2025-11-17T07:22:25-06:00 2024-12-31 990 2024-01-01 453765471 THE MEDICAL CENTER OF PEACH COUNTY INC MEDI 4786336968 777 HEMLOCK STREET MSC 111 MACON GA 31201 PHILIP WHEELER CFO 4786336968 2025-11-16 0 2024 2025-03-06 01:10:19Z ATRIUM HEALTH NAVICENT PEACH LAURA GENTRY 777 HEMLOCK STREET MSC 111 MACON GA 31201 41057796 0 X WWW.NAVICENTHEALTH.ORG X 2011 GA 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. 6 6 251 12 0 0 277982 1388784 33549335 39657769 6951 0 57445 11243 33891713 41057796 0 0 0 0 11754501 13413702 0 0 0 20378685 22010313 32133186 35424015 1758527 5633781 21491839 18747585 26880189 18502154 -5388350 245431 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. 0 0 32219139 39657769 THE MEDICAL CENTER OF PEACH COUNTY, DOING BUSINESS AS ATRIUM HEALTH NAVICENT PEACH (AHNP), IS A NON-PROFIT CRITICAL ACCESS HOSPITAL AFFILIATED WITH NAVICENT HEALTH, INC. AHNP PROVIDES EXPANDED SERVICES WITH INNOVATIVE TECHNOLOGY TO THE LOCAL COMMUNITY FURTHERING ITS MISSION TO IMPROVE RURAL HEALTH CARE ACCESS. LICENSED FOR 25 BEDS, AHPN HAD 6,120 PATIENT DAYS AND 29,142 EMERGENCY ROOM VISITS FOR THE YEAR ENDED DECEMBER 31, 2024. 32219139 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 251 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 GA X KIMBERLY SHREWSBURY 4786331452 777 HEMLOCK STREET MACON GA 31201 ERIN SNYDER SEC/CH LEGAL COUNSEL 1.00 39.00 X 0 920296 100384 KENNETH B BANKS SEC/CH LEGAL COUNSEL (TO 10/2023) 0.00 0.00 X 0 774364 0 KIMBERLY SHREWSBURY TREASURER 1.00 39.00 X 0 673324 81256 LAURA T GENTRY PRESIDENT/CEO 40.00 0.00 X 0 288862 36232 JILL HANCOCK CHIEF NURSE OFFICER 40.00 0.00 X 0 180050 43119 MEGAN CHUMBLEY CLINICAL PHARMACY MANAGER 40.00 0.00 X 0 147934 40143 AIMEEH CANAFRANCA REGISTED NURSE - ASN 40.00 0.00 X 0 134028 35972 KRISTY ARD NURSE MANAGER 40.00 0.00 X 0 123697 24888 MARJOERIE TAMBA REGISTED NURSE - ASN 40.00 0.00 X 0 124641 25037 PAUL JONES BOARD MEMBER (TO 12/31/24) 1.00 0.00 X 0 0 0 JIM MCLENDON VICE CHAIR 1.00 0.00 X X 0 0 0 ISAAC CRUMBLY BOARD MEMBER (TO 12/31/24) 1.00 0.00 X 0 0 0 CRYSTAL BROWN MD BOARD MEMBER 1.00 0.00 X 0 0 0 AL WALDREP BOARD MEMBER (TO 12/31/24) 1.00 0.00 X 0 0 0 0 3367196 387031 14 1 1 0 PEACH PHYSICIAN SERVICES PC PO BOX 677979 DALLAS TX 75267 HEALTHCARE SERVICES 826519 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 CONTRACT MANAGEMENT - FOOD SERVICES 550760 PEACH EMERGENCY GROUP LLC PO BOX 731587 DALLAS TX 75373 CONTRACT SERVICES 547773 DIAGNOSTIC RESOURCES LLC 1000 EAGLE FEATHER TRAIL PERRY GA 31069 DIAGNOSTIC SERVICES 303572 NOVO HEALTH SERVICES LLC PO BOX 749109 ATLANTA GA 30374 LINEN & RENTAL SERVICES 134469 5 66186 940140 382458 1388784 PATIENT REVENUE 621990 39567427 39567427 DIETARY REVENUE 621990 90342 90342 39657769 11243 0 11243 11243 11243 41057796 39657769 0 11243 X 11006218 9686610 1319608 270071 237690 32381 1378034 1212813 165221 759379 668332 91047 20790 13295 7495 391 391 10019 6407 3612 6219256 5485077 734179 12985 8304 4681 78139 65476 12663 1705663 1429245 276418 13324 11165 2159 15607 13078 2529 1427175 1184555 242620 963377 707705 255672 655309 655309 BAD DEBT 8173370 8173370 MEDICAL SUPPLIES 2377818 2377818 SUPPLIES - FOOD 331711 277954 53757 SUPPLIES - OTHER 5379 4545 834 35424015 32219139 3204876 0 25684 45001 5893188 3285294 225615 250320 41500 0 27696128 12529158 15305852 15166970 21491839 18747585 414725 1040179 1131213 26465464 16330762 26880189 18502154 X -5388350 245431 -5388350 245431 21491839 18747585 5633781 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 391 391 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOWED TO LOBBYING EFFORTS BY THE ORGANIZATION ON BEHALF OF THEIR MEMBERSHIP BODY. 930354 930354 21281560 7959671 13321889 5484214 4569487 914727 15166970 0 INTERCOMPANY PAYABLE 15129007 RESERVES 1201755 16330762 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEARS ENDED DECEMBER 31, 2024 AND 2023, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR CALENDAR YEARS ENDED DECEMBER 31, 2024 AND 2023. 1 1 1 X 300.000000000000 1 X 1 1 0 1 1 1078894 399040 679854 0.02490 2979829 2073921 905908 0.03320 4058723 2472961 1585762 0.05810 4058723 2472961 1585762 0.05810 1 1843454 0 10789998 10708858 81140 X 1 1 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 0 0 1 X X X X X X X X X 23 1 0 0 1 X SEE PART V X 1 23 1 SEE PART V 0 1 X 300.000000000000 400.000000000000 X X X 1 1 X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X 1 X 0 X X X X 1 X 0 0 MEDICAL CENTER OF PEACH COUNTY, INC. PART V, SECTION B, LINE 5: DURING THE CONDUCTION OF ITS MOST RECENT CHNA, THE HOSPITAL FACILITY SOUGHT COMMUNITY INPUT THROUGH THE FOLLOWING PRIMARY SOURCES: -A COMMUNITY HEALTH SURVEY CONDUCTED ON BEHALF OF THE HOSPITAL FACILITY BY PRC, INC., A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM. SURVEYS WERE CONDUCTED VIA PRC THROUGH TELEPHONE AND ONLINE QUESTIONNAIRES WITH LOCAL RESIDENTS.-AN ONLINE SURVEY OF PUBLIC HEALTH REPRESENTATIVES, HEALTH PROVIDERS, AND A VARIETY OF OTHER COMMUNITY SERVICE PROVIDERS AND STAKEHOLDERS-COMMENTS FROM PRIOR COMMUNITY HEALTH NEED ASSESSMENTS AND IMPLEMENTATION STRATEGIES.ADDITIONALLY, A VARIETY OF SECONDARY DATA SOURCES WERE USED BY REVIEWING EXISTING VITAL STATISTICS, PUBLIC HEALTH DOCUMENTS, CENSUS DOCUMENTS, AND OTHER DATA. MEDICAL CENTER OF PEACH COUNTY, INC.PART V, LINE 7A, CHNA REPORT WEBSITE: HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTSMEDICAL CENTER OF PEACH COUNTY, INC.PART V, LINE 10A, CHNA REPORT WEBSITE: HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTS MEDICAL CENTER OF PEACH COUNTY, INC. PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED NUMEROUS COMMUNITY HEALTH NEEDS AND CONCERNS. THE TOP HEALTH ISSUES IDENTIFIED WERE PRESENTED TO THE FACILITY'S STEERING COUNCIL WHERE MEMBERS WERE ASKED TO RANK THE ISSUES BASED ON THE FOLLOWING CRITERIA: SIZE/SERIOUSNESS OF THE PROBLEM, EFFECTIVENESS OF AVAILABLE INTERVENTIONS, AVAILABLE RESOURCES TO ADDRESS THE HEALTH ISSUE, HEALTH CARE SYSTEM ADEQUATELY SITUATED TO ADDRESS THE HEALTH ISSUE, MEETS A DEFINED COMMUNITY NEED AS IDENTIFIED THROUGH DATA, POTENTIAL FOR ISSUE TO IMPACT OTHER HEALTH AND SOCIAL ISSUES, AND ABILITY TO EFFECTIVELY ADDRESS OR IMPACT HEALTH ISSUE THROUGH COLLABRATION. THE FOLLOWING HEALTH NEEDS WERE PRIORITIZED BY THE HOSPITAL FACILITY IN ITS MOST RECENT CHNA: 1) HEART DISEASE & STROKE2) DIABETES3) NUTRITION, PHYSICIAL ACTIVITY, & WEIGHT4) INJURY AND VIOLENCE5) MATERNAL & CHILD HEALTH6) ACCESS TO HEALTHCARE SERVICESTHE HOSPITAL FACILITY IMPLEMENTATION STRATEGY OUTLINES THE PROGRAMS AND RESOURCES THE HOSPITAL FACILITY WILL USE TO ADDRESS THE ABOVE MENTIONED PRIORITIZED HEALTH NEEDS. THE IMPLEMENTATION STRATEGY ALSO INCLUDES AN EVALUATION OF IMPACT OF THOSE PROGRAMS ON PRIORITIZED COMMUNITY HEALTH NEEDS IDENTIFIED FROM THE CHNA. ALL EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUE OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL FACILITY ACKNOWLEDGES THE IMPORTANCE OF ALL COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA; HOWEVER, THE HOSPITAL FACILITY'S RESOURCES AND ASSETS WERE BEST ALIGNED TO FOCUS ON THE PRIORITIZED NEEDS MENTIONED ABOVE. THE CHNA PROVIDES A COMPREHENSIVE LIST OF AVAILABLE RESOURCES IN THE COMMUNITY FOR THOSE NEEDS THAT WERE NOT PRIORITIZED BY THE HOSPITAL FACILITY. ALTHOUGH NOT PRIORITIZED, THE HOSPITAL FACILITY WILL CONTINUE TO PARTNER WITH COMMUNITY AND NON-PROFIT ORGANIZATIONS TO HELP ADDRESS THESE NEEDS. 1 1 - VALLEY MEDICAL CENTER 701 BLUEBIRD BLVD FT VALLEY GA 31030 RURAL HEALTH CLINIC PART I, LINE 3C: THE FINANCIAL ASSISTANCE PROGRAMS ARE DESIGNED TO ENSURE ASSISTANCE IS PROVIDED TO PATIENTS DEMONSTRATING A FINANCIAL NEED AND TO ENSURE THE ORGANIZATION COMPLIES WITH ANY REQUIRED FEDERAL OR STATE REGULATIONS RELATED TO FINANCIAL ASSISTANCE. THOSE ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NEVER BE BILLED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO AN INSURED PATIENT. THE ORGANIZATION USES THE LOOK-BACK METHOD TO CALCULATE AGB. PART I, LINE 7: THE ORGANIZATION USED THE WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO FORM 990, SCHEDULE H TO COMPUTE ITS COST TO CHARGE RATIO. PART I, LN 7 COL(F): THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $8,173,370 FOR THE YEAR ENDED DECEMBER 31, 2024. THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7. PART III, LINE 2: THE ORGANIZATION USED WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS TO COMPUTE A COST TO CHARGE RATIO, WHICH IS USED TO CALCULATE BAD DEBT AT COST. BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7. PART III, LINE 4: FOOTNOTE 2 (PATIENT SERVICE REVENUE) ON PAGE 26 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE TREATMENT OF BAD DEBT. PART III, LINE 8: THE COSTING METHODOLOGY USES THE COSTS INCLUDED IN THE COST REPORT, WHICH ARE CALCULATED USING A DEPARTMENTAL SPECIFIC COST TO CHARGE RATIO AS COMPARED TO ACTUAL MEDICARE PAYMENTS. THE MEDICARE COST REPORT DOES NOT FULLY CAPTURE ALL MEDICARE REVENUE AND COSTS, INCLUDING BUT NOT LIMITED TO PHYSICIAN SERVICES AND MEDICARE PART C. PART III, LINE 9B: THE HOSPITAL MAKES A REASONABLE EFFORT TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE ENGAGING IN ANY COLLECTION ACTIONS. ALL COLLECTION ACTIONS WILL BE SUSPENDED IF THE INDIVIDUAL SUBMITS A COMPLETED FAP APPLICATION DURING THE APPLICATION PERIOD, OR IF THE INDIVIDUAL SUBMITS AN INCOMPLETE APPLICATION DURING THE APPLICATION PERIOD THAT IS SUBSEQUENTLY COMPLETED WITHIN A REASONABLE TIME AFTER THE HOSPITAL REQUESTS FURTHER INFORMATION. IF THE INDIVIDUAL IS DETERMINED NOT TO BE ELIGIBLE FOR A FULL DISCOUNT UNDER THE FAP, ANY COLLECTION ACTIVITIES WILL BE RESUMED AS TO THE OUTSTANDING BALANCE OWED. IF THE INDIVIDUAL IS DETERMINED TO BE ELIGIBLE FOR ASSISTANCE UNDER THE FAP, APPROPRIATE MEASURES ARE TAKEN TO REFUND ANY AMOUNTS OWED TO THE INDIVIDUAL AND REVERSE OR MODIFY COLLECTION ACTIONS CONSISTENT WITH THE NEW BALANCE OWED AFTER APPLYING THE APPLICABLE FAP DISCOUNTS. PART VI, LINE 2: THE HOSPITAL FACILITY'S MOST RECENT CHNA WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING REGIONAL PRIORITY AREAS TO FOCUS ON FOR CY2024 TO CY2026. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS, AND COLLABORATE WITH LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE PROVIDERS. COMMUNITY FEEDBACK WAS RECEIVED IN THE FORM OF A COMMUNITY HEALTH SURVEY CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS ON BEHALF OF THE ORGANIZATION. THE HOSPITAL FACILITY DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS THOSE PRIORITIZED NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR THE NEXT THREE CALENDAR YEARS. BEYOND PROGRAMS ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL FACILITY WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF ABILITY TO PAY. PART VI, LINE 3: THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR FINANCIAL ASSISTANCE OPTIONS. INFORMATION REGARDING FINANCIAL ASSISTANCE CAN BE FOUND ON THE HOSPITAL FACILITY'S WEBSITE, CONSPICUOUSLY DISPLAYED SIGNAGE THROUGHOUT THE HOSPITAL FACILITY, PATIENT BILLING STATEMENTS, AND FROM TEAMMATES DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES DURING PREADMISSION, DISCHARGE, AND THE "COLLECTION" PERIOD. PART VI, LINE 4: THE FILING ORGANIZATION'S PRIMARY SERVICE AREA IS PEACH COUNTY, GEORGIA. PEACH COUNTY, GEORGIA HAS AN ESTIMATED POPULATION OF 26,966 INDIVIDUALS AND ENCOMPASSES APPROXIMATELY 150 SQUARE MILES. THERE ARE NO OTHER HOSPITALS IN THE COUNTY. THE HOSPITAL FACILITY IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL FOR MEDICARE PURPOSES. APPROXIMATELY 21.5% OF PEACH COUNTY, GA'S, POPULATION LIVES BELOW THE POVERTY LEVEL.AGE:21.5% - 0 -1763.4% - 18 - 6415.1% - 65+RACE:48.8% - WHITE44.7% - BLACK6.5% - HISPANIC PART VI, LINE 5: THE ORGANIZATION IS COMMITTED TO BEING RESPONSIVE TO THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A NUMBER OF PROGRAM ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE ORGANIZATION HAS ADOPTED AND MAINTAINED A FINANCIAL ASSISTANCE POLICY, PROVIDES SUBSIDIZED HEALTH SERVICES TO PATIENTS IN NEED, AND ACCEPT ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24/7. THE GOVERNING BOARD IS COMPRISED OF LEADERS WITHIN THE COMMUNITY THE HOSPITAL SERVES. FUNDS ARE REINVESTED IN HEALTH IMPROVEMENT INITIATIVES TO BETTER SERVE THE COMMUNITY HEALTH NEEDS. PART VI, LINE 6: THE FILING ORGANIZATION IS PART OF ADVOCATE HEALTH, WHICH IS HEADQUARTERED IN CHARLOTTE, NORTH CAROLINA, AND IS THE THIRD-LARGEST NONPROFIT HEALTH SYSTEM IN THE UNITED STATES, CREATED FROM THE COMBINATION OF ATRIUM HEALTH AND ADVOCATE AURORA HEALTH. TOGETHER WITH AN INTEGRATED GROUP OF 501(C)(3) HOSPITALS, PHYSICIAN NETWORKS, OTHER HEALTHCARE PROVIDERS, THE ORGANIZATION IS COMMITTED TO PROVIDING SIGNIFICANT BENEFITS TO THE COMMUNITIES IT SERVES ACROSS. EACH HOSPITAL ORGANIZATION IN THE ADVOCATE HEALTH SYSTEM REPORTS ITS OWN COMMUNITY BENEFIT ON FORM 990, SCHEDULE H. THE CONSOLIDATED COMMUNITY BENEFIT TOTAL OF THE HEALTH SYSTEM IS REPORTED AT HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTS PART VI, LINE 7, REPORTS FILED WITH STATES GA 1 1 0 0 0 0 0 0 0 ERIN SNYDER SEC/CH LEGAL COUNSEL 0 524733 0 347626 0 47937 0 67405 0 32979 0 1020680 0 21480 KENNETH B BANKS SEC/CH LEGAL COUNSEL (TO 10/2023) 0 0 0 143987 0 630377 0 0 0 0 0 774364 0 0 KIMBERLY SHREWSBURY TREASURER 0 400832 0 229998 0 42494 0 46946 0 34310 0 754580 0 5927 LAURA T GENTRY PRESIDENT/CEO 0 195752 0 67063 0 26047 0 11551 0 24681 0 325094 0 0 JILL HANCOCK CHIEF NURSE OFFICER 0 140551 0 30294 0 9205 0 7503 0 35616 0 223169 0 0 MEGAN CHUMBLEY CLINICAL PHARMACY MANAGER 0 147820 0 0 0 114 0 6149 0 33994 0 188077 0 0 AIMEEH CANAFRANCA REGISTED NURSE - ASN 0 130438 0 2001 0 1589 0 4132 0 31840 0 170000 0 0 PART I, LINES 4A-B CERTAIN DIRECTORS, OFFICERS, AND/OR KEY EMPLOYEES OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP) AND/OR RECEIVED PAYMENTS FOR SEVERANCE. THE DETERMINATION OF THE PAYMENT AMOUNT FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS, OFFICERS, AND/OR KEY EMPLOYEES RECEIVED PAYMENTS FOR SEVERANCE AND/OR PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: SEVERANCE PAYMENTS: KENNETH B. BANKS 630,377 NON-QUALIFIED DEFERRED COMPENSATION PAYMENTS: KENNETH JONES 234,471 ERIN SNYDER 42,388 KIMBERLY SHREWSBURY 23,152 FORM 990, PART VI, SECTION A, LINE 6 NAVICENT HEALTH, INC., A RELATED SECTION 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A 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, SECTION A, LINE 7B NAVICENT HEALTH, INC., A RELATED SECTION 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF THE FILING ORGANIZATION. THE MEMBER HAS CERTAIN RESERVE POWERS AS WELL AS THE POWER TO APPOINT, APPROVE AND REMOVE BOARD MEMBERS OF THE MEDICAL CENTER OF PEACH COUNTY, INC. IN ADDITION, THE PRIOR APPROVAL OF THE BOARD OF DIRECTORS OF NAVICENT HEALTH. INC. 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, SECTION B, LINE 11B THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES COPIES OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ITS OFFICERS, DIRECTORS AND KEY EMPLOYEES TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DETERMINE ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS NOTED IN THE QUESTIONNAIRE ARE REVIEWED BY A STANDING COMMITTEE FOR APPROPRIATE RESOLUTION. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO DETERMINE AND REPORT ANNUALLY, AND AS THEY ARISE, ANY POTENTIAL CONFLICTS OF INTEREST TO THE SECRETARY OF THE BOARD OF DIRECTORS. THE RESOLUTION OF POTENTIAL AND ACTUAL CONFLICTS IS SUBJECT TO THE APPROVAL OF THE CHAIR OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND BENEFITS COMMITTEE (THE "COMMITTEE") OF THE ADVOCATE HEALTH, INC. BOARD OF DIRECTORS HAS AUTHORITY AS THE NAVICENT HEALTH BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF NAVICENT HEALTH OR OF THE FILING ORGANIZATION. THE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH NAVICENT HEALTH AND THE FILING ORGANIZATION'S POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE, STRUCTURE, AND COMPLEXITY AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE MAINTAINED IN THE ADVOCATE HEALTH, INC. LEGAL DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES AND CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 5,485,077. MANAGEMENT AND GENERAL EXPENSES 734,179. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,219,256. CENTRAL GEORGIA SENIOR HEALTH INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582345439 CONTINUING CARE RETIREMENT COMMUNITY GA 501(C)(3) LINE 12B, II NAVICENT HEALTH INC 0 HEALTH SERVICES OF CENTRAL GEORGIA INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582307485 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 0 MEDICAL CENTER OF CENTRAL GEORGIA INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582149128 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 0 NAVICENT HEALTH INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582149127 HEALTHCARE GA 501(C)(3) LINE 12C, III-FI AH GEORGIA INC 0 NAVICENT HEALTH BALDWIN INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 823914925 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 0 AH GEORGIA INC PO BOX 32861 CHARLOTTE NC 282322861 831707383 HOLDING COMPANY NC 501(C)(3) LINE 7 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY 0 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY 1000 BLYTHE BOULEVARD CHARLOTTE NC 28203 560529945 HEALTHCARE NC NC POLITICAL SUBDIVI N/A 0 FLOYD HEALTHCARE MANAGEMENT INC 304 TURNER MCCALL BOULEVARD ROME GA 301620233 581973570 HEALTHCARE GA 501(C)(3) LINE 3 AH GEORGIA INC 0 ADVOCATE HEALTH INC 1000 BLYTHE BOULEVARD CHARLOTTE NC 28203 884157429 HEALTHCARE NC 501(C)(3) LINE 12B, II 0 COWLES CLINIC REALTY LLC 1000 COWLES CLINIC WAY C100 GREENSBORO GA 30642 810636590 REAL ESTATE GA N/A 0 0 SECURE HEALTH PLANS OF GEORGIA LLC 577 MULBERRY STREET MACON GA 31201 582306549 MANAGED CARE GA N/A 0 0 CENTRAL GEORGIA PET LLC 1650 HARDEMAN AVENUE MACON GA 31201 371464470 HEALTHCARE GA N/A 0 0 MACON OUTPATIENT SURGERY LLC 3708 NORTHSIDE DRIVE MACON GA 31210 203027560 HEALTHCARE GA N/A 0 0 NAVICENT HOLDING LLC 777 HEMLOCK ST MSC 111 MACON GA 31201 844982377 HOLDING CO. GA N/A 0 0 CENTRAL GEORGIA HEALTH VENTURES INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582164989 HOME CARE MANAGEMENT SERVICE GA N/A C 0 NAVICENT HEALTHPLAN INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 202467391 INSURANCE GA N/A C 0 CENTRA PROFESSIONAL INDEMNITY LTD PO BOX 1363 GRAND CAYMAN CJ SELF-INSURANCE CJ N/A C 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 1 0 0 0