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PASTURES NEW III INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PASTURES NEW III INC (EIN 58-2044503)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201231329349302548
Schema version
2010v3.7
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)
Timestamp2012-05-11T14:00:18-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 6AddressLine1
CityALBANYCity
StateGAState
ZIP Code317020006ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582044503EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEADOWS REGIONAL MEDICAL CENTERBusinessNameLine1
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 Signed2012-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACQUELINE G ATKINSName
Phone2298837878Phone
Date Prepared2012-05-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
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 Receipts104702925GrossReceipts
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 Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees714TotalNbrEmployees
Total Nbr Volunteers110TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year273931ContributionsGrantsPriorYear
Contributions Grants Current Year167980ContributionsGrantsCurrentYear
Program Service Revenue Prior Year94991965ProgramServiceRevenuePriorYear
Program Service Revenue CY101233321ProgramServiceRevenueCY
Investment Income Prior Year407519InvestmentIncomePriorYear
Investment Income Current Year470958InvestmentIncomeCurrentYear
Other Revenue Prior Year403925OtherRevenuePriorYear
Other Revenue Current Year546687OtherRevenueCurrentYear
Total Revenue Prior Year96077340TotalRevenuePriorYear
Total Revenue Current Year102418946TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year19528GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY22790GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year44461729SalariesEtcPriorYear
Salaries Etc Current Year47658150SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year46311639OtherExpensePriorYear
Other Expenses Current Year52340119OtherExpensesCurrentYear
Total Expenses Prior Year90792896TotalExpensesPriorYear
Total Expenses Current Year100021059TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5284444RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2397887RevenuesLessExpensesCY
Total Assets BOY96127857TotalAssetsBOY
Total Assets EOY140117862TotalAssetsEOY
Total Liabilities BOY39176993TotalLiabilitiesBOY
Total Liabilities EOY80705398TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY56950864NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY59412464NetAssetsOrFundBalancesEOY
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 ServicestrueSignificantNewProgramServices
Significant ChangetrueSignificantChange
Expense88323533Expense
Grants22790Grants
Revenue101372687Revenue
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 Expense88323533TotalProgramServiceExpense
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 IndividualstrueGrantsToIndividuals
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 OrganizationtrueBsnssRltnshpWithOrganization
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 With1096169NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees714NumberOfEmployees
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
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
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 Code304748759ZIPCode
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
CEO40.00XX377128062407
FRANK GIBASE MD
DIRECTOR1.00X2100000
RONNIE STEWART
CHAIRMAN1.00XX000
HOWARD HILL
SECRETARY1.00XX000
RAY BLOUNT
DIRECTOR1.00X000
POLLYANN MARTIN
DIRECTOR1.00X000
BILL MITCHELL
DIRECTOR1.00X000
DENNIS INGLEY
DIRECTOR1.00X000
FG CONNER MD
DIRECTOR1.00X000
JOHN SCHOELL MD
DIRECTOR1.00X000
JOHN R CORNELL
CFO40.00X216669010455
SHIRLEY HOSKINS
SR VP40.00205779010494X
MARION C HORTON
VP/MED DIR40.0017130108376X
NANCY PENCE
VP/PATIENT C40.0016024108383X
HOWARD HOLMAN
VP/DEVELOPME40.0015713008149X
CHRISTOPHER SCOTT
PHYSICIAN40.001542633012750X
GILBERT J GONZALEZ
PHYSICIAN40.00618549013075X
GREGORY B FRANZ
PHYSICIAN40.00499775013075X
RONALD W WILLIAMS
PHYSICIAN40.00452100013075X
WILLIAM CARROLL
PHYSICIAN40.0042576409260X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4848069TotalReportableCompFromOrg
Total Other Compensation169499TotalOtherCompensation
Number Individuals GT100 K48NumberIndividualsGT100K
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
P O BOX 11407BIRMINGHAMAL352460351CONTRACTOR25715152
VIDALIA ANESTHESIA ASSOCIATES
PO BOX 1303VIDALIAGA30475ANESTHESIA SERV2089608
SOUTHEASTERN PATHOLOGY ASSOCIATES
3020 SHRINE ROADBRUNSWICKGA31520LABORATORY SERV908060
THE ADAMS GROUP
P O BOX 221COLUMBIASC29202ADVERTISING655943
SWC-RICHARDSON TECHNOLOGY SYSTEM INC
70 CRESTRIDGE DRIVE STE 100SUWANEEGA30024CONSTRUCTION408422
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
All Other Contributions167980AllOtherContributions
Total Contributions167980TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column101233321TotalRevenueColumn
Related Or Exempt Function Income101233321RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue101233321TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column292307TotalRevenueColumn
Exclusion$292,307ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real165787Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real121332Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real44455Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column44455TotalRevenueColumn
Exclusion$44,455ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2088305Securities
Other252993Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1981077Securities
Other181570Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities107228Securities
Other71423Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column178651TotalRevenueColumn
Exclusion$178,651ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA SALES561000359394$359,394
OTHER REVENUE621990113663113663
PURCHASE DISCOUNTS5614992519125191

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3984TotalRevenueColumn
Related Or Exempt Function Income512RelatedOrExemptFunctionIncome
Exclusion$3,472ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue502232TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column102418946TotalRevenueColumn
Related Or Exempt Function Income101372687RelatedOrExemptFunctionIncome
Exclusion$878,279ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total11600Total
Program Services11600ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total11190Total
Program Services11190ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1332293Total
Management And General1332293ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total35678024Total
Program Services32640684ProgramServices
Management And General3037340ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1282366Total
Program Services1183418ProgramServices
Management And General98948ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6927818Total
Program Services6119342ProgramServices
Management And General808476ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2437649Total
Program Services2153175ProgramServices
Management And General284474ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total345320Total
Management And General345320ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1060900Total
Management And General1060900ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total30215Total
Management And General30215ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7982926Total
Program Services6655485ProgramServices
Management And General1327441ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total918140Total
Program Services127583ProgramServices
Management And General790557ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14646664Total
Program Services14208890ProgramServices
Management And General437774ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7430Total
Program Services5599ProgramServices
Management And General1831ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3655483Total
Program Services3338553ProgramServices
Management And General316930ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total300175Total
Program Services212539ProgramServices
Management And General87636ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5496153Total
Program Services5019637ProgramServices
Management And General476516ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total866229Total
Program Services374419ProgramServices
Management And General491810ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE1405918314059183
REPAIRS & MAINTENANCE18727931162475710318
PHYSICIAN RECRUITMENT485987485987
MISCELLANEOUS26219324650715686
DUES19299515229440701

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total157333Total
Program Services154973ProgramServices
Management And General2360ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total100021059Total
Program Services88323533ProgramServices
Management And General11697526ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2224229BOY
EOY1693652EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14084801BOY
EOY9965464EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11132405BOY
EOY13954360EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1960919BOY
EOY2264945EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY673069BOY
EOY956172EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis137028661LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec36528763LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY56808256BOY
EOY100499898EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY14897BOY
EOY14897EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY117334BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9111947BOY
EOY10768474EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY96127857BOY
EOY140117862EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6078463BOY
EOY6585093EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY75000BOY
EOY140000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY31787298BOY
EOY72264084EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1236232BOY
EOY1716221EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39176993BOY
EOY80705398EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY56950864BOY
EOY59412464EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56950864BOY
EOY59412464EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY96127857BOY
EOY140117862EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2397887ReconcilationRevenueExpenses
Reconcilation Other Changes63713ReconcilationOtherChanges
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$30,215OtherActivitiesAmount
Total Lobbying Expenditures IIB30215TotalLobbyingExpendituresIIB
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 1IReturnReference
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 18,000 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 Basis8764390OtherCostOrOtherBasis
Depreciation4996693Depreciation
Book Value3767697BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6730630OtherCostOrOtherBasis
Depreciation4794330Depreciation
Book Value1936300BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis40723962OtherCostOrOtherBasis
Depreciation26737740Depreciation
Book Value13986222BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis79281665OtherCostOrOtherBasis
Book Value79281665BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings100499898TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE TO RELATED ORGANIZATIONS8917676
OTHER RECEIVABLES1850798
FieldValueIRS element (for citing)
Total Book Value Other Assets10768474TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD-PARTY SETTLEMENTSDescription
Amount$1,716,221Amount
FieldValueIRS element (for citing)
Total Of Amounts1716221TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
ExplanationINCOME TAXES EXCERPT FROM AUDITED FIANNCIAL STATEMENTS THE 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, 2011 AND 2010 OR FOR THE YEARS THEN ENDED. THE ALLIANCE'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2008-2010. (THE ALLIANCE, MEADOWS HEALTHCARE ALLIANCE, INC., IS THE PARENT HOLDING COMPANY.)Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
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 Expense3908015TotalCommunityBenefitExpense
Net Community Benefit Expense3908015NetCommunityBenefitExpense
Percent Of Total Expense0.04540PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense15260385TotalCommunityBenefitExpense
Direct Offsetting Revenue12400691DirectOffsettingRevenue
Net Community Benefit Expense2859694NetCommunityBenefitExpense
Percent Of Total Expense0.03320PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense19168400TotalCommunityBenefitExpense
Direct Offsetting Revenue12400691DirectOffsettingRevenue
Net Community Benefit Expense6767709NetCommunityBenefitExpense
Percent Of Total Expense0.07860PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense19168400TotalCommunityBenefitExpense
Direct Offsetting Revenue12400691DirectOffsettingRevenue
Net Community Benefit Expense6767709NetCommunityBenefitExpense
Percent Of Total Expense0.07860PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$4,802,982BadDebtExpenseAmount
Amount Reimbursed By Medicare14963345AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare16343721CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1380376MedicareSurplusOrShortfall

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 CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11703 MEADOWS LANEAddressLine1
CityVIDALIACity
StateGAState
ZIP Code304743803ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherSNF, RHCOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MEADOWS REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 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 XXX-XX-XXXX LESS BAD DEBTS IN PART IX 14059183 ADD EXPENSES REPORTED IN PART VIII 121332 DENOMINATOR FOR COLUMN F 86083208
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 ON PART III LINES 2 AND 3 WERE CALCULATED USING THE RCC AS DEFINED IN WORKSHEET 2 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 ALLIANCE MEADOWS HEALTHCARE ALLIANCE INC IS THE PARENT ORGANIZATION
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 TIME FOR LUNCH AND LEARN PROGRAMS DIABETES EDUCATION AND SUPPORT MEETINGS VARIOUS HEALTH SCREENING DATES AND A VARIETY OF OTHER COMMUNITY HEALTH PROGRAMS

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1BREWTON-PARKER COLLEGEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 182AddressLine1
CityMOUNT VERNONCity
StateGAState
ZIP Code30445ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient580619030EINOfRecipient
IRC Section501IRCSection
Amount Of Cash Grant10000AmountOfCashGrant
Purpose Of GrantEDUCATIONALPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEMPLOYEE TUITION ASSISTANTypeOfGrant
Number Of Recipients4NumberOfRecipients
Amount Of Cash Grant11190AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
ExplanationTHE EDUCATIONAL ASSISTANCE PROGRAM IS MANAGED THROUGH THE HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE SCHOLARSHIP COMMITTEE. THE FOLLOWING CRITERIA APPLY: A. APPLICANT MUST BE EMPLOYED BY MEADOWS REGIONAL MEDICAL CENTER FOR A MINIMUM OF 12 MONHTS OF SERVICE AND BE CLASSIFIED AS FULL-TIME FOR 12 CONSECUTIVE MONTHS FOR ELIGIBILITY TO THE PROGRAM, UNLESS THE APPLICANT IS SEEKING HIGHER EDUCATION FOR CLINICAL ROLES. FULL-TIME IS DEFINED AS 36+ HOURS AGGREGATE PER WEEK. CLINICAL EDUCATION ELIGIBILITY WILL BE EVALUATED ON A CASE-BY-CASE BASIS. B. THE INSTITUTION FOR THE PROPOSED TRAINING MUST BE AN ACCREDITED SCHOOL, COLLEGE OR UNIVERSITY, PREFERABLY A BRICK & MORTAR INSTRITUTION; C. APPLICANT MUST PROVIDE AN ESSAY ON THEIR CHOICE OF PROPOSED COURSE OF STUDY AND UTILIZATION OF THE EDUCATION IN THE HEALTH CARE INDUSTRY; D. APPLICANT CANNOT PARTICIPATE IN THE EDUCATIONAL ASSISTANCE PROGRAM IN CONJUNCTION WITH OTHER ASSISTANCE PROGRAMS, E.G., HOPE SCHOLARSHIP, PELL GRANT, ETC. E. APPLICANT, IF CHOSEN UNDER THE SCHOLARSHIP PROGRAM, MUST MAINTAIN AT LEAST A C+ (2.5 GPA ON A 4.0 SCALE) AVERAGE OR BETTER DURING THE COURSE OF STUDY. UPON GRADUATION, THE APPLICANT MUST MAINTAIN SATISFACTORY CERTIFICATION OR REGISTRATION WITH THE APPROPRIATE BOARD. THE EMPLOYEE'S ANNUAL TUITION SHALL BE PAID BY THE HOSPITAL FOR 100% OF THE TUITION COST AND 100% OF ANY BOOKS AND LAB FEES UNDER THE FOLLOWING PROVISIONS: I. UP TO 2,500 PER SEMESTER WITH A MAXIMUM CAP OF 5,000 PER SCHOOL YEAR; AND II. RECEIPTS ARE REQUIRED, NO EXCEPTION. GRADE REPORTS SHALL BE SUBMITTED WITHIN TEN DAYS OF RECEIPT BY THE APPLICANT TO THE DIRECTOR OF HUMAN RESOURCES. A LAPSE OF PARTICIPATION IN SCHOOL FOR MORE THAN TWO SEMESTERS PER CALENDAR YEAR WILL BE PERCEIVED AS WITHDRAWAL FROM SCHOOL AND DEFAULT TERMS SHALL BE IN EFFECT.Explanation

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 OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
J ALAN KENT
3379573854163062407439535
JOHN R CORNELL
207565847463010455227124
SHIRLEY HOSKINS
196563858663010494216273
MARION C HORTON
16348972006128376179677
NANCY PENCE
15291167505808383168624
HOWARD HOLMAN
14982867215818149165279
CHRISTOPHER SCOTT
1001498540505630127501555383
GILBERT J GONZALEZ
61791963013075631624
GREGORY B FRANZ
49914563013075512850
RONALD W WILLIAMS
45147063013075465175
WILLIAM CARROLL
4253444209260435024

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4J. ALAN KENT 0 49,332 0
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATIONSCHEDULE J, PAGE 1, PART I, LINE 6AYAFFEE 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.
COMPENSATION CONTINGENT UPON NET EARNINGS OF RELATED ORGSCHEDULE J, PAGE 1, PART I, LINE 6BYAFFEE 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 COMPENSION BASED ON SET GOALS AND OTHER FACTORS. THE CFO IS ELIGIBLE FOR UP TO A 15% BONUS OF HIS BASE PAY.
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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
FRANK GIBASE MD
BOARD MEMBER2088000ANESTHESIOLOGYfalse
FG CONNER MD
BOARD MEMBER136050HOSPITALIST FEESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L PART VReturnReference
ExplanationDR FRANK GIBASE OWNS A PERCENTAGE OF VIDALIA ANESTHESIA ASSOCIATES WHICH PROVIDES ANESTHESIOLOGISTS SERVICES TO THE ORGANIZATION DR FG CONNER IS COMPENSATED IN HIS ROLE AS A HOSPITALIST SPECIALIST SERVING THE ORGANIZATIONS PATIENTSExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ANY SIGNIFICANT NEW PROGRAM SERVICES NOT LISTED ON A PRIOR RETURNFORM 990, PAGE 2, PART III, LINE 2INTERVENTIONAL CARDIAC CATH SERVICES WOUND CARE SERVICES CREATED A POSITIVE BOTTOM LINE IMPACT OF APPROXIMATELY 735,000 DURING THE FISCAL YEAR 2011.
ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICESFORM 990, PAGE 2, PART III, LINE 3MEADOWS TRANSITIONAL CARE UNIT, A LICENSED 35-BED LONG-TERM CARE AND SKILLED NURSING FACILITY, ENTERED INTO A CLOSURE PERIOD AND IS NO LONGER PROVIDING SKILLED NURSING SERVICES EFFECTIVE APRIL 1, 2011. TOTAL REVENUES WERE APPROXIMATELY 1,333,000 AND 2,709,000 FOR THE FISCAL YEAR JUNE 30, 2011 AND 2010, RESPECTIVELY. NET EARNINGS FROM THE FACILITY'S OPERATIONS WERE APPROXIMATELY (452,000) AND 700,000 FOR 2011 AND 2010 RESPECTIVELY.
FIRST ACHIEVEMENT 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 WAS REVIEWED BY THE ENTIRE GOVERNING BODY BEFORE THE ACTUAL FILING WITH THE INTERNAL REVENUE SERVICE. MRMC'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 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.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE COMPENSATION COMMITTEE SETS EXECUTIVE COMPENSATION. THE COMMITTEE IS MADE UP OF INDEPENDENT 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. THE LAST REVIEW WAS PERFORMED IN NOVEMBER OF 2011.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSEE NARRATIVE AT LINE 15A ABOVE.
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: JAMES ALAN KENT - 3 HOURS JOHN CORNELL - 3 HOURS
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5UNREALIZED GAINS ON INVESTMENTS 63,713

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 PARKWAYVIDALIAGA304748759263617113FOUNDATIONGA501C311AALLIANCEMEADOWS HEALTHCARE ALLIANCE INCfalse
MEADOWS HEALTHCARE ALLIANCE INC
ONE MEADOWS PARKWAYVIDALIAGA304748759582044502HOLDING COGA501C311ANAfalse
MEADOWS HEALTHCARE RESOURCES
ONE MEADOWS PARKWAYVIDALIAGA304748759582044505DME, WELLNGA501C311AALLIANCEMEADOWS HEALTHCARE ALLIANCE INCfalse
SOUTHEAST REGIONAL PRIMARY CARE COR
ONE MEADOWS PARKWAYVIDALIAGA304748759582094737PHYS PRACTGA501C36TOOMBS COTOOMBS COUNTY HOSPITAL AUTHORITYfalse
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 OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg