2012-08-15T13:00:27-05:00 2011-09-30 DRAFFIN & TUCKER LLP FIVE CONCOURSE PARKWAY SUITE 1250 ATLANTA GA 30328 990 2010-10-01 582149128 MEDICAL CENTER OF CENTRAL GEORGIA INC MEDI 4786331407 691 CHERRY STREET MACON GA 31201 RHONDA S PERRY 2012-08-14 true W Edward Phillips 4042208494 2010 2016-02-24 21:20:13Z A DONALD FAULK JR 691 CHERRY STREET SUITE 400 MACON GA 31201 1184291305 false X WWW.MCCG.ORG X 1994 GA THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. (MCCG) IS A NON-PROFIT MEDICAL CENTER WHOSE PRIMARY PURPOSE IS TO PROVIDE HIGH QUALITY HEALTHCARE SERVICE FOR INPATIENT, OUTPATIENT , PHYSICIAN CARE, EMERGENCY SERVICES AND OTHER HEALTH CARE RELATED SERVICES TO MACON/BIBB COUNTY, GEORGIA AND SURROUNDING AREAS. 9 8 5520 651 8385673 318959 19599629 9684857 669571025 658253425 21508753 31069582 2643498 3078807 713322905 702086671 11421169 20782231 0 0 291922782 291899274 0 0 0 341723085 336409400 645067036 649090905 68255869 52995766 1092576580 1104694416 352736424 378400458 739840156 726293958 X TO 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. true false 588036413 20782231 661317605 THE MEDICAL CENTER OF CENTRAL GEORGIA (MCCG) IS AN ACADEMIC MEDICAL CENTER, DESIGNATED LEVEL 1 TRAUMA CENTER AND MAGNET HOSPITAL FOR NURSING AND SERVES THE RESIDENTS OF CENTRAL AND SOUTH GEORGIA WITH A PRIMARY AND SECONDARY SERVICE AREA OF 30 COUNTIES AND A POPULATION OF NEARLY 750,000 PERSONS. MCCG HAS OVER 4,600 EMPLOYEES AND A MEDICAL STAFF OF OVER 590 PHYSICIANS, AS THE SECOND LARGEST HOSPITAL IN GEORGIA, IT IS LICENSED FOR 637 BEDS, INCLUDING MEDICAL-SURGICAL, OBSTETRIC, CARDIAC AND CARDIAC SURGERY. THE EMERGENCY CENTER, WITH THE HELIPAD CAPABILITY AND THREE URGENT CARE CENTERS, TREATS OVER 120,000 VISITORS PER YEAR. MCCG PROVIDES A BROAD RANGE OF COMMUNITY-BASED OUTPATIENT DIAGNOSTIC, PRIMARY CARE, AND COMPREHENSIVE REHABILITATION SERVICES. IT IS THE PRIMARY ACADEMIC HOSPITAL FOR MERCER UNIVERSITY SCHOOL OF MEDICINE, PROVIDING RESIDENCY AND FELLOWSHIP PROGRAMS FOR OVER 100 RESIDENTS AND IS AFFILIATED WITH MULTIPLE UNIVERSITIES AS A CLINICAL EDUCATION SITE. MCCG OPERATES THE DOCTORS OFFICE BUILDING, HOSPICE OF CENTRAL GEORGIA AND CENTRAL GEORGIA HOME CARE SERVICES. 588036413 true true false true false false false false false true true false false true true true true false false false false false false false false true true true false true true false false false false false true false false true false false false false false true true true true false false true 499 0 true 5520 true true true false false false false false false false false false X 9 8 false false false false true true true true true false false true true true true true true true true true false GA X RHONDA S PERRY 4786331452 777 HEMLOCK STREET MACON GA 31201 ROBERTA ANDREWS MD 1 X 0 0 0 A KENNETH HARPER MD 1 X 0 0 0 CONNIE CATER 1 X 0 0 0 DAN SLAGLE 1 X 0 0 0 DAVID DANZIE 1 X 0 0 0 EMORY JOHNSON MD 1 X 0 0 0 JOAN WALTON 1 X 0 0 0 LEE MURPHEY 1 X 0 0 0 NANCY ANDERSON 1 X 0 0 0 JOSEPH LAVELLE 40 X 575881 0 1131798 MARCIA HUTCHINSON MD 40 X 329311 0 201193 DINESHKUMAR N PATEL MD 40 X 288697 0 36992 SHEREE H WOLFENDEN 40 X 312967 0 13818 LOUIS W GOOLSBY 40 X 1101483 0 0 A DONALD FAULK JR 1 X 0 7940312 61400 KENNETH B BANKS 1 X 0 404251 411427 RHONDA S PERRY 1 X 0 552478 1681095 BARBARA STICKEL 40 X 1370036 0 8492 BETH PEARSON 40 X 239382 0 32382 DAWN COLE 40 X 247581 0 296210 JAMES M CUNNINGHAM 40 X 645558 0 242719 TOM SANDS JR 40 X 272998 0 41214 WILLIAM R AVENEL 40 X 276298 0 14082 TIMOTHTY LONGAKER MD 40 X 412020 0 43138 STEPHANIE A BLESHOY 40 X 289954 0 16900 6362166 8897041 4232863 224 true true false THE NEXUS MEDICAL GROUP 840 PINE STREET SUITE 770 MACON GA 31201 ANESTHESIOLOGIST FEES 15423813 ANGELICA TEXTILE SERVICES PO BOX 535122 ATLANTA GA 303535122 LINEN PROCESSING 3517090 KING & SPALDING PO BOX XXX-XX-XXXX ATLANTA GA 303686133 LEGAL SERVICES 2580875 GEORGIA MAGNETIC IMAGING 770 PINE STREET SUITE L-15 MACON GA 31201 IMAGING SERVICES 2433550 COGENT HEALTHCARE 5410 MARYLAND WAY SUITE 300 BRENTWOOD TN 37027 HOSPITALIST SERVICES 2137122 98 67398 1505340 7037349 1074770 9684857 PATIENT CHARGES 621500 646586870 638549060 8037810 SUPPORT & SERVICES REVENUE 9262566 8914703 347863 HEALTH AND WELLNESS 108000 108000 SERVICE CHARGES 1386602 1386602 PARKING FEES 909387 909387 0 0 0 0 658253425 9762805 9762805 0 0 7385964 5245586 2140378 0 2140378 2140378 497677583 588242 474214541 2744507 23463042 -2156265 21306777 21306777 0 0 0 CG PET, LLC 621400 845161 844559 602 CG HEALTH NETWORK, LLC 541900 93268 79243 14025 0 0 0 0 938429 702086671 652022545 8385673 31993596 20782231 20782231 0 0 0 2699429 2699429 0 229306364 224947180 4359184 12192862 12192862 31480870 31472449 8421 16219749 15738361 481388 0 3301283 3301283 58964 58964 152975 152975 0 1588313 1588313 84164695 55037304 29127391 1203670 1196911 6759 4850208 4381713 468495 971481 273231 698250 0 6643776 6595745 48031 2165229 1989492 175737 0 10557 3359 7198 6035511 6035511 0 33897764 27948876 5948888 9896617 227596 9669021 MEDICAL SUPPLIES 120834577 120837037 -2460 BAD DEBTS 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HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, GEORGIA CHAMBER OF COMMERCE.) 19058281 19058281 377554654 157943784 219610870 5579794 4307989 1271805 357493997 267140419 90353578 24838325 1232822 23605503 353900037 0 0 INVESTMENTS-STATE STREET 157252475 157252475 0 OTHER LONG TERM LIABILITIES 11441879 ACCRUED PENSION 106441806 POST RETIREE HEALTH INSURANCE RESERVE 25788476 DUE TO AFFILIATES 9803340 ASSET RETIREMENT OBLIGATION 3715735 OTHER CURRENT LIABILITES 20062541 177253777 702086671 649090905 52995766 -22247390 -44294573 -66541963 -13546197 700311000 5985836 5985836 694325164 1588313 6173194 7761507 702086671 631962000 5245586 5245586 626716414 1588313 20786178 22374491 649090905 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 MCCG 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. true true X true X 1.25 true X true true true false 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777 HEMLOCK STREET MACON GA 31201

X X X X X THE MEDICAL CENTER OF CENTRAL GA INC 1 Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 0 Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 THE 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 assistance Schedule H, Part III, Line 9b ONCE 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 2 WE 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 3 SIGNS 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 4 THE PRIMARY SERVICE AREA IS BIBB CRAWFORD, HOUSTON, JONES MONROE, PEACH AND TWIGGS COUNTIES. THERE ARE TWENTY-ONE COUNTIES IN THE SECONDARY SERVICE AREA. THE CURRENT POPULATION IN THE PRIMARY SERVICE AREA IS 406,725 AND THE SECONDARY SERVICE AREA HAS A POPULATION OF 389,460. MCCG IS THE TERTIARY HOSPITAL FOR THE CENTRAL GEORGIA REGION. Promotion of community health Schedule H, Part VI, Line 5 THE ORGANIZATION IS PART OF 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 report Schedule H, Part VI, Line 7 GA INPATIENT/SPECIAL SERVICES AND CATASTROPHIC INCOME PART I, LINE 3C SCALES 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 REPORT PART III, LINE 8 THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE ORGANIZATION'S MEDICARE COST REPORT FOR THE PERIOD. OTHER OPERATIONS PART V THE MEDICAL CENTER OF CENTRAL GEORGIA ALSO OPERATES A HOSPICE. true HEALTH SERVICES OF CENTRAL GEORGIA INC 691 CHERRY STREET SUITE 400 MACON GA 31201 582307485 501(C)(3) 16535613 INTERCOMPANY CENTRAL GEORGIA HEALTH SYSTEMS INC 691 CHERRY STREET SUITE 400 MACON GA 31201 582149127 501(C)(3) 4246618 INTERCOMPANY 2 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 MCCG REQUIRES ALL ORGANIZATIONS THAT RECEIVE FUNDS TO PRESENT PROOF OF THEIR NON PROFIT STATUS. X X X X X false true false false false false false true false JOSEPH LAVELLE 429848 0 103273 0 42760 0 1120557 0 11241 0 1707679 0 0 0 MARCIA HUTCHINSON MD 264841 0 44842 0 19628 0 192831 0 8362 0 530504 0 0 0 DINESHKUMAR N PATEL MD 267612 0 21085 0 0 0 25751 0 11241 0 325689 0 0 0 SHEREE H WOLFENDEN 305568 0 0 0 7399 0 13236 0 582 0 326785 0 0 0 LOUIS W GOOLSBY 0 0 0 0 1101483 0 0 0 0 0 1101483 0 0 0 A DONALD FAULK JR 0 705046 0 210066 0 7025200 0 50716 0 10684 0 8001712 0 0 KENNETH B BANKS 0 300047 0 62041 0 42163 0 397030 0 14397 0 815678 0 0 RHONDA S PERRY 0 413105 0 111218 0 28155 0 1676164 0 4931 0 2233573 0 0 BARBARA STICKEL 387871 0 68420 0 913745 0 2107 0 6385 0 1378528 0 0 0 BETH PEARSON 195570 0 29271 0 14541 0 17985 0 14397 0 271764 0 0 0 DAWN COLE 196228 0 35115 0 16238 0 285526 0 10684 0 543791 0 0 0 JAMES M CUNNINGHAM 440516 0 88803 0 116239 0 234357 0 8362 0 888277 0 0 0 TOM SANDS JR 224265 0 29970 0 18763 0 26817 0 14397 0 314212 0 0 0 WILLIAM R AVENEL 254899 0 21126 0 273 0 5720 0 8362 0 290380 0 0 0 TIMOTHTY LONGAKER MD 392179 0 15748 0 4093 0 32454 0 10684 0 455158 0 0 0 STEPHANIE A BLESHOY 289954 0 0 0 0 0 2503 0 14397 0 306854 0 0 0 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b EMPLOYER 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 payments Schedule J, Part I, Line 7 THIS 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.). 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SUTHERLAND WORKS FOR THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. AS A NURSE. false New program services Form 990, Part III, Line 2 DURING 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 stockholders Form 990, Part VI, Section A, Line 6 CENTRAL GEORGIA HEALTH SYSTEM, INC. (A RELATED 501(C)(3) ORGANIZATION) IS SOLE MEMBER OF THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a CENTRAL GEORGIA HEALTH SYSTEM, INC, (A RELATED 501(C)(3) ORGANIZATIONS APPOINTS CERTAIN MEMBERS OF THE BOARD. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b CERTAIN ACTIONS OF THE BOARD MUST BE APPROVED BY THE BOARD OF CENTRAL GEORGIA HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11a THE 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 policy Form 990, Part VI, Section B, Line 12c THE DEPARTMENT OF AUDIT AND COMPLIANCE ISSUES COI DISCLOSURE FORMS ANNUALLY TO OUR BOARD MEMBERS, ADMINISTRATION AND DIRECTORS. AUDIT AND COMPLIANCE RECEIVES, REVIEWS AND DOCUMENTS ALL POTENTIAL CONFLICTS (PERCEIVED AND REAL.) THE RESULTS ARE TAKEN TO THE COMPLIANCE COMMITTEE WHERE THE REAL CONFLICTS OF INTEREST ARE DISCUSSED AND A PLAN FOR CORRECTIVE ACTION IS DEVELOPED. THE CORRECTIVE ACTION RECOMMENDATIONS ARE TAKEN TO THE VARIOUS BOARDS AND ADMINISTRATION FOR IMPLEMENTATION. ANY TIME A CHANGE IN A RELATIONSHIP OR NEW POTENTIAL CONFLICT EVOLVES, THE INDIVIDUAL MUST AMEND THEIR COI DISCLOSURE FORM. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE 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 employees Form 990, Part VI, Section B, Line 15b THE 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 Disclosure Form 990, Part VI, Section C, Line 19 MCCG PROVIDES COPIES OF ITS GOVERNING AND OTHER COMPANY DOCUMENTS UPON REQUEST. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET 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; CENTRAL GEORGIA MEDICAL PROPERTIES LLC 777 HEMLOCK STREET MSC 111 MACON GA 31201 PHYSICIAN RELATIONSHIPS GA 0 0 NA CENTRAL GEORGIA CVI PROPERTIES LLC 777 HEMLOCK ST MSC 111 MACON GA 31201 PHYSICIAN RELATIONSHIPS GA 0 0 NA CENTRAL GEORGIA SENIOR HEALTH INC 691 CHERRY STREET SUTIE 400 MACON GA 31201 582345439 RETIREMENT COMMUNITY GA 501(C)(3) 11 - Type II CENTRAL GEORGIA HEALTH SYSTEMS INC false HEALTH SERVICES OF CENTRAL GEORGIA INC 691 CHERRY STREET SUTIE 400 MACON GA 31201 582307485 HEALTH SERVICES GA 501(C)(3) 3 CENTRAL GEORGIA HEALTH SYSTEMS INC false MEDCEN COMMUNITY HEALTH FOUNDATION INC 858 HIGH STREET MACON GA 31201 237363555 FUNDRAISING GA 501(C)(3) 7 NA false CENTRAL GEORGIA HEALTH SYSTEMS INC 691 CHERRY STREET SUTIE 400 MACON GA 31201 582149127 HEALTHCARE SERVICES, PARENT ENTITY/STRATEGIC & FINANCIAL MANAGEMENT GA 501(C)(3) 11 - Type III - FI NA false SECURE HEALTH PLANS OF GEORGIA LLC 577 MULBERRY STREET SUITE 1000 MACON GA 31201 582306549 MANAGED CARE GA NA N/A CENTRAL GEORGIA PET LLC 1650 HARDEMAN AVENUE MACON GA 31201 371464470 MEDICAL IMAGING CENTER GA NA RELATED 1750049 288401 false false CENTRAL GEORGIA HEALTH VENTURES INC 691 CHERRY STREET SUITE 400 MACON GA 31201 582164989 MANAGEMENT GA NA C CORPORATION 0 CENTRAL GEORGIA HOME CARE SERVICES INC 691 CHERRY STREET SUITE 400 MACON GA 31201 582457422 MED. EQUP. SALE GA NA C CORPORATION AMERICAN EAGLE INSURANCE CO RRG 40 MAIN STREET SUITE 500 BURLINGTON VT 05401 161645557 RISK MGMT. VT NA C CORPORATION CENTRA PROFESSIONAL INDEMNITY LTD PO BOX 1363 GRAND CAYMAN CJ INSURANCE CJ NA C CORPORATION false true true true false false false false false false false true true true false false false false CENTRAL GEORGIA PET LLC R 1126000 CASH DISTRIBUTIONS RECEIVED