Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
MEDICAL CENTER OF CENTRAL GEORGIA INC
 
Employer identification number

58-2149128
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
(1) ALFRED D FAULK - SPLIT DOLLAR INS LOAN
  		      X 4,764,065 10,636,258   No Yes   Yes  
(2) ALFRED D FAULK - SPLIT DOLLAR INS LOAN
  		      X 458,584 900,098   No Yes   Yes  
(3) ALFRED D FAULK - SPLIT DOLLAR INS LOAN
  		      X 115,000 208,197   No Yes   Yes  
(4) ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
  		      X 375,677 838,737   No Yes   Yes  
(5) ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
  		      X 150,000 294,416   No Yes   Yes  
(6) ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
  		      X 230,000 499,119   No Yes   Yes  
(7) ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
  		      X 230,000 466,744   No Yes   Yes  
(8) ANDREW GALLOWAY - SPLIT DOLLAR INS LOAN
  		      X 203,992 369,310   No Yes   Yes  
(9) BARB STICKEL - SPLIT DOLLAR INS LOAN
  		      X 979,436 2,186,692   No Yes   Yes  
(10) BARB STICKEL - SPLIT DOLLAR INS LOAN
  		      X 219,691 431,204   No Yes   Yes  
(11) BARB STICKEL - SPLIT DOLLAR INS LOAN
  		      X 235,540 426,424   No Yes   Yes  
(12) BETH PEARSON - SPLIT DOLLAR INS LOAN
  		      X 20,000 44,653   No Yes   Yes  
(13) BETH PEARSON - SPLIT DOLLAR INS LOAN
  		      X 25,000 49,069   No Yes   Yes  
(14) BETH PEARSON - SPLIT DOLLAR INS LOAN
  		      X 25,000 54,253   No Yes   Yes  
(15) BETH PEARSON - SPLIT DOLLAR INS LOAN
  		      X 25,000 50,733   No Yes   Yes  
(16) BETH PEARSON - SPLIT DOLLAR INS LOAN
  		      X 21,000 38,019   No Yes   Yes  
(17) DAWN COLE - SPLIT DOLLAR INS LOAN
  		      X 53,000 118,327   No Yes   Yes  
(18) DAWN COLE - SPLIT DOLLAR INS LOAN
  		      X 58,000 113,841   No Yes   Yes  
(19) DAWN COLE - SPLIT DOLLAR INS LOAN
  		      X 58,000 125,864   No Yes   Yes  
(20) DAWN COLE - SPLIT DOLLAR INS LOAN
  		      X 58,000 117,701   No Yes   Yes  
(21) DAWN COLE - SPLIT DOLLAR INS LOAN
  		      X 55,000 99,572   No Yes   Yes  
(22) DEBBIE ORR - SPLIT DOLLAR INS LOAN
  		      X 349,590 780,498   No Yes   Yes  
(23) DEBBIE ORR - SPLIT DOLLAR INS LOAN
  		      X 143,606 281,866   No Yes   Yes  
(24) ELBERT MCQUEEN - SPLIT DOLLAR INS LOAN
  		      X 61,000 110,436   No Yes   Yes  
(25) ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
  		      X 636,204 1,420,389   No Yes   Yes  
(26) ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
  		      X 37,479 73,564   No Yes   Yes  
(27) ETHEL CULLINAN - SPLIT DOLLAR INS LOAN
  		      X 161,243 291,916   No Yes   Yes  
(28) JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
  		      X 110,000 245,586   No Yes   Yes  
(29) JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
  		      X 110,000 215,907   No Yes   Yes  
(30) JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
  		      X 170,000 368,913   No Yes   Yes  
(31) JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
  		      X 170,000 344,985   No Yes   Yes  
(32) JOSEPH LAVELLE - SPLIT DOLLAR INS LOAN
  		      X 135,000 244,405   No Yes   Yes  
(33) KEN BANKS - SPLIT DOLLAR INS LOAN
  		      X 228,829 510,884   No Yes   Yes  
(34) KEN BANKS - SPLIT DOLLAR INS LOAN
  		      X 82,000 160,947   No Yes   Yes  
(35) KEN BANKS - SPLIT DOLLAR INS LOAN
  		      X 82,000 177,946   No Yes   Yes  
(36) KEN BANKS - SPLIT DOLLAR INS LOAN
  		      X 82,000 166,405   No Yes   Yes  
(37) KEN BANKS - SPLIT DOLLAR INS LOAN
  		      X 48,000 86,899   No Yes   Yes  
(38) LARRY PARKS - SPLIT INS LOAN
  		      X 359,594 802,829   No Yes   Yes  
(39) LARRY PARKS - SPLIT INS LOAN
  		      X 150,000 294,416   No Yes   Yes  
(40) LARRY PARKS - SPLIT INS LOAN
  		      X 150,000 325,512   No Yes   Yes  
(41) LARRY PARKS - SPLIT INS LOAN
  		      X 108,904 221,001   No Yes   Yes  
(42) LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
  		      X 953,762 2,129,369   No Yes   Yes  
(43) LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
  		      X 269,000 527,987   No Yes   Yes  
(44) LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
  		      X 269,000 583,751   No Yes   Yes  
(45) LOUIS GOOLSBY MD - SPLIT DOLLAR INS LOAN
  		      X 269,000 545,888   No Yes   Yes  
(46) MARCIA HUTCHINSON - SPLIT DOLLAR INS LOAN
  		      X 155,000 280,613   No Yes   Yes  
(47) MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
  		      X 2,941,423 6,567,025   No Yes   Yes  
(48) MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
  		      X 451,034 885,280   No Yes   Yes  
(49) MICHAEL GILSTRAP - SPLIT DOLLAR INS LOAN
  		      X 250,000 452,602   No Yes   Yes  
(50) MICHAEL VADEN - SPLIT DOLLAR INS LOAN
  		      X 232,111 518,212   No Yes   Yes  
(51) MICHAEL VADEN - SPLIT DOLLAR INS LOAN
  		      X 110,000 215,907   No Yes   Yes  
(52) MICHAEL VADEN - SPLIT DOLLAR INS LOAN
  		      X 110,000 238,709   No Yes   Yes  
(53) MICHAEL VADEN - SPLIT DOLLAR INS LOAN
  		      X 110,000 223,225   No Yes   Yes  
(54) MICHAEL VADEN - SPLIT DOLLAR INS LOAN
  		      X 76,000 137,591   No Yes   Yes  
(55) PATRICIA D'ERRICO - SPLIT INS LOAN
  		      X 50,000 111,629   No Yes   Yes  
(56) PATRICIA D'ERRICO - SPLIT INS LOAN
  		      X 50,000 98,139   No Yes   Yes  
(57) PATRICIA D'ERRICO - SPLIT INS LOAN
  		      X 50,000 108,504   No Yes   Yes  
(58) PATRICIA D'ERRICO - SPLIT INS LOAN
  		      X 50,000 101,466   No Yes   Yes  
(59) PATRICIA D'ERRICO - SPLIT INS LOAN
  		      X 49,000 88,710   No Yes   Yes  
(60) RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
  		      X 2,191,396 4,892,513   No Yes   Yes  
(61) RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
  		      X 222,887 437,477   No Yes   Yes  
(62) RAYMOND T OLMER - SPLIT DOLLAR INS LOAN
  		      X 184,000 333,115   No Yes   Yes  
(63) RHONDA PERRY - SPLIT DOLLAR INS LOAN
  		      X 509,455 1,137,410   No Yes   Yes  
(64) RHONDA PERRY - SPLIT DOLLAR INS LOAN
  		      X 260,000 510,321   No Yes   Yes  
(65) RHONDA PERRY - SPLIT DOLLAR INS LOAN
  		      X 260,000 564,220   No Yes   Yes  
(66) RHONDA PERRY - SPLIT DOLLAR INS LOAN
  		      X 260,000 527,624   No Yes   Yes  
(67) RHONDA PERRY - SPLIT DOLLAR INS LOAN
  		      X 143,000 258,889   No Yes   Yes  
(68) TOM SANDS JR - SPLIT DOLLAR INS LOAN
  		      X 30,000 66,980   No Yes   Yes  
(69) TOM SANDS JR - SPLIT DOLLAR INS LOAN
  		      X 34,000 66,735   No Yes   Yes  
(70) TOM SANDS JR - SPLIT DOLLAR INS LOAN
  		      X 34,000 73,781   No Yes   Yes  
(71) TOM SANDS JR - SPLIT DOLLAR INS LOAN
  		      X 34,000 68,998   No Yes   Yes  
(72) TOM SANDS JR - SPLIT DOLLAR INS LOAN
  		      X 30,000 54,312   No Yes   Yes  
(73) VIRGIL COOPER - SPLIT INS LOAN
  		      X 1,012,536 2,260,588   No Yes   Yes  
(74) VIRGIL COOPER - SPLIT INS LOAN
  		      X 358,905 649,766   No Yes   Yes  
(75) GAAP ADJUSTMENT TO CSV
  		      X -1,891,558 -15,148,926   No Yes   Yes  
Total ...............Small Bullet $ 35,762,945
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) WALTER HUTCHINGS
  		FAMILY MEMBER OF A BOARD MEMBER 50,675 MR HUTCHINGS WORKED AS A CONTRACT PHYSICIAN FOR THE MEDICAL CENTER OF CENTRAL GEORGIA, INC.   No
(2) COURTNEY A JOHNSTON
  		FAMILY MEMBER OF BOARD MEMBER 39,158 MS JOHNSTON IS EMPLOYED AS A SPEECH THERAPIST FOR THE MEDICAL CENTER OF CENTRAL GA, INC.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


Additional Data


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