MEDICAL CENTER OF CENTRAL GEORGIA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MEDICAL CENTER OF CENTRAL GEORGIA INC (EIN 58-2149128)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201422269349304392
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T18:00:09-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN580914992EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1FIVE CONCOURSE PARKWAY SUITE 1250AddressLine1
CityATLANTACity
StateGAState
ZIP Code30328ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582149128EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEDICAL CENTER OF CENTRAL GEORGIA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEDINameControl
Phone4786331407Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1691 CHERRY STREETAddressLine1
CityMACONCity
StateGAState
ZIP Code31201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRHONDA S PERRYName
TitleEXECUTIVE VICE PRESIDENT/CFOTitle
Date Signed2014-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameW Edward PhillipsName
PTINP00451499PTIN
Phone4042208494Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1NINFA M SAUNDERSBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1691 CHERRY STREET SUITE 400AddressLine1
CityMACONCity
StateGAState
ZIP Code31201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1050562997GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MCCG.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees5522TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI8351153TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8204196ContributionsGrantsPriorYear
Contributions Grants Current Year11873009ContributionsGrantsCurrentYear
Program Service Revenue Prior Year689704529ProgramServiceRevenuePriorYear
Program Service Revenue CY663775688ProgramServiceRevenueCY
Investment Income Prior Year20651650InvestmentIncomePriorYear
Investment Income Current Year33207515InvestmentIncomeCurrentYear
Other Revenue Prior Year3149639OtherRevenuePriorYear
Other Revenue Current Year1812325OtherRevenueCurrentYear
Total Revenue Prior Year721710014TotalRevenuePriorYear
Total Revenue Current Year710668537TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year30444174GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY16638863GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year306826018SalariesEtcPriorYear
Salaries Etc Current Year313958657SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year359040239OtherExpensePriorYear
Other Expenses Current Year338338608OtherExpensesCurrentYear
Total Expenses Prior Year696310431TotalExpensesPriorYear
Total Expenses Current Year668936128TotalExpensesCurrentYear
Revenues Less Expenses Prior Year25399583RevenuesLessExpensesPriorYear
Revenues Less Expenses CY41732409RevenuesLessExpensesCY
Total Assets BOY1168004656TotalAssetsBOY
Total Assets EOY1228902798TotalAssetsEOY
Total Liabilities BOY417686148TotalLiabilitiesBOY
Total Liabilities EOY329546296TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY750318508NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY899356502NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense598843175Expense
Grants16638863Grants
Revenue656241078Revenue
DescriptionTHE MEDICAL CENTER OF CENTRAL GEORGIA (MCCG) 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. MCCG HAS OVER 4,600 EMPLOYEES AND A MEDICAL STAFF OF OVER 590 PHYSICIANS, AS THE SECOND LARGEST HOSPITAL IN GEORGIA, IT IS LICENSED FOR 637 BEDS, INCLUDING MEDICAL-SURGICAL, OBSTETRIC, CARDIAC AND CARDIAC SURGERY. THE EMERGENCY CENTER, WITH THE HELIPAD CAPABILITY AND THREE URGENT CARE CENTERS, TREATS OVER 120,000 VISITORS PER YEAR. MCCG PROVIDES A BROAD RANGE OF COMMUNITY-BASED OUTPATIENT DIAGNOSTIC, PRIMARY CARE, 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. MCCG OPERATES THE DOCTORS OFFICE BUILDING, HOSPICE OF CENTRAL GEORGIA AND CENTRAL GEORGIA HOME CARE SERVICES.Description
Total Program Service Expense598843175TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096455NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5522NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RHONDA S PERRYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4786331452TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1777 HEMLOCK STREETAddressLine1
CityMACONCity
StateGAState
ZIP Code31201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
A KENNETH HARPER MD
DIRECTOR/CHAIR1.00X000
DAN SLAGLE
DIRECTOR/VICE CHAIR1.00X000
DAVID DANZIE
DIRECTOR1.00X000
JOAN WALTON
DIRECTOR1.00X000
KIM JOHNSTON MD
DIRECTOR1.00X000
LEE MURPHEY
DIRECTOR1.00X000
ROBERTA ANDREWS MD
DIRECTOR1.00X000
TIMOTHY JACKSON
DIRECTOR1.00X0002.00
WIMBERLY TREADWELL
DIRECTOR1.00X000
KENNETH B BANKS
SECRETARY1.00046953931317649.00X
NINFA M SAUNDERS
PRESIDENT/CEO1.00017884716631249.00X
RHONDA S PERRY
CFO1.00092217050588049.00X
A DONALD FAULK JR
CEO (TRANSITION)1.00010565829671X
BETH A GREER
AVP PATIENT CARE SVS50.00257861037923X
JAMES M CUNNINGHAM
CMO50.00759309015920X
JOSEPH LAVELLE
COO40.00835233032172X
JUDY C PAULL
VP/CNO50.00289410012028X
TOMMY L SANDS JR
CHIEF PROFESSIONAL SVS OFFICER50.00291695043058X
WILLIAM R AVENEL
CIO50.00297468014143X
DELANOR D DOYLE MD
CMIO/PHYSICIAN50.00379266011558X
DINESH KUMAR N PATEL
PHYSICIAN URGENT CARE50.00374543017144X
KRISHNA N PATEL MD
PHYSICIAN URGENT CARE50.00458364044057X
RANDAL SUGERMAN
PHYSICIAN URGENT CARE50.00362347011859X
TIMOTHTY M LONGAKER MD
DIR URGENT CARE50.00499272049480X
DAWN COLE
AVP PATIENT CARE SVS50.00258229048411X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5062997TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2627138TotalReportableCompFrmRltdOrgs
Total Other Compensation1332792TotalOtherCompensation
Number Individuals GT100 K210NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THE NEXUS MEDICAL GROUP
840 PINE STREET SUITE 770MACONGA31201ANESTHESIOLOGIST SERVICES15961275
ANGELICA TEXTILE SERVICES
PO BOX 535122ATLANTAGA303535122LINEN PROCESSING3035542
GEORGIA MAGNETIC IMAGING
770 PINE STREET SUITE L-15MACONGA31201IMAGING SERVICES2581705
COGENT HEALTHCARE
5410 MARYLAND WAY SUITE 300BRENTWOODTN37027HOSPITALIST SERVICES2336240
SOLIANT HEALTH
P O BOX 930425ATLANTAGA311930425CONTACT SERVICES-NURSES1630037
FieldValueIRS element (for citing)
Number Of Contractors GT100 K112NumberOfContractorsGT100K
Federated Campaigns80438FederatedCampaigns
Related Organizations3478687RelatedOrganizations
Government Grants5955431GovernmentGrants
All Other Contributions2358453AllOtherContributions
Total Contributions11873009TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT CHARGES6215006439280946358295538098541
SUPPORT & SERVICES REVENUE5610001254985512297243252612
DOB RENTAL INCOME53112049612674961267
SERVICE CHARGES62199011908751190875
PARKING FEES812930995782$995,782

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column149815TotalRevenueColumn
Related Or Exempt Function Income149815RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue663775688TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11561270TotalRevenueColumn
Exclusion$11,561,270ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2105889Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real293564Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1812325Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1812325TotalRevenueColumn
Related Or Exempt Function Income1812325RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities361060946Securities
Other186195Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities339351315Securities
Other249581Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities21709631Securities
Other-63386Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column21646245TotalRevenueColumn
Exclusion$21,646,245ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column710668537TotalRevenueColumn
Related Or Exempt Function Income656241078RelatedOrExemptFunctionIncome
Unrelated Business Revenue8351153UnrelatedBusinessRevenue
Exclusion$34,203,297ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total16638863Total
Program Services16638863ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4214965Total
Management And General4214965ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total227652467Total
Program Services221718517ProgramServices
Management And General5933950ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total28114308Total
Program Services27327851ProgramServices
Management And General786457ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total39070250Total
Program Services38232248ProgramServices
Management And General838002ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14906667Total
Program Services15801064ProgramServices
Management And General-894397ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1798270Total
Management And General1798270ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total27632Total
Management And General27632ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2205687Total
Program Services2205687ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total102354137Total
Program Services69168372ProgramServices
Management And General33185765ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1452463Total
Program Services1427029ProgramServices
Management And General25434ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5580390Total
Program Services5149412ProgramServices
Management And General430978ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1415448Total
Program Services489830ProgramServices
Management And General925618ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7277657Total
Program Services7209103ProgramServices
Management And General68554ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2140378Total
Program Services1985392ProgramServices
Management And General154986ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40855Total
Program Services8499ProgramServices
Management And General32356ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6238683Total
Program Services6238683ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total38649520Total
Program Services30065609ProgramServices
Management And General8583911ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total9028864Total
Program Services142215ProgramServices
Management And General8886649ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES1318376181318366161002
EQUIPMENT RENTAL, MAINT. & MINOR1133300872807854052223
PROVIDER AND INCOME TAXES80885618088561
NUTRITIONAL SUPPLIES AND MEALS4952971493490918062

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3916466Total
Program Services2893930ProgramServices
Management And General1022536ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total668936128Total
Program Services598843175ProgramServices
Management And General70092953ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY21818314BOY
EOY25470201EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY145180603BOY
EOY148286243EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY21127305BOY
EOY22798880EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7575725BOY
EOY7720070EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3744664BOY
EOY3663980EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis839652497LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec498609095LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY362572881BOY
EOY341043402EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY429940286BOY
EOY469944407EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY166700107BOY
EOY183705000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1702734BOY
EOY1579626EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7642037BOY
EOY24690989EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1168004656BOY
EOY1228902798EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY53283176BOY
EOY52449456EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY148457264BOY
EOY168982513EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY215945708BOY
EOY108114327EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY417686148BOY
EOY329546296EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY750318508BOY
EOY899356502EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY750318508BOY
EOY899356502EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1168004656BOY
EOY1228902798EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses41732409ReconcilationRevenueExpenses
Reconciliation Unrealized Invest27485178ReconciliationUnrealizedInvest
Reconcilation Other Changes79820407ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$27,632OtherActivitiesAmount
Total Lobbying Expenditures IIB27632TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationLOBBYING 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.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis24520491OtherCostOrOtherBasis
Book Value24520491BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis392401445OtherCostOrOtherBasis
Depreciation183583387Depreciation
Book Value208818058BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2674819OtherCostOrOtherBasis
Depreciation1582151Depreciation
Book Value1092668BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis398787155OtherCostOrOtherBasis
Depreciation310591457Depreciation
Book Value88195698BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21268587OtherCostOrOtherBasis
Depreciation2852100Depreciation
Book Value18416487BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings341043402TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value0BookValue

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValue
COMMODITIES67431000
DEBT SECURITIES47431000
EQUITIES34853000
MULTI-CATEGORY INVESTMENTS33990000
FieldValueIRS element (for citing)
Total Of Book Value Securities183705000TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
3RD PARTY PAYOR SETTLEMENTS$1,895,587
OTHER CURRENT LIABILITIES$2,016,225
ACCRUED PENSION RESERVE$7,006,974
OTHER PAYABLES$3,224,327
CURRENT PORTION OF LT DEBT$5,800,000
ACCRUED PENSION BENEFIT$47,568,185
RESERVE-POST RETIREE HEALTH INS$30,236,815
SWAP 2005 BONDS$6,830,251
FIN47 ASSET RETIREMENT$3,535,963
FieldValueIRS element (for citing)
Total Of Amounts108114327TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationCENTRAL GEORGIA HEALTH SYSTEMS, INC., MCCG (THE MEDICAL CENTER OF CENTRAL GEORGIA), HSCG, CGSH, AND MEDCEN ARE ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX, PURSUANT TO SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CPI IS A FOREIGN CORPORATION NOT SUBJECT TO THE TAX IN THE UNITED STATES. PET, CGRH AND SHPG ARE ORGANIZED UNDER GEORGIA LAW AND THE INTERNAL REVENUE CODE AS LIMITED LIABILITY COMPANIES ("LLC"). THE MEMBERS OF AN LLC REPORT TAXABLE INCOME OR LOSS ON THEIR CORPORATE OR INDIVIDUAL TAX RETURNS. CGHS'S SHARE OF INCOME FROM PET, CGRH AND SHPG OPERATIONS IS NOT CONSIDERED UNRELATED BUSINESS INCOME ("UBI") AND IS THEREFORE, NOT SUBJECT TO TAX. CGHV AND AMERICAN EAGLE ARE SUBJECT TO INCOME TAX. WITH RESPECT TO ITS FOR-PROFIT SUBSIDIARIES, CGHS ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH THE LIABILITY METHOD UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE RECOGNIZED. CGHS AND 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, 2013. FISCAL YEARS ENDING ON AFTER SEPTEMBER 30, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage1.25FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense35655312TotalCommunityBenefitExpense
Direct Offsetting Revenue500000DirectOffsettingRevenue
Net Community Benefit Expense35155312NetCommunityBenefitExpense
Percent Of Total Expense0.05260PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense118432211TotalCommunityBenefitExpense
Direct Offsetting Revenue111572452DirectOffsettingRevenue
Net Community Benefit Expense6859759NetCommunityBenefitExpense
Percent Of Total Expense0.01030PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense154087523TotalCommunityBenefitExpense
Direct Offsetting Revenue112072452DirectOffsettingRevenue
Net Community Benefit Expense42015071NetCommunityBenefitExpense
Percent Of Total Expense0.06290PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense46329TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense46329NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense14140040TotalCommunityBenefitExpense
Direct Offsetting Revenue11213781DirectOffsettingRevenue
Net Community Benefit Expense2926259NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense14186369TotalCommunityBenefitExpense
Direct Offsetting Revenue11213781DirectOffsettingRevenue
Net Community Benefit Expense2972588NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense168273892TotalCommunityBenefitExpense
Direct Offsetting Revenue123286233DirectOffsettingRevenue
Net Community Benefit Expense44987659NetCommunityBenefitExpense
Percent Of Total Expense0.06740PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$46,611,878BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare166724213AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare169054532CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2330319MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
CENTRAL GEORGIA PET LLC
IMAGING0.66670.3333
CENTRAL GEORGIA HEALTH NETWORK LLC
PHO0.290.71
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE MEDICAL CENTER OF CENTRAL GA INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1777 HEMLOCK STREETAddressLine1
CityMACONCity
StateGAState
ZIP Code31201ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE MEDICAL CENTER OF CENTRAL GA INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent125FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1PINE POINTE HOSPICE & PALLIATIVE CAREBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line16261 PEAKE ROADAddressLine1
CityMACONCity
StateGAState
ZIP Code312108074ZIPCode
FieldValueIRS element (for citing)
Facility TypeHOSPICEFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Costing Methodology used to calculate financial assistanceSchedule H, Part I, Line 7COST TO CHARGE RATIO FROM WORKSHEET 2.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)0
Bad debt expense - methodology used to estimate amountSchedule H, Part III, Line 2DURING 2012, MCCG ADOPTED FASB ASU 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES. IN CONJUNCTION WITH THE ADOPTION, MCCG RECLASSIFIED THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE. ACCORDINGLY, THE PROVISION FOR BAD DEBTS IS INCLUDED AS A COMPONENT OF NET PATIENT SERVICE REVENUE. THE PROVISION FOR BAD DEBTS AND THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE 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.
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4THE 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, 2013 AND 2012.
COST REPORTSCHEDULE H, PART III, LINE 6THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE ORGANIZATION'S MEDICARE COST REPORT FOR THE PERIOD.
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8THE 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.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bONCE 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-OFFAS 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.
Community Served by Needs AssessmentSchedule H, Part V Section B, Line 3(1) THE MEDICAL CENTER OF CENTRAL GA 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 THOROUGHOUT THE REGION. PARTICPANTS INCLUDED 34 KEY INFORMANTS, INCLUDING SOCIAL SERVICE PROVIDERS, PHYSICIANS, BUSINESS LEADERS AND OTHERS. PARTIPANTS 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 WAS CONSULTED TO COMPLEMENT THE ASSESSMENT, INCLUDING CENTERS FOR DISEASE CONTROL AND PREVENTION, GEOLYTICS DEMPGRAPHIC ESTIMATES & PROJECTIONS, NATIONAL CENTER FOR HEALTH STATISTICS, GEORGIA BUREAU OF INVESTIGATION, US CENSUS DATA, US DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE FBI AND THE US DEPARTMENT OF JUSTICE. PROFESSION RESEARCH CONSULTANTS, INC. CONDUCTED THE COMMUNITY NEEDS ASSESSMENT ON BEHALF OF THE ORGANIZATION.;
Other Hospital Facilities included in Needs AssessmentSchedule H, Part V Section B, Line 4(1) THE MEDICAL CENTER OF CENTRAL GA INC - CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC.;
Availability of Needs AssessmentSchedule H, Part V Section B, Line 5c(1) THE MEDICAL CENTER OF CENTRAL GA INC - THE ASSESSMENT WAS PROVIDED TO COMMUNITY LEADERS AND ORGANIZATIONS.;
Needs not addressed in Needs AssessmentSchedule H, Part V Section B, Line 7(1) THE MEDICAL CENTER OF CENTRAL GA INC - THE FOLLOWING HEALTH PRIORITIES WERE NOT ADDRESSED BY THE MEDICAL CENTER OF CENTRAL GEORGIA FOR THE REASONS INDICATED DURING FISCAL YEAR 2013: 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 NOVEMBER 2014.;
Means used to determine amounts billedSchedule H, Part V Section B, Line 20d(1) THE MEDICAL CENTER OF CENTRAL GA INC - THE HOSPITAL FACILITY USED AN ESTIMATE OF THE AVERAGE OF THE THREE LOWEST COMMERCIALLY INSURED RATES.;
OTHER OPERATIONSSCHEDULE H, PART V, SECTION CTHE MEDICAL CENTER OF CENTRAL GEORGIA ALSO OPERATES A HOSPICE.
Needs assessment.Schedule H, Part VI, Line 2A 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 SICNE 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.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3PATIENTS 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.
Community information.Schedule H, Part VI, Line 4THE 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.
Promotion of community healthSchedule H, Part VI, Line 5THE 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.
Affiliated health care systemSchedule H, Part VI, Line 6THE 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.
State filing of community benefit reportSchedule H, Part VI, Line 7GA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1HEALTH SERVICES OF CENTRAL GEORGIA INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1691 CHERRY ST SUITE 400AddressLine1
CityMACONCity
StateGAState
ZIP Code31201ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient582307485EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant16638863AmountOfCashGrant
Purpose Of GrantINTERCOMPANYPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationMCCG REQUIRES ALL ORGANIZATIONS THAT RECEIVE FUNDS TO PRESENT PROOF OF THEIR NON PROFIT STATUS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOSEPH LAVELLE
COO44172401095590283950020461011711086740502631760
DELANOR D DOYLE MD
CMIO/PHYSICIAN37663602500013005109064490390824000
KRISHNA N PATEL MD
PHYSICIAN URGENT CARE443276015088000322680117890502421000
DINESH KUMAR N PATEL
PHYSICIAN URGENT CARE35765201487502016053550117890391687000
A DONALD FAULK JR
CEO (TRANSITION)0728616023209609587002160945501066253021128
KENNETH B BANKS
SECRETARY0300769058142011062802981160150600782715090209
RHONDA S PERRY
CFO041558301076290398958050094004940014280500394451
JUDY C PAULL
VP/CNO2480980399990131305303067250301438000
BETH A GREER
AVP PATIENT CARE SVS2057840320140200630227860151370295784000
DAWN COLE
AVP PATIENT CARE SVS2085330320140176820372370111740306640000
JAMES M CUNNINGHAM
CMO41001809180302574880720008720077522902442650
TOMMY L SANDS JR
CHIEF PROFESSIONAL SVS OFFICER2350050360770206130279980150600334753000
WILLIAM R AVENEL
CIO2564410389250210205423087200311611000
TIMOTHTY M LONGAKER MD
DIR URGENT CARE4680560150880161280383060111740548752000
RANDAL SUGERMAN
PHYSICIAN URGENT CARE3472590150880003139087200374206000
NINFA M SAUNDERS
PRESIDENT/CEO01590870001976001655550757034515900

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF CENTRAL GEORGIA HEATLH SYSTEMS, INC. ENGAGES AN EXECUTIVE CONSULTING FIRM EVERY 2-3 YEARS TO REVIEW AND PROVIDE RECOMMENDATIONS REGARDING TOTAL COMPENSATION AND BENEFITS FOR THE EXECUTIVE LEADERSHIP TEAM. BASE COMPENSATION, INCENTIVE COMPENSATION, AND BENEFITS ARE INCLUDED IN THE REVIEW. THE EXECUTIVE CONSULTANTS REVIEW ORGANIZATION STRUCTURE, INDIVIDUAL JOB DESCRIPTIONS, AND DISCUSS SCOPE OF LEADERSHIP AND SPAN OF CONTROL WITH HR, THE COO, AND THE CEO AS A PART OF THE PROCESS TO DETERMINE PROPER PLACEMENT OF THE PAY GRADE AND LEVEL OF PARTICIPATION IN INCENTIVE AND BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE PERIODICALLY REAFFIRMS THE TOTAL COMPENSATION PHILOSOPHY WHICH 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.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bMCCG 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 HAVE NOT PERFORMED AS ANTICIPATED. DURING 2009 MCCG DETERMINED THAT IT WOULD SUSPEND ALL PREMIUM PAYMENTS AND REEVALUATE 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 $441,235 KEN BANKS $256,213 A PORTION OF THIS ACCRUAL IS A CATCH-UP ACCRUAL DETERMINED FOR SERVICES RENDERED SINCE JANUARY 1, 2010 THAT HAVE NOT BEEN PREVIOUSLY ACCRUED. 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 $29,634 KEN BANKS $17,309 ELBERT MCQUEEN $7,819 IN ADDITION, CGHS ADOPTED A DC SERP PLAN EFFECTIVE OCTOBER 1, 2012 DESIGNED TO ENCOURAGE DESIGNATED EMPLOYEES TO CONTINUE THEIR EMPLOYMENT. DURING THE YEAR THE FOLLOWING BENEFITS ACCRUED UNDER THIS PLAN: NINFA SAUNDERS $164,200
Non-fixed paymentsSchedule J, Part I, Line 7AN AWARD PROGRAM IS ADMINISTERED BY THE CEO. A BUDGET FOR THE PROGRAM IS ESTABLISHED FOR REWARD AND RECOGNITION OF EXECUTIVES AND ORGANIZATIONAL LEADERS WHO GO ABOVE AND BEYOND THE SCOPE OF THEIR RESPONSIBILITIES. FOR EXAMPLE, THEY MAY COMPLETE A PROJECT, LEAD AN ORGANIZATIONAL INITIATIVE, OR EXCEL IN AN AREA THAT REPRESENTS EXCELLENCE UNDER ONE OF OUR ORGANIZATIONAL PILLARS - QUALITY, SERVICE EXCELLENCE, OUR PEOPLE, GROWTH, FINANCIAL PERFORMANCE. NEAR THE END OF THE FISCAL YEAR, NOMINATIONS ARE SOLICITED FROM THE LEADERSHIP TEAM. A PROPOSAL FOR ALLOCATION OF THE AWARD IS DEVELOPED AND PRESENTED TO THE HR COMMITTEE OF THE BOARD FOR REVIEW, DISCUSSION, AND APPROVAL (PRIOR TO DISTRIBUTION).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MACON-BIBB COUNTY HOSPITAL AUTHORITY
A58103485155553RCD52009-09-02344750002003A & 2003B - REFUNDING 2003 ISSUE DATED 7/29/2003falsefalsefalse
MACON-BIBB COUNTY HOSPITAL AUTHORITY
B58103485155553RCN32009-09-24813455012009 - PAID OFF LOANS USED TO REFUND 2005 ISSUE DATED 7/27/2005falsefalsefalse
MACON-BIBB COUNTY HOSPITAL AUTHORITY
C581034851NONENONEN2012-01-31787000002012A, B, C, D - CURRENT REFUNDINGS AND CONSTRUCT & EQUIP NEW FACILITYfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A2100000003447500000000003447500002003truefalsetruetrue
B008134550100013455010008000000002008truefalsetruetrue
C35000000787000000653740118870001984738148700000100337492013truefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsetruefalsetruefalse0.000000.023600.02360falsefalse0falsetrue
Bfalsefalsetruefalsetruefalse0.000000.000000.00000falsefalse0falsetrue
Cfalsefalsetruefalsetruefalse0.000000.000000.00000falsefalse0falsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of HedgeTermOfHedgeTerm Of GICTermOfGIC
Afalsetruetruefalsetruefalsefalsefalsetrue
Bfalsetruetruefalsefalsefalsefalsefalsetrue0.00.0
Cfalsetruefalsetruefalsefalsefalsetrue0.00.0

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse
Cfalse

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
2003B CUSIP#SCHEDULE K, PART I, COLUMN (C)2003B SERIES CUSIP# 55553RCB9
2012D UNSPENT PROCEEDSSCHEDULE K, PART II, LINE 122012D BOND IS A DRAW DOWN LOAN WITH $10,033,749 REMAINING FOR DRAW DOWN AT 9/30/2013.
BOND COUNSEL REVIEWSCHEDULE K, PART III, LINE 3BBOND COUNSEL REVIEWS MANAGEMENT OR SERVICE CONTRACTS DURING DISCOVERY WHEN NEW BOND ISSUES ARE ANTICIPATED.

Schedule L IRS990ScheduleL

Loan Table LoanTable (75 entries)

Loan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
ALFRED D FAULK - SPLIT DOLLAR INS LOAN
X$4,764,0657308957falsetruetrue
ALFRED D FAULK - SPLIT DOLLAR INS LOAN
X$458,584653152falsetruetrue
ALFRED D FAULK - SPLIT DOLLAR INS LOAN
X$115,000143860falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$375,677576358falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$150,000213642falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$230,000328192falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$230,000309811falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$203,992255186falsetruetrue
BARB STICKEL - SPLIT DOLLAR INS LOAN
X$979,4361502637falsetruetrue
BARB STICKEL - SPLIT DOLLAR INS LOAN
X$219,691312901falsetruetrue
BARB STICKEL - SPLIT DOLLAR INS LOAN
X$235,540294651falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$20,00030684falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$25,00035607falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$25,00035674falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$25,00033675falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$21,00026271falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$53,00081311falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$58,00082608falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$58,00082761falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$58,00078126falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$55,00068802falsetruetrue
DEBBIE ORR - SPLIT DOLLAR INS LOAN
X$349,590536338falsetruetrue
DEBBIE ORR - SPLIT DOLLAR INS LOAN
X$143,606204534falsetruetrue
ELBERT MCQUEEN - SPLIT DOLLAR INS LOAN
X$61,00076309falsetruetrue
ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
X$636,204976054falsetruetrue
ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
X$37,47953381falsetruetrue
ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
X$161,243201708falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$110,000168760falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$110,000156672falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$170,000242576falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$170,000228991falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$135,000168879falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$228,829351066falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$82,000116790falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$82,000117007falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$82,000110455falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$48,00060045falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$359,594551683falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$150,000213642falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$150,000214038falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$108,904146693falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$953,7621463246falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$269,000383131falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$269,000383841falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$269,000362344falsetruetrue
MARCIA HUTCHINSON - SPLIT DOLLAR INS LOAN
X$155,000193899falsetruetrue
MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
X$2,941,4234512688falsetruetrue
MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
X$451,034642399falsetruetrue
MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
X$250,000312739falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$232,111356102falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$110,000156672falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$110,000156962falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$110,000148170falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$76,00095073falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00076709falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00071214falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00071346falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00067350falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$49,00061297falsetruetrue
RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
X$2,191,3963362007falsetruetrue
RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
X$222,887317453falsetruetrue
RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
X$184,000230176falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$509,455781598falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$260,000370312falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$260,000370998falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$260,000350220falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$143,000178887falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$30,00046027falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$34,00048426falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$34,00048514falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$34,00045799falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$30,00037529falsetruetrue
VIRGIL COOPER - SPLIT INS LOAN
X$1,012,5361553417falsetruetrue
VIRGIL COOPER - SPLIT INS LOAN
X$358,905448976falsetruetrue
GAAP ADJUSTMENT TO CSV
X-$1,891,558-12257128falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due22798880TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INVESTMENTSFORM 990, PART IV, LINE 14BCENTRAL 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.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6CENTRAL GEORGIA HEALTH SYSTEM, INC. (A RELATED 501(C)(3) ORGANIZATION) IS SOLE MEMBER OF THE MEDICAL CENTER OF CENTRAL GEORGIA, INC.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aCENTRAL GEORGIA HEALTH SYSTEM, INC, (A RELATED 501(C)(3) ORGANIZATIONS APPOINTS CERTAIN MEMBERS OF THE BOARD.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bCERTAIN ACTIONS OF THE BOARD MUST BE APPROVED BY THE BOARD OF CENTRAL GEORGIA HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE 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.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE 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.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bTHE COMPENSATION COMMITTEE OF THE CENTRAL GEORGIA HEALTH SYSTEMS BOARD OF DIRECTORS ENGAGES AN EXECUTIVE CONSULTING FIRM EVERY 2-3 YEARS TO REVIEW AND PROVIDE RECOMMENDATIONS REGARDING TOTAL COMPENSATION AND BENEFITS FOR THE EXECUTIVE LEADERSHIP TEAM, BASE COMPENSATION, INCENTIVE COMPENSATION, AND BENEFITS ARE INCLUDED IN THE REVIEW. THE EXECUTIVE CONSULTANTS REVIEW ORGANIZATION STRUCTURE, INDIVIDUAL JOB DESCRIPTIONS, AND DISCUSS SCOPE OF LEADERSHIP AND SPAN OF CONTROL WITH HR, THE COO, AND THE CEO AS A PART OF THE PROCESS TO DETERMINE PROPER PLACEMENT OF THE PAY GRADE AND LEVEL OF PARTICIPATION IN INCENTIVE AND BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE PERIODICALLY REAFFIRMS THE TOTAL COMPENSATION PHILOSOPHY WHICH TARGETS THE 75TH PERCENTILE OF TOTAL COMPENSATION FOR OUR LEADERSHIP TEAM. THE PEER GROUP USED IS NATIONAL HOSPITALS AND HEALTH SYSTEMS OF SIMILAR SIZE AND SCOPE. KEY EMPLOYEES AND OTHERS OUTSIDE OF THE EXECUTIVE LEADERSHIP TEAM HAVE COMPENSATION SET BY HR GUIDELINES AND/OR MARKET COMPENSATION STUDIES.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19MCCG PROVIDES COPIES OF ITS GOVERNING AND OTHER COMPANY DOCUMENTS UPON REQUEST.
Other ExpensesForm 990, Part IX, Line 11gMAINT CONTRACT SYSTEMS SOFTWARE - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 127564, MANAGEMENT AND GENERAL EXPENSES: 1676787, FUNDRAISING EXPENSES: ; MAINT CONTRACT APPLICATION SOFTWARE - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 179146, MANAGEMENT AND GENERAL EXPENSES: 8464444, FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 12475180, MANAGEMENT AND GENERAL EXPENSES: 3153, FUNDRAISING EXPENSES: ; CONTRACT SVCS-CORPORATE - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 3688764, MANAGEMENT AND GENERAL EXPENSES: 16766736, FUNDRAISING EXPENSES: ; CONTRACT SERVICES - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 24441496, MANAGEMENT AND GENERAL EXPENSES: 2301848, FUNDRAISING EXPENSES: ; CONTRACT PERSONNEL - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 18138267, MANAGEMENT AND GENERAL EXPENSES: 574420, FUNDRAISING EXPENSES: ; CONTRACT LINEN SERV - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 2388822, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; MAINTENANCE AGREEMENT - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 4882867, MANAGEMENT AND GENERAL EXPENSES: 578637, FUNDRAISING EXPENSES: ; OTHER FEES FOR SERVICE - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: 2846266, MANAGEMENT AND GENERAL EXPENSES: 2819740, FUNDRAISING EXPENSES: ;
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9RETIREMENT PLAN ADJUSTMENT - 70156116; POST RETIRMENT ADJUSTMENT - 2429725; CHANGE IN FMV INTEREST RATE SWAP - 5674372; FIN 47 AUDIT ADJUSTMENT - -111383; CSV SERP ADJUSTMENT - 1671575; ROUNDING - 2;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CENTRAL GEORGIA MEDICAL PROPERTIES LLC
777 HEMLOCK STREET MSC 111MACONGA31201PHYSICIAN RELATIONSHIPSGA00MEDICAL CENTER OF CENTRAL GEORGIA
CENTRAL GEORGIA CVI PROPERTIES LLC
777 HEMLOCK ST MSC 111MACONGA31201PHYSICIAN RELATIONSHIPSGA00MEDICAL CENTER OF CENTRAL GEORGIA

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CENTRAL GEORGIA SENIOR HEALTH INC
691 CHERRY STREET SUTIE 400MACONGA31201RETIREMENT COMMUNITYGA501(C)(3)Type IICENTRAL GEORGIA HEALTH SYSTEMS INCfalse
HEALTH SERVICES OF CENTRAL GEORGIA INC
691 CHERRY STREET SUTIE 400MACONGA31201HEALTH SERVICESGA501(C)(3)N/ACENTRAL GEORGIA HEALTH SYSTEMS INCfalse
MEDCEN COMMUNITY HEALTH FOUNDATION INC
858 HIGH STREETMACONGA31201FUNDRAISINGGA501(C)(3)N/ANAfalse
CENTRAL GEORGIA HEALTH SYSTEMS INC
691 CHERRY STREET SUTIE 400MACONGA31201HEALTHCARE SERVICES, PARENT ENTITY/STRATEGIC & FINANCIAL MANAGEMENTGA501(C)(3)Type III - FINAfalse
THE MEDICAL CENTER OF PEACH COUNTY INC
1960 HWY 247BYRONGA31008HOSPITALGA501(C)(3)3CENTRAL GEORGIA HEALTH SYSTEMSfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
SECURE HEALTH PLANS OF GEORGIA LLC
577 MULBERRY STREET SUITE 1000MACONGA31201582306549MANAGED CAREGANAN/A
CENTRAL GEORGIA PET LLC
1650 HARDEMAN AVENUEMACONGA31201371464470MEDICAL IMAGING CENTERGAMEDICAL CENTER OF CENTRAL GEORGIARELATED1081972777173false$0false0.66667

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
CENTRAL GEORGIA HEALTH VENTURES INC
691 CHERRY STREET SUITE 400MACONGA31201582164989MANAGEMENT & HOME CARE SERVICESGANAC CORPORATION
CENTRA PROFESSIONAL INDEMNITY LTD
INSURANCENAC CORPORATIONPO BOX 1363GRAND CAYMANCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CENTRAL GEORGIA PET LLC
S1272000CASH DISTRIBUTION RECEIVED
CENTRAL GEORGIA PET LLC
A57756FMV
CENTRAL GEORGIA PET LLC
Q291895CASH

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierRENT FROM CONTROLLED ENTITYIdentifier
Return ReferencePART V, LINE 1AReturnReference
ExplanationA SPECIFIED PAYMENT OF RENT WAS RECEIVED FROM A CONTROLLED ENTITY (CENTRAL GEORGIA PET, LLC). NONE OF THE INCOME FROM THIS ENTITY CONSTITUTES NET UNRELATED INCOME AS DEFINED IN IRC SECTION 512(B)(13)(B)(I)(I).Explanation

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