PASTURES NEW VI INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PASTURES NEW VI INC (EIN 58-2094737)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-12
- IRS object ID
- 202221329349304427
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-12T13:00:55-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582094737 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PASTURES NEW VI INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PAST | BusinessNameControlTxt |
| Phone | 9125385866 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1048 | AddressLine1Txt |
| City | VIDALIA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 304751048 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MIKE CALHOUN | PersonNm |
| Person Title | ACTING PRESIDENT | PersonTitleTxt |
| Phone | 9125385866 | PhoneNum |
| Signature | 2022-05-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MIKE | PersonFirstNm |
| Person Last | CALHOUN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM EDWARD PHILLIPS | PreparerPersonNm |
| PTIN | P00451499 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2022-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Change | Yes (X) | NameChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEADOWS MEDICAL GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MIKE CALHOUN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1048 | AddressLine1Txt |
| City | VIDALIA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 304751048 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,810,860 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MEADOWSHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO OPERATE VARIOUS PHYSICIAN PRACTICES IN ORDER TO SUPPORT THE DELIVERY OF QUALITY HEALTH CARE SERVICES IN THE TOOMBS COUNTY AND THE SURROUNDING AREAS AND PROVIDE SUPPORT FOR THE PROGRAMS AND ACTIVITIES OF MEADOWS REGIONAL MEDICAL CENTER, INC. (MRMC), A 501(C)(3) ORGANIZATION. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $529,085 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,801,928 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,350,399 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,942 | PYInvestmentIncomeAmt |
| CY Investment Income | -$750,557 | CYInvestmentIncomeAmt |
| PY Other Revenue | $186,669 | PYOtherRevenueAmt |
| CY Other Revenue | $433,086 | CYOtherRevenueAmt |
| PY Total Revenue | $16,523,624 | PYTotalRevenueAmt |
| CY Total Revenue | $12,032,928 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,871,987 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,554,356 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,885,874 | PYOtherExpensesAmt |
| CY Other Expenses | $6,883,018 | CYOtherExpensesAmt |
| PY Total Expenses | $25,757,861 | PYTotalExpensesAmt |
| CY Total Expenses | $23,437,374 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$9,234,237 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$11,404,446 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,323,927 | TotalAssetsBOYAmt |
| Total Assets EOY | $284,890 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $110,083,999 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $118,565,598 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$104,760,072 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$118,280,708 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO OPERATE VARIOUS PHYSICIAN PRACTICES IN ORDER TO SUPPORT THE DELIVERY OF QUALITY HEALTH CARE SERVICES IN THE TOOMBS COUNTY AND THE SURROUNDING AREAS AND PROVIDE SUPPORT FOR THE PROGRAMS AND ACTIVITIES OF MEADOWS REGIONAL MEDICAL CENTER, INC. (MRMC), A 501(C)(3) ORGANIZATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $23,437,374 | ExpenseAmt |
| Revenue | $12,350,399 | RevenueAmt |
| Desc | TO PROVIDE PHYSICIANS AND SUPPORT FOR THE PROGRAMS AND ACTIVITIES OF MEADOWS REGIONAL MEDICAL CENTER, INC., A 501(C)(3) ACUTE CARE HOSPITAL. | Desc |
| Total Program Service Expenses | $23,437,374 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALAN HUMBLE | PersonNm |
| Phone | 9125358691 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MEADOWS PARKWAY | AddressLine1Txt |
| City | VIDALIA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 304748759 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| PAUL JOSEPH GILES JR MD | ||||||||
| PHYSICIAN | 40.00 | 1.00 | Yes (X) | $0 | $856,311 | $22,937 | ||
| JAMES ALAN KENT | ||||||||
| CEO/CHAIR | 1.00 | 43.00 | $0 | $812,402 | $38,306 | Yes (X) | Yes (X) | |
| ALBERT BURTON MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $0 | $667,564 | $32,357 | |||
| CLARENCE MARTIN CHRISTIAN MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $0 | $472,047 | $15,450 | |||
| PABLO JUDAS SANTAMARIA MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $0 | $452,673 | $19,377 | |||
| ROBERT A SCANLON MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $0 | $423,232 | $32,357 | |||
| STEPHEN TILEY DO | ||||||||
| MEMBER | 1.00 | 41.00 | $0 | $419,528 | $29,106 | Yes (X) | ||
| STANLEY MORGAN MD | ||||||||
| MEMBER | 1.00 | $0 | $363,473 | $22,607 | Yes (X) | |||
| KURT HOFMANN MD | ||||||||
| MEMBER | 41.00 | 1.00 | $0 | $331,152 | $22,649 | Yes (X) | Yes (X) | |
| CHELSEA TEHAN MD | ||||||||
| MEMBER | 41.00 | 1.00 | $0 | $308,078 | $30,550 | Yes (X) | ||
| TONY O'STEEN | ||||||||
| CFO | 1.00 | 43.00 | $0 | $284,059 | $12,826 | Yes (X) | ||
| GARY LAUBACKER DO | ||||||||
| MEMBER | 41.00 | 1.00 | $0 | $243,047 | $30,657 | Yes (X) | ||
| MIKE CALHOUN | ||||||||
| ACTING PRESI | 1.00 | 3.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $5,633,566 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $309,179 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | ||||||
| PO BOX 972633 | DALLAS | TX | 753972633 | PHYSICIAN SERV. | $2,937,261 | |
| CLOUDWAVE HEALTHCARE IT | ||||||
| 8401 CHAGRIN RD | CHAGRIN FALLS | OH | 44023 | IT | $409,888 | SUITE B |
| TOOMBS EMERGENCY GROUP PC | ||||||
| P O BOX 677979 | DALLAS | TX | 75267 | EMERGENCY SVC | $324,220 | |
| JACKSON & COKER LOCUMTENENS LLC | ||||||
| PO BOX 277638 | ATLANTA | GA | 303847638 | PHYSICIAN SERV. | $318,384 | |
| SUPERIOR JANITORIAL GROUP LLC | ||||||
| PO BOX 22514 | SAVANNAH | GA | 31405 | JANATORIAL | $132,248 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $12,350,399 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,350,399 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,350,399 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,021 | TotalRevenueColumnAmt |
| Exclusion | $17,021 | ExclusionAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,354 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$10,354 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,354 | TotalRevenueColumnAmt |
| Exclusion | -$10,354 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $767,578 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$767,578 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$767,578 | TotalRevenueColumnAmt |
| Exclusion | -$767,578 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $443,440 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $443,440 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $443,440 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,032,928 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,793,839 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$760,911 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,336,384 | TotalAmt |
| Program Services | $15,336,384 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,239 | TotalAmt |
| Program Services | $463,239 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,900 | TotalAmt |
| Program Services | $45,900 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $708,833 | TotalAmt |
| Program Services | $708,833 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,691,019 | TotalAmt |
| Program Services | $3,691,019 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,910 | TotalAmt |
| Program Services | $16,910 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,448 | TotalAmt |
| Program Services | $360,448 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,026 | TotalAmt |
| Program Services | $2,026 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $597,243 | TotalAmt |
| Program Services | $597,243 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,732 | TotalAmt |
| Program Services | $160,732 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,579 | TotalAmt |
| Program Services | $52,579 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,922 | TotalAmt |
| Program Services | $167,922 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $465,179 | TotalAmt |
| Program Services | $465,179 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $684,587 | $684,587 |
| REPAIRS & MAINTENANCE | $668,194 | $668,194 |
| LICENSE | $12,430 | $12,430 |
| DUES AND SUBSCRIPTIONS | $3,744 | $3,744 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5 | TotalAmt |
| Program Services | $5 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,437,374 | TotalAmt |
| Program Services | $23,437,374 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,093 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $710,072 | BOYAmt |
| EOY | $284,890 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,180,638 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,987 | BOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,017,137 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,323,927 | BOYAmt |
| EOY | $284,890 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $665,257 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,418,742 | BOYAmt |
| EOY | $118,565,598 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,083,999 | BOYAmt |
| EOY | $118,565,598 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$104,760,072 | BOYAmt |
| EOY | -$118,280,708 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$104,760,072 | BOYAmt |
| EOY | -$118,280,708 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,323,927 | BOYAmt |
| EOY | $284,890 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$11,404,446 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,116,190 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 2 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| MEADOWS REGIONAL MEDICAL CENTER INC | ||||
| 582044503 | 3 | Yes (true) | $0 | $0 |
| TOOMBS COUNTY HOSPITAL AUTHORITY | ||||
| 580902012 | 6 | Yes (true) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | Yes (true) | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | false | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION A, LINE 2 | THE TOOMBS COUNTY HOSPITAL AUTHORITY (AUTHORITY) IS AN INSTRUMENTALITY OF THE STATE AND A PUBLIC CORPORATION CREATED UNDER GEORGIA LAW WHOSE BOARD MEMBERS ARE APPOINTED BY THE COMMISSIONERS OF TOOMBS COUNTY. PREVIOUSLY THE AUTHORITY OWNED AND OPERATED THE HOSPITAL FACILITY. THE AUTHORITY WOULD QUALIFY UNDER SECTION 170(B)(1)(A)(III) AS AN ORGANIZATION WHOSE PRINCIPAL PURPOSE IS THE PROVISION OF MEDICAL CARE. |
| PART IV, SECTION C, LINE 1 | THE BOARD OF DIRECTORS OF SOUTHEAST REGIONAL PRIMARY CARE CORPORATION (SRPCC), THE SUPPORTING ORGANIZATION, AND MEADOWS REGIONAL MEDICAL CENTER, INC. (MRMC), THE SUPPORTED ORGANIZATION, ARE APPOINTED BY THE BOARD OF DIRECTORS OF MEADOWS HEALTHCARE ALLIANCE, INC. (ALLIANCE), THE PARENT ORGANIZATION. THE ALLIANCE IS THE SOLE MEMBER OF BOTH ORGANIZATIONS. IN ADDITION, THE CEO AND CFO EACH SERVE IN THE SAME CAPACITY FOR BOTH THE SUPPORTING AND SUPPORTED ORGANIZATIONS. THUS, THE SUPPORTING AND SUPPORTED ORGANIZATIONS ARE MANAGED ON A DAILY BASIS BY THE SAME INDIVIDUALS. EFFECTIVE JULY 1, 1994, THE AUTHORITY, A SUPPORTED ORGANIZATION SO DESIGNATED IN SRPCC'S ARTICLES OF INCORPORATION, ENTERED INTO A FORTY-YEAR CAPITAL LEASE AGREEMENT WITH MRMC FOR THE PURPOSES OF OPERATING AN ACUTE CARE HOSPITAL AND OTHER RELATED FACILITIES OWNED BY THE AUTHORITY. UNDER THE TERMS OF THE LEASE, THE AUTHORITY'S RIGHT, TITLE AND INTEREST IN CERTAIN ASSETS AND LIABILITIES WERE TRANSFERRED TO MRMC. SRPCC SUPPORTS THE DELIVERY OF HEALTHCARE DELIVERED BY THE HOSPITAL AND AS A RESULT ALSO SUPPORTS THE MISSION OF THE AUTHORITY TO DELIVER QUALITY HEALTHCARE TO THE CITIZENS OF THE COUNTY. |
| SUPPLEMENTAL INFORMATION | SOUTHEAST REGIONAL PRIMARY CARE CORPORATION OPERATES VARIOUS PHYSICIAN PRACTICES IN ORDER TO SUPPORT THE DELIVERY OF QUALITY HEALTH CARE SERVICES IN THE TOOMBS COUNTY AND THE SURROUNDING AREAS AND PROVIDES SUPPORT FOR THE PROGRAMS AND ACTIVITIES OF MEADOWS REGIONAL MEDICAL CENTER, INC. AND THE TOOMBS COUNTY HOSPITAL AUTHORITY. |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED ORGANIZATIONS | $118,391,155 |
| NWC ADJUSTMENT | $174,443 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $118,565,598 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE AUDITED FINANCIAL STATEMENTS FOR FISCAL YEAR ENDED JUNE 30, 2021, HAVE NOT BEEN ISSUED BY THE FILING DATE OF THIS FORM 990. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|
| PAUL JOSEPH GILES JR MD | ||||||
| PHYSICIAN | $778,366 | $77,900 | $45 | $15,450 | $7,487 | $879,248 |
| JAMES ALAN KENT | ||||||
| CEO/CHAIR | $425,607 | $166,164 | $220,631 | $13,912 | $24,394 | $850,708 |
| ALBERT BURTON MD | ||||||
| PHYSICIAN | $659,173 | $8,346 | $45 | $15,450 | $16,907 | $699,921 |
| CLARENCE MARTIN CHRISTIAN MD | ||||||
| PHYSICIAN | $459,294 | $12,708 | $45 | $15,450 | $487,497 | |
| PABLO JUDAS SANTAMARIA MD | ||||||
| PHYSICIAN | $277,656 | $175,017 | $10,273 | $9,104 | $472,050 | |
| ROBERT A SCANLON MD | ||||||
| PHYSICIAN | $423,187 | $45 | $15,450 | $16,907 | $455,589 | |
| STEPHEN TILEY DO | ||||||
| MEMBER | $403,242 | $16,250 | $36 | $15,450 | $13,656 | $448,634 |
| STANLEY MORGAN MD | ||||||
| MEMBER | $332,828 | $30,600 | $45 | $5,700 | $16,907 | $386,080 |
| KURT HOFMANN MD | ||||||
| MEMBER | $322,493 | $8,616 | $43 | $15,450 | $7,199 | $353,801 |
| CHELSEA TEHAN MD | ||||||
| MEMBER | $279,176 | $28,857 | $45 | $13,643 | $16,907 | $338,628 |
| TONY O'STEEN | ||||||
| CFO | $247,716 | $30,108 | $6,235 | $12,826 | $296,885 | |
| GARY LAUBACKER DO | ||||||
| MEMBER | $243,047 | $13,750 | $16,907 | $273,704 | ||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 3 | THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS OR EMPLOYEES. ALL EMPLOYEES ARE SHARED EMPLOYEES COMPENSATED BY MEADOWS REGIONAL MEDICAL CENTER, INC. (MRMC). THE FILING ORGANIZATION, INSTEAD, RELIES ON THE METHODS USED BY THE SUPPORTED ORGANIZATION, MRMC, TO ESTABLISH COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS. COMPENSATION DETERMINATION BY MRMC INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND SURVEYS, SUPPLEMENTED BY WRITTEN EMPLOYMENT CONTRACT, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED. |
| SCHEDULE J, PART III | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MEADOWS HEALTHCARE ALLIANCE, INC. ("ALLIANCE"), THE PARENT ORGANIZATION, MAINTAINS A 457(F) DEFERRED COMPENSATION PLAN TO WHICH THE ALLIANCE WILL CONTRIBUTE FOR HIGHLY COMPENSATED MANAGEMENT EMPLOYEES. THE ALLIANCE CONTRIBUTES AN AMOUNT THAT IS DETERMINED BY THE BOARD, WHICH IS AT MINIMUM 14% AND AT MAXIMUM 18%. ELIGIBLE EMPLOYEES MAY CONTRIBUTE TO THE PLAN. ELIGIBLE EMPLOYEES VEST IN ALL CONTRIBUTIONS ON THE VESTING DATE DETERMINED BY THE BOARD PROVIDED THE EMPLOYEE HAS REMAINED IN CONTINUOUS EMPLOYMENT IN THE SAME POSITION WHILE PARTICIPATING IN THE PLAN. BONUS/INCENTIVE YAFFE AND COMPANY, INC. A THIRD PARTY CONSULTANT, PROVIDES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE FOR THE CEO'S BONUS/INCENTIVE COMPENSATION. THE CEO MAKES RECOMMENDATIONS TO THIS COMMITTEE FOR THE CFO'S BONUS/INCENTIVE COMPENSATION BASED ON SET GOALS AND OTHER FACTORS. THE CFO IS ELIGIBLE FOR UP TO A 15% BONUS OF HIS BASE PAY. OTHER EXECUTIVE OFFICERS AND EMPLOYEES ARE ELIGIBLE FOR BONUS/INCENTIVE PAYMENTS. THESE PAYMENTS ARE RELIANT ON VARIOUS ORGANIZATIONAL AND PERSONAL GOALS ESTABLISHED BY THE GOVERNING BODY. WHETHER A BONUS/INCENTIVE PAYMENT IS AWARDED IS DEPENDENT UPON ATTAINMENT OF PREDETERMINED GOALS AND THE NET PROFIT OF THE ORGANIZATION. |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | OPERATING ASSETS | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2021-04-30 | DistributionDt |
| Fair Market Value Of Asset | $4,000,000 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | NEGOTIATED | MethodOfFMVDeterminationTxt |
| EIN | 621805348 | EIN |
| Person | VIDALIA HEALTH SERVICES LLC | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MEADOWS PARKWAY | AddressLine1Txt |
| City | VIDALIA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30474 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | CORPORATE | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | Yes (true) | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE N, PART II, PAGE 2, LINE 2E | THE OPERATING ASSETS OF SOUTHEAST REGIONAL PRIMARY CARE CORPORATION, INC. WERE SOLD TO VIDALIA HEALTH SERVICES, LLC, A DISREGARDED ENTITY OF HCA HEALTHCARE, INC., ALONG WITH MEADOWS REGIONAL MEDICAL CENTER, INC. AND OTHER AFFILIATED ENTITIES, FOR A COMBINED BASE SALES PRICE OF 73,000,000. AFTER ASSUMPTION OF LIABILITIES, THE CASH PURCHASE PRICE OF THE HOSPITAL WAS 28,432,333 PLUS AN ESTIMATED WORKING CAPITAL SURPLUS OF 6,301,914 RESULTING IN 34,734,247 CASH THAT ULTIMATELY WILL BE TRANSFERRED TO A TAX-EXEMPT ENTITY, MEADOWS NEW FOUNDATION, INC. MEADOWS NEW FOUNDATION, INC. RECEIVED RECOGNITION OF TAX-EXEMPT STATUS FROM THE IRS AS ORGANIZATION TAX-EXEMPT PURSUANT TO IRC SECTION 501(C)(4) ON SEPTEMBER 2, 2021. THE FOLLOWING OFFICERS AND KEY-EMPLOYEES WILL CONTINUE WORKING FOR HCA HEALTHCARE AFTER THE ACQUISITION: KURT HOFMANN, M.D. AND TONY O'STEEN (CFO). |
| SCHEDULE N | MEADOWS REGIONAL MEDICAL CENTER (HOSPITAL) IS A GEORGIA NONPROFIT CORPORATION FORMED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES WHICH HAS BEEN RECOGNIZED AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) AND 501(C)(3) OF THE INTERNAL REVENUE CODE. HOSPITAL OWNED AND OPERATED MEADOWS REGIONAL MEDICAL CENTER, A 57-BED ACUTE CARE HOSPITAL (THE HOSPITAL) LOCATED AT ONE MEADOWS PARKWAY, VIDALIA, GEORGIA. ON APRIL 30, 2021, HOSPITAL AND ITS AFFILIATES ENTERED INTO AN ASSET PURCHASE AGREEMENT (THE PURCHASE AGREEMENT) WITH VIDALIA HEALTH SERVICES, LLC, A DELAWARE LIMITED LIABILITY COMPANY AND AN AFFILIATE OF HCA HEALTHCARE (PURCHASER), PURSUANT TO WHICH PURCHASER PURCHASED SUBSTANTIALLY ALL OF THE ASSETS COMPRISING THE HOSPITAL AND ITS AFFILIATED BUSINESSES, INCLUDING SOUTHEAST REGIONAL PRIMARY CARE, INC. (THE TRANSACTION). MEADOWS NEW FOUNDATION, INC. (FOUNDATION) IS A GEORGIA NONPROFIT CORPORATION ORGANIZED AND OPERATED EXCLUSIVELY FOR THE PROMOTION OF SOCIAL WELFARE WITHIN THE MEANING OF SECTION 50L(C)(4) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND CONSISTENT WITH THE CHARITABLE PURPOSES OF SECTION 501(C)(3), OR THE CORRESPONDING PROVISIONS OF ANY FUTURE FEDERAL TAX CODE. FOUNDATION HAS OR WILL RECEIVE SUBSTANTIALLY ALL OF THE SALES PROCEEDS FROM THE TRANSACTION AND ADMINISTER THE FUNDS BY DISTRIBUTING SUCH FUNDS TO OTHER NONPROFIT ORGANIZATION WHICH ARE TAX EXEMPT UNDER CODE SECTION 501 (C)(3), IN ORDER TO FURTHER THE COMMON GOOD AND GENERAL WELFARE OF THE COMMUNITY, INCLUDING PROMOTING HEALTH AND WELLNESS AND ACCESS TO HEALTHCARE IN THE COMMUNITY (THE SOCIAL WELFARE PURPOSES), SUBJECT TO THE TERMS OF A GRANT AGREEMENT, WHICH ESTABLISHES THE EXPENDITURE RESPONSIBILITY BETWEEN THE HOSPITAL AND THE FOUNDATION TO ENSURE THE GRANT FROM THE HOSPITAL IS SPENT CONSISTENT WITH SECTION 501(C)(3) PURPOSES. THE IRS RECOGNIZED FOUNDATION AS TAX-EXEMPT UNDER SECTION 501(C)(4) ON SEPTEMBER 2, 2021. THE GEORGIA ATTORNEY GENERAL APPROVED THE SALE TRANSACTION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO OPERATE VARIOUS PHYSICIAN PRACTICES IN ORDER TO SUPPORT THE DELIVERY OF QUALITY HEALTH CARE SERVICES IN THE TOOMBS COUNTY AND THE SURROUNDING AREAS AND PROVIDE SUPPORT FOR THE PROGRAMS AND ACTIVITIES OF MEADOWS REGIONAL MEDICAL CENTER, INC. (MRMC), A 501(C)(3) ORGANIZATION. |
| FORM 990 | PART IX, STATEMENT OF FUNCTIONAL EXPENSES CONSOLIDATED MANAGEMENT AND GENERAL SERVICES THE FILING ORGANIZATION IS A MEMBER OF A COMPREHENSIVE INTEGRATED HEALTHCARE NETWORK. ESSENTIAL MANAGEMENT AND GENERAL SERVICES ARE PROVIDED BY MRMC TO THE RELATED ORGANIZATIONS. THE COSTS OF SUCH SERVICES REMAIN ON THE BOOKS OF MRMC. |
| FORM 990, PAGE 2, PART III, LINE 3 | ON APRIL 30, 2021, THE ORGANIZATION AND ITS AFFILIATED ENTITIES SOLD SUBSTANTIALLY ALL OPERATING ASSETS TO VIDALIA HEALTH SERVICES, LLC, AN AFFILIATE OF HCA HEALTHCARE, INC. THE NET ASSETS REMAINING FROM THE SALE HAVE OR WILL BE TRANSFERRED TO A NEWLY FORMED TAX-EXEMPT ORGANIZATION, MEADOWS NEW FOUNDATION, INC. THE ATTORNEY GENERAL OF THE STATE OF GEORGIA APPROVED THE TRANSACTION AND THE IRS HAS RECOGNIZED MEADOWS NEW FOUNDATION AS A TAX-EXEMPT ENTITY PURSUANT TO IRC SECTION 501(C)(4). THE ORGANIZATION IS IN THE PROCESS OF WINDING DOWN ALL REMAINING ACTIVITIES. SEE SCHEDULE N FOR ADDITIONAL INFORMATION. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE BOARD OF TRUSTEES OF MEADOWS REGIONAL HEALTHCARE ALLIANCE, INC. (ALLIANCE), THE PARENT ORGANIZATION, HAS THE SOLE POWER TO ELECT OR APPOINT THE TRUSTEES OF THE FILING ORGANIZATION'S BOARD AND PRINCIPAL EXECUTIVE OFFICERS. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD OF TRUSTEES OF ALLIANCE, THE PARENT ORGANIZATION, HAS THE SOLE POWER TO ELECT OR APPOINT THE TRUSTEES OF THE FILING ORGANIZATION'S BOARD AS WELL AS THE POWER TO APPPOINT THE ORGANIZATION'S PRINCIPAL EXECUTIVE OFFICERS. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE ALLIANCE BOARD OF TRUSTEES HAS THE FULL POWER AND AUTHORITY TO REVIEW AND APPROVE CAPITAL AND OPERATING BUDGETS OF INCOME AND EXPENDITURES OF THE FILING ORGANIZATION AND TO EXERCISE SUCH OTHER SUPERVISION AND CONTROL OVER THE AFFAIRS AND PROPERTY OF THE ENTITY AS DEEMED NECESSARY OR DESIRABLE TO ENSURE THE TAX EXEMPT FUNCTIONS OF THE CORPORATION ARE CARRIED OUT. ADDITIONALLY, THE APPROVAL OF THE ALLIANCE BOARD IS REQUIRED TO ALTER, AMEND, REPEAL OR ADAPT NEW BYLAWS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | HISTORICALLY, THE FORM 990 AND ALL RELATED SCHEDULES ARE REVIEWED BY MRMC'S AUDIT COMMITTEE BEFORE FILING WITH THE INTERNAL REVENUE SERVICE. THE BOARD MEMBERS OF THE GOVERNING BODY RECEIVE A COPY OF THE FORM 990 THROUGH THE ORGANIZATION'S WEB PORTAL FOR THEIR REVIEW. PRIOR TO FILING, MRMC'S, THE SUPPORTED ORGANIZATION, CFO REVIEWS THE RETURN FOR FINANCIAL AND DISCLOSURE ACCURACY, AND WILL RESPOND TO QUESTIONS FROM BOARD MEMBERS. AS A RESULT OF THE SALE OF ASSETS TO AN HCA HEALTHCARE AFFILIATE IN APRIL 2021, THE AUDIT COMMITTEE AND THE BOARD WILL NOT REVIEW THE RETURNS FOR FISCAL YEAR 2021. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL MEMBERS OF THE BOARD OF TRUSTEES AND THE ORGANIZATION'S OFFICERS ANNUALLY COMPLETE A WRITTEN POLICY OF CONFLICT OF INTEREST. THESE ARE KEPT AT THE OFFICE OF THE ADMINISTRATIVE ASSISTANT FOR THE CEO. ANNUAL STATEMENTS ARE TYPICALLY DONE IN THE MONTH OF JANUARY. THE CEO AND GENERAL COUNSEL FOR MRMC MONITOR CONFLICTS, ATTEND EACH BOARD MEETING, AND ARE RESPONSIBLE FOR ADDRESSING KNOWN CONFLICTS, AND REQUESTING TRUSTEE MEMBERS TO REFRAIN FROM VOTING ON DECLARED CONFLICTS. FOR SUBSTANTIAL CONFLICTS, THE BOARD MEMBERS ARE ASKED NOT TO DELIBERATE, TO ABSTAIN FROM VOTING, AND ARE REQUESTED TO REMOVE THEMSELVES FROM THE DISCUSSIONS OF THE MATTER. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION. |
| FORM 990, PART VII | THE OFFICERS/EMPLOYEES LISTED ON PART VII SECTION A ARE SHARED EMPLOYEES WHO ARE NOT COMPENSATED BY THE FILING ORGANIZATION, BUT, AS SHARED EMPLOYEES, ARE SOLELY COMPENSATED BY MRMC, THE RELATED ORGANIZATION. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES 271,442 0 0 CONTRACT LABOR 3,410,644 0 0 COLLECTION FEES 8,702 0 0 INTERPRETATION FEES 231 0 0 TOTAL 3,691,019 0 0 |
| FORM 990, PART XI, LINE 9 | EQUITY TRANSFER -2,116,190 TRANSFER OF EQUITY TO MEADOWS NEW FOUNDATION, INC. AND/OR TO RELATED PARTIES. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| BILLY H MOSES JR MD LLC | |||||||
| 2400 BELLEVUE ROAD SUITE 11 | DUBLIN | GA | 31021 | 463427521 | PHYSICIAN | GA | SRPCC |
| DUBLIN UROLOGY LLC | |||||||
| 200 FAIRVIEW PARK DRIVE | DUBLIN | GA | 31040 | 455637232 | CLINIC | GA | SRPCC |
| PAUL JOSEPH GILES MD LLC | |||||||
| 1006 MOUNT VERNON ROAD | VIDALIA | GA | 30474 | 462872732 | PHYSICIAN | GA | SRPCC |
| RT STANLEY HEALTH CENTER LLC | |||||||
| P O BOX 1048 | VIDALIA | GA | 30475 | 264516331 | RHC | GA | SRPCC |
| SE REG CARDIAC & VASCULAR INSTITUTE | |||||||
| P O BOX 1048 | VIDALIA | GA | 30475 | 272019909 | CLINIC | GA | SRPCC |
| VIDALIA CHILDREN'S CENTER LLC | |||||||
| P O BOX 1048 | VIDALIA | GA | 30475 | 270547617 | CLINIC | GA | SRPCC |
| VIDALIA ENT ASSOCIATES LLC | |||||||
| P O BOX 1048 | VIDALIA | GA | 30475 | 261745597 | CLINIC | GA | SRPCC |
| VIDALIA ORTHOPEDIC CENTER LLC | |||||||
| P O BOX 1048 | VIDALIA | GA | 30475 | 261444654 | CLINIC | GA | SRPCC |
| VIDALIA PULMONOLOGY CENTER LLC | |||||||
| P O BOX 1048 | VIDALIA | GA | 30475 | 262755183 | CLINIC | GA | SRPCC |
| MEADOWS ANESTHESIA LLC | |||||||
| P O BOX 1048 | VIDALIA | GA | 30474 | 475097866 | ANESTHESIA | GA | SRPCC |
| VIDALIA SURGICAL ASSOCIATES LLC | |||||||
| P O BOX 1048 | VIDALIA | GA | 30475 | 261110075 | SURGEONS | GA | SRPCC |
| VIDALIA UROLOGY ASSOCIATES LLC | |||||||
| P O BOX 1048 | VIDALIA | GA | 30475 | 263029192 | CLINIC | GA | SRPCC |
| VIDALIA WOMEN'S CENTER LLC | |||||||
| P O BOX 1048 | VIDALIA | GA | 30475 | 208934089 | CLINIC | GA | SRPCC |
| GASTROENTEROLOGY ASSOCIATES OF DUBL | |||||||
| 104 FAIRVIEW PARK DRIVE | DUBLIN | GA | 31021 | 475570030 | CLINIC | GA | SRPCC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEADOWS REGIONAL MEDICAL CENTER INC | ||||||||||||
| ONE MEADOWS PARKWAY | VIDALIA | GA | 304748759 | 582044503 | HOSPITAL | GA | 501C3 | 3 | ALLIANCE | MEADOWS HEALTHCARE ALLIANCE INC | false | |
| MEADOWS HEALTHCARE ALLIANCE INC | ||||||||||||
| PO BOX 1048 | VIDALIA | GA | 304751048 | 582044502 | HOLDING CO | GA | 501C3 | 12C | NA | false | ||
| MEADOWS HEALTHCARE RESOURCES INC | ||||||||||||
| ONE MEADOWS PARKWAY | VIDALIA | GA | 304748759 | 582044505 | HEALTHCARE | GA | 501C3 | 10 | ALLIANCE | MEADOWS HEALTHCARE ALLIANCE INC | false | |
| MEADOWS HEALTHCARE FOUNDATION INC | ||||||||||||
| ONE MEADOWS PARKWAY | VIDALIA | GA | 304748759 | 263617113 | FOUNDATION | GA | 501C3 | 12B | ALLIANCE | MEADOWS HEALTHCARE ALLIANCE INC | false | |
| TOOMBS COUNTY HOSPITAL AUTHORITY | ||||||||||||
| ONE MEADOWS PARKWAY | VIDALIA | GA | 304748759 | 580902012 | GOVT | GA | 501A | 6 | false | N/A | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |