Meadows Regional Medical Center Inc

“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.”

“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.”

“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.”

“Historically, the form 990 and all related schedules are reviewed by mrmc's audit committee before filing with the internal revenue service. The board members of the governing body receive a copy of the form 990 through the organization's web portal for their review. Prior to filing, mrmc's, the supported organization, cfo reviews the return for financial and disclosure accuracy, and will respond to questions from board members. As a result of the sale of assets to an hca healthcare affiliate in april 2021, the audit committee and the board will not review the returns for fiscal year 2021.”

“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.”

“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.”

“See narrative for line 15a.”

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“On april 30, 2021, the organization and its affiliated entities sold substantially all operating assets to vidalia health services, llc, an affiliate of hca healthcare, inc. The net assets remaining from the sale have or will be transferred to a newly formed tax-exempt organization, meadows new foundation, inc. The attorney general of the state of georgia approved the transaction and the irs has recognized meadows new foundation as a tax-exempt entity pursuant to irc section 501(c)(4). The organization is in the process of winding down all remaining activities. See schedule n for additional information.”

“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.”

“Purchased services 2,956,175 1,060,239 0 consulting fees 0 455,487 0 medical fees 1,425,460 505,132 0 collection fees 9,536 391,549 0 contract labor 3,913,841 0 0 interpretation fees 523,385 0 0 total 8,828,397 2,412,407 0”

“Equity transfer -15,045,023 transfer of equity to meadows new foundation, inc. And/or to related parties.”

“The organization's audited financial statements have not been issued for fiscal year ended june 30, 2021 at the time this form 990 was filed. A single audit is expected to be required and will be completed if necessary.”