2024-11-15T05:44:14-06:00 2023-12-31 990 2023-01-01 582149127 NAVICENT HEALTH INC NAVI 4786336968 777 HEMLOCK STREET MSC 111 MACON GA 31201 KIMBERLY SHREWSBURY TREASURER 4786336968 2024-11-14 0 2023 2024-10-15 13:58:12Z DELVECCHIO S FINLEY 777 HEMLOCK STREET MSC 111 MACON GA 31201 150156625 0 X WWW.NAVICENTHEALTH.ORG X 1994 GA TO ELEVATE HEALTH AND WELL-BEING THROUGH COMPASSIONATE CARE FOR ALL. OUR VALUES ARE INTEGRITY, RESPECT, OWNERSHIP AND CARING. TO PROVIDE STRATEGIC DIRECTION TO THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. AND OTHER AFFILIATES IN SUPPORT OF THEIR MISSION OF PROVIDING A COMPREHENSIVE RANGE OF HIGH-QUALITY, REASONABLY PRICED HEALTH CARE SERVICES TO THE CENTRAL GEORGIA COMMUNITY. 18 17 892 57 1159404 700269 481015 164313 132910594 133497250 10004806 4334428 6306929 12160634 149703344 150156625 1500 82190 0 0 94477728 104311588 0 0 0 74755982 83670850 169235210 188064628 -19531866 -37908003 154889850 180125712 154493009 204392785 396841 -24267073 X NAVICENT HEALTH'S MISSION IS TO ELEVATE HEALTH AND WELL-BEING THROUGH COMPASSIONATE CARE FOR ALL. OUR VALUES ARE INTEGRITY, RESPECT, OWNERSHIP, AND CARING. NAVICENT HEALTH, INC. IS A NONPROFIT CORPORATION WHOSE PRIMARY PURPOSE IS TO SERVE AS A PARENT CORPORATION PROVIDING STRATEGIC DIRECTION TO THE MEDICAL CENTER OF CENTRAL GEORGIA, INC., THE MEDICAL CENTER OF PEACH COUNTY, INC., NAVICENT HEALTH, BALDWIN, INC., HEALTH SERVICES OF CENTRAL GEORGIA, INC., AND OTHER AFFILIATES IN SUPPORT OF THEIR MISSION OF PROVIDING A COMPREHENSIVE RANGE OF HIGH-QUALITY, REASONABLY PRICED, HEALTH CARE SERVICES TO THE CENTRAL GEORGIA COMMUNITY. 0 0 136704787 82190 116329189 NAVICENT HEALTH'S PRIMARY PURPOSE IS TO SERVE AS A CONTROLLING BODY FOR THE MEDICAL CENTER OF CENTRAL GEORGIA, INC., HEALTH SERVICES OF CENTRAL GEORGIA, INC., CENTRAL GEORGIA SENIOR HEALTH, INC., THE MEDICAL CENTER OF PEACH COUNTY, INC., NAVICENT HEALTH BALDWIN, INC., AND OTHER AFFILIATED ENTITIES; AND TO PROVIDE STRATEGIC DIRECTION, FINANCIAL MANAGEMENT, RESOURCE ALLOCATION, AND OTHER SUPPORT TO ITS AFFILIATES IN THE PROVISION OF HIGH QUALITY HEALTHCARE SERVICES TO THE CENTRAL GEORGIA COMMUNITY. 25924604 27759928 NAVICENT HEALTH OPERATES CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC, THE FIRST REHABILITATION FACILITY ESTABLISHED IN CENTRAL GEORGIA AND ONE OF TWO FREE-STANDING REHABILITATION HOSPITALS IN THE STATE. THE REHABILITATION HOSPITAL PROVIDES COMPREHENSIVE PHYSICAL REHABILITATION SERVICES ON AN INPATIENT AND OUTPATIENT BASIS. IT IS LICENSED FOR 58 BEDS AND HAD OVER 16,500 PATIENT DAYS IN CALENDAR YEAR 2023. 162629391 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 892 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X KIMBERLY SHREWSBURY 4786331452 777 HEMLOCK STREET MACON GA 31201 CAROL LOVIN BOARD MEMBER 1.00 39.00 X 0 2247985 306263 DELVECCHIO FINLEY PRESIDENT/CEO 5.00 50.00 X 0 2063458 161522 KENNETH B BANKS SEC/CH LEGAL COUNSEL (TO 10/16/23) 45.00 5.00 X 0 1300807 66370 LUIS FONSECA PRES HOSP/CLINICS 40.00 0.00 X 0 805474 54332 SANFORD G DUKE MD CH CLIN OFF ENTERPRISE SYS 40.00 0.00 X 0 745233 42289 VISHAL BHALLA CH HR OFF (TO 3/13/23) 15.00 35.00 X 0 613246 62902 ROBERT C WILDE FORMER OFFICER 45.00 5.00 X 0 529544 0 KIMBERLY SHREWSBURY TREASURER (FR 11/17/22) (FR 11/17/22) 45.00 5.00 X 0 466428 58673 STEPHEN KARON PRES STRATUS/TC2 40.00 0.00 X 0 425944 51079 CYNTHIA BUSBEE SVP MKT COMM. PUBLIC AFFAI 40.00 0.00 X 0 422266 47217 SARA L LONERGAN VP DEPUTY GENERAL COUNSEL 40.00 0.00 X 0 432793 15776 ALLISON SCHEETZ MD PHYSICIAN 40.00 0.00 X 0 415877 14525 KATHERINE BOWEN VP FINANCE 40.00 0.00 X 0 371767 43891 ELBERT T MCQUEEN PRESIDENT/CEO (TO 5/1/23) 35.00 10.00 X 0 340453 36508 NANCY SCROGGINS ASSIST SECRETARY 5.00 35.00 X 0 79484 16009 BILL TIFT MD BOARD MEMBER (TO 12/31/23) 1.00 1.00 X 0 0 0 DAVID DANZIE BOARD MEMBER 1.00 1.00 X 0 0 0 HENRY KOPLIN BOARD MEMBER 1.00 2.00 X 0 0 0 J MARBURY RAINER BOARD MEMBER (TO 12/31/23) 1.00 1.00 X 0 0 0 JAYESH PATEL MD BOARD MEMBER 1.00 1.00 X 0 0 0 JOHN D HOUSER BOARD MEMBER (TO 12/31/23) 1.00 1.00 X 0 0 0 KIM JOHNSTON MD VICE CHAIR 1.00 1.00 X X 0 0 0 MAC EVERETT BOARD MEMBER (TO 12/31/23) 1.00 1.00 X 0 0 0 MARK GROSSNICKLE MD BOARD MEMBER (TO 12/31/23) 1.00 1.00 X 0 0 0 RAY PIPPIN BOARD MEMBER (TO 12/31/23) 1.00 1.00 X 0 0 0 RICK SHACKELFORD BOARD MEMBER (TO 12/31/23) 1.00 1.00 X 0 0 0 RON SHIPMAN BOARD MEMBER 1.00 1.00 X 0 0 0 RONNIE COLLIER BOARD MEMBER (TO 12/31/23) 1.00 1.00 X 0 0 0 SHEILA RAY BOARD MEMBER (TO 4/30/23) 1.00 1.00 X 0 0 0 STARR PURDUE CHAIR (TO 12/31/23) 1.00 1.00 X X 0 0 0 TIMOTHY JACKSON BOARD MEMBER 1.00 1.00 X 0 0 0 WIMBERLY TREADWELL BOARD MEMBER 1.00 1.00 X 0 0 0 0 11260759 977356 162 1 1 0 ERNST & YOUNG LLP PO BOX 933514 ATLANTA GA 31193 CONSULTING AND MANAGEMENT 2600648 DELTA LOCUM TENENS PO BOX 202940 DALLAS TX 75320 CONTRACT SERVICES - HEALTHCARE 2180689 PARKER HUDSON RAINER & DOBBS LLP 303 PEACHTREE ST NE SUITE 3600 ATLANTA GA 30308 LEGAL SERVICES 1538477 GEORGIA ADS 900 CIRCLE 75 PKWY SE STE 1235 ATLANTA GA 30339 LOSS FINANCING MANAGEMENT 1354189 HALL BOOTH SMITH PC 191 PEACHTREE ST NE STE 2900 ATLANTA GA 30303 LEGAL SERVICES 1335517 45 121154 43159 164313 AFFILIATED SUPPORT REVENUE 541200 103345884 103345884 PATIENT SERVICE REVENUE 621990 27756348 27756348 HEALTHCARE SERVICE REVENUE 621990 1224539 1224539 HEALTHCARE MANAGEMENT REVENUE 561000 1170479 1170479 133497250 4324751 4324751 409363 -11075 0 0 409363 -11075 398288 -11075 409363 9677 0 9677 9677 9677 TAX CREDITS 621990 11532842 11532842 OTHER HEALTHCARE INCOME 621990 229504 229504 11762346 150156625 144089117 1159404 4743791 82190 82190 7365304 6485171 880133 66287740 58366543 7921197 1431332 1260292 171040 24349692 21439973 2909719 4877520 4294670 582850 7695041 7695041 2070 2070 96850 96850 25312 16478 8834 5622051 4862634 759417 631348 457999 173349 584778 501115 83663 32568416 27908907 4659509 299752 257803 41949 250099 214895 35204 4677 3045 1632 12863488 8374131 4489357 16671252 14286124 2385128 BAD DEBT 2756406 2756406 OTHER SUPPLIES 2307877 1977691 330186 MEDICAL SUPPLIES 889741 889741 PROVIDER ASSESSMENT 310082 310082 91610 91610 188064628 162629391 25435237 0 23353989 37910580 41504 22335 16246838 32359056 130863 126132 1590208 1453154 152389788 113183441 44150713 39206347 23895400 24314423 13063973 11757576 32416362 32976109 154889850 180125712 60392211 85754775 696994 696994 8289448 7749040 5755736 5168822 325458 293000 79033162 104730154 154493009 204392785 X 396841 -24267073 396841 -24267073 154889850 180125712 X -37908003 13244089 X 0 1 X 1 1 1 X X 4 MEDICAL CENTER OF CENTRAL GEORGIA INC 582149128 3 1 40000 0 THE MEDICAL CENTER OF PEACH COUNTY INC 453765471 3 1 0 0 NAVICENT HEALTH BALDWIN INC 823914925 3 1 0 0 HEALTH SERVICES OF CENTRAL GEORGIA INC 582307485 3 1 0 0 4 40000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3 NAVICENT HEALTH, INC. IS THE SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS. AS SOLE MEMBER, NAVICENT HEALTH, INC. HAS THE RIGHT TO APPOINT AND REMOVE A MAJORITY OF THE SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS. IN ADDITION, THE PRIOR APPROVAL OF THE BOARD OF DIRECTORS OF NAVICENT HEALTH. INC. IS REQUIRED FOR CHANGES IN THE SUPPORTED ORGANIZATIONS' GOVERNANCE, ORGANIZATIONAL STRUCTURE, 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. ACCORDINGLY, NAVICENT HEALTH, INC. HAS A SIGNIFICANT VOICE IN ITS SUPPORTED ORGANIZATIONS' INVESTMENTS AND INVESTMENT POLICIES AS WELL AS IN THE USE OF THE SUPPORTED ORGANIZATIONS' ASSETS AND INCOME. PART IV, SECTION E, LINE 3A NAVICENT HEALTH, INC. IS THE SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS. AS SOLE MEMBER, NAVICENT HEALTH, INC. HAS THE RIGHT TO APPOINT AND REMOVE A MAJORITY OF THE SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS. PART IV, SECTION E, LINE 3B NAVICENT HEALTH, INC. IS RESPONSIBLE FOR STRATEGIC AND FINANCIAL PLANNING, COMPENSATION OVERSIGHT, AND RESOURCE ALLOCATION ISSUES FOR ITS SUPPORTED ORGANIZATIONS AND ALL AFFILIATED ORGANIZATIONS WITHIN THE GEORGIA BASED MULTI-ENTITY HEALTHCARE SYSTEM. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 96850 96850 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO VARIOUS HEALTHCARE ASSOCIATIONS. A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. 1522730 1522730 57338502 42388632 14949870 739029 734330 4699 91291547 70060479 21231068 1497980 1497980 39206347 INVESTMENTS IN JOINT VENTURES AND SUBSIDIARIES 24314423 C 24314423 457B DEFERRED COMPENSATION 23427251 OPERATING LEASES 9548858 32976109 0 PENSION AND RETIREMENT LIABILITY 22739040 DUE TO AFFILIATES 72304966 OPERATING LEASE 9686148 104730154 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEARS ENDED DECEMBER 31, 2023 AND 2022, 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, 2023 AND 2022. 1 1 1 X 300.000000000000 1 X 1 1 0 1 1 258864 258864 0.00900 3400562 1741227 1659335 0.05780 3659426 1741227 1918199 0.06680 3659426 1741227 1918199 0.06680 1 1137446 0 15528965 15740908 -211943 X 1 1 1 1 CENTRAL GEORGIA REHABILITATION HOSPITAL LLC 3351 NORTHSIDE DRIVE MACON GA 31210 011-627 X SPECIALTY - REHAB CENTRAL GEORGIA REHABILITATION HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 1 0 1 X HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTS X 1 21 1 HTTPS://NAVICENTHEALTH.ORG/OUR-ANNUAL-REPORTS 0 1 X 300.000000000000 400.000000000000 X X X 1 1 X X X 1 X HTTPS://ATRIUMHEALTH.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE#HELPFUL X HTTPS://ATRIUMHEALTH.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE#HELPFUL X HTTPS://ATRIUMHEALTH.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE#HELPFUL X X X X X X 1 X 0 X X X X 1 X 0 0 CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC PART V, SECTION B, LINE 5: DURING THE CONDUCTION OF ITS MOST RECENT CHNA, THE HOSPITAL FACILITY SOUGHT COMMUNITY INPUT THROUGH THE PROFESSIONAL RESEARCH CONSULTANTS (PRC) COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY. THE SURVEY INSTRUMENTS USED ARE BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS); AS WELL AS, VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY THE ORGANIZATION AND PRC AND IS SIMILAR TO THE PREVIOUS SURVEYS USED IN THE REGION, ALLOWING FOR DATA TRENDING. THE STUDY AREA FOR THE SURVEY EFFORT IS DEFINED AS EACH OF THE RESIDENTIAL ZIP CODES IN THE PRIMARY AND SECONDARY SERVICE AREAS. A PRECISE AND CAREFUL EXECUTED METHODOLOGY IS CRITICAL IN ASSERTING THE VALIDITY OF THE RESULTS GATHERED IN THE PRC COMMUNITY HEALTH SURVEY. THUS, TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED A MIXED-MODE METHODOLOGY WAS IMPLEMENTED. THIS INCLUDED SURVEYS CONDUCTED VIA TELEPHONE AND ONLINE QUESTIONNAIRES. RESULTS WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT THE TOTAL AREA AS A WHOLE.ADDITIONALLY, THE HOSPITAL FACILITY USED SECONDARY DATA SOURCES INCLUDING NATIONAL AND STATE SOURCES PROVIDING TARGET VIEWS OF THE PROGRAM SERVICE AREA; AS WELL AS, HOSPITAL-SPECIFIC DATA. CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC PART V, SECTION B, LINE 6A: MEDICAL CENTER OF CENTRAL GEORGIA, INC., AN ACADEMIC MEDICAL CENTER AND DESIGNATED LEVEL 1 TRAUMA CENTER LICENSED FOR 635 BEDS. CENTRAL GEORGIA REHABILITATION HOSPITAL, LLC PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED NUMEROUS COMMUNITY HEALTH NEEDS AND CONCERNS. EACH IDENTIFIED HEALTH NEED WAS REVIEWED AND PRIORITIZED BASED ON THE ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS, AND STRATEGIC PRIORITIES. THE HOSPITAL FACILITY IMPLEMENTATION STRATEGY OUTLINES THE PROGRAMS AND RESOURCES THE HOSPITAL FACILITY WILL USE TO ADDRESS THE PRIORITIZED HEALTH NEEDS. 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. ALTHOUGH NOT PRIORITIZED, THE HOSPITAL FACILITY WILL CONTINUE TO PARTNER WITH COMMUNITY AND NON-PROFIT ORGANIZATIONS TO HELP ADDRESS THESE NEEDS. 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.THE PERCENT OF TOTAL EXPENSES AND OTHER FINANCIAL INFORMATION IN SCHEDULE H ARE CALCULATED USING ONLY THE FINANCIAL INFORMATION OF CENTRAL GEORGIA REHAB HOSPITAL, LLC, A WHOLLY OWNED, LIMITED LIABILITY COMPANY OF NAVICENT HEALTH, INC. PART I, LN 7 COL(F): THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $2,756,406 FOR THE YEAR ENDED DECEMBER 31, 2022. 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 20 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 CY2021 TO CY2023. 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. 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 HAS A PRIMARY SERVICE AREA WHICH SERVES EIGHT COUNTIES IN GEORGIA: BALDWIN, BIBB, CRAWFORD, HOUSTON, JONES, MONROE, PEACH, AND TWIGGS. THE PRIMARY SERVICE AREA ENCOMPASSES APPROXIMATELY 2,509 SQUARE MILES AND HOUSES A TOTAL POPULATION OF APPROXIMATELY 453,600 RESIDENTS.AGE:23.8% - 0 -1761.7% - 18-6414.5% - 65+RACE:54.6% - WHITE39.7% - BLACK4.2% - HISPANIC OR LATINO1.5% - OTHER 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 BOY SCOUTS OF AMERICA COUNCIL 4335 CONFEDERATE WAY MACON GA 31217 580633976 501(C)(3) 8000 0 SUPPORT OF THE COMMUNITY 1 0 PART I, LINE 2: THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. X X X X X 1 1 0 0 0 0 0 0 0 CAROL LOVIN BOARD MEMBER 0 1054136 0 854186 0 339663 0 288227 0 18036 0 2554248 0 0 DELVECCHIO FINLEY PRESIDENT/CEO 0 1039782 0 932850 0 90826 0 125981 0 35541 0 2224980 0 63583 KENNETH B BANKS SEC/CH LEGAL COUNSEL (TO 10/16/23) 0 359039 0 164916 0 776852 0 36012 0 30358 0 1367177 0 73656 LUIS FONSECA PRES HOSP/CLINICS 0 598938 0 201111 0 5425 0 31274 0 23058 0 859806 0 0 SANFORD G DUKE MD CH CLIN OFF ENTERPRISE SYS 0 539098 0 176923 0 29212 0 12427 0 29862 0 787522 0 0 VISHAL BHALLA CH HR OFF (TO 3/13/23) 0 398387 0 170820 0 44039 0 37182 0 25720 0 676148 0 0 ROBERT C WILDE FORMER OFFICER 0 56050 0 118513 0 354981 0 0 0 0 0 529544 0 0 KIMBERLY SHREWSBURY TREASURER (FR 11/17/22) (FR 11/17/22 0 372088 0 0 0 94340 0 27693 0 30980 0 525101 0 0 STEPHEN KARON PRES STRATUS/TC2 0 322179 0 98586 0 5179 0 9900 0 41179 0 477023 0 0 CYNTHIA BUSBEE SVP MKT COMM. PUBLIC AFFAI 0 301921 0 95311 0 25034 0 13200 0 34017 0 469483 0 0 SARA L LONERGAN VP DEPUTY GENERAL COUNSEL 0 314679 0 93877 0 24237 0 12888 0 2888 0 448569 0 0 ALLISON SCHEETZ MD PHYSICIAN 0 413556 0 0 0 2321 0 13200 0 1325 0 430402 0 0 KATHERINE BOWEN VP FINANCE 0 286074 0 81418 0 4275 0 13200 0 30691 0 415658 0 0 ELBERT T MCQUEEN PRESIDENT/CEO (TO 5/1/23) 0 128539 0 111332 0 100582 0 20665 0 15843 0 376961 0 0 PART I, LINES 4A-B CERTAIN DIRECTORS, OFFICERS, AND 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 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 96,981 ROBERT C. WILDE 354,981 NON-QUALIFIED DEFERRED COMPENSATION PAYMENTS: DELVECCHIO FINLEY 63,583 KENNETH B. BANKS 73,656 A MACON-BIBB-COUNTY HOSPITAL AUTHORITY 581034851 000000000 2019-12-18 9770500 REFINANCE LONG-TERM DEBT 0 0 0 A 1041949 9770500 9770500 2013 1 1 1 1 A 0 0 1 0 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 SCHEDULE K, PART III LINE 3B BOND COUNSEL REVIEWS MANAGEMENT AND SERVICE AGREEMENTS DURING DUE DILIGENCE ON BOND TRANSACTIONS OR WHEN CHANGES OCCUR. SCHEDULE K, PART III LINE 3D BOND COUNSEL REVIEWS RESEARCH AGREEMENTS DURING DUE DILIGENCE ON BOND TRANSACTIONS OR WHEN CHANGES OCCUR. COLUMN A: THIS SCHEDULE REFLECTS A PORTION OF THE SERIES AND PROCEEDS TOTALING $235.4 MILLION; OTHER PROCEEDS ARE INCLUDED ON SCHEDULE K DOCUMENTS FOR CENTRAL GEORGIA SENIOR HEALTH INC. AND THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. FORM 990, PART VI, SECTION A, LINE 6 AH GEORGIA, INC., A TAX EXEMPT 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A AH GEORGIA, INC. IS THE SOLE MEMBER OF NAVICENT HEALTH. AS THE SOLE MEMBER, IT APPOINTS TWO MEMBERS TO THE BOARD OF DIRECTORS AND APPROVES THE APPOINTMENT OF ALL OTHER MEMBERS OF THE BOARD. IN ADDITION, CERTAIN CORPORATE ACTIONS REQUIRE THE PRIOR APPROVAL OF THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B PRIOR APPROVAL OF THE SOLE MEMBER IS REQUIRED BEFORE THE FOLLOWING ACTIONS MAY BE TAKEN BY THE FILING ORGANIZATION'S BOARD OF DIRECTORS: AMENDING OR RESTATING THE ARTICLES OF INCORPORATION OR BYLAWS; APPOINTMENT OR REMOVAL OF THE PRESIDENT AND CEO; ORGANIZING ANY SUBSIDIARY; UNDERTAKE ANY JOINT VENTURE, MERGER, CONSOLIDATION, ACQUISITION OR REORGANIZATION; ENTERING ANY TRANSACTION PROVIDING INCUR, RESTRUCTURE, REFINANCE, DISCHARGE OR DEFEASE ANY DEBT; ADOPT OR AMEND STRATEGIC OR CAPITAL PLANS; ADOPT OPERATING AND CAPITAL BUDGETS; AND AMEND OR TERMINATE ANY HOSPITAL FACILITY LEASE. 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, BENEFITS, AND EQUITY 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, INC. OR 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, INC. 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 INDEPENDENT; 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 XI, LINE 9: INVESTMENT IN AFFILIATE PENSION-POST RETIREMENT ADJUSTMENT 13,244,089. CENTRAL GEORGIA REHABILITATION HOSPITAL LLC 3351 NORTHSIDE DRIVE MACON GA 31201 300371539 HEALTHCARE GA -923892 6358350 NAVICENT HEALTH INC NAVICENT HEALTH OCONEE LLC 777 HEMLOCK STREET MSC 111 MACON GA 31201 822446235 INACTIVE GA 0 0 NAVICENT HEALTH INC 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 1 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 1 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 1 THE MEDICAL CENTER OF PEACH COUNTY INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 453765471 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 1 NAVICENT HEALTH BALDWIN INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 823914925 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 1 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 SECURE HEALTH PLANS OF GEORGIA LLC 577 MULBERRY STREET SUITE 1000 MACON GA 31201 582306549 INSURANCE GA NAVICENT HEALTH INC RELATED -423882 3504120 0 0 0.50390 CENTRAL GEORGIA PET LLC 1650 HARDEMAN AVENUE MACON GA 31201 371464470 HEALTHCARE GA N/A 0 0 COWLES CLINIC REALTY LLC 1000 COWLES CLINIC WAY C100 GREENSBORO GA 30642 810636590 REAL ESTATE GA NAVICENT HEALTH INC RELATED 52677 5208813 0 0 0.51000 MACON OUTPATIENT SURGERY LLC 3708 NORTHSIDE DRIVE MACON GA 31201 203027560 HEALTHCARE GA NAVICENT HEALTH INC RELATED 4039557 886719 0 0 0.51000 NAVICENT HOLDING LLC 777 HEMLOCK ST MSC 111 MACON GA 31201 844982377 HOLDING CO. GA NAVICENT HEALTH INC RELATED 4075000 0 0 0.99980 CENTRAL GEORGIA HEALTH VENTURES INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582164989 HOLDING COMPANY GA NAVICENT HEALTH INC C 1233978 5843236 1.00000 0 NAVICENT HEALTHPLAN INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 202467931 INSURANCE GA NAVICENT HOLDING LLC C 0.99980 0 CENTRA PROFESSIONAL INDEMNITY LTD PO BOX 1363 GEORGETOWN GRAND CAYMAN CJ KY1-1108 981468431 INSURANCE CJ NAVICENT HEALTH INC C 13426383 2243912 1.00000 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 CENTRAL GEORGIA HEALTH VENTURES INC P 133295 CASH HEALTH SERVICES OF CENTRAL GEORGIA INC Q 25640193 CASH MEDICAL CENTER OF CENTRAL GEORGIA INC Q 248374030 CASH MEDICAL CENTER OF CENTRAL GEORGIA INC R 637891552 CASH MEDICAL CENTER OF PEACH COUNTY INC R 23596452 CASH MEDICAL CENTER OF PEACH COUNTY INC Q 7941613 CASH NAVICENT HEALTH BALDWIN Q 37651302 CASH NAVICENT HEALTH BALDWIN R 48267083 CASH HEALTH SERVICES OF CENTRAL GEORGIA INC I 168637 CASH MEDICAL CENTER OF CENTRAL GEORGIA INC I 4825027 CASH NAVICENT HEALTH BALDWIN I 103207 CASH MEDICAL CENTER OF PEACH COUNTY INC I 148689 CASH