STRATEGY STUDIO / PUBLIC DATA EXPLORER

PASTURES NEW III INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PASTURES NEW III INC (EIN 58-2044503)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-04-29
IRS object ID
201301199349300805
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-04-29T13:44:28-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1
CityALBANYCity
StateGAState
ZIP Code317081309ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582044503EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEADOWS REGIONAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEADNameControl
Phone9125385866Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEADOWS PARKWAYAddressLine1
CityVIDALIACity
StateGAState
ZIP Code304748759ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN R CORNELLName
TitleCFOTitle
Phone9125385866Phone
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACQUELINE G ATKINSName
Phone2298837878Phone
Date Prepared2013-04-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES ALAN KENT CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE MEADOWS PARKWAYAddressLine1
CityVIDALIACity
StateGAState
ZIP Code304748759ZIPCode
FieldValueIRS element (for citing)
Gross Receipts103405229GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MEADOWSREGIONAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY HEALTHCARE FOR THE RESIDENTS OF TOOMBS COUNTY AND OTHER SURROUNDING AREAS.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees904TotalNbrEmployees
Total Nbr Volunteers109TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year167980ContributionsGrantsPriorYear
Contributions Grants Current Year247626ContributionsGrantsCurrentYear
Program Service Revenue Prior Year101233321ProgramServiceRevenuePriorYear
Program Service Revenue CY96913683ProgramServiceRevenueCY
Investment Income Prior Year470958InvestmentIncomePriorYear
Investment Income Current Year-4946689InvestmentIncomeCurrentYear
Other Revenue Prior Year546687OtherRevenuePriorYear
Other Revenue Current Year1268181OtherRevenueCurrentYear
Total Revenue Prior Year102418946TotalRevenuePriorYear
Total Revenue Current Year93482801TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year22790GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7200GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year47658150SalariesEtcPriorYear
Salaries Etc Current Year34994221SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year52340119OtherExpensePriorYear
Other Expenses Current Year56976792OtherExpensesCurrentYear
Total Expenses Prior Year100021059TotalExpensesPriorYear
Total Expenses Current Year91978213TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2397887RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1504588RevenuesLessExpensesCY
Total Assets BOY140117862TotalAssetsBOY
Total Assets EOY164550015TotalAssetsEOY
Total Liabilities BOY80705398TotalLiabilitiesBOY
Total Liabilities EOY82532660TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY59412464NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY82017355NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE QUALITY HEALTHCARE FOR THE RESIDENTS OF TOOMBS COUNTY AND OTHER SURROUNDING AREAS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense79395656Expense
Grants7200Grants
Revenue97688735Revenue
DescriptionMEADOWS REGIONAL MEDICAL CENTER, INC. (MRMC) OPERATES A HOSPITAL LOCATED IN VIDALIA, TOOMBS COUNTY, GEORGIA AND 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. 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 PROMINENT 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.Description
Total Program Service Expense79395656TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096185NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees904NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN CORNELLNamePerson
Telephone Number9125385826TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE MEADOWS PARKWAYAddressLine1
CityVIDALIACity
StateGAState
ZIP Code30475ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
J ALAN KENT
CEO40.00XX391961089467
KAREN MCCOLL MD
DIRECTOR1.00X3000000
RONNIE STEWART
CHAIRMAN1.00XX000
HOWARD HILL
SECRETARY1.00XX000
RAY BLOUNT
DIRECTOR1.00X000
POLLYANN MARTIN
VICE-CHAIR1.00XX000
BILL MITCHELL
DIRECTOR1.00X000
DENNIS INGLEY
DIRECTOR1.00X000
DAVID PAINE MD
DIRECTOR1.00X000
JOHN SCHOELL MD
DIRECTOR1.00X000
WILLIS NESMITH
DIRECTOR1.00X000
JOHN R CORNELL
CFO40.00X240960010736
SHIRLEY HOSKINS
CNO/COO40.00254628011021X
HOWARD HOLMAN
VP DEVELOP40.0018746608177X
CRAIG HORTON MD
VP MED DIREC40.0016522708782X
TRAVIS ROOSE
CATH LAB DIR40.0013156500X
WALTER HODGE
RN-CATH LAB40.0012759700X
TONY O'STEEN
VP FINANCE -1.0012447505983X
TERRENCE THOMPSON
VP OPERATION40.0012256206232X
LARRY HORNE
PHARMACIST40.0012176600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1898207TotalReportableCompFromOrg
Total Other Compensation140398TotalOtherCompensation
Number Individuals GT100 K54NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BRASFIELD & GORRIE LLC
PO BOX 11407BIRMINGHAMAL354460351CONSTRUCTION3409787
VIDALIA ANESTHESIA ASSOCIATES
PO BOX 1303VIDALIAGA304751303ANESTHESIA SVCS2064942
MCLENDON ENTERPRISES INC
2365 AIMWELL ROADVIDALIAGA30474CONTRACTOR1292122
SOUTHEASTERN PATHOLOGY ASSOCIATES
3020 SHRINE ROADBRUNSWICKGA31520LAB SERVICES1157544
DIVERSIFIED CLINICAL SERVICES INC
PO BOX 636981CINCINNATIOH452636981CLINICAL PERSON664859
FieldValueIRS element (for citing)
Number Of Contractors GT100 K39NumberOfContractorsGT100K
All Other Contributions247626AllOtherContributions
Total Contributions247626TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column96913683TotalRevenueColumn
Related Or Exempt Function Income96913683RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue96913683TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column196189TotalRevenueColumn
Exclusion$196,189ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real154073Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real98030Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real56043Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column56043TotalRevenueColumn
Exclusion$56,043ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4531110Securities
Other150410Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4337513Securities
Other5486885Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities193597Securities
Other-5336475Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5142878TotalRevenueColumn
Exclusion-$5,142,878ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
EHR REVENUES621990622982622982
CAFETERIA SALES561000457086$457,086
OTHER REVENUE621990101171101171

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column30899TotalRevenueColumn
Related Or Exempt Function Income30899RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1212138TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column93482801TotalRevenueColumn
Related Or Exempt Function Income97668735RelatedOrExemptFunctionIncome
Exclusion-$4,433,560ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total7200Total
Program Services7200ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1117437Total
Management And General1117437ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total24653616Total
Program Services21274734ProgramServices
Management And General3378882ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total987976Total
Program Services852811ProgramServices
Management And General135165ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6311028Total
Program Services5221304ProgramServices
Management And General1089724ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1924164Total
Program Services1591284ProgramServices
Management And General332880ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total511261Total
Management And General511261ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1089848Total
Management And General1089848ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total20448Total
Management And General20448ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8188505Total
Program Services5974317ProgramServices
Management And General2214188ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total120078Total
Program Services52807ProgramServices
Management And General67271ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4536190Total
Program Services4133962ProgramServices
Management And General402228ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5176Total
Program Services3572ProgramServices
Management And General1604ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6690375Total
Program Services6355187ProgramServices
Management And General335188ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total195438Total
Program Services85970ProgramServices
Management And General109468ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2117Total
Management And General2117ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7812216Total
Program Services7420824ProgramServices
Management And General391392ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total528872Total
Program Services45544ProgramServices
Management And General483328ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE1578793615787936
MEDICAL SUPPLIES86198078619807
REPAIRS & MAINTENANCE19652921155311809981
PHYSICIAN RECRUITMENT502416502416

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total400817Total
Program Services310670ProgramServices
Management And General90147ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total91978213Total
Program Services79395656ProgramServices
Management And General12582557ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1693652BOY
EOY401836EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9965464BOY
EOY10228650EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13954360BOY
EOY12879708EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2264945BOY
EOY2603432EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY956172BOY
EOY1805691EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis120529063LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27337110LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY100499898BOY
EOY93191953EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY14897BOY
EOY14897EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10768474BOY
EOY43423848EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY140117862BOY
EOY164550015EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6585093BOY
EOY7909688EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY140000BOY
EOY250022EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY72264084BOY
EOY73459448EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1716221BOY
EOY913502EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY80705398BOY
EOY82532660EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY59412464BOY
EOY82017355EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY59412464BOY
EOY82017355EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY140117862BOY
EOY164550015EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1504588ReconcilationRevenueExpenses
Reconcilation Other Changes21100303ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$20,448OtherActivitiesAmount
Total Lobbying Expenditures IIB20448TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1ReturnReference
ExplanationTHE ORGANIZATION BELONGS TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. A PORTION OF THE MEMBERSHIP DUES PAID TO THOSE ASSOCIATIONS ARE DEDICATED TO LOBBYING ACTIVITIES. ADDITIONALLY, THE HOSPITAL PAID A LOBBYING CONSULTANT 9,000 TO ENGAGE IN SUCH ACTIVITIES ON THEIR BEHALF.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1528014OtherCostOrOtherBasis
Book Value1528014BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis74014974OtherCostOrOtherBasis
Depreciation5981979Depreciation
Book Value68032995BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis118055OtherCostOrOtherBasis
Depreciation48152Depreciation
Book Value69903BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis42752020OtherCostOrOtherBasis
Depreciation21306979Depreciation
Book Value21445041BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2116000OtherCostOrOtherBasis
Book Value2116000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings93191953TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE TO RELATED ORGANIZATIONS41373241
OTHER RECEIVABLES2050607
FieldValueIRS element (for citing)
Total Book Value Other Assets43423848TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD-PARTY SETTLEMENTSDescription
Amount$913,502Amount
FieldValueIRS element (for citing)
Total Of Amounts913502TotalOfAmounts
Total Revenue93482801TotalRevenue
Total Expenses91978213TotalExpenses
Excess Or Deficit For Year1504588ExcessOrDeficitForYear
Excess Or Deficit Per FS1504588ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt93482801TotRevenueEtcAuditedFinclStmt
Revenue Subtotal93482801RevenueSubtotal
Total Revenue Per Form99093482801TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt91978213TotExpensesEtcAuditedFinclStmt
Expenses Subtotal91978213ExpensesSubtotal
Total Expenses Per Form99091978213TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
ExplanationTHE ALLIANCE AND EACH REPORTING ENTITY IS A NOT-FOR-PROFIT CORPORATION THAT HAS 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 OR 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 MANAGEMENT'S 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, 2012 AND 2011 OR FOR THE YEARS THEN ENDED. THE ALLIANCE'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2009-2011. (THE ALLIANCE, MEADOWS HEALTHCARE ALLIANCE, INC., IS THE PARENT HOLDING COMPANY.)Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage1.25000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage1.25000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4379915TotalCommunityBenefitExpense
Net Community Benefit Expense4379915NetCommunityBenefitExpense
Percent Of Total Expense0.05740PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense16598400TotalCommunityBenefitExpense
Direct Offsetting Revenue14101696DirectOffsettingRevenue
Net Community Benefit Expense2496704NetCommunityBenefitExpense
Percent Of Total Expense0.03270PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense20978315TotalCommunityBenefitExpense
Direct Offsetting Revenue14101696DirectOffsettingRevenue
Net Community Benefit Expense6876619NetCommunityBenefitExpense
Percent Of Total Expense0.09010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense468063TotalCommunityBenefitExpense
Net Community Benefit Expense468063NetCommunityBenefitExpense
Percent Of Total Expense0.00610PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense468063TotalCommunityBenefitExpense
Net Community Benefit Expense468063NetCommunityBenefitExpense
Percent Of Total Expense0.00610PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense21446378TotalCommunityBenefitExpense
Direct Offsetting Revenue14101696DirectOffsettingRevenue
Net Community Benefit Expense7344682NetCommunityBenefitExpense
Percent Of Total Expense0.09620PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$15,787,936BadDebtExpenseAmount
Amount Reimbursed By Medicare17357720AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare21087205CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3729485MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEADOWS REGIONAL MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1ONE MEADOWS LANEAddressLine1
CityVIDALIACity
StateGAState
ZIP Code304748759ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherRHCOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MEADOWS REGIONAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent125.0FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent125.0FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymentfalseActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledtrueAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1STANLEY HEALTH CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1110 R T STANLEY SR PLACEAddressLine1
CityLYONSCity
StateGAState
ZIP Code30436ZIPCode
FieldValueIRS element (for citing)
Facility TypeRURAL HEALTH CLINICFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEPART I LINE 7 COLUMN FIN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN F THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 FORM 990 PART IX LINE 25 91978213 LESS BAD DEBTS IN PART IX 15787936 ADD EXPENSES REPORTED IN PART VIII 98030 DENOMINATOR FOR COLUMN F 76288307
COSTING METHODOLOGY EXPLANATIONPART I LINE 7THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATIONS A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS 2008 SEE ALSO THE DESCRIPTION FOR PART III LINE 4 COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4AMOUNTS 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 EXCERPT OF AUDITED FINANCIAL STATEMENTS FOOTNOTE FOR ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS THE ALLIANCE PROVIDES AN ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS BASED ON EVALUATION OF THE OVERALL COLLECTIBILITY OF THE ACCOUNTS RECEIVABLE AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BTHE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS
NEEDS ASSESSMENTPART VITHROUGH PHYSICIAN AND PATIENT NEEDS ASSESSMENTS HEALTH RISK ASSESSMENTS ANALYSIS OF REASONS FOR PATIENT TRANSFERS TO OTHER FACILITIES
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VIPATIENTS ARE INFORMED AT REGISTRATION OF THE HOSPITALS INDIGENT AND CHARITY POLICY THEY SIGN FORMS AT REGISTRATION INDICATING THAT THEY WERE INFORMED OF THIS POLICY AND ITS GUIDELINES
COMMUNITY INFORMATIONPART VIMRMC SERVES THE VIDALIA TOOMBS COUNTY REGION A RURAL SOUTHEAST GEORGIA COMMUNITY THE PATIENT MIX BASED ON REVENUES IS APPROXIMATELY 60 MEDICAREMEDICAID 28 OTHER THIRD PARTY AND 12 SELF PAY WITH AN INCREASING POPULATION APPLYING AND QUALIFYING AS CHARITY AND INDIGENT
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VITHE HOSPITAL WELLNESS CENTERS MEETING ROOMS ARE USED AT VARIOUS TIMES FOR LUNCH AND LEARN PROGRAMS DIABETES EDUCATION AND SUPPORT MEETINGS VARIOUS HEALTH SCREENING DATES AND A VARIETY OF OTHER COMMUNITY HEALTH PROGRAMS
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILEDPART VIGEORGIA
MEADOWS REGIONAL MEDICAL CENTER INC LINE NUMBER 1 PART V LINE 11HPART V LINE 11HTO CALCULATE THE AMOUNTS CHARGED TO PATIENTS THE HOSPITAL MULTIPLIED GROSS CHARGES BY THE RATE OF DISCOUNT
MEADOWS REGIONAL MEDICAL CENTER INC LINE NUMBER 1 PART V LINE 19DPART V LINE 19DTHE MAXIMUM AMOUNT CHARGED TO FAPELIGIBLE INDIVIDUALS WAS SET AT GROSS CHARGES MINUS 20
MEADOWS REGIONAL MEDICAL CENTER INC LINE NUMBER 1 PART V LINE 20PART V LINE 20DURING THE 2012 TAX YEAR THE UPDATED FINANCIAL ASSISTANCE POLICY WHICH PROHIBITS CHARGING MORE THAN THE AMOUNTS GENERALLY BILLED TO INSURED PATIENTS WAS NOT YET IN PLACE THE NEW POLICY WAS PUT INTO EFFECT DURING THE 2013 FISCAL YEAR END

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
J ALAN KENT
3534203854189467481428
JOHN R CORNELL
2159602500010736251696
SHIRLEY HOSKINS
2396281500011021265649
HOWARD HOLMAN
162466250008177195643
CRAIG HORTON MD
1652278782174009

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4J. ALAN KENT 0 75,992 0
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIIMEADOWS HEALTHCARE ALLIANCE, INC., THE PARENT ORGANIZATION, MAINTAINS A 457(F) UNFUNDED 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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4APROMINENT 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.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE BOARD OF TRUSTEES OF MEADOWS HEALTHCARE ALLIANCE, INC., THE PARENT ORGANIZATION, ELECTS OR APPOINTS THE TRUSTEES OF THE ORGANIZATION'S BOARD AND PRINCIPAL EXECUTIVE OFFICERS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE BOARD OF TRUSTEES OF MEADOWS HEALTHCARE ALLIANCE, INC. HAS THE FULL POWER AND AUTHORITY TO REVIEW AND APPROVE CAPITAL AND OEPRATING 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 AND ALL RELATED SCHEDULES WILL BE REVIEWED BY THE ENTIRE GOVERNING BODY BEFORE THE ACTUAL FILING WITH THE INTERNAL REVENUE SERVICE. MEADOWS REGIONAL MEDICAL CENTER'S CFO WILL REVIEW THE RETURN FOR FINANCIAL AND DISCLOSURE ACCURACY, AND WILL RESPOND TO QUESTIONS FROM BOARD MEMBERS.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CALL 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. THIS DETERMINATION PROCESS WAS LAST PERFORMED IN 2011.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE 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.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSEE NARRATIVE FOR LINE 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
RELATED ORGANIZATIONSFORM 990, PAGE 7, PART VIIAVERAGE WEEKLY HOURS DEVOTED TO RELATED ORGANIZATIONS: DAVID PAINE 1 HOUR ALAN KENT 4 HOURS RONNIE STEWART 3 HOURS POLLYANN MARTIN 2 HOURS DENNIS INGLEY 2 HOURS JOHN CORNELL 4 HOURS TONY O'STEEN 41 HOURS NEW FACILITY COMPLETED AND SKILLED NURSING FACILITY CLOSES: PRIOR TO MOVING INTO THE NEWLY CONSTRUCTED HOSPITAL FACILITIES ON FEBRUARY 4, 2011, ALL TRANSITIONAL CARE AND NURSING HOME PATIENTS OF MEADOWS NURSING CENTER ("MNC") WERE TRANSFERRED AND THE NURSING HOME OFFICIALLY CLOSED APRIL 1, 2011. ON JULY 31, 2012 THE RIGHTS TO THE BED LICENSES OF MNC WERE SOLD.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5CAPITAL EQUITY TRANSFER - SRPCC 21,268,017 UNREALIZED LOSS ON INVESTMENTS ( 167,714) NET INCREASE IN NET ASSETS 21,100,303

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2Controlled OrgControlledOrg
MEADOWS HEALTHCARE FOUNDATION INC
ONE MEADOWS PARKWAYVIDALIAGA30475263617113FOUNDATIONGA501C311AALLIANCEMEADOWS HEALTHCARE ALLIANCE INCfalse
MEADOWS HEALTHCARE ALLIANCE INC
ONE MEADOWS PARKWAYVIDALIAGA30475582044502HOLDING COGA501C311CNAfalse
MEADOWS HEALTHCARE RESOURCES INC
ONE MEADOWS PARKWAYVIDALIAGA30475582044505WELLNESSGA501C311AALLIANCEMEADOWS HEALTHCARE ALLIANCE INCfalse
SOUTHEAST REGIONAL PRIMARY CARE COR
ONE MEADOWS PARKWAYVIDALIAGA30475582094737PHYSICIANSGA501C311AALLIANCEMEADOWS HEALTHCARE ALLIANCE INCfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg