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CENTRAL GEORGIA SENIOR HEALTH INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CENTRAL GEORGIA SENIOR HEALTH INC (EIN 58-2345439)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-14
IRS object ID
201912269349301386
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-14T13:04:04-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Draffin & Tucker LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 71309AddressLine1Txt
CityAlbanyCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317081309ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582345439EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL GEORGIA SENIOR HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone4786336968PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1691 CHERRY STREET 400AddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonChris WildePersonNm
Person TitleExecutive Vice President/CFOPersonTitleTxt
Signature2019-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonW Edward PhillipsPreparerPersonNm
PTINP00451499PTIN
Phone2298837878PhoneNum
Preparation2017-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CARLYLE PLACEBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Elbert McQueenBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1691 CHERRY STREET 400AddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$87,729,092GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CARLYLEPLACE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionLIFE PLAN COMMUNITY OFFERING A FULFILLING INDEPENDENT LIFESTYLE EXPERIENCE IN A RESIDENTIAL SETTING WHILE PROVIDING COMPREHENSIVE HEALTH CARE SERVICES AND AMMENITIES TO INCLUDE ASSISTED LIVING, MEMORY CARE, AND SKILLED NURSING, ALL HOUSED ON THE SAME CAMPUS AS WELL AS AN AT HOME PROGRAM THAT ALLOWS RESIDENTS TO RECEIVE COMPARABLE CARE AND REMAIN IN THEIR HOMES AS THEY AGEActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee281TotalEmployeeCnt
Total Volunteers297TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$15,347,319PYProgramServiceRevenueAmt
CY Program Service Revenue$15,505,499CYProgramServiceRevenueAmt
PY Investment Income$4,363,461PYInvestmentIncomeAmt
CY Investment Income$8,766,502CYInvestmentIncomeAmt
PY Other Revenue$10,924PYOtherRevenueAmt
CY Other Revenue$18,535CYOtherRevenueAmt
PY Total Revenue$19,721,704PYTotalRevenueAmt
CY Total Revenue$24,290,536CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,754,514PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,162,914CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,904,438PYOtherExpensesAmt
CY Other Expenses$9,242,486CYOtherExpensesAmt
PY Total Expenses$16,658,952PYTotalExpensesAmt
CY Total Expenses$17,405,400CYTotalExpensesAmt
PY Revenues Less Expenses$3,062,752PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,885,136CYRevenuesLessExpensesAmt
Total Assets BOY$110,499,297TotalAssetsBOYAmt
Total Assets EOY$118,478,893TotalAssetsEOYAmt
Total Liabilities BOY$77,689,228TotalLiabilitiesBOYAmt
Total Liabilities EOY$79,509,389TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$32,810,069NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$38,969,504NetAssetsOrFundBalancesEOYAmt
MissionCENTRAL GEORGIA SENIOR HEALTH, INC., INCORPORATED ON MAY 2, 1997, IS A NONPROFIT CORPORATION WHOSE PRIMARY PURPOSE IS TO CONSTRUCT, OWN AND OPERATE A LIFE PLAN COMMUNITY IN MACON, GEORGIA. IT WAS ORGANIZED FOR THE WELL-BEING OF OUR RESIDENTS, AND SHARING OUR KNOWLEDGE BEYOND OUR COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$12,354,916ExpenseAmt
Revenue$15,524,034RevenueAmt
DescCARLYLE PLACE (CP) IS A LIFE PLAN COMMUNITY (FORMERLY CCRC) OFFERING A FULFILLING LIFESTYLE EXPERIENCE IN BOTH RESIDENTIAL AND "AT HOME" SETTINGS, EMPHASIZING HEALTHY, ACTIVE LIFESTYLES FROM RETIREMENT UNTIL THE END OF LIFE. THERE ARE FOUR LIFESTYLE OPTIONS OFFERED ON CAMPUS BY CP: INDEPENDENT LIVING, ASSISTED LIVING, MEMORY SUPPORT AND SKILLED NURSING. RESIDENTS ARE ASSURED OF HAVING THEIR NEEDS MET - FROM RETIREMENT THROUGH THEIR END-OF-LIFE EXPERIENCE, ALL ON ONE CAMPUS AND WITH NO NEED TO RELOCATE OUTSIDE THE COMMUNITY. COUPLES WHO HAVE VARYING DEGREES OF HEALTH NEEDS MAY RECEIVE AS LITTLE OR AS MUCH ASSISTANCE AS NEEDED AND REMAIN IN CLOSE PROXIMITY TO EACH OTHER. CARLYLE PLACE IS COMMITTED TO PROVIDING A QUALITY LIFE EXPERIENCE IN THE BEST ENVIRONMENT POSSIBLE, DEPENDING UPON NEED. ON SITE SECURITY AND A TWENTY-FOUR HOUR EMERGENCY CALL SYSTEM PROVIDE RESIDENTS PEACE OF MIND AS HELP IS MERELY A PULL-CORD AWAY. WE ALSO OFFER A MEMBERSHIP OPTION WITH CARLYLE PLACE AT HOME DESIGNED FOR SENIORS WHO WANT TO PREPARE FOR THE LONG TERM, YET REMAIN IN THE COMFORT OF THEIR OWN HOMES.Desc
Total Program Service Expenses$12,354,916TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document64IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee281EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONNIE W JONES CPABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4784054500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15300 ZEBULON ROADAddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31210ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Ninfa M Saunders
Board Member1.050.0Yes (X)Yes (X)$0$1,494,051$586,692
Marjorie Carter
Board Member1.00Yes (X)$0$0$0
Vivia Fowler
Board Member1.00Yes (X)$0$0$0
Myrtle Habersham
Board Member1.00Yes (X)$0$0$0
Timothy Jackson
Board Member1.02.0Yes (X)$0$0$0
Jim McLendon
Board Member1.01.0Yes (X)$0$0$0
Kenneth B Banks
Secretary1.050.0Yes (X)$0$500,610$238,760
Elbert T McQueen
President/CEO10.035.0Yes (X)$0$530,506$24,961
Rhonda Perry
Treasurer1.050.0Yes (X)$0$671,512$54,354
Connie W Jones
Director Financial Services40.00$119,585$0$3,071Yes (X)
Thomas F Rockenbach Jr
Chief Administrative Officer40.00$205,828$0$21,309Yes (X)
Kimberly W McGinnis
Marketing Director40.00$100,297$0$15,787Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$425,710TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,196,678TotReportableCompRltdOrgAmt
Total Other Compensation$944,934TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
SODEXO INC AND AFFILIATES
PO BOX 536922ATLANTAGA30353FOOD SERVICES$1,660,707
REHAB CARE GROUP INC
PO BOX 503534ST LOUISMO631503534PHYSICAL THERAPIES$464,245
ROGERS CONSTRUCTION & REPAIR
3444 CAUSEY ROADLIZELLAGA31052REPAIRS AND REMODELING$272,489
LANDSCAPE SOUTH INC
PO BOX 26998MACONGA31008LANDSCAPING$225,633
GOOD BRAND COMPANY
8145 AUDREY KELL RDCHARLOTTENC28277ADVERTISING GOODS AND SERVICES$196,161SUITE 201
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENCY REVENUE623000$15,147,226$15,147,226
MEDICARE/MEDICAID PAYMENT623000$287,504$287,504
GUEST MEALS623000$31,309$31,309
RESIDENT TRANSPORTATION480000$23,110$23,110
GUEST ROOM REVENUE721000$16,350$16,350

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,505,499TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,523,436TotalRevenueColumnAmt
Exclusion$1,523,436ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$18,535RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$18,535RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,535TotalRevenueColumnAmt
Related Or Exempt Func Income$18,535RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$70,681,622SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$63,438,556SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,243,066SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,243,066TotalRevenueColumnAmt
Exclusion$7,243,066ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,290,536TotalRevenueColumnAmt
Related Or Exempt Func Income$15,524,034RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,766,502ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,359,220TotalAmt
Program Services$4,969,510ProgramServicesAmt
Management And General$1,389,710ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$168,797TotalAmt
Management And General$168,797ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,187,493TotalAmt
Program Services$975,310ProgramServicesAmt
Management And General$212,183ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$447,404TotalAmt
Program Services$336,879ProgramServicesAmt
Management And General$110,525ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$326,439TotalAmt
Management And General$326,439ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,900TotalAmt
Management And General$25,900ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$317,646TotalAmt
Management And General$317,646ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$874,173TotalAmt
Program Services$535,994ProgramServicesAmt
Management And General$338,179ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$806,253TotalAmt
Management And General$806,253ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$26,880TotalAmt
Management And General$26,880ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$65,979TotalAmt
Management And General$65,979ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$918,791TotalAmt
Program Services$703,187ProgramServicesAmt
Management And General$215,604ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$85,311TotalAmt
Program Services$39,770ProgramServicesAmt
Management And General$45,541ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,526TotalAmt
Program Services$10,289ProgramServicesAmt
Management And General$4,237ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$934,784TotalAmt
Program Services$841,305ProgramServicesAmt
Management And General$93,479ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,245,193TotalAmt
Program Services$2,020,674ProgramServicesAmt
Management And General$224,519ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$210,908TotalAmt
Program Services$7,092ProgramServicesAmt
Management And General$203,816ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$2,033,491$1,845,121$188,370
Equipment Rental and Maintenance$179,321$21,790$157,531
Refurbishment Expenses$108,394$108,394
Activity Expenses$28,861$28,861

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$39,636TotalAmt
Program Services$19,134ProgramServicesAmt
Management And General$20,502ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,405,400TotalAmt
Program Services$12,354,916ProgramServicesAmt
Management And General$5,050,484ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$592,079BOYAmt
EOY$1,732,163EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$133,028BOYAmt
EOY$1,164,789EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,706BOYAmt
EOY$10,656EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,370BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$71,335,886LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$41,827,519LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,808,129BOYAmt
EOY$29,508,367EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$67,438,869BOYAmt
EOY$76,435,665EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$12,222,530BOYAmt
EOY$9,366,313EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$265,457BOYAmt
EOY$235,961EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,129BOYAmt
EOY$24,979EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$110,499,297BOYAmt
EOY$118,478,893EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,076,986BOYAmt
EOY$1,016,421EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$12,112,918BOYAmt
EOY$14,538,372EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,530,000BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,969,324BOYAmt
EOY$63,954,596EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$77,689,228BOYAmt
EOY$79,509,389EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,810,069BOYAmt
EOY$38,969,504EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,810,069BOYAmt
EOY$38,969,504EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$110,499,297BOYAmt
EOY$118,478,893EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,885,136ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,159,377NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$433,676OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL CENTER OF CENTRAL GEORGIABusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN582149127EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgfalseMajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 12f AMOUNT OF OTHER SUPPORTCENTRAL GEORGIA SENIOR HEALTH OPERATES A LIFE PLAN COMMUNITY. THE LIFE PLAN COMMUNITY IS PART OF THE CONTINUUM OF CARE OFFERED TO THE SERVICE COMMUNITY IN SUPPORT OF THE HEALTHCARE MISSION OF THE MEDICAL CENTER OF CENTRAL GEORGIA. TOTAL EXPENSES RELATED TO THE OPERATION OF THE LIFE PLAN COMMUNITY DURING THE FISCAL YEAR WERE $17,405,400.
Schedule A, Part IV, Section C, Line 1 Majority director detailThe Board of Directors of both the Supported Organization (The Medical Center of Central Georgia, Inc.) and the Supporting Organization are subject to the control of the Board of Directors of Navicent Health, a related Section 501(c)(3) organization that serves as the parent organization of a multi-entity healthcare system. In addition, the same individuals serve as the Treasurer and Secretary of both the Supporting and Supported Organizations.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,732,834OtherCostOrOtherBasisAmt
Book Value$1,732,834BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,442,403OtherCostOrOtherBasisAmt
Depreciation$34,206,610DepreciationAmt
Book Value$25,235,793BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,390,459OtherCostOrOtherBasisAmt
Depreciation$3,206,262DepreciationAmt
Book Value$1,184,197BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,770,190OtherCostOrOtherBasisAmt
Depreciation$4,414,647DepreciationAmt
Book Value$1,355,543BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,508,367TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmt
Bank Loans
Distressed Debt
Other Investments$9,366,313
FieldValueIRS element (for citing)
Total Book Value Securities$9,366,313TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTEREST RATE SWAP$459,818
DUE TO AFFILIATES$38,430,824
Entrance Fees Payable$25,063,954
FieldValueIRS element (for citing)
Total Liability$63,954,596TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$24,711,618TotalRevEtcAuditedFinclStmtAmt
Other Revenue$433,679OtherRevenueAmt
Revenue Not Reported$433,679RevenueNotReportedAmt
Revenue Subtotal$24,277,939RevenueSubtotalAmt
Other Revenues Not Included$12,597OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$12,597RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,290,536TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,392,806TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$17,392,806ExpensesSubtotalAmt
Other Expenses Not Included$12,594OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$12,594ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,405,400TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteCARLYLE PLACE IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CARLYLE PLACE HAS EVALUATED ITS TAX POSITIONS AND DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF FISCAL YEAR END SEPTEMBER 30. 2018.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990Change in interest rate Swap - 433679
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsIncome netted against expenses - 12600 Rounding - -3
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsIncome netted against expenses - 12600 Rounding - -6

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$5,700,437RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$5,700,437SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$5,700,437TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ninfa M Saunders
Board Member$0$1,044,591$0$324,171$0$125,288$0$569,598$0$17,094$0$2,080,743$0$86,387
Kenneth B Banks
Secretary$0$314,438$0$73,144$0$113,027$0$216,081$0$22,679$0$739,370$0$69,580
Elbert T McQueen
President/CEO$0$312,712$0$68,531$0$149,263$0$6,750$0$18,211$0$555,467$0$135,063
Rhonda Perry
Treasurer$0$543,028$0$127,660$0$824$0$45,136$0$9,218$0$725,866$0$0
Thomas F Rockenbach Jr
Chief Administrative Officer$170,215$0$34,242$0$1,370$0$2,700$0$18,609$0$227,136$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF NAVICENT HEALTH, INC. ENGAGES AN EXECUTIVE CONSULTING FIRM PERIODICALLY 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. OUR HUMAN RESOURCES DEPARTMENT SURVEYS THOSE EMPLOYED OUTSIDE OF THE EXECUTIVE LEADERSHIP TEAM USING TOOLS THAT PROVIDE COMPARABLE DATA IN OUR MARKET AREA TO ENSURE THE COMPENSATION IS IN LINE WITH OTHER HEALTH CARE ORGANIZATIONS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planMCCG HAD A SUPPLEMENTAL EXECUTIVE BENEFIT PROGRAM ("SEBP") FOR CERTAIN EXECUTIVES THAT WAS DESIGNED AS A LOAN REGIME SPLIT DOLLAR LIFE INSURANCE PROGRAM. THIS PROGRAM WAS EXPECTED TO PROVIDE DEATH AND OTHER BENEFITS TO EXECUTIVES AND TO PROVIDE REPAYMENT OF LIFE INSURANCE PREMIUMS TO THE ORGANIZATION. AS A RESULT OF ECONOMIC CONDITIONS, THE LIFE INSURANCE POLICIES DID NOT PERFORM AS ANTICIPATED. DURING 2009 MCCG SUSPENDED ALL PREMIUM PAYMENTS AND REEVALUATED THE EFFECTIVENESS OF THE PROGRAM FOR ALL CURRENT PARTICIPANTS. DURING CALENDAR YEAR 2009 THE MCCG BOARD OF DIRECTORS, AFTER CONSULTATION WITH COMPENSATION AND LEGAL ADVISERS, ADOPTED A RESOLUTION TO MAKE PAYMENTS TO THE RETIRED PARTICIPANTS IN THE SEBP. IN CONSIDERATION FOR THE RECEIPT OF SUCH PAYMENT, THE RETIRED EXECUTIVES SURRENDERED SUBSTANTIALLY ALL RIGHTS AND BENEFITS (OTHER THAN A SMALL DEATH BENEFIT) UNDER THE SEBP TO THE ORGANIZATION. SUBSEQUENTLY, A SIMILAR DECISION WAS MADE DURING FISCAL YEAR ENDED SEPTEMBER 30, 2011 FOR THE REMAINING (EMPLOYED) PARTICIPANTS WITH ANY PAYMENTS TO BE MADE DEPENDENT ON THE INDIVIDUAL CONTINUING TO PROVIDE SUBSTANTIAL SERVICES TO A SPECIFIED FUTURE DATE. IN ADDITION, MCCG AND ITS AFFILIATED ORGANIZATIONS ADOPTED A SERP PROGRAM FOR CERTAIN EXECUTIVES EFFECTIVE FOR SERVICES RENDERED ON OR AFTER JANUARY 1, 2010. THIS PROGRAM PROVIDES FOR ANNUAL ACCOUNT VESTING IF THE PARTICIPANT IS EMPLOYED ON DECEMBER 31 OF THE THIRD YEAR AFTER THE ACCOUNT IS CREATED. THE BENEFIT EQUALS THE ANNUAL INCREASE IN THE PRESENT VALUE OF A LIFETIME ANNUITY PAYABLE COMMENCING AT A SPECIFIED TARGETED FUTURE DATE. THE ANNUTIY IS EQUAL TO A SPECIFIC PERCENTAGE OF FINAL AVERAGE EARNINGS (GENERALLY 60%) LESS (1) THE EXPECTED ANNUAL SEBP PAYMENT USED IN CALCULATING THE SEBP LUMP SUM PAYMENT, (2) THE ANNUAL BENEFIT PROVIDED UNDER THE DEFINED BENEFIT PLAN, AND (3) 100% OF THE PARTICIPANT'S SOCIAL SECURITY BENEFIT. DURING THE YEAR, THE FOLLOWING BENEFITS WERE ACCRUED: KEN BANKS $211,980 ELBERT MCQUEEN $180,120 IN ADDITION, NAVICENT ADOPTED A RETENTION PAYMENT PLAN EFFECTIVE OCTOBER 1, 2011 DESIGNED TO ENCOURAGE DESIGNATED EMPLOYEES TO CONTINUE THEIR EMPLOYMENT. UNDER THE PLAN, Navicent Health MAY SELECT A RETENTION CREDIT EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE SALARY. THE CREDIT IS REDUCED BY THE VALUE OF LIFE INSURANCE COVERAGE PROVIDED TO THE EXECUTIVE. IN GENERAL, THE PLAN IS SUBJECT TO VESTING AT THE END OF THE THIRD PLAN YEAR AFTER THE ACCOUNT WAS CREATED OR AGE 65 IF EARLIER, AND IS SUBJECT TO FORFEITURE IF THE EXECUTIVE VOLUNTARILY SEPARATES FROM SERVICE. DURING THE YEAR THE FOLLOWING BENEFITS ACCRUED UNDER THIS PLAN: Rhonda Perry $38,386 KEN BANKS $29,211 ELBERT MCQUEEN $23,063 Ninfa Saunders $150,000 In addition, Navicent adopted a nonqualified, unfunded deferred compensation plan designed to attract and retain qualified management personnel. During the year the following benefits accrued under the plan: Ninfa Saunders $412,848 THE FOLLOWING NONQUALIFIED RETIREMENT PLAN BENEFITS WERE REPORTED AS TAXABLE INCOME TO VESTED INDIVIDUALS: KEN BANKS $69,580 Elbert McQueen $135,063 Ninfa Saunders $86,387
Schedule J, Part I, Line 7 Non-fixed paymentsTHIS PROGRAM IS ADMINISTERED BY THE CEO OF NAVICENT HEALTH, INC. THE DISCRETIONARY INCENTIVE PROGRAM WAS ESTABLISHED FOR REWARD AND RECOGNITION OF EXECUTIVES AND ORGANIZATIONAL LEADERS WHO GO ABOVE AND BEYOND THE SCOPE OF THEIR RESPONSIBILITIES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CONTINUED FROM STATEMENT TO PROGRAM SERVICES ACCOMPLISHMENTSINDEPENDENT LIVING - RESIDENTS MUST BE AT LEAST 62 YEARS OF AGE (FOR COUPLES, AT LEAST ONE RESIDENT MUST BE 62 AND THE OTHER MUST BE AT LEAST 55). INDEPENDENT LIVING CHOICES INCLUDE GARDEN HOMES OR VARIOUS SIZED APARTMENTS, WITH ACCESS TO ALL AMENITIES INCLUDING NUTRITIONAL MEAL PLANS, SCHEDULED TRANSPORTATION, FITNESS PROGRAMS AND THE WELLNESS CLINIC, WHERE AN RN SEES RESIDENTS FOR ASSESSMENT AS NEEDED. THE RESIDENT CENTERED APPROACH ENSURES THAT RESIDENTS HAVE A HUGE VARIETY OF ACTIVITY AND ENTERTAINMENT OPTIONS, WITH EMPHASIS ON AN ACTIVE, EDUCATIONAL AND ENJOYABLE LIFESTYLE. NUMBER OF UNITS: 226 ASSISTED LIVING - ASSISTED LIVING IN STAFFORD SUITES IS AVAILABLE WITH A WIDE VARIETY OF OPTIONS FOR SERVICES DEPENDING UPON NEED - CNAS AND LPNS HELP RESIDENTS WITH MAINTAINING A QUALITY OF LIFE AS CLOSE TO INDEPENDENT LIVING AS POSSIBLE, MONITORING MEDICATIONS, ASSISTING WITH PHYSICAL NEEDS TO INCLUDE BATHING AND DRESSING, AND PROVIDING HEALTH MONITORING. REHABILITATION SERVICES TO INCLUDE PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES ARE AVAILABLE AS NEEDED. OUR RESIDENT CENTERED APPROACH ENSURES THAT RESIDENTS HAVE A DIVERSITY OF ACTIVITY AND ENTERTAINMENT OPTIONS, ADAPTED AS NEEDED TO RESIDENT'S LIMITATIONS. NUMBER OF UNITS: 29 SKILLED NURSING - HARRINGTON HOUSE IS CP'S SKILLED NURSING FACILITY WHERE RESIDENTS MAY GO TO RECUPERATE FROM SURGERY, A LIFE THREATENING EVENT OR ILLNESS, OR AS THEIR HEALTH DETERIORATES, TO RECEIVE TOP QUALITY CARE AS THEY NEAR THE END OF THEIR LIVES. REHABILITATION SERVICES TO INCLUDE PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES ARE AVAILABLE AS NEEDED. OUR RESIDENT CENTERED APPROACH ENSURES THAT RESIDENTS HAVE CHOICES OF ACTIVITY AND ENTERTAINMENT OPTIONS, TAILORED AS NEEDED TO RESIDENT'S LIMITATIONS. NUMBER OF UNITS: 40 MEMORY CARE - CAMBRIDGE COURT, THE MEMORY CARE UNIT OF CARLYLE PLACE, ASSISTS RESIDENTS WHO ARE EXPERIENCING AGE-RELATED DEMENTIA, ALZHEIMER'S, OR OTHER HEALTH ISSUES THAT IMPACT THEIR MEMORIES AND ABILITIES, ENSURING THEIR HEALTH AND SAFETY. REHABILITATION SERVICES TO INCLUDE PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES ARE AVAILABLE AS NEEDED. OUR RESIDENT CENTERED APPROACH ENSURES THAT RESIDENTS HAVE CHOICES OF ACTIVITY AND ENTERTAINMENT OPTIONS, MODIFIED AS NEEDED TO RESIDENT'S ABILITIES. NUMBER OF UNITS: 26 CARLYLE PLACE AT HOME - CARLYLE PLACE AT HOME IS A PLAN SPECIFICALLY DESIGNED FOR SENIORS WHO WANT TO PREPARE FOR THE LONG-TERM, YET REMAIN IN THE COMFORT OF THEIR OWN HOMES. The impact of non-quantifiable contributions Carlyle Place has on the greater Middle Georgia Area can be subdivided into the following areas: Advocacy: Carlyle Place offers volunteer hours to the local chapter of the Alzheimer's Association and hosts events to offer educational opportunities for the community such as AARP and various Health-Driven topics. These events focus on and create an atmosphere of learning about other community services to improve mental, physical, and emotional health for the aging population. Community Involvement: Carlyle Place employees are active members of other community boards and committees. Some examples of these civic agencies include: Leading Age, Macon Symphony Orchestra, Meals on Wheels, Rainbow House, and Rotary Club of North Macon. Conduit for Using Donations: Carlyle Place offers opportunities for the residents, staff members and others to participate in quarterly projects. Each of the projects has a list of items for donation to the following agencies: Daybreak, Family Advancement Ministries, Macon Rescue Mission, Loaves & Fishes, and Sonny Carter Elementary. Through numerous recruitment opportunities and social media, the community is invited to participate in our projects. In addition, fundraisers are held through bake sales and special meals to raise money for the American Heart Association and The Alzheimer's Association. Economic Impact: Carlyle Place attracts seniors from all over the country to relocate to the middle Georgia area. The residents purchase locally and utilize the healthcare services available to central Georgia. The community encourages local purchasing and investing in entertainment by offering transportation to community events, retail facilities, and healthcare agencies. Good Neighbors: The facilities at Carlyle Place are used by some community groups to facilitate monthly or quarterly meetings. Carlyle Place management encourages residents to recycle various items by offering pickup services at each resident's home on a weekly basis. The residents have organized a recycling service which picks up recycled items door to door and places them in the single stream recycling container acquired through Advanced Disposal. Residents also participate in an annual call for larger recyclables (electronics, TVs, Cell Phones, etc) which are collected and distributed to businesses and organizations to be disposed of properly. Donations can be made by residents to the local Goodwill Industries through our facility services department; this encourages the recycling of household goods rather than the items ending up in the landfill. During the refurbishment process, items in working condition are salvaged from some of the residences and donated to local housing service providers such as Macon Rescue Mission. Intergenerational engagement opportunities were offered to students of the following local schools and agencies: First Presbyterian Dayschool, North Macon Presbyterian Dayschool, Northway Church Preschool, Sonny Carter, and Stratford Academy. Recognition: Carlyle Place is Macon Telegraph's 2018 Best of the Best - Retirement Facility. Responding to Needs: The Middle Georgia area has a significant number of individuals who are homeless. In response to these needs, the residents gathered supplies to be sent to Daybreak. Social Impact: The residents of Carlyle Place are avid servers within their community. Many residents have spent a lifetime investing time and talents into the communities in which they lived and worked. Now retired, many seek to give to the local community. For some this is no easy task due to physical challenges. As a result, staff members and leadership team have worked together to create opportunities for the residents to give back to the community while never leaving the facility. Some of the opportunities include: Sorting jewelry for Goodwill Industries, serving time with families who are staying at Ronald McDonald House, and making and delivering blankets for older children at The Children's Hospital, Navicent Health. The nurse in the wellness clinic has partnered with local colleges and universities to offer opportunities for practicing interviewing skills for students who will be entering the field of medicine. Mercer University sends medical students to learn how to assess and complete a poly-pharmacy review. The nursing students from Middle Georgia State University come to observe and interview the residents who visit the wellness clinic. The Resident Life and Facility Services departments combine forces to offer the residents an opportunity to make sandwiches 2 - 3 times each month. The sandwiches are delivered to Loaves and Fishes ministry the 2nd, 3rd, and 5th Tuesday of each month. Service Learning opportunities have been created at Carlyle Place for students in high school and college in the surrounding areas. Students volunteer by assisting our activity staff members in providing programming for the residents in our personal care homes and skilled nursing facility. Some of the schools represented through this volunteer program include: ACE academy, Central High School, FPD, Howard High School, Jones County High School, Mercer University, Middle Georgia State University, Georgia College, Stratford Academy, Stratford, Academy, and Tattnall Square Academy. In addition, we offer a University Affiliated Internship for music therapy students of Georgia College (Milledgeville) and Illinois State University (Chicago). Students can complete their required 1200 clinical hours with residents in all levels of care. Volunteer Activities: Carlyle Place staff members have volunteered time, talents, and made donations (both monetary and in-kind) with various agencies in the middle Georgia Community. The following is a list of agencies that have benefitted from those employed by Carlyle Place: Alzheimer's Association, American Heart Association, Daybreak, Family Advancement Ministries, Goodwill Industries, Loaves & Fishes, Macon Little Theatre, Macon Symphony Orchestra, Meals on Wheels, Middle Georgia State University, Mount De Sales, Second Baptist Church, Southside Baptist Church, and World Vision. The combined number of hours by residents and staff members of Carlyle Place totaled over 2400 hours. The monetary and in-kind donations to the agencies totaled over $7400. We had 297 active volunteers during FY 2018.
Form 990, Part VI, Line 6 Classes of members or stockholdersNAVICENT HEALTH, INC., A RELATED 501(c)(3) ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyNAVICENT HEALTH, INC., A RELATED 501(C)(3) ORGANIZATION, HAS CERTAIN RESERVE POWERS AS WELL AS THE POWER TO APPROVE AND REMOVE BOARD MEMBERS OF CENTRAL GEORGIA SENIOR HEALTH, INC.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersNAVICENT HEALTH, INC., A RELATED 501(C)(3) ORGANIZATION, HAS CERTAIN RESERVE POWERS AS WELL AS THE POWER TO APPROVE AND REMOVE BOARD MEMBERS OF CENTRAL GEORGIA SENIOR HEALTH, INC.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 WAS PREPARED BY CENTRAL GEORGIA SENIOR HEALTH PERSONNEL FROM INFORMATION PROVIDED BY MANAGEMENT AND FROM FINANCIAL STATEMENTS (AUDITED BY AN INDEPENDENT CPA FIRM). IT WAS REVIEWED IN DETAIL BY BOTH OUR OUTSIDE TAX ADVISOR (ANOTHER INDEPENDENT CPA) AND BY 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, Line 12c Conflict of interest policyTHE DEPARTMENT OF AUDIT AND COMPLIANCE ISSUES COI DISCLOSURE FORMS ANNUALLY TO OUR BOARD MEMBER, 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. IF NEEDED, CORRECTIVE ACTION RECOMMENDATIONS ARE TAKEN TO THE APPROPRIATE BOARD AND ADMINISTRATION FOR IMPLEMENTATION. ANY TIME A CHANGE IN A RELATIONSHIP OR NEW POTENTIAL CONFLICT EVOLVES, THE INDIVIDUAL MUST AMEND THEIR COI DISCLOSURE FORM. CONFLICTED INDIVIDUALS ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISIONS REGARDING SUCH TRANSACTIONS, BUT MAY PROVIDE INFORMATION IF REQUESTED BY THE COMPLIANCE COMMITTEE.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION PROVIDES COPIES OF ITS GOVERNING DOCUMENTS UPON REQUEST.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesInterest Rate Swap Change in FMV - 433679; ROUNDING - -3;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NAVICENT HEALTH INC
691 CHERRY STREET SUITE 400MACONGA31201582149127PARENT/STRATEIC PLANNING AND FINANCIAL MANAGEMENTGA501(c)(3)Type III-FINAfalse
HEALTH SERVICES OF CENTRAL GEORGIA INC
691 CHERRY STREET SUITE 400MACONGA31201582307485HEALTHCARE SERVICESGA501(c)(3)3NAVICENT HEALTH INCfalse
NAVICENT HEALTH FOUNDATION INC
858 HIGH STREETMACONGA31201237363555FUNDRAISINGGA501(c)(3)7NAVICENT HEALTH INCfalse
MEDICAL CENTER OF GEORGIA INC
691 CHERRY STREET SUITE 400MACONGA31201582149128HOSPITALGA501(c)(3)3NAVICENT HEALTH INCfalse
MEDICAL CENTER OF PEACH COUNTY INC
1960 HWY 247BYRONGA31008453765471HOSPITALGA501(c)(3)3NAVICENT HEALTH INCfalse
NAVICENT HEALTH BALDWIN INC
691 Cherry Street Suite 400MaconGA31201823914925HOSPITALGA501(c)(3)3NAVICENT HEALTHfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtOwnershipOwnershipPct
SECURE HEALTH PLANS OF GEORGIA LLC
577 MULBERRY STREET SUITE 1000MACONGA31201582306549MANAGED CAREGANAN/A0
CENTRAL GEORGIA PET LLC
1650 HARDEMAN AVENUEMACONGA31201371464470MEDICAL IMAGING CENTERGANAN/A0
Cowles Clinic Realty LLC
1000 Cowles Clinic Way C100GreensboroGA30642810636590Real EstateGANAN/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
CENTRAL GEORGIA HEALTH VENTURES INC
691 CHERRY STREET SUITE 400MACONGA31201582164989HOME CARE SERVICESGANAC Corporationfalse
CENTRA PROFESSIONAL INDEMNITY LTD
INSURANCENAC CorporationfalsePO BOX 1363GRAND CAYMANCJCJ
Navicent HealthPlan Inc
691 Cherry Street Suite 400MaconGA31201202467391InsuranceGANavicent Health IncC Corporationfalse$0$0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd