2018-08-13T14:02:46-05:00 2017-09-30 580914992 DRAFFIN & TUCKER LLP PO Box 71309 Albany GA 317081309 990 2016-10-01 453765471 The Medical Center of Peach County Inc MEDI 4786336968 691 Cherry Street 400 Macon GA 31201 RHONDA S PERRY EXECUTIVE VICE PRESIDENT/COO 2018-07-26 true W EDWARD PHILLIPS P00451499 2298837878 1917-08-14 2016 2022-09-23 18:48:47Z The Medical Center of Peach County Navicent Health Laura Gentry 691 Cherry Street 400 Macon GA 31201 14678420 false X www.navicenthealth.org X 2011 GA The mission of The Medical Center of Peach County, Inc. is to provide access to inpatient, outpatient, physician care, emergency and other health care related services to Peach County and the surrounding counties which are primarily rural. 7 6 166 32 0 0 0 17895065 14664826 12711 7714 9126 5880 17916902 14678420 0 0 7992500 7671470 0 0 9299423 11898092 17291923 19569562 624979 -4891142 36544144 31128356 42258799 41734153 -5714655 -10605797 THE MEDICAL CENTER OF PEACH COUNTY(MCPC) PARTNERS WITH NAVICENT HEALTH, INC. TO OPERATE A 25-BED RURAL, CRITICAL ACCESS HOSPITAL AND PROVIDE EMERGENCY, SURGICAL, INPATIENT AND OUTPATIENT CARE FOR RESIDENTS OF PEACH AND SURROUNDING COUNTIES. false false 18074828 14670706 MCPC IS A NON-PROFIT CRITICAL ACCESS HOSPITAL AFFILIATED WITH NAVICENT HEALTH, INC. MCPC PROVIDES EXPANDED SERVICES WITH INNOVATIVE TECHNOLOGY TO THE LOCAL COMMUNITY FURTHERING ITS MISSION TO IMPROVE RURAL HEATH CARE ACCESS. MCPC IS LICENSED FOR 25 BEDS. 18074828 true false false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 0 0 166 true false false false false false false false false false false X 7 6 false false false false true true true true false false true true true true true true false false false GA X RHONDA S PERRY 4786331452 777 HEMLOCK STREET MACON GA 31201 Rhonda Perry Treasurer 1.0 49.0 X X 0 1068531 51941 Isaac Crumbly Board Member 1.0 1.0 X 0 0 0 Crystal Brown MD Board Member 1.0 0 X 0 0 0 Thomas Green M Chairman 1.0 0 X 0 0 0 Paul Jones Board Member 1.0 0 X 0 0 0 Jim McLendon Vice Chairman 1.0 1.0 X 0 0 0 Al Waldrep Board Member 1.0 0 X 0 0 0 Kenneth B Banks Secretary 1.0 49.0 X 0 580752 171784 Darren R Pearce Chief Administrative Officer 1.0 40.0 X 0 242943 12636 Gururaj Nayak Physician 40.0 0 X 297892 0 2790 297892 1892226 239151 1 false true false Georgia Medical Resource Pool 1000 Circle 75 Pkwy Suite 650 Atlanta GA 30339 Contract Labor 314593 Houston Primary Care Inc 1719 Russsell Pkwy Suite 700 Warner Robins GA 31008 Contract Labor 285107 Twilight Consulting & Mgmt LLC 431 Leamington Lane Macon GA 31220 Consulting 243325 Staff Relief Inc 16 East Main Street Forsyth GA 31029 Contract Labor 177649 Medical Staffing Network PO Box 840292 Dallas TX 752840292 Contract Labor 174176 10 0 Patient Revenue 621990 14657900 14657900 Miscellaneous Program Revenues 621110 6926 6926 0 0 0 0 14664826 7714 7714 0 0 0 0 EXPENSE REIMBURSEMENT 921110 5880 5880 0 0 0 0 5880 14678420 14670706 0 7714 X 6754456 6491909 262547 15041 15041 422944 422894 50 479029 464047 14982 4971108 4621510 349598 0 99178 363 98815 155797 108418 47379 609232 608732 500 341292 334828 6464 21041 12645 8396 383029 383029 1965680 1271002 694678 261761 260637 1124 MEDICAL SUPPLIES 2305329 2304495 834 REPAIRS & MAINT 717727 714092 3635 TAXES & LICENSES 9363 9068 295 DUES & SUBSCRIPTIONS 5336 5336 52219 52118 101 0 19569562 18074828 1494734 0 2610942 2599352 8151123 5864603 0 0 0 224781 372806 25694 25000 28208235 7726714 22077914 20481521 0 0 3453690 1785074 36544144 31128356 869421 768564 48995 41340383 40965589 42258799 41734153 X -5714655 -10605797 -5714655 -10605797 36544144 31128356 -4891142 0 X false true X true false X 509700 509700 19346825 2603445 16743380 8326565 5123269 3203296 25145 25145 20481521 Misc Accounts Receivable 2294 Other Patient Receivable Receivable- Hospital Authority of Peach County 726784 Third Party Receivables 1055996 1785074 Due to The Medical Center of Central Georgia Due to Related Party Due to Navicent Health, Inc. Due to Related Parties 114241 Due to Navicent Health, Inc. 7472208 Due to Medical Center of Central Georgia 33379140 40965589 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, 2017. 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. true true X true X 125 true X 270 true true true false true true 1204043 0 1204043 0.0615 3048975 2235265 813710 0.0416 756 745 11 0.0000 0 0 4253775 2236010 2017765 0.1031 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 4253775 2236010 2017765 0.1031 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 9791608 0 4460968 4552008 -91040 X true true 1 1 Medical Center of Peach County Inc 1960 Highway 247 Connector Byron GA 31008 www.navicenthealth.org 111-687 X X X Medical Center of Peach County Inc 1 false false true X X X X X X X X X 15 true false false true X https://www.navicenthealth.org/our-annual-reports.html X http://peachcounty.healthforecast.net/index-3.html X true 16 true https://www.navicenthealth.org/our-annual-reports.html false true X 125.0 270.0 X X X true true X X X true X https://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html X https://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html X https://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - The Medical Center of Peach County, Inc.. A CHNA was performed in 2015 on behalf of The Medical Center of Peach County, LLC by Professional Research Consultants, Inc. (PRC). PRC is a nationally recognized healthcare consulting firm which has conducted hundreds of community health needs assessments since 1994. The survey included 201 land line and cell phone surveys and 3 key informant focus groups which included healthcare providers and other community leaders. Additionally, public health, vital statistics and benchmark data including Georgia and nationwide risk factor data and Healthy People 2020 were used. Participants also included a public health representative and several individuals who work with low income, minority and other medically underserved populations. A variety of secondary data sources were consulted to complement the assessment including the Centers for Disease Control and Prevention, Geolytics demographic estimates and projections, National Center for Health Statistics, Georgia Bureau of Investigation, US Census data, US Department of Health and Human Services, the FBI, and US Department of Justice. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - The Medical Center of Peach County, Inc.. There was a wide range of priority health issues identified from the CHNA and the challenge in resourcing each of them. In consideration of the top health priorities identified through the process and in overall alignment with the hospital's mission, goals and strategic priorities, it was determined that the hospital would focus on developing, supporting and collaborating on strategies and initiatives to improve healthcare access; health promotion and prevention; and nutrition, physical activity and weight. Further details are available in 2016 - 2018 CHNA Community Action Plan available at -HTTPS://WWW.NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTS.HTML 0 VALLEY MEDICAL CENTER 701 BLUEBIRD BLVD FT VALLEY GA 31030 RURAL HEALTH CLINIC Schedule H, Part I, Line 6a Community benefit report prepared by related organization NAVICENT HEALTH Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount PATIENT CHARGES WRITTEN OFF TO BAD DEBT NOT OTHERWISE PAID BY THIRD-PARTY INSURANCE, GOVERNMENT PROGRAMS, PATIENT PAYMENTS OR OTHERWISE QUALIFIED UNDER HOSPITAL'S CHARITY AND INDIGENT POLICIES. Schedule H, Part III, Line 3 Bad Debt Expense Methodology N/A Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. NAVICENT HEALTH'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 98% OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2017 AND 2016. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COSTING METHODOLOGY IS TO USE THE ACTUAL COSTS INCLUDED IN THE COST REPORT WHICH ARE CALCULATED USING A DEPARTMENTAL SPECIFIC COST TO CHARGE RATIO AS COMPARED TO ACTUAL MEDICARE PAYMENTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ONCE A PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, IT IS NOTED IN THE PATIENT'S FINANCIAL RECORD AND ANY COLLECTION EFFORTS CEASE. ANY PREVIOUS AMOUNTS BILLED ARE WRITTEN-OFF AS PROVIDED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION REVIEWS THE FINANCIAL ACTIVITY ON OTHER ACCOUNTS TO DETERMINE IF THE ACCOUNTS SHOULD BE TURNED OVER TO OUTSIDE COLLECTIONS. IF A PATIENT ACCOUNT TURNED OVER TO COLLECTIONS IS LATER DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, THE ACCOUNT IS BROUGHT BACK FROM COLLECTIONS AND THE ACCOUNT WRITTEN OFF. Schedule H, Part V, Section B, Line 16a FAP website - Medical Center of Peach County, Inc.: Line 16a URL: https://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html; Schedule H, Part V, Section B, Line 16b FAP Application website - Medical Center of Peach County, Inc.: Line 16b URL: https://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Medical Center of Peach County, Inc.: Line 16c URL: https://www.navicenthealth.org/for-patients-and-visitors/financial-aid-information.html; Schedule H, Part VI, Line 2 Needs assessment A COMMUNITY NEEDS ASSESSMENT WAS PERFORMED IN 2015 ON BEHALF OF THE MEDICAL CENTER OF PEACH COUNTY BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM WHICH HAS CONDUCTED HUNDREDS OF COMMUNITY NEEDS ASSESSMENTS SINCE 1994. THE SURVEY AREA INCLUDED THE PRIMARY SERVICE WHICH IS PEACH COUNTY. THE SURVEY INCLUDED 201 LAND LINE AND CELL PHONE SURVEYS AND THREE KEY INFORMANT FOCUS GROUPS WHICH INCLUDED HEALTHCARE PROVIDERS AND OTHER COMMUNITY LEADERS. ADDITIONALLY; PUBLIC HEALTH, VITAL STATISTICS AND BENCHMARK DATA INCLUDING GEORGIA AND NATIONWIDE RISK FACTOR DATA AND HEALTHLY PEOPLE 2020 WERE USED. PRC ALSO CONSULTED WITH REGARD TO THE PREVIOUS 2012 CHNA. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENTS ARE INFORMED OF AVAILABLE ASSISTANCE BY THE FOLLOWING METHODS: THE PATIENT IS NOTIFIED UPON ADMISSION OF THE FINANCIAL ASSISTANCE POLICY; SIGNAGE AT ALL ACCESS POINTS INTO THE ORGANIZATION NOTIFIES PATIENTS AND GUESTS OF THE POLICY; AND ALL BILLINGS INCLUDE INFORMATION TO CONTACT THE BUSINESS OFFICE TO APPLY FOR ASSISTANCE. WE ALSO IDENTIFY ALL PATIENTS WITHOUT INSURANCE AND WORK WITH THEM TO OBTAIN MEDICAID COVERAGE IF POSSIBLE. THE ORGANIZATION'S WEBSITE NOTIFIES VISITORS OF AVAILABLE FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information THE PRIMARY SERVICE AREA IS PEACH COUNTY. A RECENT ESTIMATE OF THE POPULATION FOR PEACH COUNTY IS 27,000 AS OF 2013. THERE ARE NO OTHER HOSPITALS IN THE COUNTY. MEDICAL CENTER OF PEACH COUNTY IS DESIGNATED A CRITICAL ACCESS HOSPITAL FOR MEDICARE PURPOSES. Schedule H, Part VI, Line 5 Promotion of community health THE ORGANIZATION IS PART OF A MULTI-ENTITY HEALTHCARE SYSTEM THAT PROVIDES MEDICAL SERVICES TO THE COMMUNITY. THE ORGANIZATION HAS A BOARD COMPRISED OF MEMBERS OF THE COMMUNITY. THE MEDICAL STAFF OF THE HOSPITAL IS OPEN TO ALL QUALIFIED PHYSICIAN APPLICANTS. ANY SURPLUS FUNDS ARE REINVESTED IN THE ORGANIZATION AND USED FOR PROGRAM SERVICES. AN EMERGENCY ROOM OPEN 24/7/365 IS AVAILABLE TO THE COMMUNITY. Medcen Foundation, Inc. Provides fundraising and support for Navicent Health, Inc. and its affiliates. Schedule H, Part VI, Line 6 Affiliated health care system THE ORGANIZATION IS PART OF NAVICENT HEALTH, INC. AND AFFILIIATED ENTITIES, A MULTI-ENTITY HEALTHCARE SYSTEM. OTHER ORGANIZATIONS IN THE SYSTEM INCLUDE: NAVICENT HEALTH, INC. SERVES AS THE PARENT ENTITY OF THE HEALTH SYSTEM. IT ALSO OPERATES CENTRAL GEORGIA REHABILITATION HOSPITAL, INC. MEDICAL CENTER OF CENTRAL GEORGIA, INC. - A 637 BED GENERAL SHORT TERM ACUTE CARE HOSPITAL FACILITY THAT IS DESIGNATED AS A LEVEL 1 TRAUMA CENTER AND MAGNET HOSPITAL FOR NURSING. HEALTH SERVICES OF CENTRAL GEORGIA, INC. PROVIDES FACULTY PHYSICIANS TO THE RESIDENCY TRAINING PROGRAMS OF THE MEDICAL CENTER OF CENTRAL GEORGIA AS WELL AS OTHER PHYSICIANS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS. CENTRAL GEORGIA SENIOR HEALTH , INC. IS A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) OFFERING INDEPENDENT LIVING, ASSISTED LIVING, MEMORY SUPPORT AND SKILLED NURSING. Schedule H, Part VI, Line 7 State filing of community benefit report GA false true false false false false false true false Rhonda Perry Treasurer 0 533295 0 137312 0 397924 0 45011 0 6930 0 1120472 0 397150 Kenneth B Banks Secretary 0 307469 0 86493 0 186790 0 144758 0 27026 0 752536 0 144078 Darren R Pearce Chief Administrative Officer 0 205631 0 29208 0 8104 0 2448 0 10189 0 255579 0 0 Gururaj Nayak Physician 297623 0 0 0 270 0 0 0 2790 0 300682 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE 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 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 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 $118,780 IN ADDITION, NAVICENT ADOPTED A RETENTION PAYMENT PLAN EFFECTIVE OCTOBER 1, 2011 DESIGNED TO ENCOURAGE DESIGNATED EMPLOYEES TO CONTINUE THEIR EMPLOYMENT. UNDER THE PLAN, CGHS 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 $19,353 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 ACCRURED UNDER THIS PLAN: NINFA SAUNDERS $384,791 THE FOLLOWING NONQUALIFIED RETIREMENT PLAN BENEFITS WERE REPORTED AS TAXABLE INCOME TO VESTED INDIVIDUALS: RHONDA PERRY $397,150 KEN BANKS $144,078 Schedule J, Part I, Line 7 Non-fixed payments THIS 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. 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 Section 501(c)(3) organization, is the sole member of the Organization. The member has the right to appoint and remove members of the Board of Directors of the organization. In addition, the prior approval of the Board of Directors of Navicent Health is required for changes in governance, organizational structure changes (organizing a subsidiary or entering a joint venture, liquidating or dissolving, merging of consolidating the entity), adopting or amending capital or operating budgets (or spending more than is authorized pursuant to such budgets unless permitted by a Navicent Health approved policy), appointing or removing the CEO, and amending or terminating any lease agreement. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Navicent Health, Inc., a related Section 501(c)(3) organization, has the right to appoint and remove members of the Board of Directors of the Organization. However, one member of the Board of Directors must be a currently serving member of the Hospital Authority of Peach County and two other members are to be nominated by the Hospital Authority of Peach County. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Navicent Health, Inc., a related Section 501(c)(3) organization, has certain reserve powers as well as the power to appoint, approve and remove Board Members of The Medical Center of Peach County, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body Form 990 was prepared by Hospital accounting personnel from information provided by management and from financial statements audited by an independent CPA firm. It was reviewed in detail by our outside tax advisor (another independent CPA) and by management of The Medical Center of Peach County, Inc. A copy of Form 990 was provided to each Board Member prior to filing with the Internal Revenue Service. Form 990, Part VI, Line 12c Conflict of interest policy THE 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 public All documents are available upon request Form 990, Part IX, Line 11g Other Fees Consultation Fees - Total Expense: 21005, Program Service Expense: 6200, Management and General Expenses: 14805, Fundraising Expenses: ; Credentialing Fee Expense - Total Expense: 147, Program Service Expense: , Management and General Expenses: 147, Fundraising Expenses: ; Contract Svcs-Corporate - Total Expense: 1501920, Program Service Expense: 1501920, Management and General Expenses: , Fundraising Expenses: ; Contract Services - Total Expense: 1863225, Program Service Expense: 1528579, Management and General Expenses: 334646, Fundraising Expenses: ; Contract Linen Serv - Total Expense: 99415, Program Service Expense: 99415, Management and General Expenses: , Fundraising Expenses: ; Contract Personnel - Total Expense: 1476739, Program Service Expense: 1476739, Management and General Expenses: , Fundraising Expenses: ; Contract Nutritional Services - Total Expense: 1800, Program Service Expense: 1800, Management and General Expenses: , Fundraising Expenses: ; Contract Waste Disposal - Total Expense: 6507, Program Service Expense: 6507, Management and General Expenses: , Fundraising Expenses: ; Other Collection Fees - Total Expense: 350, Program Service Expense: 350, Management and General Expenses: , Fundraising Expenses: ; NAVICENT HEALTH INC 691 CHERRY STREET SUITE 400 MACON GA 31201 582149127 PARENT COMPANY/STRATEGIC & FINANCIAL MANAGEMENT GA 501(c)(3) Type III-FI NA false CENTRAL GEORGIA SENIOR HEALTH INC 691 CHERRY STREET SUITE 400 MACON GA 31201 582345439 RETIREMENT COMMUNITY GA 501(c)(3) Type II NAVICENT HEALTH INC false MEDCEN COMMUNITY HEALTH FOUNDATION INC 858 HIGH STREET MACON GA 31201 237363555 FUNDRAISING GA 501(c)(3) 7 NAVICENT HEALTH INC false MEDICAL CENTER OF CENTRAL GEORGIA IINC 691 CHERRY STREET SUITE 400 MACON GA 31201 582149128 HOSPITAL GA 501(c)(3) 3 NAVICENT HEALTH INC false HEALTH SERVICES OF CENTRAL GEORGIA INC 691 CHERRY STREET SUITE 400 MACON GA 31201 582307485 HEALTHCARE SERVICES 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 AVE MACON GA 31201 371464470 MEDICAL IMAGING CENTER GA NA N/A 0 CENTRAL GEORGIA HEALTH VENTURES INC 691 CHERRY STREET SUITE 400 MACON GA 31201 582164989 HOME CARE MANAGEMENT SERVICE GA NA C Corporation false CENTRA PROFESSIONAL INDEMNITY LTD INSURANCE CJ NA C Corporation false false false false true true false false false false false false false false false true true false false false