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        <PersonNm>LORINNSA BRIDGES-KEE</PersonNm>
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      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>1666580</TotalRevenueColumnAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>597955</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>349073</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>422320</TotalAmt>
        <ManagementAndGeneralAmt>422320</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>671393</TotalAmt>
        <ManagementAndGeneralAmt>671393</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>160</TotalAmt>
        <ManagementAndGeneralAmt>160</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>3594186</TotalAmt>
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      <TravelGrp>
        <TotalAmt>303369</TotalAmt>
        <ProgramServicesAmt>303369</ProgramServicesAmt>
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        <TotalAmt>3837766</TotalAmt>
        <ProgramServicesAmt>3837766</ProgramServicesAmt>
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        <ProgramServicesAmt>17337780</ProgramServicesAmt>
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        <ProgramServicesAmt>51998800</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>ASSESSMENT</Desc>
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        <ProgramServicesAmt>1937988</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>LEASE EXPENSE</Desc>
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      <TotalLiabilitiesGrp>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>39483</EOYAmt>
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        <EOYAmt>515943232</EOYAmt>
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        <EOYAmt>680092924</EOYAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
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      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
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      <TotalLobbyingExpendituresAmt>24067</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF THE MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE NORTH CAROLINA HEALTH CARE FACILITIES ASSOCIATION ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <OtherCostOrOtherBasisAmt>2907371</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2907371</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>111768453</DepreciationAmt>
        <BookValueAmt>72500740</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>75513</BookValueAmt>
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        <DepreciationAmt>97096951</DepreciationAmt>
        <BookValueAmt>16890180</BookValueAmt>
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        <DepreciationAmt>5664862</DepreciationAmt>
        <BookValueAmt>105163821</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>INVESTMENTS</Desc>
        <BookValueAmt>42901571</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <TotalBookValueSecuritiesAmt>42901571</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>37539899</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>BOARD DESIGNATED AS FUNDED DEPRECIATION</Desc>
        <BookValueAmt>179891650</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INTERCOMPANY RECEIVABLES</Desc>
        <BookValueAmt>157484211</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>374915760</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY SETTLEMENTS</Desc>
        <Amt>-4258716</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RESERVES</Desc>
        <Amt>2142966</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION OF OPERATING LEASE LIABILITY</Desc>
        <Amt>460566</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>631314</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LINE OF CREDIT</Desc>
        <Amt>3001662</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MISCELLANEOUS</Desc>
        <Amt>13717792</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>15695584</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A TAX-EXEMPT ORGANIZATION AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE FILING ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE FILING ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE FILING ORGANIZATION ADOPTED THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THIS STANDARD HAD NO IMPACT ON THE FILING ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2023 OR JUNE 30, 2022.</ExplanationTxt>
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      <HospitalFacilitiesGrp>
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          <CityNm>RUTHERFORD COLLEGE</CityNm>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
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        <FPGFamilyIncmLmtDscntCarePct>250.000000000000</FPGFamilyIncmLmtDscntCarePct>
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        <ExplainedBasisInd>1</ExplainedBasisInd>
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        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
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        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
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        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
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        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
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        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
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        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <OtherPublicityInd>X</OtherPublicityInd>
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        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR MORGANTON</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: IN SEPTEMBER 2021, THE GROUP BEGAN THE INITIAL PROCESS OF PREPPING FOR THE 2022 COMMUNITY HEALTH ASSESSMENT. THE 2022 CHA WAS STRUCTURED AROUND THE COLLECTION OF PRIMARY AND SECONDARY DATA. THERE WERE TWO MAIN SOURCES OF PRIMARY DATA COLLECTED, A COMMUNITY SURVEY AND FOCUS GROUPS. THE COMMUNITY SURVEY INCLUDED QUESTIONS REGARDING HEALTH BEHAVIORS AND COMMUNITY ISSUES. BEFORE SHARING THE SURVEY, IT WAS FIRST REQUIRED THAT THE PREVIOUS CHA SURVEY BE REVIEWED AND REVISED. THE SURVEY WAS REVISED TO REMOVE QUESTIONS THAT WOULD NOT YIELD QUALITY RESULTS AND TO HELP INCREASE PARTICIPATION. THIS YEAR, THE COMMUNITY SURVEY WAS OFFERED TO BOTH RESIDENTS OF BURKE COUNTY AND TO THOSE WHO WORK IN THE COUNTY BUT DO NOT CALL BURKE HOME. ALTHOUGH, MOST SURVEY RESPONDENTS CAME FROM BURKE RESIDENTS. THE COMMUNITY SURVEY BROUGHT IN 2,149 RESULTS; DOUBLE THE RETURN FROM THE 2019 CHA. THE SURVEY WAS OFFERED IN BOTH ENGLISH AND SPANISH AND WAS MADE ACCESSIBLE THROUGH SCANNING A QR CODE, CLICKING OR COPYING THE DIRECT SURVEYMONKEY LINK, AND THROUGH PAPER COPIES.FOCUS GROUPS WERE ALSO A PART OF THE PRIMARY DATA COLLECTION PHASE. THE BWI PLANNED FOR NINE, SPECIFIC AND DIVERSE GROUPS THAT CONSISTED OF THE HMONG COMMUNITY, HISPANIC COMMUNITY, DEAF AND HARD OF HEARING COMMUNITY, LGBTQ+ COMMUNITY, AFRICAN AMERICAN COMMUNITY, YOUNG PROFESSIONALS, LOCAL COLLEGE STUDENTS, PERSONS WITHOUT PERMANENT HOUSING, AND OLDER ADULTS. THERE WERE SEVEN GROUPS THAT MET THE CRITERIA OF A FOCUS GROUP, RESULTING IN 46 GROUP PARTICIPANTS. DIVERSITY, EQUITY, AND INCLUSION WERE OF TOP PRIORITY TO THE BWI WHEN ORGANIZING PLANS FOR THE FOCUS GROUPS. THIS WAS EVIDENT THROUGH REPRESENTATION OF SEVEN OF THE NINE GROUPS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR VALDESE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: IN SEPTEMBER 2021, THE GROUP BEGAN THE INITIAL PROCESS OF PREPPING FOR THE 2022 COMMUNITY HEALTH ASSESSMENT. THE 2022 CHA WAS STRUCTURED AROUND THE COLLECTION OF PRIMARY AND SECONDARY DATA. THERE WERE TWO MAIN SOURCES OF PRIMARY DATA COLLECTED, A COMMUNITY SURVEY AND FOCUS GROUPS. THE COMMUNITY SURVEY INCLUDED QUESTIONS REGARDING HEALTH BEHAVIORS AND COMMUNITY ISSUES. BEFORE SHARING THE SURVEY, IT WAS FIRST REQUIRED THAT THE PREVIOUS CHA SURVEY BE REVIEWED AND REVISED. THE SURVEY WAS REVISED TO REMOVE QUESTIONS THAT WOULD NOT YIELD QUALITY RESULTS AND TO HELP INCREASE PARTICIPATION. THIS YEAR, THE COMMUNITY SURVEY WAS OFFERED TO BOTH RESIDENTS OF BURKE COUNTY AND TO THOSE WHO WORK IN THE COUNTY BUT DO NOT CALL BURKE HOME. ALTHOUGH, MOST SURVEY RESPONDENTS CAME FROM BURKE RESIDENTS. THE COMMUNITY SURVEY BROUGHT IN 2,149 RESULTS; DOUBLE THE RETURN FROM THE 2019 CHA. THE SURVEY WAS OFFERED IN BOTH ENGLISH AND SPANISH AND WAS MADE ACCESSIBLE THROUGH SCANNING A QR CODE, CLICKING OR COPYING THE DIRECT SURVEYMONKEY LINK, AND THROUGH PAPER COPIES.FOCUS GROUPS WERE ALSO A PART OF THE PRIMARY DATA COLLECTION PHASE. THE BWI PLANNED FOR NINE, SPECIFIC AND DIVERSE GROUPS THAT CONSISTED OF THE HMONG COMMUNITY, HISPANIC COMMUNITY, DEAF AND HARD OF HEARING COMMUNITY, LGBTQ+ COMMUNITY, AFRICAN AMERICAN COMMUNITY, YOUNG PROFESSIONALS, LOCAL COLLEGE STUDENTS, PERSONS WITHOUT PERMANENT HOUSING, AND OLDER ADULTS. THERE WERE SEVEN GROUPS THAT MET THE CRITERIA OF A FOCUS GROUP, RESULTING IN 46 GROUP PARTICIPANTS. DIVERSITY, EQUITY, AND INCLUSION WERE OF TOP PRIORITY TO THE BWI WHEN ORGANIZING PLANS FOR THE FOCUS GROUPS. THIS WAS EVIDENT THROUGH REPRESENTATION OF SEVEN OF THE NINE GROUPS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR MORGANTON</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: BLUE RIDGE VALDESE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR VALDESE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: BLUE RIDGE MORGANTON</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR MORGANTON</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: BURKE COUNTY HEALTH DEPARTMENT AND BURKE WELLNESS INITIATIVE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR VALDESE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: BURKE COUNTY HEALTH DEPARTMENT AND BURKE WELLNESS INITIATIVE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR MORGANTON</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE BURKE WELLNESS INITIATIVE AND ADDITIONAL COMMUNITY PARTNERS REVIEWED THE HEALTH AND SOCIAL ISSUES IDENTIFIED IN THE RESULTS OF THE COMMUNITY SURVEY AND FOCUS GROUPS. THE GROUP PARTICIPATED IN A PRIORITIZATION EXERCISE TO DETERMINE THE PRIORITIES TO DEVELOP INTO A COMPREHENSIVE COMMUNITY HEALTH IMPROVEMENT PLAN. THE TOP THREE PRIORITIES IDENTIFIED FOR THE 2022 CHNA ARE:1) MENTAL HEALTHMENTAL HEALTH HAS CONTINUED TO BE A HEALTH OUTCOME OF CONCERN AND THE COVID-19 PANDEMIC ONLY EXACERBATED THIS ISSUE. POOR MENTAL HEALTH AFFECTS EVERYONE AT SOME POINT, BUT FOR THOSE WHO CANNOT OR DO NOT HAVE ACCESS TO AVAILABLE RESOURCES, THE STRUGGLE CAN SEEM UNBEARABLE. WHEN OUR MENTAL HEALTH STRUGGLES EVERY OTHER AREA IN OUR LIFE DOES AS WELL. AS MENTIONED PREVIOUSLY, THERE WERE 2,149 INDIVIDUALS WHO TOOK THE 2022 CHA SURVEY, WITH 888 INDIVIDUALS REPORTING THAT MENTAL HEALTH I.E., ANXIETY AND DEPRESSION WAS THE MOST CONCERNING ISSUE THAT AFFECTED THEM PERSONALLY OR THEIR FAMILY.WHEN PLANNING STRATEGIES AROUND IMPROVING MENTAL HEALTH, IT IS ESSENTIAL TO HAVE A DIVERSE GROUP AT HAND. METHODS BY WHICH YOU APPROACH MENTAL HEALTH WILL VARY BETWEEN CULTURES AND CULTURAL COMPETENCY MUST BE TAKEN INTO CONSIDERATION.ONE QUESTION FROM THE 2020 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY WAS, "DURING THE PAST 30 DAYS, FOR ABOUT HOW MANY DAYS DID POOR PHYSICAL OR MENTAL HEALTH KEEP YOU FROM DOING YOUR USUAL ACTIVITIES, SUCH AS SELF-CARE, WORK, OR RECREATION?" REGIONS 1 AND 2 HAD COMBINED DATA, WITH BURKE COUNTY FALLING UNDER REGION 2. THE RESULTS WERE AS FOLLOWS:- 683 TOTAL RESPONDENTS (FOR BOTH REGIONS 1 AND 2)- 298 MALE, 385 FEMALE- 561 (NON-HISPANIC, WHITE), 24 (NON-HISPANIC, BLACK), 98 (OTHER)- 213 (18-44 YEARS OLD), 218 (45-64 YEARS OLD), 238 (65 AND OLDER)- 261 (HIGH SCHOOL DEGREE OR LESS), 191 (SOME POST-SECONDARY EDUCATION), 229 (COLLEGE GRADUATE)- 33 PEOPLE SAID DURING THE PAST 30 DAYS, THEY HAVE HAD 30 POOR PHYSICAL OR MENTAL HEALTH DAYS- 51 PEOPLE SAID DURING THE PAST 30 DAYS, THEY HAVE HAD 8-29 POOR PHYSICAL OR MENTAL HEALTH DAYS- 43 PEOPLE SAID DURING THE PAST 30 DAYS, THEY HAVE HAD 3-7 POOR PHYSICAL OR MENTAL HEALTH DAYS- 33 PEOPLE SAID DURING THE PAST 30 DAYS, THEY HAVE HAD 1-2 POOR PHYSICAL OR MENTAL HEALTH DAYS- 523 PEOPLE SAID DURING THE PAST 30 DAYS, THEY HAVE HAD NO POOR PHYSICAL OR MENTAL HEALTH DAYS2) SUBSTANCE USE DISORDEROVER THE LAST 6 YEARS, SUBSTANCE USE DISORDER HAS CARRIED OVER AS ONE OF THE TOP THREE PRIORITY HEALTH ISSUES IN BURKE COUNTY, NC. ACCORDING TO HEALTHY COMMUNITIES NC, DURING THE YEARS OF 2012-2019, BURKE COUNTY WAS ONE OF TWO COUNTIES IN NC THAT HAD THE HIGHEST RATE OF DRUG OVERDOSE DEATHS IN THE WESTERN REGION.STATEWIDE, BURKE RANKED SECOND AS THE COUNTY WITH THE MOST DRUG OVERDOSE DEATHS IN 2012- 2019. FROM 2011 TO APPROXIMATELY 2018, COMMONLY PRESCRIBED OPIOID MEDICATIONS WERE THE PRIMARY CONTRIBUTING FACTOR IN OVERDOSE DEATHS IN BURKE COUNTY. SINCE 2018, HEROIN AND/OR FENTANYL OVERDOSE DEATHS HAVE TAKEN A SHARP INCREASE.3) OBESITY WITH RISK FACTORSOBESITY IS A SERIOUS CHRONIC DISEASE. THE PREVALENCE OF OBESITY CONTINUES TO INCREASE THROUGHOUT THE UNITED STATES WITH 1 IN 5 CHILDREN AND MORE THAN 1 IN 3 ADULTS AFFECTED. ACCORDING TO COUNTY HEALTH RANKINGS 2022, 36% OF ADULTS IN BURKE COUNTY ARE OBESE. OBESITY OPENS THE DOOR TO MANY OTHER HEALTH COMPLICATIONS SUCH AS TYPE 2 DIABETES, HIGH BLOOD PRESSURE, LOSS OF BONE DENSITY, JOINT PAIN, AND MORE. SURPRISINGLY, ON AN ANNUAL BASIS, OBESITY COSTS THE U.S. HEALTHCARE SYSTEM NEARLY 173 BILLION DOLLARS. LIKE MENTAL HEALTH AND SUBSTANCE USE DISORDER, THERE ARE MANY FACTORS THAT DRIVE OBESITY RATES HIGHER AND HIGHER. FINDINGS FROM THE 2022 CHA SURVEY REVEALED THAT OVERWEIGHT/OBESITY WAS THE SECOND MOST POPULAR CONCERNING HEALTH ISSUE WITHIN THE LAST YEAR (QUESTION 8). MANY PARTICIPANTS LEFT COMMENTS EXPLAINING HOW UNWANTED WEIGHT GAIN OCCURRED PERSONALLY AND WITHIN THEIR FAMILY DURING THE "STAY AT HOME ORDER GIVEN AT THE START OF THE PANDEMIC.RECENT DATA SHOWS THAT BURKE COUNTY HAS MADE IMPROVEMENTS OVER THE LAST FIVE YEARS ON ITS PHYSICAL ENVIRONMENT WITH ACCESS TO SEVERAL NEW WALKING TRAILS, PARKS, AND FITNESS CENTERS. THEREFORE, AN IMPORTANT QUESTION WE MUST ASK IS, "WHO DOES NOT HAVE ACCESS THAT NEEDS OR WANTS ACCESS?" JUST BECAUSE WE HAVE IMPROVED IN PROVIDING PEOPLE WITH PLACES TO PARTAKE IN PHYSICAL ACTIVITY DOES NOT MEAN IT IS ACCESSIBLE TO ALL WHO NEED IT.ONE OF THE MOST SIGNIFICANT FACTORS IN OBESITY RATES IS ACCESS TO FRESH FRUITS AND VEGETABLES. SEVERAL SECTIONS OF BURKE COUNTY ARE CONSIDERED FOOD DESERTS, MEANING THERE IS LIMITED ACCESS TO AFFORDABLE AND FRESH FOODS.IN COMPARISON TO THE REST OF THE STATE, BURKE COUNTY RANKED 33RD OUT OF 100 COUNTIES WITH A FOOD HARDSHIP INDEX OF 0.27 IN 2020.MANY FACTORS MUST BE TAKEN INTO CONSIDERATION WHEN STRATEGIZING WAYS TO LOWER OBESITY RATES, INCLUDING:- ACCESSIBILITY TO FRESH FRUIT AND VEGETABLES- EDUCATION ON HOW TO PREPARE HEALTHY MEALS AT HOME- ACCESSIBLE STREETS/SIDEWALKS THAT ARE WALKABLE AND SAFE FOR INDIVIDUALS AND THEIR FAMILIES- PRIMARY CARE ACCESS- CHRONIC DISEASE MANAGEMENT- ADVERSE CHILDHOOD EXPERIENCE (ACE) SCORES- MENTAL HEALTH HISTORY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR VALDESE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE BURKE WELLNESS INITIATIVE AND ADDITIONAL COMMUNITY PARTNERS REVIEWED THE HEALTH AND SOCIAL ISSUES IDENTIFIED IN THE RESULTS OF THE COMMUNITY SURVEY AND FOCUS GROUPS. THE GROUP PARTICIPATED IN A PRIORITIZATION EXERCISE TO DETERMINE THE PRIORITIES TO DEVELOP INTO A COMPREHENSIVE COMMUNITY HEALTH IMPROVEMENT PLAN. THE TOP THREE PRIORITIES IDENTIFIED FOR THE 2022 CHNA ARE:1) MENTAL HEALTHMENTAL HEALTH HAS CONTINUED TO BE A HEALTH OUTCOME OF CONCERN AND THE COVID-19 PANDEMIC ONLY EXACERBATED THIS ISSUE. POOR MENTAL HEALTH AFFECTS EVERYONE AT SOME POINT, BUT FOR THOSE WHO CANNOT OR DO NOT HAVE ACCESS TO AVAILABLE RESOURCES, THE STRUGGLE CAN SEEM UNBEARABLE. WHEN OUR MENTAL HEALTH STRUGGLES EVERY OTHER AREA IN OUR LIFE DOES AS WELL. AS MENTIONED PREVIOUSLY, THERE WERE 2,149 INDIVIDUALS WHO TOOK THE 2022 CHA SURVEY, WITH 888 INDIVIDUALS REPORTING THAT MENTAL HEALTH I.E., ANXIETY AND DEPRESSION WAS THE MOST CONCERNING ISSUE THAT AFFECTED THEM PERSONALLY OR THEIR FAMILY.WHEN PLANNING STRATEGIES AROUND IMPROVING MENTAL HEALTH, IT IS ESSENTIAL TO HAVE A DIVERSE GROUP AT HAND. METHODS BY WHICH YOU APPROACH MENTAL HEALTH WILL VARY BETWEEN CULTURES AND CULTURAL COMPETENCY MUST BE TAKEN INTO CONSIDERATION.ONE QUESTION FROM THE 2020 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY WAS, "DURING THE PAST 30 DAYS, FOR ABOUT HOW MANY DAYS DID POOR PHYSICAL OR MENTAL HEALTH KEEP YOU FROM DOING YOUR USUAL ACTIVITIES, SUCH AS SELF-CARE, WORK, OR RECREATION?" REGIONS 1 AND 2 HAD COMBINED DATA, WITH BURKE COUNTY FALLING UNDER REGION 2. THE RESULTS WERE AS FOLLOWS:- 683 TOTAL RESPONDENTS (FOR BOTH REGIONS 1 AND 2)- 298 MALE, 385 FEMALE- 561 (NON-HISPANIC, WHITE), 24 (NON-HISPANIC, BLACK), 98 (OTHER)- 213 (18-44 YEARS OLD), 218 (45-64 YEARS OLD), 238 (65 AND OLDER)- 261 (HIGH SCHOOL DEGREE OR LESS), 191 (SOME POST-SECONDARY EDUCATION), 229 (COLLEGE GRADUATE)- 33 PEOPLE SAID DURING THE PAST 30 DAYS, THEY HAVE HAD 30 POOR PHYSICAL OR MENTAL HEALTH DAYS- 51 PEOPLE SAID DURING THE PAST 30 DAYS, THEY HAVE HAD 8-29 POOR PHYSICAL OR MENTAL HEALTH DAYS- 43 PEOPLE SAID DURING THE PAST 30 DAYS, THEY HAVE HAD 3-7 POOR PHYSICAL OR MENTAL HEALTH DAYS- 33 PEOPLE SAID DURING THE PAST 30 DAYS, THEY HAVE HAD 1-2 POOR PHYSICAL OR MENTAL HEALTH DAYS- 523 PEOPLE SAID DURING THE PAST 30 DAYS, THEY HAVE HAD NO POOR PHYSICAL OR MENTAL HEALTH DAYS2) SUBSTANCE USE DISORDEROVER THE LAST 6 YEARS, SUBSTANCE USE DISORDER HAS CARRIED OVER AS ONE OF THE TOP THREE PRIORITY HEALTH ISSUES IN BURKE COUNTY, NC. ACCORDING TO HEALTHY COMMUNITIES NC, DURING THE YEARS OF 2012-2019, BURKE COUNTY WAS ONE OF TWO COUNTIES IN NC THAT HAD THE HIGHEST RATE OF DRUG OVERDOSE DEATHS IN THE WESTERN REGION.STATEWIDE, BURKE RANKED SECOND AS THE COUNTY WITH THE MOST DRUG OVERDOSE DEATHS IN 2012- 2019. FROM 2011 TO APPROXIMATELY 2018, COMMONLY PRESCRIBED OPIOID MEDICATIONS WERE THE PRIMARY CONTRIBUTING FACTOR IN OVERDOSE DEATHS IN BURKE COUNTY. SINCE 2018, HEROIN AND/OR FENTANYL OVERDOSE DEATHS HAVE TAKEN A SHARP INCREASE.3) OBESITY WITH RISK FACTORSOBESITY IS A SERIOUS CHRONIC DISEASE. THE PREVALENCE OF OBESITY CONTINUES TO INCREASE THROUGHOUT THE UNITED STATES WITH 1 IN 5 CHILDREN AND MORE THAN 1 IN 3 ADULTS AFFECTED. ACCORDING TO COUNTY HEALTH RANKINGS 2022, 36% OF ADULTS IN BURKE COUNTY ARE OBESE. OBESITY OPENS THE DOOR TO MANY OTHER HEALTH COMPLICATIONS SUCH AS TYPE 2 DIABETES, HIGH BLOOD PRESSURE, LOSS OF BONE DENSITY, JOINT PAIN, AND MORE. SURPRISINGLY, ON AN ANNUAL BASIS, OBESITY COSTS THE U.S. HEALTHCARE SYSTEM NEARLY 173 BILLION DOLLARS. LIKE MENTAL HEALTH AND SUBSTANCE USE DISORDER, THERE ARE MANY FACTORS THAT DRIVE OBESITY RATES HIGHER AND HIGHER. FINDINGS FROM THE 2022 CHA SURVEY REVEALED THAT OVERWEIGHT/OBESITY WAS THE SECOND MOST POPULAR CONCERNING HEALTH ISSUE WITHIN THE LAST YEAR (QUESTION 8). MANY PARTICIPANTS LEFT COMMENTS EXPLAINING HOW UNWANTED WEIGHT GAIN OCCURRED PERSONALLY AND WITHIN THEIR FAMILY DURING THE "STAY AT HOME ORDER GIVEN AT THE START OF THE PANDEMIC.RECENT DATA SHOWS THAT BURKE COUNTY HAS MADE IMPROVEMENTS OVER THE LAST FIVE YEARS ON ITS PHYSICAL ENVIRONMENT WITH ACCESS TO SEVERAL NEW WALKING TRAILS, PARKS, AND FITNESS CENTERS. THEREFORE, AN IMPORTANT QUESTION WE MUST ASK IS, "WHO DOES NOT HAVE ACCESS THAT NEEDS OR WANTS ACCESS?" JUST BECAUSE WE HAVE IMPROVED IN PROVIDING PEOPLE WITH PLACES TO PARTAKE IN PHYSICAL ACTIVITY DOES NOT MEAN IT IS ACCESSIBLE TO ALL WHO NEED IT.ONE OF THE MOST SIGNIFICANT FACTORS IN OBESITY RATES IS ACCESS TO FRESH FRUITS AND VEGETABLES. SEVERAL SECTIONS OF BURKE COUNTY ARE CONSIDERED FOOD DESERTS, MEANING THERE IS LIMITED ACCESS TO AFFORDABLE AND FRESH FOODS.IN COMPARISON TO THE REST OF THE STATE, BURKE COUNTY RANKED 33RD OUT OF 100 COUNTIES WITH A FOOD HARDSHIP INDEX OF 0.27 IN 2020.MANY FACTORS MUST BE TAKEN INTO CONSIDERATION WHEN STRATEGIZING WAYS TO LOWER OBESITY RATES, INCLUDING:- ACCESSIBILITY TO FRESH FRUIT AND VEGETABLES- EDUCATION ON HOW TO PREPARE HEALTHY MEALS AT HOME- ACCESSIBLE STREETS/SIDEWALKS THAT ARE WALKABLE AND SAFE FOR INDIVIDUALS AND THEIR FAMILIES- PRIMARY CARE ACCESS- CHRONIC DISEASE MANAGEMENT- ADVERSE CHILDHOOD EXPERIENCE (ACE) SCORES- MENTAL HEALTH HISTORY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR MORGANTON</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16J: PATIENT ROOM VISIT FROM FINANCIAL COUNSELOR AND SOCIAL WORKER, OVERVIEW OF FINANCIAL ASSISTANCE POLICY, AND CONTACT INFORMATION ON WEBSITE AND PATIENT STATEMENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR VALDESE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16J: PATIENT ROOM VISIT FROM FINANCIAL COUNSELOR AND SOCIAL WORKER, OVERVIEW OF FINANCIAL ASSISTANCE POLICY, AND CONTACT INFORMATION ON WEBSITE AND PATIENT STATEMENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR MORGANTON</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 20E: MONTHLY STATEMENTS REFERENCE THE PHONE NUMBERS TO CALL FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BR VALDESE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 20E: MONTHLY STATEMENTS REFERENCE THE PHONE NUMBERS TO CALL FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINES 7A AND 10 A (BOTH FACILITIES)</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.UNCHEALTHBLUERIDGE.ORG/ABOUT-US/COMMUNITY-BENEFIT/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINES 16A-C (BOTH FACILITIES)</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.UNCHEALTHBLUERIDGE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - BR SOUTHEAST PAIN CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2134 14TH AVENUE CIRCLE NW</AddressLine1Txt>
            <CityNm>HICKORY</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28601</ZIPCd>
          </USAddress>
          <FacilityTxt>PROVIDER-BASED PAIN CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - BR REHABILITATION &amp; PHYSICAL MED</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>137 W PARKER RD</AddressLine1Txt>
            <CityNm>MORGANTON</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28655</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT REHAB CENTER (PT, OT, AND ST SERVICES)</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>BLUE RIDGE HEALTHCARE HOSPITALS PROVIDES FINANCIAL ASSISTANCE TO NORTH CAROLINA RESIDENTS WITH A HOUSEHOLD INCOME, INCLUDING ASSETS, AT OR BELOW 250% FOR THE FEDERAL POVERTY GUIDELINE FOR EACH FAMILY'S SIZE.PART I, LINE 6A:COMMUNITY BENEFIT REPORT IS PREPARED FOR BLUE RIDGE HEALTHCARE SYSTEM (BRHS) WHICH INCLUDES UNC HEALTH BLUE RIDGE MORGANTON (FORMERLY GRACE HOSPITAL) AND UNC HEALTH BLUE RIDGE VALDESE (FORMERLY VALDESE GENERAL HOSPITAL).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT COST FROM LINE 2 IS BASED ON TOTAL BAD DEBT EXPENSE MULTIPLIED BY THE COST-TO-CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BAD DEBT DOES NOT INCLUDE ANY AMOUNTS ATTRIBUTABLE TO THOSE PATIENTS WHO APPLIED FOR AND RECEIVED FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNINSURED DISCOUNTS AND BAD DEBTS INCLUDED THE COST OF SERVICES PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS AND TO PATIENTS WHO OTHERWISE DO NOT PAY FOR THEIR HEALTHCARE SERVICES. THE MISSION OF BRHS IS TO CREATE AND OPERATE A HEALTH SYSTEM TO PROVIDE HOSPITAL, ACUTE AND EMERGENCY CARE, INPATIENT PSYCHIATRIC SERVICES, AND PHYSICIAN SERVICES FOR THE BENEFIT OF THE COMMUNITY IT SERVES. COMMITMENT TO THIS MISSION REQUIRES BOTH AN INVESTMENT IN AND A PARTNERSHIP WITH THE COMMUNITY WITHIN WHICH BRHS OPERATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE COST REPORT IS PREPARED USING THE AUDITED TRIAL BALANCE FOR BLUE RIDGE HEALTHCARE HOSPITALS, INC. THE COST REPORT IS PREPARED IN ACCORDANCE WITH ALL APPLICABLE RULES AND REGULATIONS. AS A 501(C)(3) ORGANIZATION, BLUE RIDGE HEALTHCARE HOSPITALS ACCEPTS ALL PATIENTS WITHOUT REGARD TO THE INSURANCE OR LACK OF INSURANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>BLUE RIDGE HEALTHCARE FACILITIES OFFER FINANCIAL ASSISTANCE THROUGH OUR CHARITY POLICY, BASED ON THE CURRENT FEDERAL POVERTY GUIDELINES (FPG), TO PATIENTS AND GUARANTORS. THOSE APPROVED FOR FINANCIAL ASSISTANCE ARE ELIGIBLE FOR DISCOUNTS APPLIED TO BALANCES OWED AFTER INSURANCE, AS WELL AS SELF-PAY BALANCES REMAINING AFTER OUR UNINSURED DISCOUNT IS APPLIED. PATIENTS WHOSE HOUSEHOLD INCOME IS LESS THAN 250% OF FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR 100% ADJUSTMENT OF REMAINING BALANCES. THIS POLICY IS PUBLICIZED IN PATIENT REGISTRATION AREAS, ON BILLING STATEMENTS, AND IS AVAILABLE ON OUR WEB SITE. PATIENTS NOT ELIGIBLE FOR CHARITY OR WHO HAVE A BALANCE OWED AFTER THE APPLICATION OF CHARITY OR UNINSURED DISCOUNT ARE SENT STATEMENTS AND/OR COLLECTION LETTERS AT LEAST EVERY 30 DAYS UNTIL THE BALANCE OWED IS PAID OR SUITABLE, LONGER-TERM PAYMENT ARRANGEMENTS ARE MADE. ACCOUNTS THAT DO NOT HAVE SUITABLE PAYMENT ARRANGEMENTS ESTABLISHED, THAT ARE OLDER THAN 120 DAY FROM THE FIRST PATIENT STATEMENT ARE ELIGIBLE FOR OUTSIDE COLLECTION ACTIVITY. ALL PATIENTS ARE NOTIFIED OF POSSIBLE COLLECTION ASSIGNMENT AT LEAST 30 DAYS BEFORE AN ASSIGNMENT IS MADE. IF A PATIENT REQUESTS FINANCIAL ASSISTANCE AFTER THE STATEMENT PROCESS BEGINS, THE ACCOUNT IS PLACED ON HOLD UNTIL A DETERMINATION OF ELIGIBILITY IS MADE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BLUE RIDGE HEALTHCARE HOSPITALS PERFORMS OUTREACH SERVICES AND HEALTH EDUCATION OPPORTUNITIES FOR THE COMMUNITY SERVED. FEEDBACK FROM THESE EFFORTS ALONG WITH THE EVALUATION OF THE PATIENTS SERVED ARE CONSIDERED IN ASSESSING THE COMMUNITIES HEALTH CARE NEEDS. IN ADDITION, THE ORGANIZATION HAS CONDUCTED EXTENSIVE RESEARCH INTO THE AREAS MOST SERIOUS HEALTH THREATS AND DEVELOPED A PLAN TO FOCUS ATTENTION ON THESE ISSUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL SELF PAY INPATIENTS ARE SCREENED FOR FINANCIAL ASSISTANCE BY THE FINANCIAL COUNSELORS DURING THEIR STAY. DIAGNOSTIC, ER, AND THERAPEUTIC OUTPATIENT SERVICES ARE ALSO ELIGIBLE FOR FINANCIAL ASSISTANCE AND-OR CHARITY UPON APPLICATION BY THE PATIENT OR RESPONSIBLE PARTY. MONTHLY STATEMENTS AND WEBSITE REFERENCE THE PHONE NUMBERS TO CALL FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BRHCS PRIMARY SERVICE AREA INCLUDES BURKE COUNTY; PATIENTS FROM A NUMBER OF OTHER OUTLYING COUNTIES ARE ALSO SERVED BY BRHC. THE POPULATION IS PREDOMINANTLY CAUCASIAN. SIGNIFICANT MINORITIES INCLUDE HMONG, AFRICAN-AMERICAN AND HISPANIC RESIDENTS. THE AREA IS ECONOMICALLY DEPRESSED DUE TO THE LOSS OF TRADITIONAL FURNITURE AND TEXTILE INDUSTRIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>BRHC IS GOVERNED BY A VOLUNTEER COMMUNITY BOARD OF DIRECTORS. BRHC SYSTEM IS SERVED BY OPEN MEDICAL STAFFS. THE SYSTEM IS ALSO SUPPORTED BY A GROWING BRHC VOLUNTEERS CORPS WHO CONTRIBUTE THOUSANDS OF HOURS IN SERVICE ANNUALLY. BRHC ACTIVELY RECRUITS PRIMARY CARE PHYSICIANS AND PHYSICIAN SPECIALISTS TO MEET SPECIFIC MEDICAL NEEDS IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>BLUE RIDGE HEALTHCARE HOSPITALS IS PART OF BLUE RIDGE HEALTHCARE SYSTEM. BLUE RIDGE SERVES BURKE COUNTY, NC AND SURROUNDING COUNTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>NC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LEARFIELD COMMUNICATIONS LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2400 DALLAS PARKWAY STE 500</AddressLine1Txt>
          <CityNm>PLANO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75093</ZIPCd>
        </USAddress>
        <RecipientEIN>470911648</RecipientEIN>
        <IRCSectionDesc>OTHER</IRCSectionDesc>
        <CashGrantAmt>53600</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>APP STATE SPONSORSHIP: LEARFIELD IMG COLLEGE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BLUE RIDGE HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2201 S STERLING STREET</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <RecipientEIN>582063920</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>47700</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY OF MORGANTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3448</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28680</ZIPCd>
        </USAddress>
        <RecipientEIN>566000234</RecipientEIN>
        <IRCSectionDesc>115</IRCSectionDesc>
        <CashGrantAmt>47341</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SOCCER COMPLEX PLEDGE AND HISTORIC MORGANTON FESTIVAL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GOOD SAMARITIN CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>305 WEST UNION ST</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <RecipientEIN>561939030</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>33453</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COST OF INVENTORY DONATED</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BURKE COUNTY PUBLIC SCHOOLS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 EAST PARKER RD</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <RecipientEIN>560935935</RecipientEIN>
        <IRCSectionDesc>115</IRCSectionDesc>
        <CashGrantAmt>22335</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BURKE PARTNERSHIP FOR ECONOMIC DEV- THRIVE PLEDGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2128 S STERLING STREET STE 150</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <RecipientEIN>593762106</RecipientEIN>
        <IRCSectionDesc>OTHER</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YMCA OF WESTERN NC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>40 N MERRIMON AVE STE 309</AddressLine1Txt>
          <CityNm>ASHEVILLE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28804</ZIPCd>
        </USAddress>
        <RecipientEIN>560530013</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BURKE SOCCER ASSOCIATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 272</AddressLine1Txt>
          <CityNm>RUTHERFORD COLLEGE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28671</ZIPCd>
        </USAddress>
        <RecipientEIN>203991979</RecipientEIN>
        <IRCSectionDesc>OTHER</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NCSSM FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2733</AddressLine1Txt>
          <CityNm>DURHAM</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27715</ZIPCd>
        </USAddress>
        <RecipientEIN>561250756</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HICKORY CRAWDADS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2500 CLEMENT BLVD NW</AddressLine1Txt>
          <CityNm>HICKORY</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28601</ZIPCd>
        </USAddress>
        <RecipientEIN>561793326</RecipientEIN>
        <IRCSectionDesc>OTHER</IRCSectionDesc>
        <CashGrantAmt>8333</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BURKE COUNTY UNITED WAY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>121 W UNION ST</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <RecipientEIN>560929553</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BURKE COUNTY CHAMBER COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 EAST MEETING STREET</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <RecipientEIN>999999999</RecipientEIN>
        <IRCSectionDesc>OTHER</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>7</Total501c3OrgCnt>
      <TotalOtherOrgCnt>5</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GRANTS ARE APPROVED BY A UNC HEALTH BLUE RIDGE MANAGER, DIRECTOR, VP OR CEO BASED ON MONETARY AMOUNT BEFORE PAYMENT IS PROCESSED AND DISTRIBUTED. ALL GRANTS ARE MADE TO COMPLEMENT THE CHARITABLE ACTIVITIES OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>1</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>1</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>KATHY BAILEY</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <TotalCompensationFilingOrgAmt>979442</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>345768</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GHANDHARI LOOMIS MD</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>226399</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>11141</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>337860</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompensationFlngOrgAmt>4095</DeferredCompensationFlngOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190474</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BENEFITS PROVIDED TO OFFICERS FACILITATE BUSINESS RELATIONSHIPS. BRHC PAID THE CLUB DUES FOR KATHY BAILEY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2021, THE ORGANIZATION TERMINATED THE MANAGEMENT SERVICES CONTRACT WITH ATRIUM HEALTH (FORMERLY CAROLINAS HEALTHCARE SYSTEM) AND ENTERED INTO A MANAGEMENT SERVICES CONTRACT WITH UNC HEALTH. THE ORGANIZATION COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION PACKAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR, THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SECTION 457(F) PLAN: THOMAS EURE $ 5,031 ANTHONY FRANK JR. $ 10,565 JONATHAN MERCER $ 2,000 BARRY NELSON $ 3,610 ANDREW THOMAS II $ 3,336 PATRICIA MOLL $ 11,792</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES ARE PAID IF THE ORGANIZATION'S RESULTS MEET CERTAIN PERFORMANCE INDICATORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2021, THE ORGANIZATION TERMINATED THE MANAGEMENT SERVICES CONTRACT WITH ATRIUM HEALTH AND ENTERED INTO A MANAGEMENT SERVICES CONTRACT WITH UNC HEALTH. THE TERMS OF THE CONTRACT CALL FOR THE ORGANIZATION TO PAY UNC HEALTH AN ANNUAL MANAGEMENT FEE BASED UPON THE ORGANIZATION'S NET OPERATING REVENUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF FINANCIAL OFFICER, THE BOARD AND THE EXECUTIVE COMMITTEE WILL REVIEW THE PREPARED FORM 990 BEFORE IT IS FILED WITH THE IRS. A DRAFT OF FORM 990 WAS POSTED FOR ACCESS BY THE GOVERNING BODY BEFORE IT WAS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CORPORATE COUNSEL, WHO REVIEWS ALL ANNUAL CONFLICT OF INTEREST DISCLOSURES, IS PRESENT AT EVERY BOARD MEETING TO ENSURE THAT ANY POTENTIAL CONFLICTS ARE APPROPRIATELY HANDLED BY MEMBERS ABSTAINING FROM VOTES AS APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION PACKAGE DURING THE FISCAL YEAR ENDING JUNE 30, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>BY-LAWS ARE AVAILABLE UPON REQUEST THROUGH CORPORATE COUNSEL. ARTICLES OF INCORPORATION ARE FILED WITH NC STATE AND ARE AVAILABLE ON THEIR WEBSITE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF HOURS -- FOR RELATED ORGANIZATIONS, OFFICERS LISTED ON PART VII WORK AN AVERAGE OF 40 TO 50 HOURS PER WEEK. THEIR TIME IS SHARED BETWEEN THE FILING ORGANIZATION AND OTHER RELATED ENTITIES LISTED ON SCHEDULE R.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER: PROGRAM SERVICE EXPENSES 38,063,237. MANAGEMENT AND GENERAL EXPENSES 9,515,809. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,579,046.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES FOR APPROVING AUDITED FINANCIAL STATEMENTS OR SELECTION OF INDEPENDENT ACCOUNTANTS HAVE OCCURRED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VALDESE NURSING HOME INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>95 LOCUST STREET</AddressLine1Txt>
          <CityNm>CONNELLY SPRINGS</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28612</ZIPCd>
        </USAddress>
        <EIN>581978560</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GRACE LIFECARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>500 LENOIR ROAD</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <EIN>561722754</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GRACE NURSING CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>109 FOOTHILLS DRIVE</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <EIN>561838369</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GRACE PROPERTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>500 LENOIR ROAD</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <EIN>561727514</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLUE RIDGE HEALTHCARE FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2201 SOUTH STERLING STREET</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <EIN>582063920</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLUE RIDGE HEALTHCARE MEDICAL GROUP INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2201 SOUTH STERLING STREET</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <EIN>020777195</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLUE RIDGE HEALTHCARE SYSTEMS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2201 SOUTH STERLING STREET</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <EIN>562150313</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BLUE RIDGE CARDIOLOGY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2201 SOUTH STERLING STREET</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <EIN>753158601</EIN>
        <PrimaryActivitiesTxt>CARDIAC CATHETERIZATION SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRHC &amp; MEDCATH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>106758</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1151229</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GRACE HEALTH VENTURES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2201 SOUTH STERLING STREET</AddressLine1Txt>
          <CityNm>MORGANTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28655</ZIPCd>
        </USAddress>
        <EIN>561581317</EIN>
        <PrimaryActivitiesTxt>RELATED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BLUE RIDGE HEALTHCARE SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
