Prison Health Care Contracts

Centurion health-care contract (GDC, 2023-present)

144 Data Points 7 Sources 34 Entities Research Date: Oct 27, 2026

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.

Where this research is used

This page is a research collection: individual facts drawn from the sources listed further down, each traced to where it came from. A research topic brings many collections together into one overview of an issue. The facts on this page feed these 7 topics; open one to see how they fit with the rest of the evidence.

Budget & Spending

Georgia's prison budget rose 44% between fiscal year 2022 and fiscal year 2026, peaked at $1.91 billion in fiscal year 2025, and then fell back to $1.79 billion in fiscal year 2027 — a retreat that came almost entirely out of state-run prison operations rather than out of the contracts, surveillance technology and private beds the surge had funded. The money moved toward health care contractors, private prisons and security hardware, while education, food and reentry programming stayed at rounding-error levels: $0.55 per meal, roughly $2 million a year on prison education, and a 22-to-1 ratio of new surveillance spending to new rehabilitation spending across the two most recent budget cycles. No independent oversight body, public outcome report or audit requirement is attached to any of it.

11,609 data points

Facility Conditions & Infrastructure

Georgia's prison system is not merely old; it is failing in ways that its own audits, its consultant assessments, and the U.S. Department of Justice have documented in detail. Buildings designed for 750 people are counted as having capacity for 1,700, plumbing and lighting have failed across entire housing units, cell door locks do not lock, and only three of 35 prisons have air conditioning throughout. This page assembles what the physical record shows, what the state's $600 million repair program is buying, and where the public data still cannot answer basic questions.

11,844 data points

Healthcare & Medical Neglect

Georgia's prison health care system has been found unconstitutional by the U.S. Department of Justice, sued into repeated seven-figure settlements, and documented by state auditors as unable to account for the deaths in its own custody. A privatized delivery chain — Augusta University's correctional health division for 23 years, then Wellpath, then a $2.4 billion nine-year Centurion contract — has run alongside roughly 14,000 people with identified mental health needs, ten-month waits for psychiatric appointments, and a suicide rate that state data and outside reporting place at roughly double the national prison average. This page sets out the constitutional standard, the money, the clinical record, the named dead, and the information Georgia does not publish.

5,042 data points

Legal Standards & Case Law

The Eighth Amendment sets a constitutional floor for prison conditions, but in the Eleventh Circuit — which governs Georgia — that floor has been raised by the 2024 en banc decision in Wade v. McDade, which requires proof that each official was subjectively aware that his own conduct created the risk of harm. Layered on top are the Prison Litigation Reform Act's exhaustion, physical-injury, and fee provisions, qualified immunity doctrine requiring factually similar binding precedent, and a three-judge-court requirement for population relief that has succeeded once in American history. Georgia's own litigation — Guthrie v. Evans, Cason v. Seckinger, Gumm v. Jacobs — produced consent decrees and contempt findings, but the Department of Justice's October 2024 finding of systemic Eighth Amendment violations has produced no decree at all.

9,477 data points

Mortality & Deaths in Custody

Georgia's prisons have recorded more deaths in the last decade than at any point in the state's history, and the state's accounting of why people die is unreliable both by omission and by miscoding. GPS's mortality registry counts 1,927 deaths in Georgia Department of Corrections custody since January 1, 2020, including 41 in the last 90 days — a floor, because the department reports deaths roughly two months late and stopped publishing cause of death in March 2024. What the record does show is a homicide rate that has run at roughly three to eight times the national average, a suicide rate that roughly quadrupled, and at least 44 overdose deaths the department attributed to natural causes or left undetermined.

8,902 data points

Oversight & Accountability

Georgia has no independent correctional ombudsman, inspector general, oversight commission, or authorized outside monitor with access to its prisons — every accountability mechanism that exists is either run by the Georgia Department of Corrections or depends on the department's cooperation. What those mechanisms have produced is documented here: 142 reported homicides between 2018 and 2023, a 93-page federal findings letter with 82 required remedial measures and no consent decree, 428 employees arrested for on-the-job crimes, a federal judge who has written that he can no longer assume the department's sworn statements are true, and a death-investigation system that leaves most causes of death undisclosed.

17,229 data points

Staffing Crisis

Georgia's prison system has run at roughly half of its authorized correctional officer strength for most of the past five years, and the people it hires rarely stay: 82.7 percent of new officers left within their first year between January 2021 and November 2024. The U.S. Department of Justice's October 2024 findings letter described vacancy rates around 50 percent systemwide and above 70 percent at ten of the largest facilities, and concluded the resulting lack of supervision was a constitutional violation. This page traces how the shortage was measured, what it looks like on a shift, what the state has spent trying to fix it, and the deaths and court findings that follow from it.

10,138 data points

$403.36 Centurion FY27 in-prison POPM rate, 34,000-34,999… $143,706 Centurion credit for unstaffed Augusta State Medi… $142.11 Centurion FY27 out-of-prison POPM rate constant a… $538,696 Centurion credit for unstaffed Johnson State Pris… $108.94 Centurion FY27 administrative POPM rate, 34,000-3… $682,402 Total Centurion credit to GDC for unstaffed posit…

Key Findings

The most impactful data from this research collection. Tap a card for the full finding and its source.

All Data Points

144 verified data points extracted from primary sources.

Quality-Based Measures established by GDC and contractor Policy

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.

policy medical

Subcontracting requires prior written GDC consent (medical contract) Policy

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.

policy contract subcontracting

GDC production R032595-101926 contains 35 of 36 listed attachments Methodology note

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.

medical policy operations investigations

Production lacks Centurion base medical contract Data gap

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.

legal policy investigations

Centurion medical contract number and solicitation Legal fact

Centurion of Georgia, LLC holds GDC medical contract no. 46700-054-GDC0000946-002, awarded under solicitation 46700-GDC0000946, 'Offender Healthcare Services.'

medical policy budget

Contract amendment deletes and replaces Staffing Matrix Exhibit 3 Legal fact

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.'

policy staffing legal

Wellpath-era medical contract had no liquidated damages clause Finding

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).

policy budget medical

Centurion FY27 in-prison POPM rate, 34,000-34,999 population band Statistic

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.

$403.36 USD per offender per month

budget medical policy

Incentive Payment Adjustments for missed performance targets Policy

The GDC may utilize Incentive Payments Adjustments if the Contractor does not meet the performance measure targets for any one performance measure.

policy medical budget

Mental health subcontracting requires written State Entity agreement Policy

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.

policy contract subcontracting mental_health

4,007 pages extracted from 32 PDFs in Centurion contract production Methodology note

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.

medical policy operations

Centurion contract award date and number Legal fact

Centurion amendments cite contract 46700-054-GDC0000946-002 with an award date of April 9, 2024.

legal policy

Centurion medical contract award date Legal fact

The Centurion of Georgia, LLC medical contract was awarded April 9, 2024.

medical policy budget

Centurion credit for unstaffed Augusta State Medical Prison infirmary positions Statistic

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.'

$143,706 USD

staffing budget medical facilities

Wellpath key-staff vacancy reporting requirements Policy

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).

policy staffing medical

Centurion FY27 out-of-prison POPM rate constant across bands Statistic

The out-of-prison POPM rate is $142.11 in every population band of the FY27 POPM table effective July 1, 2026.

$142.11 USD per offender per month

budget medical policy

Corrective action plan deadlines for audit findings Policy

Annual audit critical findings require a corrective action plan within 15 calendar days; major findings require a plan within 30 calendar days.

policy medical

CorrectRx is separate pharmacy vendor, not Centurion/MHM subcontractor Finding

CorrectRx is GDC's separate pharmacy vendor; nothing produced makes it a Centurion or MHM subcontractor. Its own subcontractor is Fusion, hosting.

contract pharmacy subcontracting

ORR archive caps production at 2,000,000 characters, truncating two large files Data gap

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.

medical policy operations

Centurion amendments held: only Amendment 3 and 5 Data gap

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.

legal policy

Centurion medical contract term history Legal fact

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.

medical policy budget

Centurion credit for unstaffed Johnson State Prison Medically Intensive Infirmary positions Statistic

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.'

$538,696 USD

staffing budget medical facilities

Wellpath RFP Exhibit 1: non-compliance with performance measures constitutes breach Policy

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.

policy staffing medical

Centurion FY27 administrative POPM rate, 34,000-34,999 band Statistic

The administrative POPM rate for the 34,000-34,999 population band in the FY27 table effective July 1, 2026 is $108.94.

$108.94 USD per offender per month

budget medical policy

Reporting schedule for contractor Policy

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.

policy medical

Centene transferred MHM Services to Centurion Equity on January 10, 2023 Legal fact

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).

legal ownership contract

Load-bearing quotes verified against page images for three pages Methodology note

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.

medical policy operations

Mental health and dental contract is with MHM Correctional Services Legal fact

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.

mental_health medical policy

Centurion Amendment 3 signature dates Legal fact

Centurion Amendment 3 was signed by the contractor on 02/06/2026; the GDC General Counsel signature date is illegible in the text.

medical policy

Total Centurion credit to GDC for unstaffed positions Statistic

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.'

$682,402 USD

staffing budget medical

GDC assessed no penalties against Wellpath for service delivery or staffing failures Finding

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.'

policy staffing budget medical

Centurion FY27 total POPM, 34,000-34,999 band Statistic

The total POPM for the 34,000-34,999 population band in the FY27 table effective July 1, 2026 is $654.40.

$654.40 USD per offender per month

budget medical policy

Failure to submit reports may be considered failure to meet Quality-Based Measures Policy

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.

policy medical

GDC acknowledged transfer of contracting entity to Sullivan Brothers Legal fact

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).

legal ownership contract

File names in production are unreliable Methodology note

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.

legal policy investigations

Centurion Amendment 5 GDC signature date Legal fact

Centurion Amendment 5 was signed by the GDC General Counsel on 8/28/2026.

medical policy

Productive Hours penalty calculation parameters Methodology note

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)'.

staffing budget policy

Wellpath vacancy rate around 35% Statistic

GDC Q&A (CONTRA_1 p.121) states: 'The current supplier has experienced vacancy rates around 35% in the recent past.'

35%

staffing medical

Centurion FY27 total POPM, 38,000-38,999 band Statistic

The total POPM for the 38,000-38,999 population band in the FY27 table effective July 1, 2026 is $608.60.

$608.60 USD per offender per month

budget medical policy

Monthly systems availability report required Policy

The contractor must submit a monthly systems availability report.

policy medical

Date anomaly in GDC letter responding to later-dated MHM notice Finding

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.

legal ownership contract

Missing MHM documents Data gap

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.

mental_health legal policy

Wellpath-era medical contract renewal structure Legal fact

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.

medical policy budget

Productive Hours penalty formula Methodology note

Workbook cell formulas per facility: X5 =IF(W5

staffing budget policy

Wellpath proposed vacancy target less than 5% and agency labor less than 12% Policy

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%'.

staffing medical

Centurion FY27 total POPM, 42,000-42,999 band Statistic

The total POPM for the 42,000-42,999 population band in the FY27 table effective July 1, 2026 is $571.55.

$571.55 USD per offender per month

budget medical policy

Contractor cannot publish reports without GDC consent Policy

The Contractor shall not publish reports on its website without GDC consent.

policy medical

FY26 Notice to Proceed to MHM sent to teamcenturion.com email Finding

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).

contract ownership

Penalty clause for unfilled medical hours absent from production Data gap

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.

staffing medical legal policy

MHM mental health/dental contract identifier Legal fact

MHM Correctional Services, LLC holds GDC contract ES-RFP-46700-415 for 'Mental Health (MH) / Integrated Treatment Services and Dental Health Services for Offenders.'

mental_health medical policy budget

Q3 2025 facility staffing penalties total Statistic

Q3 (July-September 2025) facility penalties total $82,362.37 on 6 facilities (Columbus TC, Hudson TC, Macon TC, McRae, Valdosta TC, Walker).

$82,362 USD

staffing budget facilities

MHM contract required monthly vacancy report and credit for vacant positions Policy

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.'

policy staffing mental_health budget

Centurion FY27 POPM bands outside 34,000-42,999 are 'Parties to Negotiate' Policy

The FY27 POPM table effective July 1, 2026 specifies 'Parties to Negotiate' for populations below 34,000 and above 42,999.

budget policy medical

Press inquiries directed to GDC Public Affairs Policy

Press inquiries go to GDC Public Affairs.

policy medical

Wellpath proposal states partnership with Centurion for medical and mental health care Finding

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).

contract medical mental_health

MHM contract dates and renewal options Legal fact

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.

mental_health medical policy budget

Q4 2025 facility staffing penalties total Statistic

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).

$119,710 USD

staffing budget facilities

MHM contract rate reduction after 60 days vacancy Policy

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'.

policy staffing mental_health budget

Risk share applies only to out-of-prison care Policy

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'.

budget policy medical

Quarterly Contractor Information Report required Policy

The contractor must submit a quarterly Contractor Information Report.

policy medical

No assignment, novation, or award document showing medical contract move from Wellpath to Centurion Data gap

The production does not say how the medical contract moved from Wellpath to Centurion (no assignment, novation or award document).

contract data_gap

MHM contract bond requirement Legal fact

The MHM mental health/dental contract required a performance bond of 25% of the annual contract amount.

mental_health medical policy budget

First-half 2025 total facility staffing penalties Statistic

First-half total 'H2 Total' $202,072.59 (Contract Rollup sheet).

$202,073 USD

staffing budget

MHM RFP required filling vacancies within 30 days or penalty Policy

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.'

policy staffing mental_health budget

Risk-share first $15M overrun: Centurion 0%, GDC 100% Policy

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%.

budget policy medical

Quality Oversight Committee reviews at least 10 offenders annually per facility Policy

The Quality Oversight Committee reviews records of at least ten (10) offenders at each facility annually.

policy medical

ModCorr and modular infirmary terms absent from Centurion/MHM documents Data gap

The words ModCorr and "modular" (in the infirmary sense) do not appear in any Centurion or MHM document in this production.

contract data_gap facilities

MHM contract maximum amount Statistic

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.

$536.5M USD vs. 48,220,851 first fiscal year NTE total (USD)

mental_health medical budget

Statewide worked/matrix percentage Q3 2025 Statistic

Statewide worked/matrix: 98.52% in Q3.

98.5%

staffing

GDC clarified penalty for vacant positions: credit for unfilled hours Policy

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.'

policy staffing mental_health budget

Risk-share next $15M overrun: Centurion 100%, GDC 0% Policy

Under FY27 Exhibit 1C ('Year Three Only'), for the next $15M of overrun (Centurion $15,000,000), Centurion bears 100% and GDC bears 0%.

budget policy medical

Six mandatory GDC measures include sick-call timing and hospital length of stay Policy

Six mandatory GDC measures include sick-call timing (non-urgent within 24 hours; urgent same day) and case-mix-adjusted hospital length of stay.

policy medical

Amendment 5 adds staff and POPM for Johnson Medically Intensive Infirmary Policy

Amendment 5 adds staff and POPM for "the new Johnson Medically Intensive Infirmary (MII) once it becomes fully operational" (FY27CE_1 p.2).

contract facilities staffing

MHM latest renewal term Legal fact

MHM Amendment 14 ('Contract Renewal No. 6') extends the mental health/dental contract from July 1, 2026 to June 30, 2027.

mental_health medical policy budget

Statewide worked/matrix percentage Q4 2025 Statistic

Statewide worked/matrix: 94.39% in Q4.

94.4%

staffing

MHM vacancy penalties suspended July-October 2019 Policy

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).

policy staffing mental_health budget

Risk-share overruns above $30M: GDC 100% Policy

Under FY27 Exhibit 1C ('Year Three Only'), overruns above $30M are borne 100% by GDC.

budget policy medical

No death-reporting or mortality-review clause in contract body Data gap

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).

death medical policy

Johnson MII staffing matrix totals 27.90 FTEs Statistic

A Johnson MII staffing matrix lists 27.90 FTEs (FY27CE_1 p.25).

27.9 FTEs

staffing facilities

CorrectRx pharmacy contract identifier and start date Legal fact

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.

medical policy budget

Matrix total FTEs used in 2025 workbook Statistic

The matrix totals 931.2 FTEs (used in the workbook for 2025).

931.2 FTEs

staffing

MHM fixed dollar penalties for non-compliance Policy

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).

policy mental_health budget

Risk-share savings split 50%/50% Policy

Under FY27 Exhibit 1C ('Year Three Only'), savings against the annual out-of-prison total are shared '50%/50%' between Centurion and GDC.

budget policy medical

CQI committee composition differs from Mortality and Peer Review Committees Policy

The composition of the CQI committee differs from the Mortality and Peer Review Committees, which enjoy protection from discovery.

policy medical mental_health legal

July 2026 credit of $538,695.65 for MII positions not yet begun Statistic

A $538,695.65 July 2026 credit was issued because those positions "had not yet begun work" (FY27CE_1 p.2).

$538,696 USD

budget staffing facilities

CorrectRx pharmacy contract bond requirement Legal fact

The CorrectRx pharmacy contract required a performance bond of 25% of the annual total contract amount.

medical policy budget

Lowest facility-quarter staffing percentage Statistic

The lowest facility-quarter is Columbus TC at 43.1% (Q4) (Facility Rollup).

43.1%

staffing facilities

Predecessor 2008 MHM agreement required rebate check for vacant positions Policy

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.

policy staffing mental_health budget

Amendment 5 adds infirmary staff at ASMP and Johnson MII Policy

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.

staffing medical facilities policy

Mortality Review covered under SOP VH47-0006 Policy

Mortality Review, a form of Peer Review, is covered under SOP VH47-0006 'Mortality Review'.

policy medical mental_health

Amendment 5 adds infirmary capacity at Augusta State Medical Prison Policy

Amendment 5 adds infirmary capacity at Augusta State Medical Prison (FY27CE_1 p.2).

contract facilities

CorrectRx Amendment 2 340B staffing and hiring incentive Statistic

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.

$4,167 USD per month vs. 5,000 hiring incentive reimbursement (USD)

medical budget staffing

Contract Rollup marks penalty Y/N as Y despite statewide percentage above 75% Finding

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.

staffing budget policy

GDC withheld facility-level staffing detail on medical side but required 95% fill rate per facility for mental health Finding

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).

policy staffing medical mental_health

Centurion installs time clocks; GDC installs data ports Policy

Amendment 5 provides that Centurion installs and maintains time clocks, while GDC installs data ports and Centurion reimburses GDC for them.

operations policy staffing

SOP VH47-0005 Inmate/Probationer Death and Mortality Reviews cross-referenced Policy

The SOP lists VH47-0005 'Inmate/Probationer Death and Mortality Reviews' as a cross-reference.

policy medical mental_health

Wellpath proposal mentions GSP Modular Surgical Unit at Georgia State Prison Finding

The Wellpath proposal mentions "the GSP Modular Surgical Unit" at Georgia State Prison (CONTRA_1 p.298), a different unit from the Johnson MII.

facilities contract

CorrectRx Amendment 1 IT hosting payment Statistic

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.

$41,667 USD per month vs. 0.9 base rate per prescription (USD)

medical budget

Unknown preparer and assessment status of penalty workbook Data gap

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.

staffing budget policy investigations

FY25 and FY26 Centurion POPM rates unknown from production Data gap

The Amendment 3 (FY26) pricing exhibits are not in the production, so FY25 and FY26 Centurion POPM rates cannot be determined from these documents.

budget medical policy

MHM clinical director conducts mortality reviews for suicides and mental health deaths Policy

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.

policy mental_health death

No liquidated-damages clause found for Centurion medical contract Data gap

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).

contract data_gap

CorrectRx Amendment 4 KPI and bond terms Legal fact

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.

medical policy budget

Employee Detail sheet excluded from archive Methodology note

The Employee Detail sheet lists individual employees by name and hours; it is internal and was left out of the archive copy.

staffing data_gap

Wellpath-era POPM billing mechanics Policy

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.

budget medical operations

MHM must submit employee drug-testing reports quarterly and annually Policy

MHM must submit employee drug-testing reports quarterly and annually.

policy mental_health drugs

Centurion base contract and several amendments/exhibits not in production Data gap

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.

contract data_gap

CorrectRx renewal terms produced Data gap

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.

medical policy budget

Regional office matrix FTEs Statistic

Regional office matrix 87.00 FTEs (FY27CE_1.PDF p.6).

87 FTEs

staffing

Wellpath-era first 12 months had no risk-share payments Policy

The first 12 months of the Wellpath-era contract were a 'reporting year' with no risk-share payments.

budget policy medical

MHM vacancy report due monthly by the 15th Policy

MHM must submit a vacancy report monthly by the 15th.

policy mental_health staffing

Death-reporting, mortality-review, and grievance clauses not found in Centurion contract Data gap

Death-reporting, mortality-review and grievance clauses in the Centurion contract were not found in the text held.

contract data_gap death medical

No liquidated-damages term found in CorrectRx contract Finding

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.'

medical policy budget

ASMP matrix FTEs Statistic

ASMP matrix 119.80 FTEs (FY27CE_1.PDF p.7).

119.8 FTEs

staffing facilities

MHM initial MH/ITS monthly fee effective 7/1/2019 Statistic

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.

$3.2M USD per month vs. 38,099,281 not-to-exceed amount

budget mental_health policy

MHM timesheets for fill-in psychiatrists and psychologists submitted bi-monthly Policy

MHM must submit timesheets for fill-in psychiatrists and psychologists on a bi-monthly basis.

policy mental_health staffing

No CorrectRx documents after 2022-2023 renewal in production Data gap

Any CorrectRx document after the 7/1/2022-6/30/2023 renewal is not in the production.

contract data_gap pharmacy

Johnson MII matrix FTEs Statistic

Johnson MII matrix 27.90 FTEs (FY27CE_1.PDF p.25).

27.9 FTEs

staffing facilities

MHM initial dental monthly fee effective 7/1/2019 Statistic

The initial MHM dental monthly fee effective 7/1/2019 was $803,654.00.

$803,654 USD per month

budget medical policy

RFP 95% staffing fill rate is a performance measure Policy

The RFP 95% staffing fill rate is a performance measure.

policy mental_health staffing

Two xlsx contact lists produced but not summarized Methodology note

Two xlsx contact lists (Centurion medical site contacts; MHM dental contacts) were produced and are not summarised here (individual names).

data_gap methodology

Total facility matrix FTEs from contract pages Statistic

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).

1,051 FTEs vs. 931.2 FTEs used in 2025 workbook

staffing

MHM MH/ITS monthly fee effective 10/1/2019 Statistic

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.

$3.4M USD per month vs. 1,755,835.4 increase for added positions

budget mental_health staffing policy

Total facility matrix hours per week Statistic

The facility pages sum to about 42,032 hours a week (computed by GPS from FY27CE_1 pp. 6-70 'Grand Total' rows).

42,032 hours per week

staffing

MHM MH/ITS monthly fee effective 7/1/2020 Statistic

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'.

$3.2M USD per month vs. 46,751.3 reduction from vacant staff positions

budget mental_health staffing policy

MHM dental monthly fee effective 7/1/2020 Statistic

Effective 7/1/2020, the MHM dental monthly fee was $760,041.77.

$760,042 USD per month

budget medical policy

MHM MH/ITS monthly fee effective 4/1/2021 Statistic

Effective 4/1/2021, the MHM MH and ITS monthly fee was $3,207,559.67.

$3.2M USD per month

budget mental_health policy

MHM MH/ITS monthly fee effective 7/1/2021 Statistic

Effective 7/1/2021, the MHM MH and ITS monthly fee was $3,224,095.39.

$3.2M USD per month

budget mental_health policy

MHM MH/ITS monthly fee effective 11/1/2021 Statistic

Effective 11/1/2021, the MHM MH and ITS monthly fee was $3,254,733.88.

$3.3M USD per month

budget mental_health policy

MHM MH/ITS monthly fee effective 9/1/2022 Statistic

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'.

$3.7M USD per month vs. 5,657,475.9 increase for expansion and market rate adjustments

budget mental_health policy

MHM MH/ITS monthly fee effective 7/1/2026 Statistic

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'.

$4.6M USD per month vs. 10,830,882.6 increase through market rate adjustments

budget mental_health policy

MHM dental monthly fee effective 7/1/2026 Statistic

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.

$1.1M USD per month vs. 2,794,498.6 increase

budget medical policy

MHM contract total as of 6/29/2023 Statistic

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.

$55.5M USD vs. 48,220,851 original agreement amount

budget mental_health policy

Amendment 13 blended hourly rate: psychiatrist Statistic

Under Amendment 13 rate cards, the blended hourly rate for psychiatrists is $145.09.

$145.09 USD per hour

budget mental_health staffing

Amendment 13 blended hourly rate: nurse practitioner Statistic

Under Amendment 13 rate cards, the blended hourly rate for nurse practitioners is $74.53.

$74.53 USD per hour

budget mental_health staffing

Amendment 13 blended hourly rate: psychologist Statistic

Under Amendment 13 rate cards, the blended hourly rate for psychologists is $83.78.

$83.78 USD per hour

budget mental_health staffing

Amendment 13 blended hourly rate: mental health unit manager Statistic

Under Amendment 13 rate cards, the blended hourly rate for mental health unit managers is $45.73.

$45.73 USD per hour

budget mental_health staffing

Amendment 13 blended hourly rate: clinical director Statistic

Under Amendment 13 rate cards, the blended hourly rate for clinical directors is $95.20.

$95.20 USD per hour

budget mental_health staffing

Amendment 13 enhanced psychiatrist rate at selected facilities Statistic

Under Amendment 13, the enhanced hourly rate for psychiatrists at selected facilities is $189.01.

$189.01 USD per hour

budget mental_health staffing

Amendment 13 dental hourly rate: dentist Statistic

Under Amendment 13 dental rate cards, the hourly rate for dentists is $101.64 (enhanced $140.02).

$101.64 USD per hour vs. 140.0 enhanced rate

budget medical staffing

Amendment 13 dental hourly rate: hygienist Statistic

Under Amendment 13 dental rate cards, the hourly rate for hygienists is $40.40.

$40.40 USD per hour

budget medical staffing

Amendment 13 dental hourly rate: assistant Statistic

Under Amendment 13 dental rate cards, the hourly rate for dental assistants is $24.21.

$24.21 USD per hour

budget medical staffing

Amendment 13 staffing matrix lists FTE, hours, rate, annual cost by facility Methodology note

The Amendment 13 staffing matrix lists FTE, weekly hours, hourly rate, and annual cost by facility and position.

staffing budget mental_health

Amendment 14 requires SOP revisions by August 1, 2026 Policy

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.

policy mental_health solitary legal

Sources

7 cited sources backing this research.

Primary Legal document

FY26_notice_to_proceed.pdf

— Georgia Department of Corrections (Jun 30, 2025)

Primary Legal document

FY27CE_1

— Georgia Department of Corrections (Jan 1, 2026)

Primary Official report

GA-MED_Productive_hours_compared_to_Matrix_Jul25-Dec25-V07.22.2026.xlsx

(Jan 1, 2026)

Primary Official report

GDC open-records production R032595-101926

— Georgia Department of Corrections (Oct 1, 2026)

Primary Official report

GDC open-records production R032595-101926 (Centurion of Georgia LLC health care contract)

— Georgia Department of Corrections (via GovQA) (Oct 1, 2026)

Primary Legal document

LETTER_1.PDF

— Georgia Department of Corrections (Jan 19, 2023)

Primary Legal document

Notice_of_Sale_-_GDOC.pdf

— MHM Services Inc (Jan 25, 2023)

Key Entities

Organizations, people, facilities, and other named entities referenced in this research.

Augusta State Medical Prison [facility]

Autry State Prison [facility]

Bacon TC [facility]

Bainbridge PSATC [facility]

Centene Corporation [organization]

Centurion [organization]

Centurion Equity Inc [organization]

Columbus TC [facility]

CorrectRX [organization]

Fusion [organization]

Georgia Department of Corrections [organization]

Georgia Prisoners' Speak [organization]

Georgia State Prison [facility]

Hancock [facility]

Hudson TC [facility]

Johnson Medically Intensive Infirmary [facility]

Johnson State Prison [facility]

Lee Arrendale State Prison [facility]

Macon TC [facility]

McRae [facility]

McRae State Prison [facility]

Metro Reinvestment Center [facility]

MHM [organization]

MHM Services Inc [organization]

Quality Oversight Committee [program]

SOP VH03-0002 [organization]

SOP VH47-0005 [organization]

SOP VH47-0006 [organization]

Sullivan Brothers Family of Companies [organization]

Valdosta SP [facility]

Valdosta TC [facility]

Walker [facility]

Wellpath [organization]

Wellpath LLC [organization]