MEDICAL CENTER OF CENTRAL GEORGIA INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MEDICAL CENTER OF CENTRAL GEORGIA INC (EIN 58-2149128)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-14
- IRS object ID
- 201142269349300719
- 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 B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-14T20:23:19-05:00 | 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 | 582149128 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER OF CENTRAL GEORGIA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEDI | 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 | 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 | 1096327472 | 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 | The Medical Center of Central Georgia, Inc. (MCCG) is a non-profit Medical Center whose primary purpose is to provide high quality healthcare service for inpatient, outpatient, physician care, emergency services and other health care related services to Macon/Bibb County, Georgia and surrounding areas. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5473 | TotalNbrEmployees |
| Total Nbr Volunteers | 622 | TotalNbrVolunteers |
| Total Gross UBI | 7546702 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -108292 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 25395548 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 19599629 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 628737866 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 669571025 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -3591492 | InvestmentIncomePriorYear |
| Investment Income Current Year | 21508753 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2908048 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2643498 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 653449970 | TotalRevenuePriorYear |
| Total Revenue Current Year | 713322905 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 9541041 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 11421169 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 292562502 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 291922782 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 327505076 | OtherExpensePriorYear |
| Other Expenses Current Year | 341723085 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 629608619 | TotalExpensesPriorYear |
| Total Expenses Current Year | 645067036 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 23841351 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 68255869 | RevenuesLessExpensesCY |
| Total Assets BOY | 1002495328 | TotalAssetsBOY |
| Total Assets EOY | 1092576580 | TotalAssetsEOY |
| Total Liabilities BOY | 329107508 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 352736424 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 673387820 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 739840156 | NetAssetsOrFundBalancesEOY |
| Mission Description | To enhance the health status of those we serve in partnership with medical staff and other community organizations by providing wellness services, health education, training, and access to safe high quality health care services. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 582492852 | Expense |
| Grants | 11421169 | Grants |
| Revenue | 672214523 | Revenue |
| Description | The Medical Center of Central Georgia (MCCG) is a designated Level I Trauma Center and Magnet hospital for nursing and serves the residents of Central and South Georgia with a primary and secondary service area of 30 counties and a population of nearly 750,000 people. The Medical Center has over 4,653 employees and a medical staff of over 530 physicians. MCCG is the second largest hospital in Georgia with a capacity of 637 beds including medical-surgical, obstetric, pediatric, psychiatric, cardiac intensive care, neuro intensive care, pediatric intensive care, and cardiac surgery intensive care. MCCG provides a broad range of community-based, outpatient diagnostic, primary care, urgent-care services, extensive home health and hospice care services. MCCG is the primary academic hospital for Mercer University School of Medicine, providing residency programs for over 100 residents. MCCG operates the Medical Center of Central Georgia (the "Main Hospital"), the Children's Hospital, the Children's Health Center, medical office buildings (the "Doctors Office Buildings"), the Hospice of Central Georgia (the "Hospice"), the Wellness Center, the Family Health Center, three urgent care centers (the "Med Center"), Central Georgia Home Health (the "Home Health Agency") and certain other facilities and services (the "Miscellaneous Facilities and Services"). The Main Hospital, the Children's Hospital, the Children's Health Center, the Doctors Office Buildings, the Hospice, the Wellness Center, the Family Health Center, the Urgent Care Centers, the Home Health Agency, the Miscellaneous Facilities and Services and the Rehabilitation Hospital referred to below are collectively referred to herein as the "Healthcare Premises."The Main Hospital is a full-service acute care hospital. It consists of a free-standing 1,545,839 square foot facility on nine levels and is located 90 miles south of Atlanta in Macon, Georgia. The Main Hospital and the Children's Hospital (defined below) are currently licensed for 637 beds. In addition, the Main Hospital has 72 observation beds and makes 34 beds available through a lease arrangement to a long-term acute care provider.The Main Hospital maintains an active affiliation with Secure Health Plans of Georgia, a network of central Georgia hospitals and physician providers. It is the largest hospital within a 90 mile radius, the second largest hospital in Georgia and serves the entire central Georgia population.The Main Hospital is the primary teaching hospital for Mercer University School of Medicine. The following residency programs are offered by Mercer at the Main Hospital: General Surgery, Internal Medicine, Obstetrics and Gynecology and Pediatrics. In addition, nurses may earn a Master of Science in Anesthesia through Mercer at the Main Hospital.The Main Hospital has one of the largest cardiac care programs outside of Atlanta. It averages more than 695 open-heart surgeries annually and is equipped with the latest technological advancements to provide a full range of cardiovascular services.The Main Hospital has also been designated by the Georgia Department of Human Resources as the only Level One Trauma Center in Central Georgia. The Emergency Center treats an estimated 56,650 patients annually. The Main Hospital is the only healthcare facility in Macon that has a Surgery Trauma Team on standby 24 hours a day. It's EMS has twenty one ambulances and three critical care neonatal/pediatric intensive care units that respond to emergencies within a 750-square mile coverage area in Baldwin, Bibb, Jones and Twiggs counties. The critical care units responds with a specialized team to locations as far as Valdosta GA.More than 26,642 surgical procedures are performed at the Main Hospital annually. The Surgery Center features twenty state-of-the-art operating suites, a comprehensive Endodiagnostic Center, an Ambulatory Surgery Center with 8-10 additional operating room suites, a variety of specialty units for post-anesthesia care, outpatient care and short-term care. A pediatric outpatient surgery program "Just For Kids" greatly increases the convenience and efficiency of the Surgery Center.Children's Hospital. The Children's Hospital is located on the same campus as the Main Hospital. The Children's Hospital opened in March 2003 in what was the Middle Georgia Hospital. It has one of the most comprehensive pediatric healthcare programs in the State and is the only facility in central Georgia dedicated to children. The Children's Hospital has a pediatric intensive care unit, a neonatal intensive care unit and an oncology program. The Children's Hospital and the Main Hospital are collectively referred to herein as the "Medical Center."Children's Health Center. The Children's Health Center is a medical clinic located across the street from the Medical Center. It offers a comprehensive array of child-focused services. The Children's Health Center serves as the training and education facility for pediatric residents learning to provide primary care to underserved and underinsured children. Nurse practitioners provide well-child checks and chronic care follow-up. The Children's Health Center also has specialty clinics and on-site lab and radiology services. The Crescent House is located within the Children's Health Center. The Crescent House offers services for victims of child abuse.Doctors Office Buildings. The Doctors Office Buildings consist of 21 medical office buildings in the Central Georgia region with a total of 602,520 total square feet, 382,524 leasable square feet, 283,647 leased square feet and a 74% occupancy rate. Hospice. Hospice of Central Georgia provides care for patients with life limiting illnesses who are no longer seeking curative treatment. Most hospice services are provided in patient homes. Services provided are coordinated by a Registered Nurse and include nurse aides, social workers, volunteers and bereavement services. Hospice of Central Georgia opened its newly constructed inpatient facility, Pine Pointe Hospice of Central Georgia, to its first patient on September 20, 2010. Pine Pointe offers 15 spacious patient rooms and includes sleeping accommodations for one family member. All inpatients will have 24/7 access to an interdisciplinary team of professionals to assist with all aspects of care and treatmentUrgent Care Centers. There are three urgent care centers, Med Center North, Med Center East and Med Center Northwest. Each facility operates 12 hours per day seven days a week and is staffed with a physician, registered nurse(s), diagnostic technician(s) (that is trained in radiology and laboratory procedures), and patient account specialist. Each facility is able to treat a wide range of medical conditions including orthopedic injuries, minor trauma, pediatric and metabolic conditions. Each facility is equipped with point of care testing, laboratory diagnostic equipment, 12 LEAD electro cardiograms and digital radiology equipment to highlight some of the technology utilized at each facility.Wellness Center. The wellness center is available to the community. In addition to offering classes and programs that address specific health conditions, the Wellness Center is equipped with an indoor track; an indoor pool; basketball, volleyball and racquetball courts; weight training and cardiovascular equipment; and saunas for men and women. Personal training, aerobics and fitness classes, nutrition and weight-loss classes, and arthritis aquatics with supervised childcare are also available at the Wellness Center. Family Health Center. The Family Health Center is home to the Family Medicine Residency training program which is conducted in affiliation with Mercer. The Family Health Center features 36 examination rooms, individual resident and faculty offices, on-site lab and x-ray facilities and several well-equipped procedure rooms for colposcopy, minor surgical procedures, casting and exercise treadmill testing. | Description |
| Total Program Service Expense | 582492852 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 1 | 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 | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | 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 | 501 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 5473 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | 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 | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 1 | 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 st | AddressLine1 |
| City | Macon | City |
| State | GA | State |
| ZIP Code | 31201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 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 | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| A Kenneth HarperMD | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| David Danzie | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Dan Slagle | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| EMORY JOHNSON MD | |||||||||
| Dir/Vice Chair | 1.00 | X | 0 | 0 | 0 | ||||
| Joan Walton | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| NANCY ANDERSON | |||||||||
| Dir/Chair | 1.00 | X | 0 | 0 | 0 | ||||
| William M MATTHEWS | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Connie Cater | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Roberta Andrews MD | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| A DONALD FAULK JR | |||||||||
| President/CEO | 1.00 | 0 | 722579 | 61910 | X | ||||
| KENNETH B BANKS | |||||||||
| Secretary | 1.00 | 0 | 316434 | 31398 | X | ||||
| RHONDA S PERRY | |||||||||
| CFO | 1.00 | 0 | 411183 | 27511 | X | ||||
| BARBARA STICKEL | |||||||||
| Sr VP CNo | 40.00 | 342487 | 0 | 88684 | X | ||||
| BETH PEARSON | |||||||||
| Vice President | 40.00 | 207852 | 0 | 25699 | X | ||||
| DAWN COLE | |||||||||
| Vice President | 40.00 | 214123 | 0 | 35960 | X | ||||
| James M Cunningham | |||||||||
| CMO | 40.00 | 457664 | 0 | 49539 | X | ||||
| JOSEPH LAVELLE | |||||||||
| Exec vice pres | 40.00 | 423774 | 0 | 30907 | X | ||||
| MARCIA HUTCHINSON MD | |||||||||
| Vice President | 40.00 | 266048 | 0 | 44509 | X | ||||
| PAT D'ERRICO | |||||||||
| Vice President | 40.00 | 233451 | 0 | 5331 | X | ||||
| TOM SANDS jr | |||||||||
| Vice President | 40.00 | 236445 | 0 | 33694 | X | ||||
| William R Avenel | |||||||||
| CIO | 40.00 | 183927 | 0 | 9811 | X | ||||
| ANDREW GALLOWAY | |||||||||
| former Sr VICE PRES | 1.00 | 577815 | 0 | 60717 | X | ||||
| Krishan Patel MD | |||||||||
| Urgent Care Physician | 40.00 | 355919 | 0 | 26330 | X | ||||
| Timothy Longaker MD | |||||||||
| Dir Urgent Care | 40.00 | 381882 | 0 | 31568 | X | ||||
| William Butler MD | |||||||||
| Professor | 40.00 | 524911 | 0 | 39747 | X | ||||
| Adam Nauss | |||||||||
| Staff Anesthetist | 40.00 | 314840 | 0 | 18890 | X | ||||
| DEBRA ORR | |||||||||
| Vice President | 40.00 | 503750 | 0 | 0 | X | ||||
| MICHAEL VADEN | |||||||||
| Vice President | 40.00 | 721824 | 0 | 17481 | X | ||||
| Michael Gilstrap | |||||||||
| Former EVP/COO | 40.00 | 1490259 | 0 | 0 | X | ||||
| Larry C Parks | |||||||||
| Vice President | 40.00 | 487769 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7924740 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1450196 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 639686 | TotalOtherCompensation |
| Number Individuals GT100 K | 207 | NumberIndividualsGT100K |
| Formers Listed | 1 | 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 |
|---|---|---|---|---|---|
| The Nexus Medical Group | |||||
| 840 Pine Street Suite 770 | Macon | GA | 31201 | Anesthesiologist Fees | 15453546 |
| Angelica Textile Services | |||||
| PO Box 535122 | Atlanta | GA | 303535122 | Linen Processing | 3466331 |
| King & Spalding | |||||
| PO Box 30368-6133 | Atlanta | GA | 303686133 | Legal Services | 2959021 |
| GEORGIA MAGNETIC Imaging | |||||
| 770 Pine Street Suite L-15 | macon | GA | 31201 | Imaging Services | 2440866 |
| Cogent Healthcare | |||||
| 5410 Maryland Way Ste 300 | Brentwood | TN | 37027 | Hospitalist Services | 2058416 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 88 | NumberOfContractorsGT100K |
| Related Organizations | 10983544 | RelatedOrganizations |
| Government Grants | 7925246 | GovernmentGrants |
| All Other Contributions | 690839 | AllOtherContributions |
| Total Contributions | 19599629 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| PATIENT CHARGES | 621500 | 661428518 | 654238860 | 7189658 | |
| SUPPORT & SERVICE REVE | 561000 | 3436252 | 3079208 | 357044 | |
| HEALTH AND WELLNESS | 621300 | 1868657 | 1868657 | ||
| Partnership Patient Re | 900003 | 1055033 | 1055033 | ||
| PARKING FEES | 812930 | 943363 | $943,363 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 839202 | TotalRevenueColumn |
| Related Or Exempt Function Income | 839202 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 669571025 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11156635 | TotalRevenueColumn |
| Exclusion | $11,156,635 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7677297 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4863673 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2813624 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2813624 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2813624 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 387982997 | Securities |
| Other | 510015 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 376542790 | Securities |
| Other | 1598104 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11440207 | Securities |
| Other | -1088089 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10352118 | TotalRevenueColumn |
| Exclusion | $10,352,118 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Loss on Bond Defeasanc | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | -170126 | TotalRevenueColumn |
| Related Or Exempt Function Income | -170126 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -170126 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 713322905 | TotalRevenueColumn |
| Related Or Exempt Function Income | 663724458 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 7546702 | UnrelatedBusinessRevenue |
| Exclusion | $22,452,116 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11421169 | Total |
| Program Services | 11421169 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2853968 | Total |
| Program Services | 2666455 | ProgramServices |
| Management And General | 187513 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1487656 | Total |
| Program Services | 1389913 | ProgramServices |
| Management And General | 97743 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 230952433 | Total |
| Program Services | 215778257 | ProgramServices |
| Management And General | 15174176 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9491124 | Total |
| Program Services | 9491124 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31011588 | Total |
| Program Services | 31008299 | ProgramServices |
| Management And General | 3289 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16126013 | Total |
| Program Services | 15404641 | ProgramServices |
| Management And General | 721372 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4941734 | Total |
| Management And General | 4941734 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 226006 | Total |
| Program Services | 6900 | ProgramServices |
| Management And General | 219106 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1437250 | Total |
| Program Services | 1437250 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74642932 | Total |
| Program Services | 53140269 | ProgramServices |
| Management And General | 21502663 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1113441 | Total |
| Program Services | 1104457 | ProgramServices |
| Management And General | 8984 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4144589 | Total |
| Program Services | 3635518 | ProgramServices |
| Management And General | 509071 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1138586 | Total |
| Program Services | 147521 | ProgramServices |
| Management And General | 991065 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6158218 | Total |
| Program Services | 6093068 | ProgramServices |
| Management And General | 65150 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1875692 | Total |
| Program Services | 1725488 | ProgramServices |
| Management And General | 150204 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8372 | Total |
| Program Services | 402 | ProgramServices |
| Management And General | 7970 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6400516 | Total |
| Program Services | 6400516 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33704021 | Total |
| Program Services | 27635373 | ProgramServices |
| Management And General | 6068648 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10578549 | Total |
| Program Services | 212180 | ProgramServices |
| Management And General | 10366369 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 119749835 | 119749174 | 661 |
| BAD DEBT | 52386403 | 52386403 | |
| Equipment Rental & Main | 9149955 | 7866063 | 1283892 |
| NUTRITIONAL SUPPLIES | 5055186 | 5029623 | 25563 |
| Non-operating Expense | 3837624 | 3837624 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5174176 | Total |
| Program Services | 4925165 | ProgramServices |
| Management And General | 249011 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 645067036 | Total |
| Program Services | 582492852 | ProgramServices |
| Management And General | 62574184 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41942750 | BOY |
| EOY | 50357617 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23821888 | BOY |
| EOY | 31110000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122265531 | BOY |
| EOY | 116558893 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17565272 | BOY |
| EOY | 19565362 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1360164 | BOY |
| EOY | 1049364 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5925713 | BOY |
| EOY | 5957987 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2686657 | BOY |
| EOY | 13904041 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 790545836 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 443311562 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 335428535 | BOY |
| EOY | 347234274 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 371986000 | BOY |
| EOY | 422038000 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70996041 | BOY |
| EOY | 69001820 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2225851 | BOY |
| EOY | 2819280 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6290926 | BOY |
| EOY | 12979942 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1002495328 | BOY |
| EOY | 1092576580 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55684064 | BOY |
| EOY | 64363365 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 164451320 | BOY |
| EOY | 156813392 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108972124 | BOY |
| EOY | 131559667 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 329107508 | BOY |
| EOY | 352736424 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 673387820 | BOY |
| EOY | 739840156 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 673387820 | BOY |
| EOY | 739840156 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1002495328 | BOY |
| EOY | 1092576580 | 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 Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
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 | $200,000 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $18,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $42,702 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 260702 | 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 include a portion of dues paid to various organizations (i.e., American Hospital Association, Georgia Hospital Association, NACH, GCC. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18906856 | OtherCostOrOtherBasis |
| Book Value | 18906856 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 378316372 | OtherCostOrOtherBasis |
| Depreciation | 154292400 | Depreciation |
| Book Value | 224023972 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6480436 | OtherCostOrOtherBasis |
| Depreciation | 4850772 | Depreciation |
| Book Value | 1629664 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 360882472 | OtherCostOrOtherBasis |
| Depreciation | 282714098 | Depreciation |
| Book Value | 78168374 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25959700 | OtherCostOrOtherBasis |
| Depreciation | 1454292 | Depreciation |
| Book Value | 24505408 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 347234274 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Mortgage Backed Securities | Description |
| Book Value | 69001820 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 69001820 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION | $72,453,339 |
| OTHER Current Liabilities | $13,159,988 |
| OTHER Long Term LIabilities | $8,429,647 |
| Asset Retirement Obligation | $3,976,766 |
| Post Retiree Health Insurance Reserve | $23,779,839 |
| Due to Affiliates | $9,760,088 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 131559667 | TotalOfAmounts |
| Total Revenue | 713322905 | TotalRevenue |
| Total Expenses | 645067036 | TotalExpenses |
| Excess Or Deficit For Year | 68255869 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 15284462 | NetUnrealizedGLOnInvestments |
| Other | -$17,087,995 | OtherAmount |
| Total Adjustments | -1803533 | TotalAdjustments |
| Excess Or Deficit Per FS | 66452336 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 704061000 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1077795 | NetUnrealizedGainsInvestments |
| Other Revenues | 5001379 | OtherRevenues |
| Revenue Not Rptd F990 | 6079174 | RevenueNotRptdF990 |
| Revenue Subtotal | 697981826 | RevenueSubtotal |
| Other Revenues Not Included | 15341079 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 15341079 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 713322905 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 634838000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 4863673 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 4863673 | ExpensesNotRptdF990 |
| Expenses Subtotal | 629974327 | ExpensesSubtotal |
| Other Expenses Not Included | 15092709 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 15092709 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 645067036 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | MCCG and its affiliates have evaluated their tax positions and have determined that they do not have any material unrecognized tax benefits or obligations as of September 30, 2010. |
| Part XI, Line 8 - Other Adjustments: | Unrealized Loss on pension: -17225694. Partnership book/tax difference: 137586. Rounding: 113. | |
| Part XII, Line 2d - Other Adjustments: | Rental Expenses (Reclassification): 4863673. Partnership Income: 137586. rounding: 120. | |
| Part XII, Line 4b - Other Adjustments: | Grants: 10399364. expenses netted w/ rev(rounding): 3681000. Contributions in Net Assets: 1260715. | |
| Part XIII, Line 2d - Other Adjustments: | RENTAL EXPENSES: 4863673. | |
| Part XIII, Line 4b - Other Adjustments: | GRANT NETTED AGAINST REV FOR BOOK PURPOS: 11373669. contributions to related entities: 37500. expenses netted w/ rev(rounding): 3681540. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| 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 | 0 | ExpensesExceededBudget |
| 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 | 24108547 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4230353 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19878194 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03350 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 95377646 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 96197637 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -819991 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 119486193 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 100427990 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19058203 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03350 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1417919 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17302 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1400617 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14068232 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12063672 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2004560 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 149451 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 149451 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15635602 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12080974 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3554628 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00610 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 135121795 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 112508964 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22612831 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03960 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $16,395,113 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 264532586 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 240172755 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 24359831 | 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 | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| Central Georgia PET LLC | ||
| Imaging | 0.66670 | 0.33330 |
| Central Georgia Health Network LLC | ||
| PHO | 0.29000 | 0.71000 |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Medical Center of Central GA Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 Hemlock Street | AddressLine1 |
| City | Macon | City |
| State | GA | State |
| ZIP Code | 31201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: Inpatient/Special Services and Catastrophic Income Scales have three different Indigent/Charity Levels:Level 1 - Incomes less than 125% of Poverty LevelLevel 2 - Incomes greater than or equal to 125% of Poverty Level, but not greater than 200% of the Poverty Level.Level 3 - Incomes greater than 200% of Poverty Level or "Catastrophic Medical Indigency" outlined in MCCG Policy 3-207, paragraph 7. | IncomeBasedCriteria |
| 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 schedule H worksheet 2 instructions. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: Bad debt expense in the amount of $52,386,403 was subtracted from total expenses per Form 990, Part IX, Line 25 for purposes of calculating the percentage for Line 7, column (f). | 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 schedule H worksheet 2 instructions. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: The Medicare costs shown on Line 6 were computed using the organization's Medicare cost report for the period. | ShortfallAsCommunityBenefit |
| 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 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. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Part V: The Medical Center of Central Georgia also operates a Hospice. | NumberOfFacilityTypeExpln |
| Needs Assessment | Part VI, Line 2: We have not yet performed a community health needs assessment. However, MCCG works with Community Health Works (a regional health promotion organization)to help improve the health in the the central Georgia region. MCCG currently participates in community meeting to research ways to impact citizens with diabetes and obesity. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Signs are posted at all access points into the organization discussing the availablity of financial assistance. All billings include information to contact the business office to apply for assistance. We also identify all patients without insurance and work with them to obtain Medicaid coverage if possible. | 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. MCCG is the tertiary hospital for the central Georgia region. | CommunityInformation |
| Other Information | Part VI, Line 6: MCCG provides the majority of the indigent care to the central Georgia region. The hospital operates a large clinic system with the majority of those patients either indigent or covered by Medicaid. The hospital also provides medical education in the form of five residency training programs for 106 residents and 5 fellows. Additionally, MCCG provides many programs throughout the community in form of health fairs, health education classes, and the financial support of community based health providers.MCCG has an open medical staff. The Board of Directors is comprised of community members and staff physicians. All surplus funds are put back into the organization to ensure quality staffing and the most modern and advanced buildings and equipment available. | 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:Central Georgia Health Systems, Inc. - Serves as the parent entity of the Health System. It also operates Central Georgia Rehabilitation Hospital, Inc.Health Services of Central Georgia, Inc. - Provides faculty physicians to the residency training programs of the Medical Center of Central Georgia as well as other physicians, nurse practitioners, and physician assistants.Central Georgia Senior Health, Inc. - A continuing care retirement community (CCRC) offering independent living, assisted living, memory support and skilled nursing.Medcen Foundation, Inc. - provides fundraising and support for Central Georgia Health Systems, Inc. and its affiliates. | 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 |
|---|---|---|---|---|---|---|---|
| Mercer University | |||||||
| 1550 College Street | macon | GA | 31207 | 680566167 | 501(c)(3) | 5000 | Sponsorship of physician relocation |
| EDUCATION FIRST | |||||||
| PO BOX 169 | Macon | GA | 31201 | 311815650 | 501(c)(3) | 5000 | TEACHER OF THE YEAR/IMAGINATION LIBRARY |
| Health Services of Central Georgia Inc | |||||||
| 691 Cherry Street Suite 400 | Macon | GA | 31201 | 582307485 | 501(c)(3) | 11373669 | 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: Mccg requires All organizations that receive funds to present their 501(c)(3) letter as proof of their non profit status. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| 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 | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 (21 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 | |||||||||||||
| 0 | 605874 | 0 | 0 | 0 | 116705 | 0 | 51620 | 0 | 10290 | 0 | 784489 | 0 | 0 |
| KENNETH B BANKS | |||||||||||||
| 0 | 244306 | 0 | 0 | 0 | 72128 | 0 | 18063 | 0 | 13335 | 0 | 347832 | 0 | 0 |
| RHONDA S PERRY | |||||||||||||
| 0 | 364579 | 0 | 3000 | 0 | 43604 | 0 | 22829 | 0 | 4682 | 0 | 438694 | 0 | 0 |
| BARBARA STICKEL | |||||||||||||
| 265910 | 0 | 1000 | 0 | 75577 | 0 | 82535 | 0 | 6149 | 0 | 431171 | 0 | 0 | 0 |
| BETH PEARSON | |||||||||||||
| 172303 | 0 | 2500 | 0 | 33049 | 0 | 12364 | 0 | 13335 | 0 | 233551 | 0 | 0 | 0 |
| DAWN COLE | |||||||||||||
| 165394 | 0 | 4000 | 0 | 44729 | 0 | 26064 | 0 | 9896 | 0 | 250083 | 0 | 0 | 0 |
| James M Cunningham | |||||||||||||
| 390496 | 0 | 3000 | 0 | 64168 | 0 | 41294 | 0 | 8245 | 0 | 507203 | 0 | 0 | 0 |
| JOSEPH LAVELLE | |||||||||||||
| 343236 | 0 | 3000 | 0 | 77538 | 0 | 17041 | 0 | 13866 | 0 | 454681 | 0 | 0 | 0 |
| MARCIA HUTCHINSON MD | |||||||||||||
| 227087 | 0 | 0 | 0 | 38961 | 0 | 36264 | 0 | 8245 | 0 | 310557 | 0 | 0 | 0 |
| PAT D'ERRICO | |||||||||||||
| 65689 | 0 | 0 | 0 | 167762 | 0 | 550 | 0 | 4781 | 0 | 238782 | 0 | 0 | 0 |
| TOM SANDS jr | |||||||||||||
| 183240 | 0 | 1000 | 0 | 52205 | 0 | 20359 | 0 | 13335 | 0 | 270139 | 0 | 0 | 0 |
| William R Avenel | |||||||||||||
| 163401 | 0 | 0 | 0 | 20526 | 0 | 4417 | 0 | 5394 | 0 | 193738 | 0 | 0 | 0 |
| ANDREW GALLOWAY | |||||||||||||
| 12600 | 0 | 0 | 0 | 565215 | 0 | 43236 | 0 | 17481 | 0 | 638532 | 0 | 0 | 0 |
| Krishan Patel MD | |||||||||||||
| 288733 | 0 | 27222 | 0 | 39964 | 0 | 15246 | 0 | 11084 | 0 | 382249 | 0 | 0 | 0 |
| Timothy Longaker MD | |||||||||||||
| 336466 | 0 | 3883 | 0 | 41533 | 0 | 21278 | 0 | 10290 | 0 | 413450 | 0 | 0 | 0 |
| William Butler MD | |||||||||||||
| 468301 | 0 | 0 | 0 | 56610 | 0 | 25659 | 0 | 14088 | 0 | 564658 | 0 | 0 | 0 |
| Adam Nauss | |||||||||||||
| 298202 | 0 | 0 | 0 | 16638 | 0 | 5750 | 0 | 13140 | 0 | 333730 | 0 | 0 | 0 |
| DEBRA ORR | |||||||||||||
| 0 | 0 | 0 | 0 | 503750 | 0 | 0 | 0 | 0 | 0 | 503750 | 0 | 0 | 0 |
| MICHAEL VADEN | |||||||||||||
| 0 | 0 | 0 | 0 | 721824 | 0 | 0 | 0 | 17481 | 0 | 739305 | 0 | 223443 | 0 |
| Michael Gilstrap | |||||||||||||
| 0 | 0 | 0 | 0 | 1490259 | 0 | 0 | 0 | 0 | 0 | 1490259 | 0 | 2603 | 0 |
| Larry C Parks | |||||||||||||
| 0 | 0 | 0 | 0 | 487769 | 0 | 0 | 0 | 0 | 0 | 487769 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | $3,596 was paid as a temporary housing allowance. The allowance was negotiated as part of a relocation package and included in the taxable income of the recipient. |
| Part I, Lines 4a-b: | Severance Payments Andrew Galloway - $257,005 Michael L. Vaden - $217,300 Pat D'Errico - $101,670 Employer payment from 457(f) Executive Supplemental Retirement Plan Andrew Galloway $301,385 Debra Orr $503,750 Larry Parks $487,769 Michael Gilstrap $1,487,656 Michael Vaden $488,224 MCCG had a supplemental executive benefit program ("SEBP") for certain executives that was designed as a loan regime split dollar life insurance program. this program was expected to provide death and other benefits to executives and to provide repayment of life insurance premiums to the organization. As a result of economic conditions, the life insurance policies have not performed as anticipated. During 2009 MCCG determined that it would suspend all premium payments and reevaluate the effectiveness of the program for all current participants. During calendar year 2009 the MCCG board of directors, after consultation with compensation and legal advisers, adopted a resolution to make payments to the retired participants in the SEBP. In consideration for the receipt of such payment, the retired executives surrendered substantially all rights and benefits (other than a small death benefit) under the SEBP to the organization. |
| 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). |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| Macon-Bibb County Hospital Authority | ||||||
| 581034851 | 55553rcd5 | 2009-09-02 | 37600000 | Refunding 2003 issue | 0 | 0 |
| Macon-Bibb County Hospital Authority | ||||||
| 581034851 | 55553rcn3 | 2009-09-24 | 81345501 | Refunding 2005 issue | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount DefeasedAmountDefeased | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Issuance Costs From ProceedsIssuanceCostsFromProceeds |
|---|---|---|---|---|---|---|
| 37600000 | 37600000 | 1 | 0 | 1 | 1 | |
| 81345501 | 80000000 | 1 | 0 | 1 | 1 | 1345501 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 1 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Loan Table LoanTable (75 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Alfred D Faulk | ||||||
| Split Dollar Ins. Loan | X | $4,764,065 | 6377313 | 0 | 1 | 1 |
| Alfred D Faulk | ||||||
| Split Dollar Ins. Loan | X | $458,584 | 572026 | 0 | 1 | 1 |
| alfred d faulk | ||||||
| split dollar ins. loan | X | $115,000 | 125775 | 0 | 1 | 1 |
| Andrew Galloway | ||||||
| Split Dollar Ins. Loan | X | $375,677 | 502892 | 0 | 1 | 1 |
| Andrew Galloway | ||||||
| Split Dollar Ins. Loan | X | $150,000 | 187106 | 0 | 1 | 1 |
| Andrew Galloway | ||||||
| Split Dollar Ins. Loan | X | $230,000 | 281810 | 0 | 1 | 1 |
| andrew galloway | ||||||
| split dollar ins. loan | X | $230,000 | 266939 | 0 | 1 | 1 |
| andrew galloway | ||||||
| split dollar ins. loan | X | $203,992 | 223106 | 0 | 1 | 1 |
| Barb Stickel | ||||||
| Split Dollar Ins. Loan | X | $979,436 | 1311102 | 0 | 1 | 1 |
| Barb Stickel | ||||||
| Split Dollar Ins. Loan | X | $219,691 | 274037 | 0 | 1 | 1 |
| Barb Stickel | ||||||
| split dollar ins. loan | X | $235,540 | 257610 | 0 | 1 | 1 |
| Beth Pearson | ||||||
| Split Dollar Ins. Loan | X | $20,000 | 26773 | 0 | 1 | 1 |
| Beth Pearson | ||||||
| split dollar ins. loan | X | $25,000 | 31184 | 0 | 1 | 1 |
| Beth Pearson | ||||||
| Split Dollar Ins. Loan | X | $25,000 | 30632 | 0 | 1 | 1 |
| beth pearson | ||||||
| split dollar ins. loan | X | $21,000 | 22968 | 0 | 1 | 1 |
| Beth Peason | ||||||
| Split Dollar Ins. Loan | X | $25,000 | 29015 | 0 | 1 | 1 |
| Dawn Cole | ||||||
| Split Dollar Ins. Loan | X | $53,000 | 70947 | 0 | 1 | 1 |
| Dawn Cole | ||||||
| split dollar ins. loan | X | $58,000 | 72348 | 0 | 1 | 1 |
| Dawn Cole | ||||||
| Split Dollar Ins. Loan | X | $58,000 | 71065 | 0 | 1 | 1 |
| Dawn Cole | ||||||
| Split Dollar Ins. Loan | X | $58,000 | 67315 | 0 | 1 | 1 |
| Dawn Cole | ||||||
| split dollar ins. loan | X | $55,000 | 60153 | 0 | 1 | 1 |
| Debbie Orr | ||||||
| Split Dollar Ins. Loan | X | $349,590 | 467973 | 0 | 1 | 1 |
| Debbie Orr | ||||||
| Split Dollar Ins. Loan | X | $143,606 | 179130 | 0 | 1 | 1 |
| elbert mcqueen | ||||||
| split dollar ins. loan | X | $61,000 | 66716 | 0 | 1 | 1 |
| Ethel Cullinan | ||||||
| Split Dollar Ins. Loan | X | $636,204 | 851640 | 0 | 1 | 1 |
| Ethel Cullinan | ||||||
| Split Dollar Ins. Loan | X | $37,479 | 46751 | 0 | 1 | 1 |
| ethel cullinan | ||||||
| split dollar ins. loan | X | $161,243 | 176351 | 0 | 1 | 1 |
| Joseph Lavelle | ||||||
| Split Dollar Ins. Loan | X | $110,000 | 147249 | 0 | 1 | 1 |
| Joseph Lavelle | ||||||
| Split Dollar Ins. Loan | X | $110,000 | 137212 | 0 | 1 | 1 |
| joseph lavelle | ||||||
| split dollar ins. loan | X | $170,000 | 208294 | 0 | 1 | 1 |
| joseph lavelle | ||||||
| Split Dollar Ins. Loan | X | $170,000 | 197303 | 0 | 1 | 1 |
| joseph lavelle | ||||||
| split dollar ins. loan | X | $135,000 | 147649 | 0 | 1 | 1 |
| Ken Banks | ||||||
| Split Dollar Ins. Loan | X | $228,829 | 306317 | 0 | 1 | 1 |
| Ken Banks | ||||||
| Split Dollar Ins. Loan | X | $82,000 | 102284 | 0 | 1 | 1 |
| Ken Banks | ||||||
| Split Dollar Ins. Loan | X | $82,000 | 100471 | 0 | 1 | 1 |
| Ken Banks | ||||||
| Split Dollar Ins. Loan | X | $82,000 | 95170 | 0 | 1 | 1 |
| Ken Banks | ||||||
| Split Dollar Ins. Loan | X | $48,000 | 52497 | 0 | 1 | 1 |
| Larry Parks | ||||||
| Split Dollar Ins. Loan | X | $359,594 | 481362 | 0 | 1 | 1 |
| Larry Parks | ||||||
| Split Dollar Ins. Loan | X | $150,000 | 187106 | 0 | 1 | 1 |
| Larry Parks | ||||||
| Split Dollar Ins. Loan | X | $150,000 | 183789 | 0 | 1 | 1 |
| larry parks | ||||||
| split dollar ins. loan | X | $108,904 | 126394 | 0 | 1 | 1 |
| Louis Goolsby MD | ||||||
| Split Dollar Ins. Loan | X | $953,762 | 1276732 | 0 | 1 | 1 |
| Louis Goolsby MD | ||||||
| Split Dollar INS. LOAN | X | $269,000 | 335544 | 0 | 1 | 1 |
| Louis Goolsby MD | ||||||
| split dollar ins. loan | X | $269,000 | 329595 | 0 | 1 | 1 |
| Louis Goolsby MD | ||||||
| Split Dollar Ins. Loan | X | $269,000 | 312203 | 0 | 1 | 1 |
| marcia hutchinson | ||||||
| split dollar ins. loan | X | $155,000 | 169523 | 0 | 1 | 1 |
| Michael Gilstrap | ||||||
| Split Dollar Ins. Loan | X | $2,941,423 | 3937473 | 0 | 1 | 1 |
| Michael Gilstrap | ||||||
| Split Dollar Ins. Loan | X | $451,034 | 562609 | 0 | 1 | 1 |
| michael gilstrap | ||||||
| split dollar ins. loan | X | $250,000 | 273424 | 0 | 1 | 1 |
| Michael Vaden | ||||||
| Split Dollar Ins. Loan | X | $232,111 | 310711 | 0 | 1 | 1 |
| Michael Vaden | ||||||
| split dollar ins. loan | X | $110,000 | 137212 | 0 | 1 | 1 |
| Michael Vaden | ||||||
| Split Dollar Ins. Loan | X | $110,000 | 134779 | 0 | 1 | 1 |
| Michael Vaden | ||||||
| Split Dollar Ins. Loan | X | $110,000 | 127666 | 0 | 1 | 1 |
| michael vaden | ||||||
| split dollar ins. loan | X | $76,000 | 83121 | 0 | 1 | 1 |
| Patricia D'Errico | ||||||
| Split Dollar Ins. Loan | X | $50,000 | 66931 | 0 | 1 | 1 |
| Patricia D'Errico | ||||||
| Split Dollar Ins. Loan | X | $50,000 | 62369 | 0 | 1 | 1 |
| Patricia D'Errico | ||||||
| Split Dollar Ins. Loan | X | $50,000 | 61263 | 0 | 1 | 1 |
| patricia d'errico | ||||||
| split dollar ins. loan | X | $50,000 | 58030 | 0 | 1 | 1 |
| patricia d'errico | ||||||
| split dollar ins. loan | X | $49,000 | 53591 | 0 | 1 | 1 |
| Raymond T Olmer | ||||||
| Split Dollar Ins. Loan | X | $2,191,396 | 2933465 | 0 | 1 | 1 |
| Raymond T Olmer | ||||||
| Split Dollar Ins. Loan | X | $222,887 | 278023 | 0 | 1 | 1 |
| raymond t olmer | ||||||
| split dollar ins. loan | X | $184,000 | 201240 | 0 | 1 | 1 |
| Rhonda Perry | ||||||
| Split Dollar Ins. Loan | X | $509,455 | 681971 | 0 | 1 | 1 |
| Rhonda Perry | ||||||
| Split Dollar Ins. Loan | X | $260,000 | 324317 | 0 | 1 | 1 |
| Rhonda Perry | ||||||
| Split Dollar Ins. Loan | X | $260,000 | 318567 | 0 | 1 | 1 |
| Rhonda perry | ||||||
| split dollar ins. loan | X | $260,000 | 301757 | 0 | 1 | 1 |
| Rhonda Perry | ||||||
| split dollar ins. loan | X | $143,000 | 156399 | 0 | 1 | 1 |
| Tom Sands Jr | ||||||
| split dollar ins. loan | X | $30,000 | 40160 | 0 | 1 | 1 |
| Tom Sands jr | ||||||
| Split Dollar Ins. Loan | X | $34,000 | 42411 | 0 | 1 | 1 |
| Tom Sands jr | ||||||
| Split Dollar Ins. Loan | X | $34,000 | 41658 | 0 | 1 | 1 |
| Tom sands jr | ||||||
| split dollar ins. loan | X | $34,000 | 39461 | 0 | 1 | 1 |
| Tom Sands jr | ||||||
| Split Dollar Ins. Loan | X | $30,000 | 32811 | 0 | 1 | 1 |
| Virgil Cooper | ||||||
| Split Dollar Ins. Loan | X | $1,012,536 | 1355409 | 0 | 1 | 1 |
| Virgil Cooper | ||||||
| split dollar ins. loan | X | $358,905 | 392534 | 0 | 1 | 1 |
| GAAP Adjustment to CSV | ||||||
| X | -$1,891,558 | -10991371 | 0 | 1 | 1 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 19565362 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Margaret Sutherland | |||
| Daughter of Board Member | 26736 | Ms. Sutherland is the Daughter of Emory Johnson, board member. Ms. Sutherland works for the Medical Center of Central Georgia, Inc. as a nurse. | 0 |
| Howard Moore McDuffie PC | |||
| Georgia Slagle, wife of board member Dan Slagle, is partner with firm | 19083 | Georgia Slagle, wife of board member Dan Slagle, is partner with the accounting firm of Howard, moore, McDuffie, P.C. This accounting firm is engaged to perform audits of the retirement plans. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part III, line 2 | New Program Services | Hospice of Central Georgia opened its newly constructed inpatient facility, Pine Pointe Hospice of Central Georgia, to its first patient on September 20, 2010. Pine Pointe offers 15 spacious patient rooms and includes sleeping accommodations for one family member. All inpatients will have 24/7 access to an interdisciplinary team of professionals to assist with all aspects of care and treatment. |
| Form 990, Part VI, Section A, line 6 | Central Georgia Health System, Inc. (a related 501(c)(3) organization) is sole member of the Medical Center of Central Georgia, Inc. | |
| Form 990, Part VI, Section A, line 7a | Central Georgia Health System, Inc. (a related 501(c)(3) organizations appoints certain members of the board. | |
| Form 990, Part VI, Section A, line 7b | Certain actions of the board must be approved by the board of Central Georgia Health System, Inc., a related 501(c)(3) organization. | |
| 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 was reviewed by Medical Center of Central Georgia'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 taken to the various boards and administration for implementation. Any time a change in a relationship or new potential conflict evolves, the individual must amend their COI disclosure form. | |
| 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 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 | MCCG provides copies of its governing and other company documents upon request. | |
| Form 990, Part VII | Contact Addresses for Officers, Directors, Etc | ANDREW GALLOWAY - 99 Wolfcreek Drive, macon, GA 31210. DEBRA ORR - 1166 Eagle Circle, Townsend, GA 31221. MICHAEL VADEN - P.O.Box 1657, Tullahoma, TN 37388. PAT D'ERRICO - 407 Sleppy Ln, Warner Robbins, GA 31088. Michael Gilstrap - P.O.Box 272, Byron, GA 31008. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Direct Controlling Entity NADirectControllingEntityNA | EINEIN |
|---|---|---|---|---|---|---|---|---|---|
| Central Georgia Medical Properties LLC | |||||||||
| 777 Hemlock St MSC 111 | Macon | GA | 31201 | Physician relationships | GA | 0 | 0 | N/A | |
| Central GA Rehab Hospital LLC | |||||||||
| 3351 Northside Drive | Macon | GA | 31210 | Rehabilitation Hospital | GA | 0 | 0 | N/A | 300371539 |
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 Health Systems Inc | |||||||||
| 691 Cherry Street Suite 400 | Macon | GA | 31201 | 582149127 | Healthcare Services, Parent Entity/Strategic & Financial Management | GA | 501(c)(3) | 11 | N/A |
| Health Services of Central Georgia Inc | |||||||||
| 691 Cherry Street Suite 400 | macon | GA | 31201 | 582307485 | healthcare Services | GA | 501(c)(3) | 3 | N/A |
| Medcen Community Health Foundation Inc | |||||||||
| 858 High Street | macon | GA | 31201 | 237363555 | Fundraising | GA | 501(c)(3) | 7 | N/A |
| Central Georgia Senior Health Inc | |||||||||
| 691 Cherry Street Suite 400 | macon | GA | 31201 | 582345439 | Assisted Living | GA | 501(c)(3) | 7 | 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 | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Secure Health Plans of Georgia LLC | ||||||||||||
| 3920 Arkwright Road Suite 400 | Macon | GA | 31201 | 582306549 | Managed Care | GA | N/A | |||||
| Centra Georgia PET LLC | ||||||||||||
| 1650 Hardeman Avenue | macon | GA | 31201 | 371464470 | Medical Imaging Center | GA | N/A | Related | 1991570 | 569239 | 0 | 0 |
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 | 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 | |||||
| Central Georgia Home Care Services Inc | |||||||||||||
| 691 Cherry Street | macon | GA | 31201 | 582457422 | Medical Equipment Sales | GA | N/A | C | |||||
| Centra Indemnity LTD | |||||||||||||
| Insurance | N/A | C | PO 1363 | Grand Cayman | Grand Cayman | CJ | CJ | ||||||
| Centra Professional Indemnity LTD | |||||||||||||
| Insurance | N/A | C | pO 1363 | grand Cayman | grand Cayman | CJ | CJ | ||||||
| American Eagle Insurance Co RRG | |||||||||||||
| 40 Main Street Suite 500 | Burlington | VT | 05401 | 161645557 | Insurance/Risk Management | VT | N/A | C | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | 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 | 0 | 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 | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Georgia PET LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionType |
| Amount Involved | 625000 | AmountInvolved |
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