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(MRMC) OPERATES A LICENSED 57-BED GENERAL ACUTE HOSPITAL WHICH IS OWNED BY THE TOOMBS COUNTY HOSPITAL AUTHORITY (AUTHORITY). THE AUTHORITY IS AN INSTRUMENT OF TOOMBS COUNTY, GEORGIA, AND IS EXEMPT FROM TAXATION AS A GOVERNMENTAL ENTITY. MRMC OPERATES THE HOSPITAL FOR THE BENEFIT OF THE AUTHORITY UNDER A LEASE AGREEMENT. MRMC OPERATES THE HOSPITAL SO AS TO ASSURE THE CONTINUED PROVISION OF ADEQUATE HOSPITAL FACILITIES AND HEALTH CARE TO THE VIDALIA AND TOOMBS COUNTY COMMUNITIES SERVED BY THE HOSPITAL. SEE SCHEDULE O MRMC IS A COMMUNITY HOSPITAL OPERATED FOR THE BENEFIT OF THE RESIDENTS OF THE VIDALIA AND TOOMBS COUNTY REGION. ITS GOVERNING BODY IS COMPOSED OF MEMBERS OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF THE HOSPITAL'S FACILITIES. MRMC OPERATES A FULL-TIME EMERGENCY ROOM, AND NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT. MRMC ALSO PROVIDES TREATMENT, WITHOUT COMPENSATION, TO INDIGENT PATIENTS IN ACCORDANCE WITH THE REQUIREMENTS OF FEDERAL REGULATIONS. 72537691 true true false true false false false false false false false false false true true true false true false false false false false false false false true true false true true false false false false false false false false false false false true true true false false false true 144 0 1061 true false false false false false false false false false false false false X 7 7 false false false false true true true true true false false false true true true true true true true false GA X X ALAN HUMBLE 9125358691 ONE MEADOWS PARKWAY VIDALIA GA 304748759 JAMES ALAN KENT CEO 40.00 4.00 X X 812402 0 38306 HENRY CLINE MD PHYSICIAN 40.00 X 618685 0 31357 AMULYA SINHA MD DIRECTOR 41.00 X 566985 0 21756 FRANK GIBASE MD PHYSICIAN 40.00 1.00 X 547616 0 32357 JULIE ANN FITZGERALD MD PHYSICIAN 40.00 X 454579 0 28810 LAILA MOZDAB MD PHYSICIAN 40.00 X 422003 0 31707 STEPHEN TILEY MD PHYSICIAN 40.00 2.00 X 419528 0 29106 KAREN MCCOLL MD DIRECTOR;VP 41.00 X X 360023 0 21748 TONY O'STEEN CFO 40.00 3.00 X 284059 0 12826 MIKE CALHOUN CHAIRMAN 1.00 3.00 X X 0 0 0 DENNIS INGLEY DIRECTOR 1.00 1.00 X 0 0 0 POLLYANN MARTIN VICE-CHAIR ( 1.00 1.00 X X 0 0 0 REID MCARTHUR VICE-CHARIMA 1.00 3.00 X X 0 0 0 ANTHONY MILLER DIRECTOR 1.00 X 0 0 0 BILL MITCHELL ASSISTANT SE 1.00 1.00 X X 0 0 0 WILLIS NESMITH DIRECTOR 1.00 X 0 0 0 RONNIE STEWART CHAIRMAN (FM 1.00 2.00 X X 0 0 0 TIM TRUXEL DIRECTOR 1.00 3.00 X 0 0 0 4485880 247973 91 false true false MEDICAL SOLUTIONS LLC 1010 N 102ND STREET SUITE 300 OMAHA NE 681142113 NURSING LABOR 1736118 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN 1630216 BAKER DONELSON 3414 PEACHTREE RD NE ATLANTA GA 30326 LEGAL 1486633 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 90074 HOSPITALISTS 1041988 ARNALL GOLDEN GREGORY LLP 171 17TH ST NW SUITE 2100 ATLANTA GA 303631031 LEGAL SERVICES 728555 24 3590000 555886 4145886 NET PATIENT REVENUE 623000 86585661 86585661 86585661 185191 185191 113480 36254 77226 77226 77226 3002003 3002003 3002003 3002003 OTHER REVENUE 722513 287701 287701 CAFETERIA SALES 623000 285608 285608 PURCHASE DISCOUNTS 623000 1936 1936 575245 94571212 86875298 3550028 X 14125 14125 7007 7007 1399136 1399136 28287267 23019457 5267810 960844 768387 192457 6644294 5313442 1330852 2727468 2181156 546312 1016164 1016164 1474943 1474943 11240804 8828397 2412407 101896 59159 42737 6829338 6559505 269833 117394 445 116949 3429794 3262763 167031 92288 85731 6557 18651 18651 224 224 6927952 6590561 337391 1973568 808015 1165553 MEDICAL SUPPLIES 12538538 12538538 RESERVES/CONTINGENCY 9349517 9349517 TRANSACTION COSTS 4971752 4971752 REPAIRS & MAINTENANCE 4297902 2323974 1973928 395637 158378 237259 104816503 72537691 32278812 0 1706017 1969588 43908872 7933962 13112275 111857 2248015 4072929 437569 64224236 129400632 145673774 258672976 156126750 9069032 3716410 13940766 1232997 63682391 4199517 86692189 9148924 X 171980787 146977826 171980787 146977826 258672976 156126750 X -10245291 287353 -15045023 X X false true X true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 11108 11108 false SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION BELONGS TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. A PORTION OF THE MEMBERSHIP DUES PAID TO THOSE ASSOCIATIONS ARE DEDICATED TO LOBBYING ACTIVITIES. DUE FROM RELATED ORGANIZATIONS 135466188 FUNDS IN ESCROW 5150000 OTHER RECEIVABLES 2716481 NWC ADJUSTMENT 1712309 DUE FROM THIRD PARTY PAYORS 628796 145673774 RESERVES AT CLOSING 4199517 4199517 X SCHEDULE D, PAGE 3, PART X THE AUDITED FINANCIAL STATEMENTS FOR FISCAL YEAR ENDED JUNE 30, 2021, HAVE NOT BEEN ISSUED BY THE FILING DATE OF THIS FORM 990. true true X true X 1.250000000000 true X true true true false true true 6680284 6680284 0.06370 16727315 8904859 7822456 0.07460 23407599 8904859 14502740 0.13840 23407599 8904859 14502740 0.13840 true 15795113 19062506 20179461 -1116955 X true true 1 1 MEADOWS REGIONAL MEDICAL CENTER INC ONE MEADOWS PARKWAY VIDALIA GA 304748759 WWW.MEADOWSHEALTH.COM 138-476 X X X MEADOWS REGIONAL MEDICAL CENTER INC 1 false false true X X X X X X X X X X 19 true false false true X WWW.MEADOWSHEALTH.COM X true 19 true WWW.MEADOWSHEALTH.COM false false true X 125.000000000000 200.000000000000 X X true true X X X X true X WWW.MEADOWSHEALTH.COM X WWW.MEADOWSHEALTH.COM X WWW.MEADOWSHEALTH.COM X X X X X true X false X X X true X false false FACILITY 1, MEADOWS REGIONAL MEDICAL CENTER INC - PART V, LINE 3E THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGES 37-39 OF THE 2019 CHNA. FACILITY 1, MEADOWS REGIONAL MEDICAL CENTER INC - PART V, LINE 5 INDIVIDUAL INTERVIEWS WERE CONDUCTED WITH THE COMMUNITY AND HOSPITAL REPRESENTATIVES THAT HAD SPECIAL KNOWLEDGE AND EXPERTISE IN LOCAL PUBLIC HEALTH ISSUES. THE PURPOSE OF THE INTERVIEWS WAS TO OBTAIN THEIR INSIGHTS INTO THE HEALTH OF THE COMMUNITY, INCLUDING, BUT LIMITED TO, THE COMMUNITY'S MOST CRITICAL AND COMMON HEALTH ISSUES, POPULATIONS WITHIN THE COMMUNITY THAT HAVE THE GREATEST CHALLENGE IN ACHIEVING AND MAINTAINING GOOD HEALTH AND SPECIFIC INITIATIVES THAT COULD HAVE THE GREATEST IMPACT ON IMPROVING THE HEALTH OF THE COMMUNITY. TO GATHER HEALTH-RELATED INFORMATION AND OPINIONS FROM THE BROADER COMMUNITY, MRMC USED A 31-QUESTION SURVEY. MRMC USED THE SAME SURVEY QUESTIONS THAT WERE USED WITH ITS 2016 CHNA, WHICH ALLOWED IT TO OBSERVE CHANGES IN COMMUNITY RESPONSES OVER THE TWO TIME PERIODS. THE SURVEY WAS AVAILABLE THROUGH MRMC'S INTERNET SITE DURING A FOUR-WEEK PERIOD IN APRIL AND MAY 2019. MRMC RECEIVED 533 COMPLETED RESPONSES. FACILITY 1, MEADOWS REGIONAL MEDICAL CENTER INC - PART V, LINE 11 BASED ON A REVIEW OF ALL OF THE INPUTS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, MRMC IDENTIFIED FOUR BROAD HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THOSE SERVICE INITIATIVES THAT IT PLANS TO UNDERTAKE, OR CONTINUE, TO MEET THESE NEEDS. THE FOLLOWING ARE THE TOP COMMUNITY HEALTH NEEDS AND ASSOCIATED SERVICE INITIATIVES: 1)PROMOTE HEALTH BEHAVIOR WITH SPECIFIC PREVENTIVE EDUCATION AND OUTREACH PROGRAMS GEARED TOWARDS LOWERING OBESITY RATES AND ENCOURAGING HEALTHY EATING: A)DEVELOP HEALTHY DIETARY ALTERNATIVES IN MRMC'S CAFETERIA AND PROMOTE/ENCOURAGE HEALTHY DIETARY CHOICES AMONG ITS EMPLOYEES, PHYSICIANS AND VISITORS. B)PROVIDE HEALTHY FOOD ALTERNATIVES IN MRMC'S VENDING MACHINES. C)COLLABORATE WITH LOCAL ORGANIZATIONS AND GROUPS TO DEVELOP PROGRAMS THAT PROMOTE HEALTHY DIETARY CHOICES AND WEIGHT MANAGEMENT THROUGHOUT THE COMMUNITY. D)PROMOTE THE HEALTHY LIFESTYLES PROGRAM TO ENCOURAGE A HEALTHY LIFESTYLE INCLUDING GOOD NUTRITION AND PHYSICAL ACTIVITY. E)DETERMINE THE FEASIBILITY OF INITIATING A PILOT PROJECT, BEING WITH HOSPITAL EMPLOYEES, TO PROVIDE HEALTHY, PREPARED MEALS THAT THE COMMUNITY CAN PICK UP AND TAKE OUT. 2)DEVELOP A PLAN TO ADDRESS THE SHORTAGE OF MENTAL HEALTH/SUBSTANCE ABUSE RESOURCES: A)INITIATE A PSYCHIATRIC TELEMEDICINE PROGRAM WITHIN SELECT MEADOWS HEALTH PRIMARY CARE PRACTICES. B)WORK CLOSELY WITH COMMUNITY PARTNERS TO COORDINATE ACCESS TO EXISTING MENTAL HEALTH/SUBSTANCE ABUSE RESOURCES. C)PREPARE A FEASIBILITY ANALYSIS OF OPERATING AN INPATIENT ADULT PSYCHIATRIC/SUBSTANCE ABUSE PROGRAM, INCLUDING THE RECRUITMENT OF A PSYCHIATRIST(S). 3)PROMOTE HEALTHY BEHAVIOR WITH SPECIFIC PREVENTIVE EDUCATION AND OUTREACH PROGRAMS GEARED TOWARDS LOWERING MOTOR VEHICLE CRASHES AND DEATHS: A)DEVELOP AND INITIATE A COMMUNITY AWARENESS PROGRAM ON MOTOR VEHICLE SAFETY. 4)PROVIDE ADDITIONAL RESOURCES TO ADDRESS THE HIGH DEATH RATE DUE TO HEART DISEASE: A)RECRUIT ADDITIONAL NONINVASIVE CARDIOLOGISTS AND IMPROVE TIMELY ACCESS TO CARDIOLOGY CONSULTS FOR THE AREA'S PRIMARY CARE PROVIDERS. 5)IMPROVE ACCESS TO CARE: A)CONSIDER FUNDING FOR SELECT STAFF TO ENROLL IN AN APPROVED CREDENTIALED "TRAIN THE TRAINER" PROGRAM FOR MEDICAL INTERPRETER EDUCATION. CREDENTIALED "TRAIN THE TRAINER" GRADUATES WILL PROVIDE ONSITE MEDICAL INTERPRETER TRAINING SKILLS MONITORING FOR HOSPITAL AND PHYSICIAN PRACTICE STAFF SERVING IN A MEDICAL INTERPRETER ROLE. B)RESEARCH AND UTILIZE NEW TECHNOLOGY TO SUPPORT INTERPRETER SERVICES WITHIN THE HOSPITAL AND MEDICAL PRACTICES TO FILL GAPS IN COMMUNICATION NEEDS. C)SEEK AND RECRUIT BILINGUAL ENGLISH/SPANISH MEDICAL PROVIDERS WHEN FEASIBLE. D)CONTINUE TO RECRUIT ADDITIONAL PRIMARY CARE PROVIDERS, INCLUDING PHYSICIANS AND MID-LEVEL PROVIDERS, ESPECIALLY FOR THE COUNTIES IN THE SECONDARY SERVICE AREA. E)DETERMINE THE FEASIBILITY OF DEVELOPING IMMEDIATE CARE (URGENT CARE) SERVICES IN THE MRMC'S SECONDARY MARKETS. F)IDENTIFY SOURCES TO FUND AND PROVIDE ADDITIONAL DENTAL SERVICES FOR PATIENTS WITHOUT THE MEANS TO PAY FOR THESE SERVICES. IDENTIFY PARTNERING OPPORTUNITIES WITH THE GEORGIA DENTAL ASSOCIATION FOR VOLUNTEER DENTISTS AT THE MERCY CLINIC. G)CONTINUE TO PARTNER WITH THE MERCY MEDICAL CLINIC TO PROVIDE PRIMARY CARE TO INDIGENT PATIENTS. 6)PURSUE INITIATIVES THAT TARGET DISEASES THAT DISPROPORTIONATELY IMPACT THE COMMUNITY'S HEALTH: A)BREAST EDUCATION SCREENING AND TREATMENT PROGRAM THAT TARGETS BREAST CANCER. B)DIABETES EDUCATION AND CLINICAL CARE PROGRAM THAT TARGETS DIABETES. C)CABBAGE PATCH PRENATAL EDUCATION PROGRAM THAT TARGETS PRENATAL CARE. A COMPLETE COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN CAN BE FOUND AT HTTP://MEADOWSHEALTH.COM/ABOUT-US FACILITY 1, MEADOWS REGIONAL MEDICAL CENTER INC - PART V, LINE 15E MRMC WILL ASSIST PATIENTS IN COMPLETING THE APPLICATIONS. 1 RT STANLEY HEALTH CENTER LLC 110 RT STANLEY SR PLACE LYONS GA 30436 FREESTANDING RHC SCHEDULE H, PART I, LINE 7 COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2. SCHEDULE H, PART III, LINE 2 AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 4 SEE PAGE 10 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. SCHEDULE H, PART III, LINE 9B THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS. SCHEDULE H, PART VI, LINE 2 MRMC PERFORMS ROUTINE PHYSICIAN AND PATIENT NEEDS ASSESSMENTS AND, SIMILARLY, WITH HEALTH RISK ASSESSMENTS AND THROUGH AN ANALYSIS OF REASONS FOR PATIENT TRANSFERS TO OTHER FACILITIES. TO HELP ADDRESS THE HEALTHCARE NEEDS OF THE RESIDENTS OF SOUTHEASTERN GEORGIA MOST EFFECTIVELY, MRMC CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016. WORKING WITH THE STRATEGY HOUSE, A HEALTHCARE CONSULTING FIRM, MRMC COLLECTED AND ANALYZED DATA FROM NUMEROUS SOURCES, WHICH IT USED TO PROFILE THE HEALTH STATUS OF ITS COMMUNITY, IDENTIFY AND PRIORITIZE THE MOST IMPORTANT HEALTH NEEDS OF THE RESIDENTS, AND DEVELOP SERVICE INITIATIVES TO HELP ADDRESS THESE NEEDS. SCHEDULE H, PART VI, LINE 3 MRMC HAS CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICIES AVAILABLE THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID. PATIENT EDUCATION ON MRMC'S FINANCIAL ASSISTANCE PROGRAMS ARE CONDUCTED DURING REGISTRATION AND THROUGH VISITS BY FINANCIAL COUNSELORS FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES. SCHEDULE H, PART VI, LINE 4 MRMC SERVES THE VIDALIA, TOOMBS COUNTY REGION, A RURAL SOUTHEAST GEORGIA COMMUNITY. THE PATIENT MIX BASED ON REVENUES IS APPROXIMATELY 62% MEDICARE/MEDICAID, 28% OTHER THIRD PARTY AND 10% SELF PAY WITH AN INCREASING POPULATION APPLYING AND QUALIFYING AS CHARITY AND INDIGENT. SCHEDULE H, PART VI, LINE 5 MRMC AND ALL ITS VOLUNTEER BOARDS ARE COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS. OUR EMERGENCY DEPARTMENT HAS 24/7 PHYSICIAN COVERAGE AND IS OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. MRMC REINVESTS ALL OF ITS SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE ACCESS TO CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH. SCHEDULE H, PART VI, LINE 6 MEADOWS HEALTHCARE ALLIANCE, INC. (ALLIANCE) IS THE HOLDING CORPORATION ESTABLISHED AND VESTED WITH PRIMARY ORGANIZATIONAL AUTHORITY OVER AFFILIATE CORPORATIONS, INCLUDING MEADOWS REGIONAL MEDICAL CENTER, INC., MEADOWS HEALTHCARE RESOURCES, INC., SOUTHEAST REGIONAL PRIMARY CARE CORPORATION, AND MEADOWS HEALTHCARE FOUNDATION. MEADOWS REGIONAL MEDICAL CENTER, INC. (HOSPITAL) IS THE CORPORATION WHICH OPERATES A LICENSED 57-BED GENERAL ACUTE CARE HOSPITAL AND R. T. STANLEY HEALTH CENTER, A RURAL HEALTH CENTER. MEADOWS HEALTHCARE RESOURCES, INC. (RESOURCES) WAS ORIGINALLY CREATED FOR FUTURE RELATED BUSINESS DEVELOPMENT. SOUTHEAST REGIONAL PRIMARY CARE CORPORATION WAS CREATED BY THE ALLIANCE. THE CORPORATION OPERATES VARIOUS PHYSICIAN PRACTICES IN TOOMBS COUNTY AND THE SURROUNDING AREAS. MEADOWS HEALTHCARE FOUNDATION WAS ESTABLISHED TO RAISE FUNDS OF ANY KIND OR CHARACTER TO BE USED EXCLUSIVELY FOR CHARITABLE, MEDICAL EDUCATION, AND SCIENTIFIC PURPOSES AT OR IN CONNECTION WITH MEADOWS REGIONAL MEDICAL CENTER, INC. IN 2018, MEADOWS HEALTHCARE ALLIANCE, INC. AND SOUTHEAST REGIONAL PRIMARY CARE CORPORATION REGISTERED THE TRADE NAMES AND BEGAN DOING BUSINESS AS MEADOWS HEALTH AND MEADOWS MEDICAL GROUP, RESPECTIVELY. SCHEDULE H, PART VI, LINE 7 GEORGIA true TUITION ASSISTANCE 7007 SCHEDULE I, PAGE 1, PART I, LINE 2 PART II - GRANTS TO ORGANIZATIONS MRMC PROVIDES FUNDS TO TAX-EXEMPT CHARITABLE AND CIVIC ORGANIZATIONS THAT SERVE THE COMMUNITY. X X X X X false false false false false false false false false JAMES ALAN KENT CEO 425607 166164 220631 13912 24394 850708 HENRY CLINE MD PHYSICIAN 589138 29504 43 15100 16257 650042 AMULYA SINHA MD DIRECTOR 375834 191151 15133 6623 588741 FRANK GIBASE MD PHYSICIAN 534244 13327 45 15450 16907 579973 JULIE ANN FITZGERALD MD PHYSICIAN 454534 45 11903 16907 483389 LAILA MOZDAB MD PHYSICIAN 412138 9822 43 15450 16257 453710 STEPHEN TILEY MD PHYSICIAN 403242 16250 36 15450 13656 448634 KAREN MCCOLL MD DIRECTOR;VP MED AFF 310265 49713 45 14261 7487 381771 TONY O'STEEN CFO 247716 30108 6235 12826 296885 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. CASH 2021-04-30 32869000 861975495 MEADOWS NEW FOUNDATION INC ONE MEADOWS PARKWAY VIDALIA GA 30474 501(C)(4) OPERATING ASSETS 2021-04-30 73000000 NEGOTIATED 621805348 VIDALIA HEALTH SERVICES LLC ONE MEADOWS PARKWAY VIDALIA GA 30374 CORPORATE false true false false SCHEDULE N, PART II, PAGE 2, LINE 2E THE OPERATING ASSETS OF MEADOWS REGIONAL MEDICAL CENTER, INC. WERE SOLD TO VIDALIA HEALTH SERVICES, LLC, A DISREGARDED ENTITY OF HCA HEALTHCARE, INC. 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: KAREN MCCOLL (CMO)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 OF THE HOSPITAL AND ITS AFFILIATED ORGANIZATIONS (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. 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 2, PART III, LINE 4A MEADOWS REGIONAL MEDICAL CENTER, INC. (MRMC) OPERATES A LICENSED 57-BED GENERAL ACUTE HOSPITAL WHICH IS OWNED BY THE TOOMBS COUNTY HOSPITAL AUTHORITY (AUTHORITY). THE AUTHORITY IS AN INSTRUMENT OF TOOMBS COUNTY, GEORGIA, AND IS EXEMPT FROM TAXATION AS A GOVERNMENTAL ENTITY. MRMC OPERATES THE HOSPITAL FOR THE BENEFIT OF THE AUTHORITY UNDER A LEASE AGREEMENT. MRMC OPERATES THE HOSPITAL SO AS TO ASSURE THE CONTINUED PROVISION OF ADEQUATE HOSPITAL FACILITIES AND HEALTH CARE TO THE VIDALIA AND TOOMBS COUNTY COMMUNITIES SERVED BY THE HOSPITAL. SEE SCHEDULE O MRMC IS A COMMUNITY HOSPITAL OPERATED FOR THE BENEFIT OF THE RESIDENTS OF THE VIDALIA AND TOOMBS COUNTY REGION. ITS GOVERNING BODY IS COMPOSED OF MEMBERS OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF THE HOSPITAL'S FACILITIES. MRMC OPERATES A FULL-TIME EMERGENCY ROOM, AND NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT. MRMC ALSO PROVIDES TREATMENT, WITHOUT COMPENSATION, TO INDIGENT PATIENTS IN ACCORDANCE WITH THE REQUIREMENTS OF FEDERAL REGULATIONS. 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 ALLIANCE BOARD OF TRUSTEES, THE PARENT ORGANIZATION, HAS THE SOLE POWER TO ELECT OR APPOINT THE TRUSTEES OF THE ORGANIZATION'S BOARD AS WELL AS THE POWER TO APPOINT PRINCIPAL EXECUTIVE OFFICERS. FORM 990, PAGE 6, PART VI, LINE 7B THE ALLIANCE BOARD 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. 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 HOSPITAL BOARD OF TRUSTEES AND EXECUTIVE 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 THE HOSPITAL 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 15A THE COMPENSATION COMMITTEE SETS EXECUTIVE COMPENSATION. THE COMMITTEE IS MADE UP OF MEMBERS OF THE EXECUTIVE COMMITTEE. THE COMPENSATION COMMITTEE ENGAGES A THIRD PARTY CONSULTANT, YAFFE AND COMPANY, INC., TO RESEARCH EXECUTIVE COMPENSATION AND MAKE RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE THEN REVIEWS YAFFE'S RECOMMENDATIONS AND MAKES COMPENSATION DECISIONS, USUALLY USING THE 60TH PERCENTILE OF YAFFE'S COMPENSATION RANGES. THIS DETERMINATION PROCESS IS PERFORMED ANNUALLY EVERY FALL. FORM 990, PAGE 6, PART VI, LINE 15B SEE NARRATIVE FOR LINE 15A. 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. FORM 990, PART IX, LINE 11G PURCHASED SERVICES 2,956,175 1,060,239 0 CONSULTING FEES 0 455,487 0 MEDICAL FEES 1,425,460 505,132 0 COLLECTION FEES 9,536 391,549 0 CONTRACT LABOR 3,913,841 0 0 INTERPRETATION FEES 523,385 0 0 TOTAL 8,828,397 2,412,407 0 FORM 990, PART XI, LINE 9 EQUITY TRANSFER -15,045,023 TRANSFER OF EQUITY TO MEADOWS NEW FOUNDATION, INC. AND/OR TO RELATED PARTIES. FORM 990, PAGE 12, PART XII, LINE 3B THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS HAVE NOT BEEN ISSUED FOR FISCAL YEAR ENDED JUNE 30, 2021 AT THE TIME THIS FORM 990 WAS FILED. A SINGLE AUDIT IS EXPECTED TO BE REQUIRED AND WILL BE COMPLETED IF NECESSARY. MEADOWS ADVANCED WOUND CARE CTR LLC P O BOX 1048 VIDALIA GA 30475 454364481 WOUND CARE GA MRMC MEADOWS SLEEP CENTER LLC P O BOX 1048 VIDALIA GA 30475 SLEEP CTR GA MRMC MEADOWS HEALTHCARE FOUNDATION INC ONE MEADOWS PARKWAY VIDALIA GA 304748759 263617113 FOUNDATION GA 501C3 12B ALLIANCE MEADOWS HEALTHCARE ALLIANCE INC false MEADOWS HEALTHCARE ALLIANCE INC P O 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 SOUTHEAST REGIONAL PRIMARY CARE COR P O BOX 1048 VIDALIA GA 304751048 582094737 PHYSICIANS GA 501C3 12B ALLIANCE MEADOWS HEALTHCARE ALLIANCE INC false false false true true false false false false false false false true true true true false false false false