2013-10-02T10:00:22-05:00 2012-09-30 581094351 MCNAIR MCLEMORE MIDDLEBROOKS & CO LLC POST OFFICE BOX ONE MACON GA 312020001 990 2011-10-01 237363555 MEDCEN COMMUNITY HEALTH FOUNDATION INC MEDC 4786337388 691 CHERRY STREET MACON GA 31201 RHONDA S PERRY 2013-10-02 true JERRY A WOLFE P00030810 4787466277 2011 2016-02-24 21:20:13Z X RHONDA S PERRY 691 CHERRY STREET SUITE 400 MACON GA 31201 83968745 false X MEDCENFOUNDATION.ORG X 1973 GA THE MEDCEN COMMUNITY HEALTH FOUNDATION'S MISSION IS TO MAXIMIZE DONOR RESOURCES TO IMPROVE THE HEALTH OF OUR REGION THROUGH COMMUNITY AND HOSPITAL PARTNERSHIPS. SEE PART III, LINE 1. 41 37 7 1261 0 0 3821736 3418903 0 0 4049396 3428591 -268046 -296838 7603086 6550656 1723702 1810778 0 0 691391 805223 0 0 16832 660444 796250 3075537 3412251 4527549 3138405 60934658 71469939 158510 249589 60776148 71220350 THE MEDCEN COMMUNITY HEALTH FOUNDATION'S MISSION IS TO MAXIMIZE DONOR RESOURCES TO IMPROVE THE HEALTH OF OUR REGION THROUGH COMMUNITY AND HOSPITAL PARTNERSHIPS. THE FOUNDATION PRIMARILY SUPPORTS THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. (MCCG), IN WHICH CONTRIBUTIONS ARE USED FOR CHARITABLE, MEDICAL, EDUCATIONAL AND SCIENTIFIC PURPOSES. false false 1810778 1810778 2251867 PROGRAM GRANTS WERE PRINCIPALLY TO SUPPORT THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. (MCCG), IN WHICH FUNDS ARE USED FOR CHARITABLE, MEDICAL, EDUCATIONAL AND SCIENTIFIC PURPOSES. 1810778 true true false false false false false false false true false false false false false true true false false true false false false true false false true false true false false false false false false false false true false false false false true false false false false true 1 0 true 7 true false true CJ false false false false false false false false X 41 37 false false false false true true true true true false false true true true true true true true true false GA X X MEDCEN COMMUNITY HEALTH FOUNDATION INC 4786337388 691 CHERRY STREET SUITE 400 MACON GA 31201 X CAL HAYS 1.00 X X 0 0 0 ETHEL A CULLINAN 40.00 X X 321313 0 13267 KENNETH BANKS 1.00 X X 0 416659 451456 RHONDA PERRY 1.00 X X 0 576260 527222 SCOTT SEIGEL 1.00 X X 0 0 0 A DONALD FAULK JR 1.00 X 0 1084375 58256 C WARREN SELBY JR 1.00 X 0 0 0 CHRIS R SHERIDAN 1.00 X 0 0 0 CHRISTOPHER R GREENE 1.00 X 0 0 0 CYNDEE BUSBEE 1.00 X 0 0 0 DAN SPEIGHT 1.00 X 0 0 0 DANNY GIBSON 1.00 X 0 0 0 DAVID ROZIER 1.00 X 0 0 0 DENNIS W ASHLEY MD 1.00 X 0 0 0 DOTTIE HOUSER 1.00 X 0 0 0 DUKE GROOVER 1.00 X 0 0 0 EMORY JOHNSON MD 1.00 X 0 0 0 FREDDY GATON MD 1.00 X 0 0 0 GENE BATTLES MD 1.00 X 0 0 0 HARRIETTE CARTER 1.00 X 0 0 0 HELEN RHEA STUMBO 1.00 X 0 0 0 JAMES MANLEY 1.00 X 0 0 0 JEFF RUTLEDGE 1.00 X 0 0 0 JEFF THOMPSON 1.00 X 0 0 0 KAREN SMITH 1.00 X 0 0 0 KENNETH CLARK 1.00 X 0 0 0 KENNETH M SAITOW 1.00 X 0 0 0 KENT BALDSCHUN 1.00 X 0 0 0 LINDA CLAY 1.00 X 0 0 0 NINFA M SAUNDERS 1.00 X 0 0 0 PAM WHITE-COLBERT 1.00 X 0 0 0 PATSY BASS 1.00 X 0 0 0 R EARL SMITH 1.00 X 0 0 0 RICK BONFIM 1.00 X 0 0 0 ROBERT C BETZEL 1.00 X 0 0 0 SUE SANDA 1.00 X 0 0 0 THOMAS E GIBBONS 1.00 X 0 0 0 THOMAS J WICKER 1.00 X 0 0 0 TIMOTHY E ANDREWS 1.00 X 0 0 0 WILLIAM W BAXLEY III 1.00 X 0 0 0 WITT GAITHER 1.00 X 0 0 0 321313 2077294 1050201 1 false true false 0 735535 1167036 1516332 88518 3418903 0 0 0 0 0 1508877 1508877 0 0 0 0 0 79040965 77121251 1919714 0 1919714 1919714 735535 296838 -296838 -296838 0 0 0 0 0 0 0 6550656 0 0 3131753 X 1810778 1810778 0 0 0 405533 405533 0 263137 263137 39072 39072 46652 46652 50829 50829 0 0 22500 22500 0 0 301984 301984 0 0 83934 83934 0 0 104499 104499 0 0 53603 53412 191 0 0 0 0 PRINTING AND PUBLICATIONS 49325 48470 855 POSTAGE AND SHIPPING 12665 12665 MISCELLANEOUS ADMINISTRATIVE 167740 151954 15786 0 0 0 0 3412251 1810778 1584641 16832 0 283352 94055 1254344 1062380 125165 109645 233500 0 233500 233500 58945120 69878139 0 0 0 0 93177 92220 60934658 71469939 106510 208239 52000 41350 0 0 158510 249589 X 6375758 7254252 54400390 63966098 60776148 71220350 60934658 71469939 X 3138405 7305797 X false true true X false X 2917826 2069091 3170103 2439430 2443831 13040281 0 0 2917826 2069091 3170103 2439430 2443831 13040281 13040281 1130069 962066 1140423 1109625 1508877 5851060 0 0 18891341 0 0.69020 0.72100 X OTHER INCOME, SCHEDULE A, PART II, LINE 10, DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 0;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 233500 233500 0 0 0 0 233500 0 0 6550656 3412251 3138405 7305797 0 7305797 10444202 13851307 7305797 0 7305797 6545510 301984 -296838 5146 6550656 3407105 296838 296838 3110267 301984 0 301984 3412251 Other revenues in form 990 not in audited financial statements Schedule D, Part XII, Line 4b FUNDRAISING EXPENSES - -296838; Other expenses in audited financial statements not in form 990 Schedule D, Part XIII, Line 2d FUNDRAISING EXPENSES - 296838; CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 3207000 3207000 false false true false true false CMN BROADCAST 426012 426012 0 133214 CELEBRITY CLASSIC 248793 248793 0 130638 1 60730 60730 0 32986 735535 735535 0 0 0 0 0 0 296838 296838 -296838 true MEDICAL CENTER OF CENTRAL GEORGIA INC 691 CHERRY STREET SUITE 400 MACON GA 31201 582149128 501(C)(3) 1543559 SUPPORT MCCG MEDICAL CENTER OF PEACH COUNTY INC 1960 HWY 247 CONNECTOR BYRON GA 31008 453765471 501(C)(3) 170000 SUPPORT MEDICAL CENTER OF PEACH COUNTY DAYBREAK CENTER DEPAUL USA 174 WALNUT STREET MACON GA 31201 352338110 501(C)(3) 12000 SUPPORT DAYBREAK CENTER SALVATION ARMY 1955 BROADWAY MACON GA 31201 580660607 501(C)(3) 5500 SUPPORT SALVATION ARMY PROGRAMS 4 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 PROGRAM GRANTS WERE PRINCIPALLY TO SUPPORT THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. (MCCG), IN WHICH FUNDS ARE USED FOR CHARITABLE, MEDICAL, EDUCATIONAL AND SCIENTIFIC PURPOSES. THE USE OF GRANT FUNDS IS APPROVED AND MONITORED BY THE BOARD OF TRUSTEES. false true false false false false false false false ETHEL A CULLINAN 206535 0 61381 0 53397 0 2370 0 10897 0 334580 0 0 0 KENNETH BANKS 0 260723 0 75751 0 80185 0 436765 0 14691 0 868115 0 0 RHONDA PERRY 0 392724 0 131626 0 51910 0 522431 0 4791 0 1103482 0 0 A DONALD FAULK JR 0 705308 0 279203 0 99864 0 47359 0 10897 0 1142631 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 THE COMPENSATION COMMITTEE OF THE CORPORATE BOARD OF DIRECTORS ENGAGES AN EXECUTIVE CONSULTING FIRM EVERY 2 TO 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 HUMAN RESOURCES, THE CHIEF OPERATING OFFICER, AND THE CHIEF EXECUTIVE OFFICER 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 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 $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 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 $16,901 DON FAULK $21,128 KEN BANKS $ 9,835 X 7 88518 MARKET VALUE 0 false true true Explanations of reporting method for number of contributions Schedule M, Part I SECURITIES - PUBLICLY TRADED: NUMBER OF CONTRIBUTIONS Third parties used to solicit, process, or sell noncash contributions Schedule M, Part I, Line 32b CONTRIBUTED SECURITIES ARE PROCESSED AND SOLD BY THIRD PARTY INVESTMENT MANAGERS. Number of contributions or items contributed. Schedule M, part I, column (b), Line 9 NUMBER OF CONTRIBUTIONS ORGANIZATION EMPLOYEES FORM 990, PART I, LINE 5 COMPENSATION FOR FOUNDATION EMPLOYEES WAS PAID BY THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. (MCCG; EIN: 58-2149128), AND W-2S WERE ISSUED BY MCCG AS AGENT FOR THE FOUNDATION. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 CENTRAL GEORGIA HEALTH SYSTEMS, INC., A RELATED 501(C)(3) ORGANIZATION, IS THE FOUNDATION'S SOLE MEMBER. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a BOARD MEMBERS ARE ELECTED BY ACTION OF THE BOARD OF TRUSTEES, UPON APPROVAL OF THE FOUNDATION'S SOLE MEMBER, CENTRAL GEORGIA HEALTH SYSTEMS, INC. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b CERTAIN ORGANIZATIONAL ACTIONS OF THE BOARD OF TRUSTEES ARE SUBJECT TO APPROVAL BY THE FOUNDATION'S SOLE MEMBER, CENTRAL GEORGIA HEALTH SYSTEMS, INC. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES PRIOR TO FILING. Conflict of interest policy Form 990, Part VI, Section B, Line 12c THE CORPORATE DEPARTMENT OF AUDIT AND COMPLIANCE ISSUES CONFLICT OF INTEREST DISCLOSURE FORMS ANNUALLY TO OUR BOARD MEMBERS, ADMINISTRATION AND DIRECTORS. THE DEPARTMENT OF AUDIT AND COMPLIANCE RECEIVES, REVIEWS AND DOCUMENTS ALL POTENTIAL CONFLICTS (PERCEIVED AND REAL). THE RESULTS ARE TAKEN TO THE COMPLIANCE COMMITTEE WHERE THE REAL DISCLOSURES ARE DISCUSSED FOR CORRECTIVE ACTION. THE CORRECTIVE ACTION SUGGESTIONS ARE TAKEN TO THE VARIOUS BOARDS AND ADMINISTRATION FOR IMPLEMENTATION. ANY TIME A CHANGE IN A RELATIONSHIP OR NEW POTENTIAL CONFLICT EVOLVES, THE INDIVIDUAL MUST AMEND THEIR CONFLICT OF INTEREST DISCLOSURE FORM. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE COMPENSATION COMMITTEE OF THE CORPORATE BOARD OF DIRECTORS ENGAGES AN EXECUTIVE CONSULTING FIRM EVERY 2 TO 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 HUMAN RESOURCES, THE CHIEF OPERATING OFFICER, AND THE CHIEF EXECUTIVE OFFICER 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 employees Form 990, Part VI, Section B, Line 15b THE COMPENSATION COMMITTEE OF THE CORPORATE BOARD OF DIRECTORS ENGAGES AN EXECUTIVE CONSULTING FIRM EVERY 2 TO 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 HUMAN RESOURCES, THE CHIEF OPERATING OFFICER, AND THE CHIEF EXECUTIVE OFFICER 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 INFORMATION WILL BE MADE AVAILABLE UPON REQUEST TO THE BOARD OF TRUSTEES. Average number of hours devoted per week to related organization Form 990, Part VII, Section A, Column B KENNETH BANKS - AT LEAST 40 HOURS PER WEEK RHONDA PERRY - AT LEAST 40 HOURS PER WEEK A. DONALD FAULK JR. - AT LEAST 40 HOURS PER WEEK MANAGEMENT AND GENERAL EXPENSES FORM 990, PART IX, COLUMN (C) MANAGEMENT AND GENERAL EXPENSES IN THE AMOUNT OF $1,167,036 WERE PAID BY A RELATED ORGANIZATION (SEE FORM 990, PART VIII, LINE 1D). Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 7305797; AMENDED RETURN SCHEDULE J, PART I THIS RETURN IS BEING AMENDED TO DISCLOSE THE RESPONSES TO SCHEDULE J, PART I, QUESTIONS 3 - 9, AND THE RELATED SUPPLEMENTAL INFORMATION. THIS INFORMATION WAS INADVERTENTLY OMITTED WHEN ORIGINALLY FILED. 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