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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>BESIDES THE POWER TO APPOINT OR ELECT ALL BOARD MEMBERS AND EXECUTIVE OFFICERS, THE ALLIANCE'S BYLAWS GRANT ADDITIONAL POWERS OVER THE SUPPORTED ORGANIZATIONS INCLUDING - REVIEW AND APPROVAL OF BUDGETS AND FINANCIAL OPERATIONS; SUPERVISION AND CONTROL OVER THE AFFAIRS AND PROPERTY OF SUPPORTED ORGANIZATIONS; APPROVAL TO CHANGES TO THE BYLAWS; REVIEW AND APPROVAL OF THE SUPPORTED ORGANIZATION'S FINANCIAL STATEMENTS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART IV, SECTION D, LINE 1 - WRITTEN NOTICE PROVIDED THE ALLIANCE IS THE HOLDING CORPORATION ESTABLISHED AND VESTED WITH PRIMARY ORGANIZATIONAL AUTHORITY OVER ITS SUBSIDIARY CORPORATIONS. THE ORGANIZATION'S CEO AND CFO SERVE IN THE SAME CAPACITY FOR EACH OF ITS SUPPORTED ORGANIZATIONS AND OTHER AFFILIATED ENTITIES WITHIN THE AFFILIATED HEALTHCARE SYSTEM. THUS, A WRITTEN NOTICE, IN EFFECT, IS PROVIDED TO THE PRINCIPAL OFFICERS OF THE SUPPORTED ORGANIZATIONS VIA THEIR POSITION AS PRINCIPAL OFFICERS IN THE SUPPORTING ORGANIZATION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <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. MEADOWS NEW FOUNDATION IS A NOT-FOR-PROFIT ORGANIZATION PURSUANT TO SECTION 501(C)(4). 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 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, 2023 AND 2022 OR FOR THE YEARS THEN ENDED. THE ALLIANCE'S 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc3">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>HISTORICALLY, THE MISSION OF THE ORGANIZATION HAS BEEN TO PROVIDE AND SUPPORT THE PROGRAMS AND ACTIVITIES OF MEADOWS REGIONAL MEDICAL CENTER, INC. (NOW PASTURES NEW III, INC.) AND MEADOWS HEALTHCARE RESOURCES, INC. (NOW PASTURES NEW II, INC.), PUBLICLY SUPPORTED CHARITABLE 501(C)(3) ORGANIZATIONS. THE ORGANIZATION IS IN THE PROCESS OF LIQUIDATING AND HAS NOT BEEN OPERATIONAL SINCE APRIL 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>HISTORICALLY, FORM 990 AND ALL RELATED SCHEDULES WERE REVIEWED BY MRMC'S AUDIT COMMITTEE BEFORE FILING WITH THE INTERNAL REVENUE SERVICE. THE BOARD MEMBERS OF THE GOVERNING BODY WOULD RECEIVE A COPY OF THE FORM 990 THROUGH THE ORGANIZATION'S WEB PORTAL FOR THEIR REVIEW. PRIOR TO FILING, THE CFO OF MRMC (NOW PASTURES NEW III, INC.) REVIEWED THE RETURN FOR FINANCIAL AND DISCLOSURE ACCURACY, AND RESPONDED TO QUESTIONS FROM BOARD MEMBERS. AS A RESULT OF THE SALE OF ASSETS TO AN HCA HEALTHCARE AFFILIATE IN APRIL 2021, THE CHAIRMAN OF THE BOARD REVIEWS THE RETURN PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS IN THE PROCESS OF LIQUIDATING AND IS NOT OPERATIONAL. HISTORICALLY, EACH MEMBER OF THE BOARD OF TRUSTEES AND THE EXECUTIVE OFFICERS ANNUALLY COMPLETED A WRITTEN POLICY OF CONFLICT OF INTEREST. ANNUAL STATEMENTS WERE TYPICALLY COMPLETED IN THE MONTH OF JANUARY. THE CEO AND GENERAL COUNSEL FOR MRMC MONITORED CONFLICTS, ATTENDED EACH BOARD MEETING, AND WERE RESPONSIBLE FOR ADDRESSING KNOWN CONFLICTS, AND REQUESTING TRUSTEE MEMBERS TO REFRAIN FROM VOTING ON DECLARED CONFLICTS. FOR SUBSTANTIAL CONFLICTS, THE BOARD MEMBERS WERE ASKED NOT TO DELIBERATE, TO ABSTAIN FROM VOTING, AND WERE REQUESTED TO REMOVE THEMSELVES FROM THE DISCUSSIONS OF THE MATTER.</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 AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERCOMPANY ASSET/LIABILITY TRUE UP 9,209,830 PASTURES NEW I, INC. CEASED OPERATIONS IN 2021. THE ORGANIZATION IS THE PARENT ENTITY OF A COMPREHENSIVE INTEGRATED HEALTHCARE NETWORK, THE MEADOWS HEALTHCARE ALLIANCE (NOW PASTURES NEW I, INC.). SUBSTANTIALLY ALL ASSETS AND OPERATIONS OF THE ORGANIZATION (AND OF THE ENTIRE INTEGRATED GROUP) WERE SOLD TO VIDALIA HEALTH SERVICES, LLC, AN AFFILIATE OF HCA HEALTHCARE, INC. ON APRIL 30, 2021. THE ORGANIZATION AND ITS AFFILIATED ENTITIES ARE IN THE PROCESS OF LIQUIDATING. ALL REMAINING ASSETS OF THE INTEGRATED GROUP ARE OR WILL BE TRANSFERRED TO MEADOWS NEW FOUNDATION, A TAX-EXEMPT ENTITY. THE CHANGE IN FUND BALANCE IS ATTRIBUTABLE TO INTER AFFILIATE ACCOUNTING ADJUSTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc4">
      <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>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PASTURES NEW II</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>MEADOWS HEALTHCARE RESOURCES</BusinessNameLine2Txt>
        </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>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PASTURES NEW III</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>MEADOWS REGIONAL MEDICAL CENTER</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE MEADOWS PARKWAY</AddressLine1Txt>
          <CityNm>VIDALIA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>304748759</ZIPCd>
        </USAddress>
        <EIN>582044503</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIANCE</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>MEADOWS HEALTHCARE ALLIANCE INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PASTURES NEW VI</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>SOUTHEAST REG PRIMARY CARE CORP</BusinessNameLine2Txt>
        </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>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEADOWS NEW FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 263</AddressLine1Txt>
          <CityNm>VIDALIA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30475</ZIPCd>
        </USAddress>
        <EIN>861975495</EIN>
        <PrimaryActivitiesTxt>SOC WELFAR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C4</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
