GPS RESEARCH LIBRARY: Centurion health-care contract (GDC, 2023-present) ============================================================ Georgia Prisoners' Speak — gps.press Generated: 2026-10-30 01:27:51 EDT Research Date: 2026-10-27 Topic: Prison Health Care Contracts JSON: https://gps.press/research-data/centurion-health-care-contract-gdc-2023-present/?format=json SUMMARY ---------------------------------------- This document, based on GDC open-records production R032595-101926, details contractual provisions for Centurion of Georgia LLC's health care contract, including subcontracting restrictions, the 2023 ownership transfer of MHM Services to Centurion Equity (Sullivan Brothers Family of Companies), and the absence of ModCorr/modular infirmary references. It also lists documents searched and not found, such as liquidated-damages clauses and death-reporting provisions. The production reveals a date anomaly in the ownership transfer correspondence and confirms that CorrectRx is a separate pharmacy vendor, not a Centurion subcontractor. POLICYS (44) ---------------------------------------- - [reported] Quality-Based Measures established by GDC and contractor The GDC and the contractor establish Quality-Based Measures, with targets updated annually. A corrective or preventive action form is due within thirty (30) calendar days of notice of missed targets. Tags: policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Subcontracting requires prior written GDC consent (medical contract) The Centurion medical contract states: "The Contractor will not contract with or permit the performance of any work or services by Material Subcontractors without prior written consent of GDC" (CONTRA_1 p.31). GDC "may approve or disapprove the Contractor's Subcontractors" (p.32), and the Contractor "will not subcontract or permit anyone other than Contractor personnel to perform any of the work ... without the prior written consent of GDC" (p.34). Subcontracts must be written and GDC "reserves the right to inspect all subcontract agreements at any time" (p.35). No Centurion subcontract list was produced. Date: 2026-01-01 Tags: policy,contract,subcontracting Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Incentive Payment Adjustments for missed performance targets The GDC may utilize Incentive Payments Adjustments if the Contractor does not meet the performance measure targets for any one performance measure. Tags: policy,medical,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Mental health subcontracting requires written State Entity agreement The MHM mental health contract states: "Contractor shall not subcontract, assign, delegate or otherwise permit anyone other than Contractor or Contractor's personnel to perform any of Contractor's obligations ... Except as may be expressly agreed to in writing by the State Entity" (FULLCO_1 p.19). GPS holds no MHM subcontractor consents. Date: 2026-01-01 Tags: policy,contract,subcontracting,mental_health Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Wellpath key-staff vacancy reporting requirements Under the Wellpath-era contract, if a key-staff replacement is not approved after 60 calendar days from notice of termination, the contractor may be found to have not met a key performance indicator (p.34). Changes or vacancies must be reported within two business days (p.32), and staff rosters submitted to GDC every 90 days (p.33). Tags: policy,staffing,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Corrective action plan deadlines for audit findings Annual audit critical findings require a corrective action plan within 15 calendar days; major findings require a plan within 30 calendar days. Tags: policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Wellpath RFP Exhibit 1: non-compliance with performance measures constitutes breach RFP Exhibit 1 (p.80) states: 'A supplier's non-compliance with any of these measures or performance outside of target thresholds would constitute a breach of contract and would require a corrective action plan ... Target thresholds, penalties, and incentive fees will be determined during negotiations and validated by both GDC and the supplier after the Year 1 reporting-only phase.' Mandatory staffing measures include percentage of unfilled labor shifts, percentage of hourly staffing of FTE shifts filled overall and at each facility, and percentage of in-prison care labor filled by agency/contracted staff. Tags: policy,staffing,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Reporting schedule for contractor The contractor must submit weekly reports; monthly reports within five (5) business days of the end of each month; quarterly reports; and annual reports within thirty (30) calendar days of June 30. Tags: policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Failure to submit reports may be considered failure to meet Quality-Based Measures The Contractor's failure to submit the Reports as specified may be considered a failure to meet one or more of the Quality-Based Measures. Tags: policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Monthly systems availability report required The contractor must submit a monthly systems availability report. Tags: policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Wellpath proposed vacancy target less than 5% and agency labor less than 12% Wellpath's proposal (CONTRA_1 p.394) offered 'Percentage of productivity-based vacancies compared to staffing plan ... Less than 5%' and agency labor 'Less than 12%'. Tags: staffing,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Contractor cannot publish reports without GDC consent The Contractor shall not publish reports on its website without GDC consent. Tags: policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] MHM contract required monthly vacancy report and credit for vacant positions MHM contract Section D.1(iv) (FULLCO_1 p.7): 'The contractor must provide GDC a vacancy report by the 15th of each month for the prior month services. The contractor shall provide a credit for all vacant positions in the next following month invoice.' Date: 2019-01-01 Tags: policy,staffing,mental_health,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Centurion FY27 POPM bands outside 34,000-42,999 are 'Parties to Negotiate' The FY27 POPM table effective July 1, 2026 specifies 'Parties to Negotiate' for populations below 34,000 and above 42,999. Date: 2026-07-01 Tags: budget,policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Press inquiries directed to GDC Public Affairs Press inquiries go to GDC Public Affairs. Tags: policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] MHM contract rate reduction after 60 days vacancy MHM contract Section D.1(v) (FULLCO_1 p.7): 'In the event a position set forth in Attachment F Mental Health and Attachment G Dental Health Services is eliminated (permanently or temporarily) by election of the Department or is "Vacant," defined as a position that remain unfilled after a period of sixty (60) consecutive days (other than as a result of vacation, sick time, sick time or filled by locums or other provider staff temporarily), the monthly rate thereafter payable to MHM shall be decreased by the relevant amount set forth in MHM Clarification Cost Proposal Workbook.' Notice duty: 'when a position has been vacant for over sixty (60) days and then after every ten (10) days'. Date: 2019-01-01 Tags: policy,staffing,mental_health,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Risk share applies only to out-of-prison care Amendment 3 (p.2, replacing Section VII.C) limits the risk-share arrangement to out-of-prison care, comparing savings and overruns against 'the total annual Out-of-Prison POPM amount paid by GDC'. Tags: budget,policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Quarterly Contractor Information Report required The contractor must submit a quarterly Contractor Information Report. Tags: policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] MHM RFP required filling vacancies within 30 days or penalty RFP Attachment B (p.96; also MHM_Amendment_1__executed.pdf pp.8 and 77): 'Supplier shall fill vacancies within no more than thirty (30) calendar days ... In the event any position remains unfilled for thirty (30) Calendar days, a penalty will be incurred. This penalty shall be based on the number of days vacant beyond the 30th day divided by the current salary for that position.' Date: 2019-01-01 Tags: policy,staffing,mental_health,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Risk-share first $15M overrun: Centurion 0%, GDC 100% Under FY27 Exhibit 1C ('Year Three Only'), for the first $15M of overrun above the annual out-of-prison total, Centurion bears 0% and GDC bears 100%. Tags: budget,policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Quality Oversight Committee reviews at least 10 offenders annually per facility The Quality Oversight Committee reviews records of at least ten (10) offenders at each facility annually. Tags: policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] GDC clarified penalty for vacant positions: credit for unfilled hours In GDC's answers to bidders' questions (FULLCO_1 p.446, Q135), when asked about the amount and basis for penalties, GDC answered: 'Any position vacant for greater than 30 days, supplier shall credit GDC for such unfilled hours.' And (p.423): 'The 95% fill rate will be used as a performance measure and GDC maintains that they wish to maintain a 95% fill rate at facilities. Any position vacant for greater than 30 days, supplier shall credit GDC for such unfilled hours.' Date: 2019-01-01 Tags: policy,staffing,mental_health,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Risk-share next $15M overrun: Centurion 100%, GDC 0% Under FY27 Exhibit 1C ('Year Three Only'), for the next $15M of overrun (Centurion $15,000,000), Centurion bears 100% and GDC bears 0%. Tags: budget,policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Six mandatory GDC measures include sick-call timing and hospital length of stay Six mandatory GDC measures include sick-call timing (non-urgent within 24 hours; urgent same day) and case-mix-adjusted hospital length of stay. Tags: policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Amendment 5 adds staff and POPM for Johnson Medically Intensive Infirmary Amendment 5 adds staff and POPM for "the new Johnson Medically Intensive Infirmary (MII) once it becomes fully operational" (FY27CE_1 p.2). Date: 2026-01-01 Tags: contract,facilities,staffing Sources: FY27CE_1 - [confirmed] MHM vacancy penalties suspended July-October 2019 MHM Amendment 3 (6/25/2020 summary), p.2: 'Contract Section D. COMPENSATION. 1 Pricing and Payment (v) related to penalties for vacant positions are hereby suspended for the period July, 1 2019 through October 1, 2019.' No later amendment in the production changes (v). Date: 2019-01-01 Tags: policy,staffing,mental_health,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Risk-share overruns above $30M: GDC 100% Under FY27 Exhibit 1C ('Year Three Only'), overruns above $30M are borne 100% by GDC. Tags: budget,policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] MHM fixed dollar penalties for non-compliance RFP Attachment F (p.176): 'A financial penalty of $1000 will be assessed for each occurrence of non-compliance' (clinician meeting within 24 hours after CSU/ACU return); 'If the meeting occurs more than 72 hours, a financial penalty of $1000 per day will be assessed' (CSU release follow-up). MHM's proposal acknowledged them (pp.1071-1078). Date: 2019-01-01 Tags: policy,mental_health,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Risk-share savings split 50%/50% Under FY27 Exhibit 1C ('Year Three Only'), savings against the annual out-of-prison total are shared '50%/50%' between Centurion and GDC. Tags: budget,policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] CQI committee composition differs from Mortality and Peer Review Committees The composition of the CQI committee differs from the Mortality and Peer Review Committees, which enjoy protection from discovery. Tags: policy,medical,mental_health,legal Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Predecessor 2008 MHM agreement required rebate check for vacant positions Predecessor (2008) MHM agreement text (FULLCO_1 p.651): 'The contractor shall also send a rebate check for all vacant positions by the 15th of the following month' and the monthly rate 'shall be decreased' after 60 unfilled days. This is the old contract, not the 2019 one. Date: 2008-01-01 Tags: policy,staffing,mental_health,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 5 adds infirmary staff at ASMP and Johnson MII Amendment 5 adds infirmary staffing at Augusta State Medical Prison and the Johnson 'Medically Intensive Infirmary (MII)', and makes changes at Autry State Prison, Lee Arrendale State Prison, and McRae State Prison, plus the new Metro Reinvestment Center. Tags: staffing,medical,facilities,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Mortality Review covered under SOP VH47-0006 Mortality Review, a form of Peer Review, is covered under SOP VH47-0006 'Mortality Review'. Tags: policy,medical,mental_health Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Amendment 5 adds infirmary capacity at Augusta State Medical Prison Amendment 5 adds infirmary capacity at Augusta State Medical Prison (FY27CE_1 p.2). Date: 2026-01-01 Tags: contract,facilities Sources: FY27CE_1 - [reported] Centurion installs time clocks; GDC installs data ports Amendment 5 provides that Centurion installs and maintains time clocks, while GDC installs data ports and Centurion reimburses GDC for them. Tags: operations,policy,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] SOP VH47-0005 Inmate/Probationer Death and Mortality Reviews cross-referenced The SOP lists VH47-0005 'Inmate/Probationer Death and Mortality Reviews' as a cross-reference. Tags: policy,medical,mental_health Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM clinical director conducts mortality reviews for suicides and mental health deaths MHM's proposal says its clinical director 'Conducts Mortality Reviews for all patient suicides and other deaths involving mental health issues'. That is a proposal statement; the SOPs themselves (VH47-0005, VH47-0006) were not produced. Tags: policy,mental_health,death Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Wellpath-era POPM billing mechanics Under the Wellpath-era contract, POPM was multiplied by average daily population and invoiced by the 20th, with ADP supplied by GDC on the 5th business day. Tags: budget,medical,operations Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM must submit employee drug-testing reports quarterly and annually MHM must submit employee drug-testing reports quarterly and annually. Tags: policy,mental_health,drugs Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Wellpath-era first 12 months had no risk-share payments The first 12 months of the Wellpath-era contract were a 'reporting year' with no risk-share payments. Tags: budget,policy,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM vacancy report due monthly by the 15th MHM must submit a vacancy report monthly by the 15th. Tags: policy,mental_health,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM timesheets for fill-in psychiatrists and psychologists submitted bi-monthly MHM must submit timesheets for fill-in psychiatrists and psychologists on a bi-monthly basis. Tags: policy,mental_health,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] RFP 95% staffing fill rate is a performance measure The RFP 95% staffing fill rate is a performance measure. Tags: policy,mental_health,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 14 requires SOP revisions by August 1, 2026 Amendment 14 (p.2-3) requires GDC, not later than August 1, 2026, to revise and amend any Mental Health or Dental Standard Operating Procedures, including SOP 508.01, SOP 508.15, and SOP 508.20 (Mental Health Rounds in Restrictive Housing), to align with applicable national standards and the Staffing Matrixes attached to the Amendment. Date: 2026-08-01 Tags: policy,mental_health,solitary,legal Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) METHODOLOGY NOTES (9) ---------------------------------------- - [reported] GDC production R032595-101926 contains 35 of 36 listed attachments GDC's open-records production for request R032595-101926 (Centurion of Georgia LLC inmate health care contract) comprises 35 files held by GPS on the Workshop drive. The GovQA portal lists attachment numbers up to #35 (36 attachments), so one attachment may be missing and has not been identified. Date: 2026-10-01 Tags: medical,policy,operations,investigations Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] 4,007 pages extracted from 32 PDFs in Centurion contract production All 32 PDFs in the R032595-101926 production have extracted text: 4,007 pages were processed on a temporary Hetzner box (ocr-burst) in 13.9 minutes with 0 errors, using per-page native text where available and Tesseract OCR on scanned pages. One .txt file per PDF sits alongside the PDFs, with pages separated by form feed. Date: 2026-10-01 Tags: medical,policy,operations Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Load-bearing quotes verified against page images for three pages Load-bearing quotes in the extraction were checked against page images for FULLCO_1 pages 7, 96, and 446. All other quoted material is read from native PDF text or OCR text and should be re-checked against the page image before publishing a number. Date: 2026-10-01 Tags: medical,policy,operations Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] File names in production are unreliable File names in the production are unreliable: `Amendment_1-fully_executed.pdf` is the CorrectRx pharmacy First Amendment; `CENTUR_1.PDF` and `MHM_Amendment_11_STAFFING_MATRIX__FULLY_EXECUTED.pdf` have identical text (an MHM renewal with a 12/12/2022 staffing matrix); `FULLCO_1.PDF` and `Full_Contract_Mental_and_Dental_Health_Service_Contract_Signed.pdf` have identical text (the full MHM contract, 1,369 pp., executed contract + RFP + Q&A + MHM proposal); `REDACT_1.PDF` is the CorrectRx pharmacy contract (517 pp.); `CORREC_3`/`CORREC_4` are CorrectRx renewals; `CENTUR_2` is a 6/29/2023 GDC executive summary for MHM renewal. Tags: legal,policy,investigations Sources: GDC open-records production R032595-101926 - [confirmed] Productive Hours penalty calculation parameters The workbook 'GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx' (Sheet 'Facility Rollup', row 2) specifies: 'Contract-Wide Weighted Average Rate (drives all penalty calculations): $41.90 | Penalty Threshold: 75% of Matrix FTEs | Penalty Multiplier: 1.2 (20% benefits load)'. Date: 2025-01-01 Tags: staffing,budget,policy Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [confirmed] Productive Hours penalty formula Workbook cell formulas per facility: X5 =IF(W5 Date: 2025-01-01 Tags: staffing,budget,policy Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [confirmed] Employee Detail sheet excluded from archive The Employee Detail sheet lists individual employees by name and hours; it is internal and was left out of the archive copy. Date: 2025-01-01 Tags: staffing,data_gap Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [reported] Two xlsx contact lists produced but not summarized Two xlsx contact lists (Centurion medical site contacts; MHM dental contacts) were produced and are not summarised here (individual names). Date: 2026-01-01 Tags: data_gap,methodology Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 13 staffing matrix lists FTE, hours, rate, annual cost by facility The Amendment 13 staffing matrix lists FTE, weekly hours, hourly rate, and annual cost by facility and position. Tags: staffing,budget,mental_health Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) DATA GAPS (15) ---------------------------------------- - [confirmed] Production lacks Centurion base medical contract The GDC open-records production R032595-101926 does not contain the Centurion of Georgia LLC base medical contract. CONTRA_1.PDF (435 pp.) is the GDC contract with Wellpath LLC, no. 46700-054-GDC0000946, plus RFP, Q&A, and Wellpath's proposal. The Centurion amendments cite contract 46700-054-GDC0000946-002, award date April 9, 2024, and refer to 'Section VII.C' and 'Section I.D.1(4)'. In the Wellpath text, payment is Section VI and data ownership VII, so the Centurion contract is a different document not held. Tags: legal,policy,investigations Sources: GDC open-records production R032595-101926 - [reported] ORR archive caps production at 2,000,000 characters, truncating two large files The ORR archive (gps orr documents, conversation-id govqa-R032595-101926, row id 125685) holds the searchable copy of the production but caps a production at 2,000,000 characters. It therefore contains every small document in full and the xlsx rollup sheets, but only the first 130 pages of CONTRA_1 and the first 200 pages of FULLCO_1. The full 11.5 million characters are available only in the .txt files. Date: 2026-10-01 Tags: medical,policy,operations Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Centurion amendments held: only Amendment 3 and 5 GPS holds only Centurion Amendment 3 (renewal 1, FY26) and Amendment 5 (renewal 2, FY27). Centurion Amendments 1, 2, and 4, the base contract, and Exhibits 1-B, 1-C, and 3 referenced in Amendment 3 are not in the production. Amendment 3 is 4 pages, none of them an exhibit. Tags: legal,policy Sources: GDC open-records production R032595-101926 - [confirmed] Missing MHM documents Missing MHM documents from the production: Amendments 10, 12, the body of 13 (only rate cards and staffing matrix held), the body of 11, and renewal documents other than Amendment 14 (Renewal 6). MHM Amendment 14 is the only FY27 MHM paper. Tags: mental_health,legal,policy Sources: GDC open-records production R032595-101926 - [confirmed] Penalty clause for unfilled medical hours absent from production The penalty clause for unfilled medical hours is not in the production. FY27 Amendment 5 refers to a 'Percentage of Productive Hours compared to Staffing Matrix calculation', and an xlsx applies a penalty formula to it, but no contract text defining it is in what GDC produced. Tags: staffing,medical,legal,policy Sources: GDC open-records production R032595-101926 - [reported] No assignment, novation, or award document showing medical contract move from Wellpath to Centurion The production does not say how the medical contract moved from Wellpath to Centurion (no assignment, novation or award document). Date: 2026-01-01 Tags: contract,data_gap Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] ModCorr and modular infirmary terms absent from Centurion/MHM documents The words ModCorr and "modular" (in the infirmary sense) do not appear in any Centurion or MHM document in this production. Date: 2026-01-01 Tags: contract,data_gap,facilities Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] No death-reporting or mortality-review clause in contract body No death-reporting or mortality-review clause was found in the contract body of CONTRA_1 (pp.1-62), searched for 'mortality', 'death', 'deceased'. The only grievance reference is a GDC audit item, 'Legitimacy and resolution of offender grievances' (p.7). Not found in the Centurion amendments (searched all text). Tags: death,medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Unknown preparer and assessment status of penalty workbook What we do not know: who prepared the workbook (file name carries 'V07.22.2026'), whether any of it was assessed, invoiced or paid, and which contract section sets the 75%, the $41.90 and the 1.2 (the base contract and Exhibit 3 are not in the production). Do not call these 'penalties assessed' without that. Date: 2026-01-01 Tags: staffing,budget,policy,investigations Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [reported] FY25 and FY26 Centurion POPM rates unknown from production The Amendment 3 (FY26) pricing exhibits are not in the production, so FY25 and FY26 Centurion POPM rates cannot be determined from these documents. Tags: budget,medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] No liquidated-damages clause found for Centurion medical contract A liquidated-damages clause for the Centurion medical contract was not found in the text held (only the productive-hours metric and the credit above). Date: 2026-01-01 Tags: contract,data_gap Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Centurion base contract and several amendments/exhibits not in production The Centurion base contract, Amendments 1, 2, 4, Exhibits 1-B, 1-C, 3 of Amendment 3, and any FY25 and FY26 POPM table are not in the production. Date: 2026-01-01 Tags: contract,data_gap Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] CorrectRx renewal terms produced CorrectRx renewals produced cover July 1, 2021 to June 30, 2022 (CORREC_3) and July 1, 2022 to June 30, 2023 (CORREC_4); nothing for FY24-FY27 was produced. Tags: medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Death-reporting, mortality-review, and grievance clauses not found in Centurion contract Death-reporting, mortality-review and grievance clauses in the Centurion contract were not found in the text held. Date: 2026-01-01 Tags: contract,data_gap,death,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] No CorrectRx documents after 2022-2023 renewal in production Any CorrectRx document after the 7/1/2022-6/30/2023 renewal is not in the production. Date: 2026-01-01 Tags: contract,data_gap,pharmacy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) LEGAL FACTS (18) ---------------------------------------- - [confirmed] Centurion medical contract number and solicitation Centurion of Georgia, LLC holds GDC medical contract no. 46700-054-GDC0000946-002, awarded under solicitation 46700-GDC0000946, 'Offender Healthcare Services.' Date: 2024-01-01 Tags: medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Contract amendment deletes and replaces Staffing Matrix Exhibit 3 FY27CE_1.PDF p.2, para. 4 states: 'The Staffing Matrix (Exhibit 3) is deleted and replaced in its entirety with the Amended Staffing Matrix Exhibit 3. Any newly added positions to Exhibit 3 shall not be included in the Percentage of Productive Hours compared to Staffing Matrix calculation for the first 60-day period following the execution of Amendment 5.' Date: 2026-01-01 Tags: policy,staffing,legal Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Centurion contract award date and number Centurion amendments cite contract 46700-054-GDC0000946-002 with an award date of April 9, 2024. Date: 2024-04-09 Tags: legal,policy Sources: GDC open-records production R032595-101926 - [confirmed] Centurion medical contract award date The Centurion of Georgia, LLC medical contract was awarded April 9, 2024. Date: 2024-04-09 Tags: medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Centurion medical contract term history Centurion medical contract year one ran July 1, 2024 to June 30, 2025; Amendment 3 renewed it July 1, 2025 to June 30, 2026; Amendment 5 ('Contract Renewal No. 2') renewed it July 1, 2026 to June 30, 2027. Tags: medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Centene transferred MHM Services to Centurion Equity on January 10, 2023 MHM's January 25, 2023 notice states: "On January 10, 2023, Centene Corporation completed a transaction to transfer MHM Services, Inc. and its wholly-owned subsidiaries, including MHM Correctional Services, LLC to Centurion Equity, Inc., part of the Sullivan Brothers Family of Companies (SBFC)" and "the change does not constitute an assignment of the Agreement" (Notice_of_Sale_-_GDOC.pdf p.1). Date: 2023-01-10 Tags: legal,ownership,contract Sources: Notice_of_Sale_-_GDOC.pdf - [reported] Mental health and dental contract is with MHM Correctional Services Mental health and dental services are under a separate GDC contract with MHM Correctional Services LLC (ES-RFP-46700-415). MHM has been owned by the Sullivan Brothers Family of Companies / Centurion Equity since January 10, 2023. Thus 'Centurion' for mental health means MHM under new ownership; the medical contract is Centurion of Georgia LLC. Date: 2023-01-10 Tags: mental_health,medical,policy Sources: GDC open-records production R032595-101926 - [reported] Centurion Amendment 3 signature dates Centurion Amendment 3 was signed by the contractor on 02/06/2026; the GDC General Counsel signature date is illegible in the text. Date: 2026-02-06 Tags: medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] GDC acknowledged transfer of contracting entity to Sullivan Brothers GDC's January 19, 2023 letter "acknowledges ... the transfer of our Contracting Entity to Sullivan Brothers Family of Companies" and expects "all contract terms and conditions continue to be honored" (LETTER_1.PDF p.1). Date: 2023-01-19 Tags: legal,ownership,contract Sources: LETTER_1.PDF - [reported] Centurion Amendment 5 GDC signature date Centurion Amendment 5 was signed by the GDC General Counsel on 8/28/2026. Date: 2026-08-28 Tags: medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Wellpath-era medical contract renewal structure The predecessor Wellpath-era contract (contract 946, same solicitation) ran to June 30, 2022 and included nine one-year renewal options, with options 1 and 2 at GDC's sole discretion; the contractor must give 364 days' notice not to renew. Date: 2022-01-01 Tags: medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] MHM mental health/dental contract identifier MHM Correctional Services, LLC holds GDC contract ES-RFP-46700-415 for 'Mental Health (MH) / Integrated Treatment Services and Dental Health Services for Offenders.' Tags: mental_health,medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] MHM contract dates and renewal options The MHM mental health/dental contract began July 1, 2019, with an initial completion date of June 30, 2020, and nine one-year renewal options. Tags: mental_health,medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] MHM contract bond requirement The MHM mental health/dental contract required a performance bond of 25% of the annual contract amount. Date: 2019-01-01 Tags: mental_health,medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] MHM latest renewal term MHM Amendment 14 ('Contract Renewal No. 6') extends the mental health/dental contract from July 1, 2026 to June 30, 2027. Tags: mental_health,medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] CorrectRx pharmacy contract identifier and start date Correct Rx Pharmacy Services, Inc. holds GDC contract 46700-054-GDC0000930 for 'Offender Pharmacy Services,' beginning April 1, 2021; the document does not show it to be a Centurion subcontract. Date: 2021-01-01 Tags: medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] CorrectRx pharmacy contract bond requirement The CorrectRx pharmacy contract required a performance bond of 25% of the annual total contract amount. Date: 2021-01-01 Tags: medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] CorrectRx Amendment 4 KPI and bond terms CorrectRx Amendment 4 (July 1, 2021) established ADP bands and KPIs determined between July 1, 2021 and June 30, 2022, applying to services delivered on or after July 1, 2022; the bond was set at 25% of $25 million per year. Tags: medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) FINDINGS (10) ---------------------------------------- - [confirmed] Wellpath-era medical contract had no liquidated damages clause The Wellpath-era medical contract (predecessor to Centurion) contained no liquidated damages clause. Payment was structured as 'target cost plus incentive fee' (p.27), with the State able to withhold compensation for services not performed (p.28) and deduct incurred costs (pp.28-29). Tags: policy,budget,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] CorrectRx is separate pharmacy vendor, not Centurion/MHM subcontractor CorrectRx is GDC's separate pharmacy vendor; nothing produced makes it a Centurion or MHM subcontractor. Its own subcontractor is Fusion, hosting. Date: 2026-01-01 Tags: contract,pharmacy,subcontracting Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] GDC assessed no penalties against Wellpath for service delivery or staffing failures In GDC Q&A (CONTRA_1 pp.161-162), GDC stated: 'Liquidated damages/penalties assessed against vendor for service delivery: GDC has assessed no penalties against the current vendor for service delivery' and 'Staffing paybacks or damages assessed against vendor for failure to staff: GDC has assessed no penalties against the current vendor for service delivery.' Tags: policy,staffing,budget,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Date anomaly in GDC letter responding to later-dated MHM notice LETTER_1 is dated January 19, 2023 and says it answers MHM correspondence "dated January 25, 2023", six days after the letter's own date; the notice itself is dated January 25, 2023. One date is wrong or the letter was backdated. Date: 2023-01-01 Tags: legal,ownership,contract Sources: Notice_of_Sale_-_GDOC.pdf; LETTER_1.PDF - [reported] FY26 Notice to Proceed to MHM sent to teamcenturion.com email The FY26 Notice to Proceed to MHM (June 30, 2025) is addressed to the MHM chief executive at a "teamcenturion.com" email address (FY26_notice_to_proceed.pdf p.1). Date: 2025-06-30 Tags: contract,ownership Sources: FY26_notice_to_proceed.pdf - [reported] Wellpath proposal states partnership with Centurion for medical and mental health care Wellpath's proposal says "We currently partner with Centurion to provide medical and mental health care for both state and county clients at multiple locations" and refers to "GDC's contracted mental health provider" (CONTRA_1 p.362). Date: 2026-01-01 Tags: contract,medical,mental_health Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Contract Rollup marks penalty Y/N as Y despite statewide percentage above 75% The Contract Rollup sheet marks 'Penalty Y/N' = 'Y' for Q3, Q4 and H2 even though the statewide percentage is above 75%; the amount is the sum of the facility penalties. Date: 2025-01-01 Tags: staffing,budget,policy Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [confirmed] GDC withheld facility-level staffing detail on medical side but required 95% fill rate per facility for mental health GDC told bidders it would not give facility-level staffing detail on the medical side (CONTRA_1 p.121); GDC's mental-health Q&A records 95% fill rate 'per facility' (FULLCO_1 p.419). Date: 2019-01-01 Tags: policy,staffing,medical,mental_health Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Wellpath proposal mentions GSP Modular Surgical Unit at Georgia State Prison The Wellpath proposal mentions "the GSP Modular Surgical Unit" at Georgia State Prison (CONTRA_1 p.298), a different unit from the Johnson MII. Date: 2026-01-01 Tags: facilities,contract Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] No liquidated-damages term found in CorrectRx contract No liquidated-damages term was found in the CorrectRx contract; the proposal states 'Correct Rx has never been assessed any fines, liquidated damages, or notices of non-compliance.' Tags: medical,policy,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) STATISTICS (48) ---------------------------------------- - [reported] Centurion FY27 in-prison POPM rate, 34,000-34,999 population band Under the FY27 POPM table effective July 1, 2026 (Amendment 5, including ASMP Infirmary and Johnson MII), the in-prison per-offender-per-month rate for a population of 34,000-34,999 is $403.36. Value: 403.36 USD per offender per month Date: 2026-07-01 Tags: budget,medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Centurion credit for unstaffed Augusta State Medical Prison infirmary positions FY27CE_1.PDF p.2, para. 6: 'For the month of July 2026, Centurion will issue a credit to GDC in the amount of $143,706.30 ... to account for the fact that the newly added positions to the Staffing Matrix designated to staff the additional Augusta State Medical Prison infirmary had not yet begun work.' Value: 143706.3 USD Date: 2026-07-01 Tags: staffing,budget,medical,facilities Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Centurion FY27 out-of-prison POPM rate constant across bands The out-of-prison POPM rate is $142.11 in every population band of the FY27 POPM table effective July 1, 2026. Value: 142.11 USD per offender per month Date: 2026-07-01 Tags: budget,medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Centurion credit for unstaffed Johnson State Prison Medically Intensive Infirmary positions FY27CE_1.PDF p.2, para. 6: 'For the month of July 2026, Centurion will issue a credit to GDC in the amount of $538,695.65 ... Johnson State Prison Medically Intensive Infirmary had not yet begun work.' Value: 538695.65 USD Date: 2026-07-01 Tags: staffing,budget,medical,facilities Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Centurion FY27 administrative POPM rate, 34,000-34,999 band The administrative POPM rate for the 34,000-34,999 population band in the FY27 table effective July 1, 2026 is $108.94. Value: 108.94 USD per offender per month Date: 2026-07-01 Tags: budget,medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Total Centurion credit to GDC for unstaffed positions FY27CE_1.PDF p.2, para. 6: 'This total credit to GDC in the amount of $682,401.95 ... will be reflected in the September 2026 invoice.' Value: 682401.95 USD Date: 2026-07-01 Tags: staffing,budget,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Centurion FY27 total POPM, 34,000-34,999 band The total POPM for the 34,000-34,999 population band in the FY27 table effective July 1, 2026 is $654.40. Value: 654.4 USD per offender per month Date: 2026-07-01 Tags: budget,medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Wellpath vacancy rate around 35% GDC Q&A (CONTRA_1 p.121) states: 'The current supplier has experienced vacancy rates around 35% in the recent past.' Value: 35.0 percent Tags: staffing,medical Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Centurion FY27 total POPM, 38,000-38,999 band The total POPM for the 38,000-38,999 population band in the FY27 table effective July 1, 2026 is $608.60. Value: 608.6 USD per offender per month Date: 2026-07-01 Tags: budget,medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Centurion FY27 total POPM, 42,000-42,999 band The total POPM for the 42,000-42,999 population band in the FY27 table effective July 1, 2026 is $571.55. Value: 571.55 USD per offender per month Date: 2026-07-01 Tags: budget,medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Q3 2025 facility staffing penalties total Q3 (July-September 2025) facility penalties total $82,362.37 on 6 facilities (Columbus TC, Hudson TC, Macon TC, McRae, Valdosta TC, Walker). Value: 82362.37 USD Tags: staffing,budget,facilities Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [confirmed] Q4 2025 facility staffing penalties total Q4 (October-December 2025) facility penalties total $119,710.22 on 10 facilities (Bacon TC, Bainbridge PSATC, Columbus TC, Hancock, Hudson TC, Macon TC, McRae, Valdosta SP, Valdosta TC, Walker). Value: 119710.22 USD Tags: staffing,budget,facilities Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [confirmed] First-half 2025 total facility staffing penalties First-half total 'H2 Total' $202,072.59 (Contract Rollup sheet). Value: 202072.59 USD Tags: staffing,budget Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [confirmed] MHM contract maximum amount The MHM mental health/dental contract has a maximum estimated amount of $536,486,470.00, with a first fiscal year not-to-exceed total of $48,220,851.00. Value: 536486470.0 USD (vs. 48220851 first fiscal year NTE total (USD)) Tags: mental_health,medical,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Statewide worked/matrix percentage Q3 2025 Statewide worked/matrix: 98.52% in Q3. Value: 98.52 percent Tags: staffing Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [confirmed] Statewide worked/matrix percentage Q4 2025 Statewide worked/matrix: 94.39% in Q4. Value: 94.39 percent Tags: staffing Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [confirmed] Johnson MII staffing matrix totals 27.90 FTEs A Johnson MII staffing matrix lists 27.90 FTEs (FY27CE_1 p.25). Value: 27.9 FTEs Date: 2026-01-01 Tags: staffing,facilities Sources: FY27CE_1 - [confirmed] Matrix total FTEs used in 2025 workbook The matrix totals 931.2 FTEs (used in the workbook for 2025). Value: 931.2 FTEs Date: 2025-01-01 Tags: staffing Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [confirmed] July 2026 credit of $538,695.65 for MII positions not yet begun A $538,695.65 July 2026 credit was issued because those positions "had not yet begun work" (FY27CE_1 p.2). Value: 538695.65 USD Date: 2026-07-01 Tags: budget,staffing,facilities Sources: FY27CE_1 - [confirmed] Lowest facility-quarter staffing percentage The lowest facility-quarter is Columbus TC at 43.1% (Q4) (Facility Rollup). Value: 43.1 percent Tags: staffing,facilities Sources: GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx - [confirmed] CorrectRx Amendment 2 340B staffing and hiring incentive CorrectRx Amendment 2 (June 7, 2021) set a fixed monthly payment of $4,167.00 for a 340B staff member and a $5,000.00 hiring incentive reimbursement. Value: 4167.0 USD per month (vs. 5000 hiring incentive reimbursement (USD)) Date: 2021-06-07 Tags: medical,budget,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] CorrectRx Amendment 1 IT hosting payment CorrectRx Amendment 1 (April 1, 2021) added a fixed monthly payment of $41,666.67 for IT hosting on top of a base rate of $0.90 per prescription (POPM); subcontractor Fusion hosts the system. Value: 41666.67 USD per month (vs. 0.9 base rate per prescription (USD)) Date: 2021-04-01 Tags: medical,budget Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Regional office matrix FTEs Regional office matrix 87.00 FTEs (FY27CE_1.PDF p.6). Value: 87.0 FTEs Date: 2026-01-01 Tags: staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] ASMP matrix FTEs ASMP matrix 119.80 FTEs (FY27CE_1.PDF p.7). Value: 119.8 FTEs Date: 2026-01-01 Tags: staffing,facilities Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM initial MH/ITS monthly fee effective 7/1/2019 The initial MHM mental health and ITS monthly fee effective 7/1/2019 was $3,174,940.00, with a not-to-exceed amount of $38,099,281.00. Value: 3174940.0 USD per month (vs. 38099281.0 not-to-exceed amount) Date: 2019-07-01 Tags: budget,mental_health,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [confirmed] Johnson MII matrix FTEs Johnson MII matrix 27.90 FTEs (FY27CE_1.PDF p.25). Value: 27.9 FTEs Date: 2026-01-01 Tags: staffing,facilities Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM initial dental monthly fee effective 7/1/2019 The initial MHM dental monthly fee effective 7/1/2019 was $803,654.00. Value: 803654.0 USD per month Date: 2019-07-01 Tags: budget,medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [estimated] Total facility matrix FTEs from contract pages The facility pages sum to about 1,050.8 FTEs (42,032 hours a week), against the 931.2 FTEs used in the workbook for 2025 (computed by GPS from FY27CE_1 pp. 6-70 'Grand Total' rows). Value: 1050.8 FTEs (vs. 931.2 FTEs used in 2025 workbook) Date: 2026-01-01 Tags: staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM MH/ITS monthly fee effective 10/1/2019 Effective 10/1/2019, the MHM MH and ITS monthly fee rose to $3,370,032.82, an increase of $1,755,835.38 for added positions. Value: 3370032.82 USD per month (vs. 1755835.38 increase for added positions) Date: 2019-10-01 Tags: budget,mental_health,staffing,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [estimated] Total facility matrix hours per week The facility pages sum to about 42,032 hours a week (computed by GPS from FY27CE_1 pp. 6-70 'Grand Total' rows). Value: 42032.0 hours per week Date: 2026-01-01 Tags: staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM MH/ITS monthly fee effective 7/1/2020 Effective 7/1/2020, the MHM MH and ITS monthly fee was $3,171,044.14, a reduction of $46,751.32 'through a reallocation and reduction in vacant staff positions'. Value: 3171044.14 USD per month (vs. 46751.32 reduction from vacant staff positions) Date: 2020-07-01 Tags: budget,mental_health,staffing,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM dental monthly fee effective 7/1/2020 Effective 7/1/2020, the MHM dental monthly fee was $760,041.77. Value: 760041.77 USD per month Date: 2020-07-01 Tags: budget,medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM MH/ITS monthly fee effective 4/1/2021 Effective 4/1/2021, the MHM MH and ITS monthly fee was $3,207,559.67. Value: 3207559.67 USD per month Date: 2021-04-01 Tags: budget,mental_health,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM MH/ITS monthly fee effective 7/1/2021 Effective 7/1/2021, the MHM MH and ITS monthly fee was $3,224,095.39. Value: 3224095.39 USD per month Date: 2021-07-01 Tags: budget,mental_health,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM MH/ITS monthly fee effective 11/1/2021 Effective 11/1/2021, the MHM MH and ITS monthly fee was $3,254,733.88. Value: 3254733.88 USD per month Date: 2021-11-01 Tags: budget,mental_health,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM MH/ITS monthly fee effective 9/1/2022 Effective 9/1/2022, the MHM MH and ITS monthly fee rose to $3,726,190.20, with a not-to-exceed amount of $44,714,282.39, an increase of $5,657,475.86 for 'expansion of mental health services and market rate adjustments'. Value: 3726190.2 USD per month (vs. 5657475.86 increase for expansion and market rate adjustments) Date: 2022-09-01 Tags: budget,mental_health,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM MH/ITS monthly fee effective 7/1/2026 Effective 7/1/2026, the MHM MH and ITS monthly fee is $4,628,763.75, with a not-to-exceed amount of $55,545,165.00, reflecting an increase of $10,830,882.60 'through market rate adjustments'. Value: 4628763.75 USD per month (vs. 10830882.6 increase through market rate adjustments) Date: 2026-07-01 Tags: budget,mental_health,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM dental monthly fee effective 7/1/2026 Effective 7/1/2026, the MHM dental monthly fee is $1,130,124.50, with a not-to-exceed amount of $13,561,494.00, an increase of $2,794,498.56. Value: 1130124.5 USD per month (vs. 2794498.56 increase) Date: 2026-07-01 Tags: budget,medical,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] MHM contract total as of 6/29/2023 As of 6/29/2023, the MHM contract showed an 'Original Agreement Amount' of $48,220,851.00, 'All Previous Amendements' of $7,260,426.88, and a 'Total Contract Amount' of $55,481,227.88. Value: 55481227.88 USD (vs. 48220851.0 original agreement amount) Date: 2023-06-29 Tags: budget,mental_health,policy Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 13 blended hourly rate: psychiatrist Under Amendment 13 rate cards, the blended hourly rate for psychiatrists is $145.09. Value: 145.09 USD per hour Tags: budget,mental_health,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 13 blended hourly rate: nurse practitioner Under Amendment 13 rate cards, the blended hourly rate for nurse practitioners is $74.53. Value: 74.53 USD per hour Tags: budget,mental_health,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 13 blended hourly rate: psychologist Under Amendment 13 rate cards, the blended hourly rate for psychologists is $83.78. Value: 83.78 USD per hour Tags: budget,mental_health,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 13 blended hourly rate: mental health unit manager Under Amendment 13 rate cards, the blended hourly rate for mental health unit managers is $45.73. Value: 45.73 USD per hour Tags: budget,mental_health,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 13 blended hourly rate: clinical director Under Amendment 13 rate cards, the blended hourly rate for clinical directors is $95.20. Value: 95.2 USD per hour Tags: budget,mental_health,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 13 enhanced psychiatrist rate at selected facilities Under Amendment 13, the enhanced hourly rate for psychiatrists at selected facilities is $189.01. Value: 189.01 USD per hour Tags: budget,mental_health,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 13 dental hourly rate: dentist Under Amendment 13 dental rate cards, the hourly rate for dentists is $101.64 (enhanced $140.02). Value: 101.64 USD per hour (vs. 140.02 enhanced rate) Tags: budget,medical,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 13 dental hourly rate: hygienist Under Amendment 13 dental rate cards, the hourly rate for hygienists is $40.40. Value: 40.4 USD per hour Tags: budget,medical,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) - [reported] Amendment 13 dental hourly rate: assistant Under Amendment 13 dental rate cards, the hourly rate for dental assistants is $24.21. Value: 24.21 USD per hour Tags: budget,medical,staffing Sources: GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract) DATASETS (5) ---------------------------------------- # GDC Healthcare Contract Terms Summary Contract terms for GDC's three privatized healthcare contracts (medical, mental health/dental, pharmacy) as documented in open-records production R032595-101926. Contract Contract Number Vendor Start Date End Date Renewal Options Bond Requirement Max Amount ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Medical 46700-054-GDC0000946-002 Centurion of Georgia, LLC 2024-07-01 2027-06-30 Mental Health/Dental ES-RFP-46700-415 MHM Correctional Services, LLC 2019-07-01 2027-06-30 9 25% of annual contract amount $536,486,470.00 (estimated) Pharmacy 46700-054-GDC0000930 Correct Rx Pharmacy Services, Inc. 2021-04-01 2023-06-30 25% of annual total amount # Facility Staffing Penalties Q3-Q4 2025 Calculated penalty amounts by facility for Q3 (Jul-Sep 2025) and Q4 (Oct-Dec 2025) based on the Productive Hours workbook. Facility Q3 Penalty Q4 Penalty ------------------------------------------ Columbus TC Hudson TC Macon TC McRae Valdosta TC Walker Bacon TC Bainbridge PSATC Hancock Valdosta SP # Centurion FY27 POPM rates by population band (effective July 1, 2026) Per Offender Per Month pricing under Amendment 5, including ASMP Infirmary and Johnson MII. Out-of-prison rate is constant at $142.11 across bands; populations below 34,000 and above 42,999 are 'Parties to Negotiate'. Population band In-prison POPM Out-of-prison POPM Administrative POPM Total POPM -------------------------------------------------------------------------------------- 34,000-34,999 403.36 142.11 108.94 654.4 38,000-38,999 142.11 608.6 42,000-42,999 142.11 571.55 # MHM flat monthly fees by amendment effective date Mental health/ITS and dental flat monthly fees under the MHM contract, with not-to-exceed (NTE) amounts where stated. Effective date MH and ITS monthly MH NTE Dental monthly Dental NTE Change note --------------------------------------------------------------------------------------------------------------------------------------------------------------- 2019-07-01 3174940 38099281 803654 Initial 2019-10-01 3370032.82 +$1,755,835.38 added positions 2020-07-01 3171044.14 760041.77 Reduction of $46,751.32 via reallocation and reduction in vacant staff positions 2021-04-01 3207559.67 2021-07-01 3224095.39 2021-11-01 3254733.88 2022-09-01 3726190.2 44714282.39 +$5,657,475.86 expansion of mental health services and market rate adjustments 2026-07-01 4628763.75 55545165 1130124.5 13561494 +$10,830,882.60 market rate adjustments; dental +$2,794,498.56 # Amendment 13 blended hourly rate cards (MH and dental) Blended hourly rates for mental health and dental positions under Amendment 13, with enhanced rates where applicable. Position Blended hourly rate Enhanced hourly rate ----------------------------------------------------------------------- Psychiatrist 145.09 189.01 Nurse practitioner 74.53 Psychologist 83.78 Mental health unit manager 45.73 Clinical director 95.2 Dentist 101.64 140.02 Hygienist 40.4 Dental assistant 24.21 KEY ENTITIES (34) ---------------------------------------- - Augusta State Medical Prison [facility]: Georgia state medical prison visited by DOJ during 2022-2023 investigation (aka: Augusta State Medical) - Autry State Prison [facility]: Georgia state prison with GCI shoe/boot manufacturing and garment operations. - Bacon TC [facility]: Georgia state prison facility (Transitional Center). - Bainbridge PSATC [facility]: Georgia state prison facility (Probation Substance Abuse Treatment Center). - Centene Corporation [organization]: Parent corporation of Centurion, a managed care company - Centurion [organization]: Current GDC physical healthcare contractor, replacing Wellpath - Centurion Equity Inc [organization]: Entity within Sullivan Brothers Family of Companies that acquired MHM Services in 2023. - Columbus TC [facility]: Georgia state prison facility (Transitional Center). - CorrectRX [organization]: Current holder of GDC pharmacy contract - Fusion [organization]: Subcontractor hosting CorrectRx's IT system under Amendment 1. - Georgia Department of Corrections [organization]: State agency responsible for operating Georgia's prison system. Subject of federal DOJ investigation in 2022-2023 for constitutional violations including food-related deaths. (aka: GDC) - Georgia Prisoners' Speak [organization]: Advocacy organization documenting conditions inside Georgia prisons through photos and insider accounts, including food inadequacy. (aka: GPS) - Georgia State Prison [facility]: Georgia state prison where Chad Ashley Allen, serving a life sentence for murder, operated drug trafficking enterprise with Ghost Face Gangsters. - Hancock [facility]: Georgia state prison facility. - Hudson TC [facility]: Georgia state prison facility (Transitional Center). - Johnson Medically Intensive Infirmary [facility]: New medically intensive infirmary referenced in Amendment 5. (aka: Johnson MII) - Johnson State Prison [facility]: GDC facility targeted in the Chandley Communications recruitment campaign. - Lee Arrendale State Prison [facility]: Georgia state prison where drug-coated paper was found being passed in November 2025. - Macon TC [facility]: Georgia state prison facility (Transitional Center). - McRae [facility]: Georgia state prison facility. - McRae State Prison [facility]: GDC facility affected by Amendment 5 changes. - Metro Reinvestment Center [facility]: New GDC facility referenced in Amendment 5. - MHM [organization]: Entity included in Georgia State Auditor's count of budgeted mental health care staff positions. (aka: MHM Correctional Services) - MHM Services Inc [organization]: Mental health services contractor, formerly part of Centene Corporation, transferred to Centurion Equity in 2023. (aka: MHM Correctional Services LLC, MHM) - Quality Oversight Committee [program]: Committee that reviews records of at least ten offenders at each facility annually. - SOP VH03-0002 [organization]: GDC standard operating procedure on health-services continuous quality improvement (CQI). - SOP VH47-0005 [organization]: GDC standard operating procedure on Inmate/Probationer Death and Mortality Reviews. - SOP VH47-0006 [organization]: GDC standard operating procedure on Mortality Review. - Sullivan Brothers Family of Companies [organization]: Owner of MHM Correctional Services LLC since January 10, 2023. (aka: Centurion Equity) - Valdosta SP [facility]: Georgia state prison facility (State Prison). - Valdosta TC [facility]: Georgia state prison facility (Transitional Center). - Walker [facility]: Georgia state prison facility. - Wellpath [organization]: Largest private correctional healthcare company with $2.7 billion annual revenue; filed Chapter 11 bankruptcy in November 2024 (aka: Correct Care Solutions) - Wellpath LLC [organization]: Holder of GDC medical contract no. 46700-054-GDC0000946, included in the production. SOURCES (7) ---------------------------------------- - FY26_notice_to_proceed.pdf, Georgia Department of Corrections (2025-06-30) [legal_document, primary] - FY27CE_1, Georgia Department of Corrections (2026-01-01) [legal_document, primary] - GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx (2026-01-01) [official_report, primary] - GDC open-records production R032595-101926, Georgia Department of Corrections (2026-10-01) [official_report, primary] - GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract), Georgia Department of Corrections (via GovQA) (2026-10-01) [official_report, primary] - LETTER_1.PDF, Georgia Department of Corrections (2023-01-19) [legal_document, primary] - Notice_of_Sale_-_GDOC.pdf, MHM Services Inc (2023-01-25) [legal_document, primary]