2014-08-14T18:00:09-05:00 2013-09-30 580914992 DRAFFIN & TUCKER LLP FIVE CONCOURSE PARKWAY SUITE 1250 ATLANTA GA 30328 990 2012-10-01 582149128 MEDICAL CENTER OF CENTRAL GEORGIA INC MEDI 4786331407 691 CHERRY STREET MACON GA 31201 RHONDA S PERRY 2014-08-14 true W Edward Phillips P00451499 4042208494 2012 2015-11-30 17:44:51Z NINFA M SAUNDERS 691 CHERRY STREET SUITE 400 MACON GA 31201 1050562997 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 5522 300 8351153 0 8204196 11873009 689704529 663775688 20651650 33207515 3149639 1812325 721710014 710668537 30444174 16638863 0 0 306826018 313958657 0 0 0 359040239 338338608 696310431 668936128 25399583 41732409 1168004656 1228902798 417686148 329546296 750318508 899356502 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 598843175 16638863 656241078 THE 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. 598843175 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 false false false false false false true true true true false false true 455 0 true 5522 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 true true false GA X RHONDA S PERRY 4786331452 777 HEMLOCK STREET MACON GA 31201 A KENNETH HARPER MD 1.00 X 0 0 0 DAN SLAGLE 1.00 X 0 0 0 DAVID DANZIE 1.00 X 0 0 0 JOAN WALTON 1.00 X 0 0 0 KIM JOHNSTON MD 1.00 X 0 0 0 LEE MURPHEY 1.00 X 0 0 0 ROBERTA ANDREWS MD 1.00 X 0 0 0 TIMOTHY JACKSON 1.00 2.00 X 0 0 0 WIMBERLY TREADWELL 1.00 X 0 0 0 KENNETH B BANKS 1.00 49.00 X 0 469539 313176 NINFA M SAUNDERS 1.00 49.00 X 0 178847 166312 RHONDA S PERRY 1.00 49.00 X 0 922170 505880 A DONALD FAULK JR 1.00 X 0 1056582 9671 BETH A GREER 50.00 X 257861 0 37923 JAMES M CUNNINGHAM 50.00 X 759309 0 15920 JOSEPH LAVELLE 40.00 X 835233 0 32172 JUDY C PAULL 50.00 X 289410 0 12028 TOMMY L SANDS JR 50.00 X 291695 0 43058 WILLIAM R AVENEL 50.00 X 297468 0 14143 DELANOR D DOYLE MD 50.00 X 379266 0 11558 DINESH KUMAR N PATEL 50.00 X 374543 0 17144 KRISHNA N PATEL MD 50.00 X 458364 0 44057 RANDAL SUGERMAN 50.00 X 362347 0 11859 TIMOTHTY M LONGAKER MD 50.00 X 499272 0 49480 DAWN COLE 50.00 X 258229 0 48411 5062997 2627138 1332792 210 true true false THE NEXUS MEDICAL GROUP 840 PINE STREET SUITE 770 MACON GA 31201 ANESTHESIOLOGIST SERVICES 15961275 ANGELICA TEXTILE SERVICES PO BOX 535122 ATLANTA GA 303535122 LINEN PROCESSING 3035542 GEORGIA MAGNETIC IMAGING 770 PINE STREET SUITE L-15 MACON GA 31201 IMAGING SERVICES 2581705 COGENT HEALTHCARE 5410 MARYLAND WAY SUITE 300 BRENTWOOD TN 37027 HOSPITALIST SERVICES 2336240 SOLIANT HEALTH P O BOX 930425 ATLANTA GA 311930425 CONTACT SERVICES-NURSES 1630037 112 80438 3478687 5955431 2358453 11873009 PATIENT CHARGES 621500 643928094 635829553 8098541 SUPPORT & SERVICES REVENUE 561000 12549855 12297243 252612 DOB RENTAL INCOME 531120 4961267 4961267 SERVICE CHARGES 621990 1190875 1190875 PARKING FEES 812930 995782 995782 149815 149815 0 0 663775688 11561270 11561270 0 0 2105889 293564 1812325 0 1812325 1812325 361060946 186195 339351315 249581 21709631 -63386 21646245 21646245 0 0 0 0 0 0 0 0 0 0 0 710668537 656241078 8351153 34203297 16638863 16638863 0 0 0 4214965 4214965 0 227652467 221718517 5933950 28114308 27327851 786457 39070250 38232248 838002 14906667 15801064 -894397 0 1798270 1798270 0 27632 27632 0 2205687 2205687 102354137 69168372 33185765 0 1452463 1427029 25434 5580390 5149412 430978 1415448 489830 925618 0 7277657 7209103 68554 2140378 1985392 154986 0 40855 8499 32356 6238683 6238683 0 38649520 30065609 8583911 9028864 142215 8886649 MEDICAL SUPPLIES 131837618 131836616 1002 EQUIPMENT RENTAL, MAINT. & MINOR 11333008 7280785 4052223 PROVIDER AND INCOME TAXES 8088561 8088561 NUTRITIONAL SUPPLIES AND MEALS 4952971 4934909 18062 3916466 2893930 1022536 0 668936128 598843175 70092953 0 0 21818314 25470201 145180603 148286243 21127305 22798880 0 7575725 7720070 3744664 3663980 839652497 498609095 362572881 341043402 429940286 469944407 166700107 183705000 1702734 1579626 7642037 24690989 1168004656 1228902798 53283176 52449456 148457264 168982513 0 215945708 108114327 417686148 329546296 X 750318508 899356502 750318508 899356502 1168004656 1228902798 X 41732409 27485178 79820407 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 27632 27632 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 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. 24520491 24520491 392401445 183583387 208818058 2674819 1582151 1092668 398787155 310591457 88195698 21268587 2852100 18416487 341043402 0 0 COMMODITIES 67431000 DEBT SECURITIES 47431000 EQUITIES 34853000 MULTI-CATEGORY INVESTMENTS 33990000 183705000 0 3RD PARTY PAYOR SETTLEMENTS 1895587 OTHER CURRENT LIABILITIES 2016225 ACCRUED PENSION RESERVE 7006974 OTHER PAYABLES 3224327 CURRENT PORTION OF LT DEBT 5800000 ACCRUED PENSION BENEFIT 47568185 RESERVE-POST RETIREE HEALTH INS 30236815 SWAP 2005 BONDS 6830251 FIN47 ASSET RETIREMENT 3535963 108114327 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 CENTRAL 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. true true X true X 1.25 true X true true true false true true 35655312 500000 35155312 0.05260 118432211 111572452 6859759 0.01030 0 0 0 0.00000 0 0 154087523 112072452 42015071 0.06290 46329 0 46329 0.00010 14140040 11213781 2926259 0.00440 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 14186369 11213781 2972588 0.00450 0 0 168273892 123286233 44987659 0.06740 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 46611878 0 166724213 169054532 -2330319 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

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 X X X X X X X X X X false false true true 125 true 200 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 1 PINE POINTE HOSPICE & PALLIATIVE CARE

6261 PEAKE ROAD MACON GA 312108074

HOSPICE Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 COST TO CHARGE RATIO FROM WORKSHEET 2. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 0 Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 DURING 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 footnote Schedule H, Part III, Line 4 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, 2013 AND 2012. COST REPORT SCHEDULE H, PART III, LINE 6 THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE ORGANIZATION'S MEDICARE COST REPORT FOR THE PERIOD. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 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. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b 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-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 Assessment Schedule 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 Assessment Schedule H, Part V Section B, Line 4 (1) THE MEDICAL CENTER OF CENTRAL GA INC - CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC.; Availability of Needs Assessment Schedule 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 Assessment Schedule 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 billed Schedule 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 OPERATIONS SCHEDULE H, PART V, SECTION C THE MEDICAL CENTER OF CENTRAL GEORGIA ALSO OPERATES A HOSPICE. Needs assessment. Schedule H, Part VI, Line 2 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 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 3 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. Community information. Schedule H, Part VI, Line 4 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. Promotion of community health Schedule H, Part VI, Line 5 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. Affiliated health care system Schedule H, Part VI, Line 6 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. State filing of community benefit report Schedule H, Part VI, Line 7 GA true HEALTH SERVICES OF CENTRAL GEORGIA INC 691 CHERRY ST SUITE 400 MACON GA 31201 582307485 501(C)(3) 16638863 INTERCOMPANY 1 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 MCCG REQUIRES ALL ORGANIZATIONS THAT RECEIVE FUNDS TO PRESENT PROOF OF THEIR NON PROFIT STATUS. false true false false false false false true false JOSEPH LAVELLE 441724 0 109559 0 283950 0 20461 0 11711 0 867405 0 263176 0 DELANOR D DOYLE MD 376636 0 2500 0 130 0 5109 0 6449 0 390824 0 0 0 KRISHNA N PATEL MD 443276 0 15088 0 0 0 32268 0 11789 0 502421 0 0 0 DINESH KUMAR N PATEL 357652 0 14875 0 2016 0 5355 0 11789 0 391687 0 0 0 A DONALD FAULK JR 0 728616 0 232096 0 95870 0 216 0 9455 0 1066253 0 21128 KENNETH B BANKS 0 300769 0 58142 0 110628 0 298116 0 15060 0 782715 0 90209 RHONDA S PERRY 0 415583 0 107629 0 398958 0 500940 0 4940 0 1428050 0 394451 JUDY C PAULL 248098 0 39999 0 1313 0 5303 0 6725 0 301438 0 0 0 BETH A GREER 205784 0 32014 0 20063 0 22786 0 15137 0 295784 0 0 0 DAWN COLE 208533 0 32014 0 17682 0 37237 0 11174 0 306640 0 0 0 JAMES M CUNNINGHAM 410018 0 91803 0 257488 0 7200 0 8720 0 775229 0 244265 0 TOMMY L SANDS JR 235005 0 36077 0 20613 0 27998 0 15060 0 334753 0 0 0 WILLIAM R AVENEL 256441 0 38925 0 2102 0 5423 0 8720 0 311611 0 0 0 TIMOTHTY M LONGAKER MD 468056 0 15088 0 16128 0 38306 0 11174 0 548752 0 0 0 RANDAL SUGERMAN 347259 0 15088 0 0 0 3139 0 8720 0 374206 0 0 0 NINFA M SAUNDERS 0 159087 0 0 0 19760 0 165555 0 757 0 345159 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 THE 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 plan Schedule J, Part I, Line 4b 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 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 payments Schedule J, Part I, Line 7 AN 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). 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 2012A, B, C, D - CURRENT REFUNDINGS AND CONSTRUCT & EQUIP NEW FACILITY false false false A 21000000 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 3500000 0 78700000 0 65374 0 118870 0 0 19847381 48700000 10033749 2013 true false false true A false false true false true false 0.00000 0.02360 0.02360 false false 0 false true B false false true false true false 0.00000 0.00000 0.00000 false false 0 false true C false false true false true false 0.00000 0.00000 0.00000 false false 0 false true A false true true false true false false false true B false true true false false false 0.0 false 0.0 false true C false true false true false 0.0 false 0.0 false true A false B false C false 2003B CUSIP# SCHEDULE K, PART I, COLUMN (C) 2003B SERIES CUSIP# 55553RCB9 2012D UNSPENT PROCEEDS SCHEDULE K, PART II, LINE 12 2012D BOND IS A DRAW DOWN LOAN WITH $10,033,749 REMAINING FOR DRAW DOWN AT 9/30/2013. BOND COUNSEL REVIEW SCHEDULE K, PART III, LINE 3B BOND COUNSEL REVIEWS MANAGEMENT OR SERVICE CONTRACTS DURING DISCOVERY WHEN NEW BOND ISSUES ARE ANTICIPATED. ALFRED D FAULK - SPLIT DOLLAR INS LOAN X 4764065 7308957 false true true ALFRED D FAULK - SPLIT DOLLAR INS LOAN X 458584 653152 false true true ALFRED D FAULK - SPLIT DOLLAR INS LOAN X 115000 143860 false true true ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN X 375677 576358 false true true ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN X 150000 213642 false true true ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN X 230000 328192 false true true ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN X 230000 309811 false true true ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN X 203992 255186 false true true BARB STICKEL - SPLIT DOLLAR INS LOAN X 979436 1502637 false true true BARB STICKEL - SPLIT DOLLAR INS LOAN X 219691 312901 false true true BARB STICKEL - SPLIT DOLLAR INS LOAN X 235540 294651 false true true BETH PEARSON - SPLIT DOLLAR INS LOAN X 20000 30684 false true true BETH PEARSON - SPLIT DOLLAR INS LOAN X 25000 35607 false true true BETH PEARSON - SPLIT DOLLAR INS LOAN X 25000 35674 false true true BETH PEARSON - SPLIT DOLLAR INS LOAN X 25000 33675 false true true BETH PEARSON - SPLIT DOLLAR INS LOAN X 21000 26271 false true true DAWN COLE - SPLIT DOLLAR INS LOAN X 53000 81311 false true true DAWN COLE - SPLIT DOLLAR INS LOAN X 58000 82608 false true true DAWN COLE - SPLIT DOLLAR INS LOAN X 58000 82761 false true true DAWN COLE - SPLIT DOLLAR INS LOAN X 58000 78126 false true true DAWN COLE - SPLIT DOLLAR INS LOAN X 55000 68802 false true true DEBBIE ORR - SPLIT DOLLAR INS LOAN X 349590 536338 false true true DEBBIE ORR - SPLIT DOLLAR INS LOAN X 143606 204534 false true true ELBERT MCQUEEN - SPLIT DOLLAR INS LOAN X 61000 76309 false true true ETHEL CULLINAN - SPLIT DOLLAR INS LOAN X 636204 976054 false true true ETHEL CULLINAN - SPLIT DOLLAR INS LOAN X 37479 53381 false true true ETHEL CULLINAN - SPLIT DOLLAR INS LOAN X 161243 201708 false true true JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN X 110000 168760 false true true JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN X 110000 156672 false true true JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN X 170000 242576 false true true JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN X 170000 228991 false true true JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN X 135000 168879 false true true KEN BANKS - SPLIT DOLLAR INS LOAN X 228829 351066 false true true KEN BANKS - SPLIT DOLLAR INS LOAN X 82000 116790 false true true KEN BANKS - SPLIT DOLLAR INS LOAN X 82000 117007 false true true KEN BANKS - SPLIT DOLLAR INS LOAN X 82000 110455 false true true KEN BANKS - SPLIT DOLLAR INS LOAN X 48000 60045 false true true LARRY PARKS - SPLIT INS LOAN X 359594 551683 false true true LARRY PARKS - SPLIT INS LOAN X 150000 213642 false true true LARRY PARKS - SPLIT INS LOAN X 150000 214038 false true true LARRY PARKS - SPLIT INS LOAN X 108904 146693 false true true LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN X 953762 1463246 false true true LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN X 269000 383131 false true true LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN X 269000 383841 false true true LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN X 269000 362344 false true true MARCIA HUTCHINSON - SPLIT DOLLAR INS LOAN X 155000 193899 false true true MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN X 2941423 4512688 false true true MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN X 451034 642399 false true true MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN X 250000 312739 false true true MICHAEL VADEN - SPLIT DOLLAR INS LOAN X 232111 356102 false true true MICHAEL VADEN - SPLIT DOLLAR INS LOAN X 110000 156672 false true true MICHAEL VADEN - SPLIT DOLLAR INS LOAN X 110000 156962 false true true MICHAEL VADEN - SPLIT DOLLAR INS LOAN X 110000 148170 false true true MICHAEL VADEN - SPLIT DOLLAR INS LOAN X 76000 95073 false true true PATRICIA D'ERRICO - SPLIT INS LOAN X 50000 76709 false true true PATRICIA D'ERRICO - SPLIT INS LOAN X 50000 71214 false true true PATRICIA D'ERRICO - SPLIT INS LOAN X 50000 71346 false true true PATRICIA D'ERRICO - SPLIT INS LOAN X 50000 67350 false true true PATRICIA D'ERRICO - SPLIT INS LOAN X 49000 61297 false true true RAYMOND T OLMER - SPLIT DOLLAR INS LOAN X 2191396 3362007 false true true RAYMOND T OLMER - SPLIT DOLLAR INS LOAN X 222887 317453 false true true RAYMOND T OLMER - SPLIT DOLLAR INS LOAN X 184000 230176 false true true RHONDA PERRY - SPLIT DOLLAR INS LOAN X 509455 781598 false true true RHONDA PERRY - SPLIT DOLLAR INS LOAN X 260000 370312 false true true RHONDA PERRY - SPLIT DOLLAR INS LOAN X 260000 370998 false true true RHONDA PERRY - SPLIT DOLLAR INS LOAN X 260000 350220 false true true RHONDA PERRY - SPLIT DOLLAR INS LOAN X 143000 178887 false true true TOM SANDS JR - SPLIT DOLLAR INS LOAN X 30000 46027 false true true TOM SANDS JR - SPLIT DOLLAR INS LOAN X 34000 48426 false true true TOM SANDS JR - SPLIT DOLLAR INS LOAN X 34000 48514 false true true TOM SANDS JR - SPLIT DOLLAR INS LOAN X 34000 45799 false true true TOM SANDS JR - SPLIT DOLLAR INS LOAN X 30000 37529 false true true VIRGIL COOPER - SPLIT INS LOAN X 1012536 1553417 false true true VIRGIL COOPER - SPLIT INS LOAN X 358905 448976 false true true GAAP ADJUSTMENT TO CSV X -1891558 -12257128 false true true 22798880 INVESTMENTS FORM 990, PART IV, LINE 14B 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. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 CENTRAL 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 body Form 990, Part VI, Section A, Line 7a CENTRAL GEORGIA HEALTH SYSTEM, INC, (A RELATED 501(C)(3) ORGANIZATIONS APPOINTS CERTAIN MEMBERS OF THE BOARD. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b CERTAIN 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 body Form 990, Part VI, Section B, Line 11b 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. Conflict of interest policy Form 990, Part VI, Section B, Line 12c 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. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE 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 public Form 990, Part VI, Section C, Line 19 MCCG PROVIDES COPIES OF ITS GOVERNING AND OTHER COMPANY DOCUMENTS UPON REQUEST. Other Expenses Form 990, Part IX, Line 11g MAINT 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 balances Form 990 , Part XI, Line 9 RETIREMENT 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; 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 RETIREMENT COMMUNITY GA 501(C)(3) Type II CENTRAL GEORGIA HEALTH SYSTEMS INC false HEALTH SERVICES OF CENTRAL GEORGIA INC 691 CHERRY STREET SUTIE 400 MACON GA 31201 HEALTH SERVICES GA 501(C)(3) N/A CENTRAL GEORGIA HEALTH SYSTEMS INC false MEDCEN COMMUNITY HEALTH FOUNDATION INC 858 HIGH STREET MACON GA 31201 FUNDRAISING GA 501(C)(3) N/A NA false CENTRAL GEORGIA HEALTH SYSTEMS INC 691 CHERRY STREET SUTIE 400 MACON GA 31201 HEALTHCARE SERVICES, PARENT ENTITY/STRATEGIC & FINANCIAL MANAGEMENT GA 501(C)(3) Type III - FI NA false THE MEDICAL CENTER OF PEACH COUNTY INC 1960 HWY 247 BYRON GA 31008 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 1081972 777173 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 true false false false false false true true false true true true true true true true CENTRAL GEORGIA PET LLC S 1272000 CASH DISTRIBUTION RECEIVED CENTRAL GEORGIA PET LLC A 57756 FMV CENTRAL GEORGIA PET LLC Q 291895 CASH RENT FROM CONTROLLED ENTITY PART V, LINE 1A A 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).