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CENTRAL GEORGIA SENIOR HEALTH INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CENTRAL GEORGIA SENIOR HEALTH INC (EIN 58-2345439)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-14
IRS object ID
201102269349300425
Schema version
2009v1.7
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)
Timestamp2011-08-14T20:19:14-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Pershing Yoakley & Associates P CBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1One Cherokee Mills 2220 SutherlandAddressLine1
CityKnoxvilleCity
StateTNState
ZIP Code379192363ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582345439EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL GEORGIA SENIOR HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone4786331407Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1691 CHERRY STREET SUITE 400AddressLine1
CityMACONCity
StateGAState
ZIP Code31201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRhonda S PerryName
TitleTreasurerTitle
Phone4786331407Phone
Date Signed2011-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8656730844Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Carlyle PlaceBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonEthel CullinanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1691 CHERRY STREET SUITE 400AddressLine1
CityMACONCity
StateGAState
ZIP Code31201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts58808490GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.CARLYLEPLACE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionContinuing Care Retirement 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees289TotalNbrEmployees
Total Nbr Volunteers110TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14668382ProgramServiceRevenuePriorYear
Program Service Revenue CY14339947ProgramServiceRevenueCY
Investment Income Prior Year1892245InvestmentIncomePriorYear
Investment Income Current Year2066962InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year16560627TotalRevenuePriorYear
Total Revenue Current Year16406909TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6210077SalariesEtcPriorYear
Salaries Etc Current Year6134918SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8376797OtherExpensePriorYear
Other Expenses Current Year8908204OtherExpensesCurrentYear
Total Expenses Prior Year14586874TotalExpensesPriorYear
Total Expenses Current Year15043122TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1973753RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1363787RevenuesLessExpensesCY
Total Assets BOY85212712TotalAssetsBOY
Total Assets EOY89065183TotalAssetsEOY
Total Liabilities BOY85664880TotalLiabilitiesBOY
Total Liabilities EOY85880645TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-452168NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3184538NetAssetsOrFundBalancesEOY
Mission DescriptionCentral Georgia Senior Health, Inc., incorporated on May 2, 1997, is a nonprofit corporation whose primary purpose is to construct, own and operate a continuing care retirement community in Macon, Georgia. It was organized for the well-being of our residents, and sharing our knowledge beyond our community.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11442557Expense
Revenue14339947Revenue
DescriptionCarlyle Place (CP) is a continuing care retirement community (CCRC) offering a fulfilling lifestyle experience in a residential setting, emphasizing healthy, active lifestyles from retirement until the end of life. There are four lifestyle options offered 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 provides residents peace of mind as help is merely a pull-cord away. Independent Living - A resident of CP must be at least sixty-two years of age at the time of residency (in the case of a couple at least one resident must be sixty-two and the other must be at least fifty-five). Independent living choices include garden homes or various size apartments, with access to all amenities including, but not limited to, nutritional meal plans, scheduled transportation, fitness programs and the Wellness Clinic, where an R.N. sees residents for assessment as needed throughout the week. CP's 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: 226Assisted Living - Assisted living in Stafford Suites is available. A variety of options for services are available depending upon need - CNAs and LPNs will 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: 29Skilled 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: 40Memory Care - 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: 26Carlyle Place is committed to an ongoing relationship with the Middle Georgia Community and serving seniors both within and beyond our walls. The Board, management and staff are committed to sharing their professional knowledge and expertise regarding seniors, as well as, materially supporting geriatric services. Support of the Alzheimer's Association is a salient example. Each year staff is supported in their efforts to raise funds during working hours to support this cause. Additionally, the organization corporately supports the United Way. On staff time, volunteer hours and civic memberships are supported and encouraged. Our residents and staff continually find time to assure that we contribute outside our Carlyle Community. We are in our ninth year of providing lunches for the homeless in Middle Georgia. Personal gift bags are provided to the homeless at Christmas. Bags include useful items such as personal hygiene products, gloves, hats, socks, flashlights, snacks, etc. We have provided personal care items for the Georgia War Veteran's Home in Milledgeville. Items are also given to the Christmas Stocking Program with the Salvation Army, and to the Macon Rescue Mission. Hats and gloves have been provided for children at the Ronald McDonald House. Residents in our Healthcare Neighborhoods provide personal items for Hephzibah Children's Home and the Methodist Home for Children. Some of our residents read at elementary schools in the community. We have also provided books-on-tape for the Georgia Academy for the Blind and provided books for Head Start. The value of Volunteer activities provided by residents and staff for the fiscal year provided was: Support for the homeless - Provides meals monthly to 45 persons plus once per year take personal items and clothing to the homeless. Macon Volunteer Clinic $1,776Children's ministries - Ronald McDonald House, Head Start $554 Community educational programs focusing on different aspects of retirement/aging (Rally for Wellness) $2,000 Habitat for Humanity - non cash contributions $5,585United Way of Central GA $2,000Alzheimer's Association - includes sponsorships, direct resident and staff contributions from various fundraisers and providing assistance to support group plus volunteer hours $19,353 Canned Food Drive non cash contribution $1,182 Carlyle Place encourages support of a development fund that is maintained by Medcen Foundation, a related party. Medcen Foundation maintains and is building funds to supplement the health-related expenses of residents, who through no deliberate fault of their own, deplete their financial resources.Description
Total Program Service Expense11442557TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees289NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonConnie W Jones CPANamePerson
Telephone Number4784054500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15300 Zebulon RoadAddressLine1
CityMaconCity
StateGAState
ZIP Code31210ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Alfred Sams
Director1.00X000
James Wansley
Director1.00X000
Patricia Robinson
Director1.00X000
James Adams Jr
Director1.00X000
James McLendon
Director1.00X000
Marjorie Carter
Director1.00X000
Timothy Jackson
Director1.00X000
Starr Hutchings Purdue
Director1.00X000
Rhonda S Perry
Treasurer1.00041118327511X
Ethel A Cullinan
Pres/CEO10.00025590111120X
Kenneth B Banks
Secretary1.00031643431398X
A Donald Faulk
CEO Central GA Health Syst1.00072257961910X
Alan T Jordan
Director of Fin. Svc.40.009060807281X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1706097TotalReportableCompFrmRltdOrgs
Total Other Compensation131939TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sodexo Inc and Affiliates
PO BOX 536922AtlantaGA30353Food Services1277855
SunTrust Bank
25 Park Place 16th FloorAtlantaGA30303Banking Services225192
Landscape South Inc
PO BOX 26998MaconGA31008Landscaping216359
Rehabcare Group Inc
PO BOX 503534St LouisMO63150Rehab Services215437
Burgess Carpet Center
PO BOX 4464MaconGA31208Flooring Services196484
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Residency Revenue6230001347520813475208
Medicare/Medicaid Paym524298760700760700
Guest Meals72232060795$60,795
Resident Transportatio48000024625$24,625
Guest Room Revenue72100010194$10,194

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column8425TotalRevenueColumn
Related Or Exempt Function Income8425RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue14339947TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1359392TotalRevenueColumn
Exclusion$1,359,392ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities43109151Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities42401581Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities707570Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column707570TotalRevenueColumn
Exclusion$707,570ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16406909TotalRevenueColumn
Related Or Exempt Function Income14244333RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,162,576ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total90608Total
Management And General90608ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5146026Total
Program Services4218694ProgramServices
Management And General927332ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17789Total
Management And General17789ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total455255Total
Program Services352272ProgramServices
Management And General102983ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total425240Total
Program Services327824ProgramServices
Management And General97416ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total350453Total
Management And General350453ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total76970Total
Management And General76970ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total108372Total
Management And General108372ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total446719Total
Program Services32432ProgramServices
Management And General414287ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total142704Total
Management And General142704ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total48909Total
Management And General48909ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total67423Total
Management And General67423ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total779257Total
Program Services716789ProgramServices
Management And General62468ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total57830Total
Program Services30643ProgramServices
Management And General27187ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19189Total
Program Services10218ProgramServices
Management And General8971ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1275516Total
Program Services1085584ProgramServices
Management And General189932ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2908026Total
Program Services2617223ProgramServices
Management And General290803ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total218189Total
Program Services12273ProgramServices
Management And General205916ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies17453271638508106819
Sodexo Dining Managemen322640322640
Equipment Rental and Ma1110602165489406
Refurbish/repaint expen7615076150
Bad debt expense5045650456

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total103014Total
Program Services55803ProgramServices
Management And General47211ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15043122Total
Program Services11442557ProgramServices
Management And General3600565ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4135321BOY
EOY2106996EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY435358BOY
EOY1477238EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY17955BOY
EOY17955EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY21975BOY
EOY56709EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis61646242LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec23278792LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40583933BOY
EOY38367450EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY39014989BOY
EOY46089665EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1003181BOY
EOY896354EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY52816EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY85212712BOY
EOY89065183EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY930100BOY
EOY771526EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY35976644BOY
EOY37327680EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY45900000BOY
EOY44500000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2858136BOY
EOY3281439EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY85664880BOY
EOY85880645EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-452168BOY
EOY3184538EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-452168BOY
EOY3184538EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY85212712BOY
EOY89065183EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Medical Center of Central GA IncBusinessNameLine1
FieldValueIRS element (for citing)
EIN582149127EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1732834OtherCostOrOtherBasis
Book Value1732834BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis51556845OtherCostOrOtherBasis
Depreciation17842327Depreciation
Book Value33714518BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4765270OtherCostOrOtherBasis
Depreciation3226933Depreciation
Book Value1538337BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3471509OtherCostOrOtherBasis
Depreciation2209532Depreciation
Book Value1261977BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis119784OtherCostOrOtherBasis
Book Value119784BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings38367450TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$143,426
INTEREST RATE SWAP$3,109,906
Other Current Liabilities$28,107
FieldValueIRS element (for citing)
Total Of Amounts3281439TotalOfAmounts
Total Revenue16406909TotalRevenue
Total Expenses15043122TotalExpenses
Excess Or Deficit For Year1363787ExcessOrDeficitForYear
Net Unrealized GL On Investments2896722NetUnrealizedGLOnInvestments
Other-$623,803OtherAmount
Total Adjustments2272919TotalAdjustments
Excess Or Deficit Per FS3636706ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16406909TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal16406909RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99016406909TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15043122TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15043122ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015043122TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48:The Company 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. The Company has evaluated its tax positions and determined that they do not have any material unrecognized tax benefits or obligations as of September 30, 2010.
Part XI, Line 8 - Other Adjustments:Change in Interest Rate Swap: -623803.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Rhonda S Perry
03645790300004360402282904682043869400
Ethel A Cullinan
0193822000620790287508245026702100
Kenneth B Banks
024430600072128018063013335034783200
A Donald Faulk
0605874000116705051620010290078448900

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 7ReturnReference
ExplanationThis program is administered by the CEO. A budget for the program is established for reward and recognition of executives and organizational leaders who go above and beyond the scope of their responsibilities. For example, they may complete a project, lead an organizational initiative, or excel in an area that represents excellence under one of our organizational pillars - Quality, Service Excellence, Our People, Growth, Financial Performance. Near the end of the fiscal year, nominations are solicited from the leadership team. A proposed for allocation of the award is developed and presented to the HR Committee of the Board for review, discussion, and approval (prior to distribution).Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Macon-Bibb County Hospital AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN581034851IssuerEIN
CUSIP Number55553RCC7CUSIPNumber
Date Issued2009-09-01DateIssued
Issue Price45900000IssuePrice
Description Of PurposeRefunding of bonds issued in 2000 to construct the facilityDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds45900000TotalProceeds
Amount Defeased45900000AmountDefeased
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements1AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00340PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00340TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1SunTrust BankBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge20.000000000000TermOfHedge
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6Central Georgia Health Systems, Inc., a related 501 (c)(3) organization, is the sole member of the organization.
Form 990, Part VI, Section A, line 7aCentral Georgia Health Systems, Inc., a related 501 (c)(3) organization, has certain reserve powers as well as the power to appoint, approve and remove board members of Central Georgia Senior Health, Inc.
Form 990, Part VI, Section A, line 7bCentral Georgia Health Systems, Inc., a related 501 (c)(3) organization, has certain reserve powers as well as the power to appoint, approve and remove board members of Central Georgia Senior Health, Inc.
Form 990, Part VI, Section B, line 11The Form 990 was prepared by an independent certified public accountant from information provided by management from audited financial statements (prepared by another CPA). It was reviewed by Central Georgia Senior Health, Inc.'s 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, Section B, line 12cThe 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 take to the various boards and administration for implementation. Any time a change in a relationship or new potential conflict evolves, the individual must amend their COI disclosure form.
Form 990, Part VI, Section B, line 15The Compensation Committee of the Board of Directors engages an executive consulting firm every 2-3 years 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. It should be noted that Dr. Cullinan's total compensation includes amounts for services to other affiliated organizations. 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.
Form 990, Part VI, Section C, line 19The organization provides copies of its governing documents upon request.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Central GA Rehab Hospital LLC
3351 Northside DriveMaconGA31210300371539Rehabilitation ServicesGAN/A
Central Georgia Medical Properties LLC
777 Hemlock St MSC 111MaconGA31201Physician relationshipsGAN/A

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Central Georgia Health Systems Inc
691 Cherry Street Suite 400MaconGA31201582149127System Parent/ManagementGA501 (c)(3)11N/A
Health Services of Central Georgia Inc
691 Cherry Street Suite 400MaconGA31201582307485Healthcare ServicesGA501 (c)(3)3N/A
Medcen Community Health Foundation Inc
858 High StreetMaconGA31201237363555FundraisingGA501 (c)(3)7N/A
Medical Center of Central Georgia Inc
691 Cherry Street Suite 400MaconGA31201582149128HospitalGA501 (c)(3)3N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Secure Health Plans of Georgia LLC
3920 Arkwright Road Suite 400MaconGA31208582306549MANAGED CAREGAN/A
Central Georgia PET LLC
1650 Hardeman AvenueMaconGA31201371464470MEDICAL IMAGING CENTERGAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Central Georgia Health Ventures Inc
691 Cherry StreetMaconGA31201582164989MANAGEMENTGAN/AC
Central Georgia Home Care Services Inc
691 Cherry StreetMaconGA31201582457422MEDICAL EQUIPMENT SALESGAN/AC
Centra Indemnity Ltd
INSURANCEN/ACPO Box 1363Grand CaymanCJCJ
Centra Professional Indemnity Ltd
INSURANCEN/ACPO Box 1363Grand CaymanCJCJ
American Eagle Insurance Co RRG
40 Main Street Suite 500BurlingtonVA05401161645557RISK MANAGEMENTVAN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg