﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2017v2.3">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2019-05-13T13:59:46-05:00</ReturnTs>
    <TaxPeriodEndDt>2018-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>580914992</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DRAFFIN &amp; TUCKER LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>PO BOX 71309</AddressLine1Txt>
        <CityNm>ALBANY</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>317081309</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2017-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>582044503</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>MEADOWS REGIONAL MEDICAL CENTER INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>MEAD</BusinessNameControlTxt>
      <PhoneNum>9125385866</PhoneNum>
      <USAddress>
        <AddressLine1Txt>ONE MEADOWS PARKWAY</AddressLine1Txt>
        <CityNm>VIDALIA</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>304748759</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>TONY O'STEEN</PersonNm>
      <PersonTitleTxt>CFO (AUG 2018)</PersonTitleTxt>
      <PhoneNum>9125385866</PhoneNum>
      <SignatureDt>2019-05-10</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>JACQUELINE G ATKINS</PreparerPersonNm>
      <PTIN>P00861721</PTIN>
      <PhoneNum>2298837878</PhoneNum>
      <PreparationDt>2019-05-13</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>208.73.87.26</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2019-05-13</IPDt>
      <IPTm>13:59:46</IPTm>
      <IPTimezoneCd>CD</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>3DB754BF4A86932C7270BAD44D636E9B352C5FAB</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>3DB754BF4A86932C7270BAD44D636E9B352C5FAB</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2017</TaxYr>
    <BuildTS>2019-02-21 02:37:17Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc8">
      <PrincipalOfficerNm>JAMES ALAN KENT</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>ONE MEADOWS PARKWAY</AddressLine1Txt>
        <CityNm>VIDALIA</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>304748759</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>116951323</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.MEADOWSHEALTH.COM</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1992</FormationYr>
      <LegalDomicileStateCd>GA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE QUALITY HEALTHCARE FOR THE RESIDENTS OF TOOMBS COUNTY AND OTHER SURROUNDING AREAS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>11</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>6</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>1278</TotalEmployeeCnt>
      <TotalVolunteersCnt>125</TotalVolunteersCnt>
      <TotalGrossUBIAmt>4431</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>3431</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>477075</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2625174</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>119875639</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>111292954</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>336809</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>244413</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>-4832944</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>748491</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>115856579</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>114911032</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>152989</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>148678</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>52430879</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>51074174</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>60898099</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>55819004</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>113481967</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>107041856</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>2374612</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>7869176</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>231968513</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>228375757</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>90178626</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>78838805</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>141789887</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>149536952</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO PROVIDE QUALITY HEALTHCARE FOR THE RESIDENTS OF TOOMBS COUNTY AND OTHER SURROUNDING AREAS.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>85559190</ExpenseAmt>
      <GrantAmt>148678</GrantAmt>
      <RevenueAmt>111384756</RevenueAmt>
      <Desc>MEADOWS REGIONAL MEDICAL CENTER, INC. (MRMC) OPERATES A LICENSED 57-BED GENERAL ACUTE HOSPITAL WHICH IS OWNED BY THE TOOMBS COUNTY HOSPITAL AUTHORITY (AUTHORITY). THE AUTHORITY IS AN INSTRUMENT OF TOOMBS COUNTY, GEORGIA, AND IS EXEMPT FROM TAXATION AS A GOVERNMENTAL ENTITY. MRMC OPERATES THE HOSPITAL FOR THE BENEFIT OF THE AUTHORITY UNDER A LEASE AGREEMENT. MRMC OPERATES THE HOSPITAL SO AS TO ASSURE THE CONTINUED PROVISION OF ADEQUATE HOSPITAL FACILITIES AND HEALTH CARE TO THE VIDALIA AND TOOMBS COUNTY COMMUNITIES SERVED BY THE HOSPITAL. SEE SCHEDULE O MRMC IS A COMMUNITY HOSPITAL OPERATED FOR THE BENEFIT OF THE RESIDENTS OF THE VIDALIA AND TOOMBS COUNTY REGION. ITS GOVERNING BODY IS COMPOSED OF MEMBERS OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF THE HOSPITAL'S FACILITIES. MRMC OPERATES A FULL-TIME EMERGENCY ROOM, AND NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT. MRMC ALSO PROVIDES TREATMENT, WITHOUT COMPENSATION, TO INDIGENT PATIENTS IN ACCORDANCE WITH THE REQUIREMENTS OF FEDERAL REGULATIONS.</Desc>
      <TotalProgramServiceExpensesAmt>85559190</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc11">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc4">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc4">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc4">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc5">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc5">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc5">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc5">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc5">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc5">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc5">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc5">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc5">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc5">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc5">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc5">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc5">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc10">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc6">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc6">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc7">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc9">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc9">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc9">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc9">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>256</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>1278</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>11</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>6</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>TONY O'STEEN</PersonNm>
        <PhoneNum>9125358691</PhoneNum>
        <USAddress>
          <AddressLine1Txt>ONE MEADOWS PARKWAY</AddressLine1Txt>
          <CityNm>VIDALIA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>304748759</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES ALAN KENT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>928947</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31757</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WAYNE WILLIAMS MD</PersonNm>
        <TitleTxt>PAST DIRECTO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>41.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>495520</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31757</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WILLIAMS MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>432594</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31482</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN MCCOLL MD</PersonNm>
        <TitleTxt>DIRECTOR;VP</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>285747</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20764</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEOFFERY CONNER MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>59600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONNIE STEWART</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>POLLYANN MARTIN</PersonNm>
        <TitleTxt>VICE-CHAIR/S</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BILL MITCHELL</PersonNm>
        <TitleTxt>ASSISTANT SE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS INGLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOWARD HILL</PersonNm>
        <TitleTxt>PAST DIRECTO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY MILLER</PersonNm>
        <TitleTxt>PAST DIRECTO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIS NESMITH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN R CORNELL</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>316339</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31757</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TONY O'STEEN</PersonNm>
        <TitleTxt>CFO (AUG 201</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>194056</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9189</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK GIBASE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>569080</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31316</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH CAMPBELL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>481860</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31307</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY DEMETRI MANCUSO MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>433988</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20830</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FREDERICK MARTINEZ MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>407146</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25306</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEJANDRO GARCIA-HERNANDEZMD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>399845</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31757</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOWARD HOLMAN</PersonNm>
        <TitleTxt>FORMER SENIO</TitleTxt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>149399</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>882</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>5154121</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>298104</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>102</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1010 N 102ND STREET</AddressLine1Txt>
            <AddressLine2Txt>SUITE 300</AddressLine2Txt>
            <CityNm>OMAHA</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>681142113</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING LABOR</ServicesDesc>
        <CompensationAmt>1288531</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLOUDWAVE HEALTHCARE IT SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8401 CHAGRIN ROAD SUITE 6B</AddressLine1Txt>
            <CityNm>CHAGRI FALLS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44023</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT/COMPUTER</ServicesDesc>
        <CompensationAmt>1129021</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CORNERSTONE ADVISORS GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 419695</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022419695</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>873901</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DIVERSIFIED CLINICAL SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 636981</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>452636981</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>WOUND CARE SVCS</ServicesDesc>
        <CompensationAmt>859511</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MONTGOMERY EMERGENCY GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 677979</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>752677979</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ER PHY. COVERAG</ServicesDesc>
        <CompensationAmt>662019</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>26</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1900000</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>270177</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>454997</AllOtherContributionsAmt>
      <TotalContributionsAmt>2625174</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>111292954</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>111292954</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>111292954</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>259237</TotalRevenueColumnAmt>
        <ExclusionAmt>259237</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1910057</SecuritiesAmt>
        <OtherAmt>115410</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1855308</SecuritiesAmt>
        <OtherAmt>184983</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>54749</SecuritiesAmt>
        <OtherAmt>-69573</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-14824</TotalRevenueColumnAmt>
        <ExclusionAmt>-14824</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>722513</BusinessCd>
        <TotalRevenueColumnAmt>652258</TotalRevenueColumnAmt>
        <ExclusionAmt>652258</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>61288</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>61288</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PURCHASE DISCOUNTS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>30514</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30514</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>4431</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>4431</UnrelatedBusinessRevenueAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>748491</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>114911032</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>111384756</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4431</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>896671</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>148678</TotalAmt>
        <ProgramServicesAmt>148678</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1368400</TotalAmt>
        <ManagementAndGeneralAmt>1368400</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>150281</TotalAmt>
        <ManagementAndGeneralAmt>150281</ManagementAndGeneralAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>37748436</TotalAmt>
        <ProgramServicesAmt>31235677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6512759</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1450698</TotalAmt>
        <ProgramServicesAmt>1181832</ProgramServicesAmt>
        <ManagementAndGeneralAmt>268866</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>7757626</TotalAmt>
        <ProgramServicesAmt>6217799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1539827</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2598733</TotalAmt>
        <ProgramServicesAmt>2073789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>524944</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>899726</TotalAmt>
        <ManagementAndGeneralAmt>899726</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>1769040</TotalAmt>
        <ManagementAndGeneralAmt>1769040</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>12662720</TotalAmt>
        <ProgramServicesAmt>8995430</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3667290</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>175000</TotalAmt>
        <ProgramServicesAmt>102006</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72994</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>6486232</TotalAmt>
        <ProgramServicesAmt>6006875</ProgramServicesAmt>
        <ManagementAndGeneralAmt>479357</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1147378</TotalAmt>
        <ProgramServicesAmt>16434</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1130944</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>4214525</TotalAmt>
        <ProgramServicesAmt>4009278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>205247</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>165375</TotalAmt>
        <ProgramServicesAmt>106215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59160</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>38217</TotalAmt>
        <ProgramServicesAmt>38217</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>4984</TotalAmt>
        <ManagementAndGeneralAmt>4984</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>7850897</TotalAmt>
        <ProgramServicesAmt>7468558</ProgramServicesAmt>
        <ManagementAndGeneralAmt>382339</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>957681</TotalAmt>
        <ProgramServicesAmt>167983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>789698</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>14334141</TotalAmt>
        <ProgramServicesAmt>14334141</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>3257592</TotalAmt>
        <ProgramServicesAmt>2366304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>891288</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>883377</TotalAmt>
        <ProgramServicesAmt>243610</ProgramServicesAmt>
        <ManagementAndGeneralAmt>639767</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHYSICIAN RECRUITMENT</Desc>
        <TotalAmt>658649</TotalAmt>
        <ProgramServicesAmt>658649</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>313470</TotalAmt>
        <ProgramServicesAmt>187715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125755</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>107041856</TotalAmt>
        <ProgramServicesAmt>85559190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21482666</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>635966</BOYAmt>
        <EOYAmt>601593</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>20402099</BOYAmt>
        <EOYAmt>15963312</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>19595635</BOYAmt>
        <EOYAmt>18125839</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>2583789</BOYAmt>
        <EOYAmt>2622116</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>5545925</BOYAmt>
        <EOYAmt>2498043</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>149396976</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>71549317</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>82383845</BOYAmt>
        <EOYAmt>77847659</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>100821254</BOYAmt>
        <EOYAmt>110717195</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>231968513</BOYAmt>
        <EOYAmt>228375757</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>16575712</BOYAmt>
        <EOYAmt>8911628</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>470854</BOYAmt>
        <EOYAmt>40628</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>73132060</BOYAmt>
        <EOYAmt>69886549</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>90178626</BOYAmt>
        <EOYAmt>78838805</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>141789887</BOYAmt>
        <EOYAmt>149536952</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>141789887</BOYAmt>
        <EOYAmt>149536952</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>231968513</BOYAmt>
        <EOYAmt>228375757</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>7869176</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-122111</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc11">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1" />
    <IRS990ScheduleC documentId="RetDoc4">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>15028</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>15028</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION BELONGS TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. A PORTION OF THE MEMBERSHIP DUES PAID TO THOSE ASSOCIATIONS ARE DEDICATED TO LOBBYING ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1792014</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1792014</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>82629860</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>23953134</DepreciationAmt>
        <BookValueAmt>58676726</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1316015</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>430067</DepreciationAmt>
        <BookValueAmt>885948</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>60909523</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>47166116</DepreciationAmt>
        <BookValueAmt>13743407</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2749564</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2749564</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>77847659</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED ORGANIZATIONS</Desc>
        <BookValueAmt>107481002</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM THIRD PARTY PAYORS</Desc>
        <BookValueAmt>1306287</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>1080594</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BOND ISSUE COSTS</Desc>
        <BookValueAmt>849312</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>110717195</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ALLIANCE AND EACH REPORTING ENTITY ARE NOT-FOR-PROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ALLIANCE APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ALLIANCE ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2018 AND 2017 OR FOR THE YEARS THEN ENDED. THE ALLIANCES TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. MEADOWS HEALTHCARE ALLIANCE, INC. (ALLIANCE) IS THE HOLDING CORPORATION ESTABLISHED AND VESTED WITH PRIMARY ORGANIZATIONAL AUTHORITY OVER AFFILIATE CORPORATIONS, INCLUDING THE FILING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc10">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>1.250000000000</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>6148217</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>6148217</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05740</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>18732135</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>16879035</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1853100</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01730</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>24880352</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>16879035</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8001317</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07470</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>367685</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>276480</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>91205</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00090</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>128933</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>128933</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00120</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>148678</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>148678</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00140</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>645296</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>276480</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>368816</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00340</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>25525648</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>17155515</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8370133</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07820</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>34806295</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>25056059</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>24771529</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>284530</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>MEADOWS REGIONAL MEDICAL CENTER INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>ONE MEADOWS PARKWAY</AddressLine1Txt>
          <CityNm>VIDALIA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>304748759</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.MEADOWSHEALTH.COM</WebsiteAddressTxt>
        <StateLicenseNum>138-476</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>MEADOWS REGIONAL MEDICAL CENTER INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.MEADOWSHEALTH.COM</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.MEADOWSHEALTH.COM</StrategyWebsiteURLTxt>
        <StrategyAttachedInd referenceDocumentId="RetDoc2">false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>125.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <OtherMethodInd>X</OtherMethodInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.MEADOWSHEALTH.COM</FAPAvailableOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MEADOWS REGIONAL MEDICAL CENTER INC - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGES 30-33 OF THE 2016 CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MEADOWS REGIONAL MEDICAL CENTER INC - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIVIDUAL INTERVIEWS WERE CONDUCTED WITH COMMUNITY AND HOSPITAL REPRESENTATIVES THAT HAD SPECIAL KNOWLEDGE AND EXPERTISE IN LOCAL PUBLIC HEALTH ISSUES. THE PURPOSE OF THE INTERVIEWS WAS TO OBTAIN THEIR INSIGHTS INTO THE HEALTH OF THE COMMUNITY, INCLUDING, BUT LIMITED TO, THE COMMUNITY'S MOST CRITICAL AND COMMON HEALTH ISSUES, POPULATIONS WITHIN THE COMMUNITY THAT HAVE THE GREATEST CHALLENGE IN ACHIEVING AND MAINTAINING GOOD HEALTH AND SPECIFIC INITIATIVES THAT COULD HAVE THE GREATEST IMPACT ON IMPROVING THE HEALTH OF THE COMMUNITY. OF PARTICULAR INTEREST TO MRMC WERE THE HEALTH NEEDS OF ITS HISPANIC/MIGRANT COMMUNITY. TO ENSURE THAT THE HISPANIC/MIGRANT COMMUNITY HAD A VOICE IN THE ASSESSMENT, A FOCUS GROUP WAS CONDUCTED THAT INCLUDED 15 MEMBERS OF THIS COMMUNITY. THE GOAL OF THE FOCUS GROUP WAS TO GATHER ADDITIONAL INFORMATION ABOUT THE UNMET HEALTH NEEDS AND GAPS IN HEALTHCARE SERVICES FOR THIS GROWING COMMUNITY. TO GATHER HEALTH RELATED INFORMATION AND OPINIONS FROM THE BROADER COMMUNITY, MRMC USED A 31 QUESTION SURVEY. THE SURVEY WAS AVAILABLE THROUGH MRMC'S WEB SITE. IN ADDITION, PAPER COPIES OF THE SURVEY WERE AVAILABLE FOR COMMUNITY MEMBERS WITHOUT INTERNET ACCESS OR WHO PREFERRED A PAPER SURVEY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MEADOWS REGIONAL MEDICAL CENTER INC - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>BASED ON A REVIEW OF ALL OF THE INPUTS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, MRMC IDENTIFIED FOUR BROAD HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THOSE SERVICE INITIATIVES THAT IT PLANS TO UNDERTAKE, OR CONTINUE, TO MEET THESE NEEDS. THE FOLLOWING ARE THE TOP COMMUNITY HEALTH NEEDS AND ASSOCIATED SERVICE INITIATIVES: 1) PROMOTE HEALTHY BEHAVIOR WITH SPECIFIC PREVENTIVE EDUCATION AND OUTREACH PROGRAMS GEARED TOWARDS LOWERING OBESITY RATES AND ENCOURAGING HEALTHY EATING: A) DEVELOP HEALTHY DIETARY ALTERNATIVES IN MRMC'S CAFETERIA AND PROMOTE/ENCOURAGE HEALTHY DIETARY CHOICES AMONG ITS EMPLOYEES, PHYSICIANS AND VISITORS. B) PROVIDE HEALTHY FOOD ALTERNATIVES IN MRMC'S VENDING MACHINES. C) COLLABORATE WITH LOCAL ORGANIZATIONS AND GROUPS TO DEVELOP PROGRAMS THAT PROMOTE HEALTHY DIETARY CHOICES AND WEIGHT MANAGEMENT THROUGHOUT THE COMMUNITY. D) LAUNCH A STRUCTURED INITIATIVE TO ENCOURAGE A HEALTHY LIFESTYLE INCLUDING GOOD NUTRITION AND PHYSICAL ACTIVITY. 2) DEVELOP A PLAN TO ADDRESS THE SHORTAGE OF MENTAL HEALTH/SUBSTANCE ABUSE RESOURCES: A) DEVELOP A PSYCHIATRIC TELEMEDICINE PROGRAM. B) WORK CLOSER WITH COMMUNITY PARTNERS TO COORDINATE ACCESS TO EXISTING MENTAL HEALTH/SUBSTANCE ABUSE RESOURCES. C) EXPLORE THE POTENTIAL TO PARTNER WITH EXISTING PSYCHIATRIC RESIDENCY PROGRAMS I.E. MEDICAL COLLEGE OF GEORGIA OR COLISEUM MEDICAL CENTER, TO INITIATE A CLINICAL ROTATION AT MRMC. 3) IMPROVE ACCESS TO CARE: A) TRAIN ADDITIONAL MEDICAL TRANSLATORS AND DEVELOP TECHNOLOGY-BASED SYSTEMS FOR THE HOSPITAL AND FOR PHYSICIAN OFFICES TO FILL GAPS IN THE COMMUNICATION NEEDS OF HISPANIC/MIGRANT PATIENTS. B) RECRUIT ADDITIONAL PRIMARY CARE PROVIDERS, INCLUDING PHYSICIANS AND MID-LEVEL PROVIDERS, ESPECIALLY FOR THE COUNTIES IN THE SECONDARY SERVICE AREA. C) DEVELOP EXTENDED HOUR OPTIONS FOR PRIMARY CARE SERVICES, POSSIBLY INCLUDING THE DEVELOPMENT OF URGENT CARE CENTERS. D) EXPLORE THE POTENTIAL FOR AN EMPLOYEE HEALTH CENTER/CLINIC. 4) PURSUE CURRENT COMMUNITY HEALTH INITIATIVES: IN ADDITION, TO THE NEW INITIATIVES IDENTIFIED ABOVE, MRMC WILL CONTINUE TO PURSUE ITS CURRENT COMMUNITY HEALTH INITIATIVES. TO ENHANCE THE EFFECTIVENESS OF THESE INITIATIVES, MRMC WILL: A) CREATE GREATER AWARENESS OF THE INITIATIVES AND IMPROVE COORDINATION OF SERVICES WITH EXISTING HOSPITAL AND COMMUNITY RESOURCES. B) DEVELOP STRATEGIES TO ENCOURAGE GREATER PARTICIPATION AND COMPLIANCE. A COMPLETE COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN CAN BE FOUND AT HTTP://MEADOWSHEALTH.COM/ABOUT-US</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MEADOWS REGIONAL MEDICAL CENTER INC - PART V, LINE 15E</FormAndLineReferenceDesc>
        <ExplanationTxt>MRMC WILL ASSIST PATIENTS IN COMPLETING THE APPLICATIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RT STANLEY HEALTH CENTER LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>110 RT STANLEY SR PLACE</AddressLine1Txt>
            <CityNm>LYONS</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30436</ZIPCd>
          </USAddress>
          <FacilityTxt>FREESTANDING RHC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PAGE 11 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8 - MEDICARE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 - NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>MRMC PERFORMS ROUTINE PHYSICIAN AND PATIENT NEEDS ASSESSMENTS AND, SIMILARLY, WITH HEALTH RISK ASSESSMENTS AND THROUGH AN ANALYSIS OF REASONS FOR PATIENT TRANSFERS TO OTHER FACILITIES. TO HELP ADDRESS THE HEALTHCARE NEEDS OF THE RESIDENTS OF SOUTHEASTERN GEORGIA MOST EFFECTIVELY, MRMC CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016. WORKING WITH THE STRATEGY HOUSE, A HEALTHCARE CONSULTING FIRM, MRMC COLLECTED AND ANALYZED DATA FROM NUMEROUS SOURCES, WHICH IT USED TO PROFILE THE HEALTH STATUS OF ITS COMMUNITY, IDENTIFY AND PRIORITIZE THE MOST IMPORTANT HEALTH NEEDS OF THE RESIDENTS, AND DEVELOP SERVICE INITIATIVES TO HELP ADDRESS THESE NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>MRMC HAS CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICIES AVAILABLE THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID. PATIENT EDUCATION ON MRMC'S FINANCIAL ASSISTANCE PROGRAMS ARE CONDUCTED DURING REGISTRATION AND THROUGH VISITS BY FINANCIAL COUNSELORS FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>MRMC SERVES THE VIDALIA, TOOMBS COUNTY REGION, A RURAL SOUTHEAST GEORGIA COMMUNITY. THE PATIENT MIX BASED ON REVENUES IS APPROXIMATELY 62% MEDICARE/MEDICAID, 28% OTHER THIRD PARTY AND 10% SELF PAY WITH AN INCREASING POPULATION APPLYING AND QUALIFYING AS CHARITY AND INDIGENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>MRMC AND ALL ITS VOLUNTEER BOARDS ARE COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS. OUR EMERGENCY DEPARTMENT HAS 24/7 PHYSICIAN COVERAGE AND IS OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. MRMC REINVESTS ALL OF ITS SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE ACCESS TO CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>MEADOWS HEALTHCARE ALLIANCE, INC. (ALLIANCE) IS THE HOLDING CORPORATION ESTABLISHED AND VESTED WITH PRIMARY ORGANIZATIONAL AUTHORITY OVER AFFILIATE CORPORATIONS, INCLUDING MEADOWS REGIONAL MEDICAL CENTER, INC., MEADOWS HEALTHCARE RESOURCES, INC., SOUTHEAST REGIONAL PRIMARY CARE CORPORATION, AND MEADOWS HEALTHCARE FOUNDATION. MEADOWS REGIONAL MEDICAL CENTER, INC. (HOSPITAL) IS THE CORPORATION WHICH OPERATES A LICENSED 57-BED GENERAL ACUTE CARE HOSPITAL AND R. T. STANLEY HEALTH CENTER, A RURAL HEALTH CENTER. MEADOWS HEALTHCARE RESOURCES, INC. (RESOURCES) WAS ORIGINALLY CREATED FOR FUTURE RELATED BUSINESS DEVELOPMENT. SOUTHEAST REGIONAL PRIMARY CARE CORPORATION WAS CREATED BY THE ALLIANCE. THE CORPORATION OPERATES VARIOUS PHYSICIAN PRACTICES IN TOOMBS COUNTY AND THE SURROUNDING AREAS. MEADOWS HEALTHCARE FOUNDATION WAS ESTABLISHED TO RAISE FUNDS OF ANY KIND OR CHARACTER TO BE USED EXCLUSIVELY FOR CHARITABLE, MEDICAL EDUCATION, AND SCIENTIFIC PURPOSES AT OR IN CONNECTION WITH MEADOWS REGIONAL MEDICAL CENTER, INC. IN 2018, MEADOWS HEALTHCARE ALLIANCE, INC. AND SOUTHEAST REGIONAL PRIMARY CARE CORPORATION REGISTERED THE TRADE NAMES AND BEGAN DOING BUSINESS AS MEADOWS HEALTH AND MEADOWS MEDICAL GROUP, RESPECTIVELY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGIA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc6">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHEASTERN TECHNICAL COLLEGE FND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3001 EAST FIRST STREET</AddressLine1Txt>
          <CityNm>VIDALIA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>304748817</ZIPCd>
        </USAddress>
        <RecipientEIN>581861068</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>128933</CashGrantAmt>
        <PurposeOfGrantTxt>RN PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PART II - GRANTS TO ORGANIZATIONS MRMC AGREED TO PAY THE SALARY AND BENEFITS OF A PROGRAM DIRECTOR FOR THE COLLEGE TO IMPLEMENT A RN PROGRAM. MRMC RECEIVES QUARTERLY INVOICES FROM THE 501(C)(3) ORGANIZATION FOR THE REIMBURSEMENT OF THE PROGRAM DIRECTOR'S SALARY AND BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc7">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES ALAN KENT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>435768</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>493179</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14850</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16907</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>960704</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WAYNE WILLIAMS MD</PersonNm>
        <TitleTxt>PAST DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>443849</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>51671</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14850</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16907</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>527277</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL WILLIAMS MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>371469</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>61125</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14575</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16907</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>464076</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN MCCOLL MD</PersonNm>
        <TitleTxt>DIRECTOR;VP MED AFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>277469</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>8278</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13277</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7487</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>306511</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN R CORNELL</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>285876</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>30463</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14850</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16907</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>348096</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TONY O'STEEN</PersonNm>
        <TitleTxt>CFO (AUG 2018)</TitleTxt>
        <BaseCompensationFilingOrgAmt>181114</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>12942</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9189</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>203245</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANK GIBASE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>540847</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>28233</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14409</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16907</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>600396</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH CAMPBELL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>417050</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>64810</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14400</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16907</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>513167</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY DEMETRI MANCUSO MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>418550</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>15438</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3923</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16907</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>454818</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FREDERICK MARTINEZ MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>294302</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>112844</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8399</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16907</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>432452</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALEJANDRO GARCIA-HERNANDEZMD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>394544</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>5301</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14850</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16907</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>431602</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOWARD HOLMAN</PersonNm>
        <TitleTxt>FORMER SENIOR VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>10664</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>138735</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>594</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>288</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>150281</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MEADOWS HEALTHCARE ALLIANCE, INC. ("ALLIANCE"), THE PARENT ORGANIZATION, MAINTAINS A 457(F) DEFERRED COMPENSATION PLAN TO WHICH THE ALLIANCE WILL CONTRIBUTE FOR HIGHLY COMPENSATED MANAGEMENT EMPLOYEES. THE ALLIANCE CONTRIBUTES AN AMOUNT THAT IS DETERMINED BY THE BOARD, WHICH IS AT MINIMUM 14% AND AT MAXIMUM 18%. ELIGIBLE EMPLOYEES MAY CONTRIBUTE TO THE PLAN. ELIGIBLE EMPLOYEES VEST IN ALL CONTRIBUTIONS ON THE VESTING DATE DETERMINED BY THE BOARD PROVIDED THE EMPLOYEE HAS REMAINED IN CONTINUOUS EMPLOYMENT IN THE SAME POSITION WHILE PARTICIPATING IN THE PLAN. CEO COMPENSATION TOTAL COMPENSATION FOR THE CEO (FORM 990, PART VII, DETAILED IN SCHEDULE J. PART II (B) (III) OTHER REPORTABLE COMPENSATION) INCLUDES 471,134 FROM A SUPPLEMENTAL RETIREMENT PLAN ESTABLISHED AS A "RABBI TRUST" WHICH IS FUNDED ANNUALLY, IN THIS CASE, OVER A FIVE-YEAR PERIOD, BUT TAXABLE TO THE PARTICIPANT IN THE YEAR IN WHICH PAYMENT IS DISBURSED. THESE FUNDS, WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME, WILL AFFORD A RETIREMENT INCOME AT A TARGETED AMOUNT OF PRE-RETIREMENT INCOME. AMOUNTS REPORTED AS BENEFITS INCLUDE AMOUNTS FOR LIFE INSURANCE, HEALTH INSURANCE, THRIFT PLAN CONTRIBUTIONS, AND PENSION CONTRIBUTIONS. ACCORDINGLY, MR. KENT'S TOTAL COMPENSATION FOR 2017 WITHOUT THE TAXABLE RETIREMENT PLAN PAYOUT WOULD HAVE BEEN 489,570. BONUS/INCENTIVE YAFFE AND COMPANY, INC. A THIRD PARTY CONSULTANT, PROVIDES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE FOR THE CEO'S BONUS/INCENTIVE COMPENSATION. THE CEO MAKES RECOMMENDATIONS TO THIS COMMITTEE FOR THE CFO'S BONUS/INCENTIVE COMPENSATION BASED ON SET GOALS AND OTHER FACTORS. THE CFO IS ELIGIBLE FOR UP TO A 15% BONUS OF HIS BASE PAY. OTHER EXECUTIVE OFFICERS AND EMPLOYEES ARE ELIGIBLE FOR BONUS/INCENTIVE PAYMENTS. THESE PAYMENTS ARE RELIANT ON VARIOUS ORGANIZATIONAL AND PERSONAL GOALS ESTABLISHED BY THE GOVERNING BODY. WHETHER A BONUS/INCENTIVE PAYMENT IS AWARDED IS DEPENDENT UPON ATTAINMENT OF PREDETERMINED GOALS AND THE NET PROFIT OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>MRMC IS A COMMUNITY HOSPITAL OPERATED FOR THE BENEFIT OF THE RESIDENTS OF THE VIDALIA AND TOOMBS COUNTY REGION. ITS GOVERNING BODY IS COMPOSED OF MEMBERS OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF THE HOSPITAL'S FACILITIES. MRMC OPERATES A FULL-TIME EMERGENCY ROOM, AND NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT. MRMC ALSO PROVIDES TREATMENT, WITHOUT COMPENSATION, TO INDIGENT PATIENTS IN ACCORDANCE WITH THE REQUIREMENTS OF FEDERAL REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES OF MEADOWS REGIONAL HEALTHCARE ALLIANCE, INC. (ALLIANCE), THE PARENT ORGANIZATION, HAS THE SOLE POWER TO ELECT OR APPOINT THE TRUSTEES OF THE FILING ORGANIZATION'S BOARD AND PRINCIPAL EXECUTIVE OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ALLIANCE BOARD OF TRUSTEES, THE PARENT ORGANIZATION, HAS THE SOLE POWER TO ELECT OR APPOINT THE TRUSTEES OF THE ORGANIZATION'S BOARD AS WELL AS THE POWER TO APPOINT PRINCIPAL EXECUTIVE OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ALLIANCE BOARD HAS THE FULL POWER AND AUTHORITY TO REVIEW AND APPROVE CAPITAL AND OPERATING BUDGETS OF INCOME AND EXPENDITURES OF THE FILING ORGANIZATION AND TO EXERCISE SUCH OTHER SUPERVISION AND CONTROL OVER THE AFFAIRS AND PROPERTY OF THE ENTITY AS DEEMED NECESSARY OR DESIRABLE TO ENSURE THE TAX EXEMPT FUNCTIONS OF THE CORPORATION ARE CARRIED OUT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 AND ALL RELATED SCHEDULES WILL BE REVIEWED BY THE AUDIT COMMITTEE BEFORE THE ACTUAL FILING WITH THE INTERNAL REVENUE SERVICE. THE BOARD MEMBERS OF THE GOVERNING BODY WILL RECEIVE A COPY OF THE FORM 990 THROUGH THE ORGANIZATION'S WEB PORTAL FOR THEIR REVIEW. PRIOR TO FILING, THE ORGANIZATION'S CFO WILL REVIEW THE RETURN FOR FINANCIAL AND DISCLOSURE ACCURACY, AND WILL RESPOND TO QUESTIONS FROM BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEMBERS OF THE HOSPITAL BOARD OF TRUSTEES AND EXECUTIVE OFFICERS ANNUALLY COMPLETE A WRITTEN POLICY OF CONFLICT OF INTEREST. THESE ARE KEPT AT THE OFFICE OF THE ADMINISTRATIVE ASSISTANT FOR THE CEO. ANNUAL STATEMENTS ARE TYPICALLY DONE IN THE MONTH OF JANUARY. THE CEO AND GENERAL COUNSEL FOR THE HOSPITAL MONITOR CONFLICTS, ATTEND EACH BOARD MEETING, AND ARE RESPONSIBLE FOR ADDRESSING KNOWN CONFLICTS, AND REQUESTING TRUSTEE MEMBERS TO REFRAIN FROM VOTING ON DECLARED CONFLICTS. FOR SUBSTANTIAL CONFLICTS, THE BOARD MEMBERS ARE ASKED NOT TO DELIBERATE, TO ABSTAIN FROM VOTING, AND ARE REQUESTED TO REMOVE THEMSELVES FROM THE DISCUSSIONS OF THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE SETS EXECUTIVE COMPENSATION. THE COMMITTEE IS MADE UP OF MEMBERS OF THE EXECUTIVE COMMITTEE. THE COMPENSATION COMMITTEE ENGAGES A THIRD PARTY CONSULTANT, YAFFE AND COMPANY, INC., TO RESEARCH EXECUTIVE COMPENSATION AND MAKE RECOMMENDATIONS TO THE COMMITTEE. THE COMMITTEE THEN REVIEWS YAFFE'S RECOMMENDATIONS AND MAKES COMPENSATION DECISIONS, USUALLY USING THE 60TH PERCENTILE OF YAFFE'S COMPENSATION RANGES. THIS DETERMINATION PROCESS IS PERFORMED ANNUALLY EVERY FALL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE NARRATIVE FOR LINE 15A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES 4,497,019 1,634,513 0 MEDICAL FEES 1,325,542 357,830 0 CONTRACT LABOR 2,828,933 0 0 INTERPRETATION FEES 206,522 0 0 BILLING SERVICE FEE 115,477 0 0 COLLECTION FEES 5,912 540,755 0 CONSULTING FEES 16,025 1,134,192 0 TOTAL 8,995,430 3,667,290 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc9">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEADOWS HEALTHCARE FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE MEADOWS PARKWAY</AddressLine1Txt>
          <CityNm>VIDALIA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>304748759</ZIPCd>
        </USAddress>
        <EIN>263617113</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIANCE</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>MEADOWS HEALTHCARE ALLIANCE INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEADOWS HEALTHCARE ALLIANCE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>P O BOX 1048</AddressLine1Txt>
          <CityNm>VIDALIA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>304751048</ZIPCd>
        </USAddress>
        <EIN>582044502</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12C</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEADOWS HEALTHCARE RESOURCES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE MEADOWS PARKWAY</AddressLine1Txt>
          <CityNm>VIDALIA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>304748759</ZIPCd>
        </USAddress>
        <EIN>582044505</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIANCE</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>MEADOWS HEALTHCARE ALLIANCE INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTHEAST REGIONAL PRIMARY CARE COR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>P O BOX 1048</AddressLine1Txt>
          <CityNm>VIDALIA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>304751048</ZIPCd>
        </USAddress>
        <EIN>582094737</EIN>
        <PrimaryActivitiesTxt>PHYSICIANS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIANCE</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>MEADOWS HEALTHCARE ALLIANCE INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>