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        <DescriptionOfServices>LAB SERVICES</DescriptionOfServices>
        <Compensation>1157544</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>DIVERSIFIED CLINICAL SERVICES INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 636981</AddressLine1>
            <City>CINCINNATI</City>
            <State>OH</State>
            <ZIPCode>452636981</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CLINICAL PERSON</DescriptionOfServices>
        <Compensation>664859</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>39</NumberOfContractorsGT100K>
      <AllOtherContributions>247626</AllOtherContributions>
      <TotalContributions>247626</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT REVENUE</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>96913683</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>96913683</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>96913683</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>196189</TotalRevenueColumn>
        <ExclusionAmount>196189</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>154073</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>98030</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>56043</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>56043</TotalRevenueColumn>
        <ExclusionAmount>56043</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>4531110</Securities>
        <Other>150410</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>4337513</Securities>
        <Other>5486885</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>193597</Securities>
        <Other>-5336475</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-5142878</TotalRevenueColumn>
        <ExclusionAmount>-5142878</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>EHR REVENUES</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>622982</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>622982</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA SALES</Description>
        <BusinessCode>561000</BusinessCode>
        <TotalRevenueColumn>457086</TotalRevenueColumn>
        <ExclusionAmount>457086</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>OTHER REVENUE</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>101171</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>101171</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>30899</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>30899</RelatedOrExemptFunctionIncome>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>1212138</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>93482801</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>97668735</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>-4433560</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>7200</Total>
        <ProgramServices>7200</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>1117437</Total>
        <ManagementAndGeneral>1117437</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>24653616</Total>
        <ProgramServices>21274734</ProgramServices>
        <ManagementAndGeneral>3378882</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>987976</Total>
        <ProgramServices>852811</ProgramServices>
        <ManagementAndGeneral>135165</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>6311028</Total>
        <ProgramServices>5221304</ProgramServices>
        <ManagementAndGeneral>1089724</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1924164</Total>
        <ProgramServices>1591284</ProgramServices>
        <ManagementAndGeneral>332880</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>511261</Total>
        <ManagementAndGeneral>511261</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>1089848</Total>
        <ManagementAndGeneral>1089848</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>20448</Total>
        <ManagementAndGeneral>20448</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesOther>
        <Total>8188505</Total>
        <ProgramServices>5974317</ProgramServices>
        <ManagementAndGeneral>2214188</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>120078</Total>
        <ProgramServices>52807</ProgramServices>
        <ManagementAndGeneral>67271</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>4536190</Total>
        <ProgramServices>4133962</ProgramServices>
        <ManagementAndGeneral>402228</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>5176</Total>
        <ProgramServices>3572</ProgramServices>
        <ManagementAndGeneral>1604</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>6690375</Total>
        <ProgramServices>6355187</ProgramServices>
        <ManagementAndGeneral>335188</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>195438</Total>
        <ProgramServices>85970</ProgramServices>
        <ManagementAndGeneral>109468</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>2117</Total>
        <ManagementAndGeneral>2117</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>7812216</Total>
        <ProgramServices>7420824</ProgramServices>
        <ManagementAndGeneral>391392</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>528872</Total>
        <ProgramServices>45544</ProgramServices>
        <ManagementAndGeneral>483328</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>15787936</Total>
        <ProgramServices>15787936</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>8619807</Total>
        <ProgramServices>8619807</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS &amp; MAINTENANCE</Description>
        <Total>1965292</Total>
        <ProgramServices>1155311</ProgramServices>
        <ManagementAndGeneral>809981</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHYSICIAN RECRUITMENT</Description>
        <Total>502416</Total>
        <ProgramServices>502416</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>400817</Total>
        <ProgramServices>310670</ProgramServices>
        <ManagementAndGeneral>90147</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>91978213</Total>
        <ProgramServices>79395656</ProgramServices>
        <ManagementAndGeneral>12582557</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1693652</BOY>
        <EOY>401836</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>9965464</BOY>
        <EOY>10228650</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>13954360</BOY>
        <EOY>12879708</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>2264945</BOY>
        <EOY>2603432</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>956172</BOY>
        <EOY>1805691</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>120529063</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>27337110</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>100499898</BOY>
        <EOY>93191953</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
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        <EOY>14897</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>10768474</BOY>
        <EOY>43423848</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>140117862</BOY>
        <EOY>164550015</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>6585093</BOY>
        <EOY>7909688</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>140000</BOY>
        <EOY>250022</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>72264084</BOY>
        <EOY>73459448</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>1716221</BOY>
        <EOY>913502</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>80705398</BOY>
        <EOY>82532660</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>59412464</BOY>
        <EOY>82017355</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>59412464</BOY>
        <EOY>82017355</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>140117862</BOY>
        <EOY>164550015</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>1504588</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>21100303</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc3">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc4">
      <Form4720Filed4955Tax>false</Form4720Filed4955Tax>
      <CorrectionMade>false</CorrectionMade>
      <Form1120PolFiled>false</Form1120PolFiled>
      <Form4720Filed>false</Form4720Filed>
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>20448</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>20448</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <SubstantiallyAllDuesNondeduct>false</SubstantiallyAllDuesNondeduct>
      <OnlyInHouseLobbying>false</OnlyInHouseLobbying>
      <AgreeToCarryoverPriorYear>false</AgreeToCarryoverPriorYear>
      <Form990ScheduleCPartIV>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1</ReturnReference>
        <Explanation>THE ORGANIZATION BELONGS TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. A PORTION OF THE MEMBERSHIP DUES PAID TO THOSE ASSOCIATIONS ARE DEDICATED TO LOBBYING ACTIVITIES. ADDITIONALLY, THE HOSPITAL PAID A LOBBYING CONSULTANT 9,000 TO ENGAGE IN SUCH ACTIVITIES ON THEIR BEHALF.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
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        <BookValue>1528014</BookValue>
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      <Buildings>
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        <Depreciation>5981979</Depreciation>
        <BookValue>68032995</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <Depreciation>48152</Depreciation>
        <BookValue>69903</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <Depreciation>21306979</Depreciation>
        <BookValue>21445041</BookValue>
      </Equipment>
      <OtherLandBuildings>
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        <BookValue>2116000</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>93191953</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DUE TO RELATED ORGANIZATIONS</Description>
        <BookValue>41373241</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>2050607</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>43423848</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>ESTIMATED THIRD-PARTY SETTLEMENTS</Description>
        <Amount>913502</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>913502</TotalOfAmounts>
      <TotalRevenue>93482801</TotalRevenue>
      <TotalExpenses>91978213</TotalExpenses>
      <ExcessOrDeficitForYear>1504588</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>1504588</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>93482801</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>93482801</RevenueSubtotal>
      <TotalRevenuePerForm990>93482801</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>91978213</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>91978213</ExpensesSubtotal>
      <TotalExpensesPerForm990>91978213</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>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, 2012 AND 2011 OR FOR THE YEARS THEN ENDED. THE ALLIANCE'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2009-2011. (THE ALLIANCE, MEADOWS HEALTHCARE ALLIANCE, INC., IS THE PARENT HOLDING COMPANY.)</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc7">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>1.25000</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>1.25000</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <NetCommunityBenefitExpense>4379915</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05740</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>16598400</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14101696</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2496704</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03270</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
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        <DirectOffsettingRevenue>14101696</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6876619</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09010</PercentOfTotalExpense>
      </TotalCharityCare>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>468063</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>468063</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00610</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>468063</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>468063</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00610</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>21446378</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14101696</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7344682</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09620</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>15787936</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>17357720</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>21087205</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-3729485</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>MEADOWS REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>ONE MEADOWS LANE</AddressLine1>
          <City>VIDALIA</City>
          <State>GA</State>
          <ZIPCode>304748759</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
        <Other>RHC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>MEADOWS REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>125.0</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>125.0</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <OtherFactors>X</OtherFactors>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>true</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>STANLEY HEALTH CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>110 R T STANLEY SR PLACE</AddressLine1>
            <City>LYONS</City>
            <State>GA</State>
            <ZIPCode>30436</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE</Identifier>
        <ReturnReference>PART I LINE 7 COLUMN F</ReturnReference>
        <Explanation>IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN F THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 FORM 990 PART IX LINE 25 91978213 LESS BAD DEBTS IN PART IX 15787936 ADD EXPENSES REPORTED IN PART VIII 98030 DENOMINATOR FOR COLUMN F 76288307</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COSTING METHODOLOGY EXPLANATION</Identifier>
        <ReturnReference>PART I LINE 7</ReturnReference>
        <Explanation>THE 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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 4</ReturnReference>
        <Explanation>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 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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 9B</ReturnReference>
        <Explanation>THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THROUGH PHYSICIAN AND PATIENT NEEDS ASSESSMENTS HEALTH RISK ASSESSMENTS ANALYSIS OF REASONS FOR PATIENT TRANSFERS TO OTHER FACILITIES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>PATIENTS 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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>MRMC 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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THE HOSPITAL WELLNESS CENTERS MEETING ROOMS ARE USED AT VARIOUS TIMES FOR LUNCH AND LEARN PROGRAMS DIABETES EDUCATION AND SUPPORT MEETINGS VARIOUS HEALTH SCREENING DATES AND A VARIETY OF OTHER COMMUNITY HEALTH PROGRAMS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>GEORGIA</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEADOWS REGIONAL MEDICAL CENTER INC LINE NUMBER 1 PART V LINE 11H</Identifier>
        <ReturnReference>PART V LINE 11H</ReturnReference>
        <Explanation>TO CALCULATE THE AMOUNTS CHARGED TO PATIENTS THE HOSPITAL MULTIPLIED GROSS CHARGES BY THE RATE OF DISCOUNT</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEADOWS REGIONAL MEDICAL CENTER INC LINE NUMBER 1 PART V LINE 19D</Identifier>
        <ReturnReference>PART V LINE 19D</ReturnReference>
        <Explanation>THE MAXIMUM AMOUNT CHARGED TO FAPELIGIBLE INDIVIDUALS WAS SET AT GROSS CHARGES MINUS 20</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEADOWS REGIONAL MEDICAL CENTER INC LINE NUMBER 1 PART V LINE 20</Identifier>
        <ReturnReference>PART V LINE 20</ReturnReference>
        <Explanation>DURING THE 2012 TAX YEAR THE UPDATED FINANCIAL ASSISTANCE POLICY WHICH PROHIBITS CHARGING MORE THAN THE AMOUNTS GENERALLY BILLED TO INSURED PATIENTS WAS NOT YET IN PLACE THE NEW POLICY WAS PUT INTO EFFECT DURING THE 2013 FISCAL YEAR END</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc8">
      <RecordsMaintained>true</RecordsMaintained>
      <NoGrantMoreThan5000>X</NoGrantMoreThan5000>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc9">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>J ALAN KENT</NamePerson>
        <BaseCompensationFilingOrg>353420</BaseCompensationFilingOrg>
        <BonusFilingOrg>38541</BonusFilingOrg>
        <DeferredCompFilingOrg>89467</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>481428</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN R CORNELL</NamePerson>
        <BaseCompensationFilingOrg>215960</BaseCompensationFilingOrg>
        <BonusFilingOrg>25000</BonusFilingOrg>
        <DeferredCompFilingOrg>10736</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>251696</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SHIRLEY HOSKINS</NamePerson>
        <BaseCompensationFilingOrg>239628</BaseCompensationFilingOrg>
        <BonusFilingOrg>15000</BonusFilingOrg>
        <DeferredCompFilingOrg>11021</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>265649</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HOWARD HOLMAN</NamePerson>
        <BaseCompensationFilingOrg>162466</BaseCompensationFilingOrg>
        <BonusFilingOrg>25000</BonusFilingOrg>
        <DeferredCompFilingOrg>8177</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>195643</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CRAIG HORTON MD</NamePerson>
        <BaseCompensationFilingOrg>165227</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>8782</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>174009</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 4</ReturnReference>
        <Explanation>J. ALAN KENT 0 75,992 0</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>OTHER ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART III</ReturnReference>
        <Explanation>MEADOWS HEALTHCARE ALLIANCE, INC., THE PARENT ORGANIZATION, MAINTAINS A 457(F) UNFUNDED DEFERRED COMPENSATION PLAN TO WHICH THE ALLIANCE WILL CONTRIBUTE FOR HIGHLY COMPENSATED MANAGEMENT EMPLOYEES. THE ALLIANCE CONTRIBUTES AN AMOUNT THAT IS DETERMINED BY THE BOARD, WHICH IS AT MINIMUM 14% AND AT MAXIMUM 18%. ELIGIBLE EMPLOYEES MAY CONTRIBUTE TO THE PLAN. ELIGIBLE EMPLOYEES VEST IN ALL CONTRIBUTIONS ON THE VESTING DATE DETERMINED BY THE BOARD PROVIDED THE EMPLOYEE HAS REMAINED IN CONTINUOUS EMPLOYMENT IN THE SAME POSITION WHILE PARTICIPATING IN THE PLAN. BONUS/INCENTIVE YAFFE AND COMPANY, INC. A THIRD PARTY CONSULTANT, PROVIDES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE FOR THE CEO'S BONUS/INCENTIVE COMPENSATION. THE CEO MAKES RECOMMENDATIONS TO THIS COMMITTEE FOR THE CFO'S BONUS/INCENTIVE COMPENSATION BASED ON SET GOALS AND OTHER FACTORS. THE CFO IS ELIGIBLE FOR UP TO A 15% BONUS OF HIS BASE PAY.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc10">
      <GeneralExplanation>
        <Identifier>FIRST ACCOMPLISHMENT DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4A</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS SUBJECT TO APPROVAL OF MEMBERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7B</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 AND ALL RELATED SCHEDULES WILL BE REVIEWED BY THE ENTIRE GOVERNING BODY BEFORE THE ACTUAL FILING WITH THE INTERNAL REVENUE SERVICE. MEADOWS REGIONAL MEDICAL CENTER'S CFO WILL REVIEW THE RETURN FOR FINANCIAL AND DISCLOSURE ACCURACY, AND WILL RESPOND TO QUESTIONS FROM BOARD MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>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. THIS DETERMINATION PROCESS WAS LAST PERFORMED IN 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>SEE NARRATIVE FOR LINE 15A.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PAGE 7, PART VII</ReturnReference>
        <Explanation>AVERAGE WEEKLY HOURS DEVOTED TO RELATED ORGANIZATIONS: DAVID PAINE 1 HOUR ALAN KENT 4 HOURS RONNIE STEWART 3 HOURS POLLYANN MARTIN 2 HOURS DENNIS INGLEY 2 HOURS JOHN CORNELL 4 HOURS TONY O'STEEN 41 HOURS NEW FACILITY COMPLETED AND SKILLED NURSING FACILITY CLOSES: PRIOR TO MOVING INTO THE NEWLY CONSTRUCTED HOSPITAL FACILITIES ON FEBRUARY 4, 2011, ALL TRANSITIONAL CARE AND NURSING HOME PATIENTS OF MEADOWS NURSING CENTER ("MNC") WERE TRANSFERRED AND THE NURSING HOME OFFICIALLY CLOSED APRIL 1, 2011. ON JULY 31, 2012 THE RIGHTS TO THE BED LICENSES OF MNC WERE SOLD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>CAPITAL EQUITY TRANSFER - SRPCC 21,268,017 UNREALIZED LOSS ON INVESTMENTS ( 167,714) NET INCREASE IN NET ASSETS 21,100,303</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc11">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEADOWS HEALTHCARE FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE MEADOWS PARKWAY</AddressLine1>
          <City>VIDALIA</City>
          <State>GA</State>
          <ZIPCode>30475</ZIPCode>
        </AddressUS>
        <EIN>263617113</EIN>
        <PrimaryActivities>FOUNDATION</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ALLIANCE</BusinessNameLine1>
          <BusinessNameLine2>MEADOWS HEALTHCARE ALLIANCE INC</BusinessNameLine2>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEADOWS HEALTHCARE ALLIANCE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE MEADOWS PARKWAY</AddressLine1>
          <City>VIDALIA</City>
          <State>GA</State>
          <ZIPCode>30475</ZIPCode>
        </AddressUS>
        <EIN>582044502</EIN>
        <PrimaryActivities>HOLDING CO</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEADOWS HEALTHCARE RESOURCES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE MEADOWS PARKWAY</AddressLine1>
          <City>VIDALIA</City>
          <State>GA</State>
          <ZIPCode>30475</ZIPCode>
        </AddressUS>
        <EIN>582044505</EIN>
        <PrimaryActivities>WELLNESS</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ALLIANCE</BusinessNameLine1>
          <BusinessNameLine2>MEADOWS HEALTHCARE ALLIANCE INC</BusinessNameLine2>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SOUTHEAST REGIONAL PRIMARY CARE COR</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE MEADOWS PARKWAY</AddressLine1>
          <City>VIDALIA</City>
          <State>GA</State>
          <ZIPCode>30475</ZIPCode>
        </AddressUS>
        <EIN>582094737</EIN>
        <PrimaryActivities>PHYSICIANS</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ALLIANCE</BusinessNameLine1>
          <BusinessNameLine2>MEADOWS HEALTHCARE ALLIANCE INC</BusinessNameLine2>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>