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        <DescriptionOfServices>ADVERTISING</DescriptionOfServices>
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      <NumberOfContractorsGT100K>24</NumberOfContractorsGT100K>
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        <ProgramServices>19528</ProgramServices>
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        <ProgramServices>2087208</ProgramServices>
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        <ManagementAndGeneral>356273</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>146669</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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        <ManagementAndGeneral>6404</ManagementAndGeneral>
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        <Total>7592583</Total>
        <ProgramServices>5910331</ProgramServices>
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      <Advertising>
        <Total>842180</Total>
        <ProgramServices>108078</ProgramServices>
        <ManagementAndGeneral>734102</ManagementAndGeneral>
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      <OfficeExpenses>
        <Total>12951789</Total>
        <ProgramServices>12592513</ProgramServices>
        <ManagementAndGeneral>359276</ManagementAndGeneral>
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        <Total>9213</Total>
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        <ManagementAndGeneral>5862</ManagementAndGeneral>
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      <Occupancy>
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        <ProgramServices>1156401</ProgramServices>
        <ManagementAndGeneral>164144</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>178899</ProgramServices>
        <ManagementAndGeneral>93315</ManagementAndGeneral>
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        <ProgramServices>3505436</ProgramServices>
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        <Description>BAD DEBT EXPENSE</Description>
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        <ProgramServices>14475872</ProgramServices>
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      <OtherExpenses>
        <Description>REPAIRS &amp; MAINTENANCE</Description>
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      <OtherExpenses>
        <Description>PHYSICIAN RECRUITMENT</Description>
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        <ProgramServices>1002180</ProgramServices>
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      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
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        <ProgramServices>191042</ProgramServices>
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        <Total>176776</Total>
        <ProgramServices>175783</ProgramServices>
        <ManagementAndGeneral>993</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>90792896</Total>
        <ProgramServices>80169208</ProgramServices>
        <ManagementAndGeneral>10623688</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <TotalLiabilities>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TotalLiabNetAssetsFundBalances>
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      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
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      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
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        <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. ADDIITONALLY, THE HOSPITAL PAID A LOBBYING CONSULTANT 18,000 TO ENGAGE IN SUCH ACTIVITIES ON THEIR BEHALF.</Explanation>
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      <Equipment>
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      <OtherAssets>
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        <BookValue>7232760</BookValue>
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      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
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      <TotalBookValueOtherAssets>9111947</TotalBookValueOtherAssets>
      <OtherLiabilities>
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        <Amount>1236232</Amount>
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      <TotalOfAmounts>1236232</TotalOfAmounts>
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        <GrossRevenueTotalEvents>23505</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>12828</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>12828</DirectExpenseSummaryEvents>
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      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
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      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
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      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
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      <TotalCommunityBenefits>
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        <DirectOffsettingRevenue>9118883</DirectOffsettingRevenue>
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        <Name>
          <BusinessNameLine1>MEADOWS REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1703 MEADOWS LANE</AddressLine1>
          <City>VIDALIA</City>
          <State>GA</State>
          <ZIPCode>304743803</ZIPCode>
        </Address>
        <CriticalAccessHospital>X</CriticalAccessHospital>
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        <PercentOfTotalExpenseExpln>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 90,792,896 LESS: BAD DEBTS IN PART IX ( 14,475,872) DENOMINATOR FOR COLUMN (F) 76,317,024</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>AMOUNTS ON PART III, LINES 2 AND 3 WERE CALCULATED USING THE RCC AS DEFINED IN WORKSHEET 2. EXCERPT OF AUDITED FINANCIAL STATEMENTS FOOTNOTE FOR ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS - THE ALLIANCE PROVIDES AN ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS BASED ON EVALUATION OF THE OVERALL COLLECTIBILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE.</BadDebtFootnote>
        <DebtCollectionPolicy>THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS.</DebtCollectionPolicy>
        <NeedsAssessment>THROUGH PHYSICIAN AND PATIENT NEEDS ASSESSMENTS. HEALTH RISK ASSESSMENTS. ANALYSIS OF REASONS FOR PATIENT TRANSFERS TO OTHER FACILITIES.</NeedsAssessment>
        <PatientEducationAssistance>PATIENTS ARE INFORMED AT REGISTRATION OF THE HOSPITAL'S INDIGENT AND CHARITY POLICY. THEY SIGN FORMS AT REGISTRATION INDICATING THAT THEY WERE INFORMED OF THIS POLICY AND ITS GUIDELINES.</PatientEducationAssistance>
        <CommunityInformation>MRMC SERVES THE VIDALIA, TOOMBS COUNTY REGION, A RURAL SOUTHEAST GEORGIA COMMUNITY. THE PATIENT MIX BASED ON REVENUES IS APPROXIMATELY 60% MEDICARE/MEDICAID, 28% OTHER THIRD PARTY AND 12% SELF PAY WITH AN INCREASING POPULATION APPLYING AND QUALIFYING AS CHARITY AND INDIGENT.</CommunityInformation>
        <OtherInformation>THE HOSPITAL WELLNESS CENTER'S MEETING ROOMS ARE USED AT VARIOUS TIME FOR LUNCH AND LEARN PROGRAMS, DIABETES EDUCATION AND SUPPORT MEETINGS, VARIOUS HEALTH SCREENING DATES AND A VARIETY OF OTHER COMMUNITY HEALTH PROGRAMS.</OtherInformation>
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        <NumberOfRecipients>32</NumberOfRecipients>
        <AmountOfCashGrant>19528</AmountOfCashGrant>
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        <Identifier>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES</Identifier>
        <ReturnReference>SCHEDULE I, PAGE 1, PART I, LINE 2</ReturnReference>
        <Explanation>THE EDUCATIONAL ASSISTANCE PROGRAM IS MANAGED THROUGH THE HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE SCHOLARSHIP COMMITTEE. THE FOLLOWING CRITERIA APPLY: A. APPLICANT MUST BE EMPLOYED BY MEADOWS REGIONAL MEDICAL CENTER FOR A MINIMUM OF 12 MONHTS OF SERVICE AND BE CLASSIFIED AS FULL-TIME FOR 12 CONSECUTIVE MONTHS FOR ELIGIBILITY TO THE PROGRAM, UNLESS THE APPLICANT IS SEEKING HIGHER EDUCATION FOR CLINICAL ROLES. FULL-TIME IS DEFINED AS 36+ HOURS AGGREGATE PER WEEK. CLINICAL EDUCATION ELIGIBILITY WILL BE EVALUATED ON A CASE-BY-CASE BASIS. B. THE INSTITUTION FOR THE PROPOSED TRAINING MUST BE AN ACCREDITED SCHOOL, COLLEGE OR UNIVERSITY, PREFERABLY A BRICK &amp; MORTAR INSTITUTION; C. APPLICANT MUST PROVIDE AN ESSAY ON THEIR CHOICE OF PROPOSED COURSE OF STUDY AND UTILIZATION OF THE EDUCATION IN THE HEALTH CARE INDUSTRY; D. APPLICANT CANNOT PARTICIPATE IN THE EDUCATIONAL ASSISTANCE PROGRAM IN CONJUNCTION WITH OTHER ASSISTANCE PROGRAMS, E.G., HOPE SCHOLARSHIP, PELL GRANT, ETC. E. APPLICANT, IF CHOSEN UNDER THE SCHOLARSHIP PROGRAM, MUST MAINTAIN AT LEAST A C+ (2.5 GPA ON A 4.0 SCALE) AVERAGE OR BETTER DURING THE COURSE OF STUDY. UPON GRADUATION, THE APPLICANT MUST MAINTAIN SATISFACTORY CERTIFICATION OR REGISTRATION WITH THE APPROPRIATE BOARD. THE EMPLOYEE'S ANNUAL TUITION SHALL BE PAID BY THE HOSPITAL FOR 100% OF THE TUITION COST AND 100% OF ANY BOOKS AND LAB FEES UNDER THE FOLLOWING PROVISIONS: I. UP TO 2,500 PER SEMESTER WITH A MAXIMUM CAP OF 5,000 PER SCHOOL YEAR; AND II. RECEIPTS ARE REQUIRED, NO EXCEPTION. GRADE REPORTS SHALL BE SUBMITTED WITHIN TEN DAYS OF RECEIPT BY THE APPLICANT TO THE DIRECTOR OF HUMAN RESOURCES. A LAPSE OF PARTIICIPATION IN SCHOOL FOR MORE THAN TWO SEMESTERS PER CALENDAR YEAR WILL BE PERCEIVED AS WITHDRAWAL FROM SCHOOL AND DEFAULT TERMS SHALL BE IN EFFECT.</Explanation>
      </Form990ScheduleIPartIV>
    </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>true</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>true</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>J ALAN KENT</NamePerson>
        <BaseCompensationFilingOrg>320407</BaseCompensationFilingOrg>
        <BonusFilingOrg>55000</BonusFilingOrg>
        <OtherCompensationFilingOrg>9000</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>59810</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>444217</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN R CORNELL</NamePerson>
        <BaseCompensationFilingOrg>196776</BaseCompensationFilingOrg>
        <BonusFilingOrg>26649</BonusFilingOrg>
        <DeferredCompFilingOrg>11388</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>234813</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SHIRLEY HOSKINS</NamePerson>
        <BaseCompensationFilingOrg>185402</BaseCompensationFilingOrg>
        <BonusFilingOrg>20250</BonusFilingOrg>
        <OtherCompensationFilingOrg>9750</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9697</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>225099</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARION C HORTON</NamePerson>
        <BaseCompensationFilingOrg>159618</BaseCompensationFilingOrg>
        <BonusFilingOrg>24000</BonusFilingOrg>
        <DeferredCompFilingOrg>9319</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>192937</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>NANCY PENCE</NamePerson>
        <BaseCompensationFilingOrg>155048</BaseCompensationFilingOrg>
        <BonusFilingOrg>22500</BonusFilingOrg>
        <DeferredCompFilingOrg>9519</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>187067</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HOWARD HOLMAN</NamePerson>
        <BaseCompensationFilingOrg>151639</BaseCompensationFilingOrg>
        <BonusFilingOrg>22404</BonusFilingOrg>
        <DeferredCompFilingOrg>9326</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>183369</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHRISTOPHER SCOTT</NamePerson>
        <BaseCompensationFilingOrg>444231</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>357366</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9486</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>811083</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GILBERT GONZALEZ</NamePerson>
        <BaseCompensationFilingOrg>571156</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>51600</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7986</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>630742</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RONALD W WILLIAMS</NamePerson>
        <BaseCompensationFilingOrg>454329</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>13380</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>467709</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GREGORY B FRANZ</NamePerson>
        <BaseCompensationFilingOrg>417309</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>13241</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>430550</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HUBERT M SUBER</NamePerson>
        <BaseCompensationFilingOrg>350002</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>13705</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>363707</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 46,105 0</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 6A</ReturnReference>
        <Explanation>INCENTIVE COMPENSATION PLAN BASED ON ACHIEVING HOSPITAL/DEPARTMENTAL BUDGET</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION CONTINGENT UPON NET EARNINGS OF RELATED ORG</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 6B</ReturnReference>
        <Explanation>INCENTIVE COMPENSATION PLAN BASED ON ACHIEVING HOSPITAL/DEPARTMENTAL BUDGET</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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc10">
      <GeneralExplanation>
        <Identifier>FIRST ACHIEVEMENT 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 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 CORPORARTION ARE CARRIED OUT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 AND ALL RELATED SCHEDULES WILL BE REVIEWED BY THE ENTIRE GOVERNING BODY AFTER THE ACTUAL FILING WITH THE INTERNAL REVENUE SERVICE. MEADOWS REGIONAL MEDICAL CENTER'S CFO REVIEWS THE RETURN FOR FINANCIAL AND DISCLOSURE ACCURACY PRIOR TO FILING, 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 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.</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>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>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>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc11">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEADOWS HEALTHCARE FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1703 MEADOWS LANE</AddressLine1>
          <City>VIDALIA</City>
          <State>GA</State>
          <ZIPCode>30474</ZIPCode>
        </AddressUS>
        <EIN>263617113</EIN>
        <PrimaryActivities>FOUNDATION</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEADOWS HEALTHCARE ALLIANCE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1703 MEADOWS LANE</AddressLine1>
          <City>VIDALIA</City>
          <State>GA</State>
          <ZIPCode>30474</ZIPCode>
        </AddressUS>
        <EIN>582044502</EIN>
        <PrimaryActivities>HOLDING CO</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEADOWS HEALTHCARE RESOURCES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1703 MEADOWS LANE</AddressLine1>
          <City>VIDALIA</City>
          <State>GA</State>
          <ZIPCode>30474</ZIPCode>
        </AddressUS>
        <EIN>582044505</EIN>
        <PrimaryActivities>DME, WELLN</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SOUTHEAST REGIONAL PRIMARY CARE COR</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1703 MEADOWS LANE</AddressLine1>
          <City>VIDALIA</City>
          <State>GA</State>
          <ZIPCode>30474</ZIPCode>
        </AddressUS>
        <EIN>582094737</EIN>
        <PrimaryActivities>PHYS PRACT</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>6</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TOOMBS CO</BusinessNameLine1>
        </DirectControllingEntityName>
      </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>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>