2019-08-14T13:03:40-05:00 2018-09-30 580914992 Draffin & Tucker LLP PO Box 71309 Albany GA 317081309 990 2017-10-01 582307485 HEALTH SERVICES OF CENTRAL GEORGIA INC HEAL 4786336968 691 CHERRY STREET 400 MACON GA 31201 Chris Wilde EXECUTIVE VICE PRESIDENT/CFO 2019-08-14 true W Edward Phillips P00451499 2298837878 2017-08-14 2017 2019-02-21 02:37:17Z HEALTH SERVICES NAVICENT HEALTH Ninfa M Saunders 691 CHERRY STREET 400 MACON GA 31201 76327730 false X www.navicenthealth.org X 1997 GA AS AN AFFILIATE OF NAVICENT HEALTH, INC., HEALTH SERVICES, NAVICENT HEALTH, EMPLOYS 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 IMPORTANT TO THE MISSION OF MCNH. 3 0 521 0 40971 0 19949794 19134359 47633303 56442504 3993 834 148714 750033 67735804 76327730 0 0 60863507 69520335 0 0 15210152 18949622 76073659 88469957 -8337855 -12142227 12362421 9197057 15910615 24887478 -3548194 -15690421 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. false false 80972434 57151566 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 45,500 patient encounters, pediatric patients from Bibb and the surrounding counties. Approximately 77% 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 97 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 20 Surgical Residents & 1 Surgical Fellows, in addition to 97 medical students from the Mercer University School of Medicine. The Faculty Physicians provided care for approximately 5,500 patients at the Anderson Health Center at The Medical Center of Central Georgia. Of those patients, approximately 33% 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 7% were Medicare Part B recipients. They also provided over $535,000 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 24 Family Practice Residents and 3 Hospice/Palliative Fellows, as well as 97 medical students from the Mercer University School of Medicine. The Faculty physicians also provide education and medical services in the Geriatric Fellowship Program. Founded in 2006 the program currently has 3 Fellows. The program is evidence-based, with strong emphases in Long-Term Care and Palliative Medicine and is the only comprehensive Inpatient Palliative Care Service in the state of Georgia. 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 over 21,700 patient encounters per year. HSCG also provided physicians and physician extenders in gastroenterology, pediatric surgery, pediatric orthopedic surgery, pediatric gastroenterology, pediatric hematology/oncology, orthopaedic 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. 80972434 true true false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 521 true true true false false false false false true false false false X 3 0 false false false false true true true true true false false true true true true true true false false false GA X Chris Wilde 4786331452 777 HEMLOCK STREET MACON GA 31201 Rhonda Perry Treasurer 1.0 50.0 X X 0 671512 54354 Robert DiRenzo Board Member 1.0 40.0 X 0 738285 26444 Christopher A Hendry Board Member 1.0 41.0 X 0 516857 100777 Kenneth B Banks Secretary 1.0 50.0 X 0 500610 238760 Ninfa M Saunders President/CEO 1.0 50.0 X 0 1494051 586692 Dennis W Ashley MD Professor And Chairman 40.0 1.0 X 620031 0 22024 William J Butler Professor And Chairman 40.0 0 X 775931 0 26218 Dudley B Christie III Assistant Professor 40.0 0 X 895753 0 6750 Lori W Cassidy Chief Administrative Officer 40.0 0 X 266351 0 22218 Paul S Dale MD PHYSICIAN 40.0 0 X 453285 0 29727 Jason R Chapman Physician 40.0 0 X 789172 0 28578 William B Schroder Physician 49.0 0 X 770860 0 29727 Joshua B Glenn PHYSICIAN 40.0 0 X 870616 0 28375 Daniel S Chan PHYSICIAN 40.0 0 X 823790 0 31872 Joel R Judah PHYSICIAN 40.0 0 X 820710 0 34086 Fady Wanna MD Physician 49.0 0 X 217886 0 8469 7304384 3921314 1275070 137 true true false CERNER 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64417 PROFESSIONAL SERVICES 1047207 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 CONTRACT PERSONNEL 413288 LOCUM TENENSCOM 1PO BOX 405547 ATLANTA GA 303845547 PROFESSIONAL FEES 393964 DELTA LOCUM TENENS PO BOX 202940 DALLAS TX 753202940 PROFESSIONAL FEES 349843 GA HEART PHYSICIANS LLC PO BOX 6135 MACON GA 31208 PROFESSIONAL FEES 269796 15 24128 19030231 80000 19134359 PROGRAM SERVICE REVENUE 624100 42025368 42025368 MEDICAL EDUCATION 611710 14417136 14417136 0 0 0 0 56442504 834 834 2600 0 2600 2600 2600 0 0 Payor Incentives 900099 674627 674627 ACCOUNTING/BILLING SVC 900099 38371 38371 Other Patient Related Rev 900099 34435 34435 0 0 0 0 747433 76327730 57151566 40971 834 3011351 2745000 266351 56729773 54839359 1890414 1624980 1550109 74871 5126880 4890307 236573 3027351 2889767 137584 93379 92764 615 8383905 5343048 3040857 0 190764 134425 56339 542211 440958 101253 1486600 334687 1151913 3406261 3173768 232493 67437 44869 22568 440815 440815 672629 667965 4664 2269720 2010521 259199 SUPPLIES 678037 690007 -11970 MINOR EQUIPMENT 258950 254923 4027 DUES & CERTIFICATIONS 316847 313285 3562 MISCELLANEOUS 142067 115857 26210 0 0 0 0 88469957 80972434 7497523 0 2257471 1795927 6756007 4954362 0 0 0 1286036 786775 11050 6775928 5624992 1455442 1150936 0 0 607465 498007 0 0 12362421 9197057 4604904 6174440 0 11305711 18713038 15910615 24887478 X -3548194 -15690421 -3548194 -15690421 12362421 9197057 -12142227 0 X false true X true false X 531543 256912 274631 6244385 5368080 876305 1150936 MEDTRONIC AGREEMENT FOR PAS STUDY 27838 PYTHAGORAS STUDY SITE 12308 UNCLAIMED CASH -160 REFUNDS PAYABLE -8699 RELATED PARTY PAYABLES 18681751 Sales Tax 18713038 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Navicent Health, Inc., the Medical Center, NHPG, Carlyle Place, and the Foundation are organizations exempt from federal income tax, pursuant to Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. CPI is a foreign corporation not subject to tax in the United States. PET, RHNH and SHPG are organized under Georgia law and the Internal Revenue Code as limited liability companies ("LLC"). The members of an LLC report taxable income or loss on their corporate or individual tax returns. Navicent Health's share of income from PET, RHNH and SHPG operations is not considered unrelated business income ("UBI") and is therefore not subject to tax. Navicent Health and its affiliates have evaluated their tax positions and have determined that they do not have any material unrecognized tax benefits or obligations as of September 30, 2018. HVNH is subject to income tax. With respect to its for-profit subsidiaries, Navicent Health accounts for income taxes in accordance with the liability method under which deferred tax assets and liabilities are determined based on the differences between the financial accounting and tax bases of assets and liabilities. Deferred tax assets or liabilities at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the periods that the deferred tax asset or liability is expected to be realized or settled. false true false false false false false false false Rhonda Perry Treasurer 0 543028 0 127660 0 824 0 45136 0 9218 0 725866 0 0 Robert DiRenzo Board Member 0 507578 0 124081 0 106626 0 6750 0 19694 0 764729 0 83554 Christopher A Hendry Board Member 0 439371 0 76434 0 1053 0 78001 0 22776 0 617634 0 0 Kenneth B Banks Secretary 0 314438 0 73144 0 113027 0 216081 0 22679 0 739370 0 69580 Ninfa M Saunders President/CEO 0 1044591 0 324171 0 125288 0 569598 0 17094 0 2080743 0 86387 Dennis W Ashley MD Professor And Chairman 601257 0 0 0 18774 0 6750 0 15274 0 642055 0 0 0 William J Butler Professor And Chairman 696896 0 59822 0 19213 0 6750 0 19468 0 802149 0 0 0 Dudley B Christie III Assistant Professor 491827 0 403746 0 180 0 6750 0 0 0 902503 0 0 0 Lori W Cassidy Chief Administrative Officer 203578 0 43747 0 19027 0 5957 0 16261 0 288570 0 0 0 Paul S Dale MD PHYSICIAN 434461 0 0 0 18824 0 6750 0 22977 0 483012 0 0 0 Fady Wanna MD Physician 165296 0 46863 0 5727 0 3385 0 5084 0 226355 0 0 0 Jason R Chapman Physician 588746 0 179638 0 20788 0 6750 0 21828 0 817750 0 0 0 William B Schroder Physician 551699 0 200041 0 19120 0 6750 0 22977 0 800587 0 0 0 Joshua B Glenn PHYSICIAN 749378 0 103057 0 18180 0 6750 0 21625 0 898990 0 0 0 Daniel S Chan PHYSICIAN 658639 0 146947 0 18205 0 7596 0 24277 0 855663 0 0 0 Joel R Judah PHYSICIAN 536468 0 265987 0 18255 0 6750 0 27336 0 854796 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan MCCG HAD A SUPPLEMENTAL EXECUTIVE BENEFIT PROGRAM ("SEBP") FOR CERTAIN EXECUTIVES THAT WAS DESIGNED AS A LOAN REGIME SPLIT DOLLAR LIFE INSURANCE PROGRAM. THIS PROGRAM WAS EXPECTED TO PROVIDE DEATH AND OTHER BENEFITS TO EXECUTIVES AND TO PROVIDE REPAYMENT OF LIFE INSURANCE PREMIUMS TO THE ORGANIZATION. AS A RESULT OF ECONOMIC CONDITIONS, THE LIFE INSURANCE POLICIES 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 ANNUITY 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 $ 180,120 IN ADDITION, NAVICENT HEALTH 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 Ninfa Saunders $150,000 IN ADDITION, NAVICENT HEALTH ADOPTED A NONQUALIFIED, UNFUNDED DEFERRED COMPENSATION PLAN DESIGNED TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT PESONNEL. DURING THE YEAR THE FOLLOWING BENEFITS ACCRUED UNDER THIS PLAN: NINFA M. SAUNDERS $412,848 Christopher Hendry $78,001 Gina Keadle $35,432 THE FOLLOWING NONQUALIFIED RETIREMENT PLAN BENEFITS WERE REPORTED AS TAXABLE INCOME TO VESTED INDIVIDUALS: KEN BANKS $69,580 Robert DiRenzo $83,554 Ninfa Saunders $86,387 Form 990, Part V, Line 1a Forms 1099 All Forms 1099 are issued by The Medical Center of Central Georgia for the healthcare system. Form 990, Part VI, Line 6 Classes of members or stockholders 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, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders 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, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY HOSPITAL ACCOUNTING PERSONNEL FROM INFORMATION PROVIDED BY MANAGEMENT AND FROM CONSOLIDATED FINANCIAL Form 990, Part VI, Line 12c Conflict of interest policy THE DEPARTMENT OF AUDIT AND COMPLIANCE ISSUES COI DISCLOSURE FORMS ANNUALLY TO OUR BOARD MEMBERS, ADMINISTRATION AND DIRECTORS. AUDIT AND COMPLIANCE RECEIVES, REVIEWS AND DOCUMENTS ALL POTENTIAL CONFLICTS (PERCEIVED AND REAL.) THE RESULTS ARE TAKEN TO THE COMPLIANCE COMMITTEE WHERE THE REAL CONFLICTS OF INTEREST ARE DISCUSSED AND A PLAN FOR CORRECTIVE ACTION IS DEVELOPED. THE CORRECTIVE ACTION RECOMMENDATIONS ARE TAKEN TO THE VARIOUS BOARDS AND ADMINISTRATION FOR IMPLEMENTATION. ANY TIME A CHANGE IN A RELATIONSHIP OR NEW POTENTIAL CONFLICT EVOLVES, THE INDIVIDUALS 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 public ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. NAVICENT HEALTH INC 691 CHERRY STREET SUTIE 400 MACON GA 31201 582149127 PARENT COMPANY/STRATEGIC & FINANCIAL MANAGMENT GA 501(c)(3) Type III-FI NA false CENTRAL GEORGIA SENIOR HEALTH INC 691 CHERRY STREET SUTIE 400 MACON GA 31201 582345439 RETIREMENT COMMUNITY GA 501(c)(3) Type II NAVICENT HEALTH INC false NAVICENT HEALTH FOUNDATION INC 858 HIGH STREET MACON GA 31201 237363555 FUNDRAISING GA 501(c)(3) 7 NAVICENT HEALTH INC false MEDICAL CENTER OF GEORGIA INC 691 CHERRY STREET SUTIE 400 MACON GA 31201 582149128 HOSPITAL GA 501(c)(3) 3 NAVICENT HEALTH INC false THE MEDICAL CENTER OF PEACH COUNTY INC 1960 HWY 247 BYRON GA 31008 453765471 HOSPITAL GA 501(c)(3) 3 NAVICENT HEALTH INC false NAVICENT HEALTH BALDWIN INC 691 CHERRY STREET SUITE 400 MACON GA 31201 823914925 HOSPITAL GA 501(c)(3) 3 NAVICENT HEALTH INC false SECURE HEALTH PLANS OF GEORGIA LLC 577 MULBERRY STREET SUITE 1000 MACON GA 31201 582306549 MANAGED CARE GA NA N/A 0 CENTRAL GEORGIA PET LLC 1650 HARDEMAN AVENUE MACON GA 31201 371464470 MEDICAL IMAGING CENTER GA NA N/A 0 Cowles Clinic Realty LLC 1000 Cowles Clinic Way C100 Greensboro GA 30642 810636590 Real Estate GA NA N/A 0.0 CENTRAL GEORGIA HEALTH VENTURES INC 691 CHERRY STREET SUITE 400 MACON GA 31201 582164989 HOME CARE SERVICES GA NA C Corporation false CENTRA PROFESSIONAL INDEMNITY LTD PO BOX 1363 GRAND CAYMAN CJ INSURANCE CJ NA C Corporation false NAVICENT HEALTHPLAN INC 691 CHERRY STREET SUITE 400 MACON GA 31201 202467391 INSURANCE GA NAVICENT HEALTH INC C Corporation false false false true true true false false false false false true false false true true true true true true