VOLUNTEER CLINIC AND LOCAL SCHOOL SYSTEMS. 4) CANCER-MCCG IS BUILDING A CANCER CENTER. TREATMENT OF PATIENTS WILL BEGIN DECEMBER, 2014.; Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy (1) - MEDICAL CENTER OF CENTRAL GEORGIA: A STATEMENT RELATED TO THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ON EACH PATIENT'S BILLING STATEMENT. THERE IS REFERENCE MADE TO THE POLICY IN TWO PLACES. BOTH LOCAL AND TOLL FREE PHONE NUMBERS ARE LISTED FOR STAFF TO PROVIDE ASSISTANCE WITH THE POLICY. THE ORGANIZATION'S WEBSITE IS LISTED STATING THE FINANCIAL ASSISTANCE POLICY IS LISTED THERE. THERE IS ALSO A STATEMENT THAT THE POLICIES ARE AVAILABLE IN BOTH ENGLISH AND SPANISH.; Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined (1) - THE MEDICAL CENTER OF CENTRAL GEORGIA, INC.: THE HOSPITAL FACILITY USED AN ESTIMATE OF THE AVERAGE OF THE THREE LOWEST COMMERCIALLY INSURED RATES.; 1 PINE POINTE HOSPICE & PALLIATIVE CARE 6261 PEAKE ROAD MACON GA 312108074 HOSPICE Schedule H, Part I, Line 6a, Community benefit report prepared by related organization CENTRAL GEORGIA REHABILITATION HOSPITAL Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance COST TO CHARGE RATIO FROM WORKSHEET 2. Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation 0 Schedule H, Part I, Line 7g, Subsidized Health Services N/A 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, 2014 AND 2013. SCHEDULE H, PART III, LINE 6, COST REPORT THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE ORGANIZATION'S MEDICARE COST REPORT FOR THE PERIOD. 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, OTHER OPERATIONS THE MEDICAL CENTER OF CENTRAL GEORGIA ALSO OPERATES A HOSPICE. Schedule H, Part VI, Line 2, Needs assessment. A COMMUNITY NEEDS ASSESSMENT WAS PERFORMED IN 2012 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 1,000 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. 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. 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 CENTRAL GEORGIA HEALTH SYSTEMS, INC., A MULTI-ENTITY HEALTHCARE SYSTEM. OTHER ORGANIZATIONS IN THE SYSTEM INCLUDE: CENTRAL GEORGIA HEALTH SYSTEMS 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 CENTRAL GEORGIA HEALTH SYSTEMS , 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 true HEALTH SERVICES OF CENTRAL GEORGIA INC 691 CHERRY ST SUITE 400 MACON GA 31201 582307485 501(C)(3) 17032790 INTERCOMPANY AMERICAN CANCER SOCIETY PO BOX 4406 MACON GA 31208 580659875 501(C)(3) 5250 COMMUNITY ASSISTANCE CHERRY BLOSSOM FESTIVAL 794 CHERRY ST MACON GA 31201 581648127 501(C)(3) 13075 COMMUNITY ASSISTANCE GREATER MACON CHAMBER OF COMMERCE PO 169 MACON GA 31202 580333200 501(C)(6) 6110 COMMUNITY ASSISTANCE MUSEUM OF ARTS & SCIENCES 4182 FORSYTH RD MACON GA 31210 580806933 501(C)(3) 6000 COMMUNITY SPONSORSHIP THE GRAND OPERA HOUSE 400 POPLAR ST MACON GA 31201 580566167 501(C)(3) 5320 COMMUNITY SPONSORSHIP 5 1 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. true true false false false false false true false RHONDA S PERRY CHIEF FINANCIAL OFFICER/EVP 0 415192 0 0 0 870525 0 79515 0 8922 0 1374154 0 870111 NINFA M SAUNDERS PRESIDENT/CHIEF EXECUTIVE OFFICER 0 732091 0 0 0 36034 0 615986 0 22313 0 1406424 0 0 KRISHNA M PATEL MD PHYSICIAN URGENT CARE 460491 0 319004 0 22266 0 1733 0 18310 0 821804 0 0 0 WILLIAM R AVENEL CHIEF INFORMATION OFFICER 238851 0 0 0 22067 0 6238 0 12764 0 279920 0 0 0 JUDY C PAULL CHIEF NURSING OFFICER (TRANSITION) 68209 0 0 0 288544 0 2109 0 2558 0 361420 0 0 0 TOMMY L SANDS JR CHIEF PROFESSIONAL SVS OFFICER 234720 0 0 0 1056 0 2775 0 22120 0 260671 0 0 0 DINESHKUMAR N PATEL MD PHYSICIAN URGENT CARE 392139 0 272959 0 19356 0 3300 0 15618 0 703372 0 0 0 JOSEPH D LAVELLE CHIEF OPERATING OFFICER 24917 0 23808 0 2647234 0 0 0 1749 0 2697708 0 1794106 0 A DONALD FAULK JR CEO (TRANSITION) 0 171300 0 0 0 0 0 0 0 0 0 171300 0 0 TIMOTHTY M LONGAKER MD MEDICAL DIRECTOR URGENT CARE 458910 0 185491 0 15704 0 1250 0 16600 0 677955 0 0 0 JAMES M CUNNINGHAM CHIEF MEDICAL OFFICER (TRANSITION) 106997 0 0 0 447739 0 2191 0 3136 0 560063 0 0 0 DAWN C COLE AVP PATIENT CARE SVS 189653 0 0 0 267789 0 513 0 17842 0 475797 0 247814 0 BETH A GREER AVP PATIENT CARE SVS 202833 0 0 0 4612 0 103 0 25038 0 232586 0 0 0 KENNETH B BANKS CORPORATE SECRETARY/SVP/CHIEF LEGAL COUNSEL 0 282868 0 0 0 302880 0 157182 0 22049 0 764979 0 278853 RANDAL SUGERMAN MD PHYSICIAN URGENT CARE 315949 0 134149 0 19766 0 2654 0 11856 0 484374 0 0 0 FADY S WANNA MD CHIEF CLINICAL OFFICER/CHIEF MEDICAL OFFICER/EVP 354356 0 0 0 135 0 77678 0 300 0 432469 0 0 0 TRACEY A BLALOCK CHIEF NURSING OFFICER 208753 0 0 0 505 0 19025 0 22484 0 250767 0 0 0 ELIZABETH J CASEY AVP PATIENT CARE SERVICES 161595 0 200 0 320 0 2478 0 15543 0 180136 0 0 0 PATRICIA M D'ERRICO VICE PRESIDENT 0 0 0 0 185634 0 0 0 0 0 185634 0 0 0 Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensation THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF 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 $518,354 JAMES M. CUNNINGHAM $360,784 JUDY C. PAULL $194,929 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 $ 46,523 KEN BANKS $137,154 IN ADDITION, CGHS 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 $31,986 KEN BANKS $18,083 IN ADDITION, CGHS ADOPTED A NONQUALIFIED, UNFUNDED DEFERRED COMPENSATION PLAN DESIGNED TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT PESONNEL. DURING THE YEAR THE FOLLOWING BENEFITS ACCRUED UNDER THIS PLAN: NINFA M. SAUNDERS $613,556 FADY S. WANNA, MD $75,399 TRACEY A. BLALOCK $16,358 THE FOLLOWING NONQUALIFIED RETIREMENT PLAN BENEFITS WERE REPORTED AS TAXABLE INCOME TO VESTED INDIVIDUALS: RHONDA PERRY $870,111 KEN BANKS $278,853 JOSEPH D. LAVELLE $2,035,285 A. DONALD FAULK, JR. $126,644 DAWN C. COLE $247,814 JUDY C. PAULL $61,161 Schedule J, Part I, Line 7, Non-fixed payments THIS PROGRAM IS ADMINISTERED BY THE CEO OF CENTRAL GEORGIA HEALTH SYSTEMS, 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. A MACON-BIBB COUNTY HOSPITAL AUTHORITY 581034851 55553RCD5 2009-09-02 34475000 2003A & 2003B - REFUNDING 2003 ISSUE DATED 7/29/2003 false false false B MACON-BIBB COUNTY HOSPITAL AUTHORITY 581034851 55553RCN3 2009-09-24 81345501 2009 - PAID OFF LOANS USED TO REFUND 2005 ISSUE DATED 7/27/2005 false false false C MACON-BIBB COUNTY HOSPITAL AUTHORITY 581034851 NONENONEN 2012-01-31 78700000 2012 A,B,C,D - CURRENT REFUNDINGS AND CONSTRUCT & EQUIP NEW FACILITY false false false A 22615000 0 34475000 0 0 0 0 0 0 0 34475000 0 2003 true false true true B 0 0 81345501 0 0 0 1345501 0 0 0 80000000 0 2008 true false true true C 8500000 0 78700000 0 65374 0 118870 0 0 26169965 48700000 3711165 2013 true false true true A false false true false true false 0.00000 0.00000 0.00000 false false true B false false true false true false 0.00000 0.00000 0.00000 false false true C false false true false true false 0.00000 0.00000 0.00000 false false true A false false true true true false 0.0 false 0.0 false true B false false true true false false false false true C false true false true false 0.0 false 0.0 false true A false B false C false SCHEDULE K, PART I, COLUMN (C), 2003B CUSIP# 2003B SERIES CUSIP# 55553RCB9 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. Sch K, Part IV, Line 2c, ISSUER NAME: MACON-BIBB COUNTY HOSPITAL AUTHORITY: No Rebate Due. THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 12-11-2014. Sch K, Part IV, Line 2c, ISSUER NAME: MACON-BIBB COUNTY HOSPITAL AUTHORITY: No Rebate Due. THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 12-11-2014. ALFRED D FAULK - SPLIT DOLLAR INS LOAN X 4764065 7648824 false true true ALFRED D FAULK - SPLIT DOLLAR INS LOAN X 458584 682674 false true true ALFRED D FAULK - SPLIT DOLLAR INS LOAN X 115000 150449 false true true ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN X 375677 603159 false true true ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN X 150000 223298 false true true ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN X 230000 345290 false true true ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN X 230000 325580 false true true ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN X 203992 266874 false true true BARB STICKEL - SPLIT DOLLAR INS LOAN X 979436 1572510 false true true BARB STICKEL - SPLIT DOLLAR INS LOAN X 219691 327044 false true true BARB STICKEL - SPLIT DOLLAR INS LOAN X 235540 308147 false true true BETH PEARSON - SPLIT DOLLAR INS LOAN X 20000 32111 false true true BETH PEARSON - SPLIT DOLLAR INS LOAN X 25000 37216 false true true BETH PEARSON - SPLIT DOLLAR INS LOAN X 25000 37532 false true true BETH PEARSON - SPLIT DOLLAR INS LOAN X 25000 35389 false true true BETH PEARSON - SPLIT DOLLAR INS LOAN X 21000 27474 false true true DAWN COLE - SPLIT DOLLAR INS LOAN X 53000 85092 false true true DAWN COLE - SPLIT DOLLAR INS LOAN X 58000 86342 false true true DAWN COLE - SPLIT DOLLAR INS LOAN X 58000 87073 false true true DAWN COLE - SPLIT DOLLAR INS LOAN X 58000 82103 false true true DAWN COLE - SPLIT DOLLAR INS LOAN X 55000 71953 false true true DEBBIE ORR - SPLIT DOLLAR INS LOAN X 349590 561278 false true true DEBBIE ORR - SPLIT DOLLAR INS LOAN X 143606 213779 false true true ELBERT MCQUEEN - SPLIT DOLLAR INS LOAN X 61000 79804 false true true ETHEL CULLINAN - SPLIT DOLLAR INS LOAN X 636204 1021440 false true true ETHEL CULLINAN - SPLIT DOLLAR INS LOAN X 37479 55794 false true true ETHEL CULLINAN - SPLIT DOLLAR INS LOAN X 161243 210947 false true true JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN X 110000 176608 false true true JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN X 110000 163753 false true true JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN X 170000 255214 false true true JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN X 170000 240646 false true true JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN X 135000 176614 false true true KEN BANKS - SPLIT DOLLAR INS LOAN X 228829 367391 false true true KEN BANKS - SPLIT DOLLAR INS LOAN X 82000 122069 false true true KEN BANKS - SPLIT DOLLAR INS LOAN X 82000 123103 false true true KEN BANKS - SPLIT DOLLAR INS LOAN X 82000 116077 false true true KEN BANKS - SPLIT DOLLAR INS LOAN X 48000 62796 false true true LARRY PARKS - SPLIT INS LOAN X 359594 577336 false true true LARRY PARKS - SPLIT INS LOAN X 150000 223298 false true true LARRY PARKS - SPLIT INS LOAN X 150000 225189 false true true LARRY PARKS - SPLIT INS LOAN X 108904 154160 false true true LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN X 953762 1531287 false true true LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN X 269000 400449 false true true LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN X 269000 403839 false true true LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN X 269000 380787 false true true MARCIA HUTCHINSON - SPLIT DOLLAR INS LOAN X 155000 202779 false true true MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN X 2941423 4722528 false true true MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN X 451034 671435 false true true MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN X 250000 327063 false true true MICHAEL VADEN - SPLIT DOLLAR INS LOAN X 232111 372661 false true true MICHAEL VADEN - SPLIT DOLLAR INS LOAN X 110000 163753 false true true MICHAEL VADEN - SPLIT DOLLAR INS LOAN X 110000 165139 false true true MICHAEL VADEN - SPLIT DOLLAR INS LOAN X 110000 155712 false true true MICHAEL VADEN - SPLIT DOLLAR INS LOAN X 76000 99427 false true true PATRICIA D'ERRICO - SPLIT INS LOAN X 50000 80276 false true true PATRICIA D'ERRICO - SPLIT INS LOAN X 50000 74433 false true true PATRICIA D'ERRICO - SPLIT INS LOAN X 50000 75063 false true true PATRICIA D'ERRICO - SPLIT INS LOAN X 50000 70778 false true true PATRICIA D'ERRICO - SPLIT INS LOAN X 49000 64104 false true true RAYMOND T OLMER - SPLIT DOLLAR INS LOAN X 2191396 3518340 false true true RAYMOND T OLMER - SPLIT DOLLAR INS LOAN X 222887 331801 false true true RAYMOND T OLMER - SPLIT DOLLAR INS LOAN X 184000 240718 false true true RHONDA PERRY - SPLIT DOLLAR INS LOAN X 509455 817943 false true true RHONDA PERRY - SPLIT DOLLAR INS LOAN X 260000 387050 false true true RHONDA PERRY - SPLIT DOLLAR INS LOAN X 260000 390327 false true true RHONDA PERRY - SPLIT DOLLAR INS LOAN X 260000 368047 false true true RHONDA PERRY - SPLIT DOLLAR INS LOAN X 143000 187080 false true true TOM SANDS JR - SPLIT DOLLAR INS LOAN X 30000 48167 false true true TOM SANDS JR - SPLIT DOLLAR INS LOAN X 34000 50615 false true true TOM SANDS JR - SPLIT DOLLAR INS LOAN X 34000 51042 false true true TOM SANDS JR - SPLIT DOLLAR INS LOAN X 34000 48130 false true true TOM SANDS JR - SPLIT DOLLAR INS LOAN X 30000 39248 false true true VIRGIL COOPER - SPLIT INS LOAN X 1012536 1625651 false true true VIRGIL COOPER - SPLIT INS LOAN X 358905 469539 false true true GAAP ADJUSTMENT TO CSV X -1891558 -12739051 false true true 23959590 CAREN JOHNSTON FAMILY MEMBER OF A BOARD MEMBER 77835 MS. JOHNSTON WORKS FOR THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. (HOSPICE) AS A NURSE. false FORM 990, PART IV, LINE 14B, INVESTMENTS CENTRAL GEORGIA HEALTH SYSTEMS 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, Sec A, Line 6, Classes of members or stockholders CENTRAL GEORGIA HEALTH SYSTEM, INC. (A RELATED 501(C)(3) ORGANIZATION) IS SOLE MEMBER OF THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body CENTRAL GEORGIA HEALTH SYSTEM, INC, (A RELATED 501(C)(3) ORGANIZATIONS APPOINTS CERTAIN MEMBERS OF THE BOARD. Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders CERTAIN ACTIONS OF THE BOARD MUST BE APPROVED BY THE BOARD OF CENTRAL GEORGIA HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION. Form 990, Part VI, Sec B, 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, Sec B, 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, Sec C, Line 19, Required documents available to the public MCCG PROVIDES COPIES OF ITS GOVERNING AND OTHER COMPANY DOCUMENTS UPON REQUEST. Form 990, Part IX, Line 11g, Other Expenses MAINT CONTRACT SYSTEMS SOFTWARE - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 94626, MANAGEMENT AND GENERAL EXPENSES: 2276187, FUNDRAISING EXPENSES: ; MAINT CONTRACT APPLICATION SOFTWARE - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 65038, MANAGEMENT AND GENERAL EXPENSES: 8343484, FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 12170506, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT SVCS-CORPORATE - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 23277705, MANAGEMENT AND GENERAL EXPENSES: 1824912, FUNDRAISING EXPENSES: ; CONTRACT SERVICES-NET - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 19869761, MANAGEMENT AND GENERAL EXPENSES: 1545514, FUNDRAISING EXPENSES: ; CONTRACT PERSONNEL - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 6502141, MANAGEMENT AND GENERAL EXPENSES: 418836, FUNDRAISING EXPENSES: ; CONTRACT LINEN SERV - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 2517864, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; MAINTENANCE AGREEMENT - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 5371477, MANAGEMENT AND GENERAL EXPENSES: 627335, FUNDRAISING EXPENSES: ; CONTRACT SVCS/TRANSCRIPTION - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 925056, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; DIRECTOR FEES - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 729944, MANAGEMENT AND GENERAL EXPENSES: 1050, FUNDRAISING EXPENSES: ; CONSULTATION FEES - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 154915, MANAGEMENT AND GENERAL EXPENSES: 2382595, FUNDRAISING EXPENSES: ; OTHER FEES FOR SERVICE - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 3431422, MANAGEMENT AND GENERAL EXPENSES: 1644214, FUNDRAISING EXPENSES: ; Form 990 , Part XI, Line 9, Other changes in net assets or fund balances RETIREMENT PLAN ADJUSTMENT - -33697663; POAT RETIREMENT ADJUSTMENT - -2849954; CHANGE IN FMV INTEREST RATE SWAP - -1428609; FIN 47 AUDIT ADJUSTMENT - 1376249; ROUNDING - 6; 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 CENTRAL GEORGIA SENIOR HEALTH INC 691 CHERRY STREET SUTIE 400 MACON GA 31201 582345439 RETIREMENT COMMUNITY GA 501(C)(3) 11 - 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 CENTRAL GEORGIA HEALTH SYSTEMS INC 691 CHERRY STREET SUTIE 400 MACON GA 31201 582149127 HEALTHCARE SERVICES, PARENT ENTITY/STRATEGIC & FINANCIAL MANAGEMENT GA 501(C)(3) 11 - 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 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 947412 420587 false 0 false 0.66667 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 PO BOX 1363 GRAND CAYMAN CJ INSURANCE CJ NA C CORPORATION true true true false false true false false true true true false true false true true true true true CENTRAL GEORGIA PET LLC S 906000 CASH DISTRIBUTION RECEIVED CENTRAL GEORGIA PET LLC A 57756 FMV CENTRAL GEORGIA PET LLC Q 282359 CASH