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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. 81297579 true true false true false false false false false false true false false true false true false true false false false false false false false false true true true true true false false false false false false false false false false false false true true false false false true 195 0 1179 true false false false false false false false false false false false false X 9 6 false false false false true true true true true false false true true true true true true true true false GA X X TONY O'STEEN 9125358691 ONE MEADOWS PARKWAY VIDALIA GA 304748759 JAMES ALAN KENT CEO 40.00 4.00 X X 442497 0 39144 MICHAEL WILLIAMS MD DIRECTOR 1.00 40.00 X 392794 0 31657 KAREN MCCOLL MD DIRECTOR;VP 41.00 X X 314855 0 21104 RONNIE STEWART CHAIRMAN 1.00 X X 0 0 0 POLLYANN MARTIN VICE-CHAIR/S 1.00 X X 0 0 0 BILL MITCHELL ASSISTANT SE 1.00 X X 0 0 0 GEOFFERY CONNER MD DIRECTOR 1.00 X 0 0 0 DENNIS INGLEY DIRECTOR 1.00 X 0 0 0 WILLIS NESMITH DIRECTOR 1.00 1.00 X 0 0 0 TONY O'STEEN CFO 40.00 4.00 X 218104 0 10500 JOHN R CORNELL CFO (LEFT 8- 40.00 4.00 X 210417 0 18866 HENRY CLINE MD PHYSICIAN 40.00 X 605814 0 31357 FRANK GIBASE MD PHYSICIAN 40.00 1.00 X 589809 0 29675 STEPHEN TILEY MD PHYSICIAN 40.00 2.00 X 469845 0 31657 AMULYA SINHA MD PHYSICIAN 40.00 X 467269 0 22158 LAILA MOZDAB MD PHYSICIAN 40.00 X 446106 0 31587 HOWARD HOLMAN FORMER SENIO X 120330 0 0 4277840 267705 90 true true false MEDICAL SOLUTIONS LLC 1010 N 102ND STREET SUITE 300 OMAHA NE 681142113 NURSING LABOR 2144826 ARNALL GOLDEN GREGORY LLP 171 17TH ST NW SUITE 2100 ATLANTA GA 303631031 LEGAL SERVICES 692692 CLOUDWAVE HEALTHCARE IT SOLUTIONS DEPT CH 19800 PALENTINE IL 60055 IT/COMPUTER 684480 DIVERSIFIED CLINICAL SERVICES 28525 NETWORK PLACE CHICAGO IL 60673 WOUND CARE SVCS 605731 GEORGIA LITHO GROUP 9825 SPECTRUM DR BLDG 3 AUSTIN TX 78717 LITHOTRIPSY CTR 489600 16 760537 375015 2150289 3285841 NET PATIENT REVENUE 623000 109338774 109338774 109338774 378693 378693 2382144 2350 2369192 12952 2350 15302 15302 CAFETERIA SALES 722513 615838 615838 OTHER REVENUE 623000 72266 72266 PURCHASE DISCOUNTS 623000 9816 9816 174 174 698094 113716704 109421030 1009833 X 165593 165593 17987 17987 1699937 1699937 120330 120330 35938118 29889038 6049080 711727 614996 96731 6543082 5242350 1300732 2555154 2029048 526106 571327 571327 1644426 1644426 11664480 8386751 3277729 145491 73909 71582 5780506 5340136 440370 19254 17841 1413 3861563 3673505 188058 218145 107010 111135 40249 40249 5304 5304 8433844 8023116 410728 952673 110308 842365 MEDICAL SUPPLIES 14554852 14554852 REPAIRS & MAINTENANCE 4904477 2400395 2504082 MISCELLANEOUS 517878 45139 472639 100 PHYSICIAN RECRUITMENT 437076 437076 344173 128280 215893 101847646 81297579 20549967 100 601593 640122 15963312 19936822 18125839 18185742 2622116 2649455 2498043 2900314 150495868 79829719 77847659 70666149 110717195 120329109 228375757 235307713 8911628 6980840 40628 40627 69886549 66795802 78838805 73817269 X 149536952 161490444 149536952 161490444 228375757 235307713 X 11869058 129981 -45547 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16048 16048 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. 1792014 1792014 82678892 27218126 55460766 1328820 548507 780313 64653103 52063086 12590017 43039 43039 70666149 DUE FROM RELATED ORGANIZATIONS 117622641 DUE FROM THIRD PARTY PAYORS 1309824 BOND ISSUE COSTS 771804 OTHER RECEIVABLES 624840 120329109 X SCHEDULE D, PAGE 3, PART X THE ALLIANCE AND EACH REPORTING ENTITY ARE NOT-FOR-PROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ALLIANCE APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ALLIANCE ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2019 AND 2018 OR FOR THE YEARS THEN ENDED. THE ALLIANCES TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. MEADOWS HEALTHCARE ALLIANCE, INC. (ALLIANCE) IS THE HOLDING CORPORATION ESTABLISHED AND VESTED WITH PRIMARY ORGANIZATIONAL AUTHORITY OVER AFFILIATE CORPORATIONS, INCLUDING THE FILING ORGANIZATION. true true X true X 1.250000000000 true X true true true false true true 5893105 5893105 0.05790 17406291 14981753 2424538 0.02380 23299396 14981753 8317643 0.08170 302551 298002 4549 130287 130287 0.00130 134672 134672 0.00130 567510 298002 269508 0.00260 23866906 15279755 8587151 0.08430 true 23581643 23372430 21249722 2122708 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 16 true false false true X WWW.MEADOWSHEALTH.COM X true 16 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 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 PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION 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. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY 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. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS SEE PAGE 10 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE. PART III, LINE 8 - MEDICARE EXPLANATION 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. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS. PART VI, LINE 2 - NEEDS ASSESSMENT 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. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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. PART VI, LINE 4 - COMMUNITY INFORMATION 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. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH 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. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM 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. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT GEORGIA true SOUTHEASTERN TECHNICAL COLLEGE FND 3001 EAST FIRST STREET VIDALIA GA 304748817 581861068 501C3 130281 RN PROGRAM MERCY MINISTRIES 714-1 NW BROAD ST LYONS GA 30436 271107136 501C3 10000 OPERATIONS 2 TUITION ASSISTANCE 4 17987 SCHEDULE I, PAGE 1, PART I, LINE 2 PART II - GRANTS TO ORGANIZATIONS MRMC AGREED TO PAY THE SALARY AND BENEFITS OF A PROGRAM DIRECTOR FOR THE COLLEGE TO IMPLEMENT A RN PROGRAM. MRMC RECEIVES QUARTERLY INVOICES FROM THE 501(C)(3) ORGANIZATION FOR THE REIMBURSEMENT OF THE PROGRAM DIRECTOR'S SALARY AND BENEFITS. X X X X X false false false false false false false false false JAMES ALAN KENT CEO 442452 45 14750 24394 481641 MICHAEL WILLIAMS MD DIRECTOR 391499 1250 45 14750 16907 424451 KAREN MCCOLL MD DIRECTOR;VP MED AFF 294179 2800 17876 13617 7487 335959 TONY O'STEEN CFO 207245 10859 10500 228604 JOHN R CORNELL CFO (LEFT 8-2018) 164278 46139 9112 9754 229283 HENRY CLINE MD PHYSICIAN 605769 45 14450 16907 637171 FRANK GIBASE MD PHYSICIAN 555197 34612 12768 16907 619484 STEPHEN TILEY MD PHYSICIAN 453009 16836 14750 16907 501502 AMULYA SINHA MD PHYSICIAN 425923 41346 14671 7487 489427 LAILA MOZDAB MD PHYSICIAN 446061 45 14680 16907 477693 HOWARD HOLMAN FORMER SENIOR VP 120330 120330 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. 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 THE FORM 990 AND ALL RELATED SCHEDULES WILL BE REVIEWED BY THE AUDIT COMMITTEE BEFORE THE ACTUAL FILING WITH THE INTERNAL REVENUE SERVICE. THE BOARD MEMBERS OF THE GOVERNING BODY WILL RECEIVE A COPY OF THE FORM 990 THROUGH THE ORGANIZATION'S WEB PORTAL FOR THEIR REVIEW. PRIOR TO FILING, THE ORGANIZATION'S CFO WILL REVIEW THE RETURN FOR FINANCIAL AND DISCLOSURE ACCURACY, AND WILL RESPOND TO QUESTIONS FROM BOARD MEMBERS. 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 4,269,743 1,453,151 0 CONSULTING FEES 2,319 659,696 0 MEDICAL FEES 763,923 643,195 0 COLLECTION FEES 10,232 521,687 0 CONTRACT LABOR 3,104,166 0 0 INTERPRETATION FEES 226,368 0 0 BILLING SERVICE FEE 10,000 0 0 TOTAL 8,386,751 3,277,729 0 FORM 990, PART XI, LINE 9 REVERSAL OF PY ELIMINATING ENTRY -45,547 THE CHANGE IN NET ASSETS IS THE RESULT OF NONCASH TRANSACTIONS DETAILED ABOVE. MEADOWS ADVANCED WOUND CARE CTR LLC P O BOX 1048 VIDALIA GA 30475 454364481 WOUND CARE GA 9204208 506140 MRMC MEADOWS SLEEP CENTER LLC P O BOX 1048 VIDALIA GA 30475 SLEEP CTR GA 1584653 78489 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