MEDICAL CENTER OF CENTRAL GEORGIA INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MEDICAL CENTER OF CENTRAL GEORGIA INC (EIN 58-2149128)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201202289349302390
Schema version
2010v3.2
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)
Timestamp2012-08-15T13:00:27-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

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 Signed2012-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameW Edward PhillipsName
Phone4042208494Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1A DONALD FAULK JRBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1691 CHERRY STREET SUITE 400AddressLine1
CityMACONCity
StateGAState
ZIP Code31201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1184291305GrossReceipts
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 Employees5520TotalNbrEmployees
Total Nbr Volunteers651TotalNbrVolunteers
Total Gross UBI8385673TotalGrossUBI
Net Unrelated Business Txbl Income318959NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year19599629ContributionsGrantsPriorYear
Contributions Grants Current Year9684857ContributionsGrantsCurrentYear
Program Service Revenue Prior Year669571025ProgramServiceRevenuePriorYear
Program Service Revenue CY658253425ProgramServiceRevenueCY
Investment Income Prior Year21508753InvestmentIncomePriorYear
Investment Income Current Year31069582InvestmentIncomeCurrentYear
Other Revenue Prior Year2643498OtherRevenuePriorYear
Other Revenue Current Year3078807OtherRevenueCurrentYear
Total Revenue Prior Year713322905TotalRevenuePriorYear
Total Revenue Current Year702086671TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11421169GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY20782231GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year291922782SalariesEtcPriorYear
Salaries Etc Current Year291899274SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year341723085OtherExpensePriorYear
Other Expenses Current Year336409400OtherExpensesCurrentYear
Total Expenses Prior Year645067036TotalExpensesPriorYear
Total Expenses Current Year649090905TotalExpensesCurrentYear
Revenues Less Expenses Prior Year68255869RevenuesLessExpensesPriorYear
Revenues Less Expenses CY52995766RevenuesLessExpensesCY
Total Assets BOY1092576580TotalAssetsBOY
Total Assets EOY1104694416TotalAssetsEOY
Total Liabilities BOY352736424TotalLiabilitiesBOY
Total Liabilities EOY378400458TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY739840156NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY726293958NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ENHANCE THE HEALTH STATUS OP 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
Expense588036413Expense
Grants20782231Grants
Revenue661317605Revenue
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 Expense588036413TotalProgramServiceExpense
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 StmttrueIndependentAuditFinancialStmt
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 MembertrueBsnssRltnshpThruFamilyMember
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 With1096499NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5520NumberOfEmployees
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

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormerOfficerOfficer
ROBERTA ANDREWS MD
DIRECTOR1X000
A KENNETH HARPER MD
DIRECTOR1X000
CONNIE CATER
DIRECTOR1X000
DAN SLAGLE
DIRECTOR1X000
DAVID DANZIE
DIRECTOR1X000
EMORY JOHNSON MD
DIRECTOR/VICE CHAIR1X000
JOAN WALTON
DIRECTOR1X000
LEE MURPHEY
DIRECTOR1X000
NANCY ANDERSON
DIRECTOR/CHAIRMAN1X000
JOSEPH LAVELLE
COO4057588101131798X
MARCIA HUTCHINSON MD
VICE PRESIDENT403293110201193X
DINESHKUMAR N PATEL MD
PHYSICIAN URGENT CARE40288697036992X
SHEREE H WOLFENDEN
DIR NURSE ANESTH PROGRAM40312967013818X
LOUIS W GOOLSBY
CMO40110148300X
A DONALD FAULK JR
PRESIDENT/CEO10794031261400X
KENNETH B BANKS
SECRETARY10404251411427X
RHONDA S PERRY
CFO105524781681095X
BARBARA STICKEL
SR. VP/CNO40137003608492X
BETH PEARSON
VICE PRESIDENT40239382032382X
DAWN COLE
VICE PRESIDENT402475810296210X
JAMES M CUNNINGHAM
CMO406455580242719X
TOM SANDS JR
VICE PRESIDENT40272998041214X
WILLIAM R AVENEL
CIO40276298014082X
TIMOTHTY LONGAKER MD
DIR URGENT CARE40412020043138X
STEPHANIE A BLESHOY
STAFF ANESTHETIST AAC40289954016900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6362166TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs8897041TotalReportableCompFrmRltdOrgs
Total Other Compensation4232863TotalOtherCompensation
Number Individuals GT100 K224NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THE NEXUS MEDICAL GROUP
840 PINE STREET SUITE 770MACONGA31201ANESTHESIOLOGIST FEES15423813
ANGELICA TEXTILE SERVICES
PO BOX 535122ATLANTAGA303535122LINEN PROCESSING3517090
KING & SPALDING
PO BOX XXX-XX-XXXXATLANTAGA303686133LEGAL SERVICES2580875
GEORGIA MAGNETIC IMAGING
770 PINE STREET SUITE L-15MACONGA31201IMAGING SERVICES2433550
COGENT HEALTHCARE
5410 MARYLAND WAY SUITE 300BRENTWOODTN37027HOSPITALIST SERVICES2137122
FieldValueIRS element (for citing)
Number Of Contractors GT100 K98NumberOfContractorsGT100K
Federated Campaigns67398FederatedCampaigns
Related Organizations1505340RelatedOrganizations
Government Grants7037349GovernmentGrants
All Other Contributions1074770AllOtherContributions
Total Contributions9684857TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT CHARGES6215006465868706385490608037810
SUPPORT & SERVICES REVENUE92625668914703347863
HEALTH AND WELLNESS108000108000
SERVICE CHARGES13866021386602
PARKING FEES909387$909,387

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue658253425TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9762805TotalRevenueColumn
Exclusion$9,762,805ExclusionAmount

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)
Real7385964Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real5245586Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2140378Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2140378TotalRevenueColumn
Related Or Exempt Function Income2140378RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities497677583Securities
Other588242Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities474214541Securities
Other2744507Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities23463042Securities
Other-2156265Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column21306777TotalRevenueColumn
Exclusion$21,306,777ExclusionAmount

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, LLC621400845161844559$602
CG HEALTH NETWORK, LLC5419009326879243$14,025

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 Revenue938429TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column702086671TotalRevenueColumn
Related Or Exempt Function Income652022545RelatedOrExemptFunctionIncome
Unrelated Business Revenue8385673UnrelatedBusinessRevenue
Exclusion$31,993,596ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total20782231Total
Program Services20782231ProgramServices

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)
Total2699429Total
Management And General2699429ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total229306364Total
Program Services224947180ProgramServices
Management And General4359184ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total12192862Total
Program Services12192862ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total31480870Total
Program Services31472449ProgramServices
Management And General8421ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16219749Total
Program Services15738361ProgramServices
Management And General481388ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3301283Total
Management And General3301283ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total58964Total
Management And General58964ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total152975Total
Management And General152975ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1588313Total
Management And General1588313ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total84164695Total
Program Services55037304ProgramServices
Management And General29127391ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1203670Total
Program Services1196911ProgramServices
Management And General6759ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4850208Total
Program Services4381713ProgramServices
Management And General468495ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total971481Total
Program Services273231ProgramServices
Management And General698250ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6643776Total
Program Services6595745ProgramServices
Management And General48031ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2165229Total
Program Services1989492ProgramServices
Management And General175737ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10557Total
Program Services3359ProgramServices
Management And General7198ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6035511Total
Program Services6035511ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total33897764Total
Program Services27948876ProgramServices
Management And General5948888ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total9896617Total
Program Services227596ProgramServices
Management And General9669021ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES120834577120837037-2460
BAD DEBTS3565846135658461
EQUIPMENT RENTAL & MAINTENANCE864030674005131239793
NUTRITIONAL SUPPLIES5212376518222830148
PROVIDER TAXES76167977616797

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3505840Total
Program Services2518556ProgramServices
Management And General987284ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total649090905Total
Program Services588036413ProgramServices
Management And General61054492ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY50357617BOY
EOY52480469EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY31110000BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY116558893BOY
EOY125194997EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY19565362BOY
EOY18521393EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1049364BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5957987BOY
EOY6616926EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY13904041BOY
EOY3534760EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis784525051LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec430625014LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY347234274BOY
EOY353900037EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY422038000BOY
EOY375027074EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY69001820BOY
EOY157252475EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2819280BOY
EOY2723520EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12979942BOY
EOY9442765EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1092576580BOY
EOY1104694416EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY64363365BOY
EOY53254212EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY156813392BOY
EOY147892469EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY131559667BOY
EOY177253777EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY352736424BOY
EOY378400458EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY739840156BOY
EOY726293958EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY739840156BOY
EOY726293958EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1092576580BOY
EOY1104694416EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses52995766ReconcilationRevenueExpenses
Reconcilation Other Changes-66541964ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
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 ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$90,000GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$30,800DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$43,475OtherActivitiesAmount
Total Lobbying Expenditures IIB164275TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of other lobbying activitiesIdentifier
Return ReferenceSchedule C, Part II-B, Line 1iReturnReference
ExplanationLOBBYING EXPENSES INCLUDE A PORTION OF DUES PAID TO VARIOUS ORGANIZATIONS (I.E., AMERICAN HOSPITAL ASSOCIATION, GEORGIA HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, GEORGIA CHAMBER OF COMMERCE.)Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis19058281OtherCostOrOtherBasis
Book Value19058281BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis377554654OtherCostOrOtherBasis
Depreciation157943784Depreciation
Book Value219610870BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5579794OtherCostOrOtherBasis
Depreciation4307989Depreciation
Book Value1271805BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis357493997OtherCostOrOtherBasis
Depreciation267140419Depreciation
Book Value90353578BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24838325OtherCostOrOtherBasis
Depreciation1232822Depreciation
Book Value23605503BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings353900037TotalOfBookValueLandBuildings

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-STATE STREETDescription
Book Value157252475BookValue
FieldValueIRS element (for citing)
Total Of Book Value Securities157252475TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
OTHER LONG TERM LIABILITIES$11,441,879
ACCRUED PENSION$106,441,806
POST RETIREE HEALTH INSURANCE RESERVE$25,788,476
DUE TO AFFILIATES$9,803,340
ASSET RETIREMENT OBLIGATION$3,715,735
OTHER CURRENT LIABILITES$20,062,541
FieldValueIRS element (for citing)
Total Of Amounts177253777TotalOfAmounts
Total Revenue702086671TotalRevenue
Total Expenses649090905TotalExpenses
Excess Or Deficit For Year52995766ExcessOrDeficitForYear
Net Unrealized GL On Investments-22247390NetUnrealizedGLOnInvestments
Other-$44,294,573OtherAmount
Total Adjustments-66541963TotalAdjustments
Excess Or Deficit Per FS-13546197ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt700311000TotRevenueEtcAuditedFinclStmt
Other Revenues5985836OtherRevenues
Revenue Not Rptd F9905985836RevenueNotRptdF990
Revenue Subtotal694325164RevenueSubtotal
Investment Expenses Not Included1588313InvestmentExpensesNotIncluded
Other Revenues Not Included6173194OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt7761507RevenueNotRptdOnFinStmt
Total Revenue Per Form990702086671TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt631962000TotExpensesEtcAuditedFinclStmt
Other Expenses Included5245586OtherExpensesIncluded
Expenses Not Rptd F9905245586ExpensesNotRptdF990
Expenses Subtotal626716414ExpensesSubtotal
Investment Expenses Not Included21588313InvestmentExpensesNotIncluded2
Other Expenses Not Included20786178OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt22374491ExpensesNotRptdOnFinStmt
Total Expenses Per Form990649090905TotalExpensesPerForm990

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, 2011.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 Expense23331943TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense23331943NetCommunityBenefitExpense
Percent Of Total Expense0.03590PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense110060725TotalCommunityBenefitExpense
Direct Offsetting Revenue98181964DirectOffsettingRevenue
Net Community Benefit Expense11878761NetCommunityBenefitExpense
Percent Of Total Expense0.01830PercentOfTotalExpense

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 Expense133392668TotalCommunityBenefitExpense
Direct Offsetting Revenue98181964DirectOffsettingRevenue
Net Community Benefit Expense35210704NetCommunityBenefitExpense
Percent Of Total Expense0.05420PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense126722TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense126722NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense13848734TotalCommunityBenefitExpense
Direct Offsetting Revenue12567473DirectOffsettingRevenue
Net Community Benefit Expense1281261NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

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 Expense13975456TotalCommunityBenefitExpense
Direct Offsetting Revenue12567473DirectOffsettingRevenue
Net Community Benefit Expense1407983NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense147368124TotalCommunityBenefitExpense
Direct Offsetting Revenue110749437DirectOffsettingRevenue
Net Community Benefit Expense36618687NetCommunityBenefitExpense
Percent Of Total Expense0.05640PercentOfTotalExpense

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$11,038,342BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare223173970AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare245717688CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-22543718MedicareSurplusOrShortfall

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)0
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4THE COSTING METHODOLOGY USED IN DETERMINING THE COST OF BAD DEBT EXPENSE IS THE COST TO CHARGE RATIO CALCULATED PURSUANT TO THE IRS SCHEDULE H WORKSHEET 2 INSTRUCTIONS.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bONCE A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE, IT IS NOTED IN THE PATIENT'S FINANCIAL CHART AND ANY COLLECTION EFFORTS CEASE, 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 CHARITY CARE, THE ACCOUNT IS BROUGHT BACK FROM COLLECTIONS AND THE ACCOUNT WRITTEN OFF.
Needs assessment.Schedule H, Part VI, Line 2WE HAVE NOT YET PERFORMED A COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, MCCG WORKS WITH COMMUNITY HEALTH WORKS (A REGIONAL HEALTH PROMOTION ORGANIZATION) TO HELP IMPROVE HEALTH IN THE CENTRAL GEORGIA REGION, MCCG CURRENTLY PARTICIPATES IN COMMUNITY MEETINGS TO RESEARCH WAYS TO POSITIVELY IMPACT CITIZENS WITH DIABETES AND OBESITY.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3SIGNS ARE POSTED AT ALL ACCESS POINTS INTO THE ORGANIZATION DISCUSSING THE AVAILABILITY OF FINANCIAL ASSISTANCE, 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 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
INPATIENT/SPECIAL SERVICES AND CATASTROPHIC INCOMEPART I, LINE 3CSCALES HAVE THREE DIFFERENT INDIGENT/CHARITY LEVELS: LEVEL 1 - INCOMES LESS THAN 125% OF POVERTY LEVEL LEVEL 2 - INCOMES GREATER THAN OR EQUAL TO 125% OF POVERTY LEVEL, BUT NOT GREATER THAN 200% OF THE POVERTY LEVEL. LEVEL 3 - INCOMES GREATER THAN 200% OF POVERTY LEVEL OR "CATASTROPHIC MEDICAL INDIGENCY" OUTLINDED IN MCCG POLICY 3-207, PARAGRAPH 7.
COST REPORTPART III, LINE 8THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE ORGANIZATION'S MEDICARE COST REPORT FOR THE PERIOD.
OTHER OPERATIONSPART VTHE MEDICAL CENTER OF CENTRAL GEORGIA ALSO OPERATES A HOSPICE.

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 STREET SUITE 400MACONGA31201582307485501(C)(3)16535613INTERCOMPANY
CENTRAL GEORGIA HEALTH SYSTEMS INC
691 CHERRY STREET SUITE 400MACONGA31201582149127501(C)(3)4246618INTERCOMPANY
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)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

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
42984801032730427600112055701124101707679000
MARCIA HUTCHINSON MD
2648410448420196280192831083620530504000
DINESHKUMAR N PATEL MD
267612021085000257510112410325689000
SHEREE H WOLFENDEN
305568000739901323605820326785000
LOUIS W GOOLSBY
00001101483000001101483000
A DONALD FAULK JR
07050460210066070252000507160106840800171200
KENNETH B BANKS
03000470620410421630397030014397081567800
RHONDA S PERRY
0413105011121802815501676164049310223357300
BARBARA STICKEL
3878710684200913745021070638501378528000
BETH PEARSON
1955700292710145410179850143970271764000
DAWN COLE
19622803511501623802855260106840543791000
JAMES M CUNNINGHAM
44051608880301162390234357083620888277000
TOM SANDS JR
2242650299700187630268170143970314212000
WILLIAM R AVENEL
254899021126027305720083620290380000
TIMOTHTY LONGAKER MD
392179015748040930324540106840455158000
STEPHANIE A BLESHOY
2899540000025030143970306854000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bEMPLOYER PAYMENT FROM 457(F) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN DON FAULK $6,945,614 BARB STICKEL 834,061 LOUIS GOOLSBY 1,094,133 JAMES CUNNINGHAM 69,766 MCCG HAD A SUPPLEMENTAL EXECUTIVE BENEFIT PROGRAM ("SEBP") FOR CERTAIN EXECUTIVES THAT WAS DESIGNED AS A LOAN REGIME SPLIT DOLLAR LIFE INSURANCE PROGRAM. THIS PROGRAM WAS EXPECTED TO PROVIDE DEATH AND OTHER BENEFITS TO EXECUTIVES AND TO PROVIDE REPAYMENT OF LIFE INSURANCE PREMIUMS TO THE ORGANIZATION. AS A RESULT OF ECONOMIC CONDITIONS, THE LIFE INSURANCE POLICIES DID NOT PERFORM AS ANTICIPATED. DURING 2009 MCCG 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 FOR THE CURRENT (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 60% OF FINAL AVERAGE EARNINGS 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. AN ACTUARIAL CACULATION HAS NOT YET BEEN MADE FOR THESE BENEFITS.
Non-fixed paymentsSchedule J, Part I, Line 7THIS 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 PROPOSED FOR ALLOCATION OF THE AWARD IS DEVELOPED AND PRESENTED TO THE HR COMMITTEE OF THE BOARD FOR REVIEW, DISCUSSION, AND APPROVAL (PRIOR TO DISTRIBUTION). IN ADDITION, A MANAGMENT INCENTIVE PLAN IS OFFERED TO CERTAIN KEY MEMBERS OF MANAGEMENT TO REWARD QUALITY PATIENT CARE AND OPTIMUM UTILIZATION OF FINANCIAL RESOURCES. ELIGIBILITY TO PARTICIPATE IN THE PLAN IS DEPENDENT ON RECOMMENDATIONS BY THE ASSISTANT VICE PRESIDENT OF HUMAN RESOURCES AND THE CEO OF CENTRAL GEORGIA HEALTH SYSTEMS. AN INCENTIVE COMMITTEE SELECTS THE PARTICIPANTS WHO MUST HOLD DIRECTOR OR ASSISTANT VICE PRESIDENT POSITIONS. THESHOLD PERFORMANCE LEVELS FOR THE SYSTEM AND INDIVIDUAL PERFORMANCE GOALS MUST BE MET TO RECEIVE AN INCENTIVE. NET OPERATING MARGIN IS USED AS A CIRCUIT BREAKER TO PREVENT ANY PAYMENTS IF FINANCIAL PERFORMANCE IS BELOW AN ESTABLISHED THRESHOLD IN ORDER TO PROTECT THE FINANCIAL INTEGRITY OF THE SYSTEM. FINALLY, AN INCENTIVE OF UP TO $500 IS OFFERED TO OTHER PERMANENT AND PART TIME EMPLOYESS NOT ELIGIBLE FOR THE MANAGEMENT INCENTIVE PLAN (WITH CERTAIN OTHER PARTICIPATION RESTRICTIONS RELATED PRIMARILY TO ACTIVE STATUS, PROBATIONARY STATUS, ETC.).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MACON-BIBB COUNTY HOSPITAL AUTHORITY
58103485155553RCD52009-09-0237600000REFUNDING 2003 ISSUEfalsefalsefalse
MACON-BIBB COUNTY HOSPITAL AUTHORITY
58103485155553RCN32009-09-2481345501REFUNDING 2005 ISSUEfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00376000000037600000000000truefalsetruetrue
00813455010080000000134550100000truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue0.00000.00220.0022true
falsefalsefalsefalsetrue0.00000.00000.0000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 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
falsefalsefalse0.0false0.0falsefalse

Schedule L IRS990ScheduleL

Loan Table LoanTable (75 entries)

Loan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
ALFRED D FAULK - SPLIT DOLLAR INS LOAN
X$4,764,0656673858falsetruetrue
ALFRED D FAULK - SPLIT DOLLAR INS LOAN
X$458,584597882falsetruetrue
ALFRED D FAULK - SPLIT DOLLAR INS LOAN
X$115,000131535falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$375,677526276falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$150,000195563falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$230,000296492falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$230,000280526falsetruetrue
ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
X$203,992233324falsetruetrue
BARB STICKEL - SPLIT DOLLAR INS LOAN
X$979,4361372068falsetruetrue
BARB STICKEL - SPLIT DOLLAR INS LOAN
X$219,691286423falsetruetrue
BARB STICKEL - SPLIT DOLLAR INS LOAN
X$235,540269409falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$20,00028018falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$25,00032594falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$25,00032228falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$25,00030492falsetruetrue
BETH PEARSON - SPLIT DOLLAR INS LOAN
X$21,00024020falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$53,00074246falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$58,00075618falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$58,00074767falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$58,00070741falsetruetrue
DAWN COLE - SPLIT DOLLAR INS LOAN
X$55,00062908falsetruetrue
DEBBIE ORR - SPLIT DOLLAR INS LOAN
X$349,590489734falsetruetrue
DEBBIE ORR - SPLIT DOLLAR INS LOAN
X$143,606187227falsetruetrue
ELBERT MCQUEEN - SPLIT DOLLAR INS LOAN
X$61,00069772falsetruetrue
ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
X$636,204891241falsetruetrue
ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
X$37,47948864falsetruetrue
ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
X$161,243184428falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$110,000154096falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$110,000143414falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$170,000219146falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$170,000207346falsetruetrue
JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
X$135,000154411falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$228,829320561falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$82,000106907falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$82,000105706falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$82,000100014falsetruetrue
KEN BANKS - SPLIT DOLLAR INS LOAN
X$48,00054901falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$359,594503745falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$150,000195563falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$150,000193364falsetruetrue
LARRY PARKS - SPLIT INS LOAN
X$108,904132827falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$953,7621336100falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$269,000350711falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$269,000346767falsetruetrue
LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
X$269,000328094falsetruetrue
MARCIA HUTCHINSON - SPLIT DOLLAR INS LOAN
X$155,000177287falsetruetrue
MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
X$2,941,4234120565falsetruetrue
MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
X$451,034588039falsetruetrue
MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
X$250,000285947falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$232,111325159falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$110,000143414falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$110,000141801falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$110,000134164falsetruetrue
MICHAEL VADEN - SPLIT DOLLAR INS LOAN
X$76,00086928falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00070043falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00065188falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00064455falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$50,00060984falsetruetrue
PATRICIA D'ERRICO - SPLIT INS LOAN
X$49,00056045falsetruetrue
RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
X$2,191,3963069871falsetruetrue
RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
X$222,887290590falsetruetrue
RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
X$184,000210457falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$509,455713683falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$260,000338976falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$260,000335164falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$260,000317116falsetruetrue
RHONDA PERRY - SPLIT DOLLAR INS LOAN
X$143,000163562falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$30,00042027falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$34,00044328falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$34,00043828falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$34,00041470falsetruetrue
TOM SANDS JR - SPLIT DOLLAR INS LOAN
X$30,00034314falsetruetrue
VIRGIL COOPER - SPLIT INS LOAN
X$1,012,5361418436falsetruetrue
VIRGIL COOPER - SPLIT INS LOAN
X$358,905410512falsetruetrue
GAAP ADJUSTMENT TO CSV
X-$1,891,558-13466887falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due18521393TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARGARET SUTHERLANDBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipDAUGHTER OF BOARD MEMBERRelationship
Amount Of Transaction86589AmountOfTransaction
Description Of TransactionMS. SUTHERLAND WORKS FOR THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. AS A NURSE.DescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
New program servicesForm 990, Part III, Line 2DURING THE FISCAL YEAR, MCCG BEGAN A CARDIOVASCULAR PREVENTION AND SCREENING PROGRAM. THIS PROGRAM IS A PORTABLE SCREENING TOOL THAT WILL BE UTILIZED ON SITE AT BUSINESSES, HEALTH FAIRS AND OTHER VENUES TO SCREEN PARTICIPANTS FOR POTENTIAL CARDIOVASCULAR PROBLEMS. THE COSTS TO PARTICIPANTS FOR THIS SCREENING WILL BE $50. THE PARTICIPANTS WILL BE ABLE TO TAKE THE RESULTS OF THE SCREENING TO THEIR INDIVIDUAL PHYSICIAN.
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 11aTHE 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 INDIVIDUAL MUST AMEND THEIR COI DISCLOSURE FORM.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE COMPENSATION COMMITTEE OF THE 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 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.
Public DisclosureForm 990, Part VI, Section C, Line 19MCCG PROVIDES COPIES OF ITS GOVERNING AND OTHER COMPANY DOCUMENTS UPON REQUEST.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -22247390; EQUITY TRANSFERS - 474317; RETIREMENT PLAN AUDIT ADJUSTMENTS - -37234797; INTEREST RATE BOND SWAP - -3012232; POST RETIREMENT BENEFITS AUDIT ADJUSTMENTS - -3180117; FIN 47 ASBESTOS - 740250; SERP AUDIT ADJUSTMENT - CSV - -1043969; ENVIRONMENTAL FIN 47 AUDIT ADJUSTMENT - -100574; TAX IN EXCESS OF BOOK PARTNERSHIP INCOME - -937451; ROUNDING - -1;

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 RELATIONSHIPSGA00NA
CENTRAL GEORGIA CVI PROPERTIES LLC
777 HEMLOCK ST MSC 111MACONGA31201PHYSICIAN RELATIONSHIPSGA00NA

Form990 Schedule R Part II Form990ScheduleRPartII (4 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

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 PartnerGeneralOrManagingPartner
SECURE HEALTH PLANS OF GEORGIA LLC
577 MULBERRY STREET SUITE 1000MACONGA31201582306549MANAGED CAREGANAN/A
CENTRAL GEORGIA PET LLC
1650 HARDEMAN AVENUEMACONGA31201371464470MEDICAL IMAGING CENTERGANARELATED1750049288401falsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
CENTRAL GEORGIA HEALTH VENTURES INC
691 CHERRY STREET SUITE 400MACONGA31201582164989MANAGEMENTGANAC CORPORATION0
CENTRAL GEORGIA HOME CARE SERVICES INC
691 CHERRY STREET SUITE 400MACONGA31201582457422MED. EQUP. SALEGANAC CORPORATION
AMERICAN EAGLE INSURANCE CO RRG
40 MAIN STREET SUITE 500BURLINGTONVT05401161645557RISK MGMT.VTNAC 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 OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
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 OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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 Involved1126000AmountInvolved
Method Of Amt DeterminationCASH DISTRIBUTIONS RECEIVEDMethodOfAmtDetermination

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