2023-11-14T10:59:15-06:00 2022-12-31 990 2022-01-01 582149128 MEDICAL CENTER OF CENTRAL GEORGIA INC MEDI 4786336968 777 HEMLOCK STREET MSC 111 MACON GA 31201 KIMBERLY SHREWSBURY TREASURER 4786336968 2023-11-14 KIMBERLY SHREWSBURY 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z THE MEDICAL CENTER NAVICENT HEALTH DELVECCHIO S FINLEY 777 HEMLOCK STREET MSC 111 MACON GA 31201 969820666 0 X WWW.NAVICENTHEALTH.ORG X 1994 GA TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES FOR INPATIENT, OUTPATIENT, PHYSICIAN CARE, EMERGENCY SERVICES AND OTHER HEALTH CARE RELATED SERVICES TO MACON/BIBB COUNTY, GEORGIA AND THE SURROUNDING AREAS. 18 16 4891 46 983597 0 17477473 16093955 734914783 915254635 44931059 25391111 3090485 9822349 800413800 966562050 0 2582 0 0 310948579 291805578 0 0 0 413411058 624682853 724359637 916491013 76054163 50071037 1397526718 1304867073 350573361 310189668 1046953357 994677405 X 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. 0 0 865319632 2582 915439121 THE MEDICAL CENTER, NAVICENT HEALTH IS AN ACADEMIC MEDICAL CENTER, DESIGNATED LEVEL 1 TRAUMA CENTER, MAGNET HOSPITAL FOR NURSING AND SERVES THE RESIDENTS OF CENTRAL AND SOUTH GEORGIA WITH A PRIMARY AND SECONDARY SERVICE AREA OF 30 COUNTIES AND A POPULATION OF NEARLY 750,000 PERSONS. THE MEDICAL CENTER, NAVICENT HEALTH HAS APPROXIMATELY 4,900 EMPLOYEES AND A MEDICAL STAFF OF APPROXIMATELY 635 PHYSICIANS. AS THE SECOND LARGEST HOSPITAL IN GEORGIA, IT IS LICENSED FOR 637 BEDS, INCLUDING PEDIATRICS, MEDICAL-SURGICAL, TRAUMA AND CARDIAC SURGERY, THE EMERGENCY CENTER, WITH HELIPAD CAPABILITY AND THREE URGENT CARE CENTERS. THE MEDICAL CENTER, NAVICENT HEALTH HAD APPROXIMATELY 184,800 PATIENT DAYS AND 65,500 EMERGENCY ROOM VISITS IN 2022. THE MEDICAL CENTER, NAVICENT HEALTH PROVIDES A BROAD RANGE OF COMMUNITY-BASED OUTPATIENT DIAGNOSTIC, PRIMARY CARE, WELLNESS AND COMPREHENSIVE REHABILITATION SERVICES. IT IS THE PRIMARY ACADEMIC HOSPITAL FOR MERCER UNIVERSITY SCHOOL OF MEDICINE, PROVIDING RESIDENCY AND FELLOWSHIP PROGRAMS FOR OVER 100 RESIDENTS AND IS AFFILIATED WITH MULTIPLE UNIVERSITIES AS A CLINICAL EDUCATION SITE. THE MEDICAL CENTER, NAVICENT HEALTH ALSO OPERATES DOCTORS OFFICE BUILDINGS, HOSPICE OF CENTRAL GEORGIA AND CENTRAL GEORGIA HOME HEALTH SERVICES. 865319632 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 381 0 1 4891 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 GA X KIMBERLY SHREWSBURY 4786331452 777 HEMLOCK STREET MACON GA 31201 KIM JOHNSTON MD VICE CHAIR 1.00 1.00 X X 0 0 0 STARR PURDUE CHAIR 1.00 1.00 X X 0 0 0 CAROL LOVIN BOARD MEMBER 1.00 39.00 X 0 2272057 312348 BILL TIFT MD BOARD MEMBER 1.00 1.00 X 0 0 0 DAVID DANZIE BOARD MEMBER (TO 12/31/22) 1.00 1.00 X 0 0 0 HENRY KOPLIN BOARD MEMBER (TO 12/31/22) 1.00 2.00 X 0 0 0 J MARBURY RAINER BOARD MEMBER 1.00 1.00 X 0 0 0 JAYESH PATEL MD BOARD MEMBER 1.00 1.00 X 0 0 0 JOHN D HOUSER BOARD MEMBER 1.00 1.00 X 0 0 0 MAC EVERETT BOARD MEMBER 1.00 1.00 X 0 0 0 MARK GROSSNICKLE MD BOARD MEMBER 1.00 1.00 X 0 0 0 RAY PIPPIN BOARD MEMBER 1.00 1.00 X 0 0 0 RICK SHACKELFORD BOARD MEMBER 1.00 1.00 X 0 0 0 RON SHIPMAN BOARD MEMBER 1.00 1.00 X 0 0 0 RONNIE COLLIER BOARD MEMBER 1.00 1.00 X 0 0 0 SHEILA RAY BOARD MEMBER 1.00 1.00 X 0 0 0 TIMOTHY JACKSON BOARD MEMBER 1.00 1.00 X 0 0 0 WIMBERLY TREADWELL BOARD MEMBER (TO 12/31/22) 1.00 1.00 X 0 0 0 DELVECCHIO FINLEY PRESIDENT/CEO 5.00 35.00 X 0 1761512 147049 ROBERT C WILDE EVP/CFO (TO 9/30/22) 1.00 39.00 X 1026382 0 32316 KENNETH B BANKS SECRETARY, CH LEGAL COUNSE 1.00 39.00 X 724222 0 68421 KIMBERLY SHREWSBURY TREASURER (FR 11/17/22) 1.00 39.00 X 0 100605 197 PATRICE C WALKER MD CH MED OFF 40.00 0.00 X 580267 0 95617 TRACEY A BLALOCK CH NURSING EXEC 40.00 0.00 X 515963 0 86515 VISHAL BHALLA CH HR OFF 15.00 25.00 X 0 512384 68809 ELIZABETH A MANN VP CARDIOVASC, NURS STRAT 40.00 0.00 X 384133 0 33941 MICHAEL G HAJWORONSKY VP CLIN SUPP SVC 40.00 0.00 X 325032 0 24007 SANDRA MOORE VP DESIG INSTIT OFF 40.00 0.00 X 357337 0 25955 JENNAFER PENNELL AVP PHARMACY 40.00 0.00 X 280988 0 13847 DEBRA D RILEY AVP NURSING 40.00 0.00 X 275023 0 29079 NINFA M SAUNDERS FORMER OFF (10/18/20) 0.00 0.00 X 0 3191353 0 SUSAN W HARRIS FORMER KE (8/31/21) 0.00 40.00 X 267733 0 0 4737080 7837911 938101 346 1 1 0 HEALTHCARE WORKFORCE LOGISTICS LLC P O BOX 860573 MINNEAPOLIS MN 55486 CONTRACT SERVICES- HEALTHCARE SERVICES 19568032 VALIC RETIREMENT SERVICES COMPANY P O BOX 301701 DALLAS TX 75303 FINANCIAL SERVICES 14938200 AMERICAN ANESTHESIOLOGY OF GA LLC PO BOX 281034 ATLANTA GA 30384 CONTRACT SERVICES- HEALTHCARE SERVICES 10572046 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 CONTRACT MANAGEMENT- FOOD SERVICES 10207460 AYA HEALTHCARE P O BOX 123519 DALLAS TX 75312 CONTRACT SERVICES- HEALTHCARE SERVICES 10185420 89 15354252 739703 16093955 PATIENT SERVICE REVENUE 621110 912848131 912848131 OTHER HEALTHCARE REVENUE 621990 1390587 1390587 REFERENCE LAB INCOME 541380 926401 926401 SUPPORT & SERVICES REVENUE 561000 89516 32320 57196 915254635 9124015 9124015 11912882 3258616 8654266 8654266 8654266 16267096 0 16267096 16267096 16267096 EQUITY IN PET JOINT VENTURE 621512 878575 878575 OTHER 621910 289508 289508 1168083 966562050 915439121 983597 34045377 X 2582 2582 4543847 4293823 250024 222648495 210397320 12251175 6695468 6321625 373843 41068257 38775204 2293053 16849511 15908716 940795 922730 843893 78837 828804 757992 70812 17058 15601 1457 27750 27750 1198563 1096159 102404 140882925 128843631 12039294 573227 524251 48976 5186207 4636342 549865 117976078 105467725 12508353 846314 756584 89730 1416009 1265877 150132 6670629 4583486 2087143 28247981 21055164 7192817 80431 55265 25166 MEDICAL SUPPLIES 167686416 167686416 BAD DEBT 141754027 141754027 PROVIDER ASSESSMENT 9259423 9259423 OTHER SUPPLIES 1108281 990776 117505 916491013 865319632 51171381 0 -169047799 12259144 207044582 268085973 35762945 641007 28917893 20807587 26561790 1115012 1477143 956160480 613422643 355201466 342737837 668257341 545293499 1754863 2017437 132491 276498230 76875350 1397526718 1304867073 83496990 54638287 1868457 183196185 179093950 39969713 39969713 43910473 34619261 350573361 310189668 X 1046953357 994677405 1046953357 994677405 1397526718 1304867073 X 50071037 -114123760 11776771 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 27750 27750 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO VARIOUS HEALTHCARE RELATED ASSOCIATIONS. A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. 23304497 23304497 587326872 347825784 239501088 1953618 1426325 527293 329392724 264170534 65222190 14182769 14182769 342737837 INTERCOMPANY RECEIVABLE 76678675 OPERATING LEASES 196675 76875350 PENSION LIABILITY 15702216 INTEREST RATE SWAP LIABILITY 2149829 GENERAL RESERVES 16767216 34619261 X PART X, LINE 2: 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. 1 1 1 X 1 X 1 1 0 1 1 10845776 10882924 0 0.00000 157254238 92905685 64348553 0.08310 168100014 103788609 64348553 0.08310 412710 412710 0.00050 9656167 9656167 0.01250 281840 281840 0.00040 2582 2582 0.00000 10353299 10353299 0.01340 178453313 103788609 74701852 0.09650 61584 61584 0.00010 61584 61584 0.00010 1 29589960 240966326 339499204 -98532878 X 1 1 1 CENTRAL GEORGIA PET LLC IMAGING 0.66670 0.33330 2 CENTRAL GEORGIA HEALTH NETWORK LLC PHO 0.29000 0.71000 1 1 MEDICAL CENTER OF CENTRAL GA INC 777 HEMLOCK STREET MACON GA 31201 WWW.NAVICENTHEALTH.ORG 011-104 X X X X X MEDICAL CENTER OF CENTRAL GA INC 1 0 0 1 X X X X X X X X X 20 1 1 0 1 X HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTS X X 1 21 1 HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTS 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X HTTPS://ATRIUMHEALTH.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE#HELPFUL X HTTPS://ATRIUMHEALTH.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE#HELPFUL X HTTPS://ATRIUMHEALTH.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE#HELPFUL X X X X X X 1 X 0 X X X X 1 X 0 0 MEDICAL CENTER OF CENTRAL GA, INC. PART V, SECTION B, LINE 5: DURING THE CONDUCTION OF ITS MOST RECENT CHNA, THE HOSPITAL FACILITY SOUGHT COMMUNITY INPUT THROUGH THE PROFESSIONAL RESEARCH CONSULTANTS (PRC) COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY. THE SURVEY INSTRUMENTS USED ARE BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS); AS WELL AS, VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY THE ORGANIZATION AND PRC AND IS SIMILAR TO THE PREVIOUS SURVEYS USED IN THE REGION, ALLOWING FOR DATA TRENDING. THE STUDY AREA FOR THE SURVEY EFFORT IS DEFINED AS EACH OF THE RESIDENTIAL ZIP CODES IN THE PRIMARY AND SECONDARY SERVICE AREAS. A PRECISE AND CAREFUL EXECUTED METHODOLOGY IS CRITICAL IN ASSERTING THE VALIDITY OF THE RESULTS GATHERED IN THE PRC COMMUNITY HEALTH SURVEY. THUS, TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED A MIXED-MODE METHODOLOGY WAS IMPLEMENTED. THIS INCLUDED SURVEYS CONDUCTED VIA TELEPHONE AND ONLINE QUESTIONNAIRES. RESULTS WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT THE TOTAL AREA AS A WHOLE. ADDITIONALLY, THE HOSPITAL FACILITY USED SECONDARY DATA SOURCES INCLUDING NATIONAL AND STATE SOURCES PROVIDING TARGET VIEWS OF THE PROGRAM SERVICE AREA; AS WELL AS, HOSPITAL-SPECIFIC DATA. MEDICAL CENTER OF CENTRAL GA, INC. PART V, SECTION B, LINE 6A: NAVICENT HEALTH, INC. DBA CENTRAL GEORGIA REHABILITATION HOSPITAL, A FREE STANDING SPECIALTY HOSPITAL WITH 58-LICENSED BEDS PROVIDING COMPREHENSIVE PHYSICAL REHABILITATION SERVICES ON AN INPATIENT AND OUTPATIENT BASIS. MEDICAL CENTER OF CENTRAL GA, INC. PART V, SECTION B, LINE 7D: A COPY OF THE CHNA WAS PROVIDED TO MANY LEADERS AND ORGANIZATIONS IN THE COMMUNITY. MEDICAL CENTER OF CENTRAL GA, INC. PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED NUMEROUS COMMUNITY HEALTH NEEDS AND CONCERNS. EACH IDENTIFIED HEALTH NEED WAS REVIEWED AND PRIORITIZED BASED ON THE ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS, AND STRATEGIC PRIORITIES. THE HOSPITAL FACILITY IMPLEMENTATION STRATEGY OUTLINES THE PROGRAMS AND RESOURCES THE HOSPITAL FACILITY WILL USE TO ADDRESS THE PRIORITIZED HEALTH NEEDS. THE HOSPITAL FACILITY ACKNOWLEDGES THE IMPORTANCE OF ALL COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA; HOWEVER, THE HOSPITAL FACILITY'S RESOURCES AND ASSETS WERE BEST ALIGNED TO FOCUS ON THE PRIORITIZED NEEDS. ALTHOUGH NOT PRIORITIZED, THE HOSPITAL FACILITY WILL CONTINUE TO PARTNER WITH COMMUNITY AND NON-PROFIT ORGANIZATIONS TO HELP ADDRESS THESE NEEDS. 1 1 - PINE POINTE HOSPICE & PALLIATIVE CARE 6261 PEAKE ROAD MACON GA 312108074 HOSPICE PART I, LINE 3C: THE FINANCIAL ASSISTANCE PROGRAMS ARE DESIGNED TO ENSURE ASSISTANCE IS PROVIDED TO PATIENTS DEMONSTRATING A FINANCIAL NEED AND TO ENSURE THE ORGANIZATION COMPLIES WITH ANY REQUIRED FEDERAL OR STATE REGULATIONS RELATED TO FINANCIAL ASSISTANCE. THOSE ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NEVER BE BILLED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO AN INSURED PATIENT. THE ORGANIZATION USES THE LOOK-BACK METHOD TO CALCULATE AGB. PART I, LINE 7: THE ORGANIZATION USED THE WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO FORM 990, SCHEDULE H TO COMPUTE ITS COST TO CHARGE RATIO. PART I, LN 7 COL(F): THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $141,754,027 FOR THE YEAR ENDED DECEMBER 31, 2022. THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7. PART III, LINE 2: THE ORGANIZATION USED WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS TO COMPUTE A COST TO CHARGE RATIO, WHICH IS USED TO CALCULATE BAD DEBT AT COST. BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7. PART III, LINE 4: FOOTNOTE 2.J (PATIENT SERVICE REVENUE) ON PAGE 30 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE TREATMENT OF BAD DEBT. PART III, LINE 8: THE COSTING METHODOLOGY USES THE COSTS INCLUDED IN THE COST REPORT, WHICH ARE CALCULATED USING A DEPARTMENTAL SPECIFIC COST TO CHARGE RATIO AS COMPARED TO ACTUAL MEDICARE PAYMENTS. THE MEDICARE COST REPORT DOES NOT FULLY CAPTURE ALL MEDICARE REVENUE AND COSTS, INCLUDING BUT NOT LIMITED TO PHYSICIAN SERVICES AND MEDICARE PART C. PART III, LINE 9B: THE HOSPITAL MAKES A REASONABLE EFFORT TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE ENGAGING IN ANY COLLECTION ACTIONS. ALL COLLECTION ACTIONS WILL BE SUSPENDED IF THE INDIVIDUAL SUBMITS A COMPLETED FAP APPLICATION DURING THE APPLICATION PERIOD, OR IF THE INDIVIDUAL SUBMITS AN INCOMPLETE APPLICATION DURING THE APPLICATION PERIOD THAT IS SUBSEQUENTLY COMPLETED WITHIN A REASONABLE TIME AFTER THE HOSPITAL REQUESTS FURTHER INFORMATION. IF THE INDIVIDUAL IS DETERMINED NOT TO BE ELIGIBLE FOR A FULL DISCOUNT UNDER THE FAP, ANY COLLECTION ACTIVITIES WILL BE RESUMED AS TO THE OUTSTANDING BALANCE OWED. IF THE INDIVIDUAL IS DETERMINED TO BE ELIGIBLE FOR ASSISTANCE UNDER THE FAP, APPROPRIATE MEASURES ARE TAKEN TO REFUND ANY AMOUNTS OWED TO THE INDIVIDUAL AND REVERSE OR MODIFY COLLECTION ACTIONS CONSISTENT WITH THE NEW BALANCE OWED AFTER APPLYING THE APPLICABLE FAP DISCOUNTS. PART VI, LINE 2: THE HOSPITAL FACILITY'S MOST RECENT CHNA WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING REGIONAL PRIORITY AREAS TO FOCUS ON FOR CY2021 TO CY2023. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS, AND COLLABORATE WITH LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE PROVIDERS. COMMUNITY FEEDBACK WAS RECEIVED IN THE FORM OF A COMMUNITY HEALTH SURVEY CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS ON BEHALF OF THE ORGANIZATION. THE HOSPITAL FACILITY DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS THOSE PRIORITIZED. BEYOND PROGRAMS ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL FACILITY WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF ABILITY TO PAY. PART VI, LINE 3: THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR FINANCIAL ASSISTANCE OPTIONS. INFORMATION REGARDING FINANCIAL ASSISTANCE CAN BE FOUND ON THE HOSPITAL FACILITY'S WEBSITE, CONSPICUOUSLY DISPLAYED SIGNAGE THROUGHOUT THE HOSPITAL FACILITY, PATIENT BILLING STATEMENTS, AND FROM TEAMMATES DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES DURING PREADMISSION, DISCHARGE, AND THE "COLLECTION" PERIOD. PART VI, LINE 4: THE FILING ORGANIZATION HAS A PRIMARY SERVICE AREA WHICH SERVES EIGHT COUNTIES IN GEORGIA: BALDWIN, BIBB, CRAWFORD, HOUSTON, JONES, MONROE, PEACH, AND TWIGGS. THE PRIMARY SERVICE AREA ENCOMPASSES APPROXIMATELY 2,509 SQUARE MILES AND HOUSES A TOTAL POPULATION OF APPROXIMATELY 453,600 RESIDENTS.AGE:23.8% - 0 -1761.7% - 18-6414.5% - 65+RACE:54.6% - WHITE39.7% - BLACK4.2% - HISPANIC OR LATINO1.5% - OTHER PART VI, LINE 5: THE ORGANIZATION IS COMMITTED TO BEING RESPONSIVE TO THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A NUMBER OF PROGRAM ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE ORGANIZATION HAS ADOPTED AND MAINTAINED A FINANCIAL ASSISTANCE POLICY, PROVIDES SUBSIDIZED HEALTH SERVICES TO PATIENTS IN NEED, AND ACCEPT ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24/7. THE GOVERNING BOARD IS COMPRISED OF LEADERS WITHIN THE COMMUNITY THE HOSPITAL SERVES. FUNDS ARE REINVESTED IN HEALTH IMPROVEMENT INITIATIVES TO BETTER SERVE THE COMMUNITY HEALTH NEEDS. PART VI, LINE 6: THE FILING ORGANIZATION IS PART OF ADVOCATE HEALTH, WHICH IS HEADQUARTERED IN CHARLOTTE, NORTH CAROLINA, AND IS THE THIRD-LARGEST NONPROFIT HEALTH SYSTEM IN THE UNITED STATES, CREATED FROM THE COMBINATION OF ATRIUM HEALTH AND ADVOCATE AURORA HEALTH. TOGETHER WITH AN INTEGRATED GROUP OF 501(C)(3) HOSPITALS, PHYSICIAN NETWORKS, OTHER HEALTHCARE PROVIDERS, THE ORGANIZATION IS COMMITTED TO PROVIDING SIGNIFICANT BENEFITS TO THE COMMUNITIES IT SERVES ACROSS. EACH HOSPITAL ORGANIZATION IN THE ADVOCATE HEALTH SYSTEM REPORTS ITS OWN COMMUNITY BENEFIT ON FORM 990, SCHEDULE H. THE CONSOLIDATED COMMUNITY BENEFIT TOTAL OF THE HEALTH SYSTEM IS REPORTED AT HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTS PART VI, LINE 7, REPORTS FILED WITH STATES GA 1 1 0 0 0 0 0 0 0 NINFA M SAUNDERS FORMER OFF (10/18/20) 0 0 0 0 0 3191353 0 0 0 0 0 3191353 0 0 CAROL LOVIN BOARD MEMBER 0 944563 0 990360 0 337134 0 294686 0 17662 0 2584405 0 0 DELVECCHIO FINLEY PRESIDENT/CEO 0 984747 0 688000 0 88765 0 110367 0 36682 0 1908561 0 24917 ROBERT C WILDE EVP/CFO (TO 9/30/22) 371753 0 218593 0 436036 0 12200 0 20116 0 1058698 0 217759 0 KENNETH B BANKS SECRETARY, CH LEGAL COUNSE 467410 0 207586 0 49226 0 37570 0 30851 0 792643 0 25341 0 PATRICE C WALKER MD CH MED OFF 405689 0 171205 0 3373 0 63593 0 32024 0 675884 0 0 0 TRACEY A BLALOCK CH NURSING EXEC 310548 0 138842 0 66573 0 55035 0 31480 0 602478 0 32607 0 VISHAL BHALLA CH HR OFF 0 341359 0 137281 0 33744 0 36182 0 32627 0 581193 0 0 ELIZABETH A MANN VP CARDIOVASC, NURS STRAT 272783 0 103436 0 7914 0 11246 0 22695 0 418074 0 0 0 SANDRA MOORE VP DESIG INSTIT OFF 250004 0 86933 0 20400 0 10400 0 15555 0 383292 0 0 0 MICHAEL G HAJWORONSKY VP CLIN SUPP SVC 235617 0 84427 0 4988 0 10926 0 13081 0 349039 0 0 0 DEBRA D RILEY AVP NURSING 223597 0 51012 0 414 0 8969 0 20110 0 304102 0 0 0 JENNAFER PENNELL AVP PHARMACY 220338 0 50399 0 10251 0 10918 0 2929 0 294835 0 0 0 SUSAN W HARRIS FORMER KE (8/31/21) 0 0 0 0 267733 0 0 0 0 0 267733 0 0 0 PART I, LINES 4A-B 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 SUSAN W. HARRIS 267,733 NON-QUALIFIED DEFERRED COMPENSATION PAYMENTS: NINFA M. SAUNDERS 1,740,747 ROBERT C. WILDE 290,104 CAROL LOVIN 270,286 DELVECCHIO FINLEY 25,002 TRACEY A. BLALOCK 45,299 KENNETH B. BANKS 27,538 A MACON-BIBB COUNTY HOSPITAL AUTHORITY 581034851 000000000 2019-12-18 190821789 REFUND BONDS SERIES 2017 0 0 0 A 11717161 190821789 190821789 2013 1 1 1 1 A 0 0 1 0 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 SCHEDULE K, PART III, LINE 3B BOND COUNSEL REVIEWS MANAGEMENT AND SERVICE AGREEMENTS DURING DUE DILIGENCE ON BOND TRANSACTIONS OR WHEN CHANGES OCCUR. SCHEDULE K, PART III LINE 3D BOND COUNSEL REVIEWS RESEARCH AGREEMENTS DURING DUE DILIGENCE ON BOND TRANSACTIONS OR WHEN CHANGES OCCUR. COLUMN A THIS SCHEDULE REFLECTS A PORTION OF THE SERIES AND PROCEEDS TOTALING $235.4 MILLION; OTHER PROCEEDS ARE INCLUDED ON SCHEDULE K DOCUMENTS FOR CENTRAL GEORGIA SENIOR HEALTH INC. AND NAVICENT HEALTH, INC. KEN BANKS OFFICER SPLIT DOLLAR INS. LOAN X 228829 296503 0 1 1 KEN BANKS OFFICER SPLIT DOLLAR INS. LOAN X 82000 93293 0 1 1 KEN BANKS OFFICER SPLIT DOLLAR INS. LOAN X 82000 103828 0 1 1 KEN BANKS OFFICER SPLIT DOLLAR INS. LOAN X 82000 96983 0 1 1 KEN BANKS OFFICER SPLIT DOLLAR INS. LOAN X 48000 50400 0 1 1 641007 COURTNEY A JOHNSTON FAMILY MEMBER OF A BOARD MEMBER 31901 MS JOHNSTON IS EMPLOYED AS A SPEECH THERAPIST FOR THE MEDICAL CENTER OF CENTRAL GA, INC. 0 FORM 990, PART VI, SECTION A, LINE 6 NAVICENT HEALTH, 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 NAVICENT HEALTH, INC. (A RELATED 501(C)(3) ORGANIZATION) IS SOLE MEMBER OF THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. AND APPOINTS ALL BUT TWO MEMBERS OF ITS BOARD OF DIRECTORS. THE TWO MEMBERS NOT APPOINTED BY NAVICENT ARE APPOINTED BY AH GEORGIA, INC., A RELATED TAX-EXEMPT ORGANIZATION AS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS OF THE CORPORATION REQUIRE THE APPROVAL OF BOTH NAVICENT HEALTH (THE SOLE MEMBER OF THE ORGANIZATION) AND AH GEORGIA, INC. (THE SOLE MEMBER OF NAVICENT HEALTH, INC.). THESE ACTIONS INCLUDE: AMENDING OR RESTATING THE ARTICLES OF INCORPORATION OR BYLAWS; APPOINTMENT OR REMOVAL OF THE PRESIDENT AND CEO; ORGANIZING ANY SUBSIDIARY; PARTICIPATING IN ANY JOINT VENTURE OR PARTNERSHIP; ADOPTING A PLAN OF LIQUIDATION, MERGER OR CONSOLIDATION; ENTERING ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS OF THE CORPORATION; ADOPTING OR AMENDING ANNUAL CAPITAL AND OPERATING BUDGETS; AND AMENDING OR TERMINATING ANY HOSPITAL FACILITY LEASE. 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 15B 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. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES - PURCHASE SERVICES: PROGRAM SERVICE EXPENSES 128,843,631. MANAGEMENT AND GENERAL EXPENSES 12,039,294. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 140,882,925. FORM 990, PART XI, LINE 9: CHANGES IN INTEREST RATE SWAP 6,363,972. PRIOR PERIOD ADJUSTMENT 5,412,799. 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