HEALTH SERVICES OF CENTRAL GEORGIA INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH SERVICES OF CENTRAL GEORGIA INC (EIN 58-2307485)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202323189349306157
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T10:59:15-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582307485 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH SERVICES OF CENTRAL GEORGIA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 4786336968 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 HEMLOCK STREET MSC 111 | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KIMBERLY SHREWSBURY | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4786336968 | PhoneNum |
| Signature | 2023-11-14 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KIMBERLY | PersonFirstNm |
| Person Last | SHREWSBURY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NAVICENT HEALTH PHYSICIAN GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DELVECCHIO S FINLEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 HEMLOCK STREET MSC 111 | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $84,609,328 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NAVICENTHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION PROVIDES FACULTY PHYSICIANS FOR THE RESIDENCY TRAINING PROGRAMS OF THE MEDICAL CENTER, NAVICENT HEALTH ("MCNH") AND PHYSICIANS WHO ARE IN SHORT SUPPLY IN THE COMMUNITY THAT ARE CENTRAL TO THE MISSION OF MCNH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 0 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 588 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $26,394 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $265,739 | PYContributionsGrantsAmt |
| CY Contributions Grants | $479,020 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $72,046,629 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $82,488,254 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,621 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,771 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,338,009 | PYOtherRevenueAmt |
| CY Other Revenue | $1,638,283 | CYOtherRevenueAmt |
| PY Total Revenue | $76,651,998 | PYTotalRevenueAmt |
| CY Total Revenue | $84,609,328 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $78,711,620 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $88,856,024 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,952,326 | PYOtherExpensesAmt |
| CY Other Expenses | $22,694,839 | CYOtherExpensesAmt |
| PY Total Expenses | $98,663,946 | PYTotalExpensesAmt |
| CY Total Expenses | $111,550,863 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$22,011,948 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$26,941,535 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,810,949 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,967,817 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,901,757 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $74,000,160 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$20,090,808 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$47,032,343 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HEALTH SERVICES OF CENTRAL GEORGIA, INC. IS A NOT-FOR-PROFIT ORGANIZATION. AFFILIATED WITH NAVICENT HEALTH, HSCG EMPLOYS A PREMIER NETWORK OF HEALTH CARE PROVIDERS SUCH AS PHYSICIANS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS. HSCG PROVIDES FACULTY PHYSICIANS TO THE RESIDENCY TRAINING PROGRAMS OF MCNH AND PHYSICIAN SERVICES THAT ARE IN SHORT SUPPLY IN THE COMMUNITY. IT HAS BEEN OUR MISSION TO PROVIDE CRITICALLY NEEDED PHYSICIANS AND EFFICIENT AND EFFECTIVE HEALTH SERVICES IN ORDER TO MAKE A POSITIVE IMPACT ON THE HEALTH OF THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $108,620,294 | ExpenseAmt |
| Revenue | $84,100,143 | RevenueAmt |
| Desc | HEALTH SERVICES OF CENTRAL GEORGIA, INC. (HSCG) IS A NOT-FOR-PROFIT AFFILIATE OF NAVICENT HEALTH (FORMERLY CENTRAL GEORGIA HEALTH SYSTEM, INC.) WHICH EMPLOYS A PREMIER NETWORK OF HEALTH CARE PROVIDERS SUCH AS PHYSICIANS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS. HSCG PROVIDES FACULTY PHYSICIANS TO THE RESIDENCY TRAINING PROGRAMS OF THE MEDICAL CENTER OF CENTRAL GEORGIA, AND PHYSICIAN SERVICES THAT ARE IN SHORT SUPPLY IN PRIVATE PRACTICE. IT HAS BEEN OUR MISSION TO PROVIDE CRITICALLY NEEDED PHYSICIANS AND EFFICIENT AND EFFECTIVE HEALTH SERVICES IN ORDER TO MAKE A POSITIVE IMPACT ON THE HEALTH OF THE COMMUNITIES WE SERVE.HSCG PROVIDES FACULTY PHYSICIANS AND PHYSICIAN EXTENDERS TO THE PEDIATRIC RESIDENCY TRAINING PROGRAM OF THE MEDICAL CENTER OF CENTRAL GEORGIA. DURING THE YEAR THIS GROUP OF PHYSICIANS PERFORMED APPROXIMATELY 30,000 PATIENT VISITS, PEDIATRIC PATIENTS FROM BIBB AND THE SURROUNDING COUNTIES. APPROXIMATELY 94% OF PATIENTS SEEN WERE COVERED BY GEORGIA STATE MEDICAID OR UNINSURED. THIS GROUP OF PHYSICIANS ALSO PROVIDED EDUCATION AND TRAINING TO 18 PEDIATRIC RESIDENTS AS WELL AS 102 MEDICAL STUDENTS FROM THE MERCER UNIVERSITY SCHOOL OF MEDICINE. HSCG ALSO PROVIDES FACULTY PHYSICIANS AND PHYSICIAN EXTENDERS TO THE SURGICAL RESIDENCY TRAINING PROGRAM OF THE MEDICAL CENTER OF CENTRAL GEORGIA. THEY PROVIDED EDUCATION AND TRAINING TO 26 SURGICAL RESIDENTS, IN ADDITION TO 102 MEDICAL STUDENTS FROM THE MERCER UNIVERSITY SCHOOL OF MEDICINE. THE FACULTY PHYSICIANS PROVIDED CARE FOR APPROXIMATELY 5,800 PATIENTS AT THE ANDERSON HEALTH CENTER AT THE MEDICAL CENTER OF CENTRAL GEORGIA. OF THOSE PATIENTS, APPROXIMATELY 29% WERE UNINSURED, MEMBERS OF THE MEDICAL CENTER OF CENTRAL GEORGIA'S MANAGED CARE PROGRAM FOR UNINSURED OR UNDER INSURED CITIZENS OR CONSIDERED SELF-PAY, AND 10% WERE MEDICARE PART B RECIPIENTS. THEY ALSO PROVIDED APPROXIMATELY $726,000 OF CARE IN OTHER OUTPATIENT SERVICES AND SURGICAL SERVICES TO INDIGENT AND UNINSURED PATIENTS DURING THIS TIME. THIS GROUP ALSO PROVIDED LEVEL I SURGICAL TRAUMA SERVICES AT THE MEDICAL CENTER OF CENTRAL GEORGIA.HSCG ALSO PROVIDES FACULTY PHYSICIANS AND PHYSICIAN EXTENDERS TO THE FAMILY MEDICINE RESIDENCY TRAINING PROGRAM. DURING THE YEAR THIS GROUP OF PHYSICIANS, IN CONJUNCTION WITH FACULTY FROM THE MERCER UNIVERSITY SCHOOL OF MEDICINE, SAW OUTPATIENTS FROM BIBB AND THE SURROUNDING COUNTIES. THIS GROUP OF PROVIDERS SAW A HIGH PERCENTAGE OF PATIENTS COVERED BY GEORGIA STATE MEDICAID AND MEDICARE PART B, AS WELL AS UNINSURED PATIENTS. THIS GROUP OF PHYSICIANS ALSO PROVIDED EDUCATION AND TRAINING TO 30 FAMILY PRACTICE RESIDENTS, AS WELL AS 102 MEDICAL STUDENTS FROM THE MERCER UNIVERSITY SCHOOL OF MEDICINE. OTHER HSCG ACCOMPLISHMENTS INCLUDE PROVIDING FACULTY PHYSICIANS TO EDUCATE AND TRAIN 16 OBSTETRIC AND GYNECOLOGIC RESIDENTS. THIS FACULTY DEPARTMENT PROVIDES SPECIALTY CARE, EDUCATION, AND TRAINING IN OB/GYN, UROGYNECOLOGY, GYNECOLOGIC ONCOLOGY, REPRODUCTIVE ENDOCRINOLOGY, AND MATERNAL FETAL MEDICINE WHILE PROVIDING PATIENT ENCOUNTERS. HSCG ALSO PROVIDED PHYSICIANS AND PHYSICIAN EXTENDERS IN GASTROENTEROLOGY, PEDIATRIC SURGERY, PEDIATRIC ORTHOPEDIC SURGERY, PEDIATRIC GASTROENTEROLOGY, PEDIATRIC HEMATOLOGY/ONCOLOGY, ORTHOPEDIC TRAUMA SURGERY, MAXILLOFACIAL TRAUMA SURGERY, BARIATRIC SURGERY, OPHTHALMOLOGY, PEDIATRIC ENDOCRINOLOGY, VASCULAR SURGERY, CARDIAC SURGERY, THORACIC SURGERY AND FAMILY MEDICINE, ALL AREAS OF HIGH NEED AND PHYSICIAN SHORTAGE IN THE COMMUNITIES THEY SERVE. | Desc |
| Total Program Service Expenses | $108,620,294 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 588 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 0 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KIMBERLY SHREWSBURY | PersonNm |
| Phone | 4786331452 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 HEMLOCK STREET | AddressLine1Txt |
| City | MACON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT C WILDE | ||||||||||
| DIRECTOR, TREASURER (TO 9/30/22) | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $1,026,382 | $32,316 | |||
| DELVECCHIO FINLEY | ||||||||||
| PRESIDENT/CEO | 5.00 | 35.00 | Yes (X) | $0 | $1,761,512 | $147,049 | ||||
| KENNETH B BANKS | ||||||||||
| SECRETARY | 1.00 | 39.00 | Yes (X) | $0 | $724,222 | $68,421 | ||||
| KIMBERLY SHREWSBURY | ||||||||||
| TREASURER (FR 11/17/22) | 1.00 | 39.00 | Yes (X) | $0 | $100,605 | $197 | ||||
| MALLORY FREEMAN | ||||||||||
| VP OPERATIONS | 40.00 | 0.00 | $0 | $330,389 | $18,894 | Yes (X) | ||||
| PATRICE WALKER MD | ||||||||||
| CH MED OFF (FR 10/31/21) | 40.00 | 0.00 | $0 | $580,267 | $95,617 | Yes (X) | ||||
| DANIEL CHAN MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $814,955 | $42,453 | Yes (X) | ||||
| DUDLEY CHRISTIE MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $941,811 | $12,638 | Yes (X) | ||||
| JOSHUA GLENN MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $1,039,790 | $49,741 | Yes (X) | ||||
| LAURA REED MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $819,378 | $22,091 | Yes (X) | ||||
| DANNY VAUGHN MD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $902,716 | $41,518 | Yes (X) | ||||
| NINFA M SAUNDERS | ||||||||||
| FORMER OFFICER (10/18/20) | 0.00 | 0.00 | $0 | $3,191,353 | $0 | Yes (X) | ||||
| LORI W CASSIDY | ||||||||||
| FORMER KE (9/30/19) | 0.00 | 40.00 | $0 | $348,543 | $34,967 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,581,923 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $565,902 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 177 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DELTA LOCUM TENENS | |||||
| PO BOX 202940 | DALLAS | TX | 753202940 | CONTRACT SERVICES - HEALTHCARE | $4,587,695 |
| GASTRO SOUTH LLC | |||||
| 9172 ESTES ROAD | MACON | GA | 31220 | CONTRACT SERVICES - HEALTHCARE | $2,611,617 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | CONTRACT SERVICES - HEALTHCARE | $1,046,335 |
| GEORGIA HEART PHYSICIANS LLC | |||||
| PO BOX 6135 | MACON | GA | 31201 | CONTRACT SERVICES - HEALTHCARE | $288,424 |
| CENTRAL GEORGIA HEART CENTER | |||||
| 1062 FORSYTH ST STE 1B | MACON | GA | 31201 | CONTRACT SERVICES - HEALTHCARE | $265,193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $479,020 | GovernmentGrantsAmt |
| Total Contributions | $479,020 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $82,488,254 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $82,488,254 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $82,488,254 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,771 | TotalRevenueColumnAmt |
| Exclusion | $3,771 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $3,206 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $3,206 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,206 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $606 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,600 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PAYOR INCENTIVES | 900099 | $1,611,283 | $1,611,283 | |
| ACCOUNTING/BILLING SVC | 900099 | $23,794 | $23,794 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,635,077 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,609,328 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $84,100,143 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $26,394 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,771 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,665,409 | TotalAmt |
| Program Services | $7,527,113 | ProgramServicesAmt |
| Management And General | $138,296 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,988,680 | TotalAmt |
| Program Services | $67,744,020 | ProgramServicesAmt |
| Management And General | $1,244,660 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,608,812 | TotalAmt |
| Program Services | $1,579,787 | ProgramServicesAmt |
| Management And General | $29,025 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,987,713 | TotalAmt |
| Program Services | $6,861,644 | ProgramServicesAmt |
| Management And General | $126,069 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,605,410 | TotalAmt |
| Program Services | $3,540,363 | ProgramServicesAmt |
| Management And General | $65,047 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,290 | TotalAmt |
| Program Services | $33,290 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,652 | TotalAmt |
| Program Services | $80,153 | ProgramServicesAmt |
| Management And General | $36,499 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,022,582 | TotalAmt |
| Program Services | $6,422,578 | ProgramServicesAmt |
| Management And General | $600,004 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,711 | TotalAmt |
| Program Services | $21,685 | ProgramServicesAmt |
| Management And General | $2,026 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $635,184 | TotalAmt |
| Program Services | $567,839 | ProgramServicesAmt |
| Management And General | $67,345 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,953,229 | TotalAmt |
| Program Services | $4,428,065 | ProgramServicesAmt |
| Management And General | $525,164 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,485 | TotalAmt |
| Program Services | $91,619 | ProgramServicesAmt |
| Management And General | $10,866 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,526 | TotalAmt |
| Program Services | $242,738 | ProgramServicesAmt |
| Management And General | $28,788 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,670 | TotalAmt |
| Program Services | $146,592 | ProgramServicesAmt |
| Management And General | $50,078 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $8,305,195 | $8,305,195 | |
| MEDICAL SUPPLIES | $951,723 | $951,723 | |
| MINOR EQUIPMENT & REPAI | $63,212 | $56,510 | $6,702 |
| DUES & TAXES | $19,380 | $19,380 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,550,863 | TotalAmt |
| Program Services | $108,620,294 | ProgramServicesAmt |
| Management And General | $2,930,569 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,587,568 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,956,575 | BOYAmt |
| EOY | $24,744,536 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,741 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,561,232 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,783,507 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $628,604 | BOYAmt |
| EOY | $777,725 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,210,144 | BOYAmt |
| EOY | $1,445,106 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,085,317 | BOYAmt |
| EOY | $450 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,810,949 | BOYAmt |
| EOY | $26,967,817 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,181,263 | BOYAmt |
| EOY | $8,923,617 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $717,372 | BOYAmt |
| EOY | $321,474 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,122 | BOYAmt |
| EOY | $64,755,069 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,901,757 | BOYAmt |
| EOY | $74,000,160 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$20,090,808 | BOYAmt |
| EOY | -$47,032,343 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$20,090,808 | BOYAmt |
| EOY | -$47,032,343 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,810,949 | BOYAmt |
| EOY | $26,967,817 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$26,941,535 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $531,137 | OtherCostOrOtherBasisAmt |
| Depreciation | $217,584 | DepreciationAmt |
| Book Value | $313,553 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $554,698 | OtherCostOrOtherBasisAmt |
| Depreciation | $545,436 | DepreciationAmt |
| Book Value | $9,262 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,475,397 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,020,487 | DepreciationAmt |
| Book Value | $454,910 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $777,725 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASES | $1,228,393 |
| DUE TO AFFILIATES | $63,526,676 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $64,755,069 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEARS ENDED DECEMBER 31, 2022 AND DECEMBER 31, 2021, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE CALENDAR YEARS ENDED DECEMBER 31, 2022 AND DECEMBER 31, 2021. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NINFA M SAUNDERS | ||||||||||||||
| FORMER OFFICER (10/18/20) | $0 | $0 | $0 | $0 | $0 | $3,191,353 | $0 | $0 | $0 | $0 | $0 | $3,191,353 | $0 | $0 |
| DELVECCHIO FINLEY | ||||||||||||||
| PRESIDENT/CEO | $0 | $984,747 | $0 | $688,000 | $0 | $88,765 | $0 | $110,367 | $0 | $36,682 | $0 | $1,908,561 | $0 | $24,917 |
| JOSHUA GLENN MD | ||||||||||||||
| PHYSICIAN | $0 | $1,019,020 | $0 | $0 | $0 | $20,770 | $0 | $11,864 | $0 | $37,877 | $0 | $1,089,531 | $0 | $0 |
| ROBERT C WILDE | ||||||||||||||
| DIRECTOR, TREASURER (TO 9/30/22) | $0 | $371,753 | $0 | $218,593 | $0 | $436,036 | $0 | $12,200 | $0 | $20,116 | $0 | $1,058,698 | $0 | $217,759 |
| DUDLEY CHRISTIE MD | ||||||||||||||
| PHYSICIAN | $0 | $941,541 | $0 | $0 | $0 | $270 | $0 | $11,522 | $0 | $1,116 | $0 | $954,449 | $0 | $0 |
| DANNY VAUGHN MD | ||||||||||||||
| PHYSICIAN | $0 | $897,151 | $0 | $0 | $0 | $5,565 | $0 | $9,913 | $0 | $31,605 | $0 | $944,234 | $0 | $0 |
| DANIEL CHAN MD | ||||||||||||||
| PHYSICIAN | $0 | $794,185 | $0 | $0 | $0 | $20,770 | $0 | $10,848 | $0 | $31,605 | $0 | $857,408 | $0 | $0 |
| LAURA REED MD | ||||||||||||||
| PHYSICIAN | $0 | $797,690 | $0 | $0 | $0 | $21,688 | $0 | $9,913 | $0 | $12,178 | $0 | $841,469 | $0 | $0 |
| KENNETH B BANKS | ||||||||||||||
| SECRETARY | $0 | $467,410 | $0 | $207,586 | $0 | $49,226 | $0 | $37,570 | $0 | $30,851 | $0 | $792,643 | $0 | $25,341 |
| PATRICE WALKER MD | ||||||||||||||
| CH MED OFF (FR 10/31/21) | $0 | $405,689 | $0 | $171,205 | $0 | $3,373 | $0 | $63,593 | $0 | $32,024 | $0 | $675,884 | $0 | $0 |
| LORI W CASSIDY | ||||||||||||||
| FORMER KE (9/30/19) | $0 | $231,224 | $0 | $96,045 | $0 | $21,274 | $0 | $10,922 | $0 | $24,045 | $0 | $383,510 | $0 | $0 |
| MALLORY FREEMAN | ||||||||||||||
| VP OPERATIONS | $0 | $239,433 | $0 | $90,769 | $0 | $187 | $0 | $7,627 | $0 | $11,267 | $0 | $349,283 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | CERTAIN DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP) AND/OR RECEIVED PAYMENTS FOR SEVERANCE. THE DETERMINATION OF THE PAYMENT AMOUNT FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS, OFFICERS, AND KEY EMPLOYEES RECEIVED PAYMENTS FOR SEVERANCE AND/OR PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: SEVERANCE PAYMENTS: NINFA M. SAUNDERS 1,450,606 ROBERT C. WILDE 124,807 NON-QUALIFIED DEFERRED COMPENSATION PAYMENTS: NINFA M. SAUNDERS 1,740,747 ROBERT C. WILDE 290,104 DELVECCHIO FINLEY 25,002 KENNETH B. BANKS 27,538 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE FILING ORGANIZATION'S SOLE MEMBER IS NAVICENT HEALTH, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | NAVICENT HEALTH, INC., A RELATED 501 (C)(3) ORGANIZATION, HAS CERTAIN RESERVE POWERS AS WELL AS THE POWER TO APPOINT, APPROVE AND REMOVE BOARD MEMBERS OF HEALTH SERVICES OF CENTRAL GEORGIA, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | NAVICENT HEALTH, INC., A RELATED 501 (C)(3) ORGANIZATION, HAS CERTAIN RESERVE POWERS AS WELL AS THE POWER TO APPOINT, APPROVE AND REMOVE BOARD MEMBERS OF HEALTH SERVICES OF CENTRAL GEORGIA, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES COPIES OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ITS OFFICERS, DIRECTORS AND KEY EMPLOYEES TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DETERMINE ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS NOTED IN THE QUESTIONNAIRE ARE REVIEWED BY A STANDING COMMITTEE FOR APPROPRIATE RESOLUTION. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO DETERMINE AND REPORT ANNUALLY, AND AS THEY ARISE, ANY POTENTIAL CONFLICTS OF INTEREST TO THE SECRETARY OF THE BOARD OF DIRECTORS. THE RESOLUTION OF POTENTIAL AND ACTUAL CONFLICTS IS SUBJECT TO THE APPROVAL OF THE CHAIR OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE DIVERSITY, INCLUSION, & COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE ATRIUM HEALTH, INC. BOARD OF DIRECTORS HAS AUTHORITY AS THE NAVICENT HEALTH BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF NAVICENT HEALTH OR OF THE FILING ORGANIZATION. THE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH NAVICENT HEALTH AND THE FILING ORGANIZATION'S POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE, STRUCTURE, AND COMPLEXITY AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE MAINTAINED IN THE ATRIUM HEALTH, INC. LEGAL DEPARTMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL GEORGIA SENIOR HEALTH INC | |||||||||||
| 777 HEMLOCK STREET MSC 111 | MACON | GA | 31201 | 582345439 | CONTINUING CARE RETIREMENT COMMUNITY | GA | 501(C)(3) | LINE 12B, II | NAVICENT HEALTH INC | 0 | |
| THE MEDICAL CENTER OF PEACH COUNTY INC | |||||||||||
| 777 HEMLOCK STREET MSC 111 | MACON | GA | 31201 | 453765471 | HEALTHCARE | GA | 501(C)(3) | LINE 3 | NAVICENT HEALTH INC | 0 | |
| MEDICAL CENTER OF CENTRAL GEORGIA INC | |||||||||||
| 777 HEMLOCK STREET MSC 111 | MACON | GA | 31201 | 582149128 | HEALTHCARE | GA | 501(C)(3) | LINE 3 | NAVICENT HEALTH INC | 0 | |
| NAVICENT HEALTH INC | |||||||||||
| 777 HEMLOCK STREET MSC 111 | MACON | GA | 31201 | 582149127 | HEALTHCARE | GA | 501(C)(3) | LINE 12C, III-FI | AH GEORGIA INC | 0 | |
| NAVICENT HEALTH BALDWIN INC | |||||||||||
| 777 HEMLOCK STREET MSC 111 | MACON | GA | 31201 | 823914925 | HEALTHCARE | GA | 501(C)(3) | LINE 3 | NAVICENT HEALTH INC | 0 | |
| AH GEORGIA INC | |||||||||||
| PO BOX 32861 | CHARLOTTE | NC | 282322861 | 831707383 | HOLDING COMPANY | NC | 501(C)(3) | LINE 7 | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | 0 | |
| THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | |||||||||||
| 1000 BLYTHE BOULEVARD | CHARLOTTE | NC | 28203 | 560529945 | HEALTHCARE | NC | NC POLITICAL SUBDIVI | 0 | N/A | ||
| FLOYD HEALTHCARE MANAGEMENT INC | |||||||||||
| 304 TURNER MCCALL BOULEVARD | ROME | GA | 301620233 | 581973570 | HEALTHCARE | GA | 501(C)(3) | LINE 3 | AH GEORGIA INC | 0 | |
| ADVOCATE HEALTH INC | |||||||||||
| 1000 BLYTHE BOULEVARD | CHARLOTTE | NC | 28203 | 884157429 | HEALTHCARE | NC | 501(C)(3) | LINE 12B, II | 0 | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| SECURE HEALTH PLANS OF GEORGIA LLC | |||||||||
| 577 MULBERRY STREET | MACON | GA | 31201 | 582306549 | MANAGED CARE | GA | N/A | 0 | 0 |
| CENTRAL GEORGIA PET LLC | |||||||||
| 1650 HARDEMAN AVENUE | MACON | GA | 31201 | 371464470 | HEALTHCARE | GA | N/A | 0 | 0 |
| COWLES CLINIC REALTY LLC | |||||||||
| 1000 COWLES CLINIC WAY C100 | GREENSBORO | GA | 30642 | 810636590 | REAL ESTATE | GA | N/A | 0 | 0 |
| MACON OUTPATIENT SURGERY LLC | |||||||||
| 3708 NORTHSIDE DRIVE | MACON | GA | 31210 | 203027560 | HEALTHCARE | GA | N/A | 0 | 0 |
| NAVICENT HOLDING LLC | |||||||||
| 777 HEMLOCK ST MSC 111 | MACON | GA | 31201 | 844982377 | HOLDING CO. | GA | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL GEORGIA HEALTH VENTURES INC | |||||||||||||
| 777 HEMLOCK STREET MSC 111 | MACON | GA | 31201 | 582164989 | HOME CARE MANAGEMENT SERVICE | GA | N/A | C | 0 | ||||
| NAVICENT HEALTHPLAN INC | |||||||||||||
| 777 HEMLOCK STREET MSC 111 | MACON | GA | 31201 | 202467391 | INSURANCE | GA | N/A | C | 0 | ||||
| CENTRA PROFESSIONAL INDEMNITY LTD | |||||||||||||
| SELF-INSURANCE | N/A | C | 0 | PO BOX 1363 | GRAND CAYMAN | CJ | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |