MEDICAL CENTER OF CENTRAL GEORGIA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MEDICAL CENTER OF CENTRAL GEORGIA INC (EIN 58-2149128)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201302269349301530
Schema version
2011v1.2
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)
Timestamp2013-08-14T11:00:22-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

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
TitleCFOTitle
Date Signed2013-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameW Edward PhillipsName
PTINP00451499PTIN
Phone4042208494Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts1179420097GrossReceipts
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 Employees5561TotalNbrEmployees
Total Nbr Volunteers271TotalNbrVolunteers
Total Gross UBI7645391TotalGrossUBI
Net Unrelated Business Txbl Income634071NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9684857ContributionsGrantsPriorYear
Contributions Grants Current Year8204196ContributionsGrantsCurrentYear
Program Service Revenue Prior Year658253425ProgramServiceRevenuePriorYear
Program Service Revenue CY689704529ProgramServiceRevenueCY
Investment Income Prior Year31069582InvestmentIncomePriorYear
Investment Income Current Year20651650InvestmentIncomeCurrentYear
Other Revenue Prior Year3078807OtherRevenuePriorYear
Other Revenue Current Year3149639OtherRevenueCurrentYear
Total Revenue Prior Year702086671TotalRevenuePriorYear
Total Revenue Current Year721710014TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20782231GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY30444174GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year291899274SalariesEtcPriorYear
Salaries Etc Current Year306826018SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year336409400OtherExpensePriorYear
Other Expenses Current Year359040239OtherExpensesCurrentYear
Total Expenses Prior Year649090905TotalExpensesPriorYear
Total Expenses Current Year696310431TotalExpensesCurrentYear
Revenues Less Expenses Prior Year52995766RevenuesLessExpensesPriorYear
Revenues Less Expenses CY25399583RevenuesLessExpensesCY
Total Assets BOY1104694416TotalAssetsBOY
Total Assets EOY1168004656TotalAssetsEOY
Total Liabilities BOY378400458TotalLiabilitiesBOY
Total Liabilities EOY417686148TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY726293958NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY750318508NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
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 ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense630326652Expense
Grants30444174Grants
Revenue684228373Revenue
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 Expense630326652TotalProgramServiceExpense
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 With1096540NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees5561NumberOfEmployees
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 CEOtrueCompensationProcessCEO
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
A KENNETH HARPER MD
VICE CHAIRMAN1.00X000
DAN SLAGLE
DIRECTOR1.00X000
DAVID DANZIE
DIRECTOR1.00X000
JOAN WALTON
DIRECTOR1.00X000
KIM JOHNSTON MD
DIRECTOR1.00X000
LEE MURPHEY
DIRECTOR1.00X000
NANCY ANDERSON
CHAIRMAN1.00X000
ROBERTA ANDREWS MD
DIRECTOR1.00X000
TIMOTHY JACKSON
DIRECTOR1.00X000
A DONALD FAULK JR
PRESIDENT/CEO1.000108437558256X
KENNETH B BANKS
SECRETARY1.000416659451456X
RHONDA S PERRY
CFO1.000576260527222X
BETH A GREER
AVP PATIENT CARE SVS50.00265098030025X
DAWN COLE
AVP PATIENT CARE SVS50.00264884048510X
JAMES M CUNNINGHAM
CMO50.00535785025893X
JOSEPH LAVELLE
COO49.0063377112389979828X
JUDY C PAULL
VP/CNO50.0024952809555X
TOMMY L SANDS JR
CHIEF PROFESSIONAL SVS OFFICER50.00300484041360X
WILLIAM R AVENEL
CIO50.00307886013436X
KRISHNA N PATEL MD
PHYSICIAN URGENT CARE50.00358061037044X
MARCIA HUTCHINSON MD
CHIEF ACADEMIC/QUALITY OFFICER50.00344096042278X
RANDAL SUGERMAN
PHYSICIAN URGENT CARE50.00322728011639X
SHEREE H WOLFENDEN
DIR NURSE ANESTH PROGRAM50.00321994015406X
TIMOTHTY M LONGAKER MD
DIR URGENT CARE50.00420526047032X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4324841TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2089683TotalReportableCompFrmRltdOrgs
Total Other Compensation2338940TotalOtherCompensation
Number Individuals GT100 K208NumberIndividualsGT100K
Formers ListedfalseFormersListed
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 SERVICES15496555
ANGELICA TEXTILE SERVICES
PO BOX 535122ATLANTAGA303535122LINEN PROCESSING3057799
GEORGIA MAGNETIC IMAGING
770 PINE STREET SUITE L-15MACONGA31201IMAGING SERVICES2724896
COGENT HEALTHCARE
5410 MARYLAND WAY SUITE 300BRENTWOODTN37027HOSPITALIST SERVICES1937248
KING & SPALDING
PO BOX 116133ATLANTAGA303686133LEGAL SERVICES1798982
FieldValueIRS element (for citing)
Number Of Contractors GT100 K114NumberOfContractorsGT100K
Federated Campaigns76518FederatedCampaigns
Government Grants7042579GovernmentGrants
All Other Contributions1085099AllOtherContributions
Total Contributions8204196TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT CHARGES6215006739754846666700357305449
SUPPORT & SERVICES REVENUE56100086554438315501339942
DOB RENTAL INCOME53112047364114736411
SERVICE CHARGES62199012509731250973
PARKING FEES812930961151$961,151

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column125067TotalRevenueColumn
Related Or Exempt Function Income125067RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue689704529TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10110815TotalRevenueColumn
Exclusion$10,110,815ExclusionAmount

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)
Real2333640Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real285945Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2047695Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2047695TotalRevenueColumn
Related Or Exempt Function Income2047695RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities467208801Securities
Other756172Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities455493343Securities
Other1930795Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities11715458Securities
Other-1174623Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10540835TotalRevenueColumn
Exclusion$10,540,835ExclusionAmount

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
CG PET, LLC62140010732131073036$177
CG HEALTH NETWORK, LLC541900287319655$19,076

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 Revenue1101944TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column721710014TotalRevenueColumn
Related Or Exempt Function Income684228373RelatedOrExemptFunctionIncome
Unrelated Business Revenue7645391UnrelatedBusinessRevenue
Exclusion$21,632,054ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total30444174Total
Program Services30444174ProgramServices

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)
Total3010492Total
Management And General3010492ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total232948625Total
Program Services227128920ProgramServices
Management And General5819705ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total21488247Total
Program Services21197002ProgramServices
Management And General291245ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total32567760Total
Program Services31903941ProgramServices
Management And General663819ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16810894Total
Program Services16282333ProgramServices
Management And General528561ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2774049Total
Management And General2774049ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total110970Total
Management And General110970ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1606615Total
Program Services1606615ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total87982115Total
Program Services58072372ProgramServices
Management And General29909743ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1721659Total
Program Services1400471ProgramServices
Management And General321188ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5882032Total
Program Services5422637ProgramServices
Management And General459395ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1526278Total
Program Services428399ProgramServices
Management And General1097879ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7472773Total
Program Services7416175ProgramServices
Management And General56598ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2488859Total
Program Services2275303ProgramServices
Management And General213556ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total65230Total
Program Services5045ProgramServices
Management And General60185ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6028206Total
Program Services6028206ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total38894274Total
Program Services29779769ProgramServices
Management And General9114505ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8875784Total
Program Services148353ProgramServices
Management And General8727431ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES12574019412567972360471
BAD DEBTS4138636241386362
EQUIP. RENTAL, MAINT & MINOR EQ.927967077316911547979
PROVIDER TAXES78131057813105

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9392064Total
Program Services8176056ProgramServices
Management And General1216008ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total696310431Total
Program Services630326652ProgramServices
Management And General65983779ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY52480469BOY
EOY21818314EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY125194997BOY
EOY145180603EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY18521393BOY
EOY21127305EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6616926BOY
EOY7575725EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3534760BOY
EOY3744664EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis824651317LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec462078436LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY353900037BOY
EOY362572881EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY375027074BOY
EOY429940286EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY157252475BOY
EOY166700107EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2723520BOY
EOY1702734EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9442765BOY
EOY7642037EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1104694416BOY
EOY1168004656EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY53254212BOY
EOY53283176EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY147892469BOY
EOY148457264EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY177253777BOY
EOY215945708EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY378400458BOY
EOY417686148EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY726293958BOY
EOY750318508EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY726293958BOY
EOY750318508EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1104694416BOY
EOY1168004656EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses25399583ReconcilationRevenueExpenses
Reconcilation Other Changes-1375033ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$42,499GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$68,470OtherActivitiesAmount
Total Lobbying Expenditures IIB110969TotalLobbyingExpendituresIIB
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., AMERICAN ACADEMY OF ANESTHESIOLOGIST ASSISTANTS, GEORGIA HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, GEORGIA CHAMBER OF COMMERCE.) ALSO, CONTRACTED INDIVIDUAL TO LOBBY ON THE ORGANIZATIONS BEHALF.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis19915914OtherCostOrOtherBasis
Book Value19915914BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis384560055OtherCostOrOtherBasis
Depreciation169694095Depreciation
Book Value214865960BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5443555OtherCostOrOtherBasis
Depreciation4254126Depreciation
Book Value1189429BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis374919337OtherCostOrOtherBasis
Depreciation286759462Depreciation
Book Value88159875BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis39812456OtherCostOrOtherBasis
Depreciation1370753Depreciation
Book Value38441703BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings362572881TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value0BookValue

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENTS HEDGE FUNDS, MANAGED FUTURES AND OTHER ALTENATIVE INVESTMENTSDescription
Book Value166700107BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities166700107TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (12 entries)

DescriptionDescriptionAmountAmount
OTHER CURRENT LIABILITIES$2,029,516
RESERVE - MEDICAL/DENTAL$5,587,000
POST RETIREE HEALTH INSURANCE RESERVE$2,170,085
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS$7,614,792
OTHER MISC. PAYABLES$3,081,976
CURRENT PORTION OF LONG-TERM DEBT$6,975,000
ACCRUED PENSION BENEFIT LIABILITY$123,656,689
OTHER LONG TERM LIABILITIES$939,052
DUE TO AFFILIATES$15,057,598
FIN 47 ASSET RETIREMENT OBLIGATION$3,792,979
POST RETIREMENT HEALTH INS.$32,536,398
SWAP 2005 BONDS$12,504,623
FieldValueIRS element (for citing)
Total Of Amounts215945708TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationMCCG AND ITS AFFILIATES HAVE EVALUATED THEIR TAX POSITIONS AND HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2012. FISCAL YEARS ENDING ON AND AFTER SEPTEMBER 30, 2009 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX 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 Expense25764790TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense25764790NetCommunityBenefitExpense
Percent Of Total Expense0.03930PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense110495191TotalCommunityBenefitExpense
Direct Offsetting Revenue102636093DirectOffsettingRevenue
Net Community Benefit Expense7859098NetCommunityBenefitExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

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 Expense136259981TotalCommunityBenefitExpense
Direct Offsetting Revenue102636093DirectOffsettingRevenue
Net Community Benefit Expense33623888NetCommunityBenefitExpense
Percent Of Total Expense0.05130PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense175309TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense175309NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense18682083TotalCommunityBenefitExpense
Direct Offsetting Revenue8267440DirectOffsettingRevenue
Net Community Benefit Expense10414643NetCommunityBenefitExpense
Percent Of Total Expense0.01590PercentOfTotalExpense

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 Expense18857392TotalCommunityBenefitExpense
Direct Offsetting Revenue8267440DirectOffsettingRevenue
Net Community Benefit Expense10589952NetCommunityBenefitExpense
Percent Of Total Expense0.01620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense155117373TotalCommunityBenefitExpense
Direct Offsetting Revenue110903533DirectOffsettingRevenue
Net Community Benefit Expense44213840NetCommunityBenefitExpense
Percent Of Total Expense0.06750PercentOfTotalExpense

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 ReportedtrueBadDebtExpenseReported
Bad Debt Expense$41,386,362BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare162986921AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare159943815CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3043106MedicareSurplusOrShortfall

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
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 (13 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)41,386,362
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, 2012 AND 2011.
COST REPORTPART III, LINE 6THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE ORGANIZATION'S MEDICARE COST REPORT FOR THE PERIOD.
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.
Means used to determine amounts billedSchedule H, Part V Section B, Line 19d(1) THE MEDICAL CENTER OF CENTRAL GA INC - HOSPITAL FACILITY USED AN ESTIMATE OF THE AVERAGE OF THE THREE LOWEST COMMERCIALLY INSURED RATES.;
OTHER OPERATIONSPART 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.
State filing of community benefit reportSchedule H, Part VI, Line 7GA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
HEALTH SERVICES OF CENTRAL GEORGIA INC
691 CHERRY ST SUITE 400MACONGA31201582307485501(C) (3)18876872INTERCOMPANY
CENTRAL GEORGIA HEALTH SYSTEMS INC
691 CHERRY STREET SUITE 400MACONGA31201582149127501(C) (3)11567302INTERCOMPANY
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
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 (15 entries)

Base 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
421903123891370580748100968388011440016135991238900
MARCIA HUTCHINSON MD
254045053309036742033764085140386374000
KRISHNA N PATEL MD
2931530170000479080256040114400395105000
SHEREE H WOLFENDEN
308140070001315401497104350337400000
A DONALD FAULK JR
070530802792030998640473590108970114263100
KENNETH B BANKS
02607230757510801850436765014691086811500
RHONDA S PERRY
039272401316260519100522431047910110348200
JUDY C PAULL
239344020000818403252063030259083000
BETH A GREER
1878020393580379380153340146910295123000
DAWN COLE
1806400393580448860376130108970313394000
JAMES M CUNNINGHAM
389914097505048366017379085140561678000
TOMMY L SANDS JR
2182220453960368660266690146910341844000
WILLIAM R AVENEL
21767004990304031304922085140321322000
TIMOTHTY M LONGAKER MD
3649800170000385460361350108970467558000
RANDAL SUGERMAN
26628201700003944603125085140334367000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3MCCG RELIES UPON THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF CENTRAL GEORGIA HEALTH SYSTEMS TO ESTABLISH COMPENSATION. THE COMPENSATION COMMITTEE 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.
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 $486,919 KEN BANKS $411,258 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 PERCENTAGGE 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 $16,901 DON FAULK $21,128 KEN BANKS $ 9,835
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 (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MACON-BIBB COUNTY HOSPITAL AUTHORITY
58103485155553RCD52009-09-02376000002003A & 2003B - REFUNDING 2003 ISSUEfalsefalsefalse
MACON-BIBB COUNTY HOSPITAL AUTHORITY
58103485155553RCN32009-09-24813455012009 - REFUNDING 2005 ISSUEfalsefalsefalse
MACON-BIBB COUNTY HOSPITAL AUTHORITY
5810348512012-01-31153000002012A - CURRENT REFUNDING OF 1997 BONDSfalsefalsefalse
MACON-BIBB COUNTY HOSPITAL AUTHORITY
5810348512012-01-31170000002012B - CURRENT REFUNDING OF 1998 BONDSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount 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
2332500003760000000000003760000002003truefalsetruetrue
008134550100013455010008000000002008truefalsetruetrue
190000001530000000000001530000001997truefalsetruetrue
001700000000000001700000001998truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.00000.02200.0220true
falsefalsefalsefalse0.00000.00000.0000true
falsefalsefalsefalse0.00000.00000.0000true
falsefalsefalsefalse0.00000.00000.0000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsetruefalse0.0false0.0falsefalse
falsefalsefalsefalsefalsefalse
falsetruefalsefalsefalsefalse
falsetruefalsefalsefalsefalse

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MACON-BIBB COUNTY HOSPITAL AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN581034851IssuerEIN
Date Issued2012-01-31DateIssued
Issue Price16400000IssuePrice
Description Of Purpose2012C - CURRENT REFUNDING OF 2003B BONDSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired800000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds16400000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds16400000OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2003YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.0000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.0000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.0000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Term Of Hedge0.0TermOfHedge
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Term Of GIC0.0TermOfGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable (75 entries)

Loan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
ALFRED D FAULK - SPLIT DOLLAR INS LOAN
X$4,764,0656984192falsetruetrue
ALFRED D FAULK - SPLIT DOLLAR INS LOAN
X$458,584624906falsetruetrue
ALFRED D FAULK - SPLIT DOLLAR INS LOAN
X$115,000137560falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$375,677550748falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$150,000204403falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$230,000311940falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$230,000294805falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$203,992244011falsetruetrue
BARB STICKEL - SPLIT DOLLAR INS LOAN
X$979,4361435869falsetruetrue
BARB STICKEL - SPLIT DOLLAR INS LOAN
X$219,691299370falsetruetrue
BARB STICKEL - SPLIT DOLLAR INS LOAN
X$235,540281747falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$20,00029321falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$25,00034067falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$25,00033907falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$25,00032044falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$21,00025120falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$53,00077698falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$58,00079036falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$58,00078663falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$58,00074342falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$55,00065789falsetruetrue
DEBBIE ORR - SPLIT DOLLAR INS LOAN
X$349,590512506falsetruetrue
DEBBIE ORR - SPLIT DOLLAR INS LOAN
X$143,606195689falsetruetrue
ELBERT MCQUEEN - SPLIT DOLLAR INS LOAN
X$61,00072967falsetruetrue
ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
X$636,204932684falsetruetrue
ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
X$37,47951073falsetruetrue
ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
X$161,243192875falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$110,000161262falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$110,000149896falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$170,000230564falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$170,000217900falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$135,000161483falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$228,829335467falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$82,000111739falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$82,000111213falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$82,000105105falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$48,00057416falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$359,594527169falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$150,000204403falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$150,000203439falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$108,904139588falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$953,7621398229falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$269,000366563falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$269,000364833falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$269,000344794falsetruetrue
MARCIA HUTCHINSON - SPLIT DOLLAR INS LOAN
X$155,000185407falsetruetrue
MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
X$2,941,4234312172falsetruetrue
MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
X$451,034614618falsetruetrue
MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
X$250,000299043falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$232,111340279falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$110,000149896falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$110,000149189falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$110,000140993falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$76,00090909falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00073300falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00068135falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00067813falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00064088falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$49,00058612falsetruetrue
RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
X$2,191,3963212620falsetruetrue
RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
X$222,887303724falsetruetrue
RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
X$184,000220096falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$509,455746869falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$260,000354298falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$260,000352626falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$260,000333258falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$143,000171053falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$30,00043982falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$34,00046332falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$34,00046112falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$34,00043580falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$30,00035885falsetruetrue
VIRGIL COOPER - SPLIT INS LOAN
X$1,012,5361484393falsetruetrue
VIRGIL COOPER - SPLIT INS LOAN
X$358,905429314falsetruetrue
GAAP ADJUSTMENT TO CSV
X-$1,891,558-12359686falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due21127305TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
New program servicesForm 990, Part III, Line 2DURING THE FISCAL YEAR, MCCG ENTERED INTO AN INTERIM HOSPITAL MANAGMENT AGREEMENT WITH THE HOSPITAL AUTHORITY OF PEACH COUNTY, A 25 BED CRITICAL ACCESS FACILITY IN NEARBY PEACH COUNTY. THE HOSPTIAL AUTHORITY OF PEACH COUNTY AND CENTRAL GEORGIA HEALTH SYSTEMS HAVE ENTERED AN AGREEMENT TO BUILD A NEW PEACH COUNTY CRITICAL ACCESS HOSPITAL WHICH WILL BE A CONTOLLED MEMBER OF CENTRAL GEORGIA HEALTH SYSTEMS.
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 AUDITED FINANCIAL STATEMENTS (PREPARED BY AN INDEPENDENT ACCOUNTANT). 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 top management officialForm 990, Part VI, Section B, Line 15aTHE 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.
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.
Average number of hours devoted per week to related organizationForm 990, Part VII, Section A, Column BJOSEPH LAVELLE - HEALTH SERVICES OF CENTRAL GEORGIA 1 A. DONALD FAULK, JR. - CENTRAL GEORGIA HEALTH SYSTEMS 47 CENTRAL GEORGIA SENIOR HEALTH 1 MEDCEN COMMUNITY HEALTH FOUNDATION 1 KENNETH B. BANKS - CENTRAL GEORGIA HEALTH SYSTEMS 46 HEALTH SERVICES OF CENTRAL GEORGIA 1 MEDCEN COMMUNITY HEALTH FOUNDATION 1 CENTRAL GEORGIA SENIOR HEALTH 1 RHONDA S. PERRY - CENTRAL GEORGIA HEALTH SYSTEMS 46 HEALTH SERVICES OF CENTRAL GEORGIA 1 MEDCEN COMMUNITY HEALTH FOUNDATION 1 CENTRAL GEORGIA SENIOR HEALTH 1
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -41501503; RETIREMENT PLAN AUDIT ADJUSTMENTS - 36310178; POST RETIREMENT BENEFIT AUDIT ADJUSTMENTS - 7807841; TAX/BOOK PARTNERSHIP DIFFERENCES - -211418; INTEREST RATE SWAP - -1062744; CSV ADJ-SERP - -2605912; FIN 47 ACCRETION - -36472; FIN 47 CHG IN ESTIMATE - -54628; OTHER CHANGE IN FUND BALANCE - -20374; ROUNDING - -1;
INVESTMENTSPART IV, QUESTION 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.

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/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CENTRAL GEORGIA SENIOR HEALTH INC
691 CHERRY STREET SUTIE 400MACONGA31201582345439RETIREMENT COMMUNITYGA501(C)(3)11 - Type IICENTRAL GEORGIA HEALTH SYSTEMS INCfalse
HEALTH SERVICES OF CENTRAL GEORGIA INC
691 CHERRY STREET SUTIE 400MACONGA31201582307485HEALTH SERVICESGA501(C)(3)3CENTRAL GEORGIA HEALTH SYSTEMS INCfalse
MEDCEN COMMUNITY HEALTH FOUNDATION INC
858 HIGH STREETMACONGA31201237363555FUNDRAISINGGA501(C)(3)7NAfalse
CENTRAL GEORGIA HEALTH SYSTEMS INC
691 CHERRY STREET SUTIE 400MACONGA31201582149127HEALTHCARE SERVICES, PARENT ENTITY/STRATEGIC & FINANCIAL MANAGEMENTGA501(C)(3)11 - Type III - FINAfalse
THE MEDICAL CENTER OF PEACH COUNTY INC
1960 HWY 247BYRONGA31008453765471HOSPITALGA501(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 AllocationsDisproportionateAllocationsGeneral 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 CENTERGANARELATED1073213569613falsefalse0.66667

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 RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
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 OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1CENTRAL GEORGIA PET LLCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeRTransactionType
Amount Involved792000AmountInvolved
Method Of Amt DeterminationCASH DISTRIBUTION RECEIVEDMethodOfAmtDetermination

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