NAVICENT HEALTH INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- NAVICENT HEALTH INC (EIN 58-2149127)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-14
- IRS object ID
- 201132269349301008
- Schema version
- 2009v1.7
- 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 | 2011-08-14T20:17:16-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pershing Yoakley & Associates P C | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Cherokee Mills 2220 Sutherland | AddressLine1 |
| City | Knoxville | City |
| State | TN | State |
| ZIP Code | 379192363 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | 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 SUITE 400 | 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 | Senior VP/CFO | Title |
| Phone | 4786331407 | Phone |
| Date Signed | 2011-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8656730844 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | A Donald Faulk Jr | NameOfPrincipalOfficerPerson |
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 | 37603668 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | 401 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 152943 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19203601 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 30313999 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4654901 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5709690 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 11335186 | OtherRevenuePriorYear |
| Other Revenue Current Year | -2442689 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 35193688 | TotalRevenuePriorYear |
| Total Revenue Current Year | 33581000 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1072605 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 10500221 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10737352 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 23670135 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5792383 | OtherExpensePriorYear |
| Other Expenses Current Year | 7848863 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 17602340 | TotalExpensesPriorYear |
| Total Expenses Current Year | 42019219 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 17591348 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -8438219 | RevenuesLessExpensesCY |
| Total Assets BOY | 45664176 | TotalAssetsBOY |
| Total Assets EOY | 39722867 | TotalAssetsEOY |
| Total Liabilities BOY | 616807 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1166997 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 45047369 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 38555870 | 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 | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 20038261 | Expense |
| Grants | 10500221 | Grants |
| Revenue | 13568549 | 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 | 12466842 | Expense |
| Revenue | 27091992 | 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 and opened in September 1988. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 32505103 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 401 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | 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 (15 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 |
|---|---|---|---|---|---|---|---|---|
| Connie Cater | ||||||||
| Director-CGHS | 1.00 | X | 0 | 0 | 0 | |||
| JAMES TIMOTHY JACKSON | ||||||||
| Director-CGHS | 1.00 | X | 0 | 0 | 0 | |||
| KIM W JOHNSTON MD | ||||||||
| Dir/V Chair CGHS, director | 1.00 | X | 0 | 0 | 0 | X | ||
| RUTH KNOX | ||||||||
| Director-CGHS | 1.00 | X | 0 | 0 | 0 | |||
| STARR PURDUE | ||||||||
| Chair | 1.00 | X | 0 | 0 | 0 | |||
| HENRY KOPLIN | ||||||||
| DIRECTOR-CGHS | 1.00 | X | 0 | 0 | 0 | |||
| Joan Walton | ||||||||
| Director-CGHS | 1.00 | X | 0 | 0 | 0 | |||
| A DONALD FAULK JR | ||||||||
| President/CEO | 40.00 | 722579 | 0 | 61910 | X | |||
| KENNETH b BANKS | ||||||||
| GEN COUNSEL/sec | 40.00 | 316434 | 0 | 31398 | X | |||
| RHONDA S PERRY | ||||||||
| SR. VP/Treas | 40.00 | 411183 | 0 | 27511 | X | |||
| ELBERT T MCQUEEN | ||||||||
| President/CEO | 20.00 | 216631 | 0 | 24415 | X | |||
| Hubert Epps Jr | ||||||||
| DirECTOR of Pharmacy | 40.00 | 119963 | 0 | 25833 | X | |||
| Roger Bloodworth | ||||||||
| CGRH Pharmacist | 40.00 | 115357 | 0 | 31740 | X | |||
| Judy K Ware | ||||||||
| Director of Audit Services | 20.00 | 108054 | 0 | 13030 | X | |||
| Darren Pearce | ||||||||
| Director of Patient Care | 40.00 | 100198 | 0 | 8545 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2110399 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 224382 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Kaufman Hall | |||||
| 5202 Old Orchard Road Ste N700 | Skokie | IL | 30077 | Consulting Services | 319000 |
| Sunbelt Staffing | |||||
| PO Box 1024640 | Atlanta | GA | 303684640 | Temporary Staffing Svcs | 182382 |
| SunTrust Bank Inc | |||||
| PO Box 4655 | Atlanta | GA | 232616489 | Investment Management Svcs | 144389 |
| Munder Capital | |||||
| 480 Pierce Street | Birmingham | MI | 48009 | Investment Management Svcs | 126426 |
| Davita | |||||
| 5200 Virginia Way | Brentwood | TN | 37024 | Dialysis Services | 112986 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Medicare/Medicaid Reve | 621990 | 14490879 | 14490879 | |
| SUPPORT REVENUE | 541200 | 13848612 | 13695669 | 152943 |
| PATIENT REVENUE | 621990 | 1767605 | 1767605 | |
| Rebate Revenue | 621990 | 157015 | 157015 | |
| Cafeteria Sales | 621990 | 35396 | 35396 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14492 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14492 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 30313999 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9732358 | TotalRevenueColumn |
| Exclusion | $9,732,358 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4022668 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -4022668 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4022668 | TotalRevenueColumn |
| Exclusion | -$4,022,668 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|
| Other Invest Inc | -1140453 | 60542 | -$1,200,995 |
| net Invest (988 Int) | -1302236 | -$1,302,236 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -2442689 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33581000 | TotalRevenueColumn |
| Related Or Exempt Function Income | 30221598 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 152943 | UnrelatedBusinessRevenue |
| Exclusion | $3,206,459 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10500221 | Total |
| Program Services | 10500221 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2153453 | Total |
| Program Services | 1446986 | ProgramServices |
| Management And General | 706467 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17153967 | Total |
| Program Services | 11488339 | ProgramServices |
| Management And General | 5665628 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 565006 | Total |
| Program Services | 402416 | ProgramServices |
| Management And General | 162590 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2471780 | Total |
| Program Services | 1801041 | ProgramServices |
| Management And General | 670739 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1325929 | Total |
| Program Services | 928248 | ProgramServices |
| Management And General | 397681 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 400601 | Total |
| Program Services | 212319 | ProgramServices |
| Management And General | 188282 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132755 | Total |
| Program Services | 70360 | ProgramServices |
| Management And General | 62395 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5735 | Total |
| Management And General | 5735 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 639549 | Total |
| Management And General | 639549 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1773797 | Total |
| Program Services | 1537349 | ProgramServices |
| Management And General | 236448 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49474 | Total |
| Program Services | 49474 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1150883 | Total |
| Program Services | 1064114 | ProgramServices |
| Management And General | 86769 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13980 | Total |
| Program Services | 7433 | ProgramServices |
| Management And General | 6547 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 441144 | Total |
| Program Services | 333753 | ProgramServices |
| Management And General | 107391 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199327 | Total |
| Program Services | 136387 | ProgramServices |
| Management And General | 62940 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190 | Total |
| Program Services | 74 | ProgramServices |
| Management And General | 116 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98860 | Total |
| Program Services | 73033 | ProgramServices |
| Management And General | 25827 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176229 | Total |
| Program Services | 153278 | ProgramServices |
| Management And General | 22951 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| UBI Tax Refund | -43956 | -43956 | |
| equipment rental & main | 1710494 | 135490 | 1575004 |
| DUES AND SUBSCRIPTIONS | 369152 | 187930 | 181222 |
| Expendable Project Cost | 235090 | 235090 | |
| TAXES AND LICENSES | 166973 | 88228 | 78745 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 328586 | Total |
| Program Services | 230217 | ProgramServices |
| Management And General | 98369 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42019219 | Total |
| Program Services | 32505103 | ProgramServices |
| Management And General | 9514116 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6929219 | BOY |
| EOY | 1030485 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1856035 | BOY |
| EOY | 2031261 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93017 | BOY |
| EOY | 93934 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107002 | BOY |
| EOY | 668718 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1933216 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1469749 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 459728 | BOY |
| EOY | 463467 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35672868 | BOY |
| EOY | 26362402 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 546307 | BOY |
| EOY | 9072600 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45664176 | BOY |
| EOY | 39722867 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 328231 | BOY |
| EOY | 1166997 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 288576 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 616807 | BOY |
| EOY | 1166997 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45047369 | BOY |
| EOY | 38555870 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45047369 | BOY |
| EOY | 38555870 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45664176 | BOY |
| EOY | 39722867 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | 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 | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | 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 | 7 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $10,399,364 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 10399364 | SumOfAmounts |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $5,000 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $735 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 5735 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | Lobbying expenses Included in the Dues paid to various organizations and mileage/parking expenses for officer to attend Trauma Day at the Capital. | Explanation |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1933216 | OtherCostOrOtherBasis |
| Depreciation | 1469749 | Depreciation |
| Book Value | 463467 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 463467 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Investments in Subsidiaries | 23318784 | C |
| Investment in Secure Health Plan of Central gA | 1484997 | C |
| Investment in American Eagle | 1558621 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 26362402 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Receivable-Centra Professional Indemnity | 272439 |
| Miscellaneous Receivable | 187 |
| Third Party Medicare Settlement | 278987 |
| Due from Affiliates | 8520987 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9072600 | TotalBookValueOtherAssets |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | 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, 2010. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 568468 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 568468 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01360 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 80793 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 80793 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 649261 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 649261 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01550 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 649261 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 649261 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01550 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $125,780 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 0 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 0 | CostOfCareReimbursedByMedicare |
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
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 VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | 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. | IncomeBasedCriteria |
| Annual Community Benefit Expln | 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. | AnnualCommunityBenefitExpln |
| Costing Method Used | 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. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: Bad debt expense in the amount of $96,427 has been removed from total expense. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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 Form 990 Schedule H worksheet 2 instructions. | BadDebtFootnote |
| Debt Collection Policy | 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 finacial 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. | DebtCollectionPolicy |
| Needs Assessment | 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. Currently, the regional emphasis is on diabetes and obesity with community meetings to find ways to make actual improvements in our citizen's health. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Patients will be 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. | PatientEducationAssistance |
| Community Information | 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. | CommunityInformation |
| Other Information | Part VI, Line 6: 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. | OtherInformation |
| Affiliated Health Care System | 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) 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. | AffiliatedHealthCareSystem |
| Reports Filed With States | GA | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Grand Opera House | |||||||
| 400 Poplar Street | Macon | GA | 31201 | 580566167 | 501c3 | 6000 | Kids Theatre Education |
| Susan G Komen Breast Cancer Inc | |||||||
| 248 Tom Hill Sr Blvd | Macon | GA | 31210 | 752881536 | 501c3 | 25000 | Race for the Cure -Breast Cancer Awareness |
| MEDICAL CENTER OF CENTRAL GA | |||||||
| 691 Cherry Street | Macon | GA | 31201 | 582149128 | 501c3 | 10399364 | Intercompany |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: CGHS requires all organizations that receive sponsorships to present their 501c(3) letter as 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 | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 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 | |||||||||||||
| 605874 | 0 | 0 | 0 | 116705 | 0 | 51620 | 0 | 10290 | 0 | 784489 | 0 | 0 | 0 |
| KENNETH b BANKS | |||||||||||||
| 244306 | 0 | 0 | 0 | 72128 | 0 | 18063 | 0 | 13335 | 0 | 347832 | 0 | 0 | 0 |
| RHONDA S PERRY | |||||||||||||
| 364579 | 0 | 3000 | 0 | 43604 | 0 | 22829 | 0 | 4682 | 0 | 438694 | 0 | 0 | 0 |
| ELBERT T MCQUEEN | |||||||||||||
| 180038 | 0 | 0 | 0 | 36593 | 0 | 15764 | 0 | 8651 | 0 | 241046 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 7 | ReturnReference |
| Explanation | 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). | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | The form 990 was prepared by an independent certified public accountant from information provided by management and from audited financial statements (prepared by another independent accountant). It is reviewed by Central Georgia Health System, Inc.'s financial management. A copy of the form 990 was provided to each board member prior to filing the return with the internal revenue service. |
| 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 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. |
| Form 990, Part VI, Section B, line 15 | 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. |
| Form 990, Part VI, Section C, line 19 | CGHS provides copies of its governing and other corporate documents upon request. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Central GA Rehab Hospital LLC | |||||||||
| 691 cherry street | Macon | GA | 31201 | 300371539 | Rehabilitation Services | GA | 16313000 | 11534000 | N/A |
| Central Georgia Medical Properties LLC | |||||||||
| 777 Hemlock St MSC 111 | Macon | GA | 31201 | Physician Relationships | GA | 0 | 0 | N/A | |
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 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Central Georgia Senior Health Inc | |||||||||
| 691 Cherry Street Suite 400 | Macon | GA | 31201 | 582345439 | Retirement Community | GA | 501c(3) | 11 | N/A |
| Health Services of Central Georgia Inc | |||||||||
| 691 Cherry Street Suite 400 | macon | GA | 31201 | 582307485 | Health Care Provider | GA | 501c(3) | 3 | N/A |
| Medcen Community Health Foundation Inc | |||||||||
| 858 High Street | macon | GA | 31201 | 237363555 | Fundraising | GA | 501c(3) | 7 | N/A |
| Medical Center of Central Georgia Inc | |||||||||
| 691 Cherry Street Suite 400 | macon | GA | 31201 | 582149128 | Hospital | GA | 501c(3) | 3 | N/A |
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 | Direct Controlling Entity NADirectControllingEntityNA | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Central Georgia PET LLC | |||||||||||||
| 1650 Hardeman Avenue | macon | GA | 31201 | 311464470 | Medical Imaging Center | GA | Medical Center of Central Georgia Inc | Related | 0 | 0 | |||
| Secure Health Plans of Georgia Inc | |||||||||||||
| 3920 Arkwright Road Suite 400 | macon | GA | 31208 | 582306549 | Managed Care | GA | related | 0 | 0 | N/A | 2879606 | 3091442 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Central Georgia Health Ventures Inc | |||||||||||||||||
| 691 Cherry Street | macon | GA | 31201 | 582164989 | Management | GA | N/A | C | 2037225 | 5588258 | 1.00000 | ||||||
| Central Georgia Home Care Services Inc | |||||||||||||||||
| 691 Cherry Street | macon | GA | 31201 | 582457422 | Medical Equipment Sales | GA | C | -5512 | 2049456 | 1.00000 | CGHV | ||||||
| Centra Indemnity LTD | |||||||||||||||||
| Insurance | -18696 | 1.00000 | CGHS | PO Box 1363 | Grand Cayman | Grand Cayman | CJ | CJ | |||||||||
| Centra Professional Indemnity LTD | |||||||||||||||||
| insurance | 11018079 | 97286461 | 1.00000 | CGHS | pO Box 1363 | grand Cayman | grand Cayman | CJ | CJ | ||||||||
| American Eagle Insurance Co RRG | |||||||||||||||||
| 40 Main Street Suite 500 | Burlington | VT | 05401 | 161645557 | Risk Management | VT | N/A | C | 0.95000 | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (59 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Medical Center of Central Georgia | |
| O | 25747009 |
| medical Center of Central Georgia | |
| B | 10399364 |
| medical Center of Central Georgia | |
| J | 1300000 |
| medical Center of Central Georgia | |
| P | 58026 |
| Central Georgia Health Ventures Inc | |
| R | 1300000 |
| Central Georgia Home Care Services Inc | |
| P | 132888 |
| Centra Professional Indemnity | |
| R | 10000000 |
| Medical Center of Central Georgia | |
| P | 17104089 |
| Centra Professional Indemnity | |
| R | 12116126 |
| medical Center of Central Georgia | |
| R | 9384548 |
| centra Professional Indemnity | |
| Q | 9384548 |
| Central Georgia Senior Health Inc | |
| R | 171773 |
| Centra Professional Indemnity | |
| Q | 171773 |
| health Services of Central Georgia Inc | |
| R | 968806 |
| Centra Professional Indemnity | |
| Q | 968806 |
| Central Georgia Rehabilitation Services | |
| R | 129823 |
| Centra Professional Indemnity | |
| Q | 129823 |
| Medical Center of Central Georgia | |
| J | 57756 |
| Central Georgia PET LLC | |
| I | 57756 |
| medical Center of Central Georgia | |
| Q | 1158400 |
| Central Georgia PET LLC | |
| R | 1158400 |
| Medical Center of Central Georgia | |
| O | 386223 |
| central georgia pET LLC | |
| P | 386223 |
| Medical Center of Central Georgia | |
| R | 148519 |
| secure Health | |
| Q | 148519 |
| centra Professional Indemnity | |
| P | 953134 |
| Medical Center of Central Georgia | |
| O | 953134 |
| Health Services of Central Georgia Inc | |
| P | 11228895 |
| medical Center of Central Georgia | |
| O | 11228895 |
| Health Services of Central Georgia Inc | |
| P | 448245 |
| Medical Center of Central Georgia | |
| O | 448245 |
| Health Services of Central Georgia Inc | |
| O | 22602564 |
| Medical Center of Central Georgia | |
| P | 22602564 |
| Medical Center of Central Georgia | |
| C | 11373669 |
| health Services of Central Georgia Inc | |
| B | 11373669 |
| medical Center of Central Georgia | |
| J | 448846 |
| Health Services of Central Georgia Inc | |
| I | 448846 |
| Medcen Foundation Inc | |
| P | 1816043 |
| medical Center of Central Georgia | |
| O | 1816043 |
| medcen Foundation Inc | |
| I | 53871 |
| Medical Center of Central Georgia | |
| J | 53871 |
| medcen Foundation Inc | |
| B | 1869914 |
| medical Center of Central Georgia | |
| C | 1869914 |
| Central Georgia Senior Health Inc | |
| O | 1164892 |
| Medical Center of Central Georgia | |
| P | 1164892 |
| Central Georgia Senior Health Inc | |
| P | 1459769 |
| medical Center of Central Georgia | |
| O | 1459769 |
| Central Georgia Health Ventures Inc | |
| P | 155773 |
| Medical Center of Central Georgia | |
| O | 155773 |
| Central Georgia Health Ventures Inc | |
| O | 202677 |
| medical Center of Central Georgia | |
| P | 202677 |
| Central Georgia Home Care Services Inc | |
| P | 2744937 |
| medical Center of Central Georgia | |
| O | 2744937 |
| Medical Center of Central Georgia | |
| J | 59196 |
| Central Georgia Home Care Services Inc | |
| I | 59196 |
| Central Georgia Home Care Services Inc | |
| N | 180000 |
| Medical Center of Central Georgia | |
| N | 180000 |
| Central Georgia Home Care Services Inc | |
| O | 2791850 |
| medical Center of Central Georgia | |
| P | 2791850 |
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