NAVICENT HEALTH INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- NAVICENT HEALTH INC (EIN 58-2149127)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201242349349300704
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T12:00:13-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | FIVE CONCOURSE PARKWAY SUITE 1250 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30328 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582149127 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL GEORGIA HEALTH SYSTEMS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CENT | NameControl |
| Phone | 4786331407 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 691 CHERRY STREET | AddressLine1 |
| City | MACON | City |
| State | GA | State |
| ZIP Code | 31201 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RHONDA S PERRY | Name |
| Title | CFO | Title |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | W Edward Phillips | Name |
| Phone | 4042208494 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A DONALD FAULK JR | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 691 CHERRY STREET SUITE 400 | AddressLine1 |
| City | MACON | City |
| State | GA | State |
| ZIP Code | 31201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 41099886 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MCCG.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | CENTRAL GEORGIA HEALTH SYSTEMS, INC. IS A NONPROFIT CORPORATION WHOSE PRIMARY PURPOSE IS TO SERVE AS A PARENT CORPORATION PROVIDING STRATEGIC DIRECTION TO THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. AND OTHER AFFILIATES IN SUPPORT OF THEIR MISSION OF PROVIDING A COMPREHENSIVE RANGE OF HIGH-QUALITY, REASONABLY PRICED HEALTH CARE SERVICES TO THE CENTRAL GEORGIA COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 423 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 160315 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 30313999 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 36232984 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5709690 | InvestmentIncomePriorYear |
| Investment Income Current Year | -2396 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -2442689 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4864423 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 33581000 | TotalRevenuePriorYear |
| Total Revenue Current Year | 41095011 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 10500221 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 62400 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23670135 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 27690138 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7848863 | OtherExpensePriorYear |
| Other Expenses Current Year | 10268904 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 42019219 | TotalExpensesPriorYear |
| Total Expenses Current Year | 38021442 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -8438219 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3073569 | RevenuesLessExpensesCY |
| Total Assets BOY | 39722867 | TotalAssetsBOY |
| Total Assets EOY | 42029443 | TotalAssetsEOY |
| Total Liabilities BOY | 1166997 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 854516 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 38555870 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 41174927 | NetAssetsOrFundBalancesEOY |
| Mission Description | CENTRAL GEORGIA HEALTH SYSTEMS, INC. (CGHS) PRIMARY PURPOSE IS TO SERVE AS A CONTROLLING BODY FOR THE MEDICAL CENTER OF CENTRAL GEORGIA, INC., HEALTH SERVICES OF CENTRAL GEORGIA, INC., CENTRAL GEORGIA SENIOR HEALTH, INC. AND MEDCEN COMMUNITY HEALTH FOUNDATION, INC. AND OTHER AFFILIATED ENTITIES IN SUPPORT OF THEIR MISSION TO PROVIDE HEALTHCARE SERVICES IN CENTRAL GEORGIA. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 13985127 | Expense |
| Grants | 62400 | Grants |
| Revenue | 19902726 | Revenue |
| Description | CENTRAL GEORGIA HEALTH SYSTEMS, INC. ("CGHS") PRIMARY PURPOSE IS TO SERVE AS A CONTROLLING BODY FOR THE MEDICAL CENTER OF CENTRAL GEORGIA, INC., HEALTH SERVICES OF CENTRAL GEORGIA, INC., CENTRAL GEORGIA SENIOR HEALTH, INC. AND MEDCEN COMMUNITY HEALTH FOUNDATION, INC. AND OTHER AFFILIATED ENTITIES AND TO PROVIDE STRATEGIC DIRECTION, FINANCIAL MANAGEMENT, RESOURCE ALLOCATION AND OTHER SUPPORT TO ITS AFFILIATES IN THE PROVISION OF HEALTHCARE SERVICES TO THE CENTRAL GEORGIA COMMUNITY. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 12796147 | Expense |
| Revenue | 16397353 | Revenue |
| Description | CENTRAL GEORGIA HEALTH SYSTEMS, INC. OPERATES CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC, THE FIRST REHABILITATION FACILITY ESTABLISHED IN CENTRAL GEORGIA AND ONE OF TWO FREE-STANDING REHABILITATION HOSPITALS IN THE STATE. THE REHABILITATION HOSPITAL PROVIDES COMPREHENSIVE PHYSICAL REHABILITATION SERVICES ON AN INPATIENT AND OUTPATIENT BASIS. IT IS LICENSED FOR 58 BEDS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 26781274 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 423 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHONDA S PERRY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4786331452 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 HEMLOCK STREET | AddressLine1 |
| City | MACON | City |
| State | GA | State |
| ZIP Code | 31201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| KIM W JOHNSTON MD | ||||||||
| DIR/VICE CHAIR | 1 | X | 0 | 0 | 0 | |||
| CONNIE CATER | ||||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |||
| HENRY KOPLIN | ||||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |||
| JAMES TIMOTHY JACKSON | ||||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |||
| JOAN WALTON | ||||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |||
| RUTH KNOX | ||||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |||
| STARR PURDUE | ||||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |||
| A DONALD FAULK JR | ||||||||
| PRESIDENT/CEO | 40 | 7940312 | 0 | 61400 | X | |||
| KENNETH B BANKS | ||||||||
| GEN COUNSEL/SEC | 40 | 404251 | 0 | 411427 | X | |||
| RHONDA S PERRY | ||||||||
| SR. VP/TREASURER | 40 | 552478 | 0 | 1681095 | X | |||
| ELBERT T MCQUEEN | ||||||||
| PRESIDENT/CEO | 40 | 276123 | 0 | 28316 | X | |||
| HARRIS BRYAN FORLINES | ||||||||
| DIR REIMBURSEMENT | 40 | 142180 | 0 | 16035 | X | |||
| KAREN M FARR | ||||||||
| AVP FINANCIAL SERVICES | 40 | 181727 | 0 | 28091 | X | |||
| KATHERINE L BOWEN | ||||||||
| AVP FIN PLANNING BUDGET | 40 | 174749 | 0 | 24432 | X | |||
| TRACY GRAY | ||||||||
| DIR APPLICATION SYSTEMS | 40 | 168350 | 0 | 14771 | X | |||
| LORI W CASSIDY | ||||||||
| AVP HUMAN RESOURCES | 40 | 211734 | 0 | 31224 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 10051904 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2296792 | TotalOtherCompensation |
| Number Individuals GT100 K | 32 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| KING AND SPALDING | |||||
| P O BOX 116133 | ATLANTA | GA | 303686133 | LEGAL SERVICES | 788743 |
| KAUFMAN HALL | |||||
| 5202 OLD ORCHARD RD ST N700 | SKOKIE | IL | 60077 | CONSULTING SERVICES | 240000 |
| MUNDER CAPITAL | |||||
| 480 PIERCE ST | BIRMINGHAM | MI | 48009 | INVESTMENT MANAGEMENT SERVICE | 186076 |
| DIXON HUGHES PLLC | |||||
| P O BOX 3049 | ASHEVILLE | NC | 288023049 | AUDIT SERVICES | 157820 |
| DAVITA | |||||
| 5200 VIRGINIA WAY | BRENTWOOD | TN | 37024 | DIALYSIS SERVICES | 150456 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MEDICARE.MEDICAID REVENUE | 621990 | 15291083 | 15291083 | |
| PATIENT REVENUE | 621990 | 1050666 | 1050666 | |
| REBATE REVENUE | 621990 | 431367 | 431367 | |
| CAFETERIA SALES | 621990 | 37831 | 37831 | |
| SUPPORT REVENUE | 541200 | 19395864 | 19243837 | 152027 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26173 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17885 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8288 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 36232984 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1536 | TotalRevenueColumn |
| Exclusion | $1,536 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 943 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4875 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | -3932 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -3932 | TotalRevenueColumn |
| Exclusion | -$3,932 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PARTNERSHIP INVESTMENTS | Description |
| Total Revenue Column | 4864423 | TotalRevenueColumn |
| Related Or Exempt Function Income | 67095 | RelatedOrExemptFunctionIncome |
| Exclusion | $4,797,328 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4864423 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41095011 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36139764 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 160315 | UnrelatedBusinessRevenue |
| Exclusion | $4,794,932 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62400 | Total |
| Program Services | 62400 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2322548 | Total |
| Management And General | 2322548 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19520303 | Total |
| Program Services | 16512927 | ProgramServices |
| Management And General | 3007376 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 947342 | Total |
| Program Services | 947342 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3265463 | Total |
| Program Services | 2514065 | ProgramServices |
| Management And General | 751398 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1634482 | Total |
| Program Services | 1208242 | ProgramServices |
| Management And General | 426240 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1661914 | Total |
| Management And General | 1661914 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 460177 | Total |
| Management And General | 460177 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 230 | Total |
| Management And General | 230 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 736660 | Total |
| Management And General | 736660 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1955761 | Total |
| Program Services | 1202436 | ProgramServices |
| Management And General | 753325 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103630 | Total |
| Program Services | 103574 | ProgramServices |
| Management And General | 56 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1236353 | Total |
| Program Services | 1192661 | ProgramServices |
| Management And General | 43692 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8521 | Total |
| Program Services | 6425 | ProgramServices |
| Management And General | 2096 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 490238 | Total |
| Program Services | 407544 | ProgramServices |
| Management And General | 82694 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176828 | Total |
| Program Services | 128381 | ProgramServices |
| Management And General | 48447 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 674 | Total |
| Program Services | 215 | ProgramServices |
| Management And General | 459 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90961 | Total |
| Program Services | 77264 | ProgramServices |
| Management And General | 13697 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 791874 | Total |
| Program Services | 206795 | ProgramServices |
| Management And General | 585079 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| EQUIPMENT RENTAL & MAINT | 1791326 | 1778948 | 12378 |
| TAXES & LICENSES | 297070 | 64898 | 232172 |
| BAD DEBTS | 191855 | 191855 | |
| GIFTS/ ENTERTAINMENT & AWARDS | 61905 | 61465 | 440 |
| DUES & SUBSCRIPTIONS | 41064 | 5481 | 35583 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171863 | Total |
| Program Services | 108356 | ProgramServices |
| Management And General | 63507 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38021442 | Total |
| Program Services | 26781274 | ProgramServices |
| Management And General | 11240168 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1030485 | BOY |
| EOY | 3372305 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2031261 | BOY |
| EOY | 2236745 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93934 | BOY |
| EOY | 93770 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 668718 | BOY |
| EOY | 129198 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1933197 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1517307 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 463467 | BOY |
| EOY | 415890 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26362402 | BOY |
| EOY | 26425270 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9072600 | BOY |
| EOY | 9356265 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39722867 | BOY |
| EOY | 42029443 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1166997 | BOY |
| EOY | 854516 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1166997 | BOY |
| EOY | 854516 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38555870 | BOY |
| EOY | 41174927 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38555870 | BOY |
| EOY | 41174927 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39722867 | BOY |
| EOY | 42029443 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3073569 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -454512 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER OF CENTRAL GEORGIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582149128 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
| General Explanation | AMOUNT OF SUPPORT, SCHEDULE A, PART IH(VII), CENTRAL GEORGIA HEALTH SYSTEMS, INC. IS THE FUNCTIONALLY INTERGRATED PARENT ENTITY OF THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. CGHS IS RESPONSIBLE FOR STRATEGIC PLANNING, FINANCIAL MANAGEMENT AND RESOURCE ALLOCATION FOR MCCG AND ITS AFFILIATED ENTITIES., | GeneralExplanation |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $230 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 230 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of other lobbying activities | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1i | ReturnReference |
| Explanation | LOBBYING EXPENSES FOR DUES PAID TO THE GEORGIA CHAMBER OF COMMERCE. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1933197 | OtherCostOrOtherBasis |
| Depreciation | 1517307 | Depreciation |
| Book Value | 415890 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 415890 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENTS IN SUBSIDIARIES | 23318784 | C |
| INVESTMENT IN AMERICAN EAGLE | 1519469 | C |
| INVESTMENT IN SECURE HEALTH PLAN OF CENTRAL GA | 1587017 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 26425270 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| MISCELLANEOUS RECEIVABLE | 155820 |
| THIRD PARTY MEDICARE SETTLEMENT | 385983 |
| DUE FROM AFFILIATES | 8814462 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9356265 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
| Total Revenue | 41095011 | TotalRevenue |
| Total Expenses | 38021442 | TotalExpenses |
| Excess Or Deficit For Year | 3073569 | ExcessOrDeficitForYear |
| Other | -$453,569 | OtherAmount |
| Total Adjustments | -453569 | TotalAdjustments |
| Excess Or Deficit Per FS | 2620000 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 16261000 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 0 | OtherRevenues |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 16261000 | RevenueSubtotal |
| Investment Expenses Not Included | 736660 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 24097351 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 24834011 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 41095011 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 17888000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 17888000 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 736660 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 19396782 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 20133442 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 38021442 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) footnote | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | CGHS 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. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 1.25 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 494147 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 494147 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01300 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 205384 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 205384 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00540 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 699531 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 699531 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01840 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 699531 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 699531 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01840 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $91,745 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 12741260 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10111123 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2630137 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL GA REHABILITATION HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3351 NORTHSIDE DRIVE | AddressLine1 |
| City | MACON | City |
| State | GA | State |
| ZIP Code | 31210 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Other | REHABILITATION | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL GA REHABILITATION HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Community benefit report prepared by related organization | Schedule H, Part I, Line 6a | MEDICAL CENTER OF CENTRAL GEORGIA |
| Bad Debt Expense excluded from financial assistance calculation | Schedule H, Part I, Line 7, column(f) | 0 |
| Costing Methodology used to calculate financial assistance | Schedule H, Part I, Line 7 | COST TO CHARGE RATIO FROM WORKSHEET 2. LOSS ON MEDICAID IS ACTUAL HOSPITAL TAXES PAID FROM GENERAL LEDGER. HOSPITAL NOT ELIGIBLE TO PARTICIPATE IN GEORGIA MEDICAID PROGRAM DUE TO CURRENT RULES RELATED TO REHABILITATION HOSPITAL PARTICIPATION. |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 7 IS THE COST TO CHARGE RATIO CALCULATED PURSUANT TO THE IRS FORM 990 SCHEDULE H WORKSHEET 2 INSTRUCTIONS FOR THE SINGLE MEMBER LIMITED LIABILITY COMPANY THAT OPERATES THE REHAB FACILITY. |
| 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 CONTROLLER OF THE ORGANIZATION REVIEWS THE FINANCIAL ACTIVITY ON OTHER ACCOUNTS TO DETERMINE IF THE ACCOUNT 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 ASSESSMENT. WE DO WORK WITH COMMUNITY HEALTH WORKS (A REGIONAL HEALTH PROMOTION ORGANIZATION) TO IMPROVE THE HEALTH IN THE REGION. |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | PATIENTS ARE INFORMED OF AVAILABLE ASSISTANCE BY THE FOLLOWING METHOD: THE CGRH BUSINESS OFFICE LIAISON OR DESIGNATED PATIENT ACCOUNT REPRESENTATIVE (PAR) WILL INTERVIEW PATIENTS WHO HAVE LITTLE OR NO THIRD PARTY COVERAGE AND WILL REQUEST DOCUMENTS TO SUPPORT THEIR NEED VIA A FINANCIAL DISCLOSURE FORM. THE FINANCIAL DISCLOSURE FORM WILL ASCERTAIN MONTHLY BILLS AND ASSETS IN THE DETERMINATION OF PATIENT ABILITY TO PAY. |
| 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. |
| Promotion of community health | Schedule H, Part VI, Line 5 | THE ORGANIZATION IS PART OF A MULTI ENTITY HOSPITAL SYSTEM THAT PROVIDES MEDICAL SERVICES TO THE COMMUNITY. THE ORGANIZATION HAS A BOARD COMPRISED OF MEMBERS OF THE COMMUNITY. ANY SURPLUS FUNDS ARE USED FOR PROGRAM SERVICES. AN EMERGENCY ROOM OPEN 24/7/365 IS AVAILABLE AT OUR SISTER ORGANIZATION, THE MEDICAL CENTER OF CENTRAL GEORGIA, ONE OF 5 LEVEL 1 TRAUMA CENTER'S IN THE STATE OF GEORGIA. |
| Affiliated health care system | Schedule H, Part VI, Line 6 | PART VI, LINE 7: THE ORGANIZATION IS PART OF CENTRAL GEORGIA HEALTH SYSTEMS, INC., A MULTI-ENTITY HEALTHCARE SYSTEM. OTHER ORGANIZATIONS IN THE SYSTEM INCLUDE: MEDICAL CENTER OF CENTRAL GEORGIA, INC. - A 637 BED HOSPITAL FACILITY THAT IS DESIGNATED AS A LEVEL 1 TRAUMA CENTER AND MAGNET HOSPITAL FOR NURSING. 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) OFFERS 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 |
| FEDERAL POVERTY GUIDELINES | PART I, LINE 3C | TOTAL GROSS INCOME FOR THE PREVIOUS THREE MONTHS WILL BE USED TO DETERMINE ANNUAL INCOME. PATIENT CLASSIFICATIONS WILL BE DETERMINED IN ACCORDANCE WITH THE MCCG SLIDING SCALE FOR INDIGENT/CHARITY PATIENTS. THIS SCALE HAS BEEN ADOPTED BY CGRH AND WAS BASED ON THE MOST RECENTLY PUBLISHED FEDERAL POVERTY GUIDELINES. |
| RELATED ORGANIZATION | PART I, LINE 6A | THE COMMUNITY BENEFIT INFORMATION FOR CENTRAL GEORGIA REHABILIATION HOSPITAL, INC. IS INCLUDED IN THE MEDICAL CENTER OF CENTRAL GEORGIA'S ANNUAL REPORT TO THE COMMUNITY. |
| COST TO CHARGE RATIO | PART I, LINE 7 | THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 7 IS THE COST TO CHARGE RATIO CALCULATED PURSUANT TO THE IRS FORM 990 SCHEDULE H WORKSHEET 2 INSTRUCTIONS. |
| BAD DEBT | PART I, LINE 7F | BAD DEBT EXPENSE IN THE AMOUNT OF $96,427 HAS BEEN REMOVED FROM TOTAL EXPENSE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| PO BOX 4406 | MACON | GA | 31208 | 580659875 | 501(C)(3) | 6400 | TO PROMOTE CANCER AWARENESS |
| EDUCATION FIRST | |||||||
| 577 MULBERRY ST SUITE 1030 | MACON | GA | 31201 | 311815650 | 501(C)(3) | 6000 | CHILDREN EDUCATION AND RECOGNITION |
| SUSAN G KOMEN BREAST CANCER INC | |||||||
| 248 TOM HILL SR BLVD | MACON | GA | 31210 | 752881536 | 501(C)(3) | 10000 | RACE FOR THE CURE- BREAST CANCER AWARENESS |
| COMMUNITY HEALTH WORKS | |||||||
| 300 MULBERRY ST STE 603 | MACON | GA | 31201 | 582624455 | 501 (C)(3) | 40000 | CONTINUING ED., CHILDHOOD OBESITY & TRAINING |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | CGHS REQUIRES ALL ORGANIZATIONS THAT RECEIVE SPONSORSHIPS TO PROVIDE PROOF OF THEIR NON PROFIT STATUS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A DONALD FAULK JR | |||||||||||||
| 705046 | 0 | 210066 | 0 | 7025200 | 0 | 50716 | 0 | 10684 | 0 | 8001712 | 0 | 0 | 0 |
| KENNETH B BANKS | |||||||||||||
| 300047 | 0 | 62041 | 0 | 42163 | 0 | 397030 | 0 | 14397 | 0 | 815678 | 0 | 0 | 0 |
| RHONDA S PERRY | |||||||||||||
| 413105 | 0 | 111218 | 0 | 28155 | 0 | 1676164 | 0 | 4931 | 0 | 2233573 | 0 | 0 | 0 |
| ELBERT T MCQUEEN | |||||||||||||
| 206284 | 0 | 48800 | 0 | 21039 | 0 | 20196 | 0 | 8120 | 0 | 304439 | 0 | 0 | 0 |
| HARRIS BRYAN FORLINES | |||||||||||||
| 121659 | 0 | 15245 | 0 | 5276 | 0 | 7673 | 0 | 8362 | 0 | 158215 | 0 | 0 | 0 |
| KAREN M FARR | |||||||||||||
| 158833 | 0 | 22463 | 0 | 431 | 0 | 27509 | 0 | 582 | 0 | 209818 | 0 | 0 | 0 |
| KATHERINE L BOWEN | |||||||||||||
| 153173 | 0 | 21539 | 0 | 37 | 0 | 13191 | 0 | 11241 | 0 | 199181 | 0 | 0 | 0 |
| TRACY GRAY | |||||||||||||
| 142233 | 0 | 17771 | 0 | 8346 | 0 | 11403 | 0 | 3368 | 0 | 183121 | 0 | 0 | 0 |
| LORI W CASSIDY | |||||||||||||
| 180176 | 0 | 22735 | 0 | 8823 | 0 | 22862 | 0 | 8362 | 0 | 242958 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | EMPLOYER PAYMENT FROM 457(F) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN DON FAULK $6,945,614 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.). |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 (AUDITED BY AN INDEPENDENT ACCOUNTANT). IT IS REVIEWED BY OUR OUTSIDE TAX ADVISOR (ANOTHER INDEPENDENT CPA) AND BY MANAGEMENT OF CENTRAL GEORGIA HEALTH SYSTEMS. 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 COL 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 TAKE 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 CURRENTLY 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 CURRENTLY 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 | CGHS PROVIDES COPIES OF ITS GOVERNING AND OTHER CORPORATE DOCUMENTS UPON REQUEST. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | EQUITY FROM THE MEDICAL CENTER OF CENTRAL GEORGIA - 4246618; ROUNDING - -5; TAX OVER BOOK PARTNERSHIP INCOME - -4701125; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL GA REHAB HOSPITAL LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3351 NORTHSIDE DRIVE | AddressLine1 |
| City | MACON | City |
| State | GA | State |
| ZIP Code | 31210 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300371539 | EIN |
| Primary Activities | REHABILITATION SERVICES | PrimaryActivities |
| Legal Domicile State | GA | LegalDomicileState |
| Total Income | 16394819 | TotalIncome |
| EOY Assets | 14095225 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | true |
| HEALTH SERVICES OF CENTRAL GEORGIA INC | ||||||||||
| 691 CHERRY STREET SUTIE 400 | MACON | GA | 31201 | 582307485 | HEALTHCARE SERVICES | GA | 501(C)(3) | 3 | CENTRAL GEORGIA HEALTH SYSTEMS | true |
| MEDCEN COMMUNITY HEALTH FOUNDATION INC | ||||||||||
| 858 HIGH STREET | MACON | GA | 31201 | 237363555 | FUNDRAISING | GA | 501(C)(3) | 7 | NA | false |
| MEDICAL CENTER OF GEORGIA INC | ||||||||||
| 691 CHERRY STREET SUTIE 400 | MACON | GA | 31201 | 582149128 | HOSPITAL | GA | 501(C)(3) | 3 | CENTRAL GEORGIA HEALTH SYSTEMS | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL GEORGIA PET LLC | |||||||||||||
| 1650 HARDEMAN AVENUE | MACON | GA | 31201 | 371464470 | MEDICAL IMAGING CENTER | GA | MEDICAL CENTER OF CENTRAL GEORGIA INC | RELATED | false | false | |||
| SECURE HEALTH PLANS OF GEORGIA INC | |||||||||||||
| 577 MULBERRY STREET SUITE 1000 | MACON | GA | 31201 | 582306549 | MANAGED CARE | GA | NA | RELATED | false | false | 236380 | 3231845 | 0.50388 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL GEORGIA HEALTH VENTURES INC | |||||||||||||||
| 691 CHERRY STREET SUITE 400 | MACON | GA | 31201 | 582164989 | MANAGEMENT | GA | NA | C CORPORATION | 4161889 | 8403935 | 1 | ||||
| CENTRAL GEORGIA HOME CARE SERVICES INC | |||||||||||||||
| 691 CHERRY STREET SUITE 400 | MACON | GA | 31201 | 582457422 | MED. EQUP. SALE | GA | NA | C CORPORATION | 1191097 | 0 | 1 | ||||
| AMERICAN EAGLE INSURANCE CO RRG | |||||||||||||||
| 40 MAIN STREET SUITE 500 | BURLINGTON | VT | 05401 | 161645557 | RISK MGMT. | VT | NA | C CORPORATION | 0 | 0 | 0.95 | ||||
| CENTRA PROFESSIONAL INDEMNITY LTD | |||||||||||||||
| INSURANCE | NA | C CORPORATION | 9868209 | 94712191 | 1 | PO BOX 1363 | GRAND CAYMAN | CJ | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (62 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| O | 15220091 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| C | 4285770 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| J | 1300000 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| P | 90780 |
| CENTRAL GEORGIA HOME CARE SERVICES | |
| P | 135712 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| P | 18204295 |
| CENTRA PROFESSIONAL INDEMNITY | |
| R | 7450010 |
| MEDICAL CENTER OF CENTRAL GEORGIA | |
| R | 8520432 |
| CENTRA PROFESSIONAL INDEMNITY | |
| Q | 8520432 |
| CENTRAL GEORGIA HEALTH SYSTEMS INC | |
| R | 76659 |
| CENTRAL GEORGIA SENIOR HEALTH INC | |
| R | 180606 |
| CENTRA PROFESSIONAL INDEMNITY | |
| Q | 180606 |
| HEALTH SERVICES OF CENTRAL GEORGIA INC | |
| R | 1367445 |
| CENTRA PROFESSIONAL INDEMNITY | |
| Q | 1367445 |
| CENTRAL GEORGIA REHABILITATION SERVICES | |
| R | 122652 |
| CENTRA PROFESSIONAL INDEMNITY | |
| Q | 122652 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| J | 57756 |
| CENTRAL GEORGIA PET LLC | |
| I | 57756 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| Q | 964000 |
| CENTRAL GEORGIA PET LLC | |
| R | 964000 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| O | 342666 |
| CENTRAL GEORGIA PET LLC | |
| P | 342666 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| R | 102020 |
| SECURE HEALTH | |
| Q | 102020 |
| CENTRA PROFESSIONAL INDEMNITY | |
| P | 1505341 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| O | 1505341 |
| HEALTH SERVICES OF CENTRAL GEORGIA INC | |
| P | 17752533 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| O | 17752533 |
| HEALTH SERVICES OF CENTRAL GEORGIA INC | |
| P | 630218 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| O | 630218 |
| HEALTH SERVICES OF CENTRAL GEORGIA INC | |
| O | 31238580 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| P | 31238580 |
| HEALTH SERVICES OF CENTRAL GEORGIA INC | |
| O | 2887503 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| P | 2887503 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| C | 16535613 |
| HEALTH SERVICES OF CENTRAL GEORGIA INC | |
| B | 16535613 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| J | 630909 |
| HEALTH SERVICES OF CENTRAL GEORGIA INC | |
| I | 630909 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| F | 99935 |
| HEALTH SERVICES OF CENTRAL GEORGIA INC | |
| G | 99935 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| I | 62127 |
| HEALTH SERVICES OF CENTRAL GEORGIA INC | |
| J | 62127 |
| MEDCEN FOUNDATION INC | |
| P | 1276683 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| O | 1276683 |
| MEDCEN FOUNDATION INC | |
| I | 53872 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| J | 53872 |
| MEDCEN FOUNDATION INC | |
| B | 1330555 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| C | 1330555 |
| CENTRAL GEORGIA SENIOR HEALTH INC | |
| O | 531724 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| P | 531724 |
| CENTRAL GEORGIA SENIOR HEALTH INC | |
| P | 515294 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| O | 515294 |
| CENTRAL GEORGIA HEALTH VENTURES INC | |
| O | 167978 |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |
| P | 167978 |
| CENTRAL GEORGIA HOME CARE SERVICES INC | |
| P | 2593357 |
| MEDICAL CENTER OF CENTRAL GEROGIA INC | |
| O | 2593357 |
| MEDICAL CENTER OF CENTRAL GEROGIA INC | |
| J | 88246 |
| CENTRAL GEORGIA HOME CARE SERVICES INC | |
| I | 88246 |
| CENTRAL GEORGIA HOME CARE SERVICES INC | |
| N | 256836 |
| MEDICAL CENTER OF CENTRAL GEROGIA INC | |
| N | 256836 |
| CENTRAL GEORGIA HOME CARE SERVICES INC | |
| O | 2823283 |
| MEDICAL CENTER OF CENTRAL GEROGIA INC | |
| P | 2823283 |
Comments