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        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOOMBS COUNTY HOSPITAL AUTHORITY (AUTHORITY) IS AN INSTRUMENTALITY OF THE STATE AND A PUBLIC CORPORATION CREATED UNDER GEORGIA LAW WHOSE BOARD MEMBERS ARE APPOINTED BY THE COMMISSIONERS OF TOOMBS COUNTY. PREVIOUSLY THE AUTHORITY OWNED AND OPERATED THE HOSPITAL FACILITY. THE AUTHORITY WOULD QUALIFY UNDER SECTION 170(B)(1)(A)(III) AS AN ORGANIZATION WHOSE PRINCIPAL PURPOSE IS THE PROVISION OF MEDICAL CARE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART IV, SECTION C, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS OF MEADOWS HEALTHCARE FOUNDATION, INC. (FOUNDATION), THE SUPPORTING ORGANIZATION, AND MEADOWS REGIONAL MEDICAL CENTER, INC. (MRMC), THE SUPPORTED ORGANIZATION, ARE APPOINTED BY THE BOARD OF DIRECTORS OF MEADOWS HEALTHCARE ALLIANCE, INC. (ALLIANCE), THE PARENT ORGANIZATION. THE ALLIANCE IS THE SOLE MEMBER OF BOTH ORGANIZATIONS. IN ADDITION, THE CEO AND CFO EACH SERVE IN THE SAME CAPACITY FOR BOTH THE SUPPORTING AND SUPPORTED ORGANIZATIONS. THUS, THE SUPPORTING AND SUPPORTED ORGANIZATIONS ARE MANAGED ON A DAILY BASIS BY THE SAME INDIVIDUALS. EFFECTIVE JULY 1, 1994, THE AUTHORITY, A SUPPORTED ORGANIZATION SO DESIGNATED IN FOUNDATION'S ARTICLES OF INCORPORATION, ENTERED INTO A FORTY-YEAR CAPITAL LEASE AGREEMENT WITH MRMC FOR THE PURPOSES OF OPERATING AN ACUTE CARE HOSPITAL AND OTHER RELATED FACILITIES OWNED BY THE AUTHORITY. UNDER THE TERMS OF THE LEASE, THE AUTHORITY'S RIGHT, TITLE AND INTEREST IN CERTAIN ASSETS AND LIABILITIES WERE TRANSFERRED TO MRMC. THE FOUNDATION SUPPORTS THE DELIVERY OF HEALTHCARE DELIVERED BY THE HOSPITAL AND AS A RESULT ALSO SUPPORTS THE MISSION OF THE AUTHORITY TO DELIVER QUALITY HEALTHCARE TO THE CITIZENS OF THE COUNTY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 11G, COLUMN (VI) MEADOWS HEALTHCARE FOUNDATION, INC. PROVIDES FUNDRAISING SERVICES THAT BENEFIT THE SUPPORTED ORGANIZATIONS BY PROVIDING FUNDS FOR CAPITAL AND OPERATIONAL PURPOSES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>HISTORICALLY, THE MISSION OF THE FOUNDATION IS TO PROVIDE THE COMMUNITY WITH AN OPPORTUNITY TO INVEST IN THEIR HEALTH CARE AND THEIR HOSPITAL. THE FOUNDATION HAS NOT BEEN OPERATIONAL SINCE APRIL 2021 (ALL ASSETS HAVE BEEN TRANSFERRED TO MEADOWS NEW FOUNDATION, INC.), FOLLOWING THE SALE OF THE OPERATIONS OF THE INTEGRATED GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS, TO VIDALIA HEALTH SERVICES, LLC, AND AFFILIATE OF HCA HEALTHCARE, INC. ON THAT DATE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES OF MEADOWS REGIONAL HEALTHCARE ALLIANCE, INC. (NOW PASTURES NEW I, INC., OR THE 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ALLIANCE BOARD OF TRUSTEES HAS SOLE POWER TO ELECT OR APPOINT THE TRUSTEES OF THE FOUNDATION'S BOARD AND PRINCIPAL EXECUTIVE OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ALLIANCE BOARD OF TRUSTEES 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>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) 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>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc3">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PASTURES NEW I</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>MEADOW HEALTHCARE ALLIANCE</BusinessNameLine2Txt>
        </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>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>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PASTURES NEW III</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>MEADOW REG 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>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PASTURES NEW VI</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>SOUTHEAST REGIONAL PRIMARY CARE COR</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>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TOOMBS COUNTY HOSPITAL AUTHORITY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE MEADOWS PARKWAY</AddressLine1Txt>
          <CityNm>VIDALIA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>304748759</ZIPCd>
        </USAddress>
        <EIN>580902012</EIN>
        <PrimaryActivitiesTxt>GOVT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501A</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>6</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEADOWS NEW FOUNDATION</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>
